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HomeMy WebLinkAbout08-8347 CITY OF ZEPHYRHILLS • 5335-8TH STREET (813)780-0020 8347 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8347 Address: 6851 WIRE RD Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-01200-0000 Improv. Cost: Date Issued: 9/23/2008 Name: ELKS LODGE Total Fees: 25.00 Address: 6851 WIRE RD Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/23/2008 Phone: (813)782-4604 Work Desc: FPM-FIRE ALARM ANNUAL-ELKS LODGE s 1JJ.. l `- ALLCOM SOLUTIONS INC FIRE PERMIT FEES 25.00 ` UI b$ UUSHP 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 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 NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 APR/22/2007/SUN 02:02 Prof ZEPHYRHILLS BUILDING FAX No. ?13-780-0021 P. 003 813-7Bo-Og2o City of ZephyrhlUs'Fire l Fax-813-780-OU21 Permit'Application Date Received I Phone contact1or POTTh I _ j l�� Owner's Name' Owners Phone Number _J I1: Owners Address J `J • Fee Sknpie Titleholder Warne T&hotder Phone Number Fee sempleTdbhoider Address Job Address b 5I s Lot 0 Sub DIvlsi n Parcel* • =ANNE o' Funnl6albn Tent Comm Exhwrst ioldron HoodlDuct llazaadoue Melerrsl friar it or RQ Fa )AIWUAL CorRrolied gum Hood Irq kBorl u Emergency Gerreraeor c 30 Oair LPINelurai Gar trrehIaMon Emergerrny Gsrreratoc>301tw • LPMiturel GaS-ANNUAL 8818 . •Firs Promafi n Mialnlsrranae_AJ :Fist's`of AsearnM,r,IwMUAL. , ''Sprtnkisr ❑ D D .. . .El Recrea5oora&Ben' Fus Alatrn' • ❑* E3 0' spa s " ' Hood Cleaning . Q ❑ O •O n(nsta8ldforrs • :Hood Suppression 0 p. . p.. ❑ ..., ] .Sndp4pss(SPrkrN sr Sy;) • . Abrm kata1L�lbri . .t• r TordrRO Ah Vier Katlic . Fre Pumps • • :Yyesls Tire Sfaraye IINMtIIALR Firs Works Refrtmabla App c on-ANNUAL' S Velu8tion of Pn*ct Fuel rankr . Other: Contractor Company Signature IReglsfered Y IN Fee current Y/N Address License# ELECTRICIAN Company . Stgnature Registered LY/N . Fee Current__ _Y_IN N Address License# PLUMBER Company Signature . Registered I_'(/ 4J Fee Current Y/N Address License tt, .. MECHANICAL Company Registered Y/N Fee Current Y/N Signature . Address License# OTHER Company signature Registered /N Fee Current Y 1 N Address License# Dtreet one: Fill cut application completely. Owner.&Contractor sign back of application.notarized(Or,copy of signed contraot with owner) If over$2600,.e Notice of Commencement is required.(Mechanicat 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://appraiaar.pa,cogov.corn) h?R/22/2CC7/SUFI 02:02 P}1 ZEPHYRHILLS BUILDING Fr;;t_ No. 313-70-0C21 P. 004 'NOTICE OF:DEED RESTRICTIONS: The.undersigned understands•that this permit may be'subectfto dedettictrons which may be more restrictive than County regulatlons. The.undersigned.assumes responsibility for zorrippatsce%with any applicable deed restrictions. UNUCENSED'CONTRACTORS,AND CONTRACTOR RESPONSIBIUTIES: If the owner has hitecJ:a�aontractor or contractors to'undertake work, they may be required 10 be licensed in accordance with stale and local-regulations. If the contractor Is not licensed as required by law, both the owner and contractor t r may be cited bor 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-z=•". 727-847- 8009. Furthermore, if the owner hasP hired -a contractor or contractors,, he is a.dvised.'to have the contractor(s) sign portions of the"contractor Bock" of this application for which they ;gill ue respori_,.ble. If you, as the owner sign as the contractor that may be an indication that he is riot properly licensec and is not enti.lec to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 7'i3, Florida.Statutes,-as ramenaeii): 77 ; ;uaticni of work :s$2, 00^0 or more, ar rovided with a Co of the 'r-iorid"d iso tructlon _erf Lev—!"ornc QWcC, certify that 1, the apptrcant, have been p copy Protection Guide" prepared by.the Florida Department of Agriculture anc Consuin sr nf`alrs. lr the applica.nt cCQflC other than the"owner", i certify that I have.obtaineo a copy of the above described do uriierit and prom se i:: yv%d Fait deliver it to the owner" orior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: i certify that all the information in this appiicdtiun is ac urate and that all work will be done in compliance with all applicable laws regulating construction, zu piny and id:au development. Application Is hereby made to obtain a permit to 00 worK and installation as indiaattd. 