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17-18728
CITY OF ZEPHYRHILLS 5335-8TH STftEET � ' (813)780-0020 �$72$ BUILDING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 18728 Address: 38135 MARKET SQUARE DR Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03900-0030 Improv. Cost: 18,000.00 OWNER INFORMATION Date Issued: 9/14/2017 Name: HEALTH CARE REIT INC C/O ALTUS G Total Fees: 430.02 Address: PO BOX 92129 Amount Paid: 430.02 SOUTHLAKE, TX. 6092-0102 Date Paid: 9/14/2017 Phone: (863)838-3220 Work Desc: FLOOR CHANGES FOR OFFICE VASCULAR SURGERY AREA CONTRACTOR S APPLICATIOId FEES FHS INDUSTRIAL CONSTRUCTORS LLC BUILDING FEE 187.50 AXIOM POWER LLC FIRE PLAN REVIEW FEES 182.52 ECTRICAL FEE 60.00 �C , � ,� � I � Ins ections e uired FOOTER 2ND ROUGH PLUMB MISC INS LATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 maybe additional restrictions applicable to this properly 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with ', City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �� NO OCCUPANCY BEFORE C.O. i CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � : t e�3aao-ooao City of Zephyrhiils Permit Application , Fax 813-Tap-0021 Bullding Department , . � � ,,.._ ,_ _ . Date Reaetved l�—j' :�`� ;�: Phone Cantac#�far-Rermitt�n , .{31� � � - � _ - _ � � OYvner's Name � �� !��� �,., -Owner Phons�Nurrif�er ' L"J� ,�Z ��� Owner'sAddresa � �� �� � •� • Owne�.PhbnsNumber r F�e Simple Tltleholder�Nam� �� � � Owner Phone Number -'� Fee Simple Tltleholder Addresa JOB ADDRESS � � r � - ,•,� LOT# �� SUBDIViS10N �- � ` P.ARCEI,ID# _. • � � , - • (O@TAItdED:F.RfJM PROPERiY,-T11X NOTICE� WORK PRQPOSEp �.NEW CONSTR�' ADDIAi:T �� Stt3N' '�] [� DEMOLiSH - ,.. �.;e. INSTAI.I.. � c;,:REPAIR -• ' � PRCIPOSED,USE . , Q SFR. �. 'COfUI(titl' „�� �OTF{ER' � - � ` � TYPE OF CONSTRUC7'ION' _�� Q�' "'BLOCK " �C] FRAME _� ;STEEL Q DESCRIPTION OF WOItK �'` �� � ���F` i�'V' �j�Geti'�rt�,,,�CJ SUiI.D1NCi;SFZE ,� � ' , �.SQtFOOTAGE��;.... ...HEjGHT��. � . � . �����t��`' $ � VA4UATION;OF�1'OTAL CONSI'Rl`'1C1'101V r� ' " " - . 1'� 8�G"� , QE���jR���- $ . AMP SERViCE Q 'PROGRESS E�lERGY ,Q W:R.E.C. QPLt1MBING. ;$ � "- �Z� , , -.� � . �� � � �J�d� QMECHi4NlGAl $- VI�t.UAT10N OF MECtiANICA�IPiSTALtA.T10iV. � I� . � �c�'���G✓r`t QC�AS Q ROQFI{VG _Q SP,ECIALTY. � QTHER: � FINISHED F1,00R ELEVATIQNS . FLOOp�ONE AREA QYE$. ,NO ' �� � �4C�'�i+"- . ,. � __ . � ��c- 5�.. 8UEl.DER � MPi�Y�� � � C�. �. SIGNATURE R REGISTERED Y/ N `FEE CU En � Y/M � Address ' Llcense# I,t�,,� (7 , .�y lJ I �IECTRIC,lAiV- ,_ , - ° ,;C'O11A�ANY ' ' . - . SIGNATURE � REGISTERED Y/ N FEE CURRE�°a 's'��Y/N' ° ,�ctalress , . , - ` _ � ,� , _ Ucense�#��,� - � P�UMB£R ' ' £QtdtFA1�lY,� , . .. , � SIGNATURE'" " '`'` ' ' _ -,REGISTERED. , Y./r N• a'FEE•CURRE� Y/N �-, :. ,,, , � AddT888 ..... :, _ '`, • • , :.. . . ., . .......... .. . . _.. . .�._ :, : Uce ,rise,#I. ...:.. , „ : � �� , �; . ..... . � , . .r � / ... . . , r� .. ^ , , �lIECHANlICAG` ,:" . . `- „ ' . CC)M,P,.ANY . SIGNATURE: � � • � � � � t " � `" REGI$TERED , Y./ N FEE CURRE�; Y:/�N ,-, .. ,.., <..... _,_,„.,... ., ... . , .,,.,y�.,,� , , . . . , , „ Addrsss', . ..t: ,. _,. �= t� .� � .... - . . � . . .` Lic�nSe# �,� .—_ ..�� >s;., ��- . . ,. . . .. . ,� .,.. . , , .. .,� ��, OTFI�R � �;;.�`^.� ... _ � ` --- -= . ,��:�: ..{:r . f , � .;-,• ` - ' - .CCIMPAfi+IX , .. , .. . : SIGNATURE" r=-- .-�:` '"`` ,�, , ;t�'- .., .. , ,.,. . .&:.; ,�_� �:�,:,..�., , . .. , 'RE�ISTERED Y/ N::. �FEE CURREA Y/N I'RMdrB�$w ib:'.`.4'::"—.°.i:,':'`r�•' :�i; �A'+... , ... .u'j, ..r`'� -:,,,,iy i: . . �n _ , " ,�. � � _ '.="_` ;.� �� , 'L�C811$8'�'';, '[�Ga����H k �Attacti 2'�Plo#;P _. ,,. �, . ... � YS,...,�J.;,+... .,�n,�..Fw.,- .:_ .. ,.. „e�;. . ',t � . .Srr ��!��' ' ' .lalisif,2� "sets=of`B'ItilEn t lan $ �' `" a 'JF '�sr.� ,`, Tl�t.�;�';:., "{ )µ ,� } = u g.P 's;(1}'set ofriEn'ergyi{Forms;�R=O-{N�Permif#6'rrtew caiisttuc�on, . , "'-,�:��,',s Minimum�tep�(1.0),working�dajis aftia��;subiniftal'deCe:�R�qul�ed onslte;:Co`n'atru�Uon`Plans;StoPirNwater plans�w/Stft Fence lnstalled, Sanitary Ferd�litles;,&1r,dumpster;;Slte�Wo�lc�Pemlitufcr sulidivlsloiis/largerpmjscts',:_�r;::x�� : - -- . � . � COl�IM�RCIAl. Aftach(3j`comptete'sets of Bullding Plans plus a.U€e Safety Page{1)seE of Energy Fotms.R-Q-W Permtt for netiv constru�Uon. � � Minimum ten(10)woricing days afker submlttal dete. Required onsite,ConstrucNan Plane,Stormwater Plans w/Sflt Fence inst�lled, Sanitary FaciltGes 8�1 dumpster.Slte Work Pemtlt for all newtprojects..All commerciaf CeAutr,ements_must meet comp{Isnce ' � wSIGN°P£RMIT Attaofi{2)`sets af'Englnee�;Pla�ns:*~r�.�;~�s:_,-r :;:;;:- �.. . � . ••`"PROPERTY SURVEY reyuired.for all NEW.`canstruction... _ __. .... .. - - ..�„ :,' . ,.Dlr'ectlons: :�-t1�...,_ `-c•� .� . . . Fill out applicaUon completely. Qwner&ContracMr.stgn t�ack of appficaUon,natadzed � !t`over t��00,�Natice of Cammencement Is required. (AIC upgrade�over 37500j �. "i::_'g 1�5F;�.�t'"vy. . ' AgenC(far the cbntractor)+ar`PoWer'of Attamey(to�the owner)�would tie someone w[th�notarized Ietter trom owner authorizing same -�DVER=THE CdUN.T.ER.PERMITTiNG-��-�(Frontaf ApplicaBon•Oniy)�-- �•- - ` ` ' Reroafs if shingles Sewrers Service Upgrades A/C Fe�ces(PlobSurvey/Foatage) .._.._....__._ -�--_. _.--..._....•- --_.,. ..._�_. . _ ., Drivewaya-Nat aver Counter if on public roadways:.needs ROW" ` � � .,�� ,}ti..,......i,✓1"��. a . M:.... NOTICE OF DE�D RES'�'RECTIONS: Th�und�rsign��,und�r�tands�,th�tt�i�;:p�em,it�rnay,,be�_subJect,to,_:d�ed,",:r.esQ�ictlons,:...,,_,.�. :. �►hlch may be`.more=rest�Ictiv��4h��Cour�ty��cegr�latlon� 'Q'heyu"n'derslgried°�as�ura�ea'°`re`ap�insEtilllty�for�compll�nce�vwlthl`�ny appllcable.d�ed restrlctlons. .... �.:. �.,._: , - - ' � _ .. . .. .,._ . , ,.. .-� UNLIC�N�ED�CONTR�iG70RS �►ND CON�R�1C1'OR RfESPOlN�I�ILI71E�: °I� the4�ovdner'ha�•"h6re:d:`a."conh�ctar or contrac@ors 10 undertake work, they m�y,be,�r.�qulred:;to�berltcensed,In.a�co�da��ce.w►1th;state.�nd:loca0,regulaflo[ose�If the � con4ractor=t��not�Itcensed�as re�q�alred`�tiy I�riv, bofh tD�e owner and`contPacto�;�may b��clf�d°for°aAml�deme�nor vlola�ton under state I�w. IF the owner or Intecid�d;,conte��tor,>,�re4uncert�ln as to verhaQ'Il�n�ing:requlroment�;m�y�-epply��for°th�_-���>• • s-� Intended woNc, th�y are aelvts�d"to cor�tact.ffi�:Pasco County�ulldleig,`Irtspecflon�D(vl�lon--l:tcen�ln�Sectlon at 727-847- 8008. Furth�rmore, if the owner'has"hlrod-a �contP�cfor o� con�ractoi�, he is advls�d #o have�the cantracfor(s).slgn „ � �..._y,,..,,,r,ai:.. ..:�.. i�� :' . portlon� of the �a:ontractor �lock" of thl��,appllcat(onmf.o,r..wrhlch:.they.wllt�be.re�pon�lble.-:If;you;.�s•:fhe ovvr�er sl'gn°as the"" " � _� _._... ,...r.... coMractor, that ma�y b� an lndicatlon that'`he 1s_not:properly llc�nsed"and ls�not"'�ntiHed to pePiiilttl'ng priirileges !n Pasco County. � - -- � _--._�. ._° .-_.,:,,,. . 7'�RlSPORTATIOfd=1AA�AC'T/UTILITIE31�lPAC'��A��-�ESOURCE RECOVE�Y°�I�EE�:�fhe unde�slgnetl�und�rsQands _ that�'ransporQatioc� ImQact.Fe�s and.F3�co.ur�e Rec�v�ey_F��s m�y�=�p�ly,to�tF�e;constructl�n,of n��r.,bulldings,;change:�of`_�' �� � use in eicisting buildings, oc.expar�'at�n<-of>�exlsiin�:��biailding�, as spec6fled.in P�sco County O�dlnance number 89-O7.and: � e0-07, as �mended,,.._Th� underslgned �Iso:und�rstands, tha�t:'suc6�$ees;::�s,tnay�:�e:..d.�e;;,vorlll�tie Identift�d at the�t6me�ofi� < � permitting. It Is fiJ'�tFier understood th�t Tra�sportatlon Imp�cf�F�es �nd°��Resourc�r,Recoriery"Fees-must be p�ld prlor to eece�ving a:°�r�fficat�-of�occupancy"��or-flnal�-power�r�lease: :I�Ehe.proj�ck,:do�s:y�ot Involve°Y�::s.