HomeMy WebLinkAbout98-7587
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7587 /VI
Date
J -- / I- .- 7' Y
BUILDING ELECTRICAL PLUMBING 0ECHA~V Sewer Conn
"7/ Water Conn:
Property Owner: '-- --IA -:.., t ~ 't j /Jt ,J./u JlJ I~L Water Meter:
Job Address: J~63_\- ..... ~- ~ T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
EAergy COde:Z-~
~~a
~ Radon Ga"
~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
6
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
1/. f- tnJ. CJl.)
oJ
Permit Fee
Signature
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~'b U\t'€L~t.J.D
City License Registration #
State Certified License#
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Company fA lLTc>..... ---1 . L.J CJD t--"
Address 'Pi.6" '{)i<Ao...LE t:"l~L""h
Telephone # '1... \ ~ G:.~ e ,. 0 '1 75
BUILDING
ELECTRICAL
PLUMBING
J!!~J~
MECHANICAL
I
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
REINSPECTJON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ ~5.(0) shall be made for each trip for each trade:
02-.5'-:irV
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.
November 13, 1997
.~ WOOD
FIRE PROTECfION
First United Methodist Church
38635 Fifth Avenue
Zephyrhills, Florida 33540
Attn: Judy Mogul
Re: Sanctuary Fire Alarm System
Dear Judy:
We are pleased to offer the following proposal for the installation of a fire alarm system for your
church sanctuary building. The equipment selected for this project will have the capability to be
expanded to provide coverage of the remaining two buildings (education building and
administration building) at a future date. Design of this proposed system is based on the
requirements ofNFPA 72, National Fire Alarm Code and NFPA 101, Life Safety Code, Chapter
9, Existing Assembly Occupancies, Class B.
This type of occupancy requires a manually operated fire alarm system that signals to a constantly
attended location while the building is occupied, or automatically activates a pre-recorded
message on a voice evacuation system. Other system requirements include a smoke detector at
the control panel location, heat detectors in equipment and storage rooms, and duct mounted
smoke detectors connected to shut down the air-handling units in the event of a fire.
Our proposed system will include the following:
+ One UL listed fire alarm control panel with battery backup, expandable to provide coverage
for all three buildings with the addition of optional modules.
+ One UL listed voice evacuation panel with pre-recorded message and microphone.
+ One remote annunciator. Location to be determined by the local fire inspector.
+ One manual pull station at each building exit.
+ One smoke detector at the control panel location.
+ Four heat detectors for equipment and storage rooms.
+ Two duct mounted smoke detectors with remote test stations and indicators.
+ Four visual warning strobes, one for each restroom.
+ Six Speaker strobes, mounted throughout the building.
+ All exposed wiring will be installed in EMT conduit. AIl concealed wiring will be power
limited fire alarm cable.
All work will be performed in accordance with applicable NFP A standards and standard industry
practice.
CENTRAL FLORIDA OFFICE
4415 Drane Field Road
Lakeland, Florida 33811
Telephone 813/648-0775
FAX No. 813/646-8006
FL FP 921295000191
FL FP 499168000194
FL EC 0001574
GA FP 0020
GA EC EN210611
GA LV LA204737
GA LV LA204739
CORPORATE OFFICE
540 Phelps SUP.O. Box 52031
Jacksonville. Florida 32201
Telephone 904/353-4055
FAX No. 904/353-8486
First United Methodist Church Proposal
November 13, 1997
Page 2
_. MILTON J.
.." WOOD
, FIRE PROTECTION
We will provide all engineering, labor and material to install this system for the lump sum total of
$11,800.00.
Quoted price includes engineered drawings, plans review and permit, system acceptance test and
training on system operation, and manufacturer's one-year warranty.
This proposal will be considered void and subject to review if not accepted, in writing, within 90
days.
Terms are net 30 days.
Thank you for the opportunity to quote on this work. Please call if we can be of any further
assistance.
Sincerely,
t:2I ON J. W.O. OD FIRE PROTECTION, INC.
4/1 .
