Loading...
HomeMy WebLinkAbout20-526 D Q City of Zephyrhills PERMIT NUMBER >= ,, 5335 Eighth Street Zephyrhills, FL 33542 BNC-000626-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: • Permit Type: Building New (Commercial) Property Number Street Address 35 25 210130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Building New(Commercial) Contractor: BUFFALO CONSTRUCTION OUTPARCEL LP Class of Work:New Construction INC Address: 100-2851 John Markham On UR Building Valuation:$850,000.00 5R7 St Electrical Valuation:$115,000.00 Phone: MM-1550 Mechanical Valuation:$110,000.00 Plumbing Valuation:$40,000.00 Total Valuation:$1,115,000.00 Total Fees: 3 —y/�j 24 Amount Paid::$98$98,307.5.51 s lam.J1 Date Paid:3/15/2021 8:48:21AM Project Description NEW CHICK FIL LA RESTUARANT 4783 SQ FT Application Fees Transportation Impact Fee-City $1,347.20 Building Plan Review Fee $2,140.00 Building Permit Fee $4,280.00 Fire Plan Review Fee $143.49 Fire Inspection Fee $127.52 Public Safety Impact Fee(Non-Res)-Admin $84.50 Electrical Plan Review Fee $307.50 Transportation Impact Fee $133,372.80 Driveway Fee $45.00 Plumbing Plan Review Fee $120.00 Mechanical Permit Fee $590.00 Plumbing Permit Fee $240.00 2"Water Meter Residential Connection Fee $3,225.80 Mechanical Plan Review Fee $295.00 Public Safety Impact Fee(Non-Res)-Police $815.00 Water Impact Fee $16,059.00 Irrigation 1'Meter $1,298.30 Electrical Permit Fee $615.00 Wastewater Impact Fee $33,231.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. CANT PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER w r nriiail City Of ZephyrhillS PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 DBILEHOME-001689-20 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 03/15/2021 Permit Type: Mobile Home Property Number Street Address 35 25 21 0130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Mobile Home Contractor: BUFFALO CONSTRUCTION OUTPARCEL LP Class of Work:Mobile Home New INC Address: 100-2851 John Markham On L3R Building Valuation: 5R7 St Electrical Valuation: Phone: $ M-1550 Mechanical Valuation: Plumbing Valuation: V Total Valuation:$0.00 Total Fees:$110.00 Amount Paid:$110.00 Date Paid:3/15/2021 10:38:11AM I Project Description CONSTRUCTION TRAILOR CFA Application Fees Mobile Home-Electrical Fee $45.00 Mobile Home/Park Model/RV Setup Fee $65.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property.If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRA OR SIG NA URE PE IT OFFICE PERMIT E 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a,3•iea oa2o City of Zephyrhiits Permit Application, Rw4113-780-021 Buif�ng Depanmen! GC-Rachei 502 Z53 6624 Date.Recalwd - PbotmCcnbK$forPemtiKin ; 954 426 514¢ Ownara Nana Chick-fil-A,Inc- _ Owrwr Phan K=dmr (404)765.8000 Ownrre Ad"as SI00 SuffutatonRoad,Ad-ea,GIL 30344 Ownwph,,e Number FeeStmpi2maheldwNana SFZephyrt:enlmonsOutparceiLP Owna►Priem Numtser I9S41557fiBT9 Fee Ssnpli.TWsholdarAddfeas 28S1 John Street Suite One,Markharn,Ontario,VIR SR7 _ JOB ADDRESS Northeast Lerner of Highv ay 301and Pretty Pond RdW (7490 Gall B(Vd_) LOTH it SUBDIVISION Zephyr Cornrimns PARCEL IDN r35 IS21-0130 Ob000 fI11U 9 (�tawmr�ul�ttapEarYnxaore� . WORK PROPOSED sr-N. Q Q, DEMOLi9i tr_ Ell REPi11R PROPOSED USE L= SFR COFE67" = OTHER - TYPEOFCONSTRUCTION 0' t wc- =X FRAME. ] .STEEL ,ED i! DESCRIPTIONOF..WORK eruct new fa_st,food restaurant with diiire thra BUILDING SIZE I SO.FOOTA.GE' C,689 MEIGtfi 21'-6' - =BUILDING � -vALU4T10NOFTOTALCONSTRUETiaN ELECTRICAL 5 1 ,oQQ.QO AMPSERVICE EROGRESS'.ENERGY = W.R.EC, _ 2,200 AMPS �nLUMeING s 1 i7;000.80 � , ' MMEq AMC.RL S 125,0di}.Q0 VALUATION OF MECHANICAL IN57ALLATiON GAS Q ROOFING SPECIALTY Q OTHER' FINISHED FLOOR ELEVATIONS � ,. FLOOO ZONE AFG =YES Q ;YI "r jjjrrr R r f//1 /� �' `= ?{� Buffalo ConstrucUon,Inc_.BIX,PE $*NATURE �� ��{�>rZ �.�.- &�� �-�sED E'Yf N rmamaD. j.YIU t Address 12700-0fto Knop Drive,Louis{ilI6,KY 402991 U....... .CBC12a2233 ELECTRICIAN - COMPANY GEC Eiectricat Contractors,inc- SIGNATURE - _ _ _ FfiGtST<RFn Y l N FW mmap._ I Y t'N Addnm 3175 Quail Ridge pr., ChipSey, FL 32422i UcaiSePk - PLUMBER COMPANY as P(umbirig,tnr. SIGNATURE i REGMTEP$C =Y f N' . 1 EErCUF OV .11 Y f'N Address 6208' E': cCSumUds Dr_., Tampa, FL 33619. LicensaK Douglas i MECHANICAL � CoiflP�etY g[as'Tayi_or A/C&Refrigeration ,t SIGNATURE REWSTOtM. F Yf N I FBE'CRItD: Q Y'RN - Address 6560 Pl6tb Ave. 8.,. Lax ct' FL. 337.71. - - s i OTHER i a �]}ix+ � i r r cEO� rrrrrr [ [ rrrrirr"r[ir"try [ i � [r �rrrrri[irrrirtrr [[r"irr [ [ rr � [r [rrrrr� r� r RESIDENTIAL Atteen(Z)0=Plans:(2)satsare_ t]1rgPtai±s(�tjtmLotEnargyF:afrms;R•o-w'PumFtfornawecnn»tn,t o,,, pAhtmw r ten'(f0}morning days aRor suhmttteT dale. itequiied.or>slta,Cemirudiorl Pitms�Sterma,7ter Plaatq wf 3Tt Fence inLtalled'. Sanitary F&cilitirs&t dumpuar,Site WoM PermLL far suhdlvlsiolaAartg pruiecle COMMERCIAL Attach(2)camPlatesets al,Bul"Plans plus a Lira Safely Page;,(tj sat_d Energy,FaRna,.R-0-W Pefmitrar neweanslxuason.. Minimum ten(10juuxkirgdaysnRarwtrmAtafdata RtsgriredrxtslFe,'Conrli6n:Plain,Siomr:eeterPk+nstvr3%tFencefristrdted, SeniLxy FgrElltis L 1 dumpaWr,SEte Vvork Permit(Cron ri� eia prapeti,An rmercW Mc u*da antsrrnxc t mast comptznre SIGN PEfRM[T AttBCn(2)sets did Plata -"PROPERTY SURVEY faqufad Tor all NEW=mUudiwt. DtfacUon+'� �`i r r f i:r 1 r I.i-ti I r FRI out applintien calnpietety. Owner A ContraclQ aloft back of application,notarized If otrer i25W.i Nddcs cf Cwamaho want Ls mqutmd_ (A!C upgndaa_ovai$7500) Agent(for the contractor)or Pmer of Attorney(forthe cmw)awuI&be am mom w th nataJizad lauar from,owner atthmixing same OVER THE COUNTER PERWTTING (COPY of cmlr=required) Reroofa if ehingtea Sewem Service Upgrades AtG Fences(PtallSurvay/Foot ge) Ddvswaya.•Not aver Counter Sort public rcadnmys-iiaads ROW ti RASCO COUNTY, FLORIDA r _ Permit No. t Date Permitted Builder Name/Owner Name 10ZA a�ts�lk Control#' County Parcel No. c1 Z-5 Z-1 Qrab 0000e)0/16 SubDiv: Address/Location 74/y0 ' Classification/Type of Use /&g of e-, L"1 TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: i Exempt ❑1'es ❑ No How Determined Impact Fee Amount $..! _ } Zone No. TAZ: I SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $' f (057.) Mobile Home . E (058) Other Residential �Nis 23) Collection FeeExempt ❑No. How betermined- PARKS AND RECREATION FEE. Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt ❑Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facillty.Credit, Faciiity'Total Exempt ❑ Yes ❑ No How Determined Total Amount RESOURCE FEE . ERU TOTALAMOUNT Prepared By Checked By: NO CERTIFICATE.OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED,UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN•PAID AND. . RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,placing the building permit owner.on notice of this assessment and the conditions of payment for same. DATE RECEIVED.BY RECEIPT NO. DATE BY i. " eu 4atr or?"� �" Sew Ptaz .LwiewFee Paid ,Amowat 46VO Da�e � �^ _ in-4- {j Ii I • . -'f";�al_Ascbui3}S'�_C'v�iytieeF Cry�iCx�lions AA PJA___:�ht� tett ions ;_cSWFW_Irtb '&Qtwh . 01TE ILL_Am 4c'u'u` _c l>G Mgo 01 a.l L% LEGAL DESCRIPTION : LOT 11, OF ZEPHYR COMMONS PHASE 1,ACCORDING TO THE PLAT THEREOF~ AS RECORDED IN PLAT BOOK 65, PAGES 132 THROUGH 142, INCLUSIVE, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. FLOOD NOTE . _ THE LANDS BOUND BY THIS SURVEY ARE LOCATED WITHIN AN AREA HAVI FLOOD ZONE DESIGNATION "X" (AREA OF MINIMAL FLOOD HAZARD) BY THE G A FEDERAL MANAGEMENT AGENCY(FEMA).ON FLOOD INSURANCE RATS NUMBER 12101 CO289F, DATED SEPTEMBER 26, 2014, AND MAP NU 12101CO293F, DATED SEPTEMBER 26, 2014, WHICH ARE THE CURRENT INSURANCE RATE MAP.S.FO'R'THE COMMUNITY THIS PARCEL IS SITUAT , . REPORTPLAN DETAILED " 111 1 FOR OF Plan Type: Site Development Plan ReviewProject: ZEPHYR COMMONS App Date: 06/30/2020 Work Class: Resubmittal/Amended Site Plan District: City of Zephyrhills Exp Date: NOT AVAILABLE Status: Approved Square Feet: 0.00 Completed: 07/21/2020 Valuation: $0.00 Assigned To: Audrey McGuire Approval Description: CHICK-FIL-A Expire Date: 09/01/2021 Parcel: 35 25 21 0130 00000 0110 Main Address: 7490 Gall Boulevard Main Zone: Community Commercial(C2) Zephyrhills,FLORIDA 33541 Engineer Landscape Architect Applicant Owner BOWMAN CONSULTING MANLY LAND DESIGN,INC CHICK-FIL-A SF ZEPHYR COMMONS GROUP 51 OLD CANON ST 5200 BLUFFINGTON RD OUTPARCEL LP 13450 W SUNRISE BLVD 320 ALPHARETTA,GA 30009 ATLANTA,GA 30349 100-2851 JOHN MARKHAM SUNRISE,FL 33323 Business: 770-442-8171 X 102 ON L3R 5R7 ST Business: 954-314-8480 CANADA, Business: 813-502-1550 Invoice No. Fee Fee Amount Amount Paid INV-00000393 Revised Site Plan Review $500.00 $0.00 Total for Invoice INV-00000393 $600.00 $0.00 Grand Total for Plan $500.00 $0.00 Condition Description Date Created Satisfied SIGNAGE Signage shall comply with applicable ordinances 07/31/2020 No FAA Notice Criteria&Applicable 07/21/2020 No Authorization(s) Final As-Builts&Engineer's 07/21/2020 No Certification(s) Conformance with Approved Site 07/21/2020 No Plan&Landscaping Plan Required SWFWMD Permit(s) 07/21/2020 No March 09,2021 _� 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Restaurant (A) Conventional No. of Seats Impact Fees For Type A Within City Limits Outside City Limits Water Facilities Capacity Fee $ - $ - Wastewater Facilities Capacity Fee $ TOTALS (!)Fast Food/Drive Through No. of Seats �� 159 ir. Impact Fees For Type B Within City Limits Outside City Limits \ Water Facilities Capacity Fee $ 16,059.00 $ 20,073.75 , Wastewater Facilities Capacity Fee $ 33,231.00 $ 41,538.75 TOTAL $ 49,290.00 $ 61,612.50 S _ (C)Deli/Sandwich Shop with no dishwasher and disposable dinnerware Seats Impact Fees For Type C Within City Limits Outside City Limits Water Facilities Capacity Fee $ - $ - Wastewater Facilities Capacity Fee $ - $ - TOTAL $ - $ - (D)Bakery o.-of Square Feet 48.4 r: i act bes For Type D Within City Limits Outside City Limits Water Facilities Capacity Fee �� $ 1,010.00 $ 1,262.50 Wastewater Facilities Capa ity Fee $ 2,090.00 $ 2,612.50 TOT `' $ 3,100.00 $ 3,875.00 � � r Square Feet Dollar Amount 3 Valuation Building Electric _ 5�- Plumbing � of Mechanical Padua- Connection Fees: Sewer Water Iyf Meter � •iCia,�caPi = mpact Fee: = ox, Transportation Impact Fee: Jacqueline Boges From: Kim LeBlanc <kim@corporatepropertyservices.net> Sent: Monday,August 10, 2020 11:03 AM To: Jacqueline Boges Subject: Chick fil A#4040 @ 7490 Gall Blvd.Zephyrhills EXTERNAL EMAIL Hi Jackie, Here is the breakdown for the job cost: Building$850,000 Electrical$115,000 Plumbing$40,000 Mechanical$110,000 Do we have a process#for this yet? Thanks, Kim LeBlanc I Project Coordinator CPS CORPORATE PROPERTY SERVICES 1239 E.Newport Center Drive, Suite 113 Deerfield Beach, FL 33442 Office: 954-426-5144 1 Facsimile: 954-570-33911 Cell: 954-882-2425 Email: IdmgcoWor"e MeMLservices.net 813.780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 Building Department GC-Rachel(502)753-6524 Date Received Phone Contact for Permittrn 954 1 426 .. 5144 .11 1'1 i t i�l" Q J. 2..r..r-rr.r. . .. ....t'.1"1' T I-'t"I'"1--t' L7.'S .. Ownefs Name Chick-fit-A,Inc. Owner Phone Number (404)765-8DOO owners Address 5200 Buflington Raad,Atlanta,GA 30349 Owner Phone Number —� Fee Simple Titleholder Name I 5F Zephyr Commons Outparcel LP Owner Phone Number (954)557-6879 Fee Simple Titleholder Address Z$51 3ahn Street,Suite One,Markham,Ontario,43R SR7 JOB ADDRESS Northeast Garner of Highway 301 and Pretty Pond Road (7490 Gall Blvd.) I LOT V 11 SUBDIVISION 1 Zephyr Commons PARCELIDq 35-25-21-0130.00D00-0110 L (OSTAIMED FRO+r PROPERTY TAX NOTICE) WORK PROPOSED e t EW CONSTt ADDIALT L^J SIGN Q [� DE1,10LISH REPAIR PROPOSED USE SFR © c&7% OTHER TYPE OF CONSTRUCTION O BLOCK M C—F-R-A—%tF",N STEEL Q DESCRIPTION OF WORK Construct new fast food restaurant with drive-thru BUILDING SIZE $O FOOTAGE 4,689 HEIGHT ®BUILDING $ 850,000.00 1 VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL s 120 000,00 AMP SERVICE 1,200 AMPS Q PROGRESS ENERGY O VY-R.E.0 PLUMBING S 117,000.00 ®MECHANICAL S VALUATION OF MECHANICAL INSTALLATION 125,000.00 pGAS Q ROOFING O SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 129.50, FLOOD ZONE AREA =YES NO BUILDER �y -eee r BuN a10 Construction,Inc. SIGNATURE ��` '� RED I Y I N FEE CVRRcr. I Y i N Address 12700 Otto Kno Drive,Louisville,KY 402991 hosinse p CBC 1262233 �� ELECTRICIAN .�//j �" COMPANY GEC Electrical Contractors, Inc. SIGNATURE f/ 7/�� REGSTCnrD I Y! N FEE bJAREr. I Y I N Address 3275 Quail Ridge Dr., Chipley, FL 3242 N�li� 2i�/r�1 License A PLUMBER COMPANY �JBS Plumbing,Inc. SIGNATURE REG.STEREa L Y t rJ J FEE cLARM I Y(N Address 6208 E. Columbus Dr., Tampa, FL 33619 �`— License Ifr��� MECHANICAL COMPANY Douglas Taylor A/C&Refrigeration I SIGNATURE REGISTEREL I Y 1 N FEE CURREN I Y I N 6560 116th Ave. N., Largo, FL 33771 Address License R i OTHER COMPANY ^--I SIGNATURE REGlBTERED Y/ N FEE CURRtt. I Y I N Address License F f Y� IIIIIIIIt11111111t11I11ItI11Ittiltillitlilit11it1ltilitiitTttttitii RESIDENTIAL Attach 12)Plot Plans;(2)sets cwt Building Plans:(1)set or Energy Forms;R-O-W Permit for new construction, himimum ten(10)workiN days after submittal Cate Required onsite.Construction Plans.Stormwater Pans w!Sill pert+installed. Sanitary Facilities fl 1 dumpsier;Site Work Pamir for subdivisionsAarge projects COMMERCIAL Attach 12)complete sets of Building Plans plus a Life Safely Page,(1)set of Energy Forms R-O-W Permit for now construction Minimum ten(W)working days after submittal date. Required onsite.Construction Plans.Stormwater Plans wt Silt Fence installed. Sanitary Facilities 8 1 dumpster.Site Wort Pemai for all new projects AN commercial requirements must meet compliance SIGN PERMIT Attach(2i sets of Engineered Plans "'-PROPERTY SURVEY required for all NEW construction Directions: Fill out application completely. Owner d Contractor sign back of application,notarized If over 52600,a Notice of Commencement is required. INC upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized teller from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Rereols if shingles sewers Service Upgrades A!C Fences(Piousu-ey/Footage) Driveways-Naf over Counter it on public roadways needs ROvV Bt3780002U City of Zephyrhills PerTnit Application Fax-813-790.8BP1 Building Department GC-Rachel(502)753-6624 Oats Received Phone Contact for Penvi tin 954 426- -- 5144 1-rrrTr-f T T I Owner a Name.. Chick-fil-A,Inc- Owner Phone Number (404)765 8000 Owned Address 5200 Buffington Raad,Atlanta,GA 30349 Owner Phone Number _71 Fee Simple Titleholder Namo 5F Zephyr Commons Outparcet LP Owner Phone Number (454)557-6879 Fee Simple Titleholder Address 2851 John Street,Suite One,Markham,Ontario,UR 5117 JOB ADDRESS Northeast Carver of Highway 301 and Pretty Pond Road '(7490 Gall Blvd.) j LOT i C� SUBDIVISION Zephyr Commons PARCELIMM 35-25-21-0130-00000-0110 71 (OBTANEO R11011 PRO IITY TAX WITIM" WORK PROPOSED X- �EtVCONiT ADDIALT Q SIGN 0 = DEMOLISH e. M+orIMU l_J REPAIR PROPOSED USE = SFR © (XlM.1' = OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME- = STEEL = DESCRIPTION OF WOWConstruct new fast food restaurant with drive-thru -- - - - - - --- 21' 8" -- ---- - ----- --- BUILDING SIZE ------'--'-----� SO FOOTAGE - HEIGHT"--" - ®BUILDING S 850 DW.00 VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL S.120,000 00 AMPSERVICE =1,200 AMPS PROGRESS ENERGY W.R.E.C. ®PLUMBING S'117,OOQ00 ®MECHANICAL S 125,000.00 VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS 129.50' FLOOD ZONE AREA =YES NO BUILDER �ui y Buffalo Construction,Inc. S(GNATTlRE �41 � d tsrEr'heo YIN FEE CURREN Y I N Address 112700 Otto Knop Drive,Louisville,KY A0299 License C13C1262233 ELECTRICIAN COMPANY GEC Electrical Contractors,'Inc- SIGNATURE REGGTL-RED I Y I N FEE CURREh. Y f N Address 3275 Quail Ridge Dr., Chipley, FL 3242 liceru5e IY PLUMBER COMPANY J&S Plumbing,Inc. SIGNATURE Rr cISTERwI YIN I FEE CURREN LY-1-Ni Address 6208 E. Columbus Dr., Tampa, FL 33619 UcenScIt CF t a MECHANICAL COMPANY Douglas Taylor A/C&Refrigeration SIGNATURE REWTERED I YIN FEECOMP. I YIN ' 6560 116th Ave. A., Largo, FL 33771 l�censeN Address OTHER COMPANY SIGNATURE REGISTERED I YI N FEECURREA I YIN Add. Licanse It. IIIIAIIt1el111111t ( lltll1I11111111 I'll illll1111111lltllllltitill Niel 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)woftT days after submittal dale. Required onsile,Construction Plans,Stormwater Plans w!Sill Fence Installed, Sanitary Facikies&1 dumpstar,,Site Work Permit for subdivistonsilarge pnrjusls COMMERCIAL Attach(2)complete sets of Building Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Pe mil rdr new construction. Minimum ten(10)hwrtding days after wbrnitlal date. Required onsile,Construction Plans.Starmwater Plans wl Silt Fence installed, SanitaryFacifilies&1 dumpstar.Site Work Pmnn for all new pro)ecis All commercial requirements must meet compaance SIGN PERMIT Attach(2)sets or Engineered Purrs. --PROPERTY SURVEY required for all NEW construcilort I ' i t i i i.i! 1..4 1 1 i 1 1 1 1 i ' i t ' 1 1 1 1 1 1 . . . Diractiona: Fill cut appdcallon completely. Omer 8 Contractor sign back of application,notarized if over$250o,a Notico of Commasucement is required. (A/C upgrades over$7500) •• Agent(for the ow rxinr)orPower of Attomey(for the owner)would be someone with notarized letter from owner authorbing same OVER THE COUNTER PERMITTING (copy of contrail required) Remofs if shaugtas Sewers Service Upgrades AIC Fences(Poet/Survey/Footage) Driveways-Nol ever Counter if on public roadways.needs ROW Ifulxng Dapadmenl GC,Rachel(502)753-65624 Date Rocol(eci Phone Contact for Permittin- — 5144- Chick -A,Inc. (404)765-8000 ownOff'Norno Owner Phone Number Owner's Address=Sioo Buffington Road,Atlanta,GA,36349 Owner Phone Number fee Slmpl&.�Jritlebolder Name ISF Zephyr Commons Outparcelt-P Owner Phone Number (954)tS7-6979 Foo Simple Titleholder Merolla 1 2851 John Street,Suite One,Markham Ontario,L3R 5R7 JOB ADDRESS Northeast Comer of Highway 391 and Pretty Pond Road (745QGa1IBlvd.) LOT 9 ii SUBDIVISION Zephyr Commons PARCELtD#1 35-75-21.9131)tOOOO-0110 (GOTMIM FROM PROPERTY TAX NOTICE) WORK PROPOSED ADDIALT r—.--j SIGN DEMOLISH R REPAIR PROPOSED USE f---I SFR 0 C r---] OTHER TYPE OJFcONSTRUCTION M BLOCK Q FRAM STEEL DESCRIPTIONOFWORK Construct new fast lood,restaurant.witit drive-thru BUILDING SIZE $0 FOOTAGE 4.689HEIGHT MBUWING S.aw,000,00 VALUATION OF TOTAL CONSTRUCTION M3ELECTRICAL I AMP SERVICE CD PROGRESSENEkGY W-R:E.C.S 120,00.00 1,200AMPS MMECHANICAL Is 125 000.00—� VALUATION OF 161ECHANCAL INSTALLATION MX GAS MX ROOF.ING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 129 501 FLOOD ZONE AREA AYES . . . . . . . ... . . . . . . . . . . A BIRLDER C414' — 0 Y/n rZE CURREN, 1BUffalo Construction,Inc. 1 SIGNATURE ld� Address F12-7009ho K99P Drive,Louisville.KY 40291 License [—CSC1262233 9 ELECT.RICIM COMPANY GEC E��ctrical Contractors,Inc, SIGNATURE ACA31STCRD I Yl N FEE CURREI. Address 3275 Quail. Ridge Dr., chipley,'FL 3242 License 0 compANy JiS Oilurnbing jnc. SIGNATURE REGtsnrEo YI N FEE CURREN Tampa, FL 3U19 Address 6208.5. P.9lumbus Dr., License N MECHANICAL COMPANY Douglas Taylor A/C&Refrigeration SIGNATURE MGtSTERM I Y1 N FEE CURRE& I Yin Address 65 -Av N., Largo, PL 33771 uconso 0 OTHER COMPANY SIGNATURE REGISTEAED I yl n FEECUUREN YIN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Parts;(1)set of Energy Forms,R-O-%V Permit for new carstfuCtion. A!mimurti ten{T0 j+arorkirg days niter submtdal dale Requirwl rmsinr,ConSL-rlGion Plans,Stomrnatm Ptanc m'S+it Fence Ir ylalled, Szni!3fY FacTilicS&I CkimpGler,Site Work Permit for subdivision-Ox9a projects COMMERCIAL Attach(i),oDmilleto Sets of BuiWknq Plans plus a Life Safety Page;(1)set at Energy Forms-R-O-W Permit for new constfuc.ion Wairnum Isn(110j'workinq days after svbmilla!dale. Required ons;te.Construction Plans,Stormwolet Ptanz V,Sift Frxpm ii-NhM.M_ swetary Fft6'wes a I cfttmpslar�site Worl,Permit for all now proms All commercial requirements must meet ccmh7ance SIGN PERMIT Attach(2)sets of Engineered Plans, *—PROPERTY SURVEY required for all NEW con3ttuction. 44-11 4 1 l-, Directions: Flit Out approation,com"Iely- Omer&Con9aictor Sign Lock of application.PXadz&d flovar$2500,a Notice etCommen6emenlisroqtjirod. (AIC upgrades over$7500) Agent(for the contrado9"Power ofAllomay(for the owner)would be someone with notarized Utter from Owrrer authorizi�same OVER.TH E COUNT.ERPERMIi TING (Copy'of contract rerlgred) Raroda it shingles Sewers Service Upgrades WC Fames lRol/Survoyll'oolage) Driveways-MI ow Counter if on public tuadwayu-noods RDA' 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: it 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 udder 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 priirileges in Pasco County. TRANSPORTATION IMPACTIUTIL171ES 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"cr 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 S2,500.W or more.I certify that 1, 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. It 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. CONTRACTORVOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work Wit 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 Ii 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.Welland 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.Dodos.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 volum?will be submitted at time of permitting which is prepared by a professional engineer licensed by the Stale of Florida. If the fill material is to be used in Flood Zone".A in conriection 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 maybe 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 o1 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 pennit 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 jusiifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT IF S.117 ' Sui.alo ConSLfucLiCln, -..C. OW14EROR AGENT — ____ CONTRACTOR Plic,nael Bra Norz obi__,_ Sub P •d arld s 1 Ir,ro affrn.y�b�ef�ore iy this 5uhscnbed and sawn to(or affirmed),befccr,me this — :,t�7 _ by r� ._/errlQ�1f7 — 1:.:1,; :.1 by 6�,:nar a w;nmm� tm Orson IN kn^un to me er ha11.'hane producail Who 1s'aro�Flpvn tome or has.'have GroducR� ____ a;idenbficahnn _ ,as idenhficabcri C_ Public Cc m'155ton No Crinrlliss,on Pik. shD __ Name o!lnLiry ly�c printed or slamped riame o4 goi;aq•tpltnl:'pit i►1 P(% SASHOY CHAI '` yA-YNP120 *� :,, ,; MY COMMISSION GG 210408 \RCN ";,> ��o`,= 'EXPIRES:April 23r 2022 �rt�ACE•�� Bonded Thiu Notary Putil• Undenediers lint i ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE:SE'RVICE USER FEES increase 1/1/2018 Occupancy.No.: Plan No_: F Sl2:21-o Iicyn Contractor: 1�4 t-cNf Business Name: �'!