�rtiflc�fe of occupancy2or�'�-°�����.�� , fln�l power-r�l��se; the f�es-mu�t'ti'e pald;,p�lor to;permit Issuanc�. Fu�lhermor�;�;lf P�sco,Couniy�:iNater/�ew�r_�<Impac� . � �� fees are due,.,they�must:be;pald;pclor#m..permlt;lssuance�:ln_�ccocdanc�.iRilth.;appllcatile:Pas�o'�Countji:�ordin�nces. • COMSTRlDCT10M�LIEM'L�1W�(Chapt�r T13� Florld��tatut��o a�smended): if v�luaaon�work Is$20500.00�,or.-re�ore;.IP� � : . certify th�t I, th�:�appHcant, hade•beer.a prmvlded-��rlth �a~copy .off the� °Florida��Constructlon`:1fen 'Lav�fHomeowner's Protectlon Guide" prep�red by 4fie Flor�da Dep�rtrri�nQ�of E\grlc.ultur� and Consumer Aifairs. If th� app0(cant Is someone:�: , . �,.�. ,..,. other than th�"owner", I certlfy`,._that 9-.hav.�.obt�.lned�a�.copy,of:th�:�bav�.r�es.crlb�d�tlocuri�ent;�and�.prcmise�ln,good;;faith.�o . ; deliver It to:t9ie°owrnec"':pi�oc to>coeirener�cement:" . � .� , � � CONTRAGTOR'�IOWNE�'S AFFIDA�IT: I.certify::tti�t:;alO..Qhe�lnf�rmatiora:,ln�thl�a�ppllcetlon is �ccura�t�.and that aBl work wil!'b� done in c�rmpliance wlth all.appltcable�I�ws regulating constructlon, zoning ae�d�land�.�evelopment. Appllcatlon I§ h�eeby mad� to: obtaln .a .permit:to;do:..w�rkµ,and;In�talla�lon as Indl�eted:•:��.'I� ce�lify thaY no work�:or �nst�llatlora fias commenced p�lor to Issuance of a p�ri�lf"and th�t.�ll work wlll b� perform�d Qo meet stand�rds of all la�� �egu(�ting� construction, County and City codes, zoning regulation�� and la�d d��velopmer�t regulattons�tn ttie jurlsdtctlon.- (�=�Iso cerQlfy th�t I u�ad�rstand that th�regulattoras of oth�r government�g�ncte� m�y��pply�to th�..lntended°�+ork, and that lt Is my responsibllity'to ident(fy•what.actions I must•tak�:to b�,�In:.corr�pllan�se,�.Such:agencles lnclud�but=are.nat IImIQ�d to: - Departmen! of E�v(ronment�i��Protectton-�'rpr�ss. BayFi`��d�;�Vllea�nd Are�s and Envlronmentally Sensittv� L�nds,W�tedVN�s#ewat�r'Treatment. � " - Southwest Florld� W�tr�r WlanagemenC:-:G�isfrict-VU�II�; 'Cypr�ss.'��ay�eads; Wletland Areas, Alterfng �latercourses. - c�rreay Corps of Engltae�rs-S�aw�01s, Docks, IV�vlgable V��t�nrvays. - Department of..Fi�alth;:,&�,::RehabllOtativ.e. Services/Envitonmental= He�lth Unit-We91.s, �Vastevuater'�'reaft�enQ, S�ptic Tank's:. � � � - _ - US Environm�ntal Prot�ctlon Ag�ncy-Asb�s4os abat�rnent..,. - Federal:Avlatl�n;Aut�ioritty-Runway�:� I und�rstand.Rhat the.,follo�ving::restrlctlons apply�fo the us�of fl19:• - Use o#flll Is not allowed 1n Flvod:Zon�"V°unle�s axpr�ssly permitted., - if the fili materlal-Is to b.e useii_:In.:flood Zone. "A", IQ. Is understood th�t a dr�ln�g� plan address(ng a �corr�p�nsating volurv9e"will be subrr�ltted at tim� of,p�tmit4ing vuh(ch Is prep�red b� a prof��siona! engineer Ilc�nsed by Rhe State of florlda: � . - If ih�fl10-mat�rlal�°is-'to be�us�d In Fl�od �oree `A" Inti conne�tion��rith:a p�rmitted bullding using stem wall construction, I certify that flll:w111_�b.��used onfy.to.flll the-ar�a w(thtn;the.stefn��wall. - Ig fill materlal Is to tie used In �ny area� I �ce�tlfy th�t .us�. of�such flll wlll not advers�ly �t��ct ad)acent pcopertles. Of use:of flll Is found to adver�e�y.a9t�ct adJ�cer�t��:prope�ti�,.th� ow�o�er may be'clted for v�orating. th� condl#lons:of the bullding°':permlt lssued.under the:��aEfaeh�d��rml�...�pplicatlon,�for:lots.iess�than.one (1) acre wNicFi are elevated�tiy flll,an�nglne�red dralnage p9an I�requlred. . If I am QFte IIGENT:FOR:TH� OWNER,,I;promise In good_f.alth to Inforrr�the owner of Qhe perrnOt�ing condftfons s�t forth tn thls affidavit�prior to comQriencln8 constcuctlon. .�e understand thet �-�,�paret� perrtnit enay be requtred for eEectricaf.v�ork, plumbing,:>ffiig�s, w�lls„pool�;..alr.condttl�oning,-.gas,,or othe� Install�tfor�s nol.specffl�lly included-Ln.4he �pplication. .A perrnit Issued shall be cons#rued to�be�a�alicense�to-proceed wOth`tt'i��work,�nd:notr�s::�uthor.0ty��to:dlol�te,�:cancel; alter, or s�t aslde.an��rovlstons of th�.t�chnlcal.;c+�des;�nor shall Issu�nce�of�.p�rmlt.prevent th��ulldl�ig�#iicl�l from therea�ter � ,:.�. : requlring a coe��ctlon af eRors=in.plan�;-coreatn�ctlon.or_Vlolat[ons of��any codes. Every�-p�errr�tt�ls�ued sfiell�become invalid unless fhe work authortzed by such peemlt:ls.coanmenced•,wlth(n s�t�c:;moreths of�per�r�IQ issuance, or If work authorized by 4he pernni!is susp�nded-or;abandoned::for::a;perfod.of�slx�,�8)inontf�s:�ftec the tlme the�work�l�cornmenced. An�xtension may be r�que�t�d,,ln writing;,.from.:tfie,�ullding,Offlcl�l�for a p�rtod.:not�to exc�d'rhlnety�(90)rd�ys �nd-�illlY d�anonstrate justlfiable'caus�for.�the ex�ension�. If dnrork;cea�e�:for nlne�y.(90)cons.ecut6v��days...the)ob�is consld�red aba�doned. �i0lI�RPdING��'O 01lVWER: YOUi�.;�i!11UJRE.;TO;,REC.O�D;�4;;�IOYI��:O.F:�COAAPWENCEMENf7`.9Hi�Y=:RE$ULT IN`YOUR {�AYING'T1�YICE,:FOR>IM,Pt��VEMEN,T�;S,TQ;X�A.UI�::P�PERTY:���I��.YO.U{IN�'�END�'O���OBTIRIN�jFIR1�pEFNG;'CON3ULT �IT . D Ald� TTO N ORE�+, � �'? Ald �C ;' - - :.,�- FLORIDAJURA�=(F:S:117:03)��. � - . .� . • � . �;r� _. . OWNER OR�40EidT ;. - . . � C�N1'RACYO , � � Sub�cribed and awrom M{or aHirtned)before me thls � Subso ��ci� '�wrorn• rm •bef� � v� �� by J , ' . �o Is/are personally known to.me.or;has/have.prgduced, VYho:te/a per�on�l, own:to.,ta�e_or aslhave.•prod ced- • ' 'e�Id"eritlAoatl4�:� as Identlflcatlon. , - � NoQury Publlc . � Notary Publtc Commisslon No•: CoMm�torr.N� , , Name of Notary typed,printed or stamped fdame o9 Flotary Qy e� ; .*: ';*: o �� #FF 150422 � . :�� P; Expires December 12,2018 ■ �•.,��'�pF'F,.?.�` Banded Thru Troy Fein Insurance 800-385-7019 � ,. . ZEPHYRHILL� F�E�E C►�,�;AeRTN1ENT � 38410 6th Ave.Zephyrhill�;,�'L. 33542 . �. . _ - _, F1RE SERVtCE USER FEES , Occupancy No.: ��,..-- Ptan No.: Cantractor: �"!�S �..�.�-�t.�c,r-��,-,� •C.c.< Business Name: 1�In C. �',�a,�..���� ����/ Billing Address:_ � C�s�� S"�""��F�p� �c. Business Address: ~��'� s' .�t.,�.�e�� `3ra,���w �L. 3 3 X 3 b Business Phone Na.: Billing Phone No.: Business Fax Na.: Billing Fax Na.: Contact: Contact: � ' PLAN REVIEW FEES IMSPECT[ON FEES PERMIT FEE FALSE ALARM FEE �SitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C 3 �y�} Multi-FamilytCommercial .06 sf 1st Re-inspection N1C Standpipes $5Q 2nd Alarm NIC � (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C �� � � Plan Rsvisions DBL 3rd Re-inspection $250 Hoods $50 4th Atarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEl1trS {Business closed until LP Gas $5p 6th Alann $200 8 0-25 Heads $50 vio�ations corrected) Naturai Gas $50 NON COMPLIANCE $150 26 plus Heads $900 SPRINKL.ER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Under�rounds_ $45 Sparkters $1Q0 � Per Riser $5Q Hydrostatic Test $651 per system Fire Works $504 FiREPUMP AcceptanceTest $45 Rersystem Camp�Fire $25 � Per Pump $1p4 Hydrant Flow $75 Controlled Bum $10p f1RE ALARM SYSTEM HaadlDuct $50 8 0-25 Devices $5Q FIRE ALARM SYS7EM Place of Assembly $50 Annual 26 plus Devices $1Q0 System Acceptance $54 Fire Prateetion $25 SUPPRESSIQN SYSTEMS Recall Acceptance $50 Flammable Application $50 annuai Wet $50 OTHER Waste Tire Storage $50 ,4nnuai Dry $50 Fire WalUsmoke WaII $15 perwan Generator�KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 ' Ofher $50 Natural Gas $25 persystem Bio-Hazard tNaste $100 as,nuai KITCHEN EXHAUST Fumigation Tenting $50 � HoadtDncts $50 Tent14'x10"orgreater $'i5 perte�t TorchPotlAppIied $50 OTHER Fire Pump $45 Haz.Materials $100 annuai , 8�P InstaOation per tank $5Q Fire Suppressian $30 Fuel Tank Installatian $50 System Acceptance ❑ {Per TBnk) $50 8 Eachaust HoodlDuct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than a�nual) �Spray Booth $50 � Inspeotion scheduled DBL- a , and cancelled less than 24 haurs Construction Insp. N/C Emergency Vehicle As $50 FALSE ALAF21V1 PLANS TOTAL��S� INSPECTION TOTAL� PERMITTOTAL� TOTAL� GRAND TOTAL j j��t , ��- , Comments: - Date: �J s�-� o �—7' Inspector: _/,- l,n .r'� 1 nm `� �+'- � G ��� � e � _ ' � e � 1 �C(,r,� . �:��4 _ ��:- �/ � i i=yY•_•_...,c��t`,�s'if� '{�_,.if'1 �[ /V ` �' aa � _�'$i'�=..