HomeMy WebLinkAbout06-6138
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
6138
Permit Number: 6138
Permit Type: PLUMBING
Class of Work: FIRE SPRINKLER
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 1,700.00
Date Issued: 9/29/2006
Total Fees: 100.00
Amount Paid: 100.00
Date Paid: 9/29/2006 Phone:
Work Desc: FIRE SUPPRESSION SYSTEM IN HOOD
Address: 5963 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0021
Name: ABC RESTAURANT
Address: 5963 GALL BLVD
ZEPHYRHILLS, FL. 33542
~J
~e(~
1{Jaf}
FIRE PLAN REVIEW FEES
FIRE INSPECTION FEES
FIRE PERMIT FEES
CONTRACTOR CERTIFICATE
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
ALL PLU ING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
- ~-~
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
6138
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid: Phone:
Work Desc: FIRE SUPPRESSION SYSTEM IN HOOD
6138
PLUMBING
FIRE SPRINKLER
COMMERCIAL
Address: 5963 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0021
1,700.00
Name: ABC RESTAURANT
Address: 5963 GALL BLVD
ZEPHYRHILLS, FL. 33542
100.00
FIRE PLAN REVI W FEES
FIRE INSPECTION FEES
FIRE PERMIT FEES
CONTRACTOR CERTIFICATE
1 ST R UGH PLUMB
WATER
REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
~-~
CONTRACTOR PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~ 'CE'RTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
02/20/2006
'RODUCER (863)688-5495 FAX (863)688-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Herndon & Associates Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
91 Lake Morton Dr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POBox 3608
Lakeland, FL 33802 INSURERS AFFORDING COVERAGE NAIC#
iIISURED B Wayne Enterprises Inc INSURER A: Colony Insuance Group
DBA: Commercial Fire Equipment Company INSURER B:
POBox 2442 INSURER c: Bridgefield Employers Ins Co
Brandon, FL 33509 INSURER D:
INSURER E:
;OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ ~~~ lYPE OF INSURANCE POLICY NUMBER POLICY EFFECllVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY GL3254150 02/21/2006 02/21/2007 EACH OCCURRENCE $ l,OOO,OO(J
-
X J::OMMERCIAL GENERAL LIABILIlY DAMAGE ~9,,~ENTED $ 50 , OO(J
I CLAIMS MADE 0 OCCUR MED EX? (Anyone person) $ 5,OO(J
A PERSONAL & ADV INJURY $ l,OOO,OO(J
-
GENERAL AGGREGATE $ l,OOO,OO(J
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPfOP AGG $ Inc;: 1 ude(i
I POLICY n ~rg: n LOC
AUTOMOBILE L1ABIUlY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO .
-
ALl OWNED AUTOS BOOIL Y INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
(Per accident)
GARAGE LlABIUlY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
. AUTO ONLY: AGG $
EXCESS/UMBRELLA LlABlUlY EACH OCCURRENCE $
o OCCUR 0 CLAIMS MADE AGGREGATE $
$
R. DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 083028471 01/14/2006 01/14/2007 X I WC STATU-. I IOJ~-
EMPLOYERS'LlABlUlY 100,OO(J
C ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEI $ 100,00(:
If yes, desaibe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,OOC
OTHER
JESCRlPTlON OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS
~
"
C
City Of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33540
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
-1!L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Bett
Newsom/BETTY
iJ.?e JJi.--.
@ACORDCORPORATION1988
~CORD 25 (2001/08)
BRUCE W VARNADOE;:~':::
COMMERCIAL FIRE EQUIPMENT CO
10236 Fi pa, FL 33619
Pennit
39463 r'\
Expires: 12131;:3 1\ \
Exclusions:
C02, Hydro Test
C02, Recharge
-------- ~'L
..,__i _~ .~
~'-)';::;:sWelR,.e;Marshal
..:1L..:.... t"';~
,:\',,:, "
t.,
"~
813-780-002U
"-II'J _. --...... oJ' - p- . -
Building Department
J
,
OWner phone Number
OWner PhOn. Nn~'" ~
Owner phone .Nu~ber
Owner's Nam
owner's Address [
Fee Simple Titleholder Name[
ot I z.D
Date Received
Fee Simple Titleholder Address I
r S"9/;, 5
I
0~11
tf/vD
1
,B
o
o
1 LOT #
JOB ADDRESS
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
I r//lE" ;C,{(,,{ (S"S .1",;( J
o OTHER
WORK PROPOSED
DESCRIPTION OF WORK / / .It v ~ . rl/ ..r;..,
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I - " , ' ," " " .. " ,'..., " , " " "" ."" ' "
1I1I I , II , 111\1111111 III ' I , 1111 , I . , I ' III , 111111 , III , III , 11111111 ; 1111111111111111111111111111111111111111111
D BUILDING '1$ it DO, c:::>O 1
D ELECTRICAL 1$ 1
D PLUMBING 1$ I
o MECHANICAL 1$ I
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I, I FLOOD ZONE AREA DYES DNO
11111111111111111111111111111111111111111111111111I1111I11I1I11I1I1111111111111111111111111111I111111I1111111II111111I1111111111II11111I11111I11111
BUILDER I I COMPANY I ' I
SIGNATURE REGISTERED I Y I N FEE CURRENT Y I N
. Add".. i . I u"",. · I
I
I
:
:
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
1:t
, PROGRESS ENERGY
S-tooO'
o
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
YI N
FEE CLJRRENT
Y/N
License #
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YIN
FEE CURRENT
Y/N
License #
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
Address
~~t'-f (/If I fi/( C 4!;"s.. Cd
~ I@ N. I FEE CURRENT I Y I N I
License # lJS"~ " ~)(J()aJ I tJ 9 S I
OTHER
SIGNATURE
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms .
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
"'~PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completelY.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
N~TICE OF DEED RES~RICTIONS: The undersigned understands that this permit may be subject to .deed" restrictions"
which may be more restnctive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 accordanc'e 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 Pasco County Building Inspection Dlvlsion-Llcenslng Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he Is not properly licensed and Is not entitled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact' Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified In PaSCD County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood th~t Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a .certiflcate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the .Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the .owner", I certify 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.. . )
CONTRACTOR'S/OWNER'S AFFIDAVIT: .1 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, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
, - Use of fill is not allowed In Flood Zone .V' unless expressly permitted.
. If the fill materlalls.to be used In Flood Zone "A", It is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting Which Is prepared by a professional engineer
licensed by the State of Florida. .., .
If the fill material Is to be used In Flood Zone "An in connectton With a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem ~all.' .. .
If fill material Is to be used In any area, I certify that use of such fill will not adversely. affect a?Jac?nt
. properties. If use of fill Is found to adversely affect adjacent propertl~s, the. owner may be Cited for VIolating
the conditions of the building permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan Is required. . .' .
If I am the AGENT FOR THE OWNE~, I promise in good faith to inform the owner ~f the permlttln~ conditions set forth In
this affidavit prior to commencing construction. I understand that a separate permit may be. required for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In~luded In the application. A
ermlt Issued shall be construed to be a license to proceed with the work and not as authonty !o vlolat~, cancel, alter, or
~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCIal from the~ea~e~
re uirin a correction of errors In plans, construction or violations of any codes. Every permit Issued shall become, Inva I
uniess ~e work authorized by such permit is commenced within six months of permit Issu~nce, or If work authorized, by
the ermit'is suspended or abandoned for a period of six (6) months after the time the work IS commenced. An ex enslon
p b t d In writing from the BUilding Official for a period not to exceed ninety (90) days and will demonstrate
,~:~fia~l~e:::e ~o~ the exte~sion. If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
~:~~~~gEo~~EI~P:g~:~~~~~~ ~~~:~~~~Eit~T:;~gJ 1~~::'E~gE~~~TN ~J~~~~~~d~N~~~~
WITH YOUR LENDER 0 N,A RNEY BEFORE RECORDING YOU TICE 0 C NCEM NT.
FLORIDA JURAT (F.S. 111
CONTRACTOR
Subscribed and sworn to (or affirmed) be me this
by
Who Is/are personally known to me or haslhave produced
. as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) befor e this
by
Who Islare personally known to me or haslhave produced
as Identification.
Notary Public
Notary Public
In No.
Commission No.
Name of Notary typed, printed or stamped
ltary typed, printed or stamped
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USoEwRneFr~. ES /I, (_/J, _ . _~
Occupancy':!.,?, ~69
~~s7n~~~N~- ~~ Billing Add~ >Y '~~- .
BuslnessAddress: ~ -'- ...:._
Business Phone No.: Billing Phone No.: ff~~ --6,.c:;y- ~~5"?
Business Fax No.: Billing Fax ~..::
Contact: Contact: ~L:5Ill/I'e-
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
8 Site Plan N/C Annual N/C
Building Plans ,04 sf 1 st Re-inspection $25
Revision ,06 sf 2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
GREASENENTILATION
o Hood/Ducts ~5
i){j ~itchen Suppression $15 .
INSPECTION TOTA~ PERMIT TOTAL
~
GRA TOTAL I U I' . ."
~. ~f ~/J ~/-Ir:"j ~ -;J/1 P:'f~a:p
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
~;, e
GREASENENTILATION
o Hood/Ducts $35
PLANS TOTAL I .% f
Comments:
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow ~3
Hood / Booth
Grease Duct 15
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
Fire WalllSmoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
SPRINKLER 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
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
Non Compliance $150
"Affidavit of Service/Repair"
FALSE ALARM I
TOTAL
O,t, tt/~~~ & ' _
Inspector: ~ /( 11t;d/- He
f
KITCHEN KNIGHT. I:
RESTAURANT
FIRE
SYSTEM -
PCL_
[FEe
Commercial Fire J:quipment Co.
P.o. Box 2442. Brandon. FL 33509-2442-
(813) 654-3357 · (813) 758-2003. Fax (813) 654-4143
TECHNICAL MANUAL
INSPECTJON(S) REQUIRED
BY ZEPHY~S RD.~ J .
-~ . MTJ~
I
!
· COMPONENTS
· DESIGN,
.'
· INSTALLA110N
,. MAINTENANCE
· RECHARGE
Building shall comply with
the applicable codes of
Florida Fire Prevention Handbook
NFPA & the City of ZephYrhills
APPROVED
by Fire Marshal of Zephyrhill$
with comments provided with plan(s)
~~~L
Apdt 1, 2IIJ02
...... No. "'1274(1)
......41W2
-, -. -.... "'.:w"\"fVQ.. .
I-\lIce varnadoe
813 654 41~l
p.1
!} be R~2. LA
S'Cj c,s 64/ I Blut>
Commercial Fire Equipment Co.
FiRE &. SAFETY EQUIPMENT
p. O. BOX 2442 - BRANDON, FLORIDA 33509.2442
PHONE: 654-3357
c}
~ ,
'"
~ ~
t f'
~
~ \
~ ~
~