HomeMy WebLinkAbout15-16333�
CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-oo20 16333
FIRE ALARM SYSTEM PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16333 Address: 7422 GALL BLVD
� Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of�Work: FI,RE ALARM SYSTEM Township: Range: Book:
Pra�osed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
, E�t. Value: Parcel Number: 35-25-21-0010-07200-0011
li'nprov. Cost: 1,200.00 OWNER INFORMATION
Date Issued: 6/09/2015 Name: TOWNVIEW RETAIL LLC C/O STOLTZ
Tbtal Fees: 100.00 Address: 725 CONSHOHOCKEN STATE RD OFC
Amount Paid: 100.00 BALA CYNWYD PA 19004-2145
Date Paid: 6/09/2015 Phone:
Work Desc: INSTALL RADIO DAILER FREQUENCY FOR EXIST FIRE ALARM SYSTEM
CONTRACTOR S APPLICATION FEES
WA E AUTOMATIC FIRE P INKLER I FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00
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Ins ections Re ui
FIRE ACCEPTA CE Final
FIRE ELEVATOR RECALL
Chapter 633,,Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be perFormed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FIN N �iV�G;CONSULT WITH YOUR LENDER OR AN ATTOIZNEY BEFORE '
RECORDING YOUR NOTICE OF COMME ENT " �
/h�'G��j���
CONTRACTOR 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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Autamaiic �ire Sprinkiers, trtc.
3226 Cherzy Palm Dr.,Tampa FL 33619
Phone#813-630-03Q3 F�#813=630-Q312
FIRE:�LA�RI1�DI��ION
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FlFtEALARP�SYSTEh1 ,
� f2ECORD QF CQf�lPl.ETtC�N I
�N3ID64Tj7P6L�CI:fiCI ro y; Townview Certter ��i
�lre�: 7�422p Cia��B V. . -
Hepr�pntuiivo ofprntectr�3 properjyd.�ayaloL e� ep yr 1 S
c;a. -
AuthoriE�'I]ffVlt1�'J llPL?C�1CC10II:
Addre�ltalep2wne number.
1.Type(s)of�ystem or Serviee
i�t1�I�A?Z;Chnptor 3—Laca 1
1f alarm i�irflAzMlltBC�20 IOCa114t1�91 011pl'4Ri1t1�3,list�rhese r�coiveii:
NPPA i2l Chnpt�r s—Euuor6�encyVoise/Alnrm 3ervice '
Quaniilyafvoic�lalarmc2uumels: - Singts. A�IuIiinler
Quantity of a�ak�rs installccl;. Quaniity of s�nkar zones:
4�uauli ly at'IelepUax�c�r lelephane jarka inclucl�sl ux syytNw:
� NRPA i2.Clmpt�rG—AvxiIIarf
Ilndicnte i;ype af c6un6cti�u:
Laen]ettar5� Sl�unt l�arall�J t�laphane
Lxption nf lelaplibas number.f�r.receipt nf s e�mals:,
X 7NPPA'r2,Chapttr o—Tiemota 3hation_
��� .__ COPS MONITORING ACGT 1029-OQ38 _
Suponisory; -
NFPA?�+L`haptera—Prc�r'satary
71 a#armr nt�reteait3mittacl ta pubtic Cre 5en�ac�corntnvnic�kions c�nkers or ottier�-indicatr laention and
tc,lEphonr nu�ub�rs o1'thr�u��gnnizntion r�caiving nlartn:
; -
lnclicnia Lo�v alarm i�retrsmsmittacl: -
NFPA 72 C3taptar o—�ant��al Sl:atian
Prime ccua4r�clo��
, GQnlra]atatian l�?ca4ion:
1Seans r�t't.r�usuu�sirn�vl"sign�Crtun_the pr+�l?ctgd premi�s'to the ceiitral atution:
1�IcCuUnh blultiplaY X Qna-LVay'radia
Digita]al�rnz cosnsnuiticaCur Tsvc�avny radiu t�thers
14leans of transmisRion of alurms to lde jx�Uli�c�re sen�ica communications cettler:
ta}
(U?
