HomeMy WebLinkAbout16-17064 _ CITY OF ZEPHYRHILLS
; ' S335-8th Street
(813)780-0020 17064
ELECTRICAL PERMIT
PERMIT INFORMATION . LOCATION INFORMATIO
Permit#:17064 Issued: 2/17/2016 Address: 37815 SR 54 WEST �
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 120.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 120.00 Date Paid: 2/17/2016 Parcel Number: 10-26-21-0010-12600-0020
CONTRACTOR INFORMATION • OWNER INFORMATION '
Name: OWNER Name: EVERS CINDY LAWSON & BURGES AMB
Addr: Address: 34132 SAINT JOE RD
DADE CITY FL 33525-7846
Phone: Lic: Phone: 813-263-2366
Work Desc: INSTALL X-RAY MACHINE LECTRIC
PPLICATION FEES
ELECTRICAL FEE 60.00 BUILDIN FEE 60.00
INSPECTIONS R QUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER ��
FINAL
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
� s
� ONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PR E-1 N STALLA�������— ITHALL
,t+� ����������' �v S�� 'F���BUILDING
�.� _ �iT �NATIONAL ELEC��CODE AND
uY s�u,��,,�L Y�F z�PxYxxrz��.s o��va�vc�s
Please check the boxes indicating yau have reviewed ihe topic and the facility is compliant. 1�/e recommend yoa consulf
with your elecirr'cian ar contracta�when neviewing and completing this Please call aur Teahnical Support if you
have any questions, Al)orders must have this form campteted and retumec�b����� . on# in # t(ation.
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X-ray systetn(1)normally located on centerline of the wall. �/�teritl�ry X-�'ay Sys � � +
i
,:�.� -�Recqmm��tiet���rr,irnum_room�size-.9Wx,$D;x$,� _.
a:�a�:;yd..... ;._.�:�.. �c:,�i€;.;�`,�.;' �• _.., .
x-._:::.r.,_: ,.i�:;> ��ai�...„.:.�a�i�.u."=k � ;
{10W"x 8D'ic 8H for J�ierrl`iuYn"'�efs:) .___� E
{For smalter moms please caJl for infarmation ort additfonel ; `� �•` � w
optians.) � � ; � ' � �`
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- $� -----
Safeta!Discannect,(2)is a surface mounted box th�t can be ;
f�i-:.e.�`lf3 . .rvti�r�v;..»�;r»�,a�-...�°-.'°`'`'�F'�r�� .�'i+a:S`�%' t
`lacated;eit�►er�ef�or;-��,gtit�o��ti��.,as��C:�'toen�er�t�pe�;of bcuc af�F y
1�rR..+J`�=.",?_o<._v;�:,,::�.:;.u.:. ,:=;�?>a;s:i tx.;'u-iz.K $�r �'- J�`-'�ita.,,. r;:7 +[---- rJ _"'_s
� rfloor'iir`tti sta��co'�a*heigfit:Safe��cli�s�i�rneet�Shoiitil'Fiave ��
a true earth graunding:,wire go3ng back to�#h,e,main�panef`and �-�-----�-•�i
Ft.."'�� ;,�:..,�
w�,r;an�ad'ditional smpty ground lug fqr 6 AWG wire.(Uo neutral is i �
r�eeded for single ar three phase o{aeration. ? �
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Electrical Recguirements - Unless otherwise ordered, a!I umits shipped are single phase units.
Safety disconnect and wire size requirements are as foNows:
/
tA i i��';',=.;'k'^+'�,�.,'�"iG..,''"4i5''kJ'��"'';;ff?^P���'...'-T�f�%�3�`Ey�,�-�"�'Yi'�1"w^„'T:a'"`r�;,��",
�Single=l��iase�.��:tiAiii�-��fe#�r=�disconrr�c;t^►t�uriifii��r Three Phase,?0 Amp saf�fy disconnect rr�ic�ionum �
�.��....
