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Home My WebLink About07-6550 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6550 Permit Number: 6550 Permit Type: COMMERCIAL Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: SHI TS CAPS INC. 38530 5TH AVE ZEPHYRHILLS, FL. 33542 533,600.00 3/26/2007 7,290.31 7,290.31 3/26/2007 BUILDING ADDITION 4640 sa FT Address: 38530 5 AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-16800-0010 Phone: N CARLYLE ELECTRIC CARRS' CONSTRUCTION SERVICES,INC CHRIS' A/C CO. I PLUMBING FEE RADON WATER CONNECTION COMMERC POLICE IMPACT FEE PUBLIC SAFETY 5% FEE 262.20 MECHANICAL FEE 46.40 SEWER CONNECTION COMMERC 1,166.50 FIRE PLAN REVIEW FEES 756.32 FIRE IMPACT FEE 78.42 183.54 1,623.07 185.60 812.00 .' U# 0-'1 ~ J'O- l.P Lv' \l9'" AT FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTlON 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 at 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 tice of commencement." NO OCCUPANCY BEFORE C.O. ~~ ONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Carr Constr - 38530 5th Ave-Shirts & Caps Renovations LU:)..il...I,\:-\ <; ruc<;; NO c. - tv..'"YY"'l \C, 0 SQ, FEET PRICE MAIN OR LIVING: 4,640 $ 115.00 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 533,600.00 FEE SHEET $ 1,748.00 ADDRESS $ .. DRIVEWAY $ - BUILDING: $ 1,782.96 ELECTRICAL: $ 393.30 PLUMBING: $ 262.20 MECHANICAL: $ 183.54 SUB-TOTAL $ 2,622.00 RADON: $ 46.40 TOTAL $ 2,668.40 SEWER: $ 1,623.07 WATER: $ 1,166.50 IRRIGATION: $ - TOTAL: $ 2,789.57 Based on Square Footage No Longer on Fixtures WATER METER:I $ I Utilizing Existing 2 meters IRRIGATION METER $ FIRE DEPARTMENT FEES PLANS TOTAL: $ 185.60 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 185.60 PUBLIC SAFETY IMPACT FEES POLICE $ 756.32 FIRE $ 812.00 5% $ 78.42 TOTAL: $ 1,646.74 SUB-TOTAL $ 7,290.31 PARK IMPACT FEESI $ I Not Applicable SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - TI F'S:I $ 99% $ 1% $ Not Applicable .. I Not Applicable TOTAL: $ 7,290.31 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 . Date Received 5;?fye Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Name JOB ADDRESS LOT # I B Li2r D (,)~Le L(l~. ~~~l c1tvtLf/J.S SQ FOOTAGE I 4:~ 'to SUBDIVISION g PROPOSED USE D TYPE OF CONSTRUCTION D:ZI I veL.) BUILDING SIZE I "5'0 'I )( ~ S' ' I 1$'11',,8t5~o 0 . 0Zl ELECTRICAL 1$ S 'I', bSO, I.J to [J2] PLUMBING 1$ 11 co\.?, (IV @ MECHANICAL 1$ '}Q/.50\J. 0'0 D GAS CJ?' ROOFING FINISHED FLOOR ELEVATIONS I' \:) ~\...;t'J\ e..,."'fr,\Lj , f, t. 6> 111I1111111111111111111111I111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111I1111111111111I1I1111I111111111 :~~~~RE I &~ L ~ ;~s'::': L'<r<:,~cf,. IC WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM FRAME D D D DEMOLISH OTHER STEEL I o HEIGHT DESCRIPTION OF WORK ,~..j~.... 'lI-Ct( Is t<.d Ie ~ BUILDING I I I I D I .. . AMP SERVICE i.{ C 0 oz( PROGRESS ENERGY W.R.E.C, VALUATION OF TOTAL CONSTRUCTION D V'~ "'lf~ tJ~S' ~;p. - VALUATION OF MECHANICAL INSTALLATION ~ ~ - ('(" m COf>'{ :3) /5/07 OTHER ~ c==JYES ~NO . SPECIALTY D FLOOD ZONE AREA Address License # ELECTRICIAN SIGNATURE I (y)/ N Address Address lve)/c COMPANY REGISTERED PLUMBER SIGNATURE License # I c..Fc ,l(~~10L MECHANICAL COMPANY ctt)'r A c C~'lt""t' cv11.-f SIGNATURE REGISTERED I (yj N I FEE CURRENT I (~IN I Address /J:JJ.'