HomeMy WebLinkAbout96-5542
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BUILDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit Jl!
(813) 788-6611
'-5542-11
Date
1-~L/-9'b
~)'. -57J
ELECTRICAL
J;}.SlJ
PLUMBING
-.5 "2', o-z:;
MECHANICAL
Sewer Conn .(I f)? ~ ~-
Water Conn: /..3), ::2....s.-
r-:u- ~~
Property Owner:
Job Add...., 1'-.54~A: ~ '?W
Parcell.D. # .;) .... ~ ~:2./ - 00/0 - l'-.Sbt7EJ - /'/0/0
Water Meter:
T.I.F.'s: ? 60 o. 9h
Zoning: ~e:
Description of Work a.."'- ' ~
Radon Gas: Ii. 91
NO OCCUPANCY BEFORE C.O.
Inspector lN~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee
Signature
Company
Address
Telephone#
~I!/v,,-
Valuation or ,
Contract Price '7 ~ Y !?;2... OV
City License Registration # / /:; 6 .2..
State Certified License#
/J1E }Iif~
BUILDING
aA~LA. JhbY ~ .t1''''A9~~/J'6/
ELECTRICAL PLUMBING
-
JJt~ ~ /Ud
MECHANICAL
PFtrre' sLl-"1'-~L.1..J..Jl.L:r Tp. Servo SLB
-- ~ Rough In Tub Set
Lintel --nr Meter Can Water
FRM.~ '" 1cJlt- Const. Pole ~Io fD J:;> Sewe'~. lI>.l.& L
Insul. CL F Pool Final~~ --
~lb wL3,~~lA. pre-M~te ~/L-~ .. "
~...,.", 3U.'\Lw<.Q. Finel I Lc5~.i ~,,~- W-?-~. ~,ll
Dri~way , ....l.-\.3\f-'Il;.". ~\}..."-"L Q: ~
W~~'\ A$\~ ~J.._ h... I (J I ~ -r:- ~ .. .
UW~2"(:)"''t~&&- ~)lf""-\ ~~-~ .l1"tV{.NN~
Breakers
Ducts Insl.
com~
Final 1
bS
")
L ' 7-P- 9 (, WrJ-Lj-
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.
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CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75/GALLON SEWER $6. 39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $1,278.00
Travel Trailer Park 131.25 479.25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.~0
Water Closet 131 . 25 479.2~
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319.50
Dishwasher - Limited Use 87.50 319.50
FOOD SERVICE - Dishwasher 700.00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000.00 6,390.00
FIXTURE G.P.D. .. WATER SEWER TOTAL PER FIXTURE
Sinks 50
Water Closets 75 I J 3 \. 1.'5 'f7~'. 1..-S' 0/0,;""0
Urinals 50
Lava tor i e~ . 25
Tubs/Showers 50
Wash. Mach.Com. 200
Wash. Mach.Dom. 50
Dishwasher-Comm 400
Dishw.Limt.Use 60
Sinks-3 Comprt 100
Car Wash-p/st. 1 ,000
i31. 25 471.1-5 0( O. "3 0
.
WATER f'lETER
NJA
l " "I So
lOtU.
GRAND TOTAl.
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UQAL ~: J.DI'(8) ~IVISl._
NRCBL ~.:.D.' O;;l",:2h -;<./... OOf 0 - 05iPOQ -001 D
WOIIIt 1W)POSBD:-JIeW CoustnteU,08 ~t.10Il ~t.eratf.oo
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"-bill
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Other
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JUr.SlDlI1'IAL: AlTACII (2) PLOI' PLAIIS a (2) SBIS OF BUlJ.DUG PI.AII8 a (1) 8B1' RIIDOf ruMS. **
allllERClAI.: ATrAal (3) SBIS OP IIU1J.,8DfC PIAIIS I: (1) SB'I' -"'.1 fQIIIS...
..CIJPI' OF ~ 1IIqUDII:b.
PaliJnr. .IrnURsnw
_ -/ BUlLD11C
V"'" Iq,ECDnCAL
~CAL .
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Val_tfClll o~ Total CuaatruetlOll
AIIP Se~tc:e
Florida l'cMet CoEp.
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V......U.OIl of fI-"h--Ica1 :r.t.dlatlOll
eMS
TIPB OF ~Imft;"rI,"t
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IIIJOFIIIG
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SPBCIAL'J'f
Otber
nlllSBID PlDOI Bl.Bf'A.1'I.-st FJ' . 15 IWLJ:IC1' D FLOOD ZOD ADA'
!E)<.,:1T'JN(1.... DB ..
..........*....*.....**.....**..*.*.......
~ SBCI'I"
CUlPMLJ
State Cert'. or haut. .
City Ltc__ ReP8trattOll .
