The URL can be used to link to this page

Home My WebLink About17-18759 s , CITY OF ZEPHYRHILLS � �, 5335-8TH STREET (si3)�so-oo20 1 8� 59 FIRE ALARM SYSTEM PERMIT C PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18759 Address: 5217 GALL BLVD 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: 11-26-21-0010-16600-0010 Improv. Cost: 815.00 OWNER INFORMATION Date Issued: 8/11/2017 Name: PEEPLES FAMILY CORP INC Total Fees: 150.00 Address: PO BOX 1058 Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2017 Phone: (813)782-2989 Work Desc: FIRE ALARM COMMUNICATOR REPLACED- HYNES SUPPLY CONTRACTOR S APPLICATION FEES ADT ECURITY SYSTEM FIRE ALARM 50.00 FIRE INSPECTION FEES 50.00 FIRE PLAN REVIEW FEES 50.00 � � � � ' �/� � , Ins ection uired FIRE ACCEPTANCE 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 INIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE DING YOUR IVOTICE OF COMMENCEMENT." C RACTOR 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 �13-T80-0020 Cify of Zephyrhilis Fire Fax-813-780-d021 r" Permit Application Date Received � � <��,�_� Phone Contact for Permit 813- _ 324 2259 �=._ —_.__�. �.� ____ � --- --,..��.� --.+ Owner's Name� PEEPL.ES FAMILY CORP{�RATION Owner's Phone tvumber 813 782 2989 Owner'sAddress 11 SUNI�lYBRQOK TRA1L CLYDE NC 28721 Fee Simple Titlehalder Name Titleholder Phone Number [� � � Fee Simpie Titieha(der Rddress �_�._, �_ -- �. JobAddress 5217 GA��BLVD Z�PHYRHILLS FL 33542 �ot# 9&2 Sub Division NA Parcel# r---- � – _____..._._�_ �__...�_____-- -_.��_ ____� _� � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhausf Kitchen HoodlDuct � Hazardous Material{Tier II or RQ Faciliky}ANNUAL � Controlled Burn � Hood Installation � Emergency Generator<30 kw � LP1tVaturai�as-lnstallatian � Einergency Generator>30 kw ' � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAC � Flaces of Assembly-ANNUAL r y emi �n er Sprinkier � ❑ O ❑ � � Recreational Burn t�,r �}�� Fire Alarm � ❑ ❑ ❑ � � Sparklers �� v Nood Gleaning � ❑ ❑ ❑ � � Sprink2er System Snstallations Hood Suppression � ❑ Cl ❑ � � Standpipes(Sprinkler Sys) Fira Atarm Insfallation � Torch Roofingfi'ar Kettle Fire Pumps � Waste Tire Storage ANNUAL Flammab(e AppliCatian-ANNUA� ��--1 ValUBftOCi Of Pi'OJeCt � Fuel Tanks � Other: REPLAC� EX(STiNG FA SK5104 CfJMMUNICATOR W(TH EXACT MOdEL SK5104 Contractor Gompany j � ' �(,,,/ Signature Registered V Y/N Fee Current Y/N Address License# ELECTF2ICIAN Company Signafure Registered Y 1 N Fee Currenk Y I N Address License# PLUMBER Company 5ignature Registered Y/N Fee Current Y/N Address �icense# MECHANICAL Gompany Signature Registered Y/Eti1 Fee Current Y/R! Address License# OTHER Company 8ignature Registered Y!N Fee Current Y/N Address License# Directions: .___.�._..�__. � - �....__ �_.__ .�, __�.. � FiII out app(icafion completely Qwner&Contractor sign back of application,notarized(Or,capy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Suppty 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) t .. f N'OTiCE bF DEED RESTRICTIONS: The undersigned undersfiands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes respansibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the awner has hired a contractor ar cantractors ta undertake work, they may be required to be licer�sed in accordance with state and local regu(ations If the cantractor is nat licensed as required by law, both the awner and contractar may be cited far a misdemeanor violation under state !aw If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended wark, they are advised to contact the Pasca County Building (nspection Divisian—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractar(s) sign portions of the "confiractor Block" of this application for which they wili be responsible. If yau, as the owner sign as the cantractor, that may be an