HomeMy WebLinkAbout17-19084 r CITY OF ZEPHYRHILLS,.,
' S335-8TH STREEf
, � r (8i3)780-0020 ,., ��fl$4
BUILDING PERNIIT
PERMIT INFORMATION - � LOCATION INFORMATION
Permit Number: 19084 Add��ss: 645Q GALL BLVD
Permit Type: COMMERCIAL � - ZEPHYRHILLS, FL.
Class of Work: NEW CONSTlCOMM Tawn�hip: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: �ubdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-4000-00100-0050
Improv. Cost: 956,000.00 OWNER INFORMATIUN
Date Issued: 1108I20'f8 Name: GH&G ZEPHYRHIL�S LLLC
Total Fees: 116,599.09 Address: PO BOX 550709 575 PHARR RD
Amount Paid: '116,599.09 ATLANTA, GA. 30355-32Q9
Date Paid: 1Ip8/2018 Phone:
Work Desc: CONTRUCT WAWA CONVENIENGE STORE 5,636 SQ FT W/ DUMPSTER PAD
CONTRA,CTOR S APPLiCATION FEES
AT CONSTRUCTION MANAGEMENT INC BUILDWG FEE 2,732.00
KAZAR`S ELEGTRIC INC EI�ECTRICAL FEE 585.00
SIGNATURE PLUMBING INC PLUMBING FEE 390.00
SUUTNERN AIR HEATING & G4Q�.iNG S MECHAN[CAL FEE 273.00
WATER CONNECTION COMMERCIAL 1,808.02
SEWER GONNECTIDN COMMERGIAL 5,669.45
r WATER METER 2 1,733.95
���� �-' ��/ IRRIGATION METER 1,415.63
FIRE PLAN REViEW FEES 391.32
0� POLICE IMPACT F'EE 918.67
FIRE 1MPACT FE� 956.30
C����� �(�3��7�� PUBLIG SAFETY 5% 93.75
Ins ectians Re uired
F TER 2ND OU PL B MIS INS TfON CElLING
FQOTER BOI�ID DUCTS 1NSU�ATED SEWER Ct/ilSC.
RQUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMS PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER N1iSC DRIVEWAY
PF2E-SLAB SHEATHING MISC. MISC.
CONSTRUCTlON PQLE FRAME M1SC. M[SC.
REINSPEC'TION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
laca!government shail impose a fee of four times the amount of the fee imposed for the initiai inspection or
first reinspection,whichever is greater,far each such subsequent reinspection. -
NOTICE: In addition to the requirements of fihis permit, there maybe additiona! restrictions appficable ta this property that
may be found in the public records af this county, and there may be additional permits required from other governmenta(
entities such as water management, state agencies or federal agencies.
"Warning to owrter: Your failure to record a natice af commencemen#may resuEt in yaur paying twice far
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recarding your natice of commencemertt."
Camplete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accardance with
Ci Codes and Ordinances. NO QCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON �C OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES TN 6 MCiNTHS WITHOUT APPRC?VED INSPECTION
C/4LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PRCiTECT CARD FROM WEATHER
5335 - 8TH STREET
(813)780-0020
CERTIFICATE OF OCCUPANCY �
1(��-�-
Address: 6450 GALL BLVD Owner: GH&G ZEPHYRHILLS LLC
ZEPHYRHILLS, FL. PO BOX 550709 575 PHARR RD
Subdiv: CITY OF ZEPHYRHILLS ATLANTA, GA. 30355-3209
Parcel: 02-26-21-0000-00100-0050 Work Type: NEW CONST/COMM
Construction Type: NOT APPLICABLE �Sprinklers
Use Classification: NOT APPLICABLE
Permit Number: 19084 �{'j � d�j5��j �4� I� �37�f 9 ��
��c� � ��Z���'i�� ���903 9'
c a � �e�
Da . 6/07/2018
�`�\ �
ISSUE Y: BUILDI OFFICIAL :
WATER MUST BE CHANGED OVER WITHIN 10 DAYS OF ISSUANCE
GARBAGE DEPOSIT MUST BE APPLIED FOR PRIOR TO ISSUANCE
• . WAWA-6450 Gall Blvd-5,636 sq ft
o umn
SQ. FEET PRICE
MAIN OR LIVING: 5,636
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 956,000.00
FEE SHEET $ 2,600.00
ADDRESS $ 40.00
DRIVEWAY $ 40.00
BUILDING: $ 2,732.00
ELECTRICAL: $ 585.00
PLUMBING: $ 390.00
MECHANICAL: $ 273.00
SUB-TOTAL $ 3,980.00
TOTAL $ 3,980.00
SEWER: $ 5,669.45
WATER: $ 1,808.02
IRRIGATION: $ -
TOTAL: $ 7,477.47
WATER METER: $ 1,733.95 2'
IRRIGATION METER $ 1,415.63 1.5'
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 391.32
INSPECTION TOTAL:
PERMIT TOTAL separate permits required for fire alarm and fuel tanks
TOTAL: $ 391.32
PUBLIC SAFETY IMPACT FEES
POLICE $ 918.67
FIRE $ 956.30
5% $ 93.75
TOTAL: $ 1,968.72
SUB-TOTAL $ 16,967.09
PARK IMPACT FEES na
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
T I F'S: $ 99,632.00
99% $ 98,635.68 �
1% $ 996.32 �
TOTAL: $ 116,599.09
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; - """ 1 Bohler Engineering FL,LLC
I � 3820 Northdale�Ivd.,Suite 300B
� , � � - � � � � Tam a,FL 33624
� �. ,�_� - - p
� .. __ _ _ � N � I i'�1 E �' i€ �. l�i � PH�NE 813.812.4100
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� June 7,2018
� Todd Vande Berg
City of Zephyrhills
Planning Deparlment
5335 8�'Street
Zephyrhills,FL 33542
RE: Civil Engineering Certification
Wawa—US 301&Eiland
Dear Todd,
Bohler Engineering FL, LLC ("Bohler") has visually observed construction of the above referenced site solely to
monitor completion of the site/civil improvements including only water, wastewater, paving, grading, drainage,
signage and striping. We have also reviewed the attached As-Built survey performed by AF'N Consulting, Inc.
(dated May 22, 2018). Based solely on our review of the above-described documents and the above-described field
, observations, the site features described above appear to have been completed in general accordance with the
; approved,permitted,Bohier's Site/Civil Construction Drawings.
Should you have any questions or wish to discuss the above in further detail,please feel free to contact our office at
; your convenience.
! Sincerely,
BOHLER ENGINEERING FL,LLC
� �ory R Roth,P.E.LEED
, Bohler Engineering FL,LLC
3820 Northdale Blvd.Suite 300B
Tampa,FL 33624
Florida Registration No.74566 '
FL. Business Certification of Authorization No.30780
cc: File
CIVIL AND CONSULTING ENGINEERS�PROJECT MANAGERS�SURVEYORS•ENVIRONMENTAL CONSULTANTS•LANDSCAPE ARCHITECTS
WWW.BOHLERENGINEERING.COM
__ I
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� � Y r - Bohler Engineering FL,LLC
i� t � ,t� � �,JC� 1.�.� �L.�d. � 3824 Northdale Bivd.,Suite 3048
, ��, � Tampa,FL 33624
� �._.-__-...� � � � X 1�1 �: C: 'tZ � 1'� � PHONE 813.$12.4100
;
�
� June 7,2Q 18
�
� Todd Vande Berg
Gity of Zephyrh'rlis
Planning Department
5335 8�'Straet
Zephyrhills,FL 33542
RE: Civii Engineering Certifica#ion
Wawa—US 301&Eiland
Dear Todd,
Bohlsr Engineering FL, LLC ("Bahler") has visually observed construction of the above referenced site solely to
manitor completion of the siteJcivil improvements including only water, wastewater, paving, grading, drainage,
signage and striping. We have alsa reviewed the attached As-Built survey psrformed by AFN Consulting, Ine.
{dated May 22,20I8}.Based satety on oe�r review of the abave-described docvments and the above-described fietd
observations, the site features described above appear to have been completed in �eneral accordance with the
approved,permitted,BohIer's SitelCivil Constructian Drawings.
Should you have any questions or wish to discuss the above in fiirther detail,please feel free ta cont�ct our off ce at
� yottr canvenience.
�
; Sincerely,
BOHLER ENGINEERING FL,LLC
ory R Roth,P.E.LEED
Bahler Engineering FL,T.LC
382Q Northdale Blvd.Suite 300B
Tampa,FL 33624
Flarida Registratian No.74566
FL.Business Certification of Authorization l�ta.307$0
cc: File
CIVIL AND CONSULTWG ENGiNEERS•PRflJECT MANAGERS•SURVEYORS•ENVIRONMENTAL CONSULTANTS•LANDSCAPE ARCHITEC7S
WINW.90Hl,ERENGINEERING.CO M
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` };.? , , � - ��P�IY�HILLS FIRE DEPARTI��t�T
r� r 6907 Dairy Road, Zephyrhills, FL 33542
FBRE SERVICE IJSER FEES
Occupancy No•:
Plan No.: Contractor:
' BusinessName: i_�1� c.J/1 [4.0�1 BillingAddress:
Business Address: r„w�b C�i-� �c-✓o.
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
�Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alartn N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
�Plan Revisions DBL 3rd Re-inspection $250 oods $50 4fh Alarm $900
4th Re-Inspection $500 Fire Alarm $50 5th Alartn $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas g� $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
�Per Riser $50 Hydrostatic Test $65 per system Fire Worfcs $500
FIRE PUMP Acceptance Test $45 per system Camp Fire $25
�Per Pump $100 Hydrant Flow $75 ontrolled Bum $100
FIRE ALARkf SYSTENi Hood/Duct $50
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual
26 pius Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable ApplicaUon $50 Mnual
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry $50 Fire WalUSmoke Wall $15 perwall Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 nnnuai
� KITCHEfd FJCHAUST Fumigation Tenting $50
�Hood/Ducts $50 Tent 10k10'or greater $15 per tenc Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 Mnua�
8 LP InstallaUon per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Natural Gas Insrallation $50 �Re-inspection DBL
(Per System) (other than annual) ,
�Spray Booth $50 � Inspection scheduled DBL e
and cancelled less than
. 24 hours
Construction Insp. N/C
Eme�ency Vehicle A� $50 FALSE ALARM
, PLAPd$1�TOTAL� INSPECTION TOTAL� PE,R�9 T TOTAL� TOTAL�
fr� ���r,3 ��.�+'� `��7 r
��'" `�`' GRAMD TOT/4L rj �o
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Comments:
Date: � ��(� �
Inspector: ���
-v�,� -
mn �
� . ��Pi�YRH�LL� F�RE L�EPI�RTNiENT
� 38410 6th Ave Zephyrhiiis, FL 33542
FlRE �ERVIGE �lSER FEES �
�ccupanc�r Nm.: i �, �_ `
Plan I�o.: Contractar:
Susiness Narne: �I-� �� Bilting Addrsss:
Business Address: �s '�o� �- r�-?���� G�t:to
Business Phone No.: Silling Plione No.:
Business Fax Na.: Billing Fax No.:
Contact: Contact:
PLAN REViEW FEfS 1MSPECTIOtd FEES , PERMIT FEE FALSE,ALARM FEE
�S9te Pian td/C Annu�i NJC Sprinkier $50 1st Alarin N/C
MutU-FamitylCammerctal .06 sf 9st Re-inspection NIC Standpipes $50 2nd Riarm WC
{Mtnimum Charge$25AQ 2nd F2e-inspection $100 Fire Pump $50 3rd Alarm N/C
�Plan Revislons DBL 3rd Re-inspection $250 Hoads $50 4th Alarm $100
4th Re-lnspection $500 Fire Alarm $50 5th Alarm $154
SPRINKLER SYSTEMS {Business closed until , LP Gas $50 6fh Afarm $2QQ
8 0-25 Heads $50 vialations corrected) .: Natural Gas $50 tao�con�piuwc� $15Q
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per�anx $5p
STAFiDPIPE SYST'EM Hydro Undergrounds $�45 Sparklers $100
�Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FlRE PUMP Acceptance Test $45 persysiem Camp Fire $25
�Per Pump $10Q Nydrant Ftow $75 ControBed Bum $1d0
FIRE AlARM SYSTEM FtoodiDua# $50 � •
8 0-25 Devices $50 FIRE AR.ARM SYSTEM Place of Rssembty $50 annua�
26 pius Devices $1U0 8 System Acceptance $5Q Fire Protectian $25
SUPPRESSION SYSTEIHS Recall Acceptance $50 Flammahle Application $50 HnJwa�
Wet $50 OTHER Waste Tire Storage $50 r�nnua� .
Dry $50 Fre WalUSmoke Wall $15 per wan Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $Sa Naturat Gas $25 persystem Bio-Hazard Waste $10p Mnual
KI'FCHEN EXHAUS3 Fumigation Tenting $50
�HoodlDucGs $SO Teni 14'xi0'or greater $15 perterrt Torch PotlApplled $50
OTNER Fire Pump $45 Haz.Materiais $100 nnnuat
n LP Installauon per tank $50 Fire Suppression $3Q
Lj Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Naturai Gas tnstaitation $50 Re-inspection DBL
(Per System} (other than annual}
�Spray Baoth $50 �tnspection scheciuted DBL 8
and cancelied less than
24 hours
Gonstruction lnsg. N!G
Emergency Vehicle As $50 F/!�$E qlA,i2M
PLANS TOTAL� INSPECTIQN TOTAL��U PERMlTTOTAL� TQTAIC�
GRAND TOTAL �`'
Comments:
Date: ��- �' - ! �
Inspector: i"'� � �..J
ntfi
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City of Zephyrhills � �
/ � ��
BUILDING PLAN REVIEW COMMENTS / � �
�
Contractor/Homeowner: �
Date Received: �— 7�� �
Site: ,�f'� �� �l���� �� I��
�
Permit Type: �;.���(�C`�!� 1�'/1.G,C'. ��G� �'� G�C)
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
,� , ,�
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RE�IIEw �Ep�1YRN�
���EY•�
This comment sheet shall be kept with the permit and/or plans.
i� c- � ���"� -- � —K —��7
� -
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
��w � .
• . Y . � � � (��� CG�-��..
�
"��� �
SQ.FT. PRICE �
Main ����
Other Area ����-
Under Roof ��22
Valuation: � c '`� ���� ���
� )
�
Building: j J J ��
a �
Electric: ' � �1,`'a �
�f �---¢.
Plumbing:
Z�C�..�+�� �_ a
� '`���-( �5 : ' �l ��-��.
Mechanical: ` �5 J� �
Radon:
�
�'."s�l.lL c�'� Z�� �r..� _ �b� r� !> ��—,�ryl,th7'i�
�� e
School Impact �' `I���` � �
Fees: � I�5 � rZ ���itt �-�t 1 -�--i �.ti,
�i i� �7ti'�., �� �L�.�`" !/ �'/7� b�7
Connection �
�^ ���r -i a,
Fees: ��� � ll`3Ct•rj� �
��� ���b.�`t �� ���7, '`��s
[ T,/i�.
Trans.Impact J � �
Fees: I(p f U��-t-I�(C� �j�11�1�(`�S ��ZZ� "�
� � �
g� ��2.� �-�-rr��-
- � I
1 , + • , , .. _,
City of Zephyrhills
Water and Sewer Impact_ Fee Calculation
Land Use Type: -
Gas Station
No. of Restrooms ; � - 2
Impact Fees
Within City Limits . Outside City Limits
Water Distribution System $ 1,282.00 $ 1,602.50
Wastewater Collection System $ 2,576.82 $ 3,221.02
Wastewater Treatment Plant Capaci $ 1,443.18 $ 1,803.98
TOTAL $ \ 5,302.00 6,627.50
�
" ��a�-
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.. .� 1:1.;�.
City of Zephyrhills ,
Water and Sewer Impact Fee Calculation
Land Use Type: _
� Retail _�
No. of Square Feet � � � � 4559�
Impact Fees
" Within City Limits ` Outside City Limits
Water Distribution System. $ 526.02 $ 657.52
Wastewater Collection System $ 1,057.30 $ 1,321.62
Wastewater Treatment Plant Capaci $ 592.15 $ 740.19
TOTAL $ 2,175.46 $ 2,719.33
Jac�ueline Boges
From: Jacqueline Boges
Sent: Thursday, November 30, 2017 2:12 PM _
To: 'Johnm@atconstructioninc.com'
Subject: RE: Wawa US 301 and Eiland Rd
Attachments: wawa.pdf; zfd permit page 1.xls; zfd permit page 2.doc
See attachment for fees for convenience store and canopy. I need to know are the same subs doing the canopy?And
who will be the contractor doing the fuel pumps all fire permit will need to be separate permits that is including the
pumps . see application for fire permits.
%--.��.r
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�' � . �
�� \�Y�'1
(/QC/lC B09CS - - . - -- .
813-780-0020 ext 3513
"A rule I have had for years is.to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He
Himself we have"Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
_ .__.____.._.._._____._ _----.___.__ _.__.__._.____._._._ .-------------------- -__._ -----
From:Johnm@atconstructioninc.com [mailto:johnatconst@gmail.com]
Sent:Thursday, November 30,2017 1:11 PM
To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: Fwd:Wawa US 301 and Eiland Rd
Jackie
Please see email below, let me know if you get this.
Thanks
John
Sent from my iPhone
Begin forwarded message: .
i
From: John Martyn�johnrn(a�atcanstructioninc.com>
' Date: November 29,2017 at 12:53:07 PM EST
To: �bo es ,ci.zephyrhills.fl.us - -
Subject: Wawa US 3Q1 and Eiland Rd
Jackie
Can you ernail me the fees far the permit for this project? Also other than paying the fees is the
permit ready to be picked up?
Thanks
John Martyn
.�T Car:sfructior:Inc AT Canstrrretion Mgr.Inc
2271 Garren Rd 13799 Park Boulevard N.
Arexel HiJJ,Pa 19026 Sr�ite 300
610 623 6413(PA) Seminole,FJ.33776
610 622 7016(F� �27-729-X06]
670 761 7I00(C,BLL)
Lic#:CGCI519713
�
2
Jac�ueline Boges
From: Johnm@atconstructioninc.com <johnatconst@gmail.com>
Sent: Thursday, November 30, 2017 1:11 PM
To: Jacqueline Boges ,
Subject: Fwd:Wawa US 301 and Eiland Rd - �
Jackie
Please see email below, let me know if you get this.
Thanks
John ,
Sent from my iPhone
Begin forwarded message:
From: John Martyn<johnm(cr�,atconstructioninc.com>
Date: November 29, 2017 at 12:53:07 PM EST
To:jbo es(cr�,ci.ze�hyrhills.fl.us
Subject: Wawa US 301 and Eiland Rd
Jackie
Can you email me the fees for the pernut for this project? Also other than paying the fees is the
permit ready to be picked up?
'I'hanks
John Martyn
f1T Construc7ion Ina AT Construction Mgt InG
2271 Garren Rd 13799 Park Boulevard N.
Drexe[Hill,Pa I9026 Suite 300
610 623 6913(PA) Seniinole,FL 33776
610 622 7016(FAJI� 727-729-I061
6I0 761 7100(CELL)
Lic#:CGCISI9713
1
� � COMcheck Software Version 4.0.5.1
Mechanical Compliance Certificate
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Location: Zephyrhills, Florida
Climate Zone: 2a
Project Type: New Construction
Construction Site: Owner/Agent: DesigneNContractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Additional Efficiency Package
Reduced interior lighting power.Requirements are implicitly enforced within interior lighting allowance calculations.
Mechanical Systems List
Quantity System Type�Description
1 HVAC System RTU-1 (Single Zone):
Cooling:1 each-Single Package DX Unit,Capacity=72 kBtu/h,Air-Cooled Condenser,No Economizer,Economizer exception:
Humidity Requirements
Proposed Efficiency=12.00 EER,Required Efficiency: 11.20 EER(11.4 IEER)
Fan System: FAN SYSTEM 1 �RTU-1 —Compliance(Motor nameplate HP method):Passes
Fans:
FAN 1 Supply,Constant Volume,2550 CFM,2.0 motor nameplate hp
1 HVAC System RTU-2(Single Zone):
Cooling:1 each-Single Package DX Unit,Capacity=102 kBtu/h,Air-Cooled Condenser,No Economizer,Economizer exception:
Humidity Requirements
Proposed Efficiency=12.40 EER,Required Efficiency 11.20 EER(11 4 IEER)
Fan System: FAN SYSTEM 2�RTU-2—Compliance(Motor nameplate HP method) Passes
Fans:
FAN 2 Supply,Constant Volume,3500 CFM,2.0 motor nameplate hp
EF 1 Exhaust,Constant Volume,350 CFM,0.1 motor nameplate hp
1 HVAC System RTU-3(Single Zone):
Cooling:1 each-Single Package DX Unit,Capacity=72 kBtu/h,Air-Cooled Condenser,No Economizer,Economizer exception:
Humidity Requirements
Proposed Efficiency=12.00 EER,Required Efficiency: 11.20 EER(11.4 IEER)
• Fan System: FAN SYSTEM 3�RTU-3—Compliance(Motor nameplate HP method):Passes
Fans:
FAN 3 Supply,Constant Volume,2300 CFM,2.0 motor nameplate hp
1 Water Heater 1.
Electric Storage Water Heater,Capacity:50 gallons w/Circulation Pump
Proposed Efficiency:0.86 EF,Required Efficiency:0.86 EF
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Mechanical Compliance Statement '
Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application.The proposed mechanical systems have been
designed to meet the 2014 Florida Building Code, Energy Conservation re u'.e in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Inspection C list.
Jose J. Diaz-Velazquez, P.E. 03/03/2017
Name-Title Signat e �,�� ���!��/ Date
. //,
, Q��'�/F�� i�i
` '0��..•'��CEN3�c •.Q(���%
� No.78474 _
_ * * * -
—"O ' � �U;
��� STATE OF �.�(/\
���5. FLoR�oP • 'G��;
� ••......•• �
��'��;S��NAL���.�.
iii
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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- ' COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy Code: 2014 Florida Building Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
&Re .ID
C103.2 ;Plans, specifications, and/or ;�Complies ;
[PR2]1 Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the mechanical �ONot Observable 1
�systems and equipment and �ONot Applicable �
;document where exceptions to the ; �
;standard are claimed. Load ; ;
I calculations per acceptable I �
;engineering standards and ; ;
;handbooks. ; ;
C103.2 ;Plans,specifications, and/or ;❑Complies ;
[PR3]1 I calculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the service water �❑Not Observable�
�heating systems and equipment and ��Not Applicable �
;document where exceptions to the ; ;
;standard are claimed. Hotwater ; ;
Isystem sized per manufacturer's I I
�sizing guide. � �
C405.7 ;Plans,specifications, and/or ;�Complies ;
[PR17]1 I calculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the electrical systems ;�Not Observable�
�and equipment and document where I�Not Applicable ;
;exceptions are claimed. Provisions are ; ;
;made for metering individual tenant ;
�units. Feeder connectors sized in I �
;accordance with approved plans with ; ;
;maximum drop of 2%and branch ; ;
1 circuits sized for maximum drop of � I
;3%. � �
, C406 ;Plans, specifications,and/or ;❑Complies ;
[PR9]� Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the additional energy ;�Not Observable�
I efficiency package options. ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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� -- �
Section ' ,
# Footing/Foundation Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.4. ,Freeze protection and snow/ice ;❑Complies ;
5 �melting system sensors for future ;❑Does Not ;
[F09]3 j connection to controls. ;❑Not Observable;
� ;❑Not Applicable �
C402.2.8 ;BOttom SurfaCe Of floor StruCtUres ;OCOmplies ;See the Envelope Assemblies tab/e for values.
[F012]3 I incorporating radiant heating ;❑Does Not ;
�insulated to >=R-3.5. ;❑Not Observable;
� �❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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S,ection -
# Plumbing Rough-In Inspection Complies? Comments/Assumptions
&Req.ID
C4043 ;Temperature controls installed on ;❑Complies ;
[PL5]3 �service water heating systems(110 F �❑Does Not ;
�for dwelling units and lavatories in � �
'�Not Observable; '
�public restrooms and 90 F for other �ONot Applicable ;
I occupancies.)
C404.4 ;Automatic time switches installed to ;❑Complies ; �
[PL3]1 �automatically switch off the �❑Does Not �
;recirculating hot-water system or heat;�Not Observable;
�trace. �❑Not�Applicable ;
Additional Comments/Assumptions:
' 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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�
Section , �
# Mechanical Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.3 ;HVAC equipment efficiency verified. ;❑Complies ;See the Mechanical5ystems list for values.
[ME55]z I �❑Does Not ;
� ;❑Not Observable;
� ;�Not Applicable ;
C403.2.5. ;Demand control ventilation provided ',❑Complies ;
1 �for spaces>500 sq.ft.and >25 �❑Does Not ;
[ME59]1 �people/1000 sq.ft. occupant density 1�Not Observable;
;and served by systems with air side ; ,
leconomizer,auto modulating outside I�Not Applicable ;
;air damper control, or design airtlow ; �
;>3,000 cfm. ; ;
C403.2.7. I HVAC ducts and plenums insulated ;❑Complies ;
1 {and sealed according to Florida �❑Does Not �
[ME60]� ;Section C403.2.7,Table C403.2.7.1, � �
i ;Table C403.2.7.2. �❑Not Observable�
� ;❑Not Applicable ;
C403.2.7. ;All ducts, air handlers,filter boxes, ;�Complies ;
2 �building cavities, mechanical closets �❑Does Not ;
[ME79]z ;and enclosed support platforms that � �
;form the primary air containment 1❑Not Observable�
I passageways for air distribution ��Not Applicable �
;systems are constructed and erected ; ;
;in accordance with Table C403.2.7.2 ; ;
I and with Chapter 6 of the Florida � �
j Building Code, Mechanical. Ducts are ; �
�be constructed, braced, reinforced ; ;
�and installed to provide structural � �
;strength and durability.All transverse ; ;
Ijoints, longitudinal seams and fitting ; ;
�connections are securely fastened in I �
�accordance with the applicable ; �
;standards of this section. ; ;
C403.2.7. �Duct insulation is protected from ;❑Complies ;
1.2 �damage but not limited to the �❑Does Not �
[ME80]z I,following: 1. Insulation exposed to ; ;
I weather is suitable for outdoor ��Not Observable�
�service. Cellular foam insulation is ;�Not Applicable ;
iprotected or painted with a coating ; ;
,that is water retardant and provides � �
I shielding from solar radiation 2. I �
;Insulation covering cooling ducts ; ;
'located outside the conditioned space ; ;
is vapor retardant located outside the I I
�insulation, all penetrations and joints ; ;
;of which shall be sealed. ; ;
C403.2 7. ;Additional insulation with vapor ;❑Complies ;
1.3 I barrier is provided where the �❑Does Not �
[ME81]z �minimum duct insulation requirements� �
;of Section C403.2.7.1.1 are I❑Not Observable�
i determined to be insufficient to ;❑Not Applicable ;
j prevent condensation. ; �
C403.2.8. i Piping Insulation exposed to weather ;❑Complies ;
1 I is protected from damage(due to sun,�❑Does Not ;
[ME7]3 �moisture,wind, etc.) � �
; ;❑Not Observable;
� ;❑Not Applicable ;
C403.2.8 jThermally ineffective panel surtaces of;❑Complies ;
[ME41]3 �sensible heating panels have j❑Does Not ;
�insulation >= R-3.5. � �
� ;ONot Observable;
� � ;❑Not Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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�
S,ection
# Mechanical Rough-In Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.7. ;Ducts, air handlers,filter boxes, ;❑Complies ;
3 �building cavities, mechanical closets �❑Does Not ;
[ME10]z j and enclosed support platForms that ; ;
�form the primary air containment �❑Not Observable�
�passageways for air distribution ;❑Not Applicable ;
{systems are sealed in accordance with; �
;the applicable criteria of this section ; ;
land Table C403.2.7.2. � �
C403.2.7. �Air distribution systems are sized and ;�Complies ;
5 �designed in accordance with ;❑Does Not ;
[ME76]z ;recognized engineering standards. ��Not Observable;
Refer to section details. ; ,
;❑Not Applicable ;
C403.2.7. ;Air-handling units not installed in ;�Complies ;
6 �attics of commercial buildings. �❑Does Not ;
Z i � �
[ME77] ! ;❑Not Observable;
� ;❑Not Applicable ;
C403.2.7. ;Cavities in framed spaces are not ;OComplies ;
4 �used to deliver air from or return air to I�Does Not ;
[ME78]z ;the conditioning system unless they ; ;
i contain an air duct insert which is �❑Not Observable�
�insulated in accordance with Section ;�Not Applicable ;
;C403.2.7.1 and constructed and � �
;sealed in accordance with the ' �
�requirements of Section C403.2.7.2 � ;
i appropriate for the duct materials ; �
;used. � �
� �
C403.2.7. ;Ductwork operating >3 in.water ;OComplies j
1.3 Icolumn requires air leakage testing. �❑Does Not ;
[ME11]3 � ;❑Not Observable;
; ;❑Not Applicable ;
C403.2.7. ;Ductwork operating >3 in.water ;�Complies ;
1.3 I column requires air leakage testing. �❑Does Not ;
3 `
[MEll] � ;❑Not Observable;
; ;ONot Applicable ;
C403.2.7. `Ductwork operating >3 in. water ;OComplies ;
1.3 �column requires air leakage testing. �❑Does Not ;
[ME11]3 �
' ;pNot Observable;
�
; ;❑Not Applicable ;
C403.3.1, ;Air economizers provided where ;❑Complies ;
C403.3.1. �required, meet the requirements for �❑Does Not ;
1 �design capacity, control signal, � �
[ME62]1 ;ventilation controls, high-limit shut-off„�Not Observable�
I integrated economizer control,and ;�Not Applicable ;
� , ,
�provide a means to relieve excess � �
� � �
;outside air during operation. � �
C403.3.1, ;Air economizers provided where ;OComplies ;
C403.3.1. �required, meet the requirements for �❑Does Not ;
1 ;design capacity, control signal, � �
[ME62]1 ;ventilation controls, high-limit shut-off„�Not Observable�
1 integrated economizer control, and ;❑Not Applicable ;
� � �
;provide a means to relieve excess ; �
;outside air during operation. ; ;
C403.3.1, ;Air economizers provided where ;❑Complies ;
C403.3.1. �required, meet the requirements for �❑Does Not ;
1 �design capacity, control signal, � �
'�Not Observable;
[ME62]1 �ventilation controls, high-limit shut-off„ ,
�integrated economizer control, and ;�Not Applicable ;
� � �
�provide a means to relieve excess � �
� � ,
;outside airduring operation. � �
� ,
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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�
Settion � •
# Mechanical Rough-In Inspectian Complies? Comments/Assumptions
&ReqJD
C408.2.2. ;Air outlets and zone terminal devices ;OComplies ;
1 i have means for air balancing ;�Does Not ;
€�E�3�3 i ;�Not Observab(e�
i ;C1Not Applicable ;
�
C403.4.2 G VAV fan motors>=�.5 hp to be driven;OCom lies ;
P
[ME66]z i by variable speed drive, have a vane- IDpoes Nat ;
axial fan with variable pitch blades,or ;�Nat Observable;
have controls to IimiC fan motor , �
�demand. ;�Not Applicable ;
C4Q3.4.2 ;VAV fan motors>=7.5 hp to be driven;�Compiies ;
(ME66I2 i by variable speed drive,have a vane- ��Does Not �
axial fan with variable pitch blades, or ��Not Observable;
;l�ave contrals to limit fan motar ; �
Idemand. ;�hlatApplicable ;
C403.4.2 �VAV fan motors>=7.5 hp to be driven;OComplies ;
[ME66]� �by variable speed drive, have a vane- IODoes t�ot �
,axial fan with variabie pitch blades,or ;ONot Observable',
�have controls to limit fan motor j�Not Appiicab}e ;
i demand.
C403.4.2 VAV fan motors>=7.5 hp to be driven;C�Complies I
[ME66]z �by variabfe speed drive, have a vane- ��pQes Not �
j axial fan with variable pitch blades,or ��Not Observabie;
;have cantrols to limit fan motor �pNot Applicable ;
I demand.
C403.2.6 ;Exhaust air energy recovery on ;�Compiies ;
[ME57]1 I systems meeting Table C403.2.6 �Opoes Not ;
� , �
� 'QNot 4bservable;
� ;❑Not Applicable ;
C403.2.II;Unenciosed spaces that are heated ',�Complies ;
jME7132 �use on(y radiant heat. ;�Does Not ;
� , �
i ;pNot Observable;
€ ;C�Not ApplicabEe ;
Additional CommentslAssumptions:
�
� High lmpact{Tier 1) 2 Medium impact(Tier 2) 3 Low impact{Tier 3}
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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r
S,ection � -
# , Finallnspection Complies? Comments/Assumptions
&Req.ID • �
C403.2.4. ;Heating and cooling to each zone is 1❑Complies ;
1 icontrolled by a thermostat control. �❑Does Not �
[FI47]3 j � �
� ;❑Not Observable;
; ;ONot Applicable ;
C403.2.4. ;Heating and cooling to each zone is ;❑Complies ;
1 I controlled by a thermostat control. �❑Does Not ;
[FI47]3 !
� ;❑Not Observable;
; ;❑Not Applicable ;
C403.2.4. ;Heating and cooling to each zone is ;❑Complies ;
1 �controlled by a thermostat control. �❑Does Not �
[FI47]3 � I I
I ;pNot Observable;
� ; ;❑Not Applicabie ;
C403.2.4. ;Minimum one humidity control device ;�Complies ;
3.4 �per installed ;�Does Not ;
[FI51]3 �humidification/dehumidification � �
;system.Controls prevent I❑Not Observable�
�simultaneous operation of � ;❑NotApplicable ;
�humidification and dehumidification ; �
;equipment. ; ;
C403.2.4. ;Minimum one humidity control device ;❑Complies ;
3.4 �per installed ;❑Does Not ;
[FI51]3 f humidification/dehumidification j�Not Observable;
,system.Controls prevent
�simultaneous operation of ;�Not Applicable ;
;humidification and dehumidification ; �
;equipment. � �
C403.2.4. ;Minimum one humidity control device ;�Complies ;
3.4 �per installed ��Does Not �
[FI51]3 ;humidification/dehumidification � 1
;system.Controls prevent ��Not Observable;
�simultaneous operation of ;�NotAppiicable ;
;humidification and dehumidification � �
;equipment. � �
C403.2.4. ;Thermostatic controls have a 5 °F ;�Complies ;
2 �deadband. ��Does Not �
[FI38]3 ` ' I
; ;❑Not Observable;
� ;�Not Applicable �
C403.2.4. ;Temperature controls have setpoint ;❑Compiies ;
2 �overlap restrictions. ��Does Not �
[FI2013 � � '
� ;❑Not Observable;
� ;❑Not Applicable ;
C403.2.4. �Each zone equipped with setback ;❑Complies ;
3 `controls using automatic time clock or �ODoes Not �
[FI39]3 ;programmable control system. � �
� ;❑Not Observable;
; ;❑Not Applicable ;
C403.2.4. `Automatic Controls: Setback to 55°F ;❑Complies ;
3 i(heat)and 85°F (cool); 7-day clock,2- �❑Does Not �
[FI40]3 ;hour occupant override, 10-hour � �
;backup I❑Not Observable;
; ;❑Not Applicable ;
C403.2.4. ,Systems include optimum start ;�Complies ;
3.3 Icontrols. ;❑Does Not ;
[FI41]3 �
_ � ;pNot Observable;
� �ONot Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-lZ0-F85L-2170095 Report date: 03/03/17
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Section ••
# Final Inspection Complies? Comments/Assumptions
& Req.ID
C403.2.4. ,Systems include optimum start ;�Complies ;
3.3 �controls. ;❑Does Not �
[FI41]3 j '
� ��Not Observable;
; ;�Not Applicable �
C403.2.4. ;Systems include optimum start ;�Complies ;
3.3 �controls. ;ODoes Not ;
[FI41]3 �
� ;❑Not Observable;
' ;❑Not Applicable ;
C408.2.5. ;Furnished HVAC as-built drawings ;❑Complies ;
1 Isubmitted within 90 days of system �❑Does Not �
[FI7]3 �acceptance. � �
I�Not Observable;
; ;❑Not Applicable ;
C303.3, ;Furnished O&M manuals for HVAC ;OComplies ;
C408.2.5. �systems within 90 days of system j�Does Not i
3 �acceptance. � �
[FI8]3 i ;❑Not Observable;
; ;�Not Applicable ;
� ' �
C408.2.5. ;An air and/or hydronic system ;�Complies ;
3 I balancing report is provided for HVAC ��Does Not ;
[FI43]1 ;systems. � �
� ;pNot Observable;
; ;❑Not Applicable ;
C408.2.3. ;HVAC control systems have been ;❑Complies ;
2 Itested to ensure proper operation, �❑Does Not �
[FI10]1 ;calibration and adjustment of controls.� �
� ;❑Not Observable;
; ;❑Not Applicable �
C404.8.2 ;Public lavatory facilities equipped with ;❑Complies ;
[FI53]3 �outlet devices which limit the flow of �ODoes Not j
;hot water to a maximum of 0.5 gpm or;�Not Observable;
;are equipped with self-closing valves ; ,
' �❑Not Applicable �
i that limit delivery to a per cycle � �
;maximum of 0.25 gallons of hot water � �
;for recirculating systems and to a ; ;
I maximum of 0.50 gallons for non- � �
;recirculating systems. ; �
C404.8.2 ;Public lavatory water temperature ;❑Complies ;
[FI11]3 �<=110°F. ;ODoes Not ;
� � �
i ;�Not Observable;
i ;❑Not Applicable ;
C404.8.1 ;Showers used for non-safety reasons ;❑Complies ;
[FI52]3 �equipped with flow control devices to ��Does Not ;
Ilimit the water discharge to a � �
maximum of 2.5 gpm per shower �❑Not Observable�
�head. Flow restricting inserts used as ��Not Applicable ;
�a component part of a showerhead ; ;
;are mechanically retained at the point ; ;
i of manufacture I �
C408.2.2 ;An air and/or hydronic system ;❑Complies ;
[FI54]3 i balancing report is provided for HVAC �❑Does Not ;
�systems serving zones >5,000 ft2 of � �
;conditioned area. Refer to section for ;�Not Observable�
'fulldetails. ;❑NotApplicable ;
C404.5 ;All piping in circulating system ;❑Complies ;
[FI25]z �insulated ;❑Does Not �
i � �
; ;❑Not Observable;
j ;❑Not Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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S�ection
# Finallnspection Complies? � Comments/Assumptions
&Req.ID
C404.6 ;Controls are installed that limit the ;❑Complies ;
[FI12]3 �operation of a recirculation pump �❑Does Not ;
j installed to maintain temperature of a ; ;
;storage tank. �❑Not Observable,
; ;❑Not Applicable ;
C403.2.1 ;HVAC systems and equipment design I❑Complies j
[FI50]3 �loads calculated in accordance with �❑Does Not ;
j ANSI/ASHRAE/ACCA Standard 183 or I�Not Observable;
;183 or ACCA Manual N and shall be ; ,
I attached to the code compliance form �ONot Applicabie ;
;submitted to the building department ; ;
;when the building is permitted or, in ; ;
tthe event the mechanical permit is I �
;obtained at a later time,the sizing ; ;
;calculation shall be submitted with the; ;
�application for the mechanical permit. � �
C403.2.2 'HVAC systems and equipment ;❑Complies ;
[FI27]3 4capacity does not exceed calculated �❑Does Not ;
;loads. � �
, ;❑Not Observable;
; ;❑Not Applicable ;
C408.2.1 ;Commissioning plan developed by ;�Complies ;
[FI28]1 �registered design professional or �❑Does Not ;
�approved agency. � �
; ;❑Not Observable;
; ;�Not Applicable ;
C408.2.4 ;Preliminary commissioning report ;�Complies ;
[FI29]1 I completed and certified by registered �❑Does Not ;
;design professional or approved ; ;
;agency. �❑Not Observable�
; ;❑Not Applicable ;
C408.2.5. ;Final commissioning report due to ;❑Complies ;
4 �building owner within 90 days of �❑Does Not �
(FI30]1 ;receipt of certificate of occupancy. ; ;
, ,❑Not Observable,
; ;❑Not Applicable ;
C408.2.3. ;HVAC equipment has been tested to ;❑Complies ;
1 I ensure proper operation. ;❑Does Not ;
[FI31]i ; � �
, ,❑Not Observable,
j ;❑Not Applicable ; -
C408.2.3. ;Economizers have been tested to ;�Complies ;
3 �ensure proper operation. ;❑Does Not ;
[FI321� � ;❑Not Observable;
; j❑Not Applicable ;
C406 ;Efficient HVAC pertormance,efficient ;OComplies ;
[FI34]1 I lighting system, or on-site supply of �❑Does Not ;
�renewable energy consistent with � �
;what is shown the approved plans. �❑Not Observable�
; ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) ',
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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L
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 12 of 12
a
� � COMcheck Software Version 4.0.5.1
Interior Lighting Compliance Certificate
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Project Type: New Construction
Construction Site: Owner/Agent: DesignedContractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Additional Efficiency Package
Reduced interior lighting power Requirements are implicitly enforced within interior lighting allowance calculations.
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-Retail 5636 1.30 7327
Total Allowed Watts= 7327
Proposed Interior Lighting Power
q B C D E
Fixture ID: Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
1-Re ail
AL1/AL1 E.AL1/AL1 E:Wet Loc.Sfc.Mnt.Linear LED•LED Linear 15W: 1 5 15 75
DL1/DL1 E:DL1/DL1 E.Recessed 6"LED Downlight:LED Other Fixture Unit 28W: 1 20 30 600
DL3/DL3E:DL3/DL3E.Recessed 4"LED Downlight:LED Other Fixture Unit 28W: 1 9 30 270
GL1/GL1 E:GL1/GL1 E:Recessed 2x2 LED:LED Other Fixture Unit 36W: 1 49 37 1813
GL3/GL3E:GL3/GL3E:Recessed 2x4 LED•LED Other Fixture Unit 40W: 1 13 40 520
GF5/GF5E.GF5/GF5E:Recessed 2x6 LED•LED Other FiMure Unit 46W: 1 1 44 44
LL1 LL1:4'Rec.linear LED wallwasher•LED Other Fixture Unit 36W: 1 7 38 266
P1:P1.Pendant with(1)LED:LED PAR 15W 1 3 14 43
P2:P2:Pendant with(3)compact fluor..Twin Tube 18W�Electronic: 3 4 80 320
P3:P3:48"Pendant with(3)CFL bulbs:Twin Tube 24/26/27W:Electronic: 3 1 80 80
SH/SHE.SH/SHE:4'Vaportight linear LED:LED Linear 33W 1 8 49 392
SL1•SL1:4'LED Wall Grazer•LED Other Fixture Unit 6.5W: 4 6 34 204
Total Proposed Watts= 4627
• e o �' s s- - • e '
Interior Lighting Compliance Statement
Compliance Statement: The proposed interior lighting design represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application.The proposed interior lighting systems have been
designed to meet the 2014 Florida Building Code, Energy Conservation requirements in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Inspection Checklist.
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 1 of 10
Jaison P. Moras, P.E. 03/03/2017
Name-Title Signature ,`�������1����� Date
,���� QF�A�EEp ���i�
�.`�p�•'�G E 1V S' �O�'�.
: ��•���' F�� ' :
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*; ;yt
=-0: .
��' ATE OF '•�C/: �
%�TS;�� � R,�P,����:
�,��S;�N A;�����`
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 2 of 10
, '� �
� � COMcheck Software Version 4.0.5.1
Exterior Lighting Compliance Certificate
Project Information �
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Project Type: New Construction
Exterior Lighting zone 4(High activity metropolitan commercial district)
Construction Site: Owner/Agent: DesignedContractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Allowed Exterior Lighting Power
A B C D E
Area/Surtace Category Quantity Allowed Tradable Allowed Watts
Watts/Unit Wattage (B X C)
Overhangs at entry doors and seating area(Entry canopy) 955 ft2 0.4 Yes 382
Exterior wall lighting(Illuminated area of facade wall or surface) 2085 ft2 0.2 No 417
Total Tradable Watts(a)= 382
Total Allowed Watts= 799
Total Allowed Supplemental Watts(b)= 1300
(a)Wattage tradeoffs are only allowed between tradable areas/surfaces.
(b)A supplemental allowance equal to 1300 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces.
Proposed Exterior Lighting Power
A B C D E
Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Overhangs at entry doors and seating area(Entry cano�y 955 ft2) Tradable Wattage
DL2/DL2E:DL2/DL2E:Recessed 4.5"LED Downlight:LED PAR 20W 1 2 20 40
DL7/DL7E.DL7/DL7E:Wet Loc.Rec.6"LED Downlight:LED Other Fixture Unit 28W: 1 25 30 750
Exterior wall lighting (Illuminated area of facade wall or surtace 2085 ft2)� Non-tradable Watta�e
EL1.EL1:Wet Loc.LED string 1.5 w/ft:LED Other Fixture Unit 95W: 1 100 2 150
EL2:EL2:Wet Loc.LED Strip:LED Other Fixture Unit 6.5W: 1 6 8 45
EL3:EL3:Wet Loc.LED Strip:LED Other Fixture Unit 6.5W: 1 21 8 158
WC1.WC1 Decorative LED Wall Sconce:LED Other Fixture Unit 13W: 1 2 13 26
Z1 Z1:Wall Mtd.Ext.Area LED•Other: 1 6 35 210
Total Tradable Proposed Watts= 790
- . � . �- . e - . . -
Exterior Lighting Compliance Statement
Compliance Statement: The proposed exterior lighting design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application.The proposed exterior lighting systems have been
designed to meet the 2014 Florida Building Code, Energy Conservation requirements in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Inspection Checklist.
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:�2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 3 of 10
Jaison P. Moras, P.E. 03/03/2017
Name-Title Signature ,`����1�1�1���� Date
��`�` P�A�EE�° ��'�.
• � ,. • �! �i
�.` p • �G�En1S• , p •
: ������' F� .
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Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 4 of 10
� � COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy Code: 2014 Florida Building Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
& Re .ID
C405.7 i Plans,specifications, and/or ;❑Complies ;
[PR17]1 I calculations provide all information �ODoes Not ;
�with which compliance can be � �
;determined for the electrical systems ;�Not Observable�
�and equipment and document where I�Not Applicable ;
;exceptions are claimed. Provisions are ; ;
;made for metering individual tenant ; ;
i units. Feeder connectors sized in � �
jaccordance with approved plans with � �
� �
;maximum drop of 2%and branch ; ;
�circuits sized for maximum drop of � 1
�3%. ; �
�
C103.2 ;Plans,specifications, and/or ;�Complies ;
[PR4]1 I calculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the interior lighting 1❑Not Observable�
�and electrical systems and equipment ��Not Applicable i
;and document where exceptions to ; ;
;the standard are claimed. Information ; ;
�provided should include interior � �
�lighting power calculations,wattage of; ;
;bulbs and ballasts,transformers and I ;
i contral devices. � I
C103.2 ;Plans,specifications,and/or ;❑Complies ;
[PR8]1 Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the exterior lighting �❑Not Observable�
�and electrical systems and equipment 1�Not Applicable �
;and document where exceptions to ; ;
;the standard are claimed. Information ; ;
I provided should include exterior � 1
�lighting power calculations,wattage of; ;
;bulbs and ballasts,transformers and ;
�control devices. � �
C406 ;Plans,specifications, and/or ;❑Complies ;
[PR9]1 Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the additional energy ;ONot Observable�
� i efficiency package options. ;�Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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�
Section ' ,
# Footing/Foundation Inspection Complies? Comments/Assumptions
& Req.ID
C402.2.8 ,Bottom surtace of floor structures ;❑Complies ;See the Envelope Assem6lies table for values.
[F012]3 �incorporating radiant heating ;❑Does Not �
j insulated to >=R-3.5. � �
, ;❑Not Observable i
; ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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5ection� - .
# Rough-In Electrical Inspection Complies? , Comments/Assumptions
& Req.ID - �
C405.2.2. ,Automatic controls to shut off all ;❑Complies ;
1 �building lighting installed in all ;❑Does Not ;
[EL22]z �buildings. ;�Not Observable;
� ;�Not Applicable ;
C405.2.1. ;Independent lighting controls installed ',�Complies ;
1 �per approved lighting plans and all �❑Does Not ;
[EL23]2 �manual controls readily accessible and� �
ivisibie to occupants. I❑Not Observable�
, ;❑Not Applicable ;
C405.2.1. ;Lighting controls installed to uniformly;OComplies ;
2 �reduce the lighting load by at least �❑Does Not �
[EL15]1 ;50%. � �
, ;pNot Observable;
; ;❑Not Applicabie ;
C405.2.2. ;Daylight zones provided with ;❑Complies ;
3 �individual controls that control the �❑Does Not ;
[EL16]z �lights independent of general area 1�Not Observable;
�lighting. �❑Not Applicable ;
C405.23 �Sleeping units have at least one ;❑Complies ;
[EL17]3 !master switch at the main entry door ��Does Not ;
;that controls wired luminaires and ��Not Observable;
iswitchedreceptacles. I❑NotApplicable ;
C405.2.2. ;Occupancy sensors installed in ;❑Complies ;
2 �required spaces. ;�Does Not ;
1 ; , ,
[EL18] � ;pNot Observable;
; ;❑Not Applicable ;
C405.2.2. ;Primary sidelighted areas are ;❑Complies ;
3 I equipped with required lighting �❑Does Not �
[EL20]1 icontrols. ;❑NotObservable;
; ;❑Not Applicable ;
C405.2.2. ;Enclosed spaces with daylight area ;❑Complies ;
3 1 under skylights and rooftop monitors �❑Does Not ;
[EL21]1 ;are equipped with required lighting ; ;
;controls. �ONot Observable�
; ;❑Not Applicable ;
C405.2.4 ;Automatic lighting controls for exterior;❑Complies ;
[EL25]z �lighting installed. ;❑Does Not ;
; ;❑Not Observable;
j ;❑Not Applicable ;
C405.2.3 ;Separate lighting control devices for ;❑Complies ;
[EL4]1 �specific uses installed per approved �❑Does Not ;
i lighting plans. ;�Not Observable;
; ;❑Not Applicable ;
C405.3 ;Fluorescent luminaires with odd ;❑Complies ;
[EL19]3 �numbered lamp configurations that �❑Does Not ;
!are within 10 feet center to center(if ; ;
(recess mounted)or are within 1 foot ;❑Not Observable�
�edge to edge(if pendant or surFace ;�Not Applicable ;
;mounted)shall be tandem wired. ; ;
C405 4 ;Exit signs do not exceed 5 watts per ;❑Complies ;
[EL6]l �face. �❑Does Not ;
; ;❑Not Observable;
; ;❑Not Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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I
Section ' ' ,
# Rough-In Electrical Inspection Complies? Comments/Assumptions
& Req.ID . ' �
C405.6 ;Exterior grounds lighting over 100 W ;❑Complies ;
[EL24]i �provides>60 Im/W unless on motion ��Does Not ;
;sensor or fixture is exempt from scope; ;
;of code or from external LPD. �❑Not Observable�
; ;❑Not Applicable ;
C405.2.3 ;Additional interior lighting power ;❑Complies ;
[EL8]1 �allowed for special functions per the �❑Does Not ;
;approved lighting plans and is ; ;
;automatically controlled and �❑Not Observable,
�separated from general lighting ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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f
�ection`
# � Finallnspection Complies? Comments/Assumptions
&Req.ID -
C408.2.5. ;Furnished as-built drawings for ;❑Complies ;
1 �electric power systems within 30 days �ODoes Not ;
[FI16]3 ;of system acceptance. � �
� ;❑Not Observable;
; ;❑Not Applicable ;
C303.3, ;Furnished O&M instructions for ;❑Complies ;
C408.2.5. I systems and equipment to the �❑Does Not ;
2 �building owner or designated
[FI17]3 �representative. �❑Not Observable;
, ;❑Not Applicable ;
� � �
� � �
C405.5.2 ;Interior installed lamp and fixture ;❑Complies ;See the InteriorLighting fixture schedule for values.
[FI18]� I lighting power is consistent with what ��Does Not ;
�is shown on the approved lighting I�Not Obsenrable;
�plans, demonstrating proposed watts ;�Not A licable ;
�are less than or equal to allowed � PP�
i watts. � �
C405.6.2 ;Exterior lighting power is consistent ;❑Complies ;See the InteriorLighting Fxture schedule for values.
[FI19]1 �with what is shown on the approved �❑Does fVot ;
�lighting plans, demonstrating ;�Not Observable;
;proposed watts are less than or equal , ,
Ito allowed watts. ;�Not Applicable ;
C408.3 ;Lighting systems have been tested to ;�Complies ;
[FI33]1 I ensure proper calibration, adjustment, �❑Does Not ;
�programming,and operation. � �
� ;❑Not Observable;
; ;�Not Applicable ;
C408.3 ;Lighting systems have been tested to ;❑Complies ;
[FI48]1 �ensure proper calibration,adjustment, �❑Does Not ;
;programming, and operation. ; ;
, ,❑Not Observable,
; ;❑Not Applicable ;
C406 ;Efficient HVAC performance,efficient ;❑Complies ;
[FI34]� I lighting system, or on-site supply of �❑Does Not �
�renewable energy consistent with ; ;
�what is shown the approved plans. �❑Not Observable�
; ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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.
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:�2017\2170095�HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 10 of 10
� COMcheck Software Version 4.0.5.1
Envelope Compliance Certificate
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Location: Zephyrhills, Florida
Climate Zone: 2a
Project Type: New Construction
Vertical Glazing/Wall Area: 24%
� Construction Site: Owner/Agent: Designer/Contractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvid. En ineers Planners E
g ngineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Building Area Fioor Area
I 1-Retail . Nonresidential 5636
' Additional Efficiency Package
Reduced interior lighting power.Requirements are implicitly enforced within interior lighting allowance calculations.
Envelope Assemblies
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Value U-Factor Factoria�
Perimeter
Roof 1 Insulation Entirely Above Deck:High Albedo Roof Required,3- 5387 — 40.0 0.025 0.048
Year-Aged Solar Reflectance=0.68,Thermal Emittance=0.83(d),
[Bldg.Use 1 -Retail]
Exterior Wall Front-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1- 958 30.0 0.0 0.079 0.077
Retail]
Storefront windows-no canopy Metal Frame with Thermal Break:Fixed, 424 — — 0.270 0.500
Perf.Specs.:Product ID N/A,SHGC 0.40,[Bldg.Use 1 -Retail](b)
Storefront spandrel-no canopy:Metal Frame with Thermal Break:Fixed, 26 — — 0.270 0.500
Perf.Specs.:Product ID N/A,SHGC 0.00,[Bldg.Use 1 -Retail](b)
Storefront windows-canopy Metal Frame with Thermal Break:Fixed, 1 g2 — — 0.270 0.500
Perf.Specs. Product ID N/A,SHGC 0.40,PF 1 17,[Bldg.Use 1 -
Retail](b)
Storefront Entry Door:Glass(>50%glazing):Metal Frame,Entrance 45 — — 0.270 0.830
Door,PerF.Specs.:Product ID N/A,SHGC 0.40,[Bldg.Use 1 -
Retail](b)
Exterior Wall Front-Lap siding:Steel-Framed, 16"o.c.,[Bldg.Use 1 - 379 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Front-Stucco:Steel-Framed,16"o.c.,[Bldg.Use 1 - 127 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Right-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1 - 284 30.0 0.0 0.079 0.077
Retail]
Exterior door:Insulated Metal,Swinging,[Bldg.Use 1 -Retail] 22 — — 0.550 0.610
Exterior door:Insulated Metal,Swinging,[Bldg.Use 1 -Retail] 29 — — 0.550 0.610
Exterior Wall Right-Lap siding:Steel-Framed,16"o.c.,[Bldg.Use 1 - 114 30.0 0.0 0.079 0.077
Retail�
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017�2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 1 of 10
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Value U-Factor Factor�a�
Perimeter
Exterior Wall Right-Stucco:Steel-Framed, 16"o.c.,[Bldg.Use 1 - 833 30.0 0.0 0.079 0.077
I Retail]
Storefront windows-right side:Metal Frame with Thermal Break:Fixed, 21 — — 0.270 0.500
Perf.Specs. Product ID N/A,SHGC 0.40,PF 0.36,[Bldg.Use 1 -
Retail](b)
Exterior Wall Rear-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1-Retail] 267 30.0 0.0 0.079 0.077
, Exterior door•Insulated Metal,Swinging,[Bldg.Use 1 -Retail] 45 — — 0.550 0.610
Exterior Wall Rear-Lap Sising:Steel-Framed,16"o.c.,[Bldg.Use 1 - 262 30.0 0.0 0.079 0.077
Retail]
, Exterior Wall Rear-Stucco:Steel-Framed,16"o.c.,[Bldg.Use 1 - 860 30.0 0.0 0.079 0.077
' Retail]
Exterior Wall Left-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1 -Retail] 560 30.0 0.0 0.079 0.077
Storefront windows-short canopy:Metal Frame with Thermal 199 -- — 0.270 0.500
Break:Fixed,Perf.Specs..Product ID N/A,SHGC 0.40,PF 1.17,[Bldg.
