HomeMy WebLinkAbout08-7531
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
COMM EXHAUST HOOD/DUCT PERMIT
7531
Permit Number: 7531
Permit Type: FIRE COMM EXH HOODIDUCT
Class of Work: FIRE-COM EXH KITCHEN HOODI
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 5,950.00
Date Issued: 2/26/2008
Total Fees: 255.00
Amount Paid: 255.00
Date Paid: 2/26/2008 Phone:
Work Desc: INSTALLATION OF COMMERICAL HEAT REMOVAL HOOD FOR OVEN
Address: 6701 I Y RD
ZEPHYRHILLS, FL.
UCVownship: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-03900-0060
Name: ALLEGIANCE SENIOR CARE
Address: 6701 DAIRY RD
ZEPHYRHILLS, FL. 33542
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Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"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
RECORDIN YOUR NO ICE OF COMMENCEMENT."
....
NTRACTOR SIGNATURE P IT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Page 1 of1
Jacqueline Bages
From: Kerry Barnett
Sent: Tuesday, August 19, 2008 10:52 AM
To: Jacqueline Boges
Subject: RE: permit inspections
Completed on 4/3/08
Kerry Barnett
Fire Marshal, Zephyrhills Fire Rescue
813-780-0041
kbarnett@fire.zephyrhills.f1.us
From: Jacqueline Boges
Sent: Tuesday, August 19, 20089:32 AM
To: Kerry Barnett
Subject: permit inspections
Was the Westbrooke manor finaled located @ 6701 Dairy rd for a installation of commercial heat removal hood
for the oven done by TL Sheet metal ? If so what date can I show closed?
Jackie
8/19/2008
PATTIE ELECTRIC
STATE CERTIFIED ELECTRICAL/HVAC MECHANICAL CONTRACTOR
39111 PATTIE ROAD
ZEPHYR HILLS, FLORIDA 33540
813-782-3319 FAX-813-788-4901
DA TE-:_ Co: ':f/ -4 1J d..-"I !o ~ ·
TO: Z-41/l yf;p'~~j/~
FRO~~~ ..e'k-....TK/G
SUBJ: AI ~ t!.,/ '" A ~-r./ ~
h.J., SlSGV7 tr"~ ~. "
ENCLOSED:
FOR YOUR USE
AS REQUESTED
FOR YOUR SIGNATURE
r~
~
113 39'ii'd
::mJI03...,3 3Iil'itd
1136P88LE18 99:01 80130/EB/EB
BAY AREA ELECTRIC & REFRIGERATION
A Division of Anchor Tampa, Inc.
www.Anchortampa.com
3907 West Osborne Avenue / Tampa, FL 33614/813-879-8685/ FAX 813-874-9589
LETTER OF AUTHORIZATION
To Whom It May Concern:
Please accept this letter as my authorization for Thomas L. Williams to act as an agent on my behalf. Your
assistance in this matter is greatly appreciated.
Should you have any questions or require additional information, do not hesitate to contact me at 813-879-8685.
Respectfully Submitted,
~~\
c '----:>
J . More'
C0000990
Agent:
~t tUL-
Thomas L. Williams
Drivers License # W452-832-49-401-0
STATE OF FLORIDA / COUNTY OF HILLSBOROUGH
Notary Public:
The foregoing instrument was acknowledged before me this 25th day of February 2008, by Thomas L. Williams
and John E. More' who are personally known to me and who .
/} /; l~'ii'.~'~~ PAULA PINO
g/ (/ . ~.tl!i.~ :.~ MY COMMISSION # DO 427690 I
~' ~.^.w EXPIRES: May 9. 2009 , !
",' , ' ~.~ n';.c~' Booded Thru NctaIy Public Underw"ter!'" "
" :;JiL' m.l~ ......." ~...
