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Home My WebLink About11-11688 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oo20 11688 BUILDING PERMIT Permit Number: 11688 Address: 7950 7944 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR COMMONS Est. Value: Parcel Number: 35-25-21-0130-00000-0140 Improv. Cost: 95,000.00 Date Issued: 4/08/2011 Name: ZEPHYR COMMONS LLC Total Fees: 25,903.71 Address: 3629 MADACA LN Amount Paid: 25,903.71 TAMPA FL 33618 Date Paid: 4/08/2011 Phone: (954)596-6883 Work Desc: BUILD OUT EXPRESS DENTAL SQ FT 2352 J I I I L 74. L �. BUELL ELECTRIC INC PLUMBING FEE 69.74 MECHANICAL FEE 48.83 ROY J SCHLEMAN PLUMBING CO INC FIRE PLAN REVIEW FEES 282.24 FIRE INSPECTION FEES 15.00 GATOR MECHANICAL TRAFFIC IMPACT FEES 99% COM 13,814.88 TRAFFIC IMPACT FEE 7% 139.54 SEWER CONNECTION COMMERC 8,305.79 WATER CONNECTION COMMERC 2,648.76 lv�C �� '} pd e�d'7 4_ _rr �`��e gTK �"�'-'� � ��ac� � ,�'�-rC�e -�e� --Qec� , c€ � -� ��,�c� -- , ^ _ -� - ; . ,�, �� / �;� � � m � , _ ,�� 3 �1-- C� ��,� -� r U LU I IL FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commen ent." CO TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER �� ' �, � i�r � r. : � T q •� i - � , ,� ' � A)�'-i � �. .1. �.��" .�. F � ; �; . ; .!: �:�f�;t.JF._ f:J1� i��" :C f.;1: 1.� �; .,,.,� .. ; � .�,�� ,..� ; �, � � , . :, ,_ �. ., i y�•r �! , , f�I:.C:l:: :l'1�`'1 t�lt.J(�iT�th« CJ�.,`•?:?�F'i;`.`i,:'�7 ,�t •� ,. ` r 4 i •�,�.P� t.A�'F 7.(:;i� ., Lr•1S)E•. (;:L 1' r' . .? , i , i , it: f�]; , � °"' �� .iNt::l�k.. ba {11.U�41 t:l. ; a �.ii :°f l'� i. �. ��; 1•<f' ##1.:i.1°t�:3��? .�ti�;i:,, i ,, ,,. ,,�. : �. � i r",r s.-�3�s� �'t i, '�.. � , , % , �.(`, :,�, . r: � ; �� .� � � ��:! �; ;, ;, � ; ;..�, ,�..�� ra�SE��..j�•�� -:�:►�:.r�a:r�r��:c��F�:�:�s�� x�ra�rn �)fi/C. _ � ` t - ; �: � ;r::. �i;�i)t.� :� ��e��t� �if:)L..:C� Wl1�:iT��` M'E::��: ht? , ,. , . . ,. �:: � � �.','I �' : � � t � . . .. .. ... .. .. . ._..... ... ................_. �`� r w . .j PASCO COUNTY, FLORIDA • ° Permit No, lG L� � Date Perml ted - � � l� � Builder Name/Owner Name � �, �V�� I' �� oniro� CountyParcelNo. �5-�-�`Z� SubDiv: Z�ky� �� AddresslLocatlon �7lSU /`��7� (5�� lv� Classification/TypeofUsg �t'��+''`"ie�'� �� '�� "�` TRANSPORTATION IMPACT FEE � Rate: Sq Ft Unit; Z35 :Z. Exempt [] Yes [] No HoW Determined Impact Fee Amount $� /�� < Z ' Zone No. TAZ: SCHOOL IMPACT FEE ,7�� Account (056) Single-Family Detached House Amount $^ -��l (057) Moblle Home (058) Other Residential 123) Collectio� Fee Exempt Yes � Na How Determined PARKS AND RECREATION FEE Land Account Land Credlt Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ ,� Exempt � Yes � No How Determined LIBRARY FEE ' �and Account �and Credlt Land Total Facility Account Facility Credit Facility Total Exempt � Yes ❑ No How Determined Total Amount �_ RESOURCE FEE ERU TOTALAMOUNT � Prepared By c � Checked 8y NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIQN PERFORMED UNTIL 7HE TO7'AL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptence ot concurrence, but slmply recelpt of e copy of this form, placing the building permit owner on notice of thls assessment and the conditions af payment (or same. DATE R�CEIVED BY RECEIPT NO DATE BY Zephyrhi)ls Fire Rescue b907 [.)airy Road. /eph��rhills, �'L 335�2 I�ire Marshal t3us (813} 7�i0-0041 Kerr}� 13arnett }�ax (� I ;) 780-00�4 1;-mail: kbarnett(a`.fire.zephyrhills.fl.us Plan Review #: 11 —�' �L _�ia . _..__......__w __.._.�_...,_.....___.�._ .�...._.,�..._�___�__- - _-_-____.__ Project: Interior Build-Out (revision) Number of Pages: 2 plus cover letter April 19, 201 1 1 have received and reviewed the revised plans for the build-out located at 7950 Gall Blvd and will allow this project to move forward. By paying for permit, contractor acknowledges to comply with the comments below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. There are no additional comments. The revised �lans submitted have taken care of the previous comment made in the March 25` review. A small fee was charged for the revision. Inspections Required: 1. Same as previously noted - KERRY BARNETT, 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 tlie 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 e�pense 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. Z��IYRWiLLS FIRE DEPARTMEN`T 6907 Dairy Road, Zephyrhiils, FL 33542 ��re Chief K�ei3h Williams Bus (813)780-0041 Fax (813)780-U0�4 , FIRE SERVICE USER FEES Occupancy No.: Plan No.: //.— � s/'� Contractor: C'-� �. Gc�!/ �., , 4 ,,�.��,� Business Name: _ s�rv�d:� /�l�'�t;Ss'�� Billing Address: ` ,� �,�c� Ct ,,� Business Address: ��/��? s",� Business Phone No.: Billing Phone No.: __��,,e�r.., S'' ,��r-, �- � Business Fax No.: Billing Fax No.: ' �-�� j_ �� 1 � Contact: Contact: ` �% � / PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Site Plan N/C Annual N/C Sprinkler 350 1st Alarm N/C Multi-Family/Commercial O6 sf 1 st Re-inspeCtion N/C Standpipes a50 2nd Alarm N/C (Minimum Charge .� 2nd Re-inspection y700 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection $25� Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm 350 5th Alarm $�Sp SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $2pp 0- 25 Heads 350 violations coRected} Natural Gas SSO NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �r ��k gsp STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers 3100 � Per Riser S50 Hydrostatic Test $65 Per syscem Fire Works �5p0 FIRE PUMP Acceptance Test a45 per sybcam Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Contrdled Bum 5100 FIRE ALARM SYSTEM Hood/Duct $5p 8 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $SO An�ual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recell ACCeptanCe $50 Flammable Application �SO Annuaf Wet $50 OTHER Waste Tire St � � Annual �rY $50 Fire WalUSmoke Wall a15 Per wan Generator < KW $1 pp CO2 $50 LP Gds $25 per wnk Cienerator >30 KW � 5Q Other $50 Natural Gas $25 a�r sy5�m Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10' or greater $15 Per tent Toroh Pot/Apptied $50 07HER Fire Pump $45 Haz. Materials $100 Annual LP Installation per tank $50 Fire Suppression $30 Fuet Tank Instailation $50 System Acceptance ❑ (Per Tank) S50 8 Exhaust Hood/Duct $30 Natural Gas Installation $50 RC-inspBCtiOn DBL (Per System) (other than annuat) � Spray Booth $50 � Inspection scheduled OBL 8 and cancelled less than 24 hours 8 Construction Insp. N/C � Emergency Vehicle Ac� $50 FALSE ALARM PLANS TOTAL ��" INSPECTION TOTAL � PERMIT TOTAL I__ J TOTAL I__ __ I GRAND TOTAL �'Q� Comments Date: /� �' Ins��ctor� ��F/r�� Q�.� ;�,r�- � ; � � , Fraze Design, Inc. Frank Fraze, AIA, NCARB Fl. Lic. AA26000585 Zephyrhills Fire Rescue April 13.2011 City of Zephyrhills 6907 Dairy Road Zephyrhills, Florida 33542 Re: Great Expressions 7944 & 7950 Gall Blvd. Zephyrhills, FL PERMIT # 11-018 Dear Fire Marshall Kerry Barnett, The following are responses to your comments in an email dated 03/28/11. Comment #1: Where is the compressor going to be located? If there is just an air handler, then the room does not need to be rated but the air handler will need a duct detector tied to the unit. Also, no storage will be allowed in that room. If the compressor is located in that room then what was noted on the comment sheet applies. Response: The room will to be smoke tight, the door and all openings need to be tightly sealed. Please see revised sheets M-1 and A-2. Thank for your cooperation in this matter. Sin r y Fra Fraze, A.I.A., NCARB Pre ident Fr e Design, Inc. 1750 Central Avenue St. Petersburg, Florida 33712 Phone: 727.328.3608 Fax:727.328.3609 Studio:727.821.8355 Email: fdi@frazedesign.com , � ,�` �,'' -� � �� ,` �� ,:� r u� �� ,y ,��\ rh � � . �� ,� �; . �r� � �s�' � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS �iS� 4 / y �. �� c��.�� . � Contractor/Homeowner: � � Date Received: �—� i -� � ( (�{ � 7 �� V _ �. � Site: � � 5 � � - 7 � �-4� � � ! ( �1 � J Permit Type: V� '�� S t �Y ��,lG �� 5 , Approved w/no comments: � Approved w/the below comments: ❑ Denied w/the below comments: ❑ r This comme t sheet shall be kept with the permit and/or plans. �-�// Kalvin Swi er lans Examiner Date Contractor and/or Homeowner (Required when comments are present) 7x Result Report p � 05/12/2011 �:26 Serial No . AOED4�11001438 . TC� 23111 , Addressee Start Time Ti�e Prints Result Note 917279394962 05-12 08:26 00:00:20 001/001 OK ORG Note B TMR: Tieer TX. g POL: Poii"n ORG: Ori � S ze Btti FME• w F a rame Era�C TX. = Address�Fax. Result 01(: Communication OK, S Stop Communication, P14-OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M Full, LO�R:Receiuin9 length Ouer, POUR:Receiuing page �er, FIL:File Error, DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error. ��/�`�, c#-� •'n � c 79 .So — "?`� s� aX--� ' / �I v �y /� v1 s : v+.�s OSJi�/2C11 9s?7 Atf RecEip?� Dlc. 0�99(?77 CR 9�_00 Fotele 46.OQ �ash: U.QO Check: 90.00 p;��g t,�HZY66R Other: 90.OD Changc+e 0.00 N1II38 tplt116t38 cus*oa�e,- r�, oonooa Cashier: f.�ot�b.ie 3tation= CA3N1 ' f." I (/ � � l i i R City of Zephyrhills BUILDING PLAN REVIEW COM1v�NTS Contract�r/H�mc owner: �; �.rJ I� V� � t1 � 5�� "�� ` Date Received: Z � `� �� ' � Site: �� ~ �� 5 � r, �-1 � /g�l/ �J Permit Type: G� ��e 2 .3 �z. �� -�',� ,�,`/��-7 � �x f�e sS Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑ 1 . L4� Il �' � ca. -/�' � : t�.� — O� ! ' �.- S �s . t' 17 � ,� � � , � � �C. .f „ �-�� S�� ,� 1 �' _ � r �r��k �� l�j �, � ��i��' �'�� ,�. 1�� <<-. f u ) _ � � � �L�� f� �. � �,,;�-� � � � �'� �� K t�+��,��'.� C{�� r7 - w 1 �: � � �' � " � , °� ° , ,,, � �� ' �i�, � ;� � : c i This con�ment sheet 1 be kept with the per�ut and/or plans. _ I �j �f� Kalvin Switz Plans Examiner Date - Contractor and/or Homeowner (Required when comments aze present) Zephyrhills Fire Rescue (907 Dairy Road, L,ephyrilills. I� L 335�� l�ire Marshal 13us (813) 7�O-0041 Kerry 13arnett f�ax (�l ,) 7�()-004�4 F?-mail: kbarnett�tr)fire.zephyrhill5.fl.us Plan Review #: i l -027 --.- ...__,_.__�.._�.. _�......._,.._ ._ �..._... ..�._,,..��..