Use 1 -Retail](b)
Storefront windows-long canopy:Metal Frame with Thermal 96 -- — 0.270 0.500
Break:Fixed,Perf.Specs.:Product ID N/A,SHGC 0.40,PF 3.87,[Bldg.
Use 1 -Retail](b)
Storefront spandrel-canopy�Metal Frame with Thermal Break:Fixed, 40 — — 0.270 0.500
Perf.Specs.:Product ID N/A,SHGC 0.00,PF 1.17,[Bldg.Use 1 -
Retail](b)
Storefront Entry Door:Glass(>50%glazing):Metal Frame,Entrance 45 — -- 0.270 0.830
Door,Perf.Specs. Product ID N/A,SHGC 0.40,[Bldg.Use 1 -
Retail](b)
Exterior Wall Angled fronUleft-Stone:Steel-Framed,16"o.c.,[Bldg. 63 30.0 0.0 0.079 0.077
Use 1 -Retail]
Storefront windows-canopy:Metal Frame with Thermal Break:Fixed, 46 — — 0.270 0.500
Perf.Specs. Product ID N/A,SHGC 0.40,PF 1.65,[Bldg.Use 1 -
Retail](b)
Floor 1.Slab-On-Grade:Unheated,[Bldg.Use 1 -Retail](c) 303 — -- 0.730 0.730
(a) Budget U-factors are used for software baseline calculations ONLY,and are not code requirements.
(b)Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation.
(c)Slab-On-Grade proposed and budget U-factors shown in table are F-factors.
(d)High albedo roof requirement options:1)3-year aged solar reflectance>=0.55 thermal emittance>=0 75,2)3-year aged solar reflectance
index>=64.0,3)Initial year aged solar reflectance>=0.70 thermal emittance>=0.75,4)Initial year aged solar reflectance index>=82.0.
s e - �- o e� � a -
Envelope Compiiance Statement
Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit ap ication.T e proposed envelope systems have been
designed to meet the 2014 Florida Building Code, Energy Conse t' n r ire ents in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Insp tio Ch cklist.
Rick Zane Smith, R.A. 03/03/2017
Name-Title Sign ure Date
�P��oF FC���O
y���GK�NE SM/Ty�,9
. —* — •
�'• AR0010527 �V
��• �
C,sj`�:••.... •'G��� I
RED AR
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017�2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 2 of 10
' COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy Code: 2014 Florida Building Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
& Req.ID
C103.2 ;Plans and/or specifications provide all ;OComplies ;
[PRl]� �information with which compliance �❑Does Not ;
�can be determined for the building ��Not Observable;
�envelope and document where I❑Not A licable ;
�exceptions to the standard are � PP�
� � �
�claimed. � �
�
C405.7 ;Plans,specifications,and/or ;�Complies ;
[PR17]1 I calculations provide all information �ODoes Not ;
;with which compliance can be ��Not Observable;
;determined for the electrical systems ; ,
I and equipment and document where 1�Not Applicable ;
�
;exceptions are claimed. Provisions are; �
;made for metering individual tenant ; ;
�units. Feeder connectors sized in ; ;
; � �
,accordance with approved plans with ; �
;maximum drop of 2%and branch ; ;
icircuits sized for maximum drop of ' '
, � �
�
;3%. � I
� ,
C406 ;Plans,specifications, and/or ;❑Complies ;
[PR9]� �calculations provide all information ��Does Not ;
�with which compliance can be � �
;determined for the additional energy ;❑Not Observable�
�efficiency package options. ;❑Not Applicable ;
C4023.1 ;The vertical fenestration area <= 30 ;❑Complies j
[PR10]1 I percent of the gross above-grade wall ��Does Not ;
;area. � �
� ;pNot Observable;
; ;❑Not Applicable ;
C402.3.1 ;The skylight area <=3 percent of the ;❑Complies ;
[PR11]1 �gross roof area. ;❑Does Not ;
I
i ;❑Not Observable;
� ;❑Not Applicable ;
C402.3.2 ;In enclosed spaces > 10,000 ft2 ;�Complies ;
[PR14]1 �directly under a roof with ceiling �❑Does Not� ;
�heights>15 ft. and used as an office, ��Not Observable;
�lobby, atrium, concourse, corridor, ;�Not A licable ;
�storage, gymnasium/exercise center, � PP�
;convention center,automotive � 1
� ,
;service, manufacturing, non- � �
� �
�refrigerated warehouse, retail store, I I
; � �
,distribution/sorting area, � �
� �
;transportation,or workshop,the ; ;
�following requirements apply: (a)the I ;
;daylight zone under skylights is>_ � I
;half the floor area; (b)the skylight ; ;
�area to daylight zone is >= 3 percent � ;
i with a skylight VT>= 0.40; or a � �
�minimum skylight effective aperture ; ;
I>= 1 percent. ; ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section ,
# Plan Review Complies? Comments/Assumptions
& Req.ID
C402.3.2 ;Skylights in office, storage, ;❑Complies ;
2 �automotive service, manufacturing, �❑Does Not j
[PR15]� ;non-refrigerated warehouse, retail ; ;
;store, and distribution/sorting area �❑Not Observable�
�have a measured haze value >90 ;�Not Applicable ;
;percent unless designed to exclude ; ;
;direct sunlight. ; ;
C402.4.9 ;Ceilings with vented dropped ceiling ;❑Complies ;
[PR16]1 Icavities over conditioned spaces have �❑Does Not ;
�a continuous air barrier between the � �
;conditioned space and the vented �❑Not Observable�
�unconditioned space and are sealed to��Not Applicable ;
;the air barrier of the walls. Unvented ; �
;dropped ceiling cavities over ; ;
Iconditioned spaces without air barrier � �
;between the conditioned and ; ;
;unconditioned space are sealed from ; ;
I the exterior environment and adjacent 1 I
;spaces by a continuous air barrier and � ;
� ;is sealed to the air barrier of the walls.; ;
I Unconditioned spaces above separate I I
' ;tenancies contain dividing partitions ; ;
;between the tenancies to form a ; ;
�continuous air barrier that is sealed at � I
;the ceiling and roof. Building cavities ; ;
;designed to be air distribution system ; ;
Icomponents are sealed according to I I
;the criteria for air ducts, plenums,etc. ; ;
;in Section C403.2.7. ; ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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�
�Section
# Footing/Foundation Inspection Complies?' Comments/Assumptions
& Req.ID
C402.2.6 ,SlabedgeinsulationR-value. ;❑COmplies ;SeetheEnvelopeAssembliestableforvalues.
[F03]z � ;❑Does Not ;
� ;❑Not Observable;
� ;❑Not Applicable ;
C303.2 ;Slab edge insulation instalied per 1❑Complies ;
[F04]2 �manufacturer's instructions. �ODoes Not ;
� ;❑Not Observable;
� ;❑Not Applicable �
C402.2.6 ;Slab edge insulation depth/length. ;❑Complies ;See the EnvelopeAssemblies tab/e for values.
[F05]z �Slab insulation extending away from �❑Does Not ;
�building is covered by pavement or � �
;>= 10 inches of soil. �❑Not Observable�
; ;❑Not Applicable ;
C408.2.8, ;Exterior insulation protected against ;❑Complies I
C404.5 I damage, sunlight, moisture,wind, �❑Does Not �
[F06]1 ;landscaping and equipment �❑Not Observable;
;maintenance activities. ; ,
; ;❑Not Applicable ;
C402.2.8 �Bottom surface of floor structures ;❑Complies ;See the Envelope Assemblies table for values.
[F012] �incorporating radiant heating �❑Does Not �
3
�insulated to>=R-3.5. � �
; ;ONot Observable;
; ;ONot Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section
# Framing/Rough-In Inspection Complies? Comments/Assumptions
& Req.ID '
C402 43, ;Factory-built fenestration and doors ;�Complies ;
C402.4.4 �are labeled as meeting air leakage ;❑Does Not ;
[FR18]3 i requirements. � �
I ;�Not Observable;
; ;ONot Applicable ;
C4023.3, ;VerticalfenestrationU-Factor ;❑COmplies ;SeetheEnvelopeAssembliestableforvalues.
C402.3.4 I ;❑Does Not ;
[FR8]i ;
� ;❑Not Observable;
; ;❑Not Applicable ;
C402.3.3 ;VertiCal fenestration SHGC value. ;�Complies ;See the Enve/ope Assemblies table for values.
[FR10]1 � ��Does Not ;
�
� ;
I ;❑Not Observable;
; ;�Not Applicable ;
C303.1.3 ;Fenestration products rated in ;❑Complies ;
[FR12]z �accordance with NFRC. �❑Does Not ;
� �
I ;❑Not Observable;
; ;❑Not Applicable ;
C303.1.3 ;Fenestration products are certified as ;❑Complies ;
[FR13]1 �to performance labels or certificates �❑Does Not ;
�provided. � �
� ;❑Not Observable;
; ;❑Not Applicable ;
C402.2.7 i U-factor of opaque doors associated ;�Complies ;See the Envelope Assemb/ies table for values.
[FR14]z �with the building thermal envelope �❑Does Not ;
�meets requirements. ,❑Not Observable;
� �❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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1
.
-Section -
# Mechanical Rough-In Inspection . Complies? . Comments/Assumptions
&1teq.lD
C4p2.4.5. ,Stair and elevator shaft vents have ;I�Complies ;
1 i motorized dampers that automatically�C�Does Not �
[ME3]3 �close. ! ;
i ;pNot Observable;
{ ;❑Not Applicable ;
Additionai Comments/Assumptions:
I
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 �ow tmpact(TEer 3}
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03l17
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L
Section .
# Insulation Inspection Complies? Comments/Assumptions
& Req.ID
C402.4.1. ;All sources of air leakage in the ;❑Complies ;
1 �building thermal envelope are sealed, �❑Does Not ;
[IN1]1 ;caulked,gasketed,weather stripped ; ;
;or wrapped with moisture vapor- �❑Not Observable�
I permeable wrapping material to ;❑Not Applicable �
;minimize air leakage. ; ;
C402.4.2. ;Roof R-value. For some Ceiling ;❑Complies ;See the EnvelopeAssemblies table forvalues.
1 �systems,verification may need to �❑Does Not ;
[IN2]1 ;occur during Framing Inspection. � ;
, ,❑Not Observable,
; ;❑Not Applicable ;
C303.2, ;Roof insulation installed per ;❑Complies ;
C407.2.1 �manufacturer's instructions. Blown or I❑Does Not ;
[IN3]1 ;poured loose-fill insulation is installed � �
;only where the roof siope is <=3 in �❑Not Observable�
I 12. Roof/ceiling insulated to an R- ;❑Not Applicable ;
;value of at least R-10. Multiple-family ; ;
;residential roofs/ceilings insulated to ; ;
�an R-value of at least R-19.Where � I
;cavities beneath a roof deck are ; ;
;ventilated,the ceiling is considered ; ;
�the envelope component. � �
C402.2.1. ;High-albedo roofs satisfy one of the ;❑Complies ;
1 Ifollowing: 3-year-aged solar ;❑Does Not ;
[IN5]3 ;reflectance>= 0.55 and thermal ; �
{emittance>= 0.75, 3-year-aged solar ;�Not Observable�
I reflectance index>= 64.0, initial year I�Not Applicable ;
;solar reflectance>=0.70 and thermal ; ;
;emittance>= 0.75,or initial year ; ;
solar reflectance index>=82.0. � I
C303.2 ;Above-grade wall insulation installed ',❑Complies ;
[IN7]1 �per manufacturer's instructions. j❑Does Not ;
; ;❑Not Observable;
; ;❑Not Applicable ;
C402.2.5 I Floor insulation R-value. ;❑Complies ;See the EnvelopeAssemblies table forvalues.
[IN8]z � ;�Does Not �
1 �
i ;❑Not Observable;
� �❑Not Applicable ;
C303.1 ;Building envelope insulation is labeled ;❑Complies
[IN10]z Iwith R-value or insulation certificate �❑Does Not �
�providing R-value and other relevant � �
�data. I❑Not Observable I
; ;❑Not Applicable ;
C303.2.1 ;Exterior insulation is protected from ;❑Complies ;
[IN14]z �damage with a protective material. �❑Does Not ;
�Verification for exposed foundation ; ;
❑Not Observable,
;insulation may need to occur during ; ,
�Foundation Inspection. ;❑Not Applicable ;
C402.2.1 ;Insulation intended to meet the roof ;�Complies ;
[IN17]3 I insulation requirements cannot be �❑Does Not �
;installed on top of a suspended � �
;ceiling. Mark this requirement �❑Not Observable;
I compliant if insulation is installed ',❑Not Applicable ;
;accordingly. � �
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 8 of 10
•Section
# Final Inspectian Complies? Comments/Assumptions
&Req.ID
C402.4.6 ;Weatherseals installed on all loading ;[�Complies ;
[FI37]1 �dock cargo doors. �C1Daes Not �
� ,
, , . �
' 'CINot Observabfe;
� ,
;ONot Applicable ;
C402.4.8 ;Recessed luminaires in thermal ;OComplies ;
[FI26]3 �envelope to limit infiltration and be IC ��Does Not ;
E rated and labeled.Sea! between s ,
(�nterior finish and luminaire housing. ;��Ot�bservable�
� ;C7Not Applicable ;
C406 ;EfFicient HVAC performance,efficient ;�Comp(ies ;
[F134]I �lighting system,or on-site supply of ��poes Not ;
;renewable energy cansistent with � �
�what is shown the approved plans. ��Not Observable;
� ;�Not Applitabte �
Additional Comments/Assumptians:
1 High Impact{Tier I} 2 Medium Empact{Tier 2� 3 L.ow lmpact{�'�er 3}
� Project Title: Wawa-TZO-F85L-2170095 Report date: 43(03l17
t}ata fiEename: W:�20I7�2I700951HVAC Calcs\Energy Ca1cs�F85L-v2017.01-{FL}_�014 IECC.cck Page 9 of IO
�
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\z170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 10 of 10
� COMcheck Software Version 4.0.5.1
Interior Lighting Compliance Certificate
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Project Type: New Construction 'I
Construction Site: Owner/Agent: DesignedContractor: II
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
� 407-661-9100 407-661-9100
, Additional Efficienc Packa e
Y 9
Reduced interior lighting power Requirements are implicitly enforced within interior lighting allowance calculations.
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-Retail 5636 1.30 7327
Total Allowed Watts= 7327
Proposed Interior Lighting Power
A B C D E
Fixture ID: Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
1-Retail
AL1/AL1 E.AL1/AL1 E.Wet Loc.Sfc.Mnt.Linear LED•LED Linear 15W: 1 5 15 75
DL1/DL1E:DL1/DL1E.Recessed 6"LED Downlight:LED Other Fixture Unit 28W 1 20 30 600
DL3/DL3E:DL3/DL3E:Recessed 4"LED Downlight:LED Other Fixture Unit 28W 1 9 30 270
GL1/GL1E.GL1/GL1E.Recessed 2x2 LED•LED Other Fixture Unit 36W: 1 49 37 1813
GL3/GL3E:GL3/GL3E:Recessed 2x4 LED:LED Other Fixture Unit 40W: 1 13 40 520
GF5/GF5E.GF5/GFSE:Recessed 2x6 LED:LED Other Fixture Unit 46W: 1 1 44 44
LL1:LL1 4'Rec.Iinear LED wallwasher:LED Other Fixture Unit 36W: 1 7 38 266
P1 P1:Pendantwith(1)LED:LED PAR 15W� 1 3 14 43
P2:P2:Pendant with(3)compact fluor.:Twin Tube 18W Electronic: 3 4 80 320
P3:P3:48"Pendant with(3)CFL bulbs:Twin Tube 24/26/27W:Electronic: 3 1 80 80
SH/SHE:SH/SHE:4'Vaportight linear LED:LED Linear 33W: 1 8 49 392
SL1 SL1.4'LED Wall Grazer•LED Other Fixture Unit 6.5W: 4 6 34 204
Total Proposed Watts= 4627
. e o ! - . .- - .a -
Interior Lighting Compliance Statement
Compliance Statement: The proposed interior lighting design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application.The proposed interior lighting systems have been
designed to meet the 2014 Florida Building Code, Energy Conservation requirements in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Inspection Checklist.
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 1 of 10
Jaison P. Moras, P.E. 03/03/2017
Name-Title Signature ,``�����tD�������' Date
.�� PRA EF�° ��i
:���.����'�G�E�N`SF����:
���:' No 7691 :9N�
� *: ' :* =
='U: :��
:�' E O F '�C1: '
:0�. '<v: I
. �c p,,:��.
.��'�•, � � R 1 Q� ��``�
.,��5,0 N A,��J``��
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 2 of 10
� COMcheck Software Version 4.0.5.1
Exteri.or Lighting Compliance Certificate
�.
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
Project Type: New Construction
Exterior�ighting Zone 4(High activity metropolitan commercial district)
Construction Site: Owner/Agent: Designer/Contractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Allowed Exterior Lighting Power
A B C D E
Area/Surtace Category Quantity Allowed Tradable Allowed Watts
Watts/Unit Wattage (B X C)
Overhangs at entry doors and seating area(Entry canopy) 955 ft2 0.4 Yes 382
Exterior wall lighting(Illuminated area of facade wall or surface) 2085 ft2 0.2 No 417
Total Tradable Watts(a)= 382
Total Allowed Watts= 799
Total Allowed Supplemental Watts(b)= 1300
(a)Wattage tradeoffs are only allowed between tradable areas/surfaces.
(b)A supplemental allowance equal to 1300 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces.
Proposed Exterior Lighting Power
p B C D E
Fixture ID: Description/Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Overhangs at entry doors and seating area(Entry canopy 955 ft2):Tradable Wattage
DL2/DL2E:DL2/DL2E:Recessed 4.5"LED Downlight:LED PAR 20W� 1 2 20 40
DL7/DL7E:DL7/DL7E:Wet Loc.Rec.6"LED Downlight:LED Other Fixture Unit 28W: 1 25 30 750
Exterior wall lighting(Illuminated area of facade wall or surFace 2085 ft2) Non-tradable Wattac�e
EL1•EL1:Wet Loc.LED string 1.5 w/ft:LED Other Fixture Unit 95W: 1 100 2 150
EL2:EL2:Wet Loc.LED Strip:LED Other Fixture Unit 6.5W 1 6 8 45
EL3:EL3:Wet Loc.LED Strip:LED Other Fixture Unit 6.5W 1 21 8 158
WC1•WC1:Decorative LED Wall Sconce:LED Other Fixture Unit 13W: 1 2 13 26
Z1:Z1 Wall Mtd.Ext.Area LED:Other: 1 6 35 210
Total Tradable Proposed Watts= 790
s • a !- o � - a • -
Exterior Lighting Compliance Statement
Compliance Statement: The proposed exterior lighting design represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application.The proposed exterior lighting systems have been
designed to meet the 2014 Florida Building Code, Energy Conservation requirements in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the Inspection Checklist.
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017 O1-(FL)_2014 IECC.cck Page 3 of 10
Jaison P. Moras. P•E. 03/03/2017
Name-Title Signature �������� Date
�
����```P F�A D E�A'��i�i
:������'�G�E�N`S�`����i
� ��;' No 7691 . .N�
� *: :* =
='0: :��
O:. E O F :��C/:
��T� P:��`
.,��' .� pR �O, ��`..
� S � .�
'��,��N A�E��..
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W•�2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 4 of 10
� COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy=Code: 2014 Florida Building .Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions";column is provided by the user in the COMcheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review • Complies? Comments/Assumptions
&Req.ID ` �
C405.7 ;Plans,specifications,and/or ;OComplies ;
[PR17]1 1calculations provide all information �❑Does Not ;
�with which compliance can be � �
'❑Not Observable;
�determined for the electrical systems ��Not A licable ;
�and equipment and document where � PP�
j exceptions are claimed. Provisions are; �
;made for metering individual tenant ; ;
�units. Feeder connectors sized in � I
;accordance with approved plans with ; �
;maximum drop of 2%and branch ; ;
�circuits sized for maximum drop of ' '
� �
� , ,
;3%. � �
C103.2 ;Plans,specifications,and/or ;�Complies ;
[PR4]1 Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the interior lighting �❑Not Observable�
�and electrical systems and equipment ��Not Applicable �
;and document where exceptions to � �
;the standard are claimed. Information ; ;
I provided should include interior 1 ;
;lighting power calculations,wattage of; � '
;bulbs and ballasts,transformers and ; ;
�control devices. � ;
C103.2 ;Plans,specifications, and/or ;�Complies ;
[PR8]1 �calculations provide all information ��Does Not ;
�with which compliance can be ��Not Observable�
;determined for the exterior lighting , ;
�and electrical systems and equipment ��Not Applicable �
;and document where exceptions to � �
;the standard are claimed. Information ; ;
I provided should include exterior � �
;lighting power calculations,wattage of; �
;bulbs and ballasts,transformers and ; ;
�control devices. � ;
C406 ;Plans,specifications,and/or ;❑Complies ;
[PR9]1 I calculations provide all information �❑Does Not �
�with which compliance can be � �
;determined for the additional energy ;�Not Observable�
i efficiency package options. ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 5 of 10
Section �
# Footing/Foundation Inspection Complies? Comments/Assumptions
& Req.ID
C402.2.8 ;Bottom surtace of floor structures ;❑COmplies ;See the Envelope Assemblies table for values.
[F012]3 �incorporating radiant heating �❑Does Not ;
insulated to >=R-3.5.
;pNot Observable;
� ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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�ection � •
# Rough-In Electrical Inspection Complies? Comments/Assumptions
& Req.ID '
C405.2.2. ,Automatic controls to shut off all ;OComplies ;
1 �building lighting installed in all ;❑Does Not ;
[EL22]z buildings.
� ;❑Not Observable;
j ;❑Not Applicable ;
C405.2,1. ;Independent lighting controls installed ',❑Complies ;
1 �per approved lighting plans and all �ODoes Not ;
[EL23]z �manual controls readily accessible and��Not Observable;
�visible to occupants. �❑Not Applicable ;
C405.2.1. ;Lighting controls installed to uniformly;❑Complies ;
2 I reduce the lighting load by at least �❑Does Not �
[EL1511 ;50%. � �
� IpNot Observable;
� ;❑Not Applicable ;
C405.2.2. ;Daylight zones provided with ;❑Complies ;
3 I individual controls that control the �❑Does Not ;
[EL16]z ;lights independent of general area � �
;lighting. �❑Not Observable�
; ;❑Not Applicable ;
C405.2.3 ;Sleeping units have at least one ;�Complies ;
[EL17]3 �master switch at the main entry door 1�Does Not ;
�that controls wired luminaires and � �
;switched receptacles. I�Not Observable�
; ;❑Not Applicable ;
C405.2.2. ;Occupancy sensors installed in ;❑Complies ;
2 I required spaces. ;�Does Not ;
[EL18]1 � ;❑Not Observable;
; ;❑Not Applicable ;
C405.2.2. ;Primary sidelighted areas are ;❑Complies ;
3 �equipped with required lighting ��Does Not �
[EL20]1 �controls. � �
� ;❑Not Observable;
; ;❑Not Applicable ;
C405.2.2. ;Enclosed spaces with daylight area ;OComplies ;
3 I under skylights and rooftop monitors �❑Does Not ;
[EL21]� ;are equipped with required lighting
;controls. ;�Not Observable;
; ;❑Not Applicable ;
C405.2.4 ;Automatic lighting controls for exterior;�Complies ;
[EL25]z �lighting installed. ;❑Does Not ;
� ;❑Not Observable;
, ;ONot Applicable ;
C405.2.3 ;Separate lighting control devices for ;❑Complies ;
[EL4]� �specific uses installed per approved ��Does Not �
�lighting plans. � �
� ;❑Not Observable;
; ��Not Applicable ;
C405.3 ;Fluorescent luminaires with odd ;❑Complies ;
[EL19]3 `numbered lamp configurations that �❑Does Not ;
iare within 10 feet center to center(if � �
i ;recess mounted)or are within 1 foot ;�Not Observable�
�edge to edge(if pendant or surtace ��Not Applicable ;
;mounted)shall be tandem wired. ; �
C405.4 ;Exit signs do not exceed 5 watts per ;❑Complies ;
[EL6]i �face. ;�Does Not �
�
I ;❑Not Observable;
; ;❑Not Applicable ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Titie: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
&Req.ID �
C405.6 ;Exterior grounds lighting over 100 W ;❑Complies ;
[EL24]1 �provides>60 Im/W unless on motion �❑Does Not �
;sensor or fixture is exempt from scope; �
;of code or from external LPD. ��Not Observable�
; ;❑Not Applicable ;
C405.2.3 ;Additional interior lighting power ;❑Complies ;
[EL8]1 I allowed for special functions per the ��Does Not ;
�approved lighting plans and is � �
;automatically controlled and �❑Not Observable;
I separated from general lighting ;�Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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• 5ection'
# Final Inspection Complies? Comments/Assumptions
&Req.ID
C408.2.5. ;Furnished as-built drawings for ;❑Complies ;
1 �electric power systems within 30 days �❑Does Not ;
[FI16]3 ;of system acceptance. ;❑Not Observable;
j ;❑Not Applicable ;
C303.3, ;Furnished O&M instructions for ;�Complies ;
C408.2.5. isystems and equipment to the �❑Does Not ;
2 �building owner or designated ��Not Observable;
[FI17]3 ;representative. 1 �
� �❑Not Applicable ;
� �
�
C405.5.2 ;Interior installed lamp and fixture ;❑Complies ;See the lnteriorLighting fixture schedule for values.
[FI18]1 I lighting power is consistent with what �❑Does Not �
;is shown on the approved lighting 1pNot Observable;
;plans, demonstrating proposed watts ; ,
�are less than or equal to allowed �ONot Applicable �
�watts. � ;
C405.6.2 ;Exterior lighting power is consistent ;OComplies ;See the Interior Lighting fixture schedule for values.
(FI19]1 �with what is shown on the approved �ODoes Not ;
;lighting plans, demonstrating ; ;
;proposed watts are less than or equal ;�Not Observable�
Ito allowed watts. ;❑Not Applicable ;
C4083 ;Lighting systems have been tested to ;❑Complies ;
[FI33]1 �ensure proper calibration, adjustment, ��Does Not �
;programming, and operation. ; ;
, ,ONot Observable,
; ;❑Not Applicable ;
C408.3 ;Lighting systems have been tested to ;❑Complies ;
[FI48]1 lensure proper calibration, adjustment, �❑Does Not ;
;programming, and operation. � �
, ;❑Not Observable;
� ;❑Not Applicable ;
C406 ;Efficient HVAC performance,efficient ;❑Complies ;
[FI34]1 �lighting system, or on-site supply of �❑Does Not ;
;renewable energy consistent with ; ;
;what is shown the approved plans. ��Not Observable�
; ;�Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
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' � COMcheck Software Version 4.0.5.1
Envelope Compliance Certificate
Project Information
Energy Code: 2014 Florida Building Code, Energy Conservation
Project Title: Wawa-TZO-F85L-2170095
�ocation: Zephyrhills, Florida
Climate Zone: 2a
Project Type: New Construction
Vertical Glazing/Wall Area: 24%
Construction Site: Owner/Agent: DesigneNContractor:
U.S. HWY 301 Cuhaci Peterson Architects, Cuhaci&Peterson Architects
&Eiland Bvld. Engineers, Planners Engineers and Planners
Zephyrhills, FL 33542 1925 Prospect Ave. 1925 Prospect Ave.
Orlando, FL 32814 Orlando, FL 32814
407-661-9100 407-661-9100
Building Area Floor Area
1-Retail: Nonresidential 5636
Additional Efficiency Package
Reduced interior lighting power Requirements are implicitly enforced within interior lighting allowance calculations.
Envelope Assemblies
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Value U-Factor Factor�a�
Perimeter
Roof 1.Insulation Entirely Above Deck:High Albedo Roof Required,3- 5387 — 40.0 0.025 0.048
Year-Aged Solar Reflectance=0.68,Thermal Emittance=0.83(d),
[Bldg.Use 1-Retailj
Exterior Wall Front-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1 - 958 � 30.0 0.0 0.079 0.077
Retail]
Storefront windows-no canopy:Metal Frame with Thermal Break:Fixed, 424 — — 0.270 0.500
Perf.Specs.:Product ID N/A,SHGC 0.40,[Bldg.Use 1-Retail](b)
Storefront spandrel-no canopy Metal Frame with Thermal Break:Fixed, 26 — — 0.270 0.500
Pert.Specs.:Product ID N/A,SHGC 0.00,[Bldg.Use 1 -Retail](b)
Storefront windows-canopy:Metal Frame with Thermal Break:Fixed, 192 — — 0.270 0.500
Perf.Specs.•Product ID N/A,SHGC 0.40,PF 1.17,[Bldg.Use 1 -
Retail](b)
Storefront Entry.Door:Glass(>50%glazing):Metal Frame,Entrance 45 -- — 0.270 0.830
Door,Perf.Specs.:Product ID N/A,SHGC 0.40,[Bldg.Use 1 -
Retail](b)
Exterior Wall Front-Lap siding:Steel-Framed,16"o.c.,[Bldg.Use 1- 379 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Front-Stucco:Steel-Framed,16"o.c.,[Bldg.Use 1 - 127 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Right-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1- 284 30.0 0.0 0.079 0.077
Retail]
Exterior door•Insulated Metal,Swinging,[Bldg.Use 1-Retail] 22 — — 0.550 0.610
Exterior door:Insulated Metal,Swinging,[Bldg.Use 1 -Retail] 29 — — 0.550 0.610
Exterior Wall Right-Lap siding:Steel-Framed, 16"o.c.,[Bldg.Use 1 - 114 30.0 0.0 0.079 0.077
Retail]
� Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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� �
.i
Assembly Gross Area Cavity Cont. Proposed Budget'U-
or R-Value R-Value U-Factor Factor�a�
Perimeter
Exterior Wall Right-Stucco:Steel-Framed,16"o.c.,[Bldg.Use 1 - 833 30.0 0.0 0.079 0.077
Retail]
Storefront windows-right side:Metal Frame with Thermal Break:Fixed, 21 -- — 0.270 0.500
Perf.Specs. Product ID N/A,SHGC 0.40,PF 0.36,[Bldg.Use 1 -
Retail](b)
Exterior Wall Rear-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1 -Retail] 267 30.0 0.0 0.079 0.077
Exterior door� Insulated Metal,Swinging,[Bldg.Use 1 -Retail] 45 — — 0.550 0.610
Exterior Wall Rear-Lap Sising:Steel-Framed,16"o.c.,[Bldg.Use 1 - 262 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Rear-Stucco:Steel-Framed,16"o.c.,[Bldg.Use 1 - 860 30.0 0.0 0.079 0.077
Retail]
Exterior Wall Left-Stone:Steel-Framed,16"o.c.,[Bldg.Use 1 -Retail] 560 30.0 0.0 0.079 0.077
Storefront windows-short canopy:Metal Frame with Thertnal 199 — — 0.270 0.500
Break:Fixed,Perf.Specs.:Product ID N/A,SHGC 0.40,PF 1 17,[Bldg.
Use 1 -Retail](b)
Storefront windows-long canopy�Metal Frame with Thermal 96 — — 0.270 0.500
Break:Fixed,Perf.Specs. Product ID N/A,SHGC 0.40,PF 3.87,[Bldg.
Use 1 -Retail](b)
Storefront spandrel-canopy Metal Frame with Thermal Break:Fixed, 40 — — 0.270 0.500
Perf.Specs..Product ID N/A,SHGC 0.00,PF 1.17,[Bldg.Use 1 -
Retail](b)
Storefront Entry Door:Glass(>50°/a glazing):Metal Frame,Entrance 45 — — 0.270 0.830
Door,Perf.Specs. Product ID N/A,SHGC 0.40,[Bldg.Use 1 -
Retail](b)
Exterior Wall Angled fronUleft-Stone:Steel-Framed,16"o.c.,[Bldg. 63 30.0 0.0 0.079 0.077
Use 1 -Retail]
Storefront windows-canopy Metal Frame with Thermal Break:Fixed, 46 -- -- 0.270 0.500
Perf.Specs.•Product ID N/A,SHGC 0.40,PF 1.65,[Bldg.Use 1 -
Retail](b)
Floor 1 Slab-On-Grade:Unheated,[Bldg.Use 1 -Retail](c) 303 — — 0.730 0.730
(a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements.
(b)Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation.
(c)Slab-On-Grade proposed and budget U-factors shown in table are F-factors.
(d) High albedo roof requirement options:1)3-year aged solar reflectance>=0.55 thermal emittance>=0.75,2)3-year aged solar reflectance
index>=64.0,3)Initial year aged solar reflectance>=0.70 thermal emittance>=0 75,4)Initial year aged solar reflectance index>=82.0.
ao - S- o .- ao -
Envelope Compliance Statement
Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permi ication proposed envelope systems have been
designed to meet the 2014 Florida Building Code, Energy Con � ion re uirem nts in COMcheck Version 4.0.5.1 and to comply
with any applicable mandatory requirements listed in the In o tiC e - t.
Rick Zane Smith, R.A. 03/03/2017
Name-Title Signature Date
�Q'��OF F��R'O
y����GKZP,NE S/yjTh,.'9 ��
. —-* — •
��;. AR0010527 ��
C'�j�'••..... �����
FRED A�G
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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� I
�
� � COMcheck Software Version 4.0.5.1
Inspection Checklist
Energy Code: 2014 Florida Building Code, Energy Conservation
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
' requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
' is being claimed. Where compliance is itemized in a separate table., a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
&Re .ID
C103.2 ;Plans and/or specifications provide all ;❑Complies ;
[PRl]1 �information with which compliance �❑Does Not �
;can be determined for the building ; ;
;envelope and document where �ONot Observable�
I exceptions to the standard are ;❑Not Applicable ;
;claimed. ; ;
C405.7 ;Plans,specifications, and/or ;❑Complies ;
[PR17]� �calculations provide all information �❑Does Not ;
�with which compliance can be � �
;determined for the electrical systems ;�Not Observable�
1 and equipment and document where I�Not Applicable ;
;exceptions are claimed. Provisions are ; ;
;made for metering individual tenant ; ;
�units. Feeder connectors sized in �
;accordance with approved plans with ; ;
;maximum drop of 2%and branch ; ;
�circuits sized for maximum drop of � �
�3%. � i
C406 ;Plans,specifications, and/or ;❑Complies ;
[PR9]1 Icalculations provide all information �❑Does Not ;
�with which compliance can be � �
' ;determined for the additional energy ;�Not Observable�
�efficiency package options. ;❑Not Applicable ;
� C402.3.1 ;The vertical fenestration area <= 30 ;❑Complies ;
[PR10]1 �percent of the gross above-grade wall �❑Does Not �
� � �
�area. � �
i ;�Not Observable;
� ;❑Not Applicable ;
C4023.1 ;The skylight area <=3 percent of the ;❑Complies ;
[PR11]1 �gross roof area. ;❑Does Not ;
I � �
; ;❑Not Observable;
; �❑Not Applicable ;
C402.3.2 ;In enclosed spaces> 10,000 ft2 ;�Complies ;
[PR14]1 �directly under a roof with ceiling �❑Does Not ;
�heights>15 ft. and used as an office, � � � �
;lobby, atrium, concourse, corridor, �❑Nbt Observable�
�storage, gymnasium/exercise center, ��Not Applicable �
;convention center, automotive � ;
;service, manufacturing, non- ; ;
i refrigerated warehouse, retail store, I �
;distribution/sorting area, ; �
;transportation,or workshop,the ; ;
;following requirements apply: (a)the � �
;daylight zone under skylights is>_ ; �
;half the floor area; (b)the skylight ; ;
�area to daylight zone is >=3 percent � �
;with a skylight VT>=0.40, or a ; �
;minimum skylight effective aperture ; ;
{>= 1 percent. I ;
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section
# Plan Review Complies? Comments/Assumptions
& Req.ID
C402.3.2. ;Skylights in office,storage, IDComplies ;
2 �automotive service, manufacturing, ��Does Not �
[PR15]1 ;non-refrigerated warehouse, retail � �
;store, and distribution/sorting area �❑Not Observable�
�have a measured haze value> 90 ;ONot Applicable ;
� �
;percent unless designed to exclude ; �
;direct sunlight. �
C402.4.9 ;Ceilings with vented dropped ceiling ;�Complies ;
[PR16]1 �cavities over conditioned spaces have ��Does Not ;
�a continuous air barrier between the l�Not Observable;
;conditioned space and the vented ; , I
�unconditioned space and are sealed to�ONot Applicable ;
;the air barrier of the walls. Unvented ; �
;dropped ceiling cavities over ' �
� �
I conditioned spaces without air barrier � I
� ,
;between the conditioned and � �
;unconditioned space are sealed from ; ;
�the exterior environment and adjacent� �
�
;spaces by a continuous air barrier and ; �
;is sealed to the air barrier of the walis.; ;
IUnconditioned spaces above separate � I
� � ,
;tenancies contain dividing partitions � �
� �
;between the tenancies to form a � �
� �
Icontinuous air barrierthat is sealed at I �
;the ceiling and roof. Building cavities ; �
;designed to be air distribution system ' �
� �
�components are sealed according to � ;
� ,
�the criteria for air ducts, plenums, etc. � �
;in Section C403.2.7. ; ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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✓ •
Section
# Footing/Foundation Inspection Complies? Comments/Assumptions
&Req.ID � ' �
C402.2.6 'Slab edge insulation R-value. ;❑Complies ;See the EnvelopeAssemblies table forva/ues.
[F03]z � ;❑Does Not ;
j ;❑Not Observable;
I ;❑Not Applicable ;
C303.2 j Slab edge insulation installed per ;❑Complies ;
[F04]z ;manufacturer's instructions. �❑Does Not ;
� ;❑Not Observable;
- ; ;❑Not Applicable ;
C402.2.6 ;Slab edge insulation depth/length. ;❑Complies ;See the Envelope Assemb/ies tab/e for values.
[F05]z iSlab insulation extending away from �ODoes Not ;
i building is covered by pavement or ; ;
�>= 10 inches of soil. �❑Not Observable,
, ;❑Not Applicable ;
C408.2.8, ;Exterior insulation protected against ;❑Complies ;
C404.5 idamage,sunlight, moisture, wind, �❑Does Not �
[F06]1 ;landscaping and equipment � �
;maintenance activities. ��Not Observable�
; ;❑Not Applicable ;
C402.2.8 �Bottom surface of floor st�uCtures ;❑Complies ;See the Envelope Assemb/ies table for values.
[F012]3 !incorporating radiant heating �❑Does Not ;
� �insulated to>=R-3.5. � �
; ;❑Not Observable;
; ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section .
# Framing/Rough-In Inspection Complies? Comments/Assumptions
& Req.ID .
C402.4.3, ;Factory-built fenestration and doors ;❑Complies ;
C402.4.4 �are labeled as meeting air leakage �❑Does Not �
[FR18]3 i requirements. �
;❑Not Observable;
; ;❑Not Applicable ;
C402.3.3, ;VertiCalfenestrationU-Factor. ;❑Complies ;SeetheEnvelopeAssembliestableforvalues.
C402.3.4 I ;�Does Not ;
[FR8]1 ; ;❑Not Observable;
� ;❑Not Applicable ;
C402.3.3 ;VertiCal fenestration SHGC value. ;❑Complies ;See the Envelope Assemblies table for values.
[FR10]1 � ;❑Does Not ;
; ;�Not Observable;
; ;❑Not Applicable ;
C303.1.3 ;Fenestration products rated in ;❑Complies
[FR12]z �accordance with NFRC. �❑Does Not ;
� � �
; ;❑Not Observable;
; ;❑Not Applicable ;
C303.1.3 ;Fenestration products are certified as ;❑Complies ;
[FR13]i �to perFormance labels or certificates �❑Does Not ;
;provided. � �
, ;❑Not Observable;
; ;❑Not Applicable ;
C402.2.7 I U-factor of opaque doors associated ;❑Complies ;See the Envelope Assemblies table for values.
[FR14]z Iwith the building thermal envelope �❑Does Not ;
;meets requirements.
;❑Not Observable;
; ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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5ection�
# Mechanical Rough-In Inspection Complies? � . Comments/Assumptions
& Req.ID
C402.4.5. ;Stair and elevator shaft vents have ;�Complies ; ,
1 �motorized dampers that automatically ��Does Not ; i
[ME3]3 jclose. ;pNotObservable;
; ;❑Not Applicable ;
Additional Comments/Assumptions:
III
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
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Section .
# Insulation Inspection Complies? Comments/Assumptions
& Req.ID
C402.4.1 ;All sources of air leakage in the ;❑Complies ;
1 �building thermal envelope are sealed, �❑Does Not ;
[IN1]1 ;caulked,gasketed, weatherstripped , ,
;or wrapped with moisture vapor- �❑Not Observable,
�permeable wrapping material to �❑Not Applicable ;
�minimize air leakage. ; �
C402 4.2. ;Roof R-value. For Some ceiling ;❑COmplies ;See the Envelope Assemblies table for values.
1 �systems,verification may need to �❑Does Not ; �
[IN2]1 ;occur during Framing Inspection. � �
� ;�Not Observable;
; �❑Not Applicable ;
C303.2, ;Roof insulation installed per ;❑Complies ;
C407.2 1 Imanufacturer's instructions. Blown or �❑Does Not ;
[IN3]1 ;poured loose-fill insulation is installed � �
;only where the roof slope is <=3 in ;D�ot Observable I
I 12. Roof/ceiling insulated to an R- ;❑Not Applicable ;
;value of at least R-10 Multiple-family ; �
;residential roofs/ceilings insulated to ; ;
lan R-value of at least R-19.Where � I
;cavities beneath a roof deck are ; �
;ventilated,the ceiling is considered ; ;
Ithe envelope component. I I
C402.2.1. ,High-albedo roofs satisfy one of the ;❑Complies ;
1 �following: 3-year-aged solar ;❑Does Not ;
[IN5]3 �reflectance>=0.55 and thermal � �
;emittance>= 0.75, 3-year-aged solar ;�Not Observable�
i reflectance index >= 64.0, initial year I�Not Applicable ;
;solar reflectance >=0.70 and thermal ; �
1 emittance>=0.75, or initial year ; ;
I solar reflectance index >= 82 0. I �
C303.2 ;Above-grade wall insulation installed ',❑Complies ;
[IN7]i �per manufacturer's instructions. �❑Does Not ;
� � '
; ;�Not Observable;
; ;❑Not Applicable ;
C402.2.5 ;Floor insuldtion R-value. ;❑Complies ;See the Envelope Assemblies table for values.
[IN8]2 � ;❑Does Not �
i �
� ;pNot Observable;
� ;❑Not Applicable ;
C303.1 ;Building envelope insulation is labeled ;❑Complies ;
[IN10]2 �with R-value or insulation certificate �❑Does Not ;
, �providing R-value and other relevant � �
I data. �❑Not Observable I
, ;�Not Applicable ;
C303.2.1 ;Exterior insulation is protected from ;❑Complies ;
[IN14]z �damage with a protective material. �❑Does Not ;
�Verification for exposed foundation � �
�insulation may need to occur during �❑Not Observable�
I Foundation Inspection. ;❑Not Applicable ;
C402.2.1 ;Insulation intended to meet the roof ;❑Complies ;
[IN17]3 �insulation requirements cannot be �❑Does Not ;
;installed on top of a suspended � �
;ceiling. Mark this requirement I❑Not Observable;
�compliant if insulation is installed ;�Not Applicable ;
;accordingly. �
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017�2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 8 of 10
I
�
✓
Section
# Final Inspection Complies? Comments/Assumptions
& Req.ID
C402.4.6 ;Weatherseals installed on all loading ;❑Complies ;
[FI37]1 �dock cargo doors. ;❑Does Not ;
; ;❑Not Observable;
j ;�Not Applicable ;
C402.4.8 ;Recessed luminaires in thermal ;❑Complies ;
[FI26]3 �envelope to limit infiltration and be IC �❑Does Not ;
�rated and labeled.Seal between � �
;interior finish and luminaire housing. ;�Not Observable�
� ;❑Not Applicable �
C406 ;Efficient HVAC perFormance, efficient ;❑Complies ;
[FI34]1 �lighting system, or on-site supply of �❑Does Not ;
�renewable energy consistent with � �
j what is shown the approved plans. �ONot Observable�
� ;❑Not Applicable ;
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017.01-(FL)_2014 IECC.cck Page 9 of 10
�
y
Project Title: Wawa-TZO-F85L-2170095 Report date: 03/03/17
Data filename: W:\2017\2170095\HVAC Calcs\Energy Calcs\F85L-v2017 O1-(FL)_2014 IECC.cck Page 10 of 10
I
ai�-�eaoozo City of Zephyrhills Permit Application F�-si��saoozi
Building Department
� � Date Received Phone Contact for Permitting -
Owner's Name VVCl.LA1%� �h'LL Owner Phone Number ���'" �i�-�j �
A
Owner'sAddress o I�. �i,tfinae� �?"I.� Gtl�t.UJ �� OwnerPhoneNumber
Fee SimpleTttleholder Name �1-t"�� '�Y1�IIS ,L� Owner Phone Number ,
FeeSimpleTitleholderAddress I � �� ��V� f'I7la��`� lS�-1 ������
JOB ADDRESS (O 1�V l��t,�I I l/� - LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FflOM PROPEflTY TAX NOTIC�
WORK PROPOSED � NEW CONSTR B ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTIONOFWORK l� �II� �t �G4:��� "r Pi,(+�(,( �t.i LZ/GtfiU� �j!1lfe!/1%�C� SfrJ/�
BUILDING SIZE r E�,�`^'� SQ FOOTAGE CP I� I HEIGHT J�-`7 �`
r rrrr� r o-r T� a r 9 rFr e t � r�i r r� r r rars rr�r r rr� r rr � rr � � r r��rrrr f rr c-r � r-r 9 cT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
q�o �x.c��
�ELECTRICAL $ n , AMP SERVICE I�S�} 0 PROGRESS ENERGY Q W.R.E.C.
�G�CSac�,oca
�PLUMBING $�f���� ��
v ������
�v1ECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION
�`-{ 2��,e:�
QGAS � ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS (��b� ( FLOOD ZONE AREA �YES NO
`.�
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>�drreL � � � LtJi_ 3 1.+ ! c�1 I t7�� CsS�eS±�" } �^�`�...,�,�V ���,�;
P�1JT�EER �� � .�x �Y�L1:'.Sl�Y !j ' t•r�f.:��,�'i � t��Uir'li�r`'C. -
SiGt�f•TU?E ���_ /,^-�' ��- � �C�:,'� �'-Y7:•�• �-�C.rK�I YT!t �v _.,
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$1Gjtl�llinw ��r�r ' � ! __ _� cc�I:3�i0 � Y'!ii -cn...'^`�"�'7. 'l/Fi j -��� `'.
f�.?,.'t'..�9 5`y��-nr`�x�""_.±�.�_..fC� �� G`L!�fl ,�j'ty3 g`f-�*dr.�.f :`(��5'.L'.^.I�..�a"�!�'!'�.��!``���`%''
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a�e,�;;� r3?6 3��:�n«���-�;-•1lY'�_,�' 1-� 3:J��� �:�::�s�4���'��� i
� 1 [7 i ! E 8 F u i [ ! Y { � i t I S t � 4 8 2 1 ! 1 4 1 F f C 1 L 1 1 ! 7 7 7 i i i i 7 1 1 1 F 1 D 1 1 I L �I I 1 1 ! I 1 1 ;
_ _ _ _ ' _ ' ' _ ' ' ' ' _ _ _ _ ' _ _ _ _ _ ' ' ' ' ' ' _ _ ' ' ' ' ' _ ' ' _ ' _ _ ' ' _ _ _ _ _ _ _ _ ' ' ' _ _ _ _ ' _ _ ''_ ' _
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fomts;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal da[e. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8.�dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Buiiding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commerciai requiremenls must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
' Directions:�
Fill out applicafion completely
Owner&Contractor sign back of application,notarized
If over$250D,a Notice af Commencement is required. (A/C upgrades over S7500)
" Agent(for the contractor)or Power of Attomey(for the ov✓ner)would be someone with notarized letter from owner aulhorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
IDriveways-Not over Counter if on pubiic roadways..needs ROW
' -� - �- -�- ---- •- -�-� - -� - -- - ... --.-,
___. _ .. .. _--� - -� -�- - -- .._ ...._.. _. ._ . _.--- - --- �----.. . _-�
p�rtions af the"contra�tor Block" of this 2pplica6on fiar which #hey�viil�e responsible. tf you, as the 4wner sign as the
= contraCtoi, that may be an indication that he is nat properly iicensed an�-is not entitled ta�permitting grivileges in Pasco
Couniy.
TRANSPORTATlQN lYVIPACTlUTILlTlES lMPACT Ah4D RESOUR���ECt?VERY FEES: 7he undersigned undersiands
that Transpartafian Imgact Fees and Recou�se Recovery Fees may apply io the construction af nev�buildings, change af �
use in �isting buiidings, or expansian ot existing buildings, as specifieri in Pasco Caunty Ordinance number 89-07 and
9Q-07, as amer�ded. The undersigned atsa understands, that such fees, as rnay be due,wiil be identifled at the time of
permitting. {t is further understood that Transportation Impact�ees and Resource F2ecovery Fees must be paid prior ta '
r�Ceivlttg a"certificate of occupancy"or fnat pov��er release. 1f the project does not involve a certificate of occupancy ar
finai po�ver release, the fees must be paid prior to pennit issttance. �uR�iermbre, if Pasco County WaterlSewer lmpact ,
fees are due,fhey must be paid priar to permit issuance in accordance with applic�ble Pasco Goun#y ordinances. t
cONSTRUCTION LIEN LAltll(Chapter 793,Florida Siatutes,as amended}: If vaivation of�vor3t is 52,504.4(3 or more, i �
ceriify that 1, the applicanf, have been pravided with a copy of ti�e "Florida Gonstructian E.ien Law—�IomeawnePs
Protectian Guide" prepared hy the F�orida Department of Agricuiture and Cansumer Affaits. Ifi fhe appticant is someone
other thatt the"oUrner", 1 certify titat f heve obtained a capy of the above described dacument and promise in good fiaifh to j
dafiver�t ta the"owne�priar to cammencement. �
GON3RACTC}R'SIOWNER'S AFFIDAVI7: t certity that al►fhe information 1n this applicatiQn is accurate and that all 4vork
will be done in compliance with all applicabie laws regulating canstruction,zoning and land developmenl. App{iGation is
hereby made to obiain a permit to da dvork and installation �s indicated. ! certify tttat no work ar insta!latian has �
commenced Qrior te issuance of a perm'st and that a!1�tvork vril! be pesfc�rrned to meet standards of alt 4�ws regulating 4
construction, County and City codes, zoning regulatians, and land devebpment regulations in the jurisdiction. f also �
cerkify�hat t understand that the regulations of other gavemment agencies may apply to the in#ended wark, and that it is
my responsibiliEy ta identify��rhat-actions I must take to k�e in compliance. Suc�agencies inctude but are noE#imited to: �
- Department af Environmentaf Protectian-Cypress Bayheads, ilVetiand Areas and Environmentally Sensitive �
Lands,WatetNVastewater Treatment. .
- Southwest Florida Wafer Management District-Wells, Cypress Bayheads, Wetland Areas, Alkering
Watercourses.
- Army Corps of Engineers-Seawalfs,Docks, Navigable Waterways.
- Department of Nealth & R�habiliiative SesviceslEnvironmental Heafth Unii Wells, Wastewater Treatment,
Septic Tanks.
- US Ernironmenta!Proteciion Agency-As�estos abatern�nt. ,
Federa!Aviatior�Authority-Runmrays. �
i understand thet the falfawing restrictians apply to the use of f11:
- tlse of 6il is nat alia�ved in F1aod 2ane"V"unless expressly permifted.
- If the FtI materiai is to be used in Flaod 2one "A", it is understaod that a drainage plan addressing a i
�compensa#ing volume"wiil be submitted at time of permitking wt►ich is prepared by a orofessiona!engineer !
liCensed by fhe State of Ftt�rida. �
- If the fill material is to be ussd in FlGod Zone "A" in canrtection with a pesrr�itted buitd�ng using stetn �val! '
cons#ruction,!certify#hat fiU will be used only to fill the area withln the stem wal1.
- flf fill material is to be used in any area, ! certify thai use o# such fil4 �vill not adversely affact adjacent �
properkRes. {f use oF fil! is found to adversety af(ect adjacent properties, the o�vner may be cited far violating
the conditions of the building permiE issued under the attached permif application, far lafs (ess than one (1}
acre which are elevated by fi11,an engineered drainage plan is requirefl.
kf 4 am the AG�ENT Ft3R TF9E t�1�1AtER, i promise in good fa9th to inform the awner of the permitting canditions set forth in
this affidavit prior to commencing construction. i understand that a separate permit may be requir�d for e(ectrical work,
�alumbing, signs, tivelfs, p�ols, air canditianing, gas, or other installations nat specifically inctuded in the application_ A
permit issued shall be canstruec3 to be a license to proceed vrith the work and not as�uthority to violate,cancel,alter,or '
set aside any provisions of the#echnical codes, nor shall issuence c�f a permit prevent the Building Officia!#ram fhereaftsr
requiring a correction of errors in plans,construction or violatians of any codes. �very permit issuerl shal!beeame invalid ;
unless the work autharized by such permit is commenced urithin six monfhs ot permit issuance, or if+��ork authorized by �
the permit is suspended ot abandoned for a period of six(67 rr►onths aE�er the tirtte the work is commenced. An extens9on
may be requested, in vrriting, fram ihe Build9ng Official far a periad rtot Eo exc��d ninety {90}days and tvil)demonstrate
;usfifiable cause for fhe extension. iF work ceases for ninet}+(90}consecutive days,the job is cansidered abandoned, j
�JUARFd1NG T'O t31�idER: YC1t1R F}s,ILURE TO RECORD A �10TiC� {7F COMlV1ENCEMENT MAY RESLlLT IN YOUR �
PAYING NdPC�FOR iMPROVEMENTS TC1 YOUR PROA�RTY. IF YOU INTEND 7Q OBTAIN FIAlANClP�1�,CQ3dSULT
'6�IITH YOUR LEhiDER OR AN AITORN�.����'QRE RECORDING YOUR MOTtCE OF C4MME�lCEMENT.
FLORiOA JURAT(F.S.117.03) ,�.,'v�SEp�� ,�r � �( _ �/��
flWNEF2 OR ACiEh1T�}�«�'.�� .�,�••1••���y F°�iCdN7RACTCYR�I �Tdts�l 1� "•��G
Subscr{bsd and swgf t�a#f fnadj hr�""� �'h'�;''S�`„��ubscsihed and svrom to( a� �fore me th'
x� �� �� �' �o(sl8se personelly koatitit� o m or hasfha oduced
Who is/are 'ersona( known ta m��I�Qt�prod�� m:
as IdeEti �on. .� "�' �� SC� as ideniiGcation.
"�• 11G '��
f�f���?r`v �j�f7�%Jifrt� o�•�'�,BG � 0,•°Q�
(-�--� y
� � �� �',�►��'�,2�24• fQ r,,'
� $ �-� / �l �s 1�
r�..�!�'��.,�-r�1�;,� +,f yUhj�j��G1,��
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_`J�.
. ,_,
Jacc�ueline Boges -
From: Nichole Spence(FATHOM)<suppor�@gvvfathom.zendesk.com>
Sent: Wednesday, January 17, 2018 1:01 PI1lI�
To: Jacqueline Boges ' �`j-`'
Subject: [FATHOM] Re: new service commerical 6450 Gall blvd wawa store
##- Please type your reply above this line -## I
l
Your request (#187045) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below:
https://gwfathom.zendesk.com/hc/requests/187045
� � Nichole Spence (FATHOM)
'�'��
�� Jan 17, 1 1 :00 AM MST
Service orders have been created on both accounts.
Best Regards, ,
Nichole � FATHOM Support
� T ' Nichole Spence (FATHOM)
a �=--�- � -�l �� e
`--u� � Jan 9, 2:10 PM MST
Account # 2907644 and 2907639 have been created. Service order to follow once mapping has
been eompleted.
