HomeMy WebLinkAbout08-7457
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FIRE ALARM SYSTEM PERMIT
ellY C
7457
Permit Number: 7457
Perm'it Type: FIRE ALARM SYSTEM
Class of Work: FIRE ALARM SYSTEM
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 7050 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-10500-0000
200.00
2/05/2008
200.00
200.00
2/05/2008
INSTALLATION FIRE ALARM SYSTEM
FL HOSPITAL ZEPHYRH LLS
7050 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
FIRE ALARM
1
50.00
b' ~ :w..o-& fpu.\ tr..c0
<9-1/4. (0<6 ~ t<. Nd"
~
EP A mal
FIRE ELEVATOR RECALL
FIRE DEPT. 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."
j,l<: ~ n ..d ~. &-..
CONTRA~ SIGN ~ 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
City of Zephyrhills Fire ~ 1451
Permit \A.pplication
I
I Phone Contact for Permit
813-780-0020
Date Received
Fax-813-780-0021
--Owner's Name
I' -:::fDHN' kvl/&
I '-f82-~r / iff);; Ih/ Sv,j~ (Z
I
I
I Owner's Phone Number II II
iU~1Z R1
I Titleholder Phone Number II II
, Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
-job Address
7t>.5?J G.".-/ ( i3 Wl:>
I Lot#
2Cf>H~.jf, lis Fft-
I I
. Parcel #
Sub Division
lUt:l1 AINt:U I-KUM I-'KUI-'t:K I Y I AX NU 11l,;t:)
D Bio-Hazard Waste Storage - ANNUAL
D Comm Exhaust Kitchen Hood/Duct
D Controlled Bum
D Emergency Generator < 30 kw
D Emergency Generator> 30 kw
D Fire Protection Maintenance - ANNUAL
Sprinkler
'0
o
o
o
o
o
o
o
o
o
,0
o
Recreational Bum
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Places of Assembly-ANNUAL
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch Roofing
Waste Tire Storage ANNUAL
Fire Alarm
o
o
o
~.~OOd Clean/Suppression
~ Fire Alarm Installation
D Fire Pumps
D Fire Works
D Flammable Application- ANNUAL
D Fuel Tanks
D
Zoo. (j'l)
Valuation of Project
Other:
Contractor Company
Signature Registered
Address i'2 License #
ELECTRICIANI I Company
Signature Registered
Address I I License #
PLUMBER Company
Signature Registered
Address I License #
MECHANICALI Company
Signature Registered
Address I License #
OTHER Company
Signature Registered
Address License #
Directions:
I Q'~~u~ent~
I G.cCJOOO~81o I
I Y I N I Fee Current Y I N I
I I
I Y IN
Fee Current
Y/N
Y/N
Y I N Fee Current
Y I N I Fee Current
Y/N
Fill out application completely. I
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 atter submittal date.
,
I
I
NOTICE OF DEED RESTRICTIONS: The undersigned under~tands 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. I
UNLICENSED CONTRACTORS AND CONTRACTOR RE~PONSIBILlTIES: If the owner has hired 'a contractor or
contractors to undertake work, they may be required to be Iic~nsed 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 unc;ertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County ~uilding Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor orl contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for whic~ they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly hcensed and is not entitled to permitting privileges in Pasco
County. . ,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute~, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a cqpy 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~he above described document and promise in good faith to
deliver it to the "owner" prior to commencement. i
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 obta~in 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 constructiion, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
i government agencies may apply to the intended ~ork, and that it is my responsibility to identify what actions I
must take to be in compliance. I
If I am the AGENT FOR THE OWNER, I promise in good faitrn to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand I that a separate permit may be required for electrical work,
plumbing, ~igns, wells, pools, air conditioning, gas, or other I 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) ~onths 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 job is considered abandoned.
I
WARNING1TO OWNER: YOUR FAILURE TO RECORD Ai NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
I
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117
Notary Public
CONTRACTOR
Subscribed and sworn to (or a
(-2$-08, by
Who is/are personally known to me 0 has/have produced
! L'-(LA.~ as identification.
I
I
com~issio '
I
,
,
OWNER OR AGENT
Subscribed and sworn to
i -2'0 -O'C by (
Who ii?/a. ~e. personally known to
L.C~~
Notary Public
Name of Notary
I
Fire Chief Keith Williams
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
~~s (813)78_0-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: ~
Business Name: r?t'/trIJA- . '/ '
Business Address: -"""}P
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
B Site Plan N1C
Mulli-Family/Commercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBL
INSPECTION FEES
N1C
NlC
$100
$250
$500
$100
Annual
1 st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75
per sysIem
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
ARE PUMP
o Per Pump
FIRE ALARM SYSTEM
!:k~ 25 Devices ~ ARE ALARM SYSTEM
~ plus Devices ~ System Acceptance @'
~su:sysreM:: ~ ::=:, :__
C02 $50 LP Gas $25 perlank
Other $50 Natural Gas $25 per sysIem
KITCHEN EXHAUST
o HoodIDucts
OTHER
B LP IlI5lallation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas Installation
(Per System)
o Spray Booth
Comments:
per sysIem
$50
$50
$50
$50
$15
$45
$30
perlBnt
Contractor: {Jfl r;
Billing Address: ~ tfr;- JL!$l>'!h ./IV,
Billing Phone No.: ~/talf~'~n
Billing Fax No.: '
Contact:
PERMIT FEE
$50
$50
$50
~
Sprinkler
Standpipes
Fire Pump
Hoods
Fire Alarm
LP Gas
Natural Gas
F~ Tanks- perlank
Sparklers
FireWorks
Camp Fire
Controlled Bum
Hood/Duct
Place of Assembly
Fire Protection
Flammable Application
Waste Tire Storage
Generator < KVV
Generator >30 KVV
Bio-Hazard Waste
Fumigation Tenting
Torch Pot/Applied
Haz. Materials
B
FALSE ALARM FEE
1st Alarm NlC
2nd Alarm NIC
3rd Alarm NIC
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPUANCE $150
$50
$50
$100
$500
$25
$100
$50
$50 Annual
.$25_
$50 Annual
$50 Annual
$100
150
$100 Annual
$50
$50
$100 Annual
PERMITTOTAL~
J
ZaY-
FALSE ALARM
TOTAL I
$50 ~ Tent 1 0'x1 0' or gRIIIter
Fire Pump
Fire Suppression
System AccepIance
8 Exhaust Hood/Duct $30
Re-inspection DBL
(other than annual)
$50 0 Inspection scheduled DBL
and cancelled less than
24 hours
B Construction Insp. NlC
rtNt: Emergency Vehicle Ao $50 ,/
PLANS TOTAL ~ INSPECTION TOTAl. [:9
GRAND TOTAL
Date: d- Llos
InS!lllclor. _~ (I Ea,t-lJ+-- FfI.\
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
February 1,2008
I have reviewed and approved the plans for a fire suppression system located at 7050 Gall
Blvd. for Florida Hospital. I have attached the comments for the plan approval. If there
are any questions please contact my office at 813-780-0041.
1. All applicable NFP A codes and standards, latest edition, shall be used with
this project.
2. Ensure proper seal is used on fIrewall penetrations.
Inspections Required
1. Copy of pressure test on piping shall be given to Fire Marshal at time of
acceptance test.
2. Acceptance test