HomeMy WebLinkAbout02-1024
BUILDING PERMITN~
1024
Property Owner:
Job Address:
Parcel I. D. #
CITY OF ZEPHYRHILLS
(813) 788~6611
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6Z>
ELECTRICAL'" PLUMBlbLG." .... MECHANICAL
-" ~
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~~'i %~;AA~
Permit
Date
c:t. ,2.1:, - O~
BUILOJNG
....--
-
Sewer Conn
Water Conn:
Water Meter:
T.LF.'s:
Zoning: ~. ~rgy Code: Radon Gas,: /7
DescriPtion of Work _ ~~t 11-'!i. L~~v'YJ7J!A{1~
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NO OCCUPANCY BEFORE C.O.
'1(;"f~i>L
FINAL 3 ~ 5-0:Z
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Ftr.
Pre SLB
Lintel
Permit Fee
. . ' ...._..~.._..,~
~:~,i.~ natu;;'-
Company
Address
CYei'~Ph~;;#-)7 ;;'). J,)? 6- 070')
--?/ol.l)/)~ j~~rM
tJ7 FO a.o .... .~ '
PLUMBING MECHANICAL
d4.. . ~ - /:Fl>~ RL'I
Br~lIrs
Ducts Ins\.
1-1 J ()
~)
7; /liJO'
City License Registration # d2. <7,;< 9
State Certified License#
Valuation or 'i
Contract Price
..4_= / L?'ll L:
.. ,
BUILDING__,"-'. ..
~--
SLB
Tub Set
Water
Sewer
Final
comp/sor
Final t 3 -;(5-0:2.. RU(
jJJO
FRM.
InsuJ. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Ul'LrCA'nOR ~ nNa'l'
CUT 0'1 D>>HnQfILLs
BtJJ:IDlII9 ...~
cfl-~-OP-
DAD llBc&l"YIm
PLAVS RaVYn ....
OWNER'S NAME t-v (,' ) I J /I..:>(l {/ jJ 12.. L tJ # ..2.1 PHONE J Y6 _
JOB ADDRESS 3[1 t>3 6 IYJ/f/?-KET JOJJ1/..E fJ~/vC ~/$/J/TY/2/-.//aS
O/OY
f
LEGAL DESCRIPTION: LOT(SI BLOCK
PARCEL ID ,. 6c1'-J6'~ rJI'O::)/d- O.6peJo-Q::.).5c:J
SUBDIVISION
(OBTAIN FROM P~P~RTY TAX NOTICE 1
WORK PROPSED; _NEW CONSTRUCTION
OSIGN
o ADDITION
o MOVE
OALTERATION
o DEMOLISH
o REI?AIR
o INSTALL
PROPOSED USE: tJSGL FAMILY DWELLING
o COMMERCIAL
OMULTI -FAMILY
o INDUSTRIAL
D. OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
I
DESCRIPTION' OF WORK
lXJ RESTAURANT 6& HEALTH DEPARTMENT APPROVAL
/P5TALL- L~fl]/y}/3t..el;;t- K I TellrJ /kn
.
8UILDING SIZE
SQUARE FOOTAGE HEIGHT
RESIDENTIAL:
COMMERCIAL:
An:ACH (2) PLOT ~LANS " (2) SI!ITS OF BUILDING PLANS " (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANs" (1) SET ENERGY FO~S.
PROPERTY SURVEY REQUIRED fOR ALL NEW CONSTRUCTION.
PERMITS Rl:QUESTED
D BUILDING
$
"'-LUATION OF TOTJ\L CONSTRUCTION
o ELECTRICAL
o PLUM8ING
lJ. MECIOOiICAL
AMP SERVICE
o FLORIDA POWER
[J W.R.!!:.C.
