HomeMy WebLinkAbout13-14526 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(si3)�so-oo20 14526
FIRE STANDPIPES PERMIT
Permit Number: 14526 Address: 6851 WIRE RD
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-01200-0000
Improv. Cost: 100.00
Date Issued: Name: ELKS LODGE
Total Fees: 130.00 Address: 6851 W IRE RD
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782-4604
Work Desc: REPIPE FOR REARRANGED COOKING
L 5 • •
FIRE PLAN REVIEW FEES 50.00
y (�;�
, �
�� ' �'
�ti�(cr� �i-�i-�3G�. ��' 3lQM
- ina
Chapter 633, Fiorida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR I�N ATTORNEI�- EFORE
RECORDING YOUR NOTICE OF COMMEN MENI�''" � ;, ;"�
.,�. -�-�t.. , -
�
CONTRACTOR SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
. a�s-78o-€�a�o , City of Zephyrhi[is Fire Fa.c-8�3-78�?-0021
Permit Applicafion
Qafe Received � � Pnone ConYactfor Perrnit C�S5� 567 7340
o�.vner's t�ame Ze h rhills Elks Lod e Owner's Phone Number 813 82 4604
a�,ner�s Address 6851 Wire Rd
Fes Simple 7itlehotdsr Name Titletmlder Phone lVUmb&r L_� � �
Fee Simpie'fitlehoider Address
.1ob Address 33540 Lot r� �
Sub Givisian Parcef#
Bio- -ANN � Fumigation7ent
Comm Exfiau Kitchen Ho c \ � Hazardaus Mater€al(TEer fl or F2Q�aciiiYyj ANNUAL
ankroil � Hood InstaElation
� Emargency fi�enar�tor<3(1 kw � lPlNatural Gas-Insfaitalion
� Emergenoy Generotor>30 kw Q LPlNatural Gas-ANNU,0.L Sala
� Fjre Protecfion Maantenance-ANN�EIA;�L � Pfaces af Assembry-ANNUAL
�t��•.r� em� A��nT er �
S�rinkter � � rJ D � � Recreat[anal Burn %/� ,y
Fire Aiarm � � Q � �� Q Sparklers � � `1
Hpad Ciaaning � C; D C1 � � SprinklerSystam[nstallations
Haod Suppressian � f�' C � "'- �� � Standpipes{Sprinkler Sy5)
� Fir�Atarrn ins;af6atian � TOrch Rflofingfiar Kettle
� �ire P�mps � Waste 7irg Siorage AtINUAL
Fire Warks
� Flammable App[Ication-ANNUAL g E,;;r.r,n VaJuatian of Proje�t
Fuei TankS
� Q{(�@r' Repipe for rearranged caoking a�plEances.
Contractor Campany �
5ignature Registered Y!IV Fee Cunent Y 1 N�
Address Licensa#
ELECTR(CIAh� Company ��
Signature Reg'rsterea __Y 1�l �ee Cusrent Y/N ��
ACdress Lieense t�
PLUMBER Company � � �r ��
Signature Reg�s#ereu' Y/N Fee Current Y/N
Address LiCense�
MECHAN�CAI Campany �
Signat�re Regisiered Y/N Fee Cucrent �`/��
Address License#
QTHER Company _`�ect.�i��"��_� qt:i oit:�.:1t j LLC �
Signatura Registered Y/N Fee Current Y/N
Address 1 r_s 3 G Lasti�b erlue iZci Dade Cit , F(33523 License# ,ti• , �•,�,
Directians:
Fili aut appticatian campietety
Owner&Gonuactar sign back�f appiication,nofarized(Or,copy of signed coniract wfth ovmer}
ft over$2500,a Notice of Commencement is reqwred(M,echanica!vruric over$5000)
Suppiy Two(2)sets of drawings with applicabie documenfa6on
Atlow 1C1-14 days for rev;ew after submitta!date. Paresl#-obtained frarn Property Tax Notice(http Itappraiser.pascogov.epmt
Verne Riggall
From: Jacqueline Boges
Sent: Tuesday, August 27, 2013 3 35 PM
To: Verne Riggall
Subject: FW Permit Application
Attachments: ZHiIIsApp pdf; App Page 2 pdf; System Diagram pdf; Fryer Protection pdf; Griddle
Protection pdf; Range Protection pdf
Chief see attachment far plan review needed for 6851 wire rd the zephyhrills elks lodge from contractor
security fire equipment.
Thanks
Jackie Boges (ext 3513)
What Greater love can a man give......
From: Jay [mailto:secfire.jay@aol.com]
Sent: Tuesday, August 27, 2013 3:20 PM
To: Jacqueline Boges
Subject: Permit Application
Hi Jackie. I've attached a building permit
app and diagrams for the Z Hills Elks Lodge.
They are rearranging the cooking appliances
Thanks and have a great day.
