HomeMy WebLinkAbout08-7981 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 7981
FIRE SPRINKLER SYSTEM PERMIT
X10! 0S :N 1Ia
Permit Number: 7981 Address: 39825 ALSTON AVE
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: 13-26-21-0040-00D00-0030
Improv. Cost: 10,000.00
Date Issued: 6/27/2008 Name: CITY OF ZEPHYRHILLS
Total Fees: 255.00 Address: 39825 ALSTON AVE
Amount Paid: 255.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/27/2008 Phone:
Work Desc: INSTALLATION OF FIRE SPRINKLER SYSTEM
.
PIPER FIRE PROTECTION INC FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 155.00
9-09
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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."
CONTRALTO 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
Pasco County Parcel: 13-26-21-0040-OODOO-0030 001 Page 1 of 1
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Parcel Cards: 1 I 2 I 3 1 4 15
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: IL Weekly Archive - Saturday, May 31, 2008
Parcel ID 13-26-21-0040-00D00-0030 (Card: 001 of 005)
Classification - Other Municipal
Mailing Address Assessment (totals)
CITY OF ZEPHYRHILLS Ag Land $0
5335 8TH ST Land $5,313
ZEPHYRHILLS, FL 335424312 Building $82,863
Physical Address - See All 2 addresses (First Shown) Extra Features $513
39825 ALSTON AVE
ZEPHYRHILLS, FL 33542-6733 Total Assessment $88,689
Legal Description (First 4 Lines) Save Our Homes $0
Z PINES NO 1 PB 4 PG 27 POR OF Taxable Value $0
E 1/2 OF LOT 3 BLK D DESC AS
COM SW COR OF NW1/4 OF SE1/4
TH NOODG 09' 35"W 447.77 FT
Land Detail (Card: 001 of 005)
Line i Use Description Zoning II Units Type Price II Condition II Values
L 1 J 2000 ji AIRPORT II OAP2 13,283.00 SF $0.40 1.00 $5,313
Additional Land Information
Acres II 0.30 II Tax Area 3OZH II FEMA Code II X Ilcommerical Codeil IZAP6CA
Building Information - Use 80 - Metal Buildings (Card: 001 of 005)
Year Built 1955 Stories 1.0
Exterior Wall 1 Modular Metal Exterior Wall 2 None
Roof Structure Steel Frame or Truss Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Masonary or Minimum Interior Wall 2 None
Flooring 1 Finished Concrete Flooring 2 None
Fuel None Heat None
A/C None Baths 0.0
Line Description Sq. Feet Repl. Cost New
1 BAS IL 3,120 II $47,206
2 II U0A IL 240 II $545
Extra Features (Card: 001 of 005)
Line II Description Year IL Units I Value
No Extra Features
Sales History
Previous Owner I N/A
Year JL Month Book/Page II Type I Amount
-- No Sales History --
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Parcel Cards: 1 I 2 I 3 I 4 I 5
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.com/search/pareel.aspx?sec=13&twn=26&rng=21&sbb=0040&... 06/05/2008
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780-0041
Kerry Barnett Fax (813) 780-0044
June 18, 2008
I have reviewed and approved the plans for a sprinkler system addition located at 39825
Alston Ave. I have attached the comments for the plan approval. If there are any
questions please contact my office at 813-780-0041.
1. New installation shall compliant with the Florida Fire Prevention Code and
NFPA 13,2007 Edition.
2. FDC shall be a 5" Storz connection,not a 4"
3. Tampers shall be installed on backflow preventor.
4. Plans shall be submitted on underground, Class 5 license required for fire line
installation(riser to backflow).
5. FDC shall be placarded so it is easily located in darkness.
Inspections Required
1. Pressure test and flush required on underground.
2. Pressure test on aboveground.
3. Acceptance Test/Final. (done in conjunction with fire alarm final)
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.: �3
Plan No.: Contractor. F\pri I(0 8
Business Name: /M/ Billing Address: .51/
Business Address: r" 77
Business Phone No.: Billing Phone No.: — — 1 —
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 $50 l 1st Alarm N/C
Mufti-FamiylCommercial .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
0 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
110-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads SPRINKLER SYSTE Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds i. Sparklers $100
Per Riser $50 Hydrostatic Test r system Fire Works $500
FIRE PUMP Acceptance Test per system Camp Fire $25
Per Pump $100 Hydrant Flow $75 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 WalWSmoke Wall $15 per wall Generator<KW $100
CO2 $50 LP Gas $25 per tank 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 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____ A Emergency Vehicle Ac' $50 FALSE ALARM
PLANS TOTAL r INSPECTION TOTAL! /V PERMIT TOTAL! TOTAL
GRAND TOTAL
Comments:
Date: Cp1,isLo
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Piper Fire Protection, Inc.
