HomeMy WebLinkAbout08-7489
'j'-h'.fti::--'!"--':;
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square "Feet:
Est. Value:
Improv.Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020 7489
'FIRE SPRINKLER SYSTEM PERMIT
-.1IT.. '
7489 Address: 7050 GALL BLVD
FIRE SPRINKLER SYSTEM ZEPHYRHILLS,FL.
FIRE-SPRINKLER SYS Township: Range: Book:
NOT APPLICABLE Lot(s): 'Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-10500-0000
8,666.00
2/13/2008
260.00
260.00
2/13/2008 Phone:
ADD/RELOCATE 38 SPRINKLER HEADS
FIRE PERMIT FEES
~ 0cJ.u:SL {\~-tuY
.:+.-1,.../0 'b
~ \~.~~
\CSU--
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 $100,00, whichever is greater, All
work shall be performed in accordance with City Codes and Ordinances,
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
1&Jt1Av--- (h~
CONTRACTOR SIG URE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813,780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Dat~ Received
PI()..G(.
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
url1 ~ ~
~f1. -'nn CxS!/'
I
I
I
I LOU I ~ I
JOSOl> CIJ 00 I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
I t-050 Ct4A I eo,-\If"Vo...( 0..
I ~~~(~jlls CDlolta~ PARCEL 10#1 :ss 25 ~, 0010
(OBTA'NEO FROryROPERTY TAX NOTICE)
D NEWCONSTR D ADDIALT D SIGN [Z] MOVE D DEMOLISH
D INSTALL D REPAIR
PROPOSED USE D SFR 0 COMM [5' OTHER ~.$O"tQ.,
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL M OTHER I 'F.-t'< o(l""4\l(\"{
:::,::~:::o,wo.. I AM( :-,~~E4 ~~(, ~~"tr""IL~ 1~ 0
- - ~.,h_ a" -"'"" -
U\)~~c:..~
C~
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
BUILDING
D
D
D
D
D
1$ 'if, olk.~
1$
1$
1$
D
FINISHED FLOOR ELEVATIONS I
VALUATION OF TOTAL CONSTRUCTION
GAS
ROOFING
I
1
I
I
o
I
AMP SERVICE
D
PROGRESS Et~ERGY
D
WREC
ELECTRICAL
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY ~ OTHER
FLOOD ZONE AREA DYES
~OL ~~l~~
~f'n - 2((2,..
PLUMBING
DNO
mr
r
-
v
,
BUILDER
SIGNATURE
COMPANY
REGISTERED YI N FEE CURRENT L..Yi!:U
License #
COMPANY
REGISTERED YI N FEE CURRENT L..Yi!:U
License #
COMPANY
REGISTERED YI N FEE CURRENT L..Yi!:U
License #
COMPANY
REGISTERED Y/N FEE CURRENT L..Yi!:U
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
License # I
(,01. ~ if(. f> <O~ e c:
Y I N FEE CURRENT
OTHER
SIGNATURE
,'on
Y/N
Address
License #
I OI''lI'l.elOD 11495
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Perm,t for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence ,nstalled,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) complete sets of Building Plans plus a L~e Safety Page; (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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for elt new projects. All commerc,al requirements must meet compliance
Attach (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, a Notice of Commencement Is required. (A/C upgrades over $6000)
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 Service Upgrades NC Fences (PloUSurvey/Footage)
Driveways-Not over Counter ~ 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 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'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 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, Water/Wastewater 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 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 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 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
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.
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 CO MENCEMENT.
FLORIDA JURAT (F.S. 11~3~ 11_ ~UAI..P/'"l
OWNER OR AGENT ~ ~ CONTRACTOR
Subscribed and sworn to (or affirmed) before me thiS Su.llsqibed and sworn to (or.~ffirmed) before me thl
1.-I'\.-I!)' by tJ~ CH.sr ~t.4IZ-e~ by "'~aJo-- Ur~SS
V';ho is/arepersonally known to me or haslhave produced V';ho is/are ~ersonallY known to me or has/have produced
as ,dentificatlon. as identification.
Notary Public
~15iIJ~
Comm,ssi No. {)(J SIfS J 9C
Notary Public
Name of Notary typed, printed or stamped
~. _~ Notary Public State of Florida
r~"f. Georgia W Prieto
;'~.i My CommISSion 00545196
~Of",o'" Expires 06;0112010
of Notary typed, printed or
..~~:
!~,
'\; Of ",;I
Notary PUblic State of Florida
Georgia W Prieto
My CommiSSion DD545196
Expires 06/01120 1 0
Zephyrhills Fire Rescue
6907 Dairy Road, ZephyrhilIs, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
February 12,2008
I have reviewed and approved the plans for a sprinkler system modification located at
7050 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, FDC shall be placarded so it is easily located in darkness.
