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Home My WebLink About18-19555 CITY OF ZEPHYRHILLS 5335-8TH STREET j (813)780-0020 19555 FIRE SPRINKLER SYSTEM PERMIT PERMIT INFORMATION LOCATION INFORMATION J, Permit Number: 19555 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: 49,800.00 OWNER INFORMATION Date Issued: 4/13/2018 Name: NESTLE WATERS NA INC Total Fees: 225.00 Address: 4330 20TH ST Amount Paid: 225.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/13/2018 Phone: (813)783-1959 Work Desc: INSTALLATION FIRE SPRINKLER- CONTRACTOR(S) APPLICATION FEES SHAMBAUGH&SON FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES 100.00 FIRE INSPECTION FEES 45.00 CONTRACTOR CERTIFICATE 30.00 Ins ections Required FIRE-PRE SURE 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM EN%H)l ENT." CONTRACTOR SIGNATURE PERMIT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application (/Avs n7�rce772,� Date Received / Phone Contact for Permit S? 7$ c= Owner's Name xce- e alymelle Owner's Phone Number Owner's Address 330 20AA ST• YVli 335 2 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address T !� ST. ,1 /]/ 7�L 335�Z Lot# Sub Division Parcel# Bt PA I N ED F_RO M P..R 0 PERT-7-.-;NOTIC a 7--- -3 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Burn 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 tr Semi An Other Sprinkler El ❑ ❑ ❑ Recreational Burn Fire Alarm El ❑ ❑ ❑ Sparklers Hood Cleaning El ❑ ❑ Sprinkler System Installations 4013 Hood Suppression El ❑ ❑ ❑ Stand (Sprinkler Sys) Fire Alarm Installation a Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL ® Flammable Application-ANNUAL gf00, 00 Valuation of Project Fuel Tanks 0 Other: Contractor Company Signature Registered Y/N Fee Current 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 Address License# OTHER /� — Company /Wa Signature `r+/J Pic.1`7 Registered Y/N e- Current I Y/N Address ltv License# (o $O-0L7� 2G19 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 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 RESPONS191LITIES: 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'SIOWNER'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 r% imw BEF-ORK RECOR121HO YOUR NO-TICE OF ^612&A=U^ePfiEJJT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR �✓t_ ��L Subscribed and sworn to(or a ed)bef /me this Subso ed ai5d swo 7 to(or affirmed)be re me this by, �r Vto islare personally kno"to me or has/have produced Mo islare personally known to me or has/have produced k.rdrr,R/ as Identification. P�Sad e `1ycw� as identification. _-L��Notary PublicNotary Public Camission No. Commission No. (lC7 Name of Notart typed,printed or stamped Name of Notary typed,printed or stamped o�PFY pLe` TARA LEAK STEWART Rotary Public,State of Indiana 1V ..... c0�� *, * CountyotAllen �U I ANP O�•GolteEiR2yO�'cam�� MY Commissioe Expires March 11,1025 _ #GG 016872 " =y•• ;'oar o9'P�.oyF inensu(°��0 e h1f) 6 Q kLORi City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: a,4 Date Received: Site: q 3 3z> ' Permit Type: S rfi a IC (e.r llnSgmb Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. �-~.�`_`�— '^f•/ffl•Icy Gene gown—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 Noz Contractor: 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- Educafion,healthcare,De tention&Correctional Public 1 Assembly,Business, schools, Storage,Mercantile and Churches Site Plan N/C Industrial. no charge FPump $ EJ Multi-Family/Commercial .03 sf up to 800 sq ft $ 24.00 $50 I j(Minimum Charge$24.00 801-1,500 sq ft $ 34.52 $50 Plan Revisions DBL 1,501-2,500 sq ft $ 60.02 $50 2,501-3,500 sq ft $ 90.02 $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 10-25 Heads $50 5,501-7,500 sq ft $ 187.52 Natural Gas $50 26 plus fi ads' $100 i 7,501-10,000 sq ft $ 262.52 Fuel Tanks-per tank $50 AN DPI PE-SYSTEM' 10,001-15,000 sq It $ 375.02 Sparklers $100 �!Per Riser $50 15,001-20.000 sq ft $ 525.02 Fire Works $500 i FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25 Per Pump $100 30,00140,000 sq ft $ 1,050.02 Controlled Bum(15da' $100 1FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1.500.02 Hood/Duct $50 1 0-25 Devices $50 60,001-80,000 sq It $2,100.02 Place of Assembly $50 Annual i 80,001-($2,100.02)per f 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 persystem Blo-Hazard Waste $100 Annual KITCHEN EXHAUST cceptance Tes $45— persystem Fumigation Tenting $50 k I Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 OTHER Haz.Materials $50-Annual j 'LP Installation per tank $50 FIRE ALARM SYSTEM Fuel Tank Installation $50 System Acceptance $50 (Per Tank) $50 a Recall Acceptance $50 EI Natural Gas Installation $50 OTHER (Per System) Fire Wall/Smoke wall $15 per wan Spray Booth $50 LP Gas $25 pertank 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. WC Emergency Vehicle Acce $50 PLANS TOTAL U I)vi INSPECTION TOT ( PERMIT TOTAL GRAND TOTAL Cam" Comments: Date: Inspector: Am