HomeMy WebLinkAbout07-7204
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FIRE STANDPIPES PERMIT
7204
Permit Number: 7204
Permit Type: FIRE HOOD SUPPRESSION SYS
Class of Work: FIRE-HOOD SUPPRESSION SYS
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5626 20TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0020-00400-0110
1,500.00
11/29/2007
130.00
130.00
11/29/2007 Phone:
INSTALLATION FIRE SUPPRESSION SYSTEM
Name: OUR SAVIOUR LUTHERN CHURCH
Address: 5626 20TH ST
ZEPHYRHILLS, FL. 33542
813782-1369
FIRE INSPECTION FEES
Q'YV\~d) FKt3
( '2- (r3/o(
~
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 ATIORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
~L~('~
ON TOR SIGNATURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief
Keith Williams
Bus (813) 780-0041
Fax (813) 780-0044
November 15, 2007
I have reviewed and approved the plans for a commercial hood suppression system
located at 5626 20th St. I have attached the comments for the plan approvaL If there are
any questions please contact my office at 813-780-0041.
1. Class K extinguisher required on site.
2. Provide all specs and detail sheets on system at system final.
3. If building has a fire alarm, system shall be tied in.
Inspections Required
1. Acceptance test.
~io\l, 16, 2007 7: 50AM
Fire Chief Keith Wiliams
No. 0060
p, 1
ZEPHYRHILLS FIRE DEPT
Zt:~HYKHILLS FIRE DEPARTMENT
6907 Dairy Road. Zephyrhills, Fl 33542
Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.:
PlIIn No.: (j 7 - ~ f) 7
Business Name:. J t4L v,...... 'c0A. (u>f1l...kt,io./
Business Address: J-y,;J (,:/ t#}(5 5~
Business Phone No.:
Business Fax No.:
Contact
SPRINICI.ER SYS1EM8
B 0.25 H.... $SO
26 pIuB HeedI S1CO
STMIJPIIE SYSTEM
o PM' RI8er $SO
FIRe PUMP
o Per Pump $100
FIRE A1JlIUI SYSTEM
8 0 - 25 Devicela $SO FlU! MAIUII SYSTEM
.2Spluatwo. $100 -8 SplemAccepb.la S50
SUPPRESSION SYSTEMS R... Aa:;eJIbaa ISO
Wet ED 01IEft
DIY ISO ~ F"_ w.MImDlIiI w"
02 S60 LP Ga
0Itwr ~.._ NIdInI Gal;
KlTctIeN EXHAbS'T
HoadIDIJCb; $SO ~T" 1D)r'1lJ' .. ......
OllER Fire PYnp
BLP..........,.,.... $50 Fb S~"""I
Fuel T1I/ll( ~......., $SO B SySwri AcoIpIBnce
(Per Tank) $50 EllbIuIt ~ S30
o NIIIInI <*....... $SO Rh....... DBL
(Per System) (o8lerlhln annUBI)
o SP/1IY 800Ih $SO 0 Inspdan schlaIled DBL
_ CIIICeIIId _tr.n
24 hlxn
-B CanIIInIc:IIan !nip. N1C
__ rM emeslJlllq-VehlcleAc:a S50 _
PLANS TOT~ INSPECTION TOTAL[3ff
PLAN REVIEW FEES
B Slle Plan NfC
MuIl-~__ .08 If
(Mrdnun CITaI1Ie S2S.00
o PIIn RMians DBL
Cclrnmentro:
IIlISPECTION FEES
~AnnuBI NIC
1. Re-l1lIpIldian NfC
2nd RlHMpec.tiun $100
3rd~ S250
4ft Re-InIpedIon S500
(~CIDUd until
vIoIIIIigns ~)
SPRNCl.ER SYSTEMS
~ Hydro UndeI;rounds $45
Hydro&tIIk; Test S65 "'.,...m
Accept;._ T eel $4S ..........
HydI1llll Flaw $75
$'5 ,......
$45
$30
GRAND ToTAL
COntractor:
Billing Address: g-
BiWng Phone No.:
Billing Fax No.:
Contact: -=Ui l' ? CL.vry
P!RIIIT FEE FALSE AlARM FEE
~ S5D ,. AIIrm NIC
SIImdpIpea $SO 2nd AIIIrm we
Fire Pump $GO 3rd AllIIn NIC
Hooda sm 4th AIann $100
Fn A/arm $SO 5Ih AIIIml $150
LP GIS S60 <<h AI8rm $200
NlIbnl GaB $50 NON~ $150
F!.*T..... ...._ $SO
~ S100
FQ WorIo s=iOO
.. c.np Fire $2S
~ Bum $100
IfDcldIDuDt $60
PIiloe rI Assembly $50 ~
Fila PIdecIian $2S
s:!O 1\1IoI....