Notary PublIC My Commission Expires
City of Zephyrhills Permit Application Fax-813-780-0021
Building Department '( ! l -tt f6 \'"3 ~ l20 ,.. ~ () 0 3> ~ l' ~ I
Phone Contact for Permitting ~ l ~ 71 - .3 2 80
Owner Phone Number I ~ - 7 r z..t;; "/7
2"t<I"''''f~~on. Numb.. I /-7~? >05//72-
] Owner Phone Number I
813-780-0020
l'ILf-oB
Owner's Name ~ ole /14 /tlVo/L
Owner's Address I h 1 0 I 7)/fl ~ !h"1V
Fee Simple Titleholder Namel
Date Received
JOB ADDRESS
Fee Simple Titleholder Address I
6 7 () /l/1/71j ((~ Zdfly~ ~ ' 3~S-f'2..-
I PARCEL 10#1
D NEW CONSTR [==:J ADD/AL T D
D INSTALL CJ REPAIR
PROPOSED USE D SFR D COMM D OTHER
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D
DESCRIPTION OF WORK 12,uS~a.v ~ {lJ/J1;11t<1U1AC, ~ ~.fCr ~tlP 1D? ~
I SQ FOOTAGE I I HEIGHT I ' I
LOT #
SUBDIVISION
(OST AINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
OTHER I
BUILDING SIZE I
. '. I . . I I I , I . II I . . . I I , I P I I . . . I I I I . , pi' , , I I I . . . . I . I I . . I I . I . I I . . . I I I . . I I I . . I I .', I . . . I I I , . I I I . . I I I I . . . . . I ,.. , . . I I I I I I I I I . . . . . . I I I . . . . . I I I I I I . . I . I I . . . I . I I
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ Sa ~tkA I/' AMP SERVICE D PROGRESS ENERGY D
D PLUMBING ::~ ~9sz,~ : / VALUATION 0; ~ECHANICAL INSTAllATION Q
D
MECHANICAL
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES
BUILDER
SIGNATURE
Ad ress
JI€~ti S,
/~LECTRICIA
~
, Address
Address I
MECHANICAL
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
I
o
V1f.-..z~
1{263 )/, ~~-;~r:;" 336/Y' I
I
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMPANY
REGISTERED
License # I
11ty%o/=:~ 'Y/N I
License # I t!!,tJ,oS-"yz-
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
License #
I1111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction,
Minimum l~~ (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary'j::aGilitiesi& 1 dUmpstl;lL Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT AttaGh (2<)':~ets at Engineered Plans. '
....PROPERTY'SURVEY required for all NEW construction,
111I111111111111I1111I1111II111II111111I11111I11111111I111111111111I111111111111II111I11111111I1111111I1I11111111II11111111111I11I1I111111I111I11I
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale 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 (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more r~stri~tive than County regulations. The undersigned assumes responsibility for complial'Jce 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 Iicens~din:;aocordance 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 indioatiOfl that he is hot 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, Florid~\$tatutes, as' amended): If valuatioq.of w~rk 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, We~nd 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 OWNJ:R, I promise in good faith to inform the owner ~f~~~ permittin~ ,conditions s~t forth in
this affidavit prior to commencing construction. I understand that a separate permlfmay, be ,reqUIred for electncal work,
plurnl}i~!: stgrtS, Vl(ells. pools, air conditio.ning, gas, or other ~nstallations ,.~ot specifically in~luded. in the application. A
permit iSsiJecrshall be construed to be a license to probe~dlwlth the work a~d not ~ authorr~y !oJ \(lol~t~, 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, 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 Officia~ for a period not t~ exceed nln~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive 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 COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) ,t,~ ~~jt/..:pva.
OWNER OR AGENT CONTRACTOR;2 ~
Subscribed an~~wom to (or affirmed) before me this St.sl~O' p;'d ~im to 0 :Ad) b~fUt~~~
Who is/are personally known to me or haslhave produced Who isJare personally k own to me or has/have produced
as identification. (.,.../ c.eA.~ as identification.
Commission No.
Comm
Notary Public
Notary Public
Name of Notary typed. printed or stamped
111111111111111111111111111111111111111111111111111111111111
2008028694
. NOTICE OF COMMENCEMENT
Rcpt:11630e8 Rec: 18.e0
DS: 0. 00 IT: 0. 00
02/2e/08 Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
02/25/08 01: 03J:' 1 4'81..
