HomeMy WebLinkAbout94-4358
BUILDING PERMIT
Permit ~
r
CiTY OF ZEPHYRHILLS
(813) 788.6611
4358/'1
Date
/ tJ -6-" ?If
BUILDING
ELECTRICAL
PLUMBING
~HANlc;::::2wl9r Conn
Water Conn:
Pmp,rty Own"~. ~ ~-i~/J.tJ
Job Address: ~ If _ _ ,~ __ ~
Parcell.D. #
Zoning: Energy Code: "~R:dO~G~7"'__
Description of work_:...;r~ ~-1~~/vj ~ ~~,
Water M!!ter:
T,I.F.'s:
.j;~R
NO OCCUPANCY BEFORE C.O.
FINAL -tD -1--4 c...f
DATE
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with City Codes and Ordinances.
DATE
Inspector'
Permit Fee ;il:J2. cJ-V
Signature a 4, I
Company
Address
Telephone#
Valuation or
Contract Price
Ifh,CH)
City License Registration # t6....3 r
State Certified License#
L:'~~d~~.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.001 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.
APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTKERT
OWNER'S NAME
/!7/,LJ/Vl / J:;~S
5<';yO 04//
M/11G
PHONE
783-3/0(
OWNER'S ADDRESS
15 Iv/J
JOB ADDRESS
LEGAL DESClUP'I'ION: LOT(S)
PARCEL LD.'
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ---..Addition ---lUteration ---..Repair -_Install
_Sign
--..JIove
~eaolish
PROPOSED USE: ~iog1e F_ily ---1t/F _' of Units
~ec:-erCial _Indust. _Swia. Pool
--Restaurant & Health Departaent Approval
---1t/H
_Other
DESCRIPTION OF WORK: ///L <.-
~f) I) t t' .r.f'/O N
I I
/N
h* /-/t'N
d~tJ
BUILDING SIZE:
x
.
Square Feet.
Height
RESIDENTIAL: AtTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLABS & (1) SET ENERGY FORMS.
COMMERCIAL: AtTACII (3) SETS OF BUILDING PLABS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~UILDING
$
Valuation of Total Construction
RT.RCTlUCAL
AMP Service
Florida Power Corp.
W.R.E.C.
--lIEClWlICAL
$ -$I in;,. cJ-O
Valuation of lIecbanica1 Installation
-PLtllBDfG GAS ROOFING
SPECIALTY
TYPE OF COISTRUcnOB: ----Block _Fraae _Steel
Other
FINISHED FUJOR ELEVAUOBS:
Fl'.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
RIJTIJ1RR
COKPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
RT.RCTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
SignAture
PLUMBER
COMPANY
State Cert. or Reaist. .
City License Registration .
..........................................
Signature
IlECIIAlfiCAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
I
Signature
Signature
COKPANY (:.M/YJ C "to,lf t h/U..- EQv / f) .
State Cert. or Reaist. . 3tJ yt. 3 -; OOOJ. t58
City License Registration' (p 38
....................................