.$
o()
'141J() ~r
VALUATION OF MECHAN'CIAL INSTALLATION
o OTHER
CGAg
o MorINe;
o SPECIALTY
TYPE OF CONSTRUCTION I 0 BLOCK
D FRAME
o STEEL
o OTHER
FtNlSHED FLOOR ELEVAT~ONS
IS t'ROJECT IN FLOOD ZONE AREAD YES 0 NO
I (0:;' ,r~1.iiP';r."'. ,. l,~:,:,;~ ';;:':;5:.1,.!I~fii.::;;ill.;:i'.'i'~~ "'i;:~H:~;;r. - - -, ~?':;E:;~1i1' jfitt-:;r;j':;1?~;;r]JFt~~'~;il'-Hr::~~l'! ~;;~'H~~illt~J['i: fr.f:f
~a!:'l~ir, '~~,C:Hf::;~f.~I~i::i~;;;:nl:li~jrl:l.j:'~;~~~0;f!:;:C;:i!!i:nw 3~.Jll~,1iW: ,dllii# ]~iig~';-1!1:~EEfli;i.m~qf;~::~i!ljt.i.l;I:hFi
JaUrIblal
COMP~;Y
STATE CERT OR REGIST #
CITY PROCESSING *
SIGNATUPoE
******.......*****....*******.*****..**....*******....*.****..****
.LBCft.1:C:Iur
SIGNATUrtE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
.******.*..*.********.***********.********...*********.**********.
PLOMIUDt
COMPANY
STATE CERT OR REGIST .
CITY PROCESSING #
SIGMATURE
SIGNATURE
******.**********.**********..**********.**..
COMPAHy~LD() IVllA'J m Illj},.J])A /YJ;6- & 7' ,vC-
STATE CERT OR REGIST' (2.. S {)tJ 4 a , 3 J
CITY PROCESSING # c:29' ~ 7
~*.***.****.**..******..*****+***...**.*.***...*...*.*~
amcRARICAL
0'fIID
SIGNATURE
COMPANY
STATE CEM' OJl. REGIST #
CITY PROCESSING ,
**........********.~*.*****~**.*.*******..******...*.*********.**
3 . d
9n l . ON
Sll!H~AHd3Z jO AllJ
~dO!: t Sno~ 'G~.a8J
CONDITIONS O~ PE~T AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned underetands that this p.~t may be subject to "d~.d restrictions" which
~y be more restrictive than City r.gulatio~s. The undersigned assume. responsibility for
compliance with any app11cable deed restriction..
B. UNLICENSED CONTRACTORS AND CONTRAcTOR RESPONSIBILITIES
If the owner has hired a contxaotor or contractor. to undertake work, they May be required
to be licensed in accordance with .tate and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under atate law. If the owner or intended contractor are uncertain a.-to what
licenaing requirements mAY apply for the intended work, they are advised to contact the
City ot Zephyrh11ls Build1ng Department, 813-7$8-~611.
Furthermore, if the owner has hired a contraotor or contractors, he is advised to have the
contractor(s) 8ign portion. of the "Cont~.ctor SectioneN of this application for which they
will be reaponsible. If you, a. the owner signs as the contractorr you are lndicat~q tha~
you, rather than the contractor, are responaible for the work. If the contractor wishes .
you to sign as contractor that may b. an indication that he is not properly licenaed and Ie
not entitled to pexmitting privileges in the City of Zephyrhills.
C. 'l'lUUfsPORTATION IMFACT nES AND UTILITY CONNECTION FEES
,D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner'. Protection GuldeN prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the "owner", r eerify that I
have obtained a copy of the above descr~bed documen~ and promiae in good faith to delive~
it to the "ownerh prior to oommencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
devolopment.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has cDmm*nced prior to issuance of a pe~t and that
all work will be perfonmed to ~eet standards of all l.wa regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify thstt understand that the regulations of other governm6ntal agencies may apply to
the intended work, and that it i. my re8ponaibility to identify what actione I mu$t take to
be in complianoe. Such agencies include but are not lim1ted to: *Department of
Environmental Regulation-Cypress Sayheads, Wetland Areas and Environmentally SensitiVe
Lands, Water/Wastewater Tr~atment
.Southwest F10~da Water ~n.gement District-Wells, Cypress Bayheads, Wetland ~ea.,
Altering Watercourses
*Army Corps of EngineerS-Seawalls, nocks, NaVigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Soptic Tanks
*U.S. Environmental Protection AgenCY-Asbestos abatement
t also certify that, 1f fill material is to be useq in Flood Zone "An or "A,ete.N, it is
understood that a drainage plan addressing a "co~ensating volumeh will be submitted which
i8 prepared by a professional engineer registered in the State of Florida prior to p~rmit
issuance. .
