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09-9481
CITY OF ZEPHYRHILLS 5335 - 8T11 STREET (813) 780 -0020 9481 COMM EXHAUST HOOD /DUCT PERMIT Permit Numb 9481 Address: 7940 GALL BLVD Permit Type: FIRE COMM EXH HOOD /DUCT ZEPHYRHILLS, FL. Class of Work: FIRE -COM EXH KITCHEN HOOD /• UClFownship: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0130 - 0000000140 ,; Improv. Cost: 6,500.00 -' te. .� �;: p µ Date Issued: Name: ZEPHYR COMMONS LC Total Fees: 130.00 Address: 3629 MADACA LN Amount Paid: 130.00 TAMPA FL 33618 Date Paid: 10/09/2009 Phone: (954)596 -6883 Work Desc: INSTALLATION COMMERCIAL HOOD /KITCHEN e BREA H A Y A 4 N F` - - M E 50.00 I 1 SP 1 6.14 30.00 FIRE PLAN REVIEW FEES 50.00 7(n l C ii) ail A, 0 a!: ,.. & d .! Ma' a a Eo. z 4"c * F - L H TE - 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 0 REC • - 1 • ' ' OTICE OF COMMENCEMENT." 1 J 4 1012Y CONTRA I � '. R SIGNATURE P T• 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 AW o ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/24/2009 PRODUCER Alliance Insurance Solutions LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PO Box 1777 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR St Petersburg, FL 33731 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 727 - 497 - 1247 www.ins4biz.com INSURERS AFFORDING COVERAGE NAIC # INSURED Progressive Employer INSURER A: SUNZ Insurance Company 10133 Services VI, LLC INSURER B: 6407 Parkland Drive Sarasota FL 34243 INSURER C: 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 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. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE DATE (MM/DD/YYYYI DATE IMMIDD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY JFCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS o `O r ILY Y ` person $ SCHEDULED AUTOS q 1 HIRED AUTOS - + BODILY INJURY NON -OWNED AUTOS ' I / (Per accident) $ Y _ PROPERTY DAMAGE $ / v (Per accident) GARAGE LIABILITY r/ ` I�, / //fjj AUTO ONLY - EA ACCIDENT $ G ANY AUTO f " j OTHER THAN EA ACC $ t \` v AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY �(// G � EACH OCCURRENCE $ — OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WCPE0000000604 1/1/2009 1 /1 /2010 ✓ TORY LIMITS ✓ OT AND EMPLOYERS' LIABILITY ER ANY PROPRIETOR/PARTNER /EXECUTIVE I Y / N E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1.000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS State of FL Coverage Only Coverage Provided for all Leased Employees but not Subcontractors of: Breatheasy Heating & Air Conditioning, Inc dba Aircorps CERTIFICATE HOLDER CANCELLATION 7020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Zephyrhills FL 32602 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ' 10 Days for Non - Payment of Premium. AUTHORIZED REPRESENTATIVE Douglas Lilak Artie! ge9�v ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9481 COMM EXHAUST HOOD /DUCT PERMIT Permit Number: 9481 Address: 7940 GALL BLVD Permit Type: FIRE COMM EXH HOOD /DUCT ZEPHYRHILLS, FL. Class of Work: FIRE -COM EXH KITCHEN HOOD /1 UClrownship: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35- 25 -21- 0130 - 0000000140 Improv. Cost: 6,500.00 Date Issued: Name: ZEPHYR COMMONS LLC Total Fees: 130.00 Address: 3629 MADACA LN Amount Paid: TAMPA FL 33618 Date Paid: Phone: (954)596 -6883 Work Desc: INSTALLATION COMMERCIAL HOOD /KITCHEN F "1 ,�, IN P ION 30.00 �i'�,����„ 3 4 , IRE PERMT F E 50.00 - w, �(� FIRE PLAN I REVIEW FEES 50.00 11 c9 /UDC, (!--It A t v - kets- gr-° w net_ A' (lc iez/yfr- 1v.L. 6 xe ! :d 93=1 / n.:ci .. .. - a n ...a?E..... ,..,n ;s.!....... >—. ' e ` • ^., fi,1.� 3 _ F <. ' ; _... aami. FIRE LI HT TE T Finale 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 NOTICE OF COMMENCEMENT." Aridly/ � CONTRACTOR 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 City of Zephyrhills Permit Application Fax- 813- 780- 0021 f�y6,� / /� Building Department �[ ( rJ Date Received 4 _ 2 'w Phone Contact for Permitting 621 -5 3 __ o' d6' Owner's Name 4 t(I "., 6.►S + LL - C Owner Phone Number Owner's Address 13 6.29 .. a GYI c. ...41,00...F/:3 WY Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ?9 ge l ggiV0i. -* /7� r� ,8 LOT # SUBDIVISION PARCEL ID# 35 A 2S' -- - _ oae„)– p( r] fib -- ( )`4I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ® ADD /ALT 1 1 SIGN I 1 MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE n SFR I I COMM ,It OTHER I TYPE OF CONSTRUCTION 1 I BLOCK 1 .1 FRAME ] STEEL n OTHER I I 3 DESCRIPTION OF WORK 41'46 ,c...e.) yyt/V7 p( — C • /C / /� /C,I 4Y1 ( `y, - I t (e)c)C BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 1 ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R E.0 1 PLUMBING $ 1 / I I MECHANICAL $ S l0 VALUATION OF MECHANICAL INSTALLATION i / 1,0/ L 04. 