~/~IL
Robert A. Cook
Project Manager
~
~lLbNj
KNIGHT
FIRE SYSTEMST~
COMMERCIAL
FIRE ALARMS
Model 5207 Fire Alarm Control Panel
With Digital Communicator, and exclusive Accu-Zone@ "
FEATURES:
Eight zones, 6 Style A (class B) and 2 Style 0
(class A). 8 Expander Zones are Style A (class
B). Zones are interchangeable using the Model
7181 Zone Converter.
UL, FM, MEA (BSA). CFM Listed and Approved.
Event memory.
Fuseless design can reduce service time.
Field selectable, 12 or 24 VDC power supply.
Six amp current output at 12 volts, five amps at 24
volts.
Compatible with 2- and 4- wire smoke detectors
as well as water flow and sounding devices.
Easy to install, program and service.
Four programmable (Style Y) supervised signal
circuits, including steady, pulse and temporal.
Programmable smoke verification, pre-alarm
delay, and cross-zoning can minimize false alarms.
Four general purpose relays (Form C 24 volts at
2.5 amps resistive).
Built-in approved digital communicator with UL
required priorty reporting.
Flexible programming capabiities including up/
downloading and use of remote annunciator. No
"desktop" programmer required.
Accu-Zone'" diagnostics facilitate local and
remote troubleshooting.
Individual zone Walk Test.
DESCRIPTION;
The Silent Knight Model 5207 is an aJI-in-one fuse less
local fire evacuation control panel and digital
communicator designed for applications requiring
manual fire alarm, automatic fire alarm and water flow for
sprinkler system supervision. The basic unit offers fire
alarm for one to eight zones, expandable to 16 with the
optional 5210 expansion module. It is compatible with
both two- and four-wire smoke detectors. Compact, easy
to install and service, it delivers the features you'd expect
to find in fire systems costing much more.
During normal operation, the 5207 constantly checks
smoke and other sensing devices for fire conditions. It also
conducts system checks to determine if any troubles, or
5207
system problems, exist. If the 5207 encounters a fire or
trouble condition, it sends a report to a central monitoring
station (if applicable), and, typically, sounds an audible/
visual warning in the local area.
The 5207'5 microprocessor constantly runs programs to
check inputs and carry out other routine functions If the
program ever stops running, a watchdog circuit will detect
it and reset microprocessors to resume normal operations
The Model 5207 conducts an automatic self-test every 24
hours-at a time you select-and sends a report to the
central station (if applicable).
Other features of the system include English-language
remote annunciation simplifying "Step Programming" of
custom options. Remote downloading of system
configurations can eliminate the expense of sending out a
service technician for reprogramming. System provides a
built-in fire drill procedure, The exclusive AccuZone'
feature measures and displays zone voltages, so you can
set up and test the system without separate testing
equipment. Fuse/ess circuit board design eliminates one
of the most likely causes for service calls.
UJneelOCf\ --.......11111
f[f.\ INC. FIRE ALARM SYSTEMS
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Wheelock has Enhanced the Series ET high performance
speakers and speaker strobe combinations. These spe~kers are
specifically designed to meet the critical needs of the life safety
industry for voice and tone signaling. These dual voltage (25nO
volt), multiple tap (from 1/8 to 8 watts) audio systems now
Incorporate a new low profile design which results in more
space in standard electrical backboxes; the Series ET Speaker
and Speaker Strobes now incorporate a new speaker mounting
plate for faster and easier installation with a built.in Jevel
adjustment feature along with the new aesthetic two (2) screw
grille cover. Additionally, the Series ET Speaker Strobe models
now incorporate the New Low Current, Zero Inrush, Series
ASS Non-Sync/Sync Strobes (synchronization of the strobe
flash is achieved when used with Wheelock's SM or DSM Sync
Module).
Series ET Speaker Strobes are designed with maximum
performance, reliability and cost-effectiveness while meeting.or
exceeding the latest requirements of NFPA 72 (National Fire
Alarm Code), ANSI 117.1 (American National Standard of
Accessible and Usable Buildings and Facilities) and UL Standard
1971 (Standard for Signaling Devices for the Hearing Impaired),
ET Speaker Strobes, when properly specified and installed in
accordance with NFPA/ANSI Standards, can provide the
Equivalent Facilitation allowed under ADA Accessibility Guidelines
(ADAAG General Section 2.2) by meeting. or excee~ing t~e
illumination which results from the ADA specified strobe Intensity
of 75 candela at 50 feel. This is an illumination of 0.030 lumens
per square foot.