Jay
Security Fire Equipment, Inc
18330 Lawrence Rd
Dade City, FI 33523
352-567-7340
i
i _ _. _
t�OTiCE OF A£ED RESTRICTIONS: The undersigned understands that this permif may be subject ta"deed"restrictions`
which may be more restnctive ityar�County reguiat3ans. The undersigned assumes responsibility for c�mplianae with any
appllcabie deed rasttiotlons.
UNtlCENSED CONTRACTORS AND CONTR,4CTOR RESPdN51BtUTlES: !f fhe owner has hired a cantr�Ctor or
cnrrtractors to undertake work,they may be required to be licensed fo accordance with state and locai reguiafions. If the
contrsetor is not licensed as required by law, bDth the owner 8nd contr8etor may 6e clted for a misdemeanor violation
under state law tf the owner or intended contractor are uncertain as to wfia!Iicensing requlrements may appty for the
irikended work,they are advised to contact the Pasco County Bui)ding InspecYion pavision—liaensing SecHon af 727-647- �
8pQ9_ Furthermore, it the owner has hired a conirac#or or oontreetors, hQ is advised to have the contrackor(s) sign
portions of the"cantractor Siock"of this applioalion for which they wl11 be responsible. If you,as Yhe owner sign as the
contractor, that may be an indication that he is nof properfy licensed and is not enkitied ko permitfing priv3leges in Pasoo
Gounty.
TRANSPORTATfON tMPRCTlUTILITiES iMPACT AND ftE50URCE REC4YfRY fEES: Tha understgned�nderstands
that 7ransparfation Impact Fees and Recourse Recovery Fees may appfy to ihe construction of new 6uitdings,ehange of
use in existing 5ufidings,or expansion of existing buiidings,as spec�ed 'm Pasco Covnty Ordinance number 89-07 and
9U-07,as amended. The undersic�ned also understands,fhat such fees, as may be due,wiil be identified at the Hma af
permi#6ng. li is furtfier undersiood thaf Transportation impact Fees and Resousce Re�overy Fees must be paid prior to
receN(ng a`oertificate of occupan�y"or fu�at power release. {f the project does not involve a cerfi8cate c�f occupancy or
finel power release,the fees must 6e pafd prior to permii issua�ce. Furthermore,if Pasco County Waterl5ewe�impact
Itees are due,they must be paid pr'sor to permit issuance in accordance wilh appiica6le Pasco County ordtnances.
, CUNSTFtUCT10N LiEtJ LAW(Chapter 713,Fiorida StattuYes,as amended): !f valuation of work is$2,500A0 or more,I
� certify that i, the applicant, have been provided wifh a copy uf 1he "Florida Constraction Lisn Law--Nomeowner's
i Prote�tion Guitle'prepared by fhe Florida Department of Agriculture and Consumer Afifairs. tf!he appHcanf is someone
oihsr than the"owner",1 certify that!have abfained a Copy of the above describe�f document and promise in good fsith to
deliver it ta the"owner"prior to commencement.
CONTRACTOR'SlOWNER'S AFPlDAVIT• i cerfffy that al!the?nformation in this application is accurate and that aU work
wiH be done in compliance w�th all applicable taws regufating constntction,zoning and land development. Appiication is
� hereby made to obtain a permlt to da work and instailetion es indicaied, I cQrlify that no work or finstallation has
; commenced prior to issuance of a perrnit and that ait work wlii be perfarmed to meet standards of ali laws regulating
! constructian, Gocmty end Gity codes, zoning regulaGons, and land devetopment regula8ons in the iurisdic#ion. I also
� certify that i understand that the regulations ot other govemment agencies rnay apply#o the infended work,and that it is
� my responsibiitty to identify what actia�s t must take to be in compliance_ Such agencies include btrt are not limited to:
� - Depaftment of Environmentai Proieotion-Cypress Hayheads, Wet#and Areas and Environmentafiy Sensitive
Lands,WaterNVastewater Treatment.
� - 3ouihwest Fiorida Water Managemeni District-Wetis, Cypress Bayheads, Wetland Areas, Altering
i Watercaurses.
, - Army Cvrps of Enyineet�-Seawalis,Dacks,Mavigable Waterways.
, - Departmeni oi Health & ftehabilitative Services/Envirot+mentai Neaith Unii!✓Veiis, VJaste�vatsr Treatment,
Septi�Tanks.
- US Enviranmental Protedion Agency-Asbestos abatement.
- Federa!Aviation Authority-Rurrnays.
1 understand thaf the fotiowing resUictions app#y to the use of fili:
- Use of fiil is not a8owed in Fiood Zone'V'unless expressly permilted,
- if the fllt matertal fs to be used in Flood Zone "A', it is understood that a drainage plan addressing a
"compensating votume"wik! be submitted at time of perrniHing which is prepared by a prafessional engineer
licensed by the State of F(orida.
- If the fltl maiarlat is to be used in Flood Zone"A"in connection with a permitted building using stem wall
construc6on,t certify that fifil wifl be used aniy to fiti the area w'sthln the stem wail.