/,c K , Billing Address: Business Address: `7 H 90 A&"_ '3_7 BusinesvPhone.No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE Annual- Education,healthcare,De tention&Correctional Public l Assembly,Business, schools, Storage,-Mercantile and Churches Site Plan N/C Industrial. no charge Sprinkler $50 'Multi-Family/Commerclal .03 sf up.to 800 sq ft $ 24.00 Standpipes $50 (Minimum.Charge$24.00 801-1,500-sq.ft $ 34.52 Fire Pump $50 0'Plan Revisions DBL. ;1',501-2,500 sq ft $ 60.02 Hoods $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq It $ 127.52 LP Gas $50 H0-25 Heads $50• 5,501-7,500 sq ft $ 187.52 Natural Gas $50 ;26..plus-',Heads $100 7,501-101'000 sq ft $ 262.52 Fuel•Tanks- pertank $50 STANDPIPE SYSTEM .10,00145,000 sq ft $ 375.02 Sparklers $100 0'.Per Riser $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 Controlled Bum(15da; $100 FIREAL-ARM SYSTEM 40,001=60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25-Devides $50 G0,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per 26.plussAevices $100 ea add T.000sq ft $ 0.06 Fire Protection $25 S.UPPRESSIOMSYSTEMS. H��16tatlons ;(Bu§intss`closed until Flammable Application $50 Annual -Wet. $50 corrected) Waste Tire-Storage $50 Annual Dry $50 `:'_SPRINKLER SYSTEMS Generator<KW $100 CO2 $50.0.'Hydro Undergrounds $45 Generator>30 KW $100 Other $50 ;.:�HydrostaticTest $65 per system Blo-Hazard Waste $100 Annual KITCHEN.EXHAUST 'Acceptance-Test $45 persystem Fumigation Tenting $50 Hood/Ducts $50 Hydrant'Fiow $75 Torch.Pot/Applied $50 .OTHER Haz.Materials $50 Annual LP Installationper:tank $50 FIRE ALARM SYSTEM FuelTdrik Installation .$50 jSystem Acceptance $50 (Per Tank)' $50;e°'Recall Acceptance $50 Natural_Gas Installation $50 OTHER (Per'Syste n) "'i�lhre Wall/Srnoke Wall $15 per wall Spray.Booth $50 'LP Gas $25 per tank Natural Gas $25 per system Tent 10'x10'or greater $15 per tent Fire Pump $45 Tire Suppression $30 :System Acceptance ixhaust Hood/Duct $30 Re-lnspectidn DBL +(other than annual) Inspection scheduled DBL and cancelled less than 24 hours t eConstruction Insp. N/C Emergency Vehicle Acce $50 PLANS*.TOTAL ®,,q y INSPECTION TOTAL / 7 PERMIT TOTAL Sp, o GRAND TOTAL 3a 1 . a71 Comments: Date: a .Inspector: see.back nlh w+ .+ �:• i:i"nA""„}?.! 'R..o'S 'Msrr,a7.7�'P1':'{^.75f;+RG4�:r:smace;*ir&;raa.:•n: T;.ttZai7lsilz?a�w. r-n.cRx�Na?:+aMvb.zs�r.rnree,x_+e. 'miar,Rn+aecnxaeve-. .n..e.on.,on.r—..-..,.e++.....+..e�.......ew................,....—...o...-.�..... 813-780.0020 City of Zephyrhills Permit Application Fax-813.780.0021 Building Department GC-Rachel(502)753-6624 Date Received 954 Phone Contact for Permitting 426 - 5144 ' 1 1 Owner's Name Chick-fil-A,Inc. Owner Phone Number (404)765-8000 Ownera Address 5200 Buffington Road,Atlanta,GA 30349 Owner Phone Number Fee Simple Titleholder Name SF Zephyr Commons Outparcel LP Owner Phone Number (954)557-6879 Fee Simple Titleholder Address 1 2851 John Street,Suite One,Markham,Ontario,L3R SR7 JOB ADDRESS Northeast Corner of Highway Boland Pretty Pond Road (7490 Gall Blvd.) I LOT P li SUBDIVISION Zephyr Commons PARCEL IDp 35-25-21-0130.ODODO-0110 (OBTAINED FROM PROPERTY TAR NOTICE) WORK PROPOSED B EwCONST ADDIALT = SIGN Q Q DEMOLISH 1 REPAIR PROPOSED USE Q SFR © COMM Q OTHER TYPE OF CONSTRUCTION = BLOCK a) FRAME Q STEEL Q DESCRIPTION OF WORK Construct new fast food restaurant with drive-thru BUILDING SIZE SO FOOTAGE 4,689 HEIGHT ®BUILDING S 850,000.00 VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL $ 120,000.00 AMP SERVICE =1,200 AMPS PROGRESSENERGY = W.R.E.C. ®PLUMBING S 117,000.00 `( ®MECHANICAL S 125,000.00 VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 129.50' FLOOD ZONE AREA =YES ' Buffalo Construction,Inc. BUILDER 731 l � Y ttC SIGNATURE •CL �' glr4 REl Y/ N FEE CURREN Y 1 N Address 112700 Otto Knop Drive, Louisville,KY 402991 License a CBC1262233 ELECTRICIAN COMPANY GEC Electrical Contractors,Inc. SIGNATURE REGISTERED Y I N FEE CURREI, I Y I N Address 3275 Quail Ridge Dr., Chipley, FL 3242 License p PLUMBER COMPANY J&S Plumbing, Inc. 'SIGNATURE REGISTERED I Y/ N FEE CURREN IY.N Address 6208 E. Columbus Dr., Tampa, 36 License fl MECHANICAL COMPANY Douglas Taylor AIC&Refrigeration I J/ SIGNATURE REGISTERED Y/ N FEE CURREN Y/N 6560 116th Ave. N., Largo, FL 33771 Address License A OTHER -.-COMPANY SIGNATURE-- a�ltflM '----. _`-RE019TERED r - Y/.N -=-'__FEE CURREN' '-YYN - ---- - w Addiess�_ - _- - _-- License a I - - - . 11111111111111111111111111�1-11'11111111111111111111111111111111111111 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)wortdrg days after submittal dale. Required onsile,Construction Plans,Stormwaler Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Fortes.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwaler Plans w/Sill 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 ovor$2500,a Notice of Commencement is required. (A/C upgrades over$7500) AgerA(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(Ploi/SurveyfFootage) Driveways-Not over Counter it on public roadways..needs ROW February 24,2021 City of Zephyrhills Building Department 5355 8'b Street Zephyrhills,FL 33542 RE: Chick-fil-A It 4046 7490 Gall Boulevard Zephyrhills,FL 33541 ,t Via means of this letter,I authorize Rachel Steele, Permit Coordinator, and Jeremy Revellej Superintendent, to act and sign on the behalf of Buffalo Construction, Inc. in obtaining permits and any other.approvals for the above referenced project. Please feel free to contact Rachel Steele at(502)753=6624 if additional information;is required. r II I f i Michael Brett Norton ;k Florida License#CBC1262233 k STATE OF Kentucky )ss. COUNTY OF Jefferson The foregoing instrument was acknowledged before me this 24th dayof February 2021. by Michael Brett Norton the Vice President of Buffalo Construction.Inc. �a Kr wiux,�„ Notary Se�s'.�1.. (Signature of Notary) SON My Commission Expires: *oTAWf ll act• � 12700 Otto Knop Drive,Louisville,.KY 40299 Ph:(502)327-4686•Fx:(502)327-4689 SITEK CORPORATION SITEK DESIGN GROUP SITE DEVELOPMENT CIVIL ENGINEERING "P'ARTMRSEV YOUR PROJECT" March 10,2021 City of Zephryhills-Building Dept 5335 8h Street Zephyrhills,FL 33542 Be:Contractor Certification Requirements To whom it may concern: I,Joseph Fard am writing this letter to authorize the following person: Jeremy Revelle to sign and pick up permits on the company's behalf. Thank you for your assistance in this matter. Sincerely, osep A Fard President State of: CL . County of: vanc,,,C_ — j . Sworn to(or affirmed)and subscribed before me by mean of physical presence or_online notarization, this—UQ day of JW 2021, by who he/she is personally known to me or he/she has produced as Identification. - _o1,s;:PU•••,, GRIICEAVELLOGUADALUPE _=� �' MY COMMISSION�GG 115972 �^" �zi EXPIRES:Ocl�ber f7,2021 4PT C.` ota. bli Sign 1 "''�; ;��' sonded Thn,Natsry Puplic llndentidtes Print Name: rd(`erejl� CCA�o�ilL My Commission Expires: .101131 NOTE:This is a statutoryform prescribed by Section 713.20,Florida Statutes(1996).Effective October 1,1996,a person may not require a lienor to furnish a waiver or release of lien that is different from the statutory form. Sitek Corporation 11501 S.Orange Ave.,Orlando,Florida 32824 Ph:407-898-9706, Fax:407-898-9732 www.skekusa.com Q rr;iiiroe City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 SITE-001671-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Site Permit Property Number Street Address 35 25 21 0130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Site Permit Contractor: SITEK LLC OUTPARCEL LP Class of Work:Commercial Address: 100-2851 John Markham On L3R Building Valuation:$317,000.00 5R7p�pS,tt Electrical Valuation:$0.00 Phone: FA our-1550 Mechanical Valuation:$0.00 C� Plumbing Valuation:$0.00 Total Valuation:$317,000.00 Total Fees:$1,615.00 Amount Paid:$1,615.00 Date Paid:3/15/2021 8:44:21AM Project Description SITE WORK CHICK FIL A ONLY— Application Fees Building Permit Fee $1,615.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. CONTRACTOR SIGNATUR PEPIT OFFICE PERMI 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 5 ' . City of Zephyrhills t Uniform Notice of Law-V��W System Project Owner's/Customer..m 1 � #Z I Address city S St L zip 33s q 2- Phone• mail Contractor Orlsq Lic.#EC1�bO � Address 2.0 1G v (n,.I e.0, c. city ! st A zip 3oas3 Phone Li 614 9S I 2�atePi'b'ectC'}omplete/� Scope of Work t ndnty GaT�t° I1tG. �t1LtS T`�( hJ I� Signature: t or r uthorized representative -ftANotice is hereb 'ven that a low-voltage alarm m p oject has been completed at the address specified abov certify that all of the foregoing information is true and accurate. 1 1011/13 section 553.793 FS i •�'(`/�'Q' � �,/� Data Cabling Baseline Cable# Cable.# Cable# (PP Port) Description (PP.Port) Description (PP Port) Description 1 POS 1= DT. 13 . . .' POS-I -.DTspare. . . 25 Office CFA access 2 POS 2­DT 14 POS,2-.DT,spare 26 Multipurpose CFA Access .■ 3 POS 3= Front Cntr, 15, POS 3, ' Front Cntr spare : , 27 WAP Kitchen ** 4 POS 4-Front.Cntr ' 16. POS 4- Front Cnte spare 28 WAP Dining Room.** . 5 POS 5 - Front Cntr 17 POS 5- Front.Cntr spare 29 WAP Drive Thru Window** 6 POS 6= Front Cnt'r, 18', POS.6-„Front Cntr spare.: $0, WAP Back Office** 7 POS 7 Front Cntr. 19 POS 7-Front Cntr spare : 31 WAP(OSP) Menu Boards ** 8 POS 8- Front Cntr 20 POS 8- Front Cntr spare .32 WAP Front Counter** 9 POS 9- Manager Station 21 POS 9-Manager Station Spare 33 WAP Outside Pay Station ** 10 POS 10- DT 22 POS 10- DT Spare .. 34. WAP Order Boards ** 11 '23 35. WAP Car 15 ** 12 -HME 24 Office Safe 36 WAP Car 25** 37 CFA PC 49 KPS Centerline 61 38 MICR Printer 50 'KPS Centerline 62 39 KPS DT 51 KPS Center ine 63 40 KPS DT 52 KPS Centerline 64 41 KPS Counter Side Pass Through Left 53 KPS Centerline 65 42'` KPS Counter Side Pass Through.Left 54 KPS DT.Un er Counter 66 43, `' KPS Counter Side Pass Through Left 55 KPS Salad Prep 67 '44 KPS Counter Side Pass Through Left 56 Telco,Room Data 68 45 „ KPS DT Side Pass Through Right 57 KPS Manager Station Moble KPS 69 '46* KPS DT Side Pass'Through Right 58 DMB 70 47-' KP5 UT SideVass roug ig t 59 DMB 71 48 JKPS Centerline 60 WAN 1 72 Phone Lines IL Phone Line.l Office Phone Line 1 Ext. Kitchen Phone Line 2 Office ❑ Phone Line 2 Ext.Security.Panel ❑ *Not on all.Drawings but run cable and be prepared to terminate..Centerline KPS's will be terminate through a ceiling mounted pipe .**WAP'Cabling to leave in ceiling with 20:of slack,male M45 plug.. Version 5.0 Alway reference on site construction drawings and directions from the GC Pff rent(rind of l7-company H HONOR - . . _ . B BUILT Authorization/Contacts HonorBuilt authorizes the following people to submit or pickup documentation regarding-permit applications/requests. HonorBuilt«C Address:2010 Avalon Parkway McDonough GA 30253 Phone Number:404-952-2600 Fax N umber:404-952-2800 * y r Ron De Halsey Beshears,Santis,Governor Secretary c� _:. :.. ;. _; FlOnda _.. :. . , .. -la , STATE OF FLORIDA' ._ . DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL C ffC:3,;0RS�L1_C . ENSING BOARD . THE ELECTRICAL N� IZii4C ®'R.H �� 11N IS�CER LFIED.UNDER THE PROVISIOINSOFHAhTR 4$9� LORIDATATUTES A! RAW AN �b nlwe tT3 LLC �2010-�► ON,OUC�H G 302 3�.. LICENS N MBREC13008931. . .-EXPIRATION-DATE: AUGUST 31, 2022 Always'verify licenses,online at MyFlondal-icense.com Do not alter;this document in.any form.' ' , . • This is your. 'license. It is unlawful for anyone other-than the licensee to use this document. 0 Mc:M"" niough 136 Keys Ferry-Street . AT ::RR y 0+eic pational Ta r ate TAX BAR: 202I :CERTIFICATE,"_: TEC N006Y 9UPPO 'T` CERTIFICATE NUMBER: 003825 EXPIRATION..I ATE; 12I .. ',2. _1 31I LOCATION:'. 2010 AVALCt�`�T"PA.�ItMA, �l�Q O'VVI�IER OR AGENT: MICHAEL GARDINER IS WED TO: HONORBUILT LLC 010 AVALONTARI£�Y,WAY , SUITE 400 MCDONOUGH GA 30253 •. This imrtificatevis not sferable.Any cbanSes ih ownership must ia:O m0 :in. .: A charge in 160,40 on audl r re of 1.Udh s i i u �add flo. al l x V r the Community Development Department. THIS CERTIFICATE_ T BE POST E IS NON-TRANSFERABLE ' CITY o 'MC ONOtG OCCUPATIONAL'T` X TEL :. at Pitt 1.1I2021..: Paid y HONORBUILT LLC 7 ® DATE(MM/DD/YYYY) ,acoRo CERTIFICATE OF LIABILITY INSURANCE 05/24/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS .CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE.POLICIES. - BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED - REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,:subject to.the terms and conditions of the,policy,certain policies may require an endorsement..A statement on this certificate-does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER: CONTACT Sharon Brubaker NAME: Strawn&Co.,Insurance. PHONE (770)357-0025 F (770)957-9720 . A/C o Emit• A/C No: 16 Hampton Street E-MAIL coi@strawninsurance.com ADDRESS: Post Office Box 38 INSURER(S)AFFORDING COVERAGE NAIC# McDonough GA 30253 INSURER A: Accident Fund General Insurance Co 12304 INSURED INSURERS: HonorBuilt;LLC. INSURER C 2010 Avalon Parkway INSURER D: Suite 400 INSURER E- Mcdonough GA 30253 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20122837150 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.'NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER-DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS.SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICYNUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE F—TOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $' PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: PRO- GENERALAGGREGATE $ POLICY❑JECT" LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)$ ANYAUTO BODILY.INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) .$ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per axideM $ UMBRELLALUIB OCCUR EACH OCCURRENCE: $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $. WORKERS COMPENSATION v PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER. . A ANY PROPRIETOR/PARTNER/EXECUTIVE N/A WCV8018289 12/15/2020 12/15/2021 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L._DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under, - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) -CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN. Pasco County Building Construction Services ACCORDANCE WITH THE POLICY PROVISIONS. Contractor Licensing 8731 Citizens Dr Ste 230 AUTHORIZED REPRESENTATIVE New Port Richey FL 34654 n 7 ©1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM1ODNYYY) 5/24/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED;the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the - certificate holder in lieu of such endorsement(s). PRODUCER- CONTACT NAME: Ellen Wright Manry 6 Heston, Inc PHONE (770)939-3231 A(C NO: (770)939-8978. Charles McCollum E—MAIL ewrighti manryheston.com .ADDRP.O. BOX 49607 INSURERS AFFORDING COVERAGE NAIC# Atlanta. GA 30359 INSURER A:Massachusetts Bay Insurance Co an '22306 trlsutzED INSURERB:Allmerica Financial Benefit.. 41840. BonorBuilt, LLC INSURERC:Hanover Insurance Co an 22292 2010-Avalon Parkway INSURERD:Hiscox/Underwriters at Lloyd's/London 10200 Suite 400 INSURER E: McDonough GA 30252 INSURERF: COVERAGES- CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD " INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF-SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POO/LIICY EFF DDIYYYYI MM IC EXP LIMITS YYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE FX OCCUR ZDAH408234 11/5/2020 11/5/2021 DREM ES(RENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY . 1,000,000 GENIAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY O PECT LOC PRODUCTS-COMP/OP AGG $ 2,000;000 OTHER: S AUTOMOBILE LIABILITY -COMBINED SINGLE LIMIT Ea accident $ 1;000',000 B X ANYAUTO AWAR408241 11/5/2020 11/5/2021 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED (JURY IN Per accident $ AUTOS AUTOS BODILY ) _ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $. AUTOS Per accident $ . X UMBRELLA LIAR X OCCUR EACH OCCURRENCE. $ 5,000,000 C EXCESS LIAB CLAIMS-MADE UHAR408239 11/5/2020 11/5/2021 AGGREGATE $ 51 000 000 EXCESS I X I RETENTION$ NIL $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY. YIN STATUTE ER ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El N/A (MandatoryJnNH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ D PROFESSIONAL LIABILITY 1�L2382845.20 11/5/2020 11/5/2021 EACH CLAIM/AGGREGATE $ 3;000,000 CYBER LIABILITY EACH CLAIM/AGGREGATE $ 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) "THIS CERTIFICATE OF INSURANCE REPRESENTS COVERAGE CURRENTLY IN EFFECT AND MAY OR MAY NOT BE IN COMPLIANCE WITH ANY WRITTEN CONTRACT." CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. ' PASCO. COUNTY-BUILDING CONSTRUCTION THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN. SERVICES ACCORDANCE WITH THE POLICY PROVISIONS. . CONTRACTOR LICENSING 8731 CITIZENS DRIVE AUTHORIZED REPRESENTATIVE SUITE 230 NEW PORT. RICHEY; FL. 34654 C McCollum/ELLEN ©1988-2014 ACORD CORPORATION. Alldghts reserved. ACORD 25(2014161) The ACORD name and logo are registered marks of ACORD ' INS025(2014o1) INVOICE (INV-00002795) FOR CITY OF ZEPHYRHILLS BILLING CONTACT BUFFALO CONSTRUCTION INC 12700 OTTO KNOP DR LOUISVILLE, KY 40299 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002795 03/09/12021 03/09/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNC-000526-2020 2"Water Meter Residential Connection Fee $3,225.80 Building Permit Fee $4,280.00 Building Plan Review Fee $2,140.00 Driveway Fee $45.00 Electrical Permit Fee $615.00 Electrical Plan Review Fee $307.50 Fire Inspection Fee $127.52 Fire Plan Review Fee $143.49 Irrigation 1'Meter $1,298.130 Mechanical Permit Fee $590.00 Mechanical Plan Review Fee $295.00 Plumbing Permit Fee $240.00 Plumbing Plan Review Fee $120.00 Public Safety Impact Fee(Non-Res)-Admin $84.50 Public Safety Impact Fee(Non-Res)-Police $815.00 Transportation Impact Fee $133,372.80 Transportation Impact Fee-City $1,347.20 Wastewater Impact Fee $33,231.00 Water Impact Fee $16,059.00 7490 Gall Boulevard Zephyrhills, FLORIDA 33541 SUB TOTAL $198,337.11 REMITTANCE INFORMATION TOTAL $198,337.11 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 March 10,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 D �- rt'OnIDB City Of Zephyrhills PERMIT NUMBER 5335 Eighth Street " Zephyrhills, FL 33542 FIRE-001914-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Fire Property Number Street Address 35 25 210130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Fire Contractor: GAS MASTERS,INC. OUTPARCEL LP Class of Work:LP/Natural Gas Address: 100-2851 John Markham On L3R Building Valuation:$2,100.00 5R7 St Electrical Valuation: FV Phone: FAM-1550 Mechanical Valuation: Plumbing Valuation: Total Valuation:$2,100.00 Total Fees:$175.00 �l Amount Paid:$175.00 Date Paid:6/7/2021 1:06:10PM Project Description INSTALLATION GAS LINE(3 ROOF TOP UNITS)WATER HEATER Application Fees Natural Gas Permit Fee $50.00 Natural Gas Installation Plan Review $50.00 Natural Gas Inspection $75.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER C4 of Zophyrtiffla Fire FaX-813-780-0021 PomhAppRWIon Date Rooshmod phone CAfbd for Permit (mot `it_- Owner's Name Chick-fil�A, Inc. Ownsea Plhone Number r6624 Owner%Address 5200 Buffington Road, Atlanta, GA 30349' ------- Fm Simple T10sholder Nams fF Zephyr C"ortimons Outparcel LP IftholdarPhons Number Fee Simple Titleholder Address bFtg;l Jinhn Stregt. Suite One, Mar am, 65taric wx DK7 JobAddress L 7490 Gall Boulevard -Main Permit # BNC-000526-2 2, Lot 0 Sub DM&kn Zephyr Commons pan* M3 -25- -0130-00000-0110 I El 81*+Wmud W"Storage-ANNUAL FurnowtionTeni Comm Eidaust Kkh6n HoodDuct 0Hazardous Material Crier 11 orRQ Fwaty)ANNUAL Controlled Rum E:] Hood hutall.don Emergency Generator-c 30 kw I.PftturalGes-installatior Emargency Gsnenstor;-30 kw LP/Natural 08"NNUAL Sale ff Fire protection MaIntenrice-ANNUAL Plants of Assembly-ANNUAL EM Sprinkler 0 a 0 Alex Racrestional Sum Fire Alarm 0 a a Sparklers Hood CleanIng D 0 El Sprinkler System Installations Hood Suppression 0 0 0 Standpipes(WnWer Sys) Ut, RFire Alarm installation Torch RooflWTAr Kettle Fn Pumps R %Wraie Tim Storage ANNUAL Flammable Appftsliorr ANNUAL Valuation of PrqjW L-)b Fuel Tanks ti LEr COntractor Company ftoetuns E_ Registered ����Address uconss* I ELECTRICIAN company I I Signature Register,".I YIN Fee Currant YIN Address Llceflse* PLUMBER Company w.k. E_ Ragletered I Y/N Foe Currant YIN Address U00"s UECPANICAL company Son.h. Reglst,ered �Currom YIN Addrm UCOM16 0 =_ I OTHER company "_rfly_� Rectater-d LW NI Feecurnard I YIN Add—LJO C : Lj (-,n(,), License Diroctionw. FIN out application ewnp&et*. Owner&Contractor sign back of application.notarized(Or,copy of signed contract with owner) ffaver$2500.a Notts of CommerAmnairt Is required(Mochanical work am S6000) Supply two(2)"to of drawings mft applicable documentation Allow 10-14 days for review afler submittal date. Psucal 0-obtained from Propsrty Tax NotL-a(htIpd/&pqr&Iser.p&scoWY.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 licenslng 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 contractors) 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 Pasta County: CONSTRUCTION UEN LAW(Chapter 713,Florida Statutes,as amended): ,.If valuallon:ol'work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Lew—Ho'meownees 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'SiOWNER'S AFFIDAVIT: 1 certify.that ad the lnfotmation'in this application is acctfrate 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 constructlon, 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. 