OR BK 776~ PG ~
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
Permit No.
Tax Folio No, cJ Z U 2/ &0/0
tJ~9oo ~Ob 0
I.Description of property (legal descrip.tiow!... ", hJ. ~-=~ .
a) Street (iob) Address: b701 PR,-eY.l5J21tD ~-llras .~. ~"3S-f"~
2.General description of improvements: ~5-1'/ff~?~,J, &P ~ ;eG'h'7f:)I/A-( 1fv1'9v?
#(/tf"lL, 7lJP Op '3,+~ <'fJvf!""V /tIU IOrehif;;~
3.0wner Information I JJ. --, . t7f1! ZJ/fi ~
a) Name and address: vr/5rBatlOlC /t1Vo/2, ~ 'MIF ,7
b) Name and address of fee si~_ t!~holder (if~eI tl,all uwner) LL -z, 'r r ~ ,'~" ~Z
c) Interest in property ~,,~ ~,-. f.'6'll,(e?n ~ rpt'. t:r'
4.C~tor Information, -r.:-:- I,,. '12.t';3 /II. LJtVBE"JI.A";;Y
Name and address: '-r:z;5/h?1:!r~~e.-. .- '16J#tllfll.ttI~S~PA- .; '1i".. 331.Itt
,,) Telephone No.: ?i'I~- ~7/--'3'7?O Fax No. (Opt.) <;?/3-'i1'1I-~"79'o .- y/j -907~,t;>"
5.Surety Information ,//_ ~. J/
a) Name and address: 571tt&WIP6"P"Mr/IHt-- /'30/ff/HllZ)Ub'L 71N? ~/ M" so3>-~
b) Amount of Bond: ~,a::v ~
c) Telephone No.: 515- 9>1-7.~7 j{I(4,t/I:1F~, Fax No. (Opt.) ?/'5 '-1?Z7~3'"
6.Lender
a) Name and address: N~ /I/~
- Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address: ~ Lu'UlIfYa't~ tt~3- AJ.' ~if? ~'I"f- ~ 3?b (Y
b) Telephone No.: <?13-li7l-]'1rD 0l~'-2Z~CQ3 FaxNo.(Opt.) fl/~-'il7/-37~
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes: , II
a) Name and address: U/a(~ t/~ ~1(J1 ~#f/btD ""Zef~;:m.. '3?9IZ
b) Telephone No.: /-1z:1- 52',r:, -//"?'L Fax No. (Opt.) 9/1: ~ mCO;!t
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified): :1/;;.1" 09
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE T.
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH 10
Signature of Owner or 0 s uthorized fficer/DirectorlPartnerlManager
'() ,VV I</..€#JOUJS~( . S;;; 'D
PrintNa~ ~c)C..~~.ft-. 1J~Ye-~) -
The foregoing instrument was acknowledged before me this ;;Z.>'"~y of ~ ,2009, by -;j.XJUt:,-
K '-C"'t>f,VS /( ( as flJlI"VAf:ndI- /()CPIVUL (type of authority, e.g. officer, trustee,
. Ao (,t"'" Tb T '17:11: ..I..
attorney ID fact) for DIe ",1tfJ0Il- ,,'11\'.. "" ome&UUllJ...:tmt,..,.on beh
: . '. : =si~n #00300363
Personally Known _ OR Produced Identificatio~ · .::: Dianr. ~;?!2
.,.".. ~.. pU~lI. ,
Type ofIdentification Produced ",~,~,'f;,,"'~. Inc.
Verification pursuant to Section 92.525, Florida Statutes. n er penalties
the facts stated in it are true to the best of my knowledge and belief.