- =�-¢ > �/ _ F4 - F' • 5`}, ��: c'r;:.. ....-,r,"-''x . City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �-��-s ������� ���,- �� , Date Received: ��� � ��� Site: �C��L�� /��i�`� � Permit Type: ���Y �✓ �Q/� Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑ � � r . ; i i This comment sheet shall be kept with the permit and/or plans. � G%�" �2 F 7 � Kalvi�i Switz ' ans Examiner Date Contractor and/or Homeowner (Required when comments are present) � i ,I � � O� o / I�I:Oi11Ufl, Jr /�// J/ 1 • �"a�C�.si� L - _'" -! V ` Y�i - ��«.• � � � �, ` e�.�; �.`'�"� " ' ! `-' , . _ _ �� City of Zephyrhills ;��� BUILDING PLAN REVIEW COMMENTS �� � Contractor/Homeowner: �'�� c�,�L,�`�'1'��(� ��1�'� �� Date Received: ` � � --� � Site: �� � � �/r- � G; Permit Type: �,(�j� � � Approved w/no comments:Ly' Approved w/the below comments: ❑ Denied w/the below comments: ❑ I This comment sheet shall be kept with the permit and/or plans. � � � .� � „ � Gene Brown—Fire f Sa ety Officer Date Contractor and/or Homeowner (Required when comments are present) ,� '�. i � `, . ; , ,� , � � i � . , , > 0'73-780-0D20 City oi Zephyrhills Permit Application. Fsx�s»-7eo-oozi Buildng DeDar2menl Dete Ret¢IVed _phene-Contact For PeimitNn TTT'Tl. `� Owncr'3 Name .�x„e{7�(;;I; �t�,�� �� �E , ,/ - t�llnne Mum6¢r Owners Address Ownei Phone Nuinber Fee S{mple Titleholder Name Owner Phona Number Fec Stmple�-Tideholder Atldress JOBADDRE55 L07� '� SUfi01VI510N PARCEL IOp � � (08TAfHED'FROM PRCP.EflNTA%NDiICE)� WOfiK PROPOSED e NEtq CONSq B AODlALT Q SIGN Q Q DEMOLISH INSTqLL REPAIR PROPOSED USE � SFR O COMM �Q OTHER" ' TYPH OF CDN57RUCTION Q BLOCK Q FRAME Q STEEL �Q DESCRIPTION�OF WDF7K BUILAING�SIZE _ SO FOOTAGE� HEIGHT � QB�I�DING 5 VAtUn7i0NOFTOTAL'CONSTRUGTIOh QEL'C-CTRICAL, 5 ' AMP SERVICE Q PF20GRE55 ENERGY Q 'N.R.E.G. QPLUlABING S OhiECHANICAL S VALUATION aF MECHqNICAL INSTALLATION- QGAS Q RODFING � SPECIAL7Y Q OTHER FINISHED PL�OR ELEVA710NS ,� FLOOD ZONE AREA QVES NO ' P _R- '_ _�,_� _ , - BUILOER � � °;� COMPANY e��r'�"�'`�`t�S;�'�' i-(.Ul{i=!,/ �'�",�}.i, SIGNATURE �t� REG§TEa[D� Y/.N FEEWRqE� Y!N ' - Rdtlress License� -.>�:z.: ' ELECTRICIAN � : � �. COMPANY - i�!� P��C2l'j W.-� - i .f,��.;� SIGNA7URE � /+' !�Ec,sser+�o Y!N veecuw:En, Y7 N � Address ;.� COSOp _� o��� ��I .�r�f A_ J� /� License� ��(.3D��pD�� ' 1 �' PlUMBER COhtPANY SIGNATURE p�cisieFeo Y!N FEECURREn Y!N � ' Aderess - - - . . - . � - - - � Lirense� MECHANICAL- GOMPANY 51GNATURE KEClGStftED Y!,N Fee�uH4tn' v 1 N ' Address License t OTHER COMPANY StGNATURE REG�S�EREO � Y.l N FEECURF&n Y!N Atltlress License k � �1111111.1 [ lllllllll�lt.illllllllll.( Illllliltl,llllilllliil�lll'll11111111 ' RESIDENTIAL ptlach(2}Plol R'sn3;(2)seis ot 8uild�ng Plans:�1)set of Energy Fortns;�R-O-W Permit for n=_w conslruction, At'mimum ten(10)working deys ah2r gubmi�lal date,Required on5ite,Corswc�ion P�ans,Siormti+aler Plans titi;'Slt Fence instaUetl, I � Sanit3cy Faal�Ges&1 dumgster,�Site Work Permil forgubtlivisions6arge p[o]eots� 'I � CDM MERCIAL. Attach(2)comple[e sets of Buildirlo Plans pfus a Life Safeh/Psge;(1)set o£Energy Form"s.R-O-W Fermil for new constructlon. � .Rtinimum ten(i0)�wtking days efter submfttai de'le. Required onsi�e,Consiruction Plans,Sterm�yatecPlans�v!5�1 Fence installeH, Sanitary Faaiities 8 1 dumpsler.S�Ie Work Pertnd tor all,ne�v pro;ects:Ali commeicia(requlremeni5 musl meet compGance SIGN PERMIT ktlach(2}sels'oi Engineered Plans. - - � ""PROPERTY SURVEY required ior a11 NEW.constn;Gio:i. ' � Directfons: � FlII out applicaHon comp;etdy. Owner 8'GontraUvr sion Da�s ef applicaUon,notadzed- , If over 5250D;a�Notice of Commencement is requlred. (A!C upgratles o,ver E75D0) � ' " Agenl(for the cantrsclar)or Pvner of Attorney(far Ihe armery�wuld be someone wflh nolarized letter from armer zulhortzirsg same OVER THE COUNTER P.ERMITTING (tippy of.conlracl required)• � � • RarooFs N sningles Se�vers ScMcc UpgreOes AIC Fences{P�aUSurvpy/Fpptpye) � Driveways-No(ovor COUnler ii on-pu6lic roadways..needs ROLY � � � � i. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ° 2017134036 This space for use by Clerk of the Circuit Court only. _ -- Rcpt,:1689597 Ree: 10.00 � DS: 0.00 IT: 0.00 � 08/23/2017 J. R. , Dply Clerk , � - PRULA S.0'NEIL,Ph D PRSCO CLERK & COMPTROLLER 080R BK01����m PG 3��� , Notice of Commencement State of Florida County of Pasco The undersigned hereby give notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this Notice of Commencement. 1 !egal pescription�f pr�perty. Parcal IIJ 02-26-21-0090-0?940-0030 38135 Market Square Zephyrhill, Florida 33542 2. General Description of Improvements: Int@�IO!'femodel Of VaSCu/8f Sllfgery sa. owner Name: Wel/tower Inc. owner Address: 550 Heritage Drive, Suife 200, Jupifer, FL 33458 3b. Owner's interest in s(te: 3c. Fee Simple Title Holder Name&Address(of other than Owner): Fee Sll'!7ple T/tle HOlde� Address: „ 4. Contractor Name,Address 8 Phone: FHS Industria/Construcfors, LLC, 2659 SR 60W, Bartow, FL 33830 863-535-1148 5. Surety Name: N/A Amount of Bond: N/A Address: " Phone: -� 6. Lender Name: /�//A Contact: N//-1 Address: Phone: 7 Persons within State of Florida designated by the Owner upon which notices and other documents may b'e served as provided by Section 7 13.13(1)(a)7,Florida Statutes Name: Chad Eichel address: 2150 Via Bella Bou/evard-Land o'Lakes,FL 34639 Company: Flo�ida Medica/Clinic Phone Number• 863.838.3220 ' 8. In addition to himself,the Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 7.13.13(1)(b),Florida Statutes �ame: Julin CilitGl7 tiadress: 5?SC L,'ntcr,�;vd., Suife�30,Uslray Beach, FL 33�84 Company. WEIItOWef b]C. Phone Number• (561)496-3111 9. Expiration date of this Notice of Commencement(expiration date is one(1)year from date of recording unless a different d e is specified). �/�s� 7 STATE OF FLORIDA Signatur wner Printed COUNTY OF PBSCo The above fnstrumenl was acknowledged before me this�`date of f"CiitC�US ` 2017,by 3U V�R �. �I���d i.l who is�are)personally known to me or produced - (Driver's License#) �ot�:�:�°�% NANCY M.PORTOM�N� * * MY COMMISSION M FF 8��9 sr � � EXPIAE8:Octobor3l,�@i� , T ������ ����� Signature-Notary Pu 'c (A copy of any bond must be attached at the time of recordation of this Notice of Commencement) 1 CITY OF ZEPHYRHILLS � , 5335-8TH STREET (sis)�so-oozo 18950 FIRE SPRINKLER SYSTEM PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 18950 Address: 38135 MARKET SQUARE DR Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL. Class;of Work: FIRE-SPRINKLER SYS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03900-0030 Improv. Cost: OWNER INFORMATION Date Issued: 10/24/2017 Name: HEALTH CARE REIT INC C/O ALTUS G Total Fees: 175.00 Address: PO BOX 92129 Amount Paid: 175.00 SOUTHLAKE, TX. 6092-0102 Date Paid: 10/24/2017 Phone: (863)838-3220 Work Desc: FIRE SPRINKLERS ADDITIONAL HEADS INSTALLATION CONTRACTOR S APPLICATION FEES RODAN FIRE SPRINKLER I C FIRE SPRI KLER SYS 50.00 FIRE INSPECTION FEES 45.00 FIRE PLAN REVIEW FEES 50.00 CONTRACTOR CERTIFICATE 30.00 / , � I � i V � � Ins ections Re uired FIRE-PRESSURE TEST FIRE ACCEPTANCE Final �� `�K� 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 YOUR LENDER OR AN ATTORNEY BEFORE , RECORDING YOUR NOTICE OF COMMEN ENT." �, CO AC OR SIGNATURE PERMIT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 a�aaao-oo2o City of Zephyrhills Fire Fax-813-780-D02� I I Permit Application Date Received , Phone Contact for Permit '�(3 �a � (3 'rJ 7 r- - -..