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Home My WebLink About08-8049 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8049 FIRE SPRINKLER SYSTEM PERMIT Permit Number: 8049 Address: 37922 DAUGHTERY RD BLDG 4 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: 03-26-21-0010-00100-0010 Improv. Cost: 3,000.00 s= ' Date Issued: 7/08/2008 Name: DAUGHTERY ROAD PROF CENTER LLC Total Fees: 255.00 Address: 6719 GALL BLVD STE 106 Amount Paid: 255.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/08/2008 Phone: Work Desc: INSTALLATION OF FIRE SPRINKLER SYSTEM s ga INTREPID FIRE PROTECTION LLC FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 155.00 -off p 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 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 u 42 s3$13)780-0041 Fax (813)780-0044 Fire,Chief Kith Williams FIRE SERVICE USER FEES Occ p y D Contract Cl:� u Plan No.:. Billing Address: Z-- Business Name: G`- Business Address:. Billing Phone No.: Business Phone No.: Billing Fax No.: Business Fax No.: Contact: Contact: PERMIT F FALSE ALARM FEE PLAN REVIEW FEES INSPECTION FEES Annual 1st Alarm N/C N/C N/C Sprinkler $50 8 Site Plan SthndpipeS 2nd Alarm N/C Muni-Family/Commercial /Commcial .06 sf 1st Re-inspection N/C Fire Pump $50 Alarm N/C 2nd Re-inspection $100 $100 (Minimum Charge$25.00 $250 Hoods $50 4th Alarm Plan Revisions DBL 3rd Re-inspe�n Fire Alarm $50 5th Alarm $150 4th Re-Inspection $500 $50 6th Afann $200LP Gas SPRINKLER SYSTEMS (Business closed until Natural Gas $50 NON COMPLIANCE $150 0-25 Heads violations corrected) SPRINKLER SYSTEMS Fuel Tanks- per tank $50 26 plus Heads Sparklers $100 STANDPIPE SYSTEM Hydro Undergrounds $500$50 ydrostaticTest )persy, n Fire Works Per Riser Camp Fire $25 FIRE PUMP cceptance Test per sstSmControlled Bum $1� fl Per Pump $100 Hydrant Flow $75 oodlDuct $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 9 0-25 Devices $50 FIRE ALARM SYSTEM $50 Fire Protection $25 26 plus Devices $100 System Acceptance Flammable Application $50 Annual SUPPRESSION SYSTEMS Recall Acceptance $50 Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire WallISmoke Wall $15 per v Ii Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30KW 150 Oth Bio-Hazard Waste $100 Annual Other $50 Natural Gas $25 ��°'n Fumigation Tenting $50 KITCHEN EXHAUST Torch Pot/Applied $50 Hood/Ducts $50 Tent 10x10'or greater $15 perms OTHER Fire Pump $45 Haz.Materials $100 Annual 8LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 B Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) Spray Booth $50 fl Inspection scheduled DBL and cancelled less than 24 hours Construction insp. N/C FALSE ALARM I Emergency Vehicle Ac' $50 PLANS TOTAL ___ INSPECTION TOTALS) ,3 PERMIT TOTAL TOTAL GRAND TOTAL Comments: Date: Ll��//Q lnspAtctor. Kr' /i-�" ' ! 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit g i 1 Owner's Name # 1 O Owner's Phone Number OwnerAddress i C4 -. 06 h 3354 Z Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address 3...,�.r�">?��. ? ";�,^. "'��s�u � ,:''�S ��:�. f� ,;..'<»•. �;_ .;�?, s P� ,� �, u,: �S u. °�°t��`°�r �� ai�s�. �sY".... . «,,.;� R3,.,>K.,�" tl Lot# �� Job Address � { 2- 'ZV��t' � Sub Division Parcel# O Z� ZI O' ( oo�ao-mot ..::.wr "",a .•:,ca**fx3 :-,,skis,a. „,;:a=..,,,....we ^.,�' '. a>.. „« l:•. of 'fir.,:, _�_._ ' r`t�;# E .....vaa `r.''� C,°?„ �s,b'. kM' C„ ...,. z. 'ti Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL emiother Sprinkler ❑ O O Recreational Bum Fire Alarm ❑ ❑ ❑ I Sparklers Hood Cleaning ❑ ❑ ❑ I Sprinkler System Installations Hood Suppression O ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other: ass Contractor Company Signature L Registered Y/N Fee Current I Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N I Fee Current Y/N Address j License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER c ' 1) Company � Signature 1 C'Q. r`►f & L&1 Registered Y!N I Fee Current Y/N Address tq E . ey 4 License# S$OO O ZOO ] 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 maybe 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(Chapter713, 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. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR ` Subscribed and sworn to(or affirmed)before me this Subscri ed an s r�y� r affirfned efor�me phis by oZ by t'G{: UL ciJ�e�{ T Who is/are personally known to me or has/have produced Who' o , as ave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Notary Public,State of Florida Name of Notary typed,printed or stamped Name of Notary typed,printe omm.No.DD 507591 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780-0041 Kerry Barnett Fax(813) 780-0044 July 3, 2008 Plan Review Comments I have reviewed and approved the plans for a 13R sprinkler system located at the Zephyrhills Professional Center (37922 Daughtery Rd). My comments have been placed below. Please contact me if you have any questions with regards to my comments. 1. System shall be installed in accordance to NFPA 13R 2007 edition. 2. Provide ballard protection around sprinkler riser. Inspections Required: 1. Pressure test on underground. 2. Pressure test on each building system. 3. System acceptance final on each building. Note: Building contractor will have to provide plans for permit for fire alarm system for monitoring of building sprinkler system. DATE IILWDDNYYYY) CERTIFICATE OF LIABILITY INSURANCE 07/01/2008 PRODUCER (407)788-3000 FAX (407)788-7933 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 162207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Altamonte Springs, FL 32716-2207 Joan Martin INSURERS AFFORDING COVERAGE NAIC msunw Intrepid Fire Protection, LLC BRA- Tudor Insurance Co 314 E. Azalea Ave. IRB: Tampa, FL 33612 PRSURERC: INSURER a INSURER ECOVERAGES 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. NISI: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPINATION LIM1T8 GEIISRAL LIABILITY PGL763474 08/03/2007 08/03/2008 EACH OCCURRENCE s 1000,001 X COM ERCIAL GENERAL LIABL1Y DAMAGE TO RENTED f 100,001 CLAIMS MADE [ ]OCCUR VIED EXP(Any wis person) $ S,000( A PERSONAL NL AW IN,)URY $ 1,000 001 OENERAL.NGGHEGATE $ 2,000.001 GEN1 AGGREDATE UM ITAPPUES PER: PRODUCTS-COMPIOP AGG $ 2,000,00( POLICY Loc AUTOMOSIIe LIABILITY DSO LIMIT t ANYAUTO AL OWNED AUTOS BODILY NJURY SCHEDULED AUTOS (P.►Pueon) _ HIED AUTOS BODILY NARY NON-OWNED AUTOS PROPERTY DAMAGE (Per redder-) GARAGELIABIITY AUTO OILY-EAACCDENT $ ANY AUTO OTHER THANN EA ACC $ AUTO ONLY: AGG $ LIABILITY EACH OCCURRENCE $ OCCUR EJ CLANS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ YIARI¢RB OO BN$ATION AND WC STA 0TH- LIABIJTY EL IN ANY PROPRIETORWARTSERIEXECUTIVE EACACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L..DISEASE-EA LOYEI $ BPECKL PROVISIONS below EL DISEASE-POLICY LIMIT $ OTHER OSSCRWTION OF OPERATIONS I LOCATIONS I VEHICLEEI EXCLUSIONS ADDER BY ENDORSEMENT I$PECIAL PROVISIONS SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE'ILBREOF,TIE ISSUING INSURER WILL.SAVOR TO MAIL 10 DAYS TTEN NOTICE TO THECERTFICATEIWLDER NAMED TO THE LEFT, City of Zephyrhills Building Department BUT FAILURE TO MAL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR UANUrFY 5335 8th Street OF ANY ICING UPON TIE INSURER Ir8 AGENTS OR REPRESENTATIVES. Zephyrhill s, FL 33542 AUTHORIZED REPRESENTATIVE �u � lWilliain Massaro, Jr. JOA ' •r..v.n na,nn,A An&% maenaT1 CnRPARATIAN Sail 04-23-2008 ALEX SINK STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES t:IfFINaNt�.sL°FFrR DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW s CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 04/23/2008 EXPIRATION DATE: 04123/2010 pERSOF t COE PATRICK fE1N: 208371271 BUSINESS NAME AND ADDRESS: INTREPID FIRE PROTECTION LLC 314 E AZALEA AVE TAMPA FL 33812 SCOPES OF BUSINESS OR TRADE: 1- FIRE SYSTEM INSTALLATION IMPORTANT: Persout to Cbopler 440 . 