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HomeMy WebLinkAbout18-19775 I ' � CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19775/ FIRE SPRINKLER SYSTEM PERMIT PERMIT INFORMATION LOCATION=INFORMATION Permit Number: 19775 Address: 4330 20TH ST 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: 13-26-21-0070-03900-0020 Improv. Cost: 15,000.00 OWNER INFORMATION Date Issued: 6/08/2018 Name: NESTLE WATERS NA INC Total Fees: 65.00 Address: 4330 20TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2018 Phone: (813)783-1959 Work Desc: RELOCATING BACKFLOW FOR SPRINKLER SYSTEM CONTRACTORS APPLICATION FEES WAYNE AUTOMATIC FIRE SPRINKLER FIRE INSPECTION FEES 65.00 41� � 9 V 6 2- qk) Ins ections Required 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 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN ENT." CONT OR SIGNATURE PERMIT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780- Permit Application Date Received 5/30/18 Phone Contact for Permit 813 630 0303 Owner's Name NESTLE WATERS NORTH AMERICA INC Owner's Phone Number Owner's Address PO BOX 120029 STAMFORD CT 06912-0029 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address F 4330 20th St. Zephyrhills, FL. 33542 Lot# Sub Division Parcel# N I±U_F ROW.PRO EER-7777 rAX NO ICE)----- F-1 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Fj Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RO Facility)ANNUAL F-1 Controlled Burn Hood Installation F-1 Emergency Generator<30 kw LP/Natural Gas-Installatior F-1 Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL FQN-1y] rS_em7, An l'Uffi—er—1 Sprinkler F-1 0 0 0 F-1 Recreational Burn Fire Alarm F-1 0 0 0 Sparklers Hood Cleaning F-1 0 0 1-] Sprinkler System Installations Hood Suppression El 11 13 0 Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofingf-rar Kettle Fire Pumps Waste Tire Storage ANNUAL Flammable Application-ANNUAL $ 15,000 Valuation of Project Fuel Tanks Other: c, f-to A A t- Contractor Company Wayne Automatic Fire Sprinklers Incl Signature Registered = Fee Current I Y Address 3226 Cherry Palm Dr. Tampa, FL License# FPC17-000106 ELECTRICIANI Company Signature Registered Y/N Fee Current L�/N Address License# I PLUMBER Company Signature Registered Y/N Fee Current Y N J Address License# MECHANICALI Company Signature Registered Y/N Fee Current Y N J Address License# F_ OTHER Company I I Signature Registered I Y/N Fee Current L_L/N J Address License# F_ 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) , NOTICE OF DEED The undersigned understands that this permit may be subject to"deed"restrictions" which may ba 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 o contractor or contractors to undertake wmrk, they may be required to be licensed in accordance with state and |nua| regulations. If the uuntnodmr is not licensed as required by |am. both the owner and contractor may be cited fora misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended vvork, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-D47- 8OU9. Furthennone, if the owner has hired o 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 bean indication that heio not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,ueomnwndmd): !f valuation of work io$2.5OO.00or more, | certify that |, the app\inont, 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. |f the applicant |osomeone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver ithn the^ownar"prior tucommencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in compliance with nU applicable |ewo regulating uonatruotion, zoning and land development. Application is hereby made to obtain o permit to do work and installation as indicated. / 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 |avvo regulating construcLion. County and City nodeo, zoning regulations, and land development regulations in the jurisdiction. | also certify that | understand that the regulations of other government agencies may apply bo the intended work, and that it iamy responsibility hoidentify what actions | must take toboincompliance. 