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Home My WebLink About04-3514 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3514 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 3514 MECHANICAL FIRE SUPPRESION SYS COMMERCIAL Address: 7449 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,486.00 10/26/2004 45.00 45.00 10/26/2004 FIRE SUPPRESSION SYS. Name: SONIC RESTAURANT Address: 7449 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: IQ / lJ Y /1/ I REINSPECTION 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. ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPaYRHILLS PERMIT APPLICATION BUILDING DBPAR~ 5335 8~ STRBBT ZBPHYRRILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021. DATB lUICBIVBD /O-lf-tJY PLANS RBVIBIf I'BB . C/Or ZejJhljrnl lis - 00/1/ IL. {; fiu- t3LVD OWNER'S NAME 8 v'T W (J JOB SITE ADDRBSS 7'-f 4 q PHONE CONTACT t,J' a - 5" It; () - 0 Idl 7 LBGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # .611 D/5o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~EW CONSTRUCTION OSIGN OADDITIO~ o ALTERATION [] REPAIR o INSTALL [] MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING ~MMERCIAL o RESTAURANT & HEALTH DEPARTMENT APPROVAL DMULTI - FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o INDUSTRIAL DESCRIPTION OF WORK I nsfa/ / A-ns~ .r;~ Sl1.f1fJreSS/()Y7 S '!f:"...Ju-n BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQU.STED 41~- o BUILDING $ VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE [] FLORIDA POWER o W.R.E.C. [] PLUMBING ~ECHANICAL $!J.- ~ f0"-- VALUATION OF MECHANCIAL INSTALLATION [] GAS 0 ROOFING 0 SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BI.,QCK o FRAME o STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA [] YES [] NO BUILDBR COMPANY STATE CERT OR REGIST #_ CITY PROCESSING # SIGNATURE. ****************************************************************** BLBCTRICIAH SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ******************~*****~~k*************************************** PLUllBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # . SIGNATURE ****************************************************~************* IOICIlAHICAL "'\.. COMPANY .5, rrplc'>t On nne..ll .1M . (/ , _ ~_ \ . STATE CERT OR REGIST # 8L/D~ ~qOD';/ I~O()~ SIGNATURE C\A:J 1 A 1 ~eu..A M. ~C~TY PROCESSING # ~q 3Ct ***************************************************************** OTBBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITI0NS OF PERMIT AFFIDAVIT A. NOT,ICE 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, 813-788-661l. 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 ap.plicable 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 T.o 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 D.o NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". "VA iAv.UJa A-UA/Vt~ SIGNATURE: CONTRACTOR , knowledge~tl , ~T STATE OF FLORIDffiJ I ~btJ Iff) ill l COUNTY OF , I ~ The foregoing i~ ent a~~~owledge~ ,i Befo his l ~ da gf..LL..!2l-, ~ -1J '( by L. -~. (name of person acknowledged) ~hO is personally known to me, or DWh ~~~:.~:~" /o:~ .:.~ -"', _ a..". ~,~. .~i ':.!f;,;....~~ and .'4.J 'ti.-- acknowledgem ure of perso taking acknowled Of( tLJ), ' tirttt- typed, printed or stamped tyco SimplexGrinnell LLP 4701 Oak Fair Blvd Tampa, Florida 33610 Fire & Security SimplexGrinnell Tele: (813) 626-5482 Fax:: (813) 664-1731 Toll: (800) 769-5326 Cell: (813) 299-9357 AUTHORIZATION LETTER To Whom It May Concern: I, Jeffrey J. McKinnie, license number 84084900212002 hereby authorize the following to apply/pick up permits/drawings, and register my license in the City of Zephyrhills. This letter is valid through September 30th, 2005. Theresa Sauerwine Michael Snyder Ryan Kuzma "\ ~~ City Registration Number: 2939 ",U"" l~~"it.V:st--~ GLORIA D. PETREA rf ;~ MY COMMISSION # DO 149067 ~~..... '~l EXPIRES: January 10, 2007 'i/r..r,i. . 