HomeMy WebLinkAbout08-8646 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8646
COMM EXHAUST HOOD/DUCT PERMIT
Permit Number: 8646 Address: 7838 GALL BLVD
Permit Type: FIRE COMM EXH HOOD/DUCT ZEPHYRHILLS, FL.
Class of Work: FIRE-COM EXH KITCHEN HOOD/I UClrownship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost: 3,000.00
Date Issued: 12/19/2008 Name: PRIMERICA GROUP ONE
Total Fees: 130.00 Address: 3629 MADACA LN
Amount Paid: 130.00 TAMPA FL 33618
Date Paid: 12/19/2008 Phone: (813)933-0629
Work Desc: INSTALLATION OF DUCT WORK FOR HOOD
WJ BACHMAN MECHANICAL SHEET MET, FIRE PERMIT FEES 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 30.00
( Jf
FIRE LIGHT TEST-Final ()
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
RECORDING YOUR NOT E OF COMMENCEMENT."
CONTRACTOR S GN TURE 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
SEP/09/2007/SUN 1.0: 16 AM ZEPHYRHILLS BUILDING FAX No 813-7 P. 001
813-780-0020 City of,ZephyrhillsFPP FaX 813 Sao oaai
Permit Application.
Date Received• -Phone'Conlin"-r Permit
Owner's Name •I—e— i (— Owner's Phone Number g, 9 3
Ii Ic _
Ownel'S Address . f=i I '=} C_I' - A,-ri ,a. ' p I• 3(O/1
Fee Simple Titleholder Name Trtleholder.Phone Number P7 1 J Lta�Sts.
Fee Si mple-"leholderAddnsss
�-7 p /. 1 vCJ i 1 S' L. Lot*'
fob Address /
Parcel# -Z •• G•• "• ^^
Sub Division
Bio-Hazard Waste Storage-.ANNUAL Fumigation Tent
Comm Exhaust Klohen Hood/Duct . Hazardous Material(Tier II or Rn Facillry)ANNUAL
Controlled Bum Hood Installation
• Emergency Generator 301cw LP/Natural Gas-installation
�' Emergency Generator a go(cw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of A4srmhly-ANNUAL
L ] ��
sprinkler fl !a O I�^--�'�►► Recreational Bum
Fire Alarm O D ❑ r i [ ] Sparklers
Hood Cleaning C7 O ❑ O T Ii Sprinkler System Installations
Hood Suppression D Q ❑ fl [ _J Standpipes(Sprinkler Sys)
Fire Alarm Installation. Torch Roofing!Tar Kettle
Pire Pumps Waste Tire Storage ANNUAL
Fite Works '
Flammable Application-ANNUAL 3 Valuation of PmjeCt
• Fuel Tanks
Other.
Contractor � < Company
Signature Registered YIN Fee Current LJ N
Address Lteense#• G BCt
ELECTRIC Company
Signature Registered Y I N j Foe Current Y/N
A "reaa License# G ocici& W
PLUMBER Company
Slgrrature Registered Y I N , Fee Current LY/N
Address• y 1 I License# 7
ME ANIJAA ._ . Company W !>C.K.�li-
Stgnetura Registered flY/N Fee Current LY/N
Address (S Lei I S , i 6j; jtc>Tfr L W_License# [ CArCi
• OTHER • Company
Signature Registered Y/NI Fee Current Y/N
Address License#
rections:
it • Fill out application completely.
owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over 52300,a Notice of Commencement is required(Mechanical work over 5000)
Supply two(2)nets of drawings with applicable documartaUon .
Allow 10-14 days for review after submittal date.. Parcel#-obtained from Property Tax Notice(http:/lappralser.pescosov.com)
. .. �(/J cJ�cb �C�•
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SEP/09/2007/SUN 10: 16 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002
'NOTICE OF:DEED RESTRICTIONS: The.undersigned understands.that this permit may be:subjectttpdecid,1ubskidtioons
which maybe more restrictive than Countyregulations..The.underslgned.assumes responsibility°for:aompliauu��e+ vlth any.
.applicable deed restrictions.
'UNLICENSED CONTRACTORS AND OCONTRACTOR RESP.ONSIBILnTIES: If-the owner has hirad-a"coritractor'or - -
contractors to undertake work,they may be required'to be licensed in accordance with state and local'regulatlons. 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. tf'the owner or Intended contractor are uncertain:as'to what licensing'requirements may apply for the
intended work,they are advised to contact the-Pasoo County Building Inspection Dhriston—Licensing Secction.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 Bloch" of this application•for which-they will lie responsible. If you, es-the owner'sign-as the
contractor, that may.be an indication-fhat he is'not properly licensed and is not entitled-to'permitting.privileges in-Pasco
County.
CONSTRUCTION.LiEN.LAW(Chaptar713,•Florida Statutes,.as:arnended): if valuation of work is$2,500.00 or more,.i
certify that 1, the applicant, have been provided with a copy of'the "Florida Construction Uen Law--Horneowner'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/0WNER'4S 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 teke'to be in compliance.
If I am the AGENT PORTHE OWNER, I promise in good faith to'inform the owner of the permitting conditions set forth In
this affidavit prior to commencing construction. .1'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 Offrda for a period not to exceed ninety(90) days and will demonstrate
Justifiable cause for the extension. ti work.ceases for ninety(90)consecutive days,the Jo is considered-abandoned.