05414), F.S., as officer of a corporsties ale olacts exomptios true this ehopar by lilies o certilinte of elective oiler this air reWYer hsedei ci c eewtlea sower this chip/er. Persona to CM 440.05412), F.S., Certiflcutoi of electieo to be exempt... apply sely mltMb he section may s-4 F.S., Notices of election to be seempt find cetl0iceos of scope of the business or trade listed us the notice of eiaction to be esesp. Perwosl to Chapter 440.054191, election to be exempt shall he sebleei to eivecstias if, fit say ties eher he iiliq of the .ante or the issasice of tae urefieat0. the person namefailure ii d en the netice dt certificate no Iaaaa eats 15. reealrenettt of this sadiaa for mated of a cerNflcNe. Tba dcirtment shell rerahe a cortfflcete M may lime for QUESTIONS?bs enis. 413-160 named os the tertNlcele to meet the re4uliemeals if this eeenen. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF tcLORIDA IMPORTANT DIV1 0M1iy11 OF WORKS CONPENSAT1OPIF Ptrsuannt to Chapter 440.05114). F.S., an officer of a corporation who CONSTRUCTION INDUSTRY elects exemption from boas chapter by filing a certificate of election CER7IFICATEOP EL*CTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or tempensation under this WORKERS'COMPENSATION LAW D chapter. EFFECTIVE: 04/23/2008 EXPIRATION DATE: 04/23/2010 H Pursuant to da4+ter 440.061121, F.S., Certificates of election to be PERSON r PATRICK COE exempt.. apply only within the scope of the business or trade listed on FEI11t 208371271 E the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Purstient to Chapter 44D.051131, F.S., Notices of election to be exempt WRETID FIRE PlIITECTION LLC and certificates of election to be exempt shall be slbiect to revocation 314 E AZALEA AVE if. at aty time after the filing of the notice or the issuance of the TAMPA. FL 33612 certificate, the person mated on the notice or certificate no longer meets the requirements of this Section for issuance of a certificate. The departm sit shell revoke a certificate at any time for failtte of the SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this 1- FIRE SYSTEM INSTALLATION 9eCti0rL QUESTIONS? {650} 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-O6 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE'FIRE'MARSHAL TALLAHASSEE,FLORIDA CERTIFICATE`OF COMPETENCY THIS CERTIFIES'THAT; PATRICK M COE 314 EAST AZALEA AVENUE TAMPA. FL 33612-6702 BUSINESS ORGANIZATION: INTREPID FIRE PROTECTION LLC CLTTEER OR SERVICE WATER TO THE SPAB3KLERSCYSTEM.S,W TON OF IER SPRAY SYSTEMS,FOAEQUIRING THEM AITY TO LAYOUT,TER SPRINKLER SYSTEMS,EMS,FOAM WATER BRiCATE,INSTALL,INSPECT, SPRAY SYSTEMS,STANDPIPES;COMBINATIOKSTANDPIPES AND SPRINKLER,RISERS,LINES,THERMAL SYSTEMUSED IN Al.LPIP N THT S ANS INTEGRAL CONNECTIONPART F THE SYSTEM BEGINNING ATTHE POINT OF SERVICE,SPRINKLER TANIK HEATERS, AtR WITH SPRINKLERS,AND TANKS AND PUMPS CONNECTED THERETO,EXCLUDING PRE-ENGINEERED SYSTEMS. Chief Financial Officer 07 01 2008:' 07 15 H'ilisbarough 85858000012007 0626730536 150.00 06 30(20 l Issue Date Type Class County License/Permit Number Application I! Taxes&Fees Expire Date HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535(5)Florida Statutes requires one of the following: :EDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER • SIGN and return entire form in enclosed envelope. Your validated Business Tax receipt will be returned to you. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02-5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P O Box 172920 TAMPA, FL 33672-0920 2008-2009 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30-2009 FOLIO NO. - FACILRIES dR mAeR-e R�tSMS"__-___ __.______- -� SEATS--- - ---___--- EMPL6YEES---- o� o� [ o1 � 1 209012 H.WASTE TAX C.CODE BUSINESS TYPE SURCHARGE 0.015 FIRE SPRINKLERS-CONTRACTOR(COMP CARD REQD) 40.00 18.00 BUSINESS :40K A LOCATION 1 131_./5- T4:L>< Ha'�.uS"d WcL . NAME 1, I .1 Doug Belden, Hilisboroush Counts Tau' oil MAILING OE Batch is 19836 004 duran ADDRESS 314 E AZALEA AVE Trans T: I Receipt ;: 016749 TAMPA FL 33612 Acct: 209012 Pay Cade: 4206 USINESS T it 5f2Su8 art 2009 $`18.(11:1 0352 8urehar9e $41 .04:1 DOUG=BELDEN,TAXCOLLECTOR 03`,1 Business Tax $1 .1111 ee�a wo-ns wE� c o +cr 8I3-635-520O Check Tendered: $58.00 IINESS'POFESSION OROCCUPATIDM$P,ECIFlED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 206 20901200004 000018002 000040006