(2Q8VAG to 24DVAC} - ,
+ Q 208VAC to 240VAC-0'ta 10D'-Z AWCa
NO7E:upgrade charge to th2e phase 208 fo 240 will be ffi600.00
t =�;:�-,Q��;tcrw�tl;:-2�A1dy�;.a�,
.�-.�,�.r;.�.<<::��,,.�;_.��.�<-y�;;��:.-�;�:��:
`fhree Phase,480VAC 30 Amp safety disconnect minimum
[;�s51,'-=•ta.'i OQ'„atn�1J0-AWC [� 480VAC-0'to 150'-6 AWG
���� ���,. , .v��.;-;��-
, _ � '•'3-*`� '" NQTE:upgrade charge to 2hree phase 480 witl be$1,5t7Q.Q0
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�or runs over 14D'cali Sedecal U5A for other x-ray generator options, Por runs over 15Q`ca41 Sedeeat USA for other x-ray generator opTians.
All wire sizes stated above are for CI�PPER wire,and run lengths are from the building main
electricai panel to roam mounted sa#ety disconnect.
�o�Teclt�ic�0�up�ao�, cali: �$'7.�94e6��i
information Notice Number 20
(November 1997)
For Florida Radiation Machine Registrants
� Department of Health, Bureau of Radiation Controi
TYPICAL SHIELDlNG REQUIREMENTS FOR VETERIPIARY REGlSTRANTS
The State of Florida administrative rules require radiation machine registrants to adequately shield the
x-ray beams and scattered radiation produced by their machines. The purpose of this requirement is to
ensure machine operators and members of the general public are not unnecessarily exposed to radiation
and are kept below their legal dose limits. Shielding requirements will be determined by this potential
' exposure to humans and must take iRto consideration occupancy factors, distance, work load, energy and
direction of the primary beam, and other related factors.
Generalty for this type of x-ray machine installation, the following guidance applies:
� 1. Preferably, a protected position is provided for the operator. When this is not possible,
operators must be able to stand at least six feet away from the primary source of scatter(the
animal being radiographed), outside the path of the primary beam, and wear a protective
� apron. -
2. Shielding is necessary for inside walls when
a. the primary beam will be directed toward it without a beam block to intercept, or
b. normatly occupied spaces are within eight (8) feet of the source of scatter.
3. Sfiielding is not required for outside walls or areas without human occupancy, such as store
rooms, bathrooms, kennels, etc. �
When a pratected position is provided, one-sixteenth (1/16) inch lead equivalent shielding would be
required to a height of seven (7) feet. No additional shielding beyond standard drywall construction is
normally required on the other walls except in special cases, such as when an office worker is in close
proximity to the x-ray_room or a wall of the x-ray room is shared with another tenant. I�Jadtli#iott�i�
<ti�i�t^['=+^-'�:s:-n:' �N':";>'S'aN�tnw°�_<.r.i:r_ �,sis.,T�... - :��:,:�,�;r.�e.Tr,.�"'��2_g--r.�. F _ . _�+Y=,.:a�a..'»�
,�s�iietc�i�g�,is�,vlrar�art��ct�::any.;�cfer�se��material;:�suc`hKas=.an�;add�#ic�'r.',ia!�thickrtess.of:•�liywail;;i�rbs��sed-to
��,� - � - � . :. . '� _..�.t,�,.,�.�:�.�.;;��._. .Sc���►.t-�
attenuate�thE�Fscai#ered.radiat�or�,-:? � �� � � /�jl '� P5� 6� ���l,t�y�/ "' �-. '�'
��;,��-��-,,.��,:':'�x.���.��:.-�::�;:.�:,��.�,.r.=�:�.:�=�- /�/
Shielding plan review and/or approval is not required by this office unless the energies used exceed 200 ��'P�I��
kVp. High volume offices (greater than 1000 mA minutes per week) or offices with fluoroscopic or special �
function machines should consider having their shielding planneci by a licensed medical physicist. The
Bureau of Radiation Control will inspect each facility that uses a radiation machine and require adequate
shielding to protect operators and the public.