A pe~t isaued shall be ~onstrued to be a license to proceed with the WQrk and not .s
authority to violate, cancel, alter, or set asi~e any provisions of the technical oodea,
nor shall issuance of a permit prevent the Building OffiCial from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become in~alid unless the work authorized by such permit 1a commenced within
six months of issuance, or it work authoriZed by the permit i. suspended or abandoned for a
period of aix montha a~ter the time the work i5 commenced. One 90 day extension of time
may be allowed for the permit with fee charqe of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be l09ged during each six
month period, or the project will be considered abandoned.
WAIU'IING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS To ~OUR PROPERTY. IF You INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURLENDgR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 ro VALUE DO NOT O.EO TO ""CO"" ""0 PQ'T A 'N<Y1Irc.~
81 OW}fER OR AGENT SIGNA~ R
STATE OF FLORIDA 0 I S' STATE OF FLORIDA '\) . 1
'. COUNTY OF .1:. 110.1 e~ I A- COmiTY O!" ........ I '")€.- \ "'" S
The foregoing in~trument wa8r8c~nowtedged The roregoing instrument wa~a1oknowledged
Before me thi8~ day of ~ , ~~ Before me this ~ ~ay o~_ . ~.
by tV A II. tZ-,~ N J:A-r J-I /-J /7J ,;).0 by. Ole o-:L
(name of person acknowledged) ~ (name of person acknowledged)
Owho is personally known to me, or _ho l.B personally known to me, OJ:'
LilI who hal5 produced J:>t< 11Je..lP L i (....eN $.f"
(type of identification)
d.not take an oath.
.cknowledgement
o Who has prodUced
(type of id~nt1fication)
~id., ,nn!t take an oath
~?-
acknowledC]lllent
8 . d
9Ztl'ON
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PHOENIX, ARIZONA · 1-800-241-4576
//
//
/7
EXHAUST ONLY
@
UL LISTED
FILE # MH 12660,
MH 12532
~
EQUIPMENT SPECIFICATIONS
To be Model C OWWalJ style exhaust canopy complying
with NFPA.96, bearing NSF approval and U.L. Listad hood
as manufactured by VENTMATIC SYSTEMS, INC.
y>{ . I I
Itam to be 0 long x Y wide x ~ deep in
/ section(s) as per drawing. Unites) constructed of 18
gauge, stainless steel with external seams and joints welded
liquid tight. All exposed surfaces are to be polished to the
original finish.
Unit(s) to hava U.L. classified baffle grease extractors,
mounted in stainless steel frame with removable stainless
steel grease cup and trough. Unit to have factory installed 4"
high duct coJlar(s).
" .
':-. 4
MECHANICAL REQUIREMENTS
EXHAUST AEQl:JJREMENTS:
~v g::J Total CFM required.
! Total exhaust colJar(s) @ .75" S.P. each.
( I ) l'L.x~Exhaust collar(s) size @2,:, SJ CFM each.
~PI
ITEM NO. tv;: J! J/IJ.1/ (l;2.? il d:2. /
1VI0D€U:~
COW without Exhaust Duct Fire Damper
ow with Exhaust Duct Fire Damper
DELUXE OANOPY, EXHAUST ONLY
o
UL LISTED AT
MINIMUM
260 CFM PER
LINEAL FOOT
Canopy to have following . .featl.lr~s:
V U.L. Listed vapor proof globe type Incandescent
light fixtures 011 3'-0" centers, intarwlfed to
.........-junction box.
.../" Aluminum baffle grease extractors.
Canopy to have following options:
Stainless steel baHle grease eXlra~tors.,
U.L Listed recessed incandescent light fixtures on
4'-0. centers interwired to junction box.
U.L Listed r~cessed fluorescent lightlixtures on
6'.0. center, Interwired to junction box: .
110 Volt light switch. Surface mount In stainless
steel chase.
110 Volt fan switch for exhaust and supply.
Surface mount in stainless sleel chase.
Insulated supply planum.
3" rear air space.
3" top air space. .
3" side air space. Left. . RIght
Side skirts (insulated) (sJn!]le skm).
Fascia panels, on side(s) to a
high ceiling. ·
Exhaust Fire Damper.
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