- If fi(I materiai is to be used !n any area, t cettify thaf use of such fiil will naf adversely affect adjacent
propertias. 1f use of filt is found to adversely atfect adJacenl propeHiss,tfie owner may be cited for vioiating
the conditions of the building permit issued under the attached permit appfication,for lats less than one{i)
acre which are elevated by fill,an engEneered drainage pla�is raquired.
tf I am the Af ENT FOR THE f�WNER,i promise in good faith to inforin ihe oYrner of the permitting wnditions set forth in
this a�davit prior ta commencing oonstrucUon. I understand that a separate permit may be required for electricai work,
plumbing,signs,weps, poois, afr conditiorting, gas, or other tnsta)latians not specffically induded in the appiication. A
permit issued sha(i tre canstrued to tre a license ta proceed witfi the woric and nok as authority to violate,cancei,ai#er,ar
set aside an/provislons of the irschnical codes,nor shatl issuance of a permit prevent the Buttdirig Offrcial from theceafter
requiring a correction of err�rs in plans,construction or viofafions of any codes. Every permit issued sha11 become invalid
unless the work authorized by such permif is commenced within s�C monifis of permit issuance,or if work suthorized by
the permit is suspended or abandoned fnr a period of six{8}munths after the time the work is commenced. An extenslon
may be requested,fin writing,ftom the Building Utilciai for a perivd not to exceed ninety{94)days and wiii damonstrate
justifiable cause ior the extension. If work ceasas for ninety(90)consecutive days,the job is considered abandoned,
WARNING 70 dWNER: YOUR FAILURE TO RECORD A N�TICE OF COMMENCEMEN'C MAY RESULT fN YOUR
PAYlNG 7WiCE F�R IMPROVEMENTS TO YOUR FROPERTY. IF YOU 1NTEND T4 OBTAtN FtNANCiNG,CQNSULT
WITH Y�UR LENDER OR�N�ATTQRNEY BE�4RE REGfJRDtNG YOUR iJOTICE OF COMMEMCEME t�7
FL.ORIOA JURAT IF:S.117.03}
OWNERQRAGENT CQNTttACT�F�, �,dC1e_.�"`'���
Subscribed artd {or a[hmyd � ore me EnLs �� S�sdtbed a om o(aa ed etore me tl�is
b� '_'"� _ yY
Who Islare parsonaltY known to me or has/have produced Who islare peraona�ly Wwwn to me or hasthave produced
as i6entlficaiinn. as Iden'6fica6on.
Notary Public Notary PuMic
Commieslon No. Commission No.___
Name of Notary ryped,printed er stamped � Name oT Notary typed,printed or stamped
U
J
J
� C
N d
o (6 E 'O N
� � �� c�
o C W V M� �
E � � � I� O C
� n'LL' �u �� a �
� N 7 6.._�'. J (O N m
� o o � U w . oU �nv
U � N �p 7 M N U
� f0 � N > `� �� �p � � N
� C �' �-' C LL � � �.M.i �
C �
LLl U f�T1 � w �
o -ZYlI Y r�
m � '� � 'N �
U ¢ o �— �'J allo
U axi °8 `n
g �c� c �
a�"�°JJ � `n o
= vi2 °�
N
O. m
fl- C7.. �
� c t �
� N vi�
� � � O
� _ �
� Z
o LL
r--�
�
� �
� 'c a�i
O �7 � U O
.� � �
U) L
� �:�� y o1OZ
�1 ❑� g C \ ��LL
� C �� Z Z O �J
� = d o
(F � p)E O z ° "C�LL N
k Z a o
U � �`-� O\ / - in
0
C x
ciS � �t3 °�" o
= V �
� � � �
�
fTS .� � m c
Q Q � o
�
C Q a `� L �
,[ U �
� m � � N C O
U � \N ^� x � °' (O V
2– -�p m �
0 0 �ZZ M�� o �
Z Z N y L
L vTi o 3
��
— N N C N � U
Z L `. C N
z � � m o 3
� t C �p C C Vj � U � �
N �' � � � 7Q N O C V � 'O O
�, x �a E 3 m tn c� Y �n f0 � � c�i
p N o c o rn� � C �O X U = 0 N fU
Z Z O N J � L1 . VI � C � Q C 3 = _ •C
u � OO ao 0 0 oa��iE3 � axi
cX �noc� v N -oyd �n m o
p L O � p � p j N_ V y d
p n � n 3 m C
`o > o � c' � � j L `� ] a � � . m a`�
c�o c�o � � -o � E u�, � °� N m`� m o n '
� � � � c'� Z � `O m � � o m
co E � t E Q 3
E o n� m `� '- o E � c L m � a �
m � "° 3w � a �°n c°� LLUw �i TZ �
� � C 3 � N � V N m � N
C
O 3 � ''00 � C � (C9 '�
S V d N `p� ` N � C U 7 N
� N � m� � (0 �F- Vl "�O N
�7 O t � � m ui � � c n
"O � x U N U N = W � •�+ � N
O w «N. �7 a; i� c.� �
J M � � O � p � 3 N � � T �
� N p d O d � � '0 y � „
W � � CO d �- � a' Na n � � T O U
� N dj � M y C
N � N N 1O � � N O N � � � N �
� L > L � c � Z � Z Z V � � � � n m
(n T� T m Z E Z � L c N � �O �'
� Q.Ln f2� Y x U C N '�p � � �� C X �" t� �
� Nc00ON °�Z '� � d �C7 f6 `° n J o 3 � Y
co d' U d � .� �
47 O
� S = = J � •' a a � N U
� N � � .�.+
J J J J J L = � � L
Z Z Z Z Z U Q � H _ F-
Chapter.3—System l�esign
Fryers Without Drip Board (Hi�h l��ou�at Nozz�.e}
Compulsorv N�>zzle iVL2H
Floiv Points Per Nozzle 2(T�vo)
Number of Nozzles Required l (Oi�e)
l�'Iaximurn tlrea o1�Protection 19 inches x ]9-IY3 in�hes
(no drip board)
Nozzle Location Anv�vhere over the caoking surfice
Nozzle flei�;ht 24 inches to-�fi inche,above the cookinc;surface
�iorzle Aiming rlimed at the cenrer ot the cooking surface.
