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Home My WebLink About21-1419 e m City Of ZephyrhillS PERMIT NUMBER 5335 Eighth Street - Zephyrhills, FL 33542 FIRE-001419-2021 Phone: (813)780-0020 + Issue Date: 02/01/2021 .`" . Fax: (813)780-0021 Permit Type: Fire Property Number Street Address 1126 210010 02500 0200 5814 8Th Street Owner Information Permit Information Contractor Information Name: KIDS KORNER CHILDRENS SERVI( Permit Type:Fire Contractor: FOUR STAR FIRE AND Class of Work:Fire Alarm SECURITY INC Address: 5814 Gall Blvd Building Valuation:$1,860.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)782-3333 Mechanical Valuation: Plumbing Valuation: Total Valuation:$1,860.00 Total Fees:$150.00 Amount Paid:$150.00 Date Paid:2/1/2021 12:54:16PM Project Description INSTALLTION FIRE ALARM-KIDS KORNER Application Fees Fire Alarm Permit Fee(1-25) $50.00 System Acceptance Inspection $50.00 Fire Alarm System Plan Review $50.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit,'there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner:Your failure to record a notice of commencement may result in your paying twice for improvements to your property.If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall.be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-760-0020 Permit Application cy Date Received Phone Contact for Permit / ��S / O S Owner's Name j L( k`j r/'A(0— t � Owner's Phone Number Cwnees Address ,J;/ � f, 7— '1 t ¢� , l Y L.. 3 3$ t- Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address' `t�i1 rs� S Lot# . Sub Division Parcel# IJ-o2cC� 02 1 't70/(� --G`sgs&'0-6- 00 a Bio-Hazard Waste Storage-ANNUAL o Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RC±Facility)ANNUAL ��(( Controlled Burn Hood Installation ❑ Emergency Generator<30 kw F-1 LPINatural Gas-Installatior Emergency Generator}30 kw � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL . { [t:1tr Semi rA—n1J Othor Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ ❑ Sparklers , VV Hood Cleaning ❑ ❑ ❑- ❑ ❑ Sprinkler System Installations Hood Suppression ❑ ❑ ❑ ❑ ❑ Standpipes(Sprinkler Sys) p Fire Alarm Installation Torch Roofing/Tar Kettle 6L+} ❑ Fire Pumps Waste Tire Stomoe ANNUAL Flammable Application-ANNUAL /$�G�_� Valuation of Project Fuel Tanks ❑ Other: �-�- -- - J Contractor Company �I/-7(� �►f S �� - Signature ,1 r n Lip * Registered /N Fee Current Y/ Address. r, L'o t t vv\ �ct tin 3 3 0 License# F�6 G1 Cj U $Sri ELECTRICIAN Company Signature Registered Y/N Fee Current Address License# PLUMBER Company Signature Registered Y/N Fee Current Y l'N Address License# MECHANICAL Company Signature Registered Y/N Fee Current I_Y/N_� Address P y ,.. '---� OTHER Co man M' G' Signature Registered Y/ Fe � Address License# ��j-o2Ci C3 Lt Ci ${o!v Directions: _. Fill out application completely. Owgar&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 4-obtained from Property Tax Notice(http://appraiser.pascogov.com) r Four Star Fire&Security,Inc. 1719 E Columbus Drive Tampa, FL 33605 813-999-1129 Office 813-677-8777 Fax February 1, 2021 To whom it may concern, 1, Brian Crist, authorize Manny Quevedo, Bob Russel and Eric Gonzalez to represent my company Four Star Fire and Security for all permitting transactions and requirements with in Pasco County/Zephyrhills FL Florida. Regards,,s 8 nCriCDD President Four Star Fire & Security, Inc. State License number EF20001670 State of Florida County of Hillsborough The foregoing instrument was acknowledged before me, by means of physical presence, this 1 day of February, 2021, by Brian Crist, who is personally known to me. Notary ric, State of Florida - - -- - ----- CATINAFISCHBACH Catina Fischbach Type or Print Name MY COMMISSION#GG 3193663 -ff-- WIRES:August 2,2023 My Commission Expires: August 2, 2023 FOF rt:*.V' Bonded Thru Wary Public undjewtem 1 NOTICE OF GELD RESTF%';C71CNS: The undcrslgncc Ui 4 rJ 4 CJ l 4l pCrMit may e Su.jcct to deed" restricticiins" 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) n II OWNER OR AGENT CONTRACTOR M&C), ou�rX. 455oc_ "5 T�rC Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by /-010-o10-1a Who is/are personally known to me or has/have produced Who is/are r known-tg me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. �" Name of Notary typed,printed or stamped Nam to typed, printed or stamped CATINA FISCHBACH MY COMMISSION#GG 314363 9re�•' EXPIRES:August2,2023 °F F°•° Bonded Thru Notary Public Underwriters Fire Alarm Submittal's Kids Korner Daycare 5814 8t" Street Zephyrhills FL, 33542 Installation By MGQ & Associates, Inc. 1719 E. Columbus Dr. Tampa, FL. 33605 Office: 813-877-8895 Fax: 8137877-8777 Job Descr,iption New panel replacement. MGQ is replacing existing. Silent Knight. . fire alarm panel with a new Potter PFC-4064 panel. All existing wire and devices will remain. PFC-4G64 ' POTTER The Symbol of Protection Conventional Fire Alarm Control Panel Features • 6 Programmable Initiating Device Circuits 2 • System is expandable to 192 input circuits using the IDC-6 expansion module a . 