Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
18-20206
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 �0206 FIRE ALARM SYSTEM PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20206 Address: 4330 20TH ST 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: 13-26-21-0070-03900-0020 Improv. Cost: 12,305.09 OWNER INFORMATION Date Issued: 9/25/2018 Name: NESTLE WATERS NA INC Total Fees: 150.00 Address: 4330 20TH ST Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/25/2018 Phone: (813)783-1959 Work Desc: ADD 2 STROBES DEVICE FOR RESTROOM CONTRACTORS APPLICATION FEES JOHNSON CONTROLS FIRE P OTECT OP FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 50.00 Ins ections ReqVi rect 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME MENT." N�l rw-- twj�� 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 l ,,,iLy vi 4.epnyrninrermit OUc8IOO ru»u/o`/ou�u Building Department Date Received Owner's Name dw"n,oriPhone Number Owner's Address F Owner0hono Number Fee Simple Titleholder Nmmnnor Phone Numbe Fee Simple Titleholder Address JOB ADDRESS LOT#' WORK PROPOSED NEW,CON.STR . AUDA\LT �~-�\ ` 8)6N �—� ' �[--1 DEMOLISH El INSTALL | | REPAIR PROPOSED USE SFR [-7 comm.. . ��-1 OTHER [-------- ------'-1 TYPE OF CONSTRUCTION BLOCK FRAME STEEL $ '413 VALUATION OF TOTAL CONSTRUCTION =MECHANICAL VALUATION OF MECHANICAL INSTALLATIO� GAS ROOF' ING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, =YES NO %---- , M-114$ C_ L:yc> 1;o t4 ` cdm n4a 1 s BUILDER OMPANY Address License# ELECTRICIAN COMPANY L SIGNATURE REGISTERED FEE OU Address F License# PLUMBER COMPANY SIGNAI E MECHANICAL COMPANY E _YLN_j License# Address OTHER COMPANY SIGNATURE E REGISTERED FEE CURREN Address License# RESIDENTIAL Attach(2)Plot Plarfs;(2)sets 6f Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction. Mlnlmum!ten(10)working days after submittal date, Required onslte,Construction Plans, Stormwater Plans W/SilliFence Installed, SanitarytFacilitles&I dumpster;Site Work Permit for subdlvlslons/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms, R-0-W Permit for new construction. Minimum ten(10)working days' after submIttal date, Required onsite,Construction Plans,Stormwater Plans w/SlItiFence Installed, Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All commercial requirements must meet coryipliance SIGN PERMIT Attach(2)sets of,Englneered Plans, "**IIROPI-'-RTY SURVEY required for all NEW construction, Fill out application completely. Owner&Contractor sign back o[application,notudzsd \f over$%B0O.uNoUuenY Commencement|orequired, (AIC upgrades over*T5VV) ^ Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same DYERTHE COUNTER PERMITTING (Fmntof Application Only) lemofsUshingles Smxoro Service Upgrades A/O Fonnex(P|oVSumey/FouioUn) odvnwoym'No\over Counter ltonpUbUnmndwayo..nwwVoROW ' NOTICE OF DEED RESTRICTIONS,` The undersigned understands that this permit may be subject to "dee;cl" restrictions" which may be more restrictive; than County re'gulatlons; The undersigned-assume,alresponsIbllity:for:compliance with any applicable deed restrictions. UNLICENS-E[) CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If ithe .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 mayibe 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 Inspeotlon lalulslon--Licensing Section at 727-847- 0009, Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) skin 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 indioation that-he-Is not properly Iicensed'and'le not entitled to permitting privllages in Pasco County, TRANSPC)RT'A:rl,O,N.IM.P.AC TIUTIL:I.TIE:S.IMPACT AND RESOURCE RECOVERY FEES: Th'e"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 Onderstands, that such fees, as may be due,.wilL,be Identified:at the time of permitting. It Is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be pald prior to receiving a "certiilcate of occupancy"or final power release, If the project does nat 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 ap,pilcahle 1'asoo County ordinances. CONSTRUCTION LIEN LAW (Chefoter 71'3;'Plorida 8fMutes, 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 "Floridgi Construction' Lien Law—lIdomeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumdr Affairs, If the applicant Is E;omeor;e 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 commencpmO,'nt. , CONTRACTOR'S/OWNER'S AFFIDAVIT: I ;certify that all the Informatlon In this application is accurate anti.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 hErs 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 ,regulations In the jurisdiction. I all�;o certify'that I understand that1he regulations bf.other government agencies may apply to the intended work., a'nd'that it is my responsibllity to Identify.what actions I must.take to be In compliance;. Suoh agencoles Include but are not;limited to: Department of Environmental Protectlon-Cypress Bayheads, V�/etlandAreas and; Environmentally ,Sensitive Lands, Water/Wastewater Treatment. .Southwest Florida Watei Management District-Wells, Cypress Bayheads, 'Wetland-- AreaE;, Altering Watercourses. Army Gorps of rigIngers-Seawal,Is,,Dooks, Navigable Watlerways, - Depar(merft of Servlces/Environmental Health Unit-Wells, Wastewater 'Treatment, Septic Tanks, US EnvIr6imentill Froteotl6h,A'genoy-Asbestos abatement.: Federal:Aviation Authority-Runways. , I understand that-the following restrictions apply to the use.of fill: Use`cif fill is-not sitiowe'd in Flood Zone.""'°"1inless expressly ,�. . p Y perrYiit�ed, . j : • . :.: . • . 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 Iq prepared 'by a professional engineer licensed by the'Stbte of Ftorlda. 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 lfill 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 (•I) acre which are elevated by fill,.an engineered drainage plan Is required.; If I am the AGEN'r FOR THE OWNER, I promise In good faith to Inform the owner of the permitting conditlo.ns set-forth In this affidavit prior to commencing.construction, I unclerstand that a separate permit may be required for electrical work, plumbing, signs, wells, .pool's, 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 Its authority; to.vlolate, cancol, altar, or set aside any provisions of the technical codes, nor shall Issuance of a permit previ3nt the BulIPMg Off Iola[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 exeeed 'ninety (90) days and will demonstrate justifiable cause for the extension.. If work ceases for ninety (90) consecutive days, ,thejob Is considered abandoned. WARNING TO OWNER:. YOUR FAILURE TO RECORD A NOTICE: OF COMMEcNCEME:NT MAY RESU, .T IN YOUR PAYING TWICE FOR IMPROVEMENT'S TO.YOUR PROPERTY, IF YOU-IIVTEND�TO-GBTAIN FINANCIN.C3, t^,ONSULT WITH YOUR LENDER OR AN AT-TO.R14EY BEFORE: RECORDING YOUR NVOT1GEc OF-COMME3NT-E MENT: FLORIDA JURAT(F.S.117.03) OWNER OR AGENT_ t4 1. 