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 wlth'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 worn 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 COMMENCEMENT MAY RESULT IN:YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAiN FINANCING,CONSULT H YOUR LENPEROR AN ATTORNEY BEFORE-RECORDING YOUR NOTICE OF COMMENC MENT ROMA JURAT(F,8 117 03) OWNER OR AGENT ���. CON-MAGTG s and cwo to(ot a Boa d before me this Subscribed and swoni to'(o offirtried)before me this �c].St-ems rf3i 31�'f/ n?1 by hAirhaal Rratt M rFnn who Wwa-peraonapy known to me orffeoibeJepredartd Who Islam porsonatly known to me or hoslhave produced ee IdentIfleation. r t Notary Public Notary Public Cwss dw)on No. D Commkaslon No. C\I r Name o otary typtd,printed or®tamped Name of Notary typad,prt a,C i l3 Noyct•W GOIAASstON/GG MOO M K)'rMv11µ '"'ZARGL•� es>ti 14"L,v Lr C. Jacqueline Boges From: Rachel A. Steele <rachel.steele@buffaloconstruction.com> Sent: Monday,April 12, 2021 8:20 AM To: Jacqueline Boges Cc: Jeremy Revelle; brittany@jsplumbing.com; Office; Rachel A. Steele Subject: Gas Permit Application for Main Permit# BNC-000526-2020- Chick-fil-A#4040 Zephyrhills, FL Attachments: 7490 Gall Blvd- Chic fil a.pdf EXTERNAL EMAIL Good morning Jackie, Attached please find our plumber's application with riser diagram for a gas permit.After you've had an opportunity to review please let us know if you need additional information or payment to process it. Thank you and have a great week! RACHEL A. STEELE I PERMIT/LICENSE COORDINATOR ` Buffalo Construction,Inc. 12700 Otto Knop Drive, Louisville, KY 40299 0: (502)753-6624 • C: (803)465-3605 • F: (866) 205-5259 BUFFALO From: Rachel A.Steele<rachel.steele@buffa loco nstruction.com> Sent: Monday, March 29,20219:30 AM To:Office<Office@jsplumbinginc.com>; brittany@jsplumbing.com Cc:Jeremy Revelle<Jeremy.Revelle@ buffa loconstruction.com>; Rachel A.Steele <rachel.steele@ buffa loco nstructio n.com> Subject: RE: PLEASE COMPLETE AND RETURN-Application for Permits-Chick-fil-A#4040 Zephyrhills, FL Good morning, Are you handling this directly? I did not receive a copy of the application back but please feel free to apply directly by emailing to jboges@ci.zephvrhills.fl.us Jackie Boges 813-780-0020 ext 3513 Thank you! 1 -7 9 9 (3 GP LL B LVD C tA LC,K- �(C-4 R #, RT'V 4L . I t n P U CALv 3 INC, 4�oc3oo Q3Tu� � ALL WORK SHALL COMPLY WITH NFFA CODES AND STANDARDS is ki CEOFZEpH FIREMD LIFE SgFEL EMMINE r 6424 Causeway Boulevard, Tampa, FL 33619 Office (813)241-0258 State License #CFC037165 • LP License #13116 www.GasmastersTampa.com C AAl ClCr ROUTE CONDENSATE THRU PARAPET SCUPPER AND INTO DOWNSPOUT COLLECTOR MTN 90 DEG ELBOW.TYPICAL, PROPOSEDOAS METER LOCATION ROUTE 4*VENT UP THR VGM ROOF MIN. R 3r.0.0 1'GAS DOWN THRU ROOF TO WATER HEATER. FROM PARAPET. Ir CONDENSATE SEE 21P-207 FOR CONTINUATION.SEE DETAIL WP-250 FOR PIPING AT PENETRATION. I*GAS i itr CONDENSATE WHEN CONTRACTOR OPTS TO 0 PROVIDE BRAOFORD-WHITE 199,000 BTU ALTERNATE TURN 3*GAS UP WITHIN 5 -WATER HEATER. WALL.THRU PARAPET AND ONTO ROOF. INSTAL L MAIN GAS SUPPLY INCREASE PIPE SIZE TO 1-1/4CtA, I LINE No CLOSER THAN C. 9 Efai FROM AC UNIT CURB,TYPICAL, SEE DETAIL 31P-251) FEF.� FOR GAS PIPING FEM] 2 112-GAS-- AT RTU.TYPICAL. \�`y��```/ r CONDENSATE ROUT E WATER HEATER FLUE UP THROUGH ROOF PER MANUFACTURER'S r GAS C.0 MTT&UP WATE R M."-..U.'10X AIR ... ROOF PER UFACT REWSRECOMMENDATION& -2*GAS -1 V4-CONDENSATE PLUMBING CONTRACTOR SHALL PROVIDE AND INS F SEEARCHITFCTURAL -F - __ . ICEUMAXER,AND WALK4N FREEZER AND coolER REFRIGERANT AWNGS FOR ROOFTOP PIPE M.E. I ITSI11.1 .1- OR I' THROUGH ROOF,SEE ARCHITECTURAL N..FOR ROOFTOP 'PENETRATION REFRIGERANT CONDUIT INSTALLATIONS AND F RLOCAT*ONOFICE PENETRATIONS.SHALL - BE 14 L THAN . A OF PARAPET, RAKER.FREEZER AND COOLER CONDENSING UNITS. CONDENSATE PIPING OF R F SHALL HE SCHEDULE 0 PVC.SEE SPECIFICATIONS P1 SHALL NOT BE ON DRAWN P-901. INS L 0 THAN V.T FROM I e U 4� ILA 9 0 "LL- tLvo CA,ICVv.,,m FIL-, A 1 5. CAS CONNECTION SCHEDULE EQUIPMENT CAS LOAD AC#2 480,000 BTUS --- c�f AC#3 _ _ 480,000 BTUS WATER HEATER 120,000 BTUS TOTAL CONNECTED LOAD - 1,560,000 BTUS - 1) 7EQUIVALENT TO- 'I;`560:0-'CFHI - E REMARKS: ' 11,- 2) , W.-C. DELIVERY P'RESSURE 3)::.DEVELOPE'D;;LENOTH::-1-75-FT.-,(METER TO. AC#2) 11\il/\\1 T\II'll/'aAl /1r T\Al/'% I1T 1"! TI"1An 613-760a20• City of Zephyrhills Fire FaXA13.780-0021 Permit Application Dale Received PbonsC rdwAforPermit `,S1 3 ail . _a591 Owner's Name, Ch3clt-,f.11=A; InC: Owna'sPhor►e-Number 502 753 6624 �. � Owners Address 52.0'0 .Buff ington Road•, Atlanta, GA. 3 034'9 Fee Sknpla1106holdertVam•- F._Z., r Commons Outparcel LP lmhclderPhoneNumber 954 557 6869 Fie simple r0hoklerAddrese. . Suitd One,- Maw am, ntario Job Address7490 Gall Boulevard Main Permit # BNC-000526-2 2 Lot# Subdivision Ztrphyr, Commons Pam.#_ 35-25-21-,0130-00000-0110 ter• ._.. :,.�.,.-� - - Lj 6104azard'Waste Storage-ANNUAL a FUmigatbn Tenn a Comm Exhaust Kitchen HoodMuct a Hazardous Material(Tier Itor:RQ Facft)ANNUAL 0 Controlled Bum Hood Instay®don t Emefgency Generator<30 kw LPIWaWrel Ges-Instaliatior 'Emergency Generator;-30 kw LP/Natuml Gvs-ANNUAL.Sa1e, Fir•Protection Maintenance-ANNUAL Places of Assembly-ANNUAL a em ,®_ r Sprinkler O 13 ❑ Recreational gum- FireAlarm ❑ ❑ ❑ Spwklvrs%: Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ O Standpipes(SprIhIder.Sys) Torch Keft Fi�Aumps telletion Waste Ttre-Storagre.ANNUAL 8 Flamm"Appikeptlon--ANNUAL Valueftwof.Projeot ,^ 0 ,,,fuel Tanks i Convector Company Signore Registered I YIN Fee Cum u t Y/N Address- . ucmw*. ELECTRICIAN Company Signature RegkiteredI Y/N Fee current Address. ucwm# PLUMBER Company Signature Registered I Y/K Ne,Currem Y I N Adclrsu;j License 40 MECHANIC L Company abnat" Z Regis>red I .Y/N I F«Conant Y/N Address 7 7 27. Lberlss�!' OTHER Z --- __ Company. Slgnahnm — -- Registered N FeeCrarerrt I YIN' Addreu.. Ucense# . Diredbna: Fig out'applic ation completely. Owner&Contractor sign back of application;notarized(Or;copy of signed contract with owner) If over$2500.a Notice of Commencement is required(Mechankml work over t5000) Supply two(2)sole of drawings with epplWable documentation Allow 10-14 days for review after submittal date: Parcel*=obtained fram,Propacty Tax:Notice(Mtp:/lappraiser peecogov oom) i s NOTICE OF DEED RESTRICTIONS: The undersigned understands that ihis,,Permit may besubject to'deed'.,restrktfons' whichmaybe mote restrictive than County regulations. 'The undersigned assumes responsibility fiar;complian. :with any, applicable deed:restrid bras. UNLICENSED•CONTRACTORS:AND CONTRACTOR.RESPONSIBILITIES:. If the-owner:has hired a•contractor or contractors to undersake work;they:may,be required.to.be licensed:ln accordance with state aiid local regulations. if the contractor is not licensed:as required by law, both-thelowrier and.contractorrrtaybe`cited forsmisdemeanor'wfolaHon understate law.,,.lf the.owner or intended.,contractor are-uncertain as•to what liconsing raquirements-may apply forah4 inten`tled.work,they are:advised,to contact the Pasco Coanty:Bu lding'Inspection'Division-Ucerisirig:Section at 727-7-, -8a09. -Furthermore; 1f•the owner has.hired_-a contractor or. c:'Vactors;.he is.advised;,ta•.haye the contractors) sign, portions of the Block°of this.application.far whldi ti'reyW111"be responsible: If you;-as,the�.awnei slgn•,, - the,. contractor,that:may be:an'indlcatlon:that,he Is.'not properly Ilcensed and.'Is trot envied to permuting:privileges in-Pasco 'County, CONSTRUCTION LIEN,LAW(Chapter 113,Florida Statutes,as.amended): If valuatfon.of work is$ ,500.0O-or M&tp,..I certify that"i tf•ie applicant;_ have•tieen prWd'W'.wfth .a copy of-,the "Florida Construction Lien. L'aw-Homeowner's. Protection Guide"prepared�bythe'Fiarida:Depadtrtentof Agrtcutture and-Consumer,Affairs: If the applicant is.sorheone ath r than the"owner",I,certify tha'j have_obtained a copy.of the above,described document_and:prorrirse;in:+govd.faith to'. de(Iver.it to the'o"' r piiorto cgmmencement:. CONTRACTOR!SIOWNERIS AF..FIEWhi -i ckfy:that-all the.lnformation iri'.this applicatiori itzccurate and that,all work will,tie,done.in compliarrce with:•all'applicable laws-regulatfng,,constructioo; zoning and.Jand development Application.Is'hereby mads to obtain a•pemnft to,do work and installation.as:indicated. I,certify• that work or installation has"commenced:prforto:issuance of�a permit - thai ail work will.b&0eftrrn'ed to meet standards of all:caws regulafirig-construction, County.and,City codes, zoning regulations;-and.land developrrierit n;gulations.in..the Jurisdiction.. I•alsa cerdly_that:I understand1hat the regulations of'other government agencies may apply to the intended.work,and that'it is.my respar>s6tifty to identity what actions l must,take:to be io:cvmpliahce. If.l am the AGENfFOR THE OWNER;:I;-promise iri good faith-to Inform the owner of.the permittirrg,conditions seE_fortiti in this`affidavit prior to commericing,construction,. I understarjd,that�aiaeparate,'permit may be required:for.electrical work, plumbing,_signs, wells;,pools, air condidonin'g;,gas; or other'installations.not:speoficalty included in the application. .A i. pegrrit issued shall'be construed Ea foe a license.to proceed:with the work and not.as;authority tq.violate,cancel,:alter';dr. } set aslde;any provision sat."technical`codes, nor,shall.issuance_of a-permit prevent0%,Biifiding Official•from;thereaflter # requiring a comection.of errors'in:plan , construction or"violations of;anycoiles. _Every permit..issued•shall become invalid" unless the Work authorized by syctr '"ft.is commenced within six months.of permlh issuance, or if work authorized by the permitis suspended or atiandbned for a Qeriod of six(8):montht after the,time th work fs commenced; An extension. may be,.requssied;6-writing; from the,Building,Offlciai'for a period not to.exceed:ninety_(80)days and will demonstrate justifiable cause fc*the extension::If work ceases,foe,hinsty(8D)consecutive days;the job!s consldered.abandoned. WAR INO TO.,0.WNk"R:.YOUR_FAIUlRE.TOE RECORD:A:NOTICE OF COMMENCEMENT:MAY`RESULT IN YOUR; PAYINOMME'FOR IMPROVEMENTS TO YOUR.PROPERTY, IF YOU 1N END TO OBTAIN FINANCING;CONSULT t, . O LEN E A ATT_QRNW BEFORE RECORDING YOUR NOT CE•OF.COMMENCEMENT, !< FIARlOAJURAr(F:S 11T43) ?' OWNEWORAGENI'- `• '��"� CONIRACfO 3 and swo to,(or . rm bgforo me is '$i ib bed-end Siva to( afflm7ed)before me thi8 +1 t: 1/2112.021 py_A haal R�Att:Nnrtnn Who Islnse personal kno+vn to ar Who Ware porsonally known to me or.r►nsthave produoed - -' -es identrHcailon: NctaryFubl Wotery Public 5; Notan `� Commtasion NoL_ . ,prinfedbr.atamped Name of Notary typed;pri - ai� N - �. SMY. Mtp I - OROYCWU i 11YCOtM1hpSSJGN/Cs610 08 DfPiRE9:Apd23:1022. ?�II'NP11y' . ;` ,.".�'.:BonQeditwtiotaiyPi�eifndeiinp�re 7 �'4 'P� -° D -Q, Ci�'�/ of Ze h rhills rlulluul _! p �/ PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGC-000613-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Building General (Commercial) Property Number Street Address 35 25 21 0130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Building General(Commercial) Contractor: CLAYTON SIGNS INC OUTPARCEL LP Class of Work:Monumental Sign Address: 100-2851 John Markham On L3R Building Valuation:$7,560.00 5R7 St Electrical Valuation:$200.00 Phone: $ W-1550 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 / Total Valuation:$7,760.00 ,y J Total Fees:$184.20 /'�l/ Amount Paid:$184.20 Date Paid:5/6/2021 4:31:12PM Project Description CONSTRUCT MONUMENT SIGN 5.4 X 13 Application Fees Electrical Plan Review Fee $22.50 Electrical Permit Fee $45.00 Building Plan Review Fee $38.90 Building Permit Fee $77.80 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. ,y1Q9L4—N,L-*rn CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER jv �1 ,IqLckw _ sz SPECIFICATIONS Uyl- , � _ BACKGROUND TO BE FOAMCRAFT WITH HARDENED STUCCO FINISH.' `f'� T i CHICK-FIL-A CABINET 1i ACRYLIC FACES DECORATED WITH TRANSLUCENT VINYL, (O FILM ON SURFACE OF ACRYLIC.FACES ARE BACKLIT BY ����='U C HIGH OUTPUT FLUORESCENT LAMPS SPACED EVENLY ON 8-CENTERS. ADDRESS NUMBERS ARE 1/4''ALUMINUM 69.29 SQUARE FEET PAINTED AND ATTACHED TO BACKGROUND.(NON-ILLUMINATED) STONE VENEER TO BE SUPPLIED BY CLAYTON SIGNS, 21'-9" 2r'0N VERIFY ADDRESS.BEFORE MAKING NUMBERS 20'-0' 13'-0' . Not 111-0. TOP OF SIGN 1 / 11 DARK BRONZE 8""TYP.�� M FACES-"ARLON 230-53 CARDINAL RED 1^REVEAL TRIM-GENESIS.M SINGLE STAGE Ln / / TYP. 8 BA TOP OF BA I (G2-SERIES)RED#48247 1 I , I" FACES-.WHITE ACRYLIC rl �._ , SE f SIGN BASE-STO:POWERWALL BOTTOM I . Ah STO WHITE.MED.SAND FINISH 0'-0' M OF BASE STO POWERWALL. -3'-0" ADOBE BROWN MED,SAND FINISH GRADE AT SIGN BAS ELEVATION END VIEW IfI CORONADO STONE LEDGESTONE VENEER SCALE-1%4'=1'-0" SCALE-1/4'=1'-0" { HONEY LEDGE-CHABLIS 1 iII II ® FLOURESCENT CABINET VET LOCA110.11 BALLAST .RRaRMPEtuawrt C®� ; mmuulan.amane MED uv ' . EmmlmueRmnuoc �K emuBs� Rm®neCaRAam¢ SEE:ENGINEERSTAMPED:DR'AWING' TMSrASMMMTDBEI MMMAccaDAWCEVmsRcauwv.D,IsoEAWMLEMOFI WWM' FOR FOUNDATION DETAILS EEECTRSA=ARavRawLneStELoc CONS.IIEBMMDtowIGRIRNM&BOMGUFTK6DE1: . . . 1 5198North Lake Drive DRAWN BY Ben Holliday SO UMBE ST EADDRETMS DRAWINGnAN ORK9IAL UNPUBIBNEDDFRGN CP[ATED MONUMENT SIGN ALLELECTRICAL EYCLAYTONS Nre INC.IT ITS.n[orounaNEouts eo vC'. LOCATION . Lake Cifi'GA.30260 SIGNS ARE ACCOUNT REP. Ben HollidayChkk•fil-A at ZephyrhMs.FL ! I `l, 12O VOLTS COMPANYOT"o E ORIN PART mHow.%DEN PERMBSION EL lil .404.361.3800 DRAWING DATE D,—beE 9,2016 FLO404' O T490 GaB Boulevard ER au THE OWNER OT asnou SKNS INC ANY Such ACTIONS H UNLESS' MAYBE SUanCT 101EGAL ACT1ON N A COURT OE LAW �SO YEAS OTHERWISE INDICATED ZephyTMBs.FL 335A1 •�, WWW.elaytonsigns.eom DRAWING ERE=CIA=ZEPHYRHRlS.FLSIGNAGECDR REVISION DATE 1Rners,zort �' ©2017 ALL RIGHTS RESERVED Jacqueline Boges From: Audrey McGuire <AMcGuire@ci.zephyrhills.fl.us> Sent: Thursday,June 24, 2021 4:28 PM To: Kristen Ferretti;Jacqueline Boges Cc: Kalvin Switzer, Bill Burgess;Todd Vandeberg Subject: RE:Chick fil A 7490 Gall Blvd.Zephyrhills, FL H BGC-000613-2020& BGC-001998-2021) Hi Kristen, The Planning Department is okay with raising the base of the sign and not messing with grade changes-as long as the height increase is the minimum necessary for visibility. Please contact the building department to see if any permits need amended/updated. Please Note: It is understood that the existing 8" magnolia and 10" oak on the corner blocking the sign location will be removed and replaced elsewhere on the site-All other landscaping shall be required as indicated on the approved landscape plans. Audrey McGuire Historic Preservation Specialist&Community Planner City of Zephyrhills Planning Department 5335 8th Street,Zephyrhills, FL 33542 Phone:813.780.0002 Email: amcguire@ci.zephyrhills.fl.us -----Original Message----- From: Kristen Ferretti<kriste n @co rpo rate pro pe rtyse rvices.net> Sent: Monday,June 21, 20212:00 PM To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us> Cc: Kalvin Switzer<kswitzer@ci.zephyrhills.fl.us>;Audrey McGuire<AMcGuire@ci.zephyrhills.fl.us>; Bill Burgess <bburgess@ci.zephyrhills.fl.us>;Todd Vandeberg<tandeberg@ci.zephyrhills.fl.us> Subject: Re:Chick fil A 7490 Gall Blvd.Zephyrhills, FL//BGC-000613-2020& BGC-001998-2021) EXTERNAL EMAIL Thanks,Jackie. I apologize for the push to get n answer, but the sign installers were out there and determined that the sign will not be visible from the road because of the grade change.Are we able to raise the grade or add height to the sign base in order for it to be visible? Please let me know as soon as you can do that I can share possible solutions with the construction/install team. Thank you, Kristen Kristen Ferretti Corporate Property Services, Inc. 1239 East Newport Center Dr. 1 Suite 113 Deerfield Beach, FL 33442 Tel: 954-426-5144 Fax: 954-570-3391 Cell:954-294-3232 >On Jun 21,2021,at 1:52 PM,Jacqueline Boges<jboges@ci.zephyrhills.fl.us>wrote: >This is a question that either planning or our inspector can answer.. but start with planning,. >They are on this email. >Thanks >Jackie Boges [http://tse2.mm.bing.net/th?q=Real+Women+Clip+Art&w=100&h=100&c=1&rs=1&qlt=90&pid=InIineBlock&mkt=en- US&adlt=moderate&t=1&mw=247]<http://www.bing.com/images/search?q=Real+Women+Clip+Art&FORM=IRIBEP> >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: Kristen Ferretti<kristen @corporateprope rtyservices.net> >Sent: Monday,June 21,2021 1:17 PM >To:Jacqueline Boges<jboges@ci.zephyrhills.fl.us> >Subject: RE: Chick fil A 7490 Gall Blvd.Zephyrhills, FL// > BGC-000613-2020& BGC-001998-2021) >EXTERNAL EMAIL >Good afternoon Jackie, >Hope all is well and happy Monday! >For the Chick-fil-A project,they went out to the site to locate where the monument sign will be built. As you will note in the attached picture where the red arrow is,the monument sign will be below the grade of the adjacent road and will not be visible. > Is it possible to raise the grade in this area or allow us to increase the height of the sign base so that it can be seen from the road? >Thank you, > Kristen >Kristen Ferretti I Planning Manager >Corporate Property Services, Inc. 2 SPECIFICATIONS RZYMW BATA`: BACKGROUND TO BE FOAMCRAFT WITH HARDENED STUCCO FINISH. cff'f ��� 5';I r I rIT CHICK=FIL-A CABINET ,*I ALL 1 x�y� , ;� Jt 5.ti ��4L � 7 ACRYLIC FACES DECORATED WITH TRANSLUCENT VINYL �vU FILM ON SURFACE OF ACRYLIC.FACES ARE BACKLIT BY HIGH OUTPUT FLUORESCENT LAMPS SPACED EVENLY ON 8"CENTERS. ADDRESS NUMBERS ARE 1/4"ALUMINUM 69.29 SQUARE FEET PAINTED AND ATTACHED TO BACKGROUND.(NON-ILLUMINATED) STONE VENEER TO BE SUPPLIED BY CLAYTON SIGNS 21.-9N 2'-0" VERIFY ADDRESS BEFORE MAKING NUMBERS 2W-0' 13'-0' TOP OF SIGN 1111 DARK BRONZE �Ij 8'TYP.AL En FACES-ARLON 230-53 CARDINAL RED 1"REVEAL TRIM-GENESIS M SINGLE STAGE Ir�i / / / TYP. (G2-SERIES)RED#48247 A 1 —-- --- FACES-WHITE ACRYLIC --------- -------- 1'-8 BA TOP OF SE BA .� SIGN BASE-STO POWERWALL I I STO WHITE MED.SAND FINISH 0'-0" BOTTOM OF BASE STO POWERWALL -3'-0" ADOBE BROWN MED.SAND FINISH GRADE AT SIGN BAS ELEVATION END VIEW CORONADO STONE LEDGESTONE VENEER SCALE-1/4"=1'-0" SCALE-1/4"=V-0" HONEY LEDGE-CHABLIS ® E E E raRelttuuemn wm[ nAaaRESAOTRnE 6®� i auvwalnrovm via BALLAST rDRIIDEwuRnnueG BmuaffiT TRmaYelaRaTon «YMYI SEE ENGINEER STAMPED DRAWING mrm RRiRTADIOG50lt Rm Kelm FOR FOUNDATION DETAILS ns sGlEsrIEROm70 BE tl$TAUFD DI ACCDNARCE va1x P®INDmDs¢Rmru EooarTNE FIFCIRGLGD�RIRWRPPRWIBEEUXALCODF.IM NGLOFS PMM GRMCM&BD MOOFMUK I~ 5198 North Lake Drive MONUMENT SIGN DRAWI4Bv Ben HDliiday STORE!NUJ BEft�' ' STOREADmss RSDRA GBAHONGRALO UBUSHtUDE11WRCRE=D ALL ELE-1-1. W11 YCLAYTONSY i WC1115NOTMI)EREVRODUCED LOCATION I Lake City,GA 30260 SIGNSARE ACCOUNT REP. Ben Holliday Chick-fil-A at Zephyrh115.FL CHANGER OR EXH ED TO ANrDNE OUIME OF YOUR I 12�V�LTS L04040 CO... WNOIEORINRARTWNNOUTWRNTENRERYD510N •� 404.361.3800 UNlOL DRAWING DATE December9,2016 7490 Gall Boulevard iIOIATH[OWNER OF CLAYTON SIGNS•INC ANY SLKN ACTIONS OTHERWISE INDICATED FAAY 91 WINECT TO LEGAL ACTION a A COURT OF LAW Y www.dayConsigns.com DRAW NG FILE-CFA-ZERHYRMIIS,fl51GNAGE CDR REVISION DATE mne zs,2021 Zephy has,R 33541 ©2017 ALL RIGHTS RESERVED >1239 E. Newport Center Drive,Suite 113 Deerfield Beach, FL 33442 >Office: (954)426-5144 1 Facsimile: (954)570-3391 1 Cell: (954) >294-3232 > Email: >kristen@corporatepropertyservices.net<mailto:kristen@corporateproperty >services.net> > From:Jacqueline Boges ><jboges@ci.zephyrhills.fl.us<mailto:jboges@ci.zephyrhills.fl.us>> >Sent:Tuesday, May 11, 2021 11:43 AM >To: Ben Holliday ><benholliday@claytonsigns.com<mailto:benholliday@claytonsigns.com>>; >Sasha Chai ><sasha@corporatepropertyservices.net<mai Ito:sasha@corporatepropertyser >vices.net>> >Cc: Kristen Ferretti ><kristen@corporatepropertyservices.net<mailto:kristen@corporatepropert >yservices.net>> >Subject: RE: Chick fil A 7490 Gall Blvd.Zephyrhills, FL// > BGC-000613-2020& BGC-001998-2021) > No sign permits are not low voltage....The led will be include with your sign permit. >Jackie Boges [cid:image001.jpg@01D7669F.9210E7801 <http://www.bing.com/images/search?q=Real+Women+Clip+Art&FORM=IRIBEP> >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: Ben Holliday ><benholliday@claytonsigns.com<mailto:benholliday@claytonsigns.com>> >Sent:Tuesday, May 11, 20219:15 AM >To:Jacqueline Boges ><jboges@ci.zephyrhills.fl.us<mailto:jboges@ci.zephyrhills.fl.us>>; >Sasha Chai ><sasha@corporate pro pertyservices.net<mailto:sasha@ corporate pro pertyser >vices.net>> >Cc: Kristen Ferretti ><kristen@corporatepropertyservices.net<mailto:kristen@corporatepropert >yservices.net>> >Subject: RE:Chick fil A 7490 Gall Blvd.Zephyrhills, FL// > BGC-000613-2020& BGC-001998-2021) > EXTERNAL EMAIL 3 8-11-20 ROBERT JAMES&ASSOCIATES,Inc. Sht 1 of 5 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: ClaytonSgns405amcd Site: Chick Fil-A Pretty Pond Road Zcphyrhills,Florida 33541 Sign Type: 11'-0"OAH direct bury twin poles fora 5'-4"x 13'-0" 1D,sign set in a 20'-0"wide fabricated monument structure with 21'-9"wide arched upper trim with both augered and spade footing designs. Drawing No. 2008033 rev.A Design wind load is based on the 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph) V:= 140.0 Based on Risk Category 11 Velocity Pressure Coefficient at a Height of Less Than 15', Exposure C: Kz= 0.85 Based on Table 29.3-1 Topographic Factor: Kzt:= 1.00 Based on Table 26.8-1 Wind DirectionalityFacor: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz:= 0.00256•Kz•Kzt•Kd•V2 qz=36.252 Based on 29.3-1 For Figure 29.4-1 Overall Height: (ft) h= 11.0 Overall Width: (ft) B := 20.0 Where's'equals'h' s:= 11.0 s = 1 B = 1.818 25_ h s 1i'3'L�3r ZWRV- '_uL ^ Force Coefficient: Cf:= 1.41 Based on Figure 29.4-1 " }1' Gust Effect Factor: G:= 0.85 Based on 26.9.4 for Other Structures Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Design Pressure: (PSF) F:= qz•Cf•G.LCF F=26.069 Use: WL:= 26.1 Reference: Manual of Steel Construction,AISC 13th Edition. Pipe: ASTM A-252 Gr.3 Fy=42.0 ksi.; Fb=27.72 ksi.; Fv=16.80 ksi. Reference: American Concrete Institute, Code 318.14 Rebar: ASTM A-615 Grade 60 Fy=60.0 ksi. Concrete: 3,000 psi.compressive strength at 28 days. Design Loads at Grade: ``N%\,��f L.GR��1�1� Shear: (lbs.) ShrGrd:= (11.0.20.0•WL) ShrGrd=5742 Moment: (ftlbs.) MtGrd:= ShrGrd•r(11.01 + (0.05.11.0)� MtGrd=34739.1 ;�,: *At%-r LLl` 2 /J L Design of Pole Structures at Grade: :+W' :L � Section Modulus of Pi in.3 8-5/8"Dia x 0.322"wall - ��✓ �4 0 RO re ��` ( ) (8"Sch.40) PipeSM:= 15.8 /,` � A' %- /Ij l"I",,15/ 3/z, 5-11-20 ROBERT=JAMES&ASSOCIATES,Inc. Sht.2 of 5 Moment per Pole: (ftlbs.) MtPoleGrd:= MtGrd MtPoleGrd= 17369.55 2 Bending Stress: (psi.) fb:= MtPoleGrd-12fb= 13192.063 PipeSM Area of Pipe: (in.2) 8-5/8"Dia x 0.322"wall - PipeArea:= 7.85 (8"Sch.40) Shear per Pole: (]bs.) ShrPo]eGrd:= ShrGrd ShrPoleGrd=2871 2 Shear Stress: (psi.) f,:= ShrPoleGrdf,=365.732 PipeArea - Unity Check-Poles: UCPoles:= fb + f, UCPoles=0.498 < 1.00 OK 27720 16800 Design ofAugered Footings: Overturning Moment per Caisson: (ftlbs.) Ma:= MtPoleGrd Ma= 17369.55 Shear per Caisson: (lbs.) Va:= ShrPoleGrd Va=2871 Applied Lateral Force: (]bs.) P:= Va P=2871 Allowable Lateral Soil Pressure: (]bs./ft2 per ft.) LP:= 200 Diameter of Footing: (ft.) b 1 = 2.0 Distance in Fed From Ground Surface h. Ma h=6.05 to Point ofApplication of"P" Va Depth of Footing Below Grade: (ft.) d 1 := 5.5 Allowable Lateral Soil Bearing Pressure Pursuant S3 := dl•(LP•1.33) S3 = 1463 to the 2015 International Building Code Section 1807.3.2.2 and Table 1806.2. Required Depth: (fL d2:= 4.12 P h d2=4.945 < dl =5.5 OK S3•bl Check Tensile Stress in Footing Overtuming MomentAbout Heel Point: (ftlbs.) Mh:= Ma+ (Va•dl) Mh=33160.05 Treat as a cantilever at botiflm Compressive Strength of Concrete: (psi.) fc= 3000 Yield Strength of Rebar: (psi.) fy:= 60000 Section Modulus of Footing: (in.3) Ste,:= Tr'(bl•12)3 Sw= 1357.168 32 Allowable Concrete Stress: (psi.) �Ft:= 0.65•(5•4—fc) 4)Ft= 178.01 8-11-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht 3 of 5 Tensile Stress in Concrete.