HomeMy WebLinkAbout12-12543 CITY OF ZEPHYRHILLS , `
5335-8TH SIREET
� � (813)780-0020 12543
RECREATIONAL BURN PERMIT
Permit Number: 12543 Address: 4241 SKYDIVE LN
Permit Type: RECREATIONAL BURN ZEPHYRHILLS, FL.
Class of Work: FIRE-RECREATIONAL BURN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 18-26-22-0010-08600-0000
Improv. Cost:
Date Issued: 11/28/2011 Name: SKYDIVE CITY
Total Fees: 250.00 Address: 4241 SKYDIVE LANE
Amount Paid: 250.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/28/2011 " Phone:
Work Desc: RECREATION BURN (A NUAL P RMIT GRANTED PER FM
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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 activites 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 Marshai or required permits or opening up for rnmmercial 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.
Per Ordinance 652,the recreational burn shall be maintained at all times and fire suppression capabilities
shall be on-site. Zephyrhills Fire Rescue Communications shall be contacted at 813-780-0038 prior to the
fire being ignited and after it has been extinguished.
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OWNER SI NATURE P IT OFFICER
PERMIT EXPIRES IN 7 DAYS FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE - Fire Marshal OfFce- 813-780-0041
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Permit Application
Date Received � Phone Contact for Permit
F � , ..,. � . rn�., t ,.+rw..3rv _.a . , . i ..�...,s >_F�- » ... . . . ... . .,_....,r ,
, v� Y( �V Owner's Phone Numb r � � �
Owner's Name � � (
Owner's Address � �� 1 � D��� L/V V ��/
.
Fee Simple r Name Titleholder Phone Number y
Fee Simple Titleholder Addre
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Job Address � � Lot# �
Sub Division Parcel#
p ,e . , cae,s ,- ,�..- , a-�.��t , �c-�aa�:°��`�;�#�a.=.�s�.f».�vn:,,z.,,.w,� _ .8 . °.zs�'�'wa-7�»-r...-.y�,; _ . .., � _ . . ��,--.,.-=.rs��.w„a.,.:��'.�:^-Y.,
4� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation �f� –�� /� o��
� Emergency Generator<30 kw � LP/Natural Gas-Installation /�Q������l
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale y � ,�f��
� Fire Protection Maintenance-ANNUAL � Pl.acesnf. ssembly-ANNUAL ���
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❑ ry emi �n er r..- : -_T�) �1�>/.Getk r7'� S -
Sprinkler ❑ ❑ ❑ Recreational B ��i/�
Fire Alarm � ❑ ❑ ❑ � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations ' ����
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) �
� Fire Alarm Instailation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
k w'z::�x»;dK ... .air.�. a-?As�.i^.$,�fl�.o4': ;-�dfttr$'?a"e�.F1TF�'.�"'�'�.'°<"'"''-.'3h'P'p. 3."tz"°"�.' . ,..As, .. . ..a'.".t�"'s.:2S'iL.Y.'R�".,.:.."'�?'�X§!?4':k�t°r%P'.'.ki.�:t.�-.. <�Y.r�..:fi�.':."':*.Y:X'�,is'".r
Contractor � Company � �
Signature ^ � • � Y�� Registered Y/N Fee Current Y/N
Address M License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Cunent Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
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)
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 regutations. 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 contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection 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.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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 regutating 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.
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 Official 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
just�able 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirtned)before me this Subscribed and swom to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner: S�Y� � V � C I �t (`� C �
Job Location/Address: �2 L{ ( � �Y � � y � �� �
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIlv1ENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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FRC7NT PROPERT_Y T *�.TF'
- - - STREET - - - - - - - - - - -
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33�42
Fire Marshal Bus (813) 780-0041
Kerry Barneti Fax (813) 780-0044
F-mail: kbarnett(a�fire.zephyrhills.fl.us
Plan Review#: n/a
Project: Annual Permit Request—Recreational Burn
Number of Pages: Packet
November 16, 2011
I have received the permit request, reviewed the hand drawn site location,and also visited the site
located at Sky Dive City. A fee of$25.00 per occurrence was established by City Resolution.
However,due to the special circumstances associated with Sky Dive City with regards to their
location and the number of times this could take place,an annual permit was granted at a fee this
authority felt was reasonable. Therefore,this will be allowed to move forward. The comments
listed below shall be followed and site inspections may be conducted during the permit's time
frame to ensure compliancy. Should anyone have any questions, please do not hesitate to contact
the Fire Marshal's office.
l. Only natural wood(yard related trash), such as tree trimmings,trees, logs, stumps,etc...
may be burned. The burning of lumber, plastics, garbage, rubber, etc... will not be
allowed.
2. The height of the burn pile shall not exceed six feet in height.
3. Water shall be readily available at the site.
4. The burn location shall be 50 feet from any building.
5. The reserve pile(product to be burned)shall be a minimum of 25 feet away.
6. At times when the drought condition is poor and a burn ban has been implemented by a
governing authority,the permit will be suspended until the ban is lifted.
NOTE: If any of the above requirements are not followed,the annual permit may be suspended or
revoked.
,
KERR BA vETT, FIRE MARSHAL
- �Erf�����e��.� FiRE ���►A��-crn����-
G90�7 Dairy Road Zephyrhills, FL 33542
�-�if> t.'r���f }ce��h Wiiliarns �3us (8'i�)180-0�49 Fax (51:3)7��-�}(),��
FIRE SERVICE USER FEES
Occupancy No.:
Ptan No.: /y�� Cont�actor•
Bus�ness Name ,$,�y'/�,y Billing Address
Bus�ness Address _ _ �� / f�y�,cs ��
Busmess Phone No �/3-7�-�-.y'��1 _ Biiling Phone No..
Bus�ness Fax No Biiling Fax No..
Contact Contact. --
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
;ife Plan FALSE ALARM FEE
� N/C Annual N!C Sprink�er S50 1 st Alarm
nn��h�.�-,r��iyrGo„�r.�c���a� O6 sf 1st Re-inspecfion N/C N/C
Standpipes S50 2nd Alarm
(Mirnmum(;harge a25 00 2nd Re-ms N/C
�t� ��� Fire PUmp S50 3rd Alarm
� Plan Revisions 08l 3rd Re-inspection E250 N�C
Hoods $SO 4thAlarm g�pp
4th Re-Inspection E500 Fire Alarm S50 Sth Alarm
SPRINKLER SYSIEMS (Bus�ness closed until 5150
LP Gas s50 6th Alarm b�
8 0-25 Heads a50 wolafions corrected) Natural Ga5
a� NON COMPIIANCE �1 SO
26 plus Heads $t00 SPRINKLER SYSTEMS Fuel Tanks-
Pe�n�k S50
STANDPIPE SYSTEM Hydro Undergrounds 545 Sparklers $�pp
� Per Riser S50 Hydrostatic Test S55 ve�sysr�m Fite Works E5
FIRE PUMP Acceptance Test t45 a,Sys��m
� Per Purnp E1 W Hydrant Flow S75 CoMrolled Bum �pp
FIRE AIARM SYSTEM Hood/Duct b50
0-2S Dev�ces S50 FIRE ALARM SYSTEM Place ot Assembly S50 n�,,,,,ai
26 plus Uevices $100 System Acceptance S50 Fire Protecbo� s�
SUPPRESSION SYSTEMS Recall Acceptance E5U FlammaWe
App�iCatiW1 �� Annuat
wee S50 OTHER Waste Ti�e Stor
� S50 �,,,,�,�
��Y SSO Fire WalUSmoke Wall 515 perwau GeneratOr<1(V�/ a�pp
CO2 S50 LP Gas E� a��„w
Generator>30 K1N 150
Uther $50 Natural Gas E25 ce�sn��m BiaHazard Waste 5100 �,,,,,ui
KITCHEN EXHAUST Fumigation Tetding s$Q
�Nood/0uds $50 Ten!10'x10'a greater �15 ne�ten� Torch Pot/A
pp��d S50
OTMER Fire Pump S45 Haz Maferials 310p w�nuai
LP Inst�ltal�on pr,�tank 350 Fire Suppression a3p (�a�J„�L �
�uel Tank Installation S50 System Acceptance �a:l1� ��-��t ��"1a
(Per fank) E50 8 Exhaust Hood/Duet 33p
❑Na1wa1 G:�s ina�anahon $50 ke-mspection DBl
(Per System) (otherthanannua�)
U :;pray 800fh $50 � Inspecf�on scheduled DBI.
and cancelled less than 8
24 hours
8 Construct�on Insp NIC
Emergency Vehicle Ac� �50 '� FALSE ALARM
PLANS 70TAL I _ � INSPECTION TOTAL�� PERMIT TOTAL l�S�J TOTAL I (
GRAND TOTAL "'� —
Cnrr,m?nr�
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JacquelinelBoges
From: Kerry Barnett
Sent: Thursday, November 17, 2011 12:34 PM
To: Jacqueline Boges
Subject: RE: NO STAMP
Its ok.The one is more of a letter and not an assigned review.
Kerry
From: Jacqueline Boges
Sent: Thursday, November 17, 2011 9:53 AM
To: Kerry Barnett
Subject: NO STAMP
Importance: High
Hey Kerry looking at the permits you dropped off yesterday the recreation burn and the special event fire work your
stamp is not on the permit,do you not need to stamp?
Jackie Boges
Code Support Specialist
ext. 3513
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