Graphic Representation Sce figure 3-3
]Vozzle must be located any�rvhere within the shaded area an�l aimed at the center of the cooking surface.
��
r
� ��\
i ���
� �
' '��\ ��
� r �� � *\ A
i r �`-�, t
I <a�-w� ~�''�.
�..��� Z4,.
48"
w� � 3�-���� � �
\�
� :eJ�°j�,����„'� r �� � Y
19�� <.y�=',�� t��� a� € 19i/z��
�
, _ �
I�i�ure 3-3
Pa�e rev C
17I. EX-1i21 Decemher 12,2006 lb Part#100�3
Chapter 3—System Design
Four Burner Range
ornpulsory; ozzle �L2L,
�C)��
Flow Points Per Nozzle 2(Two)
TI e ran�e
cannot he u�adrr i :�Iumber of Nozzles Required 1 (Oiie)
a btrckslrelf 1lqaximum Area of Protection 28 inches x 23 inches
when r�si�eg
I�igh n:ottnt Noz-r.lc Location Ccntcr of thc c�olcing surfacc anly
prrotectron. Nozzle I�eight 34 inches to-�8 inches above the cooking surface.
Nozzle Aiming I)irectly down only
(;raphic Representatir�n See figi�re�-9
i F,xample:A tour burner rarige has a hazard�ize of 2Q in.(51 em)in length and 27 in (69
icm)in�vidtl�.I'ollo�v do���n thc Range Lcngth calum�i in thc Nozzlc Positioning Chart until
� �ou come to 20 in.(�1 cm).Continue down this column iultil the correct width appears in
the�a�idth column.�'hen the width of 27 in.(69 cm)is arrived at,read acr�ss to the radius
column to determine the si-r,e of radius allowed,tor positioning ot the norzle,trom the haz.ard
area centerline.In this example,the correct radius is 3 in (R im).�I'he nozzle can be aimed
straight down any�vhere within a 3 in (8 cm}radius of the hazard area centerline.
Nozzle must be locatetl(heightwise�anywhere within the sha�ed area,
and centered above the cooking surface.
� R,� /
h'�
� �,. , \ �
\
-� �,,! °�� �� �R" \�
�,�+^t � s� \A
�1 ,,,� � :�,:,t°x>
' � `.�� '8dv° w � ' 34,�
` ^��.
,t � \
. � .� �� ,:,
r: £ � ,,�,,,
. �
< "�
...
f �
��
�
,�
1�igure 3-9
Pa�e rev C.
[IL I:�-�il] December 73,20()5 �4 Part#1�)0�;3
Chapter 3—System Design
Sma11 Griddle (High 11��ou��t Ncrzzle)
Compulsury N�zzle �1L1H or NL2H
Flo�v Points Per:Vozzle 1 (One)NLlF-I or 2(T�vo)NL2I3
Number of No-r,rles Required 1 (One) NL1H or 1(One)NI.,2FI
I�-laximum Area of Pr��tcction lOFiO square inches with a lon�;e;t side dirnen�ion c�f 36 inches
Nozzlc Location �iL1H.Abovc any corncr af thc cool:ing surfacc
�L2F-I.0 to 6 in. from either at the short sides of the cooking surface
Norzie I ieight 2�inches to d8 inches above the cooking surface.
No•r,zle Aiming NL1H At a point 12 inches in and]3 inches�ver from the comer belo�a�the ncirzle
\L2H.At thc ccnter of thc cookiiig surftcc
Graphic Representation See figures 3-lGa£�3-166
NL1HNozxle must be lotated directly above any corner o f the cooking surface
and aimed at the lntersectin�g point 12 inrhes fron:each si�le of the corner below the nozzle.