� Project: Interior Build-Out Number of Pages: 5 (Revision) March 25, 2011 I have received and reviewed the revised plans for the interior build-out located at 7950 Gall Blvd. and will allow the project to move forward. By paying for permit, contractor acknowledges to comply with the items below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1 Page M-1, Comment #4, discusses a louver in the door. This room is to be smoke tight per item #7 form AHJ comment sheet of review dated 3/8/1 l. Some other means of ventilation shall be obtained. A possibility may be to add a damper in the door or above door and tie it to a smoke detector within the room or just outside the room that upon activation damper closes. lf the addition of a damper and detector is a solution, fire alarm contractor shall submit a revised plan for space to obtain a permit to conduct installation. There is no reason to resubmit a revision. A letter on letterhead can be faxed or emailed to address above showing/describing the change. (nspection(s) Required: 1. Firewall Inspection (for penetrations) 2. Build-out Final (fire alarm company to be present to conduct test) 3. Others (sprinkler/fire alarm) will be required prior to final KERRY BAR T, 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. Tt is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and (ocal ordinances. In the event that further examination or site inspection reveals areas of non-compliance, it shall be the contractor's sole responsibiliry, 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. ��i��iYRHILLS FIRE DEPART�UIEfVT 69Q7 Dairy Road, Zephyrhilis, FL 33542 Fi�e Chief Ke�th UVilliarns �us (893)780-0041 Fax (�13)'180-Ot)�4 FIRE SERVICE USER FEES Occupancy No.: Plan No.: f --p/� �`' //--��.� Contractor: �.�.[G �� S-}- Business Name. _G1�Y� �py�S � y�y-,, Billing Address;� �� fi�-�_5 �� , �� .� � Business Address: __ "7 f S'"� r�i �� GIr, S ��.C.c 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 � Annual N/C Sprinkler �50 1 st Alarm NIC �,� Mutli-FamilylCommercial tst Re-inspection N/C Standpipes $50 2nd Alarm N/C � Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $�pp 4th Re-Inspection $500 Fire Alarm S50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas a50 6th Alarm $200 0- 25 Heads $50 violations coRected} Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Pe� a�k $50 STANDPIPE SYSTEM Hydro Undergrounds S45 S�rklers $�pp � Per Riser $50 Hydrostatic Test $65 pe� system Fire Works $.5pp FIRE PUMP Acceptance Test $45 �, System Camp Fire $25 � Per Pump $100 Hydrant Flow $75 CoMrolled Burn $100 FIRE ALARM SYSTEM Hood/Duct $sp 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $5p qn�ual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $SO Annual Wet $50 OTHER Waste Tire Storage �50 n��„ai �rY $50 Fire WalUSmoke Wall $15 perwau Gerlet�ator < I(W $100 CO2 $50 LP Gas $25 per tank Generator �30 KW 15p Other $50 Natural Gas $25 Per sy5�em BiaHazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $5U Tent 10'z10' or greater $15 per tent Torch PoUApplied $50 OTHER Fire Pump $45 Haz. Materials $100 Annual LP Inslallation per tank $50 Fire SuppfL551011 $3Q Fuel Tank Installation $50 System Acceptance {Per Tank) $50 8 Exhaust Hood/Duct a30 � Natural Gas Installation fi50 Re-InSp2Cti0n DBL (Per System) (otherthan annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Ac� $50 FALSE ALARM PLANS TQ , INSPECTION TOTAL �� PERMIT TOTAL L� TOTAL ��%�� `� �---- -� GRAND TOTAL � . Comments: Date: � �r InsA��clor: � �(�.;�� ,� • Great Expression Dental Center-7950-7944 Gall Bivd Build Out (2352 sq ft) Permit #11688 SQ. FEET PRICE MAIN OR LIVING: 2 ,352 OTHER AREA UNDER ROOF: -$ 88.00 OTHER: - $ _ VALUATION $ 95,000.00 FEE SHEET $ 465.00 ADDRESS DRIVEWAY BUILDING: $ 474.30 ELECTRICAL: $ 104.63 PLUMBING: $ 69.75 MECHANICAL: $ 48.83 SUB-TOTAL $ 697.50 TOTAL S 697.50 SEWER: $ 8,305.79 WATER: $ 2,648.76 IRRIGATION: $ - TOTAL: S 10,954.55 (2) physician -cost based on 2 practitioners WATER METER: N/A IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 282.24 INSPECTION TOTAL: $ 15.00 PERMIT TOTAL TOTAL: S 29T.24 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: ; - N/A SUB-TOTAL $ 11,949.29 PARK IMPACT FEES N!A SIF'S: 100.0% $ - 1.0% $ - TOTAL: S - N/A T I F'S : S 13,954.42 /� 5933 PER 1000 SQ FT 99% $ 13,814.88 �G� ('��7 Y� 1 % $ 139.54 -� � jZQ � � � 7 f � TOTAL: $ 25,903.71 SF'Zephyr Commons LP CityZ City of Zephyrhills o- :� �`� .,. ,,,,�:� . ` ':��;v=�� '�` ��;�a'.;_�;y.':;� � ° . . ,. 4.-06 Great Expression TIF 13954.42 13954.42 DATEK 4-06-i1 Nu MBER 76 TOTAL> 13954.42 13954.42 PLEASE DETACH AND RETAIN FOR YOUR RECORDS � �' "HEC�: NO VENDOR KEY 4/6/201 1 ] 86269 CIT121 ; INVOICE NO. � INV. DATE PAY AMOUNT DISC TAKEN VOUCHER NO. NET AMOUNT 238-0411 4/6/2011 ! 11,949.29 i 0 OOI PERMIT FEE a950 7944 GALL BLVD I 400318 1 1,949.29 I � i � ; I � � ` 11,949.29 p Qp 11,449.29 GREAT EXPRESSIONS DENTAL CENTER L • L � City of Zephyrhills L � SSI Water and Sewer Impact Fee Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners 2 No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limits Water Distribution System $ 2,648.76 $ 3,310.95 Wastewater Collection System $ 5,324.01 $ 6,655.00 Wastewater Treatment Plant Capacity $ 2,981 78 $ 3,727 23 TOTAL $ 10,954.55 $ 13,693.18 ,� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � 1�.�� l� � �.��'L�J /�'�c C�-r'2%� Date Received: �` Z- 3 J l f Site: 7�7`" r— 7�s� (�J34 �� 1�.� Permit Type: �� /l'1 fJGI'� �� r'l.('�' T� J7J du� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ .` This comment sheet shall be kept with the permit and/or plans. 3-� Kalvi Sw tzer lans Examiner Date Contractor and/or Homeowner (Required when comments are present) • �k � . Fraze Design, Inc. Frank- Fraze, AIA, NCARB Fl. Lic. AA26000585 Zephyrhills Fire Rescue March 21, 2011 City of Zephyrhills 6907 Dairy Road Zephyrhills, Florida 33542 Re: Great Expressions 7944 & 7950 Gall Blvd. Zephyrhills, FL PERMIT # 11-018 Dear Fire Marshall Kerry Barnett, The following are responses to your correction comments from your review dated 03/08/11. Comment #1: Plans along with spec sheets, details, and calculations will be required to be submitted from both the fire alarm and fire sprinlcler companies to obtain a permit to complete the work within the build-out space. Response: Fire Sprinkler plans have been submitted. As per our conversation plans for the fire alarm will not be required at this time, but at inspection time the fire alarm company will provide documentation the shows the duct detectors will be connected to the fire alarm system and the a single address is now used for this space. Comment #2: On the fire alarm system, ensure the duct detector on the roof unit gets tied into the fire alarm system and the system (devices within the unit) is addressed to the occupancy. Response: As per our conversation plans for the fire alarm will not be required at this time, but at inspection time the fire alarm company will provide documentation the shows the duct detectors will be connected to the fire alarm system and the a single address is now used for this space. Comment #3: Remove the exit sign in the private office. An exit cannot be through an office. Response: The exit sign in private office has been removed 1750 Central Avenue St. Petersburg, Florida 33712 Phone:727.328.3608 Fax:727.328.3609 Studio:727.821.8355 Email: fdi@frazedesign.com ' Comment #4: The egress through the break room is ok provided the tables and chairs remain to the side wall adjacent to the egress door not causing an obstruction. Response: Please see revised sheet LS-1. Comment #5: Exit and emergency lighting may have to be redesigned due to the exit sign being removed from the private office. Response: Please see revised sheet LS-1. Comment #6: The storage room for med gas requires a fire resistant rating of 1 hour along with the fire sprinkler system because it is a high hazard room. Ventilation would have to be through the outside wall. The door shall be a 1 hour rated door and it shall also be placarded. Due to the lugh hazard, ensure the ventilation and electric in that room is explosion proo£ NFPA 101, Sections 8.7.1.1 and 6.2.2. Response: Please see revised sheet A-2. Comment #7: The mechanical room is considered a special hazard — a hazard greater than the occupancy is. It also appears to be acting as a room plenum. This room shall be smoke tight. Ventilation shall be accomplished through some other avenue (i.e. smoke dampers). NFPA 101, Section 8.7.1.2. Response: Please see revised sheet A-2. Comment #8: Upon completion of the build-out, the occupant shall provide a key for the Knox Box on the front of the building. Response: Please see revised sheet A-2. Comment #9: Ensure the address of the occupancy is located on the rear door and electrical meter and panels m the rear. Response: Please see revised sheets A-2 and E-1. BUILDING Comment #1: Installation of electnc shall comply with all applicable sections of Article 17 of N.E.C. special attention to section N. Response: Please see revised sheet E-1. Comment #2: 2007 F.B.C. Plumbing-section422 healthcare fixtures and equipment is applicable. Response: Please see revised sheet P-1. Comment #3: Electric in cylinder room shall comply with article 517.60 Response: Please see revised sheet E-1. Thank you for your cooperation m this matter. Si e ra aze, A.I.A., NCARZ Pre dent Fr ze Design, Inc i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2011028�20 , ' NOTICE OF COMMENCEMENT Repl:1352862 Rec: 10.00 DS: 0.00 IT: 0.00 Permit Number� 02/24/11 K. Garcia, Dpty Clerk Parcel/Folio ID Number� 35-25-21-0130-00000-0140 THE UNDERSIGNED hereby give notice that the improvements will be made to certain real property, and in accordance with m-o Section 713 13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. D N � p � r D 1 Description of property (Legal description) ZEPHYR COMMONS PHASE 1 PB 65 PG 132 LOT 14 SUBJECT TO & oo �`� TOGETHER WITH � N o rZ a Street (job) Address: 7944 Gall Blvd, Zephvrhills FL 33541 �� 2. General Description of Improvements: 2.352 sa ft Build Out ,A _ 3 Owner Information (�N S a. Name and address: Great Expressions Dental Centers 300 E Lonq Lake Suite 311 Bloomfield Hill MI 48304 �� ° b Name and address of fee simple titleholder (if other than Owner): SF ZEPHYR COMMONS LP 2851 JOHN � D ST. STE 1. MARKHAM ON CANADA L3R 5R7 CANADA �' c. Interest in ro e OWNER .