HomeMy WebLinkAbout08-7515
CITY OF ZEPHYRHILLS
5335 -!8TH STREET
(813) 780-0020
ANNUAL FIRE PRO'T:ECTION MAINTENANCE
7515 -;;-- ---
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:
7515
FIRE PROTECTION MAINTENANC
FIRE-PROTECTION MAINTENAN E
NOT APPLICABLE
Address: 38505 10TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
25.00
25.00
2/18/2008 Phone:
FPM-ANNUAL FIRE ALARM-RAYMOND B STEWART MIDDLE SCHOOL
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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
COMMENCEMNT 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."
-..
P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-78D-0020
. ...
Date Reveived
Owner's Name
Owner's Address
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City of.Zephyrhills Fire
Permit Application
Fax-813-78D-0021
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Fee Simple Titleholder Name
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I~ lo-th. A~
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Fee Simple Titleholder Address
Job Address
Sub Division
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o
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I Titleholder Phone Number I
II
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tslo-l1azard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodlDuct
Controlled Bum
. Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance~
Sprinkler 0
Fire Alarm G"
Hood Clean/Suppression D
o Fire Alarm Installation
o Fire Pumps
o Fire Works
o Flammable Application- ANNUAL
o Fuel Tanks
o Other:
Contractor
Signature
Address
ELECTRICIAN
Signature I
Address I
I
PLUMBER
Signature
Address I
MECHANIC'
Signature
Address I
OTHER
Signature
Address '_...
Directions:
FlII out application completely.
OWner & COntractor sigh 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.
.-.. .. --
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Ilwr
I Lot#
Po"",' -I IV" ''''NoU 'KVM "KWoK " ''''' N~ "C,,'
B FUIII;~~~~II T:II;
D Hazardous Material (Tier II or RQ Facility) ANNUAL
D Hood Installation
D LP/Natural Gas-Installation
D LP/Natural Gas-ANNUAL Sale
D Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage ANNUAL
lf2'iF
. , Valuation of Project
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Company I
Registered
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5t1'n~ kf' 60. r'Jf1-e 11
Y IN Fee Current L Y IN
License #
Company
Registered
Y/N I
Fee Current I
Y/N
License #
Company
Registered
Y/N I
Fee Current
Y/N
License #
Company
Registered
Y/N I
Fee Current
Y/N
License #
Company
Registered
Y/N I
License #
I Y IN I
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Fee Current
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.....-...._--~.-_..._#..._.~..._...- ,.-..-...- . ......... .---'
. NOT.JCE.OF-DEED.RESTRICTIONS: The undersigned understands that this permit mCiybe subject to ~deed" restrictions"
-Which may be. more restrictive than County regulations. The undersigned assumes responsibilityior compliance with any
applicable deed --""". . ..
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 intende~ contractor are uncertain as to what licensing requirements may apply for the
intended work. they are advised to contact the Pasc~ -County Building Inspection Division-Licensing Section at 727-847-
8009. . Furthennore, Ii lite 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. Ii 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. .
CONSTRUCTION UEtfLAW (Chapter713, Florida statutes, as amended): If valuation of work Is $2,500.00 or more;1
certify that t, the applicant, have heen provided wtlh 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 lItarrthe 'owner", I.certlfy \het 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.-Iaws .regl:1latiAQ-.construction;--ZORing--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 tt is my responsiblUty to identify what actions I
mustiake to be in compliance.
Ii I am the AGENT FOR THE OWNER. I promise in good faith to Infonn the owner of the pennltiing condlUons set forth in
this afIj.davll Pfior .J!> commencing construction. I understand that a separate penntt maybe required for. electrical work.
