HomeMy WebLinkAbout14-15703 __ , CITY OF ZE HYRHILLS
' S335-8T STREET
• ' (si3)�s -0020 15703
LP/NATURAL AS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15703 Address: 5740 7TH ST �
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: 11-26-21-0010-02600-0130
Improv. Cost: OWNER INFORMATION
Date Issued: 11/05/2014 Name: ANDREWS MICHAEL J & LAURA
Total Fees: 125.00 Address: 9322 OLD PASCO RD
Amount Paid: 125.00 WESLEY CHAPEL FL 33544-2933
Date Paid: 11/05/2014 Phone: 813-300-5503
Work Desc: INSTALLATION GAS LINE-HOOK UP TO TANK
CONTRACTOR S ' APPLICATION FEES
A-STO E P UMBING COMPA Y OF HC GAS FEE 50.00 FIRE REVIE F E 50.00
FIRE INSPECTION FEES 25.00
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Ins ections R� uired
FIRE SITE INSPECTION=Final
Chapter 633, Florida Statutes,authorizes the City to harge and collect user fees to pay for the costs of fire
prevention and protection related activities such as i spections, plan review,administrative fees,and other
costs related to t e aforementioned.
Complete Plans, Specifications and Fee Must Accompany Ap lication. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or pening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of o eration or a minimum of$100.00, whichever is greater. All
work shall be performed in accord nce with City Codes and Ordinances.
"WARNING TO OWNER: YOUR F ILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESUL IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOU LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOT CE OF COMMENCEMENT."
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� CONTRACT SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOURS NOTICE REQUIRED -
ZEPHYRHILLS FIRE RES UE DEPT- 813-780-0041
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City of Ze hyrhills
BUILDING PLAN RE IEW COMMENTS
Contractor/Homeowner: �� � � �"J`JL'2 S S7�'�aa2�S
Date Received: q- �� �
Site: S 7�j} ��
Permit Type: � / �..
Approved w/no comments^� Approved w/the below mments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or p ans.
Kalvin Switzer-Plans Examiner Date ontractor and/or omeowner
(Required when comments are present)
.
� . . ZEFHl'RHlLL� FIR� DEPA��fi���l�
6907 Dairy Road, Zeph rhills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.: / ,� /
Plan No.: Contractor. (�(Y�1 1/`etrs�`�-1. �Z�SC/S`(-P.v�
Business Name: Billing Address:
Business Address: '7 a '? �
, Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PL/W REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARAA FEE
�Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Multi-FamilylCommercial .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-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPIIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�ank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 persys m Fire Works $500
FIRE PUMP Acceptance Test $45 persys m Camp Fire $25
� 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 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSIOI�SYSTEMS Recall Acceptance $50 Flammable Application $50 nnnuai
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry $50 Fire WaWSmoke Wall $15 perwai Generator<KW $100
CO2 $50 LP Gas $25 pertan Generator>30 KW 150
Other $50 Natural Gas $25 pers em Bio-Hazard Waste $100 annuai
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per ten Torch PoUApplied $50
OTHER Fire Pump $45 Haz.PJlaterials $100 Mnual
�LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Natural Gas�nstallatlon $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 FALSE ALARM
PLANS TOTAL� INSPECTION TOTAL� PERAAITTOTAL�� TOTALr-
GRAND TOTAL
Comments:
/Q.- .-
Date:
Inspector:
ain
s�3aao-oo2o City of Zep yrhills Fire Fax-813-780-0021
, Permit A plication
Date Received • � d-' Phone Contact for Permit �,� �
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Owners Name 1 G ��"V �I � ,R�U/� Owner's Phone Number � �� ��D3
Owner's Address 1 3�2 � L p �GQ �� I�s 1-L' % G��L' �3 J �'' /
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
JobAddress �`^ S� "/� ��l S� Lot# � �
Sub Division Parcel#
�:.x>�.�....�,.,......,_.....-s�_b.._;,,�.._.o....��.,.�.__�,., �..�..:.�..��..,.�.__,�. .�___-_....�U. __._.�._�.T.,_,_.:..���..�.�_._�._�,<.�...-rr__a............__���....e....w,.r-�,-�-`--a
� Bio-Hazard Waste Storage-ANNUAL � � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-AMNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
tr y emi �n t er
Sprinkler � ❑ ❑ ❑ � Recreational Bum � /��
l
Fire Alarm � ❑ ❑ ❑ � Sparklers I
Hood Cleaning � ❑ ❑ ❑ � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ • � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Storage ANN
� Fire Works /'�— ���
� Flammable Application-ANNUAL / Valuation of P )@Cl ��
� Fuel Tanks � ���
QOther: �--_________,______.�� I
.,�:�,..�..�.. � ..���.,...s.4_..._....._�._�.._._....� ..-�.::...`�.�..;�_a_,_cd� �..n....�.e._...�..P,.........,LL....::,.�:�.--`..-:�
Contractor t^ � Company ( �j � � = �N,�S
Signature Registered N Fee Current /N
Address 'Z D L-i� G(J �2 License# O �{' �
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N '
Address License#
MECHANICAL Company ' �
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company •
Si nature Registered Y/N Fee Current Y/N
9
Address License#
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Directions: '.