.......*..............*.*.**.............*
IUJII.DRII
Sipature
V.RC'I"IITI!I a.
....M'f
State Cet't. or Bealst. .
City Lieelllle lIealetntlOll .
..........................................
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State Cftrt. or _..let. I
Cit:y Ltcease Ke8i8traU.CIIl t
........*.............*.*..*...*.*........
8:laoabu"e
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QIIPAII
Sute Cert. or Jtqut. ,
City Lleense IlqletratlClll .
.*.....................****.....*........*
Sianature
........
u.pAIIY
State Ced:. or 1te8la1:. f
City Lt.c:ense hRi.u.U,GIl .
.............*...*.....*.....*.........*.*
S1aoature
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AlTl.ICATlOll APIIIOV-. u
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JUL-U':j- :j..j t-t-<! U:j:,,:,o !V:!....! I r UI- LI:J-'H,kHILL:::. II::L 14U::::ll..j 'roo ":'C::':j..:.,
i:l::J44 /-IJ,,:,.
CONDITIONS. OF PERMIT AFFIDAVIT
'c A. -w NOTICE OF DEED RESTRICTIONS
Th. .nderll,ftId Inltrlt.ndl th.I Ihls ,er.lt ..y be lubi.et to -dl.d r.strietiDnl. which .'y .. .or. rl.trittiv, than Clly
rl"I.lllftl. The unllt.llned IIIU"S res,anslblllty for [olpllane. .ith .hy applic.bl. deed rl,'tlcli.ns.
9. U ICEN D CON RACTORS AND NlRACT RESP SIBI ES
If thl .Wltr h.. hired I cDntratlar Or contr.ctors to anderlake IOrk, lb., lay b. r.quired' t. bl litensld in accordante with
Itlt~ .nd Ilcll r.,u1atlaftl. If the c.ntr.cl.r is nDt licensed al required ~y 1,", bath the olntr .nd c'~'r.clor .ay bl
tit'd f'r · .ild.~anor vialltion under Itll. 1.1. If lhe Diner or Intended cDntr.ctor ITf unc,rt.in .1 to ~.t liclnsing
require"'I, II, appl, f.r the Inl.ndfd Nork, Ih.y are advised 10 cont.cl the Cily Df 2.pbyrhIJI. Building ,.,a,llInl, (8J31
788-66U,
Furtbtrltrl, if t~, OWftlr hi' hired I tanlr.ctor Dr conlrlctors, he is .dvis,' tD hlv, lh, tlntr.ctorCI' sign p.rlions of the
.CDatr.cl.r "ctlehl' .f thIs .,pllc.tion for .hith they .111 b. rlspanslbl,. If 'D', IS the o.nlr Il,n .. thl contr'tID',
YD~ It I indic.Ilng thlt ,ou, rlther thin th, conlraclor, ar, responlibl. for th~ wark. I' the tontrlttor NIIb.1 ,DU 10 li,n
II cDntrlctor Ih,t II, .e .n lndleltlon thlt h. is not prop.rl, licensed Ind il not entltlld to 'IrllltlMl pri';I.", In the
City If Zephyrhilll.
c. TReNSPDRT~'(ION IMPACT FEES AND UTILITY CONNECTION FEES
D. CO~STRUCTION LIEN LAW (CHAPT&R 713, FLORIDA STATUTES, AS AMENDED)
J c,rtlf, thlt I, tbe .,pllcant, hlv, been ,ravided 11th. c." of "Florida', Conltructi~n Liln L.. _ MtIIoNnfr's Pr.teetiDn
Suide' ,rlpa,.' by the Flarld. Bep.rt..nt of Agriculture and Conlu..t Af,.i'l. If lhe ',plle.nt i, .....nt .thlr th.n the
"Oln.r', I certlf, th.t I hlv, ebt.intd I tDpY Of the abo,. dlscribed dOculent .nd pr'llse in IDOd f.lth 'I d.li"r it to Ih.
"Olner' prior t. l....nt'lfnl.
, E. CONTRACTOR'SLOWNER'S AFFIQAVIT .
I ee,t11, thlt .11 the lnf,r'llion in Ihls ,pplicltion is Ictur.tl Ind th.t III Nork lill b. dont In ctlplilnt. w;Ih all
Ippllc"I, III' rlfulltlag construction, loning, 'Ind'Jtnd 'eYllop.,nt.
