HomeMy WebLinkAbout09-8851 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8851
FIRE SPRINKLER SYSTEM PERMIT
jI 35,a „4
Permit Number: 8851 Address: 38130 PRETTY POND RD
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: 35-25-21-0010-07100-0000
Improv. Cost: 295,000.00
Date Issued: 2/26/2009 Name: KAPLAN MILLS DEVELOPMENT GROUP
Total Fees: Address: 145 FROELICH FARM BLVD
Amount Paid: WOODBURY, NY 11797
Date Paid: Phone: (516)496-1505
Work Desc: INSTALLATION FIRE SPRINKLER-FEE WAIVED PER FM-SEE REVIEW SHEET
WAYNE AUTOMATIC FIRE SPRINKLER I
i °m a ...Fr'fp mwi
FIRE—PRESSURE TEST
FIRE ACCEPTANCE Final
i
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."
1tfQerf77-
CONfRA7R
SIGNATURE 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
813-780-0020 City of Zephyrhills Fire j I Fax-813-780-0021
Permit Application
Date Received, C ' Phone Contact for Permit
Owners Name 1•{'tL.A! (.I I Owner's Phone Number E I I1 IJ
Owner's Address 3 9 l a Pc # o v s
Fee Simple Titleholder Name Titleholder Phone Number L-J _____
Fee Simple Titleholder Address
Job Address b«c ?1¢e- ON VpA1' Lot#
Sub Division Parcel#
Bio-Hazard Waste Storage-ANNUAL [ J Hazardous Material(Tier II or RQ Facility)ANNUAL
Comm Exhaust Kitchen Hood/Duct Hood Installation
Controlled Bum LP/Natural Gas-Installation
El Emergency Generator<30 kw El LP/Natural Gas-ANNUAL Sale
aEmergency Generator>30 kw El Places of Assembly-ANNUAL
Fire Protection Maintenance-ANNUAL El Recreational Bum
y emi ®n Other
Sprinkler ❑ ❑ ❑ ® Sparklers
Fire Alarm ❑ O ❑ ® Sprinkler System Installations Q�
Hood Cleaning JJ O ❑ O II Standpipes(Sprinkler Sys)
Hood Suppression O O O 1 Torch Roofing/Tar Kettle V (JJ9' 7I
El Fire Alarm Installation El Waste Tire Storage ANNUAL (��
Fire Pumps
Fire Works
Flammable Application-ANNUAL Q. Valuation of Project
Fuel Tanks
Q Other:
Contractor Company N v
Signature Registered Y N Fee Current N
Address v V License#
O
ELECTRICIAN Company
Signature Registered Y/N I Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N I Fee Current I Y/N
Address
License#
MECHANICAL Company
Signature Registered Y/N I Fee Current Y/N
Address
License#
OTHER
Company
Signature Registered I Y/N I Fee Current I Y/N
Address
r 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 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.
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.
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 imed)before me this
by -2-1 8 O by ,' 4" z
z ZV1�7_1w41,,
Who is/are personally known to me or has/have produced Who Who is/are personally known to me or has/have produced
as identification. (jcow as identification.
Notary Public Notary Public
Commission No. Co sion o.
JACQUELINE
Name of Notary typed,printed or stamped Name of Notary r S �D{,,,621839
9r'' eonc�Throrro,,.,Tber 12,2010
�'�7016
Lf{
IC
Lys)
,r /y
I , c
/ )
r R/1
V
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#: 09-012
Project: Bentley Commons—Sprinkler System
Number of Pages: 6 plus detail package and calc package
Date: February 24,2009
I have received and reviewed the plans located at 38130 Pretty Pond Road and will allow
this project to move forward with comments made below.
Should anyone have any questions, please do not hesitate to contact the Fire Marshal's
office.
1. Penetrations: Floor/Ceiling—annulus shall be filled with fire wool min 3/a"
thick flush to the surface(top and bottom)and then a min%2"thick bead of
fire caulk applied on bottom surface of the penetration.
Wall—annulus shall be filled with fire wool min 5/8"— 1 '/.''thick to the
surface and then a min '/2"thick bead of fire caulk applied on both sides.
2. FDC's shall all be turn down(30 degree type). FDC"s shall be placarded with
6"red reflective lettering on white background. FDC's shall also state what
area they are protecting. Standpipe FDC's shall state they are dry standpipes.
3. Underground by others shall be completed by certified and competent
contractor.