5.0 Amp.Power Supply J • 4 Notification Circuit rated at 3.0 Amps • Strobe Synchronization for Gentex,AMSECO,System Sensor and Cooper/Wheelock • One programmable auxiliary output rated at 1.0 A • 4 x 20 LCD display with system LEDs for clear system status PFC, 064 • P-Link RS-485 bus supports 31 system accessories • Built-in Ethernet Connection with listed IP Communicator PC' • Ability to E-mail system status,reports and system configuration • Service Reminder E-mails RuL us LISTED Description Technical Specifications The PFC-4064 Conventional Fire Panel is a compact,expandable panel Dimensions 18 1/2"H x 14 1/4 W x 4 3/4"D designed to monitor all facets of a fire alarm system and communicate the status to a monitoring station.The PFC-4064 panel is a listed and Enclosure 18 gauge cold rolled steel with removable locked approved microprocessor based conventional fire panel and complies door with Lexan viewing window with UL-864,NFPA-70,and NFPA-72.The panel is provided with AC Mains 5.0 amp @ 120 VAC 60 Hz six(6)inputs and four(4)24VDC,3.0 Amp Notification Appliance 2.0 amp @ 240 VAC 50 Hz Circuits(NAC)with strobe synchronization.The 5.0 Amp power 70 mA Standby supply provides ample power to meet any jurisdictions requirements Battery 235 mAA1arm and will charge up to two(2)55 arnp/hour batteries.In addition,the panel has the Potter P-Link for connection to system accessories. Temperature 320 to 1200(0°C to 49°C)with a maximum The panel also has a 1.0 Amp auxiliary power output for controlling and Humidity ancillary fire alarm functions. Range humidity of 93%non-condensing. The control panel is in a metal cabinet with a key lock and lexan Standards NFPA 70,72 window for viewing the system status.The printed circuit assembly is mounted for quick removal and installation to allow the cabinet to be installed with minimal effort.The cabinet houses up to two(2)7 AH or two(2) 12 AH batteries. The display is an eighty(80)character LCD with system status LEDs. The system status is clearly displayed and the panel includes a history buffer for past events.The key pad allows navigation into the system menu,limited programming and system control.The condition and events on the panel are clearly displayed to allow the user and installer to determine the system status. The panel will support up to thirty-one(3 1)system accessories. Potter Electric Signal Company, LLC St. Louis, MO Phone: 800-325-3936 www.pottersignal.com 8830139-REV E 9/19 PAGE I OF 5 The Symbol of Protection Conventional Fire Alarm Control Panel 2-Wire Smoke Detector Compatibility Detector A'Iodel Identifier Base Model identifier SYSTEM SENSOR(Brk)(Max.No.Of Detectors Per Zone Is 20) . 1400 A N/A N/A 2400 A N/A N/A 2400TH A N/A N/A 21AT-B A ITT/A N/A 2WT-B A N/A N/A DETECTION SYSTEM(Max.No.Of Detectors Per Zone Is 25) DS25O A MB2'A'/MB2= A DS250TH A MB2W/MB2WL A ESL(Max.No.Of Detectors Per Zone Is 25) 611 U S 10 601U Soo 611UD S10 601U Soo 611UT S10 601U Soo 612U S10 601U Soo 612UD S l0 601 U Soo 613U5 S 10 601U Soo 611UD S10 609UIO Soo 612UD S10 609UI O Soo 425C S10 N/A N/A 425CT S 10 N/A N/A HOCHIKI(Max.No.Of Detectors Per Zone Is 25) SLR-24 HD-3 HSC-221R HB-71 HSB-221 HB-54 HSB-221N HB-54 NS6-221 NS4-221 NS6-220 HB-3 SLR-24H HD-3 HSC-221R HB-71 HSB-221 HB-54 HSB-221N HB-54 NS6-221 NS4-221 SIJ-24 HD-3 HSC-221R HB-71 HSB-221 HB-54 HSB-221N HB-54 NS6-221 NS4-221 Potter Electric Signal Company, LLC St. Louis, MO Phone: 800-325-3936 www.pottersignal.com 8830139-REV E 9119 PAGE 2 OF 5 OrUfYER P The Symbol of Protection Conventional Fire Alarm Control Panel Detector Model Identifier Base Model Identifier FENWAL(Max.No.Of Detectors Per Zone Is'25) :. CPD-7051 I51 FE 1 2-WIRE FE51 A PSD-7155 P55FE1 2WRLT FE52A PSD-7156 P56FE 1 2 WRB FE55A All of the above Fenwal detectors and bases can be used in any combination. Retrofit Base Adaptor 70-501000-003,Identifier