Applicltl.~ II .treby ..dt to ~btliR . per.it to do wort .nd install.tlDn II indicat'd. I certlf, that .. ..rk pr
inlllll.tlon hi' cD..tneld prlot to ilsllnet of . ptr.il and thai .11 lOr' .ill bl p.rforled to ...t ,t.ndar.s If all J.ws
r'Inlatlng tDnstructlDn, City tod.., laning regul.tionl, Ind I.Ad develap"nt r.gul.tions in 'h. Jutls.lttlon. I .110
tertify th.t t undetlland Ihlt the regul,tianl af Dt~lr govern.enlll 'Iencies "y .pply tD lhe Inllnded 'Dr., .nd Ih,t It Is
IY r,sp.lllblllt, tl Id,ntlfy whal Ittions t la.t I,k. ta b. in totpli.ntl. Such IIeneil. inelud, but .rl n.t li.ited to:
· DeD.rllllt .f En,irDftllfttal R,.ul.ti.n - Cypr'll Blrheldl, NetJlnt Ar.as and Environllnl.ll, Senlitl'I Llndl,
Uat.r/Yastew,I" Trllt..nt
, IDUtb.tat FI',id, later nallalllnt li,trlct - 1.111, Cypress B.,h'ldl, I.tl,nd Are.s, Alt'ring I,llrelurlfs
I Arl' CDr.1 Df ElIllltrl - l'aMllls, Docl., Navi,abl' l.t,rIlYS
t D"lrt..nt ., ""Ith l R".bl11,-tl,. SIr,iCIs. (nvlrlnalnt.1 Hellth Unit - UIlls. M.ltellt.r Tre.t..nt, Septic Tlnk.
t US ERvlr'ftllnta. Pr.tlctlol Alentj - Asb"ta. .b,telfnt
I aJID clrtlfy "1', if fill .,teri.1 is t. 'I Ulld In Flood Z.ne 'A- or .A,ett.., it il und,r.'oed tblt . dtlinlll pl.n
Iddr.ssl" I -raap'nsltlng volulI' .il1 'e sub.itled which il pre,lred by a profession. I eftgineer rtgi.Ilrld In lh, &tll. of
Florida prior to "rllt illulne..
A p.rait Issue' Ihlll b, construe' ta b. I lie.ns. to proce.d lilh the Ror. Ind not al luthor!t, to viol.I" Cine,! ilt'r, Dr
set Isi'. Inr prlvlslons of Ih. Ilthnic.. code., ner IhaJI issl.nte af a p.r.it pr,vtftt th. Building Offlci.l ft,. tbrr..ftlr
reqUiring · carr,,'lln If etrors in pl.ns, construction, Dr ,iol,tltns af In, code, E~ftr p,rlit il.... thell breole invalid
unlesl th. Nort luthorit.d by such p,rllt II cOlllnced ,itbin sli IDnlh. of issulnt', Of if NOrk luth,rlz" ., the p,r.it is
suspended or .b.ndontd for I p'riod of six lonth. .ft.f th, ti'l the .ark il CD.llnt.d. One 90 iay 'It,",IIn ., tilt, I'Y bl
.110le' '.r tbe per.it with f., ch.rQ' .f tI5.00. lb. ..tenslon .hlll bl rlquest,. in .riting to the Juil.in, Official. An
appr.,'d inl"cti,n Ivst be IDgged fqring elcb 511 IDnth p.riD'. or, the proj.cl lill b, conSider., ,'andontd.
NARHIMS TO DURERI YOUR FAILURE TO RECORD A NOTICE OF C~NCEftENT "AT RESULT IN YOUR PAYING TMICE FOR INPROVENENTG TO YOUR
PROPERTY, IF YOII '_UNO TO OlTAIN flllMICIMB, CONSUlT WITH YDUII LENDER OR All ATTORNEY BEFl~e RECORDI. YOUR IIOTJCE OF
COItIOI:EllENr. 108S UNDER .e,500 Itl YM.UE DO NOT NEED TO RECORD AND POST A -NOTICE OF COlIENC€lEJH'.
d~4~
BI6MTIIIE. .... ottI!!!::?
J
BISMTUReI CONTRACTOR
STATE or FlORIIA
~~~eg.ln~~t "00 ackno"ledged
before m. th15~-31 ,~ , 19~ by
f!I~ .&.>>.1),1/.// '_
who is p.~.onally known to me or who ha.
produc.d , ~
as id.nti1l~. 10n and Hho did/did nDt
take an oath.
STATE PF FLORIDA
tOWnY OF
The foregoing instrument
before me this
wa. acknowledged
., 19_ by
v _ "'"-
who i. per.on.lly known to mR or who has
prDduced
as identification and who did/did not
take an oath.
(Signatur.)
(Name Typed, Print.d or Stamped)
NOTaRY PUB~I~
SUZANNE K. CASTO
MY COMMISSION' CC 375036
EXPIRES: May 18. 1998
BllIldIcIlbnt NulIIy PubIc IhIIrwrIlIra
APPI.TCATIO~ FOR PEmllY
CITY OF ZE:PHYllliILLS
BUU.DUiG ~JiJ:PAR:lHE',NJT
OkWER · S NAH.E
PHONE:
OWNER · S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SlJJBDH"ISION
PARCEL I. D. #
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE:
Single Faail}~
_KIF
_, of Units
_M/H
_CoBaercial
_Indust.