:;ystr:m inant.ion:-
i (NFfl>Racrrrd nI Ccrt{aleion 10l-0)
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Automaiic Fre Sprinklers, lnc
3226 Cherry Palm Dr.,Tampa FL 33619
�Phone#813-630-0303 Fax#813-630-03]2
' �llt.�.A.Y.�lY�D[V�SIOlV
Greanizntion name/phoue I2�presHntaGi�re namAlnhone
j,.�i��,r Wayne Automatic F'ixe Sprinklers J.,Kirkpatrick 813-630-0303
$ugpli�
Sen�ic�nr�nirAaon WaVne Automat ic Fare Sprinklers Jason Roun�ree 813-63 Q-Q3 0:
Location4f'3ncued(�-builtidr�awin�a: FACP
liocatiori af rnvneis mdnuals: FACP
Locatinn.aft�-i.relaorts: �AG� - _
e1 crnitraet,dat�d ,for f�at attd inspectinn in�ccorciaacr�wSth N�'PA stnriclnrd(s)
I�To(g7. ,dakrsi ,is in td'feot.
2.frtacard.of Syste�n 6natailation
(#�ll out aft�r iaatnllafion is completa c�nd�virina chacknsl fur Aneri�,sharts,�round fnulks,nttd im�ropar
brnnchin�,but tuiarto canduciuig ap�rationpl acceRtancc3 pe�ts.)
1'l�is:�vsts�m hna6nan instnited in ar.cardanceurith the I�PAx3tarxIt3rcisF�ahwrnbalntc,rras inspect�d
ka}•i7.Kirkpatrickot� �.2 201,r'.ainclncic�sthecknibpsshownbQlo�a,andhax6eaninsenice
aince.�zt-�-f-��'
X�TFFA i2,Ch�pier� 1 2 3 �1 6 �i 7 (cil�le u11 tturt nPt�Y3
�> a�i'`FPA e0,AJirtfoncil Eiec�%c��'n r,Articte 7G�._.-.------
X 3rtanuf'acta"r��instruIt ons ��,.�-''
tltLar tsprsfj[3�y1� /�
S!�'I7L{L'_ J i�/�f'�•� ..._. . „ DAtO:.O�I j O�J:��5
Organizanion;�wayne Autarnatic F'ire Sprinklers, �nc.
3. Record of�'�stem fJperafion
A11 op�rn irmnai featurns aud'funetions vf this s�stc3m waro testc�d hu� Kl�'}CT�d�Y'1.C�i'n_,Q�.Lu.�12 Ol5
and fottn�to ta up�rating prop�rly in uccordnnce sviil�the roguir�unts of:
X hTF3�t5 7'l,�hapters 1 2� 5 A 6 6 7 (cirrle nll that npply?
�NF'PA70,Nallotta Eleclrile�L�ad;tlrtaela76p ,,,....--�'"
X itl�uf'a�tuzet's�truc'd�s
_OthEr{specicy�• �"� 't f l
Si fiied: i/ � I�ix1;e:'0 7,��-7,[�Q.-�5 -
orR�nizoaQn:Wavne Automat�.c Fire Sprinklers
4, tltarm•lnitiat�g Devices and Circuits
t}umitity u�ctarss of iniiiniin6 tlr�vicu citauii��.�m NFFst 7x Tabte 35) C,�uatttity:?St.qle:�Clas3:B
MANt3AI.U
ta� 141pnuolstations lYanmded,activaling Transmittr�ra e:oded
(b) Combuwdam m�nunl Cu�+olcu�m�nd�euarclh tour aaiiacl stntious
AUT�IIATIC
Crrvrr�ge: Gbmpletrr: - Pirtial:
(a? Saioka cle��etr�r� Ion Pi�nEo
{G) I�uct detscthrs Ton Fhoto
S;a) I3ealdetectars ]nP 12R i�'1'l�tl� RCr
� (�JFP,�C2omtd�C�urrJotion 2 of 4J
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Automatic Fire Sprinklers, Inc.