. tZ7r' F;/. License # /0,41 C. ()O Sf'S- 7 5>'1 ~ I I ~~ I SIGNATURE , ,REGISTERED Y / N FEE CURRENT Y / N Address I I License # I I 1111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111I11I1I11111I1I111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, 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 onsite, 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., II.IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 A1C Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW .. )r 'j I (t! , ; f iE /l~ NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive 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 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 Pasco County Building Inspection Division-Licensing 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 Pasco 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 that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate 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: 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, 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, 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. 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 material is 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 "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, 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 OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, c~n~truction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. invalid unless the work authorized by such permit IS commenced Within SIX months o.f permit Issu~nce, or If work authOrized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutrve days, the Job IS 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 C MMENCEMENT. FLORIDA JURAT (F.S. 117.0 i OWNER OR AGENT Subscribed and sworn to ed) before me thIs Who Is/a~'lvy'";;? me or has/have produced as identification. ~ ~~~ ~ otary Public ~h~f) n l-U-'i.5 Notary Public Commission No. . Name of Notary typed. printed ?JO~~IY UOIIC, St~te of Florida My CommiSSion E.x.plms, January 6. 2009 . Com No DD 384471 lc Parcel Information for: 11-26-21-0010-16800-0060 Card: 001 Page 1 of 1 Search Again Show MaD Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes The online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts may not reflect current values. ParcellD 11-26-21-0010-16800-0060 (Card: 001 of 001) Classification 28 - Rental MH/RV Park Mailing Address Assessment (totals) HELP PROPERTIES LLC Ag Land $0 38530 FIFTH AVE Land $13,541 ZEPHYRHILLS, FL 335424331 Building $0 Physical Address Extra Features $1,215 Legal Description (First 4 Lines) Total Assessment $14,756 CITY OF ZEPHYRHILLS Save Our Homes $0 PB 1 PG 54 LOTS 6 & 7 & ELY 12.00 FT OF LOT 8 Taxable Value $14,756 BLOCK 168 Land Detail (Card: 001 of 001) Prl;1' U · Description =mng ~ Type Cond I Value I 1 2800 II PARKING LOT 00C2 8,680. SF 1.56 " 1 I $13,5411 Additional Land Information res I 0.2 I Tax Area II 30ZH I Fema Code 10 CommCode II M5A~ Building Information Unimproved Parcel 0 I Extra Features (Card: 001 of 001 ) I . I Year II Units II I Line Description Value 1 PAV ASP I 1969 II 6,000 II $1215 I Sales History Previous Owner HILFERDING ROBERT J REVOC TR Year Month Book I Page Type Amount 2006 07 7093 / 0360 WD $0 2006 04 6964 /1698 I WD $0 1993 07 3196/1505 I WD I $0 Search AQain Show MaD Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes http://appraiser.pascogov.comlsearch/offline.asp?sec=ll &twn=26&mg=21 &sbb=OO 1 O&bl... 3/15/2007 Parcel Information for: 11-26-21-0010-16800-0010 Card: 001 Page 1 of2 Search AQain Show Map Generalized Building Schematic Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes The online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts may not reflect current values. ParcellD 11-26-21-0010-16800-0010 (Card: 001 of 001) Classification 11 - Retail Stores, One Story, All Types Mailing Address Assessment (totals) HELP PROPERTIES LLC Ag Land $0 38530 FIFTH AVE Land $54,250 ZEPHYRHILLS, FL 335424331 Building $338,404 Physical Address Extra Features $1,856 38530 5 TH AVE