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HomeMy WebLinkAbout10-10036 CITY OF ZEPHYRHILLS 5335 - 8TH STREET - (813)780 -0020 10036 FIRE SPRINKLER SYSTEM PERMIT Permit'Number: 10036 Address: 4330 20TH ST 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: N/A Est. Value: Parcel Number: 13-26-21-0070-07400-0000 Improv. Cost: r m °' Date Issued: 1 /28/2010 Name: ZEPHY CORP. Total Fees: 150.00 Address: 777•W. PUTNAM AVE Amount Paid: 150.00 GREENWICH, CT 068305091 : Date Paid: 1/28/2010 Phone: Work Desc: INSTALL FIRE SPRINKLER - ZEPHYRHILLS WATER A - - 50.00 F - � 1. S 50.00 FIRE PLAN REVIEW FEES 50.00 / 04er P "4- cite e k ae-1/ � 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. AU 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." I timmi CONTRACTOR SIGNATURE 'S 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 ,813 813-780-0020 City of Zephyrhills s-Fire to 3t7 Fax -813- 780 -0021 Permit Application ���if • - Phone Contact for Permit $ 1 3 1 46 f4, Tyrol Date Received sue max .._. ., ..•�z. r.z. ..- .. � ^ 0 A. F; ('a, Owner's Phone Number Owner's Name � ('� , . � � 1 .J� D � � 0 ����� d � / Owner's Address 1 J �r ��W 1 I Titleholder Phone Number I I , Fee Simple Titleholder Name Fee Simple Titleholder Address 1 � , �� " ' • Job Address 1 — 1 5 0 210 64 • z e_tosky `ki• t k1 FL" I Lot# 0-e7tIeso- 0490 Sub Division >R # I « ' . W ltMe D. ,.., Parcel 3--(9-6-1-607 n Bio- Hazard Waste Storage - ANNUAL 1 Fumigation Tent I Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUA . n Controlled Bum n Hood Installation /9_41/ 1-11 [ /9.- E mergency Generator < 30 kw I 1 LP /Natural Gas - Installation D -- , n Emergency Generator> 30 kw LP/Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL n Ic.2trlyI !Semi1 raj Uther Sprinkler ❑ ❑ ❑ 1 I Recreational Bum Fire Alarm n ❑ ❑ ❑ I 1 I 1 Sparklers Hood Cleaning n ❑ ❑ ❑ 1 1 1/I'prinklerSystem Installations Hood Suppression n ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys) a , / / " 4,4 r -- 1 Fire Alarm Installation f Torch Roofing/Tar Kettle n Fire Pumps El Waste Tire Storage ANNUAL I 1 Fire Works 1 I p Flammable Application- ANNUAL Valuation of Project , Fuel Tanks Other: I Contractor / � / Company A_ ' Fe f 1 tSs ✓o cit Signature // V . Registered Y / N F Fee Current L t'eM Y / N I Add - 5 0 PL 5 (,l, A ) A'EQ,B 64 • Tp4 7L 1 License # 1 1 46 % a7 a o 0 e 1 =0071 ELECTRIC , N Company I Signature Registered Y / N I Fee Current 1 Y/ N I Address I 1 License # ( I PLUMBER Company I Signature , ' Registered Y / N I Fee Current I Y / N 1 Address I I License # I I MECHANICAL Company I Signature Registered Y/ N 1 Fee Current I Y/ N Address I - I License # • , OTHER I. Company �� 1117.17/2 0 ; e! C V ilA I Signatur= " ~ , Registered Y'/ N Fee Current Y / N Ad ress / c 9 /j " r /as=...--.1, License # I 1 Q $ a ? c3 epo p L aov 7 1 Direction 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 subjectto "deed ":restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility forcompliance -with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired - 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 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 YOU 1 OTICE O COMMENCEMENT. FLORIDA JURAT (F.S. 1£k lL,*26 RCN" . vv OWNER OR AGENT 1C CONTRACTOR _ _ Subscribed and to (or affirmed) before me this Subscribed and s o (or affirmed) before �e this O by swo � N tiles 663i0,06 6 N / / f !O by a.rr tn. J) re e..... Z I /are personally known to me or has /have produced V4t'lo i re personally known to me or has /have produced as identification. as identification. ..LL_ 1 I lk .... • Notary 4 I • Public � S. _ Notary Public • Commission No. 1 Co n No. • 7 "- PG. 0—v...0. 6 J . ����Q.- c� m t l .cr, ( \. g �V� Name of Notary typed, printed o stamped Name of Notary typed, printed or stamped f ;,�Y : :s4,, PAMELA J. DUPREE "� PAMELA J. DUPREE Commission # DD 905438 - * Expires October 10, 2013 u Commission # DD 905438 • : +F, of •: y _ended TMU Troy Fain Insurance 8004864019 .�� L t Expires October 10, 2013 ' iff ,*0 Bonded 'lieu Troy Fain Insurance 800-3854019 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.: l Plan No.: ! b , 00 a Contractor: � i[.� - c t� Business Name: Billing Address: 6 1 ffl.':� Business Address: 433c t -90 �Iv - _ A 0. 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 N/C — Annual N/C Sprinkler $50 — 1st Alarm N/C Multi Family /Commercial .06 sf _ 1 Re- inspection N/C Standpipes $50 _ 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 _ 3rd Alarm N/C El Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50 — 4th Alarm $100 4th Re- Inspection $500 ire Alarm $50 — 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 lank $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 Ei Per Pump $100 — Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 it] 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 $50 Annual — Dry $50 — Fire WaH /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 0 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 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 Ac* $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL ) V TOTAL GRAND TOTAL 1111kIttariiill Comments: Date: ` ' ., Inswctor: !� • Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E- mail: kbarnettnfre.zephyrhills.fl.us Plan Review #: 10 -003 Project: Fire Sprinkler System Number of Pages: 1 January 19, 2010 I have received and reviewed the plans for the modification to the fire sprinkler system located at 4330 20 Street 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. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Shall be in accordance to NFPA 13. Inspections Required: 1. Pressure test at normal operating pressure. 2. Final • KE' r ' ±` 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. '2 q g 1. < \- -- 5-1iO4-wilx.:11 _ k g ,J • s2-..--; sul p 2 L‘5, 1,36 iP, -4 ..... _ 0 ' ‘.-..- ( ,t) • o . • . A - 1 ' 1 -4 0 - , - x. ,,,. ' .1-0 g. it - a.• - v4 _A ,1 •-•- ---74 CO % Pt , wi-- .. at E . • 1 7 -- .,..., .-: \ ..... \ 6 \\...... c.,. ) -7- ,T : L I' §ILIZII kit 3 -- -. 1 .-1 -54- 4. , . . 1 cil • 2§ Lig i ;u1 1_ _limIllir•-.-. 11 _ = 0 • - , . kS 1 -.,- - ----L ..4 .z / in...., _ ii_ .. I ... 0,.. Z ici \ — ---- ) 2 - ' ( :-o _ _ -.4- ,-.7-.\N) — •4 c't " --- 9 N :sr -- if) ■•■I 11>3 linmult--= Cll. > o ....., p c„... --- ■I 0 .,\_ rs _ ..,, ii f - . . ." s ' 2 \ \ \ , Ce : 2 " � f \ ° \ ± \ ! § \ 7