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Home My WebLink About93-3269 BUILDING PERMIT ~ EL2efRICAL Pmp",tV Own., ~-<<<' if..; ~ 1 Job Address: 32 ~ aJ .R C V 4k1k . CITY OF ZEPHYRHILLS (813)788-6611 1~ ~ Permit N~ _ 3269J'l7 Date ~$2f-73 PLJJM8fNG Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # ~y NO OCCUPANCY BEFORE C.O. FINAL tb ~ 2- ~ ~ > DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or c-f? ry ~ J2Q. Contract Price ~ D / d' 0 C;ty License Reg;st<at;on' c,.;q}~~:.", State Certified License# (/ Permit Fee Signature Company Address TelePhone#V ~:1~!:~' MECHANICAL BUIL~-'- ------ ELECTRI~ ~ PLUMBlNG- ----- Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. PRODUCER ISSUE DATE (MMIDDIYY) 5/20/93 Poe and Associates, Inc. TillS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RlGIITS UPON TIlE CERTIFICATE HOLDER. TillS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. Box 1348 COMPANIES AFFORDING COVERAGE Tampa FL 33601 COMPANY LIl'ITER A CONTINENTAL NATIONAL B INSURED COMPANY LIl'ITER COMPANY C LIl'ITER COMMERCIAL FIRE EQUIP CO POBOX 2442 COMPANY LIl'ITER D COMBINED RISK & INS SERV BRANDON, FL 33509 COMPANY E LIl'ITER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THJN~.oLlCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAcr OR OTHER DOCUMENT WITH RIlSPEcr TO WlllClI TlUS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUIlJEcr TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. .TR DATIl (MMIDDIYY) DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE [iJOCC. ME-I7197544 1/29/93 1/29/94 GENERAL AGGREGATE PROD-cOMP/OP AGG. PERS." ADV.INJURY EACH OCCURRENCE AurOMOBILE LIABILITY ANYAuro ALL OWNED AurOS SCHEDULED AurOS IIIRED Auros NON-oWNED AurOS GARAGE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (per p........) BODILY INJURY (per acxldent) PROPERTY DAMAGE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY 503-11020000 ~~~~m~~~~~t~~;~1~~~~~~1~mt~tf~~~~1~~~;~~~1~i~~~jij~~j{!jt~ ~j!~t!jij1j!~i!~!m~~1j~~ij~j!j~j1~t~i~mrr~tirj~jJr D 4/12/93 1/01/94 X STATurORY LIMITS EACH ACCIDENT DISEASE-POLICY LIMIT DISEASE-EACH EMP. ~j~f~rtm!mitttrft~~i~imf~~~j!m~;~rftj~: OTHER 10??oo 500000 100000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHlCLESiSPECIAL ITEMS :::jt.:n-::::",:',..,"":',.:t):tII):::tt:::/,:,::ti/:':'tt:::tm:::f'It:"ft::::::::')It:'/I::::,::::tm:::tfttt:-::::,:"::'::.,::::::""",.:::"",K"::""':'.".:":::::tt:II:tll:I:tt::::ttilttt:ttmtlt:tttttttttll::tttt:::t:l:lt:Il:t:t::tft::ff:I:f' ,..., SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THIl ZEPHYRHILLS BUILDING DEFT 5335 - 8TH STREET ZEPHYRHILLS, FL 33540 ::::: EXPIRATION DATIl THIlREOF, THIlISSUlNG COMPANY WILL ENnEA VOR TO :.:.: MAIL ..11l.- DAYS WRlTI'EN NOTICE TO THIl CERTIFICATE HOLDER NAMED TO TIlE LEn, Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGEm'S OR REPRESENTATIVIlS. ::::: tAq9.gq::~$~:n.ffl9H::::il:::::tf:{:::tttttt::ttt::tt:JJJJr:'J:::H,t:::,tt::::i:::::ttm:::ttl:t::tttHl::i::::::r:j::i:flntl@i::tlrlb::MfntlJ:@::::::::i@:::JhL:Hr.l:@@iltlhh:::t::r::Hh:tr:WlltrrirJ:ttirtrtt:, APPLICATIOB FOR PERIIlT CIty OF umIKH II.I,S BmI.DIIIIG DEPAImIE.BT OWIIER · S IIAIIE l1eeii PlmIlE OWIIER · S ADDlUl'SS .JOB ADDlUl'SS 7337 64// ,e/vL) LEGAL DESCRIPI'IOII: IDI(S) BLOCK: SOBDIVISIOIl PARCEL LB.' won PROPOSED:_Bev Construction --i\ddi.tion _Alteration _Repair X Install S. _lIove _>>e.oliSh -1gB PROPOSED USE: Single Faai.ly _fl/F _, of Units -----1l/H Leo-ercia1 _Indust. _Swill. P001 Other _Restaurant & Hea1th Depart.eo.t Approva1 BOILDIlIG SIZE: x ~e Feet. Height RESIDENTIAL: COItIIERCIAL : AtTACH (2) PIm PLAlIS & (2) SETS OF BUIlDIIIG PIAIIS & (1) SEt EllERGY FORKS. ** ATrACH (3) SETS OF BUIlDDIG PLUlS & (1) SEt EIIERGY ~.