4, Sprinkler cales required showing no additional demand on the existing
system, Cales can be provided at sprinkler pressure test.
5. Cut sheets/details required on the sprinkler head being installed, Can be
provided at time of pressure test.
Inspections Required
1. System shall be isolated and pressure tested. Pressure test shall be witnessed
by the Fire Marshal.
2, Acceptance Test/FinaL (may be done in conjunction with fire alarm final)
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrh ills , FL 33542
Bus (813)780-0041 Fax (813)780-0044
Fire Chief Keith Williams
- ; - r1i::"'
..-",;1Id::
Occupancy No.:
Plan No.: ~
Bus!ness Name: F1m ~ ~h;4'
Busrness Address: .
Business Phone No.:
Business Fax No.:
Contact:
FIRE SERVICE USER FEES
Contractor. (10< t/,1tL- ~~~
Billing AddressOr.;;~;: ;.;: :3~.. _ liA.12
Billing Phone No.: . ~ /...J -....;t. ~;> - Y777
Billing Fax No.:
Contact:
PLAN REVIEW FEES
8 Site Plan NlC
Mull~Family/Commercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBl
INSPECTION FEES
NlC
NlC
$100
$250
$500
Annual
1st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th R~lnspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~Hydro Undergrounds $45
Hydrostatic Test ~persystem
Acceptance Test &r system
Hydrant Flow $75
SPRINKLER SYSTEMS
8 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
8 0 - 25 Devices $50 FIRE ALARM SYSTEM
26 plus Devices $100 8 System Acceptance $50
SUPPRESSION SYSTEM~ Recall Acceplance $50
g= $50 ~Rrewa~=Wall $15
C02 $50 LP Gas $25
other $50 Natural Gas $25
KITCHEN EXHAUST
o HoodIDucts
OntER
8 LP Installation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas Inslallation
(Per System)
o Spray Booth
$100
per wall
per lank
per syslem
$50
~ Tent 1 0'x1 0' or QRlIIter
Rre Pump
Fire Suppression
System Acceplance
8 Exhaust Hood/Duct $30
Re-inspection DBl
(other than annual)
o Inspection scheduled DBl
and cancelled less than
24 hours
8 Construction Insp, NlC
Emergency Vehicle ACt $50
INSPECTION TOTALCITa .-
$50
$50
$50
$50
$15
$45
$30
per tent
$50
,/
PlANS TOTAL~
PERMrr~
Sprinkler
Standpipes
Fire Pump
Hoods
Rre Alarm
lP Gas
Natural Gas
F~ Tanks- pertank
Sparklers
RreWorks
Camp Fire
Controlled Bum
Hood/Duct
P/aceofAssembly
Fire Protection
Flammable Application
Waste Tire Storage
Generator < KW
Generator >30 KW
Bio-Hazard Waste
Fumigation Tenting
Torch Pot/Applied
Haz. Materials
8
$50
$50
$50
$50
$50
$50
$100
$500
$25
$100
$50
$50
$25
$50
$50
$100
150
$100 Annual
$50
$50
$100 Annual
PERMrrTOTAL~
FALSE ALARM FEE
1stAlann N/C
2nd Alarm N/C
3rd Alarm NlC
4th Alarm $100
5th AIann $150
6th Alarm $200
NON COMPLIANCE $150
Annual
Annual
Annual
FALSE ALARM
TOTALL-.l
Comments:
~
Date:
d- ~\ ()2,
~{V~ e~/t-.l&---t='M---
\
Ins~ctor:
CC!SX cox FIRE PROTECTION, INC.
7910 Professional Place
Tampa, Florida 33637
Phone: 813-247-4777
Fax: 813-980-0631
www.CoxFire.com
LETTER OF AUTHORIZATION
Date: 1- J... q - () 't
To Whom It May Concern:
This letter is to give authorization to the person(s) whose name(s) appear below, for the
purpose/use of our State License to effect the securing of Fire Sprinkler permits in the
name of Cox Fire Protection, Inc.
The following person(s) are given authorization to act in Cox Fire Protection's name.
N Ov*,~ U{5~S
Applicants Name
Applicants Name
Applicants Name
Applicants Name
Applicants Name
Applicants Name
Authorized by: Ronald E. Cox
State License: #01698200011985
Attach any extended or equipment warranties to this form. If none, check here ( X ).
Sworn to before me this 2 day of January, 2008. Personally known.
S~ Signature f~O~ P~blic
Notary Public State of Florida
i~~~ P(J~ Georgia W Prieto
. ; My CommIssion 00545196
~Of!\-:.I Expires 0610112010