3226 Cherry Palin Dr.,Tampa FL 33619
Phone#813-630-0303 Fax#813-630-0312
' ]E'IItE�A►l[�M D�I�SION
. id) S�ieinklor ivaterflotiv s�vitcha9: 7'ransmitters Non4rorlecl,activating Coded
lo) Othor t7i_�[T.
6.Suparviaoty�gnal-Initiating Devices and Circiiits(use blanksio indicate quantiiy af devices)
GUARD'S TOUR
(�) Coded stalions
{b) Noneqded stutione,netivati[� trnns�nittrn�s
lcl CompuLsory guard tour'avsfeiu comprised af transmittc_�r staiioz�and
intermetlinta�ations
Note: CamGiaation'cla�icas c�ra rerarcled imder�{b)r�nc16(s�),
9PBINKL�R SYSTEAI
f,p) - Coded valve suporvisviy si�aGng nttacLmcnts
Vniu6 stipenti=orv s�itch�s,ueti�atin� t7AIlStt]ltt#]f8
lb) 33uildir�ttamperatue�e painis
{cj _ SiLe sratnr tcmperuture pourts
{dY - �ito wator supplp lovel,poinfs
FsJectric Fire�ump:
(e� Fir�Iiuinp.power
Y�7 3�'ire pump running
�� Pliase 7evors�l ,
F�ginQ-dcivun�firo pump:
(111 'Selc�ctor in nutn pagition
!i� Enaine w•control panel lrouUlc
�,1) 3�im pump runnu�
�inH-rli•iven g�nora tvr:
ll�) Rol�ctor in autu pasition
41 �ontrol pariel troiible�
(�n) 2`t�u�sfer swilchas
f]U F.n;•n�r,eiuuung
Othar stinervisory functian(a7(specify):
6.Alarm Hatificati�n Appliances�nd'Circuits
4{unntit�and cln�fae.z:VFPd 72,7bU/e3-7)of notificatiott ary�lim�ce cintrits cormeded to tlte sYSkem:
7�m+andclunnlitiosofuolificationappliatm�siustnlled: E�uanlil.}: 533]e: Cla�s;
la) I3ells Iuel�
' �.b) Sponke�
!cr 13on,s
idj Cliimas
!�) Other:
�r�n�RoWrd oi c�peo�,3 m�
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Automatic Fire Sprinklers, inc.
3226 Cherry Palm Dr.,Tampa FL 33619
Phone#813-630-0303 Fax.#813-630-0312
. �2�A]G�ItIYI DIVISIOleT
,�
, c� v»unl�isnaLs Typa: -
vritL audibl� wk,uudiblo
cg? Laal nnuunciatar
7. Sfgnaling Line Cirauits
C,joiuititT and elass fq�,e 1�F'P:1 72,Tab1e 9-6)ofsignaling lirua cireuits comioeted to s}Rtom:
Quantitv: Style; GlaRS• -
8. Sycstem Power Suppfies
dnYPrimarF(mijin): 12 OV �omu�alvoltaga: 12 OV �rrent rating: 20amp
4verc�irrpntprol:ecGion: TYPe: Breaker c�renGr1�ln�; 20amp
Location:
(L�)Serondary f�t�nndbp);
2 5toc�gebattary: rlmp-hourratuig: 7
Cnlculeted c3pacity tb deiv�gystam.in hwrs: X 2A 60
F:ngine-cieiven ganc�eator deilicaLad to fuv alnrrn syetem:
l.ocation of fuQl sCot age:
tc)Emcrgon��or standbp s)stcim us�Ki as bael.itp to prinuyti�po�vor sugply;instaad af using a s:sandary
poner supplyt �
L�'maP�genep.sSat�m d2sarifled ii�NFPA.-�0,Artisle 706
-
- I.a�,�all,ymquirud aLaudUy svalem rl�cribesl.u�NFPA 70,Articla 70:1
Optiontil atandtry sy�stern dagcribcgi in NF3�A 70,Articlo 702,�vhich also meets Gho porforcnanca
iieqitiec�men�t¢';lrtirl6�TQO oC 701
9. System Softwara
(n)Op�t.in�sYate7n soft�r,atr rc�ti3sion k,elfa)i
(biAZ�lication aoflwaro rer-isian levelfs):
Cc)Rsvision comnletati b}�: i
� / (anmel' (firr� -
10. Comments: � -
� r/Lr Foreman 0 7/0 7./2 015
fsignedl fo eentral etation ra alnrm service compnny ar iastallniion cmtract�laupplier ±tifJql (c3ate)
F�equonc,�of inulina lasla nnd inspoclioc�s,ifothEi thati in uccorcluna tn•ith Ilio referencecl NF'P�1 slandard(s):
Sy�tew deriati�ns fr m��reLsrenc FPA s rdfsime:
�1 I,; � �
�f � `� Foreman 07 -07 2015.
(ni�a. eentral siatinn or pinrm sQVice emnp:wr or instnlLitian eantrueturlsupplici �tiiloj (date}
