HomeMy WebLinkAbout09-9632 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9632
FIRE STANDPIPES PERMIT
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Permit Number: 9632 Address: 7940 GALL BLVD
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE -HOOD SUPPRESSION 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- 0130 - 0000000140
Improv. Cost: 2,000.00 ' .::.. It1 _. . . °°"°, . 7
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Date Issued: 10/15/2009 Name: ZEPHYR COMMONS L = LC
Total Fees: 160.00 Address: 3629 MADACA LN
Amount Paid: 160.00 TAMPA FL 33618
Date Paid: 10/15/2009 Phone: (954)596 -6883
Work Desc: INSTALLATION SUPPRESSION- CHINA TASTE
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FIR INSPECTION FEES _ 30.00 , CONTRACTOR CERTIFICATE 30.00
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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
REC YOUR OTICE OF COMMENCEMENT." _ , _ I =. •mk
CONTRACTOR / - x
ATU • 7 1 ' IC R
PERMIT PIRES 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 - 8T1-I STREET
(813)780 -0020 9632
FIRE STANDPIPES PERMIT
$ ,y . , , - a '.'`•' r t fl? ` ,. .. r:. a . q£a ,'� '. �E C ,.? Av.ai ,$ ,3' '" `<a ° i " r : 77
Permit Number: 9632 Address: 7940 GALL BLVD
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE -HOOD SUPPRESSION 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- 0130 - 0000000140
1mprov. Cost: 2,000.00 a.. : _ _
Date Issued: Name: ZEPHYR COMMONS LLC
Total Fees: 90_QQ,. ' Address: 3629 MADACA LN
Amount Paid: TAMPA FL 33618
Date Paid: Phone: (954)596 -6883
Work Desc: INSTALLATION SUPPRESSION
rr ' •MT IAL •U1= •. - UP" - • N 50.00 'LAN - W 50.00
FIRE INSPECTION FEES 30.00 CONTRACTOR CERTIFICATE 30.00
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I' BALL• S - 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."
_1.f���
CONTRACTOR SIGNATURE �j 1 # 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
4.q X 3 2
813- 780 -0020 City of Zephyrhills Fire Fax -813- 780 -0021
7 C ! � Permit Application /
/
Date Received 0 ` - 0 Phone Contact for Permit (3 ragni 3 s7
Owner's Name I Z e pas . 7 t3 �7/�70ti s I Owner's Phone Number I 1 I 1 1 I
Owner's Address 13 to z /k 9 / , 4 4 ( ti 7;14 1 4 7 334 /8
Fee Simple Titleholder Name 1 Titleholder Phone Number I I I
Fee Simple Titleholder Address
- 7 £t": Q / �,( � � �, ,, �." 'F,w<.�z4�'.,�aa,"�- �.....
Job Address - / ! T b 64/// A /t /`] '- `'fV', /rTi-- Lot#
Sub Division I Parcel # I
El Bio-Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct n Hood Installation
Controlled Bum El LP /Natural Gas - Installation
Emergency Generator < 30 kw = LP /Natural Gas - ANNUAL Sale /
n Emergency Generator > 30 kw Places of Assembly- ANNUAE
Fire Protection Maintenance - ANNUAL = Recreational Bum $ L53° � /
r y LIEU =I MEM
Sprinkler 0 ❑ ❑ ❑ = Sparklers
Fire Alarm 0 ❑ ❑ ❑ I I E Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ ❑ I I = Standpipes (Sprinkler Sys)
H90d f Q 0 —�� Torch Roofing/Tar Kettle
Fire Alarm Installation I Waste Tire Storage ANNUAL
Fire Pumps
Fire Works
R Flammable Application- ANNUAL
Fuel Tanks I 2 OOO • I Valuation of Project
Q Other: I I
Contractor Company
Signature Registered Y/ N I Fee Current I Y/ N 1
Address I I License # I I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # I I
PLUMBER Company I
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I I License # I
MECHANICAL Company I
Signature Registered Y/ N 1 Fee Current I Y/ N 1
Address I I License # I
OTHER C /1-e 14/ F�a L'�Q CO- mpany I
Signature ..�� P.1 R J iegistered �� C) N I Fee Current II Y / N I
FL
Address •A ' � �M 251 License # i7�si a1 51al • w l
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 - days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
' ca;OF:DEED-RESTRICTIONS: The re regulations. The undersign d a umes sponsibility far:compi'a any
which may be more restrictive than County 9
permit may applicable deed restrictions.