- (psi.) ft:= rwh-12)- ft=293.199 > (�Ft= 178.01 SW - REBAR REQUIRED FOR STRESS Design of Reinforcing Steel in Footing Moment for USD Design: Mu:= 1.7-Mh Mu=56372.085 d:= [(bl-12)-.80] L F(b 1-12)2—8.625] d= 11.513 To Plot for"j Mu-12 u coeff:=. coeff =0.071 ju:= 0.83 fc-bl-12-d 2 Use yield strength of direct bury pipe to check. Yield Strength of Pipe: (psi.) fy:= 42000 Required Area: (in.2) As:= Mu-12 As= 1.873 ju.fy-d-0.90 Reinforcement Requirment As= 1.873 PipeArea=7.85 No rebar required with the direct bury pipe• Slab Parameters Height of slab: ft) HF:= 0.50 Width of slab: ft) WF:= 22.0 Length of slab: &) LF-.= 3.0 (Wind direction) Design of Reinforcing Steel in Slab: Rebar size: Number:= 3 (Number 2 RebarArea: (in.2) Area:= 1l 8 Area=0.11 4 For length of slab: Asl:= 0.0012-HF-VVT-144 Asl= 1.901 Number required Asl = 17.21 Use eighteen 18 #3 Rebar x 2'-6"LG.equally spaced Area using 3"typical side clear thru center of slab. For width of slab: Asw:= 0.0012BY-LF.144 Asw=0.259 Number required: Asw 2.347 Use four(4)#3 Rebar x 21'-6"LG.equally spaced Area using 3"typical side clear thru center of slab. := [2.-[w-(dl —HF)-bl 2]-fl r(LF-WF-HF) Quantity -i +:N of Concrete: (yds.1 CY L 27.4 L 27 CY=2.386 Total Note: Keep bottom of pipes 3"from bottom of footings to create concrete cover for water exclusion. 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.4 of 5 Design of Snade Footing; Allowables: Lateral passive pressure against foundation: (lbs./sq.ft per foot) PP:= 200 Static soil pressure: (lbs./sq•ft) SSP= 2000 Dynamic soil pressure: (lbs./sq.ft) DSP= 2660 Foundation pars neters: Depth of footing below grade: (ft) DF:= 3.0 Width of footing: (E) WF= 22.0 Length of footing: (ft} LF:= 3.0 (Wind direction) Weight of structure and foundation: Design weight of concrete: (lbs./cu.ft) CWT:= 150 Sign,trim and structure weight: (lbs.) SWT:= 950 Masonry weight: (lbs.) PWT:= 1250 Footing weight: (lbs.) FTWT:= DF•WF•LF•CWT FTWT=29700 Net weight: (lbs.) NETWT:= SWT+ PWT+ FTWT NETWT=31900 Check Factor of Safety Overturning moment about heel point of foundation: (ftlbs.) Mo:= Va•DF+ Ma ( 1 Mo=25982.55 Total passive pressure on footing: (lbs./sq.ft) Tpp= PP•DF2•I WF Tpp= 19800 Resisting moment about the heel point: (Elk Mr:= NETWT.I 2FJ + Tpp•I DFJ Mr=67650 Factor of Safety: FS= Mr FS=2.604 > 1.5 OK Mo Check soil bearing pressures Static soil pressure: (lbsJsq.ft) SBP:= NETWT SBP=483.333 < SSP=2000 OK LF•WF Dynamic soil pressure: (lbs./sq.ft.) IM o—Tpp•(DF�] e: e=0.194 NETWT LF =0.5 > e=0.194 6 NETWT qa:= I WF LF I T1 + (6.LFF1 qa=670.683 < DSP=2660 OK • 8_ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.5 of 5 Check tensile stress of concrete at pole Compressive Strength of Concrete: (psi) fc= 3000 1 / 1 Overturning moment at pole: (ftlbs./ft) Mp I 2FJ 2 I qaJ Mp=754.519 Section modulus of footing -Per foot of width: (in.3) Sw:= 12.(DF•12)2 Sw=2592 6 Tensile stress in concrete: (psi.) ft:= (Mp•12) ft=3.493 SW Allowable stress in concrete: (psi.) -�Ft:= 0.65•(5•\Ffe) (�Ft= 178.01 > ft=3.493 REBAR NOT REQUIRED FOR STRESS Design of temperature and shrinkage steel Rebar size: Number:= 3 ,,r (Numberl2 RebarArea: (in.2) Area:= 8 J Area=0.11 4 For length of footing: Asl:= 0.0018-BF-WF•144 Asl=2.851 Number required: Asl =25.815 Use sixteen(16)#3 Rebar x 2'-6"LG.equally spaced top and bottom Area using 3"typical clear. (Thirty-two(32)total required.) For width of footing: Asw:= 0.0018•BF•LF•144 Asw=0.389 Number required: Asw =3.52 Use four(4)#3 Rebar x 21'-6"LG.equally spaced top and bottom Area using 3"typical clear. (Eight(8)total required) Quantity of concrete: (Y ds 3 C r(LF WF DF)l ) Y:= L 27 J Cy=7.333 Note: Use a 1"thick x 12"square concrete pavers at the bottom of the footing, to rest the poles on,for water exclusion. Pia SPECIFICATIONS �V BACKGROUND TO BE FOAMCRAFT WITH HARDENED STUCCO FINISH. CHICK=FIL-A CABINET ACRYLIC FACES DECORATED WITH.TRANSLUCENT VINYL FILM ON SURFACE OF ACRYLIC.FACES ARE BACKLIT BY HIGH OUTPUT FLUORESCENT LAMPS SPACED EVENLY ON 8"CENTERS. ADDRESS NUMBERS ARE 1/4 ALUMINUM 69.29 SQUARE FEET PAINTED AND ATTACHED TO BACKGROUND.(NON-ILLUMINATED) STONE VENEER TO BE SUPPLIED BY CLAYTON SIGNS 21'-9" 2'-0" VERIFY ADDRESS BEFORE MAKING NUMBERS 20'-0" 13'-0" TOP OF SIGN coca DARKBRONZE ^� 8'TYP.- M FACES-ARLON 230-53 CARDINAL RED 1"REVEAL TRIM-GENESIS M SINGLE STAGE En / TYP• (G2-SERIES)RED#48247 'Y -. 1'-8 1/2" 16 FACES-WHITE ACRYLIC I I. TOP OF BASE SIGN BASE-STO POWERWALL 0'-0" STO WHITE MED:SAND FINISH BOTTOM OF BASE STO POWERWALL -3'-0" ADOBE BROWN MED.SAND FINISH GRADE AT SIGN BAS ELEVATION END VIEW SCALE-1/4"=1'-0" SCALE-1/4"=1'-0" CORONADO STONE LEDGESTONE VENEER HONEY LEDGE-CHABLIS n /� ��+��/1"��11"?,•f�&�s3t�::�'w�.l`rz:�L,.v�/ya;,�I/�A'`p FLOURESCENT CABINET WET LOCATION 0XI.,= "wTeTTm 1=111" BALLAST Ol9®ILNIPC ouBs 'vs cmasBUwS SEE ENGINEER STAMPED DRAWING T169GN6RENOEDTIIBENSGIIFDBIAGGOROANCFSNMREEIME/hNIGOEN01UEBWOFTHENW10WLL FOR FOUNDATION DETAILS EIECTNCR CODE MDNR APPLICABLE IDCAI CODES.7H5 NL7.W ES PROFFA GIIONIDNG IS BOtIDNG OF THE NGN. DRAWN BY Ben Holtiday STORE NUMBER STORE ADDRESS THIS OPAWINC,b AN ORIGINAL UNPUBLKNED BESTGN CREATED M�tAPLS' Eak 5198 North Lake Drive MONUMENT SIGN ALL ELECTRICAL CNANGE0.0RE MelFOtOBY CL YTON WWI.INC IT SANYONE0UT51 EO NOT TO BE ivC01@LakeCik��GA 30260 2SIGNS 0VOLE ACCOUNT REP. Ben Holtiday Chkk-N-A atZeptryhi65,FL OMPANYMWNOIE08INPARTWITHOUTWRITTENPERARSSION •7' 12UNLES DRAWING DATE December 9,2016 L04040 7a90 Gall Boulevard FROIATHE OWNER OF CLAYTON SICIS.INC ANY SUCH ACTIONS 404.361.3800 OTHERWISE INDICATED ZeMAY BE SUEJECT IO IE"'AL ACTION Bi A COURT OF LAW DRAWINGFILE-CIA-ZEPHYNHILLS.FtSIGNAGE.CDRREVLSONDATE Iuers,zozl phyhinS,FL335a1 ©2017ALCRIGHT$RESERVED www.claytonsigns.com m o - r.io;tran. City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGC-001998-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Building General (Commercial) Property Number Street Address 35 25 21 0130 00000 0110 7490 Gall Boulevard Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Building General(Commercial) Contractor: CLAYTON SIGNS INC OUTPARCEL LP Class of Work:Wall Sign Address: 100-2851 John Markham On L3R Building Valuation:$15,878.00 55R7 St Electrical Valuation:$1,200.00 Phone: Fs�yM-1550 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$17,078.00 / L ✓ �1 Total Fees:$248.09 Amount Paid:$248.09 Date Paid:5/6/2021 4:31:12PM Project Description INSTALLATION WALL/DRV THR-MENU BIRD SIGN-CKFA - Application Fees Building Plan Review Fee $59.70 Electrical Permit Fee $46.00 Building Permit Fee $119.39 Electrical Plan Review Fee $23.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. ,y1Q9L*-)(:F-rn CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE1111 1 FOR CITY OF ZEPH)�RH ILLS BILLING CONTACT RUSSELL CONINE CLAYTON SIGNS INC 5198 N LAKE DR LAKE CITY, GA t INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00003230 04/28/2021 04/28/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BGC-000613-2020 Building Permit Fee $77.80 Building Plan Review Fee $38.90 Electrical Permit Fee $45.00 Electrical Plan Review Fee $22.50 7490 Gall Boulevard Zephyrhills, FL 33541 SUB TOTAL $184.20 REMITTANCE INFORMATION TOTAL $184.20 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 April 28,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 42'-4' EQ. 1 11' ID> 58.75 SQUARE FEET �EQ '� 131'-6' �H 36.00 SQUARE FEET .."?'E?."�:,r: ifh,i;.r ..}» ':CAW'-."J.C^`•`.. - i.S:•._ i.F.:s -___- _ _ _ ..i.. Vir^. i+;x..,. "ei� .�'i(�'yn^ss.``:;��•Iit2�..., r,»t^..`,•�:'.}Y" >a,%is" "=i'•' Y:, �), 1.�,.:• -•}•-'4�J'",`�.:' :r:�,j'_'a��f.'P:v -p�',�3,'iry.tiyJS;.rr_"f�':y.!y.. .c�-�i=>f i. F�,,C •'}'.'.��z t I`S' -Ly:i'�;ty"•:inrMi3�: d�4 L,r.S� '3',,..�s.'�;G,S;K��i .''::#te'..pia .'F.....-:: , �.• LD Y(.: ,"fe.:.`.•4�:.',`�rrr=Sa S}'^~- ti"'3.::- _ `.a N e.- ,fryer..^; - :�'� �;�is�•t .z>.;_. .,1;.,:f:•�5'E� tr'. - _ .�'�. ...;fur __ �i.:... :.....�,s;... u;;�', -'tits}. .'':;.., Y';s.... '.r•a{:^,'.d. ..�:..;: _ - - ''^.,.�1•"; .'x,.-•.r�.`v :rc.n "�5• t YG`V.: k. '�'-.1 _ - "1:::<i`-%; - ari �i+ .;t-, .a., { - '�t:.^'2;_ _r,.�' <::':�,;;=�i ,;m'•; 6n;�Le:�'r��r'U;��'�i't�:i:°}7 Gia i "T�[rF{��.. - :tu;i9.> :� � _ `v,[✓:"r.;ty _ .%i' :.i�;� �.¢.yr,.7.,_ I,n:ey.:�:: :,��1�'r•.s.".: �{} �`l..k"�'r�-,'""•_ 's ��i",-_rU e,,, ELEVATIONS SCALE-3/32'=1'-0° I 5198 North Lake Drive ELEVATIONS Dnw,w e+ e.cNommy goFc r+u,rei'c� 'i ;x;.aznonr,E::� ti ? rn ♦lL FIfCENGI E E Lake City GA 30260 20 VOLE ncccuw PE> e..emumr a.:L-uaa,nrnni.nn =MVATI.111, 404361.3000 tm VOLTSDG\vpJG DATE Deaemba 9.2m6 L04040 .9G 'S YfARS www.claytonsigns.com oa mHc mL crx,xLEx..wmu rx vc,ucxcux orxExvniiwoiurLD axnvouraxE tazDzr z.i+m�.e ELsssr, L�.O Dc...cn H.c«nraL� bH c 2017 ALL RIGHTS RESERVED 813-780 002o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 954 [Itatttt t:taa Owner's Name CHICK FIL A INC. Owner Phone Number 404-765-8000 Owner's Address 15200 Buffington Rd Atlanta Ga. Owner Phone Number Fee Simple Titleholder Name I SF Zephyr COMMOnS Owner Phone Number 954-557-6879 Fee Simple Titleholder Address JOB ADDRESS 7490 Gall Blvd LOT# 0 SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN ® = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK INSTALL SIGNAGE & ELECTRICAL HOOK UP BUILDING SIZE I SQ FOOTAGE 235.4 HEIGHT cr cc><ci i cs c ®BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 1 iCO AMP SERVICE PROGRESS ENERGY Q W.R.E.C. -5 -? =PLUMBING $ "iW L =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r(�j =GAS = ROOFING Q SPECIALTY = OTHER l FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY QI-AYT()N SIGNS INC, SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY CLAYTON SIGNS SIGNATURE ' REGISTERED I Y/N FEE CURREN Address 531918 s License# ES 12000152 PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN L Y/N Address License# MECHANICAL COMPANY - SIGNATURE REGISTERED Y/N FEE CURREN .Y/N Address' License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# iQ[IIIIII$IIIIit[t sit III lt[I[IIIaaIaIItasIIa ass ass t[[tI[t[IBEaIIIIaII RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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,Stornwater 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)SurveylFootage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 Divisions 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'SIOWNER'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 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/WastewaterTreatment. - 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 af(idavit 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.is uance ofj_a.permit present the BuiI ing Official from thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit issued shall become,nv�d unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is.suspende 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 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, FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped 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 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'SIOWNER'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 OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURA7(F.S.it 3) ` OWNER OR AGENT I CONTRACTO• S b� Ve- bsw to r affirm are me this bs bed�and•b o to(or affi nr CM before me this Who is/r personally khoWn to me ar has1h5ve produced Who Ware pers nellyy m� own to me or hasthave produced �npvJ as identification. rOW as identification. -� Notary Public —` Notary Public Commission No. Commission No. .......... OY CHAI ' MY COMMISSION#GG 210408 Na a ed rinted Name of Notary typed,printed or stamped m�. :ode EXPIRES'Apd123,2022 Y COMMI Stl #GG 210408 T• P :i� •;�I' '•i�OFFL�•' Bonded ThN Notary Public Underwriters EXPIRES:April 2022 ••fFOP F��Q'' Bonded Thru Notary Public Underwriters 1 -VFW CHICK FIL A #4040 SIGN INFORMATION A-MAIN ID SIGN "MONUMENT" 96.00 SF @ WEST OF PROPERTY 131-WALL SIGN "SCRIPT" 58.75 SF @NORTH ELEVATION 132-WALL SIGN "ICON" 36.00 SF @ NORTH ELEVATION C-WALL SIGN "SCRIPT" 58.75 SF @EAST ELEVATION E-WALL SIGN "ICON" 36.00 SF @ WEST ELEVATION TOTAL SF OF MONUMENT&WALL SIGNS @ 189.50 SF H-1- MENU BOARD 2 SCREENS @ 8.23 SF PER SCREEN @ DRIVE THRU H-2- MENU BOARD 2 SCREENS @ 8.23 SF PER SCREEN @ DRIVE THRU CLEARANCE BAR 1 @ 9' HIGHT X 6'-8"WIDTH @ DRIVE THRU CLEARANCE BAR 2 @ 9' HIGHT X 6'-8"WIDTH @ DRIVE THRU TOTAL SF OF DRIVE THRU SIGNS @ 45.92 SF FLAG POLE @ 50' HEIGHT @ NORTH OF PROPERTY �8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.1 of 4 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: ClaytonSgns405b.mcd Site: Chick-Fil-A Pretty Pond Road Zephyrhills,Florida 33541 Sign Type: 5-0"tall x 5"deep x 1 P-9"overall length 'Chick-fil-A'scriptLED charnel letters.Two(2)of these letter sets will be installed on the building. Drawing No. 2008034 rev.A Design loads are based on the 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph.) V:= 140.0 Based on Risk Category II Velocity Pressure Coefficient at a Height of Less Than 20', Exposure C: Kz:= 0.90 Based on Table M.3-1 Topographic Factor: Kzt:= 1.00 Based on Table 26.8-1 Wind DirectionalityFacbr: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz= 0.00256•Kz•Kzt•Kd•V2 qz=38.385 Based on30.3-1 Combined Extenal Pressure GCp(30.4-1)minus Internal Pressure GCpi(26.11-1) : GCComb= 1.65 Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Design Pressure.: (PSF) F:= qz•GCComb'LCF F=38.001 Use: WL 38.1 Design Snow Load: (PSF) SL:= 0.0 N/A Reference: Manual of Steel Construction,AISC 13th Edition. Mounting Bolts: 18-8 Stainless Steel Fu=60.0 ksi.; Ft=20.00 ksi.; Fv=10.00 ksi. Design Loads for the'Chick'Section: Dead Load: Based on 6.5 lbs./ft.2: ShrDL= (5.0.5.79)•6.5 ShrDL= 188.175 Ibs. Wind Load: r r 5"Deep Channel Letters: ShrWL:= L(5.0.3.33)•I 5.0+ 0.375\J� WL ShrWL=284.143 lbs. (Plus 3/8"spacer.) 12 Snow Load: r `���lllltll/���� All Exposed Surfaces: ShrSL:= L(5.79.1.67) C4.0 i .37511 SL ShrSL=0 Ibs. ``\\\ ��FF LNGR/F. IIJJ �, f y4G Z dd 8� �0i, Combined Shear: `` Noo— 43V07 Summation: Ibs. ShrTot:_( ) (ShrDL`+ ShrWL)2+ (ShrSL+ ShrWL)2 ShrTot t2 �se•.•. �. e Design of Mounting Bolts for the'Chick'Section: �R�-. >� Mounting Bolt Diameter: (in.) MntBltDia:= 0.375 ���/ 5-11-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.2 of 4 Stress Area: m.2 -7r•MntBltDia2 (� ) MntBltArea:= MntBltArea=0.11 (Based on basic pitch diameter perAISC 4-3) 4 Allowable Tension: (lbs.) AllwTen:= 20000•MntBltArea AllwTen=2209 Allowable Shear: (lbs.) AllwShr= 10000•MntBltArea A1lwShr= 1104 Number of Mounting Bolts in Tension: NoTen:= 4 Minimum Distance Between Mounting Bolts: (in. LvrArm:= 14.0 Tension Load per Mounting Bolt: (lbs.) TenMntBlt:= (ShrTot)•(5.0+ 0.375) TenMntBlt=52.91 NoTen•LvrArm Number of Mounting Bolts in Shear: NoShr= 15 Shear Load per Mounting Bolt: (lbs.) ShrMntBlt:= ShrTot ShrMntBlt=36.747 NoShr Unity Check: UCMntBlt TenMntBlt + ShrMntBlt UCMntBlt=0.057 < 1.00 OK Mounting Bolts AllwTen AllwShr Note: Use 3/8"diameter 18-8 Stainless Steel bolt,with spacers thnr EIFS,as fisted: Expansion bolts in concrete or brick walls. Toggle bolts in hollow concrete block or plywood sheathing. TEK screws in metal studs. Lag bolts in wood studs. All thread bolts with blocking between studs without sheathing. Design Loads for the'fil'Section Dead Load: Based on 6.5 lbs./$.2: ShrDL:= (2.42.2.46)•6.5 ShrDL=38.696 lbs. Wind Load: r 5"Deep Channel Letters: ShrWL:= L(2.42.3.33)• 5.0+ 0.37511 WL ShrWL= 137.525 lbs. (Plus 3/8"spacer:) 12 JJ Snow Load: r All Exposed Surfaces: ShrSL:= L(2.46.1.67)•(5.0 i 2.37511 SL Shr-SL=0 lbs. l JJ Combined Shear: Summation: (lbs.) ShrTot:= (ShrDL+ ShrWL)2+ (ShrSL+ ShrWL)2 ShrTot=223.533 Design of Mounting Bolts for the'fil'Section: Mounting Bolt Diameter: (in.) MntBltDia:= 0.375 8-11-20 ROBERPJAMES&ASSOCIATES,Inc. Sht 3 of 4 Stress Area: (in.2 ir.MntBltDia 2 MntBItArea:= MntBltArea=0.11 Based on basic pitch diameter perAISC 4-3 4 Allowable Tension: (lbs.) AllwTen:= 2.0000-MntBltArea AllwTen=2209 Allowable Shear: (lbs.) AllwShr:= 10000.MntBItArea AllwShr= 1104 Number of Mounting Bolts in Tension per Letter Set: NoTen:= 2 Minimum Distance Between Mounting Bolts in.) LvrAnn:= 14.0 Tension Load per Mounting Bolt: (lbs. TeriMntBIt:= (ShrTot).(5.0+ 0.375) TenMntBlt=42.91 NoTen-LvrArm Number of Mounting Bolts in Shear per Letter Set: NoShr:= 6 Shear Load per Mounting Bolt: (lbs.) ShrMntBlt:= ShrTot ShrMntBlt=37.255 NoShr Unity Check: UCMntBIt:= TenMntBlt ShrMntBlt UCMntBlt=0.053 < 1.00 OK Mounting Bolts AllwTen + --AllwShr Note: Use 3/8"diameter 18-8 Stainless Steel bolt,with spacers thru EIFS,as listed: Expansion bolts in concrete or brick walls.. Toggle bolts in hollow concrete block or plywood sheathing. TEK screws in metal studs. Lag bolts in wood studs. All thread bolts with blocking between studs without sheathing. Design Loads for the LetterA! Dead Load: Based on 6.5 lbs./8.2: ShrDL:= (2.17-2.29).6.5 ShrDL=32.3 lbs. Wind load: 5"Deep Channel Letter ShrWL:= + 0.375 WLShrWL 86.286 lbs. (Plus 3/8"spacer.) �(2.17-2.33)•(5.0 12 Snow Load: All Exposed Surfaces: ShrSL:= ( 1 2.29-1.33).(5'.0+20,375 SL ShrSL 0 lbs. 1 Combined Shear: Summation: (lbs.) shrLtr:=A(ShrDL+ ShrWQ 2+ (ShrSL+ ShrWL)2] ShrLtr= 146.655 Design of Mounting Bolts for the Letter'R Mounting Bolt Diameter: (in.) MntBltDia:= 0.375 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Shtt.4 of 4 Stress Area: (in.2) MntBltArea:= -7r.MntBltDia2 MntBltArea=0.11 (Based on basic pitch diameter perAISC 4-3) 4 Allowable Tension: (lbs.) AllwTen:= 20000•MntBltArea AllwTen=2209 Allowable Shear: (lbs.) AllwShr:= 10000•MntBltArea AI1wShr= 1104 Number of Mounting Bolts in Tension: NoTen:= 1 Minimum Distance Between Mounting Bolts: (in.) LvrArm= 14.0 Tension Load per Mounting Bolt: (lbs.) TenMntBlt:= (ShrLtr)•(5.0+ 0.375) TenMntBlt=56.31 NoTen•LvrArm Number of Mounting Bolts in Shear: NoShr:= 3 Shear Loadper Mounting Bolt: (lbs.) ShrMntBlt= ShrLtr ShrMntBlt=48.885 NoShr TenMntBlt ShrMntBlt Unity Check: UCMntBlt:_ + UCMntBlt=0.07 < 1.00 OK Mounting Bolts AllwTen AllwShr Note: Use 3/8"diameter 18-8 Stainless Steel bolt,with spacers thni EIFS,as listed: Expansion bolts in concrete or brick walls. Toggle bolts in hollow concrete block or plywood sheathing. TEK screws in metal studs. Lag bolts in wood studs. All thread bolts with blocking between studs without sheathing. --' 8-11-20 ROBERr-DAMES&ASSOCIATES,Inc. Sht.I of 6 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: ClaytonSgns405e.mcd Site: Chick-Fil-A Pretty Pond Road Zephyrhills,Florida 33541 Project: 91-0"maximum clearance bar on an augered footing installed over road to the two drive thru lanes. Drawing No. 2008037 rev.A Design loads are based on the 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph.) V:= 140.0 Based on Risk Category H Velocity Pressure Coefficient at a Height of Less Than 15', Exposure C: Yz:= 0.85 Based on Table 29.3-1 Topographic Factor: Kzt:= 1.00 Based on Table 26.8-1 Wind DircctionalityFactor: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz:= 0.0025 6-Kz-Kzt-Kd-V2 qz=36.252 Based on 29.3-1 Force Coefficient: Cf 1.80 Based on Figure 29.4-1 Gust Effect Factor: G:= 0.85 Based on 26.9.4 for Other Structures Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Design Pressure: (PSF) F:= qz.Cf-G-LCF F=33.279 Use: WL:= 33.3 Design Snow Load: (PSF) SL:= 0.0 N/A Reference: Manual of Steel Construction,AISC 13th Edition. Tthe: ASTM A-50O Gr.B Fy=46.0 ksi.; Fb=30.36 ksi. Fv=18.40 ksi. Round Mechanical Tube: ASTM A-513 Gr.5 Fy=35.O ksi.;. Fb=23.10 ksi.; Fv 14.00 ksi. Plate: ASTM A-36 Fy=36.0 ksi. Fb=27.00 ksi.; Fv=14.40ksi. Anchor Bolts: ASTMF-1554 Gr.36 Fu=58.0 ksi. Ft 19.14 ksi. Fv 14.40 ksi. Reference: American Concrete Institute, Code 318.14 Rebar: ASTM A-615 Grade 60 Fy=60.0 ksi. Concrete: 3,000 psi.compressive strength at 28 days. Design Loads at EL9.0': Wind Load: `X%1111111111 J , f L....GF?Ipp I . ..... .... Shear: lbs. ShrWL:=[6.67. ShrWL 55.528 %C ( 3 12) WL] ".,I No. Moment: (fLIbs.) MtWL:= ShrWIL- 667 MtWL 185.185 2 Dead Load: TA Shear: lbs. ShrDL:= (6.67-4.75) SbrDL 31.683 OFTQV ................ /fill `8-H-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht 2 of 6 Moment: (ftlbs.) MtDL:= ShrDL•C 6.67) MtDL= 105.661 2 Snow Load: r ( l Shear: (lbs.) ShrSL= C6.67.I 12JSL J ShrSL=0 Moment: (ft.lbs.) MtSL:= ShrSL•I 667) MtSL=0 2 Combined Moment: Summation: (ftlbs.) MtEL90:_ (MtDL+MtWL)2+ (MtSL+ MtWL)2 MtEL90=344.797 Combined Shear: Summation: (ftlbs.) ShrEL90:= ShrWL+ ShrDL+ ShrSL ShrEL90=87.21 Design of ClearanceArm: Section Modulus of Tube: (irL3) HSS 3"x 3"x 1/8"wall - TubeSM:= 1.19 MtEL90.12 Bending Stress: (psi.) fb:= TubeSM fb=3476.945 Area of Tube: (in?) HSS 3"x 3"x 1/8"wall - TubeArea= 1.30 Bending Stress: (psi.) fl ShrEL90:= f,=67.085 TubeArea Unity Check: UCC1mcArm:= fb + f, UCC1rncArm=0.118 < 1.00 OK ClearanceArm 30360 18400 Desijzn of Insert Pipe at EL.9.0': Round Mechanical Tube: 5-5/8"Dia.x 0.312"wall - Dia: (in.) Dia:= 5.625 Radius: (in. r:= Dia r=2.813 2 Area: (in.2) A:= 5.21 Section Modulus: (in.3) SM:= 8.82 Torsional Stiffness Constant: (in.4) J:= 36.88 Bending Stress: (psi.) fb- MtEL90.12fb=469.112 SM Shear Stress: (psi.) fv:= ShrEL90fv= 16.739 A Torsional Stress: (psi.) ft:= (MtWL•12)•r ft= 169.468 J Combined Shear Stress: (psi.) fvcomb (fv+ ft)2+ ft2 fvcomb=251.779 8-11-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.3 of 6 Unity Check: UCInsertPipe:= fb + fVComb UCInsertPipe=0.038 < 1.00 OK Insert Pipe 23100 14000 Design Loads at Grade: Wind Load: r 1 l[(0-211Arm: Arm:= [6.67. 1WLJJ + 9.0� Arm=506.691 ftlbs. Pole: Pole:= C9.0.C 6 11 r 9_Ol Pole=674.325 ftlbs. `12J 2 Moment: (ft.lbs.) Mt[6.67-(-!)-WL] WL:= Arm+ Pole [9.0.(MtW\L= 1181.016 Shear: (]bs.) ShrWL:= + �J WL� ShrWL= 130.453 Offset Wind Load: Shear: (lbs.) ShrOSWL:= [6.67.