Opw�ma inpletion of t]ie systkmSs)satisfactorv leslis)oritnessed r.if rnquiml bp tYm nutlm�(Ly havingJwL�rllctionj:
��
(ei�edl mpreEeataLi've oftFxe authoritJ hsvit�jurisdictim jtitlel (dete)
(P7F�Recnrd ul CarrFJoBnn 4 0/-01
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City of Zephyrhills
� BUILDING PLAN REVIEW COMI��NTS
Contractor/Homeowner: � G(,l° � G ��
,
� Date Received: J�– �r—��
� Site: ��2 Z � 6 1 �l v�
Permit Type: �'(�r7>7 i� � �� � .�i°_
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Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut and/or plans.
� - .
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�- �'G� � . ��C��f��Y
K r–Plans E ' er Date Contractor omeowner
�/� �;c,�� (Required when comments aze present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
y�L.. t �i�
Date Received ��?i�� � phone Contact for Permitting �i�. �p � — � d
� 1 1 � 1 1 1 � 1 1 � � 1
Owner's Name �lV� � �l� � ` V Owner Phone Number
Owner's Address v v Z � "� l� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
� �
Fee Simple Titleholder Address
` 7422 Gall Blvd, Zephyrhills, FL 33540 �
JOB ADDRESS LOT#
35-25-21-0010-08800-0000
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMNI � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
Install Radio Frequency dialer to monitor existing fir alarm system.
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ i2oo.00 VALUATIONOFTOTALCONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ 2 C�� �/t_
� ���..
f �� a�'�6L
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
����(
QGAS Q ROOFING Q SPECIALTY 0 OTHER� �� ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO �
���.
BUILDER COMPANY •
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED , Y/ N FEE CURRE� Y/N �
Address License#
Wayne Automatic Fire Sprinklers
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
3226 Cherry Palm dr, Tampa, FL 33619 EC13005133
Address License#
Illllllllllllllllllltltlltlllllllltlllllltlllttllltllllttttlllllllt
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, ,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans.w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
. . . . . . ._._.
Directions:
Fill out application completeiy.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement ls required. (AIC 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 PERMI7TING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
.
I
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
� contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
.8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
-portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Co�nty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulation's in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A°, it. is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Su scribed r to r affirme )before me tliis
by �2�— b �c vlLA A.. �.'►C�D�
Who is/are personally known to me or has/have produced Wh�i /ar ers n ly krao to me or has ave produced
as identification. �< Ld as'dentification.
/
Notary Public � Notary Public
Commission No. ' Com ion N _ •e��:' Commission�F� '��s%'"
ir: :aj ��);r.lt._ :It'.:.°�1:.
