HomeMy WebLinkAbout02-1613
BUILDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
--
1613
(813) 780-0020
Date
10-30-0 'L-
I
ELECTRICAL
MECHANICAL
Sewer Conn
Water Conn:
PLUMBING
Property Owner: ~~~~\. ~ ,?--VV ~
Job Address: 13 ~ <S' (~U? l t.r~ .
Parcell.D. ,
Water Meter:
T,I.F.'s:
Zoning:
Descriotion of Work
Energy ~
k "S T
Radon Gas:
~oJ'vV\"""-
( A./Q..
FINAL ~ - a;- 2.3
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
DATE
y( ~5 0 · ~
305.7
City license Registration #
State Certified license#
Inspector
P~rmit Fee I f S. ';. .--6
;xSlgnature ~~
Company
Address
;x!elephone#' ~/,~r b <6 LJ b~7 7
Secvn'fJ 6n~
MECHANICAL
Ftr.
Pre SLB
lintel
Tp, Servo
Rough In
Meter Can
Const. Pol
Pool
Pre-
Fin
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl,
Compressor
Final
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 furth,ar ---- .
same.
L:l.'!'X Of' ZEIJHYRHILLS PERMIT APPI-4ICATION / CA1?i!t-rf I tJ -';[--02-
aUILDIN~ DBPARTMIllN'I' 5335 B.th S'fRIllIll'f ZIllPHYRHILLS, Ii'L 33540~. ~~.. . ': . q.
PhoneI813-780-0020 FaxI813-780-0021
.., \UiYV'1 DA'l'Ill RBCllIIVBD 1Q:-: :(J:::tZ_
OW,"R' 8 HAl"E +::LIJN~ -S ~ meRe M47 S :::: :::,:,:~;~~~ -'1- (,"'77
,WB SITE ADDRESS 7. s~ S. {rAil BLu~__ L~i4JhJL- _
LIllGAL DESCRI1'TION: LOT(S)
BLOCK
SUBDIVISION
PAU(.,'~'L ID # Jt..../. - '\ l.-"'- '1 (OBTAIN F'ROM PROI?ER'l''l TAX NOTICE)
A .", -...:> coo{ i:::! - rA }- QQOo- 00300 -00 z.~ '
WORK I?ROI?SED; DNEY/ CONSTRUCTION 0 ADDITION 01tLTERATION 0 REPAIR [] lNSTAI,I,
OSIGN
o JVIOVE
o DElvlOI/ISH
PR01'OSED USE: OSGL FAMILY DWELIJING
o MULTI - FAMILY
0# OF mUTS
oSY/IMMING POOL
[] MOB H,E HOME
IJ OTHER
~COMMEJRCIAI,
o INDUSTRIAL
D RESTAURANT & HEALTH DEPARTMEN'I' APPROVAL
DESCRIPTION OF WORK ~U~-rfjf/ (J(dfrtecJ Cdd,ees.s;:)3>J~
F~L nJC;R.h
BUILDING SIZE
SQUARE FOOTAGE
BElrm'!'
RESIDENTIAL:
COlvlMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUIIJIHNG PLANS & (1) SE'r EN ElRr#'t' FORMS.
A'!"rACH (3) SE'rs OF BUILDING PLANS & (1) SEJT ENEJRGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
fERMITS REQUESTED
o I3IJrUlING
$
t1~600Z-
VALUATION OF TOTAL CONS'I'RUC'rrON
[] EJLEC'I'RICAL
AMI? ~ElRVICE
[] FLORIDA POWER
o W.R,E,r..
[] PLlJ/I113ING
o I1ElCHANICAL
9
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFWG
o SPEcrAL'I'Y
o OTHER
TYPE OF' CONSTRUCTION: lJ BLOCK
o FRANE
[J S'l'EEL
[] OTHER
FINISHED FI,OOR EI,EVATIONS
I S .PRO'] ECl' IN !.<'LOOf) ZONE AREA 0 YElS
[] NO
5UILDIilR
CDt-1PANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
***.**.*.**-**..****.*****...*.*.****.**********.*-.****.*.*.**...
lIlLBlCTRICIAH'
S I GHNfURE ____.______
cor"1PAHY
STATE CERl' OR REGIS'!, #
CITY PROCESSING #
---------------...-
*.*.**.****.*.**..**.***.._*-**...*****.****.*.***_._-**t***t*_**.
PLUW:lIiIR
COMI?ANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGHA'l'l1RE
MBCHANICAIJ
..*.*.**.t*****..*.*****.*.********.*******.*****.****************
CO/vlI?ANY
STATE CER'f OR RElGIS'l' #
CITY PROCESSING #
SIGNA.TURE
*******.****..*.*-****.****.**********~*..******.**..*-**-.******
Om. ~ C Jc,~
SIGNATURE )~ _
COMPANY .5eCuf<...,'T/ CCY'J ce?TS
S'l'ATE CERT OR REGIST # e.F--C>oollc!:.:3
CITY PROCESSING #
*..******..*..*****.****.*.*..*.***********.**....*.*.**.**...