plumbing, Signs; wells, .1>oois, air Conditioning, gas, or other Inslaliallons not specifically Included In the application. A
pem1tt i.sQl'Od. stiall:be cons.trued to be a .lIcense to proceed .wtlh the work and not as authorlly to violate, cancel, aliar, or
seeaside ao{prOV;slons of the technical codes, nor shal1lssuance of a penntt prevent the BuDding Official from thereafter
. requiFiRg.acerrection of errors in Pb1ns, construction or violations of any codes. Every penntt issued shail become Invalid
. iinl...1I:iO;Yit>i1<'aolh~rized..by suchperthtt is commenced wtlhin six month. of pennttissuance, or Ii work authorized by
. .fli~:~~s.U$Pinided or abandoned for a period of six (6) months after the time ~ work is commenced: An extension
~ reqoesIed. In .writing, from the Building QffiClal.for a panod not to exceed mnety (90) <tar-' and..w1l1 demonstrate
. l;j~ cause ror tne extension. Ii work ceases for ninety (90) consecullVe days, the Job is consIdered abandoned.
. ..... ..... ..... ....... ....M......W.-.
CONTRACTOR
Subscribed and
by
Who isJare personally known to me or haslhave produced
as identification.
OWNER DRAGE
Subscribed and swo {or a e before me this
.- by
Who is/are personally known to me or haS/have prodUced
. as idenlification.
Notary Public
Notary Public
.Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped
Technician Work Report
Date of Work: Not Scheduled
District : 292
Technician
Francis Lewis Mckinney
Owner Christopher R Brackett
12519538
Task Number
Scheduled Start
Service Request
Service Request
Customer Acct
Customer Name
Site Name
In Planning
Time
Type
Number
333104
Raymond B. Stewart
Middle
Payment Terms: Immediate
Inspection-Auto Gen
8699002
Contact Name
Site Address
City
State
B ill To
Bill To
City
State
John Boucher
Phone
813-794-7961
38505 10th Ave, Pasco Co Schools
Zephyrhills
FL
Zip
33540-4199
Name Pasco County School Board
Address: 11835 Tree Breeze Dr, Maintenance Dept - John A Boucher
New Port Richey
FL Zip 34654 -1808
Contract Number: 135993
Inspections: Jan 2008
Task Type
Task Name
Problem
System
Summary
Notes
Service Plan: FA-FULL
2 Person Inspection
FA-Jan 2008
Priority Medium
Current Inspection: Jan 2008
Inspection
SYSTEM-FA-SIMPLEX 4100U
Simplex 4100u System
Jan 2008 Created BY AutoGen
Serial:
CONTRACT COVERAGE
***SERVICE***
FULL COVERAGE, MONDAY THROUGH FRIDAY, 8AM TO 5PM, ON THE FIRE
ALARM PANEL AND ASSOCIATED DEVICES. COVERS THE LABOR TO
TROUBLESHOOT AND REPAIR ALL NORMAL SYSTEM PROBLEMS, AND ANY
PARTS NEEDED TO COMPLETE THE REPAIR (INCLUDING BATTERIES). DOES
NOT COVER SERVICE CALLS RESULTING FROM VANDALISM, FAULTY WIRING,
LIGHTNING OR WATER DAMAGE, CONSTRUCTION ISSUES OR ACTS OF GOD.
THE FOLLOWING RATES ARE TO BE USED FOR ALL BILLABLE CALLS:
HARDWIRED SYSTEMS $85.00 PER HOUR
SOFTWARE-BASED SYSTEMS $105.00 PER HOUR
NO TRUCK CHARGES OR TRAVEL TIME ARE TO BE CHARGED
ALL PARTS ARE TO BE BILLED AT 36.5% OFF LIST PRICES
SERVICE CALLS SHOULD NOT BE TAKEN FROM INDIVIDUAL SCHOOLS.
REFER THE SCHOOL TO PASCO CSB MAINTENANCE DEPARTMENT (JOHN
BOUCHER, DON TORGE, ETC..) WHO WILL PLACE CALLS AS NEEDED.
***INSPECTION***
ANNUAL INSPECTION OF THE FIRE ALARM SYSTEM. CLEANING AND
SENSITIVITY TESTING OF SMOKE DETECTORS TO BE DONE AT 100% EVERY
OTHER YEAR (ODD YEARS). AUDIBLE TESTING IS NOT ALLOWED DURING
SCHOOL HOURS. IF DEFICIENCIES CANNOT BE REPAIRED AT TIME OF