HomeMy WebLinkAbout07-6847
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6847
Permit Number: 6847
Permit Type: FIRE PROTECTION
Class of Work: FIRE SPRINKLER
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,500.00
Date Issued: 7/11/2007
Total Fees: 165.00
Amount Paid: 165.00
Date Paid: 7/11/2007 Phone:
Work Desc: INSTALL FIRE SPRINKLERS FOR FILE ROOMS
Address: 38357 CR 54 EAST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-001A-00000-0110
BLE lNG, L. BRANT
38357 CR 54 EAST
ZEPHYRHILLS, FL. 33542
813 788-5314
FIRE PERMIT FEES
15.00
10/15(0/
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FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies,
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
~ V1,IJr-- {?~_ ~
CONTRACTOR SIGNATURE PERM~
"'/ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
BuHdlng Department
,u.,.~?
Date Received
Owner Phone Number t 8, ~ J 788 ~
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Name I
Fee Simple Titleholder Address
4- ~'ZeP#
I
NEWCONSTR D ADDlALT 0 SIGN
INSTALL D REPAIR
SFR D COMM 0 OTHER
o BLOCK [;)ZJ FRAME 0 STEEL 0
I~$~ HIlL Sf((fJJ~ f4il.. r:1L& (2.JxJIu ~.
I SQFOOTAGE I 4,SS4. 04 HEIGHT I
.
.2(-. 00f A - 00000 - 01
LOT # I
JOB ADDRESS
SUBDMSION
WORK PROPOSED
~
o
MOVE 0
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTiON
OTHER I
DESCRIPTION OF WORK
BUILDING SIZE
~ & -nmmR:_
-A..
~._-
~nRUe
1$
1$
1$
IlO MECHANICAL 1$ A ./
11, "':)OD. 00
o GI>S 0
FINISHED FLOOR ELEVATIONS I
o
o
o
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROORESS ENERGY
o W.R.E.C.
,,JOe.,, - tx\~~ P'--b}
sPR..I ~ lL L1::IL.
PLUMBING
VALUATION OF MECHANICAL INSTALLATION - f=f{2E
ROOFING
D
I
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES ONO
-
_ UI:i
IlIIIII
BUILDER
SIGNATURE
COMPANY
REGISTERED Y/N FEE CURRENT W!:!..J
License III
COMPANY
REGISTERED Y/N FEE CURRENT W!:!..J
Ucense III
COMPANY
REGISTERED YI N FEE CURRENT W!:!..J
License III
COMPANY
REGISTERED YI N FEE CURRENT W!:!..J
COMPANY
REGISTERED
License'
Ulf_ .1- ~~lII1l11~ n.llL
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
Address
MECHANICAL I
SIGNATURE
Address
OTHER
SIGNATUR
RESIDENTIAL
AIlac:h (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum Illn (10) working days after submittal dalll. Required onsile, Construction Plans, Sanilery Facilities & 1 durrpster
AIlac:h (3) sets of Building Plans; (1) set of Enargy Forms.
Minimum Illn (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 durrpster
All commercial requirements roost meet compliance.
AIlac:h (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all N EVIl construction.
COMMERCIAL
SIGN PERMIT
Directions:
Fill out applicetion completely.
Owner & Contractor sign back of application, notarized
If over $2600, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or P~r of Attorney (for the owner) would be someone with notarized leller from owner authorizing same
OVER THE COUNlER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
, "lrrnrTlrJlfinrr
-nllmfB run. I ill! r
I~
Fences (PIot/Survey/Footage)
Driveways.Not over Counter ~ on public roadways..naeds ROW
(I, AAA FIRE PROTECTION
8502 Snnstate Street. Tampa, Florida 33634 . (813) 886-8869 . FAX (813) 882-3703
June 1, 2007
Entity:Cl'rj en:: 'ZEPIIVI1.#Il../.,.$
To Whom It May Concern:
Please authorize the following persons to transact permits on my behalf for AM Fire
Protection.