_SW1... Pool
Other
_Restaurant & Healt:h Departaent Appro\Yal
BUILDING SIZE:
x
Square Feet.
He ight
RESIDENTIAL:
COHKERCIAL :
ATI'ACH (2) PLor PLANS & (2) SETS OF BUILDING PIJ'UlJS & (1) SET EJi/ERGY FORMS. **
ATTACH (3) SETS OF BUIIDllIG PLAJNrS & (1) SET ElNlERGY FORMS. U
**COPY OF CONlTRACT RE'QIJJ1lRED.
PERKITS RE.QUR.'iTED
_BUILDING
$
VaIuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
s
VaIuation of Hechanical Installation
_PLUMBING
GAS
RooFIlNlG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIlIfiSHED FLOOR ELEVATIOlNlS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
BUILDEffi
****************~*******************
roMRACTOR SECTION
COMPMIIY IV. 8. J-4YE S ..J/l./C
State Cert. or Regist.~ 1# CGCO st(9/t)
~ City License Registration 4# /6t,;:L
**********************************
K Signature
( Simtature
ELECTRICIAN
/kJf ~
/'
/
/ aMlPANY H. ;J. ff-'f Y E5., Me
~ State Cert. or Regist. 4# E,(f ()oo (?-I S7)
/ . -~4 City License Registration" / t, ~ V
********"********************************* '
Signature
~~+*+++++*++~**++++****************
CO!tPAn rNI);,=;O,;wpb1/r //"'ul1,:J,#6 0,= FL. -hvC
St:,at:e Cert. or Regist:. '4# CF(-O,;U~$~~
Cit.y License Registrat.ion iIF / t' ~ /
.
PLUMBER
KE,C'HAlIfi GAL
COUP~..NY IV, IJ, If;t- y ~ S JA/l'".
St:ate Cert. or Regist: '4# ("A-('O 'I/-."/S 7
Cit-y License Registrat:ion I /6 b 3
*******~*~****~*******************
( Signature
OTHER
OOHPMIY E 1.//tfI/5 G /\I -rn /t"C" T7 oN 6
7/ / / ~ State Cert. or Regist. #I: C ceo 16 <:) r?-t
~ ~--------- City License Regist:ration #I: / b t:. ~-
~ ******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait aay be subject t~ "dEed restrictions' which may be lore restrictive than City
regulations. The undersigned assuaes responsibility for co.pl:anc~ with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR F:ESFJ)~~S,IB)LIlIE~i
If the ON"er has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the co~tractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depar~~ent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which 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 work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of ZephyrhilIs.
c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone other than the
'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it tel the
'owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVII
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be performed to seet standards of all laws
regulating construction, City codes, zoning reg~lations, and land developlent regulations in the jurisdiction. ! also
certify that I understand that the regulations of other govern~ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
. Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
. Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
. Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environ.ental Protection AQencv - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan
addressing a 'colpensating volume' will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
"
A pertit issued shall be construed to be a license to proceed with the work and not as authority to yiolate, 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. Every perlit issued shall becole invalid
unless the work authorized by such perlit is co..enced within six months of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six tonths after the tile the work is comaenced. One gO day extension of ti~e, lay be
allowed ~or the perlit with fee charge of lI5.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six month perioD, vr the project will be consider abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE1ENT MAY RESULT IN YOUR PAYING T FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE E RDINb YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMM /~nENT" ~
X €~~~
SIGNATURE: OWNER OR AGENT S 6NATURE: NTRACTOR
was ackno~"lledged
. 19 b'/
STATE OF FLORIDA
COUNTY OF III L L S ,; (/ /l cJ t.{ C /-t_
The foregoing ins'rument was acknowledged
befcq-e me th i s I 2 . 19..2.L- by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
It (Ct-llf~L
/.J
/..JA y' E J
who is personally known to me or who has
pl-oduced
as identification and who did/did not
take an oath.
\o',ho i SCEel-sona 11 y knowEJ7t:o me or ~'Jho has
produced
as identification
and who did/did
t/AanZh~ A~/Lrft
(Sig~ure)
DOUG t-~ H, G /L- '-- <:> rrr.=
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
not
(Signatlll-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Official"" ~
DOUGLAS M. GILLOTTI!