OTRRR
APPLICAUON APPlWVED B
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that tbis penit lilY be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
regulations. lbe undersigned assOles responsibility for COIpliance witb any applicable deed restricti0D8.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be liceJl8ed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor Jay be
cited for a lisdeleanOr violation under state law. If tbe owner or intended contractor are uncertain as to what licensing
requirl!leDu laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
"Contractor Secti0D81 of tbis applicatioo for which tbey will be responsible. If you, as tbe owner sign as tbe contractor,
you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
as contractor tbat laY be an indication that be is not properly licensed and is not entitled to peW~ting privileges in tbe
City of Zepbyrbills. --
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, tbe applicant, bave been provided witb a copy of 'Plorida's COnstruction Lien Law - lkIIeoImer's Protection
Guide" prepared by tbe Florida Deparl:lent of Agriculture and CoD8U1Bl' Affairs. If the applicant is 8OIBOIl8 other than tbe
"owner", I certify tbat I have obtained a copy of tbe above described docUlBDt and pICllise in good faitb to deliver it to tbe
"owner" prior to co.enCl!lel1t.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infoIlation in tbis application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, loning, and land developent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or
installation bas CDlenced prior to issuance of a penit and that all work will be perfoned to leet staDdards of all laws
regulating construction, City codes, loning regulations, and land developl8Jlt regulations in tbe jurisdiction. I also
certify tbat I understand tbat tbe regulations of otber gov8IDlelltal agencies laY apply to the intended wort, and that it is
IY responsibility to identify what actions I lUst tate to be in COJpliance. Such agencies include but are not lillited to:
t Departlent of Invirolll8lltal Regulation - Cypress Baybeads, IIetland Areas and InviroDleDtally SensiUve Lands,
IIater/llastewater IreabeDt
t Soutlnfest Florida IIater Hanagl!leDt District - lIe11s, Cypress Bayhea4s, IIetland Areas, Altering IIatercourses
t ArlY Corps of Engineers - Seawa11s, Docb, Kavigable IIatenays
t Departlent of Healtb , Rebabilitative Services, InvirODleDtal Healtb Unit - IIe11s, IIastewater IreabeDt, Septic Iws
t US BnvirODlleJltal Protection Agency - Asbestos abatl!lellt
I also certify that, if filllaterial is to be used in Flood Zone "AI or "I, etc. I, it is understood that a draiDage plan
addressing a lCOIp8D8ating volUJe" will be subJitted wbich is prepared by a professional engineer registered in the State of
Florida prior to penit issuance.
A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor sha11 issuance of a penit prevent tbe Building Official fICII tbereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peWt i88Ued shall be<<De invalid
unless tbe work authoriled by such perlit is COII8I1ced witbin sillODtbs of issuance, or if work authoriled by the penit is
suspended or abandoned for a period of sil IODtbs after the tille tbe work is co.enced. One 90 day 81tension of tile, laY be
allowed for the perlit with fee charge of $15.00. !be 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
IIARMING t'0 omR: YOUR FIILURB 10 BlCORD I 1000ICI OF WIMBICBIIBIt' lilY RBSOLt' IN YOOR PlYING !IIICS FOR IIIPROVIIIBIt'S 'fO YOOR
PROPBRIY. IF YOU II1'BID I'D OmADf FIJlARCING, COIISULI' IIIIB YOUR LDDIR OR All IftOIIDY BBFOBI RBCORDDfG YOUR JOt'ICS OF
COMHBICBHBMl' . JOBS OlDER $2,500 11 VALUB 00 NOt' KEED 'fO BlCOBD AlID POSt' I 1I10t'ICB OF ClJIHDCBIIII1'I.
SIGJlAfURB: (MID OR AGBIII
SIGlfI'IURB: COIIIRACIOH
SfAfB OF FLORIDA
COUlm' OF
The foregoing instrument was acknowledged
before me this , 19____ by
STAfl OF FLORIDA
COUIIY OF
The foregoing instrument was acknowledged
before me this , 19_ by
who is personally known to lie 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 oCJth.
(Signature)
(Name Typed, Printed or Sta.ped)
NOTARY PUBLIC
(Signature)
(NUt!. Typed, Printed or Stamped)
NOTARY PUBLIC
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EX.IT
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;OZZLE TYPE r COVERAG~ .... CHEMFL;, VALUE
No.
4
1
2
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:t1) I LL GAS VALVE
H __~___ 8_0~O~~.. OV~~~_6~d!~~lf~r1C~. _ L.-. 21~~2r__ .n+____. _3_0~r.
I 800016 8ro'6r ! 27"~21" I JO-1
J--ut---ioaOI6 ~- .-- --- - ~~I - - .~ 'O'0-;;P~~-;terX25' i 30-1
-Kt-. 800'020 1 "- N6W Charbroier t . J21/2-~;i,j" iadlaf'l t' l _n_ JO-l
---._~-- ----- - ;. --- -.------- . --t.--- - - - --, - t- .