indication that he is not prop�rly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTiON LIEN LA1hl(Chapter 713, Florida Statutes, as amended): if valuation of work is $2,500.00 or more, 1 certify that !, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Horneowner's Protection Guide" preparad by the Florida Department af Rgriculture and Consumer Affairs. If the appEican# is sameone other than the"owner", I certify that I have obtained a copy of the above described document and pramise in good faith to deliver it ta the"owner" prior to com�tence�nent. - CONTRACTOR'S/OV!lNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work wi!! be done in compliance �nrith afl applicable laws regulating construction, zoning and iand deve(opment. Application is hereby made to obtain a permit to do work and instailation as indicated ( certifiy that no work or installation has cammenced prior to issuance of a permit and that all work will be performed to meet standards af al[ laws regulating canstructiort, County and City codes, zaning reguEations, and land development regulations in the jurisdiction I alsa 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 whaf actions 1 must take to be in compliance If I am the AGENT FOR THE OWNER, ! promise in good faith to inform the owner of the permitting conditions set forth in this affdavit 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 installatians not specifically included in the application. A permit issued shall be construed ta be a license to proceed with tt�e worEc and not as authority to violate, cancel, alter, ar set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter reguiring a correction of errors in plans, construction or violations of any codes Every permit issued shafl become inva}id unless the work authorized by such permit is commenced within six months of permit issuance, or ifi work authorized by the permit is suspended or abandaned for a period af six (6) manths after the time the work is commenced An extension may be requested, in writir�g, from the Building Official for a periad not to exceed ninety (90} days and will demonstrate justifiable cause for the extension If work ceases for ninety (90) consecutive days, the jab is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF GOMMENCEMENT MAY RESULT IN YOUR PAYlNG TWlCE FOR lMPROVEMENTS TO YOUR PROPERTY. !F YOU I @iI'OrUBTAI��-E-l�JANCING, C4fVSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y� _R NOTiGE OF COM e-it(CEMENT. FLQRIDA JURAT(F S 117 03) "�--�� OWNER OR AGENT GOt+iTRACTOR Subscribed and sworn to(or affirmed)before me this Sub crib and swor (or irmed before me this by Y 1C Who istare personally known to me or has/have praduced � Who is/ar rsana y nown o me or has/have produced as identification. as identification. Notary Pubfic Notary F'ublic Commission No Commissian No RebeCca A�dridge Name of Notary typed, printed or stamped Name of Notary typed,printed or stamped �. - ,.�... tj�PM�fl�d�sE1fl1'IIUtt13�48 ;.ao�::4�". OLOL'9�II�tl�53alA3 -''•' :", :�; " ;�. 119L96�i�YN01SS11HW0�JJ''1 ;,�'A�1b?; 39Qtk3Q'N tt�3632i ....., . � � {p'�� o >,� [°LU�p�� .� ... ,. ' , :,�^;S�•ae..."`.'. `"�. �;- `r. , :i ` �,4� City of Zephyrhills BUILDING PLAN REVIEW CQIt�MENTS ContractarlHameowner: �� Date Received: �' �� szt�: � �� "��1 �l�G.� , Permit Type: �� GrCLt`' �� t<<te Approved w/no comrnents:� Approved w/the below comments: C] Denied w/the below comments: ❑ This comrnent sheet shall be kept with the permit andlar plans. � -.,.�_ .