HomeMy WebLinkAbout08-8106
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
COMM EXHAUST HOOD/DUCT PERMIT
8106
Permit Number: 8106
Permit Type: FIRE COMM EXH HOOD/DUCT
Class of Work: FIRE-COM EXH KITCHEN HOOD/
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2,800.00
7/30/2008
130.00
130.00
7/30/2008
INSTALLATION EXHAUST HOOD
Address: 6548 GALL BLVD
ZEPHYRHILLS, FL.
UC1Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-05600-0010
PI HUT
6548 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
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FIRE HOOD SYS ACCEPTANCE
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 AlTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
= ~ ~
~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
813-780-0020
Owner's Address
City of Zephyrhills Fire
Permit Application
Fee Simple Titleholder Name
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i'~:l~~"I~l~;;'~l~:I~1%gWll'_&m'i""h ihi"""",*",14i'"'''''''''' i1",,,"i_l!mg_w_t&"i.1?'4J'j""_Jii____..~~~~:,,~~~J"'i"'''''''''''iii
Owner's Name I 1) /?- 7-.1}. H V7 I Owne~s Phone Number
I b)"i8 Mu.. BlVD,
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Fee Simple Titleholder Address
Job Address
Sub Division
Q,{}l(., B l. ~ ~
Fax-813-780-0021
""""""lJ""i11>li""iM,i'hiA""lliMi""'"hii"'Wh,i"", I
II II
I Titleholder Phone Number I
II
II
I Lot#
Parcel #
~
D
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Contractor
Signature
Address I
ELECTRICIANI
Signature
Address I
PLUMBER
D
D
D
D
D
D
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
~~~~
Sprinkler 0 0 0 0 L-I
Fire Alarm 0 0 0 0 c=I
Hood Cleaning 0 0 0 0 c=I
Hood Suppression 0 0 0 0 c=I
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Other:
Directions:
o
o
~
o
o
D
D
D
D
o
o
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Recreational Bum
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofingrrar Kettle
Waste Tire Storage ANNUAL
I~~
Valuation of Project
Company
Registered
License #
Y/N
Y/N
Fee Current
Company
Registered
License #
Y/N
Y/N
Fee Current
Company
Registered
License #
Y/N
Y/N
Fee Current
Company
Registered
License #
Y/N
Y/N
Fee Current
Company
Registered
License #
ICJ7I2VS C'o~~"7'" SlitS..?
Y I N I Fee Current I
ese-oo r
"""k7j'- ',;G.
Y/N_
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
NOTICE OF:DEEDRESTRICTIONS: The undersigned understands that this permit maybesubjectto'''dee.d'':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 .
CONSTRUCTION LIEN LAW (Chapter713, 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'SAFFIDAVIT: 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.
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 installations not specifically included in the application. 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 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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) ~~
OWNER OR AGENT CONTRACTOR 7~_
Subscribed and sworn to (or affirmed) before me this Subscribed a~ to ~ re me this
by by ~p t..U4lJrOv"/P
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Power of Attorney
Stephen C. Brown, the principal of Citrus County Sheet Metal, herewith appoint Brad
Cleaveland, employee of Citrus County Sheet Metal, as his attorney in fact, to act in the
place and stead and with the same authority as Principal would have to do the following
acts:
To act for me in the regard to the following:
Making application for or retrieving permits and for licensing registration:
This power of attorney shall be in effect from June 25, 2003 until June 26, 2010.
0, ,. ." f-
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Stephen C. Brown, as Principal
STATE of Florida
COUNTY of Citrus
Th~ or~going instrument w~ ~knqwledged ~reme this
i"'U , 2008 by "'::xfCiJN n {', ., 7Jl"1
o is rsonally known to me or who produced
As identification and did/did not take an oath.
3{)H1
day of
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Notary Public
~ltr MCJ1l4j &~
Printed name
,,"<i\~;:'~~'(0 AMYllfOMAS BROWN
.. . MY COMMISSION #OD669100
.. · EXPIRES: Jun& 25, 2011
"'~ ~~ ...fi''' Bonded Thru Sullie! Notary Services
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CITItV' cOUJrft _11"1' urAL :IIIC', ,.'