800ded Thru Notary Pubfoc Underwrite.. ~TFfille this 1# day of it/? I) ~f , ~ I I'll ~ who is personally known to me as iMlltifiC71iu :u Notary Public My commission expires ;0 J~ 07 Sworn to anp 2004 by~\ or has produced who did (did not) take an oath. -~. tqeD SimplexGrinnell LP 100 Simplex Drive Westminster, MA 01441 Fire & Security SimplexGrinnel1 Ph: (978) 731- 2500 Fx: (978 731- 6508) www.simplexgrinnell . com Interoffice Memorandum This correspondence may contain confidential information intended for the use of the individual or entity to whom it is addressed. If the reader is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that any dissemination or copying is strictly prohibited. Date October 13, 2004 To: ACCOUNTS PAYABLE From: Barbara Matthews Subject CHECK REQUISrrrON FORM CO/LOC: 292 PAY TO: STREET : City of Zephyrhills 5335 Eighth St Zephyrhills, FL 33542 Direct Job Cost PROJECT #: 026-769.-765 COST DISTRIBUTION: DISTRICT #: 292 CONTROL #: AMOUNT: $20.00 REASON: Ucense fee for Jeff McKinnie MAIL OR FEDEX TO: Theresa Sauerwine / Tampa Branch NEED CK BY: 10/18/04 REQUESTED BY: Theresa Sauerwine DATE: 10/13/04 APPROVAL SIGNATURE: DATE: i CERTIFiCATE OF INSURANCE CERTIFICATE NUMBER '. 177750 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Marsh, Inc. POLICIES DESCRIBED HEREIN. 1166 Avenue of the Americas New York, NY 10036 COMPANIES AFFORDING COVERAGE Telephone (212) 345-5000 COMPANY A: AI South Insurance CO. INSURED COMPANY B: American Home Assurance Co. SimplexGrinnell, LP COMPANY C: Illinois National Insurance Co. 4701 OAK FAIR BLVD TAMPA, FL 33610 United States COMPANY D: Insurance Company of the State of PA COVERAGES. .Uti.i...... ....... Ci..;......... icy.. .. ....i' .....,; ....... ......... ..... .).C))?).... <if)"" THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPI RATION LIMITS LTR DATE (MMlDDNY) DATE (MMlDDIYY) B GENERAL LIABILITY RMGL5473558 10/1/2004 10/1/2005 GENERAL AGGREGATE $15,000,000.00 ')( COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $15,000,000.00 C ~ CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $7,500,000.00 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $7,500,000.00 f-- FIRE DAMAGE (Anyone fire) $1,000,000.00 MED EXP (Anyone person) $10,000.00 B AUTOMOBILE LIABILITY RMCA 1656703 (TX) 10/1/2004 10/1/2005 COMBINED SINGLE LIMIT $7,500,000.00 B ~ ANY AUTO RMCA1656702 (AOS) 10/1/2004 10/1/2005 B f-- RMCA1656704 (MA) 10/1/2004 10/1/2005 BODILY INJURY (Per person) B ALLOWED AUTOS RMCA 1656705 (V A) 10/1/2004 10/1/2005 f-- SCHEDULED AUTOS ')( HIRED AUTOS BODILY INJURY (Per accident) 7 NON.OWNED AUTOS I-- PROPERTY DAMAGE PROPERTY EXCESS LIABILITY EACH OCCURRENCE =i ~MBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X I ~~~ATUTORY I I OTHEA ;;..,.......//!./.......:". E EMPLOYERS' LIABILITY EL EACH ACCIDENT $2,000,000.00 0 THE PROPRIETOR! C PARTNERS/EXECUTIVE R INCL EL DISEASE-POLICY LIMIT $2,000,000.00 A OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $2,000,000.00 OTHER DESCRIPTION OF OPERATlONSILOCATlONSNEHICLESlSPECIAL ITEMS Please see page 2 for additional insureds and any additional language. CERTIFICATE:HOLDER :C 'r... , ,'iiC" ... < . .. <y...... City of Zephyrhills SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 5_3_3~_E:ighlb_S!r~eL_____ . INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER ---- -- -- -- ~~~~,?s~~~~I~F~~6~~~gJeO~~~. ~SC~G~~~'&~~~~~~~~~~.l6~~.f~~~s't~~~~I~i~Fc~~tl~-:~~~~Q~- ~--- Zephyrhills, FL 33540-4312 MARSH USA INC. BY: ~~"h~ Larry Giambalvo, Casualty Program ..... . ,< MM1(3/02) VALID AS OF: 10/18/2004 ." . ..... ADDrtioNAL INFORMATioN CERTIFICATE NUMBER 177750 PRODUCER COMPANIES AFFORDING COVERAGE COMPANY E: National Union Fire Insurance Co. Marsh, Inc. 1166 Avenue of the Americas New York, NY 10036 Telephone (212) 345-5000 COMPANY F: New York Marine & General Insurance Co. (Lead) INSURED COMPANY G: Noetic Specialty InsurancE' Company SimplexGrinnell, LP 