HomeMy WebLinkAbout08-7308
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FIRE SPRINKLER SYSTEM PERMIT
7308
Permit Number: 7308
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:
Address: 7306 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-08800-0000
600.00
Name: TOWNVIEW RETAIL LLC
Address: 725 CONSHOHOCKEN STATE RD
BALA CYNWYD, PA 190042102
210.00
210.00
12/17/2007 Phone:
INSTALLATION OF FIRE SPRINKLER SYSTEM
110,00
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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."
~~
-CONT C R IGNATURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020
Date Received
Owner's Name
Owner's Address
City of.Zephyrhills Fire
. Permit Application
Phone Contact for Permit
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Fee Simple Titleholder Name
Owners Phone Number
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I Titleholder Phone Number I
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Fax-813-780-0021
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Fee Simple TItleholder Address
Job Address
Sub Division
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Contractor
Signature
Address I
ELECTRICIAN
Signature I
Address I
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PLUMBER
Signature .
Address I
MECHANICALI
Signature .
Address I
Bf-" 0
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,Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoocllDuct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler 0
Fire Alarm 0
Hood Clean/Suppression 0
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Applicatlon- ANNUAL
Fuel Tanks
Other:
.1 Lot#
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Parcel #
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o Fumigation Tent
o Hazardous Material (TIer 11 or RQ Facility) ANNUAL
o Hood Installation
o LP/Natural Gas-Installation
o LP/Natural Gas-ANNUAL Sale
o Places of Assembly-ANNUAL
o Recreational Bum
o Sparklers
r:;aJ Sprinkler System InstallatiDns
o Standpipes (Sprinkler Sys)
o Torch Roofing
o Wast~ Tire Storage ANNUAL
11" CnOO. () lJ '.1. Valuation of Project
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OTHER
Signature
Address
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Directions:
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Y I N I . Fee Current , VI NI
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Y I N I Fee Current I Y I NI
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Y i N I Fee Current I Y I N I
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Y / NI FeeCufT:Bllt I Y / N I
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Company
Registered
License # 'I
Company I
Registered
License # I
Company '.1
Registered '.
License # I
Company I
Registered
LIcense # I
Company
Registered
License #
Fill out application completely. ' ~ :z
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,
DEC/01/2007/FRI 02:02 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
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'NOTICE OF'OEEDi'RESTRICTIONS: -Tne-unaersI9~ed uqderstands that this'permlt may be subjectto:~deed'restrlctlons.
'Which 'may' be mor~ 'restrictlve:than:Cou htv:,!"egulations. Theunderslgi1edassumesresponsibilltyior'9omPliance "with :any
'applicable deed restrictions. . . . . " ; .- . ,
, UtIIUCENS,ED 'CO:NTRACTORS ,AND 'CONTRAcTOR 'RESPONSIBILITIES: If .the owner has :hlred :a'-contractor .or
contractors to undE;irtake work, they-may 'be ,required to be licensed in accordance with state and'loccil u:gulatlons. if th6
contracto'r'is not 11gensedas required ,by law, ,both the ,owner .and contractor'may be cited -for a mIsdemeanor violation
under state law. ~ the 'owner or intend~d contractor'are uncertain as to what licensing requirement~ may applyfodhe' ,
.intended work, \he~ are advised to .contact the Pa~co County Building Inspection Divislon:-:Ucensing ,Section at 127-847-
8009. Furthermore, If the owner 'has hired a contractor or contractors, he is advised .to have ,th~ contractor(s) sign
portions' of ithe "co~tractor Block"'of"thisapplication 'for which~hey w:iIIl?e responsJble. If you , as 'th~ 'owner ,sign as the
contractor'lthatmay be an indlcationt~at he is 'notproperly licensed and is not entitled to per!llittingi;pi'iVilege~, in Pasc9
County.; , ,
,CONSTRU~TION''-IEN'LAW (Chapter 713,:Florida.Statutes, as amended): If vaiuation ofworkj~, '2,500.00 or more, I
certify that: I; the, ;appllcant, h,avebeen provided with a copy of the "Florida Constructlon'Uen'Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agrlculwre and Consumer Affairs. If the applicant is'someone
, otherthan'the'.owner", I certifythaU have obtained aoOpy of the above described document and promise' in good ,faith to
, deliver it to',the .owrer" prior to commencement." ." . ' " :
!'CONT~CTOR',S/OWNER'S AFFIDAVIT: "I certify that all the information in thls'applic~tlon is accurate and
i that all work will be done. In compliance with all applicable, laws tegul~tlngconstructlon" zoning and land
i development. Application Is hereby made to obtain a permit 10 do work and Installation as indicated. I certify
that 'no work or installatlon'has commenced prior to issuance of a permit and that" all work!will be performeq to
, meet ~tandards of all laws regulating construction, County and City codes, zoning regulations, and I.and
: development regulations in the Jurisdiction. I also certify, that I understand that the, reguiatlons of other
!,goyerriment agenc(es may apply to the intended work, and that. It is,my responsibility to Iqentify what actions I
must t~ke to be in compliance. '" . .' "
If I am t~e ~GENTi FOR THE OWNER, I, promIse in good faith to Inform the owner ,of the permittIng conditions set forth In
, ' this affidaV\tprior to commencing construction. I understand that a separate permit may be re,quire? ~or electrical work,
. plumbing, signs, wells, pools, air cqnditioning, gas, or other installations not specifically included' iry the applicatipn. A
p'ermit issued shall: be construed to be a license to proceed with the work 'and not as authority' to viotate, cancel, alter, or
set aside sPy provisions of .the technical codes, n'or shall Issuance of a permit prevent the Building Official from thereafter
requiring a f,c orractipn of 'errors in, Pia" n,s, constructi, 0" n, or,violations of any COd, es. E, very P, ermlt, issued sh~1I become Invalid
unless the )Nork authorized by such permIt is commenced within six months of permit issuance, or if work authorized by.
the permit i~ susp~ndad 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 Offici,al 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 job Is conside~ed abandoned.
