HomeMy WebLinkAbout23-680811 26 21 0010 00900 0061
Address: 5841 Gall Blvd
ZEPHYRHILLS, FL 33542
111111111150 �1011
Permit Type: Fire
Class of Work: Commercial Kitchen Exhaust I
Building Valuation: $6,500.00
Electrical Valuation:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $6,500.00
Total Fees: $130.00
Amount Paid: $130.00
Date Paid: 9/22/2023 10:10:53AM
FIRE-006808-2023
Issue Date: 09/22/2023
5848 Gall Boulevard
Contractor: WIDEMAN AIR SERVICES
HEATING AND COOLING LLC
Ile"
VI J/'1
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.
MOTE=
1I A
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
SIGNATURE
r1i 111 11111 IN ffil irogwo
b I �_ttsu_UUZU
Date Received
Owners Name
Owners Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
Emergency Generator < 30 kw
City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Phone Contact for Permit
Emergency Generator > 30 kw
Fire Protection Maintenance - ANNUAL
2E
EE EDer
Sprinkler
—
1-1
0
0 0
Fire Alarm
El
0
0 0
Hood Cleaning
0
0 0
Hood Suppression
0
0 0
Fire Pumps
Fuel Tanks
Other:
Contractor
Signature
Address
ELECTRICIAN
Signature E_
Address
PLUMBER
Signature
RM
I
Titleholder Phone Number
ME
Fumigation Tent
Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Hood Installation
. _P/Natural Gas -Installation
Recreational Burn
Sparklers
Sprinkler System Installationt
Standpipes (Sprinkler Sys)
Torch Roofing[Tar Kettle
Wa ste Tire Storage ANNUAL
(0 1.
�j
Registered
[y / N_j Fee Current L_Y / N j
License #
I
Company
Registered
L�Y / N Fee Current Nj
License #
Company
Registered YIN Fee �Current T Y/ N
License # , 1 A � ® ;',. r 0i A.
OTHER Company �ee iC.rren�t���
Signature Registered
AddressLicense #
Directions:
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)
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 statez-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
inAl.nded work. theo are advised to contact the Pasco Countp BuildinZw� Insyection Di
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
Ci,unty.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 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. 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 it 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.
m h A EI�T R THE OINNER I r 11 J fC11 h f n the o n r of th n ii n
0 i
1;hyd I Z LM IVAMM1401 a I JA W :01TP4 �, 14 Zk Cla LOW10111 Mil :01:24:4 WM I W011111 I Z III 1114Z IDA IM01: 10 10 19 1 Z F.M1 L91 I Z Lem
to me or has/have pt
as identification.
Notary Public
Name of Notary typed, printed or stamped
SKYLEN ACUNA
ANotary Public State of Florida
, My Comm Expires 051121124
Commissiontr HH 002854
0
to me or has/have produced
as identification.
Notary Public
CoLssi
�C,
Name of"Nbtary typed, printed or stamped
SKYLEN ACUNA
Notarpl Pubiic,' _t_ ond,
tAy Comm Em rs 0 2,v24
C NH 54
0 0 2, 8
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
€€itit6 P
Owner's Name j .air fit Owner Phone Number
_-
Owner's Address 1 %wner Phone Number —T
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder
JOB ADDRESS
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL Q
DESCRIPTION OF WORK d t �_ 7Q
BUILDING SIZE SO FOOTAGE HEIGHT
Irc It -It sBALIEVX€CSai€XXXX-IUXAVIE XI€AVEiVILWX€IEit€ s s � _.az t'€cXV a
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE46 PROGR ENERGY W.R.E.C. q€
g
=PLUMBING
=MECHANICAL Is VALUATION OF MECHANICAL IN, TION
=GAS ROOFING 0 SPECIALTY THEIR
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES * Co
111 �t
BUILDER COMPANY l
SIGNATURE REGISTERED Y / N FEE CURREN I Y / N
Address a License #
ELECTRICIAN �' ---- COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
Address License #
PLUMBER —�--� COMPANY j.,rf
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN
Address I License #
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address License #
itt###tiii iit#t#tt#tii#itittt#itiiti it#ittiiii##i i#ii##tttti#t total
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new Construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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 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 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. 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
RESULT IN YOUR
,NCING, CONSULT
FLORIDA JURAT (F S. 117.0 8 }
OWNER OR AGENT CONTRACTOR _
uescnbed and sworn to a armed) before me this Subs i d and swor to (or firmed) ore me this
s
by , L, � 1 by _ �
o is are personally known to me or hasThave produced Who islare personally known to me or has/have produced
"`as identification, as identification.
NotaryPublic '"...
Notary Public
Commission No. t. c- Commiln,No.
1 i 1... j t Y
Name ootNotary typed, printed or stamped Name of Notary typed printed or stamped
�,8._
;x „`^`:_
KRISTIE LYNN BUTLER
votary Public - State of Florida
` b
R'
Commission # HH 250575
2026
,� M
my Comm. Expires Apr 29,
+ Bonded through National Notary Assn.
