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Home My WebLink About11-12471 � � � CITY OF ZEPHYRHILLS 5335 - 8TH STREET — (si3)�so-oo20 12471 LP/NATURAL GAS PERMIT Permit Number: 12471 Address: 5727 6TH ST 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: 11 -26-21-0010-02800-0040 Improv. Cost: 600.00 Date Issued: 10/24/2011 Name: SAJAN, SUBA Total Fees: 155.00 Address: 1804 E WHEELER RD Amount Paid: 155.00 SEFFNER FL 33584 Date Paid: 10/24/2011 Phone: (813)523-6492 Work Desc: MOVING GAS TANK 2 COMBINE TANKS) FIRE INSPECTION FEES 5 ' 25.00 CONTRACTOR CERTIFICATE 30.00 �' ��. e.w�u- � �' � � �- � r �� - ina 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 pertormed 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 A7TORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEM T." �� CONTRACTO : IGNATURE �'' 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: Keith Williams Sent: Monday, April 09, 2012 12:35 PM To: Jacqueline Boges Subject: RE: inspection This is the Indian restaurant correct? If so, I did finalize the gas tank relocation back in November 2011. Keith Keith A. Williams Fire Chief, EFO, CFO, CMO, MlFireE Zephyrhills Fire Rescue 6907 Dairy Road Zephyrhills, Florida 33542 813-780-0041 813-780-0044 fax Email: kwilliams(c�fire.zephvrhills fl us _._ ._. _._ - - -- - - - — -- --- ... - -- - -- - __ _ __ _ rom: acqueline Boges - -- - - ------ Sent: Monday, April 09, 2012 10:19 AM To: Keith Williams Subject: inspection Greetings Chief, Need to know if you have �naled out gas tank that were moved at location of 5727 6`" Street? Suburban propane is the contractor. Jackie Boges Code Support Specialist ext. 3513 i - • eis-�so-oozo City of Zephyrhills Permit Application ` Fax-813-78�Opp1 , Building Department � �r�l Date Received -� � \ Kr' � � 1 1 1 1 1 1 g Phane Contact for Pertnittin � � � ' 1 1 � i Owner's Name \ � � � - i_ Owner Phone Number S• Owner's Address 7 - - ' �-- Owner Phone Number M Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS '� � LOT # SUBDIVISION PARCELIDq WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) NEW CoNS7R ADD/ALT 4 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FI�qME � � STEEL DESCRIPTION OF WORK � „Q Z Q,►'1 � , BUILDING SIZE SQ FOOTAGE � HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. ` �PLUMBING $ � �`/ �/ QMECHANICAL $ � `� VALUATION OF MECHANICAL INSTALLATION ��j O U�"� GAS Q ROOFING Q SPECIALTY � O T H E R FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER SIGNATURE COMPANY REGISTERED Y/ N FEE CURRE� Y/ N Address License # ELECTRICIAN � SIGNATURE COMPANY REGISTEREO Y/ N FEE CURRE� Y/ N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N FEE CURREA Y/ N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/ N FEE CURRE� Y! N Address License # OTFIER COMPANY v v � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address �� r� +, ' � . �" License # -� _ 111111111111111111111111111,1111111 11'llllllllllllllllllllllllllllll RESIDENTIAL Attach (2) Plot Plans; (2) sets M Building Plans; (1) set of Energy Forms; R-0.W Pertnit for new consVUdion, Minimum ten (10) working days after submittal date. Required onsite, Construaion Plans, Stortnwater Plans w/ Silt Fence installed, Sanitary Faalities & 1 dumpster; Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-0.W Pertnit for new consUudion. Minimum ten (10) working days after submittal date. Required onsite, ConsVuaion Plans, Stortnv,ater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projeds. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (A!C upgrades over E7500) " Agent (for the contractor) or Power of Attomey (for the owner) wvuld be someone with notarized letler from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) ReroMs if shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/Footage) U�iveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contrador are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspedion Division--Licensing Section at 727-847- 8009 Furthermore, 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 for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. O� thatCT t a pNcantwha e been prov ded wS� a of r t e orid Constr ction en Law��Ho eowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certiTy that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 that 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 government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies inGude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protedion Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certiTy that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affed adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building O�cial from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. 