HomeMy WebLinkAbout09-9165 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9165
LP /NATURAL GAS PERMIT
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Permit Number: 9165 Address: 38430 A AVE
Permit Type: LP /NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: FIRE -LP /NATURAL GAS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14- 26 -21- 0010 - 01600 -0000
Improv. Cost: 250.00
Date Issued: 6/02/2009 Name: CITY OF ZEPHYRHILLS
Total Fees: Address: PO BOX 1264
Amount Paid: ZEPHYRHILLS, FL. 33539
Date Paid: Phone: (813)997 -1641
Work Desc: INSTALLATION NATURAL GAS -FEE WAIVED PER FM
BAHR'S PROPANE GAS & C INC
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FIRE SITE INSPECTION -Final
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
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CONTRACTOR SIGNATURE a I : IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
Jacqueline Boges
From: Kerry Barnett
Sent: Monday, June 08, 2009 7:22 AM
To: Jacqueline Boges
You can clear the Bahrs propane for the scout hut.
Kerry Barnett
Fire Marshal
Zephyrhills Fire Rescue
Zephyrhills, Fl 33542
813- 780 -0041
(c) 813 - 714 -6326
kbarnett@fire.zephyrhills.fl.us
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813- 780 -0020 City of Zephyrhills Fire Fax - 813 -780 -0021
Permit Application
Date Received 20 "
�` 0 Phone Contact for Permit ei 3 7S'a mod/
Owner's Name
� ) _..���. / y/ � 1 Owner's Phone Number 1 ?�3 11997H/64/11
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I e l9' f 2f , ,o•A�"h /1(J-
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Owner's Address 1P0 /30 / S'', 2-A,"5- - 6666 W// Jter ) (& s ,- J
Fee Simple Titleholder Name I (
Titleholder Phone Number I I
Fee Simple Titleholder Address I
" a➢!.k�t 4 : '' '« ' .L -.
p Fe, . / - 'O 1I� n ,�Q L / T/ .
Job Address I 3 O / c1� # J� ,9ue . 2ephyrhdi F - 335 ., 1 s, Lot #
Sub Division I AO SC c�i€ / f' Id Parcel # I �9 �p . -/ 46/ 5 Q /6eo QL OI
".:'2x'Ym�.��.i �-'u *s.�.'c�. ,.,3�.�:i';aw.� .... :, , +z „, '- '��S,±cY ^cf�+?? ... m,,: w,.. ., �:; a:: x' sA: �` :w°,�,4:= �>;Y�,,.�s..v'.;,..�a 3::�..,»�a:;su?'Nsx. ....ia,4:' >rxr.._sk �'Y;F �s.r°v.. '.`,.v!✓ �5f. cat=�?srre«±eF= w:�r.��_3n.: ;a'.w t;,�rr:
0 Bio-Hazard Waste Storage - ANNUAL ED Hazardous Material (Tier II or RQ Facility) ANNUAL .
E Comm Exhaust Kitchen Hood /Duct 0 (9"/Natural Installation
Controlled Bum ®(7 /Natural Gas - Installation
El Emergency Generator < 30 kw El LP /Natural Gas - ANNUAL Sale
El Emergency Generator > 30 kw n Places of Assembly- ANNUAL
El Fire Protection Maintenance - ANNUAL El Recreational Bum
Pr Mrli l MI L•i M
Sprinkler Li ❑ ❑ ❑ in Sparklers
Fire Alarm E ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning 0 ❑ ❑ ❑ I I = Standpipes (Sprinkler Sys)
Hood Suppression LI ❑ ❑ ❑ I 1 El Torch Roofing/Tar Kettle
LJ Fire Alarm Installation Waste Tire Storage ANNUAL
R Fire Pumps
Fire Works
El Flammable Application- ANNUAL ( 15?' ( Valuation of Project
Fuel Tanks
0 Other: I
'r�'�+➢:ti .: •. �v�. by d.+aek.:'�`v"r.. ., MY_�” :+£§L.. � m "AY..,e k�:'+3AFsrY a�F: "..�1rt,,.,1x. �, E,:..:t E&C. ;f3Ni.+.ro.�c}}3'3 '
Contractor Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address 1 I License # ( I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( I
PLUMBER Company
Signature Registered ( Y / N I Fee Current I Y / N I
Address I I License # I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I
OTHER Company r /-'O -r7NP
Signature Il a- "7
- / / am= ) Registered r Fee Current ram
-- r
Address License # ST/ re l7 l
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
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'ND T ICE;,DF:DEEDRESTRICTIONS: The undersigned understands that this permit maybe'subject :t eed °restrictions"
.which may more restrictive than County regulations. The:undersigned.assumes responsibility.for c ompliat�e'wtth an
.applicable deed restrictions.
