HomeMy WebLinkAbout10-10832 CITY OF ZEPHYRHILLS Y
5335 - 8T1-I STREET
(813)780 -0020 10832
LP /NATURAL GAS PERMIT
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Permit Number: 10832 Address: 6620 GALL BLVD
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0040
Improv. Cost:
Date Issued: 8/20/2010 Name: SYNC II LLC
Total Fees: 125.00 Address: 18608 AVE
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/20/2010 Phone: (813)783 -3118
Work Desc: INSTALLATION OF GAS LINE
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IV* * • U - N 5 1.00 - LAN - W 50.00
FIRE INSPECTION FEES 25.00
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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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CO O R SIGNATURE r 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
• AUG -10 -2010 09:35 FROM:LR SIMMONS PLUMBING 8136542188 TO:7800021 P.1/1
t,ti/ VW zinc ICJ : 13X till / till /J41 RANDY MCCRAV h'AL* . 171 / 194
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FlnisAlamt inure. anon Tads ReOlr,ortar Kettle 4 "7 / /v
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Fuel Tanks •
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L.R. SIMMONS
' ' ' '''' . e . Fp RLUIVIBI
_,-,., .- — - „or
LIC. # CFC044167
333 FAULKENBURG RD., UNIT A -103, TAMPA, FLORIDA 33619 PHONE (813) 685 -8778 FAX (813) 654 -2188
AUTHORIZATION LETTER
1, LEON RAY SIMMONS license holder for LR SIMMONS PLUMBING, Inc.
hereby authorize the following to act as my agent in signing and
picking up permits in the City of Zephyrhills
Randy McCray Authorized Representative
This authorization is to remain in effect indefinitely, unless canceled
by me in writing.
-- ----
Leon Ray Simmons
President
Sworn to and subscribed to before me this 16th day of August
2010, by Leon Ray Simmons (who is pesonally known to me) or has
produced Personally Known as identif' and who did (did not)
take and oath.
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Sandra L. Ray
Notary Public
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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 #: 10 -0913
Project: Gas Installation (natural)
Number of Pages: 1
August 16, 2010
I have received and reviewed the plans for the installation of the natural gas line located at 6620
Gall Blvd and will allow the plans to move forward. By paying for permit contractor
acknowledges to comply with the items below. Should anyone have any questions, please do not
hesitate to contact the Fire Marshal's office.
1. Gas to be installed in accordance to all applicable codes and standards.
Inspection Required
1. Pressure of
i //
KERRY ; A ,i ' ETT, 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 m 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.
ZEPHYRHILLS FIRE DEPARTMENT
• 6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams _ Bus (613)760-004[1 Fax (813)780'70044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: /a--10 R? Contractor: J ray pft v ia
Business Name: Billing Address: 331 , t 4 /k v X
Business Address: 2 21") c ,4- t ! „ c.. ' -
B u s i n e s s Phone No.: Billing Phone No.: 1
Business Fax No.: Billing Fax No.:
Contact: Contact: 1 •
_ PLAN REVIEW FEES INSPECTION FEES PERMIT FEE 1 — FALSE ALARM FEE
—
•
_ Site Plan N/C Annual N/C Sprinkler $501 _ :1s Alarm N/C — Multi- Family /Commercial .06 sf 1st Re- inspection N/C Standpipes $5t} _ 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection 5100 Fire Pump $50 _ :3rd Alarm N/C
El nsp
Plan Revisions DBL — 3rd Re-inspection $250 Hoods $50I — :4th Alarm $100
_ 4th Re- Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until • LP Gas 11 _ _ NON COMPLIANCE $150
6th Alarm $200
V _ 0 - 25 Heads $50 violations corrected) atural Gas _
26 plus Heads $100 _ SPRINKLER SYSTEMS Fuel Tanks- per tank $5s
STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $100
0 Per Riser $50 _ Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP _ Acceptance Test . $4 per syste Camp Fire $251
El Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct 550 1
_ 0 - 25 Devices $50 _ FIRE ALARM SYSTEM Place of Assembly $501 Annual
— 26 plus Devices $100 _ System Acceptance . 550 Fire Protection - $25
SUPPRESSION $YSTEMS _ Recall Acceptance $50 Flammable Application $50 Annual
— Wet $50 OTHER Waste Tire Storage $50 Annual
Dry 550 Fire WalUSmoke Wall $15 per wall Generator < KW $10
_ CO2 550 LP Gas $25 tank Generator >30 KW 150
Other 550 as system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
0 Hood/Ducts $50 , Tent 10'x10' or
_, greater $15 per tent Torch Pot/Applied $50 I
OTHER Fire Pump $45 Haz. Materials 5100; Annual
LP Installation per tank $50 _ Fire Suppression $30 I
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) _ Exhaust Hood/Duct $30 , •
atural Gas Installation _ Re- inspection DBL
(Per System) (other than annual) _
Spray Booth $50 Ei Inspection scheduled DBL _ I
and cancelled less than . _ ':
_ 24 hours
Construction Insp. N/C 1
ir ` Emergency Vehicle . 550 ? • j FALSE ALA I RM
PLANS TOT ; 0141 INSPECTION TOT S PERMIT TOTAL J� TOTAC
GRAND TOTAL
•
Comments:
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