Best Regards,
Nichole � FATHOM Support
------,
� � Jacqueline Boges
��'-, t
---= Jan 9, 6:49 AM MST
Service new sewer and water for the wawa convienence store . 2 meters needed water and
irrigation
water 2' irrigation 1 .5'.
��� ------ --- ---- - - - - - - - - -- - - -- — - --- - - - -- - -_. ___ _------ - - - - -. __ ___ __-- __--------- ------
This email is a service from FATHOM.
1
.
Jacqueline Boges
From: FATHOM <support@gwfathom.zendesk.com>
Sent: Tuesday,January 9, 2Q18 8:50 AM
To: Jacqueline Boges
Subject: [Request received] new service cammerical 6450 Gall bivd wawa store
a�#- Please type yaur reply above this [ine -##
Nella�acqueline Boges,
We are warking to resolve your request promptly and wEl[ keep you updated. One of our Support Analysts will keep
you updated on the progress of your request.
Best Regards,
FATHOM Support Team
TO ADD ADDITIONAL COMMENTS, reply to this email or click the link below:
https:/,[.qwfathom.zendesk.com/hc/requests/187045
� f Jacqueline Boges
--1 ;
�-��- )an 9, 6:49 AM MST
Service new sewer and water for the wawa canvienence store . 2 meters needed water and
irrigatian
�water 2' irrigation 1 .5'.
This email is a service from FATHOM.
I
i
I�
� Pasco couw-r�r, IFLt�RID,A
' � Permit No.
Qate Parm{tted
Buitder NametOwner Name`t-t'"�C.X3rt._�rt��(�� Contral#
Counry Parcei No. C�2.2fP- ��-�(�-'G���?�"C��'��'a SubDiv: L'_j�G r����
Address/Lacatlon ���� �'`��� �t� '—�
ClassiticatioNTypa of Usa �'�Y�tt�NP-r'f;,�� ( L'dvtill�.t E'�tCC'.�� ���',�S
TRANSPORTATiON IMPAC'C FEE Rate: Bq.Ft Unit:
Exempt ❑Yes ❑ No Ho�r Determined
� impact Fee Amount $. i,�a '2 32--`� Zone No. TAZ:
SCHOOL IMPAG7 PEE
Account (056) Stngle-Famify Detached House Amount $ _r���"
(057} Mobits Home
(058} Ufher Restdentfat
' 123} Gotlectlon Fee
Exempt [�Yes []No How Determined
PARKS AND RECREAI'ION F8E
t�and Account l.and Credit �and Tota!
Recreation Account Recreation Credit �Recreation Total
Zone TOTAL AMOUNT $ X
Exempt ❑Yas ❑ Nt� How Determtned
LlBt2ARY FEE
Land Account Land Credit �and Tptaf ,
Faciiity Account Facittty Credit Facilfty Totai
Exempt ❑Yes ❑ No Haw Determfied Tatal Amour����
RESOURCE FHE ERU
70TAL AMOUNT �
Prepared By Checked 8y
NO CER'1'IFlCATE OF OCGUPANGY WILL BE ISSUED flR FINAL INSPECTION
PERFORMED UNTIL THE T�"CAL AMt?UNTS LtSTED NAVE
BEEN PA1D AND
R�CEiPTEp FOR BY A CENTRAL PERMITTfNG OFFlCE OF PASCO COUN`CY .
Acknowtedgement betow doas not Impty acceptance of cancurrence,but simpiy receipt ofia copy of thfs fonn,ptacing
the bullding permtt ownar on nottce of this Assessment and th�condltions of paymant for same.
QATE RECEtVED BY �
RECEIPT NO. DATE BY �
Payment List I'age l,of 1
� `�����r������c��� NI�o ���� `��
Help
� 7otal.lnvoice i4m.ounf: $2,487.17 Terminal#:
! Total Payment:. �'1,487.17 Cashier ID: AELGUEZABAL
I Total Balance: $0.00" Date: 05/01/2018
Amount Not Applied: �0.00
Invoices :
I Invoice#� Amount Paid in:Pull Balance
� 1340537 _ $2,987.'17 Y � $0.00
,
I -
� Transactions
i
' TransactionCodo. TransacYions Mefhod Receipt#� NotApplied -
� � .
Fayment Credit Card 1756285 $0.00
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htt]�s://av3.accela.com/portlets/pointofsalelpaymentList.do?inode=list&isPos=true&posTyp... 5/1/201 S
�
_ - pASCO COUNTY
��, 3`'��'T pEVELdPMENT SERV'ICES
�� � yK':.wf�"{
Fl 1�'�' ,'�-'' 8731 Citizens Drive D`ate:4/27/2018
_:�_,;`F_rt
'�C?UNT'Ys"FIARI]�A: , . New Port Richey,FL 34654
Qr�v�Sr,�s:�r,�r�"t"Puc�s. ' ` 727-847-2d11
** �aT � ����n�T *�
� Receipt#: 1755675
FEE DE5CFtIRTl��! � ACG011NT CODE UN17S tNVOtCE# AMOUFIT PAID RECEIPT# DA
Irripact Fee Residenfia!Solid 24543'tOQ-3290iQ 42.48 13 , . 6 $42:48 $42.48 '17a5676 4/27/18
Waste-S3ngle Family
'�'�,
� TO ALS $42,48 �42.48
,�r�iat# ai� if B,y Check# CC #' �ii � rk t�o Receiat Dafe Am Paii!
17,55675 Check 073898 5%�0 � '� -.�.,_ GCP06W Od127l2018 $42.46
����`�'�o#�.P!a'ytnents: S42A8 .
Pavor Ad_ dr+�ss ho�e -�...�,_.
D R Hotton� 1341,Hortan Circle
A�lington,TX 760�i
Comments�
Gity itts
ertni
6711 n �I Street
Par :Q526 2 080 OOSOQ 0430 -
�
Whi ou wlll be pay(rig yevr 41q w Pasco Caua avalopnie�itServtces,_, ful} maunt oF th�, dtt csrd era�ifiack fees,Npt ahown above,fs colteoted by
eillingpaymentservltei. " .
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City of Zephyrhills -
BUILDING PLAN REVIEW COMMENTS �.
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Contractor/Homeowner: ,'� - o
I�ate Received: � ..- -- � �
Site: 1 �� l�! /� � � " .
, � � ���
Permit Type: �,�V �� '
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑ ,
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Tlus comment sheet shall be kept with the permit andlor plans. �
�
� � � I
in Switzer-Plans Examiner Date Contract andlo omeowne (
, ���� ��;n��� (Requir when comments are present)
Jacqueline Boges
Frorn: Todd Vandeberg
Sent: Friday, June 8, 2018 12:36 PM
To: John Martyn
Cc: Jacqueline Boges; Doug Angle; Rodney Corriveau; Craig Wilson
Subject: RE: FW: Developmental Order WAWA
Good to go on my end Jackie.Thanks,
" �r�� ' - �
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�
�od-cC.�{: �Vancle Berg
Director of Planning
Planning Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Phone: 813.780.0006
Fax: 813.780.0005
vandeber�@ci.zephvrhills.fl.us
"It's not the Plan that's important.... it's the Planning"
From:John Martyn<johnm@atconstructioninc.com>
Sent: Friday,June 8, 201812:30 PM
To:Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>
Cc:John Martyn<johnm@atconstructioninc.com>;Jacqueline Boges<jboges@ci.zephyrhills.fl.us>; Doug Angle
<doug_angle146@yahoo.com>; Rodney Corriveau<RCorriveau@ci.zephyrhills.fl.us>; Craig Wilson
<craigw@atconstructioninc.com>
Subject: Re: FW: Developmental Order WAWA
Todd and Jackie
Attached is the Landscape Architect's certification letter for the landscape install at this site. We were able to
install the bike rack this morning and install the valve covers and 2'x2' concrete pads over the water valves
yesterday. I believe this is all that is left, if the inspectors are able to stop out today and verify that this work is
complete would we be able to get the CO today? Please let us know if you need anything else to be able to get
the CO. '
Thanks for all your help
i
H� '�i lti rl�Cli'1�� u.c
Site Planning 0 Landscape Architecture
605 E.Robinson SL,Suiie 240 Odando,Florida 32801
407-369�288 office
alohapadfipllc@embarqmail.com
To: Mr. Todd H. Vande Berg
Director of Planning
Planning Department
City of Zephyrhifls
5335 8th Street
Zephyrhills, FL 33542
Re: Letter of Substantial Compliance-VVawa#5285-6450 Gall Blvd., Zephyrhills, FL,
Dear Todd,
This letter of Substantial Compliance to the City of Zephyrhills Pfanning Department certifies
that the above development, as determined by an on-site inspection performed by the
development's Landscapa Architect on June 8, 2018 was completed to the specifications of
the approved Landscape& Ir " Plans and is hereby deciared to be in substantial
compliance with the C� Zephyrhills rticle VII, Section 7.06.04.03 (K).
Executed by t above development's andscape Architect on June 8. 2018
Greg A. Reynolds, RLA ,
ALOHA PACIFICA LLC
#LA-0001568
�P'�E � ���R��
r� 9
� '� GREGORY A. �`
� RE1TlOLDS U
�FL RLAy�0007568 �
�'�DSCApF'�
Jacqueline Boges
From: Jacqueline Boges
Sent: , Thursday, June 7, 2018 1:11 PM
To: Todd Vandeberg; Doug Angle; 'John Martyn'
Cc: Rodney Corriveau; Craig Wilson
Subject: FW: Developmental Order WAWA
Todd forwarded message to John ... and i forward the as built and the architect letter to you .
John, see email below in red,Todd is asking about the bike racks...
_ _---- - - --�--- _--- -- - -------------_- __ __----- - --- -___------_
From:Todd Vandeberg
Sent:Thursday,June 7,2018 1:05 PM
To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>;Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>;John Bostic
<JBostic@ci.zephyrhills.fl.us>; Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc: Rodney Corriveau<RCorriveau@ci.zephyrhills.fl.us>; G Funnell<CFunnell@ci.zephyrhills.fl.us>; Mike Perry
<MPerry@ci.zephyrhills.fl.us>
Subject: RE: Developmental Order WAWA
Jackie, Rod and I were out there today and didn't see the bike rack and I wanted to make sure we had the civil engineer
and LA out to the site and they have provided their letters of compliance along with a final as-built. Thanks,
, {r'e) . �
t�vaa�tv�
� �/.�►��� � 1 'i e='`i a' S,
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`----------
�ocCd�.��. 1�and-e Berg
Director of Planning
Planning Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Phone: 813.780.0006
Fax: 813.780.0005
vandeber�@ci.zephvrhills.fl.us
"It's not the Plan that's important.... it's the Planning"
_ _..._- ---------._. _..__.----.___._ ---- --- -._ ___,_�..--__.___ .__,.-,,---------
From:Jacqueline Boges
Sent:Thursday,June 7,2018 12:12 PM
To:Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>;Todd Vandeberg<tvandeber�(a�ci.zephyrhills.fl.us>;John Bostic
<JBostic@ci.zephyrhills.fl.us>; Bill Burgess<bbur�ess@ci.zephyrhills.fl.us>
Cc: Rodney Corriveau<RCorriveau ci.zephyrhills.fl.us>; CJ Funnell<CFunnell@ci.zephyrhills.fl.us>; Mike Perry
i
Jacqueline Boges
From: Jacqueline Boges
Sent: Thursday, June 7, 2018 12:12 PM
To: Shane LeBlanc; Todd Vandeberg; John�Bostic; Bill Burgess
Cc: Rodney Corriveau; CJ Funnell; Mike�Ferfy
Subject: RE: Developmental Order WAWA
WaWa issues has been taken care of for the department that had issues they are ready for revisit to site on Friday 8tn
Please everyone once you are satisfied let me know so I may release certificate of occupancy.
Thankyou
I ".�
� µro�, �_
'� " � � ,
;r � r�, � ,
�
<_:- - -..'�, ',
dackie Boges - � ---���`=`�
813-780-0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He
Himself we have" Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately. I
�i
From:Shane LeBlanc
Sent:Thursday,June 7,2018 6:41 AM
To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>;Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>;John Bostic
<JBostic@ci.zephyrhills.fl.us>; Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc: Rodney Corriveau <RCorriveau@ci.zephyrhills.fl.us>; G Funnell<CFunnell@ci.zephyrhills.fl.us>; Mike Perry I
<MPerry@ci.zephyrhills.fl.us>
Subject: RE: Developmental Order WAWA
I've already submitted my comments.The entrance off from CR 54 is still holding water,the sod on the right of way is
higher than the actual driveway.
Thanks,
Shane LeBlanc,
Public Works Director
City of Zephyrhills �,
O: 813J80.0022 x 3561 I
i
Jacqueline Boges
From: John Martyn <johnm@atconstructioninc.com>
Sent: Thursday, June 7, 2018 1:23 PM
To: Jacqueline Boges
Cc: Todd Vandeberg; Doug Angle; John Martyn; Rodney Corriveau; Craig Wilson
Subject: Re: FW: Developmental Order WAWA
Jackie and Todd
We have the bike rack at our shop it will be installed later today or very early tomorrow morning. Can someone
stop by to inspect tomorrow if need be? I will work on getting the letter from the Landscape Architect.
Thanks
John Martyn
A7'Construction Ina AT Caustruction Mgt.Inc
2271 Garretl Rd 13799 Park Boulevard N.
Drexel Hill,Pa.I9026 Suite 300
610 623 6913(PA) Seniinole,FG 33776
610 622 7016(FA� 727-729-1061
6l0 761 7100(CELL)
Lic#:CGCISI9713
On Thu, Jun 7, 2018 at 1:10 PM,Jacqueline Boges <jbo es(a�ci.zephyrhills.fl.us>wrote:
Todd forwarded message to John ... and i forward the as built and the architect letter to you .
John, see email below in red, Todd is asking about the bike racks...
. ____. .__ _._... ._-- ---�______ __.___..._______._---_ _.__---�. ._.__e.__-_._- --...
From: Todd Vandeberg
Sent: Thursday, June 7, 2018 1:05 PM
To: Jacqueline Boges <jboges(�a,ci.zephyrhills.fl.us>; Shane LeBlanc<sleblanc(a�ci•zephyrhills.fl.us>; John
Bostic<JBostic(a�ci.zephyrhills.fl.us>; Bill Burgess <bbur ess(�a,ci.zephyrhills.fl.us>
Cc: Rodney Corriveau<RCorriveau(a),ci.zephvrhills.fl.us>; CJ Funnell <CFunnell(�a,ci.zephvrhills.fl.us>; Mike
Perry<MPerrvna,ci.zephvrhills.fl.us>
Subject: RE: Developmental Order WAWA
Jackie, Rod and I were out there today and didn't see the bike rack and I wanted to inake sure we had the civil
engineer and LA out to the site and they have provided their letters of compliance along with a final as-
built. Thanks,
1
Jacqueline Boges I
From: Rodney Corriveau
Sent: Thursday, May 31, 2018 9:46 AM
To: Jacqueline Boges
Cc: Todd Vandeberg; Shane LeBlanc; Steve Spina
Subject: FW:Wawa Inlet
Attachments: 54939537362_EF19B747-9BB9-43CB-8C2B-AE16E1980A62.pdf
Jackie the issue has been resolved. Please also put this in the file and let us know when they are actually ready for a
final inspection because Planning has a punch list of other issues but since it is still a construction site we will hold off
until then. Rod
. �
� �'� ) A�
ZEPHYRHILLS-HOMETOWN AMERICA IN THE HEART OF TAMPA BAY!
Rodney V. Corriveau, AICP
Assistant Planner
Physical/Mailing Address:
City of Zephyrhills Planning Department
Historic Captain Jeffries House �
38537 5th Ave.
Zephyrhills, FL 33542
Phone: 813.780.0201
Fax: 813.780.0005
Under Florida law,e-mail addresses are public records. If you do not want your e-mail address released in response to a
public records request,do not send electronic mail to this office.
From: Megan Andersen<megan@ghgdevelopment.com>
, Sent:Wednesday, May 30, 2018 2:37 PM
To: Rodney Corriveau<RCorriveau@ci.zephyrhills.fl.us>;Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>
Cc: Kyle Morel<kmorel@bohlereng.com>
Subject:Wawa Inlet
Hi Rod! See attached photo. Looks like removing the inlet protection did the trick. Let me know if you need
anything else!
Thanks,
Megan _
i
Jacqueline Boges
From: Shane LeBlanc
Sent: Thursday, May 31, 2018 10:09 AM
To: Rodney Corriveau; Jacqueline Boges
Cc: Todd Vandeberg; Steve Spina
Subject: RE:Wawa Inlet
I met the contractor out there yesterday,the inlet in the street was blocked off for silt protection purposes, once they
pulled the drainage grate,the area drained down as designed.The area by the CR 54 area has not yet been addressed,
as I re-inspected the site this morning.
Keep in mind,that SWFWMD has approved the ponds and as-built elevations,the City cannot over rule civil engineering
that has been signed off by the water management district,that's why I requested an explanation and letter form the
engineer of record. Should drainage issues occur in the future,the engineer is liable for his/her design.
Thanks,
Shane LeBlanc,
Public Works Director
City of Zephyrhills
O: 813.780.0022 x 3561
__._. ____ ___.__ ,__..---______..____--------.__._...._ ---__...____--------
From: Rodney Corriveau
Sent:Thursday, May 31, 2018 9:46 AM
To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Cc:Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>;Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>; Steve Spina
<SSpina@ci.zephyrhills.fl.us>
Subject: FW: Wawa Inlet
Jackie the issue has been resolved. Please also put this in the file and let us know when they are actually ready for a
final inspection because Planning has a punch list of other issues but since it is still a construction site we will hold off
until then. Rod
�
_ �
r �
� �� �.� �1�
ZEPHYRHILLS-HOMETOVi/N AMERICA IN THE HEART OF TAMPA BAY!
Rodney V. Corriveau, AICP
Assistant Planner
Physical/Mailing Address:
City of Zephyrhills Planning Department
Historic Captain Jeffries House
1
Jacqueline Boges
From: Todd Vandeberg
Sent: Thursday, May 31, 2018 2:37 PM
To: Jacqueline Boges
Subject: RE: Wawa Inlet
Ok,We certainly will need these letters with a complex drainage project such as this. I would suggest in the future they
provide these letters prior to staff performing our visits. Probably be more efficient if we know they have signed off.
. • �{r'e} .
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! ,��.r;���; � � ..-� j��
�.�-�
��.= .. � : 1� �� ���
�ocld�.�l. �VancCe Berg
Director of Planning
Planning Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Phone: 813.780.0006
Fax: 813.780.0005
vandeber�Ca�ci.zephvrhills.fl.us
"It's not the Plan that's important.... it's the Planning"
From:Jacqueline Boges �� - ---�--_._ ._
Sent:Thursday, May 31,2018 2:27 PM
To:Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>;Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>; Rodney Corriveau '
<RCorriveau@ci.zephyrhills.fl.us>
Cc:Steve Spina<SSpina@ci.zephyrhills.fl.us>
Subject: RE:Wawa Inlet
Todd no we do not have letters but do have your-comments and will be sure to receive.
From:Todd Vandeberg -----__._ �--��______.__________�_ _._.___�_��_...._�_`__
Sent:Thursday, May 31,201811:11 AM
To:Jacqueline Boges<jbo�es@ci.zephvrhills.fl.us>;Shane LeBlanc<sleblanc@ci.zeqhvrhills.fl.us>; Rodney Corriveau
<RCorrivea u@ci.zephvrhills.fl.us>
Cc:Steve Spina<SSpina@ci.zephvrhills.fl.us>
Subject: RE:Wawa Inlet
Jackie,
- 1
Jacqueline Boges
From: John Bostic
Sent: Friday,June 8, 2Q181:38 PM
To: Jacqueline Boges
Cc: CJ Funnell
Subject: RE: F1N: Developmental Order WAViIA
Looks good to me.
John Bostic III, Utilities Director
City af Zephyrhills
5335 8th Street
Zephyrhills, FL 33542-4312
Office- 813-780-0008
Fax - 813-78Q-0613
Ce11 - $13-7'18-1018 NEW CELL#
Email - 'bostic(a7cz.zephyrhills.fl.us
!'� -_����
��
J..
PLEASE NOTE: Florida]tas a very broad public records law Electronic communications regarding most City of Zephyrliills business are public records and available
upon request. Your e-mait coinmunications may therefore be subject to public discIosure.If you received this message in en•or,please do not read,forward,copy,etc.
and delete immediately.
From:Jacqueline Boges M� ����_41
Sent:Friday,June 08,20281:29 PM
To:John Bostic<JBastic@ci.zephyrhills.fl.us>
Cc:C1 Funnei!<CFunneii@ei.zephyrhilis.fi.us>
Subject: FW: FW: pevelopmental Order WAWA
lohn see attached neec! comments for sign off...?
From:John Martyn<iohnm@atconstructioninc.com>
Sertt: Friday,June 8,20181:21 PM
To:Todd Vandeberg<tvandeberg@ci.zephvrhills.fl.us>
Cc:John Martyn<johnm@atconstructioninc.com>;Jacqueline Boges<ibo�esC�ci.zephyrhills.fl.us>; Doug Angle
<dou� an�1e146@vahoo.com>; Rodney Corriveau<RCorriveau@ci.zephvrhills.fl.us>; Craig Wilson
�ccrai�w@atconstructionine.com>;Shane LeBlanc<sleblanc@ci.zephyrhiHs.fl.us>
Subject: Re: FW: Developmenta)Order WAWA
A11
1
, , �
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6/7/2018
WAWA '
6450 Gall BLVD
ZEPHYRHILLS, FL 33542
Inspection# 48074- - _-
Property# 8000142- � Occupancy Type Mercantile, Business
� ' - - . Inspecfion History
Inspection Date =__Status `- � Inspected By
6/7/2018 ` Completed " Inspector Brown
- �- ' -
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Inspector Brown - . � -- � ° �
page 1 of 1
FIRE ALARM SYSTEM�
RECORD OF COMPLETION
��
Name of protected property: l r�c'�� i� � � �..5
Address: -� `�.`�n C� 1L /�_/�1/7 �c':�t: � . � i� , l�� /;`f
Representative of protected property(name/phone): � ` �
Authority having jurisdiction: �i
Address/telephone number:
Organiz¢tion n¢me/ph.one Representatiae n¢me/phone
Installer � :�'"Ir� �'� � --�.�6-G��..`3� /���� .��-o,t�S a U�` l.� - 71� � �..�p b S� ' • �
Supplier /�/`/9 7.�7 - _{'��( " � �7 v S` ,✓n��e ..''"-1`a 1..s� �s/.��� 7/C- ��d_S �,
Service organization /9 I"r'� 7��7- 5 r"�`.�?`�u-S �''�i,��,.��o,�sU rY� � - 7�l- ?G�_S
Location of record(as-built)drawings: ��"���/�� I
Location of operation and maintenance manuals: ��%v' .���'�-
Location of test reports: ON- S �%��---
A contract for test and inspection in accordance with NFPA standard(s)
Contract No(s): Effective date: Expiration date:
System Software
(a)Operating system(executive)software revision level(s):
(b)Site-specific software revision date:
(c)Revision completed by:
(name) (firm) ,
1.Type(s) of System or Service � �
1� NFPA 72, Chapter 6—Local � ,
If alarm is transmitted to location(s)off premises,list where received: .'� F� '
l��.�
NFPA 72, Chapter 8—Remote Station
Telephone numbers of the organization receiving alarm:
Alarm: f� ./rF - �r'. �� ' �U�.�C�
% �%�'-� `( �C� - 5c'��CS
Supervisory: �
Trouble: 1`'i� " `"i 70 ' .��C7
� If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone
numbers of the organization receiving alarm:
' Indicate how alarm is retransmitted:
�NFPA 72, Chapter 8—Proprietary
Telephone numbers of the organization receiving alarm:
Alarm: '
Supervisory:
Trouble:
If alarms are retransmitted to public fire service communications centers or others,indicate location and telephone
• numbers of the organization receiving alarm:
Indicate how alarm is retransmitted:
NFPA 72, Chapter 8—Central Station
Prime contractor: . /��`�"'�,
Central station location: ��'�'� �
�
(NFPA 72, 1 of 4)
\ _ �_.- ' ' . . -'. .i � . .... __+ ..- ' � • . .0 . ' - :f .._ . .- - -. . -. . . �\
n . ?... G- . � , `
Means of tran'smission of signals from the protected premises to the central station: � _
�cCulloh, . Multiplex One-way radio
Digital alarm communicator �vo-way radio Others
Means of transmission�of alarms to the public fire service communicationa center: �
. �,, ' ,�' .
�(a) � . . _ ,
(b) '
System location:_-��
; ,
� . _ �, .�
1VFPA 72,Chapter.9—Auxillary f,., � . ,. .
Indicate type of.connection: Local energy � Shunt Parallel telephone , `
� Location of telephone number for receipt of signals: '
, .':4f • >t;.;.
';;�z: ,.
2. Record of System Installation
. . �<
'(Fill out after installation is complete and wiring is checked for opens,shorts,ground faulta,and improper branching,, �
- but prior to conducting operational acceptance tests.) - ' . ,
- This system has'been.installed in accordance with the NFPA standards as shown below,was inspected by ' ,•
, c� �r�� � on ,includea the devices shown _
,. � �in 5 and 6,and`'has�been in service since . � �
- _�NFPA 72, Chapters 1 2 3 ;4 5,�`6 y,7` �8 9 10;.. 11 (circle all that apply)
�%NFPA 70,National Electrical�Code,Art�cle 760. i � �
I� ." - .' .��� - , �
i'4� �. '
" Manufacturer's instructions ° ��`
I'! _ . O.ther(s ecify): `,e'�� .�`� � ' ._ f �a� ' _
��l p
I' ." . ;,Si ed: �?� C�'-���;.,,;,`�' � Date• � � – I .�� -:
� >>
' - Organization: 4 h""` ° �r�� � - , -`
��^
3. Record.of System Operation - �
Documentation in,.aecordance with Inspection Testing Form,Figure 10.6.2.3,is attached : •
' All operational.featu'res.and functions of this system were tested by ;date -
and j i�nd to be operating properly in accordance with the requirements of: ' _±
V NFPA 72, Cliapters, -.1 2 3 4 5 6 7 8 9 10 11 (circle all that apply) . '
I / �r
�NFPA 70,National Electrical Code,Article 760 . � ,-
, v � � . , -
_ , Manufacturer's.instructions , , ' ,
Other(specify): -
Signed: ��� ��-='� Date: �' 7—f� - .
Organization: ' , ' �� �!
,: ... ,,.
�4.Signaling Line Circuits � '�� � �
' Quantity and class of.signaling line circuits connected to system(see NFPA 72,Tabl�6.1): , - , � _
Quantity: � Style: � �Class: " -
(NFPA72,2of4) =
- .� . - :`,c;.. -
'1 � - �. ' - = "�' _ .. � -._ � .../,� ,l I'` ��1� _•. ..r-. .-. -u :'_..�.�. �. v. � Y .-�� i .- ... -.. - _ ' - - t__' ,
V � � � •
5.Alarm-Initlating Devices�nd Clrcuits '� - ,
Quantity and class of initiating device circuits(see NFPA 72,Table 6:5):
Quantity: � Style: �� Class: S�. C-- -
MANUAL ,
(a)Manual stations , Noncoded �ansmitters Coded Addressable �
(b)Combination manual fire alarm and guard's tour coded stations,
AUTOMATIC �
� Coverage: Complete Partial
' � Selective- Nonrequired
. (a)Smoke detectors Ion Photo Addressable . �
(b)Duct detectors Ion Photo Addressable �
(c)Heat detectors FT RR �� FT/R,R RC Addressable � �
� (d)Sprinkler waterflow indicators: Transmitters Noncoded Coded - Addressable
(e)The alarm verification feature is.disabled or enabled ,changed from " seconds to seconds.
(fl Other(list): � �
i.-` . . �
`{ �_., , .
•, 6.Supervisory Signai-!n(tiating Devices and Circuits (use blanks to indicate quantity of devices) �
, - ,
GUARD'S TOUR ` . .
(a) Coded stations •'' ' �
(b) Noncoded stations
(c) Compulsory guard's tour system comprised of .tTansmitter stations and intermediate stations -
Note:Combination devices are recorded under 5(b),Manual,and.6(a),Guard's Tour. , , -
' SPRINKLER SYSTEM
Check if provided � - '
• .(a) Valve`supervisory switches .
(b) Building temperature points . , ..
(c) Site water temperature points , ,
'(d) Site water supply level points ' , �
Electric fire purrip: , `� �
� (e). Fire pump power� .
(f� Fire pump running , .
' (g) Phase reversal .J� -
�
•Engine-driven fire pump: , . -'
� (h) . Selector in auto position - , -• '
(i) Engine or control panel trouble , _
(j) Fire pump running `
- ENGINE-DRIVEN GENERATOR: - � -
- • �
� (a). Selector in auto position �
(b) Control panel trouble ,� --
(c) : Transfer switches � �
(d)� Engine.running
; Other supervisory function(s)(specify): '
, (NFPA72,3of4)
,.� ' . _- .. _ , .- � ,.���4 . ,� , ,, • . ._._ , . .. ..� .. - , . . . _.� , __,- �_ - - _ . ,_, _..- ' "' " ' .
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L=, 7 `Annunciator(s) � ' ' �� �
Number:, � Type: Location: ' �i�'6.w"1� -��_G �Z--
8.Alarm Notification Appliances and Circuits
NFPA 72,Chapter 6—Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: _ Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
Quantity and the class of notification appliance circuits connected to system(see NFPA 72,Table 6.7):� -
Quantity: � Style:, � Class:
Types and quantities of notification appliances installed:
(a) Bells With Visible
, (b) Speakers With Visible ,
(c) Horns With Visible , � , � _
(d) Chimes ' With Visible
(e) Other: With Visible ' ' _
(f� Visible appliances without audible: ' �� -
9. System Power Supplies �'� - , � � _ �
.�� �
(a) Fire Alarm Control PaneL• � Nominal voltage: I�D � Curi�ent rating: � v
Overcurrent protection: Type: . � ,��/Le� ,�%.�-� Current rating: � l�
, - Location:- �Ix��r� ���.,�-f ie t c. ��''rl - _
,�(b) Secondary(standby): - - � -
` � Storage battery: � �' _ Amp-hour rating: � f`��' � � �����
, Calculated capacity to drive aystem,in hours: � � �-� � � � � �
' '_ Engine-dri�en.generator dedicated to fire alarm system`._
; _. .
� Location of fuel.storage: ' � • , .
(c) Emergency system used as backup to primary power supply:
Emergency system described�in NFPA 70,Article 700: . ' �
10.Comments . : ' . �
,_ Frequency of routine tests.and inspecti�o/n�s;if other than in accordance with the referenced NFPA standard(s):
� ' C�fU-:e C. �Q ' /c'iRr ✓'•,._
, System deviations from the referenced NFPA standard(s)are: lf�D.lU�-- -'
� ,
- ���%.�1��.,.��az�� /�� ' �'��/� - ,
- (signed)for installation contractodsupplier (title) (date) - � �
'�;z�;��.�e,�; -..��--�.�-a ���i � � G'— �—f�r' - ..
(signed)for alarm seryice company (title) (date)
. " b'��1�,.. r)L�v�:�c� ' � / �CG� lJ —�l J� �!� -
r '
' . (signed)tor central station � (title) (date) j%
I�
Upon completion of the system(s)satisfactory test(s)witnessed(if required by the authority having jurisdiction):
,� ~.,...�'t� �.�-M.,__ � f� '� �,� i ,.
• (signe'd)`Tepresentative of the authority having jurisdiction (title) � (date) '
, , � (NFPA72,4of4) -
CITY OF / / / / BUILDING
ZEPHYRHILLS DEPARTMENT
��
OF ADDITION OR CORRECTION
, - ; �� • • - •
ADDRESS DATE PERMIT�,
���`� ��--, �c.��. � � �� /�a ��-�`
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
� ��5� c��-"��,d�— �nt�r�� ��' �'xc��ihf� �►'` '�(Y�1J��
1 r�-�1�� V•"�, •� {'1'�T��+�-l` l�F�+" �J'►T�� �L=1/Vil� 311�t� n J ��P�) ( ���6 1
C� S� �
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� G�� 5�' � ��� ���e� ��'� ��1��
����� �`�a��—� �
It is unlawful for any Carpenter,Contractor,euilder,or other persons,to AFTER CORRECTIONS ARE MADE CALL �
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the insfallation.
OFFICE HOURS 7:30 AM-5 PM MON:FRI. INSPECTOR ���12��5
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A,y.�� -^ I� 1
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Jacqueline Boges
From: Todd Vandeberg
Sent: Friday, May 25, 2018 1:27 PM
To: Shane LeBlanc; Jacqueline Boges; John Bostic
Cc: Rodney Corriveau; CJ Funnell
Subject: RE: Developmental Order WAWA
Jackie, Do we have the engineer letter of compliance and the landscape architect? Thanks,
��� d� S
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�od�cC.�l. 1�and-e Berg
Director of Planning
Planning Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Phone: 813.780.0006
Fax: 813.780.0005
vandeber�@ci.zephvrhills.fl.us
"It's not the Plan that's important.... it's the Planning"
From:Shane LeBlanc
Sent: Friday, May 25, 2018 10:07 AM
To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>;Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>;John Bostic
<JBostic@ci.zephyrhills.fl.us>
Cc: Rodney Corriveau<RCorriveau@ci.zephyrhills.fl.us>; G Funnell<CFunnell@ci.zephyrhills.fl.us>
Subject: RE: Developmental Order WAWA
The only comment I have is the shared use retention ponds located near the NE corner of the property do not function
as intended. We need to know who will maintain the retention ponds and a letter from the engineer.This has been
brought to the engineer's attention in the past.After a 1/2" rain event, the ponds should percolate down within 72
hours,that is not the case.
No further comments from public works.
Thanks,
Shane LeBlanc,
Public Works Director
City of Zephyrhills
1
Jacqueline Boges
From: Rodney Corriveau
Sent: Friday, May 25, 2018 5:24 PM
To: Jacqueline Boges;Todd Vandeberg; Shane LeBlanc; John Bostic
Cc: CJ Funnell; Gail Hamilton; Kevie DeFranc
Subject: RE: Developmental Order WAWA
We will inspect again on Wednesday 30 May, it was not ready. Contractor said check back then. We will have a punch
list. We will need to verify once again about retention ponds, I agree with Shane. Rod
. �
� �I � �'�
ZEPHYRHILLS-HOMETOWN AMERICA IN THE HEART OF TAMPA BAY!
Rodney V. Corriveau, AICP
Assistant Planner
Physical/Mailing Address:
City of Zephyrhills Planning Department
Historic Captain Jeffries House
38537 5th Ave.
i Zephyrhills, FL 33542
Phone: 813.780.0201
Fax: 813.780.0005
Under Florida law,e-mail addresses are public records. If you do not want your e-mail address released in response to a
public records request,do not send electronic mail to this office.
From:Jacqueline Boges � -��---� _---------------- _ ___�_
Sent: Friday, May 25,20181:39 PM
To:Todd Vandeberg<tvandeberg@ci.zephyrhills.fl.us>;Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>;John Bostic
<JBostic@ci.zephyrhills.fl.us> .
Cc: Rodney Corriveau<RCorriveau@ci.zephyrhills.fl.us>; CJ Funnell<CFunnell@ci.zephyrhills.fl.us>
Subject: RE: Developmental Order WAWA
No they have not but I am going to attached email that was sent to me while back Todd...
From:Todd Vandeberg � �� � F ��~ � ~ ' �^
Sent: Friday, May 25, 20181:27 PM
To:Shane LeBlanc<sleblanc@ci.zephyrhills.fl.us>;Jacqueline Boges<jbo�es@ci.zephyrhills.fl.us>;John Bostic
<JBosticC�ci.zephyrhills.fl.us>
i
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CITY OF ZEPHYRHILLS
' ' S335-8TH STREET
(8i3)78o-o0zo 19085
BUILDING PERMIT
� � PERMIT INFORMATION - - LOCATION INFORMATION
Permit Number: 19085/19084 Address: 6450 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: NEW CONST/COMM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-00100-0050
Improv. Cost: 180,160.00 OWNER INFORMATION
Date Issued: 1/08/2018 Name: GH&G ZEPHYRHILLS LLLC
Total Fees: 3,257.84 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 3,257.84 ATLANTA, GA. 30355-3209
Date Paid: 1/08/2018 Phone:
Work Desc: CONSTRUCT CANOPY WAWA
CONTRACTOR S APPLICATION FEES
AT CONSTRUCTION MANAGEMENT INC BUILDING FEE 745.61
KAZAR'S ELECTRIC INC ELECTRICAL FEE 164.48
SIGNATURE PLUMBING INC PLUMBING FEE 109.65
SOUTHERN AIR HEATING & COOLING S MECHANICAL FEE 76.76
POLICE IMPACT FEE 992.67
FIRE IMPACT FEE 1,065.75
PUBLIC SAFETY 5% 102.92
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Ins ections Re uired
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 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 Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON TO S N E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
:�
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ets-�eo�ozo City of Zephyrhills Permi#Application , Fax-a�aaao.00z�
Building pepartment
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I 11111 � 1 �...Lf.. 11111 nnn� f�1�
t3wnar's Name �41 Z��� � 1��5 �"�^a^• Owner Phane Number L���`�`''�� �'`'�`"� i�
Ownar's Addresa �� G�U�y�} $S vv�TV(Z L7�1���p one Num6er �l V`T ��j � !,�(,�'`f'LL-H"�"'/J�'7/��,
I 5�'t��L F-r7�.. f�
Fae Simple Titiaholder Name ��1G f nj�����"'OW�e►Phan�Na�er' a��, �-7G'�'2 A�
Fae S1mple Titlehaldsr Address `� � i`)1� t7 �" J`"+G 3 Cs
JOBADDRESS SEC of U.S 301 & C.R 54 �� �l1/ • �orq �
SUHDIVISIpN PARCELID# �2-2�-21—��pd—��I�fl—���a
�OB7AINED FROM PROPERTYTAI(NOiICE)
WORK PROP4SED e NEW coNSTR 8 ADDIALT � SIGN Q Q DEMOLISH
tNSTAII REPAtR
PROPOSED USE Q SFR � COMM �� ER
'SYPE flF C4NS7RUCTiON Q BLQCK Q fRAME � STEE �
DESCRIP770NOFWORK New Constructian of Wawa Gas Canopy
HUILDINC,StZE � � SQ F04TAGE tl�ttl HEtGN1 ��!'�� `r i �
QBUILDING S{/�('�!1f'V1(� � VALUATION OF TOTAI CONSTRUCTION $J.H O�O O O.O O
�Yi��o���
QELECTRICAL S I r-/'y�4•J AMP SERVICE Q PROGRESS ENERGY [� W R.E.C,
��I�,l �
QPLUMBING 5 S �Gti � � p �
� ` @ I�
QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION � � �J
���
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATlONS (—� PLOOD ZONE AREA QYES NO
L
eo�toea TBD � coMpatar �
SIGNATURE � REGISTEftED Y/N FEECURREt� YIN
Addreae C— � License#� �
ELECTRICIAN � � COMPANY �
SIGNATURE REGISTERED Y 1 N FEE CURREA Y/N
Addrees Licenss#( �
PWMBER � COMPANY � �
SIGNATURE �c�st�tm Y t N �cuRtteh Y 1 N
Addresa License# �� J�
MECHANtCAL � � COMPAMY � �
SIGNATURE � ftEGIS7ERED Y/N FEE CURRE� Y/N
Address License#�� �
OTHER � I CpMPANY � �
SIGNATURE f REGISTERED Y/N FEECURRE� Y!N
Address ticense#�. �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllilllllll
RESIIIENTtAL Attach{2j Fiat Pians;{2)sets o!&ullding Ptans;(S}sst of Energy Forms;R-0-W Permit far new construction,
Minimum ten(10)working days after submittat date Required onsite,Constwctior�Plans,Stormwater Plans wJ Silt Fence insketlad,
Sanitary Facilities&1 dumpsler,Site Work Permit for subdivistansfiarge projects
COMMERC�AL AUaeh(2)complete ssta of Bulding Plans plus a Life Smtety Page;(1)set of Energy Forms.R-O-W Psrmil far new conslruclion
F9lfnfmum ten{}p}vrorking days afler submlttat date. Required ansite,Construction Plans,Srormwater Plans wt Silt Pence Installad,
Sanita�y Facilities&t dumpstec Stte Wark Partnit far aIi new proyects.Ati commercial rsquitements must meef compUance
SIGN PERMIT Attech(2)sels of Engineered Plans.
""`PROPER'fY SURVEY requUad forall NEW construction
Direction5:
Fill oul applieetion completely.
Ownar&Contractor sfgn back of applicalion,nolarized
!f over 5250D,a Netiee of Commencement fs required. (AIC upgrades over ET500j
•• Agent(ior the contractar}or Power of Attomay(far the owner}woutd be someone with natadzed Ietter fram owner ae�thorizing same
OVER TI1E COUN1'ER PERMIT7ING (copy of contract required)
Reroofs B shingles Sewers Service Upgredes A/C Fences(PIoUSurvey/Footage)
�riveways-Not over Counier if on pubiic roedways,neads ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrfctions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undeAake work,they may be required to be licensed in accordance with state and local regulations. If the
conVactor 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 uncertafn as to what Ifcensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
SD09. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
poRions of the"contractor Biock"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 enlitled to permitting priviieges in Pasco
Counly.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that TranspoRation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buiidings,as specified in Pasco Counly Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wlll be identifled at the time of
permiiting. It is further understood that Transportalion Impact Fees and Resource Recovery Fees musl be pafd pdor to
receiving a"certi(icale of occupancy"or final power release. If lhe proJecl does noi involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco Counly WatedSower Impact
fees are due,they must be paid prior to pertnit 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—Homeowner's
Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
other than the"owner',f 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 thfs 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 pertormed to meet standards of all laws regulating
consVuction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regulations of other government agencfes may apply to the inlended worK,and that it is
my responsibility to identify what actions I must take to be In compliance. Such agencies.i�clude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,WaterM/astewaterTreatment.
- 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 lhat the following restrictions apply to the use of fill:
- Use of fi�l 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
ficensed 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 flll material is to be used in any area, I certify that use of such flll 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 bufidfng pemtit 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 cammencing construction. I understand that a separate permit may be required for electrlcal work,
plumbing,signs,welis, pools, air condiUoning.gas,ar other instaltations not speciflcalty included in the appllcaUon. A
permit issued shall be conslrued to be a iicense lo praceed�vith the r+ork and not as authority lo violate,cancel,altef,or
set aside any provisfons of lhe techn(cal codes,nor shall issuance of a permit prevent lhe Building Otfictal irom thereafter
requirinc�a correction of errors in plans,consVuction or violations o(any codes. Every permil issued shall be�ome tnvalid
unless the vrork 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 ot six(6)months after the time the work is commenced. An extension
may be requested,in wrtting,from the Building OKclal for a period not lo exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)conseculive days,the job is considered abandoned.
WARNING 70 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.
FLORIDAJURAT(F.S,117.0 ��/�`����(�(,s LGC.
OWNER OR AGENT �d•�L� CONTRACTOR
�sp nd swor o affj ps�beforg me Ih�� ,J/ Subscribed end s�wY om to(or aKrmed)before me this
bY (Y�t GKQ, ti�w
o Jnre porsonally known to me or haslh ve pr� Who is/aro parsOnoily knoarn to me or hasRiave produted
+� os(denNficatian, as idenlification.
�_'���� Noiay P�blic Notery Puhlic
Cammfssion No. FF✓��O3 Z Cammfssfon No.
�-i`uJ/O 2 �i2�lQO.S��C�
Neme of Notary typed,prinled or stamped Name oF Nolary lyped,printed or slamped
���r�
.�",�s, DAVID R tiRY808M
:.: :,� MY COAQbtISSION�FF 117002
3��y,� '? EXPIRES:Auguat 25,2018
"��li��ti� �� Bo�Med TFwu Na4ry PuWk Undemdn I
,
� � ADDRESSING DEPAI�TMENT
GIS /ADDRESSIfVG
`°' PASCO COUNTY GOVT�. CENTER
8731 CITIZENS DRIVE, SUITE 310
NEW PORT RICHEY, FL 34654
, � ,� Phone: (727) 815-7154
http://pascocountvfl.net/
March 3, 2017
Welcome from the Pasco County Addressing Staff,
� Please be advised that the following address has been assigned:
Address Number/Roadway Name: 6450 Gall Blvd
Zephyrhills, FL 33542
Parcel: 02 26 21 0000 00100 0040
**PLEASE NOTE: IF THIS ADDRESS IS FOR A CORNER LOT, OR IF THE SITE
PLAN CHANGES AT A LATER DATE, THE ADDRESS IS SUBJECT TO CHANGE. IT
, IS YOUR RESPONSIBILITY TO PROVIDE ADDITIONAL COPIES OF THIS RECEIPT
�,
WHEN NECESSARY.
, If you have any questions regarding your address, please feel free to contact me at:
(727) 815-7154.
Sincerely,
�a.�2Ua�i
Pam Walton
Addressing/GIS Analyst
I
. ' 02-26-21-0000-00100-0040 � Pasco County Property Appraiser Page 1 of 1
Data Current as Of: Weekly Archive-Saturday, February 18, 2017
ParcelID 02-26-21-OOUb-00100-0040 (Card: 001 of 001)
Classification 83 - Schools, Public
Mailing Address Property Value
DISTRICT SCHOOL BOARD OF Ag Land $0
PASCO COUNTY Land $263,555
7227 LAND 0 LAKES BLVD 155,451
LAND 0 LAKES FL 34638-2826 Building $
Physical Address Extra Features $122,990
38110 COUN7Y ROAD 54
ZEPHYRHILLS FL 33542-7530
Legal Description (First 4 Lines) 7ust Value $541,996
COM AT SW COR OF N1/2 OF SW1/4 ASSessed (Non-School Amendment 1) $541,996
OF SEC FOR POB TH ALG SOUTH
BOUNDARY OF THE N1/2 OF SW1/4
OF SEC N89DEG53'10"E 389.63 FT Taxable Value $0
7urisdiction
Citv of Zeohvrhills
Land Detail (Card; 001 of 001)
- -- - ,----- ---- - - ---- - • - -, -
, - ----•----
Line � Use !Description� Zoning Units Type ! Price jCondition� Value
--- ----- ----�----- - ------- - -- � — -- ---�- -------�---- ---
1 8300 _ � SCHOOL � OOR3 � 5.00 ' AC _ `$19,680.00; 1.00 ` $98,400__
---- ---- - ---- - -� ---- - — -�----- --t—
- ------ --- ---- --
2 _�_8300 ; SCHOOL ( _OOR3_ � 10.00 AC____;$19,680_00� 0.80 _�$157,440
3 ; 8300 j SCHOOL j OOR3 ; 0.56 ' AC �$19,680.00t 0.70 ; $7,715
Additional Land Information
-- ------ � ---- - r � - --- - � - - -- --- -- -------- . ----- - -
Acres � 15.56 ' Tax Area '; 30ZH i C de ' -- �Residential Codei 2ZHN.A2
i 1
Buildinca Information - Use 86- County Buildings (Card: 001 of 001)
Year Built 1992 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Metal
Interior Wall 1 Masonry or Minimum Interior Wall 2 None
Flooring 1 Finished Concrete Flooring 2 None
Fuel None Heat None
A/C None Baths 2.0
Line ! Description ; Sq. Feet Repl. Cost New
_,__,.. _. ._..__._..._...._. ._._. _ �___.__._... .._____..__ --- - - _ .... .--- --. .. ._ � �. �_,. .._._,_.. _._.._._.�
1 . CAN 1,621 $36,086
�__.__...... ._.___--_ .�... _ ._.._._._ . .....-- ... �__ _.._. ... _ ...--•-. - ---_.. _.._._ .. __._.._._.__. _..
2 _ -- -- BAS 3,187 . � $236,635
Extra Features (Card: 001 of 001)
------------p - --------------- � -- ---- --------- -
Line j Descri tion Year �_ Units ! Value
-- - --- -- - ---- - - -------- - ----- -
1 � PAV ASP 1992 31,393 $9,182
- ---- --- ` - --------- - - - -- �-
- -- - - - -
2 = SWC . 1992 ' 954 � $501
- ----- ' --- -�- -- -- --- - - ------ -
3 � CLFENCE 1992 ' 4,056 $1,825
---- - - ------ ---- ---- - - -- ----- - --- - -----'---
- --
- -- -
4 ` POOLCON 1992 ; 6,944 � $87,494
---- -- --- -�--- - - ------- - -- - -- ----------- -i
5 ; COOL DK 1992 � 15,732 ` $23,598 _
_...------------____,. -- -- - ----� ---------- ._. ,.._...-- --.._. ._._;. --- ----- ---- -..__ � ---- -_._ .__._..
6 ; UDU-M 2003 i 1 � $390
Sales Historv-See All 5 sales
Previous Owner: PASCO COUNIY
-- - - -----_� .......
--- --�-----
- ------- - . .;_.. v--- --
� Month/Year f _Book/Page ( ___ _ Type . DOR Code ? Condition ; ^Amount
. �_ .. _._.__.__._�__._ _� ..._ _._..
_ 02/2012 8668 / 2843 ; Indenture 18 i Improved ; $0
--'--- — ------ --- - ----- - -- - � -- --- ------
�_�02/2012 1 8668 / 1285 ; Indenture , 18 ; Improved $0
06/2010 € 8352 / 0082 f Quit Claim Deed '1 li Improved . N $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0000&b... 2/20/2017 ''
. .... . .,i ,.... . , .. . ;. .� .. . _ . .. , �._ . . . . ........... . . _ _ . , :�. .... . ,
....:... ..... .... , ..:.,: .. ;..,. ... . �--.._._. .. .._..
y . . .._�. . .
i
LETTER OF AUTHORTZATION �
To Whom It May Concern:
This letter authorizes GH&G Zephvrhills,LLC and/or Bohler En�eerin�FL,LLC to act on
behalf of District School Board of Pasco County, in regards to permits and applications for site
plan approval through the City of Zephyrhills, as well as but not limited to all regulatory
agencies, deparhnents and governmental agencies of FDEP,Pasco County, FDOT and
SVJFWMD,necessary for the construc�ion and development of a proposed commercial.
development, located at the southeast corner of US 34i & CR 54 (Eiland Blvd),Pasco Couniy,
FL(Parcel ID - -21-0000-00100-0040). i
Signature: �
S.�d�f`o��l� ;
Name (printed)
�
STATE OF FLORIDA '
COUNTY OF 1�0.5�.�
The foregoing instrument was acknowledged before me this�'� day of �G�b�� ,
2016,by �u-�5 .$�ccani�tiR as �crp?.t'�i►�P.nd•2�c.`l'� '
of ��.�too�5. 1'0�5� �,Dun�G, Sc(�oaf �LOc�,��� ,onbehalfofthecorporation.
They are personally known to me or have produced +�(GL as identification and(did/did
not take oath. .
� �i►v1��J�- -
Not Pu lic
�ot�;;Pu��� �
M��RE7'L FACEMIRE
,� * MY COMMISSION 9 F '
Print Na op S��tober31,2ot�
oF�d+� 6andedihruBudgelNoieryServlces
� Commission No.
Expiration Date:
i
i
� WAWA Canopy
o umn
SQ. FEET PRICE
MAIN OR LIVING: 6,090
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 180,160.00
FEE SHEET $ 731.00
ADDRESS
DRIVEWAY
BUILDING: $ 745.62
ELECTRICAL: $ 164.48
PLUMBING: $ 109.65
MECHANICAL: $ 76.76
SUB-TOTAL $ 1,096.50
TOTAL $ 1,096.50
SEW ER: n/a
WATER: n/a
IRRIGATION: $ -
TOTAL: $ -
WATER METER: n/a
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: n/a
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 992.67
FIRE $ 1,065.75
5% $ 102.92
TOTAL: $ 2,161.34
SUB-TOTAL $ 3,257.84 ,
PARK IMPACT FEES n/a 'I
SIF'S: n/a �
100.0% $ -
1.0% $ - ,
TOTAL:
T I F'S: n/a
99% $ -
1% $ -
TOTAL: $ 3,257.84
� WAWA CANOPY � '
o umn -
.SQ. FEET � .�_ PRICE
UNDER ROOF: 6,090
OTHER: - $ -
VALUATION $ 180,160.00
�' FEE SHEET $ 731.00
ADDRESS
P
DRIVEWAY
BUILDING: $ 745.62 �
ELECTRICAL: $ 164.48
PLUMBING: $ 109.65
MECHANICAL: $ 76.76
SUB-TOTAL $ 1,096.50
TOTAL $ 1,096.50
SEW ER: �
WATE R:
IRRIGATION: $ -
TOTAL: $ -
WATER METER: �
IRRIGATION METER '
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 992.67
FIRE $ 1,065.75
5% $ 102.92
TOTAL: $ 1,968.72
SUB-TOTAL $ 3,065.22
PARK IMPACT FEES
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
TIF'S:
99% $ -
1% $ -
TOTAL: $ 3,065.22
. . � � ��= -� c�� � �
�� �-� � � : .
y
-.� -_
SQ.FT. PRICE
Main �7��� � � 1�
/
Other Area
Under Roof
Valuation: /��' �b�
�
� �
Building: l��,)Cv�1 � �, j�� �
y��
�
� Electric: � g� SdLS ,� r 3 3a �b � ` � �,���J
Plumbing: a� ��� �� �s
�
Mechanical: ,�(� �
Radon:
���3���- s�rt � ;�I ?`�
, �
, School Impact ,�( j �
Fees: �� �
Connection ,� ( � �
Fees:
F��
Trans.Impact �yl
Fees: 1 � ��
�
�4 T'Const�uction Management Inc. ,
13799 Park Boulevard North �
�Seminole, Florida-33776
727-729-1264
City of Zephyrhills Building Deparhnent
" 5335 8`h Street Zephyrhills,FL 33542
813-780-0020
Authorization Letter
This letter is an authorization letter for the following employees to have approval
to sign and pick up permits on behalf of AT Construction Management Inc.
Employees
-John Martyn
-Andy Marl}m
-Tom Reuther
-Craig Wilson
-Gary Angle
Thanks
John Martyn
Vice President COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Jenniter L.Green
NOTARY PUBLIC
Upper Darby Twp,Detaware County
.My Commission Expires 10H7/2021
� �
• - -)�I� �I2a2 �
CITY OF ZEPHYRHILLS ,
5335-8TH STREET
� • sis-�so-oozo . 19253
FIRE PUMPS PERMIT
= PERMIT INFORMATION - � - LOCATION INFORMATION �
Permit Number: 19253 Address: 6450 GALL BLVD
Permit Type: FIRE PUMPS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-00100-0050
Improv. Cost: 202,000.00 OWNER INFORMATION
Date Issued: 2/01/2018 Name: GH&G ZEPHYRHILLS LLLC
Total Fees: 550.00 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 550.00 ATLANTA, GA. 30355-3209
Date Paid: 3/15/2018 Phone:
Work Desc: CONSTRUCT 3 FUEL TANKS -WAWA/W /ELECTRIC
CONTRACTOR S APPLICATION FEES
AEC SERVICES FIRE PERMIT FEES 150.00 FIRE PLAN REVIEW FEES 150.00
ARON ELECTRIC ELECTRICAL FEE 250.00
�
� j �j
. . 1 l..`
�� �l�
Ins ections Re uired
FIRE ACCEPTANCE Final
UNDERGROUND ELECTRIC
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 Ac�ompany 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 COMME ENT."
CONTRAC � R SIGNATURE PERMIT OFFIC �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ��
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
a�a-�eo-0o2o City of Zephyrhilis Permit Application Fax�13-780-0021
Building Department
Date Received I� �� phone Contact for Permlttin ��3 � — �Z`� `
Owners Name w F �� I—�.C Owner Phone Number
Owners Address l� L 2 ��C �� S v 9�E Q Owner Phone Number
Fee Slmple Tltleholder Name , � ��� �rf�L�.� L�COwner Phone Numher
FeeSlmpleTltleholderAddress 1.� .�Q�x 5 50 7�q
JOBADDRESS O �G ���L �L\l�� 2f Pt��R111LLS. F �3� LOT# �
SUBDIVISION PARCELID# d� UU' G I '�O �O(j�((�'QO S�
(OBTAINED FROM PROPERTV TAX NOTIC�
WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTIONOFWORK LON��R, e`�'��N Q� 4VC�'�J �(,JE(� �`�S�G
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��n`r_ I/� Q
��T �r��t�
I�MECHANICAL $(�O1�LD�IIU VALUATION OF'MECHANICAL INSTALLATION !( (�Jp �
� � �-� I J ��:�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO r`Y/���� -
� k
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N �cuRrtEn Y/N
Address License#
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� �� SIGNATURE a�GlSr�o Y/ N �E cuw�n Y/N '
1""' � Address� License#
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Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildfng Plans;(1)set of Energy Fortns;R-O-W Pertnit for new wnsWction,
Minimum ten(10)worlting days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitery Facilities&1 dumpster,Site Work Pertnit for subdivisions/large proJects
COMMERCIAL Attach(2)complete sets of Building Plans plus a LHe Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construction.
Minimum ten(�0)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit far all new projects.All commeraal requirements must meet compliance
SIGN PERMfT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requfred for all NEW construction.
Directions:•
Fill out application campletety.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commancement Is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (copy of contract required)
Reroofs if shinglas Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drfveways-Not over Caunter if on public roadways..needs ROW
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CITY OF ZEPHYRHILLS
5335-STH STREET
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FIRE PUMPS PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 19253 Address: 6450 GALL BLVD
Permit Type: FIRE PUMPS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-00100-0050 �
Improv. Cost: 160,000.00 OWNER INFORMATION
Date Issued: 2/01/2018 Name: GH&G ZEPHYRHILLS LLLC
Total Fees: 300.00 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 300.00 ATLANTA, GA. 30355-3209
Date Paid: 2/01/2018 Phone:
Work Desc: CONSTRUCT 3 FUEL TANKS -WAWA
CONTRACTOR S APPLICATION FEES
AEC SERVICES FIRE PERMIT FEE 150.00 FIRE PLAN REVIEW FEES 150.00
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Ins ections Re uired
FIRE ACCEPTANCE 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 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 OBTAIIV
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMME ENT "
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CONTRACTOR SIGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
� • Rick Scott
Mission: ' Govemor
To protect,promote&improve the health '
of all people in Florida through integrated ��� � - Celeste Philip,MD,MPH
state,county 8 community efforts. ���
Surgeon General and Secretary
Vision:To be the Healthiest Sta4e in the Na6on
CONSTRUCTION PLAN REVIEW
PROVISO LETTER �
Facility: 51-NEW
WaWa#5285
Southeast Corner US 301 and Eiland Blvd
Zephyhills
PINELLAS
The Florida Department of Health in Pinellas County (DOH-Pinellas) has been authorized by contract
with the Florida Department of Environmental Protection (FDEP) to conduct Petroleum Storage Tank
Compliance Program work in Pasco County. On January 3, 2017, plans submitted by Bohler
Engineering FL, LLC were reviewed for compliance with Chapter 62-761, Florida Administrative Code.
The plans describe:
INSTALLATION
Installation of three (3) Vehicular Fuel Underground Storage Tank (UST) and associated equipment; to
include in part:
• Double Wall Xerxes DWT-III USTs (1 —20,000 gallon and 2—22,000 gallon split 10,000/
12,000). [EQ-200]
• Installation of APT XP-200-SC double wall piping. [E(,�-61�]
, • Installation of OPW 71S0-410-C overfill prevention devices. [EQ-697]
• Installation of Fibrelite S8CR-FL100MP spill containment units. [EQ-776] �
• Installation of Fibrelite S8CR-48-390-WT piping containment units. [EQ-776]
• Installation of APT LMM-3617-36 dispenser containment sumps. [EQ-618]
• Installation of FE Petro Line Leak Detectors (STP-LLD). [EQ-335]
• Installation of Veeder Root TLS-350 with tank interstice & containment sensors. [EQ-614]
The following items are required:
• Submission of Underground Storage System Installation and Removal Form for Certified
Contractors.
• Owner/Operator representative must submit to DEP Tallahassee a Storage Tank Registration
Form in sufficient time to meet rule requirements (within 30 days of completion) to show new
system as installed.
The environmental consultant is: NOT REQUIRED �
The Pollutant Storage System Contractor: TBD
Tank & Line Cleaning: Not Required
The tank system owner is: WaWa, Inc.
Florida Department of Health
in Pinellas County �Accredited Health Department
�8751 Ulmerton Rd.•Largo,FL 33771 �
PHONE:(727)538-7277•FAX(727)538-7293 ' Public Heafth Accreditation Board
FloridaHealth.gov
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CONSTRUCTION PLAN REVIEW WaWa#5285
PROVISO LETTER Facility ID#51-NEW
Page 2 of 2 January 3, 2017
NOTE: INSTALLATION OF NEW TANK SYSTEMS MAY REQUIRE DE-WATERING
NECESSITATING NPDES PERMIT AND TREATMENT OF GROUNDWATER PRIOR TO DISPOSAL.
SOIL ECAVATED AND NOT INTENDED FOR RE-USE IN THE EXCAVATION MUST BE
EVALUATED PRIOR TO OFF-S/TE TRANSPORT.
NOTE: THE CONTRACTOR MUST PROVIDE A MINIMUM 48-HOUR NOTICE TO THE
DESIGNATED INSPECTOR FOR THE INITIAL SITE INSPECTION. FAILURE TO PROVIDE THIS
NOTICE MAY RESULT IN NO AGENCY INSPECTION.
The inspection coordinator is: George Juaristic (727-538-7277 ext 6115)
The following activities must be inspected by this agency:
INSTALLATION
• Observation of the integrity testing of the USTs in accordance with manufacturer's instructions
(Xerxes) following arrival.
• _ Observation of the tank excavation, tank set, backfill and ballasting process.
• Observation of air pressure/soap testing of primary and secondary piping runs.
� Observation of a 3-hour hydrostatic test of the turbine and dispenser containment sumps.
• Observation of manufacturer approved testing of the spill containment units.
• Verification of the installation of overfill prevention device.
• Verification of the rigid anchoring of the shear valve assemblies.
• Prior to the final inspection -the contractor(s) must provide function test data for the line leak
detectors. In addition, rip nted copies of the tank and line tightness test reports must be
provided to the agency.
• Observation of the marking of the fill cover in accordance with API 1637.
• In addition, a final inspection will be performed upon completion of all construction. At the final .
inspection the facility must be able to confirm registration updates for the installation have been
submitted to the FDEP's registration section. Additionally, the facility must demonstrate that the
new tank systems have the appropriate 3�d Party Petroleum Liability & Corrective Action
coverage.
�, John Lapointe , acting as a representative of Bohler Engineering FL,
LLC have reviewed this document with the DOH-Pinellas, Petroleum Storage Tank Compliance
Program staff, and am aware of the specified conditions and notification timeframes.
John G Lapointe, PE �,DN'cnllJ hnGWpoant PE64211eo,ou4z��
642� � ;email=jlapointe@bohlereng.com,r—US
Date:2017.03.2415:59:04-04'00'
Bohler Engineering FL, LLC Date
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Joseph Sowers
Environmental Supervisor II
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GOMMER�IAL-INf3U5TRfAL� E�IDENTIAI
pF1"RL�LEUM E�►U/PMENT ��ecic��tx'
March�.Sth,2018
Tp whom it may concerrl, �� U��
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Concerning the Wawa job at 6450 Gall 81vd.,pe�m;t#19253. he jab val�e is$�.QO,And piease add
to yau�record�authorization ag�nts ta obta9n permits are;
Ryan LoGrande Dr I.ic# L2�5-721-80-170-0
Robert Danielsvn Dr Lic# D542-�72-74Z49-�
Any que&tions p(ease call Earla or John at 7t?-321-5231.
Thank you,
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JO N'UINCIGUERRA (PRESIQENT)
2738 20th Avenue Narth • St. Pet rsk��rg, FL�3713
Selephone; (727)321-5231 • Fa (727)323-6960
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BUILDING PLAN REVIEW COMMENTS j
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CantractorlHomeowner; i
Da�e Received: �— � �`'t g �
s�t�: ��t..��, �,11 I
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Permit Type: �t�f �{,�Y�►,� G�
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Approved w/na comments:Q� Approved wlthe below comments; ❑ Denied wlthe below comments: ❑ �
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This comment sheet shall be kept with the permit andlor plans. �
c� f � 3 r. 1 b� �
Gene Brown—Fire Safety O£ficer Date Contractor andtor Homeownez� �
(Required when comznents are present) i
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' � ��PH�'RH1LL�� FI�E D�PA���tViE�T
6907 Dairy Raad, Zephyrhilis, FL 33542
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�IRE �E�YI�E llSEE� FEE�
Occupar�cy R#o.:
Pl�n No.: Contrac#or:
Business Name: A��6" Billing Address:
Business Address: Cs"Y.X�� C�A-a..._ �,y,r�
Business Phone No.: Billing Phone No.:
�, 6usiness Faac No.: Billing Fax No.:
Contact: Contact:
f'LAiV FtEVfEW FEES iFESPECTfOtd FEES PfR�lilT FEE FALSE ALARNP FEE
�Site Plan N1C Anr►ual NIC Sprinkler $50 1st Alarm NJC
Mutti-Fami3ytCommerc�a► .06 sf 1 st#2e-inspection PIiC Standpipes $50 2nd Aiarm NIC
(Minimum Charge$25.00 2nd Re-inspeciian $10Q Fite Pump $50 3td Afarm NtC
� Plan Revls9ons DBL 3rd Re-inspeation $250 Noods $50 4th Atarm $10Q
4th Re-inspection $500 Fire Alarm $5Q 5th Alarm $!5Q
- SPRINlCLER SYSTENiS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations carrected) Natural,Gas $50 NON COMPLIANCE $150
26 pius Fleads $100 SPRINKLER SYSTEI�IS 'a� 'F el Tanks- per tank 50.._—
STtWDPIPE SYSTE�1 Hydro Undergrpunds $45 Sparkiers $100
�Per Riser $50 HydtostatiC Te5t $65 per system Fiie WoTks $506
fERE PUMP AcCepfance Test $45 per system Camp Fire $25
� Per Pump $100 F{ydrani Ftow $75 Controited Burr� $900
FlRE ALARM SYSTEt�! M�dlDuct $50
8 0-25 Devices $5G FIRE ALARf►9&YSTEt�9 Place of Assemb{y $5Q annuai
26 plus Devices $10Q System Acceptance $50 Fire Protection $25
SUPPRES5iOt�SYSTEM3 RecaU Acceptance $5Q Flammabte ApplicaUon $50 annuai
Wet $50 OTHER Waste Ti�e Storage $50 annuai
Dry $50 Fire WalilSmoke Waii $15 per wan Generator<KW $100
Ct32 $50 �P Gas $25 per tenk Generator>3d iCW 150
C►ther $50 Naturai Gas $25 persystem Bia-Hazarc3 Was#e $100 Annuai
KITCHEN EXtOAUST , Fumigatian Tenting $50
�HaodlpuCts $5Q Tent!4'x10'or greater $95 perteM Tarch PaUAppiied $5Q
OTHER Fire Pump $45 Haz.Maierials $1QQ at,nua�
LP In �ation $50 ~ Fire Suppression $30
Fuel Installation System Acceptance
� $50 Exheust Hoad/Duct $30
�Naturai Gas Insta�taUon $50 8 Re-inspection DBL
(Per System} (other than a�nuai}
�Spray Boath $50 �Inspection scfieduted DBL 8
and+cancelled less than
24 hours
Construetion Insp. N!C
Emergency Vehtcle At $50 FALSE AL11RN0
PLANS TOTAL_• , INSPEC710W TOTAL� PERMIT TOT �Ya 70TAL�
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GR/WD TOTAL �:�:��� �� `�
_,Comments: �
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inspector: ��` "�--- .
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CITY OF ZEPHYRHILLS
5335-8TN STREET
(813)780-0020 19460
BRJILDING PEE�MIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19460 Address: 6450 GAL1. BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: ADD/A�T Ct�MMERCiAL Township: Range: Baok:
F"ropased Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 02-26-21-0000-00100-0050
� Imprav. Cost: 37,960.00 OWNER INFORMATIQN
Date Issued: 3/22/2018 Name: GH&�ZEPHYRHILI�S LL�C
Total Fees: 230.00 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 23Q.40 ATLANTA, GA. 3Q355-3209
Date Paid: 3/22/2018 Phone:
Work Desc: INSTALLATlON REFRIGERATION & C(�OLER EQUlPMENT-WAWA
CONTRACTOR S APPLICATIfJN FEES
MAIN GOMMERCIAL COOKING & REFRID MECHANICAL FEE 230.00
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Ins ections Re uired
D TS I TALL
DUCTSENSULATED
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
loea!government shall impose a fee of four fiimes the amaunt of the fee imposed for the initial inspectian or
first reinspection,whichever is greater,far each such subsequent reinspec#ion.
NOTICE: In addition to the requirements of this permit,there maybe additiona! restrictions applicable ta this property that
may be faund in the pub(ic records of this caunty, and there may be additiana( permits required from other governmenta{
entities such as water management, state agencies or federal agencies.
"1Narning ta awner: Your failure to record a notice of commencement may result in your paying twice for
impravements to your property. If you intend to obtain financing, consult with your lender or an attorney
before record'mg your notice af cammencement."
Complete Plans,Specificatians Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NtJ OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEFORE C.O.
t�%���1� "��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHBUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PRCITECT CARD FRaM 1NEATHER
8'13-780-002o City o#Zephyrhitis Nerm�t t�ppEication rajc-ts�s-ruu-uvL-�
• Building Department
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Date Received .. . •:Phone Contaclfor Permitting � — ��
Owner's Name Owner Phone Number ,
Owner's Address ����{�'/�� �� �Owner Phone Number � �
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Fee�FmptejTitlaholder Piame �_C-�.�_C��,��Owner Phiane Number
Fee StmpleiTifleholder Address
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JOB ADDRESS �Z� LOT# �
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SUBDtittSION � � PARGEt»1D# ��"'�"�7"'tNC�t/"' tlt1��"'��� V
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WORK PROPOSED ,. NEw cONSTR e ADDlALT � S(GN ��� � 0 DEMpLISH
tNSTAtI. 'REPAIR
PROP.OSEp:USE SFR COMM• 0 OTHER �
TYPE'OF Cti1VS'fRUCTtON [� BLOC • � 'F ME �. STEEL ,Q
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DESCRl�TION OF V4tdRK !
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QBUILDING � � VALUATIOIV'OF TOTAL CONSTRlJGTION -
�.ELECTRICAL �_� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C.
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FINISHED FLOOR EI.�VATIONS FLOOD ZONE AREA QYES NO ������
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SIGN,ATURE REGtSTEREp Y/ N iFEE:GURRE� Y/N.
Address ' . �ice�se�# � � �
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A.itd�ess.� �. : :a�:;�.� - ,F� - _ _ - Lleerise#
�;f _ . , . _ : _ .QSit " _� � . . � . , ,
aEtES1DENTfAI::;,�� �i4ttach':- ,=Piot:Plan"s';^':Z.sefs o�f-Buiidtti�rPtans��1�a�set of=Ene 'Eomis;�•R=Q=Vif Feirrilt.fiir=new.construction,'
�. :- x ..,��..{?},._ �. � ?. 9 { } . �9Y. .. .,�,. �: . ,
,�.; . f ,�,....,
, ` ::n;.�f•,.�•.,Minimum`<ten�(10};vyortiing?:days`iaftet:satirriitta�:date:=:Required�'�onsite;�'Cianstruction Plan"s,Stomiwater Pians w/Sik Fenae instailed,
'� '' � '��3anifary,,;Facilities&„y�s,dumpster;,:S,i�e,Wor,k:R,e,rmlk:for;subdivisioosllarge-:projecfs',..- - .�. � . - . __
,� �.�, - :,.,•,.,.;_.: .. ,r, ,.,,..,,....._,,,�.:..:... _. a: .
��;;+COIV![YtERCtAI. Attacti�2�}=dciinplete'sets af`Bu1ti31ng Plan's plas a�ife Safet}r Page;{t}set af Energy Fanns.R-O-W Permit for new constcuctton.
" Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence.installed,
`Y���" ' Sanitary FaGllUes&1 dumpster.Site Work Pertnit fo�all-new.:projects.All commercial requirements must meet cumplianca�
'3�'=SlGNePERNtlT "Attach={2�sets;af;Etiglneered P1ans;;'{.".,, < .. . . , , $ .
`�`�`'� "'"PRO!?ERTY Sl1ftVEY reyuired,for,.aII,NEW.construcUon.
",yx.
--;:.��{L$fi.�Q11S: •;t:i;:�.,. -�`�:' ' -
� Fill':out:application completely.
�. 'OwneriB.+Contractar.sign.tiack of application,notai�zad
_ 'if over.•'$2SOO;.a Notice:of Gommencement.ls tequjred. (A!C upgrades over$7500) _
�;.,::�.. ... •.<;,4'•4�;. .
t'`�«';'., Agent�(for'ttie�contractoe);or°Power'of�Attomey(for'the'owne'r)wbuld tie someone with notarized.letter fram ownar autha�izing same
;,:�'Qt/Elt':,T,fiE COt�fN�'ERAP,,ERMt'i'�lNG:.. ..., _(caPy_of.co�traef-.requtred) -' -
x`:�Reroois'ffsfiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not auar Goun#er if on public';r'oadvirays:.neeifs RO{tNt
.._._ . . �+�a�aa.m• .�^'�'.^.�.."sk;'.5t7:S�:i�:�`3tF`"'.::�v
I ,s
OF DEED iR�STR CTI " � �''"'""'�+' "`
MOTICIE. I �lNS: The undersigne.d;.understands.th�t;this,permit may be subj.ect:#o:"deed,,restnction's, "''
— _ - _ ...Iw nn2:�^.i.A?�sa'�' " =�r.'�i''zwC,l'53.,�.5";F-i��.fv^S.Ci*•_.x g„;:
wliichv.ma. �be more�r.estr�efiver�than4.Cot�r� re`"ulations:�:rThe�ci�i�de��si iied'=`assia�es�%�s�onsibiti"'"���ar;com 19'an'=c$e`uvitFi�an''� ':- :
Y ;: : tY 9 9 P , tY- P . Y
applicable deed res#rictions. �, x.:,�;.�,�4:�^'`�:%:Y�J'
UNLIC.ENSED°:CONTRACTORS AN[? CONTRACT�RI RESPOMSIBILITIES: ifi•the-owr�er��tias•��iire�~�a�,eontractor or
cantrac#ors to undertake work, they may;.;be_r,e.quired:to 6e (icensed in accordance with.state and�loeai::regul�,ations.,�lf"the��� =�
can.tra;ctor is:not�licensed�as�requi�ed tiy'Iaw, botli.the awner-and��contraefo�°�may�=be�ci#ed�fars�a-�misd'emeanor violation. •
under�state law. If the owner or intended,contFactoc are uncerEain as to what.licensing re�uir.ementsr�rnay��:apply�for�tii'�Y�}�' ��
.�,1�s._,.,,;.y r;r : ,�..�,�;,. .-;�,,...
intend:ed workY.they:are,advised�t'o conf�ct`tY�e Pasco County'Building inspection�Division�Licensing Section at:727=84fi-
80Q�: Furttaermare, if the ovmer tias fii�d`�a cc�ri#ractor or contracto�s, he is aclvised to�;have the,.cantractor(s.),;sign:.,..,,. ;',
portions of the "contractor Block" of this appiication.for which they will.be resp.onsib)e::�Ifyouu, as�'�:tfie�''owner�si�n�''as�ftie '``' ,
contractor, that may be an indication thaf he�is not praperly licensed�and�is no# eritifled��tb permitting pr�vileges ztnrc Pasco£` ,:,� ;:
Countjr. , , - . . '
TRANSPORTATION�IMPACT/.UTILITI�S IMPACT AND RESOURCE RECOVERY FEES: The undersigned.under,stands '
� .�,.,:.:..._=.�,a , .. . ,
that Transportatian tmpact Fees and Recourse Recovery.Fees°may:apply to;:fhe co.nstrvction o.f,new builtliiigs,�clia�ge�of�''�'' �.�+,
use in;existing buildings,;or�expansion of:ezisting��uifdings, as specified in Pasca County Ordinance number 89-U7 and
� �, `"a r' v ♦
90-07,�as ame,nded The•undersigned also.understands, that.such;fees, as"may�lae�dwe; wifl"be;�dentifed•af�fil�e�:tiri�e%:of�°�'��� 'y;
permitting. �If is further understood that Transpartation impact Fees°and Resource�<Recovery_Fees must be paid prior ta ,
receiving.a�°certifica#e of oacupancy° or final.power release._lf the project does nat involve;a certificate of acct�pancy:;Of�"%'�� �
final:�power releas.e,;the fees.must be.paid prior to permit issuance.._.�urtFiecmare, if..Fasco.Coa�tty WaterlSewe,r;xlmpact�::•.= .
fees�are due,.#[iey;.,must:be..paid prior to p�rmit issuance.in,;accordance with°applicable.P�asco:County ordinances. �
Ct?NSTRUCTI4N lIEN L�#tiid{Chapt�r 71�3;Flarid�Statutes,as a�rteraded}: If valuation af work is$2,5Q;O.Q,O.or.mor:e;,1�.;,,
certify lthat I, the applicant, have been, provided with�a copy,.of.=the�"Flarida Constr:uetion��:ien Law�=Homeowner's ��
Protection Guide" prepared�by the florida Department of�Agriculture and Consumer Affairs. !f the appficant is s.om�one.:,
other than the"owner", I certifiy that.l.have obtained a copy of the above descr'rbed`document and pr.omise�in goo.d'fai'th�to �'
deliver'it,#o�the:"owner"'p�ior.:to.commen'cement: �
CONTRAGTQR'SIOWNER'S A�'FiDAVIT:�::I:certify that aN the informa#�on �n this appi�cataon is accu�ate anc!'#hat a11"work
will be jdone in compliance with all applicable�laws regulating construc#ion, zoning and land�development. Application.is
hereby.; made to abtairt, a; pecmit to=do„work a�td insialiation as-indica#ed. 1 cet�ti€y that na �nrark or.installat�on=has
cammenced prior to issuance of a permit and fha# ali work wiil be performed to.meet standards-of atl laws regulating
construction, County and City codes, zoning regulations,, and land deuelopment regulations"in the jurisdiction. ��I.�also '
certify that 1 understand that the regulations af o#her government agencies may appiy.to the interided work, and that it is -
my responsibility to identify wrhat actions I must.take to be in compliance. Such agencies include but are not limited;to: �
- ,Department of Envirortrxiental�`Pr"zitectioii=Cypress Baylieads, Wetland Areas and Envirottmentally Sensitive -
Lands,WaterNllastewater Treatment. , '
- Southwest Ftorida Water Manag�ment District-Wells, Cypress .Bayheads, We#land Areas, Aitering
Watercourses. � � �
- Army Carps of Engineers=Seavvalls, Doaks, Nayigable Waterways. �
' Depa�#ment of Health.;8� Rehabil�ta#ive .ServiceslEnvironmenta! �.Health• Unit Vllells, Wastewater:Treatmen#,
Septic�Tanks. � „
� US Environmental Protectian Ac�ency-Asbestos`:abatement. _
- Federal Aviation:Authocity-Runways..
!understand that�the��ollowing restricfions apply to the use of fill:
-• Use af fiI is nat altowed in Flapd Zone"V"untess expressty permitted.
- , If the fill�material is to be used in Flood Zane "A"', it is understood that a drainage plan addressing a
"campensating volume"wi11 be submitted at#ime of permitting whictt is prepared by a professional engineer �
licensed 6y the°State�af Florida.
- If the fll�material is #o be used in Flood Zone "A° in conneGtion with a permitted building using,stern waii
, canstructian, i certify,that.fii(vir�li be used anly ta�fill the area within fhe:stem wall. _
- If fill'material is to lie used in any area, I certify that use of such-filf will not adversely affect adjacent
, praperties. If use otfill is found tv adverselya�fect=adjacent propert4es, the awner may be cited for violating '
the conditions.of�:the''building:permif issued under the�attached.pe�mit.application, for lots�less than one (1) '
acre wEiic#i�are eievated by fill, an engineereddrainage plan is requi�ed.
If i am..the.AGENT FC1R-THE OVVNER;:I:promise in,good faith to inform the owner of-the permitting-conditions�set farth in � -
this affidavit:prior fo commencing'constcuction. I understand.that a,.separate permit may be required for electrica! work, � ;:�_
plumb4ng, signs, we11s,.,pools,,,air conditioning,,gas,..or ot�ie�insta(latians not specifically included in the applicafiarr.. A. -
permit issued shalt°be const"rued=to�tie a license'to.proceed�with�th'e wark and not��as'auttiority-.taviolate, ca�rcel,;al#er, or �
set asid'e any pravisiorts af`the�echnical codes, nor sha11 iss,uance af a permit prever�t the Building Official from thereafter =;:t
;;.,
requiring a-correction of�err,ors in..plans;~construction:ar-violations of�any,codes. -Every�permif issued shallybecorrie invalid
unless"the work authorized�by such permit is cammeneed vuithin.s�c.months of permit issuance, or if work authorized by
the pei�mi#is-suspended-,or abandoned-far.a�period.�of six(6}rmonths.after the time the woricyi�coinmenced..�An extensidn�
may be requested,,in,w�iting,.from.tfie Building�Official for a period.not to-exceed•ninety(90).days and virill demonstrate
justifiabte cause for the e�ensian..,If,w�rk ceases for ninety(90)cansecutive days,the job is considered abandoned.
_ _., .. . _ . . . . , . . ;_
WARNlNG`TO'�OWNERc`.'YOUR,;FAlLURE,>T.,Q;RECORDrA,NOTIGE,,OF�C,QMMEAIGEMENT�M�4Y�RESUl:Tr IN YOUR
_ ,.�,<< ,�.
� _ ,� . . .
PAYING,TWiCE;°FOR;IM�?F�OYEMENTS:TO YOUR:�RROPERTY.;.�IF YOU;INTEPID=TO�.OBTAIN�FINANCtNG;;'CONSULT -
�_-_V411TH'YC'>4AR=�LE�;l�l�63�'0:3 A!�-Qd'E'TORl�f�Y-B�FOR� REC.i�RDAlNG`YCl�lR"R14a'�'!CE°`C�2Fl:Cl7MNlENCEI!ltE�lT:,"
FLORtDA;lURAT;(F:S.+l1.7:03}: � • • _ � ._ . .� , -
OWNER OR AGENT< • CQNTRACTOR • � °
Subscribed and swom to{or a�ianed).before me thts Subscribed and swom ta{or afl9rmei!},befcire me fhis -
by � by , .
Who ts/are personally known to me or,hasJtiava producad � Wha is/are personally known to me or.has/have produced
� - ', as tiieati�oa�on. as identificaUon.
Notary Public � � Notary Public
Cammisslon Na, y� Commisslon No. .
Name of Notary#yped,printed ar stamped Name af No#ary fyped,printed ar stamped
t
Q� o
I�LOI7111P
�!`�3�� e�"J„l'i� .
C,; �
r.y
+-.4
i �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
, . :
�Contractor/Homeowner: ��'L �Ca�- ���
Date Received: � � ����
Site: ��V�C� �-�"�( �� U�
(�1 � �
Permit Type: �. �I- � �P.2 �' G'�►
�
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This eomment sheet shall be kept with the permit and/or plans.
� . � � z�-r�
Kalvin S ' zer-Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
PERMIT AGENT AUTHORIZATION
- I, Scott Costello, am the License Holder of Main Commercial, doing business in Pasco County,
Florida CMC1249884, License Number, and hereby authorize the following person/persons
to act as my agent and, in my absence, give authority to sign for permits on my Company's
' behalf. '
Name(Print) Driver's License#
S�'�,1�1� ��S ��a2..�q��q3'q0"—��1"�
THIS AUTHORIZATION WILLREMAIN IN EFFECT UNTIL
A NEW PERMIT AUTHORIZATION FORM IS EXECUTED
AND SUBMITTED BY THE LICENSE HOLDER
TO THE ZEPHYRHILLS BUILDING DEPA TMENT.
c� os ��� � '� 3 2� ��
License Holder Name(Printed) License Holder Signa ure Date
State of '� ( (�,�
Count y o f��[`� �W' Notery Public Stete of F
���� (orida
. Kimberly q,Stone
On �� � ,�D�g , before me, �a� �Pues01/25120Z2 1`�887A
(date) � (notary)
personally appeared,
,
( gners)
personally known to me
� BILL T0: BUYER: Purchase Order
J ����� Wawn Accounts Payab[e Kat6y Donith�n PO�dS35789451
260 W.BALTIMORE PIKE Te1:6i03586857
MEDIA PA 190G3-5699 Fax:6i0-358-68G5 Pugc 1/2
Tcl:G10•358-8000 E-Mail:
kathtecn.donithun@wawA.com
. P.O.bate Timc INCOTerms Currcn Tcrtns Delive Dnt
OU10201 10:16:5 USD �vithin 30 duys Duc net 03/r8201
MAIN COMMERCIAL C��KING & S WA4�JA, �STORE # 5285
V 16705 SCHEER BLVD H WAWA,� INC
E HUDS�N FL 34667 I US 301 & CR 54
N P ZEPHYRHILLS FL 33592
D T
O Te1:727-668-8586 �
R Fax:727-B68-8650
Please label ettch itcm with the Wawa item number.Please notify Buyer by fnx&phone in cose oFuny delivery problems,or if "
the delivery dete cannot be met.
Plense send invoicc to Wnwm's Accaunts Puyable Departmcnt
Item Wawa Number Order U/M Description Vendor No Unit Price Extended
J No Quantity �tanf Part No Arnount
10 1 EA PIPING MATERIAL&1NSTALL $26,400.00 $26,400.00
Sitc:5285
Requcstor:SCARANTiNOP
20 1 EA ELEGTRICAL MATERIAL&INST $4,865.00 $4,8b5.00
AF.L
Site:5285
Requestor:SCARANTINOP
30 1 EA MISCELLANEOUS $4,G45.00 $4,b45.00
Site:5285
Reyuestor:SCARANTINOP
40 1 EA ADDTL[CE MACHINE LINES $ 1,800.00 $ 1,800.00
Site:5285
Requestor:SCARANTINOP
50 l BA PERMITS $250.00 $250.00
Sitc:5285
Requestor:SCARANTINOP
J
�, Purchase Order
� ����' PO# 4535789451
Pnge 2/2
• MAIN COMMERCIAL CO�KING &
16705 SCHEER BLVD
HUDSON FL 34667
� Item Wawa Number Order U/M Description Vandor No Unit Price Extended
No Quantity Manf Part No Amount
TOTAL(excl.tnx) $37,960.00
�
The Wawa,lac.@ SuDstdictia(Wawa)Corporatc Atticla Tams end Conditions,a capy of whicl�has bcen provided lo you,is incorporated ttenin by ttfcrencr.If you do not heve
aeapy ofthe Wawa Corporete Asticles Tenns a�td Conditions,pk:ase contaU tlte Ruyet for a copy,l'HtS PURCHASE ORDER iS LIMITED TO THE WAWA CORI�ORATE
ARTICLES TGRMS AND CONDITIONS.ANY ADDITlONAL T�RMS OR DIFFERENT TERMS IN SELLER'S FORM ARE NERE[3Y DF:EMED TO BE MATERIAL
� ALTERATIONS AND NOTICE OF OSJECTION TO THEh!AND REJECTION OF T!{�M IS HEREBY Ci[VEN.
Pleaseeneure that the Wowa Purchase Order and Wawa item teferencc numbers appears art nll cannns,deliv�ry rotes,invoiees and o�lur corrcspondencr.
(ndividuol itans musl be labeled wit6�Ae Wewa itcm number.
Pteasenotiry buyn Immodi¢te�y ifyou arcunoble rodcliverthe PoII order gunatiry an dvc spaifiai.
Refrr all qi�eations canceming Thle Punhaso Order To Tlia Duyer Indicnlcd Above
CITY OF ZEPHYRHILLS
5335-8Tfi STREEI' �
(s�s)�so-oo20 19 ;�1
FIRE ACARM SYSTEM PERMIT
PERMIT 1NFORMATION LOCATION 1NFORMATION
Permit Number: 19421 Address: 6450 GALL BLVD
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, F'L.
Class of Work: FIRE ALARM SYSTEM Tawnship: Range: Book:
Propased Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision; CfTY OF ZEPHYRHILLS
Est.Vatue: Parcel Number: 02-26-21-0000-00100-0050
Improv. Cost: 15,000.00 QWNER INFORNlATlQN
Date tssued: 3/28/2018 Name: GH&G ZEPHYRHILLS LLC
Total Fees: 2Q0.00 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 200.00 AT�..ANTA, GA. 30355-3209
Date Paid: 3/28/2018 Phone:
Work Desc: FIRE ALARM -WAWA
CONTRACTOR S APPLICATION FEES -
A PR ECT N SYS MS C FIRE A M 50.00 !RE N REVIEW F ES 1QQ.Q4
FIRE INSPECTION FEES 5d.d0
� �
� �� �
�
�� �t��
�
Ins ectio Re uired
F A EPTANCE Fina
F(RE ELEVATOR RECAL.L
Chapter 633, Florida Sfiatutes,authorizes the City to charge and collect user fees to pay for the costs of fre
prevention and pratecfiion related activities such as iaspecEions,plan review,acfministrative fees,anc!other
costs related ta the aforementioned.
Complete Plans, Specifications and Fee Must Accorrtpany Applicatian. Commencement of work without written approval of
the Fire Department's Fire Marshal ar required permits or opening up for commercial activity withaut an approved final
inspection shall be charged double permit fee per day of operatian ar a minimum of$1QQ.00,whichever is greater. All
wark shal( be per�ormed in accordance with City�odes and Ordinances.
"WARNING TO OWNER: YQUR FAILURE TQ RECORD A NO►TICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TQ YClUR PRt�PERTY. iF YOU INTEND TO OBTAI111
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
�, RECORDING Yt�UR NOTICE OF CCIMME MENT "
�
IGONTRACTt'�R SIGNATIJRE PERMIT QFF1C
I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL F4R INSPECTION -8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
_.._..-------,,
813-780-Q020 City of Zephyrhills Fire Fax-813-780-0 1
Perm9t Application
Date Received � � Phone Contact for Permit ,/G7 ?J�"� 3 7 c�
,.._ ,_ �._..�.�_....�_ ....� �,.�__.���__. ,.�.._.�_..�..�..._...r_ _....��..,.� . � ...., � .� �
. ___�._ �,_....., .�. _.
.
> �._w...�_�....n,_.w..__..,_..�..�.. ��_,.._,....,_a�.�„_.�._..�.�.�w.�._..__ �_�.... _.�,,�.__..._��_. �. .. .__..__, ,.. � _w.,,_ ...,_�...._, ��_ ..3�. �...._..._..,._. __,� _.�
'"�' CLt�b ���_.._., ,. �C�dC7
Owner's Name p�., C:. Owner's Phone Number
Owner's Address �3 � �' H �`"�(�r(1
/ L__� � ��
Fee S9mple Titleholder hlame �Ieho(der Phone Rlumber
Fee Simple Titleholder Address
u ..�,�_.��:.."_�.__w...�,�:�.�.: ' ' . �..,..a.�e.....�
Job Address.. � c/.�O�....��,�;�.� _.�;`(/�C.�'-.� .�.e��( v"di i Y�15� rL-�� � �s y�� �Lot# �
Sub Division Parcel#
,...__..�,�__wM._...._�._.-......._...._.__......_�.>....,�._�..,....�....,....�._.....�- ��.,:-':::.�.,._-.,.._..�..�....._�__..�.�BTAINED FROM•PRQPERT.Y_:TAX.N.O�I.GE_�w~��_-.:.ry
..:_.._.._......_ _,_.....................�....._...�_.u..__..,��._._ .M�,...�_._..�.�...___o_.. :.,..._..___.._....� ._.�_.� ...�._w.�.....,._.,....
� 8io-Hazard Waste Storage-ANNUA� � Fumigation Tent
� Camm Exhaust Kitohen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
o Controlted Bum � Nood I�stallation
� Emergency Generator<30 kw a LP/Natural Gas-Installatior
� Emergency Generatar>30 kw � �PJNatural Gas-ANNUA�Sa[e /,},�J t/,
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ,f�, �1'l
Qtr! Semi An Other ��
Sprinkter � O ❑ ❑ � � Recreational Bum
Fire Alarm C7 � � Sparkiers V�
� � � �
Haod Cleaning � ❑ Cl O � � Sprinkler System Installations , �f� ��.Q�--
ood Kession � � ❑ Ci O � � Standpipes(Sprinkler Sys} ,�
s allation � Torch Roofing/Tar Kettle
o Fire Pumps � Waste Tire Storage ANNUAL
oFlammable Application-ANNUAL /S'�<J�O Valuation of Project
Fttei Tanks
Q Other:
-.:.�.:�__�.�.....�:;�:;:�;� ._ . --�--...._..w�..��».�_... �_.��._.._..�.��._ _..�....__..._..�_-.�,,_._..,.____._.__�_�.:���::�..-x:,�__�.._ .�.�.__.__�._.._..�._ -�T�
Contractor Company j}�/'}-�L ec r✓,G 1' C.
Signature Registered Y/N Fee Gurrent Y/N
Address C , 'j {_^t License# -,�1(� /Q �,
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
P�UMBER Company
Signature Registered Y!N Fee Current Y/N
Address Lioense#
MECHANICAL Company
Signature Registered Y/N Fee Current 1�/N
Address L.icense#
O7HER Company
Signature Registered Y(N Fee Caerent Y/N
Address License#
..r�... ;..,.�.......� .�_.�... . ,..�._..w...
:....,:..:_...._. ,-:..._._,.�...:.._..._..�_...,.._-___...._.,.�_...._.._._...�..,.�.;.., �,. __.�..�_.__.._.� �.�.._.__.�_:�.. .,.. ..,� . :.._.. _�_�....��.._.__..�.µ_,__..�.u.. ...�..�_._.. .3.. �.h,......_.____�,_w
Directions:
FiII out application comptetely.
Owner&Contractor sign back of applioation,natarized(Or,copy of signed contract with owner)
lf over$2500,a Rlotice of Commencement is required{Mechanical wark over$5000'
Supply two(2)sets of drawings with applicable documentation
AIIaw 10-24 days for review after submittaf date. Parce!#-obtained from Property Tax NoUce(hitp:itappraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
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
Counry
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY 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 WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided 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 govemment 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
Lands,Water/Wastewater 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 OMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF INT O O N FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR N CE OF ENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed an bsworn to(or affirtned)before me this �/Su6s ' e nd swor (or a rmed)be(�me this
Y
Who is/are personally known to me or has/have produced Wh is/ar ersonally known to m r has/have produced
as identification. as identification.
Notary Public Nolary Public
Cammission No. Commission No.
``,ao�*Rr�����,,' .
Name of Notary typed,printed or stamped Name of Notary t �, ' ��am
..,
, �/Commission Expiros
''���9,;,;;•°P�'�� M t�r c h i 8, 2 019
1
Licensed by the Florida Department of
_ Business and Professional Regulation
- - License#EF20001032
�
AFA Protective Systems, Inc.
6013 Benjamin Road,Suite 201 ,
Tampa,FL 33634
YOUR FIRE AND SECURITY SOLUTION Tel 727.556.2905
, ,,,_ . Fax 727.540.0791
City of Zephyrhills '
5335 8�' Street
" Zephyrhills, FL 33542 _
For any of the following personnel:
Robert Kingsley Pablo Ortiz Roman Kubesa
Robert Russell Kristopher Olin
Please be advised that I have authorized the above mentioned person(s) to pull a permit
for AFA PROTECTIVE SYSTEMS, INC under License number EF-20001032.
T yo coo ration,
James A Johnson
Qualifier/Regional Manager
AFA Protective Systems, Inc
Signed before me in Hillsborough County, Florida, this �(o`� day of ��� , 2��,
By James A Johnson, who is personally known to me and did not take an oath.
��L�� �� Notary stam ,����„
Paula M. C thbert �"' "° PAUl.A M. CUTHBERT
`,o,�P�Ipp`4
:` °L Commission� FF 211607
Notary Public County of Hillsborough ;���II'„,11,,;; �ny Commission Expires
State of Florida ���OFf����`� March 18, zot 9
Sales 877.232.1873 www.afap.com Service 888.232.1873
C/����4�l>"—
./�,� il:QRJ4(i
cs\% �"_.,^"�.��-
`R' �,t���±,
_ ^�br.�e�> `�'
.�'' - -
City afZephyrhills
BIJILDING PLAN REVIEW COMMENTS
Contractor/Hameowner: r � /"l/� "'�'- ���`'�'�''��
Date Received: �"2 �"��
Site: � 7"�� ���( ,/J l U �
Permit Type: �%f�� �/�6�2
Approved w/no comments:� Approved wlthe belaw comments: ❑ Denied withe below cominents: O
�
i
� 'This comment sheet shall be kept with the permit and/or plans. �
� �
� �- ,r�, t
Gene Brown—Fire Safety Officer ate Contractor and/or Homeawnex
�� {Required when coznments are present}
,�.
ZEPHYRHILLS FIRE DEPARTMENT �
38410 6th Ave Zephyrhills,FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan Na: Contractor: /�r�ig
Business Name: � S� Billing Address: �vi'3 ��
BusinessAddress: (��Jj'3 (��}a� �d� ,�(fa�r�,�w.,�..� �r� t,,,ry�...c�
Business Phone No.: Billing hone No.: 7�-7- 5�.f(�•�9 v.�
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES pERMIT FEE
Mnual-
EducaUon,healthcare,De
tentionBCorrectional Pubifc
Assembly,Business, schools,
� Storage,Mercantile and Churches
�Site Plan WC Industrial. no charge Sprinkler $50
jMultl-Famtty/Commerclal .03 sf up to 800 sq ft $ 24.00 Standpipes $50
t(M(nimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50
�;Plan Revisions DBL 1,501-2,500 sq ft $ 60.02 oo�d��$50
2,501-3,500 sq ft $ 90.02 Ffre Alartn �0
; SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP $50
0-25 Heads $50 5,501-7,500 sq ft $ 187.52 Natural Gas $50
iz6 plus Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks-pertenk $50
STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
��Per.Rlser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation $25
❑�Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Contralled Bum(15da• $100
.�FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Ouct $50
0-25 Devices $50 60,001-50,000 sq ft $2,100.02 Place of Assembly $50 nnnus�
� - so,00�-�g2,100.02)per
26P s Devices 0 ea add 1,OOOsq ft $ 0.06 Fire Protection $25
�HPPRESSIO�YSTEAflS (Business closed until Flammable AppllraUon $50 annuai
Wet $50 violations corrected) Waste Tire Storage $50 annuai
Dry $50 SPRINKLER SYSTEMS Generator<►(�y $100
�CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100
Other $50 HydrostaticTest $65 persystem Blo-Hazard Waste $100 a,nua�
- , KITCHEN EXHAUST Acceptance Test $45 persystem Fumlgation Tendng $50
, �Hood/Ducts � $50 Hydrant Flow $75 Torch PoUApplied $50
OTHER Haz.Materials , $50 annuai
, LP Installatlon pertank $50 �-FIREAk.ARMSYST ,
a Fuel Tank Installadon $ S tem �
� (Per Tank) $50 Recall Acceptance $50
�Natural Gas Inshallatlon $50 OTHER
(Per SyStem) Flre Wall/smoke Wall $15 perwall
�Spray Booth $50 LP Gas $25 pertenk
Natural Gas $25 persystem
, Tent70'x10'orgreater $15 periem
Fire Pump $45
Flre Suppressian $30
System Acceptance
Exhaust Hood/Duct $30
' Re-inspecUon DBL
(other than annual)
Inspection scheduled DBL
and cancelled less than
24 hours
CansWction Insp. WC
Emergency VehiGe Acce $50
PLANS TOTAL /p(� INSPECTION TOTAL� pERMIT TOTAL �O'
GRAND TOTAL d a
Comments•
Date: •• -� � i Inspector: �
mn
._. ._...,,.T _ __,. �_a.--- -�- -
_ - - "' ..m,. ._ __ - - --
fi--—=-_...._�-•—=- - --- - ---- - ___ ...-,-- --
- ----�- -- - - =-- --- �_—,--:-�- -- - - • .-r,
i
�I .
I ,
� � .
-
i
il
� i �
�
i
FALSE ALARM FEE� '
i
I I
�
�5caam, wc'
2nd Alartn WC�
I �
' 3rd Alarm N/C
4th Alarm $100
i 5th Alartn $150
6th Alartn $200 �
NON CAMPLWNCE $150
Cont.Annual Inspection Fees
3-11 Units price per unit � $ 5.36
12-25 Units price per unit $ 4.82
2650 Units price per unit $ 4.29
� 51-100 Units price per unit i $ 3.75
100 ar more Units price per unit $ 2.68
Fire Safety re-InspecHon types �
First Re-inspecdoi N/C,
� Second re-inspecl $75
Third re-inspectior $ 125.00 �
i
� Inspection scheduled but cancelled 24 hrs $ 50.00
• � i
' i
, .
� i , '
i
�
'
; !
i , ,
TOTAL � , . - ' . ,
�, .
i i '
I !
mn i ;
I'
- - _--- -- . ---------__..___. __�._..._ ,
' � ` - _ : . �
. , .
I
, I
'� ` City of Zephyrhills
Uniform Notice of a Low-Voltage Alarm System Project
�wner's/CustomeiName j-�r
Address D � � a � #�
c,ry `� S
Phone S� Zip cSC�Z
n E-mail
Contractor /7 J
Address C�/3 �!j�n� `� Lic.#
- Q �"h
c�ry��'��,,,;n� /�.Q, ��- aa I �
Phone 7a.7^S St fL� Zip 3 3G 3 y
- s�-a�gos— �
DateProjectComplete
Scope of Work �C !U - - -
Signature: �
Notice is heteby given that a�l w voltage�a�n�`Yor or authorized representative
specified above.I ce g g stem project has been completed at the address
rtify that all of the fore oin informaUon is true and accurate.
----_--^---.'--- - IOp/13 sectlon 553.793 FS
�
a�s-irsu-uu�u c;ity ot Lepnyrnius rermit Hppucation rax-o i�-io�-vuc ii%�
• Bullding Department , '
_ _� � �,
Date Received - _
- • �Phone Contact:for Permitting ° — -
Owrner's Name �'r� � Z h � ^ LC Ouvner Phone Number
Owner's Address Owner Phone Plumber
Fee Simple�Titleholder Name �� Owner-Phone Number
Fee Simple�Titleholder Address
�
JOB ADDFtESS Y�G �Gi I� Z-I//7 LOT# �
SUBDIVISION PARCEL ID#. �
' (OBTAINED FROM PROPERTY TAX PIOTICE) �
WORK PROP,OSED . NEW CONSTR' ADD7ALT 0 SIGN �Q � Q DEMOL`ISH
B INSTALL B �REPi41R
PROPOSED;USE Q SFR Q COMM Q OTHER '
TYPE�:OF CONSTRUCTION Q BLOCK • Q_ �FRAME 0 STEEL Q.
�
� ,
DESCRIPTION OF WORK L-� �-cJ •(/p � � . C�T(/ /�,�
j -
BUILDING'SIZE SQ FOOTAGE�� HEIGHT �.
QB.UILDIIVG $ VALUATIOtV'OF T07AL CONSTRIJCT.ION
�
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
i � , G��
MECHANICAL �! `
0 � $ � VALUATION OF MECHANICAL INSTALLATION
�
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED ELOOR ELEVATIONS FLOOD ZONE AREA QYES NO
;
<BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�
Address , �L-teense.#, �
.:� ELEC.TRICIAPI ,-; COMPANY
.SIGNATURE REGISTERED Y/ N • � FEE CURRE� Y/N
Address ' License# �
,, ,
., .PLUMBER.; , "COAAPANY>
SIGNie►�TURE � ' REGISTERED Y.-I"N ` ' .FEE CURREI� Y/N - � '
Add�ess License#; � . '
. . ;.> }
`- MECHAIdIC�I:� � C,OMPANY -
-• 31GNATURE'' �` - � ' REGISTERED , Y/'N FeE.cuw�� . Y/N
� ;i. .. _
Add�ess�r= - '• � f .License.#
_;2i;3`.r � >
:OTHER:,.�:;F�• , , ' , , :COMPANY � �
;1'`SIGNi4�URE�;%c� :�� - - " -REGISTERED `.. Y/:N FEE-CURREA , Y/N
, ,rf:;d;:Z:: , . ... . • . , . . . ,.
� �ad.�,: , ,. _ . , ,
r�g:� _:,: �,•. _?c3� - - � ' � -. �Cicense'# �
�iRESIDE T , -- - .,, �:�?�,Y�;>�:�, _ .. � -
»,
N II�J,:'.: -,,q -
_, . , _ttach:;(2•);Rlot;.P•,lans;�(2)�;sefs'of"Building�Plaris;(:1').-set of Energy,Forins;R;O=VN P'eRiiit,for�newr.con'str`irction, �
, ,wa>2..�.:t^=F�;Minimum�;ten�.1U.;workin -:ila'>aftersutimi al�`.�'` - '�.' '"`` ' � _ _ � _ _
„�:,.;..�.,,�,;,., ..t<�:,«..k.��,.,..,�.��{...:)�-,-._.,_.�,9�.. .YS. . . . , tt .date.=:Required�onsite,Construction Pian's;Storriiwater'Plans w/-SiltFence�installed;
;jk;c,,,.__,;, �� Sanitary:;Facilitiesfe&,1�,dumpst�r;S[�,�Wor;k Rermitforsubdivisions/large;;projects=, ' � . _ - � _ �
COMMERCI�4L Attach��2)campiete'sets'of`Building'Plans plus a L'ife Safety Page;(1)set of Energy Fortns.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 81 dumpster.Site Work Permit fo�•all=new projects.All.commercial requirements must meet complianoe
:;SIGN:PERNIIT "Attacli�(2j"se`ts;;of;Engliieered;Flans:` � _ � : . •
�- "•"'PROPERTY SURVEY regulred_for,:aII.NEW construetion:..
ai Y_•,.'' .
;:�:;_Di`rectlign`se �=• ,�.:,, :;;s�. - _ .
-� ; ��`Fill_outapplicatlor�completely. �
Owner�8 ConUactor,sign:back of appiication,notarized
- If over:$2500;a Notice:of-Commencement.ts required. (A!C upgrades over yT500)
�-4�"" :Agent_(fo��th'e�cont�acto�)�or-�Power.:of�Attomey(for'the owner)would tie someone with notarized letter from owner authorizing same
� •'=�'�OVER;THE COUNTER=PERMITJ:ING> ,(copy_of.contract.required) - '�`'� '
.r�i.,�_•.. .. . .�...„.�.,.�.._,
N':Re�Qofs if;sfiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
` :Driveways-Not over Counter if on public'�oatlways:`needs ROW � �
- — i — � � — ��s�.^�stt:....:'�
, - .. —� ,. . .. . a
i
� � �
� � ... :.r,�,_,;.;..r:;,.,;a�.: ;
n fi n�..s,_..
NOTICE:OP�DEED�RESTRICTIONS: The�undersi n�d,:understantls,thatthis, ermit��ma be�sub'ec#-rto�.,r,deetl��resfr;i�ction�s::,;;,,.;�..�.
9.. . �,R. _ _.Y,� 1 ��
- - - _zs-y ,;sr�,}.,.,,^. ;rcv??,`.;" ..'uS",�.�:c.r �F n �:«�;t ' ..'a.a.'�'s'r1;a::a�i zc�. :'t-'
wrhich;niay�Ei�.e.-inor.e..resteic#ive��than:°County:regiilations:�-�The��-urt�e�rs�gnec!'�assuii�ies°�r�spor�si��t�_ty for.=compl�ance�-w�th<any.°�'
applicabie.deed res#r'ictions. � :�: r j � �
�--:,.�,.::. .n .
_ . � > ;w�at.e�.I>,.,..,..�:.r.*si;;.�..�:�.
, ' -_ ., ....:. �.r...:. ,
UN�[CENSED��CQNTRAC'€+�RS' AND' CQNT[tAGTOR�RESPQNSIBIC:ITIES:-- �If��th�=owrie���has��liiretl�fa��con#ractor or :;..
can`tractors�to undertake work,�tiiey.,.may�,be,;r;equired,°to be�lic�nsed-irr accordance;with_.state:andy1oeal�;r;egul.ations:fi<<If.'.th:e�:�',"='=:�'
contractoc is�not�licensed�as°rE.quired:"�y'!`airir, aofh;�the oinnaer-.and"�con#i�actor��may�be�'ci#ed for;a rnisdemeanor�vlolation° �? �
urtder state law. tf the aurner.or;intended>;contractor. are�uncertain as to what:ticensing�,requirer�rents��ay��aRpl�i:;for�ti%��.'`-=r';r'
�.F.: y:�t_r' ., . . , .,_ ori`�1':.,. ...._.
in#ended workr.they.are-advised-to�cont�ct`tr:ie'Pasco_Countq�Builtling;:lnspectiori'D,Evision�Licensing,Section at'727'i84:7-- � '`�
8049: Fur-Et�errnore, �f the ov�ner has'�liire�cl`�a` cartt�actor or conftactors, he Yis ativised to��have�#lie,:c�oritr.actor{�s);;sign� � -'
portions af the "contractor:Block" af this applicationTfar�which they,-will:be responsible. ::lf<you;as�tFie`:�owrie'r"`sign as,'thes�`�� '�:;� ;;�
con#ractor., ttiat riiay tie an indisation-that he�is�not properly licensed`arid�is riot erititled��to perrnitting"pr'ivileges.�n�:pasco�;.;,y r:� �;
County. . , . .. . �}�-:.�.,:,�;n_;.:,��:.:� ..
i � < . ' ' =� ,';
TRANSPORTATION IMPA�GT/.UTILITIES�IIIAPACT AND R�SOURCE RECaVERY"FEES:�The undersi�ned understands.,�.n, �n �:i
that Transpar#atian Impact Fees and Recourse Recovery'Fe_es�-may apply#o:#he constre�ctiort.af new:build9ngs, cha`�r'i`ge�af' ��;M' _;
use in existing buildings,•,or�expansion�af�<existing 6uiidir�gs, as specified in Pasco County Ordinance number;89*Q7 and,+^� y�r, ,�
9Q-Q7, as ame.nded: The�uridersigned��lso unders#ands,�;�hat.sucli.:fees,�as;rr►ay�b:e,due, will`be;.ident�ed°�at=#he�:�3rrie:ofx .-' ,'�
permitting. �It is further understood that Transportatian impact fees and Resource°RRecovery Fees must be paid p,r.ior ta '� ,:7
receiving a:°certificate of oacupancy° or final.power release.`!f the��project.does not involve�a certifcate of=o�cupancy oc�.��z�`, ��
finaf'-power release;�the�fees�rriust be�.paic! prior to._permi#�issuance. FurtFiermare�fif;Pasco Gounty Water/Sewec,��mpact;-:�` ;` -
fees are due,:they;must:be:paid.priar to permit'issuance:in!accordan'ce with°applicable P�asco County ordinances. � � '
CBNSTRUCTIClN�LIEN-LAI�V{Chapter fi�{3;Flarida�5t�#utes,as amended): tf valuatio�af wor.k is$2,5QO.Op,.or.moce;<y1-.�.:� �. �
w�,_
certify that I, -the applicant, have been. provided with a copy,:_of�:the "Florida 'Construc#ion Lien Law=Homeowner's�
Protection Guide° prepared by the�Florida Department of 'Agricuitur'e and Consumer:Affairs. 1f#he applicant is.someone..,,:_ .
other than the°awne�', I eertify that:l,..have obtairied�a copy,of the.aaove`described document and prorriise=in,good.:faith-;fo:.'_.,,
deliver.it.to"the;';owner"�p�ior::to-com'mencemen�: ' - s
C4NTRA►CTOE2'SlOWN�R'S APFIDAVIT:;�-.I:.c�rtify.ttaat'all�;the irtformation in this appticat�on is accurate and�that a1C work
w111"be done in compliance with all applicable�faws regulating constr,uc#ion, zaning�and land�d'evelopment. Applicatio,n,is
t�ereby made ta obtain;_a:pei�mit ta_i�q;;v+rork"�-and installat�on -as�9hdicated. t cerEify that na wark or`:tr�stailafioii�'has
commenced priar to,issuance of a permit and�that all work will be! pe�formed to.meet standards�of all laws regulating ;
construction, County and City codes, zoning regula#ians„and land develapment regulations in� the jurisdia#ian. °�al°°also
certify that i.understand that#he regu(atians of ofher government ag'encies may apply to the intended work, and that�it is s;;�
my responsibili#y to identify virhat actions I must take ta be in compliance. Such agencies include but'are not.limited.:to:,. � j;
- ,Department af EnvirorimentaE>�Rrotectiaii�Cypress Bayheads; 1lUetland Areas and Environmentally Sensitive "
Lands,Water/Wastewaiter 7reatment. � � � �,�'i
- Southwest Florfda Water Management District Wells, Cypress .Bayheads, Wetland Areas, Alte`ring ���
Wa#ercourses. ' = �'
- Army Corps of Engirieers=Seawalls, Docks;Navigable W�aterways.