WARNING 70 OWNER: 'YOUR FAILURE TO RECORD A'NOTICE'OF'COMMEN MENT MAY"RESULT IN YOUR -
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY,'IF YOU TEND OBTAIN FINANCING, CONSULT
WITH YOUR R OR ANTTORNEY BEFORE RECORD NG YO OTIC F COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER Oft AHEM' — • CONTRALTO
SLEclbed and sworn 1!D(Or ) ftre me this ' subscribed and l arrrsmed)before me this iqyWho. personaly known to me or produced Who IEJa personally known or has/have preduned .
as idenf5cadan. ' as kterlhTcetlon.
NowPublic
Comn&ion No Commission No. • N® p1Jill �g fAT AR Rr,OA1flA
• Y • Debra L. Rost
Name of Iecembér 18,2010 Name of Noteryiyped,printed oratem CommisiiOf 8
No.00 623280 Expires: DEC, 08, 2008
Q ponded Thru.Adendc-Bending Co.,Inc.
'OF (,)Personally h(nown( )Ctther ID
L 3 35/Z
Zephyrhills Fire Rescue
6907 Dairy Road,Zephyrhills,FL 33542
Fire Marshal Bus(813)780-0041
Kerry Bamett Fax(813)780-0044
E-mail: kbameu@fire.zephyrhills.fl.us
Plan Review#: 08-167
Project: Publix
Number of Pages: 3
Date: December 15,2008
I have r-eceived and reviewed plan for the grease hoods and ducts located at 7938 Gall
Blvd and will allow this project to move forward. Payment for permit contractor
acknowledges agreeing with items below.
Should anyone have any questions,please do not hesitate to contact the Fire Marshal's
office.
1. Up blast fans shall be hin$ed.
2. Up blast fans shall have a grease containment cup/trap.
3. Access doors may be required after-light test based on any change of direction
noticed or length of duct run.
4. Fr-om 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. After
hood and duct has been installed a light test shall be conducted at the connection
2. Test and balance required on hood with copy supplied to Fire Marshal at final
test.
3. Hood final will be conducted during acceptance test on suppression system.
KERR TT,FIRE MARSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes.This review is not intended to be a final approval of the
submitted plans.It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances.In the event that further examination or site
inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility,at their sole
expense to bring those areas in compliance,The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
. Ofd, 7 ph i., t is
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: j '- Contractor. � g2
n
Business Name: Njy. Billing Address:.
Business Addresss� ? 13 ' -( ✓ !!r
Business Phone No.:
Business Fax No.: Billing Phone No.:
Contact: Billing Fax No.:
Contact:
PLAN REVIEW FEES INSPECTION FEES
PERMIT FEE FALSE ALARM FEE
8 Site Plan N/CAnnual
N/C Sprinkler $50 let Akrrn MWti-F=n4fCw mer; l .06 sf lot Re-Inspection N/C N/C
(MinimumCharge$25.00StandplPw $50 2nd Alarm WC
2ndJJ Ramon $100 Fire Pump $50 3rd Alarm N/C
Plan Revisions DBL 3rd Rein $250
Hoods $50 4th Alarm 5100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm SPR NIQ.ER SYSTEMS (Busies closed until $150
0-25 Weals LP Gas $50 6th Alarm $200
26 P Heads 550 violations corrected) Natural Gas $50 NON COMPuj $150$100 SPRINKLER SYSTEMS Fuel Tanks-par tank $b0
STANDPIPE SYSTEM Hydro U� $45
Per Riser $50 HydrostaticTeatspate $100
5
FIRE PUMP $65 per ,g Fee Works $500
Acceptance Test $45 per syatam Camp Fir's
❑Per Pump $100 Hydrant Flow 525
Bum $1
FIRE ALARM SYSTEM
0-25 Devices Wood/Dud $50
550 FIRE ALARM SYSTEM Place of Assembly Annual
26 plus Devices $100 8 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acre ante $50
Wet �mmabie Application $50 Annual
$50 OTHER
Fire WaMl5moloe Wail Wade Tire Storage $50 Annual
Diy
$50 CO2 $15 perwal Generator<KW $100
$50 LP Gas $25 pa,t8n1 Generator>30 KW 150
Other $50 Natural Gas $25 per aysean B10-Haaard Waste
KITCHEN EXHAUST Fumigation TerIng $60
$100 Annual
Hood/Ducts $60 Tent 10'x10'or greater $15 per rant Torch pp $50
OTHER Fire Pump $45 Haz H
LP in iaNatlort per tank . $50 Fire Suppression S30 Materlajs $100 Annual
Fuel Tank Installation $60 System
(Per Tank) Hood/Duct
550 Etdtaust
Natural Gas Installe#i0n $50 U Re rispectlpn L
(Per System) (other than annual)
Spray Booth $50 ❑Inspection scheduled DBL
and cancelled less than
24 hours
/ 8Construction Insp. N/C
y Vehicle All
PLANS TOTAL ,! FALSE ALARM
INSPECTION TOTAL PERMIT TOTAL[92] TOTAL
DRAW TOTAL 7`'`�
Comments:
Date: 2 '
Inswctor , t!