Series ET Speaker Strobes are UL Listed for indoor use, ceiling
and wall mount, under Standard 1971 for Signaling Devices for the
Hearing Impaired and Standard 1480 for Speaker Appliances, and
use a Xenon f1ashtube with solId state circuitry enclosed in a
rugged LexanB lens to provide maximum reliability for effective
visual signaling.
:i:'S
Approvals Include: Underwriters Laboratories UL Standard
1971 and UL Standard 1480, FCC Part 15, Pending:
European Community (CE), California State Fire Marshal
(CSFM), New York City (MEA) and Chicago (BFP).
Designed to meet or exceed NFPAlANSJ Standards and ADA
Accessibility Guidelines. Meets OSHA 29 Part 1910.165.
NEW Low Profile Design.
NEW Speaker Mounting Plate.
High efficiency speakers designed for maximum output at
minimum wattage acr055 400 to 4000 HZ frequency range.
Field selectable taps for 25 or 70 VRMS operation from 1/8 watt
up to 8 watts in 3 dB steps.
Sealed back speaker construction for extra protection and
improved audibility.
Easy installation with IN/OUT screw terminals using #12 to
# 1 B AWG wiring.
Series ET Speaker Strobe models are available with the
NEW Series RSS Non-Sync/Sync Strobes in 15, 1SrT5, 30, 75
and 110 candela for wall mount and 15, 30, 75 and 100 candela
for ceilIng mount. When used in conjunction with Wheelock's
SERIES ET LOW PRo;.-. .
SPEAKERS & SPEAKER S';.'
SERIES ET70 speaker
strobe cover plale
(:;:::'k
~W'
SERIES ET90 speaker
slrobe cover plale
Copyright 1997 Wheelock, Inc. All rights reserved.
Replaces ET1070 & ET1090 Speaker & Speaker Strobe - Ref.: S0300
SERIES mD
speaker strobe
SERIES mo speaker
strabe mounting plate
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..- - ...
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, ,.
SERIES mo speaker
SERIES ET90 speaker
SERIES ET9D
spilker strabe
SERIES ET90 speaker
strobe mountlng plale
SM or DSM Sync Modules these non-sync/sync strobes
produce a synchronized strobe flash for compliance with
ADA guidelines concerning photosensitive epilepsy.
· The 1SnS candela wall mounted strobes are listed at 15
candela under UL Standard 1971 and meet 75 candela
Intensity on axis for ADA guidelines, with low current
draw.
· All strobe inputs compatible with standard reverse polarity
type supervision of circuit wiring by an alarm panel.
. The NEW Speaker Mounting Plate provides faster, easier
installation in attractive package styles for flush, semi-flush or
surface mounting to standard low cost backboxes. Special
slots for ease in leveling Speaker and Speaker Strobe models
. For choice of vandal die cast speakers and speaker strobes
see Series ET 1010 or ET 1080 (data sheet 80300).
@
Flre'LlTe~ALarms
IncorporaTeD
November 14, 1996
F-100
BG-l0 Series
Manual Fire Alarm Stations
Section: Conventional Initiating Devices
GENERAL
The FireoUte BG-10 Series Manual Fire Alarm Stations
provide dual-action, normally-open contact alarm initiating
points for use with UL listed fire alarm control panels. The
BG-10 Series features non-coded, dual-action operation.
FEATURES
Within ADA 5 lb. pull force when used without break-tube
(models manufactured after 10-1-96, identified by an @
under station spring).
Impact-resistant, durable LEXAN@ (or polycarbonate
equivalent) housing.
Back plate made of 16 gauge steel.
Highly visible.
Easily operated.
Attractive shape with textured finish.
Semi-flush or surface mounting.
Operates with or without a break tube.
Handle latches in down position to clearly indicate that the
station has been operated.
Optional lock with standard FireoUte key.
Optional N.O. contact for auxiliary functions.
Optional pre-signal circuit.
Spanish (FUEGO) version available.