MAFE1 (for series 70-201000 Bases,Models-001,-002,-003,and-005). Duct Housing with Detector Base DH-51,Identifier DH22FE5(for CPD-7051 and PSD-7155 detectors only). POTTER(Max.No.Of Detectors Per Zone Is 25) CPS-24 HD-3 (HOCHIKI) SB-46 H13-4(HOCHIKI) SB-93 1-113-3(HOCHIKI) PS-24H HD-3(HOCHIKI) SB-46 HB-71 (HOCHIKI) HB-54(HOCHIKI) IS-24 HD-3(HOCHIKI) SB-46 HB-71 (HOCHIKI) I-IB-54(HOCHIKI) NOTE:If using a mix of System Sensor and other smoke detectors,a maximum of 20 detectors shall be permitted. Potter Electric Signal Company, LLC St. Louis, MO Phone: 800-325-3936 www.pottersignal.com 8830139-REV E 9/19 PAGE 3 OF 5 Pr-C-4GG4 The Symbol of Protection Conventional Fire Alarm Control Panel User Interface The FIB-1000,FCB-1000 and the SPG-1000 may be installed in the The fire alarm control panel has a 4 x 20 LCD display to provide slacker bracket or ordered with the optional rack-mount enclosure. information to the system status.The keypad has navigation keys MC-1000 Multi-Connect allows up to sixty-three panels to share a to allow manipulation of the Menu on.board the panel.The panel is single reporting technology. shipped standard with the following LEDs: AE-2—Two card expansion cabinet. • AC Power-Green AE-8—Eight card expansion cabinet. • Alarm-Red AE-14—Fourteen card expansion cabinet. • Earth Fault-Amber Ethernet/I.P. Connection Supervisory-Amber The PFC-4064 is shipped standard with an Ethernet connection. • Silenced-Amber This connection is the programming port and may be connected to a building Wide Area Network(WAN)or Local Area Network • Trouble-Amber (LAN)..Once connected to the Internet,the panel may be selectively The common buttons include a Silence,Reset.,Acknowledge,and programmed to e-mail alarm conditions,trouble conditions, Drill.All of the buttons are accessible once the locked door is supervisory conditions,test,Event History and detector status.An opened. e-mail may be sent to the panel and the panel will e-mail the event history,detector status,configuration file or server status to an P-Link authorized E-mail account.In addition,reminders may be set to send an e-mail for service,testing or other conditions. The PFC-4064 has a proprietary communication protocol that communicates through a RS-485 connection to field devices.Up In addition,the Ethernet connection is UL listed as an IP to the UL communicator.The IP communicator is listed to report to 31 devices maybe connected to a single P-Link connection.The P-Link inc listed Sur-Gard III IP receiver.The IP communicator replaces the includes the communication terminals and regulated 24 VDC traditional less reliable alarm communicator transmitter that utilized connection for the field devices.The field devices may be any of the telephone lines.The IP communicator is an active method of following: connection and conitnunication to the monitoring station. IDC-6—Initiating device circuit expander,provides an additional six (6)inputs. RA-6075R—2 x 16 LCD annunciator with a key pad in a locked metal enclosure. RA-650OR(F)—4 x 40 LCD annunciator with a key pad in a locked metal enclosure.Flush mount version available. LED-16(F)—16 LED annunciator with common indicators in a locked metal enclosure.Flush mount version available. PSN-1000(E)—10 amp,remote intelligent power supply with 6 NACs,2 Inputs and a P-Link repeater. CA-4064—Class A convertor that converts the NACs and P-Link connection, UD-2000—UL listed,Dual line telephone alarm communicator. DRV-50—LED driver expander,used to connect up to 50 LEDs in a graphic display. FCB-1000—Fire communication bridge,provides remote mounting of the Ethernet connection. FIB-1000—Fiber interface module,used to extend P-Link to multi- mode fiber(2 required). RLY-5—Relay module,provides 5 form C relay contacts rated at 3.0 amps 24VDC/125AC. SPG-1000—Serial parallel gateway,allows for the connection to a serial or parallel printer. Potter Electric Signal Company, LLC St. Louis, MO Phone: 800-325-3936 www.pottersignal,coiii 8830139-REV E • 9119 PAGE 4 OF 5 ti ,, , x -44 The Symbol of Protection Conventional Fire Alarm Control Panel Dimensions 14.78" 14.48" 0 o O o O TOP 4.63" 3.95" DEPTH O O O o O o O co c2 Q O O i LEFT SIDE RIGHT SIDE BOTTOM Ordering Information Model Description Stock No. PFC-4064 Fire Alarm Control Panel 3992360 Replacement Board 3992363 Potter Electric Signal Company, LLC St. Louis, MO Phone: 800-325-3936 www.pottersignal.com 8830!139-REV E 9/19 PAGE 5 OF 5