521 Commerce Drive
Largo, Florida 33770
727-581-9339
Job Name : ZEPHYRHILLS WWTP EXPANSION
Building : 39825 ALSTON AVENUE
Location : ZEPHYRHILLS, FLORIDA 33542
System AREA#1
Contract FP-32291-08
Data File : 32291.WX1
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Piper Fire Protection, Inc. Page 1
ZEPHYRHILLS WWTP EXPANSION Date 053008
Hvdraalic Design Information Sheet
Name - ZEPHYRHILLS WWTP EXPANSION ,Cie _ 6-4-13
Loca__on - ZEPHYRHILLS, FLORIDA 33542
B _l hang - 3825 ALSTO\ AVENUE System REF.
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Contractor PIPER FIRE 1
Contract N:,. - FP-32291-13
Calculated By - SHANE Drawing No. - MB 32246
Construction: o bustib N Combus- y 4
:� Non-Combustible Ceiling Height - _1 -4'
pa:.c ORLINAR._ HAZARD GROUP 2
S N) -',IFPu 13 c L_. Ha:. Cr .Haz. p. 1 2
3 Ex.Haz.
U ) NFPA 231 ) NFPA 231
K Figure Curve
Other
Specific Rulinc Made By Date
E
N] Area of Spr_ntiler operation - 660 System Type Sprinkler/Nozzle
" � la
Density - .20 (X) Wet Make TYCO
E Area Per Sprinkler - 130.00 ( ) Dry Model TY-FRE
Elevation at Highest Cutlet - 10. 16 K K Deluge Size 3/4"
S Hose Allowance - Inside - ; ) Preaction K-Factor 8. 0
Rack Sprinkler Allowance - ( ) Ot^-er Temp.Rat. 155
G Hose Allowance - Cuts_de - 250 WAX COATED
N
Note
Calculation Flow Required - 428.768 Press Required - 48.502 At Test
Summary C-Factor Used: 120 Overhead _50 Underground
N Water F1cw Test: Pump Data: Tank e or R
A Date of Test - 5-22-08 Reservoir:
Cap. -
T Time of Test - Rated Cap.- Flew.-
F Static Press - 65 @ Press -
P Residual Press - 35 Flew. - Well
Flow - 1000 Proof Flow
S Elevation - 1 ' -6"
P G
Location - FLOW PERFORMED AT HYDRANT ON SITE
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L Source of Information - PIPER FIRE FLOW TEST
Commodity Class Location
0 Storage Ht. Area
Aisle Ni.
M Storage Method: Solid Piled Palletized Rack
M
Single Rot, Conven. Pallet g) Auto. Storage Encar.
R Double Row Slave Pallet i Shelf
) Sold 0 Non
A Nun _. Row ( Open Shelf
CC
R 1{ Flue Spacing Clearance:Storace to telling
longitudinal Transverse
Horizontal Barriers _rcvid_d:
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Flow Diagram
Piper Fire Protection, Inc. Page 3
ZEPHYRHILLS WWTP EXPANSION Date 053008
27 91
1O4 - 105 106 F B01� C01
57.4 91
26 877 178.8 178.8
1O1 . 102- 103 i- A01 i- C01 F TORE- BOR- TEST
553 877 178.8
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
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Pressure I Flow Summary - STANDARD
Piper Fire Protection, Inc. Page 5
ZEPHYRHILLS WWTP EXPANSION Date 053008
Node Elevation K-Fact Pt Pn Flow Density Area Press
No. Actual Actual Req.
