HomeMy WebLinkAbout08-8048 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8048
FIRE ALARM SYSTEM PERMIT
Permit Number: 8048 Address: 38501 5TH AVE HISTORIC
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0170
Improv. Cost: 2,290.00
Date Issued: 8/08/2008 Name: ARNOLD WILLIAM CAPITOL INC
Total Fees: 150.00 Address: 38501 5TH AVE -HISTORIC
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/08/2008 Phone: (813)782-3930
Work Desc: UPGRADE FIRE ALARM SYSTEM
FAIRCHILD ELECTRONICS FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 50.00
o
FIRE ACCEPTANCE Final
FIRE ELEVATOR RECALL
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 YOU O OF COMMENCEMENT."
CONTRAC1 R SIGNA URE l 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 8048
FIRE ALARM SYSTEM PERMIT
Permit Number: 8048 Address: 38501 5TH AVE HISTORIC
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0170
Improv. Cost: 2,290.00
Date Issued: Name: ARNOLD WILLIAM CAPITOL INC
Total Fees: 150.00 Address: 38501 5TH AVE -HISTORIC
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782-3930
Work Desc: UPGRADE FIRE ALARM SYSTEM
FAIRCHILD ELECTRONICS FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 50.00
FIRE ACCEPTANCE Final
FIRE ELEVATOR RECALL
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 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
al3aao-oo2o City P Y of Ze h rhills Firms Fax-813-780-0021
-
Permit Application
Date Received Phone Contact for Permit I / 32-9
Owner's Name L L TR A (A Owner s Phone Number /3 I I I I 3
Owner's Address 3 �-'SGT L
Fee Simple Titleholder Name Titleholder Phone Number I L__________J
Fee Simple Titleholder Address
Job Address
3 Ste/ h t 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
emi ®nUtner
Sprinkler � O ❑ ❑ Recreational Bum
Fire Alarm 1,..O-- -m I- Sparklers
Hood Cleaning ❑ ❑ ❑ j Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ T I Standpipes(Sprinkler Sys)
Fire Alarm Installation p Torch Roofing/Tar Kettle
Fire Pumps I GAD Waste Tire Storage ANNUAL
Fire Works
Flammable Application-ANNUAL jZ 2- D Valuation of Project
Fuel Tanks
Other:
Contractor Company G 1G� ��
Signature Registered Y/N Fee Current Y/N
Address G f o/f f3��Ek �/ License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N I Fee Current I Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address I
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,
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 FINAN G, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO NC
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and s m to(or affirmed) fore 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.: 6
Contractor. ,` a' r1 c
Business Name: �L C_ Billing Address:/ B
Business Address: 3 b
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
Muth-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
Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas 6th Alarm $200
8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPUANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
ElPer Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP Acceptance Test $45 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 00 System Acceptance O� Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 FlammableAppltcatton $50 Annual
wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire Wall/Smoke Wall $15 perwall Generator<KW $100
CO2 $50 ULP Gas $25 per tank Generator>30 KW 150
Other $50 UNatural Gas $25 per system Blo-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
Hood/Ducts $50 fl Tent 10x10'or greater $15 per lent 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 0 Exhaust Hood/Duct $30
flNatural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
Spray Booth $50 Inspection scheduled DBL
and cancelled less than
24 hours
8 Construction Insp. N/C
Emergency Vehicle Ac' $50 FALSE ALARM
PLANS TOTAL INSPECTION TOTAL L,51/ PERMIT TOTAL TOTAL
GRAND TOTAL
Comments:
Date:
InsRtctor: /th7 _fYA4tt1L