NI..2HNozzle srxust be locaterl 0 to 6 inches from either of the sbort sides of the cooking surface,
and ainred at the center of the cookin�surface
N07_'LLF.
CA;V BE
�. / MOUl\'TI:D
�� / AT EITHER
l\�D
NO'L"LLE C'AN BE _,� �,y
�.. -- - MOUNTEDABOVE �,,
�� �
� AN1'CORNF,R � , �
� � j � 3 �� �� �
� � � � ;
! � 1 v,,� � I, �--- I
� �
� � � ' ; I �
�8" 24" �,# f'" `�'`�` � 4R" 24" � 4``^.,` 1
( � r� �` ! ' ' �'"�! �
� , �,�1 t2"�/ "^�, � p �.�/°�• 1
d ,� � �
/ � � � 6��
/'`�, 1z �. '�� ��' '���- �•`� °� 5 �
�.<: �., ,.. •� ..
� ztl lOSO SQUA[tl N�`�w i . 6"
36" �a."�,�; .;�,. INCHLS �� y.� �
,'"�'�
LONGF:S7' _. ' . . � MA�IR4UM ._a '" '
SIDI; '�! �. , ,;„ COOKI;VG.aKr.a vi�':._ :r f
ni;��r�s►on� ' � -•
:
� ��. �i��
� SHORT
! SIDr OP
C;OOKING �"�
SURPACE
Pigure 3-lba.\'L1H Nozzle I'igure 3-lbh: NL2H Nozcle
Page rev C
IJI. P:X4521 December 7 3.20(15 32 Part#10053
813-780-OOZO \ �-U-�-''+ �,��t (ill�l Oi LBphyfhlllS fI1�E Fax-813-780-0021
��Y�b��� . � Permit Application
oate Recetved r - Z 7-13 Phone Contsa for PermR �� �7 7340
owners Name Ze h rhills Eiks Lod e owners w,ons Numbsr 813 82 4604
owners�adr.ss 6851 W i re Rd
Fee Simple Tideholder Name Titleholde►F'Fwta Number � � �
Fse Sirr�le Titlet�older Address
Job!►ddross 33540 lot# �
Sub Division Pa►cel#
� Bio-Haza�nd Waste Storage-ANNUAL � Fwrdpatbn Tsnt
a Comm Exhs�t Kitchen HoodlDuct a Hazaidoua Matarfsl(Tier It or RQ Facility)ANNUAL
QContrcdled Bum � Fiood Installation
� Emergency Generator<30 kw a lP/Natura!Gas-ir�atfon
Q Emergency Generator>30 kw a LP/Nahuai Gas-ANNUAL Sak
Q Fire Protecdon Maintenance-ANNUAL Q PI�of Assembly-A�INUAL
� � � �
Sprinkler � Q � O � Recreatf�al B�xn
Fre Alartn � 0 O � � a Sparklsrs
Hood Cleaning � ❑ ❑ ❑ � � Sprinkbr System InstallaHons
Hood Suppresslon a ❑ ❑ ❑ ReP�Pe � StandpiPes(SPrinkier SY$)
QFire Alartn InsteOation a ToeGh RoofinSlTar Kettle
Fre pumps o Waste liro S6orage ANNUAL
F'ire works
Flammable Applicetfon-ANNUAL $ g�o0 00 � Valuation of Project
Fuel Tanks
oQ�; Repipe for rearranged cooking appliances.
COMracWt Company
signature Reg�aterod Y/N Fee Current Y/N
Address License#
EIECTRICIAN Compeny
S3gnatur�e � Regia� Y!N r-ee Curtsnt Y/N
Address License#
PI.UMBER Company
s;gnature Reg�siered Y/N Fee Cument Y J N
Addross Lice�e#
MfCHANI ConN�any
s�gnature Regtstered Y/N Fea Curtent Y/N
Address License#
OTHER ComPany Securit Fire E ui ment LLC
sipr�ature Rogistered Y!N Fee Carent Y/N
Addross 18330 Lawrence Rd Dade Cit FI 33523 License#
a�;�: .
Fiii out applfcaRion completeiy.