0—ALk—k-0— CONTRACTOR- _ Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or aftli•nmed)before me-this by ---by------ —_ Who Is/are personally known to me or has/have produced Who --by known to me or has/Iiave produced as Identlticdtlori. _ ,_ as identification, —__ Notary Public _ __ _ Notary Public Commisslon No, __ Commisslon No._____� ame of Notary typed,printed or stamped Rome of Notary typed,printed orIstamped ZEP.HYRHILLS FIRE DEPARTMENT. 38410.6th Ave.Zephyrhills; FL. 33542 FIRE SERVICE USER FEES. increase 1/1/2018 Occupancy No.': . '1� ? f Plan No.: . . . Contractor: V °` Business Name:.- Billing Address: Business Address: 4 ,33C Business Phone No.'. BillingPhone:No'.: Business Fax No:: Billing Fax No.: . Contact:: Contact: PLAN REVIEW FEES_ INSPECTION FEES PERMIT FEE , . . .•. . . . .,. Annual- Education'health care,D e :tention&Correctional. Public Assembly,Business, schools, 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 Pum •: $50 Plan Revisions 'DBL. 1,501-2,500 sq ft- $: 60:02. Hoods $50 2,501-3,500 sq ft $ 90.02 - Fire Alann' $50 SPRINKLER SYSTEMS 3;501-5,000 sq ft $ :127.52 LP Gas 0-25 Heads: $50 5,501-7,500 sq ft $. • 187.52 as . $50. 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, 1,5,001-20,000 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 IRE A M 40,001=60,000 sq ft $ 1,500.02 Hood/Duct $50 5 Devices. $5 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 cKW'. . . $100. CO2 $50 Hydro Undergrounds $45 .- Generator>30 KW .:$100, Other $50 Hydrostatic Test $65-. :persystem: Bio-Hazard Waste: $100 Annual KITCHEN EXHAUST Acceptance Test - $45` per system Fumigation Tenting' $50 .Hood/Ducts $50' Hydrant Flow $75 . Torch Pot/Applied $50 . OTHER Haz:Materials $50. Annual L 'Installation per tank $50 FIRE ALARM SYSTEM Fuel Tank Installation $50. S stem Acceptance $50 (Per Tank).' $50, R call Acceptance $ Natural Gas Installation $50 (Per System) Fire Wall/Smoke Wall $15. perwall Spray Booth $50 LP Gas $25 per tank. Natural Gas $25 -: per system Tent 10'x10'or greater $15 pertent Fire Pump $45 Fire Suppression $30 System Acceptance Exhaust Hood/Duct $30 Re-inspection : DBL (other than annual) Inspection:scheduled DBL - and cancelled less than 24:hours. . . Construction Insp. N/C Emergency Vehicle Acce $50 PLANS TOTAL SO : INSPECTION TOTALS PERMIT TOTAL GRAND TOTAL .: Comments:. . Date: 0, 1 Inspector: see back . Alh I FALSE ALARM FEE 1st Alarm N/C 2nd Alarm . N/C 3rd Alarm. N/C . : 4th Alarm $100 5th Alarm $150 6ih Alarm $200 NON COMPLIANCE .$150 Cont.Annual Inspection Fees 3-11 Units price per unit $ 5.36 12725 Units.price per unit $ 4.82 26-50 Units price per unit $. 4.29. 51-100 Units price per unit $ 3.75 100 or more Units price per unit $ .2.68 Fire Safety re-inspection:types - First Re-inspectiol . N/C Second re-inspect $75 Third re-inspectior $ 125.00 Inspection scheduled but cancelled 24 hrs $ 50.00 TOTAL . nm .Johnson Controls Fire Protection b 10500 University Center Drive;Suite 275 Tampa,Florida 33612 Johnson Tel 813-626-5482, Fax 813-971-8780 C-0ntro s PERMIT AGENT AUTHORIZATION HORIZATION I, John Donald Carter, authorize the following to act as my agents in submitting permit applications, obtaining permits, and, registering and updatin.g.my-license. Monica Watson Kenneth Lee Sellers Craig Watson Christopher Oldharn Sarah Watson Luis Molina Kim Sheldon Carolyn Schuler This authorization supersedes any previously submitted letter(s) of authorization. n Donald Carter EF20O0119 STATE OF COUNTY OF Sworn to(or affirmed))laid subscribed before me this / ? Day of �`� - :f 20 o By �_)pYt ✓�. .cif-fie f"""� NO �RY-�P-PUBLIC AFFIX SEALISTAMP: ` �Q�agY'PUB`c DOTTIEACARMELtA (Signature of Notary) )0 �Cltr77 r l;dam MY COMMISSION#00046rh? (Typed,Printed or Stamped Name of Notary) EXPIRES:March7,2021 �lPFOFF��F`o 69nded'fhN6ad9ClNa�YSelviceR My Commission expires: 7-0 Personally known tr a or produced Identification (Type of Identification produced) J Johnson Controls LP I, � 10500 University Blvd#275 Johnson ,''� Tampa,FL 33612 Controls www.jci:com Fire Alarm SUBMITTAL PACKAGE For Zephyrhills Water Loading Dock Expansion ,_�i�' . r mIN!m!m�����m®am��® Created for: E.F. Lea Electrical Contractor 5jMpieMGr1n#Re// BE SA g E_ ATyco International Company Zephyrhills Water Loading Dock FIRE ALARM SYSTEM EQUIPMENT SUBMITTAL August 20, 2018 TYPE-OF PROJECT(Add to Existing) Nestle Zephyrhills 4330 20th St Zephyrhills FL 33542 ARCHITECT ' ENGINEER GENERAL CONTRACTOR ELECTRICAL CONTRACTOR E.F. LEA Electrical 339 E 50th St Jacksonville FL 32208 FIRE ALARM SYSTEM INSTALLATION/SUPPORT SIMPLEXGRINNELL 4701 OAK FAIR BLVD TAMPA, FL 33610 PHONE:-813 626 5482 -FAX: 813 6641731 CONTACT: - LEE SELLERS,.CONSTRUCTION MANAGER SALES: Greg Talaga, ELECTRONIC SYSTEMS SALES REPRESENTATIVE ATyco International Company. Zephyrhills Water Loading Dock FIRE ALARM SYSTEM EQUIPMENT SUBMITTAL August 20, 2018 Item Manufacturer PID Description INDEX TABLE OF CONTENTS A SCOPE OF WORK B DEVICE MOUNTING HEIGHTS C TECHNICAL INSTALLATION SERVICES D SIMPLEXGRINNELL HARDWARE WARRANTY E WIR DISTANCE GUIDELINES F Simplex 4906-9101 STROBE MC RED G H J K L M N O P Q R 5iMp1eXGr1"ne®/ BE S1_'aSE_: ATyco International Company SCOPE OF WORK. DEMO 3 PULL STATIONS, REMOVE POINTS FROM PANEL PROGRAMMING;AND MAKE WIRING SAFE FOR CONDUIT AND ROOF DEMOLITION. DEMO 3 WALL AND 1 CEILING SPEAKER STROBE AND MAKE WIRING SAFE FOR CONDUIT.AND ROOF DEMOLITION.SALVAGE ALL REMOVED DEVICES AND HAND TO CUSTOMER FOR SAFEKEEPING. CHANGE ROUTING OF FIRE ALARM DATA LOOP,SIGNAL,AND SPEAKER WIRING AROUND THE AREA BEING DEMOLISHED TO FROM THE BACK WALL AND INTO THE FIRE PUMP ROOM. INSTALL SALVAGED SPEAKER STROBE IN SUPPLIED CONDUIT BOX AND STUB-UP.-THIS PROPOSAL IS BASED ON AN OPEN FREE WIRE'SYSTEM WITH CONDUIT BOXES AND STUB-UPS TO BE PROVIDED BY OTHERS DEVICE MOUNTING HEIGHTS A/C SuPFL'f Drru5E? CE_N' UCJ i1ED i I ( I NOTE: M SURIMIxTS —•\ 1r—y (mill) F C—OSE ARE'C'HE • OtiEri4R 1 ! 1 � 0.os=:�eJGE of THE CEILING I L_TcCTCh. 2 MIN W%,M)1CAF -c[Ir ED HERD a' BEDROOM STROBE IJe;;;3 J � w � 0T'rICES . I WALL I.1CUMEO� 5'- - -DETECTOR SYNCHRONIZE '.'ORE'THhti i TWO AFPLIATJCES'1% A?,`Y I' FIELD OF VIEW. SPACED A 0+ !.immum OF 55' Mclm EACH CTHE4 1N ROOMS 80' x 80' LESS y- OR GREATER- WWI Nr?A 72 2002 EDITION RILL J-° SIDE I L (SECTION 7.5.•1.4.2(3)) STATION I • FIRES 80" MINFFONE ACK 36 MAY. ; 1 1 NFFA 72 2002 ECR CTO 6!GtIEN' EDITION E a (SLCTIO' 7.5.4) i fiEtt TE lEST L,p FIMISHED 48" !