104 10.16 8 11.38 na 26.98 0.2 130 7.0
105 10.16 8 14.43 na 30.39 0.2 130 7.0
106 10.16 8 17.68 na 33.64 0.2 130 7.0
B01 10.16 23.05 na
101 10.16 8 10.56 na 26.0 0.2 130 7.0
102 10.16 8 13.42 na 29.3 0.2 130 7.0
103 10.16 8 16.45 na 32.45 0.2 130 7.0
A01 10.16 21.46 na
C01 10.16 25.51 na
TOR 10.16 27.64 na
BOR 1.0 42.91 na
TEST 1.5 48.5 na 250.0
The maximum velocity is 19.52 and it occurs in the pipe between nodes 106 and B01
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Final Calculations - Hazen-Williams
Piper Fire Protection, Inc. Page 6
ZEPHYRH ILLS WWTP EXPANSION Date 053008
Hyd. Qa Dia. Fitting Pipe Pt Pt
Ref. "C" or Ftng's Pe Pv ******* Notes ******
Point Qt Pf/Ft Eqv. Ln. Total Pf Pn
*P6
104 26.98 1.049 0.0 13.500 11.377 K Factor = 8.00
to 120 0.0 0.0 0.0
105 26.98 0.2265 0.0 13.500 3.058 Vel = 10.02
105 30.40 1.38 0.0 13.500 14.435 K Factor = 8.00
to 120 0.0 0.0 0.0
106 57.38 0.2405 0.0 13.500 3.247 Vel = 12.31
106 33.64 1.38 1E 3.0 6.500 17.682 K Factor = 8.00
to 120 0.0 3.000 0.0
B01 91.02 0.5646 0.0 9.500 5.364 Vel = 19.52
B01 0.0 1.61 1 T 8.0 1.250 23.046
to 120 0.0 8.000 0.0
001 91.02 0.2666 0.0 9.250 2.466 Vel = 14.34
0.0
91.02 25.512 K Factor = 18.02
*p9
101 26.00 1.049 0.0 13.500 10.562 K Factor = 8.00
to 120 0.0 0.0 0.0
102 26.0 0.2115 0.0 13.500 2.855 Vel = 9.65
102 29.30 1.38 0.0 13.500 13.417 K Factor = 8.00
to 120 0.0 0.0 0.0
103 55.3 0.2247 0.0 13.500 3.033 Vel = 11.86
103 32.45 1.38 1E 3.0 6.500 16.450 K Factor = 8.00
to 120 0.0 3.000 0.0
A01 87.75 0.5278 0.0 9.500 5.014 Vel = 18.82
A01 0.0 1.61 1 T 8.0 8.250 21.464
to 120 0.0 8.000 0.0
001 87.75 0.2491 0.0 16.250 4.048 Vel = 13.83
001 91.02 2.067 1E 5.0 2.750 25.512
to 120 0.0 5.000 0.0
TOR 178.77 0.2752 0.0 7.750 2.133 Vel = 17.09
TOR 0.0 2.067 1E 5.0 9.160 27.645
to 120 1 B 5.0 21.000 6.967 * Fixed loss = 3
BOR 178.77 0.2752 1 Fsp 0.0 30.160 8.301 Vel = 17.09
1S 11.0
BOR 0.0 4.1 4E 66.049 55.000 42.913
to 150 1G 3.302 69.351 4.783 * Fixed loss = 5
TEST 178.77 0.0065 0.0 124.351 0.806 Vel = 4.34
250.00 Qa = 250.00
428.77 48.502 K Factor = 61.57
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
813-780-0020 City of Zephyrhills Permit Application /l q 8
Fax-813-7800021
Building Department
Date Received —/� Q
Phone Contact for Permlttin
Owner's Name t ` k Z Owner Phone Number
Owner's Address 33ff
f Owner Phone Number 1
Fee Simple Titleholder Name L Owner Phone Number L
Fee Simple Titleholder Address \, (}
JOB ADDRESS Lm S V` LOT# L
SUBDIVISION PARCEL ID# \ - -
(OBTAINED FROM OVE � DEMOLISH PRO M Ax CE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN
INSTALL REPAIR
PROPOSED USE El SFR [ ] COMM El OTHER
TYPE OF CONSTRUCTION El BLOCK [ ] FRAME El STEEL El OTHER
DESCRIPTION OF WORK \ `
BUILDING SIZE SQ FOOTAGE L HEIGHT
Q BUILDING $ j VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS ENERGY El W.R.E.C.