1 I GAS n 1� ROOFING 1 I SPECIALTY n OTHER /v ( l 389 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address License # MECHANICAL � /.-A // COMPANY �...ac it SIGNATURE Ad22 ./0/,/ Ye/ REGISTERED I Y / N 1 FEE OURREN ' Y / N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 Address License # ............................ ....... ..... ........... ... ..: .:: .................. ,..... ... .... .,vi. urk'iir . "!!: �! "ii:..,:.r...:r::...ii ^!i^. F:i......, .......... ..... i'li:i' i =Si� !ei!!E. '.i !!ai;:;:::;:� u 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 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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A /C 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 A/C Fences (PIot/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 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 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 ATTORN BEFORE RECORDING YOUR NOTICE OF •MME . CEMENT. FLORIDA JURAT (F.S. 117 , OWNER OR AGENT ' / //° i�j � CONTRACTOR Ll bsc ibed and swor to (or affirm-d) . .re me thi' S c�ribpd .nd sworn to affirmed) .e . e me th by I i/I [.i a by • 1 ii. � 1 o is /are personally known to me or has/h.ve produced o is /are p- o all known to me or has /ha • produced as identification _ as identification. -� � - � TT Notary P �� _ otary Public ission No. DD 5 ) Co on No. � . / �/(J / ` 3 _.. - st Nam of NdfijryVQped, prin -.� -stamp . Name of Notary Oed, - p?in e. or s-wipe tampe • Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 09 -069 Project: Kitchen Hood/Duct Number of Pages: 1 August 26, 2009 I have received and reviewed the revised plans for the hood/duct installation located at 7940 Gall Blvd, Zephyr Commons and will allow this to move forward. Obtaining permit, the applicant acknowledges complying with the items listed below. The items listed below will replace those listed on the May 18, 2009 review. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Hood will be installed in accordance to the latest edition of NFPA 96. 2. Shop drawings of the fabricated hood/duct shall be presented to this office at time of inspection. 3. Test and balance shall be conducted by a third party and be submitted to this office at final inspection. Inspections Required: 1. Light test on hood and duct. Duct shall be light tested on the ground and then tested again at the hood connection point. 2. Final in conjunction with suppression test 41 KE • ' B "IT, 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. - ZEPHYRHILLS FIRE DEPARTMENT • 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044 FIRE SERVICE USER FEES Occupancy No.: / ,,1 Plan No.: ci9-- l / Contractor: /�i.e w ,s Business Name: 0 ,_� . 1 _ J' SJ Billing Address: Business Address: t Business Phone No.: Billing Phone No.: 7.z? M dam"'D6or Business Fax No.: Billing Fax No.: Contact: Contact: Cy✓✓ ,felt , 7 — _ PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE _ FALSE ALARM FEE _ Site Plan N/C _ Annual N/C Sprinkler $50 _ 1st Alarm N/C _ Multi - Family /Commercial .06 sf _ 1st Re-inspection N/C Standpipes nspe $50 _ 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 _ 3rd Alarm N/C 0 Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50 _ 4th Alarm $100 _ 4th Re- Inspection $500 Fire Alarm $50 _ 5th Alarm $150 _ SPRINKLER SYSTEMS (Business closed until LP Gas $50 _ 6th Alarm $200 _ 0 - 25 Heads $50 violations corrected) Natural Gas $50 _ NON COMPLIANCE $150 26 plus Heads $100 _ SPRINKLER SYSTEMS Fuel Tanks - per tank 550 STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $100 0 Per Riser $50 _ Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP _ Acceptance Test $45 per system Camp Fire $25 0 Per Pump $100 _ Hydrant Flow $75 Controlled Burn co ' — FIRE ALARM SYSTEM ood /Duct le 0 - 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly , "r Annual — 26 plus Devices 5100 System Acceptance $50 Fire Protection $25 — SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual — Wet $50 _ OTHER Waste Tire Storage $50 Annual _ Dry $50 _ Fire Wall /Smoke Wall $15 per wall Generator < KW $100 _ CO2 $50 _ LP Gas $25 per tank Generator >30 KW 150 — Other $50 _ Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 — ^ Tent 10x10 or greater $15 per tent Torch Pot/Applied $50 — pillood/Ducts OTHER Fire Pump $45 Haz. Materials $100 Annual _ - LP Installation per tank $50 _ F Suppression $30 Fuel Tank Installation $50 System Acceptance — (Per Tank) $50 Exhaust Hood/Duct El Natural Gas Installation $50 Re- inspection DBL (Per System) (other than annual) Ei Spray Booth $50 0 Inspection scheduled DBL and cancelled less than 24 hours _ Construction Insp. N/C r� _ Emergency Vehicle Aa 0 FALSE ALARM PLANS TOTAL z V , INSPECTION TOTAL k jf PERMIT TOTAL TOTAL GRAND TOTAL Comments: Date: /226, 607 Insg ��