-- Departmenf�of Healthry:8� Rehabilita#ive �Serv�ces/Envir.o�►mental.�Nealtt� .Unit Wells, Wastewater_Treatment,
�.5.._
Septic=Tanks. � ! �
- US Environmerital Pcotection Agency-Asbestos.abateme i t. .
Federal Aviation„Autti'ority-Runways, � j
! untlerstand that:the:foNowing�restrlc#ions appljr�o#he use af fll: � ,
- Use of fill is not a((owed in Flood Zane"V"unless expressly permifted. �
- If #he fill�materiaf�is to be used in. Flood Zone "A", it�is undecstood that a drainage plan addressing a
"cornpensating volume"will be submitted at time af permitting wrhich is prepared by a professional engineer
licensed ti�y.the.'State`of Florida. i j �
- Ef the fill�mate�ia! is to be used in Flood Zone;"A„ in connection with a permitted buitding using stem uvall
construction, I certify.that fill will be used anly ta fll the area within the stem wall. �
- If flll material is'to �be used in any area, 1 certifyr that�use of such�fil! wi!! not adversely a�fect adjacent
properties. If use of�N is found to adversely affect-adjacen# properties, the ovrmer may be cited for via{atirrg.
the conditions of=:the:building,permit issued untler the�attached:permit:ap.plication, far. lots�less than one i(1) `:
acre wtiich are elevated by fill,an engineered drairiage plan is required. y . ;'„
If I am the AGENT FQR.THE OWN.ER;�I'rpromise in gaod faith to inform the owner of-the permitting�conditions set farth in i;�,i
this a�davit prior to.commencing cons�ruc#ion. f understant! that.a sepa�ate p�cmi#may be required for electrical work, ;��,
C �� p�=� � '� ���
plumbing, signs, we11s, pools,.,air;�conditioning;�=gas,..or other,in"stailafions not specificalty included in the application.; A., - ;:,:
permit issued shall°be-const�ued:�to�tie a"license'`to.proceed witti ttie war:k�and not�as authbcify-to violate, ca�cel, alter,�or '�F
set aside any pravisions-of�tFte�techiiical aodes, nor shall issuance af a permit prevent the Building Offiaial fram ther.eafter r`;
requiring a correction_of-ercors�in`-:plans;construction ar violations af any codes. �Every permit isswed shalE become invalid ;'�'.i�
untess the work authoriied by such permit is commenced within s�c ri�onttis of permlt issuartce, or if wark authorixed;by ,;�;
the permit is suspended,or.abandoned�far�a•�p;eriod.:of six(6) months�after the time the work is commenc�d. An extens'ion � ',�
may be requested, in writing, from.ttie Bullding�Officia!for a�,period not fo exceed ninety(90) days and uvi!! demonstra#e �;'
justifable cause t'br the extension. :1f wark,ceases for nineiy{90}conse'cutive days,the jab is considered abandoned. ; �>'�
<'.;;
� . _. . � - � ;-,�
1�f1�►RNtNG�TO t?WNER:�.YQURj�A1LURE�TO.RECORD;A.NOTIGE.OF C{�MMENCENIENT�MAY RESUl:1' IN YOUR �t::
�.... ....,..
PAYING,TWICE,'FOR;1Mt?ROVEMENTS�TO.YO�R:�RROPERTI(.; IF YOU:�IN'FEND�-TO�O�TAIN FINANCING, CONSULT :'=�
WITH YC1UR'LENDER�OR AN ATTORN�1(BEE�RE E3�CORDING YOUR`-NOTICE�OF�:COMMEN�EMENT: ;
F�CtRIDA JURAT.{F.S.11.7.03) - ` ', ; - . " ` �
�
01MNER OR AGENT CONTRACTQR I
Subscdbed and swom to{ar affirmed}before me thls Subscribed and swom to(or affirtned}.before me tfiis - '
by ' •by
Wha Islare personally known to me or haslhave produced �Wha islare personally kno.wn tame ar haslttave produced _ �
as ldentlfEcaBon. I as ident�fica8on.
I '
I � �
l '
Natary' Publfc I Notary Publlc
i
CQmmissior�No. Gommissian No. 'E - � �
! i ,
Name of Notary typed,printed or stamped i�ame of Natary typed,printed or stamped �
I I .
� ' �
� �
''� I
j
i �
�•
� -
SINCE 1873
Submittal Package
PROJECT:
WAWA 5285
Fire Alarm New Installation
Site/Address:
6450 Gall Blvd Zephyrhills,FL. 33542
�� .
Fire Alarm Contractor:
AFA Protective Systems, Inc.
3013 Benjamin RD
Suite #201
Tampa, FL 33634
"CONTACT:
Robert Russell
Project Manager
Office: 727-556-2905 Ext: 1706
Mobile: 407-383-3702
Email: Rrussell@afap.com
, ,
�
��a PRODUCT DATA SHEET
• ��m : ` Controlled Document-Engineering Drive
�� . . 1530 Shields Drive
� Waukegan,IL 60085
•.�a��'� Toll-Free(800)323-9355
Fax:(847)689-1192
PART NUMBER: 71502
DESCRIPTION: 14/2 STRANDED CMP/CL3P/FPLP FT6 PLENUM CABLE .
CONSTRUCTION: This cable consists of two bare copper insulated conductors and an overall jacket.
APPROVALS: UL Standard 13,444&1424, NEC Articles 725,760&800.
APPLICATION: Communications Cable,Class 3 Power Limited Circuit Cable and/or Fire Alarm Power
Limited Circuit Cable used for Plenum Appiications.
Construction Parameters: cable Cross-Section
Conductor 14 AWG Bare Copper
Stranding 19/0147"
Insulation Material Low Smoke PVC
Insulation Thickness 0.008"Nom.
Insulated Conductor Diameter 0.086"Nom.
Number of Conductors 2
Lay Length 5.00"Nom.
Jacket Material Low Smoke PVC
Jacket Thickness 0.017"Nom.
Overall Cable Diameter 0.206"Nom.
Approximate Cable Weight 38.0 Lbs/1M'Nom.
Flame Rating NFPA 262 Steiner Tunnel Smoke and Flame Test
Electrical Properties:
Temperature Rating -20°C to 75°C
Operating Voltage 300V Max per NEC Article 725
Capacitance Between Conductors @ 1 KHz 43 pF/ft Nom.
• Capacitance Between Conductors to Shield @ 1 KHz -----
DC Resistance per Conductor @ 20°C 2.52 Ohms/1 M'Nom.
Insulation Colors Black Red
Jacket Color Beige
Legend(Surface Ink Print) CCI 71502 14 AWG 2/C C(ETL)US(ETL CODE)TYPE CMP/CL3P/FPLP 75C—T`(PE
CMP FT6
This product wmplies with European Directive 2002/95/EC(RoHS)
On special orders,the cuslomer wi�l accepl all factory lengths and+/_10 percent of total order requested.
Cable has a rip cord for easy jacket removal. The jacket is sequentially footmariced.
, The information presented here is,to the best of our knowledge,true and accurate. Since conditlons of use are beyond Coleman Cable's
conUoi all product data presented is for informatlonal purposes only and does not create a binding obligation or lia6ility on Coleman Cable
or confer any rights on any customer. The sale of products(s)is conditioned upon acceptance of a purchase order subject to Coleman
Cable's standard terms and conditions contained therein,including without limita6on Coleman Cable's standard warranty. Coleman Cable
disclaims all Iiability in connec6on with the use of information contained herein or otherwise.
This specifcation is proprietary inlellectual property of Coleman Cable. Any information contained herein shall not he disclosed to any
party without vrtitten consent of Coleman Cable.
Specification Issue Date:August 8,2011
�
1-800-323-9355(Phonej Designed By:PEM
1-847-689-1192(Fax) 71502 �02011 Coleman Cable,Inc.
�` PRODUCT DATA SHEET
� .
• Controlled Document-Engineering Drive
1530 Shields Drive
�� � Waukegan,IL 60085
Toll-Free(800)323-9355
Fax:(847)689-1192
PART NUMBER: 71702
DESCRIPTION: 16/2 STRANDED CMP/CL3P/FPLP FT6 PLENUM CABLE
CONSTRUCTION: This cable consists of two bare copper insulated conductors and an overail jacket.
APPROVALS: UL Standard 13,444;NEC Articles 725&800.
APPLICATION: Communications Cable,Class 3 Power Limited Circuit Cable used for Plenum Applications.
Construction Parameters: cabie cross-section
Conductor 16 AWG Bare Copper
Stranding 19/.0117"
Insulation Material Low Smoke PVC
Insulation Thickness 0.006"Nom.
Insulated Conductor Diameter 0.068"Nom.
Number of Conductors 2
Lay Length 5.00"Nom.
Jacket Material Low Smoke PVC
Jacket Thickness 0.014"Nom.
Overall Cable Diameter 0.164"Nom.
Approximate Cable Weight 25.2 Lbs/1 M'Nom.
Flame Rating NFPA 262 Steiner Tunnel Smoke and Flame Test
Electrical Properties:
Temperature Rating -20°C to 75°C
Operating Voltage 300V Max per NEC Article 800
Capacitance Between Conductors @ 1 KHz 45 pF/ft Nom.
• Capacitance Between Conductors to Shield @ 1 KHz ----
DC Resistance per Conductor @ 20°C 3.92 Ohms/1M'Nom.
Insulation Colors Black Red
Jacket Color Beige
Legend(Surface Ink Print) CCI 71702 16 AWG 2/C C(ETL)US(ETL CODE)TYPE CMP/CL3P/FPLP 75C --IYPE
CMP FT6
This product complies with European Directive 2002/95/EC(RoHS)
On special orders,the customer will accept all factory lengths and+/-10 percent of total order requested.
Cable has a rip cord for easy jacket removal. The jacket is sequentially footmarked.
The infortnation presented here is,to lhe best of our knowledge,true and accurate. Since conditions o(use are beyond Coleman Cable's
canVol all product data presented is for infortnational purposes only and does not create a binding obligation or liability on Coleman Cable
or confer any righls on any customer The sale of products(s)is conditioned upon acceptance of a purchase order subject to Coleman
Cable's standard tertns and condilions contained therein,including wilhout limitation Coleman Cable's standard warranty Coleman Cable
disGaims all liability in connec6on with the use of information contained herein or othenvise.
This specification is proprietary inlellectual property of Coleman Cable.Any infortnation contained herein shall not be disclosed to any
party without written consent of Coleman Cable.
Specification Issue Date:September�8,2006
�
1-800-323-9355(Phone) Designed By�PEM
1-847-689-1192(Fax) 71702 OO 2006 Coleman Cable,inc.
�
� � PRODUCT DATA SHEET
� -
• fi�°'� Controlled Document-Engineering Drive
1530 Shields Drive
�`'"�� ToIlvFree(800)323-9355
Fax:(847)689-1192
PART NUMBER: 71902
DESCRIPTION: 18/2 STRANDED CL3P/CMP/FPLP FT6 PLENUM CABLE
CONSTRUCTION: This cable consists of two bare copper insulated conductors and an overall jacket.
APPROVALS: UL Standard 13 and 444,NEC ARicles 725 and 800.
APPLICATION: Class 3 Power Limited Circuit Cable and Communications Cable Used in Plenum Applications
Construction Parameters: Cable Cross-section
Conductor 18 AWG Bare Copper
Stranding 7/0152"
Insulation Material Low Smoke PVC
Insulation Thickness 0.006"Nom.
Insulated Conductor Diameter 0.057"Nom.
Number of Conductors 2
Lay Length 5.00"Nom.
Jacket Material Low Smoke PVC
Jacket Thickness 0.014"Nom.
Overall Cable Diameter 0.142"Nom.
, Approximate Cable Weight 17 9 Lbs/1M'Nom.
Flame Rating NFPA 262 Steiner Tunnel Smoke and Flame Test
Electrical Properties:
� Temperature Rating -20°C to 75°C
� Operating Voltage 300V Max per NEC Article 800
Ca acitance Between Conductors 1 KHz 38 F/ft Nom.
P @ P
• Capacitance Between Conductors to Shield @ 1 KHz -----
DC Resistance per Conductor @ 20°C 6.29 Ohms/1M'Nom.
Insulation Colors Black Red
Jacket Color Beige '
Legend(Surface Ink Print) CCI 71902 18 AWG 2/C C(ETL)US(ETL CODE)TYPE CMP/CL3P/FPLP 75C—TYPE
CMP FT6
� This product complies with Euro ean Directive 2002/95/EC RoHS
P ( )
On special orders,lhe customer will accept all fadory lenglhs and.+/-10 percent of total order requested.
Cable has a rip cord for easy jacket removal. The jacket is sequentially footmarked.
The infortnation presented here is,to the best of our knowledge,lrue and accurate. Since conditions of use are beyond Coleman Cable's
conVol all product data presented is for infortnaGonal purposes only and does not create a binding obliga6on or liability on Coieman Cable
or confer any rights on any customer The sale of products(s)is conditioned upon acceptance of a purcha'se order subject to Coleman
Cable's standard tertns and conditions contained lherein,including wilhout Iimitation.Coleman Cable's standard warranty Coleman Cable
disclaims all liability in connection wilh the use of infortnation contained herein or otherwise.
This specification is proprietary intellectual property of Coleman Cable. Any infortnalion contained herein shall not be disclosed to any
party without written consent of Coleman Cable. 1
Specification Issue Date:December 5,2013
�
1-800-323-9355(Phone) Designed By:PEP
1-947-sa9-11s2(Fax) ��9�2 OO 2013 Coleman Cable,Inc.
� PROQUCT DATA SHEET
� ��
� Controlled Document-Engineering Drive
4530 Shields drive
� Waukegan,IL 60085
Toll-Free(800)323-9355
Fax:{847}689-1 i 92
PART NUNIBER: 71904
DESCRIpTION: 18/4 STRANDED GL3PtCMPlFPLP FT6 PLENUM GAB�E
CONSTRUCTION: This cable consists of{nur bare copper insulated conductors and an overall jacket.
APPROYALS: UL Standard 13 and 444,NEC Articles 725 and 800.
APPItCATION: Class 3 Power Limited Circuif Cable and Gommunications Cable Used in Ptenum Applicatians
Ganstruction Parameters: cabte cross-Section
Conductar 18 AWG Bare Copper , � 'j
Stranding 71.0152" �'*
Insu(ation Materiat Law Smoke PVC '� f�'
Insulation Thickness O.Op6"Nom. Y-� �a
insulated Gonductor Diameter 4.057"Nom. „� y �.
Number of Conductors 4
Lay Length 5.00"Nom.
Jacket Materia! Law Smoke PVC
Jacket Thickness 0.014"Nom.
Overall Cable Diemeter 0 166"Nom.
Approximate Cabfe Weight 34.6 Lbs19M'Nom.
Fiame Ftating NFPA 262 Steiner Tunnei 5moke and F(ame Test
Electrical Properties:
Temperature Rating -20°C to 75°C
Operating Voltage 30dV M�per FIEC Articte 800
Capacitance Between Canductors @ 1 KHz 38 pF/ft Nom.
,� Capacita�ce Between Conductars to Shield @ 1 KHz ---
DC Resisfance per Conducfor�2d°G 6.29 Ohmst'f M'Nom.
Insutation Calors Black Red White Green
Jacket Color Beige
Legend(Surface(nk Print} CC(799a4 18 RWG 4/C C{ETL}US(ETL CODE}TYPE CMPICL3PtFPLP 75C—
TYPE CMP FT6
This product complies with European Directive 2002/95/EC(RoHS) �
On special orders,the customer will accept all factory(engihs and+1-10 percent of total order requested.
Cable has a rip cord for easy jacket removaL "the jacket is sequerrtialy footmarked.
- The information presented he�e is,to the best of our knowiedge,Vue and accurate. Since conditioru of use are beyond Coleman Gabfe's
control aIl product data preseMed is for informational purposes oniy and does nat cxeate a binding obligation or Iiability on Cofeman Cable
ar coMer any rights on any customer The sale of products(s)is conditioned upon acceptance of a purchase order subject to Coleman
Ga�le's standerd terms and conditions cont�ined therein,inciuding without limiiation Goleman Cable's standard warranty. Coleman Cable
disclaims aIl Iiability in connection with the use of information crantained herein or otherwise.
This specif cation is proprietary inteliectuai property of G�leman Cabie. Any ir�formation confained herein shall not be disolassd to any
party wiftmut written consent of Coleman Cable.
Specification Issue Date:december 5,2013
�
1�800�23-9355(Phone) 71904 Oesigned By:PEP
1-H47�89-1192(Fax) 02�13 Coleman Cable,Inc.
i
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., • Proven reliability suitable for commercial and industrial
� -"=�'�"--- _ installations
� ' - � ` � -- : __ __�� • On-Board 10/100 Network Communication
• • Full range of zone expansion,communication,and
relay output capability
• Flash Updateable:No more firmware chips to replace
• Adaptive TechnologyT""—Cost-effective supervised
cellular backup
DMP XR150FC/XR550FC Series panels deliver true
flexibility and expandability to cover all your fire needs.
�_?C�1_�Q�CIX��50�� �E�IE� �� �itE����� �1R� ��9�EL�
SYSTEM �EATURES
• Up to 562 two-wire smoke detector or fire initiating zones on • Multiple on-board status LEDs
XR550FC • Up to 100 output schedules to control relays and panel outputs
• Up to 142 two-wire smoke detector or fire initiating zones on • 32 individual reporting areas,with common areas
XR150FC � Output Groups:Maximum functionality-Minimum programming
• Up to.5 Amps 12 VDC smoke and auxiliary output with OVC
protection XR150Di�FC/XR550DI�FC SYS'��11� FEATURES
� Up to.7 Amps 12 VDC supervised bell output • All above listed System Features -
• Up to 506 fully-programmable Form C relays • On-board Ethernet connection for Network MonitoringT"^
• Serial 3 Digital Dialer or CID reporting to multiple receivers • Customizable check-in time and retry time
� • Eight communication paths between the panel and Central Station • Suitable for multi-site applications where the Intemet or �
LAN/WAN is available __�f----�
• Built-in remote or on-site feature upgrade capability ��-- _-
• 12.000 event buffer �
� • Multi-lingual menus available b__y user_
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The XR150DFC and XR550DFC provide basic fire monitoring for any single site application.The XR150DNFC and XR550DNFC panels provide
all the same basic fire monitoring as the XR150DFC and XR550DFC enhanced by the on-board Ethernet connection that allows the use of
Network MonitoringT"'.Both panels come fully assembled from the factory with the following components:
CONT�tOL P�,�1EL
The XR150FC and XR550FC Series addressahle fire panels provides complete system control for local NAC operation and DACT,NET,or Cell
communication to the central station.The microprocessor based panel also provides input for Class A zone expansion, conventional and
addressable smoke detectors,pull stations,and heat detectors.
��c�.osu�E �
The enclosure is comprised of cold rolled steel in Red to distinguish it for fire operation.For added security,the enclosure comes with a lock
and key.
KEYPAD ANNUfVCIATOR
The Fire Command Center mounted in the door offers a 32-charecter full text LCD readout that displays system events and menu prompts,
making it efficient and easy-to-use.
TRAtdS�Oft�l1iEF� AND ENCLOSURE
The 16 VAC,56 VA wire-in transformer is factory installed and features a built-in PTC for power circuit protection.
��������������� �I��� ����������������� �O��I��
- _ 12 or 24 VDC
.�`�"��'� - ;' NAC 1
- � � �.
�;4^, 12 or 24 VDC � Mini-Hom
• '� ����= NAC t Sync Module Stra6e
:���� '.3
�.:�v 12 or 24 VDC
��^-�' NAC 2 =^: �; 12 or 24 VDC
- Power Supply Sync Module Hom Strobe `'� ._- NAC 2
� 505-12 or other 12/24VDC UL Motor BeII
Commercial Fire Approved Digital
Digital SLC Power Supplies Annunciator Bus
Loop2 ----
Digital SLC Additional 630F
Any expansion device �aaP� Fire Command
can operate on SLC Loop - • . . Centers
1 or2
630F Fire
Command Center
�LEXIBLE COt1�fViURlICAT'90f� �IETVI/ORlC OFi CELLULAR
The XR150DNFC and XR550DNFC CO(1�tt11�lUN�C�,TION
has transitioned from dialer-focused Built-in 10/100 auto-sensing Ethernet The check-in and fail time settings are
communications to a true netwo�k and connection enhances both standard and programmedforfiveminutes.Asthebackup
cellular communications approach by encrypted linesecurityoptions.Both UDPand path,the 263C or 263H provides the security
providing stronger, multi-layered panel TCP are supported.The network option can of a communication link that continues to
communications that ensure a constant beusedastheprimaryorbackuppathtothe function, even when land lines are cut or
link between the panel and Central Station. digital dialer or cellular option. compromised. The communicators can be
Installershavetheabilitytocreate,configure The XR150FC and XR550FC Series Panels used as a stand-alone communicatorwithout
and manage up to eight communication may be used with the 263C or 263H Digital the need for a backup.This interface works on
paths. Cellular Communicator as the primary path digital Cellular data networks over a,variety of
The unique DMP Serial3 format supports 16 (no backup required) for commercial fire carriers in the USA and Canada.
or 32-character user,zone and area names installations.
. to decrease the central station response time
and limit dependence on automation literal �
tables for message conversion.
�
--___�_-_ :--___-��_--_�. -__
------__�_.__- - _ _
� ` _____—;-�.,__'___--���_��-_.____-
�IGHT COMPViUNICATION PA7HS iVOTIFICAI'9t3tV CIRCUIT OUTPUTS �`�-- ----_
Create, configure, and manage up to eight �XPA�ISI�P� The XR150FC and XR550FC allow��thE use�`�`
communication paths between the paneland Easily add NAC outputs to the XR150FC/ of two SPDT relay outputs and four open
Central Station.Each path has its own panet XR550FCsystem.Up to three Class B modules collector outputs, that may be activated by
communication programming parameters, can be mountedwithin the FACP.Model865 or zone orsystem events,byschedule,through
and can be identified as either primary or 866 Class B NAC Modules may be combined the User Menu or when a card is presented.
backup.Thisenablesinstallerstoconfigurea with a power supply to provide additional4 Output Groups allow multiple outputs to
reliable communication link,offering greater Amp NAC outputs. Use an 867 on the SLC activate with a single event and/or can be
confidence that the panel will always be Loop to further expand NAC circuits. assigned to a particular user profile.
connected to the Central Station. OUTPU�SCH�DULE�
FIRE DRILL AND ONE-i�AAtV
COM{+flUiViCATIOYV FlJIVCT90N �+IALK TEST Achieve maximum system ftexibility with
DIAGNOSTICS Users can test fire notification bells using �00 programmable schedules that simplify
The enhanced diagnostic menu enables the Fire Drill feature.A special code is also P�anning and operations. Control any
technicians to check network and cellular available for installers to test the system.The contact-activated device with schedules that
communication status, cell signal strength, one-man walk test feature allows a single automatically regulate relays and switched-
and email status from the keypad, technician to check the panel response to 9round outputs.
fire,burglary,panic and supervisory zones. �ULT!-Llf�G4JAL DISPL,4YS
FIRE ZOiVE PROGRAMifUiING For additional flexibili ke ads attached to
Program zones forfire,fire�verify,fire retard, ��ILT 9� PROCaRa4NiiVi�i� ry yp
presignal.cross zoning.or fire supervisory. �4P�D DIA�iV�STICS theXR150FCandXR550FCpanelscan display
This flexibility atlows the abiliry to match No programming device is required,enabling keypad Status List and User Menu text using
individual zone characteristics to the needs installers and service technicians to fully multiple languages.The user has the option
of an area in the fire installation. to select the language to use.
Y program thesystem and run diagnostics from
any DMP LCD keypad. Check the electrical �TATUS LIS7'
ZOPdE E3{PARISiON state of zones,find individual zone numbers, To provide maximum system flexibility, fire
• The XR150FC and XR550FC provide up to 570 check the LX-Bus for Missing, Overtapping zones may be programmed to display at a
zones, programmable for a variety of fire and/or Extra zones,and much more,all from specific keypad.In this manner,alt fire zones
applications. The system provides Class B any DMP LCD keypad. can be monitored in one location and other
12 VDC powered zones, two on-board and zones can be programmed to,display and be
four on the 715 Module, plus eight panel FLASH UPDATEABL� monitored at different keypad locations.
burglary zones.Up to 60 zones are available The XR150FC and XR550FC panels accept
on 15 keypad addresses and up to 100 zones software updates from a remote location 12�OOQ EVE�lT NtEi'�70RY
areavailable on each built-in LX-BusT"'using using Remote LinkT""software. When new Allows the user to view the last 10,000
Expansion Modules. XR150FC/XR550FC feature updates release, door accesses or 2.000 system events that
perform the flash update remotely. occurred over the ast 45 da s
F9RE 1lE�iIF1f P Y •
Usedprimarilyforsmokedetectorcircuitsto REMOTE Ll�VBt
verifytheexistenceofanactualfirecondition. The Remote Link programming software
When a Fire Verify zone initiates an alarm, takesadvantageoftheeasy-to-usesimplicity
the panel performs a Sensor Reset. If any of Microsoft�WindowsT"'.The XR150FC and
Fire Verify zone initiates an alarm within 120 XR550FC include an interface connectibn for
seconds afterthe reset,an alarm is indicated. installers to use to connecta laptop computer.
If an alarm is initiated after another 120
seconds.the cycle is repeated.
•
------------�r "' t ��
- . - . - .
� ' � ' -
_------"�—�— P01A(ER SUPPLI�S
505-12/LX 5Am s@12VDC DilAP�lGRELESS �'�
~4CEYP S P 7'�t0�;-
~•J 630F LCD Remote Fire Command 505-12L 5 Amps C�12 VDC 1100X Receiver
505-12A 5 Amps @ 12 VDC 1100XH High Power Receiver
EXPANSIO� i�ODULES 1100R Repeater
710 Bus Splitter/Repeater PIILL STA`f101VS - 1103 Universal Transmitter,
711 Single Zone Expansion 850 Series Pull Stations External Contact
714 4-zone Class-B Expansion ��OKE/F9EA'T DETE�TOI�S 1165 Commercial Smoke
714-8 8-zone Class-B Expansion 521 B/BXT Conventional Smoke,CleanMe Detector
714-16 16-zone Class-B Expansion 521LX/LXT Addressable Smoke/Heat, 1165H Commercial Smoke/Heat
715 4-zone 2-wire smoke Expansion CleanMe Detector
715-8 8-zone 2-wire smoke Expansion 1165H5 Commercial Smoke/Heat
715-16 16-zone 2-wire smoke Expansion ��CESSORIES Detector with Sounder
716 Output Expansion. 270 Network Transient Suppressor 1181 Post Indicator Valve(UL)
4 Form C relays, 277 Commercial Fire Buzzer Module 1182 Outside Screw and Yoke Valve
4 open collector outputs 300 Four-wire Hamess Supervisory Switch(UL)
717 Graphic Annunciator:20 open 303 Silence/Reset Push-Button 1183-135F Heat Detector
coltector outputs 305 Plug-in Output Relay 1163-135R Heat Detector
CELLULAR COI►�fUIUMICATORS 306 Tamper Hamess 1184 Carbon Monoxide Detector
307-5 Screw-On Tamper Switch
263C CDMA Cellular Communicator 3012 Clip-On Tamper Switch
263H HSPA+CellularCommunicator 335 IntrusionSiren CO�I4PUTERSOF7IA/ARE
263HCAN HSPA+Cellular Communicator 370 Lightning Suppressor Remote Link Upload/Download
(All require a 381 cable) 374 Surge Voltage Suppressor Programming Software-
AUXILIARY MODULES 381-2 18"Coax Extension System Link End-User Management
860 Relay Output Module 431 Output Hamess Software
865 Style W/X Notification Circuit 861 Power Distribution Module Alarm Monitoring Module
Module Command Center Module
866 Style W Notification Circuit ��N�'FiAL STA'f1Oi� RECEfiV�RS Advanced Reporting Module
• Module SCS-1 R Network Enabled Receiver Account Groups Module
867 LX-Bus Notification Circuit Compatable with Central Station Link Server Application
Module Receivers that accept Standard CID,
869 Style D Class A Initiating Circuit DD,or DMP Serial 3 messaging
Module SCS-VR(Virtual Receiver) Software only
893A Dual Phone Line Module solution that runs on a server for network
IP and cellular communications �
SYSTE�II SPECIFICATIO�IS LISTIIVGS a4i�ll�APPROVi4LS
Primary Power(included) 16 VAC 56 VA transformer Refer to the XR150FC/XR550FC Installation Guide (LT 1297), XR150FC/
Secondary Power 12 VDC Battery XR550FC Programming Guide(LT 1232)and specific compliance listings
Models 365,366,368 or 369 for installation and programming requirements necessary to meet a
_ Output Rating particular approval.
Bell Up to.7 Amps at 12 VDC FCC Part 68
Smoke and Auxiliary Up to.5 Amps at 12 VDC FCC Part 15 • �,
For UL installations,total bell,smoke,and auxiliary cannot Underwriters Laboratories(UL)Listed ?
exceed 1.2 Amps using a 56 VA transformer. ANSUUL 864 Fire Protective Signaling "
�
Current Draw 180mA �
Enclosure: For approval information,access www.dmp.com and select Compliance. �
Material Cold-rolled steel(Red) � _
� _
ORDERi9�G iNFORFrAA7'10�1 a =
XR150DFC-R XR150 Fire Control Panel � _
XR150DNFC-R XR150 Fire Control Panel with �� =
Network � _
XR550DFC-R XR550 Fire Control Panel �
�R550QAIF -R XR550 Fire Control Panel with m -
N
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SCI0.641.4282 � dmp.com
� - a _ e � _ 2500North PatinershipBaulevartl pesigned,Engineered&Assembled
Springfield.Missouri 656D3-8877
in SpringEield,Missou�i
� •-
� SILENT Model 5495
Distributed Power Module
KNIGHT
� In an emergency,
by Honeywell you need maximum power
The 5495 Distributed Power Module by Silent Knight is the most powerful and cost-effective power supply
available today It delivers 6 amps of notification appliance circuit power and built-in synchronization for
appliances from System Sensor�,Gentex�,AMSECO�, Wheelock and Faraday—what you need to drive power-
hungry components like ADA notification appliances. The 5495's advanced microprocessor design is years
ahead of the competition. Its switch mode power supply design is up to 50% more efficient than competitive
linear mode power supplies.And,ADA retrofits are easier and less expensive with the 5495 because it
integrate� into current systems without the costly investment in new components
For the most sophisticated and cost-effective notification power supply available, you need the 5495. Call Silent
Knight today for more information at 1-800-328-0103.
Model 5495 accessories like ma netic door
9 — -- -— ---- -
Distributed Power Module holders
• Built-in synchronization for
The 5495 is a 6 amp notification power appliances from System
expander that provides its own AC Sensor�,Gentex�,AMSECO�,
power connection, battery charging �/�/heelock and Faraday
circuit, and backup battery for use with
� fire and security controls such as the • Stand alone operation
Silent Knight Model 5208 Fire Control . Lightweight design adds to ease of
/Communicator.The 5495 is the cost- installation and reduces shipping
effective solution for powering costs
notification appliances required by the . Operates with most polarized, UL
Americans with Disabilities Act(ADA). Listed notification devices
The 5495 has built-in ANSI cadence
pattern,which can upgrade older • ANSI Cadence pattern output
control panels that lack cadence capability built-in
capability
Connection to Local Fire Control
Features The 5495 may be connected to a local
• UL Listed for 6 amps of notification fire control which utilizes Class A or
Class B type notification circuits Model 5495
power operating between 9 and 32 VDC.The Distributed Power Module
• Power supply's advanced switch control panel's notification circuit is
mode design reduces damaging connected to one of the inputs on the Approvals
heat and manages power up to 50% 5495 The control panel's notification . UL Listed
more efficiently than other systems circuit end-of-line resistor is also
• Dip switches allow for easy connected across two terminals on the ' MEA 429-92-E Vol XII
reconfiguration 5495,which provides supervision • CSFM 7300-0559:123
• 24 VDC filtered output voltage between the 5495 and the fire control • NFPA 72
• Four power-limited notification panel. Polarized audible and/or visual • OSHPD (CA)OSP-0065-10
outputs,2 Class A or 4 Class B, or 1 notification devices are then connected (see accessories)
Class A and 2 Class B to the 5495 signal circuits using the
• Additional continuous auxiliary 4 7kS2 end-of-line resistors provided.
output Since the 5495 draws very little power
from the control, it is possible to
• 3 amps per output circuit connect one 5495 to each notification
� • 2 inputs;2 Class B or 2 Class A circuit on the control panel and still
• Ground fault detector/indicator provide full supervision of the
• Independent trouble relay notification circuits all the way back to
• AC loss delay option shuts off power the control panel. PN 350395 Rev G �
to non-essential high-current O 2015 Honeywell International Inc.
, �.
• Mode15495
Distributed Power Module
Model 5495 Block Diagram
Signal Circuit Output Signal 1 Signal 1
Input
Distributed Signal 2
Signal Circuit Output Signal 2 power
input Module 5495 Signal 3
(Optional)
Signal 4
120 VAC
Aux. Power
� Trouble Output
Local Fire Control (Alternative to notification
circuit trouble.)
Supervision •4 Class B (Style Y) Aux trouble• Yellow
The 5495 supervises a variety of (1 Class A&2 Class B) Output troubles (1-4): Yellow
functions including: Amps per output circuit: 3 0 (6.0 amps
• Low AC power total) Ordering Information
� • Low battery condition Notification circuit output: 5495 Distributed Power Module
• Earth ground fault Alarm Current(for typical voltages) Accessories:
• Auxiliary output power limit condition drawn from main panel's notification
a liance circuits. SK-SCK Seismic Compliance Kit
• EOL supervision trouble or power pp
limited condition at an output 12 VDC 6.5 mA
When a trouble condition occurs, the 24 VDC One input circuit- 15 mA;
5495 creates a trouble condition on the Both input circuits-30 mA
host control signal circuits to which it is No. of inputs: 2
connected.the 5495 still maintains the
ability to be activated by the host Input configuration:2 Class B or 2
control. In addition, the 5495 provides a Class A
Form C trouble relay output as an Input voltage range: 9-32 VDC
alternative to using the notification gattery charging capacity: 35.0 AH
circuit trouble.
Ambient temp.: 32°to 120° F
Electrical Specification (o°to 49° C)
AC input: 120 VAC at 2 amps Mechanical
Output:24 VDC at 6 amps Dimensions:
Current: " 12.25"W x 16"H x 3" D (30.88 cm W x
Standby 75 mA 40.64 cm H x 7.62 D cm)
Alarm 205 mA
Auxiliary power circuit: 1 Indicator Lights
Notification circuits:4
AC power on : Green
Battery trouble: Yellow
Output configuration:
•2 Class A(Style Z) Ground fault: Yellow
� S`ILEIVT This document is not intended to be used for installation purposes.We try to
keep our product information up-to-date and accurate.We cannot cover all
ICIV.IGHT specific applications or anticipate all requirements.All specifications are
� subject to change without notice.For more information,contact Silent Knight
by HonejivveU 12 Clintonville Road, Northford,CT 06472-7161 Phone:(800)328-0103,
Fax:(203)484-7118.For Technical Support, please call 800-446-6444 Assembled In America
www.silentknight.com
. . � � . . • . 1 ' • � �
� � REMOTE �s.,�.�.,
LISTED ANNUNCIATOR `�" ` - �
Pending
Description -- -�-�.
The 630F Fire Command Center from DMP offers high
-�•
quality,cost effective fire system control with an easy-to- - r�`�_� `� ��
use keyboard interface. The 32-character full text LCD =��,i =��z� �3`3 .-�b�
readout displays system events and menu prompts that ,��,,,a ,�,� ,A�, �
makethe630Fkeyboardefficientandeasy-to-use. Offering �.�:6" �'"'6:. ".�'� �s�
one button operation, the 630F is protected by either ���9� � �� �
keyswitch or code. The keyswitch enables single button
user operation of the Alarm Silence,System Reset,System
Test,and Fire Drill. This handsome Fire Command Center
is designed for flush or surface mount applications.
Features
• 32-Character LCD display User Menu
• Flush or Surface mount Users can access all of the functions necessary to operate
and maintain their system right from the keyboard User
• Keyswitch enables single button operation Menu.ThesefunctionincludeAlarmSilence,ResetSensors,
• Full operation with authorized code and Display Events. The User Menu is restricted so that a
• Attractive non-obtrusive design valid user code is required before access is granted to any
of the functions. This protection allows you to install the
• Power from panel auxillary supply keyboard in even high traffic public areas without danger
� • Built-in diagnostics of unauthorized access.
• AC Power, Trouble, Alarm LED Specifications �
• Display time of day and system status
• Compatible with XR2400F or XR200 Trim Frame Dimensions 7.0" H x 10.4"W x .17" D
• 16-Character programmable display Backbox Dimensions 6.375" H x 8.75"W x 2.5"D
• System events in plain English Operating Voltage 8.5 to 15 VDC
• Up to 7 supervised Fire Command Centers per system Current Draw 100mA
Single Button Operation Approvals
The 630F Fire Command Center Keyboard has a factory -
installed keyswitch that enables the four function buttons • UL 864 Control Units for Fire Protective Signaling
- Alarm Silence,System Reset,System Test,and Fire Drill. • UL 985 Household Fire
These functions can also be accessed through the User • UL 294 Access Control
Menu by entering a user code at the keyboard. . UL 985 Household Fire Warning
Built-In DlagnoStiCs • UL 1076 Proprietary Bur�lar
The keyboard also contains an internal diagnostics program • UL 1023 Household Burglar
that allows installers and service technicians to test the • UL 1610 Central Station
operation of the keyboard at any time without disabling
the system. The diagnostics program tests the keyboard's
prewarn tone and each of the keyboard's 16 keys.
�
���r
2500 N.Partnership Boulevard Springfield,MO 65803 www.dmpnet.com Digital Monitoring Products
LT-0564(6/01)
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• _ ,�* _` � provides three additional sockets allowing expansion
'�'�' of up to four relays. These relays can be used for:
, � � • Electrical isolation between the alarm panel
and other systems
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The 860 is compatible with all DMP Command
i Processor�'Panels.
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Eachrelayonthe860Moduleiscontrolled The 860 mounts inside�a Command The 860 comes from the factory with
bythepanel'sopencollectorannunciator ProcessorTM' panel enclosure usin� the one installed relay, three plastic
outputs that switch the relay coil voltage standard 3-hole pattern:Plastic standoffs mounting standoffs, one 4-wire harness ,
to ground. Power is supplied to the relay are provided with the module for easy assembly, and one Installation Sheet
coils from the panel's keypad bus. The installation. (LT-0484). Three additional Model 305
annunciator outputs can be programmed q 4-wire harness is also provided that Form C (SPDT) relays can be purchased
to respond to various system conditions connects the Model 860 to the DMP separately.
such as communication failures, entry panel.
and exit timers, alarms, armed area
annunciation, and more.
•
�YS°$'�f� SP��CIPIC�a`�'�+D8o1S . 9.IS7'Ih1�S A�iD APP�tOVdS�S -
. Primary Power 12�VDC � Underwriters Laboratories (UL) Listed
Current Draw.for 1 Relay 34mA UL 294 Access Control System Units
for 2 Retays 69mA UL 365 Police Station Alarm Units =
for 3 Relays 104mA UL 609 Local Burglary Alarm Units and Systems ;;
for 4 Relays 138mA UL 864 Control Units for Fire-Protective Signaling Systems �
Contact Rating 2 Amps C�30 VDC UL 985 Household Fire Warning System Unit �=
Wire'Geuge ; • 12 to 22 AWG � UL 1076 Proprietary Burglary Alarm Units and Systems s` =
,�AeeE,50t8;�5 ` UL 1076 ProprietaryAlarm Units � =
Model 305 Form C Relay UL 1610 Central Station Burglary Alarm Units � =
�,—
�0��,��-a�,�]�� UL 1635 Digital Alarm Communicator System Units o _
XR5FC/SL, XRSuper6, XR20, XR40, XR540 Series, Catifornia State Fire Marshal (CSFM) � _
� and XRZ50QF Command FrocessorTM'Panels ` o_
a �
$ _
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--�� • � o � 2500 North Partnership Boulevard
�a
��B�te�M�^��^^gP��=�s a a - j Springfield, Missouri 65803-8877 � ��
_ __,_�_�� INSTALLATION SHEET
893A Dual Phone Line Module
� Description -
The 893A is a dual telephone line supervision module that allows DMP Panels to indicate a phone line failure to the
premises and central station, and switch to secondary phone line communication when the primary line is down.
Compatibility
The 893A is compatible with XR100/XR500 and XR150/XR350/XR550 Series Panels.
Phone Line Monitor
The 893A uses a phone line monitor for the main and backup phone lines. Before sending a report, the 893A verifies
that the main phone line is working. If the line is bad, the module tests the backup phone line. The 893A sends the
report on the first working phone line.
The phone line monitor has a two-minute trouble delay and a one-minute restore delay. Phone line trouble is
displayed in the keypad Status List as a System Trouble.At least one keypad on the system must be programmed to
display system troubles in the Status List.
893A P3 PANEL
to Panel J3 Phone Line Connector
PANEL
�P3 O
893A P10
DD�1 K4 '� o connector
MPx° p to Panel]10
FZ F1 P10 o connector
o O
DD$ 2O O
-F
DS1
• ]4 �JS Buuer
K2
�
MAIN BACKUP
893A J4 MAIN 893A J5 BACKUP
to Phone Block to Phone Block
Figure 1: 893A Layout
Two Line Digital Dialer
You can configure the 893A to provide two lines of digital dialer for XR100/XR500 and XR150/XR350/XR550 Series
panels. The MAIN modular jack is used for the primary dialer. The BACKUP modular jack is used for the secondary
di�ital dialer line.
CAUTION -To reduce the risk of fire, use only No. 26 AWG or larger telecommunication line cord, such as DMP Model
356 Series Phone Cords.
Proce�sor Fail Buzzer
The 893A Module also monitors the panel CPU and sounds a trouble buzzer whenever the panel processor is reset
using J16 or the processor stops functionin�. The 893A Module also monitors the keypad bus and sounds a trouble
buzzer whenever the keypad bus fails to operate.
�umper Settings
There are two sets of jumpers on the 893A Module. For Digital Dialer, set both jumpers, J1 and J2, to DD. Refer to
Figure 1 for jumper locations.
•
�
� o
Installation
The wires needed to connect the 893A are included.
� � " -- Ground Yourself Before Handling the Panel! Touch any grounded metal, such as the enclosure, before
: ! � touching the panel to discharge static.
Remove All Power From the Panel! Remove all AC and Battery power from the panel before installing or
connecting any modules, cards, or wires to the panel.
893A Installation
The 893A Module snaps into one of the enclosure 3-hole mounting locations and connects to any compatible panel
using an 18-inch, 7-conductor harness and a 2-foot phone cord. Follow the instructions below to install the 893A:
1. Mount the plastic.standoffs to the enclosure three-hole mounting locations using three Phillips head screws.
2. Insert the screws from the enclosure outside through the holes and into the plastic standoff that mounts on the
enclosure inside and tighten.
3. After securing the standoffs onto the enclosure, gently snap the 893A onto the standoffs.
4. Using the supplied 7-wire harness, connect 893A connector P10 to the panel J10 connector.
5. Using the supplied phone cord, connect the 893A modular connector labeled PANEL to the panel J3 modular
connector.
6. Connect the main and backup phone lines to the MAIN and BACKUP modular connectors on the 893A.
Use supplied phone /
cord to connect /
s i
O' �'O �4 q �,�,�
.o o� §s� : � � O ��
,� � 0. : � ¢m 0
To Telco Line � XR550 Series Panel 3�
p � �LJ",. !.
• �er❑D W,ROn � �
�On0f3s�013 W?Y.UIP.COY �'
�� ° ;3' .ab � � � � o..
�o � m� aa,. A �� �xa�.o.,
ao` o � B�
To Telco Line � �� x�d x� x��x��
Use supplied �� � � .. � ��-
7-wire harness
toconnect ����������������������������
Figure 3: 893A with RJ and 7-wire Harness Connections
Specifications ' ` Certifications
Operating Volta;e ' 12 VDC from the p.anet FCC Part 15
Current Draw 35.5mA NormaC Operation FCC Part 68 Registration ID CCKUSA-18660-AL-R
_ �11.OmA Processor Fail California State Fire Marshal CSFM =
Buzzer On � � � -
�/+ N
The maximum telephone line impedance New York City (FDNY COA#6167) � �
is 100 Ohms. ` UL 864 Fire-Protective Signaling Systems �,=
�Compatible Panels. � _ � =
XR100/XR500 and XR150./XR350/XR550 � �
• Series Panefs �,=
s �
_ : 1 1 . � • � • o C
� � • 2500 North Partnership Boulevard � -
� o � �
� � . �� _�' ' ' ' Springfield, Missouri 65803-8877 � =
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5140►MP'S-'I{/'S=1 -4C�MP�-� .:
� ::: Manu�l Puil Stations
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SECItW?Y SOLIJI�NS
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PRlMARY FEATURES
■ AOA COMP�tA1VT � ,,� ,
■ KEY TEST OR ALLEN RESET M a '
■ KEYED TO ADEMCO COlVTROL.S p��L
■ �TYLtZED HIGH TECH DE�IGN PULL
■ ALUMINUM DIE CA�T HOUSING �
■ TERMlNAL BLOCK C!R WIRE �EADS . . �
■ �OLD CONTACTS
■ UL L1�'TED ����
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■ GENERAL OESGRlPT1gN F�v{��g ���t enti distirtctive appearance. The hottsing
Ademco's manual fire alarm stations are designed Gi� �s finished in red with white �aised lettering and the °T
be non-code single actiott devices for use in UL fisted bar" handle is white with raised red IeCtering for
fire alarrn applic�tians. The aLtractive die-cest elu- �nFtanced visibiliLy. The units are adaptable to bath svr-
� minum-alloy housing meefis ADA pul! requirements and face and semi-flush mounting configurations.
has been tested at EJnderwriter's Laboratory.
For ADA campfianoe, manual stations must be mounG- � MOUNTiNG
ed less than 48" above the floor far frc�nt wheelchair SEMi-FLUSH MOUNT
access and less th�n 54" ahove the floor fo�sida �O���mi-flush mount installaGians can be attached t�
wheelchair access, a standard single-gang switch box using Lwo 6-32
A key rese�feature on the 5'!4QMPS-1 is designed for screws inserted through the slots thaG sre centered on
positive authorized resetting acCion. The key is designed �� ����5 metal mounting plate.
to operate and match Ademco controls.The 5140MPS-9 SURFAC� MCJUNT
t�tiiizes a te�minal block{rrr secure t.eerninations. The Use Ademco Baakt�ox rnadei number 5'i 40MPS-B�for
544QMPS-2 is furnished with an Allen hex fitting and is surface mount installatians. The Backbox has four pre-
equipped wi�h wire leads. drilled mouriting holes of O.3 87 inch diamster and con-
Two alarm deterrent breek tubes are suppiied with each duit knocKocrts. Secure the Backbox Ca a wail wiCh
manual station; one tube is visible from the front, and screws�of size 8 or smaller. After the Backbax is in
the spare is stored En a compsrtmenG within the uniG. Ptac�, attach the cor�duiC.
■ OPERATION The housing is locked by using a key or Allen wrench
Fulling the nandte down causes the manual stations to !°�k. Unlock the housing by turning th� key clackwise
latch in the down position and Co clos�the.narmall and swinging down the front af the housing to make
open switch. The handle ie restored manualty by usrng the sheet metal mounting pfate accessible. Mount the
the key to uniock the stati4n and pivot the stetion far- �@�: ���t� �°�� $�ckbox using the four 1/4" long,
ward for resetting Ghe pull handle to its normal posi- 8-32 screws (suppliedJ.
tion_ TFce �rush tube is then inserted in the cavit�J and � p�MENSICtiVS
the station assembly is then �ocked in the normal
upright position. 4.75" H x 3.12"W x 2'" p
= C01\tSTRUCTtOlV
I The 5140MP5-1 and 514{]MPS-2 manual stations are
! consL-�^ucted of a dura6le die-cast aluminum-slioy and
� i4CJEMCC�
The Technology Leader
,
■ OROERING INFORMATION �
5940MPS-?; Manual Station
Key Reset Test
• and Terminai $lock � _
594QMPS-2: Manual Station ��
Hex AI1en Reset
Test and Wire Leads
5940MPS-B8: Surface Backbox
,
■ WfRING OIAGRAM
5140MPS-1 5140MPS-2
p�� PULI
Sctew Terminals ��
, �Lefld9
To previous device To next � To previous To next
or conirol zone devfce or
terminals d��e control zone device
or ELOR MrminaLs or ELOR
. . . . . .. . . ........ . . .. . . _. . �
• - ,. , • . ARCHiTECTIZRAL :,..NGEfVEER1IWG., . CI �!�.,AV.:::.:.t;.�-�:..::: . .. . �
, . !� . fi.�E F,,C`�`}"�t��b.;:�.'.,::� ,
Manuaf�F Afa� ' ttieim di's:.�::,,_. ,Y;�.:`�;..',:: .;�:,i,;-,�::;.`� • .,�;:�;;,':. ..
ire in�ation'Mode6�5'G40hltF3S='t�'���.�" �,.. �"'�#�rt�j��ucud�ed: ,tr. ii��oi•�'.'s`isie:'•�
` �5440M�'S-2}shait be•i�or�coded aFlif incfude a•bi�eak Marruak S�e�io�t�:;�t'i't��be•coitstrucEed:of die�csst' �
type Lukse opereted tes�reset lock aAawiitg testing , aluminum al{oy witti::clearly visible operating�instruc-
" with a key(Allen wr�eneh): They stiall be clesigr�ed so tions prouided�or�:.the:eosi�€:.The'�iroPd FlAE shafl
- that normat`aperaCion cannot be.re�tored afte.i�•art�;. ' appeaF or%;thp ft�v���=•of•'Ltae•s�tib�s•i�ra'iseci-Eel�ecs.
acwaf Fire�mergency Operation exr,ePC'by use:-.aE�a"-� . Ststions:sh�fE�be.sui�,bfe�#i�it��surf��e.inouritistg ott�.
key[Alien vitrreach): '�kie key shall fiG�alr�stendar� ., rnatciiiag.BseW2oz„;�c�i�`sertu�ffush=tnour►ting oi+ �" �
Ademca aantrols: � �• - . � standarcf.single-gan�::boX�a;�'!ls�c�.al'Stations.sFtati bs
�,An operatet}�stapon shai�a�tomatieally conditiQrx,itself Underwriter's Laboi�a�orie�'#rsted:, � .
� so as ta be visu811y det�cEed, as operated, at a rnirii- ' ' ' ' � .
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• �/MPs-�-2/os The Technology Leader
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561J0 Ser�es - �
Mechanical Heat �° � :
_,� ._ . �,����,., �� �,
��������� 5601 P I l i�
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System Sensor's 5600 series mechanical heat detectors � ;
,��� �
offer a!ow-cost means for property profection againsf fire, �,'' t,� _
- ! ,
ar�d f�r rt�n-life-safefy ir�stallatiorts wttere sr�oke detectors �.fi` . ,
X
_.f
are inappropriate. _ � �. r�'
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Features MultiRle aonfigurations.The 5600 series offers a fuli-line of
� • Multiple configurations for installations: configuretions to accommodate a broad range af applications.Both
-Sing(e-and dual-circuit madeis single-and dual-circuit modeEs are availabie far iow-and high-
-Fixed temp and combination fixed-temp/rate-of-rise temperature ratings with either fixed temperature or combination
135°�ar 194°F ratings. fixed temperature/rate-of-rise(ROft}activation.The F3QR element af
the fixedlROR models is restorable to accommadate field-testing.
� Plain housing for residential installatians(Model 5601 P)
• Easy-to-use ferminal screws lnstaitation ftexeb�(ety.To satisiy a variety of instailation needs,
• A broad range of back box mounting options: the 5600 series easily mounts to single-gang and octagonal back
-Single gang baxes.And these madels accommadate faur-square back boxes,
-3.5"and 4"Octagonal when usEd with a square to round plaster ring 7he reversible
-4"square with square ta raund plaster ring mounting bracket permits both flush-and surface-mount back bax
installations.
• Rev�rsible mounting bracket
Visual identefication.The 58d0 series pravides clear markings
on the exterior of the uniY to ensure that the proper detector is being
used.Alphanurrreric characters identify the actEvatian method,as
well as the temperature rating,in Fahrenheit and Celsius degrees.
Fixed temperature modsls are identified FX,while combination fixed/
rate-of-rise uniis are marked FX/ROR.The 5600 series a(sa provides
a post-activation indicator in the form of a collector When the
detector is activated,the collector drops from[he unit,maki�g it easy
to identify the unit in alarm.
Agency Listirtgs
� U� F M :�''
� UL
I.ISTED APP� �
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sziai �isaoa cs�o 1z7n-ses3.oi6, �
� Specifications
.-
Mechanical heat detector shall be a System Sensor 5600 series model number ,listed to Underwriters Laboratories UL 521 for
Heat Detectors for Fire Protective Signaling Systems.The detector shall be either a single-circuit or a dual-circuit type,normally open.The
detector shall be rated for activatio�at either 135°F(57°C)or 194°F(90°C),and shall activate by means of a fixed temperature thermal sensor,
or a combination fixed temperature/rate-of-rise thermal sensor The rate-of-rise element shall be activated by a rapid rise in temperature,
approximately 15°F(8.3°C)per minute.The detector shall include a reversible mounting bracket for mounting to 3Y�-inch and 4-inch
octagonal,single gang,and 4-inch square back boxes with a square to round plaster ring.Wiring connections shall be made by means of
SEMS screws that shall accommodate 14-22AWG wire.The detector shall contain alphanumeric markings on the exterior of the housing to
identify its temperature rating and activation method.The rate-of-rise element of combination fixed temperature/rate-of-rise models shall be
restorable,to allow for field-testing.The detectors shall include an external collector that shall drop upon activation to identify the unit in alarm.
•.- . .- .
Maximum Installation Temperature 5601 P,5603,5621,and 5623:100°F(38°C)
5602,5604,5622,and 5624 150°F(65.6°C)
Operating Humidity Range 5 to 95%RH non-condensing
Dimensions with mounting bracket Diameter 4.57 inches(11.6cm)
Height: 1.69 inches(A.3cm)
AlarmTemperature 5601P,5603,5621,and 5623:135°F(57°C)
5602,5604,5622,and 5624 194°F(90°C)
Weight 6 oz.(170 grams)
Rate-of-RiseThreshold 15°F(8.3°C)rise per minute(models 5601P,5602,5621,and 5622 only)
Mounting 3'/z-inch octagonal back box
4-inch octagonal back box
Single gang back box
4-inch square back box with a square to round plaster ring
Operating Voltage/Contact Cr125VAC/3A
Ratings 6-28VDC./1A
125VDC/0.3A
• 250VDC/0.1 A
InputTerminals 14-22 AWG
nonr� x� x� yoni�u
O O O -O O
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5601 P 5602,5622 5603,5623 5604, 5624 5621
Ordering Information
.-
.. .- -. i
.. .
;5601P Single -None� 135°F,(57°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m)
5602 Single Lettering 194°F(90°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 152m)
5603 Single Lettering 135°F(57°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m)
r.5604. Single - Lettering_ . 194°F(90°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m)
5621 Dual Lettering 135°F(57°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m)
5622 Dual Lettering 194°F(90°C) Fixed Temperature/Rate-of-Rise 50 feet x 50 feet(15.24m x 15.2m)
5623 Dual Lettering 135°F(57°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m)
5624 Dual Lettering 194°F(90°C) Fixed Temperature 25 feet x 25 feet(7.62m x 7.62m)
� 'NOTE.Refer to NFPA72 guidelines for spacing reductions when ceiling heights exceed 10 feet.
�� ����� 3825 Ohio Avenue•St.Charles, IL 60174 �,zo,3sYs,ems��s,,.
�`` Phone.800-SENSOR2•Fax:630-377-6495 ��uctspecifuaoonssubjacttocnang=n��eutrsbce�laitsys!emsensorccm
�1v ���Co�� 3r cuner,t pra;uct nfamaGon,e�clud'mg J^.e y:est��rswn of Nls data si;ee;.
7r J www.systemsensor.com sPos3oa�,•�ns
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,i�-���� '� s i��{ ' , `�,� T� Expand your DMP panet options with a wide array af
'F o� expansion modules.
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• ��3�0 � . � Add supervised Ctass B burglary zones.
