HomeMy WebLinkAbout15-16621 CITY OF ZEPHYRHILLS
5335-8TH STREET
, . (si3)�eo-oozo 16 1
COMM EXHAUST HOOD/DUCT PERMIT
PERMIT INFORMATION ' LOCATION INFORMATION
Permit Number: 16621 , Address: 5538 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: 11-26-21-0010-05700-0250
Improv. Cost: 32,000.00 OWNER INFORMATION
Date Issued: 10/27/2015 ; Name: WELLESLEY DEVELOPMENT CORP
Total Fees: 170.00 i Address: 34619 SR 54 W
Amount Paid: 170.00 ', ZEPHYRHILLS, FL. 33542
Date Paid: 10/27/2015 Phone:
Work Desc: INSTALL HOOD SYSTEM W/ ELECTRIC -LITTLE CAESARS
CONTRACTOR S � APPLICATION FEES
CHAMPION HEATING&AIR C NDITION FIRE PERMIT FEES I 50.00 FIRE PLAN REVIEW FEE 50.00
CHAMPION HEATING&AIR CONDITION FIRE INSPECTION FE S ' 30.00 ELECTRICAL FEE 40.00
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Ins ections Re uired
F RE LIGHT TEST-Final �
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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 Applieation. 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 ope'ration 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 YOUR LENDER OR AN ATTORNEY BEFORE
� RECORDING YOUR NOTICE OF COMME ENT "
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CONTRACTOR S NATURE PERMIT OFFIC
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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ZEPHYI�HILLS FIREiDEPARTNIENT
� ' 38410 6th Ave Zephyrliills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: Contractor:
Business Name: Billing Address:
Business Address:
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
�e Plan N/C Annual N/C Sprinkler $50 1stAlarm 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 0 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas 0 6th Alarm $200
0-25 Heads $50 violations corrected) ral Gas $5 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS uel Tanks- Pe�cank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 persyslem Fire Works $500
FIRE PUMP Acceptance Test $45 persyste� Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Con ro led Bum
FIRE ALARM SYSTEM I Hood/ ct $50
�0-25 Devices $50 FIRE ALARM SYSTEM ace of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 FlammableApplication $50 Mnual
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry $50 Fi Wall/Smoke Wall $15 perwall Generator<KW $100
CO2 $50 P Gas $25 per tank Generator>30 KW 150
Other $50 atural Gas $25 persystem Bio-Hazard Waste $100 Mnual
KITCHEN EXHAUST Fumigation Tenting $50
�klood/Ducts $50 Tent 10'x10'or greater $15 pertent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 Mnual
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $5o Exhaas�le�IB 30'
�Natural Gas Installation $5 e-i sn pection DB 9
(Per System) oth nual)
�Spray Booth $50 Inspection scheduled DBL
and cancelled less than �
24 hours , � �,��
�� Construction Insp. N/C /� ,
�✓ � Emergency Vehicle A� $50 1� FALSE ALARM
PLANS TOTAL� INSPE�ION TO�AL� PERMITTOTAL� TOTAL�
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GRAND TOTAL
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Comments:
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Date: ���
Inspector:
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Ph. 407-679-3880 � Fax 407-323-7527
PROPOSAL
#CAC043950 #EC0003047
9/18/2015
To: Re:
Sierra Contractors, Inc. Little Caesars Pizza
3511 Plover Ave. Suite 107 5�335 8th St.
Naples,FL. 34117 Zepherhills,FL. 33542
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�Ve hereby propose to furnish labor and materia�s to comp�ete the ftems iisted.be�ow
as per plans received:
-Install customer supplied hood and split make up lair unit.Condensing unit for MLTA to go on
concrete pad on ground�behind�building.
-Remo�e.eleclrical to.eXisting.elecfric.ovens.
-Install power to hood,MUA unit,gas ovens and controller.
� -Mechanical and electrical permits and inspections.
Ezcludes•
-Installation of new ovens. '
-Removal of all demoed equipment.
Proposal submitted by Thomas E. Judd for the sum of: $ 16,725.00
ACCEPTANCE OF PROPOSAL
The above proposal, specifications and conditions are hereby accepted. You are
authorized to do work specified. Payment shalil be due upon 30 day performances and/or
completion as described. This proposal good for 30 days.
