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Home My WebLink About04-3249 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3249 Permit Number: 3249 Permit Type: COMMERCIAL Class of Work: NEW CONST/COMM Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 223,880.00 Date Issued: 7/26/2004 Total Fees: 40,419.68 Amount Paid: 40,419.68 Date Paid: 7/26/2004 Work Desc: NEW RESTAURANT Address: 7441 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0040 Name: LONG JOHN SILVERS,INC. Address: 7441 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: , JCH ELECTRICAL LLC ROBINSON, STEPHEN E, AIRCO MECHANltAL CONTRS INC ELECTRICAL FEE IRRIGATION CONNECTION IRRIGATION METER MECHANICAL FEE RADON E WATER CONNECTION COMMERC PLUMBING FEE TRAFFIC IMPACT FEES COMM TRAFFIC IMPACT FEES 99% COM WATER METER RES., ( YJ.-/f , 3,100,00 208.00 221,67 21,945,72 650,00 ~ i I~-?~ DU PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC, MISC, INSULATION CEILING MISC. MISC, MISC. DRIVEWAY MISC. MISC, FIRE DEPT. FINAL REINSPEC110N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35,00) 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 "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," Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~z:::~. ~~ CONTRACTOR SIGNA URE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMBNT 5335 .'" St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~ 1~.3/uv I ' I PHONE CONTACT FOR PERMITTING OWNER'S NAME L;;)J ~)"A sllv~y' 5 JOB ADDRESS '7;;1/ I ~c.. PHONE (407) 8S~--4dgl f=-yt ;;;;;., (-;7: /"' & - /MoOL ( ,{ y.z:> . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PAR.CEL ID # c3J/-,~,I,--(9J-{)C}/ 'O"OO'':]iJO-t)Oi/U (OBTATN FROM PROPERTY TAX NOTTe!':l .- WORK PROPSED: ~NEWCONSTRUCTION OSIGN o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSSD USE: DSGL FAMILY ~OMMERCIAL DWELLING DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE o OTHER HOME \~ 1..( '1 1>~~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF 110M n e..\J./ Bu.,' /,Ji''':j BUILDING SIZE /3)( '3 '1 SQUARE FOOTAGE ;;}'11 ';} HEIGHT ;;'0' ! ~ . // I'.kDJ --',-.-- '1-'; o Progress Energy 0 {1k'c, . A~ "'f& ~,IJyd; o PLUMBING (jJff V , _ ..p /;' o MECHANICAL $ 4i. S 00, tit) VALUATION OF MECHANCIAL INSTALLAT1 0 r 1/10 & - o GAS 0 ROOFING 0 SPECIALTY 0 OTHER 11 J-.- TYPE OF CONSTRUCTION: bl BLOCK 0 FRAME 0 STEEL 0 OTHER I . P \,,01.{.- 1 ,L 1'')- " PROOEC' '" nOOD 'DNE "'1" 0 'D ~ o BUILDING PERMITS REQUESTED s S- 4;J, ~ 0"... I/D VALUATION OF TOTAL CONSTRUCTION , goo RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENl~RGY COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS, IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. " o ELECTRICAL AMP SERVICE BUILDER COMPANY SIGNATURE /~ ~ * ** '* '* ** * **...... ** ** * ** ~~ * *,* ... '* **... **...... ** '* **...... **...... *,*"'''' * **......... *,'" *... **... ** *... ",,~j COMPANY :kLu'l~ )/;/1k!, l 5hL (J , .' V 'O\l... V I . F STATE CERT OR REGIST, # STATE CERT OR ELECTRICIAN SIGNATURE PLtlMBER *************~***~*********~***************************0~***~****~" ~ ~ COMPANY Sic.k ~6JI7~tf)<... P/4.t1lbj .5 t?J.. f) ~ % ~ STATE CERT 0/ REGIST # SIGNATURE COMPANY MECHAHICAL ********************************************** SIGNATURE COMPANY S i2..(, - f ~ t)' STATE CERT OR REGIST # ***************************************************************** OTHER SIGNATURE STATE CERT OR REGIST # . UP Z7(';) .aJl c6 it!;;;-; '1' 'J, f ~iI cp~ I, CONDI!IONS OF PERMIT AFFIDAVIT A, NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regular.ions. 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, 813-780-0020. 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, !RANSPORTATION IMPACT FEES AND UTILITY CONNEC!ION 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 corrrrnenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construct.Lon, 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 "An or "A,et.c.", it is understood that a drainage plan addressing a "compensating volume" will be sut@itted 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C , 2~ MAY RESULT IN YOUR TAIN FINANCING, CONSULT ENCEMENT. JOBS UNDER NCEMENT" . a tification) oath. wledgement 4255 Trotters Way, Suite 1 Alpharetta, GA 30004-7870 TO: City Of Zephyhills I1AK S.A.Kennedy, Inc. RE: LJS/ A W US Highwav 301. Zeohyrhills. FL I hereby authorize James Moore to act on my behalf in all regards to applications, permitting and business license for the above referenced job. If you have any questions, please call me at 770-667-3602, ext. 221. , INC. teve A Kennedy President State of Geonda County of Fulton Ph: 770-667-3602 Fax: 770-667-1430 lb~ rq- 11~~s Before me personally appeared Steve A Kennedy to me well known and known to be the person described in and who executed the foregoing instrument, and acknowledged to and before me that he executed said instrument for the purposes therein expressed. Witness my hand and official seal, this 0#- day of ~~ ' A.D., 2004. .J - \\~.'1/' ",~" ~".' '-,V.4 . < .. ~. ,- .. . , ,:' ~;~(jr:s I ~\ . . .. , .~ - '/':...