HomeMy WebLinkAbout13-14052 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
' (s13)�so-oo20 14052
LP/NATURAL GAS PERMIT
Permit Number: 14052 Address: 5327 GALL BLVD
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13300-0010
Improv. Cost: 550.00
Date Issued: 4/04/2013 Name: CHRISTOPHER& MADISON CORP
Total Fees: 105.00 Address: 6107 SILVER OAKS DR
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/04/2013 Phone: 813-322-3686
Work Desc: INSTALL GAS LINE
5 . 25.
CONTRACTOR CERTIFICATE 30.00
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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 BTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN O BEFORE
RECORDING YOUR NOTICE OF COMM '
CONTRACT SIGNATURE PERMIT OFFICER
�� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS PIRE RESCUE DEPT- 813-780-0041
813-780-002D City of Zephyrhilis Fire Fax-913-780-0021
Permit Application
�ate Received �� Phone Contact for Permit [� � 2- L
�wner's Name !�.[--�� Owners Phone Number � 3ZZ �j �
►wners Address �J� U"�"� [7�
ee Simple TiUeholder Name Titleholder Phone Number � � �
ee Simple Tideholder Address
ob Address �J v� l � � (J � Lot# �
ub Division Paroel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
aControlled Bum Hood Installation
Emergency Generator<30 kw LP/Natural Gas-Installation /] ?j
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale ,��j �V�
� Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL
� emi � er �
Sprinkler � O ❑ ❑ � Recreational Bum ��
Fire Alartn � ❑ ❑ ❑ � � Sparklers J�/ � �� "
W �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations �� ^�
Hood Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Q Other•
:ontractor �f�, � Company p �� '��
�ignature � / Registered Y/N Fee Current Y/N
Address License#
:LECTRICIAN ,�� Company
,ignature I Registered Y/N Fee Current Y/N
Address License#
'LUMBER Company
,ignature Registered Y/N Fee CumeM Y/N
Address License#
�ECHANICA Company
,ignatu�e Registered Y/N Fee Current Y/N
Address License#
)THER Company
�ignature Registered Y/N Fee Current Y/N
Address License#
�irections:
Fill out application completely.
Owner 8 ConVactor 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" restnctions"
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 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 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.
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
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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117 03) J_
OWNER OR AGENT CONTRACTOR � � -
Subscribed and swom to(or affirmed)before me this Subscribed and bvXorn�`a i �)befo me this
by �a1 � ��nss�c�.�4--
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 ryped,printed or stamped Name of Notary typed,printed or stamped
�rUB��,,� ,�r� r'LAN(s) HAV�t3EEi� RE�,�r_W�
�IY"ZE HI�.L�1Rv�E MARSHAL'S U'I�F'ICE
Date: `�� �-
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� ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.: �" C
Plan No.: Contractor. / �-- �r9S ��c� 2 ���
Business Name: f� � � k. �_ Billing Address: �3J!z �(/•- Gv�ez ,4t�e_
Business Address: ,�.�27 �i4// v.L� T��� �t �3 �i5y
Business Phone No.: �(3- �Z2- 3�P3(o Billing Phone No.: �/3-�i�--Z 9z 7
Susiness Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
BSite Plan N/C Annual N/C Sprinkler $50 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 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-InspecGon $500 Fire Ala $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until ��' $50 6th Alartn $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- parca�k $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP Acceptance Test $45 per system Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Applicatan $50 a,nuai
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire WalUSmoke Wall $15 per wau Generator<KW $100
CO2 $50 LP Gas $25 Per�ank Generator>30 KW 150
Other $50 Natural Gas $25 per system BiaHazard Waste $100 a,n�ai
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 nn�uai
8 LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust HoodlDuct $30
�Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL B
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 FAL3E ALARM
PLANS TOTAL;� INSPECTION TOTAL '� f.3 PERMIT TOTAL s��' TOTAL� ,
GRAND TOTAL
Comments:
Date: �'1 3 �� `
Inspector: ��`��-�--�� r,�S�
nin
Pasco County Parcel: 11-26-21-0010-13300-0010 001 Page 1 of 2
Data Current as of: Weekly Archive - Saturday, March 30, 2013
Parcel ID 11-26-21-0010-13300-0010 (Card: 001 of 002)
Classification 21 - Restaurants
Mailing Address Property Value
CHRISTOPHER & MADISON CORP Ag Land $o
6107 SILVER OAKS DR Land $53,i75
ZEPHYRHILLS FL 33542-4806 Building �93,2ao
Phvsical Address - See All 2 addresses (First Extra Features $1,469
Shown)
5327 GALL BLVD ,7ust Value ;is�,ssa
ZEPHYRHILLS FL 33542-4029
ASSBSSed (Non-School Amendment $157,884
Leqal Descri�tion (First 4 Lines) 1)
See Plat for this Subdivision
CITY OF ZEPHYRHILLS Taxable Value �157,884
PB 1 PG 54 LOTS 1-3 INCL &
THE NORTH 1/2 OF LOT 4
BLOCK 133
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
� 1200 STORE OOC2 7,000.00 SF $7.00 1.00 $49,000
COMB
� 1200 COMB OOC2 5,250.00 SF $2.70 1.00 $14,175
Additional Land Information
Acres 0.28 Tax Area 30ZH FEMA �Commercial Code M3012AR
Code
Buildina Information - Use 21 - Restaurants (Full Service) (Card: 001 of 002)
Year Built 1910 Stories 2.0
Exterior Wall i Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Metal
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
� Line Description Sq. Feet � Repl. Cost New
1 � BAS 1,476 $106,420
2 SPA 516 $31,652
�— 3 FSA 386 $11,103
4 CAN � 336 $7,282
5 FST 540 $19,467
Extra Features (Card: 001 of 002)
Line Description Year � Units Value
1 SWC �— 1995 688 $602
2 r PAV ASP 1995 � 4,284 � $867
Sales History
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&bl... 4/4/2013
Jacqueline Boges
To: Verne Riggall
Subject: RE: gas line inspection
Thank you
Jackie Boges (ext 3513)
What Greater love can a man give......
From: Verne Riggall
Sent: Tuesday, June 18, 2013 4:21 PM
To: )acqueline Boges
Subject: RE: gas line inspection
Yes. I did one with Calvin and Bill stopped by.
From: Jacqueline Boges
Sent: Tuesday, June 18, 2013 1:58 PM
To: Verne Riggall
Subject: gas line inspection
Hey Chief,
Have you done an inspection at 5327 Gall blvd? (The Abbott Station)
I still show the permit open in my file . Contractor was the Gas Doctor. I believe you have but have to check
with you any way in order to close permit.
Jackie Boges (ext 3513)
What Greater love can a man give......
i