S50 ",,"all
$100
150
$100 ~
$SO
S5D
$100 II......
B
lit.
. ......4 --- FALSE ALARM
PERMITTOTAL~ TOTALc=J
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Date:
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax~13-780-0021
).
-- d =--.......~
Owner"s Name I/p, 9,J..(/.tJZ klf.c ' C keu'i 0wMr Phone Number
Owner"s Add... I j If:> 20 2..0 ,11 S:::../12t=:.-'""7:= ~ I Owner Phone Number I
Fee Simple TItleholder Name I I Owner Phone N.....-I
~1(HI
JOB ADDRESS
Fee Simple TItleholder Addreu I
15c;~
1
zo'"
S{'CEPlly,z}{/LL~ FL. LOU I
PARCELID#I/< Z,", z.J oozo ()O~OO 0/16
(OBTAINED FROM PROPERTY TAX NOnce)
SIGN D MOVE D
PROPOSED USE
TYPE OF CONSTRUCTlON
E3
o
o
l2::::Nsr~LL. ;::J/2...e <:"<:;.:J"?p~-;c SirlN
I SQ FOOTAGE I
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
ADD/AL T
REPAIR
COMM
FRAME
o
o
o
DEMOLISH
SUBDIVISION
WORK PROPOSED
OTHER I
STEel D
OTHER I
BUILDING SIZE
-9 ~,.. c=,...-,
HEIGHT I
DESCRIPTION OF WORK
D BUilDING 1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS 0 ROOFING D
FINISHED FLOOR ElEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.RE.C.
VALUATION OF MECHANiCAl INSTALLATION
SPEC~TY 0 OTHER
flOOD ZONE AREA DYES DNO
BUILDER
SIGNATURE
COMPANY
REGISTERED UL!:U FEE CURRENT I Y/N I
license #
COMPANY
REGISTERED UL!:U FEE CURRENT I Y/N I
license #
COMPANY
REGISTERED UL!:U FEE CURRENT I Y/N I
license #
COMPANY
REGISTERED UL!:U FEE CURRENT I Y/N I
license # I
COMPANY ~eo'1n;y hlz"'" C:f9O/~i
REGISTERED Y I N FEE CURRENT Y I N
license # 15""& '> TZlXlOGZD 0 J
,
Address
ELECTRICIAN
SIGNATURE
Addreu
PLUMBER
SIGNATURE
Addreu
MECHANICAL
SIGNATURE
Address
O~ER ~ ~
SIGNATURE c::.-. / ~
Addreu i
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) wor1<ing days after submittal date. Required onsne, Construction Plans, Sanitary Facilnies & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) wor1<ing days after Slbmittal date. Required onsile, Construction Plans, Sanitary Facilnies & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
DInlc:tions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice flit C_t is nlqUlnKl. (AIC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone wnh notarized letter from owner authorizing same
OVER ~E COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PIotIS~/F"",-)
Drlveways-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 worX, 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 worX, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthennore, 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 pennilting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILmES 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 pennit issuance. Furthennore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to pennit 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-Homeowners
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 infonnation 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 pennit to do worX and installation as indicated. I certify that no wOrX or installation has
commenced prior to issuance of a pennit and that all wOrX 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 govemment 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, WaterlWastewater 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 of fill is not allowed in Flood Zone "V" unless expressly pennilted.
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 pennitting 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 pennitted 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 pennit issued under the attached pennit 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 pennitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate pennit may be required for electrical wOrX,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
pennit issued shall be construed to be a license to proceed with the wOrX 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 pennit issued shall become invalid
unless the wOrX authorized by such pennit is commenced within six months of pennit issuance, or if wOrX authorized by
the pennit is suspended or abandoned for a period of six (6) months after the time the wOrX 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. IfworX 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) A
OWNERORAGENT ~c ~~
Subscribed and ~ (or affinn re me this
II-~
\Mlo' are. per IIy known to me or has/have produced
I~ as identiflC8tion.
Notary Public
C . . ,'l'it... commission r 1~O
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N~t~~:"':::;~-
......~ a'F" F'-*'>.... Bonded Thru Troy Fain Insura!1Ce 800-385-7019
Name of Notary typed, ;;;;~ or stamped