HomeMy WebLinkAbout15-16481 i
CITY OF'ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 16
` � COMM EXHAUST HOOD/DUCT PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16481 Address: 5048 GALL BLVD
Permit Type: FIRE COMM EXH HOOD/DUCT ZEPHYRHILLS, FL.
Class of Work: FIRE-COM EXH KITCHEN HOOD/ UC1Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0000-01400-0000
Improv. Cost: 2,450.00 OWIdER INFORMATION
Date Issued: 9/21/2015 Name: SHREENA SIYA LLC
Total Fees: 130.00 Address: 10243 COUNTY LINE RD
Amount Paid: 130.00 SPRING HILL FL 34608-7029
Date Paid: 9/21/2015 Phone:
Work Desc: INSTALLATION HOOD A TASTE OF MY ISLAND
CONTRACTOR S APPLICATION FEES
ELDORADO MIRANDA MANUFACTURING FIRE PERMIT FEES � 50.00 FIRE PLAN REV E FEES 50.00
FIRE INSPECTION FEES 30.00
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Ins ections Re uired
FIRE LIGHT TEST-Final
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 YOiUR LENDER OR AN ATTORNEY BEFORE ,
RECORDING YOUR NOTICE OF COMME ENT " '',
,
CONT TOR IGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPFIYRHILLS FIRE RESCUE DEPT- 813-780-0041
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8�saao-oo20 , City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received � ,-'��—` � Phone Contact for ermi i 2� Cp`1� �1 a'�,
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. . . . _ _ .:f�^ . _ __.`>:Y':.._'.4��.`A.:�ai.3'.�c-�, e..;-:i%:.... .._ �:d' .
Owners Name � � Owner's Phone Number ����D "1�� � 02
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Owner's Address
Fee Simple Titleholder Name I Titleholder Phone Number � � ��
Fee Simple Titleholder Address � I
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Job Address Lot#
Sub Division `� p� Z.e � (`��`t S Paroel# �� ' 26�2� -���� �l��
t-.,�=.�__._.-;__,..,..;:v.;,.,,.�.�;:�.-,-�.�....�.a>.....,.�......__..r:._=��.�;;�-....w.a. .�:*:s=:°�°_�..�:..�,...,.:,.�r::..,.:.:.-F�.,�._._..,��.�..�..-�..-,a.__...__._e...��.�-,_., -,_.�..,,..�_._r--�_,�� �
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� �Bio-Hazard Waste Storage-ANNUAL '� Fumigation Tent� I�
� 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-APINUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
tr y emi �n t er
Sprinkler � ❑ ❑ ❑ I � Recreational Burn
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
I � Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL 'Zl.��, Valuation of Project
� Fuel Tanks
Q Other: I
!.�.:<..�:s.`,.� ..,.r......_..._�_.._....N,..,. ,�a.�_..-,�.�-.M>.,,.u.,.....".='r:;�--�a:s...,,.__.-`,��.^-;�-.�`:k�,=-°-�...,�... -�cr=�^.."���;;,�:;:�'�,<.�_�.�..�.,..�...^'v::-�x:t---.�.a.�:�.�-:LY�:..o��•-`°,-r..;.-,,..�^a;:c;��,..,,,..__r_��.<..��.
Contractor � Company ��. �j2.��� �-(°r
Signature --,�—�- Registered Y/N Fee Current Y/N
Address �-1� � ��-+ l S r r�� License# C.�_� ���
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
Signature Registered Y/N Fee Current Y/N
Address � License#
.�,..._,.._:.�„�__.. - �- "" -. _..::_-` , _�__..:_._.__�.x_�..�._T._.a=_,_,-�•.-_v._...- ._. ...,_� ...:-,-� ___ �.. -._..�...�,_.___.._.,�_�-.....-�._. -... _e.�,_..__.._.�_w_--��.._.-. ,
Directions:�.�:_. ..�...___ .._..r-1..._;�.._-
Fill out application completely.
Owner 8 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)
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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 responsibflity 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 contractar may be cited for a misdemeanor vialation
under state law. If the owner or intended contractor are uncertain as to what Ifcensing requirements may apply for the
intended work,they are advised to contact the Pasco County Bullding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has h(red a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Blocl�'of this application for which they will be responsible. If you, as the owner s(gn as the
contractor,that may be an indication that he is not properly Iicensed and is not entided 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 ta 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 ihe,time of
_ •�,p,ermitting� ;It9slurthervryder,tgod thaj;Trar�sportation Impact Fees and Resource Recovgsy,•F,ees:must'be paid.�jrior to .; ,'.,
�` �ecefving`a'certificate of occupancy"or final power release. If the project does not involve a cert�cate 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,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify ihat 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",1 certify that I have obtained a copy of the above described dacument and promise in good faith to
deliver it to the`owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certffy that all the information in this application is accurate and that all work
will be done in compliance wfth all appHcable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installaUon as indicated. I cerfdy that no work or Installation has
commenced prior to issuance of a permit and that ali 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 atfier govemment agencies may apply to the intended work,and that it is
my responsibility to identity what act(ons I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, INeUand Areas and Environmentally Sensitive '
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use�of Till:•
- Use of fill is not allowed in Flood Zone'V°unless expressly permitted.
- If the flll material is to be used in Flooil Zone 'A", it is understood that a drainage plan addressing a '
°compensating volume"will be submilted 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 wlll be used only to fill the area within the stem wali. .
- If till material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
� properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violatfng
the conditions of the building permit Issued under the aHached pertnit application,for lots less than one(1)
acre which are elevated by flll,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 aftidavit prior to commen�ing construclion. I understand that a separate permit may be required for electrical work,
piumbing, signs,wells, pools, air condiGoning, gas, or other Installations not specNically included in the application. A
permit issued shall be construed to be a license to praceed wfth 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 Bufidirig Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit fssued shall become invalid
unless the work authorized by such permit is commenced within six months of permit fssuance,or if work authorized by
the permit(s suspended or abandoned for a period of six(6)months after the time the work is commenced. M extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and wiil 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 RECORDIHG YOUR 'OF CORAMENCEMEWT --!- - —� —� -��- � --
IFLORIDA JURAT(F:S.117.03)
OYVNER OR AGENT CONTRACTOR
Suhsulbed and svuom to(or afRrmed)hefore me ihis Subsalbed end swom to(or aRirtned)before me this
by by
Who islare personalty knovm to me or has/Fiave produced YVho islare personaily imown to me or haslhave produced
' as identlfipdon. as Identlfication.
Notary Pubtie Notary Public
Commisslon No. Commisslon No.
Neme of Notary typed,printed or stamped �Name oT Notary typed,printed or sfamped
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r��✓ � �� ��PHY�FiILLS FIRE DEP/�RT�I(��1�
" 6907 Dairy Road, Zephyrhills, FL 33542
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FIRE SER�ICE dJSER FEES
, Occupancy No.:
Plan No.: Contractor: ���:����° b'VIT�
Business Name: Billing Address:
Business Address: �7 I��F� C�t...�- t!') -
Business Phone No.:� Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
�
PLAId REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Multi-Family/Commercial .06 sf 1 st 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
� Pian 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 COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Pertank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
�Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP AcceptanceTest $45 persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM HoodlDuct $50
8 0-25 Devices $50 FIRE ALARI�SYSTEM Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
� SUPPRESSION SYSTEfIRS Recall Acceptance $50 Flammable AppBcation $50 a,nuat
Wet $50 OTHER Waste Tire Storage $50 Mnual
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Dry $50 Fire WalllSmoke Watl $15 per wall Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KVU 150
Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 nnnuai
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 nnnuai
�LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 ystem Acceptance
(Per Tank) $50 Exhaust HoodlDuct $30
�Naturai Gas Installation $50 Re-inspection DBL
(Pe�System) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL
and cancelled less than
B
�4ho��
Construction Insp. N/C
Emergency Vehicle A� $50 FALSE A�ARIN
FLf�iVS TOTAL� IIdSPECTION TOTAL� PERMIT TOTAL�� TOTAL�
5c� �' ��-I
t GRAND TOTAL
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Comments: I ?jC��
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Date: l � - --- �
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Inspe tor: �- - --- !- —_ ---_--
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tdF�1�-96,beararfig Ef!Sanit�n L�tin�as cnartufae�ti�ad %
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1 i� u tight fixd�te�,iti#erwvted��t�tion E7ox.
�4ern�t�{l-�_�Orc9 x�Uj y� tvide x(D� �Z_deep i� �urna�um�afft$gr�se e�cs.