3 certify that no work or installation has commenced prior to issuance of a permr and that all worn viii be pelfori`ried to meet standards of all laws regulating construction, County and City cones, zoning ruyulatittira, and ';arid developmen₹ regulations In the jurisdiction. i also certify that, I uricerstanv that the regulations o other rrovernment soencies may apply to the Intended work, and that it is my responsibility to iueiitiiy vita, iL`iuns i most take to be in compliance. if I am the AGENT FOR THE OWNER. I promise in good faith to inform the owner of trie perrnitting.conditio,is set fvrtn in tills affidnv!", prior to commencing construction. l understand that a separate permit may oe required for ciet,.ricai wOrk, nhumbing ginns to U nook, air conditioning, gas, or other installations not specifically included in the appiicacion, r"+ nerrr,!t issued snail nP construed to be a license to proceed with the work and not as authority to violate, can;ei, alter, or rear nc tiro �mr nroviOnnc of fhA technical codes. nor shall issuance at a permit prevent the i3ir;i0ifly Utfciai irorr tncreafter rnnc,iris5n a nnrra++iil3n n'armrs in nuns. construction u! violations of any cocas- Every permit ssuec snait roc_v..+nom -" ti Urn - ..:: f - i riyrs 7'9 trip ,aanG �ai`S'it'ari7�:' by Ciif'rl nerrin is commenced within six months V I,i{-'riii't ;S ?.:� C3' i; ilf�isi a-4 _i-7Ze.v :;y *h narmrr or R'i ntif}Tw Ci icir a oenad of six 16, months.after the thie 'ne vvo is v:3 r(?#ilf r?i;:cci iii,. r iii' �r; 4 i ''c'.'. :c eXC r 1 :i"te 1 . days anc iii aemor. tr2. .a b.- re-,acictr.ai_ in t,Intmri 7rliTil i;-3i=! Iji.i to�i i)iiff.izat or a per cc D ,,93' +� a.e. t' the Dvtnt fl ii work sAA for ninety 190)consecutive clays, tflC job is can n3rdere.. aocionec lArwRArINC TO OWNER• 'OUP Fdiii 1JRF TO RECORD A 1 OT10E OF COMMENCEMENT MAY RESULT 'rN YOUR ^A',:►!C-r1N CE FOR rxi P OrVEME JTA TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING, CONSUL lADTTi! viiii!o r DE irwre rip 8N hTrnN PFy RFFORE RECORDING YOU►t NOT! Gtr COMMENiCEff0Et ; e..+-r'a .r . .. ........ ... _ ._..._-�....s�..._ ca w'141r'i t+ ii iPT IF 117(ii OWNER ORAGHEii ti :•.e. #`-==sr r affirmwri)ha'h-,ro mo this r:m nr rlrt)dUC81j ��3 6 p na•iv r nown,Lo me;r nawi rive pr.n iw ..._...,ta rtwsJh�V� l /i77$ �roC_cu w _ ...a5 ideri?t�~ L' r,. - NrataRr,Daa.ti.le... N t iy!'abut: .. - corm is on No. Commission No. Name of Notary typed:printed or starrtpecf Nei see of Notary bPb•P^rt,d ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID KS I DATE(MM/DDrYYYY) ALLCS-1 I 09/16/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fairchild, Addison & McKone HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 1030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brandon FL 33509-1030 Phone: 813-6B1-4893 Fax:813-685-8610 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Colony Insurance Company INSURER B: Allcom Solutions, Inc Randy Fairchild INSURER C: 7220 Pinehaven Drive INSURERD: Lakeland FL 33810 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .NSR IUD1 POLICY EFFECTIVE POLICY EXPIRATION LTR NSRI TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE j$1,000,000 A X COMMERCIAL GENERAL LIABILITY GL3393844 12/31/07 12/31/08 PREMISES(Eaoccurence) $100,000 CLAIMS MADE 7 OCCUR MED EXP(Any one person) $5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY flT PRO LOC JEC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ALLCS-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Allcom Solutions IMPOSE 0 OBEIGATION OR LIABILITY OF Y KIND ON THE INSURER,ITS AGENTS OR 7220 Pinehaven Dr Lakeland FL 33810 A H Rlz n & McKone ACORD 25(2001/08) ©ACORD CORPORATION 1988 STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES F Pursuant to Chapter 440.051141, F.S., an officer of a corporation who DIVISION OF WORKERS'COMPENSATE CONSTRUCTION INDUSTRY elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW �'-" D chapter. EFFECTIVE: 