`��A�X (A311, • 42" %N/54" MAY. (liFrA NFPA 72 =2 INSIU I EDITION (SECTION 5•t2:4) FLCOR `�� SimplemiGrinnell sE sAr-E ATyco International Company Technical Installer Support (TIS) TIS is designed to make-the expertise of a Simplex technician available at key,scheduled times during the project. This service is available during normal Simplex working hours, if scheduled five working days in advance. TIS includes the following activities by a factory-trained technician,when determined by Simplex to be appropriate. Pre-construction review of submittals and drawings With the installer. Technical advice during initial start up of control panels(including transponders) before installer wiring is connected. Review of panel wiring,and preparation of a list of any items to be corrected by the installer. Initial programming of control equipment. Program editing to correct minor errors and omissions. Assistance with one complete,functional test of the system. One training session for the owner's representative. Additional installation support may be purchased from Simplex. TIS contributes significantly to the installation of Simplex equipment but does not alleviate the installer's responsibility to: Provide skilled labor and supervision to complete the project. Review and understand Simplex instructions for installing and testing Simplex equipment. Potential problems can be avoided by adhering to the following: Do not initially start up the system,except in the presence of a Simplex technician. Simplex assumes no liability for damaged equipment,and warranty may be voided.it this procedure is not'followed. Do not install smoke.detectors(unless protected by plastic bags)until final construction clean up has occurred. This prevents damage caused by dust;dirt,and paint. Detectors installed prior to clean up may requite disassemble,cleaning,or replacement which is not covered by warranty. Care.must be taken to protect:equipment during the installation and warranty period. Failures -due to external causes(lighting surges,construction dust,water damage,etc.)will be repaired.by ATyco International Company THE SimplexGrinnell WARRANTY—HARDWARE SI M P LEXG RI N N ELL WARANTY STATEMENT: SimplexGrinnell warrants to the purchaser of new SimplexGrinnell building systems product(s)that during the effective period of the warranty such product(s)shall be free of defects in workmanship and material. WARRANTY PERIOD: The warranty period will terminate immediately following the earliest occurrence of either of the following: 18 months have elapsed following shipment of any system or subsystem from SimplexGrinnell to the customer site,or 12 months have elapsed following the final connection operation and beneficial use of all or any part of the-system. SIMPLEXGRINNELL OBLIGATION UNDER THE TERMS OF THE WARRANTY: SimplexGrinnell sole responsibility shall be to repair,adjust or replace at its option any SimplexGrinnell product which fails during this period,provided purchaser has promptly reported such failure to SimplexGrinnell in writing. Replacement parts provided under warranty of products may contain used parts which are equivalent to new parts when used. Replacement parts will be warranted only for the balance of the equipment warranty. SimplexGrinnell agrees to continue to honor all of the unexpired express warranties specified above on defective equipment after transfer of the equipment to purchaser's customer,provided purchaser's customer assumes the purchaser's obligations specified below. Exceptforthe express warranties stated herein SimplexGrinnell disclaims all warranties on products furnished hereunder,including without limitation,all implied warranties of merchantability and fitness for a particular purpose, and the stated warranties are in lieu of all obligations or liabilities on the part of SimplexGrinnell arising out bf or in connection with the performance of the products. The seller shall not be liable for a direct,incidental of consequential loss or damage to the purchaser or user of the equipment arising out of the failure of the equipment to operate in excess of the purchase price of said equipment. SimplexGrinnell make no warranty and now warranty shall be deemed to exist,that purchaser holds the goods free of claim of any third person by way of patent infringement forthe like. PURCHASER'S OBLIGATION UNDER THE TERMS OF THE WARRANTY: This warranty is contingent upon the proper installation and use of the product(s).Such warranty shall not apply if the product failure is the result of accident,unusual physical,electrical or electromechanical stress,neglect,misuse,user programming errors,failure of electrical power,air conditioning or humidity control,construction dust,damage foreign substances,transportation or causes other than manufacturing defect.Purchaser agrees to provide full and free access to authorized SimplexGrinnell employees. WARRANTY SERVICE HOURS: Services provided under this warranty will be performed during 8:00 a.m.to 5:00 p.m.Monday through Friday, excluding locally observed SimplexGrinnell holidays. Off-hours response is available as an extra cost service option. WARRANTY EXCLUSIONS: Labor,travel and mileage for: Service outside of SimplexGrinnell normal business hours. Programs and/or label changes Failures due to external Caused(lightning surges,construction dust,etc.)other that manufacturing defect. Electrical work external to the equipment supplied by SimplexGrinnell or maintenance of accessories,alterations, attachments or other devices not furnished by SimplexGrinnell. Batteries Coverage of equipment classed as a water flow monitoring/control devices installed in or on-water piping. WIRE DISTANCE-GUIDELINES Conventional Strobe Wire Distance Guideline TRUEALERT WIRE DISTANCE GUIDELINE Wire max. VVIre max. ire max. Wire max. Amps Gauge Length Gauge Length Amps Gauge Length Gauge Length 0.1 14 6,140 12 9,766 0.1 14 2,500 12 2,500 0.2' 14 3,070 12 4,883 0.2 14 1,640 12 2;500 0.3 14 2,047 12 3,2561 0.3 14 1,097 12 1"1788 0.4 14 1,6351 12 2,4421 0.4 141 825 12 1,343 0.5 14 . .1,228 12.` 1,953 0.5 14 662 12 1',077 0.6 14 1,023 12• 11628 0.6 14 553 -12' 899 0.7 14 877 12 1,395 0.7 14 476 12 .772 0.8 14 767 12' 11221 0.8 14 418 12 677 0.9 14 682 12 1,085 0.9 14 372 12 .603 1 14 .614.1 12 9771 1 14 336 '12 _ 543 1.1 14 558 12 888 1.1 14 306 12 495 1.2 14 512 12, 814 1.2 14 282 12 454 1.3 14 472 12 751 1.3 14 261 12 420 1.4 14 439 12 '698 . 1.4 14 243 12 391 1.5 14 409 12 651 1.5 14 227 12 366 1.6 14 384 12 &10 1.6 14 214 12 343 1.7 14 361 12 574 1.7 14 2D2 12 324 1.8 14 341 12 5.43 1.8 14 191 12 306 1.9 14 323 12 614 1.9 14 182 12 291 2 14 30.7 12 488 2 14 173 12 `277 2.1 14 292 12 465 2.1 14 167 12 '266 2.2 1.4 279 12 - 444 2.2 14 159 12 264 2.3 14 267 12 426 2.3 14 153 '12 244 2.4 14 266 12 407 2.4 141 147 12 234 2.6 14 141 12 225 Speaker Wire Distance Guideline-25v&70v 2.7 141 132 12 269 Wire max. ---Max. Watts Gauge Volts Length Volts Length The Truealert maximum distance is to the 5 18 25 3,330 70 26,108 farthest device on the Branch or Channel. 