HomeMy WebLinkAbout07-6991
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FIRE ALARM SYSTEM
6991
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6991
FIRE ALARM SYSTEM
FIRE ALARM SYSTEM
NOT APPLICABLE
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
500.00
9/06/2007
95.00
95.00
9/06/2007
MONITORING SYS FOR FIRE ALARM
BLESSING, L. B
38357 CR 54 EAST
ZEPHYRHILLS, FL. 33542
Phone: 813 788-5314
R
FIRE INSPECTION FEES
50.00
C(JYY\~
lDl3D 107
~
FIRE ELEVATOR RECALL
FIRE DEPT. 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 called d) work not ready for inspection
when called e) permit not posted on job site f) plans not on 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.
"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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
I _
.11/ .
~i ~
CONTRACTOR SiGNA RE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED I ECTION.
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8'13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
<-
Date Received
Owner's Name
I ? G ? c~
Owner's Address J l) )...) I
Fee Simple Titleholder Namel
5Ll
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
~OJ1'le...
LOT #
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I PARCEL 10# I
(OBTAINED FROM PROPERTY TAX NOTICE)
B ADD/ALT 0 SIGN D MOVE 0 DEMOLISH
REPAIR
D COMM 0 OTHER I
D FRAME 0 STEEL D OTHER I
SUBDIVISION
E3
PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK 111 jl':.}o{C ri~t Ahrrt\ n(l'k~r' S ~rr"'-
BUILDING SIZE SQ FOOTAGE I I HEIGHT I
llllllll.IIII..IIIIIPIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII.11111111111111111111111111111111111111.11111111111'..111111111111111'1111111'111111""1111
D BUILDING 1$. I VALUATION OF TOTAL CONSTRUCTION
. ~5L::D I C5'D .
D ELECTRICAL 1$ I
D PLUMBING 1$ I
1$ I
D GAS D ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo
1I1II111I11111I11111I11I1111111I111111111I111111111111111111111I1111111111I111II1111I11111111I11111111I111111111I111111III11I11I1I1II1I11111111111
ckD
Address ~
AMP SERVICE
D PROGRESS ENERGY D
bc>b~ l-\{,~ J'k~
WR.E.C,
D
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
License #
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Di~~~ti~~~': ' , , , , , , , . , , , , , , , , . , , . . , , , . , . , , . . . , , , , , . , , , . , , , . . , , , . . , , , . . , , , . . , , , , . . . . , , , , , , , , . . , , , . . , , , , , . . . , , , , . , . , , . . , , , , , , , , . . . , , . , , , , , , , , , , , , , , , ,
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter if on ,public roadways..needs ROW
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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The 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 understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not 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 applicable Pasco County ordinances.
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. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use offill is not allowed in Flood Zone "V" unless expressly permitted.
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 is prepared by a professional engineer
licensed by the State of Florida.
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 fill 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 (1)
acre which are elevated by fill, an engineered drainage plan is required.
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)ob is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER 0 AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COM MEN MENT.
FLORIDA JURAT (F,S. 117..0 ' - [DG
OWNER OR AGE 0- CONTRACT V
Sl>P"",,'" ,nd ....m)o '. ,fIInn"'L~"''" me'" _ SuIJ="ed en'; "",m \0 ('" "'("'ed) ''''0," m~ "" ~ - '"
c..s~DiP' by /S.f:1~nL PIc)L("\e.. \')0.:\ I ~@.bLD7 by .y'f'-="-+'-'.("\.1L- VY\':~x,..Q..~
Who is/are personally known to me or has/have produced Who ,lstare .,personally known to me or has/have produced
R:- -p /20 (Z. lJ. c.. as identification, ~ J) (2-uIL Lt (L as identification.
~~ ~ ~ 1.-JLLL........ Notary Public
commisslo~t!M~tr Karen L U'II
~Q}tJ'1: ..., ~ . .. I e r
::t i~ Commission # 0
Name of ~d c0et1Wfl~9, 2010
.....,.. TNII' F... .,_...., Inc. -.7018
r,
~'--~ ~~'-~-
Notary Public
Commission No.
- "1/:.16-
~9.~ ".~ Karen L. Miller
::f :~ "
Name of Notary typed, pri~ ,. ires October 29 2010
..n\ _....." '
.....,.. w ~ '........""'1 ,,,,,,,. 1G04II-101A
~
'~
~
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
Occupancy No.:
Plan No.: ()
Business Name:
BusinessAddress:
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~ Site Plan N/C
Building Plans .04 sf
Revision 06 sf
FIRE SERVICE USER FEE
't:)wn e r::
Billing Add ess:
STANDPIPE SYSTEM
o Per Riser $25
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
o 26 plus Heads $60
FIRE PUMP
o Per Pump $100
, FIRE ALARM ~M
'00 (I - 25 Devices \,gg.I
026 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
o Hood/Ducts $35
PLANS TOTAL I ,1p"1
Comments:
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
14th Re-inspection $250
U 5th Re-Inspection $500
~~ Construction $15
U Commercial $25
H
H
~1
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
sZ 7-srj76
FIRE ALARM S~~
I~' System Acceptance ~
[J' Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
Natural Gas $25
Fuel Tanks $25
Tent $15
SPRINKLER SYSTEMS
o Automatic $15
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
FIRE PUMP
o Fire Pump $15
FIRE ALARM~
~ Detection ~
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
GREASENENTILATION
o Hood/Ducts $15
_ lJ Kitchen Suppression $15
~ ~ FALSE ALARM I
INSPECTION TOTALG..EJ PERMIT TOTAL - TOTAL.
,-() 0 -
GRAND TOTAL ~ I
Date:
Inspector:
- ~(