Date• Signatu I e•
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6450 Unive I sity Blvd.
Winter Park,FL.32792
Ph. 407-679-3880 Fax 407-323-7527
Scope o� Work
Date:9/21/2015
Job: Little Caesars Pizza
5538 Gall Blvd.
Zephyrhills,FL. 33542
To: City of Zephyrhills Building Dept.
Scope:
Remove 2 existing electric pizza ovens and insta113 new gas ovens and controller. Install new
Aaon, split system,Make Up Air unit with new duct and diffusers. Install new oven hood with
new 16ga welded duct. Change out existing hood exhaust fan. Fire suppression to be separate ',
permit.
2 electric ovens @ 85 amps each totaling 170 amps being removed.
3 gas ovens @ 12amps each and MUA unit @ 40 amps being installed totaling 76 amps. -
Total electrical reduction of 94 amps.
Thank you,
Thomas E. Judd
407-947-8506
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Rcpt:17229C0 Rec: 10.00
DS: 0.00 IT: 0.00
I 10/26/2015 B. M. , Dpty Clerk
ppULR S.0'NEIL,Ph G PRSCO CLERKOf CiMPTROLLER
10/26/2015 11:52am 1
OR BK 927� P� 1842
NOT�'CE pF COMMEHCEhiEI� -
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Proputy IdrntiBeadon No, �
77IE UND??R5!(3NED hereby give inform�you�hu Ihe Impro�emenl trill be mede.to,arta(n real property,.ind fn eccorddrico�wt�h
Sectfon 913.l3 of Iho F1o�tde 5tetute�.lhe fofloe'ing InfomteGon(s�xovlQod in Ihfe IYOTIC6 ON COhTMENCEMEtd[: �
i.nese►�pdo�erpra�►ersr(rrga�daar�rron� //� _yl--aol� I mS7dn �n a,�'o �
a)SlreetAddrsss: .� _�3 �a 4 na G. 3!sy�t-
2.Ousera1 desctipt1an of improva nt�: I '-"'
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e)Neme end eddress: �aiv � A� � 7�• 3�/6 lq S./Z. S�1 33S�12-g fS$
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e)Afame arM addres�: I
_ b)Tckphone.I�'o.: Fex Ho.(OQt.l —
6,fn addi't[on 10 filmselQ oHner a+Bn�te�ihe followtng penoo lo recetve e copy of 1ho Lleoot'�t7ct�W es provided[n S�ctlon ��
713.13(I?(b),FfodJe Swutra:
e}Nuuo end address:
b)Tehphoae T(o.: t ' Fnx T7o.(Oj�l,)
9.Expfra�on date af h'ocke of Commencement(IDe expiration dale b ono)�tar from the c4te of recording un esa e di7c#e�t deto(s
speeifie�:,� �
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WAkNiNO TO 01YNERt ANY P.�YA�.MAT11i:SY-'CH1��AR!AtRA:AFFBhf'�tt�EXFIRk'FIaTFOF'Ff#�'NE}�ICE E}g
CphiML'iYCBMENT ARY.CON5ID6R�U A�TPROi'LR PAYDlSNrS ilNDSR CE[AP78R TIJ,PART f,SEC7IbH 713.17,
FLOBmA Fi1'A'('t1T�5�AND CAN l�SU1.71H'1lOUR•PkYI(�G'f19iG�•i�'OR lMPROVP.M1TENTS Td YO UR Pi�OPEA7'Y.