APPLICATIONS
The BG-10 Series manual fire alarm stations are intended
for use as fire alarm initiating devices, with any fire alarm
initiating circuit to be operated by a contact closure. The
stations are for indoor or outdoor (BG-10WP) use and
should be installed in compliance with applicable NFPA
standards, local building codes, and plans and specifica-
tions.
INSTALLATION
The BG-10 Series manual fire alarm stations mount to
standard single-gang electrical boxes. A terminal block
with screws allows for fast and easy wiring.
OPERATION
Pulling the handle down causes the BG-10 to latch in the
down position and to close the normally-open switch. The
handle is restored manually by unscrewing the allen-head
screw so the top of the case can pivot forward, allowing the
spring-loaded handle to return to its normal position. The
case can then be pivoted back to its normal position and
secured with the allen-head screw.
The BG-10L utilizes a mechanical key instead of the allen-
head screw.
@~
I California
~ State Fire
~ Marshal
., 7150-0075:103
<8>
OG5A5.A Y
S711 CS115
ADA
The BG-10P/T has a normally-open auxiliary switch which
is closed by rotating a key clockwise. (The key is non-
removable in this position.)
SPECIFICATIONS
Physical:
8G-10
5.50"
4.13"
1.38"
58-10
5.50"
4.13"
1.38"
WP-10
6.00"
4.69"
2.00"
Height:
Width:
Depth:
Electrical:
Current Capacity: 3 Amps @ 30 VRMS.
LEXAN@ is a registered trademark of GE Plastics, a subsidiary
of General Electric Company.
This document is not intended to be used for installation purposes. We try to keep our
product information up-to-date and accurate. We cannot cover all specific applications or
anticipate all requirements. All specifications are subject to change without notice. For
more information, contact Fire.Ute, Phone: (203) 484-7161 FAX: (203) 484.7118
@ ~~~~~~;~.ALarmS 12 Clintonville Road, Northford, Connecticut 06472
~
150-9001
Engineering and Manufacturing
Quality System Certified to
International Standard ISO.9001
Made in the U.S.A.
DF-51203 - Page 1 of2
@)
Flre'lITe~ALarms
IncorporaTeD
January 29, 1997
F-515
1400
2-Wire Ionization Smoke Detector
Section: Conventional Initiating Devices
GENERAL
The System Sensor 1400 ionization smoke detector re-
sponds quickly to both fast flaming and slow smoldering
fires as required by UL 268. The unipolar dual chamber
sensor has the sensitivity needed to quickly detect smoke,
and the stability needed to avoid false alarms.
FEATURES
. Detects both visible and invisible smoke.
. Used with UL listed control panels.
. Unipolar ionization sensing chamber:
a) Provides exceptional stability.
b) Factory preset 1.9% nominal sensitivity.
c) Stable operation in air velocities up to 1,200 feet-per-
minute (7.6 meters per second).
. Removable cover for field cleaning.
. Visible LED "blinks" in standby.
. Sealed against dirt, insects and back pressure.
. 3 year limited warranty.
. 8.5 - 35 VDC operating range.
Field metering of detector sensitivity.
. Built-in test switch.
. Low standby current.
. Built-in tamper-resistant feature.
. Direct surface or electrical box mounting.
. Remote LED option.
. Insect-resistant screening (maximum to 0.020"/0.508
mm openings).
. SEMS screws for easy wiring.
APPLICATIONS
Use for protection of life and property. Superior to photo-
electric detectors in detecting fast-flaming fires. Superior
to bipolar detectors in avoiding false alarms.
CONSTRUCTION AND OPERATION
The 1400 Series ionization smoke detectors contain a
unique dual source, dual unipolar chamber detection de-
sign which will sense the presence of smoke particles pro-
duced by fast combustion as well as slow smoldering fires.
Additional key features include a blinking LED standby sta-
tus indicator, an easily visible alarm indication and provi-
sion for convenient field test and metering.
The back of the detector is sealed to block back pressure
air flow. The chamber is protected by a fine mesh (0.020"/
0.508 mm) screen to minimize problems with dust, dirt, and
insects. If cleaning is required, the cover is easily removed
@
@)
California
State Fire
Marshal
7271-1209:102
S911
CS308
<G>
BSA
1539-88-SA
OQ7A3.AY
(with a special tool), providing access to the screen and
chamber to perform a thorough cleaning.
