HomeMy WebLinkAbout10-10997 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10997
COMM EXHAUST HOOD /DUCT PERMIT
7 ' `a -ark a , i" sa 3
Permit Number: 10997 Address: 5317 GALL BLVD
Permit Type: FIRE COMM EXH HOOD /DUCT ZEPHYRHILLS, FL.
Class of Work: FIRE -COM EXH KITCHEN HOOD /DUClTownship: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010- 13300 -0090
Improv. Cost: a
Date Issued: 10/05/2010 Name: CLOCK FAMILY RESTAURANT
Total Fees: 105.00 Address: 5317 GALL BLVD
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/05/2010 Phone: (813)788 -2511
Work Desc: UPGRADE SUPPRESSION - CREDIT FROM PRMT #10962 $25.00 OWE $105.00
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i - •UI N I - - 50..0 - - •N 5.00
FIRE PLAN REVIEW FEES 50.00
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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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
1
IL A W ICY
CO RACTOR SIG ATURE P � IT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
813-780-W20 City of Zephyrhills Fire "' ' 1 099 Fax - 813 - 780 -0021
Permit Application
Date Received I 2 `f 10
^. . Phone Contact for Permit �.. ::LS'` L' "Rk.. . wGa$s @F§i...X$o. Y u"�$. ..bY ... ss ya w'?n4�.. z w.bLL �..^. •,......aa, a.. I I .^ 1 k@
Owner's Name I Lc S 7C, - .1.1/ / Owner's Phone Number 813 9117 I I'S,/
Owner's Address I S / 7 640-1 71 i'L • 2,/l /r%<Y 14 33s
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I
Job Address Lot #
Sub Division I Parcel #
d...0 `,% ittif A. .s'".:� .a'v' E A_ A '.s. . z +�a:. s '.:: .r'.. . -;.,. .::: -.• ..a ' d"�".71 eV M C ..roS . 41 442M3P : , " Va it ,SAIS .0„ 4t:"�kEfti=i3O
n NU n Fumigation Tent
Bio- HazarS1_WastcStorago R ACe_AL _,_
Comm Exhaust Kitchen Hood /Duct ' •\ ,, ) Hazardous Material (Tier II or RQ Facility) ANNUAL
-- - f;orrtrotleti• burn n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation i
n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale ` f� <
n Fire Protection Maintenance - ANNUAL n / Places of Assembly- ANNUAL " r
IQtriyI'semii IATT1 Other
Sprinkler n ❑ ❑ ❑ n Recreational Bum�1�—
n Fire Alarm ❑ ❑ ❑ I I I I Sparklers ;
Hood Cleaning n ❑ ❑ ❑ I L n Sprinkler System Installations
Hood Suppression NI ❑ X ❑ I ✓I n Standpipes (Sprinkler Sys)
n Fire Alarm Installation n Torch Roofing/Tar Kettle
a Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
Flammable Application - ANNUAL 1 ( Valuation of Project
n Fuel Tanks
F —Other: 1Z SAM vP47 . 1F (J• L Sod s7 :44.1d f
Contractor Company
Signature Registered Y/ N I Fee Current I Y/ N
Address I License # I
ELECTRICIAN Company I
Signature I Registered Y/ N I Fee Current I Y/ N I
Address 1 I License # I I
PLUMBER Company I
Signature Registered Y/ N j Fee Current 1 Y / N
Address I I License # I
MECHANICAL Company I
Signature Registered Y / N _I Fee Current I Y / N
Address 1 I License # I
OTHER Company 4 /7 ,.t ' d., -' ,_/ A z.L'
Signature Registered wog Fee Current [QIMI
Address License # 17 ��5`� _ OY��lG I
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Directions:
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 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.
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'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.
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
Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by by
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
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire \1hhrshal Bus (813) 780 -0041
Kerr\ ftirnetl Fax (81 3) 780 -0044
E -mail: kbarnett (a)lre.zephyrhills.fl.us
Plan Review #: 10 -114
Project: Hood Suppression Upgrade
Pages: 3
September 29, 2010
1 have received and reviewed the plans for the hood suppression upgrade located at 5317 Gall
Blvd. and will allow the project to move forward. By paying for permit, the contractor
acknowledges to comply with the comments stated below. Should anyone have any
questions, please do not hesitate to contact the Fire Marshal's office.
I. System to be installed in accordance to NFPA 17A
2. An audible and /or visual indicator shall be installed with the system that provides
notification upon system activation.