__,.-_.-..- - ,. -- -- --- � -� �__......�__ -�-.c_==='�:�—---=�--'--�_�__�-�- --- �a-��r',___� -_.__: �-..-�- s - � Ownets Name C.,��C-7�" C�'2'� �� (7 ��C' Owner's Phone Number �S(�n $3�a 3oZv�d Ovmers Address. �a 8�- �'!a � �� S�V j�"��K� ��� ��a-�«a Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address �:=_"_,. ;-- -_..�- - --- -� � -=��'�'==Y�-��;-:-r-----~a:-.�;�,,,.M—�:'^': ar-.`�=�::�,�'n_•-�="'- - --^s��_�_.�_'s - _ - ;�..�:�.',_..__`°��z'--�"�`.• Job Address �S�� J ��FLK E � 5��"i '/�_ ,s^� c Lot# � Sub Division Parcel# �� -�G-�I -�IG -(53�GO'—�� t_z.:.-: _.�._.�_�_ ..�,�-,...��_____-R.___.-_ -�,,.r�.�;-_.—._..�___- �_--__-.,.��--.�^,�_,��_.....;-�:.�--��_-�—�--->-�:-_--..__ -�-H.,•--�- �;_�.- � Bio-Hazard Waste 5torage-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-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � 5� tr y emi �n t er �� I � Sprinkler � ❑ � ❑,_� � Recreationa Bum � Fire Alartn � ❑ ❑ ❑ � ,� Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ �� Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � � Fire Pumps � � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks � Q Other: �- -=-^ - ----�'_-- -—�.:�=-- ----.�.. _�.----...__:. �__�__.�_______..._. .�.;_:�:-..r—_.- _---•-�------ -.::_._.���_�- -- __--__-______:.-��.�---___-=- Contractor � Company C�}�� �J�2.E S�2�NK(,�,25 /Al1C. Signature Registered Y/N Fee Current Y/N Address ICx7 � �Ci+4r�W4-�/ ��s'v( C lf)/�7�A- F�- �icense# '���/^C�i��� 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# i OTHER Company Signature Registered Y/N Fee Current Y/N Address License# � - " _- _ - � - - -- - , . - . .. .. _ -= -� - = --�- ----- - - . _�_ ._ . . . ._ . ._ ,-_._. - - �-.-- Directions: FII out application completely. Owner E�Contractor sign back of application,notarized(Or,copy of signed contract with owner) if over$2500,a Notice of Commencement is required(Mechanical v✓ork 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(httpJ/appraiser.pascogov.com) ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that,fhis permit may be subject to"deed°restrictions" whictr�may be more resfrictive than Caunty regulation's. The undarsigned assumes responsibElify for compliance wifh any appficabte deed restrictlons. � • UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the ouvner has hired a contractor or contractars to undeitake work,they�ri�ay be requ3red to be{Ecensad 9n accordance with state and locai regulat'sorts. If fhe eontractor(s not licerised es required by law, tioth the owner and contractor may be cited for a misdemeanor violation under,state law. H the owner or intended"cont�actor are`uncertain as to'what licensing requirertients rrray apply for the sntended work,they are advised ta cantact the Pasco County Building lnspeation Division--Licensing Section at 727-847- , 80t19. �Furthermore; if the owrter has�iiired a contractoP or cvntracCors,•-.he is advised to.have the oantraetor(s) sign portions of the"contrector 61ock"of this�pplication for which they.wfll be responsible. If you, as the owner sign as the contrao#or,thaf may be an indicatian thaf he is nrit prop�rly licensed and is aot entifled to permltting priviisges in Pasco County.. . 7RANSRORTATION IMPACYIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: 7he undersigned understands that Transporiation 4mpaat Fees and f2ecourse Reco'very Fees may apply to#he consfructian af new buildings,change of use in existing buildings, ar expansion of existing buiidings,as specified in Pasco Caunty�"O�dinance number 89-07 and 90-07,as amendetl: The�undersigned also understands,that such fees,as may be due,.will be Ideniified at the time oi permitting. !t is further understood that 7ranspartatian Impact Fees and Resource Recovery�ees must be paid prior to regehring a.'cettificate of occtipancy"or ftnat power reiease, #�the projecf does not involve a cert�cate of oacupancy or final power release,the fees must be paid prio�to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permlt tssuance in accardanGe wtth applicable Pasco Couniy ordlnances. CONSTRUCTlOAt UEN LAW{Chapter T93,Plarlda S4atotes.as amended}: If va3ua5ori o#work is$2>�ao.00 Qr ma�,! cettify that l, the apPlicant, have been provided with a copy bf the "Florida ConstrucBon Lien Law--Homeowner's Protection Guide°prepared by the Florida Depattment of Agricultute and Consumer Affairs. (f the applicant is someone other#tian the`owner",1 cet#ify that!haue obtained a capy of the above'described dacamenf and prosrrise in goad faiEh fo --- delfver it to the"owner"prior to commencement. -. ' � C�NTRACTOR'SIOWNER'S AFFIDAVIT: 1 certlfy that all the Infarmation in this application is accurate and that all work will be done tn compliance with al3 applicabte laws regulating construcfson,zaning�r�d land developmsnt. Appl9cation is hereby made io obtain a permit to do wo�k and installation as indicated. I certify that no work or iristallation has • �ammenced prlor to issuance of a permit and that ell work will be performed to meet�standards of all laws regulating aans#ruction, Gottnty and City codes, zonfng regulaf�ons, and tand �evelopment regulat3ons in the jorisdtction. •! al"so certify that I understand that the regulations of otFier govemment agencies may apply to the intended wark,and that it is my responsibility to identify what ections I must iake to be in compliance..Such agencles Include but are nat Ii►nited to: - Deparkment ot Environmentai RrotectEan-Gypress Hayheads, 1Ne8and Areas and Env'sronmentallp Sensitive Lands,Waier/Wastewa#er Treahnerik - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wettand Areas, Altering Watercoursss. } , - Army Corps of Engineers-Seawalls,Docks,Navigabte iNaterways. t' - Department of Health 8 Rehabllltatfve Services/Environmental Health Unit-Welis, Wastewater Treatment, Sepfic Tanks. - US Environmenfat Frotection Agency-Asbestas abatement. - Federal Aviation AuthoHty-Runways. � _ 1 undersfand fhat fhe failowing restrictions apply#a the use of fil1:� -- Use of filt Is not aiiowed in Fiaod Zone"V'uniess expressiy perrnitted. - If"the flll material is to be used in Flood Zone 'A", it is understood that a drainage plan addressing a "compensating-volume"-witi be submitted af time of permftking wttich is psepared by a psofessional engineer ticensed by tfie Sfate of Florida. - - - If the fll material is to be,used in Flood Zone'A° in conneckion-virith a permltted buiiding using stem wall coristructEon,i certi(y 4hat f!i will�e used dnly to filt the.area wtthin the siem wall. - if�fll( rriaterial is to be used in any erea, 1 certify that use of sueh ft[ wilf nat_adversely affecf adjacen# properties;.If use of fi11 is found to adversely affect adjacent properties,the owner may be cited for vlolating -khe condition`s bf the buifdfng permit tssued under the attached�permft application,for