HomeMy WebLinkAbout94-4534
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit N.~
4534 H
---
...._.-.~
..." .. \
. ') / ""l _C Y
Date I<?'- - d /'
BUILDING
ELECTRICAL PLUMBING ~:~_:~:
Pmperty Owne, &64'>1 \~ ~~,L 4~
Job Address:,- SJ_ -= / ~ --=-,..r-e.- (j r1
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Ene~~y Code: Radon Gas: ..
Description of Worl<-~V ~-r?A-2,Lj/'---">J. ~7~>f... - h-J:''/AJ ~...(
NO OCCUPANCY BEFORE C.O.
FINAL /2. - ). c:.J. <. '-I
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
City License Registration # ~6;Z
State Certified License#
Permit Fee ..2 0 - cr-o
Signature //r &~
comp~
Address
Telephone#
Valuation or
Contract Price /.' no - 0'7;:)
~~~./
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 ($15.00) 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.
/J- -c..-~;-Y.
APPLICATION FOR PERKlT
CITY OF ZEPBYRBILLS
BUILDIRG DEPAR'1'HENT
OIlIlllR'S _ 4..# ~#/{ r;71VPrfid7J~A.II<f{;.. 2 PIIO.11 Z,f2-,-to//
OWRER'S ADDRESS <;f()JJ //7/) ~E ?F.P~J/?H/../LJ
JOB ADDRESS 3i())J //TIJ 46-,
LEGAL DESClUP.flON: LOT(S)
BLOCK ~ SUBDIVISION
PARCEL I.D.t
(OBTAIN FROH PROPERTY TAX. NOTICE)
WORK PROPOSBD:~ew Construction -..Addition --1a1teration -.Jlepair z.--;rnAtall
_Sign
---lIove
-1)eaolish
PROPOSED USE: ~ing1e Faai1y
Vec-ercial
---1t/F _' of Units ---1t/H
_Indust. _Swia. Pool _Other
-0estaurant &: Health Departaent Approval
DESCRIPTION OF NORIt: t::A/f7';(J-U- ()l~,o /:3IJ/J/L}}//" ~jjj:)J//'~ ~~ )~J??zrJf/oAl -rV.fTrm
BUILDIRG SIZE: X Square Feet, Height
RESIDEIITIAL:
COHKERCIAL :
ATTACK (2) PLOT PLANS &: (2) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORMS.
ArrACK (3) SETS OF BUlLDIRG PLANS. (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REQUESTED
----.JIUILDIRG
$.
Valuation of Total Construction
Rl.R.CDU.CAL
AIIP Service
Florida Power Corp.
W.R.E,C.
~CIWIlCAL
$. L/'('~ I cnJ
Valuation of llecbanical Installation
----l'LutlBDlG GAS ROOFDIG
TYPE OF CONSmUCrION: ~1oclt _Fraae _Steel
SPECIALTY .
Other
Fl.
IS PROJEct 1.N FLOOD ZONE AREA'
~
FIllISBBD FLOOR ELBVAnONS:
YES NO
..........................................
CONTRACTOR SECTION
. .
. 'OOHPANY
State Cert. or Regist. .
City License Registration .
..........................................
BUILDER
Signature
Rl.RCTRICIAIII
SillmAture
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
PLutlBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
tlECllANICAL COMPANY ?~R xi M ~p
State Cert. or Regist. . .
Signature City License Registration f
...............*..........................
IITIIRR CIllIPAIIY <;'E' ("//17' :?( ~~,;:>~
. d d State Cert. or Reg st. . /J ,/01S
Signature ,?/; ~(("tb.vYt- City License Registration .
~ ..........................................
(,
APPLICATION APPROVED BY PERHIT OFFICEll.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perlit tay be subject to 'deed restrictions' wbieb lilY be IIDre restrictive than City
regulations. !be undersigned asSUle& responsibility for COIpliance wIth any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake IOrk, they tay be required to be licensed in accordance wIth
state and local regulations. If the contractor is not licensed as required bylaw, both the owner and contractor lilY be
cited for a lisdeleallOr violation under state law. If the 0lfIleI or intended contractor are uncertain as to wbat licensing
reguirl!leDts lilY apply for the intended writ, they are advised to contact the City of ZephyrbUls Building Deparblent, (813)
788-6611.