(73 )-WL] ShrOSWL=55.528 Summation: (ftlbs.) MtOSWL= Shr0SWL•r6.67) MtOSWL= 185.185 l` 2 Offset Dead Load: Shear: (lbs.) ShrOSDL:= (6.67.4.75) ShrOSDL=31.683 Moment: (fLlbs.) MtOSDL:= ShrOSWL•(6.67) MtOSDL= 185.185 1 l 2 JJ Offset Snow Load: r1 Shear: (lbs.) ShrOSSL:= L6.67•(T3 )-SL� ShrOSSL=0 (Moment: (ftlbs.) MtOSSI,:= ShrOSSL• 6_67 JJ MtOSSL=0 2 Combined Moment: Summation: (ftlbs.) MtGrd:= MtWL+ MtOSDL+ MtOSSL MtGrd= 1366.201 Combined Shear: Summation: (lbs.) -ShrGrd:= ShrWL+ ShrOSDL+ ShrOSSL ShrGrd= 162.135 Design of Pole at Grade: Tube: HSS 6"x 6"x 1/8"wall - Area: (in.2) A:= 2.70 Section Modulus: (in.3) SM:= 5.15 Torsional Stiffness Constant: (in.4) C= 8.03 Bending Stress: (psi.) fb:= MtWL•12 fb= 11909.402 TubeSM 8-11-20 ROBERT JAMES&ASSOCIATES,Inc. Sht 4 of 6 Shear Stress: (psi.) fv:= ShrGrd fv=60.05 A Torsional Stress: (psi.) ft:= (MtOSWL•12) ft=276.74 C Combined Shear Stress: (psi.) fvcomb= (fv+ ft)2+ ft2 fvcomb=435.904 Unity Check-Pole: UCPoIe:= fb + fvComb UCPoIe=0.416 < 1.00 OK 30360 18400 Design ofAnchor Bolts at Grade: Anchor Bolt Diameter: (in.) AncBltDia= 0.75 7r•AncBltDia2 Stress Area: (in.2) AncBltArea= AncBltArea=0.442 (Based on nominal diameter perAISC 4-3) 4 Allowable Tension: (]bs.) AllwTen:= 19140•AncBltArea AllwTen=8456 Allowable Shear: (lbs.) A]]wShr= 14400•AncB]tArea AllwShr=6362 Number ofAnchor Bolts in Tension: NoTen:= 2 Front to Back Distance Between Anchor Bolts: (in.) LvrArm:= 9.0 Tension Load per-Anchor Bolt: (]bs.) TenAncBlt:= MtGrd•12 TenAncBlt=910.8 NoTen•LvrArm Number ofAnchor Bolts in Shear: NoShr:= 4 Shear Load perAnchor Bolt: (lbs.) ShrAncBlt ShrGrd ShrAncBlt=40.53 NoShr TenAncBlt ShrAncBlt Unity Check: UCAncBlts :_ + UCAncBlts=0.114 < 1.00 OK Anchor Bolts AllwTen AllwShr Allowable Bond Stress: (lbs./in.2) U:= (1) (4.8 3000) U= 175.271 2 l AncBltDia Developement Length: (in.) Ld:= TenAncBlt Ld=2.205 U•Tr•AncBltDia Embedment Length: (in.) AncBltEmb:= 36—6 AncBltEmb=30 (36"overall length minus 6"of thread projection.) Unity Check: UCABEmb= Ld UCABEmb=0.074 < 1.00 OK Anchor Bolt Embedment AncBltEmb Use: Four(4) 3/4"Dia.x 36"anchor bolts with 6"of top thread and 4"right angle bottom bend. Design of Base Plate at Grade: Plate Thickness: (in.) P1tThk= 0.75 Plate Width: (in.) P1tWdth:= 14.0 8-11-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht 5 of 6 Side to Side Distance BetweenAnchor Bolts: (in.) B1tSprd:= 9.0 Plate Specimen: in. pLS:= LvrArm2+B1tSprd2 — 6.02+ 6.02 pLS=2.121 2 TenAaBlt•NoTen•PLS•6 Minimum Thickness Required: (in.) RegdThk:= RegdThk=0.248 (P1tWdth•27000) dThk Unity Check: UCBasePltThk:= Reg UCBasePltThk=0.33 < 1.00 OK Base Plate Thickness P1tThk Design ofAugered Footing Overtuming Moment: (ftlbs.) Ma:= MtWL Ma= 1181.016 Shear: (lbs.) Va:= ShrGrd Va= 162.135 Applied Lateral Force: (lbs.) P= Va P= 162.135 Allowable Lateral Soil Pressure: (lbs./ft2 per ft) LP:= 200 Diameter of Round Footing: (ft) b 1 = 2.0 Distance in Feet From Ground Surface h := Ma h=7.284 to Point ofApplication of"P" Va Depth of Footing Below Grade: (ft.) d 1 := 3.5 Allowable Lateral Soil Beating Pressure Pursuant S1 := dl•(LP•1.33) S1 =310.333 to the 2015 International Building Code Section 3 1807.3.2.1 and Table 1806.2. A:= 2.34• P A=0.611 Sl•bl d2:= 12 J Ll + (117+4.36 g d2'=2.53 < dl =3.5 OK Check Tensile Stress in Footing Overturning MomentAbout Heel Point: (ftlbs.) Mh:= Ma+ (Va•dl) Mh= 1748.489 Treat as a cantilevcr at bottom. Compressive Strength of Concrete: (psi.) fc:= 3000 Yield Strength of Rebar: (psi.) fy:= 60000 Section Modulus of Footing: (in.3) Sw. ir.(bl•12)3 Sw= 1357.168 32 Tensile Stress in Concrete: (psi.) ft:= r(Mh•12)I ft= 15.46 L Sw Allowable Concrete Stress: (psi.) 4)Ft:= 0.65•(5•,jf—c) �)Ft= 178.01 > ft= 15.46 REBAR NOT REQUIRED FOR STRESS " 8-11-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht 6 of 6 Check of Temperature and Shrinkage Steel in Footing Moment for USD Design: Mu:= 1.7•Mh Mu=2972.431 d:_ [(bl•12)•.80] d= 19.2 To Plot for"' Mu.12 N coeff= coeff=0.001 ju:= 0.72 fc•bl•12•d2 _ ReyuiredArea: (in.2) As:= Mu.12 As=0.048 ju•fyd•0.90 Rebar Size: Number:= 3 ,,.(Number12 RebarArea: (in.2) Area:= 8 J Area=0.11 4 Number Required: (TA 2 =0.865 Use four(4)#3 Rebar x 3'-0"LG.equally spaced on a a) 18"circle with three(3)#3 Rebar ties on 18"centers. Quantity of Concrete: (yds 3) CY= bl2 d1 CY=0.407 4.27 8-U-20 ROBERPJAMES&ASSOCIATES,Inc. Shtlof6 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: Claytc)nSgns405cLmcd Site: Chick-Fil-A Pretty Pond Road Zcphyffi&,Florida 33541 Project 6-5"OAH ciadded single pole for two(2)4!-2"x T-8"menuboards on each side of the pole for drive thm lane with both an augered footing and footing to fit inside curbed island.Two(2)of these menuboards will be installed at the site.One at each of the two drive du lanes. Drawing No. 2008036 rev.A sheets I and 2 of 2. Design wind load is based on 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph.) V:= 140.0 Based on Risk Category H Velocity Pressure Coefficient at a Height of Less Than 15', Exposure C: Kz:= 0.85 Based on Table 29.3-1 Topographic Factor: Kzt:= 1.00 Based on Table 26.8-1 Wind DirectionalityFacior: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz:= 0.00256.Kz.Kzt.Kd.V2 qz=36.252 Based on 29.3-1 Force Coefficient: Cf:= 1.80 Based on Figure 29.4-1 Gust Effect Factor: G:= 0.85 Based on 26.9.4 for Other Structures Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Design Pressure: (PSF) F:= qz.Cf-G-LCF F=33.279 Use: WL:= 33.3 Reference: Manual of Steel Construction,AISC 13th Edition. Tube: ASTM A-50O Gr.B Fy=46.0 ksi.; Fb=30.36 ksi. Fv=18.40 ksi. Plate: ASTM A-36 Fy=36.0 ksi. Fb=27.00 ksi.; Fv=14.40 ksi. Anchor Bolts: ASTM F-1554 Gr.55 Fu=75.0 ksi. Ft=24.75 ksi.; Fv=18.62 ksi. Reference: American Concrete Institute, Code 318.14 Rebar: ASTM A-615 Grade 60 Fy=60.0 ksi. Concrete: 3,000 psi.compressive strength at28 days. Design Loads at Grade: Menuboards: Mnbdrs := (2-4.58-2.67.WL).F(4.58 + 1.42] Mnbdrs =3021.516 fLIbs- Including support arms.) Ll 2 01%111111/// ) Cladded Pole: CIdPoIe:= (6.42-1.67-WII).(6.42 CldPole 1146.043 ft-lbs. GRIpi44, 2 N Moment: klbs. MtGrd:= Mnbdrs+ CIdPole MtGrd=4167.558 -S Shear: lbs. ShrGrd:= (2-4.58-2.67.WL)+ (6.42-1.67-WL) Shr-Grd= 1171 A47 STATE OF Design of Pole at Grade: J*4ORID �1 Section Modulus of Tube: (in.3) HSS 6"x 6"x 1/8"wall - TubeSM:= 5.15 4, ////I 4 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.2 of 6 MtGrd- Bending Stress: (psi.) fb. TeS ubeS M 12 fb=9710.816 Area of Tube: (in.2) HSS 6"x 6"x 14'wall - TubeArea= 2.70 Shear Stress: (psi.) f ShrGrd f =433.869 TubeArea Unity Check-Pole: UCPoIe:= fb + f, UCPoIe=0.343 < 1.00 OK 30360 18400 Design ofAnchor Bolts at Grade: Anchor Bolt Diameter: (in. AncBltDia:= 0.75 Stress Area: (in?) AncBltArea:= 7r AncBltDia2 AncBltArea=0.442 (Based on nominal diameter perAISC 4-3) 4 Allowable Tension: (lbs.) AllwTen:= 24750•AncBltArea AllwTen= 10934 Allowable Shear: (lbs.) AllwShr:= 18620•AncBltArea AllwShr=8226 Number ofAnchor Bolts in Tension per Plate: NoTen:= 2 Front to Back Distance Between Anchor Bolts: (in.) Lvrprm:= 8.0 (Based on 11-3/8"bolt circle.) Tension Load perAnchor Bolt: (lbs.) TenAncBlt:= MtGrd•12 TenAncBlt=3125.67 NoTen•LvrArm Number ofAnchor Bolts in Shear: NoShr:= 4 Shear Load perAnchor Bolt: (lbs.) ShrAncBlt ShrGrd ShrAncBlt=292.86 NoShr TenAncBlt ShrAncBlt Unity Check: UCAncBlts :_ + UCAncBlts=0.321 < 1.00 OK Anchor Bolts AllwTen AllwShr Allowable Bond Stress: (lbs./in.2) U:= (.j).(4.8-%j3-000) U= 175.271 2 (AncBltDia) Developement Length: (in.) Ld:= TenAncBlt Ld=7.569 U•7r•AncBltDia Embedment Length: (in.) AncBltEmb:= 36—6 AncBltEmb=30 (36"overall length minus 6"of thread projection.) Unity Check: UCABEmb:= Ld UCABEmb=0.252 < 1.00 OK Anchor Bolt Embedment AncBhEmb Use: Four(4) 39"Die x 36"anchor bolts with 6"of top thread and 4"right angle bottom bend. Design of Base Plate at Grade: Plate Thickness: (in. P1tThk:= 0.75 Plate Diameter: (in. P1tDia:= 14.0 8-ll-20 ROBERT DAMES&ASSOCIATES,Inc. Sht.3 of 6 Effective Plate Diameter: (in.) EfctvPltDia:= 10.375 Side to Side Distance BetweenAnchor Bolts: (in.) B1tSprd:= 8.0 Transfer Distance: (in.) PLS LvrAm2+ BltSprd2 6.0— 2+ 6.02 PLS= 1.414 2 Minimum Thickness Required: (in. RegdThk= TenAncBlt•NoTen•PLS•6 RegdThk=0.435 (EfctvPltDia•27000) Unity Check-Base Plate: UCBasePlt:_ RegdThk� UCBasePlt=0.58 < 1.00 OK P1tThk Use: 3/4"thick x 14"diameter base plate with four(4)1"x 1-3/8"slots on 11-3/8 dam eter bolt cirde Design og�fAuggLc d Footing Overturning Moment: (ft.lbs.) Ma:= MtGrd Ma=4167.558 Shear: (lbs.) Va:= ShrGrd Va= 1171.447 Applied Lateral Force: (lbs.) P:= Va P= 1171.447 Allowable Lateral Soil Pressure: (lbs./ft2 per ft) LP:= 200 Diameter of Round Footing: (ft) b l := 2.0 Distance in Feet From Ground Surface h= Ma h=3.558 to Point ofApplication of"P" Va Depth of Footing Below Grade: (ft) d 1 := 4.5 Allowable Lateral Soil Bearing Pressure Pursuant S 1 = dl•(LP.1.33) S1 =399 to the 2015 International Building Code Section 3 1807.3.2.1 and Table 1806.2 with 100%increase for allowable 1/2"deflection at grade. A:= 2.34• P A= 1.718 (S1.2)•bl d2:= 12 I.Ll + (117+ 4.36•AJ] d2=3.579 < dl =4.5 OK Check Tensile Stress in Footine: Overturning MomentAbout Heel Point: (ftlbs.) Mh:= Ma+ (Va•dl) Mh=9439.072 Treat as a cantilever at bottom Compressive Strength of Concrete: (psi.) fc:= 3000 Yield Strength of Rebar: (psi.) fy:= 60000 Section Modulus of Footing: (in.3) Sw:= ► -(bl•12)3 Sw= 1357.168 32 Tensile Stress in Concrete: (psi.) ft:= r(Mh 12)l ft=83.46 L Sw J 8-11-20 ROBERr-JAMES&ASSOCIATES,Inc. Sht.4 of 6 Allowable Concrete Stress: (psi.) ff t:= 0.65•(5•�rf--c) (�Ft= 178.01 > ft=83.46 REBAR NOT REQUIRM FOR STRESS Design of Reinforcing Steel in Footing Moment for USD Design: Mu:= 1.7•Mh Mu= 16046.422 d= [(bl•12)•.80] —3 d= 16.2 To Plot for"ju": coeff := Mu.12 coeff=0.01 ju := 0.63 fc•bl•12•d2 Req��: (in 2) As:= Mu 12 As=0.349 ju•fyd•0.90 Rebar Size: 2 Number:= 4 � (Numberl RebarArea: (in.2) Area:= I\ 8 J Area=0.2 4 Number Required: (_As •2 =3.559 Use four(4)#4 Rebar x 4'-0"LG.equally spaced on a 18"circle Area) with seven(7)#3 Rebar ties.The top three(3)ties in the fast 5" and the remaining four(4)on 10-1/2"centers. Quantity of Concrete: (yds.3) CY:= ar b 12 dl CY=0.524 4.27 Design of Island Footing: Loads: Moment: (ftlbs.) Ma:= MtGrd Ma=4167.558 Shear: (lbs.) Va= ShrGrd Va= 1171.447 Allowables: Lateral passive pressure against foundation: (lbs./sq.ft per foot) PP:= 200 Static soil pressure: (lbs./sq.ft) SSP= 2000 Dynamic soil pressure: (lbs./sq.ft) DSP:= 2660 Foundation parameters Depth of footing below grade: (ft) DF:= 2.75 Widthoffooting: (ft) WF:= 2.0 Length of footing: (ft.) LF:= 7.0 (Wind direction) Weight of structure and foundation Design weight of concrete: (lbs./cu.ft) CWT:= 150 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht.5 of 6 Structure and menuboard weight: (lbs.) PWT:= 450 Footing weight: (lbs.) FTWT:= DF•WF•LF•CWT FTWT=5775 Net weight: (lbs.) NETWT:= PWT+ FTWT NETWT=6225 Check Factor of Safety: Overturning moment about heel point of foundation: (ftlbs.) Mo:= Va•DF+ Ma ( ) Mo=7389.039 Total passive pressure on footing: (lbs./sq.ft.) Tpp:= PP•DF2•I Tpp= 1512.5 2 Resisting moment about the heel point: (ftlbs.) / 1 r l Mr:= NETWT•I �F I + Tpp•I DFJ Mr=23173.958 Factor of Safety: FS:= Mr FS=3.136 > 1.5 OK Mo Check soil bearing pressures: Static soil pressure: (lbs./sq.ft) SBP= NETWT SBP=444.643 < SSP=2000 OK LF•WF Dynamic soil pressure: (lbs./sq.ft)IM o—Tpp•l DF/] e: a=0.964 1 NETWT ( 1 C�F) =3.5 > e=0.964 > I 6FJ = 1.167 2-NETWT qa:= rrrr 11 ll qa=818.305 < DSP=2660 OK 3 WF LI 2FJ —eJ Check tensile stress of concrete at pole Compressive Strength of Concrete: (psi.) fc:= 3000 r l2 (_Ia lOverturning moment at pole: (fLlbs./fL Mp:= I I Mp=5012.117 Section modulus of footing -Per foot of width: (in.3) Sw:= 12.(DF•12 Sw Sw=2178 6 Tensile stress in concrete: (psi.) ft:= (Mp.12) ft=27.615 Sw Allowable stress in concrete: (psi.) (�Ft:= 0.65•(5•,Jf-c) O)Ft= 178.01 > ft=27.615 REBAR NOT REQUIRED FOR STRESS 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Sht 6 of 6 Desirg< of temperature and shrinkage steel Rebar size: Number:= 3 7. (Numberl2 RebarArea: (in.2) Area:= 8 J Area=0.11 4 For length of footing: Asl= 0.00043•DF•WF•144 As1=0.341 Number required: Asl =3.083 Use three(3)#3 Rebar x 6-6"equally spaced top and bottom Area using 3"typical clear. (Six(6)total required.) For width of footing: Asw:= 0.00043•DF•LF•144 Asw= 1.192 Number required: Asw = 10.792 Use six(6)#3 Rebar x P-6"LG.spaced 12"on center top and bottom Area using 3"typical clear. (Twelve(12)total required.) Quantity of concrete: ds.3 C r(LF WF DF)1 (Y ) Y:= J Cy= 1.426 L 27 8-U-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht.1 of 3 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: ClaytonSgns405fmcd Site: Chick-Fil-A Pretty Pond Road Zephyrhills,Florida 33541 Model: ECH 50 W-0"three piece flag pole for 12'x 18'flag with block footing. Drawing No. 2008038 rev.A Design wind load is based on the 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph.) V:= 140.0 Based on Risk Category R Velocity Pressure Coefficient at a Height of Less Than 50',Exposure C: Kz:= 1.09 Based on Table 29.3-1 Topographic Factor: Kzt:= 1.00 Based on Table 26.8-1 Wind DirectionalityFactor: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz:= 0.00256•Kz•Kzt•Kd•V2 qz=46.488 Based on 29.3-1 Height of Flag: (ft) s= 12.0 Width of Flag: (ft) D:= 18.0 Overall Height: (ft) h:= 50.0 For Figure 29.5-1 h — =2.778 D•�q—z= 122.728 D Fore Coefficent for Pole: PoleCf:= 0.8 Based on Figure 29.5-1 for rough. Gust Effect Factor: G= 0.85 Based on 26.9.4 for Other Structures Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Pole Design Pressure: (PSF) F= qz•G•LCF•PoleCf F= 18.967 Based on 29.5-1 Reference: 2020 Aluminum Design Manual, The Aluminum Association Pipe: 6063-T6 Temper and Alloy Fy=35.0 ksi.; Fv=16.80 ksi.; Fb=25.00 ksi. (Per 6.8.2 for non-welded members.) Reference: American Concrete Institute, Code 318.14 Rebar: ASTM A-615 Grade 60 Fy=60.0 ksi. Concrete: 3,000 psi.compressive strength at 28 days. Wind Load on Flag: ���� FF�`�RIF. / �i Size of Flag: (& Height: HtFlg:= 12 Width: WdthFlg:= 18 Flag Load: WLFlag:= 10.0010•(1.02•V)2] (HtFlg•WdthFlg) WLFIag=299.698 1M � _. • ST TE OF �� Design Loads at Grade: Height of Pole: (ft.) HtPole:= 50 /// �OL �/pa14i11��i// J13�2o •� ' ' 8-H-20 ROBERT JAMES&ASSOCIATES,Inc. Sht 2 of 3 Flag: Flag:= (_�WLFlag).(HtPole) + WLFIag I 2 J (HtPole—WdthFlg) Flag= 12287.602 ftlbs. Tapered Section of Pole: TprdP= [37.17.(4.0+ 10.0) Fl[(37.17) + 12.83] TprdP`= 12919.569 ftlbs.`l 2.12J 2 Straight Section of Pole: StrtP:= L12.83•r 12.0) Fl (12.83) StrtP= 1561.079 ftlbs.12J 2 Moment: (ftlbs.) MtGrd:= Flag+ TprdP+ StrtP MtGrd=26768.251 Shear: (lbs.) ShrGrd:= (WLFlag) +[37.17.r 4.0+110.0).F] + r12.83•(10.01 FJ ShrGrd=913.743 Design of Pole Structure at Grade: Section Modulus of Pole: (in.3) 10"Dia.x 3/16"wall - OD:= 10.0 WT:= 0.188 PoIeSM:= 7 LOD4—(OD—2•WT)4] PoIeSM= 14.499 32•(OD—2•WT) Bending Stress: (psi.) fb:= MtGrd-12 fb=22155.273 PoIeSM Area of Pole: (in.2) 10"Dia x 3/16"wall - PoleArea:= L�'LOD2—[OD—(2•WT)]2) 4 PoleArea=5.795 Shear Stress: (psi.) fv:= ShrGrd fv= 157.673 PoleArea Unity Check-Pole: UCPoIe:= fb + fv UCPoIe=0.896 < 1.00 OK 25000 16800 Design of Block Footing_ - Overtuming Moment: (ftlbs.) Ma:= MtGrd Ma=26768.251 Shear: (lbs.) Va:= ShrGrd Va=913.743 Applied Lateral Force: (lbs.) P:= Va P=913.743 Allowable Lateral Soil Pressure: (Ibs./ft2 per ft) LP:= 200 Size of Square Footing: (ft) Sq= 5.0 Diagonal Dimension of Square Footing: (fL bl := Sg2.2 bl =7.071 Distanoe in Feet From Ground Surface h:= Ma h=29.295 to Point ofApplication of"P" Va Depth of Footing Below Grade: (ft) dl = 5.5 8-11-20 ROBERT-JAMES&ASSOCIATES,Inc. Sht 3 of 3 Allowable Lateral Soil Bearing Pressure Pursuant S1 := dl•(LP•1.33) S1 =487.667 to the 2015 Intemational Building Code Section 3 118073.2.1 mdTable 1806.2. A= 2.34• P A=0.62 S1•bl d2:_ (2).1 1 + I 1 + 4.36 AJJ d2=4.77 dl =5.5 OK Check Tensile Stress in Footing: Overtuming MomentAbout Heel Point: (klbs.) Mh:= Ma+ (Va•dl) Mh=31793.836 Treat as a cantilever at botbm. Compressive Strength of Concrete: (psi) fc:= 3000 Yield Strength of Rebar: (psi.) fy:= 60000 3 Section Modulus of Footing: (in.3) Sw:= (Sq.12) Sw=36000 6 Tensile Stress in Concrete: (psi.) ft:= r(Mh•12)l ft= 10.598 F Sw J Allowable Concrete Stress: (psi.) f t:= 0.65•(5•�rif-c) qWt= 178.01 > ft= 10.598 REBAR NOT REQUIRED FOR STRESS Quantity of Concrete: (yds.3) Cy:= dl•Sq2 _ al-33 2.5-0 CY=4.835 (- 27 .27 J 8r11-20 ROBERI14AMES&ASSOCIATES,Inc. Sht 1 of 2 12255 West 187th Street Mokena,Illinois 60448 (708)479-8385 File: ClaytonSgns405c.mcd Site: Chick-Fil-A Pretty Pond Road Aphyrhills,Florida 33541 Sign Type: 6-0"x 6-0"x 9-3/8"deep single face Icon logo ID sign.Two(2)of these signs will be installed on the building. Drawing No. 2008035 rev.A Design loads are based on the 2017 Florida Building Code,6th Edition(ASCE 7-10)using Exposure C and 140 mph wind speed. Design Wind Speed: (mph.) V= 140.0 Based on Risk Category R Velocity Pressure Coefficient at a Height of Less Than 25', Exposure C: Kz:= 0.90 Based on Table 30.3-1 Topographic Factor: Kzt:= 1.60 Based on Table 26.8-1 Wind DirectionaliyFactor: Kd:= 0.85 Based on Table 26.6-1 Velocity Pressure: (PSF) qz:= 0.00256•Kz•Kzt•Kd•V2 qz=38.385 Based on 30.3-1 Combined Extenal Pressure GCp(30.4-1)minus Internal Pressure GCpi(26.11-1) : GCComb:= 1.65 Load Combination Factor: LCF:= 0.60 Based on 2.4.1,Case 7 Design Pressure: (PSF) F:= gz-GCComb.LCF F=38.001 Use: WL:= 38.1 Design Snow Load: (PSF) SL:= 0.0 N/A Reference: Manual of Steel Construction,AISC 13th Edition. Mounting Bolts: 18-8 Stainless Steel Fu=60.0 ksi.; Ft=20.00 ksi.; Fv=10.00 ksi. (Threads included in shear plane.) Design Loads for the Sign Dead Load: Based on 8.5 lbs./8.2: ShrDL:_ (6.0.6.0)•8.5 ShrDL=306 lbs. Wind Load:9-3/8"Deep Sign:: ShrWL= [6.0. 0 9.3751WL ShrWL= 178.594 lbs. JJ 12 Snow Load:9-3/8"Deep Sign: ShrSL:= [6.0.(9.3712 511 SL ShrSL=0 lbs. tktI E t 11 f I///� ����� ��FF L.GRIF,c. Combined Shear: �� r` V%G E N ..r Summation: (lbs.) ShrSgn:_ (ShrDL+ ShrWL)2+ (ShrSL+ ShrWL)2 ShrSgn=s $'6 No. �7 :*r LUZ Design of Mounting Bolts for the Sign: TATE OF ti Mounting Bolt Diameter: (in.) MntBltDia:= 0.375 rr MntBltDia2 �/ ° '�• Stress Area: (in?) MntBltArea:= MntBltArea=U. �� (Based on basic pitch diameter perAISC 4-3) 4 �Oe • 8-ll-20 ROBERT JAMES&ASSOCIATES,Inc. Shtt.2 of-2 Allowable Tension: (lbs.) A11wTen:= 20000•MntBltArea AllwTen=2209 Allowable Shear: (lbs.) AllwShr:= 10000•MntBltArea AllwShr=1104 Number of Mounting Bolts in Tension: NoTen:= 2 Distance Between Mounting Bolts: (in. LvrArm:= 28.0 Tension Load per Mounting Bolt: (lbs.) TenMntBlt:- (ShrSgn)•(5.0) TenMntBlt=46.11 NoTen•LvrArm Number of Mounting Bolts in Shear: NoShr= 4 Shear Load per Mounting Bolt: (lbs.) ShrMntBlt:= ShrSgn ShrMntBlt= 129.114 NoShr TenMntBlt ShrMntBlt Unity Check: UCMntBlt:_ + UCMntBlt=0.138 < 1.00 OK Mounting Bolts AllwTen AllwShr Note: Use 3/8"diameter 18-8 stainless steel lag bolt,with spacers thru IIFS,into 2"x 8"blocking. m City of Zephyrhills PERMIT NUMBER i, 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001955-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Fire Property Number Street Address 35 25 210130 00000 0110 7490 Gall Boulevard Blvd Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Fire Contractor: PIPER FIRE PROTECTION OUTPARCEL LP Class of Work:Fire Suppression INC Address: 100-2851 John Markham On L3R Building Valuation:$0.00 5R7 St Electrical Valuation: Phone: M%-1550 Mechanical Valuation: t Plumbing Valuation: n o) / Total Valuation:$0.00 / 1'�" _ Total Fees:$520.00 ^O �(J/��%/) Amount Paid:$520.00 ( ' Date Paid:5/6/2021 10:53:11AM Project Description INSTALLATION(4)SUPPRESSION SYSTEMS Application Fees System Acceptance Inspection $200.00 Fire Suppression Inspection $120.00 Suppression System Plan Review $200.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. zz-v -or CONTRACTOR SIGNATU E PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Fire Fax 813-780-0021 Permit Application Date Received Phone Contact for Permit 1313 9 Owners Name &f- 7 CP)N.0 U)MM bk% LLkJ:2aV_(_QA "Owners Phone Number E= Owners Address 0-h 13 L 5 Ll C ak-lact a Fee Simple Titleholder Name Title/holder Phone Number Fee Simple Titleholder Address Job Address 0 6a Abid I Z-ephlldWs el . Lot# L Sub Division Parcel# 9-5 0]3_8- AOQ(�Q -&Ito 4=rl Storage-AN Fumigation Tent .�e�u> Z�:st!1 :mm Exhaust Kitchen uct Hazardous Material(Tier 11 or RQ Facility)ANNUAL ZCon urn Hood Installation F Emergency Generator<30 kw LP/Natural Gas-Installatior F-1 Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale F-1 Fire Protection Maintenance-ANNUAL Places ofAssembly-ANNUAL MR we-R-1 RM Other Sprinkler F] E3 El 0 Recreational Bum Fire Alarm F-1 0 El o D Sparklers Hood Cleaning F-1 0 0 0 Sprinkler System Installations 0 0 0 t j H,,7iuppress1o7n d -1 r_ :> F F Standpipes(Sprinkler Sys) 1� Fire Alarm Installation Torch Roofingrrar Ketile (K F-1 Fire Pumps Waste Tire Storage ANNUAL Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other. A Contractor Comp an Registered Q2/N Fee Current Y N a Signature Address License# IWO I a ELECTRICIAN Company Signature Registered W/N Fee current L=/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Address License# MECHANICALI Company Signature Registered Y/N Fee Current Address License# OTHER Company Signature Registered Y/N Fee Current YIN r Address License# F_ Direclions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) 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 NO WE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and s o t 4or.afflirmed)/�e�fo,�rre me this by �P�IiA �\ by Cl/L[[41f?f 4 1"tl9--x10V Who is/are personally known to me or has/have produced Who is/are personally kno n to me or has/have produced as identification. as identification. Notary Public A (/�. 41� Notary Public Commission No. Commission No. Ai�:21 Name of Notary typed,printed or stamped Name of Nota typed,printed or stamped TIMOTHY A R 0 B I N S 0 N `1P'PY PU9 i a° �=State of Florida-Notary Public oa` Commission 9 GG 234968 ' fo•FF �, My Commission Expires "'F"` July 04, 2022 a 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 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 W" 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. IPinell.as Sarasota 13075 US Hw y 19 N 1.595 Barber Road earwa�; ter; Florida 337.64 Sarasota, Florida 34240 Phone: (727):5819339 Phone:, (941)377 2100 per Fax: (727),581-8332. Fax:(941)377-2001 Fire Protection October 1, 2020 I;" Christopher R."Johnson, license holder do,hereby authorize the following employees of.Piper Fire Protection, Inc.; to act as.my agent In:all matters concerning -securing permits-and registering of my license;.336071.00012003. I understand I_am-responsible for any and all: rk performed by my agent: :I am also aware that I will be responsible for the renewal of this form annually. These authorized-agents are as follows: . . Jennifer.H: Plouffe FDL H236-426-73-915-0. Sergey.Klyuchits- FDL K423--787-81-207=0 Tyler Patch _ FDL P320-81-6-95=461=0 Will Kuster FDL.K236-925-87-216-0 Ryan Carter FDL:C636=736-93-334=0 Lena.Remington FDL R552-525-87=703-0. Alexis Grob -FDL G610-013-75-802-0 Chad Collins FDL C452-119-92-102-0. . Karl Kennington- FDL.K552-503-88.256-0 Panagiota Alexiou: FDL A420-677-98=664=0._" Chri to her R:Johns n; esident iper Fire Pr tec on- . 33607100012063. State License . . -,- STATE OF: Florida COUNTY OF Pinellas The foregoing,instrument was acknowledged before me this 1st day of October:.2020 by Christopher.R.:Johnson._ ,He is . Pe Notary Public State of Florida • Mariana Isabel Sadorf . My Commission GG 342.256 Expires 06/06/2023 :Notary and Commission 0.7—IdPower rAtWrris_—sr dAd—.y Chris Suppression updaied.docz Design Install Inspect • Service - Lic:#:EF-0001219.