** **COPl' OF COll"lRACl KIlQlDIRED. PERIIITS KEOOESTED _BUILDIlIG $. Va1uation of Total Construction _ELECl'RICAL -'6mawnCAL AfIP Service Florida Power Corp. W.R.E.C. $. Va1uation of tlecbanica1 Installation _PL1IIBIIIG GAS ROOFIlIG SPECIALTY TYPE OF COIISTRUCnOIl: _Block _Fraae _Steel Other FIJIISBED FLOOR ELEVATIOIiS: FI' . IS PRO.JECT III FLOOD ZOIlE AREA! YES 110 ****************************************** CDII'RACI'OR SECl'IOR RITTI Dv.R Signature CO!IPAIIY State Cert. or Regi.st. , City License Registration , ****************************************** EI.EcrRICIAlI S; mUlture alllPAIIY State Cert. or Regist. , City License Registration , ****************************************** Signature CO!IPAIIY State Cert. or Regist. , City License Registration , ****************************************** PJ.DIRER MEaIAlIICALL I- CO!IPAIIY {Z ~ m ~-'? (-/'-1 t h1zf 6&u ~ , State Cert. or Regist.' ?~V .3" 000 88 Signature _ ~M.... City License Registration' 63'"5 * *************************************** , J 0'I1IER ~ alllPAlIY ffi '7~sL/' 5e.r-#/C--I() State Cert. t?r: Regist.' eA~ /Jff.5"?S Signature ~ ~/A City License Registration' tL /..:/7 ****************************************** APPLICATIOlI APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to .deed restrictions. which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for cD.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance ~ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reQuire.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131 799-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the .Contractor Sections. of this application for which they will be responsible, If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the .owner" , I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Of set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such pertit is cOllenced within six tonths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit Nith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six .onth period, or the project Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDHHENCE"EHT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A .NOTICE OF CO""ENCEHENT", SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ." - ~---~....."".,-",---_.~...._-- .3/IS f!:, -L- . pe.A--Yt/ Y -~ Comlnercial Fire Equipment Co. FIRE & SAFETY EaUIPMENT p, O. BOX 2442. BRANDON, FLORIDA 33509. 2442 PHONE: 654-3357 Customer Name: .&, C f~ Address: .,_7331 (.~~~---Bu.>l), ., ;;,?",e;:lJi;r'-r ~1:fifJ:tf- ,..,=~~~_= ConlJlCt PelSOn &"4" I) Fire System Manufacturer: rSL_____' __ ____ Age.n! Type: ... -~-. ~~-?a1ve 1'7i-' ----ElectriC Cylinder Si,.e: -1~. Fuel: Ga<; ------X'u----_ ___ Date: _ 5-/ c;- Cf 3 NO GAS OR ELECTRIC WORK INCLUDED If II" I Hood Iri,mnation: Depth ~B Hcight___ll__ Length /l_ Dv"t Size to Xl u Type ,Inslruction: _ ____--'-~_ 64 '_'______'__,_______,_________ Fresh Air System: ___~e"'!:~~------------ __'_._'__u_______~_,___ Equipment Information Left to Right 1. h+ ~____,__,___ 2.