�?. i� Gene Brown—Fire Safety Officer Date Contractor and/or Hoineawner �Required when comments are present} i � •. � •. SILENT 5104B Fire Control KNIGHT` Communicator 0 by Honeywell The speed, reliability and value of digital communications from the company you can trust As pioneers in digital fire technology, Silent Knight delivers superior systems at an outstanding value. Our 5104B Fire Control Communicator has become the industry standard by proving itself in years of field-tested operation. This six-zone fire control communicator provides fast, reliable digital communication of fire and trouble conditions. It transmits via ordinary phone lines—eliminating the need for expensive leased line arrangements. Use it as a stand-alone, or incorporate it into your existing system. Why spec any other digital communicator? Go with the industry standard—the 5104B Fire Control Communicator from Silent Knight. For more information, please call 1-800-328-0103. Model 5104B the central station. If one of the Fire Control Communicator telephone lines faults for more than – r The Silent Knight Model 5104B is a 60 seconds, it will automatically •�""""` six-zone fire control communicator switch to the other to report the �� " providing digital fire reporting over failure. ordinary telephone lines, The communicator will signal eliminating the need for costly activation, restoration and trouble �-^-�,' leased lines. IYs UL 864 and NFPA conditions on any of six inputs. If ,,. �:n..�,a ��;� a,�.oabi 72 approved for monitoring local an application requires a different :�r; �' ;:;:. evacuation controls. input configuration, the individual ; As a stand-alone unit, it can be input styles may be changed by Model 5'104B used to monitor: using a Model 7181 Fire Zone • Sprinkler systems for waterflow, Converter Module. The 7181 also supervisory, and gate valve allows use of two-wire type smoke . Dual phone line inter�ace Automatic tamper conditions. detectors, instead of the normal self tests every 24 hours with report four-wire contact type, for sent to central station. • Automatic fire detection systems automatic fire detection • Reports in SIA and most major for structures that are not applications. communications formats. required to have a fire alarm system but want property Features • 60 hours of standby power. protection (e.g. to call the fire • UL 864 Listed as an NFPA 72 • Operates on loop start phone lines department after hours). Central Station or Remote Station ahead of the building PBX system • Monitors dry contact alarms, protected premise unit. • A single, programmable output is • FM a roved provided for alarm or dialer failed trouble and supervisory outputs, Pp conditions (cannot be used for then transmlts a separate code ' Can be used as a stand-alone or as evacuation purposes). for each a add-on DACT. The Model 5104B is fully • Six fully supervised inputs:one Class A(Style D) input, and five supervised. Its microprocessor Class B (Style A) inputs. constantly runs programs to . Downloadable for remote monitor AC, standby battery, zone programming. inputs and telephone line • Fuseless overload protection with connections. If a fault condition is automatic reset circuitry and fault detected, it sounds a local trouble indicators—eliminates the cause of audible and reports the condition to most field calls I a �. � •. 5104B Fire Control Communicator Specifications Mechanica�: Electrical Dimensions: 12.25"W x 14.5"H x 3.0"D Add-on Applications-UL Listed (31 1cm W x 36.8 cm H x 7.6cm D) Input: 120 VAC 60 Hz 40 watts Weight: 15 Ibs. (6.75 kg) Current: Color Red Standby 50 mA Alarm 135 mA Optional Accessories: Stand Alone Applications 5230 Remote Annunciator/Programmer Input: 120 VAC 60 Hz 40 watts 5561 Download Package Standby: 12 volt 7 amp hour rechargeable battery 7181 Fire Zone Converter Module 5230 Remote Annunciator(three maximum per system) 7860 Telephone Connecting Cord for RJ31X Jack(2 required) 6712 12 volt,7AH rechargeable battery Load: 60 mA standby 120 mA alarm Communication Formats: SIA,SK 3/1,Sescoa 3/1,Contact ID, Indicator Lights(LEDs): SK 4/2,Radionics BFSK Power On(Green) Approvals: Trouble Silenced(Yellow) UL Listed-UL864/NFPA 72 Central and Remote Supervising Until Trouble is Cleared/Flashing=Supervisory Station Fire Alarm System Service. Dialer Failure(Yellow) FM Approved Telephone Line Fault(2 Red) CSFM Approved Inside Cabinet at L1 and L2 Inputs MEA Telephone Requirements: FCC Registration#�AC698R-17462-AL-E RINGER EQUIVALENCE 0.06 Type of Jack: RJ31X(2 required) Model 5230 Remote The Model 5560 SKSS Alphanumeric Annunciator pownloading Package The 51046 can be programmed Allows for remote programming through the use of the optional and status checking of the 5104. - -- – Model 5230 Remote Alphanumeric Includes a 3 1/2-inch disk and _----- -- --- Annunciator. Programming options Silent Knight proprietary modem. ' �oW�, .�.�._=�'__� include: telephone numbers, Allows the installing company to � � — ��•�Y reporting format, account number, view the default programming, = axra�acwron i____.�____.—_�___ ___�__ loop response times (electronic modify it, and if necessary, �� retard),test time, output activation, troubleshoot the system. Designed , �� user and installer codes. System to be used on an IBM or I programming is stored in a non- compatible PC. The.downloading � volatile EEPROM chip which is software also contains programs for reprogrammable hundreds of times. other Silent Knight downloadable Model 5230 The 51046 accommodates up to products. 5 1/4-inch disks available - three remote annunciators via a upon request. four-wire connection.A quick- connect plug allows temporary connection of the annunciator for programming. � �� . �. 5104B Fire Control Communicator 120VAC 60 Hz UL-LISTED LOCAL FIRE SILENT KNIGHT CONTROL MODEL5104B 6 Channel ilent Knight Communicator Model 5230 (optional) ' Remote Annunciator Alarm Contact (3 max per system) (N.O.Typical) I Trouble Contact Tel. Line#1 To RJ31X (N.C.Typical) Tel. Line#2 MODEL 5104B BLOCK DIAGRAM Add-On DACT Application , SILENT KNIGHT MODEL 5104B 120VAC 60 Hz 6 Channel Silent Knight Class A Input Communicator Model 5230 (supervised) (optional) Max 5 waterflow devices as per NFPA 72 Remote Annunciator (3 max per system) O Class B Inputs Wheelock {supervised) MB-G10-12-R Gate valve tamper or PIV supervisor-must connect Tel. L'Ine#1 normally open Model 6712 To RJ31X 12VDC 7 AH Tel. Line#2 MODEL 5104B BLOCK DIAGRAM � Stand-alone Waterflow Application � L � �. � •. 5104B Fire Control Communicator SILENT KNIGHT MODEL 5104B 120VAC 60 Hz Silent Knight � 6 Channel Model 5230 Class A Input Communicator o tionai (supervised) ( P ) Remote Annunciator (3 max per system) O Class B Inputs Wheelock (supervised) MB-G10-12-R Heat detectors,manual (optional) pull stations and Tel. Line#1 contact type Model 6712 To RJ31X smoke detectors 12VDC 7AH Tel. Line#2 MODEL 5104B BLOCK DIAGRAM Stand-alone Automatic Fire Detection Application (For Communication Only) ARCHITECT/ENGINEER and send the alarm signal on one or The digital communicator shall provide SPECIFICATIONS both lines without the addition of any a secondary power supply utilizing The contractor shall provide an more equipment. It shall test each rechargeable batteries.The secondary approved digital communicator to telephone line(number)at alternating supply shall be capable of supplying transmit the fire alarm and supervisory 24-hour intervals in accordance with power, under maximum normal load, and trouble signals to a central station NFPA 72. It shall sound a local trouble for 24 hours for central station or The digital communicator shall be UL signal if the telephone service is proprietary applications or 60 hours for or FM listed for fire reporting to a interrupted for longer than 60 seconds remote supervising station system central station and shall conform to the and it shall transmit a signal indicating application in accordance with NFPA