Frederick T. Swenson
Donna E. Swenson
J. Michael Dupree
Please remove all others that you may have on file.
~'-€4 U), l~
J. es W. Mason
State License # 00126400011978
State of /70 /", Jcz..
County of J/,' / It; kro-uf ~
The forgoing instrument was acknowledged before me this --Dt day of :r.../If ,20.R:L
By :-r Cl. /Yl ~ s tv. ftt c; Sc, 11 who is S't'C- / T, f"C"<.s of said company. ~he is
~onattv Imnwn ltPme or has produced N' lit as identification.
,
My commission expires:
- - -
· "~~\:~'~:~:'" JUDiTH A. VANGUNDY
f~~~ ~. 'c>\ Notary Pubilc - State of Florida
I :: :'~ fJr: : EMy Commission Expires Jun 28 2009
<-;,:.: . . . o:~? Commission II DD 445798
"',/i;,,',;,," Bonded By Notional Notary Assn. ~
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-
Notary Pub~~ /} t/-,
Sign: 7~l.. lJ, V..../oL a!,
Print: ,j uJ,' fl, YJ /It:( n 6' Un /7
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief
Keith Williams
Bus (813) 780-0041
Fax (813) 780-0044
July 10, 2007
I have reviewed and approved the plans for a sprinkler system located at 38357 CR 54E
for State Farm. I have attached the comments for the plan approval.
1, Cut sheets required on all devices (sprinkler heads, valves, etc...) associated
with system upon pressure test of sprinkler system.
2. Ballard protection required if possible for vehicular impact.
3, Fire alarm system required for monitoring of system.
Inspections Required
1. Underground pressure test
2. Sprinkler pressure test
3. Acceptance test
JUN-2S-2007 09:19A FROM:
06/04/2007 09:22 FAX 813 882 37f
MA F'IlW l"Rc:rn::CTION
T9_:"8823703
P:l....l
I.WU\I.1" '"'u~
(Cij
AAA Fire Protection
S502 Swutak Street · T........ FL. 33Ii34 · (813) Ufi-U67 . F~ (813) ~703
E-Mailt tpaaa@verizGII.DeC: [J" r ~.",.,
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Attn; :Mr. Bobby Hilton
Hil1m:I Construc:t.i.an Company
6415 161h. Street
Zephyrhills. FL. 33540
Phone; (813) 782-1349
Fax.: (813) 782-1349
.Juue4,2007
R.c: Slate Fann Building
SR...54
Zephyrhills. FL.
Dear Mr. Hilton..
We are pleased to submit our written quotation on the above reterenced project., based
on our attaeh.ed specifiCa1ioos. Adequate water flow and pressures to be the responsibility
of the owner and not AAA Fire Protection. Inc. AAA Fire Protection, Inc. is not
responsible for the testing or treatment of Micro Biological Influenced. Corrosion.
Note: Due to the cUJl"erttly volatility of the stc:cl market. we can only hold this quote price
for 45 days.
Total Cost Building spdnk1er system starting 1" -0" above the {i,.,i~ floor at the maiD
riser assembly: Four Thoaaand Five Hu.ndred Fifty DoDana ( S 4.550.00 ).
Should you have ony questions or co:mm.ents. please fcx:l :free to coD.tIM:t me.
Sincerely.
~vv1
MichaGl Dupree
V.P. Sales '.- f-'"
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Total .Pages TraD5miued (3)
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.rUI-l-4-20eI7 MO/'4 09: SSAM :rO:
PAGE: 1
07/02/2007 15:09 FAX 813 882 3703
AAA FIRE PROTECTION
1aJ001
(Ii AAA FIRE PROTECTION
8502 SUDstate Street. Tampa, Florida 33634 . (813) 886-8869 . FAX (813) 882-3703
FACSIMILE TR.ANSMITTAL SHEET
TO:
FROM:
COMPA
I...J 7-?' ~
~
FAX NUMB.ER;
<6 I ~- / q, {J- O()~I
PHONE NUMBER,
DATE:
RE L..; <!.. e rJ5~ ~ -:INS (J er-f -
o URGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY
o PLEASE RECYCLE
NOTES/COMMENTS:
. .