10 18 25 1,665 70 13,054 " It is not the total distance of the Branch or 15 18 25 1,110 70 8,7031 Channel circuit.' 20 18 261 833 70 6,527 25 18 251 666, 70 5,222 30 18 251 555 70 4,351 35 18 251 476 70 3,730 40 18 25 416 70 • 3,264 45 18 25 370 70 2,901 50 18 25 333 70 __ 2;611 55 18 25 303 70 2;373 60 . 18 25 278 70 . 2,176 65 18 25 256 70 2,008 70 18 25 238 70 1,865 75 18 25 222 70 1,741 80 18 25 • 208 70 1,632 " . 85 18 25 '196 70 1,536 90 18 2-5 185 70, 1;450 95 18 251 176 70 1;374 1001 18 261 167 76 1,305 13.SlmpleX Tru.eAlere Multi-Candela Notification Appliances UL, ULC, CSFM Listed, FM Approved; Visible Notification Appliances with Synchronized Flash; MEA (NYC)Acceptance* Non-Addressable, SmartSynCTM Operation Compatible rsimpl-x Visible only(V/O) 24 VDC notification appliances with high output xenon strobe, available for wall or ceiling mount: • Intensity is selectable as 15,30,75,or 110 candela with visible selection jumper secured behind strobe housing � � o Operation is compatible with ADA requirements(refer ,. — to important installation information on page 3) o Polarized input allows connection to compatible reverse U polarity,supervised notification appliance circuit(NAC) o Regulated circuit design ensures consistent flash output Wall Mount Strobes and provides controlled inrush current o Rugged,high impact,flame retardant thermoplastic _ r�_ — _ ( F 8 R E I housings are available in red or white with clear lens m Listed to UL 1971 and ULC S526 Strobes provide synchronized flash for use with: © 4006,4008,4010,and 410OU Series fire alarm control Ceiling Mount Strobes panels with NACs selected to provide strobe synchronization or SmartSync two-wire Control" � - � • 4009 IDNetTM NAC Extenders Multi-Candela TrueAlert synchronized strobes o Separate strobe Synchronization Modules that are provide convenient installation to standard electrical available for Class B or Class A operation boxes.The enclosure designs are both impact and vandal o Separate SmartSync Control Modules(SCMs)that resistant and provide a convenient strobe intensity provide Class B or Class A output from conventional selection.Since each model can be selected for intensity NAC inputs output,on-site model inventory is minimized and changes encountered during construction can be easily Strobe housings provides flexible, easy, and accommodated. convenient semi-flush or surface wall mounting: Wall mount strobe housings are a one-piece assembly • Rear of housing does not extend into box (including lens)that mounts to a single or double gang,or m Wall mount strobes easily mount to single gang,double 4"square standard electrical box.The cover can be gang,or 4-inch square outlet box quickly removed(a tool is required)and covers are • Ceiling mount strobes mount to single gang boxes available separately for color conversion. Wall mount strobe features: Ceiling mount strobes install using standard single gang electrical boxes. Color choice is determined by model • Wiring terminals are accessible from the front of the number. housing providing easy access for installation, inspection,and testing • • - • * Covers are available separately to convert housing color During'installation,a selection plug at the back of the Optional adapters and wire guards: housing determines the desired strobe intensity.An attached flag with black letters on a highly visible yellow © Wall mount strobe adapters are available to cover background allows the selected intensity to be seen at the surface mounted electrical boxes and to adapt to side of the strobe lens. Simplex®2975-9145 boxes . .- . . • UL listed red wire guards are available for wall or ceiling mount strobes* Proper selection of visible notification is dependent on occupancy,location,local codes,and proper applications o£.the National Fire Alarm Code(NFPA 72),ANSI Refer to page 2 for guard listing.This product has been approved by the California State A117.1;the appropriate model building code:BOCA•, Fire Marshal(CSFM)pursuant to Section 13144.1 of the California Health and Safety Code.See CSFM Listing 7125-0026:316 for allowable values and/or conditions concerning ICBO,or SBCCI;and the application guidelines of the material presented in this document.It is subject to re-examination,revision,and possible Americans with Disabilities Act(ADA). cancellation.Refer to page 2 for listing status of wire guards.Additional listings may be- applicable;contact your local Simplex product supplier for the latest status.Listings and Simplex multi-candelaSmartSync two-wire hom/strobe appliance operation is protected approvals under Simplex Time Recorder Co.are the property of Tyco Safely Products under one or more of the following U.S.Patent Numbers:5,559,492;5,622,427;5,865,527; Westminster. 5,886,620;6,281,789;6,954,137;7,005,971;and 7,006,003. S4906-0001-4 9/2009 Multiple Strobes.When multiple strobes and their' SmartSync two-wire control is available from: reflections can be seen from one location,synchronized • 4006,4008,4100U,and 4010 Fire Alarm Control flashes reduce the probability of photo-sensitive reactions Panels(refer to individual_ product data sheets for more as well as the annoyance and possible distraction of information) random flashing.These multi-candela strobes are . 40091DNet NAC Extenders(refer to data sheet . synchronized over a two-wire circuit when connected to S4009-0002) compatible NACs,to compatible Synchronized Flash Modules,or to SmartSync Control Modules. a . SmartSync Control Module(SCM)Model 4905-9938 (refer to data sheet S4905-0003) Additional SmartSync compatible notification Some applications desire the audible notification appliances include separate horns and combination appliances to be capable of being silenced before the horn/strobe notification appliances. alarm condition is reset(on-until-silenced)while the visible notification appliances are kept activated until the alarm condition is.reset(on-until-reset).SmartSync operation mode provides this function using a single circuit(two-wire operation). Multi-Candela Visible Notification Appliances(Strobes) Model Mounting Housing Color "FIRE"Lettering Description 4906-9161 Wall .Red White 4906-9103 White Red Multi-candela strobe with intensity selectable as: 15,30,75,or 110 candela;synchronized flash rate; 4906-9102 Red White SmartSync two-wire control compatible Ceiling y - 4906-9104 White Red Wall Mount Strobe Adapters Model Description Dimensions 4905-9937 Red Surface Mount Adapter Skirt;use to cover 1-1/2"(38 