UNLICENSED 'CONTRACTORS AND - b required t b eIn RESPONSIBILITIES: with owner te and local &gal i -contractor
If the
contractors to
not licensed w they may
contractor de l no I owner as requnte by law,
contractor are uncerta n .as to what licens licensing - requirements i may :apply violation
forr the
under state law. If - the a s or f
in Furthe, they ermore, if t are he • owner to
r has hired ea contractor Building
contractors, he is advised to I have - the contractor(s)_8 sign
p009. Furthhe • w application which will be responsible. If you, as - the owner as the
contractor,
portions r, the "contractor #hat maay y bbee Block" of this a an indication that he is not .properly licensed and is not entitled .permitting .privileges in Pasco
County. that I, the ap N LAW ( Chapter713, Florida Statures, as amended): If valuation of work is •$2;500.00 or more, I
CONS copy of 'the `Florida Construction Lien Law — Homeowner's
certify that , the applicant, have .been provided -with a and Consumer Affairs. If the applicant is 'someone
Protection Guide" prepared by Florida Department of Agriculture he above described document and promise in good faith to
other than the "owner", I certify that ,l have obtained a copy
deliver it!to the "owner" prior to commencement. that all the information .in this application is accurate and
- CDNTRACTOR'SIOWNER'•S -AFFIDAVIT: I certify y Ilcabie laws regulating construction, zoning and land
that all work will be done in compliance with all 'app
development. Application i has commenced prior to issua of a permit and .that installation
lit work will to
m et t a n d rd or nofa all l construction, County and City codes, .zoning regulations, and land
meet standards of all laws regulating
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
_ govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions 1
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 d for
this affidavit prior to commencing construction. •l oe veer nstaltatisnsn of specifically ally mcluded the a
plumbing, signs, wells, pools, air conditioning, a 9 a
permit issued shall be construed be to be a fic ense nor shal proceed su wit
of a permit prevent event the l DfFicEal from thereafter work and not as
set aside any provisions of the technical codes, permit issued shall become invalid
unless the a correction of errors y in such permit s commenced t within . six monthseof permit issuance, or if work authorized by
unless the work suspended or abandoned ndch p
d. An extension
the permit is suspnded or bandoned for a period of six (6) months after the time.the work da s and demonstrate
may be ;requested, in writing, from the Building Official for a90e consecutive days, the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety ( )
WARNING
TO OWNER: YOUR FAILURE TO RECORD A'NOT10E'OF'COMMENCEMENT MAY''RESULT IN 'YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR RECORDING Y UR NU OF MMENCEMENT.' CONSULT
WITH YOUR LENDER OR AN ATTORNEY 'BEFORE
FL0RIDAiJURAT (F.S. 117.03)-
OWNER DR AGENT bofome me this S • iE e... end, ��- a Is O
Subscribed and sworn to (or affirmed). '- 7 •-(7 by
by Who islare personal' known to me or has/have produced
Who i sJ are personally known to me or has/have produced
i 4� as identification.
as identification.
le # Notary Public
Notary Public — . , , n r
'I ' V, Co mmissio DI Pet 12, 2 0 1,
Comm - • . 4.. :� . : ■ ai
Commission No. ,.f
Name of Notary typed, printed or stamped
Name of Notary typed, prmrmted or stamped
•
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett@fire.zephyrhills.fl.us
Plan Review #: 09 -082
Project: Hood Suppression
Number of Pages: 1
October 8, 2009
I have received and reviewed the plans for the hood suppression system at 7940 Gall
Blvd and will allow this project to move forward. By paying for permit, contractor agrees
with the items listed below. Should anyone have any questions, please do not hesitate to
contact the Fire Marshal's office.
1. Ensure hood suppression system is tied into the building's fire alarm system.
2. Ensure there is a Class K fire extinguisher on site.
3. Ensure proper placarding is located at the Class K and at the manual pull.
Inspection to be completed:
1. Acceptance test (balloon test)
KERRY B • ' 1 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.
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.:
Contractor: __ Plan No.: C —elf Contractor: (thulti l,j4 .1' ; ,
Business Name: (7 / 7-41.77,- Billing Address: J i Z ,,CV'
Business Address: 7 10 5 4 All �,0yer- , �4/g
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 NIC _ Annual N/C Sprinkler $50 _ 1st Alarm N/C
Muni - Family /Commercial .06 s _ 1st Re inspection N/C ~_ Standpipes $50 _ 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $ _ 3rd Alarm N/C
0 Plan Revisions DBL — 3rd Re- inspection $250 Hoods 4th Alarm $100
_ 4th Re- Inspection $500 _- Alarm Fire Alarm _ 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 _ 6th Alarm $200
— 0 - 25 Heads $50 violations corrected) Natural Gas $50 _ NON COMPLIANCE $150
26 plus Heads $100 —
SPRINKLER SYSTEMS Fuel Tanks - per tank $50
STANDPIPE SYSTEM ` Hydro Undergrounds $45 ` Sparklers $100
0 Per Riser $50 _ Hydrostatic Test $65 per system _ Fire Works $500
FIRE PUMP _ Acceptance Test $45 per system _ Camp Fire $25
0 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 Annual
_ Dry $50 Fire WaII /Smoke Wall $15 per wall Generator < KW $100
—
CO2 $50 LP Gas $25 per tank Generator >30 KW 150
Other _ _ Natural Gas $25 per system _ Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST \ �' _ Fumigation Tenting $50
0 Hood/Ducts $50 Tent 10'x10' or greater $15 per tent _ Torch Pot/Applied $50
OTHER Fire Pump _ Haz. Materials $100 Annual
— LP Installation per tank $50 Fire Suppression
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
0 Natural Gas Installation $50 Re- inspection DBL
(Per System) (other than annual)
0 Spray Booth $50 0 Inspection scheduled DBL
and cancelled less than _
' _ 24 hours
y ' _ Construction Insp. N/C
PLANS TOTALI I INSPECTION TOTAL 30 f PERMIT TOTAL 5 V / FALSE TOTAL I
GRAND TOTAL I / / D I
Comments:
Date: f) ilb tog
Inscmctor: 7 i-6
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