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Home My WebLink About17-18412 CITY OF ZEPHYRHILLS 5335-8TH STREEf � (sis��so-oo20 18412 FIRE STANDPIPES PERMIT , •� PERMIT INFORMATION - LOCATION INFORMATION Perr�it Number: 18412 Address: 5855 16TH ST Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL. Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book: Proposed Use: CHURCH Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05000-0010 Improv. Cost: 1,952.00 OWNER INFORMATION Date Issued: 4/27/2017 Name: ST. ELIZABETHS EPISCOPAL CHURCH Total Fees: 130.00 Address: 5855 16TH ST � Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/27/2017 Phone: Work Desc: INSTALL FIRE SUPPRESSION SYSTEM CONTRACTOR S APPLICATION FEES SECURITY FIRE EQUIPME LC FIRE SUPPRESSION 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 30.00 , ! `� II � � ' � � l `� � Ins ections R ed FIRE BALLOON TE T-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 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 A7TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �� O�CTOR 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 � e��-7eo-ooza Gify af Zephyrhills Perrnit Applicatian �ax asa-1aa�2� Building Department i �ata ReCeived -- � phone Contact fot Permiltin owner"s Narrie S�Elizabeths E isCo al Chttrch Ownsr Fhone Humber {813}7&2-1202 Owner's Address 5g55 l litll t,� �1 hills FI pwner Phone Number � � Fee Simple Tftlehbtder Name �_� � � pwner Phone Number �-_--� Fee Simp[e Iittehalder Atldress J08 ADpRESS $$S5 1St17 St.ZE �1 Ili1�.S,�1 LO7# r�� SUBDNISION �— � p�CEL Ina 11-26-21-0010-05000-0010 (OBTAINEDFROMPROPFA7YTA%NOTIGE) ' WORK Pi20P4SED e N 7ALL R 8 �P RT Q SI{',N Q � pEMOLISN PROPOSED USE � SFR Q COMM � OTHER TYPE G1F CQNSTRUCTiON � BLQCK Q FFtAME � STEEL Q � DESCRIPTION OF WORK Install cppl.cing appliance fire suppressian system BUILDING SIZE �-� SQ FOQ7AGE[� HEIGH7 [�� QSUILQING �y� VALUATION OF TOTAL CONSTRUGTION ..---" QELEC7RlCAL �S� AMP SERViCE Q PROGRESS ENERGY W.R.E.G. QPLUMBING �� + , ��, r�n �- � t/ QMECHANICAL $ ��52.00 VALUATION O�MECHANICAL INSTALLATION � f, \ `��i QGAS Q ROOFIhlG Q SPECtALTY Q OTI-!ER FINISHEp FLOOR ELEVA710NS �� FLOOD ZONE AREA �]YES NO BUlLDER � � GOMPANY � SIGNATURE R�c1sTEREo Y t'N FEE cuRREN Y 1 N Address Ltcense# � � ELECTRICIAN � � COMPANY � SIGNATURE REGISTERED Y/ N FEE cu�utEN Y!N Address License#�` � PIUMBER � � COMPAPtY � SIGRIATURE RE615TERED Y I N fEE CURREt� Y I N Address license# �� MECHANICAL , COMPANY � -� SiGNATURE �� ReaISTEam Y/ N �E cua� Y/N address Lice�se S � I QTHER ��„f�+� GQMPANY �ecurity Pire Equipment,l,T,C SIGNATitRE rtecisTEREo Y t N FEE CttRnEN Y I N aadress 18330 Lawrence Rd Dade City,F133523 ucense# SQ25520p012004 { [1II11tIlI �IIIIIiEIIII1tIIiIl � Iltilltltll�I.IIIII1IItIi1i ( IIII � � PIIII RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, MinGnum len(10)worldng days after su4mittal date. Required onsite,ConsWcUon Plans,Slortnwater Plans w/Silt Fence installed, Sanitary FaciGEies&t dumpster,Site Wotk Permti tor suhdivisionsilarge projeets CdMMERC[Al Attacfi{2)cortSptete sets ot Buiiding Pians ptus a ltte Safety Page;(i}sei of Energy Fortns.R 4-W Permit for new construction. Minimum ten(10)woridng days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Ferice installed, Sanitary Faalities&1 dumpster.Site Work Pemiit f6r all new projects.Alt commercial requirecnents must meet compliance SIGN PERMIT Ritach{2}sets of Eng(neered Pfans. ""PROPERTY SURVEY required for all NEW cpnstruction. . .�5�' '.�{a-l-0-.-:�-5.:-: � � ' Fa-`.-:�C.:..