•Lic.#:57668600012001.•Lic:#:392645000622001 •Lic:#:71286800011990 Lic:#:45152300011999 1-800-327-7604.• WWW.PiPERFikE.COM 2/17/2020 License—Permit(6).htm Jimmy Patronis Casia Sinco CHIEF FINANCIAL OFFICER BUREAU CHIEF Julius Halas Keith McCarthy DIVISION DIRECTOR SAFETY PROGRAM MANAGER FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 200 East Gaines Street -Tallahassee,Florida 32399-0342 Tel.850-413-3644 Fax.850-410-2467 FIRE EQUIPMENT DEALER LICENSE OFFICIAL COPY THIS CERTIFIES THAT: Piper Fire Protection,Inc. 13075 US Highway 19 N Clearwater FL 33764 QUALIFIER: Christopher R Johnson Has Complied with Florida statutes and has qualified for the type and class shown here on to service, repair, install or inspect all types Pre-Engineered Fire Extinguishing Systems. Issue Date: 01/01/2020 Type: 07 , Class: 04 �t- County: Pinellas License/Permit 4: 336071-0001-2003 Expiration Date: 12/31/2021 Boa we Chief Financial Officer file:///C:/Users/jeff.bialota/Downloads/License_Permit(6).htm 1/1 Hatton PURCHASE ORDER Purchase Order Number: P099463 Purchase Order Date: 3/30/2021 ENABLE WELLBEING Page: 1 Reference Chick-fil-A#4040 Zephyrhills, FL Sales Order# 105927 101 Industrial Drive Ship Method Scottsville, KY 42164 Phone No. 270-237-5600 Terms Net 30 Days Fax No. 270-237-5700 Shipment Date To: V12736 Ship Piper Fire Protection To: Chick-fil-A 727-581-8332 Jeremy Revelle 817-829-4281 13075 US Highway 19 N 7490 Gall Blvd Clearwater, FL 33764 Zephyrhills, FL 33541 United States United States 727-581-9339 Comments: Coordinate hookup with site superintendent. Coordinate final test date and time with GC PM. *************IMPORTANT PROJECT INFO BELOW******************** Included in this package are three forms that are required to be signed by Superintendent before payment for work will be released: Checklist: All items must be completed/checked by Superintendent Pull Station Location Approval: installated per plans and approved. Certification Form: A copy of the testing report from the local AHJ is required, stating the system was tested and passed for use. Change orders will not be accepted unless first approved by Halton. Halton should be contacted immediately (prior to work being done) if additional work, parts, time on site, revisions to design, etc. are required or requested by the jobsite: ********************************************** Please contact Conrad at 270.239.6330 with questions. —Thanks! ********************************************** ********************************************** Please submit invoices electronically to conrad.reed@halton.com Item No. Description Unit Quantity Unit Price Total Price 35100 Ansul Hookup EACH 1 1,519.00 1,519.00 35200 Test& Permits EACH 1 2,579.00 2,579.00 All correspondence, invoices, shipping papers, and Subtotal: 4,098.00 packages must show this Purchase(der der Number. Invoice Discount: 0.00 Tax: 0.00 Authorized By: Conrad Reed " Total: 4,098.00 NIKKI Aivarez-bowies, tsq., rasco L;ounty L;ierK&uomptroller Permit No. SITE-001671-2021,BNC-000526-2020 Parcel ID No 35-25-21-0130-00000-0130 NOTICE OF COMMENCEMENT State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes, the following information Is provided In this Notice of Commencement 1. Description of Properly: Parcel Identification No. 35-25-21-0130-00000-0110 Street Address: 7490 Gall Boulevard,Zephyrhills,FL 2. General Description of Improvement Construction of fast food restaurant with drive thru,dumpster enclosure and related site improvements. 3. Owner Information or Lessee information if the Lessee contracted for the improvement Chick-fil-A,Inc Name 5200 Buffington Road Atlanta GA Address City State Interest In Property: Lessee Name of Fee Simple Titleholder SF Zephyr Commons Outparcei LP (H different from Owner listed abovel 2851 John Street,Suite One Markham.___ Ontario L3R5R7_� 4. Address ddr Contractor Buffalo Construction,Inc. city State 12700 into Knop Drive Louisville KY Address City Slate Contractor's Telephone No.: L404)361-3Eo0 5, Surety: NIA Name Address City State Amount of good: S Telephone No.: 6. Lender: N/A Name Address Oily State Lender's Telephone Now 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City Stale Telephone Number of Designated Person: 8. In addition to himself,the owner designates Justin Sloecher,as Construction Manager of Chick fil-A.Inc to receive a copy of the Llenors Notice as provided In Section 713.13(i)(b),Florida Statutes. Telephone Number of Person of Entity Designated by Owner (404)765-8000 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date or recording unless a different date Is speafied): WARNING TO OWNER; ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENC9MENT, Under penalty of perpny 1 declare that I have read the foregoing notice of crommencement and that the fads stated(herein era true to the best of my knowledge and QW. STATE OF F PASC n &_A / COUNTY OF PASt A S 11 piatum of Owner or Lessee_Rorr Owneees or Lessees Aullmrized Of ficerlDlrectodPartnerlManager Sr. Construction Manager Slgnatoty's TitlelOffice me The oing Instrument was ackn d �g this of t,20Z1 by 'E i 11 k fararj L s ��C�15 ��5 9- (type of aWhorlty.e.g..officer,tr stes,allomey in fad for 1w~ 'r — rt�cs•° {namt of m1 beh�whom.1ruMi rnent was a aea Personally Known Produced Ider0calion❑ Notary Signatu Type of Identification Produced Name(Print) I f30mail>I911111#G0344183 -� £'3 s E%pUIZ Aft M 2M '•.P,r�;:r•'' 8mWTtaTmyF*U+ ee811038�7{It9 #+ 4 Pinellas 4 Sarasota 13075 US Hwy 19 N 1595 Barber Road Clearwater, Florida 33764 Sarasota, Florida 34240 Piper Phone: (727)581-9339 Phone: (941) 377-2100 Fax: 727 581-8332 F 941 377-2001 Fire Protection ( ) Fax: ( ) Fire Suppression Material Submittal Sheets Chick-fil-A *4040 7490 Gall Blvd Zephyrhills, FL 33541 April 15, 2021 JC # 10-30-02710 Listing and Approval Information "The materials in this submittal are subject to substitution for products of equivalent listing due to product availability Design - Install - Inspect Service Lic.#:EF-0001219-Lic.#:57668600012001 -Lic.#:392845000622001 •Lic.#:71286800011990-Lic.#:45152300011999 1-800-327-7604 - WWW.PIPERFIRE.COM FIRE . . ;00 RESSION SYSTEM IIII� I. Now sow now Now sow now t oil tggD One Stanton Street / Marinette,WI 54143-2542,USA / +1-715-735-7411 /www.ansul.com Fire Protection Products Copyright©2014 Tyco Fire Products LP. / All rights reserved. / Part No.418087-12 R-102 Restaurant Fire Suppression Manual SECTION 1 —GENERAL INFORMATION UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 1-1 DESIGN AND APPLICATION UL LISTING -The ANSUL R-102 Restaurant 'Fire Suppression System is The R-102 Restaurant Fire Suppression System has been test- developed and tested to provide.fire protection for restaurant ed and is listed by Underwriters Laboratories, Inc. as a pre-en- cooking appliances, hoods, and ducts. It is a pre-engineered gineered system. The system is in compliance with UL Test group of mechanical and electrical components for installation Standard 300.These tests require extinguishment of fires which by an authorized ANSUL distributor. The basic system consists are initiated in deep fat fryers, ranges, griddles, char-broilers, of an AUTOMAN regulated release assembly which includes a woks, upright broilers, chain-broilers, filters, plenum chambers, regulated release mechanism and a liquid agent storage tank hoods, and ducts. after pre-loading each appliance with a pre housed within a single enclosure. Nozzles, detectors, cartridg- scribed amount of cooking grease. Each fire is allowed to prog- es, liquid agent,fusible links, pulley tees, and pulley elbows are ress to maximum intensity before the fire suppression system supplied in separate packages in the quantities needed for each is actuated. fire suppression system arrangement. The system provides automatic actuation; or it can be actuated SYSTEM APPROVALS manually through a remote manual pull station. The system is • UL EX3470 also capable of shutting down appliances at system actuation. • ULC EX3470 For appliance shutdown requirements, refer to the current ver- ► • COA#5663(NYC) sion of NFPA 17A, "Standard For Wet Chemical Extinguishing Systems,"and NFPA 96, "Standard For Ventilation Control and DEFINITION OF TERMS Fire Protection of Commercial Cooking Operations." Actuation Gas Line: Piping and/or stainless steel braided hose Additional equipment includes: remote manual pull station, assemblies from the AUTOMAN Regulated Release Assembly mechanical and electrical gas valves, and electrical.switches which supplies high pressure nitrogen or carbon dioxide to the for automatic equipment and gas line shut-off.Accessories can Regulated Actuator Assembly for multiple-tank system actuation. be added, such as alarms, warning lights, etc., to installations Agent Tank: A pressure vessel containing the liquid agent. where required. AUTOMAN Regulated Release Assembly (Electrical): An The R-102 system suppresses fire by spraying the plenum area, assembly which contains the regulated release mechanism, the filters, cooking surfaces, and the exhaust duct system with agent tank (ordered separately), expellant gas hose, solenoid, a predetermined flow rate of ANSULEX Low pH Liquid Fire and electric switch within a metal enclosure.The enclosure con- Suppressant.When the liquid agent is discharged onto a cook- tains knockouts to facilitate component hookups. ing appliance fire, it cools the grease surface, and reacts with AUTOMAN Regulated Release Assembly (Mechanical): An the hot grease(saponification)forming a layer of soap-like foam assembly which contains the regulated release mechanism, on the surface of the fat. This layer acts as insulation between agent tank(ordered separately),and expellant gas hose within a the hot grease and the atmosphere,thus helping to prevent the metal enclosure. The enclosure contains knockouts to facilitate escape of combustible vapors. component hookups. Exhaust fans in the ventilating system should be left on. The Authority Having Jurisdiction: The "authority having juris- forced draft of these fans assists the movement of the liquid diction" is the organization, office, or individual responsible agent through the ventilating system,thus aiding in the fire sup- for "approving" equipment, an installation, or a procedure. pression process.These fans also provide a cooling effect in the The phrase "Authority Having Jurisdiction" is used in a broad plenum and duct after the fire suppression system has been dis- manner since jurisdictions and "approval' agencies vary as charged.The system is UL listed with or without fan operation. do their responsibilities. Where public safety is primary, the ► Make up or supply air fans,internal to the exhaust hood(s)being "authority having jurisdiction" may be a federal, state, local, or protected,shall be shut down upon system actuation. other regional department or individual such as a fire chief,fire Along with the fire suppression system, the total system design marshal, chief of a fire prevention bureau, labor department, must include hand portable fire extinguisher(s) located within the health department, building official, electrical inspector, or cooking/restaurant area that can be used to manually suppress others having statutory authority. For insurance purposes, an a fire that may be burning in an unprotected area. Class K extin- insurance company representative may be the"authority having guisher(s)must be provided for hazards where there is a potential jurisdiction." In many circumstances the property owner or his for fires involving combustible cooking media(vegetable or animal designated agent assumes the role of the"authority having juris- oils and fats). Refer to NFPA 10, "Standard For Portable Fire diction;"at government installations, the commanding officer or Extinguisher,"for additional information. departmental official may be the"authority having jurisdiction." Blow-Off Cap: A siliconized rubber or metal cap which covers the end of the nozzle to protect the nozzle tip and minimize cooking grease migration into the nozzle orifice. Branch Line: The agent distribution piping which extends from the supply line to the nozzle(s). 4 R-102 RestaurantFire Suppression Manual SECTION 2—SYSTEM DESCRIPTION UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 2-1 TOTAL SYSTEM Double-Tank System There are four types of R-102 Restaurant Fire Suppression The R-102 double-tank system is available with stainless steel Systems: enclosures and consists of: 1. Single-tank System 1. AUTOMAN Regulated Release Assembly (Electrical or 2. Double-tank System Mechanical) 3. Three-tank System (1 Cartridge) 2. Nitrogen Cartridge and/or Carbon Dioxide Cartridge 4. Multiple Tank System (Three Tanks or More — Multiple 3. ANSULEX Low pH Liquid Fire Suppressant Cartridges) 4. Enclosure or Bracket Assembly The type of system required for the particular installation will be 5. Discharge Nozzles determined through the guidelines covered in "System Design." 6. Detection Components Additional equipment which may be required to complete the system design is explained in the "System Components" sec- 7. Additional Devices(As Required) tion. Additional devices covered are: remote manual pull sta- The regulated release assembly contains the regulated release tions, mechanical and electrical gas shut-off valves, electrical mechanism, agent tank, expellant gas hose for agent tank switches, and pressure switches. hookup,and enclosure knockouts to facilitate installing expellant piping, detection system,and additional equipment. Single-Tank System The enclosure or bracket assembly is mounted separately but The R-102 single-tank system is available with a stainless steel within the guidelines of the regulated release assembly expellant enclosure and consists of: gas piping requirements to ensure simultaneous actuation of the 1. AUTOMAN Regulated Release Assembly (Electrical or system. Refer to "System Components" section for individual Mechanical) component descriptions. 2. Nitrogen Cartridge and/or Carbon Dioxide Cartridge 3. ANSULEX Low pH Liquid Fire Suppressant 4. Discharge Nozzles 5. Detection Components 6. Additional Devices(As Required) The regulated release assembly contains the regulated release O DO mechanism,agent tank,expellant gas hose for agent tank hook- up,and enclosure knockouts to facilitate installing detection sys- co tem and additional equipment. Refer to "System Components" section for individual component descriptions. Q FIGURE 2-2 008n, FIGURE 2-1 000133 SECTION 2—SYSTEM DESCRIPTION R-102 Restaurant Fire Suppression Manual UL EX3470 ULC EX3470 PAGE 2-2 REV. 11 2014-SEP-01 TOTAL SYSTEM (Continued) Multiple Tank System (Three Tanks or More—Multiple Three-Tank System (1 Cartridge with Three 3.0 Gal Tanks Cartridges) ONLY) The R-102 multiple-tank system is available with stainless steel The R-102 three-tank system is available with stainless steel enclosures and consists of: enclosures and consists of: 1. AUTOMAN Regulated Release Assembly 1. AUTOMAN Regulated Release Assembly (Electrical or (Electrical or Mechanical)or AUTOMAN Remote Release Mechanical) Assembly(ies) 2. Double Tank Enclosure Assembly 2. Nitrogen Cartridge(s)and/or Carbon Dioxide Cartridge(s) 3. Nitrogen Cartridge 3. Regulated Actuator Assembly(ies) 4. ANSULEX Low pH Liquid Fire Suppressant 4. ANSULEX Low pH Liquid Fire Suppressant 5. Discharge Nozzles 5. Enclosure or Bracket Assembly(ies) 6.. Detection Components 6. Discharge Nozzles 7. Additional Devices(As Required) 7. Detection Components The regulated release assembly contains the regulated release 8• Additional Devices(As Required) mechanism, agent tank, expellant gas hose for agent tank The regulated release assembly contains the regulated release hookup,and enclosure knockouts to facilitate installing expellant mechanism, agent tank, expellant gas hose for agent tank piping, detection system, and additional equipment. hookup, and enclosure knockouts to facilitate installing actua- The double tank enclosure assembly is mounted separately but tion piping, expellant piping, detection system, and additional within the guidelines of the regulated release assembly expellant equipment. gas piping requirements to ensure simultaneous actuation of the The remote release assembly(ies) is used in large systems or system. Refer to "System Components" section for individual multi-hood systems to actuate regulated actuator assembly(ies) component descriptions. ONLY.The remote release assembly contains a release mecha- nism(unregulated),with enclosure knockouts to facilitate install- ing the actuation piping,expellant piping, detection system, and additional equipment. Each regulated actuator assembly is mounted separately but within the guidelines of the regulated release assembly actua- tion/expellant gas piping requirements to ensure simultaneous actuation of the system. The assembly contains the pneumatic actuator, regulator, agent tank, expellant gas hose for agent O�O tank hookup,and enclosure plugs to facilitate installing expellant ® piping. Each enclosure or bracket assembly is mounted separately but within the guidelines of the regulated release assembly or reg- ulated actuator assembly expellant gas piping requirements to ensure simultaneous actuation of the system. Refer to"System Components"section for individual component descriptions. FIGURE 2-3 DO&M 0 O � � 0 o ® 0 0 O FIGURE 2-4 008= ^ R402Rosta ��e8u��o�on Manual| m� SECTION 3—SYSTEM COMPONENTS ~ ULEX347O ULCEX347O 2014-SEP'01 REV. 11 PAGE 3-1 EXTINGUISHING AGENT Automatic actuation occurs when a fusible link within the deteu' ANGULE% Low pH Liquid Fine Suppneouant (1.5 gallon _ part bon system separates in a fire condition. Manual actuation of No.7QOQ4or3.0 gallon—Part No.7Q372)isepotassium-based the system occurs when personnel pull un the remote manual solution designed for fast knock-down and suppression of pull station pull ring. grease-related fires. The agent ia shipped in plastic containers /\UTOyNAN � E{�UL/TEDRELEASEA8SE[NBLY which provide one complete tank charge. (Refer to Sectionl( (MECHANICAL) Page5'2.1. for maximum agent fill oapecity.)Agent storage life NOTE:AGENT TANK MUST os expectancy ia twelve years and can bo stored ega temperature uf ORDERED SEPARATELY —4U"Fhn13U^F(40°Cb`54^O).Note:When inoto|ling agent (SEE PAGE 3-3) in R-102 system,temperature range is 32~F(0~{)to 130~F - RELEASE (54"O).The distributor must record the batch numbers and date 41 MECHANISM of shipment receipt tube filed with each installation record. nmuoLEx LOW»o LIQUID FIRE ampnsauAwr REGULATOR �_­­SHIPPINGwromLB(s*8 uuGxuom 1.5m«uow | FIGURE ~ ���wr��o�� ���wrm�ma� - �� �� 000137 FIGURE 3'1 REGULATED RELEASE ASSEMBLY(ELECTR|CAL) REGULATED RELEASE ASSEMBLY(k4ECHAN(CAL) The AUTOMAN Regulated Be±hua| Re|meua Assembly (port ThaNUTO�NANRmgu|�ad&4anh�nica!�e^*aaeAuuamb)y(��� No.42Q856Va�*ndoa|tu the mechanical vam|onexcept i1also ounoama a factory installed 120 VAC solenoid and electrical No.429853)contains the regulated release mechanism, expel- switch. ]ant gas hose for agent tank hookup, and enclosure knockouts to facilitateinstalling actuation piping� expa||�nt piping� de�o- The solenoid is used to provide electrical actuation of the U«» system; and additional equipment. This regulated nu|oaee release mechanism. Thee|octhoa�hoh is used to protect the aaoamb/yim used in single, double, and mu|Up|o�anksystems oo|»»oidby�pe»ing�hedroui��othasu|enoidonca�heuyotem and must be mounted Uma rigid surface. The release maoho' iu fired.Additional electrical switches can bo added aarequired niam can be used to interconnect both the actuation and expel- for automatic equipment and gas shut-off accessories, as well |ont gas lines as required per system denign. The regulator is as initiating audible and visual o/enno. designed bm allow oconstant flow of gas into the tank et11Opsi' AUTOMAN REGULATED RELEASE ASSEMBLY (7.G bar)when the system ia actuated.The agent tank must be ordered separately. (ELECTRICAL)' NOTE:AGENT TANK MUST In eing|*, doub|e, and multiple-tank myotama, the provided BE ORDERED «*/pp/wewro,ca(/uu�) expellant gas hose connects the agent tank 0o the bottom outlet SEPARATELY uf the regulator. |n double and multiple-tank system conOgura' Uone, the back outlet cfthe regulator is used as an expellant REGULATOR goo feed for one additional tank-enclosure or tank-bracket ~ SWITCH hookup. The enclosure contains the required knockouts to el facilitate this connection. Ke pressure switch ishobeattached to the regulator, additional fittings are required. ooLEwum The tank is mounted within the enclosure. The tank contains on adaptor/tube assembly with a bunt disc union. The burst disc helps prevent siphoning of the agent up the pipe due to significant temperature fluctuations in the area where the tank iu located. The tank io stainless steel and, under normal oondi' Uuna. requineshydnoatatiob»obngeverybmelvoyeom. The detection and additional equipment required per system design are connected bo the release mechanism.The enclosure � /^ contains knockouts ho facilitate detection and additional hookups. ---�==���� FiGURE3-3 «m^a The system can be actuated automatically or manually. °~woua«unzmxw Regulated Electrical m � u m ouone � wo��oaomo)|,n intend- ed R-102 Restaurant Fire Suppression Manual SECTION 3-SYSTEM COMPONENTS UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 3-5 GAS CARTRIDGES NOZZLES The R-102 system uses gas cartridges to store nitrogen or There are 11 types of discharge nozzles each designed to carbon dioxide expellant gases under pressure until the system distribute the liquid agent in a uniform pattern throughout the is actuated, at which time the cartridge seal is punctured and hazard area: the released gas expels liquid agent from one or more tanks 1. 1/2N Nozzle 7. 245 Nozzle .through the discharge piping and out the discharge nozzles. 2. 1F Nozzle 8. 260 Nozzle Four nitrogen gas cartridges and three carbon dioxide gas car- 3. 1 W Nozzle 9. 290 Nozzle tridges are available as shown in Figure 13. 4. IN Nozzle 10. 2120 Nozzle Cartridges noted as TC/DOT are both Transport Canada (TC) 5. 2W Nozzle 11. 3N Nozzle and Department of Transportation (DOT)approved. Cartridges 6. 230 Nozzle noted as DOT ate Department of Transportation approved only. Although these nozzles are similar in appearance and have Cartridge selection options are provided in Section 4 under certain common parts, the tip of each nozzle is designed for a Tank and Cartridge Requirements. specific application and must only be used in those areas. See NITROGEN GAS CARTRIDGES Nozzle Application Chart in Section 4 - System Design, for ►individual nozzle usage. Nozzles are shipped with metal blow- -off caps included. ►A 25 pack of Nozzle O-rings(Part No.439848)is also available. 