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Home My WebLink About08-8558 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8558 FIRE SPRINKLER SYSTEM PERMIT Permit Number: 8558 Address: 7050 GALL BLVD Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE-SPRINKLER SYS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: Date Issued: 11/20/2008 Name: FL HOSPITAL ZEPHYRHILLS Total Fees: 215.00 Address: 7050 GALL BLVD Amount Paid: 215.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/20/2008 Phone: ,(813)783-6189 Work Desc: SPINKLER SYSTEM MODIFICATION a'.. •d' r COX FIRE PROTECTION,INC. FIRE SPRINKLER SYS 50.00 FIRE INSPECTION FEES 65.00 FIRE PLAN REVIEW FEES 100.00 I � l ..m °s 'z �tt ��, ,.. ai FIRE-PRESSURE TEST 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." CONTRAC SI NATURE 1%, IC R 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 Fire Fax-813-780-0021 Permit Application Date Received _ one Contact for Permit Owner's Name �e.,. C'� v,, _- � \ Owner's Phone Number I Owner's Address 70 S d Cn II 1 V Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel# �_ .twr-.,h,- ...s .,... �__ _ ,.. .. ..u-.-.F_.. Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation LIIIEmergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL r y Other Sprinkler ❑ ❑ O Recreational Bum Fire Alarm E ❑ ❑ O I Sparklers Hood Cleaning O O O ® Sprinkler System Installations Hood Suppression O O O I Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL uj Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other: Contractor Company Signature \V(.Registered Y/N Fee Current Y/N Address 7' I() O GSA cC ci.. 3 License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address j License# PLUMBER Company Signature Registered Y/N Fee Current j Y/N Address j License# MECHANICAL Company Signature Registered Y/N Fee Current I Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address j License# Directions: Fill out application completely. 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. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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. CONSTRUCTION LIEN LAW(Chapter713, 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. 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 COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped 6907 Daii,v Road. Zephyrhilis, FL 3'i: rvr n f1 ChiefKeith Viliiliams az;- (6.13)7130-00 1 �: (u 1 FIRE SERVICE USER FEES Occupancy No.: Plan No.: rh (4f3 o Contractor. S�L° ij Business Name: fir- Billing Address: o$ Business Address: 7C'k72 -„ 4f Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVEW FEES 54SPECTI0N FEES PERMIT FALSE ALARM FEE BSibPion N/C Arms& N/C $6 1dAMrm N/C 06 d LI let R pedion N/C Alarm N/C Ala N/C Mln tat man C p.$2500 2nd Re.l spedbn $100 Fire Pump $50 3d Alarm N/C Plea Reviobns pgL 3rd I.. epadbn x250 Hoods $50 4th Alarm $100 '� 4th R*kwpedlon $500 Fire Alarm $50 5th Alarm $150 SPRNU ER (Budness dosed urMil LP Gas $50 81h Alarm $200 Dl 0-26 Heeds $50 violaluns corrected) Ndurei Gas $50 NON COrrpL NCE $150 26 plus Heads SPRNCLER SYSTEMS Fuel Tarrire-ps wnk $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Spadders $100 0 Per River $50 JHydmstaUo Tad $65 p.r.r.rwn Fire Works $500 FRE PUMP Aoaplenos Ted $45 pa$y.wn Camp Fire $25 Per Pump $100 UHydrant Fb v $75 Controkd Bum $100 FE ALARM SYSTEM Hood/Duct $50 0-26 Devices $50 FRE ALARM SYSTEM Place o(AesamWy $50 a.wa 26 plus Devices $100 011now Syabm Accepbnce $50 Fire ProbaBon x25SUPPRESSI0N SYSTEMS Acceptance $50 Flo ximMe AppMoeaon $50 Annual Wet $50 OTHER Waeb Tire Sto pe $50 -- J Dry $50 fl Flrs WdIBmoks Well $15 paws Generdor 4 KW $100 CO2 $50 U LP Gas $25 p.rw* Generdor>30 KW 150 Other $50 U Netud Gas $25 psi%,.ww BbHexard Wads $100 annual KITCIEM EXHAUST FwOp ion Tendna $50 Hood/Ducts $50 Tent 1ox10'or Sredsr $15 p.rw* Torch Pct/Applied $50 OTHER Fire Pump $45 H .M kdals $100 awwwr HLP Irelse.tlon per twin $50 Fire Suppression sw Fuel Tank Mebletion :50 Syabm Acceptance (Per Tank) $50 E mmi t HoodiDuct $30 Ndurd Gee Inleeeeoa $60U Repadion DBL (Per System) (atherthen ownral) 0 Spray Booth $50 Iraipsolion schsdriad DBL and oanceted leas then 24 hours Construction hrsp. N/C Enwpency Wide Ati / _ FALSE ALARM PLANS TOTALrn— NSPECTt0N TOTAL PERMIT TOTALI TOTAL j�`� GRAND TOTAL r 1;G. 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