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HomeMy WebLinkAbout95-5135 BUILDING PERMII - CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 "T~-513~ J1 Date 7- ;)-1- 7.5.~ BUILDING ELECTRICAL PLUMBING ----'~ ~ANIC~/sewer Conn Water Conn: ::::::~' ~7 *!PN~ Parcell.D, # 11- 616 ~;V- tJtJ/ tJ... ~ cJerO 0- () 0/0 Water Meter: T,I.F.'s: Zoning: Ener20de: DescriPtionOfWork~. /~./A.A'.J':~ Radon Gas: /r.J"7;~ ~./~; /o'W>~ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, Permit Fee ..2 t7, t!J?./ Signature d ~ ~/~~P//C.J Compa~ Address Telephone# Valuation or Contract Price ~ tJ 7' ;L . ij-V S ':31 City License Registration # State Certified License# BUILDING ELECTRICAL PLUMBING ~~'.~ MECHANICAL Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. 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. APPLICATION FOR PERKIT CITY OF ZEPBYRIIILLS BUILDING DEPARTHENT OWNER'S NAME -- -.I,c~ #7v ~e 1/ Nc- a- '~A -.J-1'-l. PHONE OWNER'S ADDRESS .:::\ :~ i --( , JOB ADDBIlSS SO}) ;2", ~~C I,d!.! LEGAL DESCRIP'l'IOIi: LOT(S) B~SU8DIVISION PARCEL I.D.' (/2-tp 2-, nDID .Z&)~CX) 0010 (OBTAIN FROM PROPERTY TAX tfOTICE) / ~epair ~Install I .;;?'..... ~'J' --"::510/ WORK PROPOSED:~ew Construction ----!tddition ---..Alteration _Sign --...Nove _Deaolish PROPOSED USE: _S~e F_ily -"IF _' of Units _M/H v -rerCial , ~estaurant &: Health Departaent Approval DESCRIPTIOIi OF WORK: A f;h J/ / _Indust. _Swia. Pool _Other ___jr: i ('. jJ ~7 _~::. f BUILDING SIZE: x .~ y " I , 'l-, ..,' (.-/b Square Feet, Height RESIDENTIAL: A'lTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATrACII (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED ~UILDING _m.EC1"1UCAL ...7 -"ECBAnCAL $ Valuation of Total Construction MIP Service Florida Power Corp. W.R.E.C. $ b/. (),9:;), Valuation of lIechanica1 Installation . _PLUMBING GAS ROOFING TYPE OF OOliSTRucrIOIi: _Block _F~ _Steel SPECIALTY Other FIllISBED FLOOR ELEVATIONS: FT. IS PROJEct Iii FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTIOIi Bml.DRR COMPANY State Cert. or Regist. . City License Registration , .......................................... Signature RT .~CTRIClAI1 COKPANY State Cert. or Regist. . City License Registration . .......................................... Si""Ature PLUMBER COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature IlECRANICAL COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature OTRRR COMPANY <;: (i'1.JA;~ ~~ p~~_ ~ State Cert. or Regist. . (!J?/JQ~-/(}("jr).Jtf'?(j) Signature ~ /"'.. J~ City License Registration' ~-.~ / ~ .......................................... APPLICATIOIi APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit JaY be subject to wdeed restrictions. wbicb laY be lOre restrictive than City regulations. the undersigned assUles 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 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 lisdeJeanar violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJIents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Depart.ent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the DContractor Sectionsw of this application for wbich 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 vork. If the contractor wisbes 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 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 wFlorida's Construction Lien Law - HOIeowner's Protection Guidew prepared by the Florida Departlent of Agriculture and COD8UJer Affairs. If the applicant is sOleOne other tban the wownern, I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "ownern prior to cOlleJlceJIent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has