Furtbe[JlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Contractor Sections' of this application for whieb they will be responsible. If you, as the owner sign as the contractor,
you are incJicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lily be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - lbIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOl8OD8 other than the
'mmer', I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
'owner' prior to COII8DceI8Ilt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is.accurate and that all IOrt will be done in COIpliance with all
applicable Ian regulating construction, loning, and land develo.-ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no WIt or
installation bas cmleDced prior to issuance of a perli t and that all IOrt will be perfOIJed to Il!I!t standards of all laws
regulating construction, City codes, loning regulations, and land developlleDt regulations in the jurisdiction, I also
certify that I understand that the regulations of other gov8I1ll8Dtal agencies laY apply to the intended work, and that it is
Iy responsibility to identify wbat actions I lust tate to be in COIpliance. Sueb agencies include but are not lilited to:
t Departlent of Envirolll8l1tal Regulation.- Cypress Baybeacls, Vetland Areas and EnviroDleDtally Sensitive Lands,
Vater/Vastewater !reablent
t Southwest Florida Vater Ilanagl!leDt District - Vells, Cypress Baybeads, Vetland Areas, Altering Watercourses
t Al'IJ Corps of Engineers - Seawalls, Docks, lavigable Waterways
t Departlent of Health i Rehabilitative Smices, BnvirOl1l8Dtal Health Unit - Wells, Wastewater !reatlent, Septic !ants
t US Bnvil'ODll!J1tal Protection Agency - Asbestos abat8lt!llt
I also certify that, if fill taterial is to be used in Flood Zone 'A' or 'I, etc. " it is understood that a drainage plan
addressing a 'COIpeDSating volUl8' will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance. . .
A PeIlit issued shall be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official fa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued aball becme invalid
unless the IOrk authorized by sueb perlit is co.mced within silllODths of issuance, or if wort authoriled by the perJit is
suspended or abandoned for a period of silllODths after the tile the work is COMeIlced. One 90 day I!Itension of tile, laY be
allowed for the perlit with fee charge of $15.00. !be I!Itension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb silllODth PeriOd, or the project will be considered abandoned.
WARHIMG fO lMER: YOUR FAILUHI fO RECORD A MO'I'ICE OF CC>>IMDCBIIBIIr MAY RISUL! II YOUR PAYllfG !IIICE FOR DIPROVIIIDIS fO YOUR
PROPEm. IF YOU ImID !O OBfAII iIlWrClIG"COIISUL! VIrB tOOJi LIIDIR OR III AftORIIY BIFORB RICORDIJiG YOUR JIO'l'ICK OF
COIIMBJiCBllBJit'. . JOBS UlDBR '2,500 II VALUE DO 10'1' IfEED !O RECORD IIID POStA 'IO'I'ICK OF CCJIIIDCBIIBJit'I.
~\ J'-
SIGlfAfURIl: CMIBR OR gu ~ ,
~~
SrATI OF FLORIDA 8
COOllY OF ::> Q C
The foregOing i~trument was ~C~OWledged
before me this. ~ .~ , 19'i by
~~f'Y'Il)ld- H. ~ R..A-.0 t.
who is personally known to me or who haa
p!'8dlleed
as identification and who iIII1did not
..
,ta an oath.. ~
(Signat e)
srlR OF FLORIDA r-J
COOllY OF f-'if5C 0
The foregoing instrument was aCknowledged
before me this J o/.-r , 19..&- by
~ (!" ~W~
who is ers~ y knOlO) to .e or who bas
produced W'f~5 A-.'C f'~1?
as tification vh id/did not
Ite oatb.
~'A.' MARJORIE E SHRIVER
II My Commission CC315888
* * ElCplrH Sep. 14, 1997
Bonded by ANB
~or,...d' 800.852.5878
APPLICATION FOR PERMIT
CITY OF ZEPIIYRIULLS
BUILDING DEPARTHENT
OWNER'S _ St!/J'J ';;;;e/! (;Jt1<///A//T ,/).,"0"') PllDNE y,J? -X 0 / /
OWNER t S ADDRESS <: J" 1)/ I / /71/ a 6- _
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.'
BLOCK
SUBDIVISION
(OBTAIN FROH PlWPERTY TAX. NOTICE)
WORK PROPOSED:____ew Construction ----Addition ----A1teration --Repair ...LInstall
_Sign --IIove ---Peaolish
PROPOSED USE: ~ing1e Feaily -.Jt/F _' of Units -.Jt/H
Yec-ercial _Indust. _Swill. Pool _Other
. ~estaurant Ii Health Departaent Approval
DESCRIPTION OF VORK:1J.L~-r4l.L
//stC. L?/JIJAlJAlb IlPP)/I7JV'/t" ~~/I.~rI.(T //o~.;:>
BUILDING SIZE:
x
.