Notary PubUc. Stale of FlorIda
l My Cllmm, expires Feb. 24.1998
1_, ..___NO, CC350394
Form 400A-94
Whole Building performance Method for commercial Buildings
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of community Affairs
FLA/COM-94 Version 2.1A
BUILDING TYPE: _Restaurant> 100 People____
CONSTRUCTION CONDITION: Existing Building
DESIGN COMPLETION: _Addition
CONDITIONED FLOOR AREA: _2600-
-MAX. -TONNAGE OF EQUIPMENT PER SYSTEM: ----
PROJECT NAME_pizza Hut
ADDRESS: _6548 Gall Blvd.
_ZephyrhillS, Florida
OWNER: _pizza Hut
AGENT:
PERMITTING OFFICE:
_zephyrhillS
CLIMATE ZONE: -~ - Y;;L
pERMIT NO: ..lo._ \ --
JURISDICTION NO:_611600
B =
NUMBER OF ZONES: 2
LIGHTING
EXTERIOR LIGHTING 80.00
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. SEER
2. EER
IPLV
HEATING EQUIPMENT
1. Et
2. AFUE
AIR DISTRIBUTION SYSTEM INSULATION
1. Unconditioned space
2. Unconditioned space
WATER HEATING EQUIPMENT
1. Et
SL
PIPING INSULATION REQUIREMENTS
1. Non-Circulating
COMPLIANCE CALCULATION:
METHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
15
DESIGN
CRITERIA
RESULT
------
--------
::PASSES
------
100.00
70.67
90.00
PASSES
PASSES
10.50 10.00
13.00 8.90
9.35 8.30
1.00
1.00 0.78
LEVEL
6.50 4.20
6.50 4.20
0.80 0.78
0.00 0.03
1.00 1.00
PASSES
PASSES
PASSES
N/A
PASSES
PASSES
PASSES
PASSES
PASSES
----------------------------------------------------------------------------
COMPLIANCE CERTIFICATION:
I hereby certify
specification
lation are' c
Florida Ene gy
PREPARED B
DATE:
plans and
this calcu-
it the
I -hereby c
building is
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
section 553.908, Florida statutes.
in compliance with the Florida Energy
Ef~iciency Code.
OWNER/AGENT:
DATE:
BUILDING OFFICIAL:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
Harvey Jacobv FL 6016
Francois Trahan FL 0019197
Francois Trahan FL 0019197
Francois Trahan FL 0019197
Francois Trahan FL 0019197
is required where Florida law requires design to be performed
design professionals. Typed names and registration numbers may
all relevant information is contained on signedlsealed plans.
ARCHITECT :
MECHANICAL:
PLUMBING :
ELECTRICAL:
I;IGHTING :
C*) Signature
by registered
be used where
-'-"
----------------------------------------------------------------------------
----------------------------------------------------------------------------
401.------GLAZING--ZONE
Elevation Type
BUILDING INFORMATION COMPLIANCE
CHECK
1----------------------------------------------__v_
U SC VLT Shading Area (Sqft)
--------- ---------------
South
North
East
West
Commercial
Commercial
Commercial
Commercial
401.------GLAZING--ZONE
E:levation Type
-------------- ----------
1.13 .65 .47 None 64
1.13 .65 .47 None 23
1.13 .65 .47 None 42
1.13 .65 .47 None 42
Total Glass Area in Zone 1 = 171
2----------------------------------------------__v_
U SC VLT Shading Area(Sqft)
--------- ---------------
North
South
East
Commercial
Commercial
Commercial
402.------WALLS--ZONE
Elevation Type
-------------- ----------
1.13 .65 .47 None 48
1.13 .65 .47 None 48
1.13 .65 .47 None 122
Total Glass Area in Zone 2 = 218
Total Glass Area = 389
1-------------------_____________________________
U Added R Gross(Sqft)
--------- -------------------------------- ----- ------- -----------
West
South
North
East
Frame Wall
Frame Wall
Frame Wall
Frame Wall
402.------WALLS--ZONE
Elevation Type
+ '3"
+ 3"
+ 3"
+ 3"
InS.
InS.
InS.
InS.
0.081 .50 216
0.081 .50 464
0.081 .50 ~72
0.081 0 52
Total Wall Area in Zone 1 = 1104
2--------------------____________________________
U Added R Gross(Sqft)
--------- -------------------------------- ----- ------- -----------
North
South
East
Frame Wall + 3"
Frame Wall + 3"
Frame Wall + 3"
InS.
InS.
InS.