€.~~_. _____,. Sp<<i~ Instruction.s,: ~o~ h~b,__ /10 ~ Lv '1. ~S Co~~~B"- 3.-~'1~'------ 5._'!~'/ 6.-t,c,- 4.--dE7~-- 6.____,.J,_,____" _ ~-k_..k4.li~ ,.17 Camraet Price Deposit: Balance Due: ~ -~Lkl. o3"iK~c/u~etJ $ ..sQ,.~, ,~,~_.. #-/08 $ CHANGES IN HOOD OR EQUIPMENT SIZES OR PLACEMENT MAY RESULT IN ADDITIONAL COST Arrt.pfma of ,~ - The above prices, specifications and conditions are satisfactory and are hereby accepted. Signature You as-:. 'a.\l\h<)riz.ed ID dc t~(4'nrlc as specified. Payment will be made as outliw;' ==9.-c Date of Acceptance; Signature Commercial Fire Equipment Co. FIRE & SAFETY EQUIPMENT P. O. BOX 2442 - BRANDON, FLORIDA 33509 - 2442 PHONE: 654-3357 :s: tI1 tI1 >-3 (J) Z :;d "Ij tI1 '1:l :s: ~ 0 >-3 () tI1 0 "Ij t:l '1:l c: tI1 c: tI1 (J) Li Li Li (J) ~ ::r: >-3 c: (J) >-3 >-<: tI1 t:l (J) ><: 0 >-3 H :E: tI1 >-3 Z :s: \1.1"" ~ ~ ~ G'\ " ~ I~ t:l ::r: c: 0 () 0 >-3 t:l (J) Li H tI1 N Z tI1 GJ >-3 ::r: hr;J ~~ t7t, I-~ if ,--7"";) " j! 5__/,f-9S At J ) ~--tAJ-" ' TABLES OF APPLICATON AND COVERAGE 4 FSI-30 PIN NOZZLE TYPE COVERAGE CHEMFLO VALUE 800020 Overhead Appliance 21" X 21" 30 - 1 1 800016 Broiler 21" X 21" 30 - 1 1 800016 Duct 100" Perimeter X 25' 30 - 1 1 800020 1 New Charbroiler 321/2~ X 23" Radiant 30 - 1 1 800020 1 New Charbroiler 30" X 24" Lava Rock 30 -1 1 800032 12 New Plenum 11'6" X 2'2" 30 - 1 1 800016 Duct 100" Perimeter 30 - 2 2 800020 Overhead Appliance 60" X 40" 30 - 2 2 800020 Pair Overhead 54" X 21" 30 - 2 2 Split w/1/2" tee Appliance (2) 800032 Plenum 14'2" X 3'4" 30 - 3 3 Note: All FSI-30 systems are acceptable providing the total value points are a minumum of 2 value points and do not exceed a maximum of 12 value points. If appliance protection is provided the combined value of the value numbers for all the nozzles in an installatin must be a minumum of 6. 4. Summary of Piping Allowances: FSI-30 NUMBER ~F PIPE LEFjGTH 900 ELLS * DIAMETER SU?PL '! Llr~E MIN 4 FEET 3 3/4" MAX 50 FEET 10 MANIFOLD L!r~E MIN 0 0 3/4" MAX 40 FEET 6 **fiAA~CH LmE MIN 6 INCHES 0 , I 1/2".*. MAX 10 FEET 6 I ) Commercial Fire Equipment Co. FIRE & ..2,:' ;=:=:Y =CUIPMENT P. O. BOX 2442 - BRANDON, FLORIDA 33509 - 2442 PHON E: 654-3357 MANUAL PULL FUSIBLE LINKS PIPING DRY {AUt" CHEMICAL CYLINDER CABLE OPERATED GAS SHUTOFF VALVE @ HA Y ASHI SERVICE 7022 Mascotte St. . Tampa, FL 33616 AlC Refrig. & Heating Service & Sales HILLS: (813) 831-3935 PINELLAS: (813) 527-5820 LICENSED - BONDED -INSURED STATE CERT. #CAC033595 ..{ '~;.l: PROPOSAL and CONTRACT Date 19 TO _~u Dear Sir: propose to furnish all materials and perfonn all labor necessary to complete the following: All of the above work to be completed in a substantial and workmanlike manner according to standard practices for the sum of Dollars ($ Payments to be made to the value of per cent ( as the work progresses %) of all work completed. The entire amount of contract to be paid within days after completion. Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. Respectfully submitted, By ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned in the above proposal, for which agree to pay the amount mentioned in said proposal, and according to the terms thereof. ACCEPTED: Date ,19_