� � P P rtY' � � 4 Contractor Inforrnation � � m a, ame and Address: C. J. Carvalho Construction. Inc. P. O. Box 1204 Ta�on Sorinqs FL 34688 ��+ � b Telephone No.. 727-939-4924 Fax No 727-939-4962 N r �° 5 Surety Information � a. Name and address: � � b. Amount of Bond: � 6 Lender c. Telephone No. Fax No. �° a. Name and address: � Phone No. 7 Identity of person within the State of Florida designated by owner upon who notices or other documents may be served: a. Name and address: Dale Johnson . 3629 Madaca Lane Tamoa FL 336178 b. Telephone No.� 813-933-0629 e�Q10 Fax No. 813-935-3420 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: a. Name and address: b Telephone No Fax No. 9 Expiration date of Notice of Commencement: (The expiration date is one year from the date of recording unless a different date is specified): 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 Y4�{y � � ��,�� INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORFS�(� •�;:; ,�, ^ rr� RECORDING YOUR NOTICE OF COMMENCEMENT. • � , 3TATE OF 10. `�/ � � / �^ `� • (' + '� '�� '' �`. �'�^�Y/ GI `J � I � � ". � , . ' COUNTY OF Signature of Owner or Owner's Authorized Officer/Director/Partner/Mana�e�.-� : ` -, -. ( ` ��'�4 /�/ �a.1 r� � � - . ` c. � ` _ ' ' �' ' •, Pnnt Name � -, : r„-.�� 1 s ;.,� The foregoing instrument was acknowledged before me this,� day of � U ,,�g-.b �� (� c( �� '`` `;` � �{ / Y �_ �" � - J�( '� n �1/ � as �� L� (type of authority, e.g. officer, trustee, �' ' attorney in fact) for (name of party on behalf of whom instrument was executed�. Personally Known � OR Produced Identification _ otary Signature ., �. �� -� Type of Identification Produced Name (print) _ �� F�A �[il AC'K - AND - �dota�ry P!��HG �±��*,� of Michigan Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare th� �`�� f�� r}' "��s��and facts stated in it are true to the best of my knowledge and belief. ��f°rg$�p��^,l��a$tF►�� 3 Acting in the Counry of � � � Signature of Natural Person Signing (in lin #10.) Above � . � ,,.. } ..,,_ �: S7ATE OF FLORiDA', COUNTY�� RASCO THIS i� � U CERTIFY THAT THE F�„�E,G�ING IS A TRUE AN� COR !CT COPY' 0� 1'f�E DbCUMENT ON FILE OR �F �BLIC R��O.RD IN THIS OFFICE WITNES MY HAf�� A� C?FFICIAL SEAL THI�,' � DAY QF 2'' ;' ' PAU A S O'N L CLERK & CO T(�Oi.CER BY -�C�' /" EP�LJTY CLERK ----_____ -- -,_.�. ._._...........�. ._ — _.._._..._, _....,..._ .�..._, _.. h , .,._�� Jacqueline Boges F�om: Jacqueline Boges Sent: Friday, March 25, 2011 3:54 PM To: 'cjcarvalho@tampabay.rr.com' Subject: revision fee sheet plz use this one for payment Attachments: 7950 7944 GALL BLVD GREAT EXPRESSION DENTAL 2352 SQ FT FINAL BUILD OUT.xIs Donna I would like to apologize for the incorrect amount due for sewer and water impact fee. Please refer to this fee sheet for permit cost . Disregard previous fee sheet . Payment options will still be the same for permit pick up. B Total Cost - S 25.903.71 Again my apologies. Have a great weekend. Jackie Boges Code Support Specialist ext. 35 �- , � � r��S'�� i � � �':�- �� ,�,�s�� . � _ Florida En�rgy Effi�ier�cy Code For Bu�kl�ng Construction t ' Flaric�a [�partme�t of Commun�ty ��rs EnergyGauge Summii� F�afC+am-ZIXlB, Effe+ct�re: lt�a� �#, �I� -- ��rm 4Q�&�008 Method B: Pr�rip�rre C�amplianc� fQr Renovatiar�, ancy Change, etc. , PROJECT SUMMARY Short Desc: 11-002 Description: Great Expressions Owner: Addressl: 7950 & 7944 Gall Road City: Zephyrhills Address2: State: Florida Zip: 0 Type: Healthcare-Clinic Class: Renovation to existing buildi Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600) Conditioned Area: 2344 SF Conditioned & UnConditioned Area: 2344 SF No of Stories: 1 Area entered from Plans 2327 SF Permit No: 0 Max Tonnage 5 If different, write in: EnergyGauge Summit0 Fla/Com-2008. Effective: March 1, 2009 Ol/26/1 1 Page 1 of 7 � ' , Compliance Summary � Component Design Criteria Result RENOVATED ENVELOPE PRESCRIPTIVE PASSES LIGHTING POWER 3,080.0 3,516.0 PASSES � LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE - Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit0 FlalCom-2008. Effective. March 1, 2009 O1/26/11 Page 2 of 7 , CERTIFICATIONS � I hereby certify that the plans a�i�� s�eif�catiar�s overed by this calculation are in compliance wit the Florida Energy Code Prepared • Vi cent DiLe ardo Building Official: � Date• .Dilew�rdo �'� � _ _ � Date I certify that this building is in ccir�r��i� FLorida Energy Efficiency Code Owner Agent: Date• If Required by Florida law, I hereby certify (") that the system design is in compliance with the FLorida � Energy Efficiency Code Architect: Fraze Design, Inc. Reg No• AA #26000585 Electrical Designer• DCH Engineers, Inc Reg No EB #27958 Lighting Designer: DCH Engineers, lnc. Reg No: EB #27958 Mechanical Designer: DCH Engineers, Inc. Reg No: EB #27958 Plumbing Designer• DCH Engineers, Inc. Reg No: EB #27958 ('`) Signature is required where Florida Law requires design to be performed by registered design professionals Pro j ect: 11-002 Title: Great Expressions Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Prescriptive Envelope Compliance Item Zone Description Design Criteria Meet Req. Glass PrOZoI Percent glass Max allowed .000 50.000 Yes Skylights PrOZoI Percent Skylight Max allowed .000 5 000 Yes Meets Shell Envelope Requirements -- PASSES EnergyGauge Summii0 Fla/Com-2008. Effective. March 1, 2009 O 1 /26/ i l Page 3 of 7 i � . External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No. of Units (W) (W) (Sqft or ft) None Project: 11-002 Title: Great Expressions Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL AP.tm3) � Lighting Power Compliance Space Ashrae Description Area Height No. of Design Effective Allowance �� (sq.ft) (ft) Spaces (W) ��y� ��y� PrOZoI Sp 1 10,004 Exam/Treatment (Hospital) 2,344 10.0 1 3350 3080 3,516 Design : 3350 (W) P Effective: 3080 (W) Allowance: 3516 (W) Passing requires Design to be at most 100% of Criteria Pro ject: 1 l -002 Title: Great Expressions Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL AP.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- �� (sq.ft) CP CP ance PrOZo 1 Sp 1 10,004 Exam/Treatment (Hospital) 2,344 I 9 1 PASSES � E EnergyGauge Summit0 Fla/Com-2008. Effective: March 1, 2009 O]/26/11 Page 4 of 7 Project: l 1-002 Title: Great Expressions , Type: Healthcare-Clinic . (WEA File: FL_TAMPA INTERNATIONAL AP.tm3) � System Report Compliance PrOSy13 System 13 Constant Volume Air Cooled No. of Units Single Package System < 2 65000 RtL/hr Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria lPLV Criteria liance ' Cooling System Air Conditioners Air Cooled 13.00 12.00 8.00 PASSES Single Pkg < 65000 Btu/h Cooling Capac�ty Heating System Electric Furnace 1.00 1.00 PASSES Air Handlmg Air Handler (Supply) - 0.80 0.90 PASSES System -Supply Constant Volume Air Distribution ADS System 6.00 3.50 PASSES System PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Pro j ect: 11-002 Title: Great Expressions Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL AP.tm3) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater I Electric water heater <_ �2 �kW� 0.98 0.88 PASSES PASSES � EnergyGauge Summit0 Fla/Com-2008. Effective. March 1, 2009 O1/26/11 Page 5 of 7 � Pro ject: 11-002 Title: Great Expressions , ype: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL AP.tm3) Piping System Compliance Categor,y Pipe Dia ls Operating Ins Cond Ins Req Ins Compliance _ �inches� Runout? Temp [Btu-in/hr Thick �inJ Thick (in� �F� .SF.F] Domestic and Service Hot Water 0.75 True 105.00 0.28 0 75 0.50 PASSES Systems PASSES EnergyGauge Summit0 Fla/Com-2008. Effective. March 1, 2009 O1/26/11 Page 6 of 7 Project: 11-002 Title: Great Expressions , Type: Healthcare-Clinic (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Report 13-101 Input Report Print-Out from EnergyGauge F1aCom attached � Operations Manual 13-102.1, Operat�ons manual provided to owner � _ 13-410, 13-413 Windows & Doors 13-406.AB.1.1 Glazed swinging entrance & revolving doors. max. 1.0 cfin/ftz; all � other products. 0.4 cfrn/ftz Joints/Cracks 13-406.AB.12 To be caulked, gasketed, weather-stripped or otherwise sealed � Dropped Ceiling Cavity 13-406.AB.3 Vented: seal & insulated ceiling. Unvented seal & msulate roof & � side walls System 13-407 HVAC Load sizing has been performed � Reheat 13-407.B Electric resistance reheat prohibited � HVAC Efficiency 13-407, 13-408 Minimum efficiences: Cooling Tables 13-407.AB.3.2.1A-D; � Heating Tables 13-407.AB.3.2.1 B, 13-407.AB.3.2.1 D, 13-408.AB.3.2.1E, 13-408.AB3.2F HVAC Controls 13-407.AB.2 Zone controls prevent reheat (exceptions); simultaneous heating � and cooling in each zone; combined HAC deadband of at least 5°F (exceptions) Ventilation Controls 13-409.AB.3 Motorized dampers reqd, except gravity dampers OK in: 1) e�aust � systems and 2) systems with design outside air intake or exhaust capacity <300 cfin ADS 13-410 Duct sizing and Design have been performed � HVAC Ducts 13-410.AB Air ducts, fittings, mechanical equipment & plenum chambers shall � be mechanically attached, sealed, insulated & installed per Sec. 13-410 Air Distribution Systems Balancing 13-410.AB.4 HVAC distribution system(s) tested & balanced. Report in � construction documents Piping Insulation 13-41 I.AB In accordance with Table 13-411.AB.2 � Water Heaters 13-412.AB Performance requirements in accordance with Table 13-412.AB.3. � Heat trap required Swimming Pools 13-412.AB.2.6 Cover on heated sw�mming pools: Time switch (exceptions), � Readily accessible on/off switch Hot Water Pipe 13-411.AB.3 Table 13-411.AB? for circulating systems, first 8 feet of outlet � Insulation pipe from storage tank and between inlet pipe and heat trap Water Fixtures 13-412.AB.2.5 Shower hot water flow restricted to 2.5 gpm at 80 psi. Public � lavatory fixture how water flow 0.5 gpm max; if self-closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motors 13-414 Motor efficiency criteria have been met � Lighting Controls 13-415.AB Automatic control required for interior lighting in buildings >5,000 � s.f.; Space control; Exterior photo sensor; Tandom wiring with 1 or 3 linear fluuorescent lamps>30W EnergyGauge Summit0 Fla/Com-2008. Effective. 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C. u � � � F � R z -p 0 � � � � U V L . � y � F � a y � i � o Q z z — �, o � E z o 0 z � z N � � s . . � 0 N M i � .