If you have questions or need guidance, please Contact this o�ce at:
Department of Health
Bureau of Radiation Control, Radiation Machine Program
705 Wells Rd Ste 300, Orange Park, Florida 32073
Phone: (904) 278-5730 Fax: (904) 278-5737
www.mvFloridaEH.com/radiation
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���GC. �"�-T�t��
Date Received: 2� /s—(�
site: 37�l S— �S'/� �5�'�
Permit Type: �( -/��-f' �'Y�G���I � ,
_,
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
;; - )��.6
, �, /.- `
,` :,
Kalvin S it�` —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-?84-0Q2Q City af Zephyrhills Permit Appiication Fax-843-78Q-�021
, , , Building Department
Date Recalved � �°'���'Z,.,p� �. phone Gontaat for Permlttfn j�'� �� — ���7
9 � ��
Owner'�Name ,�-r-R�/t Owner Phone Number �� �7 7�v
Ownar's Address � r� d u�- ��� �° Owner Phone Number � �
Fee Slmple 7ltlehalder Mame �— �� t?wner Phone Number � �
�
Fee Simple Titieholder Address '
yj � /� ��.�
JOB ADDRESS �J7 O/ S� c�.f`LOT# �
SUBDIVI810N � � PARCEL ID#
(OBTAiNED FROM PROPERTY7AX NOTiCE)
WORK PROPOSED NEW CONSTR ADD/AtT [� SIGN Q Q pEMOI.ISH
e "INSTALI. 8 REPAtR
PRQPOSED USE C] SPR C] GONIM [� OTHER
T1fPE QF COMSTRUCTfON Q BLOCK ' [� FRRME [� 5i'EEi. Q
DE3CRIPTION OP WORK V / 1 � v�'v`""
BUtLDING SiZE �--� SQ FOOTAGE�� HEIGHT L��
[,�BUIl.QING ffi � �"''' � VALUATIQN'i7F'1`OTAL CONSTI2UCTION
� _.�
[�ELECTRICAL ��-�� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QP�UMBING �$��� '� �
��_ �U
QMECHANICAL $ VAIUATIQN OF MECtiANtCAI IN�TALIAZION �� � �
[�GAS [� ROOFING �J SPECIAL.TY � OTHER
FINISHED FLOOR ELEVA710NS �-� F�OOR ZQNE AF2EA QYES Pi0
� y�
BUILDER � � , L`��� C�COMPANY Cl W��
SIGNATURE REGi$TERED Y 1 N FEE GURRE� Y/N, .
Address , - Ltcense# �� � _
EI.ECTRICIEW jf"�y �, L�i�'-S COMPANY t,���'��✓f`'j
SIGNATURE � REGISTERE4 Y f N �E cui�tte� Y I N
Address � Llcense# ��� "�
P�UMBfR � � COMPANY
SIGNA7Uf2E ( REGlSTERED Y f N FEE CURREt� Y!N
Address License# �� I
MEGHANICAL CQMPANY
SIGNATURE REGISTERED Y/ N FEE GUi2REt� Y/IV
Address- l.icense# C�` �
OTHEfi COMPANY
S�f3NATUFiE ' REGl57ERED Y! N _ fEECUR�� , YlN.
Addresx �" License# � �
RESfDENT1AL Attach(2),Plot Plans;.(2)sets�.af Building'Plans;(9)set of Energy Fdrms;.R Q-W Permit for new canstruction,
Minimum:ten(-1.0);working.days after.subrriittal date: Required onsite,Construction Plans;Stormwater Plans w/Silt Fenae tnstalled,
Sanitary Facilitie,s&,1,dumpster Site Work•Permit for subdidisionsllarge project� �
COM!'1�ERCIAl. Attach(3}compfete seis af Buitdlrig Pians ptus a�ffe Safeiy Page;{1}set of Energy Forms.R Q-W Permtt#or new canstnsction.
Mlnimum ten(10)work(ng days'after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silk Fence lnstalled,
Sanitary Facilitles&1 dumpster.Site Work Pertnit for all,new project's.Al)commerciai.requlrements must meet compliance
St�N PERMIT Attacti(2)sets of Erigineered.Pians....� ; �� .