A N07fCE OP COMM�PA'CJ:AiBNT MUST DE ABCU1tD�b AND P05'I'ED�TI 71TE JOB SITB BERpIiB'i7{E FlR5T
INSi'�CTION. IN YOU INTBNb'FQ OaTA1N FIPiMt�fh'C,C(1N5UL7'YOUk LENDER OR At3 A7TRRNEY OEF�ORK
CObSMEt�CihG�YOAK OR ItECO}tbIttd YbUR AO'iTCE oF C4M i Rl1iE , �Q,,,
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'Ihe foregoing(oswment wu ncUtotvledged before me Uils dey of �� '� 20 f,,,��by � � JU� �
a+ ! type of orsty,e.g.o r,hustc nomey
in fatt)for � � , ,Q,�(eame of perty on bt i�1f of hom eat wns ex .td),
P�reon,ttX Known�_OR Produced Ident(fxatlon-- Katary�Sign9 e• .:• .-
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Vulflwtlon pursuent to SetNon 92.3?S,Flaride Slalulea.Under rwehfe�o r� � �s�s`e�het I hnve nad�he f E "'DE80RAH LYN L VING
f I dge and brtief, o ° � �•:�`$` '�� } MY COMMISSION N b16B4
�TATE'����.�IL��F;��� '���C"t5 � 4.�,, �` • '•
THIS IS 70 CERTIFY THAT THE FOREGOING IS A � i `���. �� - �E.'��� � - -2ots-
l"RUE/��,��CT COPY OF THE DOCUMENT S' " . _�t�e.��i►+ � � —' �rn �Q�a�s August Tr,
m �;�^ (6071998-0iS1 F!olldallot Serv�oe,eoro
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � • � z�
WITNE�S MY HAND AND OFFICIAL SEAL THIS �"G°F�`vE r�r' . :i
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Q,LQ T�AY OF[�j�Z`1�2�L!_s �{ �xl � �,
PAULA S. O'NEIL, C ERK&COMPTROLLE R� � ' , a 8����/ �
BY E UTY CLERK °SI' � o
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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 I
Permit Application , �
� Date Received ,�^ Phone Contact for Permit yo� �7 �,SO K��
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Owner's Name J � E /LS 71�j ' Owners Phone Number � � �
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Owner's Address �s.�p �L B L1�Q• �
Fee Simple Titleholder Name � Titleholder Phone Number � � �
Fee Simple Titleholder Address I 1
t:�-_a._.:..:��;�^;:..� - - ..�-.-�'s'y.°��,�.��.,- .--K.<--...�.�,,.�..._ _ -�._^',��°�.:�,._.:_:a.,=,., - - - _...� .......... �°.--`�,
Job Address MS�3 8 L[. �L1�Q r �I YLot# ��
Sub Division Parcel#
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� Bio-Hazard Waste Storege-ANNUAL I �� Fumigation Tent
Comm Exhaust Kitchen Hood/Duct �����`i a Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
�
I � Emergency Generator<30 kw � LP/Natural Gas-Installation
I � Emergency Generator>30 kw I � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � � Places of Assembly-ANNUAL
t y emi �n t er
Sprinkler � ❑ ❑ ❑ � � Recreational Bum _ p
��';� �N�
Fire Alarm � ❑ ❑ ❑ � � Sparklers I '-) 2 �
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Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations , I/'�(�
ri v�i
Hood Suppression � ❑ ❑ O � � Standpipes(Sprinkler Sys) �`
� Fire Alarm Installation i � Torch Roofing/Tar Kettle /
� Fire Pumps i � Waste Tire Storage ANNUAL /1�/��
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� Fire Works '
� FlammableApplication-ANNUAL I 3 Z pOO,% Valuation of Project
� Fuel Tanks �
Q Other: I
�.���...�-,ri?:�.,-_.,......-�:>i':...:.:,:�s=...,.....�c...... �..--'�..r.,�.. ... .,._._...r_,__°.�.."":^.-.£,?i<...� �. w-,x.k'_":.�.._'_..�,. ..,;":��a....�_.....�..,:_.'�'.��...�........_�.c-^.�,::'o.a=...,Y..:,>�""...-r`.'-a=�.+-,.���«�R°-'
Contractor � � � Company o•�l �/6 �G /J�•
Signature � � Registered Y/N Fee Current Y/N
Address 'fs'O UNrVgitSst BLt(�, P.✓'tnTt'� �thl '�'t. License#
ELECTRICIAN � � i Company f1�1�"U4��✓ E'�T2'M'� , � ,�1/C
Signature � Registered Y/N Fee Current Y/N
Address � License#
PLUMBER I Company
Signature � Registered Y/N Fee Current Y/N
Address 1� License#
MECHANICAL I Company
Signature Registered Y/N Fee Current Y/N
ddress � License#
OTHER � Company
Signatur Registered Y/N Fee Current Y/N
ddress . ; License#
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Directions: I
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. : -,• PaPceli#-obtained frorti,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 responsib[lity for compliance with any
applicable deed restrict(ons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIlIT1ES: If the owner has hired a conhactor or '
contractors to undertake work,they may be required,to be licensed in accordance with state and locai regulations. If the
contractor is not Iicensed 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 Inspectlon Division—Licensing Section at 727-847-
8009. Furthermore, ff 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 slgn as the
contractor,that may be an indicalion that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry. �
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 af existing buildings, as specified in Pasco County Ordinance.nutnber 89-07.and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be fdentified at the time of
permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a'certfficate 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 Counry WatedSewer Impact