� � � � � b0 � CC V � O � C W :, � N O s�s-�ao-oozo City of Zephyrhilis Permit Application Fax-813-780-0021 _---------,.. Building Department Date Received a� Phone Corrtact for Pertn' • "._ 9 — y�� 1 �"� �� Owner's Name Q Q � r Phone Number Owner's Address no � �o� ��S � �� i e.i1 N � (I Owner Phone Number `+8�r°`I Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5(� ��Tq C� �,.I V ZC I• S F �- . LOT # � SUBDIVISION � � PARCEL ID# 3S .ZS-o2, { — � O — 0 � `{ l7 (OBTAINED FROM PROPERTY TAX I�T10E) WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR �� COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q S y� ,.., DESCRIPTION OF WORK W� v�,'U�L • C� BUILDING SIZE SQ FOOTAGE � HEIGHT 1�1, I C �BUILDING $ r � b�� VALUATION OF TOTAL CONSTRUCTION P- ��,��UitO ��1 � `� J � 1 V �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 0 � OPLUMBING $ Q v � /��., _ U � � V � �_ r�, � �� MECHANICAL $ JO � VALUATION OF MECHANICAL INSTALLATION / , ��'.� � � Sf� r Q / � ��r � S � '� � OGAS Q ROOFING Q SPECIALTY � OTHER 3 S'� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 3�� '�( � � � -{' ``_ . BUILDER COMPANY C�J• C p11RV C�4 tW CO �/lST �� G. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address vC. S� T S �� License # G C. � S � , �, , �(( EL CTRICIAN � r � COMPANY 7 - SIGNATURE L.J`-` �-v REGISTERED Y I N FEE CURRE� Y/ N �f Address License # � PLU BER �� COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # Nt� HANICAL �,� �� COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # 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, Constniction Plans, Stormwater Plans w! Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach (3) complete sets of Buiiding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) woricing days after submittal date. Required onsite, Construation Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facalities & 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 8 Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (A/C upgrades over;7500) " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIITING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter 'rf on public roadways..needs ROW �1 ,, Ht3-78U-t1ozQ L;tly OF L4?pTlyRillis reRiu[ Hppt�C ��-� .• �- -,-- SWdm9 D�enF DIR? R9L'61YYd Ploa�s Contad for Permi�g Owrw� 11�xe Owner Fho��a Nu�6or Oiraa�'s A�dd� O�rt�er Pt� MumO�► � Fea S'imple 7itlehotd� NaiM ( Owner Phone Itu�sr i Feo Sinple litlet�oldar Add�vss JOB ADD�33 LOT � � 8t�IDN � � PARCQ � �Bl'MI� PR01� PROPBCtY T11�I1qi10E! � WORK PROPOBED 1�W CONStft ADQfALT Q SIGN Q Q DEMOI.ISH � B ursr�t 8 �rars �r+oao� � O sr� O c� � o-rn� -rr� oF co�►srnuc„oN C] er.oac p� Q sr� 0 DFSCRfPftON OF WORK � BUEDIN[i Sdfe SQ FOOTII[� r^� HEIOHT � I OgIHIDEt� S VAWATIQN OF TOTA� CONSTRUCTION QqF.C7RICAt � /WP SERV�E Q PROC�ESS 9�6tGY Q W.RE.C. , QPCtN�iNG S Q� S YALtM770N OF NECtWN�(',s�L INSTAI�.AT10M �cas � �toc�nc p �ciurr � on� FtMSHEDFl�ORHEVATIONS ROODZtJbEAREA QYES NO 81fl1.DHt (:OI�PAl1Y � �N�tniF� �Tg+� Y/ N �Cte� Y/N Addron Eioense # � � � �� SIGMATURE �GI61� Y I N FEE p7� Y 1 N Addnss Lioense � � �t.w� ,�G,�..�i� oo��wn RBY..1: Suv �F�,v p�'�+�8/N'G l�i. / SK,YIAiURE � Y/ N c� cu�a. Y/ N a� r r�r!'lAa� LuTZ,F:.33�y ,�� efe��-� �cw,ruca� car��re,r � gKit1/►"(�IRE �STB+EO Yf N �C�a+Ea Y!N AdNass [.ioenss* � �TtER t�OtPANY g�'(� qEflS'iBtEV Y/ N FEE Ct� Y 7 N Add�.is LICf:fISB# { � RESIDB171AL Atlach (2) Plot Pirns: l� sets of &idi��Q P�m: (1) aet aI Ene� Fwms: R-0 W Pe�mit tor new m+dmdbn, 1�dieun !en (10� wioAdn9 deYs eAlv fibmi�t daie. itequked oroie. Com�rucGion Pi�e. S�rt+�br Pl�s �W Sit Fenee itsfalled, San�aty EaaTi�s & 1 du�lp: Sie Watt P�mt fot a�lonellmge P�ojeds OOII#I�IAt Rtlrd� C31 oomplsle se� d BuidYg Plr�s plus a L'ie SatalY P�: (1) sd d Fndyy Fasms. R-O-W PertN[ Tor new cor�skudion. Mi�im+n p� (1� woit�ki8 �S a0er w6milal dcds_ Re4u�ed onaM0. �a�ort Plar�s. S1oanMaler Plens MV Si Fence i�Red, sat�y FaaYfes 6 � aurps0er. slts vNodc FbnnrS tor ar nsw praJecta J1p wnrnerda requirao�eMS mwt meet oonwl��foe SIGN P6t1Yf Atmch (� !r� of Flginee�ed Plons. �"PROPg2iY SIRtYE1' �eqri�d Tar a� NRW �nwflon. DN�edo�� FA a!A appSca6on canpbbly. Ownsr & Gonlratl� aign Dsdc dappMcatlon. ratarQ�d B OVOI �, a NOIIC! Of f.UROIlpONB011t is 10QIi�ad (A�.1�7�l6 OY'Or STSO�} ° Ag�t t� u+e aorM�oh «PaMer aAYOmer (!cr fAe wmerf riara ee sornaone wn� RO�I�d kUer Aan aF+nx au�np sHane O'VQt 7FIE COUI�IiER P@�17TH11(3 (F�art ofaPP� A1N? lixoo�s iF slrngbs Saws�s Sendce llpgrades IU+C Fenoea (PbN3tmsylF'ootage� Orivervays-Not aver Coun�er if on pubdc road�neads ROW $ a��-�eo�oo�o City of Zephyrhills Permit Appbc�tion Fax�e��.�eo-o�� o.�e R�o.�rea R�orr Canl�et for O�'s 11an� Orww Pha� NunMr Ownws I�ddew Ow��sr Phar NuaOK �� Fe� 9hnph Ttl�hold�r Nam� Orrnsr Phona Ntsnb�r �� $M�PM �hadr Addrwa J� ADGRF.88 � � �� PA�IDE (O[f11�� iWM PROP6ilY TAK NO710E) WORKPROPOSED e Ne1NCOMSTRB ADWALT [� SIGN Q Q DEMOLISH ItI5TJ1Ll. REPAMt PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORN BUILDING SI� � gp FOOTA�iE �� ►��7 C� OBU �� ' �� VALUATION OF TOTAL CONSTRUCTION QEIECTRICAL �� qMp SERVICE Q PROORESS ENEROY Q W.R.E.C. QPU111�1NC ��j J 0��+�'u : v,tiu��rioro oF e�crwMr.0 iNSrpu.u►� Oc�s p rt�wc O saECw.rr � or� FINISHED FLOOR ELEYAtiONS FLOOD ZCM�E Ai�J1 QYES NO BULLDER � COMPANY � $�T�E aEG�srFaeo Y/ N � cuaaEn Y/ N Addreas �� * �— � ),� ,�,� �!// ELECTRIC�AN � /� COMPANY C�l�b I� �f�c-Tl�: C, S //�fl (% v`� 3K3NATURE ✓�/ /JL•..�/ REGtS7Ert� N FEE cUR1tE� N t'` Aaa� �is q � �4'k 1 �' �?/� � �y � a .1,� . -�. .�3�6 � u��. • �— PLUMBER � � CpMp�y SIONATURE REGIBfERED Y! N �cu�. Y!N � � Liaense � � � MECHANICAL Cp��y �— �T� REASI�EO Y/ N iEE CU�i. Y/ N � l.l�Ofll6 * on�eR �� - S�AT� �BtEnEO Y/ N r� Ctsa�n Y/ N � �icenb! 1 � RESIOENTfAL AMach R) Pbt Piwis: (� sds af Bu11tlYg PMns; (1I set of Eneryy Fams; R-4W Permit ta new �tructan, �M�Wmm ian (10) MoikkiY tlays aAar w�bm�l dq�. IL�quYsd anMe, C.o�ubudion Phns. Sto�rtnraier Plss w/ S�t Fence instalbtl, S�ary Fadilks A t dunpsNr, SNe YYak PeemR tor �erys Projxb co�cw. Attad� (3? oaniDl�O� sab d 9uildin9 (+Irn pMr � lYs S�IY P�OK (1) set d 6� Fonm. R-4W Pamd for new eaaAuabn. 1Yinrm.� un (1� wor+cirg d.rs aAbr a,omkm� a.ee. Rayubw onsrs, co�eaamon F�s. Storrm�.ler rrrm.0 s�n Fence Mste�ba, Sardery F9ciWes A i M�npatx_ Sils YVOtk PennR fOr W nsw piajacES. AM Oanm�dll req�enb rmet msst aaTpY6nce SIGN PERMIT Allach (� ssle d E�pinew�d Pl�s. ""PROPERTY SURIIEY �equiied for M PIEIN caroeudion. Dlnetios�a: FiM out a�licaHon completely. Owner 5 Contrsdor sign badc of applkatbn, nofarMZed M ovx i4800� a Notlee d Comm�mant b rsquirod. (MC upprades w�r f7600) " A9s�� (for �he eantrsGOr) or Power of Aqumey (fof fhe aNbr) wouM be aomeor�e wMh �d Mlbf han ownBr BUlhormng same OVER THE COINfTER P�tI6TTIN0 (FroM oTAPP�� YT Reroats if shirpbs Sewen Servke Uppradss A/C Fenoea (Pfot/StuvsYlFootape) Drfvswrays�Not over Cour�r N on pubNc roadwaya_need� ROW T 02/24/2011 01 51 7272895876 GATQR d1251 P 041/001 81378�0010 � �'�` ��T1��Qe F�-et3-78D0021 �A �`_ �'� Pbo�flartiCltOf — - . ONe1Y�� Rano . . . ... 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M 1{ 1F�dwaboA �ft a aafn�p� Flr� •�dC�wYg • � DUmp � � PI�OIi� autra�Md alio�! dprnll�p M�id� Is Pi�Pared OY o pn�o�W Mgi�ssr r - u ow t� mrerw r�o a uwra h Aooa nar � h oon� Mera . wwr� wr� rmm Wn � oo�udbn,ip�ybtfaiLaa�daHybA�war�hlafhsaWf�� - If 1M tmiRlM !e to be ulstl iu anY a�e�. 1 o.e� 1W aN d ssfi f� �i tiat a�widy al�ct a�ort � r�e�caiauam � 1 s � � �e � � ��PP� I�io�a i� �n o�tg sa�+rlidtaie ofawlsd 6pr � an �tl qr�i�ra PY�i np�� - N 1 am ar A�OB1r �Olt ilEa11I1Bt t pmn�.fi pood qMh a iromr ey.own.ra pr�errlp aondMa...cto�i� tn tld� �fid�rR pior b obmmindi� oqyYYdoa 1 uW�rd �t s� OMmk�r is �d for Meaklnl wak P��40. � MMs, Poole• at ao�, 9�s. ar r►OM► i�li�ns �al apiE�fj f�eid�d t1 !r �pp�0�tlon. A penNt Mawd sIMM IMaaa�i�r[b W a laNN lu PmoNd M� �e i�ak ww1 mtas b M� �4 Mr, a sat adda anr padrnr d tlr bd�9or ao0es. ��MW i�r�M�w dfl Prr+i N�i(� Q�iw *on irwdrr requuYq a ooiACioe d�eow b pta�, aonMndo+ a �IOY�ae day aodes. EtiM! Pw� �wd a�a� O�oo�M bwid �s ra woAc au�oAS�d �r aiNl� ol��nt i� ao�rerod r1(�Y� atic moo�a af pqa�t M�. a r ooAC +q+0�o�isd bY iM 0�� if M�nd�d ar �b�eldmMd i0f 3� p!E� afsOt {Aj monMira�Ir M Yas bejtink iscoaenCed. M sdM�ion a�r be arpiwbll, tt xllr, �bin � bli�'q O�aW !or i pM(Od a0t b Mwrd a1nMY �0I aiM M dMV�o�lebal! �Ii�6leariw10r11r�MraiDa B�raftaewsfDfnMle�r�ooni�t+wve�dry�f_r]abi� �ud. 1NAR�viO TLt OMI� Y�FAL111� TQ � A Nd�ICE OFC0�iT MY RlWt.T M YOUR �AYr107wICE�OR�11�tOMO1NtP�0!l�TY. �VOUrQSpT�O�TAMl�IAI�IO.CDNSI1lT ._ aYNlt 011.f1�Ur BuMppard Of 0 � d��OwpO�tlw O�alr _ YM'0 7R � ' �Yb�OMM�br � � I � �/6�r �� !Y°/ � �.�IeWrP�Ne NatiirPlqlC CalweWlonpa � _,. �M0. r. _ - t � A �C�x�ty o� O�nd� �•ae aw.s. ww«e.a.a _My � �C�m� E�.�'rES J�. 8. 2013 � �D 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. IJNLICENSED 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 tmpact 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 i�� 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 r 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 materiat 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 pians, 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 COMM NC FLORIDA JURAT (F.S. 117 03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribedap d s rr� to (or affirtned) before me this by 2-25-1( by ./ �' L�YL1�n.1rHl7 Who is/are per�ettall kn n to e or ha have produced Who is/arepe rsonally known to me or haslhave produced a�i �on. L ��c�� as identification. lX, � � Notary Public �'` Notary Public i Commission No. Comm' ion N. : � �,. JAC ion # EE 040520 Name of Notary typed, priMed or stamped Name of Notary '' �" � ��`�;:.,.