FORMSINOC,rvsd2007
DATE: 02/25/08 PASCO COUNTY PROPERTY APPRAISER
o N - L I N E PAR C E L P R I N T 0 U T
PARCEL-ID: '02 26 21 0010 03900 0060 TYPE: STATUS: A DLA: 010408
SC TP RG SUB BLOCK LOT TRACK: 032800
PARENT: DATE-SPLIT: OOOOOO/CAR CLASS: 74
NOTES: SPLIT OFF 84 SUB NO 22 98 SP INCL PROP IN LETTER CD-
SEMINOLE CO OWNER CHG-
NAME: FLORIDA SENIORS PROPERTIES 829 EASTWOOD DR
/ADDR INC
FSl19 CODE: GOLDEN CO 804019181
PREV OWNER: HEALTH CARE PROPERTY INVESTORS INC
STREET ADDRESS: 6701 DAIRY RD ZEPHYRHILLS F
12:57:51
VALUE &
LAND AG:
-MRKT:
BLDG:
XFOB:
TAX INFO:
204735
2607922
49962
E X E M P T ION I N F 0:
NUM CD H W D V T PCT HX-OVRD
** NO EXEMPTION(S) ON FILE **
SOH HX APP
YEAR DATE S YR
DVD%
APPR:
SOH:
EXMT:
2862619
OR BK 7769 PG 483
2 of 2
--------------------
--------------------
TXBL: 2862619
ACRES: 3.36
AREA: 30ZH
CHG:
DENIAL TYPE:
HX VAL:
MKT CHG HX:
MC LAND HX:
PHYS HX:
o
o
o
o
NON-HX:
NON-HX:
NON-HX:
NON-HX:
2862619
76779-
o
o
AUTOMATIC RECEIPT DATE:
PRIOR YR VALUE:
PRIOR YEAR MKT:
MKT DIFFERENCE:
PRIOR HX VALUE:
PRIOR HX PCT:
PRIOR NON HX:
2939398
2939398
o
o
2939398
S ALE S:
YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI
1991 06 2017 0382 CT I
1992 11 3090 0667 WD 2 MS I I
1997 05 3756 0595 QC 1 DC I X
1998" 06 3961 1530 WD 2 MS I I
2007 11 7706 0055 WD 2 MS I I
L E GAL DES C R I P T I 0 N:
ASSESSED IN SECTION 02, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
ZEPHYRHILLS COLONY COMPANY
42 DESC AS COM SE COR TR 42 TH
NOODEG 04'35"E 60.00 FT FOR
FT TH NOODEG 04'24"W 180.00 FT
TH NOODEG 04'24"W 422.05 FT
16"E ALG NORTH LINE TRACT 39
DAIRY RD TH SOODEG 04'35"W
TO POB
LANDS PB 1 PG 55 POR TRS 39 &
S89DEG 55'47"W 15.00 FT TH
POB TH S89DEG 55147"W 102.45
TH S89DEG 55'47"W 200.00 FT
(CALC 422.39 FT) TH N89DEG 57'
304.13 FT TO WLY R/W LINE
ALG SAID R/W LINE 602.26 FT
OR 7706 PG 55
STATE OF FLORIDA
COUNTY OF PASCO ,.' ,.'....o' '.
. THIS IS TO CERTIFY T~J'fE FOflEGOING IS A.
TRUE AND CORRECT COpy OrTIif DOCUMENT ON RLE . /
OR OF PUBLIC RECORD IN (a1~OFFI~ESS MY ':
HAND A OFFICIAL SE~ 'PHIS ,DAY OF .
. '..., F)/ .
....(.~
E K ()f~RelUi COURT . .' ,
. DtPU'rYCLERK'
L,.-
Fire Chief Keith Williams
,ZEPHYRHIL:LS FIRE DEPARTMENT '~PHY:~7 :".,
'6907 Dairy Road, Zephyrnills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
,FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: OJ. ~ ~
Business Name: ~ €; .. :~ -~
BUSiness Address: \.,(,
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
B Site Plan NlC
Multi-FamilylCommercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBl
SPRINKLER SYSTEMS
8 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
B 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
BE: ;:
B other $50
~ KITCHEN EXHAUST @
HoodIDucts $50
OTHER ,
8 LP Installation per tank $50
Fuel Tank Installation $50
(Per Tank) $50
o Natural Gas InslaJIation $50
(Per System)
o Spray Booth
$100
Comments:
INSPECTION FEES
NlC
NlC
$100
$250
$500
Annual
1st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th R~lnspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75
ARE ALARM SYSTEM
8 System Acceptance $50
Recall Acceptance $50
OTHER
~ Fire Wall/SmoIce Wall
LP Gas
Natural Gas
GRAND TOTAL
per system
per system
$15
$25
$25
per ....11
per tonk
per system
Contractor: ., f L ske+ ;t~+~
Billing Address: 3>
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE FALSE ALARM FEE
Sprinkler $50 1 st Alarm NlC
Standpipes $50 2nd Alarm N/C
Fire Pump $50 3rt! Alarm NlC
Hoods $50 4th Alarm $100
Fire Alarm $50 5th AIann $150
LP Gas $50 6th Alarm $200
Natural Gas $50 NON COMPUANCE $150
F~ Tanks- perlank $50
Spa~ $100
Fire Works $500
Camp Fire $25
Controlled Bum $100
oodIDuct @.
