HomeMy WebLinkAbout08-8599 CITY OF_ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8599
BUILDING PERMIT
Permit Number: 8599 Address: 38135 MARKET,SQUARE DR
Permit Type: COMMERCIAL .ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF.ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0030
Improv. Cost: 72,137.00
Date Issued: 1/05/2009 Name: FLORIDA MEDICAL CLINIC
Total Fees: 708.00 Address: 38135 MARKET`SQUARE
Amount Paid: 708.00 ZEPHYRHILLS, FL. 33540
Date Paid: 12/03/2008 Phone: (813)780-8440
Work Desc: INSTALL 50 KW GENERATOR &2.5 TON A/C FOR EMERGENCY USE FOR EQUIPMENT
PATTIE ELEC.&RE RIGERA ION MECHANICAL FEE 558.00 FIRE P RMIT FE S 150.00
PATTIE ELEC.&REFRIGERATION
FOOTER 2N OU H PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE_______ FRAME MISC. MISC.
=EREINSRECflONfEES: teinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
traps arexnec essaryFAuento.any,one of the following reasons: a)wrong address b)condemned work resulting
from°faulty x-construction c)repairs or corrections not made when inspections called d)work not ready for
inspection whencalled e) permit not posted on job site f) plans not at job site g)work not accessible.
NOTICE:in.addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8599
BUILDING PERMIT
E •• a . ,. ,,.
Permit Number: 8599 Address: 38135 MARKET SQUARE DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03900-0030
Improv. Cost: 72,137.00 '
Date Issued: Name: FLORIDA MEDICAL CLINIC
Total Fees: 708.00 Address: 38135 MARKET SQUARE
Amount Paid: ZEPHYRHILLS, FL. 33540
Date Paid: Phone: (813)780-8440
Work Desc: INSTALL 50 KW GENERATOR & 2.5 TON A/C FOR EMERGENCY USE FOR EQUIPMENT
PATTIE ELEC.&REFRIGERATION MECHANICAL FEE 558.00 FIRE PERMIT FEES 150.00
PATTIE ELEC.&REFRIGERATION
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION , f9l
S
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING 9J3- 7f.2-3J I
OWNER'S NAME f/Yl C 4kej- PHONE
JOB ADDRESS 3,9/35 l rxkrf a..+.e Z / 3 s i/2-
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID # O-7'oZG-.21-Od/D� O 3`rO0..OO3O (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION ❑ REPAIR J 'INSTALL
❑SIGN ❑ MOVE ❑ DEMOLISH
PROPOSED USE: ❑SSGL FAMILY DWELLING ❑MULTI-FAMILY ❑# OF UNITS ❑MOBILE HOME
//`-COMMERCIAL ❑INDUSTRIAL ❑SWIMMING POOL O OTHER
RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 1n'5�M/( \c 2t& -57bN F.r e m erger�q 4/C FO P
BUILDING SIZE SQUARE FOOTAGE HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
O BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE O Prc�v�ss E►, ❑ W.R.E.C.
R.E.C.
❑ PLUMBING
MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
❑ GAS ❑ROOFING ❑SPECIALTY ❑ OTHER
TYPE OF CONSTRUCTION: ❑ BLOCK ❑ FRAME O STEEL ❑ OTHER
FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA❑ YES O NO
CONTRACTOR SECTION
BUILDER COMPANY
SIGNATURE STATE CERT OR REGIST #
ELECTRICIAN a.{ V COMPANY pfi++'e kje C I-r'c
SIGNATURE ✓ STATE CERT OR REGIST, #
******************************************************************
PLUMBER COMPANY
SIGNATURE STATE CERT OR REGIST #
******************************************************************
MECHANICAL COMPANY /A4/e
SIGNATURE ! STATE CERT OR REGIST # ( C-D312 3�
*****************************************************************
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida' s Construction
lien Law - Homeowner' s Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2, 500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
iJP ç%
SIGNATURE: OWNER OR AGENT SIGNATU E: CONTRACTOR
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foregoing instrument was acknowledged The foregoing instrument was acknowledged
Before me this day of , 20 Before me this day of , 20 _
by by
(name of person acknowledged) (name of person acknowledged)
❑ who is personally known to me, or ❑aho is personally known to me, or
❑who has produced ❑ who has produced
(type of identification) (type of identification)
and who❑ did ❑did not take an oath. and who ❑did ❑did not take an oath
Signature of person taking acknowledgement Signature of person taking acknowledgment
Name typed, printed or stamped Name typed, printed or stamped
111111 11111 11111 11111 IIIII 11111 lull 11111 11111 11111 liii IIII
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: //" Z?