ZEPHYRHILLS33542 Total Assessment $394,510 Legal Description (First 4 Lines) Save Our Homes $0 CITY OF ZEPHYRHILLS Taxable Value $394,510 PB 1 PG 54 LOTS 1-5INCL BLOCK 168 OR 7093 PG 360 Land Detail (Card: 001 of 001) Line~criPtion I Zoning II Units II Type II Price II Cond I Value 1 1100 STORE 1 FLR I 00C2 117,000.00 II SF II 5.41 I 1 $37,8 2 1100 II STORE 1 FLR I 00C2 1110,500.0011 SF II 1.56 I 1 $16,3 Additional Land Information Acres II 0.4 I Tax Area II 30ZH " Fema Code [~J Comm Code II M5A V2A~ I Building Information - Year Built 1969 USE 11 - Retail Stores (One Story) (Card: 001 of 001) I Ext Wall 1 Concrete or Cinder Block Ext Wall 2 Common Brick Roof Str Rigid Frame w/Bar Joist Roof Cov Built-Up Tar and Gravel Int Wall 1 Drywall Int Wall 2 Wood Panel or Custom Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted AC Central Baths 6.00 I Line I Description Sq. Feet Repl. Cost New I 1 I BAS 4,800 $881 ,280 I 2 I CAN 1,305 $71,971 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 PAV ASP I 1969 9,167 $1856 2 VAULTDR ,~ 1 $0 I 3 I VAULT 438 $0 I Sales History I Previous Owner I HILFERDING ROBERT J REVOC TR I Year II Month II Book / Page I Type Amount 2006 07 7093 / 0360 WD $0 I II II I II I http://appraiser.pascogov . com/search! offline.asp?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&bl... 3/15/2007 Parcel Information for: 11-26-21-0010-16800-0010 Card: 001 Page 2 of2 2006 04 I 6964 /1698 II WD II $0 I 1993 07 I 3196 /1 505 II WD II $0 I Search Aoain Show Map Generalized Buildino Schematic Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes http://appraiser.pascogov.comlsearchloffline.asp?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&bl... 3/15/2007 fi..__.._______.. '_fi' ... .......~_~fi___________._._.._...._. City of Zephyrbills BUILDING PLAN REVIEW COMlvIENDS ContractorlHomeowner: Ca..:>Vl C ~+ 3/ls/D7 , Date Received: Site: B~53 (:) Bt-n.Au , Permit Type: ~a0~-\I~ Approved wino comm.ents:~- Approved withe below comments: 0 Denied withe below comments: D This comment sheet sball be kept with the permit and/or plans. ~l( ~ f' .... B. Burgess - B~ding Official . . o;tf?-!r-7 . Date Contractor and/or Homeowner (Required when comments are Present) . Fee 'Sheet Comm V' - Res 6JyuL (9-ti')I~L~"::>N 8 - 4" ~ A' I '3 > ~v ) [ v, 5tt\ rClS A-I'l JJ ~1f RyOlll;;'~ Square Feet AI (,'-{ 0 Dollar Amount -.J ,"5 . ;;oJ Radon .Lifo. ,*u -----""- .--- --.---- / (Use System for calculation of fees) ~-- Valuation 5~'~~o , Connection Fees Water Jlt~~/.O ? (~C'AA '3cb- ~~ -\ ...1.1) l?N~'~ oN t1'fr..)~-;, Sewer 11~2 ?t.e1 . W. Meter (All Residentials - % ") % (180.00) _ 1 (250.00) _ 1.5 (650.00) _ 2 (875.00)_ 3 & 4 (Contact Louie) _ Irr. Meter Irr. Conn Impact Fees School rJ\A Transportation ~ J 11 cJl.-tt U 1'') l fLlC.T 11 tt.b:. 41b'-t i 17::>, (.~ '=- 8\L.,~<' -:= , G,t.t<a t ? <f I 'N\~ Public Safety Park ?d..-I ~ 4io't )C I b~ < -"" =- 17Co. "7 z.. 1 15~ <U ~'1- . C. ~ .508 . '7 '7. ~ C.. ~:>- ::::- Ita ~ ,7'1' City of Zephyrhllls Water and Sewer Impact Fe. Calculation Land Use Type: Office No. of Square Feet Water Distribution System /W~~tA\A/'Jtor Colloetion G~stem / Wastewater Treatment Plant Capacity L TOTAL '-- G.LL\~1l ~({ 7"t-)\~~W\ I rl Impact Fees Within City Limits $ 1,166.50 $ 2,898.14, $ 1,623.07 $ 5,687.71 }/l(\-q2 Outside City Limits $ 1,458.82 $ 3,621.98 $ 2,026.75 $ 7,107.55 Zephyrhills Fire Rescue 6907 Dairy Road, ZephyrhilIs, FL 33542 Fire Marshal Kerry Barnett Bus (813) 780-0041 Fax (813) 780-0044 March 26, 2007 Plan Review Comments I have reviewed the plans for the "Shirts and Caps Addition" located at 38530 5th Ave and my comments have been placed below. Please contact me if there are any questions with regards to my comments. 