4701 OAK FAIR BLVD TAMPA, FL 33610 United States COMPANY H: White Mountain Insurance Co. WORKERS COMPENSATION POLICIES Carrier Policy Number EfL Date Exp. Date State (B) American Home Assurance Co. RMWC5898786 10/1/2004 10/1/2005 CA (E) National Union Fire Insurance Co. RMWC5898787 10/1/2004 10/1/2005 NV, OR (D) Insurance Company of the State of PA RMWC5898788 10/1/2004 10/1/2005 AR, FL, MA, TN, VA (C) Illinois National Insurance Co. RMWC5898789 10/1/2004 10/1/2005 IL, MI (C) Illinois National Insurance Co. RMWC5898790 10/1/2004 10/1/2005 NY, WI (A) AI South Insurance Co. RMWC5898791 10/1/2004 10/1/2005 GA (B) American Home Assurance Co. RMWC5898792 10/1/2004 10/1/2005 All Other States LIABILITY PROGRAM The parties listed below are added as an additional insured for General Liability, but only to the extent of the Named Insured's negligence. Additional Insureds: JEFFREY J MCKINNIE Project: Contractor Licensing If there is a question regarding this certificate please contact Theresa Sauerwine (Email: tsauerwine@tycoint.com Phone: 813-626-5482) CERTIFICATE HOLJ)ER City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33540-4312 tyco SimplexGrinnell LLP 4701 Oak Fair Blvd Tampa, Florida 33610 Fire & Security SimplexGrinnell Tele: (813) 626-5482 Fax:: (813) 664-1731 Toll: (800) 769-5326 Cell: (813) 299-9357 AUTHORIZATION LETTER To Whom It May Concern: I, Jeffrey J. McKinnie, license number 84084900212002 hereby authorize the following to apply/pick up permits/drawings, and register my license in the City of Zephyrhills. This letter is valid through September 30th, 2005. Theresa Sauerwine Michael Snyder Ryan Kuzma "\ ~~ City Registration Number: 2 9 3 9 lfr-\.:;.yf~< GLORIA D. PETREA ..,.: :*E MY COMMISSION # DO 149067 EXPIRES: January 10, 2007 Bonded Thill Notary PubrlC UnderwritOlll Sworn to artp 2004 by .......J \ or has produced who did (did not) take an oath. ---. Notary Public My commission expires ;0 JtJA"v 0 7 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA FIRE EQUIPMENT DEALER LICENSE THIS CERTIFIES THAT: SIMPLEXGRINNELL LP 4701 OAK FAIR BLOUVARD TAMPA, FL 33610- QUALIFIER: JEFFREY J MCKINN1E HAS COMPLIED WITH FLORIDA STATUTES AND HAS QUALIFIED FOR THE lYPE AND CLASS SHOWN HEREON TO SERVICE, REPAIR., INSTALL OR INSPECT ALL TYPES OF PRE-ENGINEERED FIRE EXTINGUISHING SYSTEMS. --r:... ~ Chief Financial Officer Issue Date Type Class Hillsborough County 84084900212002 4535410001 12 31 2005 01 01 2004 07 04 LicenseIPennit Number Application # Expire Date HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE RENEWAL INSTRUCTIONS ----~ Chapter 205.0535 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and return entire form in enclosed envelope. Your validated license will be returned to you. 2. Licenses expire midnight, September 30th. Failure to display a valid occupational license after September 30th is a violation of Hillsborough County Ordinance 95-4. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR POBox 172920 TAMPA, FL 33672-0920 2004-2005 HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE EXPIRES 9-30-2005 FOLIO NO. S S LO 130 7287 o o ace. CODE 090.028 330.001 280.065 BUSINESS TYPE CONTRACTOR - MULTIPLE SERVICES - FIRE ALARMS AND SPRINKLER SYSTEMS RETAIL STORE (WITHOUT HAZARDOUS WASTE) FIRE EXTINGUISHER SERVICE H. WASTE TAX SURCHARGE 40.00 337.50 30.00 80.00 LICENSE 4701 OAK FAIR BLVD ..... ..:,.~::..::~t';EIIf~~LL LP ........476foAKFAiR BLVD TAMPA FL 33610-7386 DOUG BELDEN, TAX COLLECTOR ***DUPL I CA TE*** 813-635-5200 Doug Belden, Hillsborough Co Ta;.( ColI. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. PAID-CK $487.50 08/11/2004 WI MAIN TRAN:0002K 007287.0000 9:10AM REC00012629 00012629-007 TLC 4206 BUSINESS ::("'\:::L.j~TION '::",.",,)"NA'ii,:'W" MAILING ADDRESS IS HEREBY LICENSED TO ENGAGE IN BUSINESS, PROFESSION, OR OCCUPATION SPECIFIED HEREON. 4206 00728700006 000447508 000040006 CK CHANGE $487.50 $0.00