09/19/2007 EXPIRATION DATE: 09/18/2009 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: RANDALL C FAIRCHILD H exempt.. apply only within the scope of the business or trade listed o E the notice of election to be exempt. FEIN: 562427224 jR BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt ALLCOM SOLUTIONS INC and certificates of election to be exempt shall be subject to revocatio P O BOX 93255 if, at any time after the filing of the notice or the issuance of the LAKELAND, FL 33810 certificate, the person named on the notice or certificate no longer m the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this section. I- ALARM / SECURITY INSTALLATION QUESTIONS? (850) 413-16 AC# 3963756 ST FLORIDA DEPARTMENT Ole BS1$ SS AND PROFESSIONAL REGULATION EL-ECTR CA CONFRACrORS L-ICENSING, BOARD SEQ#L08083001525 'Ill -NBR 108/30/2008 087012167 _-,EF00012#3 The ALARM SYSTEM CONTRACTOR T Named below IS CERTIFIgD Under the provisions of Chapter 489 FS. ` Expiration date: AUG 31, 2010 FAIRCHILD, RANDALL CURTIS ALLCOM SOLUTIONS 7133 BROWN FOX RUN LAKELAND FL 33810 CHARLIE CRIST - = CHARLES W. DRAGO GOVERNOR SECRETARY DISPLAY-AS REQUIRED BY LAW APR/22/2007/SUN 02:02 PId ZEPHYRHILLS BUILDING FAX No, 313-700-0021 P. 001 Building Department ,,� ._� �- � >�" ;rl'. _. Tip• . Phone: 813 -780-0020 " Fax. (813)-780-0021 tk is ------------------------------------------FROM -- ---_._,.. ----- ----_-- ------------t----�-1 TO: FROM: Jackie FAX#:863-816-7513 FAX#: 813-780-0021 DATE:4-21-08 #OF PAGES including cover sheet: 3 MESSAGE: Attached is the permit application and letter requirement for fire maintenance done inside the City.of Zephychills.We need your General liability insurance,Workman comp, state fire license and address of business along with a working phone and fax number. There is no fee to register your business but we do need the S25.Q0 for the permit. • You may mail information to 5335 8a'Street,Zephyrhills Florida 33542 ATTn: Building Dept.Make check payable to: City of Zephyrbills. Any additional questions be sure to contact us here at the building dept.My name is Jackie ext3513, Thant you, _____---___- ____--------- ------------------------------ APP/22/2007/SUN 02:02 P}1 ZEPHYRHILLS BUILDING FAX No, 213-780-0021 P. 002 7ephyrhills Fire Rescue. 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus(813) 780-0041 Kerry,Barnett Fax(813)780-0044 To: Fire Alarm Companies Ref Annual Fire Alarm Certifications . September 25, 2007 To whom it may concern, On September 10, 2007 the'City.ofZephyrhills passed Resolution#589-07 which . contains life safety fees for plan review-inspections,permits and false alarms. Under this resolution there is a permit for Fire Protection Maintenance. Any time an annual test or recertii&cation is done on an alarm•systeminside the-city limits a permit shall be required. This permit is obtained through the Building Department as any other permit at a cost of $25 and is valid for thirty.(30)days. Jpduded in this permit is a fire inspection to ensure there are no'outstandiz g violations with the alarm system and it is operating properly. This will also allow us to have those deficlencies;when noted,to be corrected in atimely . manner. As the conawtor it is your responsibility o call in to the budding department to notify the Fire Marshal's Office of a the annual tester re-certification is done so an inspection can be scheduled The contractor does not have to be at the inspection. If something is found wrong the Fire Marshal's Office will YM Failuie to.call for this inspection will res ah in an additional fee,wbich•ia double the permit fee. Tie is no plan review asiodited with this permit and it céa be obtained within just a few minutes. The only information that is needed is the address legation and a copy of your license. • Zephyrhrills F m Re ne apolo�taes far say:inconvenience this may cause daring tins change, but unde:staad this-is enhancing the level offse protection within our city- -If.: . • you have any questions,please Cc itact.ZephyhillsF reRescae at(S13)78Q-0041 between'the home of 8:00 am and 5:00 pin. .. • Since 1p arnett - Fire Marshal,Zephyrbills Fire Rescue : .