HomeMy WebLinkAbout15-16480 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 164
� � �" FIRE ALARM SYSTEM PERMIT
PERMIT INFORMATION LOCATION INFORMATION •
Permit Number: 16480 Address: 38112 15TH AVE ,
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. ,
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-01200-0250
Improv. Cost: � OWNER INFORMATION
Date Issued: 7/30/2015 Name: NYE, McALVANAH & HENSON
Total Fees: 150.00 � Address: 38112 15TH AVE
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/30/2015 Phone: (813)715-0228
Work Desc: INSTALL FIRE ALARM (BRIGHT BEGINNINGS DC)
CONTRACTOR S APPLICATION FEES
MGQ A O IATES INC FIRE ALARM � 50.00 FIRE PLAN REVIE FEES 50.00
FIRE INSPECTION FEES 50.00
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� Ins ections Re uired
FIRE AC EPTANCE Final
FIRE ELEVATOR RECALL V
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities suchl 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 pertormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
R ORDING YOUR NOTICE OF COMME ENT "
ONT OR SIGNATURE PERMIT OFFIC
, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT-813-780-0041
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813-780-0020 City of Zephyrhills Fire Fax-81 - 8-9�1
� Permit Application . \
Date Received 7 '3 S Phone Contact for Permit �(.' rp 2-Z
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Owner's Name �~ ,(`� t \ ��,yt 1 y� S' / I Owner's Phone Number � 1 �r5 �J ZZ J
Owner's Address � ( Z �4��
� Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address �
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Job Address T��I �L � `���� �'�/� �Lot# �
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �
tr y emi �n t er
Sprinkler � ❑ ❑ ❑ I � Recreational Burn
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations '��'D�
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � `[
�-, Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� FlammableApplication-ANNUAL Valuation of Project �
� Fuel Tanks
Q Other: �
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Contractor � Company y�, �', p� ' I
Signature • Registered Y/N Fee Current Y/N�
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Address 7 f E ,�7� / � „F �icense# ��.- �9Q$� Z� ,
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address � License#
PLUMBER • Company
Signature Registered Y/N Fee Current Y/N
Address � License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address � License#
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OTHER . Company
Signature Registered Y/N Fee Current Y/N
Address � License#
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Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
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NO710E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may bs more restric#ive than Cossnty regulat3ons. The undetsigned assumes�esponsibllity for compfiance wlth any '
appficabie deed restricttons.
UNLICENSED C4NTRACTORS AND CQNTRAC70R RESPONSIBILITIES: If the owner has hired a contractor or �
contractors ta undertake work,they tnay be requlred to be ticenssd tn aocordance w(th state and tocal regulations, tf the '
contractor is nof ticensed as required by(aw, both the owner and contraetor mey be oitad for a misdemeanor viatation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
i�tended wark,they are advised to cantact the Pasco County Buiiding}nspection Divfs3on—�icensing Sec#ott at 727-847-
8Q09. Furthermore, if the awner has hired a contractar or contrectors, 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 s(gn as the
con#raotar,thaE rrtay be an i�dication that he is not propetiy licensed and is not entitied to permitting privileges in Fasca
Caunfy. '
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
that Transportakian Impact Fees and l3ecourse Recovery Fees may apply to the constructioa of new buildings,change of
use in exisfing buildings, ar expansian of existing buildings,as spec'�fied in Pasca County Ordinance number 89-07 and
90-07, as amended. The undersfgned also understands',that such fees,as may be due,will be tdentified at the time of
permitt'sng. It is further understood that Ttansportatian lmpact Fees and Resourae Recovery Fees must be paid prior to
receiving a°certificate of accupancy"or finat power release. If the project daes not'snvolve a certfficate of occupancy ar
final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
fees are due,they must be paid priot to permit tssaance in accordance with appltcable Pasco County ordinances.
CQNSTRUCTtQN I.IEN LAW(Ghapter 713,Fbtlda Statutes,as amended}: !f valuation of work Is$2,500A0 ar more,4
certify that I, the applicant, have been provided with a copy of the "Florida Canstruction Lien Law--Homeowner's
Protection Guide°prepared by the Florlda Department of Agriculture and Consumer AfNairs. If the applicant is someone
ather tFran the°owner",i cettify that I have obtained a copy of the above described document and promise in good fatth to
deliver it ta the°owner�priar to commencement.