^„� m,�arnuT�oyFdnwure�.eooaesmta �� :y� OP ID: SG '4` °R° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DUlYYYY) 02/24/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C�RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER 813-818-5300 NAMEACT Stahl & Associates Ins., Inc. 813-818-5396 PHONE Fax 3939 Tampa Road E MA I � ° E '� � ac, No : Oldsmar, FL 34677 ADDRESS: _ Michael Pagano, AAI cu io u: CJCAR-1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED C J Carvalho Construction, �r1C INSURERA Owners Insurance Company 32]QQ 728 Wesley Ave, Ste #1 INSURER 8 Southern Owners Insurance Co 10190 Tarpon Springs, FL 34689 INSURERC Bridgefield Employers Ins. Co. 10701 INSURER D INSURER E : INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDlYYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ �,OOO�OOO B X COMMERCIAL GENERAL LIABILITY 2071004910 07/�5/� 0 07/05l11 pREMISES Ea occurrence $ 3 � 0 ,� 0 CLAIMS-MADE � OCCUR MED EXP (My one persanJ $ � ��0� X Per Project Aggre PERSONAL & ADV INJURY $ 'I,OOO,OO GENERAL AGGREGATE $ $�OOO,OO GEN'LAGGREGATELIMITAPPLIESPER� PRODUCTS-COMP/OPAGG $ $,OOO,OO POLICY X PR � LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANYAUTO 4791387700 03l11/10 03l11/11 �Eaaccident) $ _ 1,000�00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIREDAUTOS (Peraccident) $ NON-OWNED AUTOS g $ UMBREILALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE � $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY X TORY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y � N � A 83034021 04101l10 04/01/11 E L. EACH ACCIDENT $ r J00�0� OFFICERlMEMBER EXCWDED� (Mandatory in NH) E L. DISEASE - EA EMPLOYEE $ $0�� If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ r JOO�OO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Phone # 813-780-0020 CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhilis ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 5335 8th Street AUTHORIZED REPRESENTATIVE Zephyrhills, FL 33542 �'>,G1��'/<��, "" O �O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ,. _ .�__r.; s _..�.>'>.,�-��.N�.�i.,ti-�`�.ti�.i=��.,-"5`..��.ti.-a:�.w.'�`..�.�a�.�a�'S%ay`a.i-`Y�.:�.,��N:r'��:.;-`�:,~.�`.;�.,�-'->=.��.`-.�;�.:',��'�. 1 . .. . .�. .. , , .,, „ , , y ., . . ...'sJ-�'.N'.^�'.Ni--`.i-�J_r.N' J-r,^•r r.t�'J-`.N"l✓.i .I=1.�� r f � Y�� I `� �� CITY OF TARPON SPRINGS '� G �� Y � 324 EAST PINE STREET � �� _ __ ` TARPON SPRINGS, FLORIDA34689 � � ~ � � � $ � -� o �� ,�� LOCAL BUSINESS TAX RECEIPT �� s� s �'RING�' �' �� BUSINESS ADDRESS: 728 WESLEY AVE STE 1 102.50 ;� s� TAX RECEIPT NUMBER: 11-00050257 0.00 � CONTRACTOR/BLDG./CLASS 'B' - C TOTAL PAID• 11?.50 �� COMMENTS: � 's� RESTRICTIONS: � � �� C. J. CARVALHO CONSTRUCTION I C. J.CARVALHO CONSTRUCTION INC �� 728 WESLEY AVE STE 1 728 WESLEY AVE # 1 � � TARPON SPRINGS FL 34689 TARPON SPRINGS FL 34689 � � � � PLEASE POST IN A CONSPICUOUS PLACE � Expires September 30 of Year Notated in Tax Receipt Number � � � '`5�y� - - - - - - a � � FACSIMILE COVER SHEET C. J CARVALHO CONSTRUCTION, INC ,��drQ �s P, 0. Box 1204 ' n �"`�`�' °n Tarpon Sprrngs, FL. 34688 Email: cjcarvalho�tampabay.rr.com �� Construction Division 727-939-4924 or 813-228-7748 Facs�m�le 727-939-4962 DATE TO FROM NUMBER OF PAGES TRANSMITTED iS INCLUDING COVER SHEET COMMENTS �F YOU HAVE ANY PROBLEMS RECEIVING THIS TRANSMISSION, PLEASE CONTACT ME AT THE ABOVE NUMBER THANK YOU C•,�. Car�aCho Construction, Inc. State Cert�ecf�uilding Contractor �31 C-1 ZS829S 728 ZUesCey Avenue, Suite 1 Or 1�'.O. Bo.� 1204 7arpon Spnrcgs, �'L. 7arpon Spnngs, �FG. 34689 34688 �mazG �carvaCho@tampada .rr:com 1�'ineCCas (727� 939-4924 �Fa,� (727) 939-4962 .7(�iCCs6oroug(z �813� 228 City of Zephyrhilis- Building Department I, Curtiss Carvalho hereby authorize Patrick Mathis, Jim Fitzpatrick & Lenny Levinski to Pull permits on my behalf, License number CB-1258295 Sincerel Y v � ,^,:, _ �- Curtiss Carvalho License Holder STATE OF FLORIDA COUNTY OF PINELLAS The foregoing instrument was acknowledged before me this � day of , 2011 by ��-�.1.5� C� who is personaly known to me or has produced as identification and who did/did not take an oath. SEAL Notary Signature��_,�, �� ,.�,,,, ,� Print Name �„ z nh�,��,r�.�-� �� ^.., ;a �*�'k� Motary Public State of Florida Title or Rank �j� , Donn2 Lynn Inn�morato ��'r G i�c� r(r � '� � ,N � My Commission DD738496 �'�os v�d" Expires 12/02/2011 STATE OF FLORIDA DEPARTMEN'r OF BII3INE3S ANB PROF$3SIONAL REGIILATION CONSTRIICTION INDIISTRY LICffidSINa BOARD (850) 48?-1395 , • a 'd•�• �` • TALLAHA33�$ STR FL T 3 2 3 9 9- 0 7 8 3 CARVALHO CQRTI33 JIISTIN C. J. CA{2VALH0 CON3TRIICTION, INC. 7125 HIDFAWAY TRAIL N8W PORT RICHBY FL 34655� - --- — - - - y - - - --- - -- -- one million I �/ ;•sT��w. , AG# �� 4 9 8 - C�.Of1Q�8tU�8t10(131 V1/�11 �1�5 �IC9�18A OU �Yl@ Or16 Of 1�18 �168r1y �r�. ._ a•„ Y.-, ,- .. ' Floridians lioensed by the Deparhnent of Business and Prdessional RegWabon. ;� ,�, �,,. '° ' �_ O�, � Our proFessionals and businesses range from architects to cht brdcers, from a �,.;- � ��` boxers to � y � F�� y �.�. - ; �� „�(a��E n_��.�ru :,�;:,� barbeq u e restaurar�ts and the k s econom :�: �_ Os . rwr.x.� _..:; :�} ,,., !y` - s�`1503�b Every day we work t� irripr+ove the way we do business in order to serve ou betber. t'•,� '.. ., a' ,��'�_ �-- :�.' . r � _ ,. r : a�i. --.: - - — = � ��. For i�amatlon about our services, please log o� www.my1Ioridapcsnse.com. • ' - The�e you can flnd more iMontiation about au divisions and the reguladons that �` : ,• -- imPad You, subsaibe to departrnent newsletters and leam more about the i :. - �,'-` C e .. : .s;° Y' , `. 'T�T �@p8ff7116f1YS �fl ' :. r Ib8t1V93. , ��: �t�'1�. :f'p �i I 3itK� y�. '�,i'_ Our mission L•ioense Effiaeml �:��?� '�k ''�'1i"`�='`'� �t:'� , `�' =`' � .. at the Department is: Y. Regulate Fairly. 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V:.j. . � :��'�. -n - ,;�� ; �; " > y � - `S :. . .. y �� F f.:i:_t�� 3�� GLGV 1 RN� �. ��. ry . �� , - ` . `I�fYO��lbtlO�I�1�C�ODIq'. �:t�e'tified Ucwnse'lfiC�i�B�Q!l589- ,: . ,.. '�'"�`��'^�':`�� ' I m:Digital Flle Systems, LLC To:Jackie (18137800021) 13:14 02/25111GMT-05 Pg OS-07 Pinellas County Occupational Licenses Page 1 of 2 • ....... . _ .... .. PC HOME Ot�NrE SERVICES BUSiNE33 GOVERI�MAEM RESIDENTS YISITORS DEPARTMENTS � g� print � Subscribe � a A Text �� , � ' ' :�-.- F .• �� . , , '..�.�-a. .:i '�.„�! �:.._.�.. kt�^ F � Contact Us � Cakndar � How Do t? News � Media � � SNRRE � February 24. 2011 Occupatianal llcenses The �a[� of �',�u�ty ('�mmissioners passed a resolution on 7-25-95 repealing the requirement of obtalntng a Pineltas County occupatfonal license. ORDINANCE NO. 95-53 AN ORDINANCE OF TI1E COUNTY OF PINELLAS PROVIDING FOR THE +� � J� k� �_�� REPEAL OF CHAPTER 1 18, ARTICLE IV, DMSION I, SECTIONS 118- 161 THROUGH 118-235 OF THE PINELLAS COUNTY CODE AND DECLARING THE SAME NULI AND VOID AND OF NO EFFECT; SUCH `�� j� �„s �jj THAT THOSE PERSONS REQUIRED UNDER THE ORDINANCE TO PAY THE COUNTY OCCUPATIONAL LICENSE TAX AND OBTAIN A COUNTI' � OCCUPATIONAL LICENSE IN ORDER TO ENGAGE IN OR MANAGE ANY P �„ � �� s�� BU5INE55; PROFESSION OR OCCUPATI0IV WTTHIN THE COUN7Y SHALL NO LONGER BE REQUIRED TO PAY SUCH TAX OR OBTAIN 5UCH J 1 OCCUPAT[ONAL LICENSE; AND PROVIDING FOR AN EFFECtIVE DATE. P��de 7� y�- r�. NOW, THEREFORE/BE IT ORDAINED BY THE BOARD OF COUNTY COMMISSIONEItS OF PINELLAS COUNTY, FLORIDA, as follows: �.�� Q �. L` L� � 5ection I. That Chapter 118, Article IV, Division 1, Sections 118-ibi through 118-235 of the PineIlas County Code is hereby repealed and declared null and void and of no effect. ��,�,,.,,. , Section 2. EfFective Date. This ordinance shall take effect 5eptember 30, �995. / As a result, this license is no longer needed for businesses operating J�'� in uninoorporsted areas of PineUas CouMy. ��, Businossas loc#!�d within dty Iimits should eontaet thst eity bsll, ! occupstlonal Ilcens� division, bo determine an� local licensing laws. Each munici a�It_v must be �ntacted to obtsin informatlon on their requiremeMs for conducting business witbin U�eir limits, includiag taxes and reqfstrsdon. Contradars are to conWct the Pinellas Countv Copgtruction ticensing Board, 12600 Belcher Rd., Ste. 102, Largo FL 33773 727-536-4720 for certification. For a Tax ID#, please call the State Department of Revenue at 727-538-7400. For additional State of Fiorida informatian, please caU 411. If you have any questions, please contact the Tax Collector at 727-464-7777. r retum tn too � http://www.pinellascounty.org/occupational_licenses.htm 2/24/2011 m:Dlgital File Systems, LLC To:Jackie {18137800021) 13:14 02125f11GMT-05 Pg 01-07 Buell Electric, Inc. Fax To: Jackie From: Rob Buell Fax: (813) 780-0021 Fax: (727) 21 &8672 Phone: (813) ?80-0020 Phone: 727-638-5030 Date: 2/25/2011 Pages: 7 Subject: Bueil Electric License Information Jackie, Thank you for all of your help. We are trying to get everything in place with yau ASAP. One of aur contractors, Carvalho is in the process of pennitting the Grea�t Expression Dental Office with your City and add us as the Electrical sub. Please contact rne if you require anything else via my oell at 727-63&5030. Thank you again Jackie. m:Digital Ffle Systems, LLC To:Jackie (18137800021) 13:14 02125f11GMT-05 Pg 03-07 STATE OF FI.�RI�A DSPARTMENT OF SVSINL88 A1QD PROFSSSIONAL RLGULATION SLECTRICAL CONTRACTORS LIC8NS3I1QG BOARD (850� 487-1395 • 1940 NORTB MONROE STR�BT TALLAH�SSSS FL 32399-0783 i ! HIIaLL, CiQY R H03LL ELBCTRIC INC 1591 COLF SLVD. �NIT 403 CL371RKAT81t FL 33?67 1 't,-.. `'��'�'r:*'.. .-� .� .�,. _ . �,U". '�''i_=A ".�uF>,�'�:� � ; Congrstuletiaisl With this lic�nse you become ona d the nearly one miMbn ` �i''` '�� "'�!i7': c ne ; . ' . , Fioridianc Noen�ed by the peperdrient of 8usinets arld Profetsional Repuletion. f ; -� ., r ,i•. "' . ` Our �onals and buainesess range irom archimdsto yacM brokers, from t,� ��` _. ,w F+g.�4;�. :�,,: . �_�::t , ,.� �: �= bo�s b be�bsqus rs��s, ar�l !My kssp Plorid�'s sconomy �g. �;�; � ' .,-� • ., 3 S � ; � � . .. ,. A�# `�!} •' �y�74, � Every day w�e work ta improve the way we do busineas in order to serve you betEe�.; �; ;�. :>�'';;:�:s: -- -- - ,a �:; Fcx iMamistion about au arvioe�, Pkaee l09 anto www,ny�o�Id ans�.00m. `: :. . There can ftnd more i�amatla� about our dhrisions a�nd the � is8ons tl�at �-�� . �•.; �,'::.:: �•: ;;�;� �L im � subaaibe to depaubnsnt newsbtte►s and i�m more a�bout the w �. �` �: ; .�'�,��' �; ��+� =) ,,,� ; • cr'��c:�~.s�;; 08perUtleflt 8 iflltisflVes. ' . -' ` ;,� ;i :: - - c. �;� •. . .�. - '� �x j -yf n � ' • �, 9 r.� w'.� y ' .��' � � ''� �`.,n�� '� i� Sk, ..:. r. � � .1^• '.._' °.:-. +�. , �;x . Our miesion at the Depsrtrtbnt is' Licente Effic�ently. Repulete Fairly We �*�'� = i,�%:��:v; .'�' �:,� ";z .° -:� ,.� . c o n s t e M l y atrive to serve y o u better so thatyou can so�ve your a�toraers • k: � _+°�� w � �",. . ,: � "..3 �='�' .; `. ,F . , �0�1.,.�;' ; , : ;,', �+�!R� �'�.�;.e3: aa:�6'�,�i: Thank you for doing business In Fbride. � d �lations on yoix new Ncenis! _> w �.�- ix ` -� n �� : " ��d��:`;;: - ; , � �.�.�,��„' ... ��' .:: ,�.,.�. �'r� - r ti , - x�. .�s�:..., r..;�.� ,;r,j; —.,�. ._--••-•-.