HomeMy WebLinkAbout18-20033 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20033
FIRE ALARM SYSTEM PERMIT
PEAMIT'INFORMATION - - LOCATION INFORMATION
Permit Number: 20033 Address: 39735 CHANCEY RD
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work; FIRE ALARM SYSTEM Township: Range: Book:
Proposed User- NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 24-26-21-0000-00100-0050
Improv. Cost: 4,300.00 OWNER INFORMATION
Date Issued: 7/30/2018 Name: AGAPE BAPTIST CHURCH
Total Fees: 150.00 Address: PO BOX 1505
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33539
Date Paid: 7/30/2018 Phone: (813)788-0283
Work Desc: INSTALLATION FIRE ALARM (4 MODULAR SET UP)
CONTRACTORS APPLICATION FEES
SPECIALTY F-LECTRUNK;SYSTEMS.IN FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 50.00
t
Ins ections Re 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
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMME MENT "
Oe.a-, "
CONTRAC OR 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
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit 3_
Owner's Name hCelLA "i"\ C1 cL1021tt Pt,✓,-I' Owner's Phone Number
Owner's Address 3'7 7 3 - l 11.'.'V-
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address c/ /
Job Address / 7-3S L' g,"c XU Lot#
Sub Division Parcel#
OBTAINED-EROM_P.ROP_ERT-T-XNOTLC-E-------+
Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL
Controlled Bum Hood Installation
Emergency Generator<30 kw LP/Natural Gas-Installatior
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
M@ Semi Anl Other
Sprinkler ❑ ❑ ❑ Recreational Burn �f 0033
Fire Alarm ❑ ❑ ❑ Sparklers v
Hood Cleaning ❑ ❑ ❑ El Sprinkler System Installations
Hood Suppression Standpipes(Sprinkler Sys) Gf CV'
Fire Alarm Installation Torch Roofin /Tar Kettle
C� 0 g
Fire Pumps W/aaste Tire Storage ANNUAL
Flammable Application-ANNUAL 13 Valuation of Project
Fuel Tanks
Q Other:
Contractor' Company CG wlC 5 c S
Signature Registered Y/N ' Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
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)
i
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be 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 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 may be 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 Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law!Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws 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 has 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 also certify that I understand that the regulations of other
government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance.
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. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, 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 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 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 exceed ninety (90) 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 JURAT(F.S.117.03)
OWNER OR AGENT. CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or a firmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
i
I
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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ZE:HYRHILLS FIRE DEPARTMENT:
38410:6th Ave:Zeph.yrhills;'FL: 33542
FIRE.SERVICE:USER FEES. iincrease 1/112018
Occupancy NO'.:
Plan No;: . . . . . . - Contractor:' t2�i�L2i FLc'cdloN� s
Business;Name:. C 5 �2 +" Billing Address:
Business Address:: S:!:j,. : R•�. . -
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,
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 .
0.-25 Heads: $50 5,501.-7,500 sq:ff : $: 187.52. Natural Gas $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 $ M..02 Sparklers, " $106. .
Per Riser $50 15,001-20,000 sq ft_ $ •525.02' Fire Works $500"
FIRE PUMP 20,001-30000 sq ft" $ 750.02 Camp Fire(recreation: -$25
0 Per Pump , . : $100 30,001740,000 sq ft -_$.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 5 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` per system " Fumigation Tenting $50
F1.Hood/Ducts .$50 Hydrant Flow. -.$75 Torch PoUApplied - $50 .
OTHER : : . Haz.Materials $50. Annual
LP Installation per tank $50FIRE ALARM SYSTEM'.:
Fuel"Tank Installation $50, System Acceptance $50,
(Per Tank) $50 B Recall Acceptance $50
Natural Gas Installation $50- OTHER
Per System) Fire,Wall/Smoke Wall. $15 per wall. .
El Spray Booth $50 LP Gas . " $25 per tank"
Natural Gas V5 per system
Tent 10'x10'or greater .;$15 per tent. "
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-. . . .
BConstruction Insp. N/C . : . .
.Emergency Vehicle Acce $50
PLANS TOTAL" INSPECTION TOTAL PERMIT TOTAL
..GRAND-TOTAL
Comments:
Dater Inspector:. ..
see back. : .
Nn
FALSE ALARM FEE'.
1 st Alarm N/C .
2nd Alarm . N/C
3rd Alarm . N/C . .
4th Alarm $100 .
5th Alarm $150: . . . : : . . .
. : 6th-Alarm. $200
NON COMPLIANCE $150 . .
Cont.Annual Inspection•Fees
3-11.Units'priae per unit. $ . : •5.36 .
12-25 Units price per unit $ 4.82..
26-50 Units price per unit'. $: .4.29.
517.100 Units price per unit $ 3.75
100 or.more Units price per unit $ 2.68
: . Fire SAtety i'e-inspectionaypes "
First Re-inspecboi' N/C .
Second re-inspect.� - ,$75' .
Third re=inspectior $. 125.00 . .
Inspection scheduled but cancelled'24 hrs : $ 50.00
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TOTAL
/Iih
.IyI:U_UIUfl
City of Zephyrh ills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: f Cg
Date Received:
Site: elk, mt�cf
Permit Type:
Approved w/no comments:L( Approved w/the below comments: ❑ Denied w/the below comments: ❑
0'I yo'A RZa.lc,-o'
This comment sheet shall be kept with the permit and/or plans.
"7
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)