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Home My WebLink About07-7139 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 fIRE SPRINKLER SYSTEM PERMIT 7139 Permit Number: 7139 Permit Type: FIRE SPRINKLER SYSTEM Class of Work: FIRE-SPRINKLER SYS Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 3,000.00 Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 7825 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: FIRE PERMIT FEES 50.00 r:~.~{J (1~1 f1 ~rv E FIRE SYSTEM ACCEPTANCE Fina 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 RECORDI OUR NOTICE OF COMMENCEMENT." -/' ,..-/;;.,-~ .. , CONTRACTOR SIGNATURE I {;/ PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 FIRE SPRINKLER SYSTEM PERMIT 7139 Permit Number: 7139 Permit Type: FIRE SPRINKLER SYSTEM Class of Work: FIRE-SPRINKLER SYS Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 3,000.00 Date Issued: Total Fees: 220.00 Amount Paid: Date Paid: Work Desc: Address: 7825 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: KOB PR PERTIES LL Address: 7825 GALL BLVD ZEPHYRHILLS, FL. 33542 FIRE PERMIT FEES 50.00 -0 yf . ~O ~ ~l.cF XV TES FIRE SYSTEM ACCEPTANCE Fina "- ('Joe.. undLu- ~ ~Oc. 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." CONTRACTOR SIGNATURE I PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED____ ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 / &c .~}m ,p \ !313-780-00~ ~~~_ ~~~'_ ~ ~ City of Zephyrhills Fire Fax-813-780-0021 - - Permit Application . T C/YY'\ ~~~~;'e'imt_$Bl"*"~::":'::j~:::~' ,Z""ih,"1_--"':~f;~~.31::2Jj*"~~.:L0U,,~2:LI /)i ~? ~J.q I Owner's Phone Number I II I I I ~- - ~ I Owner's Name Owner's Address I Fee Simple, Titleholder Address I ~-~---r'8<'Dll~G=~ Job Address 7 Z 5 . I I Titleholder Phone Number II I I b;?S-~Yf:--r~-ftl 13~ZJ9u~g~/o I t:u r t:) , Fee Simple! Titleholder Name Sub Division Be:. -- z;~~. Parcel # o o D D o o o o D D D o Contractor Signature Address I ELECTRICIAN Signature I Address I PLUMBER Signature Address I MECHANICALI Signature . Address I Bio-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen Hood/Duct Controlled Bum D Fumigation Tent D Hazardous Material (Tier" or RQ Facility) ANNUAL D Hood Installation D LP/Natural Gas-Installation D LP/Natural Gas-ANNUAL Sale D Places of Assembly-ANNUAL D Recreational Bum D Sparklers a Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D Waste Tire Storage ANNUAL Emergency Generator < 30 kw Emergency Generator> 30 kw Fire Protection Maintenance - ANNUAL Sprinkler D Fire Alarm D Hood Clean/Suppression D Fire Alarm Installation t-.lO C- ~ O~ p.~~~ s~ -h:;; ~I ,,1'") \C(Z2-/67 Fire Pumps Fire Works Flammable Application- ANNUAL Fuel Tanks I '3rOCB <A- Valuation of Project Other: N Uq ZS3 20ro/U:0 I Company Registered License # Y I N Fee Current Y I N Company Registered License # Y I N I Fee Current I Y I N Company Registered License # Y I N I Fee Current Y I N Company Registered License # Y I N , Fee Current Y/N 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. :J!lqnd AlBlON 'pad^t AlBlON JO aWBN u pa s N39V HO H3NMO " .(G ,.~:Ii, "a>~~,~,~B~.:aii ..- '.LN3W3:ltj31tl-1Ill9>l p, ,!