~( './:O~'.. .' '/ '-1 . /////"" \ Print? ~"-' IV< ( ~J...., State ofGe~ian Countyof ~~ SEAL: .'~ .~ J.~ - . .. *= - ~ ~ ~ General Contractors and Construction Managers Since 1979 www.sakennedy.com I1AK 4255 Trotters Way, Suite 1 Alpharetta, GA 30004-7870 S.A.Kennedy, Inc. TO: City Of Zephyhills RE: LJS/ A W US Highwav 301. Zephyrhills. FL I hereby authorize Tom Weiss to act on my behalf in all regards to applications, permitting and business license for the above referenced job. y questions, please call me at 770-667-3602, ext. 221. Steve A Kennedy President State of Geore:ia County of Fulton Ph: 770-667-3602 Fax: 770-667-1430 Before me personally appeared Steve A Kennedy to me well known and known to be the person described in and who executed the foregoing instrument, and acknowledged to and before me that he executed said instrument for the p ses therein expressed, Witness my hand and official seal, thisJJsr day of , AD., 2004, p~ ~~~ Print: r~R.~ JM. Me(!~ ~::;f~eor~{f1r- SEAL: \\\\\\il """" ~,\ "M M 'I/, ~".\' ....., ~$: ~, S'~~.~\;.SIONi.1- ~ ~.... .'o~ '.f..;,..." ~ ... ^' . C.i -:.-.'. ~... S ...::... OCT ~~ ! -.;;; 02 "'-.- = *: : = ; ...... 2006 "!l': .;: -:. '. <1- () . ;:: ~ 1-0. :'0", CO\l~~; :.~.! ~ ')-Ll '. , . ", ,~v ~ ""I,"Ay flu ",... I/I",ml\\\\' General Contractors and Construction Managers Since 1979 www.sakennedy.com .. '1~ 01~tY () /6;~R' S NAME / / ,/ JOB ADDRESS ,~, CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE lVED / _,/1 o --~-U7 PHONE CONTACT FOR PERMITTING PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION o SIGN PROPOSED USE: [JSGL FAMILY DWELLING o COMM:ERCIAL (OBTAIN FROM PROPF.RTY TAX NOTIr.El o ADDITION [JALTERATION o DEMOLISH o REPAIR o INSTALL [J MOVE [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMM:ING POOL [J MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING [J ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ o GAS [J ROOFING [J SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: [J BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO CONmRACToRCSECTIOH '.',;','.. ".>', > "::.:_':'..",.:" ,',C',:-:", ';_.:, .:.:,.".<'" ",_,'"',, ," , ' .: .....' " ".. BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** , PlUmER ~ t? d/ ;J COMPANYV5l1!t>4c~ l. fi~1111;h ~)( SIGNATURE {r ~ STATE CERT OR/REGIST # ('ref) j}gLjS- ****************************************************************** MECHANICAL COMPANY SIGNATURE \. STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE 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 responsimility. 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, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions 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 fora 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2~ 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 , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Odid [}:iid not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped HINKLE JUL/U~/lUU~/rll UJ.'J 1. \, . I U.1l1l.l~~22l;.~~~2139 ..... .... ...~uL!1.~9~ 19:18 P.Ol c::i:ft O. DPBDUlILLI tDKIT UPLXca!!IOR sUzLDDIlJ IDIPAaDmn &331 ,- .~, E.v:bU1., ft. 335U . 813-7.0~0020 ~IB13-7'O-0021 DAD aCIIIV&D PIIC&G CDI'lAC~ lOR PDMl'J!'J!1lIG OIfNERiS HAMI: LOtJG:rO~S PHONE .JOIiI'AIlIDU.. liS. liWY. _':1~I, '-I-- p~~O gD L&GAL DESC1U:PTION: LO!' IS) BLOCK 8OBDIVIBION PARCEL tD . -"'" WOM PROPSED: DWiI CONS'rRUCTION OSIGN IORTAIU nON PROPI:RTY Tax NO'fICE-' [j ~A1R o INSD.LL o ADDI'l'ION . [JAL'[!:RATION o MeW o DEMOLISH PROPOSED USil, r:lSGL FAMILY ,DMELLJ~G. DMULTI-FMCILY o t::OMMi:aCIAL ' OIHDUSTlUAL Clt 'OF UR1'lS o SWlNNING POOL o MOBIU. HC o OTHER. c:j REStAURANT' REAI.TB ~IPARTHEN't APPROVAL ImsduMOI1 O. mBK BUILDiNG SIZE HEIGHT SODARR FOOTAGE RESIDENTIAL: ATTACH (2) rLOT PLANS. (2) Sil'l'9 OF BUILDING PLAIIS &; (1) st'l' PERGY FORMS. COMK&:I\CIALI AT'ACH (3) SETS OF BUILDING PLANS (, (1) SE'l' ENERGY FORMS. IF SIGN PElUlIT ONLY (2) fiETS OF ENGINEERED l'LANS RilQtJIl\ED. PROPERTY straYEY EU:QOIRED I'OR ALL _ CONSTJtuCTION. nmae;r8 ~8DJ)' o BUILDING r/ELECtRICAL o PLtHlIHG ' o HECHANlCAL VALUATION OF TOTAL CONS'l'lWCTION $ :*100 o P~09rQ.. Enerqy 0 W.R.I.C. AMP SIRVICE $ VALUATION OF MECHANClAL INSTALLATION o GAS CllWOFUIG 0 SPECIAL'll. 0 OTBIlR TUr, OF CONS'l'I\OC'l' I ON : [J BLOCX FINISHED FLOOR ELEVATIONS o nwa: o OTHER o stEEL 18 PROJEc-r IN FLOOD ZONE ARilAIJ ns CJ N<:> ~ COMpANY SIGNATURB STA~E CIRT OR REGIS! . *.............................................**....**......***... J:t.cBi:C:lM COMl>>ANY~'" I\JA7J1iJn J.IJAJKLE' €1.Ec...7N 'I"""'ORE. 9ntJ- it.. ~ "A'E CER' OR io>"" . ,fc QotJ25 111 *...*..........**.*.*....*.......**..**...................***..... PLW8'D COKPANY 9TA~~ CER~ OR REGIS'l' . JULll V2004!l10N 03: 08 PM ZEPHYRHILLS BUILDING PAX No, 913-760-0021 P. 00l/001 ci:n OJ' ZEPB1'JUIILLS PDMX'l' DI'LrCATJ:ON "U=ODfC IZPAR'J!NDr.r !l33!l lift St; ~h;i.U.. I'%. 