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07/02/2007 15:09 FAX 813 882 3703
AAA FIRE PROTECTION
~002
(Ii AAA FIRE PROTECTION
8501 Sa.state Street. Tampa, Florida 33634. (813) 886-8869. FAX (813) 882-3703
June 1, 2007
Entity; f~ =h-erh'(rf..://s
To Whom It May Concern:
Please authorize the following persons to transact permits on my behalf for AAA Fire
Protection.
Frederick T. Swenson
Donna E. Swenson
J. Michael Dupree
Please remove all others that you may have on file.
;l:,ti1~a-~
amesW.Mason
State License # 00126400011978
- ,.
State of f10f' , )e:...
County of J.J 1'/ Is bUON , ~
The forgoing instrument was acknowledged before me this loS f- day of J1.4" r. 20 D 7
By ~~ W. t11.c. oJ 0 " who is $' ~ I r,~f said companY~he is
p~ Wn-iO-me or has produced ", / + as identification.
My commission expires:
~~IiC:-
SIgn: li o.
Print: . 'J~', 14 II
fI'~ J:L e!7
/r It ,. CC,(;f /7
07/02/2007 15:09 FAX 813 882 3703
AAA FIRE PROTECTION
@003
--.. _. .. ,'. .. ....--. .....----.,- R~ ..
ACORQ.. CERTIFICATE OF LIABILITY INSURANCE UA"II! CMIIIIlDNYYy/ I
D5/3D/ZOO7
~ (113)6~7-1177 FAX (113)637-1414 I THIS CERnFICATE 18 ISSUED AS A MATTER OF INFORIIAnoN
llnsurance Off1ce of Alllerll.;a, In..... ONLY AND CONFERS NO RlQHTS UPON THE CERTIFICATE
I HOLDER.. THIS CERnFICATE DOES NOT AMEND, EXTEND OR
4915 W. Cypress Street ALTER THE COVERAGE AfFORDED BY THE POLICES BELOW,
Suite 100
Tupa, FL )3607 INSURERS AFFORDING COVERAGE HAle t#
~ Swenson Group Inc. INSURER A: Greenwich Insurance Company
DBA: AAA Fire Protection INSURER B:
1502 Sunstate Street INSURER C:
Ta~a. FL 3~634 , INSURER D:
INSURER E;
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IssueD TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERnF/CATE MAY BE IssueD OR
MAY PERTAIN, THE INSURANCE AFfORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM. .
~ lYPEOFMUIWCE PClUCY__ I'ClUC'Y ~ lION llloWT8
GDlEJlAU..-uTY 060107001 06/01/2007 06/01/2001 EACH OCCURRENCe S 1.000,00
- . DAM4GE TO RENTED 100. )(J
COMMERCIAL GENERAl LIAIIILITY S
- =:J ClAIMS MADE [!] OCCUR
MEO ElCP (Any one person) s 5. )(J
I--
A PERSONAL & ADV INJURY S 1.000, )(I
GENERAl. AGGREGATE S 2,000,0001
GmL AGGREGATE UMIT APPlIES PER: PRODUCTS - COMPIOP AGG S 2.000.00
h POLICY n ~8i n LOC
AU'IOIIOBlLe WlaITY COMBINEO SINGLE LIMIT
'- (Ea accident) S
A~AUTO
-
AU OWMEO AUTOS BODILY INJURY
- S
SCHEDULEO AUTOS (Per penon)
-
HIRED AlITOS BODILY INJURY
- S
N~WNED AUTOS IPar acddenl)
-
PROPERTY DAMAGe $
(PI!( lICCident)
GARAGE I.LI8I.J1Y AUTO 0.... Y - EA ACCIDENT S
~ ANY AlITO OTHER THAN EA ACe .