17 114 IN. 3/8-18 NPT 11 5/8 IN. 12 1/4 IN. (438 mm) f FEMALE THREAD tu 7 7/8 IN. (295 mm) (311 mm) (200 mm) NOZZLE Z i IDENTIFICATION ^n lS V INTERNAL CUP 2 1/2 IN. 2 1/2 IN. 4 3116 IN. 3 9/16 IN. STRAINER INSIDE (64 mm) (64 mm) (106 mm) (90 mm) Q LT-20-R LT-30-R DOUBLE-TANK LT-A-101-30 CARTRIDGE CARTRIDGE CARTRIDGE CARTRIDGE Y#�Q�[�Jt 000145 000146 000147 000148 CARBON DIOXIDE CARTRIDGES SILICONE O-RING ' . FIGURE 3-14 11 5/8 IN. 009474 9 IN. 77/8 IN. (295 mm) (229 mm) (200 mm) Nozzle Identification Chart J_�U� 1-101 -1- Nozzle Nozzle Nozzle Package Flow 2IN. 21/2IN. 21/2IN. Type Part No. Quantity No. Nozzle Material (51 mm) (64 mm) (64 mm) — 101-10 CARTRIDGE 101-20 CARTRIDGE 101-30 CARTRIDGE 1/2N Nozzle 439837 9 1/2 Chrome-Plated Body 000149 000160 000151 IF Nozzle 439836 9 1 Chrome-Plated Body FIGURE 3-13 1W Nozzle* 439839 25 1 Chrome-Plated Body Additional cartridge shipping assemblies are available for 1 N Nozzle* 439838 25 1 Chrome-Plated Body European and Australian requirements. 2W Nozzle 439840 25 2 Chrome-Plated Body Cartridge European Australian TC/DOT 230 Nozzle 439842 25 2 Chrome-Plated Body Description Part No. Part No. Part No. 245 Nozzle 439843 25 2 Chrome-Plated Body LT-20-R 428440 428948 423429 260 Nozzle 439844 9 2 Chrome-Plated Body LT-30-R 428441 426553 423435 290 Nozzle 439845 9 2 Chrome-Plated Body Double Tank 428446 426563 423493 2120 Nozzle 439846 9 2 Chrome-Plated Body LT-A-101-30 428442 426555 423491 39 3N Nozzle 439841 9 3 Chrome-Plated Body 101-10-CO2 428443 N/A 4234 101-20—CO2 428443 N/A 4234 'Stainless steel versions are available in the 1 W nozzle(Part No.439864)and ► the 1 N nozzle(Part No.439865). 101-30-CO2 42.8444 N/A 423443 Note: For 101-10 cartridge, Part No. 15850 is DOT only. SILICONE LUBRICANT Dow Corning Compound 111 (Part No. 78112)is available in a 5.3-ounce tube. Compound has excellent qualities for sealing and lubricating system components. R-102 Restaurant Fire Suppression Manual SECTION 3—SYSTEM COMPONENTS UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 3-11 ALARM INITIATING SWITCH FUSIBLE LINK The Alarm Initiating Switch Kit (Part No. 428311) can be field Select correct UL Listed fusible link(s)for installation in detec- mounted within the AUTOMAN release. This switch must be tor(s)according to the temperature condition chart below: used to close a supervised alarm circuit to the building main fire ►SL STYLE alarm panel when the AUTOMAN release actuates.This action To Be Used will signal the fire alarm panel that there was a system actua- Fusible Link Where tion in the kitchen area. The switch kit contains all necessary Shipping Temperature Color mounting components along with a mounting instruction sheet. Assembly Temperature Does Not of The switch is rated 50 mA, 28 VDC. Part No. Rating Exceed Link ' 439085 (25) 165 °F 100 OF Black (74°C) (38°C) 439086 (25) 212 OF 150 °F White (100°C) (66°C) 439087(25) 280 °F 225 °F Blue 0 e ALARMTING (138°C) (107 °C) INITo SWITCH 439088 (25) 360 °F 290 OF Red ® SWITCH (182 °C) (143°C) I0 OVER 439089 (25) 450 °F 360 OF Green Q�C! (232 °C) (182 °C) SWITCH MOUNTING ►A-PC STYLE BRACKET(NOTINCLUDED ® WITH ARM INITIATING SWITCH KIT) Fusible Link To Be Used SWITCH e Shipping Where Assembly Temperature Temperature ► FIGURE 3-31 Part No. Rating Does Not Exceed 004690 ►439227 (10) 165 OF(74°C) 100 OF(38°C) 439228 (10) 212 OF(100°C) 150 OF(66°C) REGULATOR TEST KIT 439229(10) 280 OF(138°C) 225 OF (107 °C) The Test Kit Assembly (Shipping Part No. 56972) is required 439230 (10) 360 OF(182°C) 290 OF(143 °C) to test the regulator setting and nitrogen flow during 12-year 439231 (10) 450 OF(232°C) 360 OF(182 °C) maintenance examinations. This will ensure that the regulator .439232(25) 500 OF(260°C) 400 OF(204°C) is functioning properly. ® O9 ANSUta 0 ' TEMPERATURE 0 RATING STAMPED ON FUSIBLE LINK BODY FIGURE 3-32 O 000169 ►VENT PLUG ASSEMBLY ► SL STYLE A-PC STYLE The Vent Plug Assembly (Part No. 74274) is installed on the 000170 00017FIGURE 3-33 agent tank adaptor to prevent pressure buildup within the agent tank or distribution lines due to temperature fluctuations. MAXIMUM REGISTERING THERMOMETER CARTRIDGE RECEIVER GASKET The Maximum Registering Thermometer(Part No. 15240)may be used to indicate the highest normal temperature for the pro- The Cartridge Receiver Gasket(Part No. 181)is installed in the tected area. Once this is established, the correct rated fusible release and actuator assembly cartridge receiver to create a link can be chosen. Other methods for determining maximum ►seal between the cartridge receiver assembly and the cartridge. temperatures may be used. HOSE/GROMMET PACKAGE The Hose/Grommet Package (Part No. 418511) consists of a 24 in. rubber hose and two grommets.This package is required when expellant gas hose is routed outside the AUTOMAN Regulated Release, Regulated Actuator, and/or tank enclosure assemblies. - ` R482 Restaurant Fire Suppression Manual SECTION 4—SYSTEM DESIGN ULEX347U UL8EX347U 20144SEP-01 REV. 11 PAGE44 8YE TEk8DESIGN GENERAL INFORMATION The ANSULR-1O2 Restaurant Fire Suppression System may ba 1. Nozzles must be located 2'8 in. (51'2U3mn)into the center used ona number of different types of restaurant cooking appdi- of the duct opening,discharging up. See Figure 4-1. anoeo and hood and duct configurations.The design information listed in this section deals with the limitations and parameters of this pre-engineered system. Those individuals responsible for the design of the R'iO2 system must bo trained and hold a current ANBUL certificate inanF-1O2 training program. The R'102 and the PIRANHA systems use compatible agents and oumpononbs, thanefovu, they may be used together for cooking app|ianue, hood' and duct protection. The primary AUTOMAN Release can be either an R-182 or a PIRANHA AUTT]W1AN Release and can actuate upho two additional F-102 or,PIRANHA Regulated Actuators. In systems utilizing a 101 2-8 IN. vu| release, any combination of maximum number p1-ammn^ U '== ' f � regulated actuators can boused. / ^ Both systems must actuatesimub �aneouo� ^ Each system must be designed and installed per its oppnoph' FIGURE 4-1 ate manual. mp173 ^ Adjacent appliances requiring protection must be protected 2. |n installations where a UL listed damper aeaambk/ is with the same type of system, either R-102 or p|RANM8, emp|oyed, the duct nozzle can be installed beyond the 8 unless the uentepto-oenter spacing between the adjacent in. (2O3mm) maximum, 0oa point just beyond the damper R-102 uodPIRANHA nozzles|uno less than 38 in. (914mn)' assembly that will not interfere with the damper. Exceeding • When appliances are protected with F-1U2 nozzles, the the maximum of8 in. (2U8mn) |n this way will not void the hood and connecting duct above those appliances cannot be UL listing mf the system. protected with PIRANHA nozzles. ^ KA��ngaya�mm(nouommonp|enumiuno\a|kmved' 3. P�v�ua� |i�edthree fkuwnumber and fkm �ownumber duct protection detailed in earlier published manual(Part No. One ofthe key elements for restaurant fire protection|aocorrect 418087-06)can also still be utilized. system design. This section is divided into 18 sub-sections: Nozzle Placement Requirements,Tank Quantity Requirements, DUCT SIZES UP TO 50 IN. (1270 mm) Actuation and Expellant Goo L|hn Roquioomonto, Distribution Piping Requirements, DetectionSyatom Requirements, ' Manual PullStation R�quinamanta' [Neuhanico| Gas Valve ^ One 1VV nozzle=one flow number Roquiooments, Electrical Gas Valve Requirements, Electrical ^ 5O in. (1270mm)perimeter maximum Switch Requirements, and Pressure Switch Requirements. . 18in �O8mm)diom�ermaximum Each of these sections must be completed before attempting any installation. System design sketches should be made ofall DUCT SIZES UP TO 100 IN. (2540 mm) aspects of design for reference duhnginsta||ation. NOZZLE PLACEMENT REQUIREMENTS ^ One 2N nozzle=two flow numbers This oauUon gives guidelines for nozzle type, positioning, and ^ 100|n. (254Umm)perimeter maximum quantity for duct, p|enum, and individual uPpUono* protection. . 32in. (812mm) diameter maximum This section must ba completed before determining tank qumn' �yondpipingn��uin�men1 ' The chadbnkmvohoxwsthe mm�mumpn�e�ionuv�|ab�from each duct nozzle. Duct ProtecUon—Sing|e Nozzle 3.08a(|on 1.58al|on All duct protection|aUL listed without limitation uf maximum duct Description System System length(unlimited|ength).This includes all varieties«fductworks IWNozze Maximum Maximum both horizontal and vertical including ducts that run at angles h» 10p in. (2548mn) 1OO in. (254Umn) the horizontal and ducts with directional bends. Perimeter Perimeter Note: Ducts from multiple hoods connected to a common 1yyNozzle Maximum Maximum ductwork must be protected in compliance with NFRASG and 50in. (1270mm) 5O in. (1270mm) �all local codes. Perimeter Perimeter The R'iO2 system uses different duct nozzles depending onthe size nf duct being protected. ' R4O2 Restaurant Fire Suppression Manual SECTION 4—SYSTEM DESIGN " ULEX347O ULOEX847O 2014'SEP-01 REV. 11 PAGE 4-5 Plenum Protection Option 2: The 1VVnuzzlemustbe placed perpendicular,D'12in. The R'182 eyu;om uses the 1VV nozzle u/ the 1N nozzle for � (2O3'3O4 mm)from the face of the filter and angled bo plenum protection. The 1VV nozzle is stamped with 1Vyand the center of the filter.The nozzle tip must bewithin �the 1N nozzle io stamped with 1N' indicating they are one-flow 2 in.(5O mm)from the perpendicular center line ofthe nozzles and must be counted aa one flow number each. When filter.See Figure 4'8. protecting m plenum chamber, the entire chamber must be protected regardless of filter|ang|h./ MAXIMUM VERT|CALPROTEOT|ON—GENERAL 1VV NOZZLE—SINGLE AND"W8ANKPROTECTION /~ ^m�m "M) �/w/wum One 1VVno��|evyiUpro�(�4 linear feet(1.2m) of plenum.The m�imumdi����nmthe�d�1heho���e���d/a� I NOZZLE nozzle must bunomom than 2�(O.8m).After the hu�nozzle, MU��ETIP Wn*/w THIS AREA any addiUona| nozzles must bepoe�unedatomm�mumof4ft (1.2m)apart down the entire length md the plenum.The plenum width must not exceed 4ft(1.2m). (The 1VV nozzle can baused 11 on single orV-bonk filter annngements.)See Figure 4'G. FIGURE 4-8 --' epr MAXI UM HORIZONTAL PROTECTION—OPTION 1 1N NOZZLE SINGLE BANK PROTECTION m ~ One 1N nozzle will protect 1U linear feet(3.Un)of single filter bank MAXIMUM ��' p|enum.Thonozz|a(m) mu�dbem�u�edinthep|enum. 2$o4in . (50 to 102 mm)from the face of the filter, centered between the filter height dimension, and aimed down the length. The nozzle must ba positioned O-S in.(O'152 mm)from the end of the hood to the tip of the nozzle.8eeFigue4Q. ."r/(mm) Or FIGURE 4'8 000197 ' When protecting plenums with the 1VV nozzle, bwuoptionmof mm= When coverage are available: Option 1: The 1Vy nozzle must be on the center line of the single or^V^'bank filter and positioned within 1'2Oin. (28-500 mm) above the top edge cd the filter. See =»02 Figure 4-7. ' FIGURE 4-9 MAXIMUM ,IN.(2umm) w NIMUM ' F�1D�Roab�urant�na8uppn�o�on �onmuo m � 8ECTON4—SYE�EK� DES|8N ULEX347O ULCE%D47O PAGE 4-6 REV. 11 2014'GEP-01 Plenum Protection (Continued) For a plenum, either single ur"V'bank, with a linear extension HORIZONTAL PROTECTION ~ longer than 1U�(3.Om).each bank may bepn�e�ed using one —OPTION� ° 10 nozzle every 1Dft(3.Dn) or less depending on the overall 1VV NOZZLE—"VpBANKPROTECTION length of the plenum. See Figure 4-12. The nozzles may point One 10V nozzle will protect G linear feet (1.8 n) of "V' bank in the opposite directions ao kmQ oa the entire plenum area is plenum.The nozzle must be mounted horizontally,positioned 10 � protected, and the 10ft(3.Om) limitation ia not exceeded. See the filter height down from the top of the filter. Nozzles can be Figure 4'13.The nozzle positioning shown in Figure 444isnot located at Gft (1.8 n) spacings on longer plenums. The nozzle an acceptable method of protection because the plenum area must ba positioned U'G in.(O452mn)from the end of the hood 0o directly under the tee ia not within the discharge pattern ofeither the tip of the nozzle.See Figure 4'1O. nozzle. 1Wwo771 MAXIMUM � .",. MAXIMUMMAXIMUM HEIGHT OF MAXIMUM MAXIMUM 4 FT _ 30pr(9.,m) FIGURE 4'12 �� MAXIMUM F|GURE41O --- � ^, TWO 1N NOZZLES—"V"BANK PROTECTION MAXIMUM ~Twu 1N nozzles will protect 18 by 4 ft 1.2 n) vx�oof � �rbankpianum. Thenuzz|emmtbemou�nd in the ~ '"'' AXIMUM ^p|enum. 2hu 4 in. (50 to 101 mm) from the face of the Ober. centered between the filter height dimension,and aimed down the �^ length The nozzle must be positioned in. 1mm)from the end of the hood io the tip o/the nozzle.See Figure 4'11. 30pr(9,M) u-*x^ ~.~� ~ em-,m � mw FIGURE 4-13 o= mu207 lie MAXIMUM KINCOIRECT 0002W FIGURE 4-14 | "002M R-102 Restaurant Fire Suppression Manual SECTION 4—SYSTEM DESIGN UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 4-7 Appliance Protection The following pages detail types of appliance protection. Each design requires several factors: correct nozzle choice, correct nozzle height above hazard,correct nozzle location and correct aiming point. Fryer—Single Nozzle Protection 1. Design requirements for fryers are broken down into two types. A. FRYERS WITHOUT DRIPBOARDS If the fryer does not include a dripboard, measure the internal depth (horizontal dimension from front to back) and length of the frypot. B. FRYERS WITH DRIPBOARDS If the fryer includes any dripboard areas, measure both the internal depth (horizontal dimension from front to back)and length of the frypot portion,and then measure the internal depth and length of the overall hazard area including any dripboard areas. 2. Using Table, "Maximum Cooking Area Dimension—Single_ Nozzle Fryer Protection,"determine which nozzle is needed to protect the fryer based on the maximum dimensions listed. A. If the fryer does not include a dripboard, use the maximum dimensions listed in the first column of the table to select the correct nozzle. B. If the fryer includes any dripboard areas, use both the maximum frypot dimensions in the first column of the table, and the maximum overall dimensions in the second column of the table to select the correct nozzle. None of the maximum dimensions in either column may be exceeded. 3. If either the maximum frypot or the overall sizes are exceeded,an additional nozzle(s)will be required. Refer to the multiple nozzle requirements. Example: A fryer with a dripboard. The inside of the frypot without the dripboard measures 18 in. in depth x 18 in. in length (457 mm x 457 mm) and the inside of the overall area includ- ing the dripboard measures 18 in. in depth x 24 in. in length (457 mm x 610 mm). From the Table "Maximum Cooking Area Dimension — Single Nozzle Fryer Protection," either the 3N or the 290 nozzle should be selected to protect the fryer, depend- ing on the maximum nozzle height above the fryer and the positioning requirements allowed. Refer to appropriate Figures. • R-102 Restaurant Fire Suppression Manual SECTION 4—SYSTEM DESIGN UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 4-9 Fryer—Single Nozzle Protection (Continued) Maximum Area Dimensions—Single Nozzle Fryer Protection (Continued) Max. Size Max.Size Overall Type of Nozzle Height Nozzle Frypot Only With Dripboard Nozzle Above Top of Fryer Location ►14.5 in.x 16.5 in. 14.5 in.x 26.5 in. 290 16 in.to 21 in. See Figure 4-17 ►(368 mm x 419 mm) (368 mm x 673 mm) (406 to 533 mm) 19.5 in.x 19 in. 19.5 in.x 25 3/8 in. 290 13 in.to 16 in. See Figure 4-17 ►(495 mm x 482 mm) (495 mm x 644 mm) (330 to 406 mm) 19.5 in.x 19 in. 19.5 in.x 25 3/8 in. 3N See Figure 4-18 See Figure 4-18 ►(495 mm x 482 mm) (495 mm x 644 mm) 18 in.x 18 in. 18 in. x 27 3/4 in. 3N 25 in.to 35 in. See Figure 4-19 ►(457 mm x 457 mm) (457 mm x 704 mm) (635 mm to 889 mm) �I !Y I Y I I Y. I TOP OF FRYER 1 FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD FRONT 290 NOZZLE TIP POSITIONED OVER THE MIDPOINT OF THE HAZARD AREA t 3 IN. RIGHT-TO-LEFT 000008 (76 mm)FROM THE MIDPOINT ALONG THE LONGEST SIDE OF THE HAZARD AND s 000010 CENTERLINE 1 IN.(25 mm)FROM THE MIDPOINT ALONG THE SHORTEST SIDE OF THE HAZARD FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD _ AND AIMED AT THE MIDPOINT OF THE COOKING AREA. NOTE: 3N NOZZLE TIP MUST BE LOCATED WITHIN THE PERIMETER OF THE SURFACE FIGURE 4-17 AREA WITHIN THE FRONT HALF OF THE FRY POT AND AIMED AT THE CENTER. 002286 FIGURE 4-19 34 IN.(863 mm)MAXIMUM DIAGONAL DISTANCE BETWEEN NOZZLE AND CENTER OF HAZARD AREA 21 M.(634 m) VERTICAL I 1 I I NOZZLE I I I HEIGHT I I FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD 3N NOZZLE TIP POSITIONED ANYWHERE ALONG OR WITHIN PERIMETER OF COOKING SURFACE AND AIMED TO THE CENTER OF THE COOKING AREA. FIGURE 4-18 002287 SECTION 4—SYSTEM DESIGN R-102 Restaurant Fire Suppression Manual UL EX3470 ULC EX3470 PAGE 4-68 REV. 11 2014-SEP-01 DISTRIBUTION PIPING REQUIREMENTS(Continued) Distribution Piping Requirements — 6.0 Gallon Manifolded LENGTH OF PIPING MUST NOT EXCEED 24FT. (7.3 m)FROM START OF FIRST BRANCH LINE System TO START OF LAST BRANCH LINE . As an option to piping two 3.0 gallon tanks separately, two 3.0 gallon tanks can be manifolded together to share a common agent distribution line. Only 3.0 gallon tanks connected to the same regulator can be manifolded. The following requirements must be met when manifolding: START OF LAST 1. All piping must be 3/8 in. Schedule 40. BRANCH LINE 2. 'See Figure 4-136 for tank connections. 3. The length of supply line piping between the start of the first p 0 branch line and the start of the last branch line must not exceed 24 ft (7.3 m). See Figure 4-135. When the supply line is split, the combined total of both legs of the supply line (from the start of the first branch line to the start of the 2W NOZZLES N last branch line) must not exceed 24 ft(7.3 m). � NOZZLE 4. The combined length of all branch lines must not exceed 36 ft(10.9 m). See Figure 4-135. 5. A.maximum of 22 flow numbers are allowed. 1N NOZZLE 6. The requirements of the following table must not be 1N exceeded. NOZZLE 1N NOZZLE O � 2 FLOW APPLIANCE NOZZLE (BRANCH LINES IN BOLD) COMBINED LENGTH MUST NOT EXCEED 36 FT(10.9 M) FIGURE 4-135 ►6.0 GALLON SYSTEM Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 32 ft 8 ft 4 ft 12 ft (9.7 m) (2.4 m) (1.2 m) (3.6 m) Maximum Rise 6 ft 4 ft 2 ft 2 ft (1.8 m) (1.2 m) (0.6 m) (0.6 m) Maximum 900 8 4 4 6 Elbows Maximum Tees 2 2 2 4 Maximum Flow 22 4 2 4 Numbers R-102 Restaurant Fire Suppression Manual SECTION 4—SYSTEM DESIGN UL EX3470 ULC EX3470 2014-SEP-01 REV. 11 PAGE 4-69 DISTRIBUTION PIPING REQUIREMENTS(Continued) Distribution Piping Requirements —6.0 Gallon Manifolded Distribution Piping Requirements—With Independent Pipe System (Continued) Runs This configuration consists of two 3 gallon tanks. Both tanks are Independent pipe runs can also be used with the regulated connected to a common manifold tee and are pressurized from release assembly and the tank/enclosure assembly or tank a single double tank (Part No. 73022) nitrogen cartridge in the mounting brackets. See Figure 4-137. When manifolding is not regulated release assembly. See Figure 4-136. Note: A tank used, each of the two 3 gallon tanks utilize the piping limitations mounting bracket can be utilized instead of the tank/enclosure of a single tank system. assembly. 3/8 IN. 3/8 IN 3/8 IN. BRANCH SUPPLY SUPPLY r/ USE HOSE/ SEE GROMMET ~NOTES + + PACKAGE N0.1 (PART NO. i-3/8 IN BRANCH HOSE/ 418511) GROMMET -IN-LINE BURST DISC PACKAGE I ASSEMBLY-SEE NOTE NO.4 (PART NO. 418511) I REMOVE BURST DISC- SEE NOTE NO.3 3.0 3.0 GALLON GALLON ELI3.0 GALLON 3.0 GALLON TANK TANK TANK TANK DOUBLE TANK ► NITROGEN ► DOUBLE TANK CARTRIDGE OR NITROGEN (LT-A-101-30 CARTRIDGE __.... ;-_,...__.. .._._._ ....._-...._ CARTRIDGE- ► OR LT-A-101-30 3.0 GALLON REGULATED RELEASE 008127 REGULATED CARTRIDGE ASSEMBLY OR 3.0 GALLON REGULATED ACTUATOR ONLY) LT-A-101-30 ACTUATOR ASSEMBLY REGULATED RELEASE ASSEMBLY OR CARTRIDGE- REGULATED ACTUATOR ASSEMBLY REGULATED TANK/ENCLOSURE ACTUATOR ONLY) TANK/ENCLOSURE ASSEMBLY ASSEMBLY FIGURE 4-137 NOTE 1:THE PIPE CONNECTION FROM TANK CENTER TO TANK 000786 CENTER CANNOT EXCEED 8 1/2 IN.(215 mm).ALSO,OEM RELEASE/BRACKET ASSEMBLY CAN BE UTILIZED WHEN Note: If an expellant gas hose is to be used for a second tank MANIFOLDING 3.0 GALLON TANK. NOTE 2: ONLY 3 GALLON TANKS CAN BE MANIFOLDED. In an adJaCent tank enclosure Or tank bracket assembly, the NOTE 3: THE BURST DISC THAT IS PART OF THE TANK ADAPTOR/ second tank will need to be installed on the left side of the BURST DISC ASSEMBLY MUST BE REMOVED AND AUTOMAN Regulated Release, with the outlets a maximum of MODIFIED.SEPARATE THE ALUMINUM DISC MATERIAL 8.5 in. (215 mm)from center to center,similar to the manifolded FROM THE PLASTIC GASKET.DISCARD THE ALUMINUM DISC MATERIAL AND REINSTALL THE PLASTIC GASKET system in Figure 4-136. Otherwise,the second tank will require BACK INTO THE TANK ADAPTOR/BURST DISC ASSEMBLY. 1/4 in. NPT pipe instead of expellant gas hose. ► NOTE 4:THE IN-LINE BURST DISC ASSEMBLY(PART NO.416970) IS TO BE MOUNTED AS CLOSE TO THE TANK OUTLET AS POSSIBLE.AFTER SYSTEM DISCHARGE,THE ASSEMBLY MUST BE DISASSEMBLED AND A NEW BURST DISC INSTALLED. FIGURE 4-136 SECTION 4-SYSTEM DESIGN R-102 Restaurant Fire Suppression Manual UL EX3470 ULC EX3470 PAGE 4-70 REV. 11 2014-SEP-01 DISTRIBUTION PIPING REQUIREMENTS(Continued) Distribution Piping Requirements-9.0 Gallon System This optional configuration consists only of three 3-gallon tanks, all pressurized from a single double-tank nitrogen cartridge with expellant gas hoses connected as shown in Figure 4-138.Tanks No. 1 and No.2 must be connected directly to the regulator with separate expellant gas hoses and Tank No.3 must be connected to Tank No.2 with a third expellant gas hose as shown in Figure 4-136. Each tank must be connected to an independent distribu- tion piping network as shown in Figure 4-138. Distribution piping requirements for each network must be as follows: 1. The maximum length between the start of the first branch j line and the start of the last branch line must not exceed F- 24 ft (7.3 m). When the supply line is split, the combined j I total of both legs of the supply line (from the start of the first branch line to the start of the last branch line) must not (� j exceed 24 ft(7.3 m). See Figure 4-134. II 3.0 3.0 3.0 �p 2. The total length of all branch.lines must not exceed 36 ft GALLON GALLON ' GALLON g TANK TANK TANK I (10.9 m). See Figure 4-138. NO.3 NO.2 NO.1 3. Use a 3/8 in. union to connect the tank adaptor to the 3/8 in. 4j supply line. 4. A maximum of two nozzles are allowed per duct branch line. TWO TANK ENCLOSURE 3 GALLON REGULATED DOUBLE TANK NITROGEN p ASSEMBLY(PART NO. RELEASE ASSEMBLY, CARTRIDGE OR 5. When usingthis 9.0 gallon system configuration, n0 mani- 430324)(INCLUDES OR3GALLON LT-A-101-30CARTRIDGE 9 Y g HOSES AND GROMMETS) REGULATED (REGULATED ACTUATOR folding Of distribution piping IS allowed. ACTUATOR ASSEMBLY ONLY) 6. When an AUTOMAN Regulated Release is utilized in this NOTE: WHEN THREE 3.0 GALLON TANKS ARE CONNECTED TO ONE COnflconfiguration,additional regulator actuators Cannot be Used. AUTOMAN REGULATED RELEASE ASSEMBLY,NO ADDITIONAL 9 9 REGULATED ACTUATOR(S)ASSEMBLIES CAN BE USED. 7. Only 3-gallon tanks can be utilized in this configuration. FIGURE 4-138 8. The requirements of the following table must not be 000126 exceeded for each 3-gallon tank: ►9.0 GALLON SYSTEM Duct Plenum Appliance Requirements Supply Line Branch Line Branch Line Branch Line Pipe Size 3/8 in. 3/8 in. 3/8 in. 3/8 in. Maximum Length 40 ft 8 ft 4ft 12 ft (12.1 m) (2.4 m) (1.2 m) (3.6 m) Maximum Rise 6 ft 4ft 2ft 2 ft (1.8 m) (1.2 m) (0.6 m) (0.6 m) Maximum 900 9 4 4 6 Elbows Maximum Tees 1 2 2 4 Maximum Flow 11" 4 2 4 Numbers 'Exceptions: 1.Twelve flow numbers are allowed in any one tank for duct and plenum protection ONLY. 2.Twelve flow numbers are allowed with any one tank using only two-flow appliance nozzles. 