-• .... . . ... ... .. ........... ..... . .. .. . . . ... . i � DETACH HERE Y�: � � •;i•n � 1.: } � .a:�r•. �.+..'. 5v ' ..:.Y. H �w' .�c� . tc : � ! . . • ' : .�.� , w �iP y,K. ' � +' i ... A 1 'a,.C. 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M1 ..� L`�'; "s } '61"i t 4 :�"`•,i��7'.':. �.'3l'�!i'� - �;'.�r ' «`'`�'; � _' '..._+;�,_ �� 1��'� . ��• .v�.. .}",, �� ti�.�., «`' . M1S r a �� .. F` *, . ' ,.,r,:1�,`,'ti; :.:;�i� �d ' .?-.. - 'K',�i'E,' .ia . r .,,��n'::.it I e � . }t ,�r,. �... �i ^ ;,.�'�5.�:7•� .Rt�'*_, `� •/J -� .`-� T :• �. .Si�.. � .�t. "'{ti ..C�� 4.:;��. . t:,1L�..j•.. ..'t�.. .f.� , FiM f �'�•.:4��-< ..�.. � . m:Digital F(le Systems, LLC To:Jackie {18137800021) 13:14 02125111GMT-05 Pg 07-07 ac oRr� CERTIFICATE OF LIABILITY INSURANCE °"'�'�' �--- 2�2a�2oii TMIS CER7IFICATE IS 188UFD AS A MATTER pF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOIDER. THIS CERTiFICATE DOES NOT AFfNtMAT1VELY OR NEOATNEIY AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLIGE8 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS7TN7E A CONTRACT BE7WEEN THE I33UING INSURER�S), AUTFFORIZED REPRESENTA7IYE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMP�RTANT: If the cortiRcate holder � an ADDI710NAI. INSURED, tM poNey(Ms� must be endors�d. lf 8UBROGATfON IS WAIYED, wbj�ct bo d�e terms md conditlons of tho policy, ce�taln po�cNs mry roquiro m endoraement A statem�nt on thi� corWicaEa doas not eor�sr rtpMs to Me cartlllcate holder in liw of such ondodement s. ��R P'�lfcia Hasttior 8tah1 S Aseaciatss Znsurance, Inc. �E a1 �17271391-9791 � i`�'. c�z��s�a-acz� 110 Carillon ParkMay �� .felicia.bartt�orEsta�iiaaursnco.aom � 0004138 St. Patersbur FL 33716 i�su �►�oROx�ocov�►oE ►u�r ��D rau�ae��?►mariaan States Ins Co 704 r�u�R a : $UELL E7.ECTRIC ZNC � � 1591 GULF HLVD '��-� �— -� D: MiWRERE: CI�]►RFiATER FL 33767 �- COVERA(iE3 CERTIFICATE NUMBER.�.1111811836 REVISiON NUMBER: THIS IS TO CERTIFY 7HAT THE POLICIES OF INSURANCE 113TED BELOW HAVE BEEN ISSUED TO THE lNSUR� NAMED ABOVE F�R THE POUCY PERIOD INDtCATED. N071MTH87ANDING ANY REQU1RfMENT, TERAA OR COt�D1T10N OF ANY CONTRACT OR OTHER DOCISMENT 1MTH RESPECT TO WHICH 7HIS CERTIFICATE MAY BE ISSUED �R MAY PERTAlN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS 5UBJECT TO ALL THE IERMS, EXCLUSlONS AND CONDITIONS Of SUCH POLlCIES. UMITS SHOWN MAY HAVE BEEN REDilCED BY PAID CLAIMS. � TYPE OF MlIIR11NCE POLICY E1tP � �� EACH OCCURRENCE i 1, 000 , 000 X CoMMSRCw. GENEftAL Lu�BII.ITV i , i pREIM�ESlEggg, � S 200, OOO A ,c�n��no� _�X__�joccuR �iCG98�90D6D 11/soio /i/2oii iMEDEXP(Myonapenan i 10,000 � ( i pERSpNA68 qpV INJURV S 1� 000 , OOO ' I ( � GEWERaI Aot#tECiATE i 2, OO O, OOO C�EN'I. AG(aYtEGATE LIMIT APPLIES PER: pRpIXJCT$ - CONIPpp pGG t 2, �00 , 000 R POLICY � � LOC i S � �utoroeu.F Unenm ; Cpa&�D s�NCl.6 LIMrt S 1, 000 , 000 i ; (Ea acci dlfM} ANY AUTO { A ALIOWNEDAUT06 �� S I ; BOdLY INJURY (P�ra�dw�l) S SCHEDULEOAUTOS I � -. X HIREDAUTOS iC678{90060 /1/2010 /1/2011 � � � S X NON-0YUNED AUTO5 S - s —�- urer�.0 w►s ' occuR ; � �c►+oc cu�a�� s � � cwws�►� � ; ,�ECn� s �ouct�s� , s -- RETENTION f f WORKERSCOMPEqiA7fON � ATLL OTH- ANC Ei1Pt.OVERt' WdUTY :-- ANY PROPRIETORtPARTNERIEXECU7fVE Y/M OFFiCERMIEMBER DGCWDEO'7 � NiAI � E.� L EACHACGOENT S __ �M�RONOry p In� N� � E.L. �ISEA,SE • EA EMPLOYE t �DE6CRI�ON OF OPERATIO�IS pebw , E.L dSEASE - POLICY Lq�MT S j i i o�cw�au � o�RA'rwi+s r t.oc�TqNS t v�racxfs µwen �cam 101, Aaa1�r ie.n.e�. sa�.eui., e mere.p.e. a nawrwl CERTIFICATE HOLDER CANGELLATION ( 813 ) 760-0021 BHOUI.D ANY OF THE ABOVE DE8CR�D POLIC�8 BE CANCELLED BEFORE n�e exnta'riot� a►rE rH�t�, No�ncE anLL ee oeuveReo e� City Of Zaphryhilla A�� TME �r �tov��q�s. Building Dopartment 5335 Bth Street �� Zephryhills, E'L 33542 1c�11y Patsoldla7lRT� �� ' P''.��'.-c. " ACORD 25 (2009/09) � 1988-2009 ACDRD CORPORATION. AII rights roservsd. IN9026 �� The ACORD neme and logo are regisbend ma►ks of ACORD ADP 3/25/2011 11:50 AM PAGE 2/003 Fax Server BUELELE-01 REDA A�rM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYI� 3l2512011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 ADP Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Roseland, NJ 070B8 ALTER THE CON�RAGE AFFORDED BY THE POLiClE8 BELOW. INSURERS AFFORDING COVERAGE NAIC � INSURED BUELL ELECTRIC, INC �NSUReRa Twin City Fire Insurance Company 9459 1591 GULF BLVD 403 INSURER B: CLEARWATER, FL 33767 lNSURER C INSURER D: 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 CERIIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER �LICY EFFECTIVE POLJCY EXPIRATION LIMITS GENERAL LJABILITY EACH OGCURRENCE $ COMMERCIAL GENERPL LIABILRY PREMISES Es ocarence $ CLAIMS MADE � OCCUR MED EXP (Arry one person) � PERSONPL & ADV INJURY $ GENERPL AGGREGATE $ GENL AGGREGATELIMtT APPLIES PER: PRODUCTS • COMPlOP AGG $ POLICY PR � LOC AUTOMOBI�E UA8ILJTY COMBINEDSINGLELIMIT $ ANY AUTO (Ea accideM) PLL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per acadent) PROPERTY DPMAGE $ (Per accidern) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ ANY AUTO Eqq�� $ OTHER THAN AUTO ONLY AGG $ EXCE391UMBRELLA IJA8IUTY EACH OCCURRENCE $ OCCUR � CLAIMSMADE AGGREGATE $ 8 DEDUCTIBLE $ RETENTION $ $ WORKER3 COMPENSATION AND )( WC STATU- OTH- TORY LIMRS ER A EMPLAYER3' 1JA81LITY 76WEGW8474 311J2011 3l1/2012 E.�. EACH ACCIDENT $ ��0�0� ANY PROPRIETORiPARTNERIEXECUTNE OFFICERrMEMBER EXC�UDED? 'IOO OO If yes, describe under E.L. DISEASE - EA EMPLOYEE $ � SPECIAL PROVISfONS belav E.L. DISEASE- POLICY LIMR $ SOO,OO OTHER DESCRIPTION OF OPERATIONS ! LOCAT10N3! VEHICLE9 ! EXCLUSIONS ADDED 8Y ENDORSEMENT f BPECIAL PROVISION3 CERTIFICATE HOLDER CANCELLATION SFIOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION City of Zephyrhills Building Departrnerrt DATE THEREOF, THE 133UING IN3URER WILL ENDEAVOR TO MAIL � � �AYS WRITTEN 5335 8th Street Zephyrhills, FL 33$4Z- NOTICE TD THE CERTIFICATE FIOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMP08E NO OBLJGATION OR LIABILITY OF ANY KIND UPON THE INSURER, R9 AGENTS OR REPRESENTATIlIE3. AUTFpRI�D REPRESENTATIVE - ACORD 25 (2001/08) � ACORD CORPORATION 1988 02/24/2011 22.34 7272895876 GATOR � #1254 P.001/001 ��,. �� PalicyNumber � DalgEnlerpd: 4 , ' CERTIFICATE QF LIABII„ITY 1NSUR,ANGE "'�`�' TMS C�t7�CATE IS ts�lm AS A iue�TT�R pF INFORMATION ONLY AND COI�FFERS NO l�GHTS UPON 7tE Cetl'1F[CATE NOLDER T}pS CE]2TIFICATE DOE3 NOT AFFIRMATNEJ_Y bR I�EGA7N8.Y AMEI�Iq DCiEND OR ALTB2 THE COVERA� AFFORDED BY 7HE POUd�3 BELOW_ 7iN$ CER7IFIC/17E OF INBURANCE DOES NOT CON$TITUTE A CQM'RACT BETYYEEN 7HE ISSUINC� INSURER(8�. AIliFibR�D �rnnvE oR �toouc€�t, ,� TMe cem�,cn� rq�a�. 1lI�RTMfT: 1f tBe aor 'p�icabe 1►oltler iS �n ADD17'1aNAL QrSI�'tED� 1!a poficy(ies) must be endaraed. If SIfBROGATIOM 13 WAIVED, subjeee to the teems and cvnd�tions of tbe p06ry, aert�in poRciea may rsqaire an � A sl�nmt on ihis ae�e doQS not confa dgh�a �o the C�TqfiCtlpe holder in lieu of such endo�sam�M(s r�aoDIICER �OZ'1C1$ SS7II[�.DSSt Tn��ar�e�s ��r 'jII4'. .,•.—• 600 HYFIbSS DitYVL, S'V�4lE 206 �� 96-5566 � TF {727) 799-9681 c�7lR�1T�. FL 3376d E ��';�Y@flosidasanaoasti.ns.aoa . N�P�S)AFFOFONG� .. ...�. NA�! .. _.. L!/yURERA• FCBiI FOlID � GATQR ME�TICAL OiF TAZ�A BAY� �iC. Wq1RHlB: TAF O�O CA.S�rP! CO/a7lI.CSCt�i c�8'1'0� Ir0'V� a�e: _.. _.... .. 7.0546 S3� AVLNOS 1�_ w�n: ST. �G, FL 33708 aau�e�e: ! R�Fe COVERA65S CER?iFiCJ1TE NtJMBER: REYISION NUYBHt: 'i'htlS lS TO CERTFY 'IHAT TNE POLICIES OF II�URANCE LlSTED BELOW NAVE BEEN ISSUED 'TO TME INSURFP NAMED ABOVE FOR THE POLICY PER10D INDICATED. N07Wl7H37ANDING ANY RECUIREI�NT, 7ERM OR CCNOfIIOTI OF ANY CONTRACT OR OTFiER DOCIlMENT YVfTH RE8PEC7 TO YUFNCN TW5 C£Ri'IFICA'1E �1AY 8& 1$$41ED OR MAY PERTAIN. THE 1NSURANCE qFFQRDED BY 7riE POCIC{ES DESCRIBED HFJ�EM) lS SUB.1ECi' t0 ALL ThE TERMg, EXCLUSIONS AtdP CONDrnONS 4F $uCM POI.ICI�S. I,urtri�S �pWN t�,qY HAVE eEEN RBDUCEO BY PAI� CLAl1AS. � �YPE oF a�1pc� Poucr Mirws� ta�rs G�RAL Wau7Y eaCHOOC�ae�c� s 0 $ � �� B8D115�l571192 i9/19/2010 9/19/a011 2, i 10�.00Q �., ��' «r _„ 5 1Q„000 ' �anwu�n�r s 00 00 f Ort�xTiALAAORlCiR�E _ ciar�.��i.v�er�v��: � a�ouC'rs.cn�a�7a�G 's2 OOO,,O,QO aax.�r PF°O' � �oc { a �u�aro.aE uns�w � Ao�a�rq : ANYAUfV � � BOOILYiNIURYIPsYSmn) . f ..__.. Iv10�171E0 8p1�{1L� � • ..._. AV1'OS � � BOaLY1NA7RY(PYr�pppltl�j':� MR�AUTOB AllT06 � � . _ .__ ._. . �'s ' - � ��.� � �� ' �ocess u�e auws�oE j � ncxs�ter,n� . t s .. oso � s � I s woa�s co�s�nar wc � "'�� r�N ! _ �cs�MR.s. ... ..�. � .... p, �� Hra 106-45$73 �s/za/zaio a/zVZOU �'�"�A��... .._ s 1 00 00 C6H�'�10N� 110f1S _ I 61.OI�A4&.pp y�WUT� S� ,r �� O � OQQ O ...._ � i i � � Of d�lRA710AlSf LOCA710dS f YElOd.Et (IIm�c6 ACOIID 101. Ad�ra�ot �kc � M aae �paw i nquin� CER71 TE LDER CANCELLATION sHOU� anr oF rHE aeovE o�sca�e� ro��es eE c�ce.�o e�o� 7flE EXRRA710N OA7E TF16tEbF, MO710E WQ.L BE OF1�1l� IN ACCq�ICE YIrt7H'R� POtICY PR0�9tON5. � � 'EEp$Y'fZTf7TYQ �'jl"�� . RQQS 8TB STRSST AUTIIDP� �H�fTA71VE ZS?�BII�LS, PL 33542 � gaAS O 18e8-Z010 ACORD CORPORA710N. M rlgMs rc�ved. ACORD 25 (ZOlOJi05) TF10 ACORD nanM antl bgo aro rogktoiad rtlsHcs of ACORD Piaduoedw�g ionnsBawRwsaM�.rw�w.J�ormsHo�s eoazae-tSn Jacqueline Boges To: cjcarvalho@tampabay.rr.com Subject: RE: Signature page for submittal Thank you I have received the signature for the back permit application. Will put with the permit. lackie From: cjcarvalho@tampabay.rr.com [mailto:cjcarvalhoCa�tampabay.rr.com] � � �� - �- - �T��W______ Sent: Friday, March 04, 2011 9:50 AM To: Jacqueline Boges Subject: Fw: Signature page for submittal Jackie Please print Owner signature app attached and add it to the file. See below too please & thank you Thank you, Donna Innamorato Office Manager C.J. Carvalho Construction 727-939-4924 ----- Original Message ----- Fr�� :t�r �m To: qbrownCa�ci.zephvrhills.fl.us Sent: Friday, February 25, 2011 3:19 PM Subject: Signature page for submittal Gene Hi I have attached the signature page for the submittal Curtiss Carvalho made this morning for the property 5335 8th Street, Zephyrhills, FL. He did not leave with any paperwork? Is there a tracking or progress # for this project 8� does C.J. Carvalho Construction get an ID # with your building Department now? It is our first submittal in your B-Dept so if you could please inform me, I would appreciate it. Thank you have a good day. Best Regards, Donna Innamorato Office Manager C.J. Carvalho Construction, Inc. 727-939-4924 Office 727-939-4962 Fax cicarvalhoCa�tamoabav.rr.com i � g-�- ( p C'�-1 I '� . � � �f 2 � � S ; �,u,y� — � City of Zephyrhills P SS -� � Water and Sewer Impact Fee Calculation Z � � . , e.n�� I �� S Land Use Type: Doctor or Dentist Office No. of Practitioners 4 No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limits Water Distribution System Wastewater Collection System $ 5,297.52 $ 6,621.90 Wastewater Treatment Plant Ca aci $ �0,648.02 $ 13,310.00 TOTAL � 5,963.55 $ 7,454.46 � 21,909.09 $ 27,386.36 .