AUTO ONLY; AGG S
EllCES8lUMIREUA UAa.llY EACH OCCURRENCE S
=:J OCCUR 0 CLAIMS MADE AGGREGATE .
S
~ DEDUCTIBlE $
RETENTION S $
MlIUlERS COItJleNMllONAND I we STAT\}. IOJ~.
UPLOYIM' UA8IJTY E.L. EACH ACCIDfNT
AHY PROPRETORIPARTNERlEXECUTlYE S
OFFICeRIMEMBER EXClUDED? c.L. DISEASE - EA EMPlOYEE $
II Yft. a.cra. un~ E.L. OISEASE - POLICY UMrT S
SPECIAL PROVISIONS below
011t1"
DElICIIlP1JON OF ClfIMA1IONI I LOCAlIClHS IVIHIClD I EXCl..UlllONSAIIDED"., INDORIElIIENTI .PIiCW.PMMSlONS
........ I , .. '"^""
SHOULD Nf'I OF nte A80VIE Dl!IC'NPED POlIClES BE ell"",""" 1.11I) IIEfOM TIE
Cali forni a Bank a Trust. Its Sucessors and ex,..1lON DAn TMSIECII', THE IS8lING INIlI... WLL ENDeAVOR TO MAIL
assigns -1JL. DAYS WRrTnN IIOTICli TO THE tsmRcATE IIOLDe NAIlED TO TIE lD'T,
C08mercial Loan Operations
401 West Whittier Blvd. BUr "ALURE TO IIAIL IlUCtlIIOTICE atW.L M'ClR 110 OIILIGA11DN OIl LlA8IUTY
Suite 200 OF Nf'IIlIIIIl W'QN TMI! INSUllM. rrs AGI!tIJS OIl IUPRESlNTATlIIU.
LaHabra. CA 90631 AU'I'...-.::u........,.A1NE ~ ~ ~
Willi. Massaro. Jr./MARJOA -"
ACORD 21 (2001108)
CACORD CORPORATION 108
07/0~/2007 14:33 FAX 813 882 3703
AAA FIRE PROTECTION
~003
~. ACORD", INSURANCE BINDER 05/~~007
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDmONS SHOWN ON THE REVERSE SIDE OF THIS FORM,
PRODUCER :gNNo . (813)637-8877 COMPANY BtND~RI
FAX Ed(813)637-8484 Greenwich Insurance Company B07053129419
Office of America, Inc. DAn E~
Street
06/01/2007
AM
sue CODE:
PM
THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
PER EXPIRING POLICY #:
00073998
DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY IlncIuclng Location)
ire Sprinkler Contractor- Installatiom, Service,
nd repair.
Swenson Group Inc.dba AAA Fire Protection
8502 Sunstate Street
Ta...., FL 33634
COVERAGES
LIMITS
TYPE OF INSURANCE COVERAGfIFORIIS DeDUCTIBLE COlNB'llo AMOUNT
PROfII!RTY CAUSES Of LOSS
- BASIC 0 BROAD 0 SPEC
l-
I-
GENERAl.. LIA8IUTY EACH OCCURRENCE S 1,000,000
"X COMMERCIAL GENERAL LIABILITY , fiRE DAMAGE (Anyone lire) $ 100,000
I CLAIMS MADE [!] OCCUR MED EXP (Any one person) s 5,000
PERSONAl & ADV INJURY $ 1,000.000
~ GENERAL AGGREGATE S 2,000,000
RETRO DATE FOR CLAIMS MADE: PRODUCTS-COM~OPAGG $ 2,000,000
AUTOUOlllLE UABLITY COMBINED SINGLE LIMIT $ 1,000,000
X NlY AUTO BODILY INJURY (Per person) $
-
AlL OWNED AUTOS I BODILY INJURY (Per accidanl) $
-
SCHEDULED AUTOS PROPERTY DAMAGE $
X HIRED AUTOS MEDICAl. PAYMENTS $ 5,000
