HomeMy WebLinkAbout05-5044
1111
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5044
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:
5044
MECHANICAL
FIRE SUPPRESIO
COMMERCIAL
Address: 6042 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
330.00
1 0/20/2005
115.00
115.00
10/20/2005
FIRE SUPPRESSI
Phone:
V& \f <
I ~Cv ,;j
. \ \0 .~
Y \ tJ:
REINSPECTION FEES: When extra in ion trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00 hall be made for each trip for each trade:
(a) Wrong address (b) Condemned work rt:i'sulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i s ction when called
(e) Permit not posted on job site (f) Plan . ot at job site (g) Work not accessible
The payment of inspection fees shall be m e before any further permits will be issued to the person owning same
"Warning to owner: Your failure to r rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com cement."
Complete Plan, Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
OCCUPANCY BEFORE C.O.
I &-.
PERMIT OFFI
~PECTION - 8 HOUR NOTICE REQUIRED
c:l>TECT CARD FROM WEATHER
1111
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BuILDINq DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
10/tf!Oj-
I
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
PHONE
JOB ADDRESS
/ B)t/A
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED:
~EW CONSTRU
OSIGN
PROPOSED USE: [JSGL FAMILY
o ADDITION
[JALTERATION
o REPAIR
o INSTALL
[J MOVE
o DEMOLISH
[J COMMERCIAL
OMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
o
ESTAURANT & HEALTH DEPARTMENT APPROVAL
.r-j'/eYw' C;
BUILDING SIZE
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PL T PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SE Si OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) S TS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURV Y REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
$
.5 3v, &
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[J Progress Energy 0
W.R.E.C.
[J PLUMBING
[J MECHANICAL
TYPE OF CONSTRUCTION: [J BLOC
[J FRAME
[J STEEL
[J OTHER
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIAL Y
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES [J NO
BUILDER COMPANY
SIGNATURE STATE CERT OR REGIST #
*************** **************************************************
ELECTRICIAN COMPANY
SIGNATURE STATE CERT OR REGIST #
I
*************** **************************************************
PLUMBER COMPANY
SIGNATURE STATE CERT OR REGIST #
*************** *-k************************************************
MECHANICAL COMPANY
SIGNATURE STATE CERT OR REGIST #
i
************************************************
OTHER
COMPANY ~ tA/Ihf/JD /i.;ee +S:#e-7
STATE CERT OR REGIST # Lfj7~u SO OCJ/ /rf >?
A. NOTTCE 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, 813-780-0020.
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 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.
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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2U--
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this __day of , 20
by ..C'4'f/l1.JA//) 1::
(name of person acknowledged)
C1ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __ day of
by
(name of person acknowledged)
Owho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho 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
Fire Chief Robert Hartwig
Occupancy No.:
Plan No.:
Business Name:
BusinessAddress:
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~ Site Plan N/C
Building Plans .04 sf
Revision .06 sf
I III
ZERJ;fYRHILLS FIRE DEPARTMENT
- 6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES
Owner:
Billing Addre
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
D 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
n 0 - 25 Devices $30
D 26 plus Devices $60
SUPPRESSION SYSTEMS
~wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
PLANS TOTAL I 35 CX{
Comments:
Date:
Inspector:
1 st
2nd
3rd
4th
5th
I SPECTION FEES
N/C
$25
$50
$125
$250
$500
$15
$25
SINKLER SYSTEMS
Hydr ndergrounds $45
Hydr s tic System $45
Wet c eptance $30
Dry A ptance $45
Hydr n Flow $25
Hood / ooth $30
Grea eDuct $15
~E ALARM SYSTEM
D Syste cceptance $50
D Recal cceptance $50
O~HER
Fire a~lIsmoke Wall $15
LP G sf. $25
Natur I as $25
Fuel ks $25
Tent $15
INSP CflON TOTA~
GRAND TOTAL
rrVl
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
SPINKLER SYSTEMS
o Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
~ Hood/Ducts $15
Kitchen Suppression $15
..,dV
PERMIT TOTAL! IS I
8D.oq
?z-~
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
FALSE ALARM I
TOTAL
I 111
Ansul R-I02 (UL300) liquid chemical fIre suppression system. Installed
per NFPA-17 A, NFPA 96, state/local codes, and manufacturer's
specifications. Gas va ve, make-up air and any electrical sources under the
hood are tied into the ystem for automatic shut down. Facility fire alarm (if
installed) sounds with ystem activation. Remote manual pull station to be
located per Florida S flard Mechanical Code, a minimum of lOft. and
maximum of 20 ft. fro I the cooking equipment unless an alternate location
is specifically approve Iby the mechanical official. Piping limitations and
nozzle placement to b in accordance with Ansul R-I 02 design and
installation manual.
Submitted By:
Hernando Fire
1109 Ponce De
Brooksville, Fl.
Florida State Li
Safety Eqpt. Co., Inc.
I
c:k>n Blvd.
4601 (800-330-6230)
hse # 43750500011988
Job Site:
McDonald's APPROVED '11
6042 Gall Blvd. h ' Fire Marshal of Zeph~rhi 1 s ()
Zephyrhills, Fl. ~542 ~h~~ommtWrOVided With pans
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INSP ~,~TION(S) REqUIRED
B tEPHYRHILLS ED.
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Building shall comply w~th
I the applicable ~od~~dbOOk
. cia Fire Prevention hill
n ~ & the City of Zephyr s