33542 61J-780~OOaO rAX:813-780-0021 DAD Ucz:IVI!D fHOtlB C~ FoR. PIIllMt!l'!.'rNG ~IS'~, JOIIAIlDMU LEGAL DESCRIPTION. LOT(S) 1'1lONt SLOCK SOSDIVISION eMCf:L tD t " WORk PROl'SSO, DNEW CONS'1'ROCTl:O)l, O.l\.DO:r;TION fosniLrv lrAnN Pltoplt'Rl'V 'l'.Y ~OI'TCE) I o SIGN o HOVE OAJ;.'1'ERATION o COOLISH o RE~AIR o INS'fALl. PllDl>OSElI Dst, DSGlJ fAM'ILYOWELLING (J COMMERCIAL OMl1LT:t-r~ILY o l:~DUSTiuAI. atOi' ONU'S (J SWDIlCING 1'00L o MOBiLE SOM!; '., o O'l'JIEll CJ W~tJlIA)l'l' & ~ElU.TH DEPARTMENT APPROVlU. Dr Sciu:P.r~OII or 1IOlUC Bun.DING st~&: SQ01dU: FOOTl\Gs JD:IGiT lI,ESIDENTUJ.\ ATTACH (2) ~t.oT PiANs " i21 SE'l'S or SVXLDINli PLANS, (1) sb EblElGY' FORMS. COMloJERCIAL: AT'l'ACH IS) SETS: or BtllLDING l'IJI>>S & (1) au ENERGY F01V!fS. IF 3IGb! PERNI'1' ONLY (.2) Sil'1'!! 05' ~QIlJ.&!I;:RED Iiuws REQuIRED. . : ~ROPERT,{ soaVEY REQUIlW> FOa ALL Nt". CONSTRUCTION. o BOII.DING tJ EI.ECTlUCAI, o PLOMsINl; . d MECHANICAL $ o GAS. d,ROOFING 0 SPE:c~rY ,$ >>KRKI:~S RJiQuESfilD' VAL~TlbN OF TOTAL CONSTRUCTION AMP SERVICE o progrU4 Energy, 0 ".!LB.C. V~'1'lON or DiJECIlANCIl\L INSTALLA'l'ION r:Jotm TYPE OF CON~TJlOCTION:' 0 BLOCK rI~IskEci ~ooa ~~TrONS o FRAME . 0 gTE~L ' '0 O'1'IIER IS P1l.O.n:c~ :nl rLOOD ZONE JI.'iti:AO ,liES 0 NG :." . . -, 'I'.' ,---'.c -~~:~;~~-"~~':--_:'-,. 1Itl~ SZGNATUIU!l coef~AN't . STATf: CtJlT OR lEGIST . .y*..........*.....~.........w...w...~~.~w..wwww****...**.......P. 2ilR~ SIGNAToaE c:ooP>>tt S'l'A'l'E l;Ell.T OR ilts:tS'l' . .*.~.~....~~..~........*.*.*..........+....*.+.............~**...~ . , PI.IJHllQ SIGNA~C1RE . COMPANY . STAT!! cUT OR lU:GISt . WI!lCJOllfzcAL . SIGNATORE . f~,.......**+~"Lh+***h.***....**.~,..;;;~*Ylifl~H~~ ~'Ur-L L-? ~ ~.'. -\lUTE 'CU'1' OR REGIST . ~ ~~ ...........~.......~...~.................~~~...........~...~..... O!llJlBR. SIGNA'1'URE CoH~Jl,NY STATE CERr OR REGI3T i Z:13/Z:13 39\;;1d H:J3W O:JClI\;;I P9L5-LPS-LU 51:91 PI3I3Z:/Z:1/LI3 Long John Silvers I A & W '7"-/ ~ ( Gall Blvd. SQ. FEET PRICE MAIN OR LIVING: 2,834 $ 70,00 OTHER AREA UNDER ROOF: $ 25.00 OTHER: 30,000 $ 0,85 VALUATION $ 223,880.00 FEE SHEET $ 852,00 ADDRESS $ 30.00 DRIVEWAY $ - BUILDING: $ 1,308.00 CREDIT: $ - BUILDING LESS CREDIT: $ 1,308.00 ELECTRICAL: $ 284.55 PLUMBING: $ 208.00 MECHANICAL: $ 360.00 RADON: $ 28.34 TOTAL $ 2,188.89 SEWER: $ 11,958.40 WATER: $ 3,100.00 IRRIGATION: $ 175.00 TOTAL: $ 15,233.40 1 1/2" WATER METER: $ 650.00 3/4' IRRIGATION METER $ 180.00 I I SUB-TOTAL $ 18,252.29 I : I SIF'~ $ 97,5% $ 2.5% $ TOTAL: $ 40,419.681 ,'?l, _ 5' 51-II- 8's 7 c; tv ~'I 1 ~J" -:.- I&J ~J)' 5'1 TI F'S: $ 22,167,39 99% $ 21,945.72 1% $ 221,67 -1t 0: ~.. ~~~W!~~~l~1 1111I11111111//1111111/111111111111111 Qill 11;~~ ~~ H-m< ~ ~ PJGr . - -... Rcpt: 797720 OS: 0. 00 07/09/04 Rec: 18.50 IT: 0.00 Dpty Clerk ,r JEO PITTMAN PASCO COUNTY CLERK 07/09/01. 11:18am 1 of 2 OR BK 0934 PG 1285 NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property (include Street Address, if available): See attached "Exhibit A" Address: Gall Boulevard and Pretty Pond Road, Zephyrhills, FL 33541 General description of improvements: New LJS/A&W Restaurant Construction of a new LJSI A& W Drive Thru Restaurant building including all necessary site work, including demolition and accessory structures, Owner: US Restaurants, Inc., 675 Mansell Road, Suite 200, Roswell, Georgia 30076 Owner's interest in site of the improvements: Owner Fee Simple Title holder (if other than owner): None Contractor: S.A. Kennedy, 4255 Trotters Way, Alpharetta, Georgia 30004 Surety (if any): N/A Amount of Bond $ NI A Any person making a loan for the construction of the improvements: None Person within the State of Florida designated by owner upon whom notices or other documents may be served: John McCarthy, YUM Brands, Inc, (KFC/Taco Bell/Pizza Hut/LJS/A&W), 6200 Lee Vista Boulevard, Orlando, FL 32822 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (J)(h), Florida Statutes, (fill in at Owner's option). None Shelby Boeff, YUM Brands, Inc" 675 Mansell Road, Suite 200, Roswell, Georgia 30076 ~~Inc. (KFC/Taco Bell/Pizza Hut/Long John Silvers/A&W)) Construction coor,tor Befor me thi~ day of J B who di subscribe an s t ersona ..., .... ----.-..------- r Legal ~ EXIllBIT "A" Parcel 1 Shop Center Legal Desc Z'Hills.txt Description for 34 25 21 0000 00300 0040 Legal Description 34 25 21 0000 00300 0040 Assessed in section 34, Township 25 South, Range 21 East Pasco County, Florida OR EsK 5934 2 PG 1286 of 2 COM AT NE COR OF SE1/4 OF SEC 34 TH N89DG 58' 35"w ALG NLY LINE OF SAID SE1/4 193.17 FT TO POINT LYING ON WLY R/W LINE us301 (SR39) TH SOlDG 09' 30"E 25.38 FT TH N88DG 51' 04"E 10.00 FT TH SOODG 07' 42"w 4.82 FT FOR POB TH CaNT SOODG 07' 42"w 473.18 FT TH N89DG 58' 35"w 200 FT TH SOODG 07' 42"W 155.99 FT TH N89DG 58' 35"w 395.40 FT TH N10DG 18' 53"w 122.48 FT TH N89DG 58' 35"W 181.40 FT TH SOODG 07' 42"w 450.33 FT TH N89DG 58' 35"w 303.00 FT TH NOODG07' 42"E 959.00 FT TO SLY R/W LINE OF PRETTY POND RD AKA SUNNY- SIDE DR PER OR 3014 PG 1849 TH S89DG 58' 35"E 1102.00 FT TO POB SUBJECT TO EASEMENTS PER OR 2099 PG 25 AND PER. OR 3054 PG 1884 OR 5101 PG 1303 :m ~;! " I., .", iti) Ii;; ill JUL 1 6 2004 [!J BY: EASRIEP-V2,DOC - 4- -------------------- ("l n ~ (l (', (i n C\ ~ 103110 (""\ ~ PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 4-YJ<O~ CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT NO. DATE 7 /~ ~/O 'I I t /~C 5OA'1 S;/V4-S S. f). )(eHrlf'~~ " ~c / 'L1'l"/AJ-W' MAIUNG '725, frt>fftW5 ~ s-rE. I /1-!f!Jwre. tf~ / 0'/4. 3000 -- 7t? 70 SERVICE ADDRESS 74 Lf I G ~ b 1(/ ci . OWNER/ RENTER ~r '-I SHUT OFF SERVICE 0 TURN ON SERVICE [J/' INSTAll METER Q/ READ METER 0 CHECK METER 0 OTHER 0 ~ATER o SEWER o GARBAGE ~CITY o OUT CITY I _ No. OF UNITS _ DEPOSIT AMOUNT IX" W$r ~ _ AMOUNT lAST Bill _ DATE _ MISC, CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY I I I ! Ii Retain white form in office at all times, Send pink & yellow forms to Water Serv' pt. I Water Service Dept. to sign yellow form & return to office. II 7~z~-(}r y ORDER GIVEN BY n n ~ o () () n 103110 I, (, PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA '1-y)4,? WATER ACCT. NO, DATE 7 ;;//0 v / Lc"G .]"8/...", 5', ,q. /( eA1Y\fd-j T"1 Co d-- A ,;.~ I I MAILING '-/-255 t;()7te.v5 W"1 STE ( A ( p~CVY E-tf- ~ I GA. ,3 DDL.{ _ SERVICE ADDRESS 7Cfi I GIT~ 6/vcl OWNER/ RENTER s, ,{ Ve.,- S 7;,(' , 7~ID ~T 'I SHUT OFF SERVICE 0 TURN ON SERVICE cY INSTALL METER CD/ READ METER 0 CHECK METER 0 OTHER 0 Il::]/' WATER o SEWER o GARBAGE ~'N CITY o OUT CITY ( _ No, OF UNITS - DEPOSIT AMOUNT 3({r) . r/ /1..; -rrr~, ~ - AMOUNT lAST Bill _ DATE - MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY 7"<.~-t1l( d::.t Retain white form in office at all times, Send pink & yellow forms to Water Service Depl. Water Service Depl. to sign yellow form & return to office. JUL-22-21211214 14:56 PRSCO COUNTY DEU REUIEW 727 815 7121121121 P.I2I1/12I1 25335 sUt Sl~ Zephyrhills, FL 33542 City of ZephyrhiUs Building Department Fax p~Y'f1 T.:. Judy - Cqunty Addressing Fax: 727-.81&-1.QOO -ro ...... Bobble SWedand Pqes: 2 including Fax cover Phonec Date= 0712212004 R.= ADDRESS REQUEST cc: o Urgent o 'or Review 0 Ple.ue Com......t XX PI__ Reply 0 Please Recycle Dear JUdy, (!) I would like to request an address for the following new restaurant · long John Silver's. to fron~ ~ PARCEL 1.0. #34-~21.QOOO.0030Q.{J04O Also. I'm faxing a sjte plan that ~ thought might possible be of help. As alw~s. Judy I ~anks for your help & I'll walt to hear from you. SiNcerely, 1st '1 I G?~' JWL-22-212104 13lse 813 79121 12112121 '-,...,.. F.l2ll TOTRL P.I2I1 '7 kETr,! /liw p 'J<cJ/1 D "----,.,..----.--------.--.-.------ ~' 1 I ~ 111,111 _':- ("1. !'U~~- [J 1\ fif {I(,[ -- - ---- - -- - - -- - -- - - - - --- - - - --- - - - --- - - - - -,: II II (I , 1\, {,t'II",. 1"/ J',/.\o"I/' I " , /() ! L:J I 'I I I I I::: 1"'1 \',: II~ : ::,,0. II'~ 2 ~~ 20' I ~ -t ' SC,I.!() . '--J I II",K:: \ :.: I l-l.:' \1 '\J I::I",~ 1':'1::", I'd I ,.. I I I I I \ I I II I _ __ ___\_ _H .+-1 l"II"'!" ''',iNS ::;CIR - - N.89'51'12"W-:--200.34'-- - - - - - -- - 20' FUTURE I II PROPOSED 5' 25 NGRESS/EGRES I' II UTILITY EASE.MEN 1 I II I':!II 1"'1 I" I I k Ld'JI: I II I I I ~ I \ I )-~,\ liS II 111(1 II II .'" II II Ii II I III ': II II 1(, , ) J P!,N_&O Af - / _EV-145.3 /---" I; \\ II Ii II" (")~AK II II 1\ II II II II II (6"<")'AK II II II II II , II "--~ i' '>/""/.,-'1 PFWPOSUl 5' UTILITY CD EASEMENT ~ I=-- ~~',y5"E, ---.fOO.66~ N 27,4' 26,4' --. u; I~~ : g' (TVP) 6 Jv~ ;.,. '" 1~5' db :!? . II 811 ~II ~II .11 ~II 10 !'III ~II 811 61' :ill ' II II ::D--! I II II II II II II ~ I q,,"'''' PROPOSU~ I --^-r--, ., 25 5'INGRESl;( . [GRESS r (5) EASEMENj I ' QQ):> II II, II II III II II II III 1\ II :: I \ I II II \ I 9' (TVP) ~ [ @ , (]:2,. ' .,,' .J. . no. i'f. ..\.. " (20) . II '.,1-1 ~r J ~ ~ I I I ~---,- - <:if ~ ,- LONG JOHN SILVER'SI A&W RESTAURANT 2,818 SF ,<W ;... <Xl ai '" ):D'11. V A CAN / ._/'~~-.....r-~-'---V .'V.--.-~.-~.--"'"V'----v-~- -~-V~--v"-"V- ',.- '\ l0SITE RELOCA TED 27:1: FT SOUT~J _~../'....____^,___.~_../'---.~-_P--~~.---^----_/'-...-~---^-'-'/'........--^---'/"... /' 1\ /ll,'1If 1'(111 .bI i!' "\ ,~ r' I .... t;~ ~ ,f .il g tn vi ~ I I I I I I I I 1-- ' PIWI'OSE I ~NJSRt~ESN ~ . C"l "'" i-- P o o vi ~ ~ ~~~~~~~~lWI 1111/11111//111 1"'1 IIlltllll1 1111111I Cif!l' ~ ..~.~,..,. "'" ..-.. .. -",- ~ Rcp t: 197720 DS: 0. 00 07/09/04 Rec: 18.50 IT: 0.00 Opt" Clerk ~~~0~)~~A~ 1 : ~~:~O fOUN~~ C~ERK OR BK 0934 PG 1285 NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: The undersigned hereby inforins all concerned that improvements will be made to certain real property, and in accordance with section 713,13 of the Florida Statutes, the following infonnation is stated in this NOTICE OF COMMENCEMENT, Legal Description of property (include Street Address, if available): See attached "Exhibit A" Address: Gall Boulevard and Pretty Pond Road, Zephyrhills, FL 33541 General description of improvements: New LJS/A&W Restaurant Construction of a new US/ A& W Drive Thru Restaurant building including all necessary site work, including demolition and accessory structures. Owner: LJS Restaurants, Inc., 675 Mansell Road, Suite 200, Roswell, Georgia 30076 Owner's interest in site ofthe improvements: Owner Fee Simple Title holder (if other than owner): None fl-;;")i2 iM~; Contractor: S.A. Kennedy, 4255 Trotters Way, Alpharetta, Georgia 30004 Surety (ifany): N/A Amount of Bond $ N/ A Any person making a loan for the construction of the improvements: None Person within the State of Florida designated by owner upon whom notices or other documents may be served: John McCarthy, YUM Brands, Ine, (KFCrraeo Bell/Pizza Hut/LJS/A&W), 6200 Lee Vista Boulevard, Orlando, FL 32822 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713,13 (I)(h), Florida Statutes, (fill in at Owner's option), None Shelby Boeff, YUM Brands, Inc., 675 Mansell Road, Suite 200, Roswell, Georgia 30076 This instrument I}AII.. .. ~ ~ , . ~t.