Total
403.------DOORS--ZONE
~levation Type
0.081 0 188
0.081 0 188
0.081 0 216
Wall Area in Zone 2 = 592
Total Gross Wall Area = 1696
1-------------------_____________________________
U Area(Sqft)
South
1-3/4 Steel
--------- ------------------------------------------ ----- ----------
403.------DOORS--ZONE
Elevation Type
Door-Fiberglass/Mineral woo 0.60 21
Total Door Area in Zone 1 = 21
2-------------------_____________________________
U Area(Sqft)
North
No doors
--------- ------------------------------------------ ----- ----------
404.------ROOFS--ZONE
Type
0.00 0
Total Door Area in Zone 2 = 0
Total Door Area = 21
1--------------------____________________________
Color U Added R Area(Sqft)
Standing Seam Metal
------------------------------------ ------ ----- ------- ----------
404.------ROOFS--ZONE
Type
Medium .025 30 1768
Total Roof Area in Zone 1 = 1768
2------------------______________________________
Color U Added R Area(Sqft)
Standing Seam Metal
------------------------------------ ------ ----- ------- ----------
405.------FLOORS-ZONE
Medium .025 30 962
Total Roof Area in Zone 2 = 962,
1------------------:~:~~_~~~:_~::~_:_________~~:~1---
Type
R
Area(Sqft)
------------------------------------------------
----------
Slab on GradejUninsulated
o 1768
Total Floor Area in Zone 1 = 1768
2--------------------____________________________
R Area(Sqft)
405.------FLOORS-ZONE
Type
------------------------------------------------
----------
Slab on Grade/Uninsulated 0 962
Total Floor Area in Zone 2 = 962
Total Floor Area = 2730
406.------INFILTRATION------________________________________~-----------
ICHEC
Infiltration Criteria in 406.1.ABC.1 have been met.
407.------COOLING SYSTEMS---------------________________________________
Type No Efficiency IPLV Tons
----------------------------
---------- ----- --------------
1. Split System 1 10.5 0 5.00
2. Air Cooled ( >= 65,000 Btu/h 1 13..0 9.35 9.75
.408.------HEATING SYSTEMS---------------________________________________
Type No Efficiency BTU/hr
--------------------------------
---------- --------------
1. Electric Resistance 1 1.0 27320
2. Gas Fired < 225,000 Btu/h (Se 1 1.0 180000
409.------VENTILATION-----------________________________________________
ICHEC
Ventilation criteria in 409.1.ABC.1 have been met.
410.-----AIR DISTRIBUTION SYSTEM-----------------___________________ ___
ABU Type Duct Location R-value
-
----------------------------------- ---------------------- -------
1. Split / PTAC Air Conditioner
2. Packaged Constant Volume
411.-----PUMPS AND PIPING-ZONE
Type
------------------------
Unconditioned Space 6.5
Unconditioned Space 6.5
1--------------------___________________
R-value/in Diameter Thickness
1. Non-Circulating
411.-----PUMPS AND PIPING-ZONE
Type
---------- -------- ---------
------------------------
3.7 0.75 1.0
2--------------------___________________
R-value/in Diameter Thickness
1. Circulating 0 0 0
412.-----WATER HEATING SYSTEMS-ZONE 1------------------________________
Type Efficiency StandbyLoss InputRate Gallons
---------- -------- ---------
------------------------ ---------- ---------- ---------- ----------
1. > 75,000 Btuh 0.8 0.0 120000 80
412.-----WATER HEATING SYSTEMS-ZONE 2--------------------______________
Type Efficiency StandbyLoss InputRate Gallons
------------------------ ---------- ---------- ---------- ----------
413.-----ELECTRICAL POWER DISTRIBUTION-------------_____________________
CHECK
Metering criteria in 413.1.ABC.1 have been met.
Transformer criteria in 413.1.ABC.2 have been met.
414.-----MOTORS-------------______________________________________
Motor efficiencies in 414.1.ABC.1 have been met.
415.-----LIGHTING SYSTEMS-ZONE 1-------------------____________________
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
--------------
-------------- --- ------ ----------
Kitchen
1
On/Off
3 None 0
Total Watts for Zone
Total Area for Zone
3272
1 =
1 =
1636
3272
1636
~.. " '..
415.-----LIGHTING SYSTEMS-ZONE
Space Type No Control Type 1
.. ~
----------
--------------
2----------------_______________________
No Control Type 2 No Watts Area(Sqft)
-------------- --- ------ ----------
2 None 0 1924 962
Total Watts for Zone 2 = 1924
Total Area for Zone 2 = 962
Total Watts = 5196
Total Area = 2598
CHECK
Leisure Di
lOn/Off
Lighting criteria in 415.1.ABC have been met.
------------------------------------------------------------------
16. HVAC load sizing has been performed. (407.1.ABC.1)
------------------------------------------------------------------
17. Duct sizing and design have been performed. (410.1.ABC.1.2)
------------------------------------------------------------------
18. Testing and balancing will be performed. (410.1.ABC.4)
------------------------------------------------------------------
19. QReration/maintenance manual will be provided to owner. (102.1)
----------------------------------------------------------------------------
City of Zephyrhills
Building Department
-fr
5335 Eighth Street
Zephyrhills, Florida 33540
(813) 788-6611
March 14, 1996
Wm. A. "Bill" Burgess
Director of Building,
Licensing, & Zoning
M.B. Hayes, Inc.