5314 SOU'rJI roo.x. Ava
XNVaRRBSS PoL 34450
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OI8PLAV'M REQUIRED BY LAW
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- ACI 3257853 STATE OF FLORIDA
D"AIl~ 0.. B1J8D1BSS AIID PROPBSS:IOIIAL IUIG'OLA"I'XOIf; .
eamJftUC'l'%OIf DlDUllfty LICD8DKJ BOAJU) "'L010'110052
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"1"he 8UIDIIISS oltGUau''l'xmr
__d below IS QUALZPxm
UDclez- the pz-cwla101D8 of Cbapte*, 419 PS.
lIxpiz-at:ioa dat:.. AUG 31. 2009
('1'II1S IS IIO!' A LXca... "fO .aawoa W08. 'tII%S ALLOWS
caDDY TO DO BU8Dn18S aBLY XI' 1'1' .. .. QUALxrXD.)
crraus COUlft'!' .......... aar.ru. me
5314 8 JPLOUDA AV
Z8VBRMBSS rL 34450
CBARLI. aas'l'
OOVDKOa
DISPlAY ~ ~QUlREO BY tAW
BOLLY BI:fOll
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2008/2009
CITRUS COUNTY BUSINESS TAX RECEIPT
State of Florida
210 N ApopIca Ave. Suite 180. IIIVW'MA. FIoricIII ,"so-aM
352-341...512
ACCOUNT# 1045 EXPIRES SEPTEMBER 30, 2OOIECE1PT# 17610009349
Business Name : CITRUS COUNTY SHEET METAL INC
Owner Name : STEPHEN C BROWN
Mailing Address : 53145 FLORIDA AVE
INVERNESS, FL 34450
LoCation : 5314 5 fl.ORlOjl\ AVE
INVERNESS, Fl :JIII450
Business Phone : 352-726-8059
Business Type : RiOO CERTIFIED SHEET METAL CONTRACTOR
ax Amount
$25.00
CSC009445
Total PMd
$45.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSlNESI
THIS .....ES8 TAX Rl:CEIPI' DOI!8 NOT CO,.,.II11tAT REGULATOIW OR ZOfllNG .....,--".. HAVE .... MET.
IT 18 THE OWNER'S RESPONSBLITY TO ENSURE ~
This RCtIon 10 be ~ br the ow...- atthellbaw ..................
BueIn... .... ....... MId to:
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.......... at cunwd ....... ........ ...... ......... or ........... ctwIge
Deee 8........ CIoMd;
........,.:
v'
PAID-028-07..oooool02 07/22/2008 45,00
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Citrus
County
Sheet Metal
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State Certified # CSC009445
Since 1974
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$314 South Florida Ave
tnverness, Fl 34450
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Visit Our Website at www.CitrusCountySheetMetal.com
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f'352) 726-8059
, 800) 762-7368
~(352)344-0000
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A~tion: Fire Marshall Burnett
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RE~ Wingstreet
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Pl~e call with questions.
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Ant Brown
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RaDle H~ Sped..... :
1. ~~" npoeed to CJUIBidc ~ 10 be Dnc pI8r.ed mr prMI~.... ,*1\Wo4.
2. ExhBust s) 10 be ~~ olaD 011..- cIudI.
3. ExbmIt " to he 16 P. ~ _. with aI' jobD c:oaIiDJ~ e:JdIlI'DaIliquid Iiaht welda or intanaJ welds gnMMI
-.oochCo" .---.....
4. Exb8aIt s) to be .,. joiaI welded per 3. Aboft..
" Ext.uIt .)......10 be weIdId .... 3. Above.
6. T< or exbIuII duct(1) 10 ..ovide ........... of IJ1ll8IC ~ dJc hoad(.).
7. .....'-- s) to be IIIppOdOCIby1llc ~ -Ny (lee 16.).
I. E......... .)... wIocily 10 be 1Mt_..w:.. 1500... 2580 FPM.
9. Fw-- s) 10.."............ _ __ GIlly.
10. "...... .)lDbe~-.+o-dwilll FiN.,.,.,. F_......CII'oqII8l_Bn~....ducI(.L...wIIbiD Irof-.y
.-till or ..__ die .... ~.MIL. tile..... ceiJiIe'ruof. _""'....d:..~
II. Hu.~ daa(.) to......~" PLF..... die boocL
12. . _ of1be ~ ducI(.) ... .......IID line IICIClI8 doGn '-' elr....... 8CCea
13. The tap of'" wnicaI........ ext.uIt w....(.) ............ OD 1M moflD'" DOt ....... 4cr Ibcwe Ibe roof.
14. 1Mo.._' to be DOt ........ 10' Ii-. -.y CJfIOI.. .. ..1IIIi~ .....1eveI.....,.---. ,.opclft) -1riBaed b
duct~_ -wi"" wiIIa....~ davicc.
