HomeMy WebLinkAbout08-8357 CITY OF ZEPHYRHILLS
5335 - 8T1-I STREET
(813)780 -0020 8357
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 8357 Address: 7810 GALL BLVD
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: 35- 25 -21- 0010 - 00700 -0000
Improv. Cost: 11,700.00
Date Issued: Name: PRIMERICA GROUP ONE
Total Fees: 280.00 Address: 3629 MADACA LANE
Amount Paid: 280.00 TAMPA FL 33618
Date Paid: 9/29/2008 Phone: (813)933 -0629
Work Desc: INSTALLATION FIRE SPRINKLER SYSTEM BLDGING F
CAPSCO INDUSTRIES INC FIRE SPRINKLER SYS 50.00 FIRE PLAN REVIEW FEES • 100.00
FIRE INSPECTION FEES 130.00
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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
RECORDI YOUR NOTICE OF COMMENCEMENT." ■
Ak CONTRAC • - SIGNATURE • rd 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 e35 Fax -813 -780 -0021
Permit Application
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Date Received
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..�. n I AC/ �. /K. (. of c 1 Owner's Phone Number 03 Q 3 3 ?-
Owwnnerr''s s Name
Owner's Address 1 1
1 Titleholder Phone Number 1
Fee Simple Titleholder Name
Fee Simple Address , en s ..... I .
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Job Address �� /�
Sub Division j 1 Parcel # 1
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I 1 Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent
I I Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
I I Controlled Burn n Hood Installation
Emergency Generator < 30 kw I 1 LP /Natural Gas - Installation
Emergency Generator > 30 kw
LP /Natural Gas - ANNUAL Sale
1 1 Fire Protection Maintenance - ANNUAL I 1 Places of Assembly- ANNUAL
ptnyl ISemi rA711 tither
Sprinkler n 12 12 12 f I I I Recreational Bum
Fire Alarm n ❑ ❑ ❑ I . 1 Sparklers
Hood Cleaning n ❑ ❑ ❑ I 1 Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ 1 I Standpipes (Sprinkler Sys)
Fire Alarm Installation n Torch Roofing/Tar Kettle
Fire Pumps Ti Waste Tire Storage ANNUAL
I I Fire Works
Flammable Application - ANNUAL J /4:7C:7 Valuation of Project
Fuel Tanks
n Other: I
Contractor 7� IA. Registered 3("7 iv OL t R-1 GI
•
Signature
RegisteredI Fee Current I Y / N
_
Address 9045" E -r L}0/ -/"rte fl� , T4 /"` p� I License # SS/ 83g ��° `'a 5 I
ELECTRICIAN Company
Signature Registered Y / N I Fee Current I Y / N
Address I I License #
PLUMBER Company
Signature Registered _ Y / N I Fee Current Y / N
Address I License #
MECHANICAL Company
Signature Registered Y / N Fee Current Y/ N
Address I License #
OTHER Company
Signature Registered Y / N I Fee Current I Y/ N I
Address 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 maybe subject:to "rrestrictions
which may be more restrictive than County•regulations. - fhe.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 Iocal 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 permitting privileges in Pasco
County.
CONSTRUCTION. LIEN LAW (Chapter773, Florida Statutes,.as :amended): If valuation of work is $2500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's
Protection Guide" prepared by Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the 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 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 applyto the intended work, and that it is my responsibility to identify what actions I
must take 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 0F 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 affirm before me this
b by 5A- "k
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.: . 1 /. /
S
Plan No.: 0,Y— G / Contractor: . - CO . "SA
Business Name: R F Billing Address: • �
Business Address: I 7a)064 , a/ /-__— . ``y
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
_ PLAN REVIEW FEES _ INSPECTION FEES PERMIT F - FALSE ALARM FEE
— Site Plan N/C — Annual N/C 01 Sprinkler 1 , 1st Alarm N/C
Multi-Family/Commercial .06 sf 1st Re- inspection N/C II Standpipes 1 2nd Alarm N/C
—
(Minimum Charge $25.00 _ 2nd Re- inspection $100 , Fire Pump $50 . III 3rd Alarm N/C
El Plan Revisions DBL _ 3rd Re- inspection $250 , Hoods $50 , 4th Alarm $100
— 4th Re- Inspection $500 II Fire Alarm $50 1 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until , LP Gas $50 , 6th Alarm $200
- 25 Heads $50 violations corrected) ■ Natural Gas $50 , NON COMPLIANCE $150
6 plus Heads '.10 SPRINKLER SYSTEMS ■ Fuel Tanks - per tank $50
STANDPIPE SYSTEM , Hydro Undergrounds $45 , Sparklers $100
Per Riser $50 � ♦ Hydrostatic Test Fire Works $500
�,� E;;
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FIRE PUMP 51 cceptance Test t ■ Camp Fire $25
I Per Pump $100 1 Hydrant Flow 111 Controlled Bum $100
_ FIRE ALARM SYSTEM III Hood/Duct $50
0 - 25 Devices $50 FIRE ALARM SYSTEM , Place of Assembly $50 Annual
—
26 plus Devices $100 ^ System Acceptance $50 II Fire Protection $25
_ SUPPRESSION SYSTEMS _ Recall Acceptance $50 , Flammable Application $50 Annual
— Wet $50 _ OTHER , Waste Tire Storage $50 Annual
Dry $50 _ Fire Wall/smoke 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 II Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST , Fumigation Tenting $50
El Hood/Ducts $50 _ Tent 10'x10' 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
El Natural Gas Installation $50 _ Re- inspection DBL .