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,.-�-.---_:.--..�---4,,p.�-•-.-�---.�.......-_��_��:_:.�;`"._, • Connect non-powered burglary or fire type
� -- --���`� �` - , devtces for tntrusian, g[assbreait, and motion
� ^ � - �- •� detection.
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�•-�-�--�,-y,...,,`, " � • � ` '' • Add 12 VdC zones far addressabte 2-wire smoke
. -�.��,�.,a,;,...�°;. , .
' " -� � ��-�.��:-._,�,�,' deteckors with 715 modules.
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_.- - _.___,_..,�,..._..�.., — ..,.�:._.., -�, ��� . � � " _ �_�E�..� �_�_V._._.__...---- --- -
Z�A4E �3Ci'A:�iS��td M�L9i.TIo� EE���I�E.�'a '
: • Provides Class B zones fo�burglary and fire.. • Praven design ensures stabiliCy and.�performance ,
• Compatible.with DMP Panets that atlow zone expansion , , • Data-LED an zone expander indicates goad pane[ , , `
� • Suitable for mountin�near protection devices - communication , • �
� - ` � Connect�d"evices�using 4-wire bus • * DurabEe and attractive.pEastic ot�metal hausing . " �
g � • Easily rnount attractive cases on wall or 3-�ang box -� . • Low current draw•• . _
1 • �ainpatibte with all panel zone types : ° • Can be powered from paneE or auxitiary pawer suppty =- - -
� Easy connection to 4-wire Keypad ar LX�BusTM' ' .� � - �
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.x�v-� r -�,, h:..iis;�� - ` -� '� '�+ ` -e,.y�o- �3�t�,� � { '�-'^�.c - -.�, s.,z$�3� ��'
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tJSE O�l 7'HE DMP L?C-B4,1ST"" 708 BUS E)CTEPiDEi? �!�@3ULES 710
• The modules can be used on the LX-Bus"" The 708 Bus Extender Modules allow you As a splitter, the 710 provides superior
of DMP Panels. The modules connect to to increase the length of wire used to run mechanical wire connecting capability
the 4-wire bus and use only one zone an LX-Bus or keypad bus by a maximum of for up to three additional 12 VDC LX-
address. To assign an additional zone 4,000 feet, while providing immunity to Bus or keypad bus circuits. This makes
expander use the next available zone noise on the wires.The 708 Bus Extenders the 710 module an excellent junction
address. are received from the factory as a pair of box when terminating multiple LX-Bus/
�Ol�1PlECT TO ICEYP/AD BtlS modules that connect between the panel keypad bus runs at one location.
You can also use the modules as an and LX-Bus or keypad bus devices. As a repeater, the 710 module can be
addressed device on the keypad data Use the 708 Modules for applications installed at the end of an LX-Bus or
bus of DMP Command Processor panels. that include running wire over long keypad bus circuit to allow an additional
Simply set the module to an available distances, through noisy environments, circuit to be added, thus increasing the
keypad address and connect the wiring or where the bus is bundled with other total wire tength.
to the a ro riate screw terminals. W�res, such as telephone company wire.
PP P The 708 Extender can be used on all DMP 7�Zm8 ���� ���������
SiN�PL��.DDR�SSII�IG panels. �"1��iJLE
Address the 711,714,714-8,714-16,715, � __ __ _ _ _ Expand your system at an affordable
715-8, and 715-16 modules by setting �, :;��� � ?`'�' price! You can connect non-powered
y= �- #� � � {� �' �• � bur�lary devices to DMP Command
two on-board rotary switches with a ' Processor panels usin�the 712-8 Module.
small screwdrivec The 712-8 uses slide �' •r � . i
dip switches. i; �- �' ; The 712-8 Module is compatible with
�;� • : ` � a��� � ; many intrusion contacts, glassbreak
EASY �t�S'PAL1.A'i'10t� �.�.,�,�_,�..._.. __^� � � detectors, motion detectors, and
Zone Expansion Modules are mounted in - �--.- e-.__ ___. intrusion detectors.
a decorative plastic housing suitable for - �� � - ��
installing outside the panel endosure, �`-"�"�`�-w---a-----�-. _
such as on walls or single gang boxes. � �g ; =s
• 708 �EiiTg9@86f� . , ,
After all wiring connections are made, . Extends Keypad Bus or LX-Bus by 6 � �
the covers go on to form tight-fitting ��' ��` � � �
protection against incidental contact or 4000 feet with one pair of modules ��������;;� �
tampering. • Connects to an auxiliary power
supply for added power
714-8, 714-16, 715-8, and 715-16 Zone 712-� FEATt9�t�S
Expanders are housed in a ru�ged, • Uses existing wire: No need to run . Eight grounded, addressable burglary
additional wire
20-gauge, cold-rolled steel enclosure. zones -
• Allows twisted pair and/or shielded
You may also mount the 708 and 710 W�re between the 708 modules • Set jumper for LX-Bus or Keypad bus
modules inside a DMP enclosure using operation
the 3-hole confi�uration and the provided ��o ��S ���a����f • Compatible with all DMP panels
standoffs. The 712-8 only mounts using �EPE°4'��l� M�Dl9i�E
The 710 Bus Splitter/Repeater Module • Expand.systems by daisy chaining a
the 3-hole configuration and provided second 712-8
standoffs. allows you to expand the typical LX-Bus
or Keypad bus installation both in the • Easily address using dip switches
���� P���������� number of devices and the length of the • Snaps into panel enclosure using
Program the zone on the modules with wire used. Each 710 Module provides 3-hole pattern
any of the panel's available zone types three bus connections each up to 2,500 • Separate zone 1K End-of-Line
for use in burglary applications including feet. When using multiple modules, the resistors included
Arming type zones when used with total distance of all circuits can be an
- keyswitches. incredible 15,000 feet!
The expansion zones are programmable --��- -------_- _-w---�_-�
for annunciation on DMP keypads ! R �I
Y � . � � .._.v:a���
connected to the panel. Each zone
can also be individually programmed to '' �
report alarms,troubles, and restorals to '" '�
remote DMP SCS-1R Receivers.
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�a�
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-- -- ---- - - - - - -�_�_ -_.___.--- - - - -
714J715 Z�idE EXPL►►6VD�FtS 714-8,794-!�,715.�,�ND �14-�,714-!6, 715�8,��1D
� The 714 contains four Class B bur�lary 713-16 DESCF��P7'10��9 713-0 6 �E�►Tt1FtES
zones and is suitable for use with burglary The expanders are housed in a Model • 8 or 16 protection zones per
and fire devices that are normally opened 340 lockin� metal enclosure suitable expander
or normally ctosed. Individual zones are for mounting in a remote location. • Durable metal enclosure housing
supervised with 1 k Ohm EOL resistors and Each expander provides screw terminal with lock and key
can be programmed with any burglary or strips for zone inputs and data bus . Individual screw terminals
fire zone type. connections, a two position jumper to accommodate 14 to 22 gauge wire
The 715 contains four Class B powered designate connection to the keypad bus for easy connection
zones and is suitable for use with 12 VDC, or the LX-Bus, and an LED to indicate . Suitable for mounting in a remote
2-wire smoke detectors and non-powered communication with the panel.Separate location
fire or burglary devices. Individual zones zone End-of-Line resistors are induded �� a ��S��39�TIOt�
on the 715 are supervised with a 3.3k w�th each expander. • The 711 Zone Expansion Module connects
Ohm EOL resistor and can be programmed i - to the panel's 4-wire Keypad bus or
with any burglary or fire zone type. ; LX-Bus and are set to an address that
OPTl0�1�4L ACCES�ORIES � -;����,- determines the reporting zone number.
The standard wiring harness can be f ' The 711 provides one Class B zone for the
replaced with the optional 718T Plu�-in � connection of detection devices.
..:�:_
:.., _.�,�...,�._.
Screw TerminaL -. -�==..-- _..-__- --- - -
:{�j<
The enclosure can also accommodate the ;-��i=�:
719T Terminal Boards for the 714 or the 714-8/7 a 4-16 E�CPAL�9�E�iS
720T Terminal Boards for the 715,which The 714-8 Expander contains 8 Class B fi -
pass throu�h the wiring of the panel's zones.The 714-16 Expander contains 16 :-- .
<__:�, .
LX-Bus. 1K EOL resistors are included Class B zones. Both are suitable for use ___�..-p --_�—._
with the 719T and 3.3K resistors are with normally open or normally closed �= � , +i - ''� �
included with the 720T. burglary and fire devices. Individual �, �ir" �
� zones are supervised with a 1 k Ohm EOL � I 5t�'"
�_��::_,..m.�����z��.�i,_....�-
' ��r`r � resistor and can be programmed as any . �"' f�; �
�i ' � "� zone type. _ _ s��r�s�e+ _
�� � �� Y
�., ,r�%; 7 9 5-S/713-16 E�CP9��iDERS a g 1 FEAYO�I3ES
� �� P�,tl�F��h ^ •,' $ The 715-8 Expander contains 8 Class B . Single-zone expander
powered zones. The 715-16 Expander
��` .__.. � r Y- � • Rugged screw terminals
-�� - _� , contains 16 Class B powered zones.
- �- - accommodate 14 to 22 AWG
Both are suitable for use with 12 VDC . goard fits in Radionics POPIT housing
2-wire devices, such as smoke detectors . Easy rotary switch addressing
or with non-powered fire or burglary
���'��'� ��`������ devices. Individual zones are supervised
• Four protection zones on each with a 3.3k Ohm EOL resistor and can be
module programmed as any zone type.
• Comes with 12-conductor wire
harness
• Optional 12-position screw terminal
•
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ZONE E7tPA1�S10P� NI��tJi.� ��MPAE�ISOI�f �f9�lE8T -- -
� Refer to the chart below for a comparison of the features for each DMP Zone Expansion Module. I
Module Address Number of 3-Hole Plastic Case Operating Compatible Panels I
Zones Voltage
708 N/A N/A Yes Yes 12 VDC �I
710 N/A N/A Yes Yes 12 VDC A«DMP
712-8 Dip Switch 8 Yes No 12 VDC
711 Rotary 1 No Yes 12 VDC
714 Rotary 4 Class B No Yes 12 VDC
714-8 Rotary 8 Class B No Metal Enclosure 12 VDC XT Series and XR100/XR500 Series
714-16 Rotary 16 Class B No Metal Endosure 1Z VDC
715 Rotary 4 Class B No Yes 12 VDC
715-8 Rotary 8 Class B No Metal Enclosure 12 VDC
715-16 Rotary 16 Class B No Metal Enclosure 12 VDC
lNODULE SF�E�I�IGAT��MS 7 i 4/713 S�ECI�IC/�.'i'lO�IS
7�8 SP�CiF1C:�►TI�l�15 (h1��leldE) Operating Voltage 8.8 to 15.0 VDC
Operating Voltage 8.8 to 15.0 VDC Operating Current
Operating Current 20mA Per Pair � 714 Average 7mA+ 1.6mA per zone
Dimensians 4.5"X 2.75"X 1.75" Alarm 7mA+2mA per zone
Maximum Distance 4,000 feet between the two 715 Average 7mA+4mA per zone+0.1 per 2-wire smoke
708 Modules Alarm 7mA+ 58mA per shorted zone+0.1 per
71 O SPIE�iFICa4T[��fS 2-wire smoke+ 30mA per smoke in alarm
� Operating Voltage 8.8 to 15.0 VDC Dimensions 4.5"X 2.75"X 1.75"
Operatin�Current ;"7!4-8, 71�=I 6; 71�-�,At�D T 8 5-1� ���CIFICATaONS
- 710 30mA Operatin�Voltage 8.8 to 15.0 VDC
Dimensions 4.5"X.2.75"X 1.75" Operating Current
Distance 2,500 feet (one modu[e), 714-8/16
15,000 feet maximum Average 20mA+ 1.6mA per zone
`- -71 1` S�?EC9�iC�►►TI�IaIS��i Alarm 20mA+2mA per zone
Operating Vottage��� 8.8 to 15.0 VDC 715-8/16
Operating Current Average 20mA+4mA per zone+0.1 per 2-wire smoke
Average 11 mA+ 1,6mA per active zone Alarm 20mA+58mA per shorted zone+0.1 per
Atarm 11 mA+2mA per zane in alarm Z-wire smoke+30mA per smoke in alarm
Zone Vottage 5 VDC (1.6mA across EOL) Enclosure 20-Gauge cold-rolled steel
Dimensions 4.5"X 2.75"X 1.75" , Dimensions 12.5"W x 11.5" H x 3.5" D
714-8/-16 Color Gray
71�-S S1P�CIIFICA�IbPBS 715-8/-16 Color Red
Operating Voltage 8.8 to 15.0 VDC ����,'������ ���������
Current Draw 17mA+ 1.6mA per active zone Refer to the appropriate panel programming and installation guide
17mA+2mA per zone in alarm for specific compliance listings for installation and programmin�
Dimensions 4,5" H x 2.5"W , requirements necessary to meet a particular approval. • �
C �
California State Fire Marshall (CSFM) � �-
New York City(FDNY COA#6055) (711, 714, 715 only) � =
Underwriters Laboratories (UL) Listed = -
o =
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. For additional information, access www.dmp.com and select � _
e Compliance. o _
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Systern Sensor L-Series audible visible notificatron p �--f , -'�, = ��~ ` ;
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products are rich with featr�res guarar�teed to cu� '��� � � ° � ; ..=��. � ;
installation times and maximize profits with lower �.� ; ��, �
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current draw and modern aesthetics. ;� _, �,
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Features °.._... '
� • Updated Modern Aesthetics The System 5ensor L•Series offers the mast versati�e and
• Smalf profile devices for Horns and Horn Strobes easy-to-use line of horns,strobes,and horn strobes in the industry
with Iower current draws and rttodern aesthetics.With white and red
• Plug-in design with minimal intrusion into the back box plastic housings,standard and compact devices,and plain,FIRE,
• Tamper-resistant canstruction and FUEGQ-printed devices,Sysiem Sensar L-Series can
• Automatic selection of 12-or 24-volt operation at 15 and 30 meet virtually any application requirement.
candela
The L-Series Iine of wa(I-rnount horns,strobes,and horn strobes
� Field-seleclable candela settings on wall units: , include a variety of features that increase their application versatility
15,30,75,95, 170, 135,and 185 while sim !i in installation.AII devices feature lu
P fY� 9 P 9-in c{esigns
• Horn rated at 88+dBA at 16 volts with minimal intrusion inta the back box,making installations fast
• Rotary switch for horn tone and two volume selections and faalproof while virtuaily e(iminating costiy and time-consuming
ground fauits.
» Mounting plate for all standard and all compact wall units
• Mounting plate sharting spring checks wiring continuity before Ta(urther simplify insta(Iation and proteet devices fram construction
device installation damage,the L-Series utilizes a universal mounting plate for all
• Electrically Compatible with(egacy SpectrAlert and SpectAlert mode[s with an onboard sharting spring,so installers can fest wiring
Advance devices continuity before the device is installed.
• Compatible with MDL3 sync module Installers can aiso easiiy adapt devices to a suit a wide range
• Listed for wall mounting only of application requirements using field-selectable candela settings,
autotnatic selectio�of 12-or 24-volt oparation,and a rotary switch
for horn tones with two valume selections,
Agency Listings
SIGNpLING �
�, � }j�
C �n" `'.
�.�.�.r
LISTED APPflOVED (�`VV�
55512 FGAapproveGexcept i72�i653�G567 ��
S40E 1 tor ALERT tt�rAeis i9;5-i65ap;�13
3057383,3057�}72
� L-Series Specifications
.- ,
General - `
L-Series standard horns,strobes,and horn strobes shall mount ta a standard 2 x 4 x 1�(a=inch back box,4 x 4 x 1�/z-inch back box,4-inch
octagon back box,or double-gang back box.�-Series campact praducts shall mpunt to a single-gang 2 x 4 x 17Ia-inch back bax.A universal
mounting plate shall be used far mounting ceiling and wall products for all standard models and a separate universal mounting plate shall be
used far mounting wall campact models.Tne notification appliance circuit wiring sha(1 terminate at the universa!mounting piate.Aiso,L-Series
products,when used with the Sync•Gircuit'"Madu(e accessory,shal(be powered from a nan-coded notifica6on appliance circuit putput
and shall operate on a nominal 12 or 24 volts.When used with the Sync•Circuit Module, 12-volt-rated notification appliance circuit autputs
shal!operate between 8,5 and 17.5 volFs;24-voit-rated notification appiiance circuit autputs shall operate between 16.5 and 33 valis.indoor
L-Series products shal(operate between 32 and i20 degrees Fahrenheit from a regulated DG or full-wave rectified uniiitered power supply.
Strobes and harn strobes shall have field-selectable candela settings including 15,30,75,95, 110, 135,and 185.
Strobe
The strobe shall be a System Sensor L-Series Model listed to UL 1971 and shall be appraved for fire protective service.The strobe
shall be wired as a primary-signaling notificatian app[iance arrd comply with the Americans with Disabilifies Act requirements fiar visible
signaling appiiances,flashing at 1 Hz aver the strobe's entire operating valtage range.The strobe light shall consist of a xenon flash tube and
associated lens/reflector system.
Horn Strobe Cambination
The harn strobe shall be a System Sensor L-Series Model listed to UL 1971 a�d UL 464 and shall be appraved for fire proteetive
service.The horn strobe shall be wired as a primary-signaling notification appliance and compiy with Ehe Americans with Disabilities Act
requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist
of a xenon flash tube and associated lens(reflectar system.The horn shall have two audibility options and an option to switch between a
temporal three pattern and a non-tempora!(continuous}pattern.These aptions are set by a muitiple position switch.The horn on horn strabe
models shall operate on a coded or non-coded power supply.
Synchronizatian Modu(e
The module shall be a 5ystem Sensor Sync•Circuit model MDL3 listed to UL 464 and shall be approved for fire protective service.The module
shaii synchronize SpectrRlert strobes at 1 Hz and horns at temporai three.Aiso,whiis operating the strobes,ihe module shali silence the horns
on hom strobe madels over a singie pair of wires.The modu(e shal(mount to a 411/16 x 41 i/16 x 21/8-inch back box.The module shall also
� control two Style Y(class B)circuits or one Style Z(class A)circuit.The module shall synchronize multiple zones.Daisy chaining twa or more
synch�a�izatEon madules together wili synchronize a1i the zones they cor�trol.The moduie shall nat operate an a caded pawer supply
.- .
Standard Operating Temperature 32°F to i 20°F(0°C to 49°G}
Humidity Range 10 to 93°/a non-candensing
Strobe Ftash Rate 1 flast�per secand
Nominal Voltage Regulated 12 DC or regulated 24 DC/FWR'•2
�perating Voltage Range $ta i7.5 V(12 V nominal}or 16 to 33 V(24 V nomir�ai}
Operating Vattage Range MDL3 Sync Madute 8.5 to 17.5 V(12 V nominal)or 16.5 to 33 V(24 V nominal)
InputTerminal Wire Gauge 12 to 18 AWG
� WaII-Mount Dimensions{inctuding lens} 5.6"L x 4 7"W x 1.91'D{143 mm L x 119 mm W x 49 mm D}
Compact Wall-Mount Dimensions(including lens) 5.26"L x 3.46"W x 1.91"D(133 mm L x 88 mm W x 49 mm D)
Harn Dimensions 5.6"L x 4.7"W x 1.25'"!7{143 mrn L x i 19 mm W x 82 mm D}
Compact Horn Dimensions 525"L x 3.45"W x 1.25"D(133mm L x BBmm W x 32mm D)
1 Full Wave Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some pawer supply and panel outputs.
2.Strobe producis will operate at 12 V nominal only for 15 cd and 30 cd.
�
• UL Current Draw Data
. . _ .
8-17.5 Volts 16-33 Volts 8-17.5 Volts 16�33 Volts
Candela DC DC FWR Sound Pattem dB DC DC FWR
Candela 15 88 43 60 Temporal High 39 44 54
Range 30 143 63 83 Temporal Low 28 32 54
75 N/A 107 136 Non-Temporal High 43 47 54
95 N/A 121 155 Non-Temporal Low 29 32 54
110 N/A 148 179 3.1 KHz Temporal High 39 41 54
135 N/A 172 209 3.1 KHz Temporal Low 29 32 54
185 N/A 222 257 3.1 KHz Non-Temporal High 42 43 54
3.1 KNz Non-Temporal Low 28 29 54
Coded High 43 47 54
3.1 KHz Coded High 42 43 54
.
8-17.5 Volts 16-33 Volts
DCinput 15cd 30cd 15cd 30cd 75cd 95cd 110cd 135cd 185cd
Temporal High 98 158 54 74 121 142 162 196 245
Temporal Low 93 154 44 65 111 133 157 184 235
Non-Temporal High 106 166 73 94 139 160 182 211 262
Non-Temportal Low 93 156 51 71 119 139 162 190 239
3.1KTemporalHigh 93 156 53 73 119 140 164 190 242
3.iKTemporalLow 91 154 45 66 112 133 160 185 235
3.1K Non-Temporal High 99 162 69 90 135 157 175 208 261
3.1K Non-Temporal Low 93 156 52 72 119 138 162 192 242
� 16-33 Volts
FWRlnput 15cd 30cd 75cd 95cd 170cd 135cd 185cd
Temporal High 83 107 156 177 198 234 287
Temporal Low 68 91 145 165 185 223 271
Non-Temporal High 111 135 185 207 230 264 316
Non-Temportal Low 79 104 157 175 197 235 283
3.1KTemporalHigh 81 105 155 177 196 234 284
3.1 K Temporal Low 68 90 145 166 186 222 276
3.1K Non-Temporal High 104 131 177 204 230 264 326
3.1 K Non-Temporal Low 77 102 156 177 199 234 291
Horn Tones and Sound Output Data
. .
8-17.5 16-33
Switch Volts Volts
Position Sound Pattern d8 DC DC FWR
1 Temporal High 84 89 8g
2 Temporal Low 75 83 83
3 Non-Temporal High 85 90 90
4 Non-Temporal � Low 76 84 84
5 3.1 KHz Temporal High 83 88 88
6 3.1 KHz Temporal Low 76 82 82
7 3.1 KHz Non-Temporal High 84 89 S9
• 8 3.1 KHz Non-Temporal Low 77 83 83
9' Coded High 85 90 90
10" 3.1 KHz Coded High 84 89 8g
'Settings 9 and 10 are not available on the 2-wire horn strobes.
• L-Series Dimensions
1.y1 3.46
3.46 1.25
1.25 _
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Compact Strobe/Horn Strobe Compact Horn
4.70 �
� 1.91
4.70 �� � 1.25
1.25
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5.67 .67 �
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Strobe/Hom Strobe Horn
• L-Series Ordering Information
•- . . .-
Wall Horn Strobes Horns
i -P2RL , 2-Wire,Horn Strobe,Red HRL Horn,Red
P2WL 2-Wire,Horn Strobe,White HWL Horn,White
P2GRL 2-Wire,Compact Horn Strobe,Red HGRL Compact Horn,Red
P2GWL 2-Wire,Compact Horn Strobe,White HGWL Compact Horn,White
P2RL-P 2-Wire,Horn Strobe,Red,Plain Accessories
P2WL-P 2-Wire,Horn Strobe,White,Plain TR-2 Universal Wall Trim Ring Red
P2RL-SP 2-Wire,Horn Strobe,Red,FUEGO TR-2W Universal Wall Trim Ring White.
P2WL-SP 2-Wire,Horn Strobe,White,FUEGO SBBRL Wall Surface Mount Back Box,Red
Wall Strobes SBBWL Wall Surface Mount Back Box,White
�_SRL ; Strobe,Red SBBGRL Compact Wall Surtace Mount Back Box,Red
SWL Strobe,White SBBGWL Compact Wall Surface Mount Back Box,White
SGRL Compact Strobe,Red
SGWL Compact Strobe,White
SRL-P Strobe,Red,Plain
SWL-P Strobe,White,Plain
SRL-SP Strobe,Red,FUEGO
SWL-CLR-ALERT Strobe,White,ALERT
Notes:
All-P models have a plain housing(no"FIRE"marking on cover)
' All-SP models have"FUEGO"marking on cover
� All-ALERT models have"ALERT"marking on cover
(�� ����� 3825 Ohio Avenue•St.Charles,IL 60174
�e- (=2017 System Sensot.
�s ppp Phone:800-SENSOR2•Fax:630377-6495 Protlucts{xcif.calionssub;cc.tocharg?wf�out�ctice.Visitsystemsensorcom
� S��\�/�' br currert prctluct infcrmeG�,inclutling ihe latest version o}Ihls data s,eet.
I Yrsl s■ www.systemsensor.com avos�ssos•oain
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lndoor Selectable- �� :� �
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System Sensor L-Series audible visible notification � � , � ' � °.��=�r '
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products are rrch with features guaranteed to cut `�. -�,�:- _.,$;T�1��' .,
,�. , _ . ,����'�.
installation times and maximize profits with(ower � -� ,�, ,.
.�_- � ...�� �:.
current draw and modern aesthetics. -
t. :.
Features The System Sensor L-Series offers the most versatile and
� • Plug-in design v��ith minimal intrusion into the back box easy-to-use line of horns,strobes,and horn strobes in the industry
with lower.current draws and modern aesthetics.With white and red
• Tamper-resistant construction plastic housings,wall and ceiling mounting options,System Sensor
• Automatic selection of 12-or 24-volt operation L-Series can meet virtually any application requirement.
at 15 and 30 candela
The entire L-Series product line of ceiling-mount strobes and horn
• Field-selectable candela settings on ceiling units:
15,30,75,95, 115, 150,and 177 strobes include a variety of features that increase their application
versatility while simplifying installation.All devices feature a plug-in
• Horn rated at 88+dBA at 16 volts design with minimal intrusion into the back box,making installations
• Rotary switch for horn tone and two volume,selections fast and foolproof while virtually eliminating costly and time-
• Universal mounting plate for ceiling units consuming ground faults.
• Mounting plate shorting spring feature checks wiring continuity To further simplify installation,the L-Series utilizes a universal
before device installation mounting plate so installers can mount them to a wide array of back
• Electrically Compatible with legacy SpectrAlert and SpectrAlert boxes.With an onboard shorting spring,installers can test wiring
Advance devices continuity before the device is installed.
• Compatible with MDL3 sync module
Installers can also easily adapt devices to a suit a wide range of
• Listed for ceiling mounting only application requirements using field-selectable candela settings,
automatic selection of 12-or 24-volt operation,and a rotary switch
for horn tones with two volume selections.
Agency Listings
SIGNALING
• O O l�\:
L p M f��,.�
AVPROVED �W
LISTED
S5512 F�d approvztl sacept 772StE53.G561
Sa011 for ALEFlT moda.ls 7134�1653:"u503
3057383
• L-Series Specifications
General -
L-Series ceiling-mount strobes and horn strobes shall mount to a standard 4 x 4 x 1Yz-inch back box,4-inch octagon back box,or double-
gang back box.Two-wire products shall also mount to a single-gang 2 x 4 x 17/8-inch back box.A universal mounting plate shall be used
for mounting ceiling and wall products.The notification applia�ce circuit wiring shall terminate at the universal mounting plate.Also,L-Series
products,when used with the Sync•Circuit'"'Module accessory,shall be powered from a non-coded notification appliance circuit output
and shall operate on a nominal 12 or 24 volts.When used with the Sync•Circuit Module, 12-volt-rated notification appliance circuit outputs
shall operate between 8.5 and 17.5 volts;24-volt-rated notification appliance circuit outputs shall operate between 16.5 and 33 volts.I�door
L-Series products shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full-wave rectified unfiltered power supply.
Ceiling strobes and horn strobes shall have field-selectable candela settings including 15,30,75,95, 115, 150,and 177
Strobe
The strobe shall be a System Sensor L-Series Model listed to UL 1971 and shall be approved for fire protective service.The strobe
shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible
signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and
associated lens/reflector system.
Horn Strobe Combination
The horn strobe shall be a System Sensor L-Series Model listed to UL 1971 and UL 464 and shall be approved for fire protective
service.The horn strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act
requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist
of a xenon flash tube and associated lens/reflector system.The horn shall have two audibility options and an option to switch between a
temporal three pattern and a non-temporal(continuous)pattern.These options are set by a multiple position switch.The horn on horn strobe
models shall operate on a coded or non-coded power supply.
Synchronization Module
The module shall be a System Sensor Sync•Circuit model MDL3 listed to UL 464 and shall be approved for fire protective service.The module
shall synchronize L-Series strobes at 1 Hz and horns at temporal three.Also,while operating the strobes,the module shall silence the horns
on horn strobe models over a single pair of wires.The module shall mount to a 4 11/16 x 4 11/16 x 2 1B-inch back box.The module shall also
control two Style Y(class B)circuits or one Style Z(class A)circuit.The module shall synchronize multiple zones.Daisy chaining two or more
� synchronization modules together will syncnronize all the zones they control.The module shall not operate on a coded power supply
.
Standard Operating Temperature 32°F to 120°F(0`C to 49°C)
Humidity Range 10 to 93%non-condensing
Strobe Flash Rate 1 flash per second
Nominal Voltage Regulated 12 VDC or regulated 24 DC/FWR�
Operating Voltage Rangez 8 to 17.5 V(12 V nominal)or 16 to 33 V(24 V nominal)
Operating Voltage Range(MDL3) 8.5 to 17.5V(12 V nominal)or 16.5 to 33 V(24V nominal)
InputTerminal Wire Gauge 12 to 18 AWG
Ceiling-Mount Dimensions(including lens) 6.8"diameter x 2.5°high(173 mm diameter x 64 mm high)
Ceiling-Mount Surtace Mount Back Box Skirt Dimensions 6.9°diameter x 3.4°high(175 mm diameter x 86 mm high)
(SBBCRL,SBBCWL)
iVotes:
1 Full Wave Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some power supply and panel outputs.
2.P,S,PC,and SC products will operate at 12 V nominal only for 15 and 30 cd
•
AVGS868G0
. UL Current Draw Data
..- . .
8-17.5 Volts 16-33 Volts
Gandela DC DC FWR
15 $7 41 60
30 153 63 86
75 NIA 111 iA2
95 N/A 134 164
ti5 N1A 158 19i
15d' N/A 189 228
177 N/A 226 264 '
�
8-1Zb Vaits 16-38 Vaits
DCinput 15cd 30cd 15cd 30cd 75cd 95cd 115cd 150cd 177cd
Temporal High 103 167 71 90 143 i65 187 217 254
Temporai Low 96 165 54 71 i37 161 185 211 249
Non-Temporal High 106 173 71 90 141 165 187 230 273
Nan-Temportal�aw 95 16fi 54 71 124 161 17d 296 258
3.1KTemporal High 111 164 69 94 147 163 184 229 257
3.t K Temporal�aw 103 163 6� 88 143 155 i 85 212 252
3.1 K Non-Temporal High 111 172 69 94 144 164 202 229 271
3.1 K Non-Temporal Low 103 169 54 88 131 155 187 217 259
18-33 Volts
FWRlnput 15cd 30cd 75od 95cd 115cd 150cd 177cd
Temparal High 107 185 179 198 223 254 286
� 7emporal Low 78 101 151 172 199 229 262
Non-Temporal f-ligh iQ7 135 179 198 223 254 286
Non-Temportal Low 78 101 151 172 199 229 262
� 3.1KTemporal High 108 135 179 200 225 255 289
3.1 K Tempora(Law 79 101 15{7 171 196 229 260
3.1 K Non-Temparal High 108 135 179 200 225 255 289
3.1 K Non-Temporal�ow 79 101 150 171 i 96 229 280
Horn Strobe Tones and Sound Outpufi Da�ka
. ,.- • , ._
a-7zs 16-33
Volts Votts
Switch Positian Sound Pattem dB DC DC FWR
1 Temporal Nigh 84 89 89
2 Temporal Low 75 83 83
3 Non-Temporal High 85 90 90
4 R1an-Temparal Low 76 84 84
5 3.1 KHz Temporal High 83 8$ 88
6 3.1 KHz 7emporai Low 76 82 82
7 3.i KHzNon-Temporai High 84 89 89
$ 3.1 KHz Non-Temporal Low 77 83 83
�
AVDSL6E00
� L-Series Dimensions
2.47 i
1.37 �6.92 � �2.50 �
�6.83 �
�
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Ceiling-Mount Horn Strobes Ceiling Surface Mount Back Box
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Ceiling Mount Horn Strobes with Ceiling Surtace Mount Back Box
L-Series Ordering Information
�- . e- .
Ceiling Hom Stro6es Ceiling Strobes
� PC2RL� 2-Wire,Hom Strobe,Red 4 SCRL- Strobe,Red
PC2WL 2-Wire,Horn Strobe,White SCWL Strobe,White
SCWL-CLR-ALERT Strobe,White,ALERT
Accessories
� TRG2 Universal Ceiling Trim Ring Red
' TRG2W Universal Geiling Trim Ring White
SBBCRL Ceiling Surface Mount Back Box,Red
SBBCWL Ceifing Surface Mount Back Box,White
� (�� �✓��� �201 i System Sensor.
``- 3825 Ohio Avenue•St.Charles, IL 60174 Protluc�s�cd,cauonssuh;�ttochenge�vivwutne6ce V�srsystemsensorcom
�� ������r Phone:800-SENSOR2•Fax:630-377-6495 brcurrertprotluc:mfumaua�,Ncludngthela:esrr�rsienofNisdalasr�Eet
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�'" • Absorbent Giass Mat(AGM)technology for superior
performance
• Valve regulated, spill proof construction allows safe
�°�"�R°`"� � operation in any position
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����� ~ "r�N�� + Power/volume ratio yielding unrivaled energy density
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p5_i270 F
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..�� � ��re,.�,� • Rugged impact resistant ABS case and cover(UL94-HB)
-_,_ � . . �:. ,� - • Approved for transport by air. D.�.T., I.A.T.A., F.A.A. and
C.A.B. certified
• U.L. recognized under file number MH 2O845
,� � `
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• F1-Quick disconnect Nominal Voltage........................................................................12 volts(6 cells)
tabs,0.187"x 0.032"-
Mate with AMP.INC. F� FZ Nominal Capacity
FASTON "187"series I-3.z� �-3.4-{ 20-hr. 350mA to 10.50 volts 7.00 AH
( ) ...
.....................................................
-�R- ° I-0.75 ° I6.35
10-hr. (650mA to 10.50 volts) ....................................................... 6.50 AH
• F2-Quick disconnect �s.3s� i-r.ss�
ta bs,0.250"x 0.032" �=o.a �=o.s 5-h r. (1.2A to 10.20 vo Its) ............................................................ 6.00 AH
-Mate with AMP.INC 1-hr. 4.5Ato 9.00 volts
( ) .............................................................. 4.50 AH
FASTON "250"series
15-min. (14A to 9.00 volts).................................................................3.50 AH
• . �- • ' APProxlmate Welght ........................................................... 4.80 Ibs.(2.18 kg)
Energy Density(20-hr.rate) ................................ 1.49 W-h/in3(90.95 W-h/I)
� � Specific Energy(20-hr.rate) .............................. 17.50 W-h/Ib(38.58 W-h/kg)
� W Internal Resistance(approx.) ...............
....................................... 23 milliohms
O �� Max Discharge Current(7 Min.) ............................................... 21.0 amperes
Niax Short-Duration Discharge Current{10 Sec.)................. 70.0 amperes
� Shelf Life(%of nominal capacity at 68°F(20°C))
�� s���RK�,9..,��� � 1 Month......................................................................................................97%
oen.,�
PO�� HT H 3 Months.....................................................................................................91%
MooE� PS-i2]OF1 � � 6 Months.................... .......................................................................83%
,.�„a�o» ;.. .........
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Operating Temperature Range
�-- L -I Charge.............................................................-4°F(-20°C).to 122°F(50°C)
� Discharge.......................................................-40°F(-40°C)to 140°F(60°C)
_�_a.,_____.:..._a.,_.___,.�_�_.__...�.._;.��
'L:5.95(151) W:2.56(65) H:3.70(94) HT:3.86(98) Case......................................................................................................ABS Plastic
Tolerances are+/-0.04 in.(+/-1mm)and+/-O.OS in.(+/-2mm)for PowerSonic Chargers................................................PSC-12800A,12800A-C
height dimensions.All data subject to change without notice. �
. � . �
. r � � � i
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r
� She(f Life&Storage Discharge Characteristics
14.0
o ��� �"��"4t Ambient Temperature 24°C(68°F)
necessary uniess
p 1tl0%ofcapacity 13.0
'II is required. __ _
� $Q GhBtgingbefrne > _ -
c ��C use is necessary � 12.0 __
o (41°F) �ro help recover rn
�" (ullcapacity. � --
w gp � p 11.0
� + ~ � - �hazgem�Yfa'� �
� to restore full R 0.35
40°C 3 °C 20°G rapaciry.Donot E 10.0 •7a `
et 40 {104°F} (&&°F) ($8°F} te�battenes reach �E '�-4
�p ihi5 Sfet¢. �
� F 3.5
U o s.o Final 7.Q
0 2 4 6 8 10 12 't4 16 18 20 Volt�lge
Standing Period(Months} $�a 14
�.z Z.a s �a z� ss as� 2 a e a To zo a a
Discharge Time vs. Discharge Current I�--- min -�- h----�
- Discharge T9me
za
15
,�� Life Characteristics in Stand-By Use
....... .. .__
r � ,., AmbientTem erature 20°C 68°F)
� 5 Pinaf ' a 100 •-„ �� lllll� ��M IIIII (....
Vottage y, �
� 2 10.5V �� � 80
� 10.2V � 6�
N 1 a 40 Float Charging Voltage
� 9.6V �� - 2.25-2.30 V/Cell
3Q � 20
� c � a 0
�� 9.OV 0 '1 2 3 4
10 � 4o°C(1o4°F) Years
20°C (68°F)
0°C {32°F}
� 8.1 V
Life Gharacteristics in Cyclic Use
^ 0.35 0.70 1.4 3.5 7.0 14 120
Discharge Current(A)
100
�0
- >, 80
».
Gycie Apglications:Limit initiai current to 2.sA.Gharge urttii battery voitage �
(under charge)reaches 14.4 to 14.7 vo(ts at 68`F(20°C}.Hoid at 14.4 to 14 7 ro 60 Discbarge Discharge Discharge
volts until current drops to under 7qmA.Battery is fully charged under these C Depth 100% Depth 50% Depth 30%
canditions,and charger should-be disconnected or switched to"flaat"uoitage. a qp
::.
� 1.Discharge Current 0.2C(Final Voltage 1.7V/Cell)
"FIoaY'or°Stand•By"Servlce:Hold battery across constant voltage source of y 20 2,Charge Current:Q,1 C
13.5 to 23.$vaiis continu4Usiy.When heid at tf�is voltage,the battery wiii seek iis � 3.Ambient Temperature:20°C to 25"C(68°F to T7°F)
own current Ievei and maintain ftse�f in a fuily charged condition. , 0
0 20p 4q0 600 S00 1000 120Q
Note;Due to the seif-discharge characteristics af Ehis type af baitsry,it is Number of Cycles
imperative that they be charged within 6 months of starage,otherwise permanent
lo5s of capacity might occur as a result of sulfation.
� �
Power-Sanic offers a wide range af chargers suita6le#o�6atterles up to 140AN. Please refer to our website www.power-sanic.cam far a compiete range of useful
Please refer to the Charger Selection Guide in our specification sheets for"C-Series downlaads,such as product catalogs,material safety data sheets(MSDS),ISO
Swftch Mode Chargers"and"Transformer Type A and F Series".Please contact our certiflcation,etc..
Technical department for advice if you have difficulty in iocating suitable madels.
� � � � i � �
DOMESTiC SALES CUSTOME�2 SERVICE 7ECHNICAL SUP�'ORT INTERNATIONAL SpLES
Tel:+1-619-661-2020 Tel:+1-619-661-2030 Tel:+1-619-661-2020 Tel:+1-650-364-5001
Fax:+1-619-661-3650 Fax:+1-819-661-3648 Fax:+1-619-661-3648 Fax:+1-650366-3662
nationai-sales@ppwer-sonic.com customer�serviCe@power-sonic.com supportC�power-sonic.com internaUonai-sales@power-sonic.com
GORPORATE OPFICE • 7550 Pa�asonic Way•San Diego,GA 92�54• USA•TeL•+1-619-6612420 • Fax:+1-619-661-3650 �„ ,��
�2pit.Power-Sonic Corppratbn.All righls reserveJ.NI Iredemarks e'e Ihe properly of their respective ownnrs.
. �� S�srEn� � .
�� SE�so��J
Outdoor Selectable- "���` a
Output Horns,
Strobes, and
Horn Strobes for
V1/a11 Applications
SPECTf�lert
SpectrAlert�Advance outdoor audible visible products A o v A n, c E
are rich with features that cut installation times and
maximize profits.
Features SpectrAlert Advance offers the broadest line of outdoor horns,
. • Weatherproof per NEMA 4X, IP56 strobes,and horn s[robes in the industry With white or red plastic
housings,wall or ceiling mountiny options,and plain or FIRE-printed
• Listed to UL 1638(strobe)and UL 464(horn) devices,SpectrAlert Advance can meet virtually any application
• Compatible with System Sensor synchronization protocol and requirement,including indoor,outdoor,wet,and dry applications in
leyacy SpectrAlert products temperatures from-40°F to 151°F
• Field-selectable candela settings: 15, 15/75,30,75,95, 110, 115,
135, 150, 177,and 185 Like the entire SpectrAlert Advance line,outdoor horns,strobes,
and horn strobes for wall applications include a variety of features
• Automatic selection of 12-or 24-volt operation at 15 and that increase application flexibility and simplify installation.First,
15/75 candela field-selectable settings,including candela,automatic selection of
• Rotary switch for horn tone and three volume selections 12-or 24-volt operation,horn tones,and three volume options enable
• Horn rated at 88+dBA at 16 volts
installers to easily acJapt devices to meet requirements.
• Rated from-40'F to 151°F Next,SpectrAlert Advance devices use a universal mounting plate
• Universal mounting plate with an onboard shorting spring that for both wall and ceiling applications.This mounting plate includes
tests wiring continuity before devices are installed an onboard shorting spring that ensures�viring continuity before
Plug-in design with minimal intrusion into the back box devices are installed,so installers can verify proper wiring without
� mounting the devices and exposing them to potential construction
• Tamper-resistant construction damage Once the plates are mounted,all SpectrAlert Advance
• Listed for ceiling or wall mounting devices utilize a plug-in desiyn with a sinyle captured screw to
speed installation and virtually eliminate costly ground faults.
� Outdoor devices ship with weather�roof plastic back boxes(metal
back boxes are available separately)that accommodate in-and-
Ageney Listings out wiring for daisy chaining devices.Plastic back boxes feature
removable side flanges and improved resistance to saltwater
SIGNALING ` � corrosion.Knock-ou:s located on the back eliminate the need to drill
� o `�` holes for screw-in mounting Plastic and metal weatherproof back
UL F M MEA boxes come with 3/a-inch top and bottom conduit entries and 3/�-inch
LISTED 73CO 1 fi53:�871outdoor s[raCes)
;izs,esa:,asino��s���be�, knock-outs at the back.A screw-in NPT lu with an 0-rin asket
S4011(ch'unou,hom s[rob2s,horns) APPROVEU approved chimo strobes) P g g g ��
55593(outticorantl a!erl;lrobes� 3023572 41EA�52-05-E 7135-1653:189 inoms,�himes) for a watertight seal is included with each back box. ,
� SpectrAlert Advance Outdoor Horn,Strobe,and Horn Strobe Specifications
.
General
SpectrAlert Advance outdoor horns,strobes,and horn strobes shall mount to a weatherproof back box.A universal mounting plate shall
be used for mounting ceiling and wall products.The notification appliance circuit wiring shall terminate at the universal mounting plate.
Also,SpectrAlert Advance products,when used with the Sync•Circuit""Module accessory,shall be powered from a non-coded notification
appliance circuit output and shall operate on a nominal 12 or 24 volts.When used with the Sync•Circuit Module, 12-volt-rated notification
appliance circuit outputs shall operate between 9 and 17.5 volts;24-volt-rated notification appliance circuit outputs shall operate between 17
and 33 volts.Outdoor SpectrAlert Advance products shall operate between-40 and 151 deyrees Fahrenheit from a regulated DC or full-wave
rectified unfiltered power supply.Strobes and horn strobes shall have field-selectable candela seltings including 15, 15175,30,75,95,110,
115, 135,150, 177,and 185.
Strobe
The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and shall be approved for fire protective service.
The strobe shall be�vired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for
visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range The strobe light shall consist of a xenon flash
tube and associated lens/reflector system.The strobe must be installed with its weatherproof back box in order to remain outdoor approved
per UL.The strobe shall be suitable for use in wet environments.
Horn Strobe Combination
The horn strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shall be approved for
fire protective service.The horn strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with
Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe
light shall consist of a xenon flash tube and associated lens/reflector system.The horn shall have three audibility options and an option to
switch between a temporal three pattern and a non-temporal(continuous)pattern.These options shall be set by a multiple position switch.
On four-wire products,the strobe shall be powered independently of the sounder The horn or horn strobe models shall operate on a coded or
non-coded power supply.The horn strobe must be installed with its weatherproof back box in order to remain outdoor approved per UL. The
horn strobe shall be suitable for use in wet environments.
� OperatingTemperature -40'F to 151'F(�0°C to 66°C)
Strobe Flash Rate 1 flash per second
Nominal Voltage Regulated 12 DC/FWR or regulated 24 DC/FWR�
Operating Voltage Range2 8 to 17.5 V(12 V nominal)or 16 to 33 V(24 V nominal)
InputTerminal Wire Gauge 12 to 18 AWG
Wall-Mount Dimensions(including lens) 5.6 L x 4 7"'W x 2.5""D(142 mm L x 119 mm W x 64 mm D)
Horn Dimensions 5.6"L x 4.7"W x 1.3""D(142 mm L x 119 mm W x 33 mm D)
Wall-Mount Weatherproof Back Box Dimensions(SA-WBB) 5.7"'L x 5.1"W x 2.0"'D(145 mm L x 130 mm W x 51 mm D)
Notes:
1 Full Wave Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some power supply and panel outputs.
2.P,S,PC,and SC products will operate at 12 V nominal only for 15 and 15/75 cd.
i
A��S�,Z�,
� UL Current Draw Data
. .
8-17.5 Volts 16-33 Voits B-17.5 Volts 16�3 Volts
Candela DC FWR DC FWR 5ound Pattern dB DC FWR DC FWR
Standard 15 123 128 66 71 Temporal High 57 55 69 75
Candela 15(75 142 148 77 81 Temporal Medium 44 49 58 69
Range 30 NA NA 94 96 Temporal Low 38 44 44 48
75 NA NA 158 153 Non-Temporal Hiyh 57 56 69 75
95 NA NA 181 176 Non-Temporal Medium 42 50 60 69
110 NA NA 202 195 Non-Temporal Low 41 44 50 50
115 NA NA 210 205 Coded High 57 55 69 75
High 135 NA NA 228 207 Coded Medium 44 51 56 69
Candela 150 NA NA 246 220 Coded Low 40 46 52 50
Range 177 NA NA 281 251
185 NA NA 286 258
�
8-17.5 Volts i6-33 Volts
DC Input 15 15/75 15 15/75 30 75 95 110 115
Temporal High 137 147 79 90 107 176 194 212 218
Temporal Medium 132 144 69 80 97 157 182 201 210
Temporal Low 132 143 66 77 93 154 179 198 207
Non-Temporal High 141 152 91 100 116 176 201 221 229
Non-Temporal Medium 133 145 75 85 102 163 187 207 216
Non-Temporal Low 131 144 68 79 96 156 182 201 210
FWR input
Temporal High 136 155 88 97 112 168 190 210 218
Temporal Medium 129 152 78 88 103 160 184 202 206
• Temporal Low 129 151 76 86 101 160 184 194 201
Non-Temporal High 142 161 103 112 126 181 203 221 229
Non-Temporal Medium 134 155 85 95 110 166 189 208 216
Non-Temporal Low 132 154 80 90 105 161 184 202 211
� ..• .- .
16-33 Volts 16-33 Volts
DC Input 135 150 177 185 FWR Input 135 150 177 185
Temporal High 245 259 290 297 Temporal High 215 231 258 265
Temporal Medium 235 253 288 297 Temporal Medium 209 224 250 258
Temporal Low 232 251 282 292 Temporal Low 207 221 248 256
Non-Temporal High 255 270 303 309 Non-Temporal High 233 248 275 281
Non-Temporal Medium 242 259 293 299 Non-Temporal Medium 219 232 262 267
Non-Temporal Low 238 254 291 295 Non-Temporal Low 214 229 256 262
Candela Derating Horn Tones and Sound Output Data
For K series products used at low temperatures,listed , , , ,• •
candela ratings must be reduced in accordance with •g_17,5 16-33 24-Volt Nominal
this table.
Switch Sound Volts Voits Reverberant Anechoic
�� � � Position Pattern dB DC FWR DC FWR DC FWR DC FWR
Listed Candela Candela rating at—40°F � Temporal High 78 78 84 84 88 88 99 98
�5 2 Temporal Medium 74 74 80 80 86 86 96 96
15/75 Do not use below 32'F 3 Temporal Low 71 73 76 76 83 80 94 89
30 4 Non- High
' �5 44 Temporal 82 $2 8$ $$ g3 92 100 100
95 70 5 Non- Medium
110 110 Temporal 78 �$ $5 85 90 90 98 98
115 115 6 Non- Low �5 75 81 81 88 84 96 92
� 135 135 Temporal
150 150 7t Coded High 82 82 88 88 93 92 101 101
177 177 8t Coded Medium 78 78 85 85 90 90 97 98
185 185 9t Coded Low 75 75 B1 81 88 85 96 92
tSettings 7,8,and 9 are not available on 2-wire horn strobe. avoso,zo,
� SpectrAlert Advance Diagrams
�4.7` 2.5" .,
�
m�
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5.6" ° O
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WaII-Mount Hom Strobes � Wai(Piastic Weatherproof Back Box
4
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UUai1-Moun#Horn Strobe with Piastie 1Neatherproof Baak Box
SpectrAlert Advance Ordering Information
•i' i- •
Wall Horn Strobes
_ P2RK`r ; 2-Wire Hom Strobe,Standard cd,Red,Qutdoor{includes piastic weatherpeoof baek bax)
P2RHK"t 2-Wire Horn Strabe,High cd,Red,Outdoor(includes plastic weafherproaf back box)
P2WK"t 2-Wire Horn Strobe,Standard cd,White,Outdoar(includes plastic weatherproof back bax}
P2WHK'f 2-Wire Nom Strobe,High cd,White,Outdoor{includes plastic weatherproofi back box}
P4RKr 4-Wire Horn Strpbe,Standard ccJ,Red,�utdoor(includes plastic weatherproof back box)
P4WfC 4-Wire Norn Strobe,Standard cd,White,Outdoor(includes pEastic weatherproof back box}
P2RHK-120 2-Wire Hom Strobe,High cd,Red,Outdoor, 120 V(includes plastic weatherproof back bax)
Wall Steobes
.. SRK'_t , Strobe,Standard cd,Red,Outdaor(includes plastic weatherproaf back box)
SRHK"� Strobe,High cd,Red,Outdoor(includes plastic weatherproof back box)
SWK*� Strobe,Standard cd,White.4utdoor{includes plastic weatherproof back bax}
SWHK't Strobe,Hiyh cd,White,Outdoor(includes plastic weatherproof back box)
Horns
HRKt Horn,Red,Outdoor(includes piastic weatherproof back box)
Accessories
SA-WBB Rec(,Meta(We�therproof Back Box
SA-WBBW White,Metal Weatherpraof Back Box
Notes:
'Add"-P"to model number For plain housing(no"FIRE"marking an cover),e.g.,P2RK-P
�Add"-R"to mode!number for weatherproof replacement de�ice(no back bnx includeda,only far use with weatherproof outdoor flush mounting ulate,WTP and WtPW.
"Standarct cct"refers ta strobes that inctuda'i5,15/75,30,75,95,110,and 115 candeia settings."High cd"refiers to strobes that inciude 135,150,i 77,and 1$5
candela settings,When replacing standard autdoor units both the device and back box must 6e repiaced,
� � ��/�,!O C42Q72 System Sersor.
3825 Ohio Avenue•St.Charles,IL 6Q174 PraductspecAra6orssubjecltnchanaewithoutnonce.Ysrtsystertuensar.com
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, ; door �
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STOPPERR
t�=�' �.� KEY FEATURES
,�,.�� . ,� .�•--=.:-. , ��`�`_
�,� ,- ¢ General Information
���;� � "'� _,__ �
� f ��, , , ' - � " Protects against vandalism,
accidental damage,dust and grime
and severe environments inside and
`��z outside.
.w.- �
• •Protects pull stations,keypads,
- intercom stations,emergency
� , buttons,electrical light switches or
• duplex plugs.
snown with •ADA Compliant.
waterproof
'�;, back box •Three year guarantee against
, �� ;; breakage of polycarbonate in
= normal use(one year on electro
� _ mechanical and electronic
:�r;� components).
'��� .�,�..;` �.!""' Design
�'��'�'� ��4 ^ To and bottom ofwater roof back
+�,.;_+x-a� -. � ' � ," ' � P P
-'� ~ �r4` ' � ` box are threaded for 3/4"NPT rigid
��..s=;
�b - "�`` <� conduit.
, �o- �
� '�� •Sized to fit most pull stations.
�"' •High strength continuous hinge.
� � ,
� _ � , i � Construction
� � K;� � •Cover is molded from thick,tough
a-
F x` polycarbonate material.
- • UV-stabilized to keep cover clear
. t� ,=,< ..��, 4� " �' Installation
, ' Y�,.\. .�,,z;�'"`x ; }�;��. � •Gaskets included.
Typical working properties of
polycarbonate are-40°to 250°F
(-40°to 121°C).
Electronics
� ���S •Dome models have optional relay
output with 12-24 VDC power input.
A�Q •Dome models available with or
Compiiant without 105 dB horn.
� '' Options
Cover avaiiable in low profile or
dome shape.
PRODUCT OVERVIEW • Flush frame,surface frame or
These indoor/outdoor low profile or dome polycarbonate covers protect devices such waterproof back box(with sealed
as dual action ull stations, ke ads for ent s stems, intercom stations, emer enc or open internal mounting plate),
p yp ry y g y enclosed flush back box.
buttons, electrical light switches, duplex plugs, etc., Without reStfiCting legitimate • Locking tab(not for use with fire
operation.The versatile cover offers excellent protection against physical damage(both puti stations)
accidental and intentional), dust and grime as well as severe environments inside and out. • Dome modeis avaiiabie with rea,
green,blue,yellow,white or black
Cover options: Dome or Low Profile,with or without horn,flush mount, surface mount or label hood/horn housing with
custom or no label.
� waterproof back box models. Maximum protrusion is 4 inches deep. Cover has the same .qvaiiabie for red units°in Case of
footprint as the Mini Stopper°but accommodates most dual action pull stations. Fire. °label.
❑� ❑�
i�• Safety Technology
For more information,call 1-800-888-4784(4STI)or visit�vww.sti-usa.com
0 m
International,Inc. �
. STI Universal Stopper°
Dimensions and Technical Information COVER OPTIONS - SIDE VIEW
BUILD YOUR MODEL STI-1 � ��Q N�— �.,=.-,.�,�:�s�«� � �-�-^=����
— — �.,,.,�..�._�_. _ .
Cover Options
3 = Dome Cover pome Low Prafile
4 = Low Profile Cover• MOUNTING OPTIONS
'Only available with Hood/Horn option"0"
Mounting Options
m �'�'~_
0 = Flush Mount � r-"=
2 = Surface Mount
3 = Enclosed Flush Back Box �r
l-
4 = Enclosed Back Box&Sealed Mounting Plate" �
5 = Enclosed Back Box&Opened Mounting Plate"
S = Enclosed Back Box&European Sealed Mounting Plate" FLUSH SURFACE BACK BOX
9 = Enclosed Back Box&European Open Mounting Plate" Enclosed
Flush
,"all colors except NC
Hood/Horn _
. �:
0 = NO LBbBI HOod(Labelmuststartwith'N:IfHood/Horn
Option=0 and Mounting Option=0 or 3,the label must be NC) +.
1 = Label Hood without Hom" - � '
2 = Label Hood with Hom" '�� � ��
3 = Label Hood with Hom&Relay'*
"all colors except NC BACK BOX BACK BOX BACK BOX BACK BOX
Special Electronics With Sealed With Opened With European With European
Mounting Plate Mounting Plate Sealed Opened
0 = None Mounting Plate Mounting Plate
� 1 = Heat(available with Mounting Options 4,s,e&s1•• APPROVAL&WARFiANTY
"Coming soon
TESTING
Housing/Horn Colar&Lahel •ADA Compliant
Fire label Free Gustom label* Tested and approved or listed by
FR=Red—Fire label CK=Black'
No label CB=Blue' •UUcUL Listed No.S2466(NEMA Type 3RX mounting options 3,4,
NK=Black CG=Green' 5,8,9).