I~. The hoodC, 10 be 1 I ... a.MaiJJId CII' ....' "ra.-el willi ~;... joiaIs 10 be weIdcld wiIh ~ Iiqaid debt c:xIIlnW
wdds. ;
16. 1bc bood(; ... duel ."Iea 10 be ~ by 3Ir L....A.d rod in ..um..... .,..mt)' 10 any die IoBd iDcluding
polMM61 .____
17. Tbe hood( ... (hna) . pille pilar below me &lias 10 dnIiB sn-c _ . 14lmO..-bk JI'eMe c:aIt ....
II.. Tbc bouclf 10 be lr a. 0(81)' ..o..~~ __ CII' pn_~"" 10 be paOwidcd ill ecco.--.... wiIb .,.... codes..
19. UL LiIIIDd ' mr.s 10 .. to 11 r Oed widIia IIIe buod DOt ... ..... 2' *m: apal.....
20. ar.. , to be ............50 ....ID.. hof~
21. 1bc ~ 10 be sizDd ill ~6.- willa tIICI FlarkI. BaiIdiac Cadc, MochMicaIINFPA-96,
22. Hood IIir .............10 be in ~&.- willa dae .... Florida ~ Code, ~ I ~
23. E8cIl duct oudBt ill dtellood 10 -.".110I ......... 12 tOot ofhood .......
24. AD... ,;f"d-~ _10" ~Ild IIpCIII ~ ofdlle.,... ~.a.nn..
25. Mab-up .'10 be pnMdod iD. ___......10 die ....,wa __lit
26. EIccIricaI ~ of the blowws IUd ........k fire suppression systaD inslallation 10 be acc:ompIisbed by others UDder
~~.
All speci~ lAW Florida BuildiDa Code, M~A-96
W 1,J/C, 57'u-6-T c::, >4'8 a~'L iJ'v'/)..
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
July 24, 2008
Plan Review Comments
I have reviewed and approved the plans for a commercial hood located at 6548 Gall Blvd.
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.
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 (3r4 party) with copy supplied to Fire Marshal
at final test.
3. Hood final will be conducted during acceptance test on suppression system.
d'"'
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
Fire Chief Keith Williams
FIRE SERVICE. USER FEES
Contractor. c.:~t4 Cu....~ ~
Billing Address: ..531'1 P!o,lt-jt>(r ...At15
~~r..MJ5 ~O
Billing Phone No.: ti"60~ '7(,..'::1..- 73",g
Billing Fax No.:
Contact:
Occupancy No.:
Plan No.: OfJ-t)'/,
Business Name: ~,c)- tW-
Business Address: 5'1:8 ~\\ ~~
Business Phone No.:
Business Fax No.:
Contact:
FALSE ALARM FEE
1st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NONCOMPLIANCE $150
PERMIT FEE
$50
$50
$50
$50
$50
$50
$50
$50
$100
$500
$25
INSPEcnON FEES
N/C
N/C
$100
$250
$500
PLAN REVIEW FEES
B Site Plan N/C
Multi-Family/Commercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBl
Sprinkler
standpipes
Fire Pump
Hoods
Fire Alarm
lP Gas
Natural Gas
F';JE!I Tanks- pertank
Annual
1 st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
B 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
R~;2 E
B other $50
m , KITCHEN EXHAUST
!AI HoodIDucts @
OTHER
D LP Installation per tank
D Fuel Tank Installation
(Per Tank)
o Natural Gas Installation
(Per System)
o Spray Booth
Sparklers
Fire Works
Camp Fire
Controlled Bum
HoodIDuct
Place of Assembly
Fire Protection
per system
per system
~
$50 Annual
$25
$50 Annual
$50 Annual
$100
150
$100 Annual
$50
$50
$100 Annual
FIRE AlARM SYSTEM
o System Acceptance $50
D Recall Acceptance $50
OTHER
~ Fire WalllSmoke Wall
lP Gas
Natural Gas
Flammable Application
Waste Trre storage
Generator < I<MI
Generator >30 I<MI
Bio-Hazard Waste
Fumigation Tenting
Torch Pot/Applied
Haz. Materials
$15 per _If
$25 perbmk
$25 per system
~ Tent 1 0'x1 O' or greater
Fire Pump
Fire Suppression
System Acceptance
~ Exhaust HoodIDuct .tfjJ
o Re-inspection DBl
(other than annual)
$50 0 Inspection scheduled DBl
and cancelled less than
24 hours
D Construction Insp. NlC
D Emergency Vehicle ACt $50
PLANS TOTAL[2Q]- INSPECTION TOTAL~
$15 per l8nt
$45
$30
$50
$50
$50
$50
B
FALSE AlARM
PERMIT TOTAL [52J TOTAL I
I~-
GRAND TOTAL
Comments:
Date:~
Ins~ctor: K'~t't ~d -fM-