Place of Assembly $50 Annual
Fire Protection $25
Flammable Application $50 Annual
Waste Tire Storage $50 Annual
Generator < KW $100
Generator >30 KW 150
BiD-Hazard Waste $100 Annual
Fumigation Tenting $50
Torch Pot/Applied $50
Haz.. Materials $100 Annual
B
r1\ - FALSE ALARM
.....MfTTOTAL~ TOTALr
o ~t) - f
~ Tent 1 O'x1lT or greater
Fire Pump
Fire SUppression
~ystemAcceplance
. ust Hood/Duct
Re-inspection
(other than annual)
$50 0 Inspection scheduled DBl
and cancelJed less than
24 hours
8 Construction Insp. N/C
Emergency Vehicle Ao $50 _
PLANSTOTAL[5Q} INSPECTION TOTAL~
$15
$45
$30
per1ent
Date:
Ins~ctor.
.E>
DBl
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
February 20, 2008
Plan Review Comments
I have reviewed and approved the plans for a commercial hood located at 6701 Dairy Rd.
under the following conditions. My comments have been placed below. Please contact
me if you have any questions with regards to my comments.
1. Hood and duct shall comply with all current standards ofNFP A 96.
2. Rooftop fan shall be hinged and have a grease cup.
3. Hood duct shall be wrapped with fire rated insulating blanket
4. From the hood down to the floor and width of hood exposure protection shall be
provided on wall. Stainless steel or tile will be acceptable.
5. Exhaust fan shall remain on if building fire alarm activates with supply shutting
down.
Inspections required:
1. Light test on hood and duct. Duct shall be tested before being installed; hood shall
be tested prior to being installed. After hood and duct has been installed a light
test shall be conducted at the connection seam.
2. Test and balance required on hood (3rd party) with copy supplied to Fire Marshal
at final test.
3. Hood final will be conducted during acceptance test on suppression system.
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2008-02-14 16:52 PATTIE ELECTRIC 8137884904 >> -813 lED 0021
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813780 0021
Page 1
.-.-------------------
-m-~,,.r ---p-'--
Recei t# 200a01.431.2
Control No.
00701.3
-
.
For Period Commencing
JULY 1.ST, 2007
2008
September 30,
$1.83.63 08/03/2007
Total: Dated ication No.
This Business Tax Receipt does not permit the holder to operate in violation 01 any City Law or Ordinance including, but nollimited to, Zoning and other land
use re9UlaIions. \I in doubt, the holder should verily that he or she has the appropriate zoning by caRing the Office 01 Land Development Coordination at
274-8405. This BusineSS Tax R!lC8ipt must be conspicuously posted in place of business.
Classification Description Amount
38076
993000
SHEET METAL (CERT & REG)
ADMIN HANDLING FEE
1.73.63
1.0.00
Ci ty of Tw.pa
Pylat 1587342 T
9/8.12007 6: 29:
Tran Total $1 63 T.aJtio.OO
$0.00 thee
Credi t Card $0.
BLS BUSINESS LI
COHTRQ..I 00701
By: MCF
Business Name and Address
THOMAS L WILLIAMS
PO BOX 8838
TAMPA FL 33674-0000
Business Name and Location
T L SHEET METAL INC
CSC 056682
4203 N LAUBER WAY #8
TAMPA FL 3361.4-7761.