Site: 3 33 ML1t" \S3
Permit Type: lei !� (JeA 2.
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co ent sheet all be kept with the permit and/or plans.
Kal Switzer— ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
i ypc ui iaennncation Yroauced Name(print) 00 611822 r" p°
2010 urns
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of rj ,I declare that I hay read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/Noc,rvsd2oo7 Signature of Natur Person Signing Above
) fir.
• • )
39111 Pa d
Zephyr , 3540
Ec0001268 C73C 0035476
Pho ie(813);`82-3319 Far.(81;)7884901 ¢verizon,ttrt
Th rsday,September t 8.200 i
rod Sheidon '` '
Feriae!Medical CIuiic f A { ).i
'ft'35 ball Blvd. f . -'�Ct £ Cf! i`C1' �� Ctt
Zeph r ill ,Florida 3541 . }w Jc• 4 4L Z ,t + )
JLtQ
lies cod
Pu'tnant Your request for rice and options available to
t F Passure Air C<mdiriorc rug operation of Bata Teiecom room doting Florida Progress
maintenance of their leaking trmn fomter,the following items require your Prudent consideration.
After hearing tor sot:that the AC system in surgery was connected to the existing emergency generator;?doubted that to be true as the
ilea ectfon v iaror u have'for emergency operation;is n t that riot capable of starting even one of the two compressor s it uniir. To verify,I made anr -esterday and de ermined that R'I U-2(unit over surgery)is connected to GLOP panel in surgery center pump room. This parcel,
associated 15 KVA mans;ranter that powers panel NL-1,and panel NL-1 are serviced from the same source panel(service disconnect#2 in
ntair electric ream that provides nortttal 13wer to emergency generator automatic transfer switch :this power is ahead c'f ha generator and
therefore not part rf the er ar ftertcy power grid. In sttmnnmion,there is no air conditioning emergency power available for surgery and
Data'Te':econ under the current electrical cot,figuration.
ibe ;t0t practiced and cost effective rersed es far emergency air conditioning include:
1- Rent a ge,iernt3r with capacity to operate the existing 20 ton unit used to cool administration and Dstafelecem, Items rewired would include:generator rental for at least three days to allow-setup,use.dist;tTniiectiore,and return to supplier(we
have toca`ed two different suppliers with units capable of operating this air c:Onditiotier..`Airing from generator to existing air
condition':r,mocl fy air conditioner to accept generator,and return system back to normal after normal power is restored.
Total cent melusiing electrical permit and state taxes will be$37.2,0.86(three thousar:d seven h`jadred twenty&86/100). The
main etrav:back. you still have no emergency power if Florida Propess has a problem. If you rent your own generator
deduct 51200,02- 0
Pure base a new c�eather,'secturty enclosed dioset generator with capacity tc operate the existing a citninistration/data center 20
ton AJC wait and two new data/telecom room 5 tor.4/C units,and have 4S haw nuvUmg fuel capariuy. We have located one
diesel that can e delivered by the first part of an'ct week(most cif our suppliers from across she coutry:have advised that
every tcn'ratot the had in stock has been loaded on trucks and is heading for Texas and Louisiana, The generator
r nanufactrrers hive given us 5-6 weeks minimum construction time for new unit delivery. t>:audition:
viii be provided with two new wall mount 5-ton air conditioning units attached high on North wale witho s me d duct one
systems and R-30 eeiiL'a insulation.