Fill out application completely
Owner 8 Contractor sign back of application,notarized(Or,copy of si ned contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical wo k over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parc I#-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
appiicable deed restrictfons. � '
UNLICENSED CONTRACTORS AND CONTRACTOR PtESPONSIBILITIES: 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 requfred 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 tnspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contrectors, he is advised to have the contractor(s) sign -
portions of the"contractor Block" of ihis application for which they will be responsible. If you, as the owner sfgn as the
contractor, that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '
that Transpo�tation 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 spec�ed 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
recetving a°certficate 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 permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
fees are due,they must be pald prior to permit issuance in accordance with applicable Pasco County ordinances.
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 wlth 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"awner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the fnformation in this application is accurate and that all work
will be done in compliance with all applicable laws regulating cansVuction,zoning and land development. Application is
hereby made to obtain a permit to do work and installaHon as indicated. I certify that no work or installation has
commenced prior to issuanca of a permit and that all work wili be performed to meet standards of all laws regulating
construction, County and City codes, zonfng regulations, and land development regulatlons in the jurisdiction. I also
certify that I understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is
my responslbility to identify what actions I must take to be in compliance. Such agencies inciude but are not limfted to:
- Department of Environmental Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Nayigable Waterways.
- Department of Health & Rehabilltative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protecdon Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of fill is not allowed in Flood Zone'V°unless expressly permftted.
- If the ftil material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
°compensating volume"will be subm(tted 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 cerfrfy 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 certify that use of such fill will not adversely affect adjacent .
properties. If use of flil is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit appiication,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 permlt may be required for electrical work,
piumbing, signs,welis, pools, a(r conditioning, gas, or other installations not speciflcally included in the appiication. 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 8uildirig Official from thereafter
requiring a correction of errors in plans,constructian 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 perfod not to exceed ninety(90)days and will demonstrate
just�able cause for the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEflAENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIPI FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMAAENCEMENT.
FLORIDA JURAT(F:S.117.03) '
OYVNER OR AGENT CONTRACTOR
Subscribed and swom to(or afflrtned)before me fhis Subscribed end bswom to(or afflrmed)before me thls
by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or haslhave produced
as IdentlficaUon. as IdendBqtion.
Notary Public Notary Public
Commisslon No. Commission No.
Name oi Nofary typed,printed or sfamped � Name oi Notary tYped,printed or sfamped
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- Occupancy No.:
w � �
ZEPHYRHiLL FIRE RESCUE
6907 DAlRY RD.ZEPHYRHILLS, FL. 33542 WORK(813)-780-0041 FAX: (813)780-0044
Business: .'�� n � ��`� Em.C ntact:
� Address:��--��- � J L Ernerg ncy contact phone#:
Tel No: Other nform�tion:
The fire safety inspection has been completed utilizin the Fiorida Fire Prevention Code and any
applicable f�FPA code and/or standard.Should you ha e any questions, you may contact the
Fire Marshal at the telephone number above.
Y/N/EU Y/N/NA/Date
1.Address,front/rear("6"inch minimum) 13.Emer�ency Lights
2.Knox Box(keys inside,labeled) 14.Fire Extinguishers
3.Lightweight Truss Sign 15. Electrical(other) �
4.Fire Lane Access(marked-unobstructed) 16.Storage Issues
I 5.Hydrants Accessible 17.Mech/Elect Rms Labeled
6. FDC Accessible 18. Hood Cleaned/Tagged
7. Private Hydrant(painted/tagged/test) 19. Fire Alarm/Tagged
8. Exit Doors Open Freely - 20. Hood SuppPession/Tagged
9.Egress Unobstructed 21. Fire Sprinkler/Tagged
10.Extension Cords/Multi-plug Adapter 22.Suppression{other)
11.GFI's by Water Source 23.Occupancy Load sign posted
12.Exit Lights 24.Other rj�
Violation comments shall be noted base on the corre onding number above. Place date of
last inspection for fire protection items ira space provi ed above. '
0�"" �� `� �5 . 1��
(,�t n/I !7 �'v
��
� � Nl a�-
�
No Violations
� Your fire safety inspection determined there ere some viofations.
The Fire Marshal will be contacting you to advise of t e time frame in�rvhich the violations noted
shalJ be corrected. A re-inspection will then be cond cted after that time frame. Failur to
correct in time frame given resul 'n fees being a sessed. Reinspect Date: � � -
Report Completed By: ' Date: l� I�� �
�ccompanied By: Time:
lnspection Acknowledged B : Date: I � � / �