� , ' 4 ' Directions: Fill oaf appficaGon completely_ Ovmer 8 Contractor sfgn back of application,notadzed If over 525�0,a Notice of Commencement is required (AIC upgredes over$7500) " Ageni(fnr the Contractor}or Pawet of Atior�tey(ior!he ovmer)wouid 6e sameone wit#t natarized tetter from ownsr autharizing same OVER THE COUNTER PERMITTING (copy of contract required) • RerooTs if shingles Sewers, Service Upgrades fUC Fences(PlodSunrey/Footage) Driveways=Not o�er Counier"rf on pubtic roadurays..needs.ROW . NOTtGE OF QEED FtESTRiCTiONS: The undersigned undersfands.#hat ihis permit may be subject to"deed"restrictions" which may be more rest�ictive than County regulations. 7he undersigned assumes respansibility for cQmpiiance with any applicabie deed Pestrictions. lJNLICENSED CONTRAGTORS AND 'CONTRACTOR RESRONSfBILiTiES: !f the awner has hired a contractor or contractors#o undeRake work,they may be required to be licens�d in acaordance wikh state and local regulations. !f the contractar is not ticensed as required by iaw, both the awner and contractor may be cifed for a misdemeanor violation under state law. !f the owner or intended contractor are uncerEain as ta what licensing requirements may apply fof the intended work,they are advised to contact the Pasca County Building Inspection Division—Licensing Section at 727-&47- 8QQ9. Furtt�ermare, if the owner has hired a contractor or contractors, he is advised to have the cantractor(s)•sign portions af the"contractor Block"of this applica6on for which they wil!be resgonsible. !f yau,as the owner sigri.as the contractar,that may be an indication that tie is not properly 1'icensed and is not entitled to permitting privileges in Pasco Couniy. I TRANSPOR7A710N IMPACT/UTI!!TlES IMPACT A�dD RESOURCE RECOVERY FEES: Ttie undersigned understands khat Transporfation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change ot use in existing bvildings,or expansion of existing buildings, as speafied in Pasco Counky Ordinance number 89-07 and 90-b7,as amended. The undersigned also understands,that sueh fees,as may be due,will be identified aY the time of permitting. t#is further understood that Transpoftation Impact Fees and Resource Recovery Fees must be paid prior to I r'eceiving a"certificate of occnpancy"or fnai power retease. !f the project daes not invoive a cer#ificate of occupancy or final power release,the fees must be paid prioc to p�rmit issuance. Furthermore, if Pasco County WaterlSewer Impact fees are due,they must be paid prior to permit issuance in accordanc�with appticabie Pasco County ordinances. CONSTRUCTlON l.IEN lAW(Chapter 713;Fforida Statutes,as amended): if valuation af wark is$2,504.00 or rnore,i certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien L.aw—Hameowner's Protecfian Guide"prepared by the Fiorida Department af Agriculfure and Consumer Affairs. if the applicant is sameane ather than the"owner",1 certify thak I'have obiained a copy af fhe above described document and promise in good faith to deliver it to ihe"owne�"prior to commencement. CON'FRACTOR'314WNER'S AFFIDAVIT: !certify that aii Ehe infarmation in this appiication is accurate and that ati work wiil be d'one in complia�ce with all applicable laws regulating construction,zoning and land development. Applicatiort is hereby made to obtain a permit to do work and installation as indicated. I certify that no work"or installation has commenced priar to issuance af a permit and tiiat ai!wortc�wil( be performed to meet standards of all faws regulating construction, County and City cades, zoning regulations, and land development regulations in the jurisdiction. I atso eertify that I understand that tfie reguiations-of other government agencies may appiy to the intendeii work,and that it is my responsibility to identify what aciions i must take to be in comptiance. Such agencies inc3ude but are not(rmited io: - department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally SensiUve Lands,Wa#erJWastewater