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HomeMy WebLinkAbout15-16600 - CITY OF ZEPHYRHILLS 5335-8TH STREET ,, (sis)�so-oozo 16600 FIRE SPRINKLER SYSTEM PERMIT �. PERMIT INFORMATION - i LOCATION INFORMATION Permit Number: 16600 Address: 6429 GALL BLVD Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE-SPRINKLER SYS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0020-00000-0030 Improv. Cost: 1,930.00 E- . � OWNER INFORMATION Date Issued: ��, �a7/t�is Name: WALGREENS Total Fees: 150.0.0 Address: 6429 GALL BLVD Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/07/2015 Phone: (847)315-4717 Work Desc: INSTALL 2 ADDITIONAL SPRINKLER HEADS CONTRACTOR S � ( APPLICATION fEES - � ' FIRE ALARM A D SPRINKL RS FIRE SPRINKLER SY 50.00 F RE P REVIEW FEES 25.00 � FIRE INSPECTION FEES 45.00 CONTRACTOR CERTIFICATE 30.00 � rti _� - ts �r � �� (� - - Ins ections�Re uired� - ' FIRE-PRESSURE TEST FIRE ACCEPTANCE Final 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 tlie 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 accord�nce 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 OBTAI�! FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN ENT." � CONTRACTOR SIGNATURE PERMIT OFFICE PERMIT EXPERES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 I City of Zephyrhills BUILDIIVG PLAN REVIEW COMMENTS . , Co��tractor/Homeowner: ��� � � ' Date Received: — l�J' � i, ,/�\ Site: (� � Z1� `(�.r14-`` ��v.J Permit Type: �'i �� '�'�u��G_ Approved w/no cominents:� Approved w/the below comments: ❑ Denied w/the below comments: � � 6��� � Y� " o L >°C�.- a�� � 4�` ��� +G�! � � This comment eet shall be kept with tt�e permit andlor lans. Or► � �l � �'� - Bill Burgess—Buil ' Official Date Contractor andJor Homeowner (Required when comments aze present) f � s��-�so-oozo City of Zephyrhills Permit Application '1 Fau-813-780-0027 M - Building Department ���•}� n�t l���� '��r{/J +. � �� 7� Date Received phone Cantact for Pertnitting �� Z 3 3 � I?� Ownels Name �/" 1�`Qi�.S-� Owner Phone Number i Owners Address Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS a� 1 �� I LOT# � �I SUBDIVISION PARCEL ID#I I (OBTpINED FROM PROPERTYTAX NOTCE) WORK PROPOSED e NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK v i ��I(,��J" � + BUILDING SIZE S�FOOTAGE� HEIGHT � �BUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �f � ���n-� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U U QGAS Q ROOFING Q SPECIALTY ID OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,I, I BUILDER COMPAr1Y SIGNATURE aECisTERED Y/ N �cuRREn Y/N Address I License# I ELECTRICIAN COMPANY SIGNATURE �cisTe�� Y/ N �Cu�n Y/N Address License� PLUMBER COMPAINY SIGNATURE r�clsrE�o Y/ N �cuw�n Y/N Address License� MECHANICAL COMPA�NY SIGNATURE �cis��o Y/ N r�cuwx�n Y/N Address License# OTHER '�� COMPANY ��'�- T't��1�' ss�-�- � ►�n�,9�,�3 SIGNATURE �c�s�n Y/ N �cuwt�n Y/ i - Address ( �� " /� � � �Y�^t r�1 �.I License# � I Zu����j� � 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 �1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�ergy Fortns;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sitt Fence installed, Sanitary Facilities 8 1 dumpster;Site Woric Pertnit for subdi�isions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safet�Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all n i projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructiorl: . I Directions:• • • • • • • • • • • • • • • • • • • • • • I Fill out application completely Owner 8 Contrador sign back of application,notarized If over�2500,a Notice of Commencement is required. (A/C upgradesI over$7500) " Agent(for the contractar)or Power of Ariomey(for the owner)would be sdmeone with notarized letter from owner authorizing same OVER THE COUNTER PERMITf1NG (copy of conUact required) Reroofs if shingles Sewers Service Upgrades A!C Fences(PIOUSurvey/Faotage) Driveways-Not over Counter rf on public roadways..needs ROW � � � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restricti�e than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. I UNLICENSED CONTRACTORS AND CONTRACTOR RES�ONSIBILITIES: If the owner has hired a contractor or y 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 owne�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 appiy 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"conVactor 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 entiUed to permitting privileges in Pasco County I TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands , that Transportation Impact Fees and Recourse Recovery Fee�s may apply to the consVuction 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,tha{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. Ilf 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"owne�'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 regulatin�constri�ction,zoning and land development. Application is hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work�will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, a�d land development regulations 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 DisVict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers�eawalls,Docks,Navigable Waterways. - Department of Health 8� Rehabilitative Service§/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. I - 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 fiIl will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I ce�tiTy 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 fa�th to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understantl that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or othe�r installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the woric and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall iss ance 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 v�ithin six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)�months aft@r 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 ninetyl(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 FINANCtNG,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) (`�—�v`���n, � OWNER OR AGENT CO TRACTOR �ixr Subscribed and swom to(or aifirmed)before me this Su s ' ed and swom to aifirtned)be(o�me t is by by 1 P/7� C/ Who islare personally known to me or has/have produced o islare, o ly 4 o�pm to me ar hasJhave produced as identification. � ( �v+L��a�identifica6on. Nota Public I Nota Public ry ry Commission No. Co on No. l`-� � ,,_ _� .� ,. _ � � � zi�"'�� TINA FERNANDEZ i' Name of Notary lyped,printed or stamped Nafne of Notary typed,pnn ed or stamped :2 s •�; � = � . _ Notary Public-State af Flori�� ��� �,` o�;My Comm.Explres Aug 14,2018 '%;FO����`;�'� Commission#FF 151087 . ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 J I FIRE SERVICE USER FEES Occupancy No.: �� p ��� � t -',` �,,_ Plan No.: Contractor-�[(�, ��!'�u'�-� � �yi��M�� Business Name: � Billing Address: Business Address: (o��2.-� � � � Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C ` prinkler $50 1stAlarm N/C -Multi-Family/Commerc' O6 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Char e$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 , 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test 65 per system Fire Works $500 FIRE PUMP cceptance Test 45 ersystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 � 0-25 Devices $50 FIRE ALARM SYSTEM �lace of Assembly $50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire Wall/Smoke Wall $15 perwall Generator<KW $100 CO2 $50 LP Gas $25 per tan Generator>30 KW 150 Other $50 Natural Gas $25 persyst�m Bio-Hazard Waste $100 nnnuai KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 per fent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 Mnual LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 � Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspeCtion DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL B and cancelled less than y� 24 hours � �� � � Construction Insp. � N/C �� �� Emergency Vehicl� $50 �' FALSE ALARM PLAMS TOTAL� INSPECTION TOTAL� PERMIT TOTAL TOTAL� GRAND TOTAL �� Comments: ��� � � Date: Inspector: /Ilh