Owner 6 ConMactor sign back af appllcaUon,notarfzed{Or,copy of signed cor�tract wHh owner)
H ov�er 52500,e Notice of Commenoement is required(Mecbenfcai woric over E,5000)
Supply two{2}sets of drawfngs wilh appl�able documerdab�
AOow 10.14 days fa review after subm3ltel date. Parcei#-obtained from Property Tax Nodce(httpJlapp►siser.paseogov.com)
NDTICE OF DEED RESTR1CTfONS: The undersigned understands tbet this permi#mey be sub}ect ta`deed"resiricilons°
whtch may be more restrictive than Counly regutations. The undersipned assumes responalbility for compliance wfth any
applicable deed reslHctlo�.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI£S: If tl�e ciwner has hir�i a contracfor ur
contr'aciors to tmdertake work,they may be required io be licensed in ac�ordance wfth state aTM focai regulations. H the
conh'eCtor 15 not Iic;eTlSed 8S l�eqtllted hy iBW, bottt the owt�e�end CUntr'ector mey be clted for a miademeanvr vlolatlon
urttier stste law. if the owner or intended�Mractor are uncerlain as to what ticensing requiremerRs may apply for the
intended work,they are edvised to contsct the Pasco County BuAding Inspection��n�—.Lioensing gectlon at�27-847- •
8009. Furthemtore, tf ihe owner has hired a contractor w oonGaclaa, he is advlsed to heve the oontractor(s) afgn
P�one of the"contractor 9loc�c'of lhis appikeatbn for which they will be reeponsible. If you.as the owner sign as the
contractor,tF►at may be an Ind3caHon that he is not properly licensed end is not e�ided to permit{ing privAepes in paaco
County.
TRANSPORTA7�ON iMPACTNTiL177ES IAAPACT AND RESOtfRCE RECOVERY FEES; The undersigned understenda
that Tranaportetion lmpact Fees and Reoourae Recavery Fees may t�py to the cw�c�ion of neinr bu
u�in existlng buifdings,or expansion of exisN�bu�dings,�s specNied fi Pas�CouMy prdin�numb�er�gg�,p��an�d
80-07,as amended. The underefgned atso uide►stands,that such fees,as may be due,wql be IdenUfled at the time of
permlttfng. it ts further understood tiiet Tta�portatlon impect�ees arxi Resouroe Recovery Fees must be paid�rior to
ieceNing a"cxfiflcete at occupancy'or Rr�el power robase. If the projeat does not irndve a certtftcate of occupancy or
finel power relesae,the fees must be pah!prior to Pamdt lasuanoe. Furthermore.If Pasco Counq�We�rlSewer Impact
fees are due.they m�t be psid prta�to permft�noe in�ce wtth appti�able Pasco Connty ordh►aaces.
COI�lSTRUCTION LIE�I lAW{CUapt�718,Florida 8tatules,aa amendad): If valuatlon af wor�c��2,SOQAO ar more,I
c�ilfy ihal 1, the appifcant, heve bean provlded wkh a copy of the •Florida Canstruction Lien law—Fiomnovmer's
Protectio�GuMe"prepared hy the Florlda Deperfmant of�re and Consumer Affahs. If ihe epplicer�t is saneone
other than the'owvner",1 certHy tlrdt i h8ve oblained a copy of the above described docutner�t and promise in good faith to
deliver R to tine'awmer"prior to can►nencemerd.
CONTRAGi'OR'lB/OYVNER'8 AFFIDAVlT: i oe�tNy that all ihe irrformatbn In thls eppitcatlon is axurete and tliat all work
witl be done in compliance wlth sll applicebie lavrs regulatlnp mnstrucfion.mntnA and land developmerrt. Appitcatlon is
hereby mede to obtaln a permit tn do walc and Ir�allalion as hid�ated. 1 oeyNy that no Mrcttic or ins�on has
cornmenced prior to isauarx;e of a pertnit and d�et ell vrork w� be perfonned to mest standaMs of adl lews reguletMg
conahuction, County and City codea, zonfr�regulaiions, and lend devebprtrent reguleHons �Uie jurisdicUon. I el'so
certify Hret 1 undelstand ihet the regulet�ns of other 9m+eCtxnent epencies rnay eppty to the Irrtended►worlc,end thei it is
my reaponafbAity to idenUfy what actions I muat take to be in compl�. 5uch agencies indude but are not Iknked to:
- Depe�t ofi Ernirontnerrtal Protection-Gypress Sayt�eads, Wedand Ar�s and EnvhvnmeMsiry 5erisitNe
Lands.Wa�MAlastawater Tt�Unet�t.
- Southwest Fbrida Water Management Distric�t-Wetis, Cypress Bayhesds, WeUand Areas, Attering
Watercourses.
- Army Corps of Engi�eers-SeawaNs,Dodcs,NevigeWe Waterways.
- Depaetment ot Heatth & Refia6iikaHve Servixs/Envkonmar�l Heaith Unk-WeNs, Westewater Treatment,
Sepiic TeNcs.
- US Emvkonmer�al Protectlon Agency-Asbestos abatement.
- Federe!Avi�ton Authaity-Ruttways,
I understand 1F�t ffte foNowi►i9 reatrictlone eppty to the use of fDl:
- Use oF fil is nW albwed in Flood Zorre'V'unless expressly permltled.
- tF the flR mateMai is to be used in Flood Zvne 'A°, ft is understood ttret a dratnege plan addreasing a
'compensad�g vdume'xrili be submitted at gtns of pdmitting�rt�ich fs prepared by a proiessiorrai engineer
Iicenaed by the Sfe�of Florida.