~~~c. (KFC/Taco Bell/Pizza Hut/Long John Silvers/A&W)) Construction coor';rtor Befor me thi~ day of J B who di subscribe an s t .... ..... ~ MCCLUGGAGE VAN SICKLE & PERRY February 10,2004 Mr. Todd Vandeberg CITY OF ZEPHYRHILLS 5335 8th Street Zephyrhills, FL 33542 Via FedEx Re: Project #303075, Site #12-4806 Proposed Long John Silver's / A & W US Highway 301 Zephyrhills, FL Florida License No, AA-0003354 Dear Mr. Vandeberg: Please find enclosed seven (7) sets of Site Plans, three (3) sets of Building Plans, one (1) set Structural Calculations and one (1) Energy Calculations for your review, and distribution to others for review. We understand there is no Application and no Fees are required. Please call with any questions, concerns or deficiencies with this submittal. We look forward to your approval or review comments upon your compliance review completion. Sincerely, vv:A 'R. S~ Dirk R. Schill, ASLA DRS:lap Enclosure(s) xc: Mr. John McCarthy, YUM! BRANDS, INC. 303075/2.8/DRS P,O, BOX 3848. WICHITA KS 67201 ' 125 S, WASHINGTON. WICHITA KS 67202 PH 316-262-0451 - FAX 316-262-5465 ' www,mvpcorp,com FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION CHAPTER 4 - Commercial Building Compliance Methods Zone: 4 Building Classification: Building Permit No,: Permitting Office: Jurisdiction No.: CEN RAL Climate Zones 4 5 6 BUILDING INFORMATION WALLS ROOF/CEILING FLOORS DOORS GLASS TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA Concrete (CBS) 92 23.56 Under Attic .04 2645 Slab-on,grade 2645 Wood Sinale wall Wood frame Single Assembly Raised Wood Metal .6 24 Double. wall .5~ 222 Metal frame Other: Raised Concrete Insulated Single, roof Insulation R-value '.ll~ lJ.56 Insulation R-value 2J 56 3004 Insulation R-value Other Double. roof SYSTEMS INFORMATION AIR CONDITIONER HEATING SYSTEM HOT WATER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUlH TYPE Unitary & Heat Pump Central & Heat Pump Electric <65,000 Btu/h _ SEER 12.5/20 <65,000 Btulh _ HSPF - Resistance 0 ~65,OOO Btu/h 9.6/& EER _IPLV ~5,000 Btulh _COP - Dedicated Heat Pump 0 Water cooled _EER _IPLV - Water cooled _COP - Gas Evaporatively cooled _EER - Evaporatively cooled _COP - Natural Ii1 PTAC _EER - Electric Resistance _COP - LPG 0 Chiller _COP _IPLV - Gas/Oil (cirCle onel HRU 0 8.!!!!... AFUE l!lK/242K Gas heat pump _COP - <225,000/300,000 Btulh - Other: 0 OthEll: - - - ~25,000/300,OOO Btulh _Et - LIGHTING Total Lighting Wattage 40.58 1.53 , SIZING CALCULATION , DUCTS R-value R-6 = = 0 Attic Total Conditioned Floor Area 2645 Walts/sq.ft. Attached Location PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings,) Components Section Requirements Check Operations Manual 102,1 OPElIations manual will be provided to owner, X Windows & Doors 406,1 Maximum: ,3 cfm per sa.ft, of window area; Maximum: 1,2 cfm per sq,ft, of door area, X Joints/Cracks 406,1 To be caulked, Qasketed, weathersltipPed or otherwise sealed, X Dropped Ceilina Cavity 406,1 Vented: seal and insulate ceiling (no T-bar ceilinas), Unvented, no ceiling air barrier: seal and insulate roof and side walls, X Reheat 407,1 Electric resistance reheat prohibited, N/A Ventilation 409.1 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required, X HVAC Efficiency 407,1, 408,1 Minimum efficiencies - Heatif'lg: Tables 4-7, 4-8, 4,9, Cooling: Tables 4-3, 4-4, 4-5, 4-6, X HVAC Conltols 407,1 Separate readily accessible manual or automatic thermostat for each sYStem, . X HVAC Ducts 410,1 Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of section 410,1, X Balancing 410,1 HVAC distribution system(s) tested and balanced, X Piping Insulation 411,1 In accordance with Table 4-11, X Water Heaters 412.1 Automatic electric storage water heaters :S120 gallons and gas & oil fired storage water heaters :S75,000 Btulh shall meet perfonnance requirements in Tab'" "-_1 ') I=I-+riC >120 gallons: standby loss :S,30+27Nr, Gas >75,000, Oil >105,000: E. .78, Standby loss :s 1,30+114Nr,~s, Oil >155,~,.78, Standby loss:s 1,30+95Nr, X Swimming Pools 412,1 Spas & heated poOls must have covers, Non-commercial pools must have pump timer, Gas spa & pool heaters must & Spas have a minimum thermal efficiency of 78%, N/A Hot Water Pipe 412,1 Piping heat loss is limited to the levels in Table 4-11 for circulating systems and the first 8' of pipe from a storage Insulation tank, X Water Fixtures 412,1 Shower head water flow restricted to maximum of 2,5 gpm at 80 psi. Toilets meet 42CFR 6295(k), Public lavatory fixture maximum flow of ,5 gpm; or if self-closing valve, ,25 gallon circulating, ,5 gallon non-circulating. X