. CONDITIONS OF PERMIT AFFIDAVIT
"A. :,!\fOTICij OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner 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 contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES 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's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
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
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 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 invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month'period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VAL E DO NOT NEED TO RECORD AND POST A~~ENCEMENTn.
SIGNATU : CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid [)did not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
... Security Concepts of Tampa, Inc.
O ALARM SYSTEMS
Lie, #EF-0001153
KASH 'N KARRY # 1752
7325 Gall Blvd.
Zephryrhills, FI. 33541
Contractor
Wayne Strohaker
Security Concepts of Tampa inc.
P.O.Box 906
Brandon, FI. 33509
(813) 684-6877
St. Lic. #EF0001153
Classification:
Existing Mercantile Occupancies
Scope of Work:
Remove existing Fire Alarm and install new fire alarm system with equipment below
Installation : All wiring shall be in accordance with all city & county codes
NFPA 72 codes and uniform rules 4A- 48, rules and Regulations of the
state fire marshalls office
All Conductors shall be 18 gauge 2 & 4 conductors solid with overall jacket.
System shall be monitored by a U.l. Approved central station
System shall have stand by power with complete supervision on all circuits.
Main power shall be supplied from a 20 amp dedicated circuit.
Equipment to be used:
(1) Firelite MS- 9200 Control Panel
(1) Firelite LCO- 40 Annunciator
(22) System Sensor Homl Strobes PS-121575
(13) System Sensor Strobes S-121575
(9) Pull stations Model # BG-12LX
(12) System Sensor SO-350 Addressable smoke detector
(2) Weatherproof horn Strobe
Connect fire control panel to duct detectors, Ansul system, and sprinkler system
Installed by others
Completion: A full report as outlined in NFPA 72 shall be filled out and the
panel is tagged as required by FS4A-48
P.O. Box 906, Brandon, Florida 33509-0906 (813) 684-6877
ZEPHYRHILLS FIRE DEPARTMENT
38410 SIXm AVE
PH. 813-780-0035 "...ZEPHYRmLLS, FL 33~0 FAX &13-780-0036.,
~~",,:s
Business N~el(i1'i~. ^.. .;f~ i
Address 7jZj-;;~// .FtJ Qeeupancy Load
tt.2.t!7 - /13 9' e.. Co-/,*,)'
Bus. Phone 7 g t11'/t5' 9~ Emergency Phone 1!tt 7 -7 / -'r~ 'C~tact Person
~,' A
Alarm Company ,cL,;/ t(17~ ~"./;l;j;ll /J/I/,ePl
<
,.t.
j:/l" {J
;/' ;,~
,.,,'"
~:'''- >:;:
, Date Posted
OK NOT OK
..:::::: _ Fire Extinguishers
..- Smoke Detectors
,/' _ Alarm Systems
v _ Hood System
v _Storage
...K... Pressure Test
~ _ Fire Dampers
-!!::: _ ~WaJls f/l'd4-,
JL.. _ Address posted
~ _ Hydrants
,cP~LJ L/'A-- ~
Phone /I "7d"i-t1.3:=J....9'2:JOE;r ;2.$'7;
~ ,";~ "-:;'. ..
+' >:~,_{.>i:~:_., ..,::_",~l..".',,",,~, ,_,
Quarterly _ . Final ~ ':;'.... Corrirnercial Check --.::.
APPROVED,l'L NOT AP~ROVED_
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or
prevent safe egress during a fire. Your immediate attention to the correction of these violations shaJJ be
required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code.
'5 r;
8-(2 ,r:; _ ~ J:"~_ f$f! """:!' ""'! P;-/i,.. N / / ~_
~ L'll-e.5 a.1 ,;/~ ~;:_,.. ~dk.~
- -.,
Inspection Date ?k/~? Time ofInspection 9t:7r:J Re-Inspection Date
Ins~rs Name x:. h~ . . Fire Ilepartment I. 0.#
Owners / Mgr Narne~. Tide 11-1 {; e.
Thu building has been a..esled by the Zephyrhills Fire Department. Utilizing the Codes and Standards of,
Standards, the State Fire Manhals Uniform Fire Safdy Rules and other I~al fire safety cadelf.
Annual _ Reinspect _
OK NOTOK
/' _ Exit Signs
/' _ Emergency Lights
-..:!:"IJJ- Heat Detectors
~ _ Sprinkler System
t/ Exits
JUt.,. Window Size
~ _ Control Valves
~ _ Water Supply
~ Duct Detectors
/1///4 Exposures
White Copy - File
, 'ch~~~'
-.
..
OK NOT OK
~ HV AC Shutdown
~4t SmokeDoors
tf/ /;;- Elevators
~. Electrical
~ _ Tamper Switch
~ _ Inspectors Test
~ _ Smoke,Separation
~ _ Extension Cords
~ _ Tenant Separation
/l?( ~ Smoke Evac.
Yellow Copy - Business
J-'-;
.
NFPA Minimum
Reviled 011-/2-99