HomeMy WebLinkAbout05-4948
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4948
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:
4948
MECHANICAL
COMMERCIAL HOOD
COMMERCIAL
Address: 6042 GALL BL V
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
9/23/2005
115.00
115.00
9/29/2005
COMMERCIAL HO
MC ONALDS USA, LLC
6042 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON FEES: When extra in ction 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 i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to ord a notice of commencement may result in your paying twice for
improvements to your property. If y intend to obtain financing, consult with your lender or an attorney
before recording your notice of comm ncement."
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~~
PERMIT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
ONTRACTOR SIGNATURE
CALL FOR I
P
Fire Chief Robert Hartwig
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ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: EJS-. <:l~i .
Business Name: /,. ". . ~
BusinessAddress: - . ;"; ." ~., ;?.II':.~
Business Phone No.: i /
Business Fax No,:
Contact:
PLAN REVIEW FEES
~ Site Plan N/C
Building Plans .04 sf
Revision .06 sf
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
B 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $30
26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
i\M GREASENENTILATION
rHoad/Ducts $35
PLANS TOTAL I 35 'f
Comments:
INSPECTION FEES
Ann~al N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th ~e-Inspection $500
Construction $15
Com/nercial $25
SPINKLER SYSTEMS
Hydrej> Undergrounds $45
Hydrostatic System $45
Wet 4cceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood;/ Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
B Systertn Acceptance $50
RecalllAcceptance $50
bTHER
Fire ~II!Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
INSPE$TION TOTA~
GRAND TOTAL
Date:
Inspector:
~~~
Owner:
Billing Address:
'//1. ~~C/ jk-l/IL~ /1f A-/c
Billing Phone No.:
Billing Fax No.:
Contact: /-/(1) - ~~ -ij;l.-S/'
,
PERMIT FEE FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
SPINKLER SYSTEMS
o Automatic $15
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
1')(1 Hood/Ducts $15
D Kitchen Suppression $15
PERMIT TOTAL! I!:> UO ,
J C 86'
fL?:.~
FALSE ALARM I
TOTAL
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hJ~ LI. 92 L/ t
/ ~ 0 )l~ '3);mb
.9~O
OWNER'S NAME If/ cl/(Ji/l1!t/Jp ()5A
JOB ADDRESsIi:J4t- (6/f11 t3(t-Z7.
I
,
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 F~~8_:-=_~~8~-0021 DATE RECEIVED 1- /(p.05
':!Il)IlE_ CONTACT FOR_PE~~ 3 gcx;(.2S1
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PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPSED: ONEW o ADDITION OALTERATION o REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH
i
PROPOSED USE: oSGL FAMILY Dw!ELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
I
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL XOTHER
DESCRIPTION OF WORK
STAURANT
!lEI2If/ /7
DEPARTMENT APPROVAL
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
o BUILDING $ VALUATION OF
o ELECTRICAL AMP SERVICE 0
o PLUMBING 00
~ECHANICAL $ /~(JOD VALUATION OF
o GAS o ROOFING o SPECIALTY: 0 OTHER
RESIDENTIAL: ATTACH (2) PLOTI PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. . 1-6
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~
PROPERTY SURVEY I REQUIRED FOR ALL NEW CONSTRUCTION. ;1 J _ '1 oJ
r;~ 1: 1( ~'i
Progress Energy 0 ~~
MECHANCIAL INSTAL~~
PERMITS REQUESTED
TYPE OF CONSTRUCTION: 0 BLOCK
J Iv 5
, C'V
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
*********t***********************************
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ELECTRICIAN
SIGNATURE
CERT OR REGIST #
PLUMBER
STATE CERT
******************************~~~;~~;ui/j;;*/;*sitt,*,;;**Z/;~ cl ~/( I It-<-
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 responsibi\ity tor
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 indica~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
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.
Appli~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 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
owho is personally known to me, or
acknowledged
20
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and wtioo did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who odid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped