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