mm) 5-3/8"H x 5-1/4"W x 1-5/8"D (136 mm x 133 mm x 41 mm) deep surface mounted boxes 4905-9940 White Total depth with strobe=4-3/8"(111 mm) 4905-9931 Red Adapter Plate for mounting to Simplex 2975-9145 box(typically for 8-5/16"x 5-3/4"x 0.060"Thick retrofit,may be mounted vertical or horizontal) (211 mm x 146 mm x 1.5 mm) 2975-9145 Red Mounting Box,requires Adapter Plate 4905-9931 (200 mm x 130 7-7/8"x 5-10 x 2-3/4"D mm x 70 mm) Ceiling Mount Strobe Adapter Model Description Dimensions 4905-9910 Surface Mount Adapter Plate;zinc plated;required for mounting to 4-7/8"x 3-1/8"x 0.060"D handy box;not needed when using 4905=9926 guard (124 mm x 79 mm x 1.5) Synchronization Modules(refer to data sheet S4905-0003 for additional information) Model Description Dimensions 4905-9914 Class B Synchronized Flash Module;epoxy encapsulated with 1-3/8"x 2-7/16"x 13/16" in/out 18 AWG(0.82 mm )wire leads, rated for 2 A NAC, (35 mm x 62 mm x 20 mm) 4905-9922 Class A requires 5 mA for power 4905-9938 SmartSync Control Module with Class B or Class A output;mounts in . 4"x 4-1/8"x 1-1/4"D 4"(102 mm)square box (102 mm-x 105 mm x 32 mm) Replacement Covers and Guards Model Description Dimensions 4905-9992 Red cover with white"FIRE"lettering 5-1/8"H x 5"W x 1-1/2"D 4905-9993 White cover-with red"FIRE"lettering For Wall mount strobes (130 mm x 127 mm x 38 mm) . 4905-9961" Wall mount 6-1/16"H x 6-1/16"W x 3-1/8",D Red wire guard with mounting plate,compatible with (154 mm x 154 mm x 79 mnri) semi-flush or surface mounted boxes 6-1/8"x 4-3/8"x 2-7/8"deep 4905-9926" Ceiling mount (156.mm x 111 mm x 73 mm) UL listed by Space Age Electronics Inc. 2 S4906-0001-4 9/2009 Wall Mount or Ceiling Mount,Common Specifications Rated Voltage Range Regulated 24 VDC;see Note 1 below Flash Rate 1 Hz Synchronized NAC Loading Up to,35 synchronized strobes maximum per NAC Temperature Range 32'to 122°F(0°to 50°C) Humidity Range 10%to 93%,non-condensing at 100*F(38'C) Connections Terminal blocks for 18 AWG to 12 AWG.(0.82 mm2 to 3.31 mm2);two wires per terminal for in/out wiring Housing Dimensions(with lens) 5-1/8"H x 5"W x 2-3/4"D(130 mm x 127 mm x 70 mm) Maximum RMS Current Rating per _ "15 cd 30 cd - 75 cd- 110 cd Wall Strobe Setting(see Note 2 below) 60 mA 94 mA 186 mA 252 mA • Mount . Reference RMS Currents 18 VDC 53 mA 84 mA 165 mA 224 mA at other voltages 24 VDC 40 mA 63 mA, 124 mA 168 mA Housing Dimensions(with lens) 4-3/4"L x 2-5/16"W x 2-5/8"D(121 mm x 75 mm x 67 mm) Ceiling Maximum RMS(Current Rating per 15 cd. 30 cd 75 cd 110 cd g Strobe Settin see.Note 2'below 75 mA 125 mA 233 mA 316 mA Mount Reference RMS Currents 18 VDC 67 mA 111 mA 207 mA 281 mA at other voltages 24 VDC 50 mA 83 mA 155 mA 211 mA- NOTES: 1. 'Regulated 24 VDC'refers to the voltage range of 16 to 33 VDC per UL Standard 1971,Signaling Devices for the Hearing Impaired,changes effective May 1,2004.This voltage range is the absolute operating range.Operation outside of this range may cause permanent damage to the strobe.Please note that 16 VDC is the lowest operating voltage that is allowed at the-last appliance on the NAC under worst case conditions. .'2. The maximum RMS current listed is the device nameplate rating.Strobe designs are constant wattage and the maximum RMS current rating occurs at the lowest allowable operating voltage.(RMS is root mean square and refers to the effective value of a varying Current w2veform.) • • 1 MITI 1M. , 0 0 Mounting is compatible with \ 0 \ r single gang,double gang,and 1 1 4"(102 mm)square boxes, 0 �� 0 0 0 0 0 1-1/2"(38 mm)deep,by others o 0 o IMPORTANT!WALL MOUNT INSTALLATION HEIGHT REFERENCE Bottom of lens 0 0 QUA O it either even with,or slightly Electrical Wiring access hole above bottom box outline ®© of compatible tt o boxes Wiring terminals '�I► o 0 Mounting Holes: _T 4"square(4) NFPA 72 requires 80"(2.03 m) Single gang(2) that the entire lens minimum Double gang(3) be not less than 80"and not greater than 96"above the Transparent housing finished floor and lens assembly Intensity selection ;110 :75 I plug,accessible only an from rear of housing; factory setting is 15 cd Removable cover Strobe intensity (tool required) viewing slot 3 S4906-0001-4 9/2009 • i1jr-Yrn, WIM. • - Handy box,1-1/2"(38 mm)deep Single gang box(Wiremold (RACO 650 or equal)or single gang V5744S)2-1/4"(57 mm) box,2-1/2"(64 mm)deep(RACO519 deep,supplied by others or equal)supplied by others Also can be attached to boxes mounted to drop ceiling T-bar with clips(ERICO No.512 or equal) UU U 4905-9910 Adapter Plate,required for surface mount with handy box unless using the 4905-9926 wire guard Ceiling mount strobe DOptional 4905-9926 wire guard U �1 with mounting plate Strobe intensity viewing slot 4 Intensity selection plug, - accessible only from rear of lens' housing;factory setting is 15 cd t ----------------------------' Surface Mounting Reference 2975-9145 Box with Optional Adapter Skirt and Optional Wire Guard Surface mount conduit and O box shown for reference 4"(102 mm)square ®'m6i O box profile,1-1/2" --` 0 (38 mm)deep r r r -3 1 O _ _ O • Optional 4905-9961 — r Wire Guard Ir�7 Strobe '---- 4905-9931 Adapter Plate Optional Surface Mount Adapter Skirt, O 4905-9961 Optional Wire Guard 1-1/2"deep:4905-9937,Red; (shown here for reference only, 4905-9940,White(conduit knockouts 4905-9931 Adapter Plate can be used on other mounting options) are provided on all four sides) Tyco is a registered trademark ofTyco International Services Gnrbiland is used wider license.Simplex,the Simplex logo,IDNet,TrueAlert,and SnmrtSync are trademarks of Tyco International Ltd.and its affiliates and are used under license.NFPA 72 and National Fire Alarm Code are registered trademarks of the National Fire Protection Association(NFPA).- !%Simplex Tyco Safety Products Westminster•Westminster,MA•01441-0001•USA S4906-0001-4 9/2009 www.tycgsafetyproducts-usa-wm.com 02009 Tyco St fety Products Westin inster.All rights reserved Al!specifrcatiwts and other it for wration shown were crrrretit as ofdocunrenl revisiar date and are subject to change tirithou!notice. �J L4RI OR , Y City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: ' 2 / L LS Site: T 3 2� Permit Type: ��T�'G� ' t Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: 0 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) FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this farm as needed to provide a more complete andlor clear record. Insert N/A in all unused lines. Attach additional sheets,data, or calculations'as necessary to provide a complete record. 