CONTRACTOR'SlOWNER"S AFFIpAVIT: 1 certffy that all the Information in this application is accurate and that all work
wili`be done in comp[lance wifh all applicable laws regulating constructian,zon(ng and land development. Application ts _
hereby made to obtain a permit to do work and installation as indlcated. I ceri'dy that no work or instailation has
commenced prior to issuance of a permlt and that all work will be performed to meet standards of all laws regulating
constrc�cfion, County and CiEy codes, zoning regulatians, and land development regnladons [n the jur#sdict�on. t atso
certify that I understand that the regulations of otHer govemment agencies may apply to the intended work, and that it is
my responsibility to identffy what ackions i must lake to be In compliance. Such agencies include but are nok Iimited to:
- bepartment of Environmentat Pro#ection-Gypress Bayheads, iNetland Areas and Environmeata(ly Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management Dfstrict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigabte Waferways. "
- Depariment of Health 8 Rehabilitative Servfaes/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatemenf.
- Federal Aviation Authority-Runways.
!u�derstand thaf fhe foltawing�estrtct�ons apply ta the use of fi[I:�
- Use of fill is not allowed in Flood Zone"V"unless expressiy permitted.
- If the fill material is ta be used in Flood Zane "A", (t is understood that a drainage plan addressing a
"cosnpensating volume"will be sabmitted at time af permitting which is prepared by a professionai engineer
licensed by the State of Fiorida.
- If the fill material is to be used in Flood Zone °A° in connecfian with a permitted building using stem wall
canstruction,1 certify that fll vutl(be used only ta fili the area with[n ttie stem wail.
- If filt material is to be used in any area, t certlfy that use of such fill wiit not adversety affect adjacent
properties. If use of flll Is found to adversely affect adjacent properties,the awner may be cited for vlolating
the conditions of the building permit lssued under the attached permtt application,for lots less than one(1}
acre whtch.are elevated by fill,an engineered drainage plan is reqvired.
If I am the AGEN7 FOR THE OWNER,I pramise i�good faith to inform the owner af the permitting condikions set forth in
thls affldavit prior to commencing constructian. !understand that e separate permit may be required for electrical work,
ptumbing, signs,wetis, paots, air candltioning, gas, or other instatiations not specifica4ly inc�uded in the appilcation. A
permit issued shall be construed to be a license ta proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the teehnicaf codes,nor shall Issuance of a permit prevent the BuAdirig Official ftom thereafter
requ(ring a correction of errors in plans,consfruction or violations of any codes. Every petmfE issued shall became invalid
unless the work euthorized by such permit is commenced with(n six months of permit fssuance, or if work authorized by
the permit is suspended or abandaned for a period of six(6j months after the time the work is commenced. M e�ctension
may be requesfed, in writing,from fhe 8nitd[ng Official for a periad not ta exceed ninety{90)days and will demonstrate
jus#Hiable cause for the extension. If wark oeases for ninety(90)consecutive days,th�job is considered abandoned.
WARNtNC TO QWNEIt: YOUR FAfLURE TO RECORD A NOTtGE OF COMMENCEMENT MAY RESULT IN YQUR
PAYING TWICE FQR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CQNSULT
WffH YOUR LENDER OR N A ORN BEFO E RECORDING YOU NOTIGE OF COMMEIVCEME T
FLt3RlDA JURAT(F5.117.a3) /�.�'
r t.i�.,,�,_
OWNER OR AGENT CONTRACTOR —
Subsalbed and swom#o{or aftirmed}6efare me this Su salbed and swo ai�rmed)befo e tMs- . ,
by
Who Is/are personalty known to me or hasJhave produced Who a�re`pe o krtown to me or has/have produced
asidenUficatlon. IdenBRcation. ,
Not2ry Publlc Notary Public
Commisston No. Gommisston No.