••"«PROPERTY SUR1/EY required for all NEW conshuctton.
Qirections:
Fill out application campletely.
Owner 8�Contractor sign back of applfcatlon,notarized
if ovec 52500,a Notiee of Commencement is required. (NC upgrades ovar 57500j
'� Agent(far the contrac#or)or Potiver of Attomey{far the owner)-wautd.be someane with notarized tetter ftom owner authorizing same
OVER THE COUNTER'RERMI'fTING i: (Fronf of Applicatiom Oniy}' "
Reraofs ff shingles Sewers Service Upgrarles AlC , Fences.,{PIoUSurvey/Faotage)
Driveways-Not aver Counter if on public roadways..,needs ROW.,, ,...
, ,.
NOTICE OF DEED RESTRICTIONS: The undersigned.understands th�t.this;p�rmif-.may.be_subject toy"deed"restrictions" . _-..�
which may be�more�r.est�ictive�:than County'�egulatlons�=The�undersigned`assumes°responsitiitity for'compliance�with�any - "
applicable deed reshictions. . • ��
UNLICENSED CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: -if-tFie owner has-hired--a contractor or
contractors to undertake work, they may be:cequired:=to be.:licensed in accordance.with state.and•local;regulatlons. +If the
contractor Is not ((censed as required=by law, both the owner and:conVacto�•may be-clt'ed for=a•misdemeanor violatfon
under state law. If the owner or Intended�.contractor•are,:uncertain as to what Hcensing.requlrements, may�apply�for�'.the •
intended work, they are advised to contact the Pa'sco County Bullding Inspection Di'vislo'n—Llcensing�Sectlon at 727-847-
8009. Furthermore, If the owner has hired a cont�acfo� o�contractors, he (s advfsed to have the contractor(s),_sign,
portfons of the "contractor Block° of this applicatlon for_which they will be tesponsible. If.you� as.the owner'sign"a§'the'
contractor� that may be an indtcation that�he is not.properly licensed and is not entitled"to permitting�p�ivlleges in Pasco
County. � '
TRANSPORTATION.IMPACTIUTILITIES IMPAC7ANb�RESOURCE RECOVERY�FEES: The�undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply to�the construction of new bulldtngs� change of'�= � }'��'��
use in existing buildings, or:expansion•of-�exf"stin�g',bulldings, as speclfled.in Pasco County Ordinance number 89-01 and
90-07, as amended. The undersigned also:understands, that--such fees,,as.may;'be�.due;:wfll.be identified at the=time of •
permitting. It is furtfier understood that Transportation Impact Fees and Resource Reco�ery'Fees must be paid prlor to
receEving a "certi�cate-of-occupancy° or flnal-power.release. :I��the.project�..does not(nvolve:a:.certificafe of occupancy�or' -' �
flnai power release; the fees mu�t be paid prior to permit Issuance. Ft�tthermore;��if:Pasco County�Vllater/Sewer-�Impact _
fees are due�lhey�.must be�pald.prior to permit-Issuance-in accordance witfi applicable.Pasco�County ordinances.
CONSTRUCTION LIEN-LAW(Cliapter 713� FlorJda§tatutes�as amended): if valuation of work is$2,500.00�or more; I. .
certify that I, the, applicant,_ have.been proyi.ded with_ a-copy�of the°�"-Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by.the Florida Department�of Agriculture and Consumer Affa(rs. if the applicant Is someone _
other than the"owner", I certify that i have.obtained�a copy of.the'above;.described�docurt�ent°and.promise inrgood�faith.to _
deliver it to the'ownec".priorto�commencement:� • ' - � '
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certiiy:;that�ail the:information in:this appl(catlon is accurate and that all work
witl'be done in compliance with ail.applfcable`laws regulating construction, zon(ng and•land development. Appltcation is
hereby made to obtain .a permit to do.,work::and installatlon as Indlcafed:��. °I certifjr`that no work 'or Instaliation has
commenced p�lor to issuance of'a permlt"and that��all work will be perFormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development tegulations-in the jurisdict(on. I al'so
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 besin:.cotr�pllance. S.uch agencles-include but-are..not Iimited to:
- Department of Ehvironmental�Protectlon-Cypress.'Bayheads; Wetland Areas and Environmentally Sensitive
Lands�WatedWastewater Treatment.
