HomeMy WebLinkAbout08-7848 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 7848
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 7848
Address: 38135 MARKET SQUARE DR
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE-SPRINKLER SYS 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: 2,450.00 g.
Date Issued: 5/14/2008 Name: FLORIDA MEDICAL CLINIC
Total Fees: 145.00 Address: 38135 MARKET SQUARE
Amount Paid: 145.00 ZEPHYRHILLS, FL. 33540
Date Paid: 5/14/2008 Phone: 813 780-8440
Work Desc: INSTALL FIRE SPRINKLER
RODAN FIRE SPRINKLERS,INC. FIRE SPRINKLER SYS
50.00 FIRE INSPECTION FEES 45.00
FIRE PLAN REVIEW FEES 50.00
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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
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
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 h�
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
Site Plan N/C Annual N/C Sprinkler st Alarm N/C
Multi-Family/Commercial .06 sf 1 st Re-inspection N/C Standpipes 2nd Alarm N/C
(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
-25 Heads $50
violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads 00 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
Per Riser $50 Hydrostatic Test rsystem Fire Works $500
FIRE PUMP cceptance Test System 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 perwall Generator<KW $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 10'x10 or greater $15 per tent 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' .� FALSE ALARM
PLANS TOTAL ' INSPECTION TOTAL PERMIT TOTAL TOTAL
GRAND TOTAL
Comments:
Date:
Ins ctor ,2 `� � �
813-780-0020 City of Zephyrhills Fire j'-t'.11- ( «- --GFL I v'
X7 ,�S• ax-813-780-0021
Permit Application
Date Received g_jPhone Contact for Permit '_ �I
Owner's Name Owner's Phone Number
Owner's Address ( '`"A-{ c � Z r h
Fee Simple Titleholder Name Titleholder Phone Number C1 L1 I
Fee Simple Titleholder Address L-- 1
3 E1 kQ C1
Job Address 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
JJ Emergency Generator<30 kw JJ LP/Natural Gas-Installation
Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
tection Maintenanc P
e-ANNU laces of Assembly-ANNUAL
r y emi er
S Recr: :::: atinal Bum
Fire Alarm ❑ ❑ ❑ E Sparklers
Hood Cleaning ❑ ❑ ❑ J �iprinkler System Installations
Hood Suppression ❑ ❑ O Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps JJ Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL I _Z,'1LJ ' -'_I Valuation of Project
Fuel Tanks ,
Q Other:
Contractor
Company
Signature Registered i9fN_I_ etur___ __ L
Address I 2,
License# "
ELECTRICIAN
Company
Signature Registered YIN YINJ Fee Current [_YIN
Address
License#
PLUMBER
Company
Signature L Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL
Company
Signature Registered J_YINI 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 h //a( ttp: ppraiser.pascogov.com)
NOTICE OF DEE
D RESTRICTIONS: The undersigned understands that this permit may-be subject"to"deed":restrictions"
ny
which may
be more restrictive than County regulations. The undersigned assumes responsibility for:complianc with
a or
applicable deed restrictions.
required to be licensed in accordance with state and local e regulations.
sv.olathe
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hasire a contractor
e
contractors to undertake work, they may beblaw both the owner and contractor may be cited f applyfor the
contractor is not licensed as required by at
Pasco County Building Inspection Division—Licensing-theSection contractor(s)7,27-847-
8009.under state law. If the owner or intended contractor are uncertain as to what licensing requirementso have may:
intended work, they are advised to contact the
8009. Furthermore, if the owner of this applicationas hired a tfor twh which they will be responsible. for or contractors, he is advised t you, as the owner v le sisgn n as
the
portions of the "contractor Block" io pp
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting rk is$2;500.00 or more, I
County. If valuation of work
provided with a copy of the "Florida Construction Lien La cants someone
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes,-as amends Law_
Homeowner's
that I, the applicant, have been
Protection Guide" prepared by the Florida Department of Agriculture
above described documlent and promrs. If the ise in good faith to
that I have obtained a copy
other than the"owner", I certify lication is accurate and
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app
that
all work will be done in compliance with all applicable laws regulating construction, zoning and land
Application is hereby made to obtain a ssuancit to do work and e of a permit and(that Ialltion as indicated. I certify
work will be performeand
development.
that no work or installation has commenced prior to codes, zoning regulations, and
d to
that I understand that the regulations of other
meet standards of all laws regulating construction,
County and City
development regulations in the jurisdiction. I also certify
gover
nment agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance. forth and that a separate permit may be required for electrical work,
the AGENT FOR THE OWNER, I promise in good faithto inform the owner of the permitting conditions set on. in
A
f I am construction. I understand this affidavit prior to commencing gas, or other installations not specifically included in the app
plumbing, signs, pools, airbeconditioning,c
issuance of a permit prevent the Building Official from theereaf er
issued shall wells,construed to a license to proceed with the work and not as authority to violate, cancel, alter, or
permit permit issued shall become set aside any provisions of the technical codes, nor soncodes. Every
requiring a correction of errors in plans, construction or violations of any issuance, or if work id
authorized by such permit is commenced within months after the time thetwork is commenced. Anhorized by
extes demonstrate
unless the work90 da s and willn exte
n
the permit is suspended or abandoned for a period of six(6) the job 9is considered abandoned.
may be requested, in writing, from the Buildig forininety(90)al for a rconsecutive d ys t e joty ( ) Y
justifiable cause for the extension. If work ceases
WNER: YOUR FAILURE TO RECORD A'NOTIE'OF COMMENCEMENT MAY RESULT IN F YOU INTEND TO OBTAIN FINANCING, CONSULT
WARNING TO O YOUR PROPERTY.
PAYING TWICE FORNDERI TO
OR ANVEMENTS ATTORNEY BEFORE RECORDING YOU TICE OF C MENCEMENT.
WITH YOUR LE
FLORIDA JURAT(F.S.117.03) CONTRACTOR
OWNER OR AGENT ed efore me thi Subscribed and sworn (or a
Subscribed and sw to(or by
b Who i ona y nown me or has/have produced
to
Who is/rsonaliy k me or hasthave produced as identcation.
as identification. __________________________________as
Co Notary Public
ry Public
Fb m issi No.
mmi ion No a" ;pp7E3 +�
Name of Notary typed.P samed
Name of Notary tY _ °
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780-0041
Kerry Barnett Fax (813) 780-0044
May 8, 2008
I have reviewed and approved the plans for a sprinkler system modification(head
relocation) located at 38135 Market Sq. I have attached the comments for the plan
approval. If there are any questions please contact my office at 813-780-0041.
1. Installation/modification shall compliant with the Florida Fire Prevention
Code and NFPA 13, 2007 Edition.
2. FDC for this system shall be placarded so it is easily located in darkness.
Reflective lettering with contrasting background.
Inspections Required
1. System can be pressure tested at normal operating pressure(less than 20
heads). Pressure test can be supplied to Fire Marshal at final.
2. Acceptance Test/Final.