<rRY au KRISTIE LYNN BUTLER
raid`: Notary Public - State of Florida
Commission # HH 250575
my Comm. Expires Apr 29, 2026
Bonded through National Notary Assn.
City of Zephyrhilis
Water and Sewer Impact Fee Callculatiol
Retail
Impact Fees
Within City Limits '-qutside City Limits
Water Facilities Capacity Fee $ 1,026.00 $ 1,282.50
Z� Wastewater Facilities Capacity Fe4 $ 2,160.00 $� 2,700.00
kA
TOTAL 1 $ 3,186.00 $ ) 3,982.50
xc C--At6CTPJ -7
Fraze Design, Inc.
Frank Fraze, AIA, IVCARB
Fl. Lic. AA26000585
Building Department
City of Zephryhills
5335 8`h Street
Zephryhills, Florida 33542
Re: Tire Choice - Zephryhills
799 Gall Boulevard
Zephryhills, Florida
To Whom It May Concern:
September 21, 2022
Please accept this letter and complete set of new plans as changes to the already permitted set of
plans. Per square footage restraints of the landlord, our building had to be reduced in size from 5700
square feet to 5000 square feet.
If you have any further questions, please feel free to contact me.
Sincerely,
Frank Fraze, A.I.A., NCARB
President
Fraze Design, Inc.
1750 CENTRAL AVE St. PETERSBURG, FLORIDA 33712
Phone:727.328.3608 Fax:727.328.3609 Studio:727.821.8355
Email: fdi frezedei n.com
Fraze Design, Inc.
Frank Fraze, AIA, NCARB
Fl. Lie. AA26000585
Building Department
City of Zephryhills
5335 8' Street
Zephryhills, Florida 33542
Re: Tire Choice - Zephryhills
799 Gall Boulevard
Zephryhills, Florida
To Whom It May Concern:
September 21, 2022
Please accept this letter and complete set of new plans as changes to the already permitted set of
plans. Per square footage restraints of the landlord, our building had to be reduced in size from 5700
square feet to 5000 square feet.
If you have any further questions, please feel free to contact me.
Sincerely,
Frank Fraze, A.I.A., NCARB
President
Fraze Design, Inc.
1750 CENTRAL AVE St. PETERSBURG, FLORIDA 33712
Phone:727.328.3608 Fax:727.328.3609 Studio:727,821.8355
Email: fdi frazedei n.eom
Fraze Design, Inc.
Frank Fraze, AIA, JVCARB
Fl. Lie. AA26000585
Building Department
City of Zephryhills
5335 8' Street
Zephryhills, Florida 33542
Re: Tire Choice - Zephryhills
799 Gall Boulevard
Zephryhills, Florida
To Whom It May Concern:
September 21, 2022
Please accept this letter and complete set of new plans as changes to the already permitted set of
plans. Per square footage restraints of the landlord, our building had to be reduced in size from 5700
square feet to 5000 square feet.
If you have any further questions, please feel free to contact me.
Sincerely,
Frank Fraze, A.I.A., NCARB
President
Fraze Design, Inc.
1750 CENTRAL AVE St. PETERSBURG, FLORIDA 33712
Phone: 727,328.3608 Fax: 727.328.3609 Studio: 727.821.8355
Email: fqffi__frazedesiqncom
OCOEE, FL 34761
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
REFERENCE NUMBER
FEE NAME
TOTAL
BNC-004070-2022
Address Fee
$30.00
Admin Fee />(Provider Service) "4 /`' b4 ,) ' ; <.
m
$45.00
Building Permit Fee
$2,540.00
Building Plan Review Fee
$1,270.00
Driveway Fee
$45.00
Electrical Permit Fee
$490.00
Electrical Plan Review Fee
$245.00
Fire Plan Review Fee
$150.00
Impact Fee - Specialty Retail
$26,545.00
Mechanical Permit Fee
$180.00
Mechanical Plan Review Fee
$90.00
Plumbing Permit Fee
$165.00
Plumbing Plan Review Fee
$82.50
Public Safety Impact Fee (Non -Res) - Admin
$84.50
Public Safety Impact Fee (Non -Res) - Police
$815.00
Transportation Impact Fee - City
$265.45
Wastewater Impact Fee
$2,160.00
Water Impact Fee
$1,026.00
7994 Gall Boulevard Zephyrhills, FLORIDA 33541 Sli6 TCtTAL
$36,228.45
REMITTANCE INFORMATION
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
TOTAL 1 $36,228.45�
October 26, 2022 5335 8th Street, Zephyrhills, FL 33542 Page 1 of 1
813-780-0020
City of Zephyrhills Permit Application Fax-813-780-0021
R„ildli nwnart—f
WORK PROPOSED
NEW CONSTR
ADWALT
INSTALL19
REPAIR
PROPOSED U. .