lots less-.than,one(1) , � acre which are elevated by.fill,an eagineerer!drafnage plan Is r+equir�d. -' ' ' tf I am the AGENT FOR 7HE OWNER;I promise in good fafth to irtform the owner of the permifling conditians set forth in ' - thEs affidavft prior!o commencing construction. !unders#and that a sepaiate_permit may be requfred for electrical work, . , piumbing, signs,wetis, poois,a3r conditioning, gas, or other Instatta6ans nof spec�cally Induded in fhe appiicatlon. A permit issued shall be canstrued to be.a license to proceed wfth the work end not as aiithorfty ta violate,cancel,alter,or �., set aside any provisions of the technica!codes,nor shall issuance of a pettnit prevent the Butldirig f?fficial frbm thereafter ' requ4ring a carrection af errors tn glaos,construction or violations ot any codes. Every petmEt tssuetf shalE become tnvalid unless the work authorized by such peRnit is commenced within six months of pertnft isauence,ar if woric authorized by the permtt Is suspended or abandoned for a period of stx(8)months after the time the�vork is commenced. An e�ension mey 6e res;uesfed,in wri#ing,from fhe Building t7tiicial for a period not to sxceed ninety(94}days and wil!demons#rate just�able cause for the extension. if work ceases for ninety(90)aonsecutive days,tFie job is considered abandoned. WARNING TO OWRlER:'YOUR FAILURE TO F2EG�RD A�10T1GE OF CflMMEtdG�MENT MAY ftESULT IN YOUFt PAYING TWICE FOR IMPROVEMENTS TO YOUR Pt20PERTY. (F YOU ITiTEND TO OB'TAIN FiNANCiNG,CQt+tSULT Y,yITH YOUR LENDER OR AN ATTORNIHY BEPORE RECORDItdG YOUR NOl'ICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117A3) , �,�''^ � OWNERQRAGENT . .. - CONTRACTOR.�^'<�1i�'''f--�_..�G""" 1/�'��L��~� Subsalbes!and svmm to(or affrrmed)before me Ihls � a1b and �,(por�aff-irt,�ped)befo ¢t�hls ` ..by ., - -_.. : _.. ��b�:r'N����`.."'Z��'�`7�f'vt i/CGc"!{ ., Who islare personatly known io me or hasti�ave produced sre aersona y known to me ar hasthave praduced as ldentlfiqtion. as IdenUfication. . Notary Publlc Notary Public Camm3sslon Na. Commisslon No, �j � r- r 2.� Neme oi Notary typed,pdnted ar stamped � Name oi Natary rypad,printed ar sbmped �� ' `.���YPtttBL�.�+ SERENAPURCELI� +: ,,, MY COMMISSIQN#GG q28212 "'��o: E?(PIR�S:September 8,2020 ,''+t,OF ft�4'�, Baxled Thru Notary Pubiic t}ndezwriters �„��.� �IEPNYE�HIL�.� FIRE �EP1a�TMENT 3841 Q 6th Ave Zephyrhills, F-L: 33542 , FlRE SERVICE USER FEES Occupancy No.: - ' Flan No.. Contractor: Q a�r+-� �i�j SI��'"�{ft�p Business Name: i-M� �/r.�sc��,.n.z. S�rc�ey Billing Address:�iv�� �;�s��2z.�o��., Business Address: �%35" �1?.��''f S�„�.�'� �v��a' , Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PI_AN REVIEW FEES INSPEGTION FEES PERMIT FEE FA�SE A�ARM FEE 8 Site Plan N/C Annual N/C Sprinkler $5Q 1st Alarm N/C tutufti-FamilylCammercia! .06 Sf 1st Rs-inspection NIC Standpipes $50 2nd Alarm N1G (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DSL 3rd Re-inspection $25Q Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $5Q 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 �4-25 Heads $50 vio(atians corrected} Na#ural Gas $50 NdN COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTENI }iydro Undergrounds $45 Sparklers $100 � Per Riser $50 H $65 persystem Fire Works $500 FtRE PUMP Accepta¢c s 45 persysfem Camp Fire $25 � Per Pump $1 Hydrarr�f $75 Con#rolled Bum $10Q FIRE AIARM SYST�M HoodlDuct $50 �0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual 26 plus Devices $10Q 8 System Acceptance $5Q Fire Protection $25 SUPPRESSION SYSTEMS RecaB Acceptance $5d �Iammabie Apptication $50 Mnuai Wet $50 OTHER Waste Tire Storage $54 annuai Dry $50 Fire WaIltSmoke Watl $15 perwai� Generator{KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 15p Qther $50 tVatural Gas $25 persystem Bio-Nazard Wasfe $1Q0 ann�ai KITCHEN EXHAUS7 Fumigation Tenting $50 � HoodlDucts $54 Tent 14'x'!Q'or greater $95 pertent Tarch PoUApp[ied $50 OTHEI2 Fire Pump $45 Haz.Materials $100 Mnual 8 LP tnstallation per tank $50 Fire Suppressi0n $30 Fuel Tank(nstallation $50 System Acceptance ❑ (Per Tank) $50 8 Exhaust Hood/Duct $30 Naturai Gas tnstaitation $50 Re-inspection DBL (Per System) (ather than annual) �Spray Baoth $50 � Inspection scheduled DBL a and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicie As $5Q FALSE ALARM PLANS TOTAL So INSPECTiON TOTAL PERMI7 TOTAL S"��' TOTAL ^ �.. GRANp TOTAL o Comments: Date: /� . ���, •,, Inspector:�� nin O� /�� I;LO 111 U fl "V -'4�?`��-� L �. 1.,4 ��� ��. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � �f� � � �� � Date Received: �� " Jl —1� Site: v � ��s � �'CC✓�'26 Permit Type: � �-��� 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. Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) , � � -- Prepared by: � - RoDan Fire Sprinkiers,Inc. � � � 8100 East Broadway Ave,Suite"A" Tampa, FL 33619 � . P:813-621-1357 F 813-628-0143 �.;... .,._ .�;- - .. ., - , _ .., .._�. ....�_ _.,. _ __ _ _ ___ . _ _ .._ . ...., _ . • _ , .� � -. . . - , . , 3 • � - ,..:. , :... . , ; .. , ,< _ .: .,, . .';,;. . .: , ,.._:. -� , � , , . ... . , � _ . ...� C)���1101V� � I�IAI�YENANCE�MANUAL:�_r _�_ : �. .__�. ... � :.-� µy- � Pro'ect: FMC VASCULAR SURGERY 38135 MARKET SQUARE , ZEPHYRHILLS, FL 33542 !, . � , - , • '., . e _ M" :o � � . . . o ,o . . , f - ; . �, _. � . � �� .� � ' �� � MATERIAL LIST: - . ' � - SPRINKLER HEADS � - FITTINGS , � � - PIPE � �-- �� - HANGER MATERIAL - MISC MATERIAL RODAN FIRE SPRINKLERS, INC. reserves the right to substitute brands of material and equipment based on availability. Any substituted items will be of the same quality and equal performance. All fire protection items will be UL Listed and or FM Approved in this submittal. �'��'���'','�"�M�;�� " �l.??ii}�`j' k,� �s����V���`,�j� �j ��-��.}�';`�� }i� .:..��s�.:��.X'ul��l.� � �.lC�32i:Y: ����i����}�t'�.��������°x`.it.1'.'?.� . . . . . . . . . . . . . . . . . . . . . . . � ` . � : ' Pa:ge`1.�of'6 , .. . ... �.<:,�,.}':""*"r•i: , - � - '�_x.;,,�w�.. .... ..'�,>.,:ri:[;"z^ -:-�.`-'.>".�-•`t;.=. _ " ::t.--- _�:�: -�`a�::'` ._ _ :-�;.'-�-- __ _�...-_--'-,k._ _ - - __.. . - _ �F: _ ';l-_ _' _' �-3 "_ "' " _ _ __ __ _ _ ^7'�:`' _ J`-:-'.G?' .._.,:..'��:a"H•� ' i��+'<�:..�,_,.:6 ' " " _ _ ..�,�f - " ',S'_�.-..' - s �� .r ' , ' ...._ _... �p�.F. "'- j%�' ;' "' s �`r�'`.:� �r :"a��� ";� _ `MICR,O'FAS''T°,'QUI;GK�;�.F`�'f. II � `� � � t � - �_ _ ��� :a�=- ���.�����:.=.:;:-:_ . ;. '�: l�`� � , � ��n� l��'..�,� =�� � _ '�-� I ��rl _�RES�PONS.E==PEN�DE�NT;� , ': ;��;' ? � :�, � i�� �E -a,� a,.._�,.. �� i . . . � f , �'y: � kf__f���$ r;_;�- �S.PRINKELER::UK302.,K5`�6;): ���.;.- ----::�-;. . ; . ��•��� . - w.�t1:� .]��.._..�:`�.A'Rn���"ii`..'.�.-'._���s{�.�%._..t:� �1 sV'Sc�."�-.,�...:-rY_:..�.S::-.:.-:t.�."-..�_ _ " '..i�� - --. _-.,.... ... _;4-;t�t.:'T..�y— '.z��.�;,,:y -t._k�"..��'u�:.'.;.�.. ,."`5�'��". _ .. - ..-.. LThe Utking Corporati4n;210°N zlndustr•iaf�,Park:Drive;`Hastings M,1�49058� �. ``,''.;�""�T``. ' 'J..'`�"" -- - - - '��� -4=5464j�F'az::2fi9=8=`1:8-1 80• `Email'=te:chsvcs's�vikin��`co'�-=','````. `Tele.phone;269;�945=:9;501�=�Technical:Seivices:=877,3'8,,�.� _, _ _ r.___ _ ,_�,. _ , n._ -. :. _ . _ :�.. _ : , .�Y . �. j@,.. .9 �,P-:com T -`',`• " -- -, -_ _ ����`":�>«�"::'_ - _ 'F 1. p'E S;C�R+I�p T.I O N `: " � _ � "kx;=:r.:.:,�-,�= - _ , - `:,-a.�- ; ',x�'_ ,:�`4- Tfie Uikin`;Micr'ofasty Quiek ;R'e's onse :Penclerit':S rinkle�:VK302:�is::a.is`_malP:�:��-,� ,,:>. . - �. � , ,g�.,.>; :v:a� :,� �r -.P:: - - ~,���,���P. =i�_"*'- - _ _- :; ' y...