A- Conduit.conductors,and labor to run ruounai power from building electric room 141I)P-2 to generator Automatic
transfer switch i, TS)
B- New diesel generator with capacity to operate existing 3-phase 480volt,20 ton A/C and two new 5 ton A!C units,
shipping,and labor to meet NEC installation requirements
C`- New Automatic Transfer Switch(ATS)to change from normal power to etttergen;y power
p- Conduit,conductor`and labor to connect generator to ATS
E- New 480volt. 3-phase electric d stribution pawl and circuit beakers that will provide branch circuit protection
for three AC units
F- Conduit,conductors,and labor from ATS to new distribution panel
G Conduit,conductors,and labor from new distribution panel to each of the three A/C units
H- Two new 480volt,3-phase,wail mount air conditioning units,Supply and returns air ducts,diffusers,thermostats,
and R-30 ceiling insulation
:Ct-r,J cost%.ulUd I*7,.'ik t:"scat,me.ha.uicAl permits told state tax will be:
A- $ 8.100.00
• C. S 3,t�47.0ti
-tr� :�i
D- S I,S'U.-k3
tai E-
F- $ 4 t .0U
G- .s 2,750.00
`i- il&690.00
If't:l is aece `s:l'!',the>.e ue;tt of events would include receipt of gent tutor;with:orsrrt tjo?s to.Vvstitag 2 ton
tit This IItE°rge Bey j>o wr w quid be t;seJ curing utility cotttparl}'u inteaarx e, The two 5 tort 480voh unity are not
evtti!=a,1r ,r 4-6 weeks at:d wottll be installed on their arrival. The 20 ton unit would maintain dat itelecotr:r:,n
'-'ntper .fur: as it+)es Presently. Although 5 ton, 3-phase.240 volt units are available within a few da55,�l:c generajor ast3
ex►sri!!8 t>tt unit is . r;}c+fat d4i! vctlt as the'vIDP power used for nottual optrrat oft is 1 it)v:�h. Using the 430 volt
generator,tja t 2M volts}stem v<ouht iay_ile au additional transfnrroe and 240 volt disGlbutk, portal(no change in the AC
-
t;st;lot however.t;r,trr .sf.}rrter,dish vfin 0aael.,and larger wire would ilcrea the electrical cost S ,3i .uu.
Ftnc t a re.v st; recuit, enclosed diesel ge..eratcoe Zvi`,h capataty to operate two new da?a�teiecom morn 5 tarn A4.,
unite.?n i .^ve 48 hctr running furl i p,3ciy. You could Lave two options on air conditionbtg operation
1
5 A- !'be s ,the t
tf ,� <u►,_e ,)Iulitirlg distribution Xystew_is 480 volt 3-phxesa,avid where there is 230 volt_3-
: ,ttlabie,the available vj(cuti are tnargittal to tap for new 5 ton A/C wilts. Therefore,the gntlerepnr:8n he
sized .oafigjred to operate tw 5-tote,3-phase,24Gvoht units on emcrgency eir uits only. This option wr d
require a generator lame enough to operate two 5-„on A/C loots all 2uCco11,+-phase t.,owet,acrd.two 5-tor
LT,
tov;:l'.3-(iilasc wall inouut A/C twits. The orgy time rt:A/C units could be run is when the generator ie
' ?" open tg One CC}txjderratiiis,is that the dii3erelice in price of a self c stained diesel unit to operate the two 5 tul.
A/C .trysts is only a few percent less than the larger getterz;ur cst. Total cost for material and labor would be
478€1.t;il. No change in A/C cost of 1669U.UU
A fOjcwfptrati rt of the two 5-con A/C units at!v time the'were needed,the only addittenaj feature would be to
t ',� circuit froth electric room G?#2 to a 480/120-240 trautsfortner and then to the teH ATS. This
A� i ` tj it ttt L,)n cJre:t:tt would a1k.w t;..nit opt:ca(ioii under liorntai,or e i eibenCy t irew;tstances. TDtal cost jvould he tht:
Iry i I• 8i.•tJ3 listed .`"A",ptu.,$7566.oi)to provide't0c,t, 3-
y change l' t phase pow from huiidina elaatric rnctn. "',r
:rJ Zs fir A/C cost of»•i6690,00
.it supFt+tars la :a: Urd rte Jie largo unit is availak+ie K,d can be deliver d from out of state by early next week. They have no
guaa ?; t the e%;t�t i wait very long. In the rants j szi,ent wl.t Oe a�a addition,,�pie it wel prc)v Jlt;have said the same, if you approve any of
the op; ,t1,. i : iterial wilt oro ire4 ittjtaadiataly and I have a relatively hi8h level of confifiance that air consiidtming ttt►its in
rta , iecam to ii.w ii t•c:,perat Fil when Florida Progress turfs off their towel fur ma ntenance has with.mVtlting there can boa SNAFU).
