HomeMy WebLinkAbout08-7271
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FIRE SPRINKLER SYSTEM PERMIT
7271
Permit Number: 7271
Permit Type: FIRE SPRINKLER SYSTEM
Class of Work: FIRE-SPRINKLER SYS
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
'Name: K-MART
Address: 7422 GALL BLVD
ZEPHYRHILLS, FL. 33542
10,800.00
12/10/2007
150.00
150.00
12/10/2007 Phone:
REPLACE FIRE ALARM PANEL & ADD 3 PULL STATIONS
Address: 7422 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
,Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-2t-0010-07200-0011
FIRE PLAN REVIEW FEES
Q.o~ j?~ ~ \<:6 \
2,/ \:~,Io'?:. (d-/eer) c'6'~
~
FI -
FIRE ACCEPTANCE Final
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."
...2~ Yh. ;<JLU
CONTRACTOR SI~NATURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTlON
CALL FOR INSPECTlON - 8 HOURS NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
STATE OF FLORIDA
COUNTY OF PA.SCO
THIS IS TO CERTIFY TflA T THE FOREGOING IS A
TRUE AND CORRECT ropy or THE DOCUMENT ON FILE
DR OF PUBLIC RW.r.,: lHl!: OFFICE WITNESS MY
~D AND OFFICIA,',' '41S '1 ~ DAY OF
'Jk..~'l 2 O!?:)
JE~ERK O~!/ICUIT.coURT
BY '\.L ~ DEPUTY CLERK
1111I11111111111111I11111I1111111111111111111111111111111111
2007199654
Rcpt: 1146709
OS: 0. 00
12/07/07
Rec: 10.00
IT: 0.00
Dpty Clerk
NOTICE OF COMMENCEMENT
JEO PITTMAN~ PASCO COUNTY CLERK
12/07/07 0:::1 : 35am 1 of 1
OR BK 7708 PG 96
Permit No,
Property Identification No3t.f.;) 5, ~ I . 0 I bO .DCOOO. {)D , 0
y
~
TIIE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713,13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT,
~-M~ ,. ~~ f5iO ~~3Loi T{VJH-LAw.''i-k..
1.Description ofproperty (legalda~twn:) 0 r' r. (j'"""<. s~EA.svy>.Q".;:r
2Ckn~;~~';~~'}."l, ',._. -~'~~~~~~}4~:::Y
d~ I' I r. p g
3. Owner Information 2 l ~ll- P , , ' , II if, A J ~ 3l./ bOb
a) Name and address: 1\.1 \.5' LL 3 eLV n ~ ~ / rl. '
b) Name and address offee im titleholder (if other than owner) A- .u
c) Ioterest in property ~Y'
4.Contractor Information~ ' (
a) Name and address:.... " ,
b) T.,..oo. No ~ "~~~: :~~'"
5.Surety Information .'
a) Name and address: , .
b) Amount of Bond: J
c) Telephone No.: ,
6.Lender
aH./ame and address:
"7~1 C.K h./~r /3/vcl.
Fax No. (Opt)
--- -
/a......../?c< ~ '/33'/ <.:>
y 8".
Fax No. (Opt.)
. "-A=
f'J f Phone No.
7, Identity of person within the State ofFl 'da designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No,: Fax No. (Opt)
8.10 addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(I)(b), Florida Statutes: ~
a) Name and address: I. ,
b) Telephone No.: I Fax No. (Opt)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFfER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING lWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATIORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
~~.rtn~~mmger
,~O .8t/C~,-,--
Print Name
m;J;Ii~kg ~s'Sua,.feJikn:wledg~;:;;~s 3MJJday of (
in fact) for I<:'~ 3, "'-/ (name of party on behalf of who
Personally Known OR Produced Identification I' Notary Signature
FL- - -
Type ofIdentification Produced tL -/J L- Name (print)
~:L 42 2f/4&.t)(p 5 tJ
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpetjury, I d
the facts stated in it are lroe to the best of my knowledge and belief.