�j"�'> '�t i iv" �I =b^"Ib�- �`�a� s`�inkler-�avail'atiPe.-:witki�•vanous;�finishe`s�`r>Y• � - �� thermos'e'nst e�tg.ass u_ sg y:�,p , i - . r�'�..'. 7s.>,. dc� �. :v.�xa.,;-4,:x, ,�-.,�--• - J�',-�;; , .. "s�'k'..:.°�b<'�= . �. �,�s�;� .. �"E� ��.a:i '- N:,�,_� --- .,> and ;tem,Perafu�e rafing`s �to,:me'e:t':cJesigri�,��egufrernen�'s,: T.he.�speciaf:`:.Polyeste�;; �';-�;� � ...�5'..�.. .. .1� .s '•4i.. v :.��t...� L � rt'A7 4 �:L C > z �'r� �t`-r- Polytet�afluor`oe{h'elyn�e (`FTFE,),,`Lanrcl?+Ele�ctrole`ss :N ckelyPTFE (E-NT) coatmgs -;, ,'� - �:4. . ' can be used,in 'deeocative app�eations where colors are desirecl In addition,-=;:�,�:;.= ; - ���14, �+ ,;,,: .. y.,�,y""`V�'. T 5 '` " °naT. .. �; ,�, '' : ati'::. � th;e"s,:e cqatings�have=:beer�'�inves",t.igatetl<#or�-install;ation�'�in';eorro`siye-,atmo"s_phe�es�:;:.t�' <- " �..;..F.��--� �� .i 11n.. : <r.y.,�T ' .y y tt _. � .yy;i` � g � '", A,, �� ;�. and are 4isted/approved as corro"si,onr.�esistant as xntlicatecl in,`the �Approval �:'���' �-�� r � � Gha_r_ts:;(No.ten:FM::GIobal�.approves;;ENTz:fin�sh��as;�?'corro'_s.ion=:resi'stant:�F.M r' _ � �y� -_.,�y,. �. ;: Global lia�s no apProval�classification for-PTFE anci Pol.yesfer coatings"a`s�corro- ;�3 •' i.}�,:. , sion resistant:) � , . .,�r= . ° • ''� �. ` ": - .4.jT ! " , �� p 'f�. b. -f^' 2. LIST'INGS�4.ND-AF�P�R.OVALS ���" = ; .`�_ - _ - -'�`<_;-- - `;�,° .- .. ,O cULus'Listed: C;afe o VNhV f"=;„,�`}�,%'�='-��� c: � �, , , :-. . _9_.rY - . .,. - ., {� �:' �:�;::r;�:' t.. .�M: FM Ap.P�oved:.Ciass"Senes 2000 ;�;,-`�+.`.:�;;;� - :���;.ds' �1%dS7A:pProve.`di:Certifcates�G4,14009�and`C4:1;4:010 � � �' ' � • ` � • �;� . '.i:::'t' Tr:/,.'"';.��j;� .`�iri�{;:._ti., � ��A-•^.,i�i.':. _.k'::..�"':"'.�`,f;;: ., _ ` L .ES,... " ' l -��.:, k, _ ;E��� �L�PC'B:Ap;p�ov'ed' , - _ - . :.��e�,:�:�n �_.� ,`�,:...; ".,:::�•:y� -, :'=; _ ' C�EG,E,�Certified`:,Sta�ndard EN 12'259-1, EC-certificateofconforri.ii.ty°;0832rGFD-2Q'0:1 . :" ; -' -%tia`.�` , �=��,. , . ', , � : -.R:.r...�:.'= , � _ 0 CCCF_P,ppr,oyecJ:ApProved by the Ghina Certifi,cation Center for Fire Products'(GGGF) . . �.r -:' - . .. . ,_ : . . ;. .��,,:'>}^�iF.�. . . _ ;ti.;,.,.,- -,�.q,.. �. _, ,t;Refer,-toA"-'roval=Cmhait 1,�aod-�Desi'n C_r'itena�cULus Listing;requirements,:and.refer:foAp.proval,CFiart.2;and:Desi,gm..Crite�ia ,s,� , PP a � ��, :� ;�=, 3'a_ g s:��;�.r,;� .=. ,-:�:. Ti �. ..,�+i}�,.- :r -, .: . �for FM App,roval,reGrrements that must be,;f_ollowetl . -4 . _ ,z - ,��'w��`;.,�.-_� � ..t . t,_Y �.,,.. -. - -: - - ==;�.o�___ - =`r,2.��,. -_�... ._ ' �: �- ` • _=� • o .t"=�'=-- ;., �;:-;r.,�.- . . . 3. TEC'HANI'CA`L.aDATA �Viking''Te_chnieal;qata-'may 6e;fo'unci.•on '< �{. `r;,� G ���.�, -"'' The Vik�ng CorporaUon s Web site'`at% � � S' ecifications - �;:- . ,. : � � w g • , I Mitnimum�Q`er t r��R�essu`re�Z '�si�::0;5;xb2G� '�http//www_vikin groupi c corn`F - , -'r. r...._-=y'�z,a;_�- �-�y--`.;:"� � �.. P.—_,. 9`:�w. . .P � , ,) � � e,cerit I s v. <^L=i j �, : Tfie;Vtil'eti,sfte may:incluiie a moPe''� Rated,�to:;175�psi_(;12�ti:ar);watee tivorking�,P�es"sur.e _- ;.�.;-::a; - �;v; �:fi;'"<.�.v" .!. .�:=f= .:a�r.: "�.•- '" ;edition:oftFii§-Tech�nical�Dafa�Page.. - Facto,ry;tesfed h"q,cJro,stati;cal�y;�oy5OQ;psi;(34:5.bar} . _�_Y:<,:._ : ;.r_..:a:r_4:,�;:y:�.::, , Thread size 1/2 'NP�,l;�T5 cnm BSF � Nooiriiria�I�K=Faefor-5':6,U'S:,(;SQ:6'metric-*) � : �.: . _:. :,: -�:- _.- �.;, .. ,• ' }:. Glass;tiu�lb,flud.temperature:ra,ted to=65°F (=55,r'C). .. _. �:... O,v`e`r.al'I,-�Leng'th%;2�1:%'4':'�(\�5''8.�mm��'- - -- �,`���:`�.� . �;;� - ,.. � _'l.'k��.;- 'ts`Y"._�;Yti�_'�.'�n,-'.�?:ti. " __ _ ' , i.. .•.%.�`S:,ei�"'.�I'_..�'.y[.- �:...�.�. _ - ' - v�;� i'�_..-:_ s ,.'-.�c. __`;..:. � - , `Y ' . ., _ .. _ � w'...T :.'t: .�� • � . 'cl`JLus`;;Listing,;FM::.A.pproval-Lra_nd.NFF,4 1'3`inst"a,fls,`req;ui�e;`a minimum of 7=�psi'(0;5 bar;) Tfie.,minimum oPe�ating,;Pressure�fo�LPCB and CE APprovals ONLYis 5,psi(0 35 ba). � -� y� _ � - � � ' ,',�`,� ,z •=,rfi , ;F„-x"l�;,sT "•::. �. ; Mate'�ial_'StandarcJs: �:3; .-+:_� , ..� ���;"_ - _ r•,�,�_= - -�.:sx-.,�- - '=x'` -_ � = ' - _ - r 'ig�'Y'S'. - -- ^'M as 'Frame��Casting��Brass;UNSkC84400'�o�-Q.,., , - •� _ :�._;."i-�r..�,:�.� - -.r-ay....fS�t-,._ --- �"�^= '�''`.. ;�.-a ".�',t,'� ,.S''c'i'19-rJ�� � , peflector�Phosphbr�Bronze�;UNS_C51:000•�0�"Coppe,�::IJ�N.- L}� :.,`-ufK�.._..,. ��,.�ri..,,�,.�:r.,,;;•�.a_C�`.s..:,_ . _.L'�_ _.;.yr�,,.^. .. : _ Bulb:.`,Gla,'s"s,:anornmal;,3'mm=^diameter�, ';'._=�''�;,-�' �` � , , ��" ';`'�'� ,: �' �$' '+ A 4+::`��°`` oth'sides with PTFE Ta e Bell'evill'e�SSpnng"Sealing:Asse"`m'bly:,Ni;ckei;;P;llo,-y,�:.coatecl'on b� , .pYz,.`� �:..�:,ti,- u ��_,::,, � -;;v-- sn<: _ _ � - . -- - Sc�ew:B a'ssjlJN_S;-C36.Q00�: - ��� - -_ ''_ �� _ �,��-a�:r.=� .,�-,���,:,.., a:�. - - �'.�=>;_�ss;,-. _ ��.- - -�`�' `~;'i;:., Pi':�Ga �,and�ln`sert�As',se�n6'I:,.>C.op'.e�;:aUNS°�G19�OQ0"ancl.Stainte'ss��Steel:llNS=S304Q0_;;;,;�� "�-���. ,;P.:r,,rP:-s�:..Y,Ha,..�3;��,!�,:'v:.�:t;�iy�'_--c�P�:°.�`�s�.����-�.,�..�':'��''k- '��'�' .-�'' .�-:__; � For.P;TFEKCoated�Spnnkl'er:s:;Belleville�pnng,-Expo'sed,Serew.;Nickel�Plated;:Pip;CaP`,FTFE,.Coated F'o�:PoL.`y ster�"�C ated�S nnkf s�8e`Il�Spring;,E=xp��os�d=,�____;�;�K,;"'L-��' .�yt:W �;�-� , Y-�-: �:���.�:-�_���:����.:�: � .. :�,_-�_ . For`E�I.T.;Coate�;Sp�inkle�s,=�Belleville;;Spnng°�Ezposed4,�Screwand Pipeap�='�ENT.PIat'�d4::�.:�� v�1T u`"':F{,`;•s�`,�•�z::-a,:crs:=fi:x;. u �Y < • � �. Ordering:l,nfo�rmation:,�Also refer to the"'cu.�rrent�ku�g,�pnce list) �"'x - � �r�� .;=:i"+�5: _ti. "�" a .s��, ,.+m Orcie��QuieklRe'_s,qonse�Pendent-_5pnnk_lers':b,y,•�;first�adding:'�he,;appr;opnate suffx foF the spnnkler finish and then the aPpropriafe suffixfor the femperafure rafing.to f�ie�spnnkler�base}part number� ti - ' Finish St,u�ix,B�rass A, Ch,uome4ti��F ` E,te Poly ster�M,IW Black Pol,yester ,M�Bn8lack;PTFE.-�Nr,�a�nd:ENT=JN T.e'mperature Suffix, 135°F;(68 C) A 155 F'�8-C) B, 175 F`{79� C)= D 200 F(93,:C) . E,�286 F(9.41 °C)=G Fo�example,sprinkler VK302 witii a Brass�.finish and a 155 F(68'C)temperature tafing-�Part No. 12979AB Form No F_0333.14 Reu 15 1 {Addecl=CCCF App�ovalj _ .. .� . _ P,a�e`2 of-6 ��� -- �=t.,:, ;9,_ `��,.��..x::�.,� _;:�-�i��� - _- .�. ..�._ - -- _,.�.:s.:.. -- - - . _ _.�._.,__�.-�. _ '_ _ _- -- - ;;� - `_`'�`: �;' _ _ :-::�:�:�_"- n�:,._� - �,,iM.��'�- �:�=._..��, i�`= -;��' ,,� ;MIC:RO;FA-STo'Q�U.'�C'K��;,: ' � � - , � �` _ ; ;, ��-=.�:�- � � . '� � � �'�� � ��. '� � - '� s � ' �� �'� �R�ESRONSE PE►VD�ENT` ; � �4_ ? - '' -�. R� :S R NKLE VK302 K-�.=6) ' =--a�. -�- - -_ �` �;- -, __ - _ , _- -�' 5�.. ¢ - = - - '''� - - --' - ��:�;;'=i:.:• ,r;� :��,. ,._-.- _ _ �. ;:i='jnr -V:� _ ,Co;---;'r tion�:;21� �N� r•ial. - �;'.— - _.,,� - - -- -- -��, ,._.._ .- . ,_ �1T.e iking rp`o_a_ _ .,. 0 Indust __ Rark,Dr.:ive„Hasti;ngs�Ml=4905�8� r 3��F �h_�••IT?`�' Telephone;2,69�94'5r9501'.�Technical��5eryic;e"s::�877 3:84 5464;Fax ;269 818=1680 Email:°fechs`ucs@vik.ingco'r`p:cqm � . : , . . �! !,�.: � . . .� �jcT -, ?;;.. Q.va'-'ila'Li�le R;nisli'es;An;d Tempera,tu`re:Rating's�;'Refe�sfo Tab'1e,�1. '-�: _, , . . . �A'c�essori�es(Also refe�to the�'Spnnk{er'Accessones section of-�ffie;Uiking-dafa'�booR..) ,� �- •. • --� -- . SP�inykle�:'W,,�re'�nc�h'es: . _ _ _� ,.s .. , ; µ�'.. � - , :�: �_;- ,� , . . ......... :' _ ': A.;St;andard:Wrenefi��Pa,rt N;o 10896V1/lB,�(ava'ilatile;since`;2000.):.'..� � �:%.',.� -:_"`� • - B �1Nreneh�fo�Recessed{P,endent'Sp�inkl;ers:�Pa�t'No 1'6036W%B'*;(availatile since.2011;}r.c - C Optional ProtecfiyerSp�inkler Cap Remover/Escuteheon�installe`�Tool*.