HomeMy WebLinkAbout95-4779
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788.6611
477911
ELECTRICAL
PLUMBING
Date . -3-.2tJ - y ~
,.,--_.~
CMECHANI~ewe,' Conn
Water Conn:
BUILDING
p,operty Owne, D~ ~ 'X:J ~
Job Address: 01 '7..3 . ;1J.k!.. ~ . . ef.
Parcell.D. # .3Y - ,;1....5,.---:l/ - 0 i) &--0 - 0 CJ CJt::;?C:J- C) CJ I D
Water Meter:
T.I,F.'s:
Zoning: Energy Code:
Description of Work -4~A.J ,,~
Radon Gas:
4~..L~ ~
~
/I / 1
10 /'
FINAl_.,_
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
~-:..sJ
,
Permit Fee ~~
Signature U. ./~
Compa~
Address
Telephone#
Valuation or
Contract Price
Ii th/lJ. 0-0
,
BUILDING
ELECTRICAL
PLUMBING
~Jfih'~q~~
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLlCAnON FOR PEIUIlT
CITY OF ZEPBYRBILLS
BUILDIRG DEPARTMENT
OWNER'S ~ _2]d/~-/ fJ/fNM.) PHONE
OWNER'S ADDUSS 87?"'1t'J ffPl/tAtJ 47$- {!!u,:I
JOB ADDRESS ':'?7Q:.:;O -11flt4(./J# &Is e"tI../f../ !
LEGAL DESCRIPllON: LOT(S) / BLOCX.--SUBDIVISION!t2l{j,~//~'hl.;ii>- (}(W.i:t.,
PARCEL 1.D.' ~<if'd)-~I -(J()~O-;)O()rJ() -()OID (OBTAIN FROM. PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ~ddition ----Alteration ..--.-:aepair ~Install
_Sign
--'love
_Deaolish
PROPOSED USE: _S~e F_ily
V" ec-ercial
~/F _' of Units ~/H
_1ndust. _Swia. Pool _Other
. .L:;aestaurant &: Health Departaent Approval
DESCRIPTIO. OF WORK:~J/Wv5iJ/r'/~11 (1f#/1/J(.I'-L~/);'L1 <)"rrA-'.d~' ~<j/):i:-t4<
BUILDIRG SIZE: 1-/2.X 7~ .~..:.7...2_) ~uare Feet. 15 Height
RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET EIIERGY FORMS.
COMMERCIAL: ATTACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~UILDIRG
$ /, /7nJ. p-v
Valuation of Total Construction
RT.R.CTlU.CAL
AIIP Service
Florida Power Corp.
W.R.E.C.
.-JIEClWlICAL
$
Valuation of tlechanical Installation
--PLutlBING GAS ROOFING
TYPE OF CONSTRUCTION: .+-Bloclt _F~ _Steel
SPECIALTY
Other
PIlUSBED FLOOR. ELEVAnONS:
PT.
I.S PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
R(ITT.DER
CONTRACTOR SECTION
OOIfPMY, 'YiMllit? "j~
State Cert. 0 egist. ..., I rJCf~rL,
City License Registration .
..........*...............................
SianAture
COtIPANY
State Cert. or Regist. .
City License Registration .
........................................*.
RT .R.CTRICIAN
COtIPANY
State Cert. or Regist. .
City License Registration .
..................................*.*.....
PLUMBER
Signature
IlECBANICAL
COKPARY
State Cert. or Regist. ,
City License Registration .
...................................*..*.*.
Signature
OTRR.R COtIPANY~ /fBdL--f ~A1 cj?~~ ._
'~ d State Cert. or Regist. I () 7t'i '1 ';) /(J/}o&Y '7
Signature 'l J /..{'UA.NY0 City License Registration I 6'":? I
~. / ~ ..........................................
APPLlCAnON APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perlit lay be subject to 'deed restrictions' Ibieb lay be lOre restrictive than City
regulations. !be undersigned assU1e8 responsibility for COIpliance litb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe OIlIer bas bired a contractor or contractors to undertake IOrk, tbey JaY be required to be licensed in accordance litb
state and local regulations. If tbe contractor is not licensed as required by lal, botb the 0IJler and contractor laY be
cited for a lisdeleanor violation under state lal. If tbe owner or intended contractor are uncertain as to wbat licensing
requirelents laY apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
Furtberlore, if the OIlIer bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of tbis application for Ibieb tbey will be responsible. If you, as tbe owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wishes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to peIlitting 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 I, tbe applicant, bave been provided with a copy of 'Florida's Construction Lien Lal - lGeolmer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and ConsUIN!I Affairs. If the applicant is 8OIM!OI1e other than the
'OIlIer', I certify tbat I have obtained a copy of the above described dOCUleDt and prolise in good faitb to deliver it to tbe
"owner' prior to COlleDCelellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infoIliltion in this application is accurate and that all work lill be done in COIpliance lith all
applicable Ian regulating construction, loning, and land developent.
Application is hereby lade to obtain a peIlit to do IfOrk and installation as indicated. I certify that no IOrt or
installation has ~ced prior to issuance of a perlit and that all work lill be perfoIled to lleet standards of all lals
regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber govl!I1lllelltal agencies lilY apply to the intended wort, and that it is
If responsibility to identify lbat actions I lUst take to be in COIpliance. Sueb agencies include but are not lilited to:
I Departlent of Invirol1llelltal Regulation - Cypress Baybeads, lIetland Areas and Envirolllelltally Sensitive Lands,
lIater IlIaste.ater !reatlent
I Soutblest Florida lIater Managl!leDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I AIIY Corps of Engineers - Sealalls, Docb, Havigable lIatenays
I Depart:lent of Health & Rehabilitative Senices, EnvirODleDtal Health Unit - lIells, lIaste.ater !reatlent, Septic 'Iants
I US InviroJlll!lltal Protection Agency - Asbestos abatl!lent
I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'i,etc.', it is understood that a drainage plan
addressing a 'COIPeD8ating 901_' will be saitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perlit issued shall be construed to be a license to proceed lith the IOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIm! thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid
unless tbe wort authoriled by sueb peIlit is COIIllJlced litbin sillODtbs of issuance, or if IOrk authorized by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the 10ft is ~ced. One 90 day eltension of tile, lilY be
allOled for the perlit lith fee ebarge of $15.00. 'Ibe eltension shall be requested in lriting to the Building Official. An
approved inspection lUSt be logged during eaeb sillODtb period, or the project lill be considered abandoned.
IfARHIMG !O (MfER: YOUR FAILURE !O RECORD A larICE OF aIIIIIICIIIIIf' MAY RESUL! 1M YOUR PiYIMG niCE FOR DIPROVEIIEI'IS !O YOUR
PROPER'lY. IF YOU IJIDID !O OB'IAIJf FlIfAlfCIHG, COMSUL'I 1I1'IH YOUR LDDIR OR 11 A'I'fOBDY BlFORE RICORDIJfG YOUR MO'IICE OF
_. JIIIS 1lIDIR$2,500 ~ IIIID to IIIIlllIlIIIIO poar I 'IOIICIl OF _'.
~lJ/. ~~0
: OR ;JGD' R
://
S!UI OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
S!A'IE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 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)
(Name. Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Dairy Queen Restaurant
Gall Blvd
Zephyrhills, Fl. 33541
Security Fire Equipment Company,.
P. O. BOX 1203 818 N. 10TH ST. DADE CITY, FL 34297-1203 ~. 0".<:;:"
(904) 567-7340 ~
~
The following is a description of a fire suppression system to be installed at the Dairy
Queen Restaurant on N. Gall Blvd. in Zephyrhills.
EQUIPMENT TO BE PROTECTED
Stainless Steel Exhaust Hood with12In. x 15InExhaust Duct
Stainless Steel Exhaust Hood with 1Hn. x 111n Exhaust Duct
Gas Fired Griddle
34" Gas Fired.Double Deep Fat. Fryer
Both above described exhaust hoods contain both exhaust air fans and fresh air fans. All of
these fans will turn off upon system actuation.
A gas shut off valve will be installed by Suburban Propane which will turn off fuel to
existing cooking appliances under hood upon system actuation.
Installation of the fire suppression system will meet manufacturers current regulations.
All electrical and or gas work associated with this fire
responsibility of the owner.
ZEPHYRHILLS
FIRE DEPARTMENT
: t,(5:l<.hr-f, ~" Sf- a_o 'v
- IV P ~ 9~ ~P:4- /7 pr t'z,
Heo.t Detection Une
_3.LtL.cheMic~~1y Line
EB
Ga.s
Griddle
48 In,
[U._ -1
Job:
Burger Queen
Ga.ll Blvd
7 crhryhills, Fl
----~-_.._..._._..-._._._.._---
3/2/95
1/2" [HT for _Ga.s Shut
DJ'L Vo.lve______i
D
o
Ga.s
Vo.l ve
/-
~~
~
Protex 2000
L2440 Fire
Suppression
SysteM
ReMote Pull
D
Duo.l
Go.s Deep Fo.t Frye 5
Contro.ctor:
So.ndy DevelopMent
Hwy 301
Do.de City, Fl, 33525
904-567-7992
Sub:
Security Fire EquipMent
18330 Lo. wrence Rei,
Do.ele City, Fl, 33525
904-567-7340
ExhQust Hooel
/------~-
~
/
--;;/1
i____
Double Deep FQ t F~~yers (GQs)
7
Heo t Detection Line
~heMiCQl
JUPPI y L;oc
Protex 2000
L2440 Fire SUppression
SysteM.
. , .
Exho.ust Hood
- J
-}--
-"----,._~,_.__.__.~_. ~
--E(~----
!j . ... - -- ___/;
48 In. Griddle (Go.s)
Job:
Do.iry Queen
Go.ll Blvd
Zephyrhills, Fl.
Heat Det~~ITle
CheMiCo.l
Supply Line ---[~J
Protex 2000
L2440 Fire Suppression
SysteM.
Cub:
Security Fire Equip
18330 Lo.wrence RcI
Docie City, Fl, 33525
__0..--'__-