Lighting 415,1 Ballasts shall have Power Factors no less than ,90. X If required by Florida law, I MA1V<fy t2tt~he stem de i n is jjl ~~~ with the Florida Energy Code. ARCHITECT: -___ -u ~~~ ELECTRICAL SYSTEM DESIGNER: Don ~~~___ LIGHTING SYSTEM DESIGNER: _ Don L. Provencher MECHANICAL SYSTEM DESIGNER: Glen E. Nilsen PLUMBING SYSTEM DESIGNER: ..Gll:nE...NilKIL- Compliance with Chapter 4 was demonstrated by a Prescriptive Measures methodology: Detached Buildings <200 sq,ft, Convenience stores <5,000 sq,ft, Skyboxes/sports stadiums Restaurants <5,000 sq,ft, Traffic safety conltol towers res <5,000 sq,ft M- DallJJ~q. --ll~_______ 53495 ---s9616 ---- 59616 I hereby certify lhallhe plan Florida Energy Code. PREPARED BY: I hereby certify lhallhis bui OWNER AGENT: o ~ o Office buildings <5,000 sq,ft, School buildings <5,000 sq,ft, Storage buildings <5,000 sq,ft. o o o ).f DATE: PRESCRIPTIVE REQUIREMENTS L1ST* *AII Basic Prescriptive Requirements, designated In the Code by ".1.ABCD" and summarized on the front of this form, must also be met. FORM 400C-01 METHOD C Detached Commercial Buildings Less than 200 sq.ft. Glass Area: Overhang: Walls: Roofs/Ceilings: Floors: Cooling System: Heating System: No limit. Minimum 1 foot if not under another structure; or No overhang with a glazing Solar Heat Gain Coefficient of 0.48 or less, Minimum insulation level Frame walls - R-11. Masonry walls - R-5. Minimum insulation level- R-19, Minimum insulation level - None, Code minimums as per section 407.1,ABCD.3. Code minimums as per section 408.1,ABCD,3. Table 4C-1 Skyboxes or Sports Stadiums Glass: Overhang: Walls: Roofs/Ceilings: Floors: Cooling System: Heating System: Air Distribution: Lighting: Table 4C-2 No limit with glazing Solar Heat Gain Coefficient of 0.48 or less, None required. Minimum insulation level Frame walls - R-11. Masonry walls - R-5. Minimum insulation level- R-19. Minimum insulation level Frame floor- R-19. Concrete floor - None. Minimum equipment efficiency requirements Air cooled - 10,0 EER or 10.5 SEER. Water cooled - 11.0 EER. COde minimums as per section 408.1.ABCD.3. A programmable setback shall be installed for in-season use; At least one humidistat control per zone shall be installed for off-season use, EXCEPTION: Installation of a central energy management system. Total connected wattage shall not exceed 1.8 watts per square foot of conditioned space, Traffic Safety Control Towers Glass: Overhang: Walls: Roofs/Ceilings: Floors: Cooling System: Heating System: Lighting: Table 4C-3 No limit. Minimum 1 foot if not under another structure; or No overhang with a glazing Solar Heat Gain Coefficient of 0.48 or less. Minimum insulation level Frame walls - R-11, Masonry walls - R-5. Minimum insulation level- R-19. Minimum insulation level - None. COde minimums as per section 407,1.ABCD.3. COde minimums as per section 408.1,ABCD.3. Total connected wattage shall not exceed 2.1 watts per square foot of conditioned space. General Requirements for Building Packages <5,000 sq.ft. Table 4C-4 FLOOR: Slab-on-Grade R-O Raised Wood R-19 Raised Concrete R-7 WALL: Masonry R-7 (exterior, adjacent and common) Wood Frame R-11 (exterior. adjacent and common) Metal Frame R-13 (exterior, adjacent and common) ROOF: Insulation above Deck R-19 Insulation in Attic or Dropped Ceiling Cavity R-19 INFILTRATION: Code minimums in section 406.1.ABCD.1 DUCTS: Code minimums in section 41 0.1.ABCD.2 DOMESTIC HOT WATER: Code minimums in section 412.1,ABCD.3 LIGHTING CONTROLS: Each space must have the lights divided into at least two -banks. _ each one with a manual On/Off switch; OR Each space must have one occupancy sensor (or other automatic control) to turn the lights on and off. -2- CUMATEZOOES G) 5 6 CHECK t/ ~ ~ ~ ~ ~ ~ ~ FORM 400C-01 HVAC, GLASS AREA, AND LIGHTING: See Chart below, Select and circle the desired combination of glass-te-wall area percentage (Gl AREA %) and lighting level (W/SF) based on the type of HVAC system and efficiency, Report the levels installed on the front of the form, CUMAlEZONES05 6 Table 4C-5 CONVENIENCE BUilDING < 5,000 SF MAXIMUM ALLOWABLE GLASS AREA % AND ALLOWABLE LIGHTING W/SF Cooling Equipment Capacity ~5,000 Btu/h, Room Units, PTACs Capacity <65,000 Btu/h EER:8.9-9,O , EER: 9.1-10.0 .,' EER: 10,1-11.0 EER: 11.1-UP---;-< SEER: .10,()"LJPj~i'li':,ij Gl AREA T LIGHTING Gl AREA lIG~T'NG Gl AREA LIGHTING Gl ~REA lIG~~:NG Gl AREA LIGHTING % W/SF 01< WSF % W/SF W F % W/SF I 15 I 3,1 I 15 3,1 15 3.5 15 3,9 15 3.9 25 2,8 25 3,3 25 3.4 25 3,5 25 3,5 35 2,8 35 3,1 35 3,1 Glazing: 45 2.5 45 2,5 Solar Heat Gain Coefficient <=0,87 And Heat Pump And Heat Pump ~I 1/ '='3,0> ".",,':.. t, j,j M:S'" -:,;> 55 3,9 55 3.9 Table 4C-6 RESTAURANT BUILDING < 5,000 SF MAXIMUM ALLOWABLE GLASS AREA % AND ALLOWABLE LIGHTING W/SF Cooling Equipment Capacity ~5,OOO Btu/h, Room Units, PTACs Gl AREA LIGHTING % W/SF 30 1.4 35 1,2 Gl AREA % 30 35 40 LIGHTING W/SF 1,6 1.4 1,2 Gl AREA LIGHTING % W/SF 30 1,8 35 1,6 40 1,4 45 1.2 50 1,0 Gl AREA LIGHTING % W/SF 30 2,0 35 1,8 40 1,6 45 1.4 50 1.2 And Heat Pump Glazing: Solar Heat Gain Coefficient <=0,77 Qf Double