�._sec�on(s}as per dra�g.U�t(s}�it�uc�af 18 +C�reass cup dra�.�e#t Ri�t
� gauge staira�ss s�e!rar�re'ex�serl�ith exter�l s�ms and Etea Jrmc�on Box,Top.(.e� �M
jo��►�takied li�uid f�gh��@��sed surFac�s�ne�b�a�fsshed
t��i��4 fin�sh. V�tat�r fo ha�ve tt�e 4a[torr�n,s�a�ica�s:
l�ni�sj to t�ve EJL.dassi�ed grease ex�ac�rs. V SEair�ess ste�t�gnease sx�ac�ss.
raau�rtte(3 in staiNess sTeeE fr�me wi83 remavabte s�tess t 40�olt I'x,�M s�riis�.Sersface muurrt s�stairtless
s�el Si�ase c�P• �1�.
1 t0 Va�fa,tt sv�cFt fos�adtacist artii sup¢!y.
3°�ir spaee�p and baci�co�taer sqa[tdarEi. �Nio�i en sta�tess ste�3 t�t�e.
3"�de air s}r�ce.L.eft Ri�ttt .
t�d one exhaust duct o�eru�minimumj far e�raust �
h�up�16 Ft.iri teng�e.S:csted at mi�urfa�rr�260 CFM per
, te�ear foat exha� I
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��ES:
- HOOQ INSTt�l..LATION SNRLi� CQE�LY �VfTF{ 1��r A
96 AND .ALL� OTHER APPL�ASLE. NFRA STAi�DAFiDS.
- "ANSUL" f fftE SUPRESSfON SYSTEM IS FACTORY
iNSTALLED I�€ HOOp AN� SHALL 8E FIELD CONNEC�'ED
BY A UCENCED COt�TRACTO� SPEC(AL(Zf�1G ii�
FiRE PRO�ECTfON SYSTEt�S.
- ALL HOOD �XHAUST DUCT Si-{ALL BE M11�'lMiJl�
i6 GAUGE GALVA�IfZ�D ST�EL �'VELCE� LtQU��-TSGNT. .
- iv1AlN�'AlN i�iUIMU#u� 18" CLEfiR �ETWEEN HOOD A�
ALL C0�3Ui TIBLES.
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(F2) FAN ATTACNNlEN7 T43 CUE2B/51dE
19x19 (4) �y10 LAPIEK IN 22 GA (4) t/4"xt 3J�" TAPGO+� SCREWS (4)�itOxi 1/2" PAN HEAp WOpO S(�2EW3 1�9 SYP (2)�10 7E1C-3 SCREWS fN 18 GA
2�x2� (6) �f0 LAPTEdC IN 22 GA {6) 2/�"x1 3/4" i'RPC�! SCREfNS (6)�Ox1 1�2" pAN NEAD �OD SCREl�S IId SYP .(2)�10 TEK-3 SCREWS 0N 9$ GA
2�x29 (9) �10 i.Af'TEK IN 22 GA (9) 1/4°xt 3/4" TAPCQN SCfZE1FJS (9)�'fOx1 1 j2" PAN HEAO !'�3Ui� SSt�IE�� ON SYP (3),�10 7FfC-3 SCREWS IN 18 Gp
35x35 (f2)�i0 LAP7EK fN 22 GA (12)t/4"x1 3/4" TAPCON 5CREW5 (12�t10x1 1/2" PAN HEAD WOOD SCR�WS IN SYP (�.)�110 TEK-3 SCREtiYS IN 18 GA
�ASTE�tEF3 d1L7. TENS!(3SV ALL6�0 `[�PdSt�{d ULT. SF:E��2 ALL�W SHEr'iR ' .
�-1 �10 LH9�'�EK !Pi 2� GA. 311 78 geJ 148 ' .
F—z �}i0 7EK-3 lid t8 GA 499 .125 12Q� 302
F-3 1/4"x1 3/4" TAPCO�B SCREWS. 25Q0 PS! CQidCR�YE 6V�q 3gp �ylq 525
F-4 �tOMt-1/2" P,4N HEAU YYOOn 5CR�IN.iN SYP NIQ 238 NIA 145
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SCREEYS PER SC#4:F3if8.E �=899>599
35x3� ec;ttlR�i
IJ�RGESl' $!DE f'OR�'.Eni548>929 0 O
1� rA. NETAl. CdtR8 Na15i8>971
sc�vrs P�rt SCrt�rt� y°°1462a877
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ELEVATI06V RQOF ��cK (�,��, c�c���P a��) ELEVATION PLAN
FAST��9lNG PLAN / SCHEDU�.E -- EX�IAUST AND�f pR SUPPLY _FANS
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