L 800020 I, Nn Charbroiler i JO")(2-4"Lava Rock I 30-'
---"-- . ---..-- -, '.. j -- ---- --.-- -t- - ..-- ,-- -- +
M ! 800032 12 I N4W Plenum I 11'6"x2'2" ..
'-N--r-' ---8aaa~6 -- ;---- Duct- - U -, - 100;;P~r~6~e~-' -l- - JO-2
.Y. :r:"oaalo:;"~::::~~"_Fn60"'E _ r JO-1
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TOTAL
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30. X 15" EXH"UST DUCT l
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30-1
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NOTE: All F5/-JO system ore acceptable providing the tota' value points are a minimum of 2 value points and do not
exceed a maximum of 12 value points. If appliance protection is provided the combined value numbers for all the
nozzles in an installation must be a minimum 0 f 6
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FIRE SYSTEM NOTES
JOLB PIPING ALLOWANCES
i------------- .-----.-----1
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For PIping al/oNaness and balances
refer to F.S.I. applicption design and
. stollotion manual u'L FILE EX 2537
---. ----.---.-------- --, ~
LENGTH
rlBOWS PIPE
!:. O/A
F.S./. System installation shall con form
to the requiremen ts of NFPAJl 7&96
and 01/ applicable state and local code~~'
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SUPPLY LINE h'N_
I MAX
MAN/tOLD LINE ~~--
MAX
J/-4"
BRANCH
4 FEET
- ----_..~.- -~ ---
50 FEET
o
----------..----- -
40 FEf T
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----
10
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6
J/4"
Sys fW1To /)~-jn stalled-tryQn-'-a~-th orized
and certified distribuitor of Fire System INC.
---
6 INCHES 0
1/2"
~-=-~~
~-_u~FSI 30 LEG~ND-m~1
I : PART NAME I PART NO '
~ ,: ~~~}LE : BOOO1~ ---i
r-- -t PLENUM ~.- - ----1
.. -ill] N 02lLE I 800032-12 ..
'--!. _u~ AP-PLIA~rCE" . -. 800~;0------~
, NOZZLE
t--~ - T -CHARB'R6ILfj~
NOZZLE
r-- -- +jiFUSIBLE LINK t
L_~ ASSEMBL_Y [
10 FEET 6
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Such authorIzation and certification to b6
verified directly with the manufacturer
FIRE SYS TEMS, INC.
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Plan View
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FSI 30
FIRE SYSTEM
HOOD SIZE. 13'-6U X
1/2" EVlT TO ACTUATOR \
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FIRE SYSTEM
HOOD SIZE. 5" X 48U X 27U
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ZEPHYRHILLS
FIRE DEPARTMENT
OUL,iP STA nON
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1360 SW J2NO WA Y
DfERFIELO BEA CH, FL 33442
OPE.N TOP
BROILER W/STAND
NO TE: COOKING APPLIANCES SUCH AS DEEP
FA T FRYERS AND BROILERS HA VE EXHAUS T
FLUES WHICH EXHAUST VERY HIGH TEMPERA TURfS.
CARE MUST BE TAKEN NOT TO LOCA TE DETECTORS
OIRECTL Y IN THEIR AIRSTREAM AS THIS MA Y RfSUL T
IN UNNECESSAR Y AC ruA nON OF THE SYSTEM.
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REVISIONS
Nli\1BER f--- POESCRtPTIO-N.----
-.----.- --_._- --- ..~--_.__._------
-- --. --- ----~.._--_._--- -.- - .- ~-- ----
~Ul..~~i~=AM YENil~ATION INO
126~ 8lJJ 32NO UJA Y OE!E~IEI..O e!AC~L~L__ _.