NB=Blue CR=Red* IP56(cover 3,mounting options 4,5,S,9).
NC=Clear CW=White`
NG=Green CY=Yellow'
NR=Red WARRANTY
'must provide custom Three year guarantee against breakage of polycarbonate in normal
NW=White label wording(2 lines,
NY=Yellow 2o characters per line use(one year on electro mechanical and electronic components).
including spaces) IMPORTANT NOTICE
When used on fire systems,Universal Stopper is intended for areas where
the incidence of false fire alarms from manual pull stations is high or has
proven to be a serious problem.Any disadvantage of the device is more
than balanced when one considers the consequences of false fire alarms,
especially if flre service personnel and equipment are responding to a false
fire alarm when they are needed for a real fire somewhere else.Add to this
the disruption to the facility when false alarms occur.If you have,or may
have,a problem with false fire aiarms or physical/weather damage to your
fire alarm activation devices,the Universal Stopper could prove invaluable.
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Printed in U.S.A.,�O 1987-2009 Safety Technology International,Inc. Subject to change without notice. 08/15
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'- ;: � � Each detector reports alarms back to the panel
;�. _ �� � > ���L�"° __-,=`a-�>, with its address.
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� �; �;i~��i __ ___- • Reduced wiring speeds installation time
'�=�..aa � n'� _ - .. -f;�'`�,
i,h`i}{-;- ',�ry.� # = ' J -
- ��-' u � -- �
";��_� ,:!�;; ' _ , ��;.;':' • Emergency responders know where to go
.,��'�`°. _ ,��:
��.-:��, �:- _ . ,;� - _-. first
..,:�„
'����� .�` . ' �, -
.tt�--. j�s _ - f-"
..���`s`jb�
- �=" � - - � • Trouble alerts to a specific detector
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i}4$�e:�.si,i• � �.. '�>} �'
�>3�: �;�� '�:`_, . ;?� ' • Addressable conventional smoke detector
_<;�;y..-.�.�u��=�,.a;;:,. . £
_§:
� - . __ -._.- - ` _ . • Built-in single zone
.
Add e
r ssable module for DMP LX-Bus
connection
• The 24VT BLX also.includes an integrated
heatsensor
• Red LED blinks once every five seconds to
indicate maintenance required
� �������� ��� � ����
��C)RES���L� ����"�E�E�I��I� �P��K� DE�'E�T��S
SYSTE�+i FEATURES
• Addressable single-point detector module • State-of-the-art optical sensing chamber
• Fixed-temperature thermal detector trips at 135°F • Easy rotary switch addressing
• Built-in drift compensation ensures reliable sensing • Proven design ensures stability and performance
• LED lights speed installation and confirm status
• Reduced wiring and multiple mounting options speed ___-----'"�
-------' _
installation _______--- _�—
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-�'—S11+�GLE-POINT P.DDRESSA�LE BUILT IN DRIFT COMPE�ISA`f101V SIIVIPLIFIED�fRl�lC
TECHiVOLOGY As detectors age and accumulate Compared to non-addressable devices.
A factory-mounted, addressable single- contaminants or as their environment addressabledetectorsrequiremuchsimpler
point zone expander is integrated into the changes, false alarms become more wiring. This type of wiring reduces both
base of the smoke detector. Because each common, With drift compensation, the installation time and the chance of errors.
detector reports individualty to the panel, detector automatically adjusts to maintain ��U�ITIfdG OP'g'lO�1S
trouble reports are identified to a specific the UL-acceptable operating range.
detector. speeding repair. No need to Smoothing algorithms compensate for Multiple options provide. installation
replace the heads on a string of detectors these changes,reducing nuisance alarms. flexibility. Each detector is supplied with a
or individually test each detector to pinpoint mounting base that can be mounted:
the source of the roblem. LED Si',�TUS LICH�S �
P Wide-angle, dual-color LEOs provide at- To a single gang box
In an alarm situation, facility owners and a-glance status indications. After power- ' To a 3Yz-or 4-inch octagonal box
first responders instantly know the exact up has completed and the detector is • To a 4-inch square boxwith plaster ring
location of the alarm, enabling a faster functioning normally,the green LED blinks �
response.For any installation that includes Directly to the ceiling using drywall
once every five seconds. If the detector fasteners
multiple rooms or areas, addressable needs maintenance because its sensitivity
technology offers many benefits. has shifted outside the limits,the red LED The bases can be pre-wired so the heads
blinks once eve five seconds. can be quickly inserted to complete the
SINIPLIFIED TROUBLESHUO'TIPdG ry installation.
��� Addressable detectors provide trouble GREEN LED RED LED
signalstraceablebacktoaseparatedetector. powerup Blinksloseconds Blinkstoseconds T'����� R�S1S'TA(V'T
This further simplifies troubleshooting and Narmal(Standby) Blinks5seconds The detectors include a tamper-resistant
speeds repairs. feature that prevents removal from the
Out of sensitivity -- Blinks 5 seconds mounting base without the use of a tool.
F1XED TER�IPE3�ATURE 1"HEQ��IIAL Alarm -- Solid
DETECTOI� E,4SY ADDRESSIt�G
The2WTBLXfeaturesarestorable,built-in. ����UNICd�I'90h1 VERIFICATI�N Settingtheaddressisaseasyasrotatingthe
� fixed temperature thermal detector and is two on-board rotary switches to positions
capable of sensing a temperature higher The verification feature speeds installation matching the LX-Bus zone numberaddress.
than 135°F condition.IF the detector senses and ensures system integrity by verifying
a higher temperature than 135°F the Red the wiring and confirming device polling
LED latches on and an alarm condition is using a 2-second flashing green LED on the
sent to the control panel. integrated zone expander.
SPECIF9C�1T!{�NS ORDERIf�G 1N�OR�IiATION
Operating Voltage 12 VDC .2yy_g�/�0 Photoelectric smoke detector
Dimensions 5.3"Dia.x 2.0"
Weigh 6.3 ounces •2WT BW10 Photoelectric smoke detector with fixed-temperature v
Standby Current 11 mA thermal detector o
Alarm Current 31mA LIS71t+1GS�APPROVALS �
Maximum Ripple 30/(�peak to peak California State Fire Marshal(CSFM) J
Operating Temperature(Ambient Room) Underwriters Laboratories(UL)Listed � �
2W-BLX 32°F to 120°F UL 268 Smoke-Automatic Fire Detectors N =
2UVT-BLX 32°F to 100°F � _
-� —
Humidity Range 0 to 95%RH non-condensing a �
Heat Sensor 135°F(2WT-BLX On(y) .� �
Power-Up Time 45 seconds •o �
f -
Photoelectric Sensitivity 2.5%/ft.max. � �
m �
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• . _ _ � _ 2500 North Partnership Boulevard 8�•647.4282 ( dmp.com
Springfietrt Missouri 65803�B977 �Esigned.Engineered&Assembled
in Springfiietd,Missouri
CITY OF ZEPHYRHILLS
5335-8th Street
;.
� ($].3)780-0020 19665
EI.ECTRICA[. PERMIT
- PERMIT INFORMATION LOCATION INFORMATION � - -
Permi##:19665 lssued: 5I0912018 Address: 6450 GAL�. BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Tawnship: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sg. Feet: Est.Value: Baok: Page:
Cost: Totat Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Dat� Paid: 5/09/2018 Parcel Number: 02-26-21-0000-00100-0050
CtJNTRACTCJR tNFORMATION OWNER 1NFORMATtON
Name: INTEGRATED PREMISE TECHNOLOGIES Name: GH&G ZEPHYRHILLS LLC
Addr: "I7'11 SARONG PLACE Address: PO BOX 550709 575 PHARR RD
WINTER PARK FL 32792 ATLANTA, GA. 30355-3209
Phone: (32'1}3Q3-2454 Lic: Phone:
Work Desc: (NSTALLAT(ON VIOICE DATA CABLE WI 10 OVERHEAD SPEAKERS
APPLlCATlC?N FEES
ELECTRICA�FEE 45Ad
\
\ �j`�
ENSPECTIONS REQUtRED
ROUGH ELECTRIC �C�-f
GONSTRUCTION POLE � (� 1
PRE-NIETER � � �
FINAL
�{�� `2-7��
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
locat gavernment shall impose a fee of four times the amount of the fee impased for the initial inspectian ar
first reinspection,whichever is greater,far each such subsequent reinspection.
NQTICE: In addition to the requirements af this permit,there may be additianai restrictions applicable to this property that
may be found in the pub(ic records of this caunty, and there may be additional permits required from other governmental
, entities such as water management, state agencies or federal agencies.
"Warning ta owrter: Your fai[ure to record a notice of commencement may result in your paying twice for
improvements ta your property. If you intend ta obtain financing,consult with your lender ar an attorney
before recording your notice of commencemenfi."
Complete Plans, Specifications and Fee Must Accompany Application. All wark shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN fi MQNTHS WITHOUT APPR4VED INSPECTIO
GALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRtJTECT CARD FROM WEATHER
r-- - -' --'-- ' - ' -' -- - —_ -. -` '--_'.—'--.______.--_.—...-_,.------'.--.__ ----
. ,
!
� City of Zephyrhills
Uniform Notice of a L��gw��-VoItage Alarm System Project
Owner's/C/us!to,merName��F{�1`r '
� Address (O't�Q �...}[�C # (�
t � cl�r �!' s P 3�,5' Z
st z,
Phone E-m '1
Contractor� � f���� �o
Address�7 r �Q Q�,e �ic.#R� ZbO�[�
c,ry Gt1�h f��
Phone 3�^��2� St� Zip Z �
DateProje Complete
. Scope of Work: 2 ( �„�,t.�F �/O!
_ . � � UUe/LJ,t�oC S 1
J
Signature: �/��,
Notice is hereby given tha[a�l we voltage alarm syst�m Pro'ect has b en completed at the address
specified above.I certify tha[all of the foregoing information is true and accurate.
10/1/13 section 553.793 FS
,�
1 � .
_ �
tS73-/tSU-UULU c;ity ot Lepnyrhuis rermit Appucation rax-c�is-ia�-w�i
• Building Department
�
Date Received
�.Phone Conta�ct'for Permitting —
Owner's Name �(�J D� Owner Phone Number ,
Owner's Addres� Owrner Phone Number
Fee Slmple;Titleholder Name Owner Phone Number�
Fee SimpleiTitleholder Addce�s
' �JOB ADDRESS � 7�C� ��l� �JI✓� _ a LOT#
E ,
SUBDIVISION PARCEL ID#, .
�
(08TAINED FROM PROP.ERTY TAX NOTICE)
WORK PROPOSED e ,. NEW CONSTR'8 ADD/ALT Q SIGN "Q 0= DEMOLISH
f INSTALL `REPi41R
PROPOSED USE . _ Q SFR Q COMM Q OTHER �
TYPE':OF CONSTRUCTION Q � BL•OCK - Q FRAME Q 3TEEL Q
DESCRIPTI�ON OF WORK 4,fG. P�2'� �GK' ,�
� c�6/�s �.� �a�ou�� S �
BUILDING`51ZE SQ FOOTAGE�� ,HEIGHT •
Q kUILDING $ VALUATION'OF TOTAL CONSTRIJCTION
a
E}LEC7'RICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� •.
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• �
QPLUMBING $
f
�,MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION �J��j�A�
i .
[ �
Q;GAS Q, ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
�
BUILDER ; COMPANY
SIGNATURE REGISTERED Y'/ N '' FEE CURRE� Y/N
i
Addre'ss "License# .
�
ELECT�RICIAN. > ��,�� COPAPANY �--Q /�'�`�d �C�/' ,1�{�'P�,Yy
SIGNATUPtE '�7� " REGISTERED N ��FEE�CURREn Y'YN.
`z , - �
Address License# E s �ZG�1 L�Y.�`"
PlUMBER-.ri . COMPANY-
- SIGNATURE REGISTERED Y.•/ N; ` _ FEE CURREA Y/N
, ",F '
Address - ' License# � -
. , . .: ..
`:��'MECHi4NIC�i�L`` - � C,OMIPANY •
"�SIGNi47'URE'' ' - • � '" REGISTERED , �Y/ fV FEE.CURREA Y./N
- ..tj� � - -
Addie�s:��'-�� � ' License.#
.�5,�,..� ,.. , . . . � , ,
:'.OTHEFt.: ":�.: ,:.` . ` C,OflN PANY
';H''SIGNQTURE:�;<:::�: ;•r.;a,:_ . � ' - " REGISTERED � Y/.N � FEE CURREK , Y fN ,
- ��J��.�-i�M.;j:, ..,..,. � ,. .._ .. . ,. � -� , . . .. . .
� aaa�esg:,,� ,�$�.. _ :�`> _ • •6- _. License# �
�R�SIDENYIl41.;y:;: AttacF;i�:i;2�tFioE;iPlans;^'� � ':' . , - ., .
_ , ,., _,(_). (2):sefs�ofy�Builtling?Plaris;(1�}'set'of��Energy�Forms;R;O=VC!PeA�rinit for�new:constri�ction,
. -�,a;�::�-:�•_�-.Mir�imum�:ten[,(1Q);�iworkingxdays`jaftersutimittal:date.�tiRequired'ons'ite;ConstnictionPlans,�Stoririwater�Pl.ahsuv%SfltFence�install'ed
�
.a.�J*�.:��ti4 h-6' r�: w��::-`,+.�,-�=,
-_ -- SanlNary;,Facill,t'iesf8:��1�,dumpster_•;,Sife;,Woi:k:Fermitfor;subdivisionsl�arge`p�ojecfs;.=-'_ . • _ -
,i'��COMMERCIi4L Attecti��2)�cortiplete sets of Builiiing'Plans plu's a Life'Safety"Page;(1)set of Energy Forms.R-O-W Permit for new construction.
.��`c:-
, - Minimum ten(10)wrorlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
`����-' Sanitary FaciliUes&1 dumpster,,Site,Wo�lc Permit fo��all-new:projects:All commercial requirements must meet compliance
`<�:.SIGN!:PERMIT 'Attabl�(2j'set's:o.f„Engineered�Plans:�t� ,_ . , � � • -' "
..;_.. .
�'����-�- """PROPER7'Y SURVEY reguired.for,all,NEW.constiuction:_:
�'�.: ":... .. - - � -
��.,�,Directlons: , .;f�.__ .-�;:,�.
� '" r �FIIC:outappliqUon completely. ,
Ouyner'&CanVactor:sign.back of applicatlon,notarized
�t I'f.oVQr:$2500;a Notice.of Commencement is required. (AIC upgrades over$T500)
ti� -
.,..ff: 7•:y:�r-•t'rat`:l. .` ,
. ,i4gent'(for�the�conuactoe)�or°Power of�Attomey(for'ttie owner)would'tie someone with notarized letter from owner authorizing same
ai�
�;;�OrVER�;THE COUNTER�,PERMI'111NG:. (copy_ofcontract:required) �'`'"
;=.;Reroofs,if.stiingles � Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
'Driveways-Not over Counter if on public roadway§::needs'ROW '�
�/
i
- � , --' . �e����'�5
� i :
NOTICE OF DEED RESTItICTIONS: The.und r i I ° � �� � �'��r�1°�'`�`� �
e sgned.understands:that;this,:permitmay„be,subject�to,..,deed�.,,rest�ictions- _
:4:- - 1: ���G., :i�,yT;. .::i':v.,n�.., - .(.., �.Jf�� K:�(`��:
.�:�S.i�N - - i:_*..e.n'�iu �. i.1 l";��'?�i�..•a��. .�.1.�..:rbi.�:��� �;.'.�s.,.,:...�..
which;;,rria.y.:;b'.e.�mor:e>.r,estrictive��than�County�:regul�tioi�s:=The:unde�sign�:d+=assumestsr2s`'o�s°ibiti.`. :�for.'eom�liance:with�;an. : -�
applicable,.deed restrictions. - ', ' �p � - p ' � °' y '�
' 'I.: � , :�. ' '.;sSv;W';s^fjr.,;,4•;r:�=;';P�.,",;;.:
UNL:[CENStED��CONTRAGTORS' AND�CONTRACTOR'RESP;OlVSIBIL1TIES: If��tFie�owrier'�has�lii�ed���a�seontractor or - .
contractors�to undertake uvork;they._may;bey,r�quired�:to b'ex licensetl_in accordance with:;state_and>'local;:regulations:�?If:ther'�"�.::�
contractor is•not�licensed.as�required by"law; both.-the ovimer:and"contracto���i"ri'ay}be:cited forA�a misdetneartorviolation� �; '
under state'law. If the owner or intende.d:,co,ntFactor are uncertain as..to what_licensing�,requicements�rnay-:apply=:f.or�the':�:��<=�f ��
intended wock, they:are advised"to confact�fhe`Pasco_Counfy Building,lnspection`D:Evision--Licerising Section at 727=847- � ''�'
8009. Fur�hermore, �if the owner has�°hired-a cont�actor or confractors, he is advised to�;have�the,.cornteactor(s,),=sign.,^,.,,,,�; °:;
portions of the contractor Block. of this application for which.they�rwill.be-responsibJe.-:.If;you,�as the_owner s�gn�as_�the � ,�
contractoc, that.may 6e an indication-th�f he�is not properly licensed�and�i`s�not entifled�to permitting pri'vileges�in.;Pasco,.,,,Y,;_ ��i
County. '�� I - _ _ � . .,_ � �;_<--�: �_,.. -. :,� ,:a
TI3ANSPORTATION�IMPACTl.lJT1LITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands.,_ ,,' ;�;
af...��...� . .y,u ..+ 5
that Transportation Impact Fees and Recourse Recovery Fees`may:apply to;fhe constr.,uction�o.f.:new:buil.dings,.�cfiange�ofk'��''�.,= :�_�
use in existing build'ings,;or-expansion�of:exlsting 6uildir�gs, as specified in Pasco County Ordinance number 89=07 and. � _
90-07, as amended. The�undersigned al"so understands,ithat sucli;�fees, as�ntay�b.e,due, will-be identified�at:tfiex�time-`�ofr'=-`���;;i ; ;
permitting. 'it is-further understood that Transportation Im'pact fee's�and Resource=Re'covery Fees must be paid prior to a '
receiving a °certificate of occupancy." or final.power release. If the.�,projeet does not in.v..olve a certificate of aceupancy::o���`��� `;` `''
f ina l•.power release,�;the=fees.rriust be-.paid prior to perm'if��,issuance�..:,Furtli�ermore,.if.:Pasco�.County WaterlSewer��lmpact��,-:-�� ` �
fees-are due,#hey;must:be,,paid prior to permit'issuance in:�accordance with�applicable.Pasco�County ordinances. � °
CONSTRUCTION�LIEN-L-iQiVll(Chapter 71�3;Florida Stataetes, as arnended): If valuation of work is$2,5.0.0:OO,or more;>,1-:::;,� ', �,
certify that� I, the �applicant; haye been provided with a' copy,.of.�:the "Florida Construetion_�Lien :Lav�Homeowner's�� �
Protection Guide" prepared�by the�Florida Department of Agriculture and Consumer:Affairs. If the applicant�is;.s.om�one;: .
. .z,_.,�..,.
other than the"owner�,:I,eertify.that.I.,haVe.obtained a copy�of the ab�ove descri6ed`documenf and.prorriise�in good':;faith�:to.
deliver.it to`the.'`own.er?�:p�ior.:to cor�mencemenfi: ' � �
CONTR�4CT012'S10lNIVER'S AFFIDAVIT:::I:certify tfiat all�the info I ation in this application is accurate and�that aIC work
will be done in compliance with all applicable'laws regulating const�uction, zoning and land�development. Application:.is
hereby made to obtain. a .permit to=do�ywork��and installation ,as indicated. I certifjr that no work or�insta7latiori;has
commenced prior to issuance of a perrriit and�that all work will be pe�formed to.meet standards-of all laws regulating .�;
construction, County and City codes, zoning regulations,��and land development regulations in�..the jurisdiction.�`s�L•�also
certify that I understand that the regulations of other gover'nment 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:�� ` F;',
- =Department of Environmental,'Pr:otection-Cypress Bayfieads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. , '
- Southwest� Florida Water Management District-Well I, Cypress- .Bayheads, Wetland Areas, Altering '
Watercourses. ; ; � ��•`�
- Army Corps of Engineers-Seawalls, Docks; Nav�igable 1N I terways. h�;.
- Department of Health,.� Rehabilitative Secyices/Environmental.Health��.Unit-Wells, Wastewater Treatment, � �
Septic-Tanks. _ � � I I ,
- US Environmental Protection Agency-Asbestos'abatement. z -
- Federal�Aviation;Authority-Runways, � ;
I understand that•the following°testrictions apply fo the use of fill: � j
- 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 I 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 fll the area within the stero 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 adverselyaffect-adjacent properties, the owner may be cited for violating - `
�the conditions of:the building�permif�issued under the�attached.permit.:application; for lots�less'than one (1) i:�.
acre which are elevated by fill,an engineered drainage plan is regui�ed. i �'j
If I am.the AGENT FOR THE-OWNER�=1:•promise in good faith to inform the owner of the�Permitting-conditions set fortfi in � ��t,
this affidavit prior fo commencin'g construction. �I understand that„a„separate permit may be required for electrical wock, ;�'
plumbing, signs, wells,,.pools,.,air,aconditioning;:gas;..or•otlie`r'installations not specifically included in the application.; A. '�'
,. .4. u E�- � +,�
permit issued shall'b;e'-construed�to"6e a licerise`to proceed with;fhe work:and not�-as°a�thorify to violate, cai�cel, alter,;or
set aside any provisions of`the'fechnical codes, nor shall isswance of a permit prevent the Building Official from ther,eafter a�:{ '
requiring a correetion:of.�enors_in.;plans;�co�nstruction or-violations of any:codes.=-Every permit issued�shall�become inv�lid z:
unless the work authorized by such permit is commenced within_s�x months of permit issuance, or if work authorized;by i-;
the permit is suspended:or.abandoned for.a�period,;of�six-(6)'months after the time the work i� commenced. An extension
may be requested, in�writing, f�om.tFie Building�"OfFicial for aj period.not to exceec'1-ninety (90) days and will demonstrate ���'
justifiable cause for.the extension. ,If wor.k ceases for ninety(90)conse�cative days, the job is considered abandoned. ! ��:f
� � _ � . _ — _--'=---–!—----;r',:�
WARNING'T0=0WNER:. YOU'R:_FAlLU.RE,,��O �@IE,C.,,�RD-A;�Pi�DTICE�"OF�COMMENCEMENT�MAY�RESUL•T IN YOUR ��.'
__ ,.�.: ,.,, �,.;:
—��AYIIVG TWICE'FOR;,IMhR01fEMENTSzTO�YO.UR:,PROPERT°f:. IF YOU::INTEND;TO+OBTfAIN�`FINAN'CING;`CON�ULT
WITH YOUa`LENDER OR AN ATTORNEY BEFORE-REC.ORDING YOUR"=NOTICE'-OF?COMMEN�EMEfVT."
FLORIDA JURAT.(F.S.11.7.03) - i" � t -' "' " - '
OWNER OR AGENT CONTRACTOR !
Subscribed and swom to(or affirmed).before me thls Subscribed and swam to(or affirtned)before me this - �
bY � bY
Who isJare personally known to me or has/have.produced �:Who 1's/are personally known to me or has/have produced �
as IdenUftcaBon. - � I as tdentificaUon. '
� �
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Notary Public ' — Notary Public
I
Commisston No. Commission No. I�
� i
� �
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Name of Notary typed,printed or stamped Name of Notary typed,printed.or stamped
� �I
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�
CITY OF ZEPHYRHILLS
� + 5335-8TN STREEf
($13)780-d020 19037
. � BUILDING PERMIT
� PERMIT INFORMATI4N � COCATION INFORMATION
Permit Number: 19Q37 Address: 6450 GALL BLVD
Permit Type: S(GN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s}: Btock. Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Va1ue: Parcel Number: 02-26-21-0000-00100-0050
Imprav. Cost: 4,218.00 OWNER INFORMATION
Date Issued: '11/2112Q'17 Name: GH&G ZEPHYRHILLS L�LG
Tatai Fees: 150.00 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 15Q.Q0 ATLANTA, GA. 3Q355-3209
Date Paid: 11/21/2017 Phone:
Wark Desc: lNSTALL (2) SIGNS WEST/NORTH WALL W/ELECTRIC
CONTRACTOR S APPLICATION FEES
THOMAS SIGN &AWNING CO,INC SIGN 90.00
THONIAS SIGN &AWNING CQ,INC E�ECTRICAL FEE • 60.00
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" ins ections Re uired "
OTER
E�ECTRICAL RC?UGH
FINAL
REIN�PECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
loca!government shall impose a fee of four times the amount af the fee impased for the initiat inspectian or
first reinspection,whichever is greater,far each such su6sequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that
rnay be found in the public recards of this caunty, and fihere may be additional permits required from ather gavernmenta(
entities such as water management, state agencies or federal agencies.
"Warning ta owner. Yaur faiture to record a notice af cammencement may result in your paying twice for
improvements ta your properly. If you intend to abtain financing,consult with yaur lender ar an attorney
before recording your notice oF commencement."
Complete Ptans,Specifications Must Accompany Application.All wark shall be perfarmed in accordance with
/� \� Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO► OCCUPANCY BEF4RE C.O.
A TOR SIGNATURE PERMIT (JFFI R
RMIT EXPIRES IN fi M4NTHS WITHOUT APPRt�VED INSPECTI{)N
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRt)TECT CARD FRBM WEATHER
i
s�saso-oozo - � City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 727 573 — 7757 X241
eetr � � � � � t � � �
Owner's Name WaWa FlOrlda LLC Owner Phone Number
Owner�s address 575 Pharr Rd Atlanta, GA 30355 Owner Phone Number
Fee Simple Titleholder Name GH&G Zephyrhills LLC Owner Phone Number
Fee Simple Titleholder Address 575 Pharr Rd Atlanta, GA 30355
JOB ADDRESS 6450 Gall Blvd �� �oT# �
SUBDIVISION PARCELID# 02-26-21-0000-00100-0050
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN x0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Ox COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK � FRAME 0 STEEL 0
DESCRIPTION OF WORK Install (2) LED wall signs-one on west elevation, one on north elevation. Hook up to exist ng power.
BUILDING SIZE SQ FOOTAGE� HEIGHT
i
�BUILDI � �,�,� $ 42'I8 00 VALUATION OF TOTAL CONSTRUCTION
�ELECTRICfXL�� $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
�PLUMBING $ � ��0��
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS 0 ROOFING Q SPECIALTY � OTHER ��'~ ��n����^�' "" �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER � COMPANY ��1r�> � N � N '
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/
Address � �'�� � � �- 1`'r• License# ��b� 3
ELECTRICIAN COMPANY �rn� � � ' �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 11 _1�J a.7 L �C.ti/41 • License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItilllllll
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 Facilities&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$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
*' Agent(for the contractor)or Power of Attorney(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
-
.
:
� ��
�lOTICE OF DEED RE�STRtCTiQNS: The undersigned understands t4�at this permit may be subject ta"deed" restrictions"
which may be more restrictive than Coun#y regu(ations. The undersigned assumes responsibility for comp(iance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTQR RESPOt�S[B1zIT1ES: [f the owrter has hired a contractor or
contractars to underkake work, they may be required to be licensed in-accordance with state and lacal 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 �o what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building l�spection Divisian—Licensing Section at 727-847-
8009. Furthermare, i# the owner has hired a contractor or contrac:ors, he is advised to have the contractor{s) sign
portions af the "contractor Block" of this application far which they will be responsible. If you, as the owner sigri as the
contractor, that may be an indication tha# he is not properly licensed and is not enfitied to permitting privileges in Pasca
County.
TRANSPCJRTATION lMPACT/U71LlTlES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
that Transportation impact �ees and Recpurse Recovery Fees may apply to the canstructian 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 alsa understands, that such fees, as may be due, will be identified at the time of
permitting, lt is further understood that 7ransportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a °cerkificate of occupancy° or fina! power release lf the projec# does not invo(ve a certificate of occupancy or
final power release, the fees must be paid priar ta permit issuance. Furthermore, if Pasco County 1Nater/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CClNSTRUCTION LIEN LAW{Chapter T13, Florida 8tatutes, as amendedj: If valuation af work is$2,500.00 or more, l
cerkify that l, the applicant, have been provided with a copy af 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`bwner", ! certify that 1 have obtained a capy of the above described document and promise in goad faith to
deliver it to the"owner" prior to commencemen#.
CC?NTRAG'FOR'S/OWNER'S AFFIDAVIT: i cerEify thaf a[I the informatian in this application is accurate and#hat all work
will be done in compliance with all applicable laws regulating cons#ruction, zoning and land development. Application is
, hereby made to obtain a permit ta do work and installation as indicated. ! certify that no wock or insta}lation has
commenced priar to issuance of a permit and that all work wi(1 be perforrned to meet sfandards of a{( laws regu(ating
constructian, County and City codes, zoning regulations, and land development regulations in the jurisdiction I also
certify fhat I understand that the regulations of other gavernment agencies may apply to the intended work, ant! that it is
my respansibility 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 Enviranmenta!!y Sensitive
Lands, Water/tNastewater Treatment.
- Southwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
lNatercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmenta! Health Unit-We11s, Wastewater Treatment,
Septic Tanks.
- US Enviranmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I unders#and that the fallowing restrictions apply to the use of fill.
- Use o€fill is not allowed in Flaod Zane"V" unless expressly permitted.
- if the fi(( materiai is ta be used in Flood Zone "A", it is understood thaf a drainage p(an addressing a
"campensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the Sta#e of Florida.
- If the fill material is ta be used in F'lood Zone "A" in connection with a permitted building using stem wall
construction, ! certify that fill will be used only to fill the area within the stem wall.
- if fill maferial is to be used in any area, i certify that use of such fiIl wi(( not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacen# properties, the owner may be cited far violating
the conditians 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.
!f I am the AGENT FOR THE OWNER, l promise in goad fai#h to irtfarm the owner of the permitting conditians set forth in
this affidavit priar to commencing construction. i understand that a separate permit may be required for eiectrical wark,
plumbing, signs, wells, pools, air conditianing, gas, or other installations not specifically included in the application. A
permit isstaed shall be construed to be a Iicense to proceed with the work and not as authority to violate, cance(, alter, or
set aside any pravisions of the technical cades, nor shall issuance of a permit prevent the Building Official from thereafter
reguiring a correctian of errors in plans, construction or violations of any codes. Every permit issued shal) become invalid
un(ess the work authorized by such permif 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 e�ctension
may be requested, in writing, fram the Bui3ding Official far 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.
WARN(NG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING 1"WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y NTEND TO OBTAIN FlNANC{NG, CONSUl�T
WITH YOUR�ENDER OR AN ATTtJRNEY BEFORE RECORDiNG Y NOTICE OF COMMENCEMENT.
FLQRIDA JURAT(F.S. 117.03) ,
OWNER OF2 AGENT COPITRACTOR
Subscribed and sworn to(or affirmed)before me this Subs�r�ib�d��a�d s rn to o affir e b � tbi , �
by ��-�-�-�-_— (J , v1/1S
Who islare personally known fo me or haslhave produced 1Nho istare personally known to me or haslhav roci ed
as identification. as identification.
Notary Publio Notary Public
Commission No. Commission No. L�C]-���
Name of Notary typed,printed or stamped - N m of o ry � in d s m d -
.��""���. ANGELA MCNUTT
��{PRY P(�@
��,r°„�„`�; Natary Public-State of Flarida
: » •E Commission # GG 046800
:;�",lF���t��..�:= My Gomm.Expires�at 5�2021
`'`��,������` Bontled ihrough National Notary Assn.
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(Your Letter Head Here)
August 08, 2017
To: City of Zephyrhilis
Building Department
Re: Wawa #5285
US 301 & Eiland
38110 County Road 54
Zephyrhills, FL 33542-7530
The purpose of this correspondence is to grant authorization to Thomas Sign and
Awning Company, Inc. to represent, sign, and file applications as acting agent and
representative on behalf GH&G Zephyrhil/s, LLC regarding all submittals and
correspondence for signage installation for saicJ project.
Thank you for your help in this matter.
Sincerely,
� ���� �-� ��� Z�O1�12���CS� L�.C
����
Title
State of � I
County of Co� i�Y'
T e foregoing instrument was acknowledged before me this � �' day of
�e�"�4��e v� , 2017 by Mar1�C C�R�� I e� , who is personally
known to me or who has produced (type of identification) �1 D L as
identification.
o ``,i��L; , ���� ```�����E i��,����'
'gnature of o a ,`�����:,,;;.. ,���i� ``����Qs.......�0(� �i�
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�r I DS � � 0 1 �r� � (.�:� , _�� �V=My Comm.Expires S� �
e . n.Expires; O� � = April 07,201a � ��
Printed Name of � otary � '��•��a : � � } No.FF» � �
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Detail by Entity Name� Page 1 of 2
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Florida Department of State DIVISION OF CORPORATIONS
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Department of State / Division of Comorations / Search Records / Detail Bv Document Number/
Detail by Entity Name
Florida Limited Liability Company
GH&G ZEPHYRHILLS,LLC
Filinq Information
Document Number L16000125268
FEI/EIN Number 81-3194133
Date Filed O6/30/2016
State FL
Status ACTIVE
Principal Address
1399 CHURCH STREET
DECATUR,GA 30030
Mailinp Address
1399 CHURCH STREET
DECATUR,GA 30030
Reqistered Aqent Name 8�Address
HOWE,DANIEL S
5309 SUNRISE LANE
HOLMES BEACH,FL 34217
Authorized Personls)Detail
Name&Address
Title MGR
GRYBOSKI,WILLIAM E
1399 CHURCH STREET
DECATUR,GA 30030
Title MGR
HOWE,DANIEL S
5309 SUNRISE LANE
HOLMES BEACH,FL 34217
Title MGR
GRAVELY,MARK
354 AVENIDA DE PARADISIO
SARASOTA,FL 34242
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityNa... 8/1/17
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � .�' S� ��%I�YIF�
Date Received: /r Z—/ �
Site: � T Jv ��� �l �v
Permit Type: �2 I�J/� �� ' /OS�
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. ,
�c� I ��.. �y �f r�
' .�e lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
TH.ONlAS Stracturat Calculations �
Sign&Awning Campany,Inc. Cliertt: WaWa#5285
4590118th Avenue Narth Pro}ect Identity No.:77478
Clearwater, Florida 33762 Desi�n No.: 69225
Florida Certificate af Authorization No.31751 ~
� Instal{atian Location:3811Q Caunty Rd.54,Zephyrhills,FL(Rt.301&54)
Description: 44" High Wall Mounted Channel Letters
Engineering Calculations
Table af Contents
Structural Engineering Calculations Pages 1-4
Prepared by: John F. Daugherty, P.E.
Florida P.E. No.80640 `\\�1���������/��
Code: Florida Building Code,5th Edition{2014}- Buiiding �\�l��' �����r!J1/
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THOMAS S�ructural Calculations
Sign&Awning Company,Inc. •,;Client: WaWa#5285 _
4590 118th Avenue North •Froject Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Pre,pared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Building eave height,h 25.83 feet
Installation height,z 21.86 feet -
Florida Building Code 5th Edition (2014) Building
Table 1604.5; Risk Category II
Figure 1609A;Vult 137 mph
Nominal Design Wind Speed,
Vasd=Vult(0.6)l�Z= 106 mph
1609.4.2;Surface Roughness B
1609.4.3; Exposure Category B
Size of letters W awa Logo
Height 3.67 2.92 2.25 feet
Width 4.22 3.75 3.55 feet
Area 15.471 10.940 7.992 sq.ft.
Letter thickness 0.417 0.417 0.333
Max dimension 4.22 3.75 3.55
Area 1.758 1.561 1.184 sq.ft.
C&C
ASCE 7-10 Table 30.7-2,h=25.8,Gable Roof,zone 4
Vasd 106.1 mph
Load Case 1 -26.9
Load Case 2 26.9
windward leeward
Pnet 26.9 -26.9 psf
1609.6.4.2&ASCE 7-10 Table 27.3-1; Kz 0.635 0.667 kh
1609.6.4.2&ASCE 7-10 Section 26.8; Kzt 1.00 1.00
Equation 1635; Pnet 17.1 -18.0 psf
Max= 18.0 psf
1 of 4 g�g�17
THOMAS Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Froject Identity No.:77478
Clearwater, Florida 33762 D.esign No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
� �Flbrida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Normal Force W awa Logo
Area(sq ft) 15.47 10.94 7.99
Wind pressure(psf) 18.0 18.0 18.0
Design force(Ib) 277.9 196.5 143.5
No of anchors per letter 4 3 4
Force per anchor 69.47 65.50 35.89 Ib tension
Tension in bolts is 100% 100% 100% comprised of wind load
Shear Force W awa Logo
Area(sq ft) 1.76 1.561 1.184
Wind pressure(psf) 18.0 18.0 18.0
Design force(Ib) 31.6 28.0 21.3
No of anchors per letter 4 3 4
Force Fws per anchor(Ib) 7.89 9.34 5.32 wind shear
Say letter weighs 5 psf,then 77.36 54.70 39.96 Ibs
No of anchors per letter 4 3 4
Gravity force Fg per anchor(Ib) 19.34 18.23 9.99 gravity shear
Total shear force= 27.23 27.58 15.31 Ib total shear
Shear is 71% 66% 65% comprised of dead load
and 29% 34% 35% comprised of wind load
W awa Logo
For load combination 1.0 DL+0.6 Wind: 41.68 39.30 21.53 Ib tension
24.08 24.38 13.23 Ib shear
Standoff distance from face of wall 0.00 0.00 1.50 inches
Bending moment in shaft of fastener 0.00 0.00 19.85 inch-Ib
_- _ ..- - - -- - - - - --- -- - -- -- ---- - - -- - - -
;To be shown on construction documents: �
; ULTIMATE DESIGN WIND SPEED,Vult(3-SECOND GUST): 137 mph I
NOMINAL DESIGN WIND SPEED,Vasd: 106 mph ;
� RISK CATEGORY: II '
; EXPOSURE CATEGORY: B ;
�_ ___ DESIGN WIND PRESSURE: 18.0 sf �
- - -__ - -- ----
-- ---- -- -- -- ------ �
--- - - - --- -- - -
2 of 4 8/9/17
, � ' '
THOMAS Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No 80640
Determine required size of DFS Liberty(toggle)Anchors for the design force5:
Design Forces: WI awal Logol
Tension,PT: 41.7 39.3 21.5 Ib
Shear, P5: 24.1 24.4 13.2 Ib
Moment,M: 0.0 0.0 19.8 inch-Ib
Determine required size of DFS T-Anchors for the design forces:
Ultimate Allowable
Total PullOut dJltimate Tension Allowable
Dia(in) Length(in) Grip Range_(in) (Ib) Shear(Ib) (Ib)* Shear(Ib)*
0.25 1.75 1.000 700 1500 175 375
0.25 2.5 1.000 1.750 700 1500 175 375
, 0.25 3.25 1.000 2.500 700 1500 175 375
, 0.3125 2.5 0.875 1.500 900 2300 225 575
0.3125 3.25 1.250 2.250 900 2300 225 575
0.3125 - 3.75 1.875 2.750 900 2300 225 575
0.375 3.25 1.000 2.000 1000 3000 250 750
0.375 3.75 1.875 2.500 1000 3000 250 750
0.375 4 2.000 2.750 1000 3000 250 750
0.375 4.5 2.125 3.125 1000 3000 250 750
I * Factor of Safety of 4 applied to Ultimate loads
W awa Logo
For 0.25 0.25 0.25 inch dia.T-Anchor
Allowable tension, PTallow= 175 175 175 Ib
Allowable shear,Psallow= 375 375 375 Ib
Say dia of spacer sleeve=2x bolt dia 0.5 0.5 0.5I
Resolve moment M into force couple with distance=spacer sleeve radius
force in bolt due to M 0 0 79.4
Total tension in bolt, P'T 42 39 101 Ib
P'T<= P'T<= P'T<= '
PTallow; PTallow; PTallow;
OK OK OK �
Ps<= Ps<= Ps<= '
PSallow; PSallow; PSallow; -
OK OK OK
Stress ratio=P'r�PTallow+Ps�Psallow= 0.30 0.29 0.61
<=1.00; <=1.00; <=1.00;
OK OK OK
� 3 of 4 8/9/17 �
a � ,
Liberty Anchor(Male Anchor*)
Pull-out
Dia Length (Ib) Shear(Ib)
0.375 6 1800 3000 Ultimate*
Factor of Safety 4 4
450 750 Allowable
* From DFS/USA catalog
W awa Logo
Say dia of spacer sleeve=2x bolt dia 0.75 0.75 0.75
Resolve moment M into force couple with distance=spacer sleeve radius
force in bolt due to M 0 0 52.9 Ib
Total tension in bolt, P'T 41.7 39.3 74.5 Ib
450>= 450>= 450>_
P'T;OK P'T;OK P'T;OK
750>=PS; 750>=PS; 750>= PS;
OK OK OK
Stress ratio=P/T/450+PS/750= 0.12 0.12 0.18
<=i.ao;oK <=i.00;oK <=i.00;oK
* Female anchors not rated for shear loads.
4 of 4 8/9/17
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THOMAS Structural Calculations ,
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478 '
Clearwater,Florida 33762 Design No.: 69225
Florida Certificate of Authorization No.31751 - �
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt. 301&54)
Description: 28"Tall Wall Mounted Channel Letters
Engineering Calculations
Table of Contents
Structural Engineering Calculations Pages 1-4
Prepared by: John F. Dougherty,P.E.
Florida P.E. No.80640
Code: Florida Building Code,5th Edition (2014)- Building
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THOMAS Structural Calculations �
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater,Florida 33762 Design No.:69225
Installation Location:38110 County Rd.54,Zephyrhills,FL(Rt.301&54)
Building eave height,h 23.00 feet
Installation height,z 19.17 feet
Florida Building Code 5th Edition(2014) Building
Table 1604.5; Risk Category II
Figure 1609A;Vult 137 mph
Nominal Design Wind Speed,
Vasd=Vult(0.6)l�Z= 106 mph
1609.4.2;Surface Roughness B
1609.4.3; Exposure Category B
Size of letters(worst case for 35" letters)
"W" "awa" logo
Hei ht 2.33 1.88 1.44 feet
g
I Width 2.63 2.31 2.25 feet
Area 6.125 4.336 3.234 sq.ft.
� Letter thickness 0.417 0.417 0.333
Max dimension 2.63 2.31 2.25 '
Area 1.094 0.964 0.750 sq.ft.
I C&C
' ASCE 7-10 Table 30J-2,h=23, Flat Roof,zone 4
Vasd 106.1 mph
Load Case 1 -26.3
Load Case 2 26.3
windward leeward _
Pnet 26.3 -26.3 psf
1609.6.4.2&ASCE 7-10 Table 27.3-1; Kz 0.61 0.64 kh
1609.6.4.2&ASCE 7-10 Section 26.8; Kzt 1.00 1.00
Equation 16-35; Pnet 16.1 -16.9 psf
Max= 16.9 psf
I �
1 of 4 8/9/17
-- •�
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Normal Force "W" "awa" logo_
Area(sq ft) 6.13 4.34 3.23
Wind pressure(psf) 16.9 16.9 16.9
Design force(Ib) 103.7 73.4 54.8
No of anchors per letter 4 3 4 �
Force per anchor 25.93 24.47 13.69 Ib tension
Tension in bolts is 100% 100% 100% comprised of wind load
Shear Force "W" "awa" logo
Area(sq ft) 1.09 0.964 0.750
Wind pressure(psf) 16.9 16.9 16.9
Design force(Ib) 18.5 16.3 12.7
No of anchors per letter 4 3 4
Force Fws per anchor(Ib) 4.63 5.44 3.17 wind shear
Say letter weighs 5 psf,then 30.63 21.68 16.17 Ibs
No of anchors per letter 4 3 4
Gravity force Fg per anchor(Ib) 7.66 7.23 4.04 gravity shear
Total shear force= 12.29 12.66 7.22 Ib total shear
Shear is 62% 57% 56% comprised of dead load
' and 38% 43% 44% comprised of wind load
"W" "awa" logo
For load combination 1.0 DL+0.6 Wind: 15.56 14.68 8.21 Ib tension
10.43 10J6 5.98 Ib shear
Standoff distance from face of wall 0.00 0.00 1.50 inches
Bending moment in shaft of fastener 0.00 0.00 8.97 inch-Ib
� - - - -- -- - - -- - - - -- - - - -- - - •-
;To be shown on construction documents:
� ULTIMATE DESIGN WIND SPEED,Vult(3-SECOND GUST): 137 mph �
, - NOMINAL DESIGN WIND SPEED,Vasd: 106 mph �
RISK CATEGORY: II �
� EXPOSURE CATEGORY: B �
'� i DESIGN WIND PRESSURE: 16.9 psf____, �
� 2 of 4 8/9/17
I
� e . ,
THOMAS Structural Calculations
Sign&Awning Company,Inc. • Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.: 69225
Florida Certificate ofAuthorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No 80640
Determine required size of DFS Liberty(toggle)Anchors for the design forces:
Design Forces: "W"I "awa"I logol
Tension, PT: 15.6 14.7 8.2 Ib
Shear, PS: 10.4 10.8 6.0 Ib
Moment,M: 0.0 0.0 9.0 inch-Ib
Determine required size of DFS T-Anchors for the design forces:
Ultimate Allowable
Total PullOut flJltimate Tension Allowable
Dia(in) Length(in) Grip Range(in) (Ib) Shear(Ib) (Ib)* Shear(Ib)*
0.25 1.75 1.000 700 1500 175 375
0.25 2.5 1.000 1.750 700 1500 175 375
0.25 3.25 1.000 2.500 700 1500 175 375
0.3125 2.5 0.875 1.500 900 2300 225 575
0.3125 3.25 1.250 2.250 900 2300 225 575
0.3125 3.75 1.875 2.750 900 2300 225 575
0.375 3.25 1.000 2.000 1000 3000 250 750
0.375 3.75 1.875 2.500 1000 3000 250 750
0.375 4 2.000 2.750 1000 3000 250 750
0.375 4.5 2.125 3.125 1000 3000 250 750
* Factor of Safety of 4 applied to Ultimate loads
"W" "awa" logo
For 0.25 0.25 0.25 inch dia.T-Anchor
Allowable tension,PTallow= 175 175 175 Ib
Allowable shear, Psallow= 375 375 375 Ib
Say dia of spacer sleeve=2x bolt dia 0.5 0.5 0.5I
Resolve moment M into force couple with distance=spacer sleeve radius
force in bolt due to M 0 0 35.9
Total tension in bolt, P'T 16 15 44 Ib
P'T<= P'T<= P'T<=
PTallow; PTallow; PTallow;
OK OK OK
Ps<= Ps<= Ps<=
PSallow; PSallow; PSallow;
OK OK OK
Stress ratio= P'T/PTallow+Ps�Psallow= 0.12 0.11 0.27
<=1.00; <=1.00; <=1.00;
OK OK OK
, 3 of4 8/9/17
�
., � • .
Liberty Anchor(Male Anchor*) ��
Pull-out
Dia Length (Ib) Shear(Ib) I
0.375 6 1800 3000 Ultimate* ,
Factor of Safety 4 4
450 750 Allowable
* From DFS/USA catalog
"W" "awa" logo
Say dia of spacer sleeve=2x bolt dia 0.75 0.75 0.75
Resolve moment M into force couple with distance=spacer sleeve radius
force in bolt due to M 0.0 0.0 23.9 Ib
Total tension in bolt,P'T 15.6 14.7 32.1 Ib
450>= 450>= 450>_
P'T;OK P'T;OK P'T;OK
750>=PS; 750>=PS; 750>=PS;
OK OK OK
Stress ratio=P/T/450+PS/750= 0.05 0.05 0.08
<=1.00;OK <=1.00;OK <=1.00;OK
* Female anchors not rated for shear loads.
�i
III
�
4 of 4 8/9/17
�. _ ;
THOMAS . ' Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.: 69225
Florida Certificate of Authorization No.31751 -
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Description: 1.7'x 7.7' Gas Pump Canopy Mounted Sign
Engineering Calculations
Table of Contents
Structural Engineering Calculations Pages 1-2
Prepared by: John F. Dougherty, P.E. ���\���������//�`
Florida P.E. No.80640 �\� �.����� ��//
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THOMAS . • Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater,Florida 33762 Design No.: 69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No 80640
Installation Location:38110 County Rd.54,Zephyrhills,FL(Rt.301&54)
Building eave height,h 20.00 feet
Installation height,z 19.50 feet
Florida Building Code 5th Edition (2014) Building ,
Table 1604.5; Risk Category II
Figure 1609A;Vult 137 mph
Nominal Design Wind Speed,
Vasd=Vult(0.6)l�Z= 106 mph
1609.4.2;Surface Roughness B
1609.4.3; Exposure Category B
Size of sign Height 1.67 feet
Width 7.67 feet
Area 12.78 sq.ft.
Sign thickness(includes letters) 0.33 ft
Max dimension 7.67
For wind parallel to wall,Area= 2.556 sq.ft.
C&C;ASCE 7-10 Table 30.7-2,h=20,Flat Roof,zone 4
Vasd 106.1
Load Case 1 -25.6
Load Case 2 25.6
windward leeward
Pnet 25.6 -25.6 psf
1609.6.4.2&ASCE 7-10 Table 27.3-1; Kz 0.615 0.620 Kh
1609.6.4.2&ASCE 7-10 Section 26.8; Kzt 1.00 1.00
Table 1609.6.2,Section 4,h<60 ft,partially
enclosed,Cnet= 1.32 -1.40
Equation 16-35; Pnet 20.8 22.2 psf
Max= 22.2 psf
1 of 2 8/9/17
�, . ,
Normal Force , •
Area(sq ft) 12.78
Wind pressure(psf) 22.2
Design force(Ib) 283.6
No of anchors 8
Force per anchor 35.5 Ib tension
Tension in bolts is 100% comprised of wind load
Shear Force Area (sq ft) 2.56
Wind pressure(psf) 22.2
Design force(Ib) 56.7 -
No of anchors 8
Force Fws per anchor(Ib) 7.09 wind shear
Sign area 12.78 sq.ft. �
Assumed unit weight of sign 5 psf
Weight of sign,say 63.9 Ibs
No of anchors 8
Gravity force Fg per anchor(Ib) 7.99 gravity shear
' Total shear force=Fws+Fg= 15.08 Ib total shear
Shear is 53% dead load
and 47% wind load
� For load combination 1.0 DL+0.6 Wind: 21.3� , Ib tension�
- - --- - --- - - - -- ,
12.2, Ib shear ,
--- - - - -- - - -- ----- - --- -- - -- - -- - -
'To be shown on construction documents: ' I
' ULTIMATE DESIGN WIND SPEED,Vult(3-SECOND GUST): 137 mph �
} NOMINAL DESIGN WIND SPEED,Vasd: 106 mph j
, RISK CATEGORY: II
EXPOSURE CATEGORY: B �
� DESIGN WIND PRESSURE: 22.2 sf �
� -- --- - _ _ _ _------ - --- — --� - -- -- - - -- --- - — p- -----�
Refer to International Code Council-Evaluation Report ESR-2196"Hilti Self-Drilling and Self-Piercing Screws"
Check#8-18 screws
back of cabinet are 0.063"thick
assume face of canopy fa�ade>0.063"thick
Table 2,Allowable Tensile Pull-Out Load= 125 Ib
Table 3,Ailowable Tensile Pull-Over Load>= 170 Ib
Minimum allowable tension= 125 Ib > 21.3 Ib;OK
Table 4,Allowable shear(bearing)= 373 Ib > 12.2 Ib;OK
Stress ratio=21.3/125+12.2/373= 0.20 ;OK
2 of 2 8/9/17
THOMAS . Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Description: 13.5 Ft Long Gas Pump Canopy Spanner Panels
Engineering Calculations
Table of Contents
Structural Engineering Calculations Pages 1-2
Prepared by: John F. Dougherty, P.E.
Florida P.E. No.80640
Code: Florida Building Code,5th Edition(2014)- Building
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THOMAS . Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt. 301&54)
Sign geometry:
Sign Height,s 2 feet
Sign Width, B 13.5 feet
Sign Face Area,As 27 square feet
Height from grade to top of sign,h 10 feet
Say sign weighs 5 psf
Then total weight= 135 Ibs
Florida Building Code 5th Edition(2014) Building(FBC 5th)
Table 1604.5; Risk Category II
Figure 1609A;Vult 137 mph
Nominal Design Wind Speed,
Vasd=Vult(0.6)l�Z= 106 mph
1609.4.2;Surface Roughness B
1609.4.3; Exposure Category B
1609.6.1 5. For...solid free-standing...solid signs...,apply ASCE 7 provisions.
ASCE 7-10 Chapter 29 Wind Loads on Other Structures
Figure 29.4-1 Clearance ratio,s/h= 0.200
Aspect ratio, B/s= 6.75
Cf for Case A or B 1.82
Cfc1 for Case C,0 to s 3.75
Cfc2 for Case C,s to 2s 2.45
Cfc3 for Case C,2s to 3s 1.85
Cfc4 for Case C,3s to 4s 0.95
Table 29.3-1 Kh=Kz 0.85
Table 26.6-1,Directionality Factor, Kd 0.85
Section 26.8.2,Topographic factor, Kzt 1.00
Velocity pressure,
qz=qh=0.00256 Kz Kzt Kd VasdZ= 34.7 psf
Section 26.9 gust effect factor,G 0.85
Design wind pressure(Case A)=qz G Cf= 53.6 psf
Eq. 29.4-1, F=qh G Cf As
Case A and Case B, FAB= 1448 Ib
Case B, F applied 0.2B= 2.70 feet from center of sign
Torsion= 3910 ft-Ib
1 of 2 10/26/17
Case C,F1=qh G Cfci sZ= 443 Ib applied s/2= 1.00 feet from end of sign
Case C, F2=qh G Cfc2 s2= 289 Ib applied 3s/2= 3.00 feet from end of sign
Case C, F3=qh G Cfc3 sZ= 218 Ib applied 5s/2= 5.00 feet from end of sign
Case C,F4=qh G Cfc4 s2= 112 Ib applied 7s/2= 7.00 feet from end of sign
Total force, F�= 732 Ib Torsion= 3984 ft-Ib**
**About centerline of sign
aTo be shown on construction documents:
ULTIMATE DESIGN WIND SPEED,Vult(3-SECOND GUST): 137 mph
, NOMINAL DESIGN WIND SPEED,Vasd: 106 mph
; RISK CATEGORY: II '
� EXPOSURE CATEGORY: B
, DESIGN WIND PRESSURE: 53.6 psf �
By inspection,Case B governs over Case C
Force F= 1448 Ib
Torsion T= 3910 ft-Ib
Design for load combination: 1.00 Dead+0.60 Wind
Then: Force F= 869 Ib
Torsion T= 2346 ft-Ib
a
B
F T
S1
S2
Uniform stress distribution due to force F,S1=F/B= 64 Ib/ft
Triangular stress distribution due to torsion T,S2=6T/BZ= 77 Ib/ft
Max stress=S1+/-S2= 142 Ib/ft
spacing of fastener pairs= 16 inches= 1.33 feet
189 Ib/fastener pair
2 fasteners/pair
94 Ib shear/fastener
Tension= 0 Ib/fastener
Allowable Loads:
Check#8-18 Self Drilling Sheet Metal Screws
Refer to ICC ESR-2196"Hilti Self-Drilling and Self-Piercing Screws"
Thickness of spanner panel material under screw head= 0.125 inch
Assume thickness of material supporting the panel>= 0.0625 inch
ESR-2196 Table 2;Allowable Pull-Out, PN or/S2= 125 Ibs
ESR-2196 Table 3;Allowable Pull-Over, PN ov/S2= 1020 Ibs
Governing Allowable tensile load= 125 Ibs
ESR-2196 Table 4A;Allowable Shear,PN ov/S�= 373 Ibs
2 of 2 10/26/17
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; 2017192404
� PertnftNo. I-1O3?�I'1030�; ��O`�-! ParceIIDNo �2`L��2�—����-Q�r�����s�
' NOTICE OF COMMENCEMENT
State of �� Couniy of �(J�S�Q
THE UNDERSIGNED hereby glves noUce Biat improvement vnll be made to ceAein real propeAy,end in accordanca with Chapter 713,Floride S�atutes,
ihe fo�owinp Infortnetion is provided in this Not'ice of Commencement ' (q050
1. Descriptlon o!Property: Pa I IdenGfiration No. 02-2621-0000-OD10D-98RQ'�
SVeetAddress:�471�� ZephyrhilLs,FL 33542-
2. General Desuipllon of Improvemenl Insteflaiion of the exterior signage
3. �Owner InformaUan or Lessee Informatlon if the Lessee contracted for the hnprovemeN: �
Wawa FL,LLC •
' Name fL32822
7022 TPC Drive Suite 200 Oriando
�Address ] Gly State
Interest in PropeAy; [.QQ�e�0� ' •
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Neme of Fee Slmple Titieholder: Hq' '(� �
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Address City Slate
Conlracior. Thomas Slgn 6 Awriing Co.Inc.