~y,QH;JII;\Q!;;~~~lll>!asl~HOtl 'Hllt"H311R3'l'HlWk - J.,nSNO:> I~NI:>NVNI3NIV!aO'0J.ON3INln'OA:n "J..l.lI3dOlld lInOA OJ. 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CONTRACTOR II IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRlCA TE,INST ALL, INSPECT, ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM-WATER SPRINKLER SYSTEMS, FOAM-WATER SPRA Y SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THATlS AN INTEGRAL PART OF THE SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK HEATERS, AIR LINES, THERMAL SYSTEMS USED IN CONNECTION WITH SPRINKLERS, AND TANKS AND puMPS CONNECTED THERETO, EXCLUDING PRE-ENGINEERED SYSTEMS. Chid Financial Officer I 071 I) J 2006 07 16 Pasco ~:ue Date Type Class County 49253200012001 75&0950001 LicenselPennit Number Application # ~~ 150,00 06 30 2008 Taxes & Fees Expire Date JPJ\S(~() C()llN'.ry BIJSJN~:SS ]~/\X RI~(:~:[I.>'r 2()()7-()8 Issued pursuant and s~Jbj;c\to.Florid9 Statutes and Pasco Countv' Ordinances. fSSUClrce does not certify compliance with . zonlnO 01 other law" . hIS receIpt must be po:;terl consplcuousl'! in place of bUSiness Expires September 30, ACCOUNT NO: 41449 SIC CODE: 1711.05 M_lkeQlson T~,\. CQIJ,.I~~TQR PASCO COUNTY FLORIDA LUCAS AUTOMATIC TYPE OF BUSINESS: SPRINKLING SYSTEMS CONTRACTOR (INDOOR) LOCATION ADDRESS: 6508 BOYETTE RD WESLEY CHAPEL DATE RECEIPT 07/17/07 525464 AMOUNT 31.25 . A CORDTII CERTIFICA TE OF LIABILITY INSURANCE f DATE (MM/DDIYYYY) 10/16/07 PRODUCER LIC #A116633 1-407-260-1605 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Henricks & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1500 TOWIll Plaza Court ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW" Winter Springs, FL 32708 INSURERS AFFORDING COVERAGE NAIC# Scott E. Lugering INSURED INSURER A, Arch Insurance Company Lucas Automatic Fire Sprinklers, Inc. Thomas Lucas INSURERB, Progressive Express Ins Company 6!08 Boyette Road INSURER C: AmComp Incorporated Wesley Chapel, FL 33544 INSURER D, INSURER E, COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, II~:: ~I!~ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A J!I':NERAL LIABILITY MFGL06551601 12/30/06 12/30/07 EACH OCCURRENCE $1,000,000 _ X_~"RC'" G""","- U'.'''' ~~~~'SES lEa occurencel $100,000 1--- CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $10,000 1---- PERSONAL & ADV INJURY $1,000,000 1---- GENERAL AGGREGATE $ 2,000,000 ~N'lAGGRnE LIMIT APnS PER, PRODUCTS-COM~OPAGG $2,000,000 X 1 POLICY ~bW,: lOC B ~TOMOBILE LIABILITY 01787605-4 07/27/07 07/27/08 COMBINED SINGLE LIMIT $500,000 X ANY AUTO (Ea accident) -- - All OWNED AUTOS BODilY INJURY (Per person) $ I------ SCHEOUlED AUTOS X HIRED AUTOS f---- BODilY INJURY $ X NON-OWNED AUTOS (Per accident) f---- PROPERTY DAMAGE $ (Per accident) ~lAGE LIABILITY AUTO ONLY - EAACCIDENT $ ---1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY, AGG $ OESSlUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION AND WCV7064925 02/14/07 02/14/08 X I T~~IfrrN;, I I om- EMPLOYERS' LIABILITY $500,000 ANY PROPRIETORlPARTNER/EXECUTlVE E.l. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? X E.l. DISEASE - EA EMPLOYEE $500,000 ~~~~:l'1>'~~~t~~NS below E.l. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhi11s DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRmEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Stl~eet IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhills. FL 33542 AUTHORIZED REPRESENTATIVE USA SCOU E. LIIger;ng ACORD 25 (2001/08) a1asota 7282385 @ACORDCORPORATION 1988 =ir,: ::;-llef<,dith JiJilliams ZEPHYRHilLS FiR;:: DE? A..=(TMENT 3907 :Jair/~oac. Zecnyrhills ,=:_ 33542 3us 3i3)780-;JC":'~ ,-~3X ;.-3"'2'f~3C-.JC44 FIRE SERVICE USER FEES Occupancy No.: Pion No.: ~ :~::~= :::~: Cu. - ~~ ~<;" {.,.A-I/ Business Phone No.: Business Fax No.: Contact: PLAN REVIEW FEES B Site Plan N/C Multi-Family/Commercial ,06 sf (Minimum Charge $25.00 o Plan Hevisions DBl INSPECTION FEES N/C N/C $100 $250 $500 Contractor: L-1Jd}:f /Jc/~ ~ ~rf}'l Uyr Billing Address: f Billing Phone No.: ~13 - 9d7~ 5' ZS-7 Billing Fax No.: Contact: ""7L?~ PERMIT~ Sprinkler Standpipes Fire Pump $50 Hoods $50 Fire Alann $50 LP Gas $50 Natural Gas $50 Fljel Tanks- per tank $50 Sparklers $100 Fire Works $500 Camp Fire $25 Controlled Bum $100 Hood/Duct $50 Place of Assembly $50 Annual Fire Protection $25 Flammable Application $50 Annual Waste Tire Storage $50 Annual Generator < I<MI $100 Generator >30 I<MI 150 Bio-Hazard Waste $100 Annual F umigation Tenting $50 Torch Pot/Applied $50 Haz. Materials $100 Annual Annual 1 st Re-inspection 2nd Re-inspection 3rd Re-inspection 4th Re-Inspection ~SPRlNKLER SYSTE~\ (Business closed until 0-25 Heads ~ violations corrected) 26 plus Heads $100 SPRINKLER SYSTEMS ~Hydro Undergrounds ~ Hydrostatic Test per system Acceptance Test per system $100 Hydrant Flow $75 STANDPIPE SYSTEM o Per Riser $50 FIRE PUMP o Per Pump FIRE ALARM SYSTEM B 0 - 25 Devices $50 26 plus Devices $100 SUPPRESSION SYSTEMS BE: : 8 Other $50 KITCHEN EXHAUST o Hood/Ducts OTHER B LP InstalUation per tank Fuel Tank Installation (Per Tank) o Natural Gas Installation (Per System) o Spray Booth $50 ~ Tent 1 0'x1 O' or greater Fire Pump Fire Suppression System Acceptance B Exhaust HoocJ/Duct Re-inspection (other than annual) $50 0 Inspection scheduled DBl and cancelled less than 24 hours B Construction Insp. NlC ~ Emergency Vehicle Aco $50 l)lANS TOTALL.:J.u- INSPECTION TOTAL~- Comments: $50 $50 $50 $50 FIRE AlARM SYSTEM B System Acceptance $50 Recall Acceptance $50 OTHER ~ Rre Wall/Smoke Wall lP Gas Natural Gas GRAND TOTAL $15 $25 $25 per wall per tank per system B , PERMIT TOTAL~- .;HD ~~ FALSE ALARM FEE 1 st Alann NlC 2nd Alann N/C 3rd Alarm N/C 4th Alann $100 5thAlann $150 6th Alann $200 NON COMPLIANCE $150 FALSE AlARM TOTALr--l 1.-..-__ _ _______ $15 $45 $30 perlenl $30 DBl Date: / ~/ J-) jt-1 InSll1lcloc t:-"r ~yMdl-- /9( ZephyrhiHs Fire Rescue 6907 Dairy Read, Zephyrhills. FL 33542 Fire Marshal Kerry Barnen .bus 813 780-0041 Fax ; S 1.3) 780-0044 Plan Review Comments I have reviewed the plans for the sprinkler system at (7825 Gall) and my comments have been placed below. Please contact me ifthere are any questions with regards to my comments. 1. Provide sprinkler calculations at pressure test. 2. Verify system is monitored. 3. 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