]4034 North Flori.da Avenue
Tampa, Florida 33613
RE: Interior Final Pizza Hut
6548 Gall Boulevard
Zephyrhills, Florida
To Whom It May Concern:
The City of Zephyrhills Building and Fire Departments conducted an
interior final inspection on 3/13/96, on the above referenced
Pi.zza Hut and found all items complete and satisfactory.
We will make another inspection when all exterior items are
complete. At that point if everything is satisfactory, we will be
in position to issue the certificate of occupancy.
Jf you have any questions, or comments, please contact me at
788-6611, 8 a.m. to 5 p.m., Monday through Friday.
Sincerely,
!)J!-J iLt ~ t- v~--
H-L~l Burgess ~
Director of Building, Licensing & Zoning
BB/bs
cc: Fire Department
ZEPHYRHILLS FIRE DEPT
ZephyrhiJIs Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name A 7 2 A /.J.. c.N f
.
Address ~6- "/ R c;- ~ II e C ", b
Business Phone '7 f1/ - 7 f.t. ~ 3
Classification
Owner/Manager t,JGI>\J.l> 7 JJn B B ~
Emergency Contact Phone q7 3 - I ~ ? 2-
Occupancy Load _
Alarm Monitoring Co.
Phone #
o aUARTERL Y
o
wAPPROVED
TYPE OF
~NAL
RE-INSPECTION 0 OTHER
INSPECTION CONDUCTED
o ANNUAL
OBI-ANNUAL
o NOT APPROVED
o COMMERCIAL CHECK
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 9uring a fire, Your immediate attention to the correction of these
violations ~hall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
--.J,.li,Lema L ,C~ L-c A ,0 uL f'
8"'~126
,
l)PEN/~vL;
Inspect. Date O~:..:>- - 9 b Inspect. Time ~ 9 ,. 5~- Fire Dept. fD # ~..:5...... 4-
RolnspecIDate__ L. In'fi1"orsNarf=~_G.WIt.,~__.
Owner/Manager SIgnature -.~- ...._--3~ Ii.-.. / ___. _ __ _ Tllle__. .__ ..__.._ ..
This building has been checked 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.
White Copy - File Yellow Copy - Business
DEP ARTl\1ENT OF BUS~"ESS A~1) PROFESSIONAL REGULATION
Division of Hotels and Restaurants
LEGAL NOTICE
FOOD SERVICE INSPECTION REPORT page _ of _
o Cat~ring 0 V~nding 0 T~mporary
Month
-< 0 Mobil~ food 0 Th~m~ Park 0 Sat~lIit~
'-" Dis ensin Vehicle food Cart Service Unit
Failure to comply with this Notice will result in an informal conference to determine whether your license will be suspended. revoked. or an administrative fine
of up to $1,000 per violation imposed.
OWNER
. . .
'~~}/I.~' L -l_~._:;/~i:'"
.~~--';,~'0 2~(..::"'J:,
/'/. .
ADDRESS 2'i. i "{ "-
RESTAURANT
{.-
HUHBER Of SEATS
o General
o Seating
;:'; .-:-
./ -
-----;/
'''/.:;~
ZIP-JaDE (option;'!
-A _' '~_~
COlIn
/
BUSINESS
CONTROL NUHBER
File Humber
.'"
0 o WARNING: o WARNING OF DIRECT NOTICE: o NOTICE TO SHOW CAUSE:
..;''' Violations in the operation of your Violations in the operation of your Failure to be in compliance with this You may be issued a Notice to Show
establishment must be corrected by the NEXT establishment must be corrected by: notice at any future inspection may result in Cause why sanctions shou Id not be assessed
ROUTINE INSPECTION. I Month I Day I YmI a direct Notice to Show Cause. against your license.
I I 1199_1
FOOD
D * 01 lotlrce: sotlnd condition, no spoilage
D 02 Original container: properly labeled
FOOD PROTECTION
o * 03 Potentially hazardotls food meets temperature requirements
during storage, pr~paration, display, service, transportation
Facilities to maintain product temperature
Thermometers provided and conspicuotls
Potentially hazardotls food propeny thawed
Unwrapped and potentially hmrdotls food not melV!d
Food protection during storage, preparation, display, service,
transportation
D 09 Handling offood (ice) minimized
10 In use, food (ice) dispensing utensils propeny stored
PERSONNEL
*" Personnel with infections restricted
* /2 Hands washed and dean, good hygienic practices
D 13 Clean dothes, hair restraints
FOOD EQUIPMENT AND UTENSILS
D
D
D
D
.
.
.
..