- If the fUl materiel is to be used in Flood Zone'A'in connea{fon with a permilted bullding using stem araN
constructf�,i cstt�y that tHl wll be used at�iy ta fll the�ea witl�In the stem weil.
- If fill mate�lal Is to be used !n arry area, i c�ertity that use af such f� wqi not adrrersely aifect ad)acx�l
Pmperties. IF uae of fM)Is found to adversely a�fect adjacoM pruperlles,tfie ovmer mey be dfed ior vblati�
the conditbr�of 8�e buQding permit issued under the aHscfied Aertnik appiksetlon,ior lots less ihan one(1)
I ade which�elevated by f�l.an ar�ineer'ed dra�e Plan is reWked.
� If I am the ACiENI'FOR THE OWNER,I promise in good feith to infam the owner d the pam�ttlng c�ndHions set forth in
this affldavit pHor M�ommencing oonstruodon. I understand that a separale permit may be tequired for ele�.lrlcai wmk,
; plumbing,signs,weils, pools,sir oonditlordng,gss,or other k�atails�not specNiaelly induded In the appiicadon. A
I permit Tesued shail be canatrued io be a Iloense to proceed w@h the wnr�c and not as authorNy to,vlolate,canoel,elte�,or
, set aside arry provlslons of the technicsd codes,na�shall issu�ce of a permft prever�t the 6uldiriy Offidal irom thereafter
requkir►g a correctbn oi erroB in plarw,cor�6'uctlon or vioaeUons of erry codes. Every permR laeued sheN became invalfd
tmless the work authorized by such pertnN is c�mmenced xdthin sbc mor�ihs ai permit issaenae,w#woric authorixed by
� the petmft ia suspeAded or abandor�ed tor a Qer(od af sbc(8)marths afler the ttrna the wotk is com►nenced. An exiensfon
� may be requeated.in wrlting,irom the BWidfng OBidal for a period rrot to exceed Mnety f9U)daya anc!wlll demor�hale
Jusiifiable ceuse far tl�e e�dension. N work a�ses for nlnely(90)cor�secxith+e days,Bre Job is mnsidered abandoned.
WARNING TO OWNER: YOUR PAILURE TO RECORD A NOTiCE OF COMINENCEMENT MAY RESULT IN YOUR
PAYING 71AflCE F�R IMPROYENIENTS TO YOUR PROPERTY. �YOL INT'END 7�0 aBTAN�i flNAMCiNG,CONSULT
m]}J YOUR LENLIER OR AN ATTOttNEY BEPORE RECORDING YOUR NOTICE OF COMMENCE#AENT.
FLORIDA JURAT(F:5.117.D9)
OYVNERORAt�i1_ �' COMTRA
Subsa�ed r�d swq� (or a oro me Wa Subsabed m ��out No�e ma tl�
' Vvho isfas PersonaMY knovm to me or f�ert�sve poducad wM khae pe�y lu�own m me m hssA�ave Pcoducad
as identlffaBon, as idsntlAcat3on
Notny P�ic Notary PubBc
Cbmmksion No. Cammisalon No.
Name of NoGry ty�t,pir�d or shmped Name of Notary p�ped.priNed or afamped
�
Chapter 3—System Design
Fryers Without Drip Board (High Mount Nozzle)
Compulsory Nozzle NL2H
Flow Points Per Nozzle 2(Two)
Number of Nozzles Required 1(One)
Maximum Area of Protection 19 inches x 19-1/2 inches
(no drip board)
Nozzle Location Anywhere over the cooking surface.
Nozzle Height 24 inches to 48 inches above the cooking surface.
Nozzle Aiming Aimed at the center of the cooking surface.
Graphic Representation See figure 3-3
Noxxle must be located anywbere uritbin tbe sbaded area and aimed at tbe center of tbe cooking surfare.
a3f
�fs,
.�
r• 1
i i
i "
1 �
I �
1 �
I �
7A"
48"
19"
19'h"
Figure 3-3
Page rev C
UL EX4521 December 12,2006 16 Part#10053
Chapter 3—System Design
Small Griddle (High Mount Nozzle)
Compulsory Nozzle NL1H or NL2H
Flow Points Per Nozzle 1(One)NL1H or 2(Two)NL2H
Number of Nozzles Required 1(One)NL1H or 1(One)NL2H
Maximum Area of Protection 1080 square inches with a longest side dimension of 36 inches
Nozzle Location NL1H:Above any corner of the cooking surface.
NL2H:0 to 6 in.from either of the short sides of the cooking surface
Nozzle Height 24 inches to 48 inches above the cooking surface.
Nozzle Aiming NL1H:At a point 12 inches in and 12 inches over from the corner below the nozzle.
NL2H:At the center of the cooking surface
Graphic Representation See figures 3-16a&3-16b
NL1HNoxxle must be located directly above any corner of tbe cooking surface
and aimed at tbe intersecting point 12 incbes from eacb side of tbe rnrner below tbe noxxle.