1. PROPERTY INFORMATION Name of property: ZEPHYRHILLS WATER (LOADING DOCK EXP/RESTROOMS Address: 4330 20TH AVE ZEPHYRHILLS,FL Description.ofproperty: WATER PLANT -- -_---_� -- v — - -_-- -- _— Occupancy type: BUSINESS Name of property representative: LLOYD BROWN Address: Phone: Fax: E-mail: Authority,having jurisdiction over this property: PASCO COUNTY Phone: Fax: E-mail: 2. INSTALLATION, SERVICE;AND TESTING CONTRACTOR INFORMATION Installation contractor for this equipment: JCI Address: .: 10600 UNIVERSITY CENTER DR License or certification number: EF 20061119 Phone: Fax: E-mail: Service organization for this equipment: Address: License or certification number: Phone:. : :. Fax E-mail: . A contract for test and inspection in accordance with NFPA standards is in effect as of- Contracted:testing:company: Address: Phone: Fax: E-mail: Contract expires: " _ _ Contract number: __ Frequency of routine inspections: 3. ,DESCRIPTION OF SYSTEM OR SERVICE ®Fire alarm system(nonvoice) ❑Fire alarm with in-building fire emergency voice alarm communication system(EVACS) ❑Mass notification system(MNS) ❑Combination system'with the following components: ❑Fire alarm . ❑EVACS ❑MNS" ❑Two-way,in-building,emergency communication system . ❑Other.(specify): NFPA 72, Fig. 10.18.2.1.1 (p. 1.of 12) copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.' 3. DESCRIPTION OF SYSTEM OR SERVICE(continued) NFPA 72 edition: Additional description of system(s): 3.1 Control Unit Manufacturer: SIMPLEX _ Model number: 4100ES 3.2 Mass Notification System ❑This "system does not incorporate an MNS 3.2.1 System Type: 0 In-building MNS—combination ❑In-building MNS—stand-alone ❑Wide-area MNS ❑Distributed recipient MNS ❑Other(specify): 3.2.2 System Features: ❑Combination fire alarm/MNS ❑MNS autonomous control unit ❑Wide-area MNS to regional national alerting interface ❑Local operating console(LOC) ❑Direct recipient MNS(DRMNS) ❑Wide-area MNS to DRMNS interface ❑Wide-area MNS to high-power.speaker array(HPSA)interface ❑In-building MNS to wide-area MNS interface ❑Other(specify): ------ — ---------------- 3.3 System Documentation ®An owner's manual,a copy,of the manufacturer's instructions,a written sequence of operation,and a copy of the numbered record drawings are stored on site. Location: @FACP 3.4 System Software ❑This system does not have alterable site-specific software. Operating systern.(executive):software revision level: ." 4.01.02 Site-specific software revision date:. Revision completed by: -SIMPLEX ®A copy of the site-specific software is stored on site. Location: @FRCP 3.5 Off-Premises Signal Transmission; ❑This system does not have off-premises transmission. Name of organization receiving alarm signals with phone numbers: Alarm: Phone: Supervisory: Phone: Trouble: Phone: " Entity to which alarms are retransmitted: = Phone: Method of retransmission: If Chapter 26,specify the means of transmission from the protected premises to the supervising station: If Chapter 27,specify the type of auxiliary alarm system: ❑Local energy ❑ Shunt El Wired ❑Wireless, " NFPA 72, Fig. 10.18.2.1.1,(p.2 of 12) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 4. CIRCUITS AND PATHWAYS 4.1 Signaling Line Pathways 4.1.1 Pathways Class Designations and Survivability Pathways class: _ _ Survivability-level: _ _ -- _—_ Quantity: (See NFPA 72,Sections 12.3 and 12.4) 4.1.2 Pathways Utilizing Two or More Media Quantity: Description: 4.1.3 Device Power Pathways ®No separate power pathways from the signaling line pathway ❑Power pathways are separate but of the same pathway classification as the signaling line pathway ❑Power pathways are separate and different classification from the signaling line pathway 4.1.4 Isolation Modules Quantity: 4.2 Alarm-Initiating Device Pathways 4.2.1 Pathways Class Designations and Survivability Pathways class: Survivability level:. Quantity: (See NFPA 72,Sections 12.3 and 12.4) 4.2.2. Pathways Utilizing Two or More Media Quantity: Description: 4.2.3 Device Power Pathways ®No separate power pathways from the initiating device pathway ❑Power pathways are separate but of the same pathway classification as the initiating device pathway ❑Power pathways are separate and different classification from the initiating device pathway. 4.3 Non-Voice Audible System Pathways 4.3.1 Pathways Class Designations and Survivability Pathways class: _ _ Survivability level: __ _ Quantity: (See NFPA 72,Sections 12.3 and 12.4) -._- �- -- - 4.3.2 Pathways Utilizing Two or More Media Quantity: _.---- -=--- - - Description: - --- _ 4.3.3 Appliance Power Pathways ®"No separate power pathways from the notification appliance pathway ❑Power pathways are separate but of the same pathway.classification as the notification appliance pathway, ❑Power pathways are.separate and different classification from the notification appliance pathway" . NFPA 72, Fig..10.18.2.1.1 (p. 3.of 12) Copyright 02009 National Fire Protection Association.This form maybe copied for individual use other than for resale.It may not be copied for commercial sale or distribution. " 5. ALARM INITIATING DEVICES 5.1 Manual Initiating Devices 5.1.1 Manual Fire Alarm Boxes ❑This system does not have manual fire alarm boxes. Type and number of devices: Addressable: __ Conventional: Coded: — Transmitter: Other(specify): EXISTING 5.1.2 Other Alarm Boxes ❑This system does not have other alarm boxes. Deseription: Type and number of devices: Addressable: Conventional: — Coded: _ — Transmitter: _ Other(specify): . EXISTING 5.2 Automatic Initiating Devices 5.2.1 Smoke Detectors ®This system does not have smoke detectors. Type and number of devices: Addressable: Conventional: Other(specify): EXISTING -- -.Type of coverage: ❑Complete area ❑Partial area (]Nonrequired partial area -Other(specify): Type of smoke detector sensing technology: ❑Ionization ❑Photoelectric ❑Multicriteria ❑Aspirating ❑Beam Other(specify): _ 5.2.2 Duct Smoke Detectors ®This system does not have alarm-causing duct smoke detectors. Type and number of devices: Addressable: Conventional: Other(specify): Type of coverage: EXISTING Type of smoke detector sensing technology: ❑Ionization" ❑Photoelectric El Aspirating ❑Beam 5.2.3 Radiant Energy(Flame)Detectors ❑This system does not have radiant energy detectors. Type and number of devices: Addressable: Conventional: - Other(specify): -----..._ — — — ------— — —-=- -- — —-- -- -------— ---- -—— - Type of coverage:. 5.2.4 Gas Detectors ®This system does-not have gas detectors. Type of detector(s): Number of devices: Addressable: Conventional: Type of coverage: ---- 5.2.5 Heat.Detectors ®This system does not have heat detectors. Type and number of devices: Addressable: __ Conventional: _ Type of coverage: ❑Complete area J]Partial area ❑Nonrequired partial area ❑Linear ❑Spot Type of heat detector sensing technology: .