.
14 Food (ice) contactsurfms: designed, constructed, maintained,
installed, located
15 Hon-food contactsurf.lces: designed, constructed, maintained,
installed, located
16 Oi,hwashing facilities: designed, constructed, maintained, in-
,tailed, located, operated
17 Accurate thermometers, chemical test kits provided, gauge cod<
(1/4" IPS valve)
Pre-nushed, scrape , soaked
Wash, rinse w.ater: dean, proper temp~ratur~
lanitiution rinse: dean, temperature, concentration, expoSUR
time; equipment, utensils sanitil~d
Wipmg aoths: ean, use restricted, stoRd
ood contact surfaces of equIpment and utensils dean, fm of
abrasives, d~tergents
D
D
D
23 Hon-food contact surfaces of equipment and utensils dean
24 Itorage, handling of dean equipment/utensils
25 lingle-service artides, ltOrage, dispensing, used
26 No re-use of single-service
WATER
* 27 Water Sotlrce, safe: hor and cold under pressure
SEWAGE
D * 28 lew.age and walle water disposal
PLUMBING
D 29 Installed. maintained
o . 30 Croll.connection, back ,iphonage, backOow
TOILET AND HANDWASHING FACILITIES
. 31 Humber, convenient, uCOlsible, designed, installed
D 32 Toilet rooms endosed, 'el~dosing doon, fixtures, good repair,
dean; hand deaner, sanitary towehltillueslhand-drying devices
provided, proper w..te receptadel
GARBAGE AND REFUSE DISPOSAL
D 33 Containm or receptades, covered: adequate number, insec
rodent proof. frequency, dean
D 34 Outsid~ Slorage am endosures properly conSlructed, dean; con-
trolled incineration
INSECT, RODENT, ANIMAL CONTROL
D . 35 Prmnce of insectslrodents.Mer openingl protect~d, no birds,
turtlel, other animals
FLOORS, WALLS AND CEILINGS
D 36 f1oon: conltructed. drain~d. clean, good repair, covering in-
stallation, dustless deaning methods
D 37 Walls, ceilings, attached equipment: constructed, good repair,
dean surfac~s, dustless deaning methods
Items marked with an ASTERISK * are areas of CRITICAL CONCERN in the operation of our establishment:
RECIPIENT'S NAME (PLEASE PRINT)
/ acknow/etlre receipt of this inspection form 3//tI comments
TITlE
REMINDER: Your license expires ~/-!~
INSPECTOR'S NAME (PLEASE PRINT) TITlE.
~\ ,-- "- "
RECIPIENT'S SIGNATURE
EST ABlISHMENT TELEPHONE
DATE
SPR 22.015
, ,
LIGHTING
38 lighting provided as required, fixtures shielded
VENTILATION
39 Rooms and equipment-vented as required
DRESSING ROOMS
40 Rooms dean, locken provided, facilities dean. located, used
OTHER OPERATIONS
* 41 Toxic items propeny SlOled, labeled. uled, necessary
D 42 Premises maintained, free of litter, unnecessary artides, dean.
ing maintenance equipment propeny stored. Authorized per-
lonnel
o 43 Complete separation from Iivinglsleeping quartm. laundry
facilities maintamed
o 44 Clean, ,oiled linen properly ltOled
SAFETY
i
,. *45 Fire extinguishen-proper and sufficient
* 46 Exiting system-adequate, good repair
'<fT Electrical wiring-adequate, good repair
. 48 Gas appliances-propeny installed, maintained
* 49 Flammablolcombustible materials- ro erl ,tored
~
p p y
GENERAL
Currentlicense-propeny displayed
Other conditions-sanitary and safe operation
Fals misleading Slatements-publish~d or advertised relating to
food/beverage
53 food management certification valid
54 florida aean Indoor Air Act
55 Automatic Gratuity Hotice
56 Copy of Chapter 509. f10rida Statutes, available
INFORMATION
57 Hospitality Education Program information provided
-.
COMMENTS ON ADDENDUM
-<::'
.-- ".-~
.',.... <","-",..-
INSPECTOR'S SIGNATURE-
. ..... '"-:--:-..
___.=. ,~".f..":..~ (:.:: ~., ==~;
TIME
,....
-(
OFFICE TELEPHONE
) "
. .
DATE_.
/...
ReVised 3/31/95
, -J /'
d '.t...";
/~
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Division of Hotels and Restaurants
/.~ 'J/':-:
....~ I
. . ,....1
:... .I ,""J ~i
!
COMMENTS SHEET
Addendum to BPR 22-005,22-014 or 22-015. For additional comments to the Lodging, Food Service Inspection
or Call Back/Reinspection Reports.
{ 1_1
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d II ;
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BPR 22-042
Revised 2,'17/95