��'� � � �� DCH Engineers, Inc. FLORIDA EB �27958 • P.O. Box 13123, Tampa, Florida 33681 Phone: (813) 902-1188 Toll Free Fax: (888) 287-5092 March 29, 2011 City of Zephyrhills Fire Marshall 6907 Dairy Road Zephyrhills, FL 33542 ATTN: Mr. Kerry Barnett RE: Great Expressions 7950 & 7944 Gall Blvd. Zephyrhills, FL Dear Sir: This letter is in response to plan review comments dated March 14, 2011. The following item appears to have been a point of confusion and this letter will hopefully clear the issue up: The room near the nartheast rear corner of the building labeled "MECHANICAL" is NOT intended to be a room housing an air handling unit or any other major air distribution equipment. It is a room for housing an air compressor and a vacuum pump for providing medical gas service to the various dental exam stations located throughout the space. See sheet P-3 for medical gas piping information. Please note also that there are no flammable gas cylinders to be located in this room, and no other storage of any kind shall be permitted. On the mechanical plan, sheet M-1, is indicated a ceiling diffuser supplying 50 CFM to this space and a louver low in the door for return/transfer air out of the room for general ventilation. No duct smoke detector should be required. If this room requires rated walls/door the return louver will be removed to maintain the door rating. �,�f �'�"�t��ny questions or concerns regarding this re-submittal, please feel free t0 � �, CTj.k9.• •C�N,9 �•, V � � � O � . ��a'rd� g009 �. = ' �-_ . • e . p ' ' STA ^ �� . �, � � � • � � . p ,�, p�. t , 1 .� •�: ��•: �'�� t �• r�.. � �., ,�� . s�r�r�.. Vincent C. DiLeonardo, P.E. Page 1 of 1 DCH En�ineers, Inc. FLORIDA EB #27958 . P.O. Box 13123, Tampa, Florida 33681 Phone: (813) 902-1188 Toll Free Fax: (888) 287-5092 March 29, 2011 City of Zephyrhills Fire Marshall 6907 Dairy Road Zephyrhills, FL 33542 ATTN: Mr. Kerry Barnett RE: Great Expressions 7950 & 7944 Gall Blvd. Zephyrhills, FL Dear Sir: This letter is in response to plan review comments dated March 14, 2011. The following item appears to have been a point of confusion and this letter will hopefully clear the issue up: The room near the northeast rear corner of the building labeled "MECHANICAL" is NOT intended to be a room housing an air handling unit or any other major air distribution equipment. It is a room for housing an air compressor and a vacuum pump for providing medical gas service to the various dental exam stations located throughout the space. See sheet P-3 for medical gas piping information. Please note also that there are no flammable gas cylinders to be located in this room, and no other storage of any kind shall be permitted. On the mechanical plan, sheet M-1, is indicated a ceiling diffuser supplying 50 CFM to this space and a louver low in the door for return/transfer air out of the room for general ventilation. No duct smoke detector should be required. If this room requires rated walls/door the return louver will be removed to maintain the door rating. If you have any questions or concerns regarding this re-submittal, please feel free to [i9�� ••�G. lLF�'�, ., '�� , . • • • . , � • !' �� 2 � � � � •�� i � � • • ■ : 0. �J O�9 :� : � _ f • - � . _ �� r aF ' �� • • : �� ,� , � Q. • � � � �� ♦ �1' ,��-� �onardo, P.E. Page 1 of 1 CITY OF / / / / BUILDIN� ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION �• • - • ADDRESS DATE PERMIT f � 0 � � /7 � � � THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. a G� -� -- L��, � � ,� 7 � � �1 t '," �2�/�- �� "� � �,� ,, c� � � tt is unlawtul for any Carpenter, Contractor, Bui�der, or other persons, to AFTER CORRECTIONS ARE ADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780-0020 FOR E-� 0 or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 5 PM MON.-FRI INSPECTOR CITY OF / / � � BUILDINa ZEPHYRHILLS D�PARTMENT OF ADDITION OR CORRECTION �• • - • ADDRESS DATE PERMIT �, �� i �� _ — � � �� "�� " ' � .., - � ; �_�� 1�,�� THIS JOB HAS NOT BEEN COMPLETED. The following additions or correct ons shall be made before fha job will be accepted. ��, ` �.ty (_ �: ) � � -i � � (.� ` �-- ` � =, � l '1 � � � � •, 1 i , �, � ,' • i , �t is unlawfui tor any Carpenter, contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth or other materia� until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION the installation. OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. INSPECTOR �� '''�~ ,� Jacqueline Boges " From: Bill Burgess Sent: Tuesday, June 14, 2011 8:06 AM To: Jacqueline Boges Subject: FW: Great Expressions From: Kerry Barnett Sent: Tuesday, June 14, 2011 6:26 AM To: Bill Burgess Subject: Great Expressions Bill, When I was completing my final inspect at Great Expressions, he showed me the GFI's that were not working that you advised him to show me when I was doing my inspect. They were corrected and working at the time of my inspect late yesterday morning. Kerry Barnett Fire Marshal City of Zephyrhills 6907 Dairy Rd. Zephyrhills, FL. 33542 (813)780-0041 Cell: (813) 714-6326 "A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty."....by Churchill. � Enforcing Health Care Standards - Inspection Unit - Medical Quality Assurance - nforcin... Page 1 of 1 floridashealth.com MOA Home MOA Site Mao Customer Feedback Need Helo? About MOA �� Enforcement Home �� F � INSPECTION PROGRAM � Glossarv of Terms A to Z Index WHO WE INSPECT: mqalinks Specific facilities and professions regulated under the Division of Medical Quality Assurance require inspections prior to beginning practice and/or on a periodic basis. These facilities and professions are as follows: Aoolication Status Check Aoolv for a License • Pain Manaaement Clinics - Annual inspections Continuina Education • Pharmacies - Opening, annual, change of location and change of owner pec on -�-�� iscioiine � . Dental Laboratories �Opening and annual inspections exam scores �e� - Opening, annual and change of location File a Comolaint inSpeCtIOnS • Electrolvsis Establishments - Opening, biennial and change of location Final order Comolianee inspeCtions Health Care Professlonal Loain • Ootical Establishments - Biennial inspections Health care Professions • Facilities licensed under Cha�ter 499. Florida Statutes (i.e., Drug Wholesalers and Drug Manufacturers) - Licensure Evaluation Tool . Dispensing Practitioners - Annual inspections. �icense verification • Dispensing Practitioners may include Dentists, Medical Doctors, Look uo a �icense Naturopaths, Podiatrists, Osteopathic Physicians, Optometrists and Nurse Other Related Aaencies Practitioners. Dispensing is defined as selling medicinal drugs to patients in the office. A prectitioner who is only providing complimentary professional rlursina Edu. Proaram Search samples or who writes prescriptions for a patient to fill at another location is Practitioner Profle ...,* .��..e..��.... �.,a .�..e� ....r ti�, o r.. � ��re. > > .��..e.,��.... .. ��r�.,..o. Public Records MISSION: To protect and promote the heaRh of all residents and visitors in the state through organized sWte Publieations and community efforts, including cooperative agreements with counties. VISION: A healthier future for the people of Plorida. Renew License pURPOSE: To proted the public through heaRh care.licensure, enforcement and information. Uocomina Meetinas FOCUS: To be the nation's leader in quality health care regulation. VALUES: Integrity, Commitmen[, Respec[, Excellence, AccounWbility, Teamwork, & Empowerment. �,� �C� ►�' , � �,� _ ,�„�� ss� �� 7�- � http://www.doh.state.fl.us/mqa/enforcemendenforce insp�rog.html 6/15/2011 NEW REQUIREMENTS FOR DENTISTS AND DENTAL LABORATORIES Effective January l, 2009, Chapter 466, Florida Statutes, was amended. Please refer to Dental Lab Statutes for complete language. Section 466.021, Florida Statutes • Work order form is now referred to as prescription. • Each prescription shall contain the license number of the dentist, as well as specification of materials to be used in each work product. • A registered dental laboratory shall disclose in writing at the time of delivery of the final restoration to the prescribing dentist the materials and all certificates of authenticity that constitute each product manufactured and the point of origin of manufacture of each restoration, including the address and contact information of the dentallaber�fory. � � ��'� • Failu �of a dental laboratory th as accepted a prescription to have the original or electron' -�e�cn and to ensure the accuracy of each product's material disclosure at the time it is delivered to the prescribing dentist constitutes a misdemeanor of the second degree. • A dental laboratory accepting prescriptions from dentists is liable for damages caused by inaccuracies in the material disclosure, certificates of authenticity, or point of origin provided by the dental laboratory to the prescribing dentist. Section 466.032, Florida Statutes • The dental laboratory owner or a least one employee of any dental laboratory renewing registration on or after July l, 2010, shall complete 18 hours of continuing education biennially. • Continuing education course content and manner of documentation at renewal is specified. Please refer to Rules 64B5-17.006, F.A.C. and 64B5-27-1.003, F.A.C. for additional information A _ EXISTING RESTAURANT ALL WORK SIiALL P REVAILING C � VPL yMTIfALL C ODE, NATION DES, FLORjDA p W CITYOFI AI ELECTRICC ILDING FPHyR1fI11S ORD O n E AND &N LACES REVIEW o /vr CITY Of� .7 r " %--° PLANS � Y��HII_I 5 MINER —,-(� yU1 iri`I'ED PLAN(S) HAVE F &F- VIEWE& ?3Y LE PIIYRHILLS FIRE R. } 'S r E Dat e: 11 ev iew or: Please be advised this review of plans submitted is a cursory review to assist the conVacto( in compliance with applicable fife safety codes. e submitted Plans, i n t ended is the to be a final approval c contractor's sole responsibility to ensure that the plans are in complete compliance with GII applicable NFPA codes and local ordinances. In the event ;hat further examination or site inspection reveals areas 6 non- rompliance, it silail be , at their sole the contractor's sole corn I bring those al eas i n Iian The City assumes oto p responsibility for the contractor's failure to be in complianCe with all 3ppkable NFPA Codes and local ordinances. 