Inspections Required:
1. Pressure tests on all systems,both wet and dry.
2. Acceptance test on all systems,both wet and dry.
KE TT,FIRE MARSHAL
***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.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus(813)780-0041 Fax(813)780-0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan 4O.: ` -' Contractor.ty41a 4Jfr ��.� Yh_J,�
Business Name: 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
R
Site Plan WC Ara tal NIC Spranider 1st Alarm N/C
.06 sf 1st Re inspection N/C pipes 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fie Pump 3rd Alarm N/C
❑Plan Revisions DBL 3rd Respection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business dosed until LP Gas $50 6th Alarm $200
[10-25 Heads violations ) 1L Natural Gas $50 NON COMPLIANCE $150
26 pi4s Heads SPRINKLER LER SYSTE p Fuel Tanks- per tank $50
S*AMWàtE SYSTEM nders $100
Hydro Undergrounds Spa
Per R�ser ) Hydrostatic Test Fire Works $500
rn�Pl1 �j Acceptance Test Camp Fire 325
[} #Per Pr
;alp $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
H0-25 Devices $50 FIRE ALARM SYSTEM - Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance $50 Fie Protection $25
SSIOIiI SYSTEMS ❑Recce Acceptance $50 Flanuneble Application $50 Annual
at $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire walSmoIte Wail $15 per wan Generator<KW $100
CO2 ; $50 LP Gas $25 pertardc Generator>30 KW 150
Other $50 Natural Gas $25 per syrxn Bio-Hazard Waste $100 Annual
KIT HEN EXHAUST Fumigation Tenting $50
❑Hood/ ! $50 Tent 10x10 or greater $15 per tent Torch Pot/Applied $50
OTHER File Pump $45 Haz.Materials $100 Annual
LP kw6diation per tank $50 Fie Suppression $30
Fuel Tank IrsalI tlon $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
❑Natural Gas Ine isili n $50 ❑Re•ktspection DBL
(Per System) (other than annual)
❑SprayBooth $50 ❑inspection scheduled DBL
and cancelled less than ❑
24 hours
Construction Insp. WC
i❑Emergency Vehicle Ass $50 _ ' FALSE
FAE ALARM
PLANS TOTAL INSPECTION TOTAL[ C7 PERMIT TOTAL TOTAL J7
GRAND TOTAL
Comtrtertts: /`�
.r—
/3y /frL
Date: 4F=—t---
Insp, ctor.
2 7ñD /7 /I1
SEA, , wa rs D i' -'
Li /c G a/��(j
�� G►��G'�3 ✓,11 GAG '"
/ CQUEI.i E GES
« Commission DD 621833
Expires December 12,2010
,�i� 8ond9d Thtu Troy Fain Insurance 800-3857919
. WAYNE
Automatic Fire Sprinklers,Inc.
LETTER OF TRANSMITTAL
From:
O 222 Capitol Court,Ocoee,FL 34761-3019 Phone:(407)656-3030 Fax:(407)656-8026
❑ 11326 Distribution Ave.West,Jacksonville,FL 32256-2745 Phone:(904)268-3030 Fax:(904)268-0724
❑4683 Laredo Ave,Ft.Myers,FL 33905-4924 Phone:(239)433-3030 Fax:(239)433-3263
❑3121 NW 16th Terrace,Pompano Beach,FL 33064-1408 Phone:(954)917-3030 Fax:(954)917-9424
❑ 613 NW Mercantile Place,Port St.Lucie,FL 34986-2258 Phone:(772)878-3350 Fax:(772)878-5967
® 3226 Cherry Palm Drive,Tampa,FL 33619-8337 Phone:(813)630-0303 Fax:(813)630-0312
❑4370 Motorsport Drive,Concord,NC 28027-8977 Phone:(704)782-3032 Fax:(704)795-6838
To: City of Zephyrhills Fire Department Date: 02-18-09
Project: BENTLEY COMMONS
ZEPHYRHILLS,FLORIDA 33540 AT ZEPHYRHILLS
Attention: Kerry Barrnett Subject: SUBMITTAL DATA
Fax No: 813-780-0041
WE ARE SENDING YOU:
Attached
❑ In accordance with your request
❑ Under separate cover via
THE FOLLOWING ITEMS:
Plans ® Calculations ❑ Copy of Letter ❑R.F.I. ❑
Material Data ❑ Specifications ❑ Change Order ® FIELD SAF ❑
THESE ARE TRANSMITTED:
® For approval ❑ Approved as submitted ® Submit 3 copies for distribution
®For your use ❑Approved as noted ❑Resubmit copies for approval
® As requested ❑ Returned for corrections ❑ Return corrected prints
®For review and comment ❑ Prints returned after loan to us
❑ For bids due ❑ To obtain our check deposit
�L ]i1 . )li hull
3 02-18-09 MATERIAL SUBMITTAL DATA
4 02-18-09 plans
4 02-18-09 calcs
Notes:
SUBMITTAL DATA,PLANS &CALCS FOR FORE SPINKLER SYSTEM
From: RICH JIVIDEN
;
YOUR"ONE STOP SHOP,"SERVING ALL YOUR FIRE PROTECTION NEEDS
We at Wayne Automatic Fire Sprinklers would like to take this opportunity and THANK YOU for using our services.We have seven
(7) locations, six in Florida and one in North Carolina. We provide full service fire protection for fire sprinkler and fire alarm
systems,FM 200,fire sprinkler inspections,alarm certifications,and maintenance on existing fire sprinklers and fire alarm systems
In all locations.Should you need our services,please call one of the numbers above.
Thank You,
Wayne C.Gey
President