UNLICENSED 'CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If - the owner has -hired-ra- contractor or - -
contractors to undertake work, they may be required be licensed in accordance with state and local If the
contractor is not licensed as required by taw, both; the owner and contractor may be cited - for a misdemeanor violation
under state law. If - the owner or intended contractor are uncertain .as to what licensing - requirements may :apply for the
intendedwork, they are advised to contact the:Pasco County Building Inspection Division— Licensing Section:at 727 -847-
8009. f=urthermore, if the owner has hired .a contractor or contractors, he is advised to have the contractor(s) sign
portions ;of the "contractor Block" of this ,application which will be responsible. If you, as owner sign as the
contractor, that may be an indication - that he is not .properly licensed and is not entitled -permitting .privileges in Pasco
County.
CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes, .as: e nde d ): If Construction of
on Len Law— Homeowmer's
certify that 1, the applicant, have .been. provided -with -a copy and Consumer Affairs. If the applicant is someone
Protection Guide" prepared by Florida Department of Agriculture e above described document and promise in good faith to
other than the "owner", I certify that ,I have obtained a copy
deliver itito the "owner" prior to commencement. CONTRACTOR'S/OWNER'S •AFFIDA1Rf: I certify that all the information in this application is accurate and
- that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior to issuance of a permit and all work will be performed to
meet standards of all laws regulating construction, County and City codes, .zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
. govemment agencies may apply tothe .intended work, and that it is my responsibility to identify what actions I
must take to be in compliance.
If I am the AGENT'FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. lash or other installations not of specifically hn ludedrei required the electrical
n�
plumbing, signs, welts, pools, air conditioning, 9
se a any p construed i io license , nor shall suance of a permit prevent the Building violate,
Official from thereafter the work and not as authority to
requiring aside any provi o the technical
requiring a correction of emer in such permit s violations
cmmencedwithin. six months of permit issuance, u or d if work authorized by
unless m
the work p authorized r b ndo p period of six (6) months after the time. the work is commenced. An extension
the permit is suspended or abandoned for a p
may be requested, in writing, from the Building Official. for a period o not o ve days, the job i90) ddays a nd nd wll demon
justifiable cause for the extension. If work ceases for ninety (90)
WARNING OWNER: YOUR ENTSTO 'YOUR PROPERTY. IF YOU INTE ND TO OBTAIN F IN IN
PAYING TWICE IC E FOR IMPROVEM IC
WITH YOUR LENDER OR AN ATTORNEY.BEFDRE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDAi;JURA7 (F .S. 117.03) G 0 `-� �3-
� -q'-�_ CONTRACTOR �} +!� /
OWNER DR AGENT before me 3hisglD "' ))A�C
Subscribed sworn to (or before me this .)c> � /3i/
3�hsMibedand.swot- orafitrm � a1 6-h -
o i4 h ✓ ed)• W h o � fly ken me or has/have produced
yy ,._ au. rso I ma i dehas cats on. produced as identification.
as irt tlficati
/ i # 1 � . , �_ • , „t, Notary Public
N, . • ea 4 / N o tary Public - `
�� Co isslon No. D ` J /
Co �ission No. 1 " t
, D A
I'L i J
N ame of N= , .,_:. � ab ell
Name Y j y a ' . Campbell Commission # DD452619
Commission # DD452619 Expires: JULY 19, 2009
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Expires: JULY 19, 2009
B onded `Piro Atlantic Bonding Co., tee,
B onded Thru Atlantic Bonding Co., Inc. .
. . - ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: �r Contractor: i / .S , / -_
Business Name: sue: Billing Address: ��74�
Business Address: / G 5T /' e ` r- 5 5 a___
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
_ PLAN REVIEW FEES __ INSPECTION FEES PERMIT FEE FALSE ALARM FEE
_ Site Plan N/C _ Annual N/C Sprinkler $50 1 1st Alarm N/C
_ Multi - Family/Commercial .06 sf _ 1st Re- inspection N/C Standpipes $50 , 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 111 3rd Alarm N/C
El Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50 , 4th Alarm $100
_ 4th Re- Inspection $500 Fire Alarm $50 , 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until P Gas V 1 6th Alarm $200
_ 0 - 25 Heads $50 violations corrected) Natural Gas ..0 , NON COMPLIANCE $150
_ 26 plus Heads $100 — SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $100
0 Per Riser $50 _ Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP _ Acceptance Test $45 per system Camp Fire $25
fl Per Pump $100 Hydrant Flow $75 Controlled Bum $100
_ FIRE ALARM SYSTEM Hood /Duct $50
— 0 - 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
— 26 plus Devices $100 System Acceptance $50 Fire Protection $25
_ SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual
— Wet $50 OTHER Waste Tire Storage $50 Annual
_ Dry $50 ire WaIl/Smoke Wall $15 , .II Generator < KW $100
_ CO2 $50 LP Gas 450 nk Generator >30 KW 150
Other $50 Natural Gas per system Bio -Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
E I Hood/Ducts $50 , Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50
OTHER , Fire Pump $45 Haz. Materials $100 Annual
NI P Installation per tank , Fire Suppression $30
41 Fuel Tank Installation System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
❑
Natural Gas Installation $50 Re - inspection DBL
(Per System) (other than annual)
El Spray Booth $50 ❑ Inspection scheduled DBL
El
and cancelled less than
_ 24 hours
_ Construction Insp. N/C _---
_Emergency Vehicle A $50 FALSE ALARM
PLANS TOTAL INSPECTION TOTp PERMIT TOTAL TOTAL
GRAND TOTAL
Comments: ' 17��
Date: --1 - r' / 6 � j J (�`O / °
/ - /
InspActor: L, Allte "'i — Ll
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett @fire.zephyrhills.fl.us
........................ _ ................ .
Plan Review #: 09 -0038
Project: Propane Tank Installation
Number of Pages: 1
Date: May 27, 2009
I have received and reviewed the plans for the 250 gallon ASME tank installation located
at the Scout Hut ( "A" Ave & 6 St). This project will be allowed to move forward with
comments made below. Fee has been waived, however by receiving permit, contractor
acknowledges complying with the following items below.
Should anyone have any questions, please do not hesitate to contact the Fire Marshal's
office.
1. Cylinder shall not be in contact with the soil and shall follow Chapter 6.3.3
(NFPA 58) on supports and foundations that tank will be located on.
Inspections Required:
1. Pressure Test (Gauge shall be left in place to be witnessed by Fire Marshal)
2. Final
Ade
KE' ' " BARNETT, FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
, . . .
• AlIGN
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AND . gMfY LAN LS RR HAE 'VE BEEN REVIEWED
_ Airko ,' : HAL'S OFFICE
c.ffirce /988 813-787e501-3 Aigiv..i.K.- —
.' eviewer. _.....1 ,
4441 \ ilLm Rod - 7ephyrhills. H. 3354'' .
Fax: (X Ill) 7S3-127
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