HomeMy WebLinkAbout09-9310 CITY OF ZEPHYRHILLS
r 5335 - 8T1-I STREET
(813)780 -0020 9310
FIRE ALARM SYSTEM PERMIT
,
Permit Number: 9310 Address: 7340 DAIRY RD
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 - 0010 - 07500 - 0010
Improv. Cost: ;7 , - >3
Date Issued: 8/10/2009 Name: ADVENTIST HEALTH SYSTEM SUNBELT
Total Fees: 200.00 Address: 7050 GALL BLVD
Amount Paid: ZEPHYRHILLS, FL. 33541
Date Paid: ee's t,Ott ti c �+2 f\& S.40 07 Phone:
Work Desc: INSTALLATION FIRE ALARM SYSTEM FOR DAY CARE- FEE WAIVED PER FM
A I , . I - ALA 5 0.00 I ` - LAN R VI W FE 100.00
FIRE INSPECTION FEES 50.00
/ `
FI' A EPTAN Final %_ / -1 - —
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
RECO ' ' ING YOUR NOTICE OF COMMENCEMENT."
CONTRACTOR 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
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9310
FIRE ALARM SYSTEM PERMIT
Permit Number: 9310 Address: 7340 DAIRY RD
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- 0010 - 07500 -0010
Improv. Cost: 7Rr,cu`'is
Date Issued: Name: ADVENTIST HEALTH SYSTEM SUNBELT
Total Fees: 50.00 Address: 7050 GALL BLVD
Amount Paid: ZEPHYRHILLS, FL. 33541
Date Paid: Phone:
Work Desc: INSTALLATION FIRE ALARM SYSTEM FOR DAY CARE- FEE WAIVED PER FM
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APG ELECTRIC INC. FIRE ALARM 50.00
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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
REC .E R ' NG YOUR NOTICE OF COMMENCEMENT."
atiriPPr
ONT' A, OR 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 Fax- 813-780 -0021
. Permit Application
Date Received J Phone Contact for Permit I I 1 1 I
Owner's Name T9R 'C 1 CC iZ ( Owner's Phone Number
Owner's Address iii:
70,5^O a40
Fee Simple Titleholder Name Titleholder Phone Number 727 530 efI77
Fee Simple Titleholder Address I I
,.,..K .. >., 4F.. < z <r .4 ... .ice ..M' . M tNeKillign iti ,YM?,°; I E A L . � , , . / ,.54 _ VK MRM .' 4. r., , f ilZVNVr ,�ssa�,.� _ M , �...:
Job Address / .6 ! d (� �4? Zf b(,i r /Ls C4 Lot #
y Parcel 1
Sub Division arcel #
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Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw FT LP /Natural Gas - Installation
I I Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale
n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
ILatrlyl ISemil Will tither
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 n Sparklers
Hood Cleaning 0 ❑ ❑ ❑ I 17 Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ I 1 I I Standpipes (Sprinkler Sys)
I !' Fire Alarm Installation Ti Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
ri Flammable Application- ANNUAL I I Valuation of Project
n Fuel Tanks
7 Other: I
,s; =. R: .0 .,.....� i..: .,: .'t: L,,NNZAIM..,aiI ia".. :1465< :.•a5 4" f „: .. emu, , :,',XackgIVM... °M.. M.g .a'.`.... 'i,..:r ":9?5Mt*: wz
Contractor Company
Signature f/y✓) Registered Y/ N I Fee Current I Y/ N
•
Address I I 4 License # I
ELECTRICIAN Company I
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # ( I
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y / N ,I
Address I I License # I I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I 1 License # I I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y / N
Address J I License # !
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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 subject 'to "dee:d "Frestrictions"
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 7.27 -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,
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 swom to (or affirmed) before me this Subscribed and sworn 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
c0°
1 01.4 1 `
Zephyrhills Fire Rescue V5V', y
6907 Dairy Road, Zephyrhills, FL 33542/
Fire Marshal Bus (81 80 -0041
Kerry Barnett Fax (813) 780 -1 i 4
E -mail: kbarnett@fire.zephyrhills.fl.us
Plan Review #: 09 -057
Project: Fire Alarm -Fl Hospital Daycare
Number of Pages: 6
July 1, 2009
I have received and reviewed the plans for the fire alarm system located . 7340 Dairy Rd
and will allow this to move forward. Obtaining permit, the applicant ackn• wledges
complying with the items listed below.
Should anyone have any questions, please do not hesitate to contact the Fire Marshal's
office.
1. Additional audible devices may be required based on decibel test (15 db above
normal ambient) during acceptance.
2. Date batteries
3. Label phone jacks
4. Lock off breaker in electrical panel and label
5. Provide zone map by alarm panel
6. Strobes shall remain on when fire alarm is silenced
7. Label devices to coincide with fire alarm panel
Inspections Required:
1. Acceptance test completed
4
r'T' • - Tr, 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.: , A.
®4- Contractor: �!
Plan No.: '" , i
Business Name: t / ' t & L Billing Address: r° I - � �
Business Address: �z• h - __�!A o
Business Phone No.: • Billing Phone No.: e I, -- 5467-z--
Business Fax No.: Billing Fax No.:
Contact: Contact:
— PLAN REVIEW FEES — INSPECTION FEES PERMIT FEE FALSE ALARM FEE
_ Site Plan N/C — Annual N/C Sprinlder $50 II 1st Alarm N/C
_ Mufi- Family /Commercial .06 sf — 1st Re- inspection N/C Standpipes $50 1 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 II 3rd Alarm N/C
0 Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50 111 4th Alarm $100
_ 4th Re- Inspection $500 Fire Alarm 111M0 1 5th Alarm $150
_ SPRINKLER SYSTEMS (Business dosed 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
O 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 - 2 - devices $50 FIRE ALARM SYS� Place of Assembly $50 Annual
` 4 • plus Devices $100 ,1,i-ystem Acceptance Fire Protection $25
SUPPRESSION SYSTE�` 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 Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
O Hood/Ducts $50 _ Tent 10x10' 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
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
Construction Insp. N/C
—
_ Emergency Vehicle Aa $50 ----- FALSE ALARM
PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL
GRAND TOTALP•
Comments: , A
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Date: /
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