.;.
AC#2l05497
. - - - - - -
STATE"Of=FL08IQA
.--- -.
DEPARTMENT OF Bl1eDfBSSABJ)PROIrESSrONAL REGULATION
CONSTRUCTIO!{"INDUSTRYLICBNSING BOARD SEQ#L06080901.80~
. - LICBHSBNBR
08 09 2006 068023132 CSC056682
The SHEET METAL CONTRJlCTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2008
W!LLIAMS, THOMAS LUKE JR
T L SHEET METAL INC
4203 N LAUBER WAY
TAMPA FL33614
JEB BUSH
GOVERNOR
nl~PI AY A~ RFOIJlRFn BY I AW
SIMONE MARSTILLER
SECRETARY
2/13/2008 4:11 PM FROM: Fax A Kilbride Insurance TO: 7800021 PAGE: 002 OF 002
ACORDru CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODlVY)
2/13/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
A. KILBRIDE INSURANCE, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1401 w. BUSCH BOULEVARD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
TAMPA, FL 33612 INSURERS AFFORDING COVERAGE
(B13)931-7467 PHONE/(B13)932-7336 FAX
INSURED INSURER A First National Insurance Company of America
T.L. Sheet Metal., Inc. INSURER 8: Mercurv Insurance Comcanu
P.O. Box 8838 INSURER C First Commercial Insurance ComDanv
Tampa, FL 33674 INSURER D
I INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
IW'( 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,
INSR TYPE OF INSURANCE POLICY NUMBER ~~~)'M~'b~~E Pgk{iY(~~~?N LIMITS
LTR
GENERAL LIABILIlY EACH OCCURRENCE $ 1 000 000
-
.x ~~MERCII'J.. GENERI'J.. LIABILITY FIRE DI'MAGE (Anyone fire) $ 200 000
- _I CLAIMS MADE Ci::1 OCCUR MED EXP (Anyone person) $ 10 000
A 01CG2786656 12/l.2/07 12/12/08 PERSONAL & />DV INJURY $ 1 000 000
GENERAL AGGREGATE $ 1 000.000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1 000 000
~I' II PRO- II
X POLICY JECT LOC
~OMOBILE LIABILIlY COM81NED SINGLE LIMIT $
ANY AUTO lEa aCCident)
>--
e-- I'J..L OWNED AUTOS 80DIL Y INJURY
$ 25,000
Jt SCHEDULED AUTOS (Per person)
B Jt HIRED AUTOS FLC70081085 10/5/07 4/5/08 80DIL Y INJURY
(Per aCCident) $ 50,000
Jt NON-OWNED AUTOS
>-- PROPERTY DAMAGE $ 25,000
(Per aCCident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
F=I ANY AUTO OTHER THAN EA ACC $
AUTO ONL Y AGG $
EXCESS LIABILIlY EACH OCCURRENCE $
f---
>--1 OCCUR CI CLAIMS MADE AGGREGATE $
$
F=I DEDUCTI8LE $
RETENTION $ $
WORKERS COMPENSATION AND X hZ~/~~I~S I IUE8-
EMPLOYERS' LIABILIlY WC195403 09/26/07 09/26/08
E L. EACH ACCIDENT $ 100 000
C EL DISEASE - EA EMPLOYEE $ 100 000
EL DISEASE - POLICY LIMIT $ 500 000
OTHER
DESCRIPTION OF OPERATIONSIlOCATlONSIVEHICLES/EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Zephyrhil.l.s Bl.dq Dept DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODO SO SHALL
Zephyhil.l.s, FL 33542 IMPOSE NO OBLIGATION OR LIABILIlY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES, .-
IF:::>y. R1 ~-7Rn_nn?' AUTHORIZED REPRESENTATIVE '--~ ~
ACORD 25-S (7/97)
El ACORD CORPORATION 1988
ACl2705497'
. STATEOFFL,ORIDA
DBPAll'1'llBRT OJ' BUS1RBSS AND
. PROi'BSS~ODL ~orXOH
CSCOS6682
08/09/06 068023132
CERTXJ'XBD SHEET HB'E'AL CONTRACTOR
W:tLLI~ . THOMAS LmtE JR
T L sBJdT IIBTAL DlC
IS CBllTU'IBD -a- tbe pzOritIiciD8 of Ch.489 ,S.