X NON-OWNED AUTOS PERSONAl INJURY PROT $ 10,000
X Per project aggregat UNINSURED MOTORIST S 50,000
X Blanket add'linsured s
AUTO PHYSICAL DAMAGE DEDUCTIBLE U AlL VEHICLES W SCHEDULED VEHICLES X ACTUAl CASH VAlUE
;fi COLLISION: 1,000 STATED AMOUNT $
X OTHER THAN CDL: 1. 000 OTHER
GARAGE LIABIUTY AUTO ONLY - EA ACCIDENT $
t--
ANY AUTO OTHER THAN AUTO ONL v:
t--
EACH ACCIDENT $
t--
AGGREGATE $
EXCESS LIA8lLllY EACH OCCURRENCE $ 1,000,000
~ UMBRELLA fORM , AGGREGATE $ 1,000,000
OTHER THAN UMBRELLA fORM RETRO DATE FOR ClAIMS MADE: SELf-INSURED RETENTION $ 10,000
I WC STATUTORY LIMITS
WORI(I!R"S COMPENSATION E.L. EACH ACCIDENT S 500,000
AND 500,000
EMPLOYER'S UA81LITY E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $ 500,000
lII'EClAI. FEES $
CONDlTIONSI TAXES
OTHeR S
COVERACiES
ESTIMATED TOTAl PREMIUM $
NAME & ADDRESS
MORTGAGEE
LOSS PAYEE
LONl #
ADDmDNAI. INSURED
AUTHORIZED Rl!l'RESEfilTATIVE
ACORD 75-6 (1/98)
NOTE: IMPORTANT STATE INFORMATION ON REVERSE SIDE
07/02/2007 14:32 FAX 813 882 3703
AAA FIRE PROTECTION
~001
(Ii AAA FIRE PROTECTION
8502 Sunstate Street. Tampa, Florida 33634 . (813) 886-8869 . FAX (813) 882-3703
FACSIMILE TRANSMITTAL SHEET
TO:
^-.J
FR.OM:
~
FAX NUMIlElL
<6 t ~-Iq.{)-OD~I
PHONE Nt;MIlER:
DATE:
RE:
L.., e. E> ~-Se ~. -:INS f.er-l-
,
~
....
o URGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY
o PLEASE RECYCLE
NOTES/COMMENTS:
-----
:."- ""'=:-, ..
9."..
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. .
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07/02/2007 14:32 FAX 813 882 3703
AAA FIRE PROTECTION
~002
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
TA~ASSEE.FLO~DA
. CERTIFICATE OF COMPETENCY. .
.
THIS CERTIFIES THAT: JAMES W MASON
8502 SUNSTATE ST
. TAMPA, FL 33634-13ti'
BUSINESS ORGANIZATION: i\AAFIREPROTECTIO.NlNC ."
CONTRACTOR I INCLUDES THE ExECtrrION OF CONTRA:CTS'REQulRINOT~'ABIt.l.TV,ExrERiEi\lcti~KNbWLEooE,SCmNCE; AND
SKILL TO INTELLIGENTLY LAYOUT. FABIUCA"TEJ 'INS'tALL, INSPECT, AiiER:; REPAm:, OR SE~VItE AU. TYPES OF,FIREPROTECTION
SYSTEMS,.EXCLUDINGPRE-ENGlNEERED SYSTEMS. ' '. , . . . . .' . '.
Cbitl~'om';~.. ~.~
. ~ 07 0 I 2006 . 07' ....l,~" Hillsbai'o\lgk
Issue Date Type Class ." County
,,"~ :'>
'. 0012~DOOH91-S:
.' ..: ~:-.';:" . '.' . . . ,
,-.,1s749&OOO~'., '.' . Iso,oD .... '.96:302008
',: Liccli5i:tPennit"NilDibCr .,.' '. Appli~tio~#" Taxes &. FeeS .' .', :E~irc Date .
.................. ---.....--....... .....-..........-.-......-........ ............
. .