HomeMy WebLinkAbout08-8355 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8355
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 8355 AddreW 0EGALL 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: 35-25-21-0010-00700-0000
Improv. Cost: 24,000.00
Date Issued: Name: PRIMERICA GROUP ONE
Total Fees: 280.00 Address: 3629 MADACA LANE
Amount Paid: 280.00 TAMPA FL 33618
Date Paid: 9/29/2008 Phone: (813)933-0629
Work Desc: INSTALLATION FUSE SPRINKLER SYSTEM BLDGING B SHELL
CAPSCO INDUSTRIES INC FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES 100.00
FIRE INSPECTION FEES 130.00
fff �r t4 s0 7
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
RECORDI YOU TICE OF COMMENCEMENT."
4
CONTRACTOR 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
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8355
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 8355 Address: 7920 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: 35-25-21-0010-00700-0000
Improv. Cost: 24,000.00
Date Issued: Name: PRIMERICA GROUP ONE
Total Fees: 280.00 Address: 3629 MADACA LANE
Amount Paid: TAMPA FL 33618
Date Paid: Phone: (813)933-0629
Work Desc: INSTALLATION FIRE SPRINKLER SYSTEM BLDGING B SHELL
CAPSCO INDUSTRIES INC FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES 100.00
FIRE INSPECTION FEES 130.00
o 1 !�
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."
CONTRACTOR SIGNATURE I IC ER
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
83-780-0020 " City of.Zephyrhills Fire Fax-813aa0-0021
Permit Application
Date Received I -S -c ' Phone Contactfor Permit /3 Gd 47 }
Owner's Name f . (M EiiL l�vvP oti E Owners Phone Number 1
Owner's Address
Tel. /'1AOAca Gf� / 4..f'-r j24 fL 336/
Fee Simple Titleholder Name Titleholder Phone Number ��
Fee SimpleTitleholder Address
Job AddresstU'J ) 7q? ) C GUIf Z `� Lot#
Sub Division I 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
r0 y emi Other
Sprinkler ❑ O O Recreational Bum
Fire Alarm ❑ O 0 T I Sparklers
Hood Cleaning ❑ ❑ ❑ I I Sprinkler System Installations
Hood Suppression Standpipes(Sprinkler Sys)
PP ❑ ❑ ❑ O
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL t{ Valuation of Project
Fuel Tanks
Other:
Contractor Company /�$$c Sti DuSi F S
Signature Registered N Fee Current Y/N
Address t f!( 7 O [v License# s.S—1 3 OO a c .?s
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current J Y/N
Address License#
MECHANICAL Company
Signature Registered Y I N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address 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.pascagov.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:compliarme%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 Bpply 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 1, -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 applyto 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 FORTHE 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 4'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 COMMEN EM NT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR `
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn Ia or a�ed)keforee 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
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 No.: Contractor.
Business Name: Billing Address:
Business Address: ZO6th
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 1st Alarm N/C
Muni-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
fl 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
0-25 Heads violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTE Vdro Undergrounds $45 Sparklers $100
Per Riser $50 Hydrostatic Test Fire Works $500
FIRE PUMP j Acceptance Test persystem Camp Fire $25
Per Pump $100 Hydrant Flow $ Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
0-25 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
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire Wall/Smoke Wall $15 per wall Generator<IQIV $100
CO2 $50 LP Gas $25 pertank Generator>30 KW 150
Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
Hood/Ducts $50 Tent 10x10'or greater $15 pertent Torch Pot/Applied $50
OTHER Fire Pump $45 Haz.Materials $100 Annual
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
❑ (Per Tank) $50 Exhaust Hood/Duct $30
Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
Spray Booth $50 Inspection scheduled DBL
and cancelled less than -
24 hours
Construction Insp. N/C____ R Emergency Vehicle Ac' $50 s FALSE ALARM
PLANS TOTAL '- INSPECTION TOTAL PERMIT TOTAL TOTAL
GRAND TOTAL I Z9- i
Comments:
Date: D
lnsRpctor: ✓ - , --
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#: 08-113
Project: Bldg"B"—Zephyr Commons
Number of Pages: 5
Date: September 24,2008
The plan review process has been completed for the sprinkler system located at 7920 Gall
Blvd. and is allowed to move forward with installation at this time.I have provided my
comments below that shall be complied with will in order to receive a sprinkler final
(acceptance test).
Should you have any questions,please contact me at the information above.
1. Installation shall be compliant with NFPA 13,2007 Edition.
2. Install a 5"turndown Storz versus the standard 2-2 '/z"FDC. FDC shall be
placarded with 6"letters on contrasting background that is visible at night.
3. Underground for sprinkler system shall be installed by a certified fire
protection company or company that carries the appropriate certification to
install dedicated fire protection line(backflow preventor&fire line to riser).
4. System shall be tied into the building's fire alarm system. Tampers and flows
shall be monitored.
Inspection to be completed:
1. Pressure Test(sprinkler head location will be checked at this time)
2. Acceptance Test(completed in conjunction with fire alarm)
2
NOTE: Sprinkler contractor advised revision will be coming due to the addition of a
dry sprinkler system for the canopy area. Contractor advised nothing has changed other
that the dry system being added. Contractor advised there will be a revision charge.
KERRY 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.