�"�'.F"��°i' . . v C'vti,�85-T019
�,nr i''
Name of Notary typed,printed or stamped Name of Notary , _ _,
�EF�HYF�HlLL� F�F�� �EIPAl�T'f�Et�1'
69Q7 Dairy Road,Zephyrhilfs, FL 33542
FIRE SERVICE USER FEES
oG��p���y N�.: t,; �^
Pian Plo.: Contractor: +�1� YI�' �U 5���
Business Name: Billing Address:
�usiriess Address: �'1 C�2L �l
Business Phone No�� Billing Phone Na.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PI.AN REViEW FEES tNSPEGTtON FEES PERMIT FEE FALSE ALARM FEE
8 Sife Plan N!C Annual NfC Sprinkler $54 1st Atarrn N!C
Mu►U-FamilylCommerciai .06 sf 1st Re-inspection N/G Standpipes $50 2nd Alarm N/C
{Minimum Charge$25.00 2nd Re-inspeckian $100 Fire Pump $50 3rd Alarm N/C
�Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarrr► $100
4th Re-Inspection $500 re Alarm $50 5th Alarm $150
SPRIIdKLER SYSTEMS (Business ciosed until LP Gas $50 6th Alarm $200
8 0-25 Heads $50 vioiations corrected} Naturai Gas $5Q NON COMPLIANCE $150
28 pius Fieads $100 SPi2tNKLER SYSTEMS Fuel Tanks- pertank $50
STANDPIPE SY57EM Hydro tlndergrounds $45 Spariclers $'100
�Per f2�ser $50 Fiydrastatic Test $65 Par sys�m Fi�e Warks $500
FlRE PUMP Rcceptance Test $45 persystem Camp Fire $25
�Per Pump $100 Hydrant Flow $75 ConVolled Bum $14�
FIRE ALARAA SYSTEM Haod/Duct $50
25 Qevices $50 FIRE ALARM SYS7EM Place af Assembly $50 annuai
26 plus Devices $100 8 System Acceptance $50 e Protection $25
SUPPRESSIQN SYSTEMS Reca�l Acceptance $50 Flammable Application $50 Mnual
Wet � $50 OTHER Waste Tire Storage $50 a,r,�ai
pry $50 Fire Wa�USmoke Wati $15 perw2tl Generator<KW $100
CO2 $50 LP Gas $25 per tank Genermtor>30 KW 150
{3iher $5Q N�tut'3!Gas $25 per system Bio-Ffazard Waste $1O0 Mnua!
KITCHEN EXNAUST Fumigation Tenting $50
�MoodlDucts $5Q Tent 10k10'or greater $15 par�ent Torch PoUApplied $5Q
OTHER Fire Pump $45 Haz.Materials $100 Mnua!
8 LP Instailation per tank $50 Fire Suppression $30
Fuel Tank Instatlation $50 System Acceptance
(Per Tank} $50 E�fiaust Hood/Duct $30
�Naturai Gas instaNation $50 Re-inspeCtion DBL
{Per System) (a#her than annua!}
�Spray 8aoth $50 �lnspec�an scheduled DB� 8
and canceHed less than
24 hours
CanstrucUon lnsp. N/C
Emergency Vehicle A��—$y5�0 FALSE ALARM
PLANS TOTAL� INSPECTION TOT� PERMIT TOTAL� TOTAL�
GREWD TOTAL
Comments:
Date:
Inspector:
mn
WAYNE
Automatic Fire Sprinklers,Inc.
; Cbmpany's Name: Wavne Automatic Fire Sprinklers, Inc.
Qualifier Name: Jason G Rountree �:
License Number. EC13005133
I hereby authorize theC'�� � �`��`Yr�l���to issue permits to ean W son, Joe Taylor, Fernando Ramos,
I Harvey Haynam , William Whiqham, Todd Onan, Kevin Mclaffertv and eff Kir,k atrick. Whose positions with my
company are Desiqn, Foremen, Sales and Superintendent.