hlams of Notary typed,ptfnted or stampe�f �Name af Nolary fyped,printed ar sfamped
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ZEPHY�2H!lLL� F6RE �?EPA�tTl�EI�T°
i ' � 6907 Dairy Road,Zephyrhil(s, FL 33542
FtRE �Ei�V�CE USEFP FEE�
accupancy Wo.: a,� ��p,�
Plan No.: Contractor: t y� � Q � /�5� ��-
Business Name: � ���� S Biiting Address: •
Business Address:�2 1
Business Phone No.: Billing Phane No.:
Business Fax No.: Biiling Fax Na.:
Contact: Contact:
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PLAN REYfEW FEES lNSPECTiOM FEES PERMIiT FEE FALSE ALARM FEE
8 Site Ptan N/C Annuai IVIC Sprinkler $50 1st Alarm N!C
Multl-FamilyiCommerclat .06 sf 1st Re-inspection N!C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.QQ 2nd Re-inspection $100 Fire Pump $50 3rd Alartn IV/C
�Pian Revisions DBL 3rd Re-inspection $25d Hoods $50 4th Alarm $100
4th Re-lnspection $5Q0 Fire Alarm $50 5ih Alarm $950
SPRlMKLER SYSTEI�S (Business closed untii P Gas $50 6th Aiarm $200
B0-25 Heads $50 v'iolaUons corrected) Natural Gas $50 NON COMPLlANCE $150
26 plus Heads $100 SPRlNKLER SYSTEMS Fue!Tartks- per tank $50
STANDPIFE SYSTEH! Hydro Undergrounds $45 Sparkters $10d
�Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUIIAP Acceplance Tesf $45 per sys2em Camp Fire $25
�Per f'urr�p $100 Hydrant Ftaw $75 Controtted Bum $100
IRE ALARM SYSTEM Hood/Duct $50
0-25 Devices $5Q FlRE ALARM SYSTEM Piac.e of RssembJy $50 annua�
6 plus Devices $i0Q System Acceptance $50 �ire Protection $25
-� SUPPRESSIOF4 SYSTEMS ecall Acceptance $50 Flammable ApplicaUon $50 annuai
Wet $50 QTHER Waste Tire Siarage $50 Mnuai
pry $5q fire VtlatUSmoke Wail $t5 per wan GenerBtor<KW $100
CO2 $50 LP Gas $25 pertenk Generator>30 KW 450
Olher $50 Natura!Gas $25 � rsystem Bi0-Haz3td WdSt@ $1C}0 Annaai
iClTCHEN EXMfAttST � Fumigation Tenting $50
�Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $5U
QTHER Fire Pump $45 Haz.Materisis $400 t�nnusi
LP tnstaltation per tank $50 Fire Suppressian $30
Fuel Tank Instal�ation $50 System Acceptance .
(Per Tank} $50 Exhaust Hood/Duct $84
�Naturai Gas instatlation $50 Re-inspect3on DBt
(Per System) (other than annual)
�Spray Boatt� $54 �lnspection scheduled DBL �
and cancetied less than
24 hours
Construction lnsp. NlC
Emergency Vehicie � $5Q FALSE AL.ARM
PLANS TOT INSPECTiON TOT PERMIT T07Al. TOTALr
GRAND TOTAL �'
Comments: �
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Inspectar:
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City af Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractar/Harneowner:
Date Received: 1 "� '" ��
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Site: ��3 ll� /�� �`�
Pexmit Type: / /��' S¢(�� �
Appraved wlna camments: Apprc�ved wlthe below comments: ❑ Denied wlthe belaw camments: ❑
Th%s comrnent sheet shall be kept with the pemiit and/or plans.