3. All pull stations shall be next to each other and labeled to show which system it
activates. Ensure the hoods are also labeled to identify to the corresponding pulls.
4. Ensure appropriate NFPA 96 signage is located at the Class K extinguisher and at the
pulls.
:def
K RR : :'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.
ZEPdVRHILLS 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.:
Plan No.: ID -j11-/ Contractor: St_c. c-r
Business Name: Ct(k X Re y Billing Address: I$3 F, sz-Nr , (O
Business Address: S i 7 (rM1 e- C VI. ?,5 5
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
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 sr _ 1st Re- inspection N/C Standpipes 550 2nd Alarm N/C
—
(Minimum Charge $25.00 _ 2nd Re- inspection $100 ire Pump $50 — _ 3rd Alarm N/C
0 Plan Revisions DBL — 3rd Re- inspection $250 oodss'ce r 4th Alarm $100
_ 4th Re- Inspection $500 Fire Alarm 550 5th Alarm 5150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 ^ _ 6th Alarm $200
0 - 25 Heads $50 violations corrected) Natural Gas $50 A NON COMPLIANCE $150
—
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
^
STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $100
Per Riser $50 _ Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP _ Acceptance Test $45 per system Camp Fire $25
❑ Per Pump $100 _ Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM Hood /Duct $50
8 0 - 25 Devices $50 — FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 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
77 --0O2 $50 LP Gas $25 per tank Generator >30 KW 150
o ther & _ _ Natural Gas $25 per system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
0 Hood /Ducts $50 _ Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50
OTHER Fire Pump $45 Haz. Materials $100 Annual
_ LP Installation per tank $50 ire Suppression 30 )
Fuel Tank Installation $50 k • System Acceptance
(Per Tank) $50 _ Exhaust Hood /Duct $30
Natural Gas Installation $50 .__. Re- inspection DBL
(Per System) (other than annual)
0 Spray Booth $50 0 Inspection scheduled DBL
and cancelled less than
_ 24 hours
Construction Insp. N/C
Emergency Vehicle Acs $50 { FALSE ALARM
PLANS TOTAL ] —
INSPECTION TOTAL PERMIT TOTAL \7 TOTAL
GRAND TOTAL 1 ^ ��
Comments:
- --�
Date: 9 2 — e t I1 ( 6
Insg ctor: f y }
S
Pasco County Parcel: 11- 26 -21- 0010- 13300 -0090 001 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 11 &twn= 26 &r...
Data Current as Of: Weekly Archive - Saturday, September 18, 2010
Parcel ID 11- 26 -21- 0010 - 13300 -0090 (Card: 001 of 001)
Classification 21 - Restaurants
Mailing Address Property Value
NEUKOM GEORGE A JR & ANN B Ag Land $0
PO BOX 1647 Land $67,900
ZEPHYRHILLS FL 33539 -1647 Building $69,211
Physical Address Extra Features $540
5317 GALL BLVD
ZEPHYRHILLS FL 33542 -4029 Market Value $137,651
Legal Description (First 4 Lines) Assessed (Non - School Amendment 1) $137,651
See Plat for this Subdivision Taxable Value $137,651
ZH MB 1 PG 54 LOTS 9 10 11
12 BLK 133
RB 763 PG 1364
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Cond*ion Value
1 2100 RESTAURANT 00C2 7,000.00 SF $7.00 1.00 $49,000
2 1 2100 1 RESTAURANT 1 00C2 1 7,000.00 1 a 1 $2.70 1 1.00 1 $18,900
Additional Land Information
Acres j 0.32 1 Tax Area I 30ZH 1 FEMA Code I X I Commerical Code I M3012AR
Building Information - Use 21 - Restaurants (Full Service) (Card: 001 of 001)
Year Built 1978 Stories 1.0
Exterior WaN 1 Concrete Block Stucco Exterior Wail 2 None
Roof Structure Flat Roof Cover Built -Up Tar and Gravel
Interior Wail 1 Wood Panel or Custom Interior Wall 2 None
Fboriig 1 Cork or Vinyl Tile Fboring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet RepL Cost New
1 SPA 1,764 $114,254
2 CAN 605 $13,872
3 1 BAS ( 1,562 $119,056
Extra Features (Card: 001 of 001)
Lice Description Year Units Value
1 1 PAV ASP 1978 1 2,667 $540
Sales History
Previous Owner N/A
Year Month Book /Page Type Amount
1974 01 1 0763/ 1364 1 I $48,000
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