HomeMy WebLinkAbout10-10526 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10526
FIRE ALARM SYSTEM PERMIT
a s, ; t a h , <, ; '
Permit Number: 10526 Address: 6834 GALL BLVD STE 105
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: 02- 26 -21- 0010 - 02400 -0010
Improv. Cost: 385.00
Date Issued: 6/01/2010 Name: ZEPHYR PLACE LLC
Total Fees: 150.00 Address: 2220 34TH ST S
Amount Paid: 150.00 ST PETERSBURG FL 33711
Date Paid: 6/01/2010 Phone: (727)504 -0256
Work Desc: INSTALL 1 HORN /SLOBE 1 PULL PER F. DEPT
S• • - L RI AL • L A - S FI= ALA i 50.00 I' IN - • 50.00
FIRE PLAN REVIEW FEES 50.00
ot
224
FIR A •TA 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."
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CONTRACTOR SIGNATURE • : 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 - 780 -0020 City of Zephyrhills Permit Application �0,,,,� -813 780 -0021
Building Department \' ��"-'► �' J I
Date Received 0 //� /
�` 2 ' � Phone Contact for Permitti % I CJ 9 -- X33 ��
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•
Owner's Name 2 �- P Y� `- w �� l-L- ( Owner Phone Number 2 y 0 0,3
Owner's Address 2 2_20 St'( S f S SA- 3 27! I Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �{- 1 JOB ADDRESS (p 8 3 66-d �''�� ' " 1 Q 5 LOT #
SUBDIVISION nits/ 0C 2 c oL L i ti PARCEL ID# " �o ^ 00) 0 - c) fl Z - o 0/
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN 1 I 1 I DEMOLISH
INSTALL n REPAIR
PROPOSED USE ( SFR I I COMM I OTHER I
TYPE OF CONSTRUCTION I I BLOCK [ I FRAME I I STEEL I I 1
rn� t ll
DESCRIPTION OF WORK � � I� � L
1 `- k4izt/s ��! 1 2,4(i rr;. V a CCE /7 4 •"\-)
BUILDING SIZE SQ FOOTAGE HEIGHT
(BUILDING $ 3 0 J VALUATION OF TOTAL CONSTRUCTION
(ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C.
PLUMBING $
I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ` ' Q
(GAS 1 1 ROOFING n SPECIALTY F
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO
BUILDER (� COMPANY � u { , 2 °• eL 'c`
SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y / N 1
Address �'/ 9 » / OArta'' /1 "t-' 011d .33 3'a 7 License # L ^ G "t° Z / S3
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N I
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
* ** *PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500)
** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
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.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and
90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, 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. Such agencies include but are not limited to:
- Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers - Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency- Asbestos abatement.
Federal Aviation Authority- Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 NOS OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
CONTRACTOR t� � � ✓J
Subscribed and sworn to (or affirmed) before me this Subscribed and swop to ,(or affirme5ll.before me this
by - = (0 by /) sonall fv f '
Who is /are personally known to me or has /have produced Who is /are pery known to me or has/ / / h av e produ o d
as identification. n.
Notary Public \ .t. Notary Public
Commission No. Commissioti
�7f. . JAC!�UE INE BOGES
t 'Io. . �: � ,.. ComtNSSw i DD b21833
�• g wires December 12, 2010
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamper " 7019
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett(dfire.zephyrhills.fl.us
Plan Review #: 10 -059
Project: Fire Alarm Addition
Number of Pages: 1
May 27, 2010
I have received and reviewed the plans for the fire alarm addition located at 6834 Gall
Blvd, Suite 105 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. Relocation shall be in accordance to NFPA 72.
2. Ensure the pull station is zoned to that suite /address.
Inspections Required:
1. Acceptance Test
,f4
KERRY : ETT, 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 1
Occupancy No.•
Plan No.: r 0 —.°S6j Contractor: 34 r - 1,Pc. ; aSO l - (o1/4.k4 •
Business Name:
Business Address: (o 3� G.act� - /,..S.- Billing Address: ` u AI �. _ �IC� if_
Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.: j
Contact: Contact: j
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 _ 1st Re inspection N/C Standpipes
$50 _ 2nd Alarm N/C
0 (Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 -- 3rd Alarm N/C
Plan Revisions DBL _ 3rd Re- inspection $250 Hoods $50' _ 4th Alarm
$100
_ 4th Re Inspection $500 Fire Alarm _ .5th Alarm $150.
SPRINKLER SYSTEMS (Business closed until LP Gas $50� 6th Alarm
_
0 - 25 Heads $200
$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
73 Hood/Duct $50
0 - 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50' Annual
26 plus Devices 00 j' ystem Acceptance 50 Fire Protection $25i
SUPPRESSION SYSTEMS 4 1 Recall Acceptance $50 Flammable
Application $501 Annual
_ Wet $50 _ OTHER Waste Tire Storage g $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
KITCHEN EXHAUST $1 Annual
Fumigation Tenting $501
Ei 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 El Inspection scheduled DBL
and cancelled less than
_ 24 hours
Construction Insp. N/C
_ Emergency Vehicle A $5 , j
PLANS TOTA INSPECTION TOTAL r' FALSE ALARM
PERMIT TOTAL I ,6,,T TOTAL
GRAND TOTAL I MO — I
Comments:
Date: ..S12._ 7/i
InS ctor: i' ` "TM e
Jacqueline Boges S
From: Jacqueline Boges
Sent: Wednesday, May 26, 2010 1:18 PM
To: Kerry Barnett
Subject: plans in your box
Placed in your box Kerry for 6834 gall blvd horn /slobe per fd contractor is Southern Electrican consultants.
Jackie Boges
Code Support Specialist
ext. 3513
1
Southern Electrical Consultants, LLC
EC0002183
9414 Barrington Creek Pl, Dover, FL 33527 813 - 389 -0332
City of Zephyrhills
Building Departmet
5335 8th Street
Zephyrhills, FL 33542
RE: Authorized agent to pick up and pull permits
To Whom It May Concern:
Please allow the below undersigned to pick up and pull permits and act for me in
your jurisdiction under my license EC0002183 qualifying Southern Electrical
Consultants, LLC.
6 • - 2 , . __,_,, - - -
Lary Morris
13065 Boca Cieaga Ave
Madeira beach, Fl 33708
If you have any further questions, feel free to call me at the number above.
(3. - -- ->---z_____
D ald Burress
resident
Southern Electrical Consultants, LLC
EC002183 AI, an 4
- - - - - - - -
,. ,,- r_ JEAN MORRIS
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