� Part Nq,;:15915,(available sinee'201.0}.� "A:Y"ratchet�is'.requi�ecl(not availalile fi�om Vikiog)� �.�. _-' � ^� f x+ � _ _ . *"- ,�•:' ��' � ":-':,.: M.�,�. ;� � »a.- �� . ,:, _,: t.�. >=`�� : "'-Qlfqvis'u'se from'Ehe�floo�.by aftacfiing a-lengt}i of 1'�cJiam'ete�;CPVG=tuping.to:ttie�tool;�ideal for,spr.inkler'cabinefs:.;Refer to�Bulletin F�;Q51808 SPrinkler Cabinetsc _ �� � • � ' ' � , - � � � - ,, ��.:.� ,-: A.;Siz�fiead_caPacity,•Pait No.O1Z24A;(,ayailable since 1971) B Twel_'.ve=tiead:capacity� Fart No 017.2'5A'(available since 1971) -r.. . . _ , . _.��' -� . - . � 4. �IN�S'TAL'LATION° - � � ' � - � ' Refer tg��approp�iaCe NFFA Installation Standa_"rds. � � � • _ , 5. O.Ps�ER`ATION � - � � . , ,:A:�t.::..� - � , , D.uring;;fire.:condit'ions,�the,he"a"t-sensitiue.liquid in the glass bulb,expands,.,cau"s_ing,tne.;glass to:shatter;.rzl'easing�the.;p,ip:cap;ancJ sea�ing sPring assembl,y^1Nater floUnng through th� spnnkler o�i'fee stnkes`the spr.inkler deflector,.'fo�rning a;u�iform,spray,patf�em fio extinguish;or control�e,fi,re ,. .,. . � � ..,ryi�''.-.�_:' .. � �s.•: „��'� :•"t.. � _ ' ., . �_.� '_ . 6. �INS�F;EsCTIO.N�S; TESTS.A`ND;MA�INTE�NANCE. �- � � . �- . � - � ' ,�:..�,:.:��,.:,. R'efe��.to;NFP=A�25�for:lnspeetion,Testing�and�Maintenance requirements. 7. .AVA1LA'BIL'ITY , . � , . . -.. . . � , � - . ,;t , - .:f.�-;� , . ,, , ; .�._:_�_, ::. :._ :..:....�n-.��� :...� � :. ,; __. : The Vking�Microfa'"sf��Quick:Response:'F;enclent`Sprinkler�VK302 is,availatile4Firo'ugh a:netwo�k-of.domestic and�_intemational�dis= �,�, ,. , .f:., =.�,.y. , ,., ,. � , _ �;�..;:_�: . - , .-. r;, -- �. > � t�ib'uf'ors.�See The'Viking Co�poration;web site for"'the;close`st.-distributor or'con'tact"The Viking-CoCpo�ation"� N'' � S.,P.:"t:�: . . . . :!'� s - � s� � . ' ' • 8. ;GUARANTEEI �- � - `'� ' ` . Fo`r�dEtails:of war"ra'oty,�,;refe�,to`Viking's current list price schec3ule or.co.ntacf Uiking:dirzctl'y , -.� �� . t: f., - - � `" • , � , . ,k_ :�,.:.��, , - ,, ,a� . . .. . . . _ , , ` . _ > ; . - � ';. - - . : � . . . .. .. ...... . _ .�.�;�,,, .;�`��r' � ` -r'�`::. �a-,� - a: ;F,rgtecti.v,erSP�i`nkl'er :��,,` ^�`�._- - .V1lre'nch.:Flat' '��'- _ , �_` ' ,� '�Clip'` ... .,`�-..a y����/ - •-, ., • -- - - , ` `�( : �_ ,�,, �i - __ _ • �, :' 'E�'Protercfive�Sp_rinkler . � � - - �` �`Fr:= ,s_ = _ . -:�-�',;: _ -;�aP= , . •, _ ;�° . • -, �. � ,�l=� '��.' . t, ,�" " ' � � _} itf;_�{t " . ... -.. , ,� ' �i�' i �- 't��. �y.. y�+ , ' ' i.. 'Y:.'��•�. ', .- . _ - ;.? `�'��:=1`SS.�.s:'_.._ •'._-2�iC.A~= - -�,,,y,, __ �e �: � �t. - ^;..'S �.�.--^i�� `.'s� t� • � ___ ' �I=.:e. . .� .ri?°.t`-?�*__-.,�_�_�£-.�- ��•yF.},.��:;�- _. . � - '_; _ ' ' �;{n`'.., - . , _ `; -. -�`- '-_- ^� - , - � - ..>Y-.-�cx';i�' , _-- •:h:- , ., �`�- . • . r - �'t' �-c - a.�: . _ :x,..'i . . , ' �"��. 't � ., � ,4 ' ' _ , . - :2 _ ` - F.igure 1: Staniiard'Sp�inkler�V4/�enc�`H 1�089fiW/B� � �=,' � - s� -�,,, ,4�.; .�,L�� - _._, -.. :_..__... ,_.,_......_.,�---•--- - - -=-.-._._ _.. .._.. :_ , . , � , .,� ..-_ , y . � v- . -. .., , � . , Form No F 0�33314 Rev 15.1 ._ _ - _ Pa;ge:;3`of�'6 I� � ' ..y'' " "'}'- '�`�-��•- _ " - _ - "'I�� ^�_ " _ "i:.• ." �.r � :: .. . .... -.t�.e«fri.� .. .. . . , , '-^' " " _ � s z."'� i-�r;y. �� ..� _ . : . .:. � -. . �.. • 'w : .� -c.._3�_.._ :..awwi:..:.- �..-.:-.= _- _ � _ -_�t"_l: - � -_ 'r1i` �� ..� _- _ __ -- . ' "F� _ _ ~ ' .��_..ae.,}u�-�' �.✓y- . �,�: �.':' ' .�s�i`,::�;.. _.- ..:�n --�� �.� � �� ~ y� 'J� ' V "S. ' ..�a- �' 'MICROFA-ST°;QU1'C:K .,�-..:. .��-�:-._� :; ;�'iv� _ ',� �g ; _ _ , = .�:�- _ _�- = '.� �`� � 3 =:� . ,�: ,{,�,;�: -��� j. _ ��.T,� - "�RES�FO;NS°E;F;E�NDE�NT,�{�' }�: , - � � ��zn '.1 ��, ��- =a .. .:-.a�.�:.*�.',,..:.;s.x<.��..�:,:-_'��.��sa���':,. 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The:eorro"sion��es`istarit e'oatin�'s.h"a"ve assed'the-standzr;d_corrosiori'fe`s_t:�equired;by,'the`app o ing�agenc e., , pp,o_a Charts,These:: .,.;g.. ., .. P �, : ,�.; _.� ,, , , .. „•.,�;:� ._., ,� , ,. '.tesCs'`cannot and do not�eg�e's,ent all:p"os`sible coRosive envi�onmenfs,Pnor,toinstalla#ion verify througti the'entl-u.s'e�th'at the coatings are com:; ,t �•.._ e_. c - � �,., ,, :., - -+ patible witli�o�suitaple for the proposed environment;'-For autornahc spnnklers the�coati"ngs��i`niiicated,a�e.applied to the exposeii eztenor surfaces� onl"y�Note tfiat the sp�ing�is ezpo"secJ on spPinkle�s:anth Polyester FTFE and ENT-coati,ngs FoF ENT_coated automatic�sp�inkler"s;'tfie_w'atenyay;is� .coa`ted � - . - .� . , K •.:. y;`, ` _ I - _ �i.i-t,;- -- - ,a_ - , _ .. • . - • ��� --_ ..h,��, - _: - , - -.. _ - - - - _ - _ ;'-�i:; _ _ ,�_ -` - - . " -- .i',-��� . , - . . ,� . � . ' _ - = - . " ' _- -- -- '- -_ -- - ' __-_ - _`_ -- = _ '-�:�:'-_- , _ -...�'t��r - _ _ ���"-_�"`' -. - ;.s�. 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OSOlObOEG 1' 10` 4,77016 � ; Load based oi,F�ax 650 d_grecs F N/QPtJING � ERICO"products shall be installed and used onlyas indicated in ERICO's product instruction sheets and training,materials.InsGucUon sheeu are available at www.erico.cpm and from your ERICO customer senrire representaUye.liripiopei iiu?allation,misuse,mi<appGcalion or other failuie to coiripfeteh/foflow ERICO`s ins�rtidions and wamings may cause�produR'mzlfunclion, property iiamage,serious'bodily injury'aand deafh. - ` CopyrighYm 20:15 ERICO IntzmaQonal:Corpoiation.Ali nghEs rzserred. C.4DDY,CADVJELD.CRfl-EC,ERICO,ERIfLD(,'ERffEGH,and 6ENTON are iegistered trademarks or ERICO Intemational Corporatipn. 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M..."_'�'k.�".`>'Y�i.dr �vsT�z^��.. _ t�.V..��"»:..�Si..».C,i._ ~3rvvY�..v - _�d�- �..v.�e*'{�L..a`s��: � � � 4VQRNING ERICO produ�ts shall.be instalfed and used only 8s indicated in ERICO's product instrt,ction sheeu and traCning,materials.InsfrucUon sheets are availaole at�wdvo.erico.com and fromyouur ;ERICO:Custcmei service.iepresentaUve.Improper irstalla�on,�rnisu'se,misapplicatlon or other falu're to mmple'tely folloNi ERICO's instructions and wainings may aase product irtalfuncrion, property.dartiage,seriou's 6d�ly inju'ry and;death. Copyright.!D Z0,15 ERICO.IntemaUonal Co,rporation.Ali nghts(>_sei•ied. , CADDY.,CADWECD,'CRITEC,�ERICO,�ERIF.LEX,ERITECN,arid LENTON ar.e registered trademarfcs a ERICO lnternationzl Corporation. 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' :i - - wi,.;-..._:£ r .��.x--, -i;`✓_r�`r',+=,. _ ::�,.� - _t-i 1:.'ye,- i ' _�r'' ' ' .252'�ca:� "'.r�'' _— _ _—_ _ - ac.i�.-.�:-'. �1�� , 3 t.�.,.» _^�C � _.., .. .,::-- , -;;� �1 ;; �:� iF� �'�. t ''� :T ' • .ri�t.��-y^ �, - _ +� ,.�` `i . �'ff'.'t ;l �9 1::." . �n�'� � � � i � � — 2� - 'y, � 3�.' '4h� r1. � s �� � ___ 'y �F� .�. ��..-�,, �«: `s ?1a:.� „ =' ri` ''^ ��};;� - :t" � :iT -� �1 r � ,r .�� ���.,j. —` - � � � ra � — �.:. . ,�_ -•.i��' ..=, . . � " :�%+��`r.rs.:�r,:. - .,- -�ra��r.�r:.;�'^!��_.-r,.;"r�:`?4 __ .'crr . - -:.t:: ' .. , , : " �. -'n; , ;;rY•.c - `i�;� ,.1j�;o,_'^:: . - � - - _yt,.. .�' ' _ _':�, __ ' ' ' , cl_n ��;ii '.5... . - .+�;:",.'- _ _ ' _�,^+f�-(•_�:�'�a.5::;'.::�._��a.�s`:3.n.^�.�-�:sy..:.;,�'-'...-:'t,�:_.Y,�.��,.:3._,. .. ' % Allpws=struetural attachment'fo m'e`Tal tieams, ba"r.joisf, cfiannel,,orang1e':iron in:i;op�,rnoun,t�pos�tion,only unless:u�ed.on+a;parallel:'� fla�ge � :{ , ;:: :: =.P `` . � • Lightweight,one-piece stampecJ body provides superior strerigth and eliminates defiuencies assoaated wrth castrngs • �Spins on'to threadecl�od arid allows,for easy adjustment • • Conforms with Federal Speci�fication W1N-H-171 (Type Z3), Manufadurers Standardization Society AN51`'/MSS-SP=58(Type 19) r� � F, . :��1 T �_ . �;: .;�::�� l. _ _ 1-:� , ;�:�:�.Y�.i:% �, ��..., "7,`.