Check one.
( ) This authorization is good for the job at:
(X)Any and all permits until further notice.
The permit must be signed in front of the building official or his representJive.
I understand that I remain fully responsible for all acts perform d unde�said permits.
/���
s�1��- � s -
,- ,
� Date License Hol'er Signature
***This action must bear the notarized signature of the license holder"**
STATE OF FLO ., ,RIDA
COUNTY OF \ �I�s6nb�'o �
The foregoing instrument was acknowledged before me this �� day of
v Y l 20 i�, by �0.���o uh�re-e_
( name of the person acknowledging)
( SEAL)
- No �y� gn ture
,
Personally/Professionally Known oti�� Notary Public State of Florida �
? , Kathryn L Watts
� My Commission EE 881545 '
-or- Produced Identification �oF�o� eXP;r�soa��eizo��
Type of ID Produced
I
R ional ff'ce: 3226 Cherry Palm Drive•Tampa, FL. 33619 • Phone��13) 630-0303 Fax: (813) 630-0312
Ocoee • Pompano • Fort Myers • Jacksonville • Port S� ucie • Concord, NC
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�==::'AES IntelliNet
, CORPORATION ForAlarm Monitoring
� ' RF Subscriber Unit
N .
UL Fire, AA Burglary and NFPA-72 Compliant
• Options for Full Data for
UL Listed F . Fire and Burglary
u(.�isted Central � s1 ' ' � •Available in 7744 � 7788
Station
Remote Station ��? = Zone Configurations
365, 6819, 827, 1610, '� �" - �-� • BUI�t-in Power Supply
CSFM
'� and Battery Charger
NFPA
RF Section 8.6.3.5 • Local Annunciation
Options on Board
Advanced Wireless Alarm Monitoring �
The 7744/7788 smart subscriber unit links an alarm panel to an '
alarm monitoring central station. This 2-way transceiver and '- �
repeater in one is housed in a full size locking steel cabinet for � ;
c �1 os� � ���,�}r,�
superior pertormance. The 7744/7788 supports a wide range of �,� ' ,- - '.F��;N��,;' ;
` �
inputs such as NO/NC/EOL and direct voltage. It automatically _ fi
senses wire and antenna cuts, and monitors battery and AC _ - " �-_--� � �
power status.Advanced status reporting, self-diagnostics and a �� � -'''�~�"��''°T � � �
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built-in power supply make the 7744/7788 the first choice for all � �
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wireless alarm communication needs. _.�. � �=�� �
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Full Data for Fire and Burglary � _ : �
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, Use with the optional Firetap for full fire data or the IntelliTap for �•� -�•
full fire and burglary data. Wireless mesh networking is an ,
innovative technology adopted by �
many industries with applications �
� . . . - . . . . � . . . - • . . -
that need to communicate data over
� 7744—4 reversing FireTap 7770 a large geographic area with a high �
level of reliability at a low total cost -� '
polarity inputs plus 4 IntelliTap 7067 ° of ownership. '
programmable EOL inputs NEMA 4 Enclosure _
I � The advanced design and 2-way �
7788— Programmable EOL High Gain Antenna communications capability provides ;
inputs with 8 zones Additional Back Up Battery ' easjr installation, expansion, and � ' ;
I Available in Bur la Bei e management when compared to �
g ry g 'alternative communication methods,. ?
or Fire Red � both wired and wireless. '.:j
. , , �
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RF Subscriber Unit .