FORMS.4'IiOC,rvsd2007
~"... '"
~,~" ",- HEN/fA 8, IMPERATO
: Nota.,. PUDIIC - Slale of FIG .
.: My C"",-,---, rlda
I -....n..'OIl Expires Jan ~ 20
read ~..~i.::'" 11
80ndId ~-----VU"'676667
Through National NOlaty Assn.
813-780-0020
C:ity ot Lepnyrnllfs ~ermlt AppllCa1l0n
Building Department
, r-C1J\-O Iv-fOV-VV'<:,1
Date Received
Owner Phone Number
wner Phone Number I
Fl 34-ItJO,=, I
Owner Phone Number
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address ~1 A
JOB ADDRESS
14--~ A
I
Cl/lt 6 Gsm
PARCELlD# 34--~5. ~I-D/(ol} 00000, DOlO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
o...tt ~l vel ,
I
D NEW CONSTR cstJ ADD/All D
D INSTALL !Z:SI REPAIR
PROPOSED USE D SFR D COMM D OTHER
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I, ,
DESCRIPTION OF WORK ~ fW a.Q4/Lkr. F '/ cul..d- 3 ~ .fl::hch'(}Yt..Il/
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I ' "I
11111; IIII'~~I~~:~~III"I'III~ I"'I"III'II'I'IIII"'I"'IIIIII~~~~'~~;~'~'~~I~~~~~'~~~~~~~~~I~~I"IIII"I"'I' 1111111111111111111111111,11
o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W,R,E,C,
t-.JDC.
D PLUMBING 1$ I
o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION M
o GAS D ROOFING D SPECiAlTY M OTHER Fi~~OO.OO
FINISHED FLOOR ELEVATIONS I I FLOOD ZON~A DYES DNO
SUBDIVISION
WORK PROPOSED
BUILDER
SIGNATUR~
FIRE/""
Address
License #
IEFOOot~11
COMPANY
REGISTERED
Y IN
FEE CURRENT
Y/N
I
I
I
I
I
I
I
I
I
ELECTRICIAN
SIGNATURE
Address
License #
/JIlt-
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address I
MECHANICAL
SIGNATURE ,
Address I
OTHER I
SIGNATURE
Address I I License #
II J 1I1111111 J III filii 11111 II III 11111 11111 1I111 1111I 11111 11111 11111 III I J I111111111111111I11 J 11111I111111111111111I1111111111111111111111111I111111I
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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary Facllltles & 1 dumpster; Site Work Permit for subdlvislonsllarge 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.
,....,.........\...".............................,.......,.....,................................................,....,."....................."1
Directions: ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $25()0, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Senflce Upgrades AlC
Y/N
FEE CURRENT
Y/N
~/A-
License #
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
tJ/;r
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
COMMERCIAL,
SIGN PERMIT
Fences (Plot/SurveY/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
J
NOTICE OF DEEP 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.
UNlICENS~D 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'SfOWNER'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, 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 offill is not allowed in Flood Zone "Y" 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 bye,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
maybe 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, th~ob 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
W TH Y UR LENDER OR AN ATTORNEY BEFO E R RDING YO R NOTIC F M CEMENT.
FLORIDA JURAT (F.S, 117.03) ~" A ,_ "-
OWNER OR AGENT, CONTRACTOR Y V~
Subscribed and swom to (or affirmed) before me this Subscribed and s " 0 (or affirmed) bf e e .~~~,
by ;l1 tJiN ~ by , ,o:JtLXj'n
Who Is/are personally known to me or haslhave produced Who Is/are (ElrsonaUy kno~ me or has/have produced
as Identification, . as Identification.
Notary Public
Notary Public
OF FLORIDA
CommissiOn No.
Name of Notary typed, printed or stamped
ZEPHYRH ILLS FIRE DEPT No. DD60 P. 1
Z~t'HYKHILLS FIRE DEPARTMENT
6907 Dairy Road. ZephyrhiHs, Fl 33542
Bus (813)780-0041 Fax (813)780-0044
Nov, 16, 2007 7:50AM
Fire Chief Keith WiUiams
Occupanc;y No.: .