fees are due,they must be paid prlor 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 that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—HomeowneYs = '
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 abtained a copy of the above described document and promise in good faith to
' deliver it ta the`owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certffy that all the infomtation in this applfcation 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 InstallaUon as indicated. I ceriify that no work or installation has
commenaed prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and Cily codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I tinderstand that the regulations of atfier government agencies may apply to the intended work, and that it is
my responsibility to identffy what actions I must take to'be(n compliance. Such agencies include but are not Ifmited to:
- Department of Environmental Protec6on-Cypress Bayheads, 1Netland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses. �
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following resUictfons apply to the use of fill:•
- Use of fill is not allowed in�Flood Zone'V°unless expressly permitted.
- If the flll material is to be used fn Flood Zone 'A", ft is understood that a drainage plan addressing a '
°compensating volume"will be submilted at time of permifling which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be,used fn Flood Zone'A° in connection with a permifled building using stem wall
construction,I certify that f II vvill be used only to fill the area withtn the stem wall. .
- If fill material is to be used in any area, I certlfy that use of such fill will not adversely affect adjacent
propertfes. If use of flll Is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached perinft appllcation,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 canditions set forth in
this affldavtt prior to commencing conshuclion. I understand that a separate permit may be required for electricai work,
plumbing, signs,wells, pools, afr conditioning, gas, or other installations not specffically 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 technicai codes,nor shall issuance of a permit prevent the Buildirig Officlal from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali become invalid
unless the work authorized by such permit is cammenced within six months of permit Issuance,or ff 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,th�)ob is considered abandoned.
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WARNIMG 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 YOU NOTICE OF COMMENCE NT
FLORIDA JURAT(F:S.117.U3) � /
OWNER OR AGENT � CONTRACTOR� S
Subsalbed and swom to(or aftirmed)6efore me thfs S bsaibed gn to r,�ffirtnedibg re^e this
by .2Z-I,�by �NrN�f-S E. �M��
Who Islare personalty known to me or hasfiave produced ; oJ� re pa�5pna�l�Y�movm to me or haslhave produced
as identlfiptlon. � !��• d-J-0�e�S ���`�as identification.
Nohary Public � i �• � Notary Pubiic
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Commisslon No. � Co Iss� . _
,••'�' �°y�o�; JACQUELINE
Name of Notary typed,printed or stemped ��Na e� ry• � A�F1°�50422
: Q= �zpires December 1 , 018
��Ri���`��,, Bonded ihru i 2 2
� �°Y Ftln Ineuronce 800,385.7019
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�harn�ion Htg � A/C, Inc. .
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P O Box 5495 chamqionac@bellsouth.net
Winter Park, FL. 32793 FL. STATE CERT. CAC043950
(407) 679-3880 Since 1980
Fax (407) 323-7527 �
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9/18/2015
City of Zephyrhills
This is to authorize Thomas Judd to pull permits under our license for
Champion Hea�ing & Air Conditioning,
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Thanks
Mark E Madd n
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Champion Htg & A
CAC043950 �
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?pl�Y PV�+
ERICA SHAW
MY COMMISSION fl EE195857
°s�oF�°,c�� EXPIRES.May 18,2016
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: ��'1 (`��
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Date Received: �'--Z-Z� �s
Site: � 5�c�� ����1 �� �
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Permit Type:
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Approved w/no comments:❑ Approved w/the below comments� Denied w/the below comments: ❑
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��-,-� �n,>>-F� ��SC.T ��-����
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This comment sheet shall be kept with the permit and/or plans.
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ill urgess uilding Official Date � Contractor or Homeowner
! (Required when comments aze present)
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