Technical Specifications Available configurations
Radio AC Status • 7788, 8 EOL inputs
Standard CSAA frequency ranges: Reports to central station after
450-470 MHz and 130-174 MHz,VHF approximately 60 minutes without AC • 7744, 4 EOL inputs w/4
and UHF. Others available power, reports power restored after reverse polarity inputs
Standard Output Power approximately 60 minutes of restored
2 watts(requires FCC license) Power. programmable from 60 to 180
minutes
Power Input Antenna Cut (local reporting)
16.5 VAC,40VA UL listed
Class II transformer required Form `C'Contact 1 AMP
Voltage Size
12 VDC nominal 13.25°H x 8.5"W x 4.3"D
Current 34cm x 21.5cm x 11cm
175mA standby;800mA transmit Weight ,
Alarm Signal Inputs 6.4 Ibs, 2.9 Kilograms
(excluding battery)
•4 individually programmable Zones: Colors
NO/NC/EOL, trouble restore
• RS-232 Available in standard . �
• Reversing voltage(7744 only) 12 or Burglary Beige or Fire Red
24 VDC Please specify when ordering
Operating Temperature Range Available Options '
. �
0°to 50°C, 32°to 122°F •7788 RF subscriber unit � I
Storage Temperature Range W�th 8 EOL inputs ; ,
-10°to 60°C, 14°to 140°F •7744 RF subscriber unit with 4 EOL , _ . • � I
Relative Humidity Range inputs and 4 reverse polarity inputs o i
•7770-FireTap
0-85% RHC non-condensing - ' m . 1
Back up Battery •7067- IntelliTap , '
12V, 7 AH • NEMA 4 Enclosure ° ,
�
Low Battery Reporting Please specify when ordering ' � i I
22.5-minute test cycle , , ��
� _
� � �
AES-IntelliNet"is the industry leader in delivering high quality wireless mesh ;
networks to the fire and security industry in commercial,corporate,government, • 3
,
and educational applications with its broad line of products and advanced network �
management tools.Users ofAES-IntelliNet networics have gained significant rev- . ;
enue,communications,and cast advantages while meeting the high standards of � . , � ;
reliability required for the fire and security industry.AES-IntelliNet alarm monitoring . �
systems are deployed at hundreds of thousands of locations in over 130 countries. ' ° ' - � � � �
�iii�r"'r� � - . • I
--:,�:'�'AE lr]t llIl\I' t : �� � � � ; �� b
. ] �' �' �
CORPORATION For Alarm Monitoring . � i
For more information � �
Call 800-AES-NETS(800-237-6387) � ' , �
AES Corporation�285 Newbury Street� Peabody, MA O'I9BO USA ` Copyright2008AE5 Corporation ' j
Tel.+1 978-535-7310� Fax+1 978-535-7313� Email info@aes-intellinet.com , AES-IntelliNet is a registered trademark ofAES Corporatlon , �
Web www.aes-intellinet.com ,i�aarnsaro2roe � " ', � �. . ��
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, CORPORATION ForAlarm Monitoring
� ' . RF Subscriber Unit
N
UL Fire, AA Burglary and NFPA-72 Compliant
• Options for Full Data for
UL Listed r - Fire and Burglary
UL Lisfed Central ` �I ° s� •Available in 7744 & 7788
Station ;�,1
Remote Station 1�"�' Zone Configurations
864 Ed. 9, 827, 1610, "� � • Built-in Power Su I
365, 681 PP Y
CSFM
' � and Battery Charger
NFPA
RF Section 8.6.3.5 • Local Annunciation
Options on Board
Advanced Wireless Alarm Monitoring �
, The 7744/7788 smart subscriber unit links an alarm panel to an ' ,
alarm monitoring central station. This 2-way transceiver and
repeater in one is housed in a full size locking steel cabinet for , ,�.;,� ;
C 'g�. Os � , "' ;�'i�;�„u�'�
� superior pertormance. The 7744/7788 supports a wide range of �,� �u�K;pF�� ;
�_�.=:
inputs such as NO/NC/EOL and direct voltage. It automatically #
senses wire and antenna cuts, and monitors battery and AC � _.__ -_ �� ��_°�� �
- . ._ _-� ��
- — - - �
power status.Advanced status reporting, self-diagnostics and a �
i
built-in power supply make the 7744/7788 the first choice for all • �;;; � -- �
�.+� 1�:
wireless alarm communication needs. ��•'�
�������� i
Full Data for Fire and Burglary ,�` �: �
/' ,. , f
Use with the optional Firetap for full fire data or the IntelliTap for � �� �� •�
full fire and burglary data. Wireless mesh networking is an �
innovative technology adopted by 9
many industries with applications '
i . . � - . . . . � . . � - � • . �
that need to communicate data over
7744—4 reversing ' FireTap 7770 a large geographic area with a high
. level of reliability at a low total cost, �
polarity inputs plus 4 IntelliTap 7067 of ownership. ,
programmable EOL inputs NEMA 4 Enclosure � '- .;
7788—Pro rammable EOL Hi h Gain Antenna � The advanced design antl 2=way
9 9 communications capability p�ovides �
inputs with 8 zones Additional Back Up Battery easy installation, expansion, and �
management'inrhen compared to '
Available in Burglary Beige ' altemative communication methocls, � ,; p
or Fire Red 'both wired and wireless. . }
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� RF Subscriber Unit
Technical Specifications Available configurations
Radio AC Status • 7788, 8 EOL inputs
Standard CSAA frequency ranges: Reports to central station after
450-470 MHz and 130-174 MHz,VHF approximately 60 minutes without AC • 7744, 4 EOL inputs w/4
and UHF. Others available power, reports power restored after reverse polarity inputs
Standard Output Power approximately 60 minutes of restored
2 watts (requires FCC license) PoWer. programmable from 60 to 180
minutes
Power Input Antenna Cut (local reporting)
16.5 VAC,40VA UL listed
Class II transformer required Form `C'Contact 1 AMP
Voltage Size
- 12 VDC nominal 13.25'H x 8.5"W x 4.3"D
Current 34cm x 21.5cm x 11cm
175mA standby;800mA transmit Weight '
Alarm Signal Inputs 6.4 Ibs, 2.9 Kilograms
•4 individually programmable Zones: (excluding battery)
NO/NC/EOL, trouble restore Colors
• RS-232 Available in standard �
• Reversing voltage(7744 only) 12 or Burglary Beige or Fire Red
24 VDC Please specify when ordering � ,
Operating Temperature Range Available Options ;
0°to 50°C, 32°to 122°F •7788 RF subscriber unit �
Storage Temperature Range with 8 EOL inputs ; ;
-10°to 60°C, 14°to 140°F •7744 RF subscriber unit with 4 EOL !
Relative Humidity Range inputs and 4 reverse polarity inputs �
o •7770 - FireTap �
0-85/o RHC non-condensing !
Back up Battery •7067 - IntelliTap �
12V, 7 AH • NEMA 4 Enclosure _ ' i
Low Battery Reporting Please specify when ordering ;
22.5-minute test cycle ' . . �
AES-IntelliNet"is the industry leader in delivering high quality wireless mesh � , , _
networks to the fire and security industry in commercial,corporate,government,
and educational applications with its broad line of products and advanced network
management tools.Users ofAES-IntelliNet networks have gained significant rev-
enue,communications,and cost advantages while meeting the high standards of ' �
reliability required for the fire and security industry.AES-IntelliNet alarm monitoring
systems are deployed at hundreds of thousands of locations in over 130 countries. �
. ` `
%i���! +
--=.���AE l�t IlIIV t � _ � . , .
. e e ,
CORPORATION For Alarm Monitoring �
For more information - . . �
Call 800-AES-NETS(800-237-6387) . - �
AES Corporation �285 Newbury Street� Peabody, MA O'I JF)O USA , Copyright 2008 AES Corporatlon t
Tel.+1 978-535-7310 �Fax+1 978-535-7313� Email info@aes-intellinet.com AES-IntelliNet is a reglstered Vademark of AES Corporation �
Web www.aes-intellinet.com rraamseioyos � . j
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