CDIeJlced prior to issuance of a perlit and that all work will be perfoI'led to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other 9OveI1llental agencies laY apply to the intended work, and that it is I}' responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to: t Departlent of EnvirolllleJltal Regulation - Cypress Bayheads, lIetland Areas and Envirolllentally Sensitive Lands, lIater/llastewater !reat.ent t Southwest Florida lIater HanageJeDt District - lIells, Cypress Baybeads, lIetland Areas, Altering lIatercourses t AllY Corps of EnQineers - Seawalls, Docks, Navigable lIaterways t Depart.ent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - lIells, lIastewater !reat.ent, Septic ranks t US EnvirODleDtal Protection Agency - Asbestos abateJeDt I also certify that, if fill laterial is to be used in Flood Zone WAn or wA,etc.w, it is understood that a drainage plan addressing a wcOlpeJlSating wllllew will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. ' A perlit 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery Perlit issued shall beCOll! invalid unless the work authorized by such perlit is COIIeJlced within six IODtbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be allowed for the peIlit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IOI1th period, or the project will be considered abandoned. IIARNING to 0IRfBR: YOUR FAILURE to RECORD A NOtICE OF COIMDCBIlBMt' MAY RESUL! IN YOUR PAYING nICE FOR IHPROVBMEMt'S to YOUR PROPBRft. IF YOU IftDD 'fO OBtAIN FIIlANCING, CONSULt IIUH YOUR LBIIDIR OR AI1 AnomY BEFORE RECORDING YOUR NotICE OF a~A~nmm_m;~ Sl~~ III . /""GlJI . 0 R STAIB OF FLORIDA COOMt'Y OF Pasco The foregoing instrument was acknowledged before me this JTT1SJ fl19-9..5... by StAtE OF FLORIDA coum OF.PABCO The foregoing instrument was acknowledged before me this July 7 , 19~ by who is personally known to me or who has produced as identification and who did/did not a an oallI. who is personally known to me or who has produced 'Rhf)()4?~fi42120 as identification and who did/did not t(:~ ~,;!~~~ 19 ure ='",: f07::i . :,,~ MY COMMISSION # CG447611 EXPIRES (Name Typed, prl~~lf~lOrBOM~;;iNll~:RANcE"NC' NOTARY PUBLIC To: City of Zephyrhills Building Dept. Re: D.J.s Drive-In Restaurant Security Fire Equipment Company t p, O. BOX 1203 818 N. 10TH ST. DADE CITY, FL 34297-1203 ~. \;r (904) 567-7340 7/7/95 ~',,'ill"":'"'' ~ Dear Sirs; The following is a description of fire protection equipment to be installed at the above described restaurant located at 5017 Gall Blvd. in Zephyrhills. EOUlPMENT TO BE PROTECTED (1St. System) Exhaust Hood 4 Ft. X 14 Ft. 1 2 Exhaust Duct 18 In. Diameter 1 2 Gas Fryers 14 In. X 14 In. 3 6 Gas Range 30 In. X 36 In. 1 3.75 Gas Range 12 In. X 27 In. 1 1.25 Gas Char-Broiler 30 In. X 36 In. 1 4 Total Flow Points This equipment will be protected with the "Protex 2000" 5Gal. Fire suppression system, which will accommodate up to 20 Flow Points 1. System chemical discharge supply line will be WI diameter with a minimum of 5 Linear Feet m length, All other system chemical distribution piping will be 3/8" diameter, 2. All Heat detector, Fuel shutoff and, if installed remotely, a manual release station piping will be Y2 " EMT pipe. 3. All piping will be securely fastened using either standard overlay pipe straps or standoff mineralac Straps. This Fire suppression system will be installed in accordance with Manufacturer, N.F.P.A., State and local regulations. I Remain; ~:R'~ To: City of Zephyrhills Building Dept. Re: D.J.s Drive-In Restaurant Security Fire Equipment Company : P. O. BOX 1203 818 N, 10TH ST, DADE CITY, FL 342977~5 ~. "'\;,' (904) 