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Home My WebLink About09-9883 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9883 FIRE ALARM SYSTEM PERMIT Permit Number: 9883 Address: 7860 GALL BLVD 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: 35- 25 -21- 0130 - 00000 -0140 Im rov.Cost: !1 M44Nr Date Issued: i Name: ZEPHRY COMMONS LLC _ �� Total Fees: 150.00 Address: 3629 MADACA LANE Amount Paid: TAMPA FL 33618 Date Paid: ` b C?) Phone: (813)933 -0629 Work Desc: FIRE ALARM INSTALL RR BLOCK -FM KB WAIVED $100.00 (PLAN & INSPECT FEE) ` 77 7 «' E- �� `.. L @ M� ,.,tv :.v : .' .. s a@ P +I a n , ALA : URI H �.,.- � ue' ,dam N•LO 1 FIR ALA 50.00 IRE - sN E 50.00 FIRE PLAN REVIEW FEES 50.00 132- Peit7e,c10-- 5& S pick- GO? : FIRE A - AN E 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." 1r . ieni _ CONTRACTOR SIGNATURE d 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 813 -780 -0020 City of Zephyrhills Fire i 9 653 Fax -813 -780 -0021 Permit Application s Date Received /2 ci J / i Phone Contact for Permit I t) 3 I FCM3 i ll 0 ki Owner's Name JJCA 131,0CJ4 nn Owner's Phone Number Owner's Address 70 GA CL Il. V j. Fee Simple Titleholder Name Titleholder Phone Number Fee SimpleTitlehold- - 3 `'. - i , . g SR A " :;a'"A,M e ,aew (ARKS. , � ugn ate ; REZ �,' .,. ,, ..:_. ?: �iRM.rr ,.., Y R , : , r- ?,e - Job Address S'S6 GALL- !bo / J Lot # Sub Division Parcel # . g:, ,..a:. _ . ;WS a &. m4 , ,,aee°+ iE. sue.€..? ><..u.:ASOKOZtilihW„ OM ... :.4Z- 12mJ+,a1 50;41MM e. .r.NMM , - ;;M. - am,Z a ..,�:..:sM . ;;;A .....ri .g �e `z Y...t .. 4,. ..�...�_ .,.t ", .. ,A .ddb -v. n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum n Hood Installation Emergency Generator < 30 kw I I LP /Natural Gas - Installation n Emergency Generator > 30 kw I I LP /Natural Gas - ANNUAL Sale I I Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL IUthyl !Semi] WM Other Sprinkler El ❑ ❑ ❑ Recreational Bum i Pell-P/1;1— Fire Alarm n ❑ CI ID 1 I Sparklers v ��_ • • \� r ecr lA` Hood Cleaning n ❑ ❑ ❑ I I I Sprinkler System Installations 1-71 Hood Suppression n ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys) . -- `.- Fire Alarm Installation n Torch Roofing/Tar Kettle W/1 ' Fi Pumps n Waste Tire Storage ANNUAL r jr—i Fire Works l I n Flammable Application- ANNUAL I ( Valuation of roject n Fuel Tanks I Other: I Contractor Company f/Q.E. ,4 F ' riCil I Signature Registered Y/ N Fee Current I Y/ N Address c 4 0 , , r 1 e J SR .Sy SW 4- /47 ?1! Wfstcy AIPICL License# 1 EF 2dr■L'NO L)ga I ELECTRICIAN Company Signature Registered Y/ N ] Fee Current I Y/ N I Address I I License # PLUMBER Company Signature Registered Y / N 1 Fee Current 1 Y/ N I Address I I License # MECHANICAL Company Signature Registered Y / N J Fee Current I Y/ N I Address I I License # OTHER Company Signature Registered Y/ N I Fee Current I Y/ N I 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 "rrestrictiQns" 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 Subscribed and swom to (or affirmed) before 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 Rescue 6 907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E-mail: kbamett Plan Review #: 09 -103 Project: Fire Alarm Modification Number of Pages: (Scope of Work Letter) December 9, 2009 I have received and reviewed the request to reprogram the fire alarm system for devices to reflect the unit and will allow the project to move forward. Please note that this review does not eliminate any further requirements as the project continues moving forward. By receiving permit, contractor acknowledges to comply with the items listed below. Permit charges is the only fee that will be assessed. There was no review to be conducted and inspection can be included on final. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. Inspections Required: 1. Acceptance Test (to ensure devices are programmed correctly) KERRY BARNETT, 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. Fire Alarm & Security Technologies State Fire Alarm License # EF 20000480 www.fastdetection.com Ph.# 813-600-5181 FY. #813- 600 -5576 Zephyrhills Fire Rescue 12/01/09 6907 Dairy Road Zephyrhills,F1. 33542 This letter serves as our scope of work on the following project. H &R Block 7856 Gall Blvd. Zephyrhills, Fl. 33542 As per Kerry Barnett we have changed the labels on the fire alarm devices in this tenant suite (two duct detectors and two pull stations) to reflect the tenants address. No devices were added or removed for this build out. Thank you, Tim Sorvillo 27251 State Road 54 Suite B- 14/331 Wesley Chapel. FL. 33543