Treatrnent. - Southudest Florida Water Management District-Wells, Gypress 8ayheads, Wetiand Areas, Altering WatePcourses. - Army Carps of Engineers-Seawa(1s,Docks,Navigable Waterways, - Department of Health & Rehabilitative 8eru'ices/Environmenta! liealth Unit-Wells> Wastewater 7reatment, Septic Tanks. - US Environmental Protectlon Agency-Asbestos abafement. - Federal Aviation Authority-Runways. i uriderstand fhat the fotiowing restrictions.apply fo the use of fitl: - Uss of fil!is nat a!lowed in Flaod 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 vo(ume"wi1l tae submitted at time of permitfing which is prepared by a professiona(engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A"in conrieotion with a permitted building using stem wall construction,i certi{y that fiil witt be used only ta filt the area within#he stem wall. - !f fill material is to be used in any area, ! ceRify that use of such fitl will not adverselp affect adjacent properties. li use of fiIl is found to adversely affect adjacent properties,the o,wner may be cited for viola�ng the conditians of the buitding pemzit issued under the aftached permif apptication,for lots less than one(4} acre.which are elevated by.fill,an engineeTed drainage plan is required, if I am the AGENT FOi2 THE OWNER,I promise in good faith to inform the owner of the,permitting conditians set forth in ihis at�davit prior to commenc�ng,coristructiori. i unHerstand ihat a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning,gas,ar othe�installations not specifically Included in the aQplication. A permit issued shall be consfrued to be a ticense ta praceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the 2echnica!codes,nor shatl issuance af a permit prsvent ihe Building Official from.thereaiter requiring a carrection of eirors in plans,construction or violations af any aodes. Every permit issued shall becbme invalid unless the work authorized by such pemtit is cammenced within six months of permi#issuance,ar if work authorized by the permit is suspended or abandoned for a period of six.(6)months after ihe iime the work fs commenced. Ari extension may be requested,in wriGng,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for tha exiension. If wark ceases for ninefy{94}consecutive days,#he job is cpnsidered abandoned. WARNiN6 TO OWNER: YQUR FAILURE TO RECORD A NOTICE OF CQMMENCEMENT MAY RESULT IN YOUR PAYING TV1tICE FOR IMPROVEME(d7S 70 YQUR PROPER7Y. !F YOU 1hfTEND T4 OB'LA2N FINANCiN6,CdA45ULT WITH YOUR LEMDER QR AN Al`TORNEY BEFQRE RECORQING YOUR NdTICE OF CQMMEAfCEMENT. Fl4RtDA JURAT(F.S.117.03} ' OWNER 4i2 AraENT GOH7RACTOt2 �r.% Y-„�r�i'G% �.../ Subscribed and swom to(6r affirmed)before me this Subscribed an tn to(or affirm befOre me this by by Who is/are personally known to ine or haslhave produced Who Islare persona y nown to me or hasltiave produced as identification. as identitication. Notary PubSic Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Nams o[NoSary typeil,printed or siamped . , � ZEPi�Yi�i��LL� F1�.E �EPI�RT�ifE�T' 38410 6th Ave Zephyrhiils, FL 33542 FIRE SEFtViCi� �1SER FEE� ` Occupancy No.: " , -----_ Plan Na�.: Contractar: �� r Business Name: � Billing Address: Business Address:_�' ` ,�.