Square Feet,
Height
RESIDEIITL\L:
COHtlERCIAL :
A'1'TACII (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SBT ENERGY FORMS.
A'1'TACII (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORHS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
---.JSUlLDlliG
$.
Valuation of Total Construction
RI.RCTRICAL
AIIP Service
Florida Power Corp.
V.R.B,C.
~CIIAlIICAL
$ //:'00,0-0
Valuation of Ilecbanical Installation
.-PLUllBING GAS ROOFING
SPECIALTY .
TYPE OF mNsTRucnoR: ~loclt -.Jraae _Steel
Other
FI.lISBBD PI.OOB. ELBVAUORS:
Fl.
IS PROJECT iii FLOOD ZORB AIlEA'I
YES NO
..........................................
CONTRACTOR SECTION
.. .
BIJIIJ)ER
.,'. ....
. 'COtIPARY
State Cert. or Regist. .
- .. City License Registration .
..........................................
" "
Sigoature
RI.RCTRICIAII
COMPANY
State Cert. or Regist. .
City License Registration'
..........................................
SlanAture
PLUMBRR
COIIPARY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
IlECIWUCALt2 112 . COMPANY t- . '.-
.~ State Cert. or aegist. .
Sigoature ~ City License Registration .
..........................................
OTRRR
COKPARY
State Cert. or Regist, .
City Liceose Registration .
..........................................
Sigoature
APPLICAU()R APPIlOVEDBY
PBBHlT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fhe undersigned understands tbat this pel'lit lay be subject to .deed restrictions. wbieb lay be lOre restrictive than City
regulations. !be undersigned assDles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 laY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
reguirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the
IIContractor Sections. of this application for lIhich they will be responsible. If you, as the OlDer 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 be is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that 1, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - BoIeoIoer's Protection
Guide" prepared by the Florida Deparblent of Agriculture and ConsUIeC Affairs. If the applicant is sOleODe other than the
.000er", I certify that I bave obtained a copy of the above described docUleRt and prOlise in good faith to deliver it to the
"owner II prior to couenCl!lellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all lork will be done in COIpliance with all
applicable laws regulating construction, zoning, and land developleDt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas c~ced prior to issuance of a perlit and tbat all worl will be perfoned to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleRt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended worl, and that it is
Iy responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
A Deparblent of EnviroDleRtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater 'freablent
t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic rants
t US EnvirODleDtal Protection Agency - Asbestos abat8lent
I also certify that, if fill laterial is to be used in Flood ZOne IIA. or IIA,etc.., it is understood that a drainage plan
addressing a .cOlpeDsating volDle. will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed lith tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOl,thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOle invalid
unless the 1I0rl authorized by such perlit is COII8Jlced lithin six IOnths of issuance, or if wort authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the 1I0rl is co.enced. One 90 day utension of tile, lily be
allowed for the perlit with fee ebarge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned.
WARRING TO OWIIIR: YOOR FAILURB TO RlCORD A NOTICI OF COMHBNCBIIBIff MAY RlSULT IN YOUR PAYING !IIICB FOR IMPROVBIIBIfIS ro YOUR
PROPIRTY. IF YOO IIft'IND TO OBTAIN FlIfAXCIHG, COIISULr WITH YOUR LBlfDIR OR All AnORIfBY BlFORI RlCORDING YOUR IIOTICI OF
COHHENCEMIIft'. JOBS UIIDIR $2,500 III VALUI 00 1I0T 11110 TO RlCORD AIfD POST A 'NOIICI OF C(JIMBNCBllBlflII.
~'\\~
~IIArURE: OWNIR OR AGINT
----.
'y ~~ 2s~~~
SIGNATURE: COIITRAC'fOR
m Q\ t4 \...
STATE OF FLORIDA n
COUNTY OF --I:.1::j ~c-O
The foregoing iqstrument was a_ckpowledged
before me this n=-c.. 5 , 19.:i.::h by
~-)Arnl 'lR- H ~1l2A~"\ \<-
who is personally known to me or who has
pl<.~d1leed
as identification and who ~id not
~ an oath~ ~
(Signa
STATE OF FLORIDA P
coom OF ftE; a.o
The foregoing ins~~ent was ac~dWledged
before me this 6~ ci~ 19 4- by
7eN ?lc~C:tle
who is personally known to me or who has'
1.2.