- Southwest Florida Water Management :Disthct Wells, Cypress�' Bay.heads,� Wetland Areas, Altering
Watercourses.
- Army Corps of Englneers-Seawalls, Docks, IVavigable Waterways.
- Department of Health 8 ReMabilitative Services/Environmenfal Health Unit Well.s, Wastewater�Treatment,
Septic Tanks. � ,
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Aviation.Authority-Runweys.
I understand that the following restrictions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal is -to be used_.In �Flood Zone. "A", It. i� understood that a drainage plan addresstng a
°compensating volume" will be submltted at time of permftting which is prepared by a professional engineer
Iicensed by the State of Florida. �
- If th� fill material:is to be used in Flood Zone °A° in�connection�with:a pecmitted buifding using stem wall
� construct(on, I certify that fill�wlll:be used only-to fill the area withln the stem vvall.
- If fill material is to be used in any area, I certify that use. of`such flll will not adversely affect adJacent
properties. If use of flll Is found to adversely,�ffect.adJaEent�properties,.the owner may be cited for vlofating
the condifions of the building;permit issued•under the atEached permit applicatlon, for Iots less.than.one (1)
acre which are elevated�by flll,a�englneered drainage plan is required. .
If I am the AGENT FOR THE OWNER, I,:promise in good faith to inform the�owner of�the permitting conditlons set forth in
this affidavtt'prior to commencing construction. I understand that a�separate permlf may be requlred for elecMcal work,
plumbing, signs, wells, pools; a(r condit(oning, .gas;�or other InsCall�tions nok spec�fieally included in.the application. .A�
permit issued shali be constcued to be a�Iicense to proceed with tFie work and not as:authortty to,vlolate;cancel, alte�, or
set aside any provisions of the technical codes; nor shali issuance�of a.permit.prevent the Bulldirig Official from thereafter �
requirtng a conection.af errors In plans, consfruction or vlolations of.any codes. Every permit issued shall become invalid
unless the work authorized.by such permit�Is-commenced�within sGc months of permit lssuance, or if work authorized by
the pe�mit ts suspended or abandoned for a:perlod of six(�)montfis aRer the ttme the�work ts commenced. An extension
may be requested, in vuriting, from the Building,Offlcfal for a period.not to exceed nir�ety�(90) days and�will demonstrate
justifiabie cause for.the extension. If work ceases.for ninety•(90)cons.ecut(ve:day.s�..the)ob�is.constdered aba�doned.
WARNING TO OWNfR: YOUR FAILWRE�TO..REC.ORD.A...MOTIGE:OF�COMMENCEMENT�.MAY�RESULT IN YOUR
PAYING TWICE.FOR 1MPROVEMENT3 TO YOUR:<PROPER7'Y.;iF�YO.U�IN�'FE�D�`T�'OBTAIN�FINNf+1C1NG;'CONSULT
;- WIT U . E � O �AN�TTORN�1f-8 F0�3�_.RECORl� �:l�011 ' �C 'O ..• f ENT�
FLORIDA JURAT(F.S.:1.1�3) - — �
/l� I S'
OWNER OR AOENT�7`�� �� C�s CONTRACTO " '
Subscrlbed and swom to�or aRirmed)betore me this Subscribed and'swom to r affirtned)�before me'tFiig
by •
Who Islare personally knovm to.me or has/have produced Who Is/are pe onally wn�to me or haslhave�produced •
as Identlflcatlon. as IdentlRcaOon.
�
Notery Public � Nofary Publlc
Commisslon No.:.. Comm
=;'� ':__ Commission#FF 150422
Name o/Notary typed,printed or stamped Name of N ' `p '
„ d�;�• on e m roy ein wrance 800�385-7019