INSTALLATION
Model 1400 detectors are intended for use with Fire.Ute
UL listed control panels. Maximum number of detectors per
zone depends on capacity of panel (see Fire.Ute Device
Compatibility Document #15384). Easy to install and main-
tain, this detector is designed for direct surface mounting
(mounting bracket included), or mounting to a 4" octago-
nal or smaller box.* Easy-to-wire screw terminals allow
fast and simple field wiring of in, out, and remote annun-
ciator connections. The wiring diagram (page 2) shows
the correct method for wiring Model 1400 detectors.
To prevent wiring mistakes, observe polarities and make
certain that each conductor is identified. A copy of the
installation and maintenance instructions is packaged with
each detector. For further information, refer to NFPA 72
"Standard on Automatic Fire Detectors," and to local Au-
thority Having Jurisdiction.
oNOTE: For Canadian applications, always use a mounting elec-
trical box.
This document is not intended to be used for installation purposes. We try to keep our
product information up-to-date and accurate. We cannot cover all specific applications or
anticipate all requirements. All specifications are subject to change without notice. For
more information, contact Fire'lite. Phone: (203) 484-7161 FAX: (203) 484-7118
@ ~~~~~~T~.ALarmS 12 Clintonville Road, Northford, Connecticut 06472
150-9001 ~
Engineering and Manufacturing ~
Quality System Certified to
International Standard ISO-900l
Made in the U.S.A.
DF-50484 - Page 1 of 2
. .
Q Fire-UTe' ALarms
e!lncorporaTeo
HD-600
Heat Detectors
Catalog Section: Conventional Initiating Devices
GENERAL
The FireLite/Notifier HD-600 Heat Detector is attractive and du-
rable, and features combination rate-of-rise and fixed-tempera-
ture detectors. Heat detectors are available in 1350F and 2000F
temperature ratings.
Rate-of-rise elements detect heat by quickly responding to rapid
temperature increase. HD-600 detectors use the same reliable
pneumatic rate-of-rise element used in former models, but offer
added aesthetic appeal. The pneumatic rate-of-rise element
responds to a rapid rise in temperature, approximately 150F
(80C) per minute, by expansion of air within the sealed chamber
faster than it can escape through a calibrated vent. The result-
ant increase in pressure depresses the diaphragm, causing the
electrical contact to close the circuit. HD-600 rate-of-rise units
have a wide spacing allowance of 50-foot centers. See Specifi-
cation Table for details.
Fixed-temperature elements react to heat by responding to a
specific temperature setting. The fixed-temperature element
uses a fusible alloy. When activated, the external heat collector
drops away to provide quick visual confirmation that the element
has operated.
The units protrude only 1-3/8" from the ceiling surface with a
junction box mounting. They have pleasing contours and an all-
white finish that conforms to ceiling aesthetics.
FEATURES
. Rate-of-rise and fixed-temperature.
· One- or two-circuit, normally open.
. Easy installation.
· Low-profile design.
. Visual indication.
. Operation testing.
INSTALLATION
Each detector includes a patented reversible mounting plate. In
one position, it easily attaches to a 3-1/4" octagon box,
In reverse, the plate can be used for open wiring without a
junction box. A 1/4" space between detector and mounting
surface allows for wire connections. All mounting screws are
concealed.
The detector attaches simply to the mounting plate with a push
and twist motion. No special tools are required.
The mounting plate is molded of white self-extinguishing thermo-
plastic rated at 1050C. The plate is extremely strong, yet adapts
to uneven mounting surfaces.
October 20, 1995
@
g-: I' ON3AS.AY (HD621, HD601/HD602)
I . OF4A3.AY (HD603/HD604,
~ I ;.. HD6221HD623, HD624)
S2517
~ MEA
u.e ML361 250-94-E
L; (except HD602
and HD622)
I California
~ State Fire
~ Marshal
7270-0075: 168
Junction Box Mounting
~l-k-
L4'9116~
Ceiling Surface Mounting
t [l ~
2'118-~
j
3-1/4. Outlet Box
Cut lor surface
mounting
We try to keep our product information up-to-date and accurate. We cannot cover all specific
applications or anticipate all requirements. All specifications are subject to change without
notice. For more information, contact Fire-Lile. Phone: (203) 484-7161 FAX: (203) 484-7118
~ Flre'UTe' ALarms 12 Clintonville Road, Northford, Connecticut 06472
~ nCOrPOraTeo
ISO-9001
Engineering and Manufacturing
Quality System Certi':ed to
International Standard ISO-9001
~
Made In the U.S.A.