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 FIN CING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ICE OF COMMENC ENT. FLORIDA JURAT (F.S 117.03) OWNER OR AGENT CONTRACTOR � Subscnbed and sworn to (or affirmed) before me this b Subscribed and swo to or affirmed) before e this Who is/are personally known to me or has/have roduced ta �� by P Who is/are personallYknown to me or has/ha e prod ed as identification y as i ntif"eation Notary Public � E g Commission No. - f11fT11SSI0f1 rY Public Com i � �� ''�+�,p� ��••'�' BaMed Thru Troy Fan Inaurance ��3&S70?9 Name of Notary typed, printed or stamped Nameo , n r amp , ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Wiliiams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: /-/02� Contractor: L b u,� �,� � Business Name: �� Business Address: 2 7 �' • �- Billin Address: 6� �� , ��, ,� t ,�� Business Phone No.: _ �' % � - �-�, . _ �� y q � ' r � � Business Fax No.: Billing Ph e No.: Billing Fax No.: Contact: _ S t� t7� � � u� a�.r. �,� ,a.. Contact: 8 PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C S rinkler Mukl-Famity/Commercial .06 sf 1st Re-inspection N/C p $ 1stAlarm N/C Standpipes $50 2nd Alarm N/C � (Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump a50 3rd Alarm Plan RBvisions DBL 3rd Re-inspection $250 N/C H�g $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm SPRINKLER SYSTEMS (Business Gosed until LP Gas $150 0- 25 Heads $50 violations corrected) a50 6th Alarm $Zpp 26 lus Heads Natural Gas $50 NON COMPLUWCE $150 p a1� SPRINKLER SYSTEMS Fuel Tanks- a50 STANDPIPE SYSTEM �� Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per eyatem Fire Works FIRE PUMP 5500 Acxeptanc;e Test $45 pe� aysrom Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn FIRE ALARM SYSTEM $100 Hood/Duct a50 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembl 26 plus Devices $100 e System Acceptance $50 Y $50 amuei 3UPPRESSION SYSTEMS Fire Protection $25 Recell Acxeptance $50 Flammable Application $50 nmuei Wet $ OTHER Waste Tire Storage S50 ,oruwei ��Y $50 Fire WaluSmoke Wall CO2 $15 perweu Generator < �yy $100 $50 LP Gas a25 per tank Generator >30 KV1! 150 Other $50 Natural Gas $25 �rsys�em Bio-Hazard Waste alpp Annuei KITCHEN EXHAUST Hood/4ucts Fumigation Tenting $50 $50 Tent 10'x10' or greater $15 Per�enc Torch PoUApplied $50 OTHER Fire Pump $45 Haz. Materials LP Installatlon per tank $� � A """�� $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 e Exhaust Hood/Duct g30 � Natural Gas InstallaUon $50 Re-inspeCtion pg� (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL and cancelled less than 8 24 hours Construction Insp. N/C Emergency Vehicle A� $50 FAL3E ALARM PLANS TOTAL� INSPECTION TOTAL�Q� PERMIT TOTAL� `rj"`�' TOTAL C� � _ GRAND TOTAL „ Comments: - ` S' �� 1 , �� _ � � t� �`c,,. � � Date: c � �3 �' V Inspector: ,,�,`,� mn Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813) 780-0041 Fax (813 ) 780-0044 20 October 2011 This Officer has reviewed the submitted plans for a LP gas installation at 5727 6�' Street, Zephyrhills, Florida 33542. Following the review, a conditional approval to proceed is given. Payment for pernut acknowledges acceptance and compliance of the conditions noted herein. The following items shall be considered: 1. Installation must be performed by a licensed LP Gas Dealer or their approved agents. One has been identified on the plans submitted: Suburban Propane, Tampa. 2. Tanks must be installed on a stable base capable of supporting tank weight when full. Tanks shall not be unstable or easily moved, tipped or rocked. 3. No ignition sources within 5 feet of the tanks. 4. No openings to the structure within 36 inches of the tanks. 5. Protective barriers must be installed (anchored bollards or suitable devices) to prevent vehicular or pedestrian traffic from encroaching on the tanks, 6. Gas piping inside structure must be identified as gas piping by permanent markings or painting so as to identify from plumbing lines. 7. Valves for tanks sha11 not be permanently locked, accessibility must be maintained for easy valve access. Inspections Required: 1. Tank Installation, system pressure test in presence of certified Gas Dealer on site. All can be done in one inspection. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspections. Respectfully submitted on 20 October 2011 by, r �� ? ��s.'°_�"�� Keith A. Williams, EFO, CFO, CMO, MIFireE Fire Chief Fire Safety Inspector -�� i A-� 1� �--' < ;-- 727 T-N �� r F P6-� �( 2l-1-t L9 S �L �i �-2�-op�p�o28o0� a�0 ��1ti� � AV � $S � P R S Q �ICti //� �� .� T�� i�t �' � 2 `' � ��8�� D �a� ��. � — - -- - -- - - - - - - - - P2aa�,z � y �,�J� , -- - -- - - - --- - - - , -- - --- ----- I I I ( i i i � � I I � I p� � � N� � � � x '�� ' � � 1 V` i t � r � ' "`� '1 L � g � N ° � �� _ m � �t� � N �`, " � � r� � N ` � � , �� v, � �� o � 6 E �� -- --- ---' � i � � � ----- Z. --- -- -- --- -- — � �'QoP�� T --- - -- — ---- -- 2 y (�r,v,'s 1�2f}witil65 �o�- T-� SGa