SFR
Comm
TYPE OF ♦ ♦
BLOCKFRAME
Am
i
BUILDING SIZE 80 FOOTAGE KiO HEIGHT
CJ�IMILDING 5 VALUATION OF TOTAL CONSTRUCTION
LECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
4
PLUMSING 6
ti
MECHANICAL 17
E VALUATION OF MECHANICAL INSTALLATION ,]
GAS ROOFING 0 SPECIALTY OTHER
g r
FINISHED FLOOR ELEVATIONS � s FLOOD ZONE AREA =YES O r 0
09
4Vdoes PA44 tg►
m.
BUILDER / � - COMPANY 46 ! ! 1d
SIGNATURE arw..,<�,... REGISTERED Y / N FEE CURREN Y / N
Ada f W License # t.
ELECTRICIAN COMPANY _
SIGNATURE REG48TERFDL_X1FEE CURREN I Y / _
Address LLLJ License #
PLUMBER COMPANY E;�
SIGNATURE REGISTERED ;;�FEE RREN Y I
Address License #
MECHANICAL COMPANY
SIGNATUREREGISTERED I PEE CURREN Y J ftl t
Address License #
OTHER COMPANY
SIGNATURE
_ REGISTERED LY i N J FEE CURREN (N
Gress License #
Sd�lS�BfRWf ERffi6iil6NSSS18*i8�®SS�6��fS!®@SSiINSSS� E1@SSlil i�R�S4f�Si
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 wt SIN Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 wt 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 $21500, a Notice of Commencement Is required, (A/C upgrade* war $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
Permit No.
Date Permitted t6_9_z02'7'
Builder Name/Owner Name Control #
County Parcel No. 35 2,5 2-1 6 0 r) 000D ob I SubDiv: /I _f-q�w
Address/Location -7 � q 4 P) I 4-o
Classification[Type of Use U 77ve
TRANSPORTATION IMPACT FEE Rate: Sq. Ft Unit:
ODD
Exempt 0 Yes D No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single -Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt =Yes = No How Determined_
PARKSAND 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 Facility Credit Facility Total
Exempt Yes No How Determined Total Amount
RESOURCE FEE ERU
Total Amount
Prepared By I L--/ 11 Checked By
U
NO CERTIFICATE DOCCUPANY 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 REECEIPT OF A COPY OF THIS
FORM, PLACING THE BUILDING OWNER ON NOTICE OF THIS ASSESSMENT AND THE CONDITIONS OF PAYMENT FOR SAME.
DATE RECEIVED BY
RECEIPT NO DATE BY
i"e Power Roof Ventilator/Fans
Installation, Operation, and Maintenance Manual
Up -blast Centrifugal Fan Square Inlirl
Utility Set
A MOL MUMMY W
A001 1032
ALL WORK SHALL COMPLY WITH C" d May 2023 Rev. 31
NFFA CODES AND STANDARDS p&V" DATE L�
Cqy OF ZEPHYRKILLS,
F4. AND LIFE SAFETY EXW
Save these instructions. This document is the property of the owner of this equipment and is
required for future maintenance. Leave this document with the owner when installation or service
is complete.
is warranted to be free from defects in materials and workmanship, under normal use and
nod of 2-years from date of shipment. This warranty shall not apply if:
�ipment is not installed by a qualified installer per the MANUFACTURER'S installation
jons shipped with the pro•uct.
jipment is not installed in accordance with Federal, State, or Local codes and regulations.
�djaait is -gisused or neglected, or not maintained ger the MANUFACTURER'S maintenance
equipment is not installed and operated within the limitations set forth in this manual -
invoice is not paid within the terms of the sales agreement.
to malfunctioning equipment. Should any part of the equipment prove to be defective in
—_2_TEW.TrA;-ty Fi�lr�
will be repaired or replaced by MANUFACTURER at no charge. The BUYER shall pay all labor-
;urred in connection with such repair or replacement. Equipment shall not be returned without —
IkCTURER'S prior authorization, and all returned equipment shall be shipped by the BUYER,
ipepaid to a destination determined by the MANUFACTURER.
^AA 6 1 a IMM-Allp I
or �OIVI-866-784-6900 for information on emailing forms in.
Certifications and Patents
This hood is ETL-listed to standard 1IL71 0, ILC71 0, and JIC-S646 when installed in accordance with
these installation instructions and National Fire Protection Association Standard "NFPA 96, Standard for
��Iation Control and Fire Protection of Commercial Cooking Operations."
Approved for use in New York City per the Fire Department of New York Certificate of Approval #5804.
The dual supply plenum controlling Make -Up Air and Air Conditioned Air is covered under the following
patents: System for Directing and Controlling Two Separate Streams of Air to a Kitchen: United States
Patent No. 7963830 B2; Canadian Patent No. CA2820509; Patent No. CA2520330
I