'WARNING!TO O~NER:. . YOUR fAILUR~ TO R,J;:CORDA NpTICE OF COMMENCEMENT MAYI ~ESUL T IN YOUR
PAYI~G TWICE FPRIMPROVEMENTS TO Y04R PROPERTY.' IFYOUINTEND TO OeTAIN FIN~N:CING, CONSULT
WITHY UR LEN' ER OR N ATf RNEY B FORE ECORDING Y UR.NO ICE OF COMMENC ENT.
FLORIDA JURAT (F.5.:117.03)
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OWNER OR AGENT
Subscribed and swom to (or affirm ad) before me this
by,
Who Is/are personally known tome or has/have produced
'I ," as Identification.
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CONTRACTOR
Subscribed and 5W
, by
Who Is/are personally known to me or haslhave produc\'!d .
, as ldentificatl~n.
. Notary Public
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Name of Notary typed, pl1n,ted or 9l!imp " ,if Expires: Apr 30 2009
. . /';1o;Fi.~~" BOndeanmt .
'" "", ,AtIantic;Bonding Co., Inc.
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Commission No.
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
December 13,2007
I have reviewed and approved the plans for a sprinkler system addition located at 7306
Gall Blvd. I have attached the comments for the plan approval. If there are any questions
please contact my office at 813-780-0041.
1. Installation/modification shall compliant with the Florida Fire Prevention
Code and NFP A 13, 2007 Edition.
2, Sprinkler system shall be recertified once complete.
3. Sprinkler heads shall not be obstructed and shall be a minimum 6" from walls.
4. FDC shall be placarded so it is easily located in darkness.
Inspections Required
1. System shall be isolated and pressure tested at normal operating pressure.
2. Acceptance Test!Final. (may be done in conjunction with fire alarm final)
ZEPHYRH ILLS FIRE DEP1 No.0060 P. 1
Zt:t'HYKHILLSFIRE DEPARTMENT
6907 Dairy Road. ZephyrttiHs, Fl 33542
Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Nov. 16. 2007 7: 50AM
Fire'Chlef Keith WiUiams
Occupancy No.:
PllIII No.: S- 5-
Business Name: . l '~~J.c.J..\-
Business Address: "'7~ c::i..:. ~ t
Business Phone No.:
Business Fax No.:
Contact
PLAN REVIEW FEES
B $Ie PIlU\ Nle
MuIIi-~__ .015 ar
(LInJnun Chqe 125.00
o PIIn ReMsians DBL
INSPECTION FEES
~::nIplldion ~
:bid RMwIpectiJn $100
3rd RHIIpedian S2SO
4ft Re-1I1S1*::t1on $1500
SPRINICI.ER.w (~CIClI8d unIiI
l'to- 25 HMlb vlclIIdians~)
028 pIaa H.... ~ SYSTEMS
STMDPIPE SYSTEM ~HydIv UncIergnJunds $45
o Per RI8er $60 H~ Test !. ,..,.,.....
FIRe PUMP Accepti..... Test ....1IlIIMI
o Per Pump $100 Hythnt Flaw
FWlEALMM SY5~M
B Q - 25 Device$ S50
26 pIur. DeviDI& $100
~SSION SVSlEMS
8:2 ::
BOhr S50
IOTctI91OOtAl15'T
o HoadIDuc:t5
O'IIER
8LP .........u. per'"
Fuel Tar*. 1....16..1
(Per T anIc.)
o N..w G.-......
(Per System)
o Spmy BooIh
FIRE AlARM ~
B SyII8m~- 150
R... AccepIIIncI $50
O'JHIR
~ F'"Q WIII/llmDla WlIIII
LPG.-
NIduraI Gu
$1 IS .......
$25 ,..,...
$25 1lII'''''''
$SO ~ TIIIll1O)nD' ,......
Fire Pump
$50 FIre s......-..a.n
SI50 s,-m A.cclIpBICe
: B~~ :
(aIler lhIJI8nhU8I)
$50 0 Inspdon lIClhIdJIed DBl
.w.I cancelIId... bn
24 hoIn
8 CanIItnlcIlan \nip. NlC
~ EIIleI..q VetlIceAD ~
PlANS TOTAL~ INSPECTION TDTAL4-\U
$'5 ......
$45
$30
GRAND ToTAL
0Grnments:
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ContnlCtOr: ;'VI
B_~_~~ rZt.~]; g37?2-
Billing Phone No.: -'l2-/-<)7-~-- /$~
Biling Fax No.:
Contad.:
B
FALSE ALARM FI!E
,. AIIIm NIC
2nd AIann NIC
3rd AIInn NIC
4lh AIInn $100
SIh AIlInn $150
8Ih AIII1II $200
NON~ $150
S60
I5D
$SO
ISO
$50
$50
$100
S50D
$25
5100
$60
$S) ~
S25
$SO __
S50 MtIHI
$100
150
$100 ~
$SO
S50
.,00 ~
PERIIIT1'OTAL@
~
FALSEALARII
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Date:
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