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. | understand that a separate permit may be required for electrical vvork, p|umbing, yigno, vvaUo, poo|o, air conditinning, gao, 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 insuonoe, 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 naquasted, in writing, from the Building DMioiai fora period not to exceed ninety (QU) 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 JuFmT(F.o.117»3) / OWNER OR AGENT CONTRACTORSubscribed and sworn to(or affirmed)before me this Subscribed and sworn to(orri Mmed)befoFe Fme this ' —by Who is/are personally known~^~~ has/have produced `~~ s~~personally me~ '="~~ produced as identification. -------- —� as identification. L2Notary Public Notary Public Commission No. ~~° Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped 7EA DELZ�, DEAN 019 _ ' City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: cSO —45 Site: 6 7— Permit Type: cs r4e- . i�e&) Approved w/no comments:MI Approved w/the below comments: R Denied w/the below comments: E-1 This comment sheet shall be kept with the permit and/or plans. Gene Brown-Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE SERVICE USER FEES increase 1/1/2018 Occupancy No.: Plan No.: Contractor: 6L ,/le �iG! Business Name: Billing Address: Business Address: Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE Annual- Education,healthcare,De tention&Correctional Public Assembly,Business, schools, I, Storage,Mercantile and Churches Site Plan N/C Industrial. no charge Sprinkler $50 Multi-Family/Commercial .03 sf up to 800 sq ft $ 24.00 Standpipes $50 !• (Minimum Charge$24.00 801 -1,500 sq ft $ 34.52 Fire Pump $50 Plan Revisions DBL 1,501 -2,500 sq ft $ 60.02 Hoods " $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 j 0-25 Heads $50 5,501-7,500 sq ft $ 187.52 Natural Gas $50 I; 26 plus Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks- pertank $50 STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100 Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500 FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25 Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Burn(15da: $100 FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per 26 plus Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25 SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual Wet $50 violations corrected) Waste Tire Storage $50 Annual Dry $50 SPRINKLER SYSTEMS Generator<KW $100 CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100 Other $50 Hydrostatic Test $65 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Acceptance Test $45 persystem Fumigation Tenting $50 Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 OTHER Haz.Materials $50 Annual aLP Installation per tank $50 FIRE ALARM SYSTEM Fuel Tank Installation $50 System Acceptance $50 (Per Tank) $50 Recall Acceptance $50 Natural Gas Installation $50 OTHER (Per System) Fire Wall/Smoke Wall $15 perwall Spray Booth $50 LP Gas $25 per tank Natural Gas $25 per system I Tent 10'x10'or greater $15 per tent i Fire Pump $45 Fire Suppression $30 System Acceptance Exhaust Hood/Duct $30 Re-inspection DBL i (other than annual) Inspection scheduled DBL and cancelled less than _ 24 hours --HConstruction Insp. N/C -Emergency Vehicle Acce $50 I PLANS TOTAL INSPECTION TOTAL g� PERMIT TOTAL GRAND TOTAL o0 Comments: I i I Date: Inspector: see back mh i I e' S 3226 CHERRY PALM DRIVE TAMPA,FL 33619 \"N/WAYNE qj 81 3-630-0303•FAX:813-630-0312 11326 DISTRIBUTION AVENUE WEST 4683 LAREDO AVENUE JACKSONVILLE,FLORIDA 32256-2745 Automatic Fire Sprinklers, Inc. FORT MYERS,FLORIDA 33905 904-268-3030-FAX.904-268-0724 222 CAPITOL CT. 239-433-3030-FAX:239-433-3263 4370 MOTORSPORT DRIVE OCOEE, FL 34761-3033 3121 NW 16TH TERRACE CONCORD,NORTH CAROLINA 28027 407-656-3030 -407-656-8026 POMPANO BEACH,FLORIDA 33064 704-782-3032-FAX:704-795-6838 954-917-3030-FAX:954-917-9424 Backflow Prevention Assembly Test Report a CUSTOMER: �i��i \ ) ; 1 �D7 j� INSPECTOR: (_ '�i _ice DATE: 'al ADDRESS: 2Q0 .Z o l5'+l S^ LICENSE#: ✓" TIME: 0�.�0Crrr�t CITY,ST,ZIP: R �s 1 s(j Z ISC#: 6 3 09,2 JOB LOCATION: L ADDRESS: LOCATION(CHECK&DESCRIBE): (' INSIDE ABOVE GROUND ( ,, PIT USAGE(CHECK ONE): IRE Fj DOMESTIC (}DC +_, DDC (- DDC-BYPASS (-,, RPZ I(-, RPZ-DET RPZ-DET-BYPASS MFG MODEL SIZE SERIAL# TYPE(CHECK): i)k,n5 920 DR REDUCED PRESSURE PRINCIPLE ASSEMBLY YES al DATE I RELIEF PORTS ON RPZ FREE OF CONTINOUS DISCHARGE?(CHECK ONE) (`; NO INSTALLED APPARENT PRESSURE DROP DATE DOUBLE CHECK VALVE ASSEMBLY ACROSS FIRST CHECK VALVE REBUILT CHECK VALVE#1 CHECK VALVE#2 RELIEF VALVE PVB/SVB HELD AT PSID HELD AT PSID OPENED AT PSID AIR INLET OPENED AT PSID LEAKED rj LEAKED rl DID NOT OPEN F 71 E= z CLOSED TIGHT CLOSED TIGHT DID NOT OPEN CLEANED rl CLEANED F-1 CLEANED CLEANED w a REPLACED 711 REPLACED F-I REPLACED F7' REPLACED Q IL LU I z _ t PSID �r PSID AIR INLET PSID PSID aL CHECK VALVE PSID CLOSED TIGHT _ CLOSED TIGHT [—� ASS (1 FAIL SUPPLY PRESSURE PS METER#: �� G y� READING#: a v®�r✓ �� / ✓ 93 0 CERTIFICATION TAG ON BFP INSPECTOR'S SIGNATURE: BFP IN SERVICE i i CITY OF " NOTICE / / BUILDING ZEPHYRHILLS p L DEPARTMENT OFADDITION OR CORRECTION D • NOT REMOVE ADDRESS D TE PERMIT f 1/19;�;A e5—c (=�, i ,,,/ THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. f1VA- Rg ��,��s c '�ir c ��f gar tg I - Tr-om c-lo I 11 I� It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR I!