Plan No.: D7 - Ji K
. . ~' ~-
BUSIness Name: _ In
Business Address: . 79- 'L ~ .,
Business Phone No.:
Business Fax No.:
Contad:
FIRE SERVICE USER FEES
COntnlctor: ~ i~ Lue ~, M d\ .
BllllngAdd~: 61U:J?,J ~~.f;.':;t 5/14)
Billing Phone'No.: I
Billing Fax No.:
Contact:
=
PLAN REVIEW FEES
B SIIe PIIU' NfC
MuIli-~ .00af
(UInInun Charge 123.00
o PIIn RevIsians DBL
~~~
3rd R~ S250
-4lh Re-lnspeclIon S500
SPRI\IICI.& SYSTEMS (1IuIln.a cIoMd UIG
B 0 - 25 HMds $SO v1a1lllions ClIINCtecI)
26 pIIa ... $100 SPRNcI.ER SYSlEMS
STMDPIPE SYSTEM
D P. RI8er $60 H~ Test S65 _..'"
__ B:-...::- :__
o Per PUft1) $100 B ~ FIcIW $75
~ALMM SYSTEM
~:;:.':. ~~.:=~
~:SSIONSYSTEUS:: ~~.=:. :__
C02 $SO LP GIlS IiZ5 __nIr
011.- 150 NIIlInI Gal; $25 1*"""
KlTCtt8W EXHAUST
DHoadIDlICt5
O'I'IER
B ua........,..,....
FlIIII T... ~ llltaII6.n
(Per Tant.)
0--<-........
(Per System)
o SID'f Boolh
$SO ~ TMl10'.1r1lJ""....
Fire Pwnp
$50 Fn ~
$60 System ~1Ce
$50 B ElIbIuGt ~ S30
$SO RH Itpedian DBl
(oIher 111M .nU81)
$50 0 I~ sctI8duIecI OBL
.wi CMceIIId .. a.n
24 hours
B CamIIructIan Insp. NIC
EIIleIgInC:J VthIcIe Ao $50
PLANS TOTAL~ INSPEC1'1ON lOTAL-grr-
"s .....
$45
$30
GRAND TOTAL
CcImmenIs:
P!RIIrT FEE
SpIWdw $50
S18ndp1pes $50
Fire Pump S60
HOOda 1m
FnAlamt ~
LP '* 'taL
NII1nl ~ $50
F~ T.... .... $50
~ 5100
FQ Warb S5lO
c.np Fire S25
CarIJahd Bum $100
HaodIDuat $SO
PIioe of AaembIy $50 MI_
FA Prdection $25
FIIIrmaaIIla ~ S50 AMt6lII
lite Tlnt SIGnIua $50 """ull
GInenIt.ar < KW $100
GInIrator >30 KW 150
BiG-HIanl w.- 5100 """"""
FumiullliDn TenIIng S50
TOJCh ~AA*d $50
Haz. MIt8rtIIs 1100 A-.I
FALSE AlARM FEE
1. AIInn NIC
2nd Alarm NfC
3nI AllIIn NIC
4lh AlIrm $100
5Ih AIInrI $150
6Ih AIlml $200
NON COMPIJ"IU $150
B
PERMIT TOTAL.~
FALSEALMM
TOTM.c=J
I (~- J
Date:
ln5JFlor.
J2-13{fL
ltul/I; 4..r.vell ~~
(
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
F ire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
December 3, 2007
I have reviewed and approved the plans for additional fire alarm devices located at 7422
Gall Blvd (K-Mart). I have attached the comments for the plan approval. If there are any
questions please contact my office at 813-780-0041.
1. Duct detectors shall sound an audible alarm instead of a supervisory alarm.
2. Knox box shall be functional once alarm is complete. Occupant may want to
tie alarm to it.
Inspections Required
1. Acceptance test of new devices.