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5335 Eighth Street
Zephyrhills, FL 33542
Phone-, (813) 780-0020
Fax: (813) 780-0021
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FIRE-003762-2022
Issue Date, . �`2, Oe `177��
accordance with City Codes and Ordinances, NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
PE ITOFFICIE
IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
/CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
B
Date Received "" Phone Contact for Pormitfin
99 x I
Owner's Name ephyrhill5 Cinema 10 Owner Phone Number 13-780-1800
Hers Address Sll lVt . Owner Phone Number
Fee Simple Titleholder Name ii{iifii° �h trO t�� �ph�chlil� �Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION ____.,_..--y � PARCEL I (: -26a "lAO?:}':0-00000-0�} (
.1j (ORTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONITR ADDIALT SIGN
INSTALL REPAIR
DEMOLISH
PROPOSED USE
SFR [� COMM OTHER
TYPE OF CONSTRUCTION
BLOCK E:] FRAME STEEL
DESCRIPTION OF WORK
C)VO F1r A1rrrl i i}6l#rt)l F'art1 #O nW lC3 #1f3t1 in T1i#r Ir�bby
BUILDING SIZE =.».v_. = SQ FOOTAGE l�,7 0 HEIGHT _» ,,
BUILDING
7�} VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
$ AMP SERVICE PROGRESS ENERGY
W.R.E.C.
PLUMBING
MECHANICAL
$ VALUATION OF MECHANICAL INSTALLATION
GAS
ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY The hlartline Alarm Company, Inc.
SIGNATURE ° REGISTERED YIN FEE CURREN Y I N
Address 401 N Scenic wy, L ke Wales, FL 33853 License# P Ci0100�Z
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y // h( FEE CURREN ���``� Y1 Pd
f y
.Address License #
PLUMBER E:===
COMPANY
SIGNATURE REGISTERED ;;;=FrE cuRREN Y1 N�
Address License # E==
MECHANICAL E===
COMPANY _ _ ��
SIGNATURE REGISTERED p Y I N FEE GURREN r Y i y
Lam..,.,..,,.�..e�,.a m,�� i._ .,,..J,�_..�II
Address License # ....=�..�,.. _. 1
OTHER
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SIGNATURE nO IMSTF Eo ;;;=IEE cu 2RE u Y 1 N
Address License # L
RESIDENTIAL Attach (2) Plot plans; (2) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required castle, Construction Plans, 5tormwater 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 Farms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormn ater Plans wf 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 $2600, a Notice of Commencement Is required. (A/C upgrades over $7600)
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)
Remaly if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
$13-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
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 win 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 understate 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 of 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 Wit 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 IMPACTIUTILITIES 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 W07 and 90-07, as amended, The undersigned also understands, that
such fees, astray 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 plower release. If the project does not involve a certificate of occupancy or final
power release; the fees must be paid prior to pemait issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior
to permit issuance in accordancewith 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 "comer", 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.
CONTRACTO Si NER'S AFFiDAVi'¢` I certify that all the information in this application is accurate and that all work will be done in compliance with
all applicable lam 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 penr it and that all work Wit 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 we*, and that it is my responsibility to identify what actions I
must take to be incompliance. Such agencies include but are not limited to:
- Department of Environmental Protection -Cypress Sayheads„ Wetland Areas and Environmentally Sensitive
Lands, WaterANastewater 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.
t 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 stern 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 jot is considered
abandoned.
Ala
I S .
yT t7 Notary Public ublic
Commission No. Co 'mi on No.
1)t`
Name of Notary typed, printed or stamped No
t .® JACQUELINE SOGES
e Cb ttfais$I0n # G 27607
ExPiresDeCerribel,12,2022
Hoff ,yam''Bonded Thre Troy Fairs tnsurans,. & dr,;, xtt i o.,
SECURITY & FIRE ALARMS
Florida State Certified # EF0001006
Zephryhills Cinema 10 (Attn: marry) February 17„ 2022
6848 Gall Blvd, Zephryhills, Fl. 3 542
FIRE ALARM FACE RELOCATION PROPOSAL
ltitln of existing FACIA price based dry:
- Moving the existing Silent Knight 5208 Fire Alarm Control Panel to new location on
new adjacent wall down from previous location in the brain lobby.
- Based on an electrical contractor provided by the owner to relocate the 120V power
on a dedicated circuit to the new FACIA location. (Separate Price)
- Includes replacing/adding any Fire Alarm Cable, FAT (Fire Alarm Terminal
Cabinet) necessary for splicing to reconnect all existing devices,
- Owner may need to hire either Security Guard or Responible Person/Employeeto
stand Fire Watch, while system is down per City of Zephryhills. Hopefully based on
conversation with the Building Contractor and Owner, this well not be necessary.
- Includes permit and final inspection with local AHJ (City of p ryhill )
- Includes all labor, wiring; hardware to complete the relocation/installation.
Any additional equipment required by local AI J will be an additional expense.
Two thousand, four hundred, seventy nine and 601100<(2,4 . 0) plus tax
------------------- Signed Proposal of Purchase Order/Balance Clue Upon Completion---.-_____
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner to standard practices,
Any alteration or deviation from above specifications involving extra cost, will be executed only upon written orders, and
will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays
beyond our control. This proposal subject to acceptance within 30 days and is void at the option of the undersigned. New
product and service decay remain sole property of The hlartline Alarm Company, Inc, until pay ent in full and may be
removed for non-payment at any time, In the event it becomes necessary to place the indebtedI ss of invoices
associated with the proposal for collection, purchaser agrees to pay all reasonable costs for d �ction including attorney's
fees. A service charge of 1112% monthly, 18% annually will be added on unpaid bal , es o r 0 days. /1,
Alan L. Hartline, President Mark L; Jones, Gen. Mgr. {
ACCEPTANCE F PROPOSAL
ACCEPTED: ign ture
Date
Corporate Office, /
P,O. Box 1257 * 401 N. Scenic Hwy, Lake , l , FL 33 59-1 57
363-67 -0673 *300-446-2345 * Fax 363-676- 23
E
The Alarm
Control Designed
to
SystemsGrow with Your
Without
tkt Growing y. �.i .. Pains.
The SK-5208 is a microprocessor based control panel with built-in UL listed communicator designed for
applications requiring smoke detection, manual pull stations, and sprinkler supervision. It features an easy to
read LCD display with programmable English readout and user friendly tactile keys. The basic unit offers 10
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ModelFire Alarm Control Panel with Digital Communicator
Engineeringpacification
The system shall contain a fire alarm controlpariel to supervise and operate heat and smoke detection devices,
manual fire alarm devices, alarm notification devices and visual annunciators, The system shall also be capable
of monitoring for sprinkler supervisory and water flow conditions. The system must have a built in UL listed fire
communicator that can be enabled/disabled as needed on a per job basis. In addition, the system will sound
alarms locally for purpose of evacuation.
Telephone Line 1 4
2 Class A (Style )
r Class B (Style
Initiation Circuits
5 Class B (Style
Initiation Circuits
•
Telephone Lire 2
Direct Connect
For -Site Programming
Programmable
Form C Relays
Notification
Appliance Circuits
5235 Remote
s %Annunciators
SBUS Devices
528, 5217, & 52
1'KNIGHT specific applications or anticipate all requirements. All specifications are FORM# 350318 Rev E
..
This document is not intended to be used for installation purposes, We try to MADE IN AMERICA
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Lobby Remodel Detail-
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FireAlarmAlteration Plan For: JI
h
401 N. Scenic Hwy
Lake e, FL 33853
3- 7 - ®4 -2343
Lic#EF0001006