(Name Typed, Printed or
NOTARy'PUBLIC
ritAY '~ MARJORIE E SHRIVER
* * My Commission CC315866
Expire. Sep, 14,1~7
Bonded by ANB
~..~ 800-852-5878
"~,nUll"~ DAUA M .....,,, A
...~ij\~.~~ I'VV\ . QII;Id.ft
!.i'Ji.\:: MY COMMISSION' CC301855 EXPIRES
""~':J.: July 14 1997
"~r.;;;F\,.'(.~ 80NDED THRU TROV FAne tNSlJIWlCf,ltI:.
Ii,..."
Security Fire Equipment Company ,~'"
P. O. BOX 1203 818 N. 10TH ST. DADE CITY, FL 34297-1203 ~ ..~~~.
(904) 567-7340 ~
~;?#S-31 ~
Daylight Donuts
38300 11th. Ave.
Zephyrhills, Fl. 33541
11/25/94
783-8011
Sam Frank
Dear Sirs:
The following is a description for a cooking appliance exhaust hood and fire suppression
system for the new Daylight Donuts Restaurant at 38300 11th. Ave. in Zephyrhills.
EQUIPMENT TO BE PROTECTED
481n. Galvanized steel (Customers used hood)
lOIn. X lOIn. X 5Ft. Galvanized steel exhaust duct
241n. X 24In. Electric deep fat flyer
FIRE SUPPRESSION SYSTEM
Customers used Ansul R-IOI-30 dry chemical system.
Dry chemical supply line will be 3/41n Galvanized steel, Chemical Supply branch lines will be
3/4In. galvanized steel and branch lines will be 1/2" galvanized steel.
Remote manual release and heat detection piping will be 1/2In. EMT piping.
All fire system parts will be Ansul or u.L. approved for Ansul Fire suppression systems.
This fire suppression system will be installed in accordance with N.F.P,A., State and local
regulations.
~,__.b..4>.
Duylight Donuts
38011 11 th, Ave
Zephyrhills
lit tJ ..
f---~ 1/ ft ~- IVI. &
Exha ust <,,;,.........--
Duct f--- ~ ga. galvanized steel
Wooden Co
I
.. ...
I
- Inner Shield
I I
-- 24ga, galvanized steel
Chaste
ZEPHYRHILLS
FIRE DEPARTMENT
~ ~(~
14./"'; / /p./; .7 1i le-. /1/' . . C C'r
!vc:/ eK/,~<yz' /J~ ~" ~;;~~
S~J/11 C.ei t;;r ./ /) /f~#e 2#4r /.l'l/e_
G ".41 ,/.flF7/,,-;7d!r?1 &7;;,.1// /l1e~ T
/7/ ;::p /I q t.-
FJEV~Y:
~.
/. ~PPROVED
1J-/7/c/--f
Contractor
Security Fire Equip
18330 Lawrence Rd
Dade City, Fl. 33525
904-567-7340
Jay C. Brown
Contractor
R ~ R Sheet Metal
Ft, King Hwy
Zephyrhills, Fl
813-782-2619
Job
Daylight Donuts
38011 11th, Ave
Zephryhills, Fl,
SaM Fronk
ITSl; 24 Ga. galvanized steel
1{P
)( Ga. galvanized sleel
'.". - -1,_ 18 Ga. galvanized steel
Battled Grease Fillers
- Grease Drain Cup
SECURTIY FIRE EQUIPMENT
18330 LAWRENCE RD
DADE CITY, FL. 33525
904-567-7340
Contro.ctor
1;' &. R Sheet Meto.l
I ~t, King Hwy
l Zephyrhillsi Fl,
813-782-2619
- Updraf.t Fan
LfO 1/
t ItJ1JA-A.Cf!.
File Resistant Cho.ste
~
Roof Line
I;
10" X lOHExhaust Duct
18 Go.. Go.l vanized Steel
48' X 48' Exho.ust Hood
.-. ---- -_._-~~.~~_'----""'''''''~-,......,,",,,--_._.._.~. -_..~--~_...-..-,--_,"_"",..".__."....,~v ~,__~__~>._"C
Job
Do.ylight Donuts
38011 11th. Ave
Zephyrhills, Fl.
So.l'1 Fronk
. .
DAYLIGHT DONUTS
38300 11TH, AVE,
ZEPHYRHILLS, FL
813-783-8011
SAM FRANK
SECURITY FIRE EQ,
18330 LAVRENCE RD
DADE CITY, FL 33525
904-567-7340
10 IN X 10 IN V
EXHAUST DUCTI q
EXHAUST H[JDD
OL
~48 IN,
24 IN,
Lp
l_
ReMote
Pull
_24 IN, DEEP F AT
FRYER
I
. . .
~
nsul
R101-30
D
Electric
Shut
Off