Ei1}.
I'Cuha.e .n i"1t1tt'.rt 3 t'
oI±1t1wrva;om,please call my office
1 :;5pcCttll},
Ltl:':1 i a ti°
EC
�
EC C i3('C; ;:.L X. e iguer%utspectrtr
C~.lar ANC1. OF PROPOSAL: The prices,
i^ct t1lCatj�lhc acKJ^p tk'.ns are SLsfactory and are,
irnv.Y:cci cited ;- 7 dtc aUt!)( tj ;<.the NYtIr,
is !;c`[Ii1° : j�it ? ' lbe told 3 Ctt'tlIf1CG.
--�'tiim UCH::.— — \\<�1� ,'e, l'�+i�•
nC'l.'kil?`thi:� t i ry
De of acceptance; I
'ti iha c Ordeer z'.tt_rI_ou: - — _
Zephyrhills Fire Rescue
6907 Dairy Road,Zephyrhills,FL 33542
Fire Marshal Bus (813)780-0041
Kerry Barnett Fax (813)780-0044
E-mail: kbamett@fire.zephyrhills.fl.us
Plan Review#: 08-158
Project: Florida Medical Clinic
Number of Pages:
Date: November 28,2008
I have reviewed the plans for the generator installation located at 38135 Market Square
Drive allowing this project to move forward. Payment for permit contractor
acknowledges agreeing with items below.
Should anyone have any questions,please do not hesitate to contact the Fire Marshal's
office.
1. System shall be installed in accordance to manufacture's specs and NFPA 37
2. Label fence"EMERGENCY GENERATOR—DATA/TELCOM ROOM&A/C
(what room A/C is supplying).
3. Mark all panels,disconnects, etc... withl"high letters.
4. Ensure that it is tied into fire alarm that if alarm is activated and generator is on, it
shuts downs.
5. If ducts penetrate any firewalls or rated ceilings fire dampers shall be installed.
Ensure all penetrations through walls are properly sleeved and sealed.
6. No extra fuel is to be kept inside fence with generator. Additional fuel shall be
stored per NFPA guidelines.
7. Generator shall be located a minimum 5' from any openings or air intakes and 5'
from any combustible wall.
Inspections Required:
1. Dampers and penetrations through fire rated separations(if any)
2. Final(will check generator activation and A/C shut down if fire alarm is
activated.
2
4L11,FSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes.This review is not intended to be a final approval of the
submitted plans.It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances.In the event that further examination or site
inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility,at their sole
expense to bring those areas in compliance.The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
6907 :ii{_? oad, Zei)C3y4 NIIs, ,FL '354
... Sei .., .Sc M i. l"s-is Es (?r.3) 30-00t ±'ci}. ($1 3)73 9tt . ,
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: [Pf Contractor.
Business Name: Billing Address: 7I/// ihJ,4
Business Address: _ l�f3�ls r,
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 let Alarm WC
Multi-FamllylCommerolal .06 at let Re-Inspection N/C Slaruipipes $50 2nd Alarm WC
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
80.25
Heads $50 violations corrected) Natural Gas $50 NON COMPUANCE $150
26 phis Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Spenders $100
Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP Acceptance Test $45 persyslm Camp Fire $25
Per Pump $100 Hydrant Flaw $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
80-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual
fl Wet $50 OTHER Waste Tire Storege $50 Annual
Dry $50 Fire Well/Smoke Wall $15 per wan <KW $100
CO2 $50 LP Gas $25 pertank Generator>30KW 150
Other $50 UNatural Gas $25 per system Bio-Hazard Waste Annual
KITCHEN EXHAUST Fumigation Tenting $50
Hood/Ducts $50 Tent 10'x10'or greeter $15 per lent Torch Pot/Applied $50
OTHER Fire Pump $45 Haz.Materials $100 Anna
LP Installation per lank $50 U Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
flNatural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
Spray.Booth $50 Inspection scheduled DBL
and cancelled less than
24 hours
8 Construction lnsp. N/C
Emergency Vehicle A0 $50 FALSE ALARM
PLANS TOTAL INSPECTION TOTAL== PERMIT TOTAL ( Ei TOTAL
GRAND TOTAL ,/j _
Comments:
Date:
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