• Name Cleaiwater FL 37�62
459011 Bth Ave.N.
' Address Clry State
Conlreclors Telephone No.: 727-5737757
5. Surey:
NBme • ' Rept:1914483 � Ree: 10.00 �
nddress , DS: 0.00 I T: 0.00 sta�e
_ . MiountolBond:S 12/06/2017 D, B. , Dpf,y Clerk
8. Lender. • - - -- -. _ . • .
� • Name.
, , Address Cily Slele •
Lende�s Tetephone No.:
7. Persons within Ihe Slete of Flodda deslgnaled by Ihe owner upon whom notices or ofher dowmenls may 6e served as provided by
Section 713.13(1)(a)(7),Fbrida Slatules:
Neme • FpULA S 0'NEIL,Ph.D,PRSCO CLERK & COMPTROLLEh
12/06/2017 12•54 m 1 of 1
.� � o � � �d�ass 964� P� 1266
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C � Z C � � : Telephone Number of Designeled Person: ___ _ _
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' � 0 A p D C7 WITH YOUR LENDER OR�N,I ATTORNEY BEFORE COMMENCING WORK OR RECORDINO YOUR NOTICE OF COMMENCEMENT.
T� ��1T1 � � C Under penalty of perjury,I dedare Ihat I have mad Ihe foregoing nolice of commencemenl end lhel ihe feds sleted thereln are We to lhe besl
Qo -n O O = � °(rtry knowledge antl Deqef.
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Jacqueline B�ges �
From: Jacqueline Boges
Sent: Wednesday, May 9, 2018 4:50 PM
To: Bill Burgess;Angela McNutt ����3� � ��b 3�
Subject: RE: Hardship Letter for sign permits ,�P
Thank you Bill,
For the hardship approval the cost will be$20.00 per trade to allow an additional 90 days to permit .Total due will be
$80 cash or check if mailing in check will need to mail to 5335 8th Street Zephyrhills 33542 at the time of receipt for the
extension I will then extend out the 90 days as per Bill.
Thank you
Jackie Boges
813-780-0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but
� „
it is He Himself we have. Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are
public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If
you received this message in error, please do not read,forward, copy,etc.and delete immediately.
-----Original Message-----
From: Bill Burgess
Sent:Wednesday, May 9,2018 7:43 AM
To:Angela McNutt<Angela.McNutt@Thomassign.com>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: RE: Hardship Letter for sign permits
I have no roblem with a 90 da extension.....
P Y
William A. Burgess
Building Official
City Of Zephyrhills
-----Original Message-----
From:Angela McNutt<Angela.McNutt@Thomassign.com>
Sent:Tuesday, May 08, 2018 3:28 PM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: Hardship Letter for sign permits
Good afternoon,
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SIGN 8 AWNING COMPANY.INC
oipoiote Iden�ificotion May 8, 2018.
Notionwide
To: Bill Burgess, Building Official
P r o i e c� h1 o n a g e m e n t Re: Sign permits 19037 & 19039
Project:Wawa exterior signs
coa� a�v��w Address: 6450 Gall Blvd.
s°�vey Dear Mr. Burgess,
Dasign '
This hardship letter is a r.equest to extend 2. sign permits at the above
Permit n�q��5�r�o�� address. Due to construetion delays,the wall ancl canopy signs will not be
ready to install before the permits expire on 5/18/18. We are only
Variance requestirig a 90 day extension. Thank you for your consideration in this
matter.
Manufacluring
Sincerely,
Instollation
Exterior Signs /��iC/V� �� 1 '
Priscilla G. Thomas
fnlerior Signs '
President
h�,+�,��,g 5 , Thomas Si.gn &Awning Co:
Wide forrnat Prin�ing
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this 8th day of
May 2018, by Priscilla G. Thomas, who is personally known to me.
Estnblished 1969 ,/�/)[� n �
Y / / �l,C.�-� �
Notary ,�;,,,,�,
. ,,��,,,P�B� ANGELA MCNUTT
,�r°. ;�-; Notary Publlc-State ot Florid�
' ' ` Commission N GG 046800
., �.
=:�,, �.o;c My Comm.Explres Mar 5,2�21 I
��'�%°f�����`' Bonded lhrouph Mati6n�t NW��ry 11san.
r- --- - -- ---- ----_-_ --____-_ __._.._�_� 4590 118TH.AVENUE NORTH •�CLEARWATER,.FL 33762 ���y.__..__._. _�_ __._--_���,----
�
:�� � . . .
Jacqueline Boges
From: Bill Burgess
Sent: Wednesday, May 9, 2018 7:43 AM
To: Angela McNutt
Cc: Jacqueline Boges
Subject: RE: Hardship Letter for sign permits
I have no problem with a 90 day extension.....
William A. Burgess
Building Official
City Of Zephyrhills
-----Original Message-----
From:Angela McNutt<Angela.McNutt@Thomassign.com>
Sent:Tuesday, May 08, 2018 3:28 PM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: Hardship Letter for sign permits
Good afternoon,
I have attached a hardship letter for 2 sign permits about to expire at 6450 Gall Blvd (Wawa).
If approved, please advise how much the fees are and we will send a check.
Thank you,
Angela McNutt
Permit Coordinator
4590118th Avenue N � Clearwater, FL 33762
800-526-3325, Ext.285 � Local:727-573-7757
website � facebook � linkedin � youtube � pinterest � instagram
1
Angela McNutt
From: Jacqueline Boges <jboges@ci.zephyrhills.fl.us>
Sent: Wednesday, May 9, 2018 4:50 PM
To: Bill Burgess;Angela McNutt
Subject: RE: Hardship Letter for sign permits
Thank you Bill,
For the hardship approval the cost will be$20.00 per trade to allow an additional 90 days to permit.Total due will be
$80 cash or check if mailing in check will need to mail to 5335 8th Street Zephyrhills 33542 at the time of receipt for the
extension I will then extend out the 90 days as per Bill.
Thank you
' Jackie Boges
813-780-0020 ext 3513
;
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but
it is He Himself we have." Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are
public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If
you received this message in error, please do not read,forward, copy, etc. and delete immediately.
\
-----Original Message-----
From: Bill Burgess
Sent:Wednesday, May 9, 2018 7:43 AM
To:Angela McNutt<Angela.McNutt@Thomassign.com>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: RE: Hardship Letter for sign permits
I have no problem with a 90 day extension.....
William A. Burgess
Building Official
City Of Zephyrhills
-----Original Message-----
From:Angela McNutt<Angela.McNutt@Thomassign.com>
Sent:Tuesday, May 08, 2018 3:28 PM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: Hardship Letter for sign permits
� 1
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19039
�, ; BUILDING PERPqIT � I
PERMIT INFORMATION - LOCATIOiV INFORMATION I
Permit Number: 19039 Address: 6450 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-00100-0050
Improv. Cost: 5,483.00 OWNER INFORMATION
Date Issued: 11/21/2017 Name: GH&G ZEPHYRHILLS LLLC
Total Fees: 157.50 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 157.50 ATLANTA, GA. 30355-3209
Date Paid: 11/21/2017 Phone:
Work Desc: INSTALL (2) CANOPY(1) NW END SIGNS W/ELECTRIC
CONTRACTOR S APPLICATION FEES '
THOMAS SIGN &AWNING CO,INC BUILDING FEE 97.50
THOMAS SIGN &AWNING CO,INC ELECTRICAL FEE 60.00 I
�` !` n
"/ / � ` _
� � �
�
r���l��� ,
' Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION 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 governrnent 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.
"Warnin to owner: Your failure to record a notice of commencement ma result in r
9 y you 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 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.
' C � OR SIGNATURE PERMIT OFFI R
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-- - �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received , ' Phone Contact for Permitting �727 573 — 7757 x241
A 1 1 1 1 1 1 1 1 1 1 1 1
Owner's Name Wawa Florida LLC Owner Phone Number
Owner's Address 575 Pharr Rd Atlanta, GA 30355 Owner Phone Number '
Fee Simple Titleholder Name GH&G Zephyrhills LLC Owner Phone Number i
Fee Simple Titleholder Address 575 Pharr Rd Atlanta, GA 30355
JOBADDRESS 6450 Gall Blvd LOT# �
SUBDIVISION PARCEL ID# 02-26-21-0000-00100-0050
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR � COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME � STEEL Q
Install (2) non-illuminated gas canopy spanners with copy. Install 1) LED attached sign on
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUIL �d) �� $ 5483.00 VALUATION OF TOTAL CONSTRUCTION
l�
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0
OPLUMBING $ �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,� `"���
OGAS Q ROOFING � SPECIALTY 0 OTHER
FINISHED FLOOR EL ATIONS FLOOD ZONE AREA �YES NO
_��u�_���_�-
BUILDER �• . •COMPANY• • ��� � � � �
i
= SIGNATURE � REGISTERED Y/ N F E CURRE� Y/N
Address �� 1,� N ��� " i ' License# ���"�� �
-�- ELECTRICIAN COMPANY o�� T � � ' ` fl�
SIGNATURE REGISTERED Y/ N FEE CURRE� /N
Address � ����� � �� � License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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#
1lIIIIIItt111t11t11ltllllllllttllllllllt111111111111111111111111111
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 pius 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 Facilities&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$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW �
. NOTICE OF DEED �ESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions°
which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any
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 RESOURCE RECOVERY 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.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided 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
Lands, Water/Wastewater 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. �IF Y INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subs ribe and s. (o affr e ) d8fore me this i
by I� by l� ��/ /S
Who is/are personally known to me or has/have produced Who is/a e personally k to me or has/h�v pr6 ced
as identification. as identification.
Notary Public Notary Public
� Commission No. Commission No. �l�D"�l.e��
Name of Notary typed,printed or stamped � a o No ary typed,printed or stamped
�otr`,ri'r'a�ao, ANGELA MCNUTT
?�_+.���; Notary Public-State of Florida
- � • Commission #GG 046800
,N�lFOFF��P��� My Comm Expires Mar 5, 2021
�"'�����"� Bonded through Nalional Nofary Assn.
....___--_
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City of Zephyrhills
BUILDTNG PLAN REVIEW C011�IlVIEIVTS
Con�actorlHomeowner: r � /��'!1�
� Date Received: ��-.Z�� �
,.—.Szte: � �� ��� ��" ��
� Permit Type: � �'t�
�— Approved wlno camments:� Approved wlthe belaw camments: ❑ Denied w/the below camments: ❑
� �
�
',�
.
I ;
� Chis comment sheet shall be kept with the permit andJor plans. }
!
� °� , �� 1�
— Examiner Date Cantractor ancilor Homeowner
{Required when comnzent�are present) ;
i
�
;
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� � i
(Your Letter Head Here)
August 08, 2017
To: City of Zephyrhills
Building Department
Re: Wawa #5285
US 301 & Eiland
38110 County Road 54
Zephyrhills, FL 33542-7530
The purpose of this correspondence is to grant authorization to Thomas Sign and
Awning Company, Inc. to represent, sign, and file applications as acting agent and
representative on behalf GH&G Zephyrhi/Is, LLC regarding all submittals and
correspondence for signage installation for said project.
Thank you for your help in this matter.
Sincerely,
� ��.�o� �-� ���C Z���it'�.�I�CSJ L�C
�� '
Title
State of � I
County of Col���v'
T e foregoing instrument was acknowledged before me this � �' day of
, �c�i�h�v� 2017 b Mc�rl� C�RAV I e� who is ersonall
, Y , P Y
�
' known to me or who has produced (type of identification) �I D L as
' identification.
o ���"'� � 'e/ ``�\��11111!///��i
' >t`c `: •':� f�a ��` �� E' R� '�i
nature of o a �` 0• . , (� i � .•••""•••. �' �
g :`c"� • �A�~'���'• ��`��'••N�T AAy'•;���:
(� ' �� 'C�
�r IDS � I� o . � +r ; � �e ~ �My Com Ex ir � � �'
�C�� : �.: � ,n. S � � : m. p esi —
Expires� �� � = APril 07,201d % ��
' Printed Name of otary `�����a � � � N�: Na'FF1�p�45 ;' �
�I . FF1tOC45 � .. � . . �
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f • 1 �
Detail by Entity Name Page 1 of 2
Florida Department of Sfate DiwsioN op CoRaoRarioNs �,
,`•.:�t�� ,,
�=�� J'';�.,«�'� `�/
�'y71'�"r I�/6��� r'�J���'��_�_'�'��i L�
:�–—_�=_._�Y�__�::;;� „+ :;1� _ .:;, •��.,,,,,,,,..:n,r. ,
Deoartment of Sfate / Division of Coroorahons / Search Records ! De12il BV DocumeN Number/
�2��f0 �31/ �F�$f� ��t'6'ti@
Florida Limited Liability Company
GH&G ZEPHYRHILLS,LLC
Filina Information
Document Plumber L16000125268
I FEIIEIN Mumber 81-3194133
Date Filed 06/30/2016
State FL
� Status ACTIVE -
Principal Address
1399 CHURCH STREET
DECATUR,GA 30030
Mailina Address
1399 CHURCH STREET
DECATUR,GA 30030
Reaistered Aqent Name&Address "
� HOWE,DANIEL S
5309 SUNRISE LANE
� HOLMES BEACH,FL 34217
i Authorized Personls)Detail
Name&Address
Title MGR
GRYBOSKI WILLIAM E -
1399 CHURCH STREET
DECATUR,GA 30030
Title MGR
HOWE,DANIEL S
5309 SUNRISE LANE
HOLMES BEACH,FL 34217
Title MGR �
GRAVELY,MARK
354 AVENIDA DE PARADISIO
, SARASOTA,FL 34242
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityNa... 8/1/17
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �9�8`~�..�.y
,, • BUILDING PERMIT �"�
` - � : ` PERMIT INFORMAT90N � ` LOCATIO.N INFORMATION•-'"�
Permit Number: 19038 Address: 6450 GALL BLVD
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: MONUMENT SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
$quare Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-00100-0050
Improv. Cost: 5,483.00 OWNER INFORMATION
Date Issued: 11/21/2017 Name: GH&G ZEPHYRHILLS LLLC
Total Fees: 157.50 Address: PO BOX 550709 575 PHARR RD
Amount Paid: 157.50 ATLANTA, GA. 30355-3209
Date Paid: 11/21/2017 Phone:
Work Desc: INSTALL (2) MONUMENT GAS DIS SR54 ENTSR 301 ENT W/ELECTRIC 92SF
CONTRACTOR S � - APPLICATION FEES �
THOMAS SIGN &AWNING CO,INC SIGN 97.50
THOMAS SIGN &AWNING CO,INC ELECTRICAL FEE 60.00
� Ins�ecfiions Re uired
FOOTER
ELECTRICAL ROUGH
FINAL
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
frst 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 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 Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C N TOR SIGNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 727 573 – 7757 X241
� t � � � � � i t � � � �
Owner's Name Wawa Florida LLC Owner Phone Number
Owner's Address 7699 Commerce Center Drive Orlando, FL 328 9 Owner Phone Number
Fee Simple Titleholder Name GH&G Zephyrhills LLC Owner Phone Number
Fee Simple Titleholder Address 575 Pharr Rd Atlanta GA 30355
JOB ADDRESS 6450 Gall Blvd LOT# �
SUBDIVISION PARCEL ID# 02-26-21-0000-00100-0050 !
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN x� 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0
ns a gas price isp ay monumen signs-one a en rance an one a 01
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE 92sf each HEIGHT
�BUI ING �� $ VALUATION OF TOTAL CONSTRUCTION
� `� 5483.00
�ELECTRI AL � $ AMP SERVICE � PROGRESS ENERGY � W R.E.C.
OPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �v ��
�
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR El VATIONS FLOOD ZONE AREA QYES NO
-:--�-;-*-�F;
BUILDER COMPANY - -�'�1��j� � , �Ld j.9 • ` O•
SIGNATURE � REGISTERED Y/ N EE CU RE� /N
Address 1 177 / �QG� � License# 1�7�HfIJ��
ELECTRICIAN �n/'—� COMPANY � �� � � ' C�`
SIGNATURE � REGISTERED Y/ N F E CURRE� Y/N
Address �� �l g �" � �.�� License# CJ�(1E.d�Gv�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111
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 Facilities&.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:
i Fill out application completely.
Owner&Contractor sign back of application,notarized -
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
"' Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/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"deed" restrictions"
which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any '
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPOfVSIBILITIES 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 I
County ,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY 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.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have beeri 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
Lands, Water/Wastewater 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y U NTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y U NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) ,
i q
OWNER OR AGENT CONTRACTOR
Subscribed an bsworn to(or affirmed)before me this Sub �ib d a�d sw n t (o a )be'ore me hi� iy
y ��/ by (A-�J S
Who is/are personally known to me or has/have produced o is/are personally known to me r as/ a e produced
as identification. as identification.
Notary Public Notary Public
� Commission No. Commission No. l��CJT COIN
Name of Notary typed,printed or stamped , �t - o.,st d-----r
, ,OSP��u���('.
.�avP ANGELA MCNUTT
;r,�r�; Notary Public -State of Florida
:•: . •= Commission # GG 046800
'���FOFF��PO�` My Comm Expires Mar 5,2021
��'��������" Bonded through National NolaryAssn.
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City of Zephyrlulls
BUILDING PLAN REVIEVV COMMEN'�'S
Contractor/Homeowner: � `��(,�I�n!-Z
Date Received: _ ��_�/ � �
Site: �c�d ��( ����
Permit Type: �J /�-�1 u=��'l� �'j" �����lQ,�
�
1
Approved w/no comments: � Approved w/the below comments: ❑ Denied w/the below comments: ❑
i
Chis comment sheet shall be kept with the permit and/or plans. I
1
/ I
l `�i?i i � !7
� er—P s Examiner Date Contractor and/or Homeowner
- (Required when comments are present)
�
I ,
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(Your Letter Head Here)
August 08, 2017
To: City of Zephyrhills
Building Department
Re: Wawa #5285
US 301 & Eiland
38110 County Road 54
Zephyrhilis, FL 33542-7530
The purpose of this correspondence is to grant authorization to Thomas Sign and
Awning Company, Inc. to represent, sign, and file applications as acting agent and
representative on behalf GH&G Zephyrhills, LLC regarding all submittals and
correspondence for signage installation for said project.
Thank you for your help in this matter.
Sincerely,
`���� —� ��j-G�b� �� ���� 2��1�.ylGCSJ LL.0
Title
State of � I
County of Col�ie.�-
T e foregoing instrument was acknowledged before me this � � day of
�e�i�h�v� , 2017 by �`flarl� C�RA�/ I e�3 , who is personally
known to me or who has produced (type of identification) �r I D L as
identification.
� � ������� . '�/ ���,,111111lI//��0
�gnature of o a ��°` �- •• '�� ��Pi ��`� O� E� A������
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Y' OS o � ��.r: ��� � V�MY Comm. :� �
e-�� : m.Expires� �� � = April 07, Expires. Q�
zo�a : �
Printed Name of otary '�����a ? � � N,� Np,FF��0645 ;' �
. FF 110fi45 � ` : � �. � � � `
. p�e��G .•'�`: �i��'••.VBL1C+.•••'�� �o
�~b����N��� \ � /� � °�������° \�
,�OF ���Q,`�. �j���IDi'F;OQ`���
(Seal) �lf111t
� � Detail by Entity Name Page 1 of 2
Fiorida Department of State DIVISION OF CORPORATIONS
>�_,��1:��
\`�t� �J'��'i,i`r• `-'/
���i�,��e��� �'r��'���`'_�_��'�{�� (.�
f:-----�,;��, ,,,+,,,,,, „� ,.,,,,,,,..,�,,,,, .,�,<<.
�
Deoartment of Sfate / Diwsion of Coroor2tions / Search Records / Detail Bv Document Number!
f�e�aiB E�y Er�fi�y �far�e
Florida Limifed Liability Company
GH&G ZEPNYRHILLS,LLC
Filinq Information
Document Number L16000125268
FEI/EIN Number 81-3194133
Date Filed 06/30/2016
State FL
Status ACTIVE
Princioal Address
1399 CHURCH STREET
DECATUR,GA 30030
Mailinp Address
1399 CHURCH STREET
DECATUR,GA 30030
Reaistered Aaent Name 8 Address
HOWE,DANIEL S
5309 SUNRISE LANE
HOLMES BEACH,FL 34217
Authorized Person(s)Detail
Name 8 Address
Title MGR
GRYBOSKI,WILLIAM E
1399 CHURCH STREET
DECATUR,GA 30030
Title MGR
HOWE,DANIEL S
5309 SUNRISE LANE
HOLMES BEACH,FL 34217
Title MGR
GRAVELY,MARK
, 354 AVENIDA DE PARADISIO
SARASOTA,FL 34242
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityNa... 8/1/17
, ,
..� • , .
THOMAS . Structural Calculations I
, Sign&Awning Company,Inc. Client: WaWa#5285 ' �,
4590 118th Avenue North Project Identity No.:77478 I
ClQarwater, Florida 33762 Design No.: 69225
Florida Certificate of Authorization No.31751
Installation Location:38110 County Rd.54,Zephyrhills,FL(Rt.301&54)
Description: 11 Ft Tall X 12 Ft Wide Monument Sign Supported on One Pole
Engineering Calculations
Table of Contents
Structural Engineering Calculations Pages 1-12
Prepared by: John F. Dougherty, P.E. ,11I I III/
Florida P.E. No.80640 \\`�\� ����//��//
Code: Florida Building Code,5th Edition (2014)- Building �� �g '. - . �� //
, ��\(��.'��'�,C�NS�,� � /�
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J a�j,'1, ��, STATE OF ; �
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THOMAS . Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285 '
4590 118th Avenue North Project Identity No.:77478
Clearwater,Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Sign geometry:
Sign Height,s 11 feet
� Sign Width, B 12.00 feet
Sign Face Area,As 132 square feet
Height from grade to top of sign,h=s= 11 feet
Say sign weighs 10 psf
Then total weight= 1320 Ibs
Thickness of sign,t 1.5 feet
Lateral wind area,Alat=t s= 16.5 square feet
Florida Building Code 5th Edition(2014) Building(FBC 5th)
Table 1604.5; Risk Category II
Figure 1609A;Vult 137 mph
Nominal Design Wind Speed,
Vasd=Vult(0.6)l�z= 106 mph
1609.4.2;Surface Roughness B
1609.4.3; Exposure Category B
1 of 12 g/9/17
THOMAS • Structural Calculations - •
Sign&Awning Company,Inc. Client: .WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
1609.6.1 5. For...solid free-standing...solid signs...,apply ASCE 7 provisions.
ASCE 7-10 Chapter 29 Wind Loads on Other Structures
Figure 29.4-1 Clearance ratio,s/h= 1.00
Aspect ratio, B/s= 1.09 Q;Case C doesn't apply
Cf for Case A or B 1.45
Cfc1 for Case C,0 to s 0.00
Cfc2 for Case C,s to 2s 0.00
Cfc3 for Case C,2s to 3s 0.00
Cfc4 for Case C,3s to 4s 0.00
Table 29.3-1 Kh=Kz 0.57
Table 26.6-1, Directionality Factor, Kd 0.85 for free standing signs
Section 26.8.2,Topographic factor,Kzt 1.00
Velocity pressure,
qz=qh=0.00256 Kz Kzt Kd Vasdz= 14.0 psf
Section 26.9 gust effect factor,G 0.85
Design wind pressure(Case A)=qz G Cf= 17.2 psf
Eq. 29.4-1, F=qh G Cf As
Case A and Case B, FAB= 2265 Ib
Case C, F1=qh G Cfc1 sZ= 0 Ib applied s/2= 5.50 feet from end of sign
Case C,F2=qh G Cfc2 sz= 0 Ib applied 3s/2= 16.50 feet from end of sign
Case C,F3=qh G Cfc3 sZ= 0 Ib applied 5s/2= 27.50 feet from end of sign
Case C,F4=qh G Cfc4 s2= 0 Ib applied 7s/2= 38.50 feet from end of sign
Total force,EF�= 0 Ib
Lateral load,Flat=say qh G Cf Alat= 195.90 Ib(assumes Cf=1.00)
iTo be shown on construction documents: '
' ULTIMATE DESIGN WIND SPEED,Vult(3-SECOND GUST): 137 mph
� NOMINAL DESIGN WIND SPEED,Vasd: 106 mph �
� RISK CATEGORY: II �
; EXPOSURE CATEGORY: B ,
� DESIGN WIND PRESSURE: 17.2 psf �
2 of 12 8/9/17
THOMAS Structural Calculations �
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No::69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54) - �
For One Support Pole:
Case B FAB�applied 0.2B= 2.40 feet from center of sign
Torsion=FAB(0.2)B= 5,437 ft-Ib
, F applied 0.05h= 0.55 feet above center
Pole base moment�MXg= FAg(0.55)h= 13,705 ft-Ib*
Vxe= FAB= 2265 Ib
Vyg=Flat = 195.9 Ib
Pole base moment, MyB=VyB(0.55h)= 1185.2 ft-Ib*
Case C Total load�VX�= Fqg= O Ib
Pole base moment, Mx�=Vx�(0.55)h= 0 ft-Ib*
. 'forsion,T= F1(B/2-s/2)+F2(B/2-3s/2)+F3(B/2-5s/2)+F4(B/2-7s/2)
T= 0 ft-Ib
Vy6=Flat = 195.9 Ib
Pole base moment,MyB=VyB(0.55h)= 1185.2 ft-Ib*
Case B Case C Maximum
Vx= 2,265 0 2,265 Ib
Mx= 13,705 0 13,705 ft-Ib at grade*
Torsion 5,437 0 5,437 ft-Ib
My= 1,185.2 1,185.2 1,185 ft-Ib at grade*
Vy= 195.9 195.9 196 Ib
** Resultant V=(VxZ+Vy�)1�2= 2274 196 2,274 Ib
** Resultant M=(MxZ+MyZ)l�Z= 13756 1185 13,756 ft-Ib at grade�`
* Moment is greater below grade;see drilled pier design
** Use resultant base shear and moment for drilled pier design
For load combination 1.0 DL+0.6 Wind
Vx= 1,359 Ib
Mx= 8,223 ft-Ib at grade* �
Torsion 3,262 ft-Ib
My= 711 ft-Ib at grade*
Vy= 118 Ib
** Resultant V=(VxZ+VyZ)l�Z= 1,364 Ib
** Resultant M=(MxZ+MyZ)l�z= 8,254 ft-Ib at grade*
3 of 12 g�g�17
THOMAS � Structural Calculations '
Sign&.Awning Company,Inc. Client: WaWa#5285
4590 118th Avehue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
For short,free-head pier in cohesionless soil
Lateral load applied to pile at grade,Pa= 1,364 Ib Torsion,T= 3262 ft-Ib
Moment applied to pile at grade, Ma= 8,254 ft-Ib
Resolve Pa and Ma into a load applied at a height e above grade
e=M/P= 6.1 feet ,
Diameter of the pier, b= 18 inches= 1.5 feet
Note:Thomas Sign's standard augers are 18,30 and 36 inches diameter X 11'-6" max depth
Embedded length below grade, L= 7.5 feet
Assume angle of friction,�= 30 degrees
Rankine coefficient of passive pressure, Kp=
tanZ(45+�/2)= 3.00 .
, Unit weight of soil,y= 110.0 pcf
4 of 12 g�g�17
� Using Brom's method:
The load that will cause soil failure,
Pt=ybL3Kp/2/(e+L)_;_ _ 7705.8� Ib
Pt>=Pa;OK
Distance from grade down to the point of �
zero shear(max moment),
f={2Pa/(3 y b Kp)}l�Z= 1.36 feet
Mmax=Pa(e+f)-Pa f/3= 9,487 ft-Ib
Moment magnification=Mgrade/Mmax= 1.149
Check stresses in the sign pole embedded in concrete pier.
Perimeter area of pier,Ap=2�(b/2)(12L)= 5089 sq in
Shear on soil-concrete interface=12T/(b/2)/Ap= 0.85 psi x144= 123 psf
average soil pressure=110 pcf(L/2)= 412.5 psf
say friction coeficient,fr= 0.3
friction force= 123.75 psf
Factor of Safety against turning=123.8/123= 1.01 >1.00;OK
- 5 of 12 , 8/9/17
THOMAS Structural Calculations
Sign.&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.: 69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Check: ASTM A500 Grade C Fy= 46 ksi �I
PipeSSTD
W(Ib/ftJ A OD ID tno�r tdes ��f �x
14.6 4.01 5.56 5.05 0.258 0.241 23.1 , 14.3
ZX SX rX 1 y Zy Sr ry J I
6.83 5'.14 1.88 14.3 6.83 5.14 1.88 28.6
From drilled pier design, Max Resultant Moment,M= 9,487 ft-Ib
Resultant Lateral load on pole, Rb= 1,364 Ib
Torsion,T= 3,262 ft-Ib
Free length of cantilever,h= 11.00 feet
Center of load applied above grade,H=0.55H= 6.05 feet
Weight of sign= 1320 Ib
AISC Table B4.1,sect 15 D/t= 23.10
In compression;�,r=0.11 E/Fy= 69.35 >D/t; non-slender element
In flexure;�,p=0.07 E/Fy= 44.13
�,r=0.31 E/Fy= 195.43 compact section
AISC Chapter E;Compression �
AISC Section E1 S2c= 1.67
AISC Section E2 Effective length factor, K= 2.10 for cantilever
KI/r=K(12H)/rx= 81.10
AISC Section E3 4.71(E/Fy)l�Z= 118 >=KI/r
AISC Eq. E3-4; Fe= 43.5 ksi
AISC Eq. E3-2; Fcr= 29.6 ksi
AISC Eq. E3-1; Pn=Fcr Ag= 119 kips
Allowable compression strength, Pc=Pn/SZc= 71 kips
Pole weight 14.6 Ib/ft
H 6.05 feet �
i Weight of pole= 88.3 Ib
Weight of sign= 1320 Ib
Required compression, Pr= 1408.3 Ib= 1.41 kips
1.41<=71;O K
6 of 12 8/9/17
THOMAS Structural Calculations I
Sign&Awning Company,Inc. Client: WaWa#5285 '�
4590 118th Avenue North Pro}ect Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
AISC Chapter F; Flexure S2b= 1.67
AISC Section F8 0.45 E/Fy= 283.7 D/t<0.45 E/Fy;Sect F8 Applies
Section F8.1;Yielding
' Eq. F8-1; Mn=Mp=FyZ= 314 kip-in
Section F8.2; Local Buckling
For compact sections Section F8.2 does not apply
For non-compact sections; Eq. F8-2; Mn= 372 kip-in
- For slender walled sections; Eq. F8-3; Mn= 2,129 kip-in
Mn= 314 kip-in
Allowable moment, Mc=Mn/S2b= 188 kip-in
• Required moment, Mr= 9,487 ft-Ib= . 114 inch-kip
114<=188;OK
AISC Chapter G;Shear S2v= 1.67
Section G6; Lv is undefined since transverse shear is constant
Section G6; Eq.G6-2a; Fcr= N/A
E .G6-2b• Fcr= 204 ksi
q �
Vn=Fcr Area/2= 408 kips
Allowable transverse shear,Vc=Vn/S2v= 245 kips
Required transverse shear,Vr= 1,364 Ib= 1.36 kips
inch-kip
1.36<=245;OK
7 of 12 8/9/17
,
THOMAS� Structural Calculations
� Sign&Awning Company,Inc. � Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
AISC Chapter H;Combined Forces
�Section H3.1 SZt= 1.67
HSS torsional constant,C=�(OD-t)Zt/2= 10.71 -
Fcr is largest of eq. H3-2a and eq. H3-2b but shall not exceed 0.6Fy
Eq. H3-2a; Fcr= 195 ksi
Eq. H3-2b; Fcr= 157.0 ksi
0.6 Fy= 27.6 ksi
Use Fcr= 27.6 ksi
eq H3-1;Tn=Fcr C= 295.6 in-kip
Allowable torsion,Tc=Tn/S�t= 177.0 in-kip
Required torsion,Tr= 3,262.0 ft-Ib= 39.14 inch-kip
39.14<=177;OK
AISC Section H3.2;eq. H3-6
(Pr/Pc)+(Mr/Mc)+{(Vr/Vc)+(Tr/Tc)}Z<=1.00
0.68 <=1.00;OK
Deflection
Deflection due to load Rb,4=Rb(12H)3/(3EIx)= 0.42 inches
' 2(12H)/120= 1.21 inches*
OK
* Uses span=2H in accordance with building code for cantilevers
Acceptable Shape OD(in) Wall (in) Ib/ft
Pipe55TD 5.56 0.258 14.6
� Pipe4XS 4.5 0.337 15;
�_Pipe3XXS 3.5 0.6 18.6_
PipeSSTD 5.56 0.258 14.6
PipeSSTD 5.56 0.258 14.6
PipeSSTD 5.56 0.258 14.6
�
8 of 12 8/9/17
THOMAS . Structural Calculations
Sign&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater, Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty I
Florida P.E. License No.80640 I'
i ,
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54) '
Attachment of Channel Letters to Face of Sign ,
Size of letters "W" "awa" Logo II
Height 2.65 2.13 1.65 feet
Width 3.08 2J1 2.59 feet '
Area 8.158 5.755 4.269 sq.ft.
Letter thickness 0.417 0.417 0.333
Max dimension 3.08 2.71 2.59
Area 1.285 1.128 0.865 sq.ft.
Design wind pressure= 17.2 psf �
Normal Force "W" "awa" Logo
Area(sq ft) 8.16 5.76 4.27 �
Wind pressure(psf) 17.2 17.2 17.2
Design force(Ib) 140.0 98.8 73.3
No of anchors per letter 4 3 4
Force per anchor 35.00 32.92 18.31 Ib tension
Tension in bolts is 100% 100% 100% comprised of wind load
Shear Force "W" "awa" Logo
Area (sq ft) 1.28 1.128 0.865
Wind pressure(psf) 17.2 17.2 17.2
Design force(Ib) 22.0 19.4 14.8
No of anchors per letter 4 3 4
Force Fws per anchor(Ib) 5.51 6.46 3.71 wind shear
Say letter weighs 5 psf,then 40.79 28.78 21.34 Ibs
No of anchors per letter 4 3 4
Gravity force Fg per anchor(Ib) 10.20 9.59 5.34 gravity shear
Total shear force= 15.71 16.05 9.05 Ib total shear
Shear is 65% 60% 59% comprised of dead load
and 35% 40% 41% comprised of wind load
9 of 12 8/9/17
THOMAS Structural Calculations
Sign&Awning Company,Inc. Client: WaV1/a#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater,Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751 Prepared by:John F. Dougherty
Florida P.E. License No.80640
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
"W" "awa" Logo
For load combination 1.0 DL+0.6 Wind: 21.0 19.75 10.99 Ib tension
13.5 13.80 7.59 Ib shear
Standoff distance from face of wall 0.00 0.00 1.50 inches
Bending moment in shaft of fastener 0.00 0.00 11.38 inch-Ib
Determine required size of through bolts for attachment of CL's to face of sign '
Design Forces: "W" ;'awa" Logo ,
Tension, PT: 21.0 19.8 11.0 Ib
Shear, P5: 13.5 13.8 7.6 Ib
Moment, M: 0.0 0.0 11.4 inch-Ib
Try Diameter= 0.25 0.25 0.25 inch
Area= 0.0491 0.0491 0.0491 sq in
For A307 galvanized bolts,tensile strength= 60,000 psi
From "Steel Construction Manual," 13th ed.,AISC,Table 7-1
Allowable tensile stress, Fnt/S2= 22,500 psi
Allowable shear stress, Fnv/S2= 12,000 psi
For fastener in standoff application,with moment=shear x standoff distance:
Assume O.D. of spacer sleeve=2x fastener diameter
"W" "awa" Logo
Spacer sleeve O.D.= 0.5 0.5 0.5 inch
Resolve moment M into force couple with distance=spacer sleeve radius
force in bolt due to M 0.00 0.00 45.54 Ib
Total Tension, P'T: 21.00 19.75 56.53 Ib
Tensile stress,ft=P'T/Area= ' 428 402 1152 psi
Shear stress,fv=PS/Area= 275 281 155 psi ,
I Stress ratio=ft/(Fnt/SZ)+fv/(Fnv/S2)_, 0.042 0.041 0.064
<=1.00; <=1.00; <=1.00;
' OK OK OK
10 of 12 8/9/17
� ., � . ,
THOMAS Structural Calculations
Sigr9&Awning Company,Inc. Client: WaWa#5285
4590 118th Avenue North Project Identity No.:77478
Clearwater,Florida 33762 Design No.:69225
Florida Certificate of Authorization No.31751
Installation Location:38110 County Rd.54,Zephyrhills, FL(Rt.301&54)
Attachment of Digital Fuel Price Displays to Face of Sign
Size of digital price displays Height 1.67 feet
Width 3.67 feet
Area 6.11 sq.ft.
� 0.00 ft(display mounted flush to sign face,not
Sign thickness exposed to lateral wind load)
Max dimension 3.67
For wind parallel to wall,Area= 0.000 sq.ft.
I Max= 17.2 psf
Normal Force
Area(sq ft) 6.11
Wind pressure(psf) 17.2
Design force(Ib) 104.9
No of anchors 8
Force per anchor 13.1 Ib tension
I Tension in bolts is 100% comprised of wind load �
Shear Force Area(sq ft) 0.00
Wind pressure(psf) 17.2
Design force(Ib) 0.0
No of anchors 8
Force Fws per anchor(Ib) 0.00 wind shear
Sign area 6.11 sq.ft.
Assumed unit weight of sign 5 psf
Weight of sign,say 30.6 Ibs
No of anchors 8
Gravity force Fg per anchor(Ib) 3.82 gravity shear
Total shear force=Fws+Fg= 3.82 Ib total shear
Shear is 100% dead load
and 0% wind load
,
` For load combination 1.0 DL+0.6 Wind: 7.9 Ib tension , ,
3.82 Ib shear ,
11 of 12 8/9/17
I ^ , � • � .
J
� For#10 self-tapping sheet metal screws,screw head in contact with 1/8"alum. mounting plate
and screw head not in contact with 1/8"steel angle framing
See ICC Evaluation Service Evaluation Reports:
ICC ESR-3223 ITW Buildex TEKS
ICC ESR-2196 Hilti Self-Drilling...Screws
ICC ESR-1976 ITW Buildex Self-Drilling Fasteners
ESR-3223 ESR-2196 ESR-1976
Tensile Pull-Out
Table 2 404 Ib
Table 2 254 Ib ,
- Table 2 303 Ib
Tensile Pull-Over
Table 3 714 Ib
Table 3 943 Ib
Table 3 1125 Ib
Allow. Fast'r Tension
Table 4 866 Ib
Table 5 455 Ib
Table 5 2654 Ib
Allow. Fast'r Shear
Table 4 536 Ib
Table 5 405 Ib
Table 5 1718 Ib
Allow.Shear(Bearing)
Table 5 475 Ib
Table 4 807 Ib
Table 4 962 Ib
Use allowable tension= 254 Ib
and allowable shear= 405 Ib
Stress ratio=7.9/254+3.8/405= 0.04 <=1.00;OK
12 of 12 8/9/17
CITY OF ZEPHYRHILLS
5335-8TH STREET �
(813)780-OQ20 1$733 �
BUILDING PERN�IT '
PERMIT INFORMATION LOCATI4N INFORMATION
Permit Number. 18733 Address: 6450 GA�L B�VD �
Permit Type: COMMERCIAL ZEPHYRHILLS, FL. �
Class of Work: S1TE WORK Township: Range: Baok: �
Propased Use: NOT APPLICABLE Lot(s): Btack: Section: '
Square Feet: Subdivision. ClTY OF ZEPHYRHILLS ;
Est.Value: Parcel Number: 02-26-21-0000-00900-0050
Improv. Cost: 580,000.00 OWNER INFORMATION
Date Issued: 810912017 Name: GH&G ZEPHYRHI�LS ��LC
Total Fees: 1,845.00 Address: PO BOX 55Q709 575 PHARR RD �
Amaunt Paid: 1,845.00 ATLANTA, GA 30355-3209
Date Paid: 8/09/2017 Phone:
Work Qesc: S1TE WfJRK F(aR WAWA CONVENIENCE STORE
CONTRACTUR S APPLICATION FEES
AT CONSTRUCTION MANAGEMENT INC BUILDING FEE 1,845.00 ;
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Ins ections Re uired
FOOT 2ND R U H P UMB SC ! ULA ON CEI !NG
FOOTER BOND DUCTS INSUTATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
9ST ROUGH PLUMB PRE-METER INSU}..AT{QN WALL MISC.
DUGTS INSTALIED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CQNSTRUCTfQN POLE FRAINIE MISC. M1SG.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.8Q (2)(c)the
local government sha{I impose a fee of four times the artzount at the fee imposed for the initiai inspection or
first reinspection,whichever is greater,for each such subsequenfi reinspectian.
NOTTCE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be faund in the public records of this county, and there may be additiona( permits required from ather governmental
entifiies such as water management, state agencies ar federal agencies. �
"Warning to owner: Yaur failare to record a notice of cammencement may resalt in your paying twice far
improvements to yaur property. If you intend to obtain financing, cansult with your lender or an attarney!
before recording your notice of commencement." '
Complete Ptans,Specifications Must Accompany Application.All work shall be perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.Q. I
NO OCCUPANCY BEFORE C.O. �
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CO RA TOR S PERMIT OFFI R
PERMIT EXPIRES IN G MONTHS WITHOUT APPROVED INSPECTIC}N
CAI.L FOR INSPECTION - $ HOUR NOTICE REQUIRED
PROTECT CARD FRC�M 1NEATHER
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tiESt0B�l71AL Attect�{2}f'�o!P2er�a:(2I sats a!8a�tng Pt�n�tt�sut of Energy�orms:R-Wni Petmm�iar navr eanatrudtcn,
aQnrmum eer►(i�warkt�etays a4[ersnbmam3 aace.Rsquu+zu u�at��e�ns�cad�an Ptairs.stonmvaeer3��nstivJ s9tt�instanea,
Ss�s�4tsry�actliCies�i i dumpster,St[ett�tatk Permi!forsu6dFvtstanstiatge Ptoletts ;
COb7Ed�iCldL Atlach t2)ecmPtste sota d8u�4d'arg Ptans pSas a iltn Safeiy pa8�p)$et of Energy�omts.R-O Yit Petmt't/or n8v+cofastruel'mn. { :
Mi»imum!en�fOj tvorking days aRmr sUbmNtai ddi9. R9qtured ansRe.Cots5tsuclle�Ptans,Statr+xwahst i?[9ns��t S�t Feace tsrs�anad, i �
Saratar�*Fac�Tuea&idumpster.SrieWmkPc.Krnitotafl�wproJect�.Aticflmmercialrer�st►emanta�»ustmaataa�np!lanea ; 1
Sti'�S+t P�ANfIs Attach{�sels af 6tg'faoatae 17lat�s. ;
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contrac�or,mat c�ay t�e an'sr�dtcatian that he is not pr+pp�iy t'�censed and Is r�oi eniiiied t�p�rmitt�g�riv�leges Irt Pa�vn I
Gour�ty.
�'RAI�SPCtRTA�iOAt lttflE�AC7tI3'i3LITiES tli3tP,dtC'�AN�R�St3LiR�RECC�VERY��Es 7it�attdetsign�d anderstands �
€h-at Tt�tpspoztaiirsrt img�t F�s and Rec+n�R�caw�ry Fees may ap�rly tu 1he cunstrii�tfon ef neV�hui(din�gs.ch�ng�af '
use in exisGng bu�tditt9�,ar e�tansiosi of�sting bu"Cc�i'ng�ss speci�ed tn E'as�a Gouniy t7�diftance ntlt�b�t 88-07 and �
90-07,as��rtende�. "E'f1a undersigned atso urtde�stands.that suc�fees,as may 6e due,v,�'q be td��6ed at the�im�*of � �
permftt�ng. it is fact�er nnderst�d fha�Tirar�sport�tt�i�pact Fees and l7,�utce Recov�ry�ee,s tn�+st i�e paid prior to �
rec�ivir�a°raer�'ficate af ocxup�cy"vr final pavrer rel�. If the prc�j�ct does nat inu�olvs a ce�'rcate af cccupan�r nr f
5nad pav�r reiease.th�fees rr�st i�e paid pr3a�r ta pern7�i i�suanc�. Furfherrnrn�e,iE Paspa Cvamty WatsrlSewer lmp�t
fee�S�te tiue,they metst be paId gtinr ta perrnit iss�ranee in acxordenca v►n'th appiir�a'bte�Pass:o Goun[p ordir�a�ces. � + •
Gfli�S�Etti�'tDN Lt�W L�4�iGbapier�93,i�lo�ida 5i�fuiP.s,as arnended}: lE valuaGon ofwork is�2.5QQ.t3D nr�nar�,! ;
cec#ity �at 1� the �sTic¢�nt, hav� been provided vi�tt a copy o�fhe'Ft�ida �nsfrucctian Uee La�u--�[omenwn�r�s �
Prnt�tian�raidea pr�pared by tfie�i�►id�Departrnent of A�tia�ltttte�nd Cot�sumer AfFat�"� lf�te�gpllcant is sa�'r�eone . .
other ftran Ute ouunet".i cetWy that i have iabtauteci a cop�r of the abave dest�n'�ied�c�sYnent anr3 psomis�#n go���h!o ;
de�ivar i#to the"ownPa'prinr to commEncemenL �
�,t7t3�'R1kGTQR'SJO�if�1�R'S A��IDAVi'f: 1 cectiiy thai al!4he lnfortn�t�oit 1n thi5 a�licat�on�s accttrate attd#hai all wcastt
wi►ti 6e done irt cornpti,�nc�w3tt�af!applicab4e laws tegl�Ya�tng consk+r�cki4n,zoAIng end land tielrelnpm�nt Ap�an is �
heret�y made to obi�in a germit ta da tn�a�t and �ns#al�atiorl as End'u�te�i 1 cer�iTy that ncr wcu2c or€r�ttaliation 3xas , � �
cnmmenced prtar ia issua�aF�perm+`E anB tha�a!l vwrk�rr�t ba ge�!'arrr�i to meet sta�td2�ds a�all taws r�gutat+t�g �
r.on.s�uci'tam, Caun�jr an@ City cQdes,zcn'sa�reg�latiracts,end land devefapment r�guta�ons in tbe jt�ttstt�d�4n. !atso �
certify that t ynders[and il�at th�regut�ttos►s�af ot�er govemme�t agenci�s�ay aP�1Y ta�e tnt�nciad cvatk,and tMat ft is
•my res�wns��ity ta tdent[Ey tivY�at ac�cros!rnt��t take to be En cq�ttpf'rant� Sss�agsric�es�ci�sd�be�are not lirnibed#o: � ,
- �ep�uis�ent of EC�Vt�tuttetttal Pto#ecGt�rt-Lyptess BaYheads.W�1�nd Areas�nd�r►vironttteani�ty Set�si#iV8 i .
Lanas,vVacertw�see�aferrreatme�t.
- S4uthWest Flot�d� W�ter ManagernenE L?istds��flteils, Cypr�ss Bayhe�ds, tlYeflactd Ar�s„ 1�itng �
U4/fl�CCG1I�5E:,5. �
i - Army Corps vf�gic:ser�Ss�aal�s,Qot�cs,idzavigai�Is 4fVate�nrays. ?
- i�egarirnent of Heatkh &�ehab�ita#�v�Sez�►ic,�slEnvicanrrttental t3eaith Unit vvet�K UVastevv�t�t 1'r�atment, s
Sept�a'Ta�►ks. �
• US Entrironmenbl Protec�n Agenc3r-Ashestas at�at�men�.
FedeialAviat��AuElsor3ty-�tunuvays. � ;
i undatsiand ihat 3fle i'o1[a�nrissg restrictios�s a�ply to ihe ease oFfiE� : ;
» Use of f�!is not aqcswved in F�oc�d Zrma'V"un4�ss�xgresgl�permttted. ; ' ;
- �f the c� ma�er�a� is to f� ussd tn Eiond Zcu�e A. ii is undersioad that a draisiag� pYati addressit�g a ;
°c�ttnpensat't�g volutrte'ttsti!!fr�submttted at�irae of pettt��t#i�w}ut�Is pr+e�ated 8y�proiessiara,t er�ineer � j ;
ltc�n�sci b�y!he Sfate�f FForida. � �
- !f#he fii!matea`ia!is to be used in Fl�oct 2one"A"�c�anr�ection with a p�rnnitted bniidirsg using stem waii ' '
c�nnstrur�ion,t cet�'fy that tsit e�n"!t be used�fy ta�!!the areawtEtila tYte ste�rt v,�a�. } � ;
- �f fill tnateriat irs fo be used it� any area, 1 cer6ty 1�ai use pf sttch�tt wiift riot�dvets�ty�'ed adjac871t ;
Prc�erk�s. [E usa ttf fst!is fputtd to�dvetsely af#e�t�acet�t ptr�perites,#tt�ot�mmet tsraY b�t�ted itsr v3o�ating j i
th�c.ondtiens of#ha iw�ld�ng gettrtit�Ss�ed utstie�'tttB atlacited permS#apgli�a�ott,ttt�'tots less titaa ene{�i} �
acre which are e�:vated by fal},at3 englneerec3 drai�rage ptan Ts requfr�i. ?
If 1 am the AG�[+!T FOR 7WE QW�1F�2.i prarntse'sn gaod fa�h to�form the s�mer af 3hs�rmittir�q cand€C�5 583.�rth t� ' i
12►1s��davit prior#o comutte�tCTng c:sartstte�#inr�. 1 u�tt3etstanrJ that a ss�m�ats petm�trtay be rec{tfrte�3�eiedricai td�otK, �
pfumbin9.signs,wetis� Paats.sir condr'�nning=sas,oc ott►er inslatia�oc�s.not sp�a"fccatty�luded its ttte ap��ratiort. A, , ;
petmit�Ssued shali be car�struacl ta be a�fcanse ta praceed vsn�lh the wo€tc anS ru�t as attttton"ty ts�vtat�te.canr.el.atEer,or ' _
set asIde any provislons cF ftts te#tr�[s;at cz�de�rtor st�l�3sstiat�ee af a per�s�t p�svent#he��itdmg t}fftd�t fm;n tirereatt+�r !
reqedring�conectinn af srcars in glans,consttttclio�or"v�o�tic�s of a€ty t�des. G-�t��y{�8frtltt tsstted s#�14 b�invaitd !
ur�tess fhe vvotdc auth��zed by suc#�gerrr�lt is co�rtmEttcBd�►n'tf�n s3x rnor�ihs of�rmit isscrancs.or lf vxsrk aut�iarized by � ;
t���etmit�s suspendsd+ar abandonsd far a perfod af sbc�S)manths aEter the tirtxe th�wotk Is commenc�d. Rn e7dsnsion � s
may be requested.in writing.irotn tt�e Su�ld€z�,g tlFficia!tar e ger�od�tot to e�€ceed iitnel�t{9t#j��ys aitd tlifii d�rnottst�at� . ?
jtfst{�abie catts�fatfh�e�on. �f v,aukc��esiar run$iy{9�)cat►se�tfivedays.the jot►is cansider�d at�andaned � 'I ;
1NAl�4+tIN�TO#)lfi�l�R: YQllR FA!l�1R�TOh RECORt3 A.�it3'fiCE K)F COMflA�tdGgM�7 iVf1�Y RESt�i.'f'�l Y011R � �
�aYu���rw����oR iMPRc3tr�M�+f�s 3t3 Yoi3R PROi���t�'Y. i�v0u it�TENri Tc1 o87'AEN�N�NG,Got�.SEtZ.T , I "s
w�t't��' �t -rrt� t��z�co�t��to€t�cntt� cr o�co�nrn��ac�n�n: �
FWRUTAJURAiT(F,S.1i7Q3j �>�� SEPJ� '�'�i " ( tt ,-�'r. � #
�i�Ft ott ACEtor ' , � ���,,,,....,"'��{�r�"..cat4rRe►cxoR "�'� a `iy+�G{'i:7.� 1`�i'n �7 zi7�—,xGJ� r
Suhsctibsdaed tn(ta ''�'S�r�rbecn'6edsrtdawarr:io( o!!" farcma " I �
1Mralsr ersnna wAto ar '�� �i{1C<sislBt+��pt�sh�liyk►scrtti o cr uue�t i ;
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as tde��on..a� "'�" �;@� asidenYrstcal�cn. � i
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MMOEVWEALTH Q� P NS AhS1A �
t�tOTARIAI.SEAL t
Jahn C}.Curran. Notary P�fio ;
Upper Darby 7'wg., l�elaware Gourtty , {{
My Corntts'sss'san E ines March 45,3820 (
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727-72�-1264 ,'
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�ty of Zephyri�ills Buildin$Department I
5335 8`�Street 7.epbyrhills,FL 33542 ; :
813 78U-002A j ;
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� This ietter is an au�horization Ietter for the fQ4lowing empioyees to have appraval � (
to sign and picEc up�rnnits on bei�atf af AT Construction Management Inc. j
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Emt�tavee'� . �, �
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John 1�larryn � �
-Andy Martyn � �
Tom Reuth�r ; �
-Craig Wilson �
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COMNlONWEALTH OF P�tdNSYLVANtA
Nt�TARIAL SEAL � � �
Jahn D.Curran, Notary P�lic
Upper D2rby TwA., f3etav�are Countg �
My Commission Exp"€res March�8,2fl2o I,
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COMMONWF.�LTH„Of PENNSYLYII�lA
NOTARIAL.SEAL
MICHI�EI A'BAIOCCO
Notary Pubfic _ ,'
CHESTER H@!¢HT8�BORQ OELAWARE CilUNFY
�v�dalnNa9lnn11cecommaneamariLDe069040 My Commission Explros Dec 28,P018
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FDOT
Flo�ida Department of TranspoYtation � ,
RICK SCOTT Brooksville Operations Center MICHAEL J.DEW
GOVERNOR 16411 Spring Hill Drive SECRETARY �
Brooksville,FL 34604-8167 �
352-848-2600* 1-866-750-9173 '
August 23, 2018
GH&G Zephyrhills, LLC I
Daniel Howe '
101 S. Bay Blvd., Suite B-3
Anna Maria, FL 34216
Subject: Final Acceptance for Wawa Zephyrhills (US 301 & Eiland), FDOT Access Permit 2016-
A-798-40 & Drainage 2016-D-798-35 (use these number(s) in reply), Section 14050, SR
39 (US 301), MP 6.240—6.300, Pasco County (with Culver's Permit 2017-K-798-043)
Dear Permittee,
The Florida Department of Transportation (FDOT) is issuing this final acceptance and notifying the
permittee, they may commence using this connection in conformance with the Permit. '
The connection substantially meets the intent of the permit and FDOT standards. The FDOT is not
liable or responsible for the design, construction, inspection or maintenance of this connection. The i
owner must maintain this connection, the connection's pavement, traffic signs and striping within the
FDOT right of way as follows: �
• Rural road (without curbs/sidewalk): from 5 feet beyond the roadway's traveled way or the �
paved shoulder; OR
• Urban road (with curbs/sidewalk): from beyond 2 feet behind the back of sidewalk or to the i
right of way, whichever is less (see Florida Adminisfrative Code (FAC), Chapter 14-96.016, and
Design Standard 515). � '
If this connection's design,�or construction work and materials fail or adversely affect traffic, roadway
safety or drainage, the FDOT will notify the permittee for corrective-action. If the permittee does not I
take appropriate action, the FDOT will make corrections at the permittee's expense.
Sinc rely, � � ' �
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,
o Kilkenny
ntracts & Permits Manager '
Enclosure: Bond return
Copy: Todd Crosby, P.E.,Operations Programs Engineer
Bohler Engineer, Inc., Kyle Morel/Gregory Roth,3820 Northdale Blvd.,Suite 300B,Tampa, FL 33624
Ingenium Enterprises, Inc.Joey Mantegna, 14499 N. Dale Mabry Hwy.,Suite 250,Tampa, Florida 33618
City of Zephyrhills, Bill Burgess,5335 8�'Street,.Zephyrhills;�FL 33542
www.dot.state.fl.us