requirements of NFPA 72. the loss of phone line service to the 72. central station over the remaining The communicator shall be able to The digital communicator shall provide phone line.A signal shall also be transmit all signals in the Standard SIA power and necessary components for transmitted to indicate the restoral of format(Security Industry Association). six supervised detection circuits. One phone service.The shall be Class A(Style D)and five shall control/communicator shall be able to The alarm signals transmitted to the be Class B (Style A).The detection report the loss of either phone line central station shall indicate which of circuits shall accommodate sprinkler without regard to which phone line the six zones is in alarm and which flow switches, gate valve supervisory failed first. If both lines fail, a local zones are in trouble. Restoral from switches,thermal detectors and signal shall sound. alarm or trouble shall be capable of contact-type smoke detectors communicating to Silent Knight, and intermixed as desired and permitted by The control/communicator shall have other industry standard receivers. NFPA 72. the ability to send a test signal to the central station every 24 hours.The test - The control/communicator shall have signal shall be able to be transmitted at the capability to supervise two a specific time of day or night by telephone lines, seize the phone line setting a program within the panel. SILENT This document is not intended to be used for installation purposes.We try to MADE IN AMERICA KNIGHT keep our product information up-to-date and accurate.We cannot cover all specific applications or anticipate all requirements.All specifications are PN 350349, Rev C1 by HoneyWell subject to change without notice.For more information,contact Silent Knight 02010 Honeywell Intemational Inc. 12 Clintonville Road, Northford,CT 06472-1610 Phone:(800)328-0103, Fax:(203)484-7118. www.silentknight.com Model 59048 Installation Manual 151053-LS 3.5.2 Curr�nt �raw VVorksheet Use this worksheet to determine curr�nt requirements during atartnibattery standby operation. Table 3-6: Current Draw Calculations Llevice Number of Current per Device Sf.�ndby Alarm Devices Current Gurrent or eac evice use is ry'his Column x is o umn = urren per num er o formula: devices 5104 � Standby� 75 mA 75 mA Alarm. 135 mA 135 mA 5230 3 max Standby� 25 mA mA Alarm: 40 mA mA A Current Subtotals: mA mA Smoke Detectors � Standby� mA ��j6pC7 SmA �(,1�,� (3 Alarm mA �.vr ��j p mA Standby� mA mA Alarm. mA mA Standby: mA -- mA -- — - Alarm. mA mA Standby: mA mA A(arm. mA rnA Standby: mA mA Alarm. mA mA Standby: mA mA Alarm: mA mA B Current Subtotals: mA mA Notification A�pliances � ��Z mA mA mA mA mA C Current Subtotals: mA D Tatal current rating of a11 devices in system{add totals ofi A-C}x 001. a � d . A t � � A E Number of standby hours. (24 or 60 for NFPA 72, chapter 1, 1-5.2.5): H F Multiply lines D{standby currenf)and E. Tatal standby AH i 2J j 2AH G Alarm sounding period in hours. (Far example, 5 minutes= 0833 hours) , fnd � H H Multiply lines D�alarm Current)and G totals Tatat alarm AH �C'j� AH I Add lines F and H.AH=Ampere Hours Total AH required AH 3-8 � `; I � � ADDITIONAL SERVICES RIDER I��III��IIIIII�t�llllll�ll�I1��1�1�1�1�11�� j 5412UEQt accouNr xo � ��='��•�'i S��! � � r�o m Ir1"'i1�/'V/'� /I I f'71 is part of and is to be attached to � • by and betwecn ADT LI.0 dba ADT Sewlity Tt{SS RlOfR madc ljl�jj tt A��t u� the Contratt{�Contract')made r� Services("ADT"),with officez at Aedress �._._ � / L City G-�--�� •— � _ �1 �L- State��LG.a ZIP1�?l7�l�� nd Cuziomet J � - ('Customer") L 8usiness taame �r. � r {-Customcr`) �f�I° fflr servicr i�the Premises of the Customer at '" t' � / City I > State� ZIP ��("Premfses") The Customer fiereby requests,and ApT agrees,to install the following additional protection: i- 5��r f��i �/G�� 1 - ��:� /?