0 �i / •� / /t ADDRESS TO BE LOCATED ON REAR OF DOOR .........._ ................._....,.........,.,...,.,-. .�— T.....,.,.,..__........,.,:i '.:........... EXISTING ONE HR RATED - DEMI51% WALL TO REMAIN 0 -. EXI5T1N6 ELEGTRic& METER AND ' PANE-5 ARE L%ATED ON READ OF BUILDING —� �-;-� STERILIZATION + 9' -0' U6. Hi . NO RENOVATION PLAN A -�V'r SCALE: 1/4" = I' -0" 0 N r + V -0' �1 HG RESTROOM +1-0 ( 16. H1. ............. 0 0 o IV rw STORAOE ROOM TO BE 14R RATED ,♦ MIN Dom ► • H16H HAZAPD THE V / ELECTRIC IN ROOM BE EX PLO51ON PROO P ER WPA 10 1 6.1.1.1 EX15TINO ONE HR RATED DEMISING WALL TO REMAIN _E XISTING RESTP�JRANT THIGH WALL. RENOVATION NOTES: L ALL WORK TO BE DONE IN ACCORDANCE WITH THE LATEST STANDARD BUILDING CODE MID ALL LOCAL BUILDING CODES. Z. ALL DEMOLITION WORK SHALL BE PERFOIRMED WITH VUE CARE AND DILIGENCE' 60 AS TO PREVENT THE ARBITRARY DESTRUCTION OF INTERRUPTION OF CCNCEALED UTILITIES WHICH ARE INTENDED TO REMAIN N USE AND THE ROUTING OF WHICH COULD NOT BE PRE- DETE>"d'INED UNTIL DEMOLITION WAS STARTED. ALL SUCH DISCOVERIES OF UTILITIES DURING THE DEMOLITION PROCESS WHICH ARE IN A LOCATION DIFFERENT FROM THAT INDICATED, CHANGE DIRECTION, ETC, OR ARE UNIDENTIFIED, SHALL 13E REPORTED TO THE ARCHITECT / OWNER DEF•ORE REMOVAL. FOR FINAL. DISPOSITION. 3. REMOVE ALL CONSTRUCTION DOIGNATPA TO BE REMOVED AND CLEAR TO RECIEVE NEW WORK AS HERE -N INDICATED. 4. REMOVE PORTIONS OF EXISTING CONSTRUCTION AS DRAWN AND PATCH TO MATCH ADJACENT CONSTRUCTION TO ACHIEVE UNIFORM, NEW APPEARANCE. S. THE OWNER WILL NOT BE HELD LIABLE FOR FIELD CHANGES THAT ARISE FROM CONTRACTOR ERROR OR OMISSION OF MATERIALS. b. THE CONTRACTOR GUARANTEES ALL WORK AGAINST FAULTY OR IMPERFECT MATERIALS OR WOM WMIP ALL WORK SHALL BE ENTIRELY WATERTIGHT AND LEAKPROOF. ALL MATERIALS ARE INSTALLED IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS. 1. THE CONTRACTOR SHALL GIVE WRMTTEN NOTICE TO THE ARCHITECT OF ANY MATERIALS, EQUIPMENT OR DES44 FEATURES WHICH HE BELIEVES INADEQUATE OR UNSUITABLEt N VIOLATION OF LAWS, ORDINANCE8, OR RULES AND REGULATIONS OF ALL AUTHORITIES HAVNG 1080ICTION OVER THE WORICt AND OF ANY NECESSARY ITEMS OR WORK OMITTED FROM THE DRAWINGS OR SPECIFICATIONS. & PLANS WERE DEVELOPED FROM INFORMATION "'PLIED BY THE OWNER AND EX OTNG CONDITIONS OBSERVED. ANY DISCREPANCIES BETWEEN ORAWING6 AND EX6TNG CONDITIONS Ave TO BE REPORTED TO ARCHITECT PRIOR TO STARTING WORK ON A GIVEN ITEM AND BEFORE INCURRING ANY ADDITIONAL. COSTS. 3 CONTRACTOR SHALL FIELD VERIFY ALL DIMENSIONS NDICATED. FABRICATION SHALL BE BASED ON THE ACTUAL FIELD DIMENSIONS ONLY. 10. ARCHITECT VA NOT CONDUCTED ANY INVESTIGATION AS TO THE PRESENCE OF ABBESTOO OR ANY OT!-ER HAZARDOUS VZ6TANCE AND ASIXI ES No RESPONSIBILITY WITH RESPECT TO SAME. It DE61GN DRAWINGS INDICATE SCHEMATIC STRUCTURAL MEMBER LAYOUT, CONTRACTOR SHALL 8UBMIT SHOP DRAWINGS INDICATING ACTUAL. LAYOUT OF ALL STUCTURAL MEMBERS FOR APPROVAL PRIOR TO INSTALLATION, ALONG WITH REGISTERED STRUCTURAL. EW31 EER'S CALCULATIM. ALL MEMEM SHALL 13E INSTALLED ACCORDNG To MANUFACTURERS RECCM ENVATICNS NCLUDING BRACNG, SPACNG, ETC, 12. CONTRACTOR PRIOR TO INSTALLATION SHALL FIELD VERIFY ALL DcISTMG CONDITIONS AND BRING TO THE ATTENTION OF THE ARCHITECT ANY DISCREPANCIE8. 13. CONTRACTOR 16 REQUESTED TO VISIT THE SITE, COMPARE THE DRAWINGS AND SPECIFICATIONS IUTN V1 6:13LE EXIOTNG CONDITIONS AND WOW ARCHITECT AS TO ANY DISCREPANCIES PRIOR TO BID W186ICN 60 AN ADDENDUM CAN BE ISSUED. FAILURE TO VISIT THE SITE WILL IN NO WAY RELIEVE THE CONTRACTOR FROM NECESSITY OF FURNISHING ANY MATERIALS OR PERFOWNG ANY WOW THAT MAY BE REQUIRED TO COMPLETE WORK IN ACCORDANCE WITH DRAWINGS AND SPECIFICATIONS WITHOUT ADDITIONAL COSTS TO THE OWNER 14. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE EQUIPMENT AND METHODS USED IN THE ERECTION OF HIS WORK COVERED SY THE CONTRACT, BUT THE ARCHITECT RE80ZVES THE RIGHT TO APPROVE SUCH EQUIPMENT AND METHODS. S. THE CONTRACTOR SHALL BE TOTALLY RESPONSIBLE FOR ANY AND ALL DEVIATIONS FROM THE CONSTRUCTION DRAWINGS INSTALLED WITHOUT APPROVAL. OF AW-441TECT AND LOCAL JURISDICTION. THIS INCLUDES REPAIR COOTS NECESSARY To CORRECT IAIAPFF40YED WORK INSTALLED. RENOVATION LEGEND INDICATES EXISTING WALL 0 TO THE BEST OF THE ARCHITECT OR ENGINEER'S KNON - EDGE AND BELIEF, THESE PLANS AND SPECIFICATIONS COMPLY WITH THE 2001 FLORIDA BUILDIN6 CODE AND WITH ALL 2009 SUPPLEMENTS. * THE MMIN65 d DESIGN ARE VALID FOR 12 MONTHS FROM DATE OF BEING SEALED. TO TI4E BEST OF THE IQ40ULEDGE OF T1E ARCHITECTS OR EWr'sINEERS, SAID PLANS AND SPECIFICATIONS COMPLY WITH THE APPLICABLE MINIMUM BUILDING CODES AND TI4E APPLICABLE MINMlJr1 FIF49 SAFETY STANDARDS. ALL DIMENSIONS AND JOB CONDITIONS SHALL BE VERIFIED BY THE CONTRACTOR, ANY AND ALL DISCREPANCIES SHALL BE REPORTED TO THE ARCHITECT PRIOR TO COhP1ENCEMT OF CONSTR CTION. ISSUE DATE REVIEW 02122AI PERMIT 02123AI 1mv. A 05/22/11 00 I PIE V. a 04/13/11 REV. � N 00 REV. O TRW � I � MTAU NO WWMA I N1" NO HN� AM TM TM1G PROPMlY Of MAa vBSWK M. W %kL NOT BE FVROOUrW RE-mm OR corm Fm OTHER PWJMTA N "LE OR PART WITHOUT"W MBI CO em or FKVK FliAA W.'WrEOT, ALA ALL %WIN ARE FMBtYW BY THE AROHITEG N AGGOR Ma WITH U& COPYROff MC PATBHT LAWS. WhMiAZW REPFOOU "WILL BE FR05E•XW TO THE PULL. mw of THE LAW. O t` M O M 00 N Q � N 00 O Q N v 1 U a Ri 00 O Cn v 1 [ O U w O rr ►►--�� O� W U`.J��N SHEET TITLE RENOVATION PLAN t` M M 00 N � Q � N 00 O Q N U a Ri 00 w W O N N t` k w W z w i; o U Q 00 O N �oz x SHEET TITLE RENOVATION PLAN MECHANICAL PLAN M -1 I SCALE: 1/4" = V -0" NORTH O_ all SD- KEYED NOTES: O 1. EXISTING PACKAGED ROOFTOP UNIT WITH ELECTRIC HEAT TO REMAIN. CLEAN /SERVICE /REPAIR UNIT AS NECESSARY TO LIKE NEW CONDITION. RE- CONNECT NEW DUCTWORK AS SHOWN ON PLAN. CONNECT EXISING SUPPLY AIR SMOKE DETECTOR FOR AUTOMATIC UNIT SHUTDOWN AND CONNECT TO [BUILDING FIRE ALARM (IF APPLICABLE). RE- BALANCE AIR FLOWS TO VALUES AS FOLLOWS: A) EXISTING 5 TON UNIT: SUPPLY AIR: 1,650 CFM RETURN AIR: 1,330 CFM OUTSIDE AIR: 320 CFM B) EXISTING 4 TON UNIT: SUPPLY AIR: 1,250 CFM RETURN AIR: 970 CFM OUTSIDE AIR: 280 CFM 2. PROVIDE NEW BATHROOM EXHAUST FAN AND 6"0 METAL EXHAUST DUCT TO ROOF CAP. CONNECT FAN TO ROOM LIGHT SWITCH FOR SIMULTANEOUS OPERATION. 3. PROVIDE NEW DIGITAL 7 -DAY TEMPERATURE CONTROLLER ON WALL WITH LOCKING CLEAR PLASTIC COVER. MOUNT CONTROLLER MAX. 48" A.F.F. 4. PROVIDE 18x6 LOUVER LOW IN DOOR FOR RETURN AIR FROM THIS ROOM. COORDINATE EXACT STYLE, FINISH, AND PLACEMENT WITH ARCH.. 5. PROVIDE NEW GENERAL EXHAUST FAN AND 6 "0 METAL EXHAUST DUCT TO ROOF CAP. CONNECT FAN TO SEPARATE WALL SWITCH FOR OPERATION AS NEEDED. 6. PROVIDE NEW EXHAUST FAN WITH EXPLOSION PROOF MOTOR AND 6 "0 METAL EXHAUST DUCT TO ROOF CAP FOR GAS STORAGE ROOM. FAN SHALL RUN CONTINUOUSLY IN OCCUPIED MODE. 7. GAS STORAGE ROOM VENTILATION LOUVERS (2). MINIMUM 72 SQUARE INCHES FREE AREA EACH. INSTALL ONE LOUVER WITHIN 12 INCHES OF FLOOR AND OTHER LOUVER WITHIN 12 INCHES OF CEILING. COORDINATE EXACT LO(CATION, STYLE, AND FINISH WITH ARCH. & OWNER PRIOR TO CONSTRUCTION. 8. THIS ROOM SHALL BE CONSTRUCTED SMOKE- TIGHT. PROVIDE SMOKE DAMPER AND DUCT SMOKE DETECTOR ON METAL SUPPLY BRANCH FOR THIS ROOM. CONNECT SMOKE DETECTOR TO AUTOMATICALLY SHUT DOWN AIR HANDLIN(G UNIT SERVING THIS ROOM AND INITIATE FIRE ALARM. LOCATE SMOKE DETECTOR RESET KEY SWITCH IN AN ACCESSIBLE LOCATION OUTSIDE OF THIS ROOM. SMOKE DAMPED SHALL 0 MECHANICAL LEGEND Ax A0 SUPPLY AIR DUCT, DIMENSION "A" SHOWN AxB, AO RETURN AIR DUCT, DIMENSION "A" SHOWN FLEXIBLE DUCTWORK, SAME SIZE AS DIFFUSER NECK — REFRIGERANT PIPING CONDENSATE DRAIN PIPING �Z SUPPLY AIR DIFFUSERS REVIEW RETURN AIR GRILLE ® EXHAUST AIR GRILLE ._.#° FIRE DAMPER — VD VOLUME DAMPER m THERMOSTAT, 48" A.F.F. ® ROOFTOP EXHAUST FAN ® CEILING EXHAUST FAN HVAC EQUIPMENT TAG DENOTES EQUIPMENT TYPE 1 - DENOTES EQUIPMENT NUMBER AIR DEVICE TAG RG -1 - DENOTES DEVICE TYPE 6 0 N - DENOTES NECK /FLEX DUCT SIZE 60 - DENOTES AIR FLOW (CFM) SMOKE DAMPER WITH AUXILIARY SHAFT AND FACTORY SUPPLIED DAMPER OPERATOR 1" MINIMUN OVERLAP ON ALL SIDES OF DAMPER. TYPICAL 6" M AX. o 1/4" MAX. FIRE /SMOKE DAMPER (UL LISTED) ACCESS DOOR BREAK -AWAY CONNECTION: PER FIGURE 2, SMACNA "FIRE DAMPER AND HEAT STOP GUIDE" 1981 EDITION - FOR SLEEVE OR DAMPERZ. FIRE SMOKE RATED WALL BY GENERAL CONTRACTOR SHEET METAL DUCTWORK SLEEVE BY DAMPER MANUFACTURER COMBINATION FIRE /SMOKE DAMPER SHALL BE AS MANUFACTURED BY NATIONAL CONTROLLED AIR INC. MODEL NO.FSD- 3V -S -57 WITH SLEEVE, FIIRE /SMOKE DAMPER SHALL BEAR THE U.L LABELS FOR BOTH FIRE DAMPERS AND LEAKAGE RATED) (SMOKE) DAMPERS. U.L 555, CLASS I. DAMPER ACTIVATOR MOTOR SHALL BE THE TWO POSITION (NORMALLY OPEN) TYPE. VOLTAGE REQUIRED 24DC. FIRE / SOMKE DAMPER AND ACTIVATOR SHALL BE INSTALLED AS PER MANUFACTURERS RECOMMENDATIONS APPROVED EQUAL: RUSKIN, NAILOR INDUSTRIES, AND LOUVERS & DAMPERS INC. 0 FIRE /SMOKE [DAMPER INSTALLATION SCALE: NONE m a U Z N Y z I z z r, w 0 w N Elf CD N F- 2 U O U UCH PROJECT NUMBER: 11 -002 ALL SMOKE DAMPERS SHALL CLOSE AND 1THAN OPEN AUTOMATICALLY ON RESTORATION OF THE FIRE ALARM "ALL CLEAR" SIGNAL. COORDINATE WITH THE FIRE ALARM SYSTEM AS REQUIRED. ISSUE DATE REVIEW 1/27/11 PERMIT REV. Qi REV. 02 1/27/11 3/10/11 4/12/11 REV. REV. THESE DOCUMENTS, DESIGNS, NOTES, DETAILS AND SPECIFICATIONS AND CONCEPTS ARE THE SOLE PROPERTY OF FRAZE DESIGN, INC. AND SHALL NOT BE REPRODUCED, RE -USED OR COPIED FOR OTHER PROJECTS, IN WHOLE OR PART WITHOUT THE WRITTEN CONSENT OF FRANK FRAZE, ARCHITECT, AIA. ALL RIGHTS ARE RESERVED BY THE ARCHITECT IN ACCORDANCE WITH U.S. COPYRIGHT AND PATENT LAWS. UNAUTHORIZED REPRODUCTION WILL BE PROSECUTED TO THE FULL EXTENT OF THE LAW. 0 0 cV 0 r, O Ici C4 Q Q cn evo W O o � ►� w C) W �� - ' C) W � ►� r__ N PROFESSIONAL SEAL t om` G. DIL�p'�.. i,,• •� • • � 9 .v ,, �i G N ,T! OF LIP i r • i O� �G o VINCENT g4PiLk ;� D0 FLORIDA P.E. #58009 SHEET TITLE MECHANICAL PLANS SHEET NUMBER