Jt4r~~~---eu~e:..--------~B NUMBER I
--1-------------.----- - Z=~~ Yf:<H I L..L.~I f=L. P:~~~l~
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-- --- -------- --- -- SCALf N-~;~~_ l~A~~oe~~~__ ____ ~.?"2 3 - ~4
---- - -----. ---------- - - -- -- ---- nnf PAGf NUMBER
--- - ---- ---- -.-.- --- -- F,e,l, FIC~ _~~&~~1!!_n____________._____ 1_ Of 1
DA rr
NOTE:' VIEW IS'SHOWN ROTATED 180'
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EXH.4UST NlCT J
14. X 14"
Plan Vie'.}l
48U
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GRIDDLE tV/STAND 30" X 48"
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FIRE SYS.rE~Jl
riOOD SIZE. 5"
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ACTUATOR ""\
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BROILER tV/STAND
NO TE:' VIEW IS - SHOWN F~O TA TED 180'
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nozzles in an instatlotion must be a minimum of 6
FIRE SYS rEM NO rES
30LB FJ/PING ALLOWAf\JCES
__._.. 1 ...... LEN~TH ~l~l-B~WS' ~rl~
SUPPLY LINE L~IN _ -4 F[[T t----~----- J/4'"
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For piping allolVancas and balances
refer to F,S.I. applir:ation design and
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/ F,$./. System installation shaJl conform
\ to the requ:rements of NFPAJ'/,"96
\ and all opplicable state and local codes>
'~, . 'th . d
5iyslem- fa-be-- installed-tryan au onze
'lnd certified ,jistribuitor of Fire System INC.
P A f~ T N 0
----1
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Such auihcrization and certification to be
'verified directly fvith the tnanufacturer
FiRE SYS 7EMS, INC.
FSI 30 LEGEND
PAr~ T NAME
DUCT
NO Z ZL E
PLENUM
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APPLIANCE
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CHARBROILER
NOZZLE
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ASSEMBLY
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FIRE DEPARTMENT
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OEEF(F"/ELO BEA CH, FL 33442
NO TE: COOKING APPLIANCES SUCH AS DEEP
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FLUES I'YHrCH EXHAUS T VERY HIGH rEMPERA WRES.
CARE MUST BE rAKEN NO r TO LOCA rE DETECTORS
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No. Pts. No. Pts.
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NOTE: All FSI-JO system are acceptable providing the total value points are a minimum of 2 value points and do not
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nozzles in an instailation must be a minimum of 6
I_~~_ Un
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JOLB PIPING ALLOWANCES
LENGTH ELBOWS P'Pf I
DIA.
U'N 4 FEET J I
SUPPL Y LINE J/4. I
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MIN 0 0 I
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FIRE SYSTEM NOTES
For piping allowances and balances
refer to F. S.I. applicptton design and
. stallation manual ut FILE EX 25J 7
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14" X 14" EXHAUST ()UCT
F.S.I. System installation shall conform
to the requiremen ts of NFPAJ17 &96
and all applicable state and local cod~
Sys em IOlYeinstalled-~ed
and certified dlstnbuitor of FIre System INC.
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verified directly with the manufacturer
FIRE SYS 7EMS, INC.
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FIRE SYSTEM
HOOD SIZE. 5" X 48u X 27U
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DEERFIELO BEACH, FL 33442
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BROILER W /STAND
NOTE: COOKING APPLIANCES SUCH AS DEEP
FA T FRYERS AND BROILERS HA VE EXHAUST
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CARE MUST BE TAKEN NOT TO LOCA TE DETECTORS
DIREcn Y IN THEIR AIRSTREAM AS THIS MA Y RESUL T
IN UNNECESSARY AC rUA nON OF THE SYSTEM.
NIJMBER
REVISIONS
t----- ------- -
DESCRIPTION
---- --
~---~-------- - -~ -----
-- --------
DATf
~U1..~~i~E!AM vENTI1..ATION INO .
lJE>~ ew 32N~_WAY OS~~IEI.O eeAc~_!L__~
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PACf NUMBf.R
Of 1
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GRIODLE W/STAND 30. X 48"
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NOTE:' VIEW IS-SHOWN ROTATED lao'