�i f` yF I �` Ma�erial. Steel s' �'�, Finish Pr.e:gal.yanized , C U�- US �,;F JM: :r� AiPROVEO . . �. . .. .. ._ ' , i � . .........;._- ._�......� .,. . .. . -_ . .... .. ,. ......._.�._'= - v5� . ,�r.: .._ .. . .].,�- , .�.. . .s..i____ . . . .�':. . .F i F.lange Screw Rod Size Torque Static Load PartNumber RS Thickness A B C Diameter T, F FT 5 � � - _�,•�.r.-.,,_ - ........- - - .: - , - - -- - - ----- - - - - _ .. . •�.n-'...._ ...r...�.__.: - r:r -- . ="r , :�•:_�.- rl�,- -. SBC037; ` , - ';3/fi." `3%4"fviaz '0525'' �0:85'� - - 1.58"� - � 3/8.•'f= " "Sft>Ib' - '�500 � 3r.� ::T ..1. :1.. - _ ' - � 5e[se7ew rpusY 6e.tjgtitened and[orqued onto the sfoped sid�of the 1-6ezm,channei,ot.angle iron.Fla�ge. Rz¢ognizing thattorque vnencBes a�e generall�not used or availa6le'on many jo6 sites,ttie setsuetiv sfioulcl be ughtened so it mntacts[he 1-6eam and tnen an ad"didenel 1/4 to 12 tum added. Af1Sl'�s a re.gistered Vailernark oF American hlatlo�al S[andacds Insdtu[e.FM is a regfstered certification inark of Fti1.Approvals LLC,LTD.UL UR,cUL,cUR,cULiis and cU�ius a�e tegistered � ceruf�ation ma?�cs of UL LLC. ' WARp11PJG ERICO p'roducts shall he installed,and_used'only as indicated in EWCO's prcduct instruttion sheets and vafning materials.Inst"rucUon sheets are available at v�,w.enco.com and from your ERICO customer senrice reFizseritaCve.IrriPrppe?installation,misuse,mis'applicaaon or other failuie"[o completely_fcllow;ERICO's�instr[iction's and warning"s may cause�produd malfuricUon, properry d2ma.ge,serious bedily injuryand cl'eath. � Copy,nght�:Z075'ERI.GO lo[ecnarional Coipoiavbn,.All'right5 reseroed. � CADDY.,CADWELD,'CRITEG,EP,ICO;ERIFLDC,'ERITECH,and LENTON are registered traderriarls of,ER(CO InterriaLonal�orporation. , i�'F,�' � - - . ' ;, . .. ,. ���;.��'s::;a.:;�:'•:.;' -...:?' . � � �'"��. '� `1. t'�� ��� • .- --� � . .� -- ---- ---- - -- � - -- - -----._..�.-----—--,----------- � � � � , � - - � - _ �.t 1 l 1 _ D � � City of Zephyrhills � � Uniform Notice of a Low-Voltage Alarm System Project� � Owner's/CustomerName Health(;are ltelt li1C #�I Address ��135 Market Square I ���, Zephyrhills St r'L Zip jj54'L ` Phone 2i6'i—K'i}i—'i'l'l�}mail Contractor Cablelink Network Lic.n ECUU00526 AddressSS"L2 HPnIP�T 12narl �te ��� City�.���m�2�__ St FT• Zip �'t��il Phone DateProjedComplete Scope of Work: Signature: , Owner or tenant or wntractor or authorized representative Notice is hereby given that a low-voltage alarm system projec[has been completed at the address specified above.I certify that all of the foregoing information is true and accurate. , 30/I/13 section 553.793 FS � t �����-�' �- � . � . � � _ � - � tr. � � , . _ , — - - - _ .. __ . _ ._.. ... _._, _.�=`�=_==�=------_---,�-.�:..�---�.,. =-- — t .. _ :._>�-�_�--�..�� I.__„ "". � - ;_' .. ._ r� _... .,, ._�_ STATEOF-FLORIDA-= ��_ _,_- � ;�� ..- 1 -g� ---DEFARTMEN�O:�BUSIN � - ;I .�....-.�_.�_PROFE��C_(�...��. 1 ESS_AND` ��.;_._.-,�� ._.�.-...._ �..,x.;o��;RE6ULATl_ON_ -_.. .. _ �� _.ET� �__ �.�.�� - ,�, ,_: �"��� �-�_'::.. � _. 0000526:` ��- _ _..__ . � f'�..� -� __-�_- _ - w,;���- t���°�Fn:��.�08/1�7 � � �;._� a�;�-___----. ._�J����.,��,�,�� /2016- - ;- �,...�.RE �C,li4��;���� ,� �-_�;5�_ .,..-_ _ _ _ : � �_ _ G:�Sf? ,, �-,����r ��.::��j?ERSAUD;J�F��y�: t.�.,�, ��S�J�� R._::-� - -- i �--�r-t�. ���=�"�� - �1:,--_GABLELINK� `��.+�:��,L�'`�.` =�:�.��:�:-�.A� _ , �:LL rREGISTERED�s��.� .� :,���.•"_ -- -- __ � Y 1�,�-���tt. �¢ �.. �.f �.�+r�L-�N�1,TED�ER.G�'R�ul��l';��_�P�G ��_T.- ��-��.:���,��:f i yt!''✓•"'n`"��✓. �--�-r..�.�.,y�� �'a�v�'�k.'���M%s„�,.,,+�_"" ...,._;��..,,��.�-.�--.,-.� � :;_,�HAS-�RE�GISTE'RED�under.,the""r" �`"'J� r��''-=,, ;?�..-ExpirationdaC���q�G-31� �----.-..�?.-°'��sions-of,Ch.489 F;S � - T,1 ,2ota� : �._ y�-""` ..-.N L1s0$1Zoo03297.. �. � ,.._r..� -..._--- �s_.>.=-_��,,..._... _......_...�`..����,-�..--_��.>,... ��`�.:��� :� �. . 813-780-0020 City of Zephyrhills Rermit Application Fax-813-780-0021 Building Department � _: Date Received � � Phone Contact for Permitting — wner's Name ►l C� � �9 v G Cd � ��wner Phone Number g6 3-�3�=3220 n �` �9d�����Z Owner's Address Y� (� Z �o'��(�K � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number • Fee Simple Titleholder Address - ` �JOB ADDRESS � �CG�/l_f(� LOT# � ;; SUBDIVISION � PARCEL ID# ,� �} (OBTAINED FROM PROPERTY TAX NOTICE) �� WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN �� INSTALL REPAIR � � 0 DEMOLISH "i PROPOSED USE Q SFR Q COMM � OTHER ;i TYPE OF CONSTRUCTION 0 BLOCK Q F ME 0 STEEL Q !� � (� DESCRIPTION OF WORK �; i' �! BUILDING SIZE SQ FOOTAGE HEIGHT !; 4 ; OBUILDING $ VALUATION OF TOTAL CONSTRUCTION � ) � QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: i� QPLUMBING $ ���J� �� ,���� l �, �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � � � ;� fi ILDER COMPANY C���-��.IU�<<- N��`Jd��" SV�S� � �IGNATURE G REGISTERED Y/ N FEE CURRE� Y/N � Address License# ; ELECTRICIAN COMPANY 'i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � ! � Address License# � I PLUMBER COMPANY i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � i Address - License# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �• Address License# l ;, RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, -� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects , COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, -- Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. **•*PROPERTY SURVEY required for all NEW construction. Directions: " Fill out application completely. Owner&Contractor sign back of application,notarized If over$250U,a Notice of Commencement is required. (A/C upgrades over$7500) "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deeci"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for cornpliance 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. " , � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESO�IJRCE RfECOVERY FEES: The undersigned understands that Transportation 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 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 the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate 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, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. • COMSTRUCTIOId 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. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive L`ands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & 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 fill: � . - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted 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 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 fill 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 application, 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 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 COMMERICEMENT 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 IdOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OINNER_OR AGENT CONTRACTOR _ Subscribed and swom to(or affirmed)before me this Subscribed and-sworn to(or affirmed)before me this - _ . �__ - by by 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 typed,printed or stamped Name of Notary typed,printed or stamped