Page 1 of 2
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~r
'-
q( '1~ ~
3 -11/ ~~o
qY/-&
OWNER'S NAME
h~/
V/V/'7EZ> /1'1E7qO~/5 r Ll/.lv.a:J1(
PHONE
OWNER'S ADDRESS r"5B~35 F/F7# A\/tFA/t/C
7:E?:4VYi?II/u.5 ~~
7.3S'9'0
JOB ADDRESS
:'S"AM €
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.#
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --Alteration _Repair ...,LInstall
_Sign
_Hove
_Deao1ish
PROPOSED USE: _Single F8Ilily
~~ercial
_H/F
_, of Units _M/H
_Indust.
_Swia. Pool _Other
_Restaurant & Health Depart:llent Approval
DESCRIPTION OF WORK: /N~7I1Ll,
Hi?E AI!.ARff7 / Vo/t'e- EvAC:
.
SYS7E/1'7
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ IIi ~ . c7V
;L
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E,C.
---"ECHAlUCAL
$
Valuation of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FIllISHED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUJI.DER
COMPANY
State Cert. or Regist. #
City License Registration t
******************************************
Signature
:=CIAR ;I;, 'I COMPANY NIL.,",", ..J, WOoD, F,RE ?,F'07"('7/0N
#~ ~ State Gert. or Regist.' bLOOD 1:57'1
, City License Registration t 2..304
. ..........................................
PLUMBER COMPANY
State Cert. or Regist. #
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration #
******************************************
OTRRR COMPANY
State Cert. or Regist. I
Signature City License Registration I
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'!'RAC'!'OH RESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
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 ONner or intended contractor are uncertain as to wbat licensing
requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the ONner 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 tbe DIRer sign as tbe contractor,
you are indicating that you, rather than the contractor, are responsible for the worl. If tbe contractor wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and Is not entitled to perlitting priVileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES "
D. CONSTRUCTION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDert. Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOl8One otber than tbe
"owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to tbe
"owner" prior to couencelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
I certify that all the ~nforlation in this application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat no worl or
installation has cOllenced prior to issuance of a perlit and that all worl will be perfoIled to Jeet standards of all laws
regulating construction" City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also
certify that I understand that the regulations of otber governaental agencies lay apply to tbe intended wort, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:
· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departaent of Healtb & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater IreatJent, Septic lants
· US EnviroDlental Protection Agency - Asbestos abatelent
I also certify tbat, if fill laterial is to be used in Flood Zone "AW or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in tbe State of
Florida prior to per.it. issuance.
. A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent tbe Building Official frUl tbereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoie invalid
unless the work authorized by such per.it is cOllenced witbin sil IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a periOd of sil IOntha after tbe tile the work is cOllenced. One 90 day eltension of tile, laY be
allowed for tbe per.it with fee charge of $15.00. Tbe altension sball be requested in writing to the Building Official. An
approved inspection lust be logged during each sil IOntb period, or the project will be considered abandoned.
WAMING TO OWNER: YOUR FAILURK TO RECORD A NOTlCK OF COHHBNCBlfRNT HAY RBSULT IN YOUR PAYING TWICK FOR IHPROVIIIDIS TO YOUR
PROPKRTY. IF YOU INTKND .TO OBTAIH FINANCIHG, CONSULT WITH YOUR LKNDBR OR AN AnORIRY BBFORE RECORDIHG YOUR KOlICH OF
COHMKNCBHKNT. JOBS UNDKR $2,500 IN VALUR DO NOT HEKD TO RKCORD AND POST A "NOTICK OF COIlMBHCBHBNT".
. I
SIGHATURB: OWNKR OR AGKNT
SIGNATURE: CONTRACTOR
STATH OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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