(Per System) (other than annual)
0 Spray Booth $50 ❑ Inspection scheduled DBL —
and cancelled less than
_ 24 hours
— Construction Insp. N/C
_ Emergency Vehicle Aa $50 FALSE ALARM
PLANS TOTAL 00-- INSPECTION TOTAL �-- PERMIT TOTAL s TOTAL
GRAND TOTAL _ ,
Comments:
Date: `T/
Insggctor: A‘.�'�—
7
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E- mail: kbamett(alfire.zephyrhills.fl.us
Plan Review #: 08 -115
Project: Bldg "F" — Zephyr Commons
Number of Pages: 5
Date: September 24, 2008
The plan review process has been completed for the sprinkler system located at 7810 Gall
Blvd. and is allowed to move forward with installation at this time. I have provided my
comments below that shall be complied with will in order to receive a sprinkler final
(acceptance test),
Should you have any questions, please contact me at the information above.
1. Installation shall be compliant with NFPA 13, 2007 Edition.
2. Install a 5" turndown Storz versus the standard 2 -2 /" FDC. FDC shall be
placarded with 6" letters on contrasting background that is visible at night.
3. Underground for sprinkler system shall be installed by a certified fire
protection company or company that carries the appropriate certification to
install dedicated fire protection line (backflow preventor & fire line to riser).
4. System shall be tied into the building's fire alarm system. Tampers and flows
shall be monitored.
Inspection to be completed:
1. Pressure Test (sprinkler head location will be checked at this time)
2. Acceptance Test (completed in conjunction with fire alarm)
2
NOTE: Sprinkler contractor advised revision will be coming due to the addition of a
dry sprinkler system for the canopy area. Contractor advised nothing has changed other
that the dry system being added. Contractor advised there will be a revision charge.
KERRY B i■ • , 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.
07 -02 - 07:58 FROM- capsco industries 2056486080 T -595 P001/001 F -469
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES i` /!i.- , fir, .±�
DIVISION OP•STATE FIRE MARSHAL '.'' : �_r = r
TALLAHASSEE, FLORIDA
CERTIFICATE OF COMPETENCY
THIS CERTIFIES THAT: CHARLIE L COX
8445 ADAMO DRIVE
TAMPA, FL 33619 -
BUSINESS ORGANIZATION: CAPSCO INDUSTRIES, INC
CONTRACTOR 11 IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRICATE, INSTALL, INSPECT,
ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS, FOAM -WATER
SPRAY SYSTEMS, STANDPIPES; COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THAT IS AN INTEORAL PART OF THE
SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK IIEATELS, AIR. LINES, THERMAL SYSTEMS USED IN CONNECTION
WITH SPRINKLERS, AND TANKS AND PUMPS CONVECTED THERETO, EXCLUDING PRE - ENGINEERED SYSTEMS.
ab
Chief Financial Officer
07 101 12008 07 16 Hillsborough 55183800012005 0656190476 150.00 0613012010
Issuc Date Type Class County Liccnsc/Pcrmtt Number Application N Taxes & Foes Expire Date pi/ .
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r J UN 72008
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HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS t/
Chapter 205.0535 (5) Florida Statutes requires one of the following:
FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER
1. SIGN and retum entire form in enclosed envelope. Your validated Business Tax receipt will be retumed to you.
2. 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 0 Box 172920
TAMPA, FL 33672 -0920
2007 -2008 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 -30 -2008 FOLIO NO.
FACILITIES OR MACHINES 0I !ROOMS 0 I SEATS 0 I I EMPLOYEES 25 I I 11 174015
I 11 H. WASTE TAX
SURCHARGE
OCC. CODE BUSINESS TYPE SUURCHRCH 54.00
090.015 ARE SPRINKLERS- CONTRACTOR (COMP CARD REQD)
BUSINESS 8.445 AJAMC::DR;::
LOCATION TAM PA::33619
NAME
CHAP LIE. L:COX>'DBA CAPS:CO INDUSTRIES
MAILING sat E ADAMO DRIVE Occ Lic Hazard Waste
ADDRESS TAMPA FL 33619 ou en n s oroug oun y ax mu
Batch 1: 1 001 collazo
Trans 1: 6 Receipt 1: 019416
BUSINESS TAX Amt: 174015 Pay Cade: 4206
DOUG BELDEN, TAX COLLECTOR 09/19/2007 DTATCASHO9 2008 $94.00 $40.00
HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813. 635 -5200 0352 Surcharge
IN BUSINESS. PROFESSION. OR OCCUPATION SPECIFIED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. Q351 Occupational License $54.00
Check Tendered: $94.00
4206 17401500008 000054007 000040006
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�I _ -] 84415 Er ADAM DR. . TAAlP14.19. 33168
l E S Phone . Feu
psdalist
I, Charlie L. Cox being the Certificate of Competency Holder (Qualifier) for Capsco
Industries, Inc. do hereby authorize the following employees to act on my behalf for the
purpose of obtaining any Permits, Inspections and Filing of Notice of Commencement.
• Mr. Timothy E. Taylor Ms. Crystal Steele
• Mr. Sam Bolt
Also, please let this document serve as notice of removal of Mr. Robert Chandler from
any previous authorization documents, Mr. Chandler is no longer an employee of Capsco
Industries, Inc.
Charlie L. Cox
State Competency # 55183800012005
L A . he l forgoing inst ent was ac ledged bef e me this k-1 of
1 t t , 2008 by Q , O\ who is personally know to me or
has produced .711 , as identification.
My commission expires: Notary Public:
CRYSTAL T. STEELE Print: Al Jeiri tt, i 1 _ _ C.�-
Notary Public, State of Florida ;
My comm. exp. Mar. 18, 2010 Sign: MVP _.!
Comm. No. DD 528243 ��