Loading...
HomeMy WebLinkAbout08-8636 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8636 FIRE ALARM SYSTEM PERMIT Permit Number: 8636 Address: 7050 GALL BLVD Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM 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: 2,141.00 Date Issued: 12/15/2008 Name: FL HOSPITAL ZEPHYRHILLS Total Fees: 250.00 Address: 7050 GALL BLVD Amount Paid: 250.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/15/2008 Phone: (813)783-6189 Work Desc: FIRE ALARM INSTALL -CATH LAB NOC UNDER PERMIT#8361 APG ELECTRIC INC. FIRE ALARM 50.00 FIRE PERMIT FEES 100.00 FIRE INSPECTION FEES 50.00 FIRE PLAN REVIEW FEES 50.00 n e 2pr x FIRE ACCEPTANCE Final FIRE ELEVATOR RECALL 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 R IN UR NOTICE OF COMMENCEMENT." CONTRA TURF I 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 Gl rc rt h L4 hills Fire Rescue oad,Zephyrhills,FL 33542 Bus (813)780-0041 Fax (813)780-0044 E-mail: kbamett@fire.zephyrhills.fl.us in for the fire alarm addition/modification located at )roject to move forward. Payment for permit vith items below. please do not hesitate to contact the Fire Marshal's pliance with NFPA 72,2007 edition. N O O iRSHAL lens submitted is a cursory review to assist the contractor in compliance w ui ayy.y ..__ i 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 Dairy Road, Zephyrhills, FL 33542 ;re Chief Keith WiIliams bus (81-3)i`0-004•r Fax (.813)780-004,4 FIRE SERVICE USER FEES Occupancy No.• Plan No.: -' LPI Contractor. /s /,&hvc.' Business Name: , Z Billing Address: Business Address: 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 we Sprinkler $50 let Alarm N/C 06 of let Rednepec Lion N/C Standpipes $50 2nd Alarm N/C (&*mn Charge$25.00 2nd Re.inspection $100 Fire Pump $50 Std Alarm N/C Plan Revisions DBL 3rd Re4apeclion $250 Hoods $60 4th Alarm $100 4th Re-irnepedion $600 Fire Alarm Alarm $150 SPRNiIU.ER SYSTEMS (Business closed until LP Gas 6th Alarm $200 80-25 Heeds $50 violations rr coected) Nahaal Gas $50HNftmm $150 2B plus Heeds $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 p.►sywm Fire Works $500 FIRE PUMP Acceptance Test $45 pnsya�em Camp Fire $25 ❑Per Pump $100 Hydrant Flow $75 Con o led Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 0D FIRE ALARM S Pie of Assembly $50 A 28 plus Devices System Acceptance ` Fire Protection $25 SUPPRESSION SYSTEMS Racer Acceptance $50 Flanme6ls Appicn $50 wet $50 OTHER Waste Two Storage $50 Amer Dry $50 Fin WaNlSmobe WaN $15 per w.r Generator<KW $100 CO2 $50 LP Gas $25 per nrtlt Generator>30 KW 150 Other $50 Natural Gas $25 perry um Bb-Heoard Waste $100 wrwr KITCHEN EXHAUST Fum l on Tenting $50 °HoodlDucta $50 Tad 10'x10'or greeter $15 per uwk Torch Pd/AppNed $50 OTHER Firs Pump $45 Hez.Materials $100 Armen LP inetaNalbn per tank $50 Fire Suppression $30 Fuel Tank Inefaretiat $60 System Acceptance ) &As# (Per Tank) $50 E>diaust Hood/Duct $30 Cl Natural Gas b lalklion $50 Re-inspection DBL (Per System) (other than annual) ❑Spray Booth $50 Inapectlon scheduled DBL and canceled lees than 24 hours Construction beep N/C Emergency Vehicle Ac. $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL/ i PERMITTOTAL� TOTALJI GRArDTOTAL, /� Conmrents: C '! P d5l-" — 4� f/ r Date: /2/i/k inslactor. A 2/ --- 813-780-0020 City of Zephyrhills Fire 3 Fax-813-780-0021 Permit Application Date Received • Phone Contact for Permit �]27 3 t7 �? Own _.� ...�. er's Name R.i' I f Owner's Phone Number Owner's Address O/ G4 L Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address U f} vo -c Lot# Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL y emi ®nOther Sprinkler � ❑ ❑ ❑ = Recreational Bum Fire Alarm � ❑ ❑ ❑ I_I Sparklers Hood Cleaning ❑ ❑ ❑ I_I Sprinkler System Installations Hood Suppression ❑ ❑ ❑ fl Standpipes(Sprinkler Sys) ,J Fire Alarm Installation r C474-// Torch Roofing/Tar Kettle �1 J Fire Pumps EJ Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other: Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN / Company Signature (i G(�t✓ �/ Qo Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address I 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 thatthis permit maybe subject.to-"deed"':restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility forcomplian:ce 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 C� I "`WV1 c Subscribed and sworn to(or affirmed)before me this Subscribed and sworn thor affirmed)before me this by by KicMAJLn Vv\AS 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 12/15/2008 11:39 FAX 7275300045 APG ELECTRIC 0002 Lle �� � State Cued�lectrlcal Contractor 1:CX]00048fi 111..J//iii��� �1 , W }icensed Professional Electrical Ent ineers CAS947 December 15, 2008 City of Zephryhills 5335 8r°Street Zephryhills,FL 33540 RE: Permit#8361 —Florida Hospital 7050 Gall Boulevard To Whom It May Concern: Stevens Construction Inc. is authorized to submit the APO check in he amount of$250 to pay the outstanding permit fees for the fire alarm permit issued or] this project and sign for said permit on behalf of APG Electric,Inc- in order to facilitate 44 to completion of the project. Please feel free to contact me if there are any questions regarding th ; letter. Thank you very much! Very Truly Yours, APG Electric, Inc. Sherry Tew Project Administrator 1st APG Electric,Inc.-4825140th Avenue North,Suite K CJearwarer,Florida 33762-3822 www.apgelcctric.com Fax(727)530-0045.Phone(727)530-0077 12/15/2008 11:39 FAX 7275300045 APG ELECTRIC 16001 •i APG Electric,Inc. 4825 140th Avenue No e;h,Suite K.Clearwater,Florida 33762-3822 www.apgelectric.com Telt)�hone(727)530-0077•Fax(727)530-0045 �( 1 To•_ V �Ie..m' Date: )l JS~01 Z4phch\W 314 p I ' Phone: Fa,;: 2 13 Prom: Number of Pages Including Cover Sheet Project Name: L �T ',Number Job Ci NoRespom c'Neces,u y ❑Please Respond Ut Urgent./Respondlmmedrately! . 'pc,jr' yg4 1 J . l Sherry Tew l r � Project Adminlstrator v4J�� aL V F eI.t f�+ £t2CrXIC L CONTAACTOPSAND FNCM99kS Telephone(727).X30-0077 APG Eleetric,Inc Extension 234 492.5 140th Avtaue North,Suite K Direct line(727)450.5773 Clearwater Florida 33762-322 Fax(727):30-0043 Cell(727)6339-0139 shury.iew@apgelettric.cor y EC0000486 CA5947 www.ipgelec trlc.com State Certified Electrical Contractors No.EC0000486 •Licensed Professional Electrical agineers No.EB0005947