1. Building shall comply with the applicable codes of the Florida Fire Prevention Code 2003 edition. 2. Page A-I: All secondary exits shall have panic hardware. This would include the rear door and break room door. 3. Page A-I: Opening into existing building shall have fire rated doors to match the integrity of the rated wall. Doors shall also have magnetic releases tied to the fire alarm. 4. Page E-l: Exit lighting shall have battery backup. Emergency lighting and exit lighting shall be on a separate breaker. 5. Page E-3: If doors are being installed going from the future office area into the show room, install a combo exit emergency light above the door. 6. Page E-3: Install additional emergency light in future office area across the room from other emergency light. (if a combo is not installed above door) 7. Page E-3: Install emergency lighting in restrooms. 8. Page E-4: Fire extinguisher not needed where the doors are located to enter into existing building. 9. Page M-3: Furnish duct detectors due to fire alarm system being installed in new addition. 10. Submit plans on fire alarm system for approval and permit. Inspections required: 1. A building final shall be conducted. Separate comments will be made on the fire alarm plan once those are submitted. Fees assessed at this time are for plan review only. Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 Occupancy No.: Plan No.: 07- () 7'2- Business Name: S~~!5' I:-~ BusinessAddress: S-Sd-S Business Phone No.: Business Fax No.: Contact: FIRE SERVICE USER FEES (4 (}; /n;~ Owner: V,r ~IJS ~ Billing Address: ~.z. ON. . A.c. ?U~/ey d.i? I FI 33~4I-< Billing Phone No.: o-r~ - lc. ~ -~b/ Billing Fa~. Contact: i\) LAi?-P PERMIT FEE PLAN REVIEW FEES E Site Plan N/C ~~ Building Plans .04 sf Revision .06 sf STANDPIPE SYSTEM [I Per Riser $25 SPRINKLER SYSTEMS Do - 25 Heads $30 26 plus Heads $60 FIRE PUMP o Per Pump $100 FIRE ALARM SYSTEM n 0 - 25 Devices $30 o 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION o Hood/Ducts $35 PLANSTOTAL~J6?~~ Comments: INSPECTION FEES R Annual N/C 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM o System Acceptance $50 o Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 INSPECTION TOTA~ GRAND TOTAL SPRINKLER SYSTEMS o Automatic $15 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" 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 n Hood/Ducts $15 o Kitchen Suppression $15 FALSE ALARM I PERMIT TOTAL! TOTAL. I //B~ ~ Date: Inspector: -Pi ~'7~et ff "7 ay or. DA TE:-;).... ')c. 7 estong IN-PLACE DENSITY TEST ,), i I -, '" ~ (CONTINUED) PROJECT:g}l,rk reapS R~./dl~ ~ CLIENT: ('tk'r e(l)r" -h-a(' (-, \~) J -:4(', TEST NO, q I ~ >J 5'< ~ ~y 1.-, T (< ~ i< C Z '7 ;l (/ uJ TECHNICIAN: C, h,,!d/- 1 ,. 1'5" y, LOCATION OF TEST , o~ 10' U }r>J:. ~I= I? IA r I'.3r- , ~'f-L '<;( 'It 1......L trEifR~ eN .)(' J~x.~() I UJotz.1 JJ:' 1<J,..L.(;.r f S' !)><-- ?\ I j l)nf (,)/-- fztL far- 2.D I A} i..3~IL- 0/\(,0 K tJ;'(n- 1~;$~2Q'jL=' ...-..j J. II. \ f?l~(dt"'" l D IS' '" In; I:: "'/) AlL.)' R/~I,.lOr" c:; itJ i-..JD 71-- A~i ~ /1 J ((U:({g,,- -:-J PROJECT NO,: LABORATORY FIELD , I LU W is > f- ::2:>- ::2:0:: >- 0:: ;:: Wo::[b :Jf- :J:J t: :J ~ <.J uJ..,ei 0 ~ (jj ~ ~ to f- (f) - 0 I- (f) - if _L ~LUZ~ ti:6::o WZ~ -1~ >-zu.. =i:::< [frT.DIN ::2:0e:. o~e::. S~CL ii:~~ ~~~ 558 TnP IJfYi) 10:1\ IM.d ),S- 12J~7 P flL. [) :.2. l.) 1.1:{l'J P IX,,' ~. ~ 11.1.' j) , , JS.() .-r.C? ii i'-D IrJ /2.(,.)" 4-:0 IlLL P , It. <; ..L." / 23,,1 D 1%.0 4:' lltf.4 0 L- _L-- 11'f.U 3.~J IliJ,'~P . (T es+. L occd-; /)" 0 V"'\ 5' /' , D N\ ,-./-;{' i? in fl j .. ') v I' . \[) . ~ I I 1\1 . @J . CD PASS FAIL root un' /oor qr (Ocr ltor 99 1100T ~ ". /..J... . . . . C9 <:!ff @ (?;J c; .. ~,) ~ k(