567-7340 ~ ~ Dear Sirs; The following is a description of fire protection equipment to be installed at the above described restaurant located at 5017 Gall Blvd, in Zephyrhills. EOUlPMENT TO BE PROTECTED (1St. System) Exhaust Hood 4 Ft. X 14 Ft. 1 2 Exhaust Duct 18 In. Diameter 1 2 Gas Fryers 14 In, X 14 In. 3 6 Gas Range 30 In. X 36 In. 1 3.75 Gas Range 12 In. X 27 In. 1 1.25 Gas Char-Broiler 30 In. X 36 In. 1 4 Total Flow Points This equipment will be protected with the "Protex 2000" 5Gal. Fire suppression system, which will accommodate up to 20 Flow Points 1. System chemical discharge supply line will be W' diameter with a minimum of 5 Linear Feet m length. All other system chemical distribution piping will be 3/8" diameter. 2. All Heat detector, Fuel shutoff and, if installed remotely, a manual release station piping will be Y2 " EMT pipe. 3. All piping will be securely fastened using either standard overlay pipe straps or standoff mineralac Straps. This Fire suppression system will be installed in accordance with Manufacturer, N.F.P.A., State and local regulations. I Remain; Sincerely Protex 2000 5 GoJ, Fire Suppression SysteM -~ Go.S Shut Off c:C:J::l G)~ c:C:J::l 12 In 30In, x 30In x Go.S Ro.nge 27 In ~ Go.S 'fired / Deep Fryers 24In, x 24In, Eo., Ro.nge Contro.ctm~ Security Fire EquipMent 18330 Lo.wrence Rd Do.de City) Fl, 33525 904-567-7340 ---<C.P-- /- 24 In, X 36 In, Go.S R(:l-dient Cho.r Broile Job D,J/s Drive-In 5009 Go.ll Blvd Zephyrhills) Fl, 33541 " ~--'. -~....- -,"" ',r","" . """ ~. ..,.,. ",' '., ~.'" .....il...... . ; ',......". ,,~,p '" PLAN 1j~l2c? PROJECT 1)/1 _" . ADDRESS alf)/? ~~/I ~~~.IV.E_. D...t:Jt, ,--' p(J:- ~'r'\; ,r~, .,- ') ,;Ji '~':~:~_2:'~:"~j2lZ!~ -;;~___- ~~~',::.~~--~.. ~:.;1,._,. ZlL~"~~_~_.!.~,.~.. YES NC r:= I r-J ['-"; COr,/'M..NTS L., __,,: ---....------ ..::-;::..::.-~-~-______ _...L_.:...._____~_.__._______.~_~_~~_~_~ ___ -_.--....,....~..-. ""__ ..~..,.~._ _ _u_.....-._._._._... ,_~, I I ~",:.., ,) Security Fire Equipment Company (It t~) p, O. BOX 1203 818 N. 10TH ST. DADE CITY, FL 34297-1203 ~ '''J~J (904) 567-7340 ~ 11i.\\'.8i':" ~ cC:J:> cC:J:> G)~ ~ /- -1 12 In 30In. x 30In 24 In. X 36 In. Go.s x Go.s Ro.nge Ro.dient Cho.r Broile 27 In Protex 2000 5 Go.l. Fire Suppression SysteM Go.s Shut Off ~ I / Ro.nge ~ Go.s fired Deep Fryers 24In. x 24In, Eo., Job D.J/s Drive-In 5009 Go.ll Bl va Zephyrhills) Fl, 33541 Contro.ctor Security Fire EquipMent 18330 Lo.wrence Rd Do.de City) Fl, 33525 904-567-7340 PLAN PROJECT '!l j~-!2 9' ,--- I/J~ ADDRESS ~~ /7 r::ff/ I :;::.~ COf~~ENTc'_. 0 tL i ~:~==:i~..zd~2:._ ----- ----------- --.------. -.-__~n....._.._.__._.~_.'_. ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION / -- ~'i, Business Name /i j -: 1'/ /l<- , , ..... ,~ ~; l -., ./ ,I/'/ Address ./ (, /'.. (~':/;-' I I ~ /",A--. " Classification Owner/Manager ]~ I/~ v 5~"lc/:....'1€? <- Emergency Contact Phone 7 ~..}- rJS? /, Business Phone --, r"{' ) , / ,l .,.,~ <.,I~ ': . <~.' ...~") Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ~ FINAL 0 ANNUAL ( ORE-INSPECTION 0 OTHER ~J A~PROVED 0 NOT APPROVED o COMMERCIAL CHECK OBI-ANNUAL Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire, Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. Inspect. Date ;7/,11-;-,.:,- Inspect. Time /' ~:?,.,;>,;;;' Fire Dept. ID # .1-7-( --. L ,.--~ Re-Inspect. Date , .) I Inspect.o. ~ Name. "~J /? ! 7,",/ ~' '/~"' t:...-- Owner/Manager Signature (_..j~.6A_- c-<--;~o./ /(<,z.(:t~/\.--""- Title ./ /. / "" This building has been checke~/by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes, While Copy - File Yellow Copy - Bid. Dopa. Pink Copy - Buslness