3.Twelve flow numbers are allowed with any one tank using only three-flow appliance nozzles. Special Instructions: 1.When four Dean Industries GTI Gas Fryers are protected at low proximity as shown in Figure 4-66'on Page 4-32,the discharge piping must be as shown in Figure 4-67 on Page 4-32. 2. For certain McDonald's applications,11.5 flow numbers are allowed when using a combination of one 2W duct nozzle,one 1/2N electrostatic precipitator nozzle, one 1 N plenum nozzle,and four two-flow appliance nozzles.Contact the Applications Engineering Department for additional information. , SECTION 4-SYSTEM DESIGN F-102Raotauuan Fire Suppression Manua ULEX847U ULCEX3470 PAGE4'72 REV. 11 2014'8EP'01 DETECTION SYSTEM REQUIREMENTS(Continued) Detector Placement Requirements (Conbnued) NOTICE COOKING APPLIANCES The conduit offset can ba used at the top or }f the cooking appliance ia located under on exhaust duct where bottom of the regulated eAeaoo to change u detector has been muuntod, it is normally not necessary to direction of the conduit. The conduit offset utilize another detector for that cooking appliance, provided the cannot be used with pulley tees. All other detector is not more than 12in. (804 mm) into the duct and the changes in direction must be mode by using appliance has no larger cooking surface than 48 in. x48 in. ANSUL approved pulley elbows (Part No. (121Smmx121Qmm).See Figure 4-141. 42]254or415G78). See Figure 4-142. Note: |f two appliances are located under o duct opening where a detector has been mounted and both appliances together do not exceed a cooking surface of48 in. r48 in. (1218 mm x 121S mm)and the detector|e located above both the protected appliances, it is not necessary to utilize an additional detector provided the duct detector io not more than 12 in.(884 mm) into ,the duct opening. APPLIANCE APPLIANCE APPLIANCE REQUIRES COVERED BY REQUIRES SEPARATE DETECTOR SEPARATE DETECTOR UNDER DUCT DETECTOR FIGURE 4-142 0ON70 FIGURE 4-141 Fusible Link Selection 0=69 When possible, temperature readings should be taken otEach Each cooking appliance with a continuous cooking surface not detector location to determine correct fusible link temperature exceeding 48 in.x48 in. (1218x121A mm)can bo protected by rating. Temperature can be recorded umingeither amaximum a minimum of one de�c�: Oook�gappUanmmwdhaconbnu' o�i�ehng1hermoma�r (Pa� �No. 1 ) temperature tape or ouo cooking surface exceeding 48 in.x4O in.(121Sx121Qmm) any other accurate thermometer. must be protected bynt least one detector per 4O in. x4Oin. (1219 x 1219 mm) cooking area. Detectors used for cooking appliances must be-located above the protected opp||unna ^��v bomau] the exhaust duct aide of the appliance. The detector - should be located in the air stream of the appliance hoenhance system response time. TEMPERATURE RATING STAMPED owFUSIBLE Note: For overlapping detector ocwenaga, see Page 4'80 for LINK BODY design requirements. Detection Line Requirements " ---~ - "=.m CONDUIT . ' SL»TYLE mPCmTYLE W0= Rigid conduit or 1/2 inch E[NTthin'wa|| conduit may be used. FIGURE 4`143 Standard steel conduit fittings (compression type are naoom' Select correct UL Listed fusible link(s) for installation in deteo- mended) must be employed to properly install the detection tor(s) according tu the temperature condition. Two oty|ae are system. All conduit orpipe must be firmly supported. When available. See Figure 4-143. See Component Section for using pipe' make certain that all ends are carefully reamed, detailed temperature ratings. deburned and blown clear of chips and scale before assembly. U ANSUL. ., 1 Il iil � t_I Bulletin No. 2015197 R-102: UL EX3470 DATE: October 5, 2015 TO: Authorized ANSUL® R-102 Restaurant System Distributors and OEM's FROM: Product Management, Restaurant Systems SUBJECT: Garland CXBE12 Broiler NOTICE: It is the responsibility of your company to verify that this information has been received by the employees who currently hold valid certification credentials for design and/or service of the system(s) referenced within this bulletin. Tyco Fire Protection Products is pleased to announce an additional appliance-specific R-102 restaurant fire protection option for the Garland Electric Dual-Side Clamshell Broiler Model CXBE12. This is an additional option to the coverage shown in the ANSUL R-102 Restaurant Fire Suppression System Design, Installation, Recharge and Maintenance Manual (Part No. 418087-12). The following nozzle positioning and coverage limitations must be followed. Single 230 Nozzle Protection for Garland CXBE12 Broiler 230 NOZZLE 24 IN.TO 26 IN. • (610 mm TO 660 mm) 0 IN.TO 2 IN. ABOVE THE (0 mm TO 51 mm) ® CENTER OF COOKING FROM FRONT COOKING SURFACE EDGE OF 10 (— SURFACE COOKING SURFACE r • •✓a AIM NOZZLE 0 IN.TO 2 IN. AT CENTER (0 mm TO 51 mm) OF COOKING 230 NOZZLE FROM FRONT SURFACE END EDGE • • OF COOKING SURFACE DCI� OD t 2 IN.(51 mm) 009654 009655 FROM CENTERLINE Broiler Top View Broiler Side View Copyright©2015 Tyco Fire Products LP. I All rights reserved. �•�C0 One Stanton Street Main Telephone Numbers: +1-800-862-6785 or+1-715-735-7415 Fire Protection Products Marinette,WI 54143-2542 Customer Services.......... Press 2 Technical Services ..........Press 4 www.ansuLcom Training Services........... Press 6 Quality Assurance ..........Press 8 S-2010156-34 ®® Bulletin Bulletin No. 2015197 October 5, 2015 Page 2 R102: UL EX3470 Specifications Top Cooking Surface: 10.2 in. x 22.4 in. (259 mm x 568 mm) Bottom Cooking Surface: 10.8 in. x 22.2 in (274 mm x 564 mm) Total Load: 16 kW This bulletin is a supplement to the ANSUL R-102 Restaurant System Design, Installation, Recharge, and Maintenance Manual (Part No. 418087-12), dated 2014-8EP-01. This bulletin is NOT intended to replace the requirements and limitations outlined within the ANSUL R-102 System Manual listed in this bulletin. The information contained in this bulletin will be ADDED to the manual at the next update. However, we are providing this document immediately for appliance protection. Should you have questions regarding this bulletin, please contact Technical Services as noted below. Thank you for your continued support of ANSUL brand fire suppression products. tq!70 One Stanton Street Main Telephone Numbers: +1-800-862-6785 or+1-715-735-7415 Fire Protection Products Marinette,WI 54143-2542 Customer Services..........Press 2 Technical Services ..........Press 4 www.ansul.com Training Services........... Press 6 Quality Assurance ..........Press 8 SMIINSo01 Y Safety=SetO Positioning System Safety & Code Compliance Safety-Set® is designed to return " caster-mounted kitchen equipment `_ .Y to a specific location after cleaning or maintenance. Often required for code compliance, positioning systems like Safety-Set ensure that gas equipment is situated •" beneath the fire suppression or ' ventilation systems. ®• • D6fmont A WATTS Brand Recommended Applications Benefits • Gas &Electric Cooking Equipment • Can be used with all caster-mounted equipment including cooking appliances, warming carts, salad • Holding &Warming Carts bars, and refrigerators • Food Transportation Carts • Crush Resistant • Salad Bars • Resistant to oils and greases • Open-floor design allows appliance to rest level on • Caster-Mounted Refrigerators the floor to ensure even cooking • Banquet Carts Features Importance of Consistent/Proper • Compatible with 4", 5", and 6" casters • Certified to NSF/ANSI Standard 169-Special Purpose Equipment Placement Food Equipment&Devices • Ensure that gas equipment is situated beneath fire • Flexible,tough injection molded Thermoplastic suppression or ventilation systems Polyurethane(fPU) *Saves time •Able to withstand 1,000 PSI of crush pressure • Increase kitchen efficiency Installation Method • Easily return caster-mounted kitchen equipment to a • Each Safety-Set system includes a 1/4"thumb specific location after every cleaning or maintenance screw hardware pack for your convenience NSF® L F IM Safety-Set also works great with: Caster-Mounted Refrigerators Salad Bar Carts .;;; �N t: Dormant product specifications in U.S.customary units and metric are approximate and are provided for reference only.For precise measurements,please contact Dormant Technical Service. Dormant reserves the right to change or modify product design,construction,specifications,or materials without prior notice and without incurring any obligation to make such changes and modifications on Dormant products previously or subsequently sold.Refer to the owner's manual for warranty information. D6fMOnt A WATTS Brand USA:T:(800)367-6668•F:(724)733-4808•Dormont.com PF-D-SafetySet 1723 0 2017 Dormont PIPER FIRE PROTECTION INC. SUPPRESSION 13075 US HWY 19 NORTH CLEARWATER,FL 33764 ' P' per: SYSTEM STATEWIDE(800)327-7604 PIPERFIRE.COM Fire PrOtectl.on REPORT CUSTOMER NAME I NUMBER/WORK ORDER#JC# DATE Chick-fil-A#4040(Hood#2 and#3) 10-30-02710 SERVICE ADDRESS CITY STATE ZIP 7490 Gall Blvd. Zephyrhills FL 33541 BILLINGADDRESS CITY STATE ZIP CONTACT NAME CONTACT TEL NO. CONTACT EMAIL SYSTEM LOCATION MANUFACTURER MODEL# SERIAL# SIZE Kitchen ANSUL R-102 6 GAL DETECTION TYPE NUMBER TEMP YEAR IMANUALPULL ACTUATION CARTRIDGE/DATE /PSI PRESSURE MFG DATE/HYDRO TEST DATE Fuse Link 4 450F 2020 Mech 101-30 2020 MFG EQUIPMENT SHUTDOWN ELECTRICAL GAS SHUT OFF VALVE TYPE/SIZE HVAC Electric/Air MicroSwitch /Local Alarm None Make Up Air Hood:24" IV1' .----------------------- -- Icy DUCT Hood:42" Duct.8"X 8" 8"x 8" Duct.,8"X 8" --=- i�- ---- �= 3- --- -!- { 1\ *IA 3N 3N 3N N j M 1 FRYER FRYER FRYER 16"x 13.5" 16"x 13.5" 16"x 13.5" 1. All appliances properly protected w/correct nozzles YES 20. Check travel of cable nuts/S-hooks YES 2. Duct and plenum protected w/correct nozzles YES 21. Piping and conduit securely bracketed YES 3. Nozzles position correctly over the protected area YES 22. Proper separation between fryer&flame NIA 4. System installed in accordance w/MNF UL listing YES 23. Proper clearance of flame to filters YES 5. Hood/duct penetration sealed w/weld or UL device YES 24. Exhaust fan in operating order YES 6. Check if seals intact, evidence of tampering YES 25. Listed hood filters installed YES 7. If system has being discharged, report same N/A 26. Fuel shut-off in on position YES 8. Pressure gauge in proper range(if gauged) N/A 27. Manual&remote set/seals in place YES 9. Check cartridge weight(if applicable) YES 28. Replace system covers YES 10. Hydrostatic test date checked YES 29. System operational and seals in place YES 11.6 year maintenance date checked N/A 30. Slave system operational N/A 12. Operate system from terminal link YES 31. Clean cylinder and mount YES 13.Test for proper operation from remote YES 32. Fan warning sign on hood YES 14.Test for proper operation of the gas valve YES 33. Personal instructed on system operation YES 15. System connected to Fire Alarm Control panel N/A 34. Proper portable extinguisher class K installed YES 16. Fire Alarm Control panel monitored N/A 35. Portable extinguishers properly serviced YES 17. Proper nozzle covers in place YES 36. Service and Certification tag on system YES 18.All areas have proper fusible links detection YES 37. Does system meet UL 300 Standard YES 19. Replaced fusible links YES NOTE DISCREPANCIES OR DEFICIENCIES BELOW COMMENTS: Fire Final was accepted by the ZEPHYRHILLS fire inspector: Permit#FIRE-001955-2021 1:�?L31-241� SERVICE TECHNICIAN PERMIT NO. If IfATE TIME AM PM CUSTOMER AUTHORIZED AGENT PIPER FIRE PROTECTION INC. SUPPRESSION 13075 US HWY 19 NORTH CLEARWATER,FL 33764 , P' e r SYSTEM STATEWIDE(800)327-7604 } PIPERFIRE.COM FIrP. Plfal0116.0 REPORT . CUSTOMER NAME I NUMBER/WORKORDER#JC# DATE Chick-fil-A#4040(Hood#1) 10-30-02710 SERVICE ADDRESS CITY STATE LP 7490 Gall Blvd. Zephyrhills FL 33541 BILLING ADDRESS CITY STATE ZIP CONTACT NAME CONTACT TEL NO. CONTACT EMAIL SYSTEM LOCATION MANUFACTURER MODEL# TIAL# SIZE Kitchen ANSUL R-102 9 GAL DETECTION TYPE NUMBER TEMP YEAR MANUAL PULL ACTUATION CARTRIDGE/DATE /PSI PRESSURE MFG DATE/HYDRO TEST DATE Fuse Link 10 450F 2020 Mech Double Tank 2020 MFG EQUIPMENT SHUTDOWN ELECTRICAL GAS SHUT OFF VALVE TYPE/SIZE HVAC Electric/Air MicroSwitch /Local Alarm None Make Up Air I_.. � �--�-� 11♦V 1R, DUCT 9"a S" Hood.Left-96", Right 75" Duct:Left-11"x 8", 1\ Hood#1-Left 1\ Hood#1-Right Right-9"x 8" 3N 3N T2303�N 3N' 3N' 3\ 3\ 230 FRYER FRYER CLAM FRYER jP FRYER FRYER CLAM 16"x 13.5" 16"x 13.5" SHELL 16"x 13.5" 16"x 13.5" 16"x 13.5" 16"x 13.5" SHELL GRILL GRILL 27.4"x 27.4"x 10.2 10.2" 1. All appliances properly protected w/correct nozzles YES 20. Check travel of cable nuts/S-hooks YES 2. Duct and plenum protected w/correct nozzles YES 21. Piping and conduit securely bracketed YES 3. Nozzles position correctly over the protected area YES 22. Proper separation between fryer&flame N/A 4. System installed in accordance w/MNF UL listing YES 23. Proper clearance of flame to filters YES 5. Hood/duct penetration sealed w/weld or UL device YES 24. Exhaust fan in operating order YES 6. Check if seals intact,evidence of tampering YES 25. Listed hood filters installed YES 7. If system has being discharged, report same N/A 26. Fuel shut-off in on position YES 8. Pressure gauge in proper range(if gauged) N/A 27. Manual&remote set/seals in place YES -9. Check cartridge weight(if applicable) YES 28. Replace system covers YES 10. Hydrostatic test date checked YES 29. System operational and seals in place YES 11.6 year maintenance date checked N/A 30. Slave system operational N/A 12. Operate system from terminal link YES 31. Clean cylinder and mount YES 13.Test for proper operation from remote YES 32. Fan warning sign on hood YES 14.Test for proper operation of the gas valve YES 33. Personal instructed on system operation YES 15. System connected to Fire Alarm Control panel N/A 34. Proper portable extinguisher class K installed YES 16.Fire Alarm Control panel monitored N/A 35. Portable extinguishers properly serviced YES 17. Proper nozzle covers in place YES 36. Service and Certification tag on system YES 18.All areas have proper fusible links detection YES 37. Does system meet UL 300 Standard YES 19. Replaced fusible links YES NOTE DISCREPANCIES OR DEFICIENCIES BELOW COMMENTS: Fire Final was accepted by the ZEPHYRHILLS fire inspector: Permit#FIRE-001955-2021 mac' ccAk �L`/'l9-�v yav 7 q1dtW SERVICE TECHNICIAN PERMIT NO. TE TIME AM PM CUSTOMER AUTHORIZED AGENT Please return completed form To Halton with invoice To avoid delays in payment. Site supervisor signature is required. Certification of Distributor Completion INSTALLATION/HOOKUP—FOR ANSUL RESTAURANT FIRE SUPPRESSION SYSTEM .Customer/Job,Name -,Chick-fit-A,#4040. Ref: OEM Name - -- _= -`- - 7490 Gall Bivd Address OEM PO.No.. i City/State/zip . Zephyrhills,-FL 33541 TFpP Notification No:,. SYSTEM ONE Model CR R-102 ❑ PIRANHA Number of nozzles and Part No. 7-3N-439841, 2- 1N -439838, 2- 1W-439839, 2-230-439842 Number of detector(s)and degree rating 10-450 F i Energy shut-off devices—type and size_ -Gas[Electric Other accessory equipment provided COOKING/VENTILATING EQUIPMENT Number of duct(s)and size .Left-11"x 8", Right-9 x 8" Plenum size Left-96", Right-75" Cooking Appliances and size(Note:List appliances from left to right) -Fryer(16" x 13.5"), Fryer(16" x 13.5") Clam Shell Grill (22.4" x 10.2"), Fryer(16" x 13.5"), Fryer(16" x 13.5"), Future Fryer (16" x 13.5 Fryer (16" x 13.5"), Future Fryer (16" x 13.5"), Clam Shell Grill (22.4" x 10.2") SYSTEM TWO Model ® R-102 ❑ PIRANHA Number of nozzles and Part No. 3-3N -439841, 2- 1N -439838, 2- 1W-439839 Number of detector(s)and degree rating 4-450 F Energy shut-off devices—type and size_ Gas Electric Other accessory equipment provided COOKING/VENTILATING EQUIPMENT Number of duct(s)and size 2-8" x 8" Plenum Size -Hood_#2-42", Hood#3-2.4"._ Cooking Appliances and size(Note:List appliances from left to right) . Fryer(16" x 13.5"), Fryer (16" x 13.5") Fryer(16" x 13.5") Please return completed form To Halton with invoice To avoid delays in payment. CERTIFICATION OF DISTRIBUTOR COMPLETION(Continued) Site supervisor signature is required. Customer/Job Name . Chick-fil-A#4040 Ref. OEM Name Address 7490 Gall Blvd OEM Po.No. City`%State%Zip ZephyrhifIs, FL 33541. TFPP'Notification No:. ANSUL DISTRIBUTOR(To complete this section) Date installation Completed Installer Name Distributorship- Piper Fire Protection Address . 13075 US Hwy 19 N City/State -.Clearwater, FL 33764 To Be Completed by Installer IN Yes ❑ No The restraint fire suppression system is UL300 listed and installed in accordance with the manufacturer's Instructions,fire suppression system requirements of NFPA Standards 96 and 17A(current issue),and all applicable state and local codes. IN Yes 0 No ( - 1 I certify that ONLY genuine ANSUL Factory SUPPLIED components and (Installer signature) extinguishers specified are used,and that UL Classified generic parts were not substituted. ® Yes ❑ No All electrical work or work provided by others to complete system installation is completed. ® Yes ❑ No A copy of the owner's manual has been left with owner. EXCEPTIONS Note exceptions to other provision of NFPA 96 of NFPA 17A that were observed: TEST INFORMATION ❑ AHI Test NOT Required ❑ AHI Signature REFUSED ❑ Site Witnessed,System Checkout Procedure Testing Date of Verbal AHJ Approval . Name_ Signature: Position - - - - --- ----- - -- Date ❑ Test Pending ® Testing Complete Anticipated Test Date AHJ Signature&Date Below AUTHORITY HAVING JURISDICTION:AHJ) Toxomplet is sectionI'v . AHJ Name(Prhit).. L - -- -- - AKJ Signature Date : v ri�riron, City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 FIRE-001947-2021 Phone: (813)780-0020 4 Fax: (813)780-0021 Issue Date: 05/07/2021 Permit Type: Fire Property Number Street Address 35 25 210130 00000 0110 7490 Gall Boulevard Blvd Owner Information Permit Information Contractor Information Name: SF ZEPHYR COMMONS Permit Type:Fire Contractor: DOUGLAS TAYLOR A/C& OUTPARCEL LP Class of Work:Commercial Kitchen Exhaust t REFRIGATION Address: 100-2851 John Markham On UR Building Valuation:$15,000.00 5R7 St Electrical Valuation: Phone: FAM-1550 Mechanical Valuation: Plumbing Valuation: Total Valuation:$15,000.00 Total Fees:$520.00 Amount Paid:$520.00 ( t r Date Paid:5/7/2021 2:12:34PM I Project Description INSTALLATION(4)HOOD-CFA Application Fees Commercial Kitchen Hood/Ducts Exhaust $200.00 Exhaustion Hood/Duct $120.00 Hood/Ducts Permit Fee $200.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I Y*.Xtm 0ji aja CO CTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Douglas Taylor Air Conditioning & Refrigeration, Inc. License#CAC1813709 Quality *Integrity* Trust 2021 To Whom It May Concern: I hereby authorize the following person(s)to act as my agent in obtaining licensing and permits: - Allen Ebanks -Canyon Ebanks -Dallas Ebanks au o tion is to remain in effect,unless cancelled in writing,by the undersigned. State of Florida Contra Ul*j&)ntut County of Pinellas Sworn to(or affirmed)and subscribed before me This day of low 2021. By: Douglas Taylor NOTARY PUBLIC (Si6atm)e of Notary) (Printed name of Notary) My commission expires: Personally Known /or produced I.D. (Type of I.D.produced) rrlJEANNZE WARD Wv- S Notary Public-State of Florida'a 728'2 M Commission#GG 298728 My Comm.Expires Feb,5,2023 q " Bonded through National Notary Assn, - 1 6560 116' Avenue North, Suite A Largo, FL 33773 PH: 727-547-9144 FAX 727-544-1792 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received t Z` 2? Q' 5 Phone Contact for Permitting ) ✓G/ V it Payff it. Owner's Name r l t. -A Owner Phone Number Owner's Address 0074q 0 �Q-l�(. 3�V Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS 1-74 Q (L {V LOT# S1713DIVISION PARCEL IU# (OBTAINED FROM PROPERTY TAX NOTICE( WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL ,REPAIR PROPOSED USE = SFR COMM = OTHER TYPE OF CONSTRUCTION = BLOCK v= FRAME �= STEEL = DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT $IVC - CX-�526 Zap a =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. =PLUMBING $ MECHANICAL $/� VALUATION OF MECHANICAL INSTALLATION lo� =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License# 'Zi MECHANICAL r COMPANY t kk SIGNATURE REGISTERED 1 YU4 FEE CURREN I'Y/ Address aw, 9 License# [ v/ OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address License# .1111W[-[[[171[[![-[[[[[[[[t[[[t;[[.[[[i[[![.[[!'.I[[[i[i[ !i[[.![.[.[[[!.i[I[_[[II 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 subdivisionsllarge 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,Stonnwater Plans wl 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 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 bf existirigbuildings,a"s'specified in,Pasco County Ordinance number 89-07'and 90 D7,'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 W"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 day a job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF OM CE NT AY SULT IN YOUR PAYING TWICE FOR IMPROV ENTS TO YOUR PROPERTY.IF YO INTEN TO TAI FINA CING,CONSULT LENDERWITH YOUR NRECORDINGY FLORIDA JURAT(F.S.117.03) tK OWNER OR AGENT CONTRACTOR jub d nd sworn to( affi ) fore me this �rb`se� d r ffi befo its 4My W by S lluc ho is/are personally own to me or has/have produced ho is/are personally known o e or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name yped,printed or stamped Name of Not pad,printed or stampR �.�rrrrr, GIACOMO DIBERARDINO 41,161% �„"�r GIACOMO DIBERARDINO o.►p O�n.,; Notary Public-State of Florida '_ Notary Public-State of Florida Commission#GG 930359 . Commission#GG 930359 My Comm.Expires 12-22-2023 3F MY Comm. Expires 12-22-2023ovrv� Bonded Through �� Bonded Through '"""��� Troy Fein Insurance Troy Fain Insurance