El PLUMBING $
El MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
O GAS El ROOFING [ ] SPECIALTY El OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N
Address
License#
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 I Y/ N I FEE CURRENT I Y/N
Address
License#
OTHER ( I� ` COMPANY � (
SIGNATURE REGISTERED [ ' / NI FEE CURRENT /N
Address f. Lacccy V License# Lt 5 L /7
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$5000)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OE 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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
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. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 AtFPRNY BEFORE RECORDING YOUR NOTICE OF COM MENT.
FLORIDA JURAT(F. 7.03)
OWNER OR AGEN CONTRACTOR
Sub cd d nd sw (o i ed) o e t ' Sub ri d d sworn to(or a rmed) of e
by by
i /are person y known me or ha /have produced o is/arpersonally wn o me r as/have produced
as identification. (. 7 s identification.
-�- � r
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Public
Commissio ti►► ••,�.»«�..,, BOBBI lic Commission No. BOBBIES.SWETI AND
-�" Ex ires F
Name of N deea Name of Notary type 'r s fr Troy Fan in�uruaa 800.986.7019
"'•art.•' ea,a,d ruary 22,2012 Thru Troy Fain Ire,a x,38&7019
1111111 11111 11111 11111 11111 11111 11111 11111 11111 11111 Ills Ills
2008125465
Rcpt: 1200140 Rec: 10.00
DS: 0.00 IT: 0.00
NOTICE OF COMMENCEMENT 08/27/08 Dpty Clerk
ilyI JED PI CLERK MANC0UNTY
Permit No.: 08/27/08 0d; j�pm SC0 f1
Parcel I.D.No.: 13-26-21-0040-OODOO-0030 OR BK 7913 PG 1134
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance
with Section 713.13,of the Florida Statutes,the following information is provided in this Notice Of Commencement.
1.Description of property(legal description):Z Pines NO 1 PB 4 PG 27 Por of E%z of Lot 3 Blk D Desc AS Corn SW
Cor of NW'4 of SE '44 TH NOODG 09'35"W 447.77 FT
a)Street(job)Address:39825 Alston Avenue,Zephyrhills FL 33542-6733
2. General description of improvements:Install Fire Sprinkler System
3.Owner Information:
a)Name and address:City of Zephyrhills,5335 8te Street Zephyrhills FL 33542 6733
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address:Piper Fire Protection,Inc. 521 Commerce Drive South Largo FL 33770
b)Telephone No.:(727)581-9339 c)Fax No. (Opt.): (727)581-8332
5. Surety Information
a)Name and address:
b)Amount of bond:
c)Telephone No.: d)Fax No.(Opt.):
6. Lender
a)Name and address:
b)Telephone No.:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be
served:
a)Name and address:
b)Telephone No.: c)Fax No. (Opt.):
8. In addition to himself, owner designates the following person (s) to receive a copy of the Lienoras Notice as
provided in Section 713.13(l)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: c)Fax No. (Opt.):
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a
different date is specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
State of Florida
County of: P__ 0 10. �-�+..�,r (.1 74 1,__4,, w�f
S gnature of Owner or Owner's Authorized Officer/Director/Partner/Manager
k011 t G SA1,44 L-
Print Name
The foregoing instrument was acknowledged before me this (9' day of A .Q -4 s ,20 0 ,by
l�(1L{i_ Se /(CU- as t 11/if SLoa,-ih _�t aof
(typ authority,e.g.officer,trustee,attorney in
fact)for C r 4-y_ F 7e n k .ck r I!S (name of rty on behalf of w m instrument was executed).
Personally Kno ✓OR Produced Identification Notary Signature
Type of Identification Produced n) Name(print) f v W '
.. . ,`
Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
Si tore ofNatural Person Signing(in Line#10).Above
After completion,please return to:
, Joan V. Nowicki
PIPER FIRE PROTECTION,INC. :i' '� Commission#DD450491
521 COMMERCE DRIVE SOUTH
Expires October 30,2009
LARGO,FL 33770 f r;y eonaia Troy pain.insutence,roc eoa39s7019
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAN ND OFFICIAL SEAL THIS -7°L' DAY OF
2
JED PIT CLERK OF cigcUFT COURT
BY yti-.u--/(�3 iT EPUTY CLERK