[]Fixed temperature ❑Rate-of-rise 0 Rate compensated NFPA 72, Fig. 10.18.2.1.1 (p.4.of 12) Copyright 02009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 5. ALARM INITIATING DEVICES (continued) 5.2.6 Addressable Monitoring Modules ®This system does not have monitoring modules. Number of devices:. 5.2.7 Waterflow Alarm Devices ®This system does not have waterflow alarm devices. Type and number of devices: Addressable: Conventional: Coded: Transmitter: 5.2.8 Alarm Veriflcation ®This system does not incorporate alarm verification. Number of devices subject to alarm verification: _ _ _ Alarm verification set for seconds 5.2.9 Presignal ®This system does not incorporate pre-signal. Number of devices subject to presignal: Describe presignal functions: 5.2.10 Positive Alarm Sequence-(PAS) ®This system does not incorporate PAS. Describe PAS: 5.2.11 Other Initiating Devices ®This system does not have other initiating devices. Describe: 6. SUPERVISORY SIGNAL-INITIATING DEVICES 6.1 Sprinkler System Supervisory Devices ❑This system does not have sprinkler supervisory devices. Type and number of devices: Addressable: Conventional: _ Coded: Transmitter: Other(specify): _EXISTING 6.2 Fire Pump Description and Supervisory Devices ®This system does not have a fire pump. Type fire pump: ❑Electric pump ❑Engine Type and number of devices: Addressable: _ _ Conventional: _ Coded: Transmitter: Other(specify): EXISTING 6.2.1 Fire Pump Functions Supervised ❑Power ❑Running ❑Phase reversal. ❑Selector switch not in auto ❑Engine or control panel trouble ❑L,ow.fuel Other(specify): EXISTING 6.3 Duct Smoke Detectors(DSDs) ®This system does not have DSDs causing supervisory signals. -Type and number of devices:. Addressable: Conventional: Other(specify): Type of coverage: _EXISTING Type of smoke.detector sensing technology: ❑Ionization ❑Photoelectric ❑Aspirating ❑Beam 6.4 Other.Supervisory Devices ®This system does not have other supervisory devices, Describe: NFPA 72, Fig. 10.18.2.1.1 (p. 5 of 12) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 7. MONITORED SYSTEMS 7.1 Engine-Driven Generator 0 This system does not have a generator. 7.1.1 Generator Functions Supervised ❑Engine or control panel trouble [].Generator running ❑Selector switch not in auto ❑Low fuel ❑Other(specify): 7.2 Special Hazard Suppression Systems ®This system does not monitor special hazard systems. Description of special hazard system(s): 7.3 Other Monitoring Systems ®This system does not monitor other systems. Description of special hazard system(s): 8. ANNUNCIATORS ❑This system does not have annunciators. 8.1 Location and Description of Annunciators Location 1: MAIN ENTERANCE . Location 2: Location 3: 9. ALARM NOTIFICATION APPLIANCES 9.1 In-Building Fire Emergency Voice Alarm Communication System ®This system does not have an EVACS. Number of single voice alarm channels: Number of_multiple voice alarm channels: Number of speakers: _ Number of speaker circuits: Location of,amplification and sound-processing equipment: Location of paging microphone stations: Location 1: " Location,2:' Location 3; 9.2 Nonvoice Notification Appliances ❑This system does not have nonvoice notification appliances. Horns: With visible: Bells: With visible: Chimes: With visible: Visible only: _2_ Other(describe): 9.3 Notification Appliance Power Extender Panels ®This system does not have power extender panels. Quantity: Locations: NFPA 72, Fig. 10.18.2.1.1 (p.6:of 12) Copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 10. MASS NOTIFICATION CONTROLS,APPLIANCES,AND CIRCUITS '®This system does not have an MNS. 10.1 MNS Local.Operating Consoles ` Location 1: Location 2: ; Location 3: 10.2 High-Power Speaker Arrays Number of I-IPSA speaker initiation zones: Location 1: Location 2: Location 3: 10.3 Mass Notification Devices Combination fire alarm/MNS-visible appliances: MNS-only visible appliances: _ Textual signs: Other(describe): Supervision class: 10.3.1 Special Hazard Notification ®This system does not have special suppression predischarge notification. ❑.MNS systems DO NOT override notification appliances required to provide.special suppression predischarge notification. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS 11.1 Telephone System ®This system does not have a two-way.telephone system. Number of telephone jacks installed: Number of warden stations installed: Number of telephone handsets.stored on site: Type of telephone system installed: ❑Electrically powered ❑Sound powered 11.2 Two-Way Radio Communications Enhancement System ❑This system does not have a two-way radio communications enhancement system. Percentage:of area covered by two-way radio service: Critical areas:: % General building areas: — — % , Amplification component locations: Inbound signal strength: _ dBm Outbound signal strength: _ — dBm:. Donor antenna isolation is: dB above the signal booster gain Radio frequencies covered: Radio system monitor panel Iocation: NFPA 72, Fig. 10.18.2.1.1 (p. Tof 12)_ Copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 11. TWO-WAY EMERGENCY COMMUNICATION SYSTEMS (continued) 11.3 Area of Refuge(Area of Rescue Assistance)Emergency Communications Systems ®This system does not have an area of refuge(area of rescue assistance)emergency communications system. Number of stations: Location of central control point: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.4 Elevator Emergency Communications Systems ®This system does not have an elevator emergency communications system. Number of elevators with stations: Location of central controlpoint: Days and hours when central control point is attended: Location of alternate control point: Days and hours when alternate control point is attended: 11.5 Other Two-Way Communication Systems Describe: 12. CONTROL FUNCTIONS This system activates the following control factions: ❑Hold-open door releasing devices ❑Smoke management ❑HVAC shutdown ❑F(S dampers- ❑Door unlocking ❑Elevator recall ❑.Fuel source shutdown ❑.Extinguishing agent release ❑Elevator shunt trip ❑Mass notification system override of fire alarm notif cation appliances Other(specify): EXISTING 12.1 Addressable Control Modules ❑This system does not have control modules. Number of devices: Other(specify): 13. SYSTEM POWER 13.1 Control Unit 13.1.1 Primary Power Input-voltage of control panel: EXISTING. — — Control panel amps: Over-current protection: Type: _: .------_.