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Bi urgess—B i ing Official I7ate Contractar and/or Homeowner
(Required when camments are present)
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� PrepdC�cl:;�y>Brian Crist : �Efdjit3g;Faet4F;: .1.2
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" The SK-5208 and SK-5217 limits alarm current to 95mA per zone. The SK-5208 alarm current includes 10%of system zones in
alarm,but in no case less than three zones per UL 864 -
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_ Project Information' � � ��
Project Name: Bright Beginnings Too�Day Care . � Project ID: 0 �� � ' '
Prepared By: Brian Crist Date: 7/28/2015
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Ckt. Number: NAC-1 I Panel ID: SK-5208
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' Ckt. Name:•Notification Appl Gkt 1�-. - - - � �r • - Max NAG�C.urr.ent: ,._,•:<3.0 Amps
Qty Device � Current Draw Each Current Draw Total
� Standb Alarm Standb Alarm
11 S stem Sensor P2/PC2 Hom/Strobe (75cd) 0 000 0 176 0 000 1.936
Unused � 0 000 0 000 0 000 0.000
I Unused � 0.000 0.000 0 000 0.000
Unused '; 0.000 0.000 0.000 0.000
� 0.000 0.000
Totals 0.000 1.936 �
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Ckt. Number: NAC-2 � Panel ID: SK-5208
Ckt. Name: Notification Appl Ckt 2 � Max NAC Current: 3.0 Amps
Qty Device ; Current Draw Each Current Draw Total
i Standb Alarm Standb Alarm
11 S stem Sensor P2/PC2 Horn/Strob�e (75cd) 0.000 0.176 0.000 1.936
Unused � 0.000 0.000 0.000 0.000
Unused i 0.000 0.000 0.000 0.000
Unused I 0 000 0 000 0.000 0.000
� 0.000 0 000
I Totals 0.000 1.936
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Ckt. Number: NAC-3 i Panel ID- SK-5208
Ckt. Name: Notification Appl Ckt 3 ; Max NAC Current: 3.0 Amps
Qty Device � Current Draw Each Current Draw Total
� Standb Alarm Standb Alarm
Unused j 0.000 0.000 0 000 0.000
Unused j 0.000 0.000 0.000 0.000
Unused � 0.000 0.000 0.000 0.000
Unused � 0.000 0.000 0 000 0.000
j 0.000 0.000
-� � Totals O.00J- 0.000
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��5�35.':SK-5235 LCD Remote 0.000 0000: '.:
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IVliniit7urri:Bat#e: :�m .HoUrs:Re u�retl. 4:5Q'
" The SK-5208 and SK-5217 limits alarm current to 95mA per zone. The SK-5208 alarm current includes 10%of system zones in
alarm,but in no case less than three zones per UL 864. -
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�? Project Information - � � , . , , �� '
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' Project Name: Bright Beginnings Too Day Care�' ° � � Project ID: 0 � ° �
Prepared By: Brian Crist � Date: 7/28/2015
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Ckt. Number: NAC-1 ! Panel ID: SK-5208
- �_ �<�-�� ��-�•��Ckt: Name>;Notincation Appl.Ckt 1 -< � ��� �,. .<._...: -.-:.:-.:<,=;Max>NAG.Current: ; :,3.0 Amps :_:- _. : ,� ° -_
, _ _ _ _ .
Qty Device � Current Draw Each Current Draw Total
; Standby Alarm Standb Alarm
11 S stem Sensor P2/PC2 Horn/Strobe (75cd) 0.000 0.176 0.000 • 1 936
Unused � 0.000 0.000 0.000 0 000
Unused � 0.000 0.000 0 000 0 000
Unused � 0.000 0.000 0.000 0.000
� 0 000 0.000
Totals 0 000 1.936
Ckt. Number: NAC-2 Panel ID: SK-5208
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Ckt. Name: Notification Appl Ckt 2 ; Max NAC Current: 3.O Amps
; Current Draw Each Current Draw Total
Qty Device � Standb Alarm Standb Alarm
11 S stem Sensor P2/PC2 Horn/Strobe (75cd) 0.000 0.176 0.000 1.936
Unused � 0 000 0.000 0.000 0.000
Unused � 0.000 0.000 0.000 0 000
Unused � 0.000 0.000 0.000 0.000
I 0.000 0.000
Totals 0.000 1.936
Ckt. Number. NAC-3 j Panel ID• SK-5208
Ckt. Name: Notification Appl Ckt 3 � Max NAC Current: 3.0 Amps
Qty Device � Current Draw Each Current Draw Total
; Standb Alarm Standb Alarm
Unused � 0.000 0.000 0 000 0.000
Unused � 0.000 0 000 0.000 0.000
Unused � 0.000 0.000 0 000 0.000
Unused � 0.000 0.000 0.000 0.000
� 0.000 0 000
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