�� /Za 1��. S�r�P - � � - ,�,',�,��. — {WZ.i` f�L,D�r� �UIciC� � 1'�7��c'f�-, c�n } �� ,p �r.�-'; ,i The Customer hereby egrees to pay ApT,its Agents or Assigns the sum of �j �_,�G^7/ � «.'� �t �I (��t�-�''� �-„C��z;t �---�— / �''' r� c� $ o payable upon the signing of this Rider and the balance payable upon completion of this installation,and to pay the additional sum of �� per annum. All equipment installed pursu�nt to this Rider shall remain the property of ADT,according to the ownership terms in the Contract. The partics hereto mutua(!y agree tfiat this Contrad,of which this Rider is made a part,is and shatl 6e and remain in fuli farte and effect in accordance with all the terms and conditions thereof. 7Fii5 R2pER REQUIRES FtNAi APPROVAC OF AN ADT AUTNdR1ZED MANAGER SEFORE ANY EQUIPMENTlSERViCES MAY BE PROVIDEd.IF APPRQVAL IS DENIED,THI5 RIDEft WILL BE TERMINATED AND AD7'5 ONLY 4BLIGATION TO YOU WILL BE TO NOTIFY YOU QF SUCH TERMINATION AND REFUND ANY AMOUNTS PA1D!N ADVANCE. ADT L4C dba ApT SERVICES /''�} �� __�;, / / �J �J� ae � L�� } P ID No_ AD ' ve - Accepted and Copy Received By: Namemer � � ;� _ 1.� :�, � "�' �; �'�, ��i " � � X ��.�.�" � �..�.� 1 �7/�� Custamer Signaiure &�2dt4 AQT LLC dba ADT Security Services. All rights reserved,(07/14) Oft{ce Copy Scanned by CamScanner ADT Peeples Family Corporation 5217 Gall Blvd Zephyrhills FL Length Of Bullding 30 Wldth Ot Bullding 100 `F�cable reqWred paY devfce 62 ', � - ' � - � , " - ` � ` � ' =- �• . 110FT Intruslon Alarm �� nn �� / Homstrohe 110 k Q Fire Alarm �� HORNSTROBE Gln �� p pull Silent Knight 5104 OSmoke Communlcator Sprinkler Riser Smalie '"'"`" 1' � i_.;. / 30 teet � `� / \ ADT SECURITY SERVICES 701 S US HIGHWAY 301 � George Manginelli TAMPA 3619 license# EF0001121 4- Signalure � ,�.. � d ;?:'��'IEW DA �,. �F ZEPHYR� �INER��-.. F;��:u�1D UFE SAFEI� � 1..�.3i5��.��, i o 1,,,; ��37i�ARDS I � tr�� W W / Callout �- � � ' ' ' ��PHYF�HlLL� F��.� ��P��T��f�T 6907 Dairy Road, Zephyrhills, FL 33542 FIRE �ERVICE USER FEES Occupancy Wo.: PBan No.: � Contractor: 8usiness Mame: �2.(�2� � �1 Billing Address: Business Address: $ �? �-G[ f! Ut Business Phone No.: &l 3— �ai. � Z� Billing Phone No.: Business Fax No.: Billing Fax No.: . Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE I 8 Site Plan N/C Annual N/C Sprinkler $50 1stAlarm N/C Muki-FamilylCommercial .06 sf 1 st Re-inspection N/C Standpipes $50 2nd Alartn N/C (Minimum Charge$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 ire Alarm $50 5th Alarm $150 SPRINKLER SYSTEAAS (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 SYSTEMIS Fuel Tanks- Per�ank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 HydrostaticTest $65 persystem Fire Works $500 FIRE PUi�1P Acceptance Test $45 persystem Camp Fire $25 �Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARNV SYSTEM Hood/Duct $50 �0-25 Devices $50 IRE ALARII�SYSTENI Place of Assembly $50 Mnual 26 plus Devices $100 �tem Acceptance $50 Fire Protection $25 Sl1PPRESStON SYSTEAAS Recall Acceptance $50 Flammabte Appiication $50 Mnual Wet $50 OTHER Was4e Tire Storage $50 nnnuai Dry $50 Fire WalUSmoke Wall $15 perwall Generdtor<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 annuai KITCHEId EXHAUST Fumigation Tenting $50 �Hood/Ducts $50 Tent 10k10'or greater $15 per ten� Torch PoUApplied $50 I OTHER Fire Pump $45 Haz.Materials $100 annuai �LP Installadon per tank $50 Fire Suppression $30 Fuel Tank Instaliation $50 System Acceptance ❑ (Per Tank) $50 a Exhaust Hood/Duct $30 Natural Gas InstallaUon $50 Re-inspectlon DBL (Per System) � {other than annual) �Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency VehiGe A� $50 FALSE ALI4RM PLANS TOTAL� INSPECTIOId TOTAL� PERN9IT TOTAL� TOTALr— GRAf�1D TOTAL Comments: Date: Inspector: mn