NL2HNozxle must be located 0 to 6 incbes from eitber of tbe sbort sides of tbe cooking surface,
_ _ and aimed at tbe center�tbe cookingsur�'ace __
NOZZLE
CAN BE
MOUNTED
� � AT EITHER
1
� ! END
NOZZLE CAN BE
!. --'�
�c-- MOUNTED ABOVE —� " � �
� ANYCORNER � - �
. � � � ;i �
� � � � i � � � �
� + i i � � �
� � � i �—� � a��✓i �
�� �� � � �
� 48" �" � �
� 12�� ` � � (
b"
iz^�
loso SQUARE 611
36" INCHES II
LONGEST MAXIMUM
SIDE - COOKINGAREA
DIMENSION
�
SHORT
SIDE OF
COOKING � I
SURFACE
Figure 3-16a:NL1H Nozzle Figure 3-16b:NL2H Nozzle
UL EX4521 December 13,2005 Page rev.C
32 Part#10053
U
J
J
M ' C
o d � c+>
o a�i a�O w
a�'o � � a� rMi
0
�W
E �' � LL � O �
a� m d •�LL �p �n a
U p O y ..�. Q�`JU �VN m
N
lp N N '� � ��NN V
7 � �
�
N � �� � LLfn� � .M...� �
O W '� E � �
m � •c-� � •N�
c m C N '
UQo r�'S�N
xp�po N aD
U mo�9cQi c `N
a�JJ � No
� y d�
y = �
N
m
7 �5�
� �r �
� ��
� d •' O
� Jo LL �
� Z
++
�
� �C 'c m
O C �b
.� � �
W L �� N Vi �
V/ C Z N � O C \ ��LL
O �J
Z
� � � O Z � "�� �
� _ � �
� � � � / N
t�V y
� NAW` � x�� C
� U y � 0
C
� �
ca � � � � �
A o
� Q O/� �j N
L C
C "�'
o \J m N E� � O
U = m � � %� „ "' °
Z� 0 /ZZ ��� � �
�
� N C �
S m
O
_J � � C p1 y V
� L — w
Z Z U d � � N
� w C N� C N � V � �
� `O t�
O� x X�� E � N(�N Y a f0 C � �
y�, � C p �p) C C � X U ` O t �
Z a g J c� � � O C � O � C N C
U� p w � O O � N E � � N
C � O N � fV � G J y � C
O t � � O � O j y— U N d
�m � m � °'� E E 8i vi °' y € � � c d
c>� c�b Ea_�i � L � H � a a
� E '� . �' f0 �0
Ec � � � '� � � .@�'� m o� �
� ' � lp � Z 'C � Ly � 7 � E Q �S
E O •C +_-� � M �7 O � ` C L N .y.�+d C
N � � L �C � V LLUW lL NZ�
w 7 '.'� � fC0 � � � C
� 3 � � C 01 C .� � C � �q
.y
2 V a y �� � .0 C � �7
� > > f0��p fy0 N U
� � x f0 � � y � �� y C � n
W v, �i � `y' = —w °1 � y N
c� � � o � o �i �N $' �, d
Y � oa oa ° �� � � N �
N
w � � � a m d dN a a� M �, o �
tA � Vl N « N O dNN N � pf � O y N
� � � d G
� �,� �,� ` °Z ZZ c� � � ° c a m
� L L M� K Z �Z v � N a Y � � �
� � � �.v � `o •a c x g' '� 5
� � N�O�Z o 0 a LL C�� c� a`� � o� � �e
Q � N � N .�O � a ^ N g
J J J J J t _ N � � +t-� N
ZZZZZ UQ �i H _ F
Chapter 3—System Design
Four Burner Range
Compulsory Nozzle NL2L
Note
Flow Points Per Nozzle 2(Two)
The range
cannot be under Number of Nozzles Required 1(One)
a backshelf Maximum Area of Protection 28 inches x 2$inches
when using
high mount No2zle Location Center of the cooking surface only.
protection. Nozzle Height 34 inches to 48 inches above the cooking surface.
Nozzle Aiming Directly down only.
Graphic Representation See figure 3-9
Example:A four burner range has a hazard size of 20 in.(51 cm)in length and 27 in.(69
� J cm)in width.Follow down the Range Length column in the Nozzle Positioning Chart until
you come to 20 in.(51 cm).Continue down this column until the correct width appears in
the width column.When the width of 27 in.(69 cm)is arrived at,read across to the radius
column to determine the size of radius allowed,for positioning of the nozzle,from the hazard
area centerline.In this example,the correct radius is 3 in.(8 cm).The nozale can be aimed
straight down anywhere within a 3 in.(8 cm)radius of the hazard area centerline.
Nozxle must be located(beigbtzviseJ anyaubere z�itbin tbe sbaded area,
and centered above tbe cooking sur�'ace.
� --
R"
�
1
!
48"
34"
L" �
W"
�
Figure 3-9
UL EX4521 December 13,2005 Page rev.C
24 Part#10053