Pane Capacity <65,000 Btu/h Gl AREA LIGHTING % W/SF 30 2.0 35 1.8 40 1,6 45 1.4 50 1.2 And Heat Pump 65 Table 4C-7 RETAIL BUilDING < 5,000 SF MAXIMUM ALLOWABLE GLASS AREA 0/. AND ALLOWABLE LIGHTiNG W/SF Cooling Equipment Capacity ~5,OOO Btuth, Room Units, PTACs Gl AREA LIGHTING Gl AREA LIGHTING Gl AREA LIGHTING Gl AREA LIGHTING % W/SF % WSF % W/SF % W/SF 35 2,6 35 2,8 35 2,9 35 3,0 45 2,4 45 2,6 45 2.7 45 2.8 55 2,4 55 2,5 55 2,6 Glazing: And Heat Pump Solar Heat Gain Coefficient <=0,87 65 3,0 -3- Capacity <65,000 Btu/h Gl AREA LIGHTING % W/SF 35 3,0 45 2.8 55 2,6 And Heat Pump 65 FORM 400C-01 HVAC, GLASS AREA, AND LIGHTING: See Chart below, Select and circle the desired combination of glass-ta-wall area percentage (GL AREA %) and lighting level (W/SF) based on the type of HVAC system and efficiency, Report the levels installed on the front of the form, CUMA1E20NES0S 6 Table 4C-a OFFICE BUILDING < 5.000 SF MAXIMUM ALLOWABLE GLASS AREA % AND ALLOWABLE LIGHTING W/SF Cooling Equipment Capacity ~5.000 Btu/h, Room Units, PTACs Capacity <65,000 Btu/h .' EER: 8.9-9.0 '...,' . EER: 9.1-10.0 ;~ EER:10.1c11.0 ,,'.,..- EER: 11,1-UP SEER:10.O-UP GL AREA LIGHTING GL ~REA L1G~!'NG GL ~REA L1G~!'NG GL ~REA L1G~!'NG GL ~REA LIGHTING % W/SF WSF WSF WSF W/SF 20 2.4 20 2,6 30 2,6 25 2,8 25 2,8 25 2,2 30 2,4 40 2,4 35 2,6 35 2,6 35 2,2 45 2,2 45 2.4 45 2,4 Glazing: 50 2,2 50 2.2 Solar Heat Gain Coefficient <=0,61 And Heat Pump And Heat Pump '( '""U "}Y/; \/'< HPSF:>=6.8'( 75 2,2 75 2,2 Table 4C-9 GL AREA LIGHTING GL AREA LIGHTING GL AREA LIGHTING GL AREA LIGHTING GLAREA LIGHTING % W/SF % W/SF % W/SF % W/SF WSF 20 2,0 20 2,2 20 2.4 20 2,6 20 2,6 25 1.8 25 2,0 25 2,2 25 2.4 25 2.4 30 1,8 30 2,0 30 2.2 30 2,2 Glazing: 35 1,8 35 2,0 35 2.0 Solar Heat Gain Coefficient <=0.87 40 1,8 40 1,8 And Heat Pump And Heat Pump SCHOOL BUILDING < 5,000 SF MAXIMUM ALLOWABLE GLASS AREA % AND ALLOWABLE LIGHTING W/SF Cooling Equipment Capacity ~5,000 Btuth, Room Units, PTACs Table 4C-10 GL AREA LIGHTING GL AREA LIGHTING GL AREA LIGHTING GL AREA LIGHTING GL AREA LIGHTING % W/SF % W/SF % W/SF % W/SF % W/SF 5 1.0 5 1.10 5 1,25 5 1.25 5 1.25 15 0,50 15 0.75 15 0,87 15 0,87 25 0,50 25 0.75 25 0.75 Glazing: And Heat Pump And Heat Pump Solar Heat Gain Coefficient <=0.77 Q[ Insulated 40 1,25 -4- OCT/06/2004/WED 01: 07 PM ZEPHYRHILLS BUILDING FAX No. 813-720-0021 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPAR'l'HEN'l 5335 8\'11 Bt, Zephyrhills, i'L 33542 813-790-0020, ~AX:B13-7S0-0021 P. 001 I DAft RECEIVED PHON!i CONtAC'l' !'OR PERMInING :':3~.o: Ii {}{)- ~O ::,"::~~m 1~~~\~\ ;ff'> ,L\C ' PHONE LEGAL DESCRIPTION: LOT(S) BLOCK PA~CEL ID f 3 ~ ;)~ ,-91 Ij{)() 6 WORK PROP9EO: ~EW CONSTRUCTION o ADDITION SUBDIVISION ()()34~~Ar~~pnn. T~ NOTTeF-) o SIGN o MOVE OALTERATION o DEMOLISH o REPAIR o INSTALL PROPOSED aSE: OSGL FAMILY DWELLING DHULTI-FAMILY 0. OF UNITS ~OMMERCIAL . 0 INDUSTRIAL . 0 SWIMMING POOL . ~ RESTAURANT & HEALTH DEPARTMENT AP~ROVAL o MOBILE: HOME o OTHER O&SCRIPTION 01' WORK BUILDING SIZE SQOARE FOOTAGE HEIGHT RESIDENTIAL:". AtTACH (2) PLOT PLANS" (2) SETS OF BUILDING PLANS" (1) SET ENERGY FORMS. COMMERCIAL~ A'trACH (3) SETS OF BUILDING PLANS" (1) SET E~RGY FORMS. IF SIGN p$RMn!~.ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. PERMITS RBQUBSTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o M~CHANICAL $ o GAs ~oqI~^^~SPECIALTY TYPE O~ST~~N: 0 BLOCK AMP SERVICE o Progress Energy 0 W.R.E.C. VALUATION OF MECfiANCIAL INSTALLATION o OTHER o FRAME o STEEL . Ll OTHER FINISHED FLOOR ELEVATIONS '\.. rS"PROJECT IN FLOOD ZONE AREAD YES 0 NO .' . . ~. ~ ~ _ - ~ ' . --=- " -. " I " . ~ _.. ~. ... .l" .'~ . - - , '.. - ~ .. .., ~ ~ . , ~ -' - ", I ..._~-- - . - - '-=-- ~ -- ~-----'---- -, _._~ - ~-- :.- ~- ---- ---~ -~ - IIUILOIIt COMPANY SIGNATuRE STATE CERTOR REGIST t **.~....~.*****.******.**...*..***.*.*.*....********..********.*.* BLECTRICIJI\K SIGNATURE COMPANY STATE CERT OR REGIST * ~**..******.~..****.**.~***...**.*......****~*****~**.***..*****.. ~R COMPANY nM~.~ ~~~m ^n n~~T~~ ~ MECHANICAl. COMPANY SIGNATURE STATE CERT OR REGIST t , . ****..............w.."'......*****.., .........................................~" ~ ""'R::m~ r . COMPANY ~~\ {Y\], ~. ' ~C~. S'GNATURE - - _ ._~ .. - . ., STATE CER~. R REGIST t CO .- . /;J80l ~lA_:~-h 00,)0-- (Z{Jo..U! '. ~v--\--h DCL~--h(\(1.l ~L- 2.dU'1. . ,3'6Lo ;-1l!2 0 - <6 c74 0 38(0 - ('5Co -d-D35 \a~ OCT/Q6/2004/WED j1 :OE PM ZEPHYRH I LLS BU I LD I NG FAX No. 813-780-0021 P. 002 A.' NOTI~E OF DEED RESTRICTIONS ~he undersigned understands that this pe~mit may be subject to "deed restrictions" which may be more restrictive than. City regulations. Tbe undersigned assumes responstb1lity 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 s~ate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intende~ work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Further~orQ, it the owner has hired a contractor or contracto~s, he is advised to have the contractor(s) sign po~tions 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 oontractor, are responsible for the work. .If the contractor wishes you to sign as contraotor that may be an 1nd1ca~ion 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 O. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that Ii the applicant, haye been provided with a copy of "Florida's Construction lien~aw - Homeowner's Protect1on Guideffprepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that t~e "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 constr~ction, zoning, and land development. APp11~ation 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 develop~erit regulations in the jurisdiction.' I also certify that I understand that the re'1ulations or other governmental agencies may appiy'to the intended work, and that it 1s my responsibility to ident1fy what actions I must take to be in compliance. Such agencies include but are not limited to: .Department of: Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive Lands, Water/Wastewater Treat~ent .Southwest Florida Water Management Distr1ct-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways -Department of Health & Rehabilitative Services, Env1ronmental Health Unit-Weils, Wastewater Treatment, Septic Tanks . .U.p. Environmental Protection Agency-Asbestos abatemen~ I also oertify that, if fill material ieto be us ad in Flood Zone "AN or ~A,etc.", it is understood that a drainage plan address1ng a "co~pensatin9 volume" will be subm~tted which 18 prepared by a professional engineer registered in the State of Florida pr10r 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 pro~1s1ons 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. Evary 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 forla period of six months after the time the work is conimenc~d. One 90 day extension of time .may be allowed for the'permit with fee charge of $15.00. The extenslon 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 OHNER: YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS TO YOUR PROPERTY.' IF YOU INTEND TO OBTAIN FINANCING, CONSULT \nTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C~ENCEHENT. JOBS UNDER $2,500 IN VAt.E 00 NOT NEED TO riEcoRDAND PO'T A~ ~~T~';6.' SIGNATURE 1 OWNER OR AGENT SIGNATURE: C NTRAao~L STATE OF FLORIDA COUNTY OF The foregoing instrument wa~ Before me this _ day of by acknowledged I 20- ~ CUMBEY & FAIR, INC. ~ r 24 3 Enterpnse Road · Clearwater, Flonda 33763-1790 · 727-797-8982 (CIW) · 813-223-4333 (Tpa) · Fax 727.791.8752 November 18, 2004 DELIVERED Mr. William A. Burgess City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33540 Re: Zephyrhills Long John Silvers/A&W Certification of Completion of Construction Site # 262251 C&F Job No. 731 B Dear Mr. Burgess: This letter will serve to certify that to the best of my knowledge, information and belief, the above referenced project has been constructed in general accordance with the City of Zephyrhills approved site construction plans. If you have any questions or comments, please do not hesitate to call. Very truly yours, CUMBEY & FAIR, INC. rl~~ i oth~ourne, P,E. /1--/9,.ct?Lr E gineer of Record ,. Registration No. 47149 TEB/kg xc: John McCarthy, YUM! Brands, Inc. Lee Manske, MVP J:~n\731 BlWordalBurge18111704teb.wpd Civil Engineers Land Surveyors Planners : ,1'..1 ,~;-:':'~i'Y1E'. :; L.. t...: r..~ ~"..; "; A. }) i::'~ ;: ..' '., ~I ~ 10 'C)F:.~ :; . " '. ~ ,'. '.,,';"', ~{, ,':'~. ;: E':::: j". t.; :...P","J.:. .. - ... ...-.. ...~...'!~:::< L.Li ::..,,!.., .:--:. " ;;",- r; ,.TCJi"l["~.! ~:::; .L L '; !!:;"!::;C:' ..,..I...!-....... F:l,,;'J! ~ I :Oi~':'i ("ji,:n::. C)F'F:' I C:E::;; ~O .... :....1::. .~.t::lT ,....j._..1.; : j'\.~!..Jl'/i r:F~ ;~ (JF';:: .L L,.j::..;~ .U('.J.}!::: C::!: "("'y' " ; I iJF :?:..,+U. L.!..b ~'.::: ~.;,:.;....... ::.:.:: 1 ,/ () () () ()./ () () :.:.~.; () () ..,/ {) () ..;'.:. () :.;s:~:.:: ..;".~ ;;,;) c: ~.., !::: ;~..: j::' ~::? ....' .~? ~.~";.i /> ...f..',' i'\TC ('d... {:'Ii";; ii',..':', CUrYj" f:\C: C~ jJ tJ ~'.-.! ..~ c: E:: (~'j,' i::. 'j:;.~ r.:.~ .~'.} :_;,~; () ....1'..: :'.:;: () () () ..:'J...:;'.{') ,r, "....-....;, .., '..- .. '.'." ,- ...... {::l filt.! L~ r) i .. .... .. ,. -,., , ,- -, ,. ..;,} ,:~) I,...' " .t I.) ';'~: '.Ii: of': ',il: '.'J.' '.H: I F:1')"" I ~:} i"-.! ...-,: Fl E:: F;.~ ~\"j -r .,....I-.j i !, .. .."...., ':'"::, i.. l".:i... :L .... /\{ 'J . '.. '.., ". ,. ~ '.... . '...;' "H.' '..,~ ". " ~. J}h~.-" C-F,' (':::() PASCO COUNTY, FLORIDA Permit No. 3 i;2. L( 9 Date Permitted 7-~ (/;7- (J Y Builder Name/Owner Name /v.m(r ;JOh" S: Iv", ,A vi Control # County Parcel No. 5L( - 25 -;J.( --oOOO~OO3Cb-fPfO SubDiv: Address/Location '1 ~L11 GoY{ hI vel ClassificationlType of Us~ ~Y\---D.v"~ .- ~ e sT ~ . . TRANSPORTATION IMPACT FEE, Rate: Exempt D Yes ~ How Determined Sq Ft Unit: ., :X/k BL/ , Impact Fee Amount $ &.;( , ('-t '7. 3t1f Zone No. t TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) 'Other Residential \' J.:12~ Collection Fee ~xempt lJ.}"Yes D No How Determined Amount $ I / // - PARKS AND RECREATION FEE Land Account Land Credit Land Total Zone TOTAL AMOUNT $ Recreation Account Recreation Total How Determined Land Credit I:'",('ilit" Ar:r:ount Facility Total