BXPirat.~- daU' AUG31. 2008 LQ608090180S
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
II $~ "-t~u
2-1 ~-()'6
fa 1 D) JJ6r, rlj eeJ
TfiS~a.U(Li, un iJ +k+-
(( ~O\/a..e
Approved withe below comments: 0 Denied withe below comments: 0
Date Received:
Site:
Permit Type:
Approved wino comments1
t with the permit and/or plans.
Kal .
)-(J-:aJ
Date
Contractor and/or Homeowner
(Required when comments are present)
FROM :T L SHEET METAL, INC. FAX NO. :813 907-5665
02/26/2008 ':tUE 16: Zl ?AX S:'l$!49S99 ANC:IOR. l'AKll~,t~C
'T ..,.' .'.. .... ............-.,...-,.,... ,....~.. , .. ,...- -,' .. ".' .,.'... .no ......-.......,.-- ......' '.. ....
'~ B.PiJ)t# 2008013305 IOontrolNo. 0056,82
F()( Perbci' Commencin.s. ' JULY lST I 2007 i and Cll1dlng S~mbe' 30
. ,
-'.
TOt$I: $299.4CI0aNd OS/Ol/aOO7 I ADO!ICaIlOFl~. I
'j'~\$ BlIelllOSG;1>:- P'.Kllilll doe, "01 permit 1h~ t:olc!eMc 9JlllIBIwi1I"'.o'elI~ ot eny ~ i.4w or O~oJe i:lClUliiAg. bvtl'Gl.'~I~, Zen""" sriC ot!lIlr tan!! , I
uM- ~i~' I' i~ ~cubt :nil ~okJ$: snollld v.tIfy that lie orelle 11M 1tt, spJIrop:1lle MlIg "'t. <:l!3irl: fla Ctb rI'l.Iild OtIIrlopmr4 COOICInaIIcn at '
'2;401405. This Bums" Tax Race/cll rru=\ be =",piCllMY poeleJ j" place of buair.eee. '
Classiflcatlcn o.crl)fcn AmOUl"lt.
38061 EliECTRIC.:u. COll.'IJ:'R. ( CERT & REG) 28S.~(
.993000 AI*'.:rN ijANDL:Um FEE lO.ac
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, r Business Name and ACfCl~
. i BAY ARE1>_ BL.3:CTR:IC & llEFRIG
; f 3907 WOSBO!UG AW
I TAMPA FL 33614-7715
,I
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CITY OFTAMJ;
,TAX~
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Business Name andLoetm~:~ - .' ' ,
JOHN E MOAB
Be 0000990 -
3~07 W o.SBORll:"E AVE
TAMPA Fl.335i4...,7nS
, '
2007~2008 HILI.SaOROUGH COUNTY BUSINESS TAX RECEIPT
l~oe.OCI.""_ 0 l ~ 0 I _15 0 L....
ace. CODE BUSINESS TYPE
000.008 CONTAACTOR-MASTER ELECTRICIAN
11
EXPIRES 9-30-2008 FOLI\JI'(O.
ReNEWAL I 19306.0000
H, WASTE . r.G
IURCHARGE
3S.00
2007 -2Qno,wosooRNEAVE
, WCA~ ~PA 33614
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MORE JOHN ElDBA BAY AR.EA ELECTR!C & REFRIG
3901 W OSBORNe Ave
TAMPA FL 33814-0000
BUSINESS TAX RECEIPT
DOUG SELDEN, TAX COLLECTOR
a~~
Tt<!lS IlIllCCUES A TAX ~~ "'ALIDA.~.
PAID - 6376 - 85
08/1012007 -- 36.00
'__I'I\DA 1'IlNLme'1'AlC!01i\tCl,lGE
114 'u.....,.~...OIlIlC~1'ATI:lOi~.l)II!Hl!ON.
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f~/Y-#:: 70'/.