- Amps: . Location(of primary supply panel board): Disconnecting means.location: 131.2 Engine-Driven Generator ❑This'system does not have a generator. Location of generator: Location of fuel storage: — — —_ _ Type of fuel: NFPA 72, Fig. 10.18.2.1.1 (p. 8 of 12) Copyright©2009 National Fire Protection Association,This form may be copied for individual use other than for resale,It may not be copied for commercial sale or distribution.: 13. SYSTEM POWER(continued) 13.1.3 Uninterruptible Power System ®This system does not have a UPS. Equipment powered by a UPS system: — Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: In standby mode(hours): _ In alarm mode(minutes): 13.1.4 Batteries Location: FACP Type: 33 AMP/H Nominal voltage: 24VDC Amp/hour rating: Calculated capacity of batteries to drive the system: In standby mode'(hours): In alarm mode(minutes): ®Batteries are marked with date of manufacture ❑Battery calculations are attached 13.2.In-Building Fire Emergency Voice Alarm Communication.System or Mass Notification System ❑This system does not have an EVACS or MNS system. 13.2.1 Primary Power Input voltage of EVACS or MNS panel: _ EVACS or MNS panel amps: Overcurrentprotection: Type: -__-. .Amps: Location(of primary supply panel board): Disconnecting means location: 13.2.2 Engine-Driven Generator ®This system does not have a generator: Location of generator: Location of fuel storage: Type of fuel: 13.2.3 Uninterruptible Power System ®This system does not have a UPS: Equipment powered by a UPS system: Location of UPS system: Calculated capacity of UPS batteries to drive the system components`connected to it: In standby mode(hours): In alarm mode(minutes): 13.2.4 Batteries Location: :. T e: Nominal voltage: — — Amp/hour rating: _ Calculated capacity of batteries to drive the system: In standby mode(hours): In alarm mode(minutes): ❑Batteries are marked with date of manufacture ❑Battery calculations are attached NFPA 72, Fig. 10.18.2.1.1 (p.9 of 12) Copyright 0 2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. 13. SYSTEM POWER(continued) 13.3 Notification Appliance Power Extender Panels ®This system does not have power extender panels. . 13.3,1 Primary Power Input voltage of power extender panel(s): Power extender panel amps: Overcurrent protection: Type: Amps: ........_ Location(of primary supply panel board): Disconnecting means location: EXISTING 13.3.2 Engine-Driven Generator ®This system does not have a generator, Location of generator: Location of fuel storage: Type of fuel: 13.3.3 Uninterruptible Power System ®This system does not have a UPS. Equipment powered by a UPS system: ---- _ ----.----__,--_--__---_-- ---------_-__-- Location of UPS system: Calculated capacity of UPS batteries to drive the system,components connected to it: In standby mode(hours): In alarm mode(minutes): 13.3.4 Batteries Location: Type: Nominal voltage: ...... Amp/hour rating: _ Calculated capacity of batteries to drive the system: In standby mode(hours): _ — _ In alarm mode(minutes): ❑Batteries are marked with date of manufacture ❑Battery calculations are attached 14. RECORD OF SYSTEM INSTALLATION- Fill out after all installation is complete and wiring has been checked far opens,shorts,ground faults, and improper branching,,but before conducting operational acceptance tests. This is a:. ❑New system ®Modificationto an existing system Permit number: 13-26-21-0070-03900-0020 The system has been installed in accordance with the following requirements:(Note any or all that apply.) ®NFPA 72,Edition; -- -- - — ®NFPA 70,National Electrical Code,Article 760,Edition: ®Manufacturer's published instructions Other(specify): PLANS&SPECS PANEL.REPLACEMENT System deviations from referenced NFPA standards: Signed: Printed name: B:ROBINSON Date: 10/05/2018.: Organization: JC[ Title: TECH Phone: NFPA 72, Fig. 10.18.2.1.1 (p. 10 of 12) Copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale,It may not be copied for commercial sale or distribution, 15. RECORD OF SYSTEM OPERATIONAL ACCEPTANCE TEST ❑New system All operational features and functions of this system were tested by, or in the presence of, the signer shown below, on the date shown below,and were found to be operating properly in accordance with the requirements for the following: ®Modifications to an existing system All newly modified operational features and functions of the system were tested by, or in the presence of, the signer shown below,on the date shown below,and were found to be operating properly in accordance with the requirements of the following.• ®NFPA 72,Edition: ®NFPA 70,National Electrical Code,Article 760,Edition: ®Manufacturer's published instructions Other(specify): PLANS&SPECS ❑Individual device testing documentation[Inspection and Testing Form(Figure 14.6.2.4)is attached] Signed: Printed name: S.MCKELVEY Date: 1010512018 Organizatio 1 Title: T1S Phone:' 16. CERTIFICATIONS AND APPROVALS 16.1 System Installation.Contractor: This system,as c�ified herein,has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: S.MCKELVEY Date: .' 10/05/2018 Organization: 1 Title: . LEAD Phone: 16.2.System ervice Contractor: The undersigned has a service contract for this system in effect as of the date shown below. Signed: Printed name: Date: Organization: Title: Phone: 16.3 Supervising Station: This system,as specified herein,will be monitored according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: NFPA 72, Fig. 10.1812.1.1 (p. 11.of 12), copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. ' - r 16. CERTIFICATIONS AND APPROVALS(continued) 16.4 Property or Owner Representative: I accept this system as having been installed and tested to its specifications land all NFPA standards cited herein. Signed _ r Printed name:�— �} ' ate: f Organization: � i''h�113 ev a -f,0il Q Phone:_,Y_?.e a.4uti " - yr 16.5 Authority Having Jurisdiction: = I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications,with its approved sequence of operations,and with all NFPA standards cited herein. Signed:: ' 9 �•.4f? Printed name: - — -- - �' - t} (organization: Title: j_ Phone: NFPA 72, Fig. 10.18.2.1.1 (p. 12 of 12) Copyright 02009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. Johnson Controls Fire Protection 10500 University Center Drive,Suite 276 Tampa,Florida 33612 Johnson Tel 813-626-6482,Fax 813-971-8780 Controls PERMIT AGENT AUTHORIZATION 1, John Donald Carter, authorize the following to act as my agents in submitting permit applications, obtaining permits, and, registering and updating my license. Monica Watson Kenneth Lee Sellers Craig Watson Christopher Oldham Sarah Watson Luis Molina Kim Sheldon Carolyn Schuler This authorization supersedes any previously submitted lefter(s) of authorization. n Donald tirter E 20001119 STATE OF COUNTY OF Sworn to(or affirmed) d subscribed before me this Day of N074RY PUBLIC AFFIX SEAUSTAMP: (Signature of Notary) rru DoTnEACARMaA Aqj4le" 0'ar-e?1e4' gatm1Ic"OMMION#090" (Typed,Printed or Stamped Name of Notary) OVIRFS-MOOT.2021 My Commission expires: m-AY-44', Personally known orproduced Identification (Type of Identification produced)