___�._ Business Phone Na.: Biliing Phone Na.: Business Fax No.: I��in9��N�•- Cantact: Contact: PLAN REVIEW FEES 1NSPECTIOIV FEES , PERMIT FEE FALSE ALARM FEE 8 Site Ptan N/C Annual N1C Sprinkler $50 1st Alarm N/C Mutti-Fam+IylGommerciat .06 sf 1st Re-inspection N/C S#andpipes $50� 2nd Pdarm N/C (Minimurt�Charge$25.00 2nd ite-inspection $140 Fire Pump $60 3rd Alarm N/C �Ptan Revisions DBL Srd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-inspection $500 Flre A►arm $SQ 5th Atarm $954 SPRINKLER SYSTBMS (Business closed un61 , LP Gas $50 6th Alarm $200 0-25 Heads $50 violations carrected) : Natural Gas $50 NON C4MPlllWCE $150 26 plus Heads $100 SPRINKLER SYSTEM$ Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Spariclers $100 �Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 �Per Pump $100 iiydrant Ftow $�5 Confrotted Bum FtRE AIARM SYSTEM oodJDuct $ � 0-25 Dev�ces $50 FlRE ALARM SYSTEM Place af Assembty nnnuar 26 plus Qev�ces $1QQ �System Acceptance $50 F9re Protection $25 i SUPPRESSIOtd SYSTEMS Recall Acceptance $5Q Flammable Application $50` nnnua� I et $50 OTNER Waste Tire Storage $5p Annuai I Dry $50 Fire WalUSmoke Wall $15 per wall Generator<KW $100 CO2 $50 LP Gas $25 per�snk Generator}30 KW 150 Other $50 Naturat Gas $25 persystem BiaFiazard Waste $100 �u,nuai KtTCHEN�XHAUST Fumigation Tenting $50 � HoadlDuc#s $50 Ten#10k10'orgreater $15 pertent Torch PatlApptied $50 OTNER F'e Pump $45 Haz.Materiais $100 Annuai LP tnsta!laUan per tank $50 ' Suppression $3Q , Fuel Tank Insta!lation $50 System Acceptance (Per Tank) $5o F�chaust HoodlDuct $30 �Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) �Spray Baoth $50 �Inspection scheduled DBL 8 and cancetted tess than • 24 hours GonsUuction insp. N/C Emergency Vehicfe As $50 FA3.SE ALARM PI.mNNS TOTAL 1NSPECTION TOTAL PERMlT TOTAl. TO7AL.� GRAND TO7AL �� Comments: Date: Inspector: nin a� - ::�,.��.��.:� -,-��., �:,.� _ � . _ �:�� ... : , �{,_�.:��--��,� . :` . � ,�'��.a �'i �� i City af�Zephyrhills �' v � BUILDING PLAN REVIEW COMMENTS � � � �' c , ��d� Contract r/Homeowner: �-�C_�� se �J � � �� Date Rec ived: ` �-- -- -��'�� . .`�-�-�. ��ti� Site: �� j �� ! � Pertnit T e: ��5�� Appr�ve wlno comments:� Approved wlthe below comments: ❑ Denied w/the belaw comments: ❑ � i � I This co ent sheet shall be kept with the permit and/or plans. ��. -'�•�Y'••"� Gene Bra n-F:ure Safety C?fficer Date Contractor andlor Hameowner � (Required when comrr�ents are present} 3 c._,.�,-,a_v._T..________.,�_._.__,--.,_�.....,_-.-.-r-�_r��.__ - ....,.a.�_._,.�s,..___ _--�•— ! —--_..�:. ...r_.� _w..-..._ ._�_.. .._.._..� d..=�-,.�.-- Job5ite: � -_..._--------------.`._._..._,._.._�._.._., ' Cookin�apufiance fire subpression svstem ' St..Elizabeths'Episcopal . Church ' s/ta/zoi9 'S855 16th�5tCeet� 10"x so^Ga�vantzaa stee�1s�Gauge exha,ut duee. � Zephyrhills,F(33542 ; Brian NI,2D 873�782-1Z�Z � NL2H Noxzle � A�dible Noiile 6 Ft.%361n.Stalnless Steel Fxhaust Flood � Alartn ��' ��j o 450�fuse Ilnks Y N r � � Protex � 19000, � � Eleetrlcal contaotor NLSL Noules � NL3L Flre Suppressfan rystem Noule � manufaaeurer; ; �HeiserCagistlts (80.0)'828-9638. i S In.Gas shut� ' � aff Valve 24 x 24 Gas Grlddle 36 x 29 Gas 6'Bumer range NLZD DucYNoule:Protects.a duct�vith a maximum.100 Inch.perfineter.This is a 40 In:,perlmeter duct, NLiH.Plenurn Nozzle:,Frotectsa.plenum 10F�.in lengthx,4 Ft:irtwidth. - NLiL Griddle Nozzle::Protects a Grill with a maxirriurri of624.5quare Inches or 36.Inches on the longest side. NLTL Range.Nozzle:Frotects a range with a maximum of 12 In.-x 28'In.- 3 Nozzles required fbr this Range Chemical dishcarge pipe.will be 3y8;schedule 40 black iron All:other piping virill'be 1/2"EMT�igiil conduit - I Fusible Links::3at 450.degrees, �� Remote Release in,the path of egress. The Protex C300U system cylinder can accommodate up to 10ffow points„thissyStem contains 7 flow points. , If this flre.suppresslon system actuates: ' Fresh air.is shut down i An Audlb(e Alarm:will attuate: F.ire Equlpment Dealer: � Exhaustfan will remaln on.orcame.on �Securiry FiFe.Equipment,.LLG ' FueCto appllances will sfiut do,wn 18330 Lawcence-Rd I This cooking appliance fiie suppression system to be Installed in accordance with: Dade City,6L. � NFPA 17A (352)567-7340 - Manufattnrer(Protex) {352}424-0906 i - , i Jay C Brown �