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Home My WebLink About10-10564 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10564 FIRE ALARM SYSTEM PERMIT Permit Number: 10564 Address: 5626 20TH ST 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: 12- 26 -21- 0020 - 00400 -0110 Improv. Cost: 7,000.00 ,07k - m 1 74 fv : Date Issued: 6/10/2010 Name: OUR SAVIOUR LUTHERN CHURCH Total Fees: 300.00 Address: 5626 20TH ST Amount Paid: 300.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2010 Phone: (813)782 -1369 Work Desc: INSTALLATION FIRE ALARM URI AM I ALA= 50.00 FIRE IN - •N 50.00 FIRE PLAN REVIEW FEES 200.00 A, 0 CY\a-P coo Fl C ANC 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." ailaW Alb nd12911 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 Fire 1,r/04 l/(/ !` Fax -813- 780 -0021 Permit Application Received J -Z a Phone Contact for Permit I c13 1 1 9 6ci I.7 77 S er's Name I CUR f r) 1 C.Grlite R21 CL c t`, I Owner's Phone Number I I -3 -782. 1 /, [7 1 er's Address G (_0 Lo ao a - z E PI-N r- t-1 1 LL 5 3 3 55'1 Simple Titleholder Name Titleholder Phone Number Simple Titleholder Address I 4ddress ZL-yI?I(��5 -FL. X3 Lot# Division y 1M&L -1 j,i Z NATtu g I Parcel # 12-- Z 6 9 " 21 — )2() — 0c)'(W — 0 1 R n Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL n Comm Exhaust Kitchen Hood /Duct n Hood Installation n Controlled Burn n LP /Natural Gas - Installation n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale I I Emergency Generator > 30 kw n Places of Assembly- ANNUAL n Fire Protection Maintenance - ANNUAL n Recreational Burn I /� IQtrly1 1Semi I Other � ? (� f Sprinkler 0 ❑ ❑ ❑ I I Sparklers VA (►� PJ 0 Fire Alarm El ❑ ❑ ❑ I I I Sprinkler System Installations u „j 1 Hood Cleaning El ❑ ❑ ❑ I I [] Standpipes (Sprinkler Sys) (� 5 v Hood Suppression El ❑ ❑ E I I I I Torch Roofing/Tar Kettle I1 Fire Alarm Installation I I Waste Tire Storage ANNUAL F - 7 Fire Pumps I Fire Works n Flammable Application- ANNUAL I _7 ( ,j I Valuation of Project Fuel Tanks I Other: 1 ractor Company I ature Registered Y / N I Fee Current I Y / N I Address ( License # I DTRICIAN Company ature Registered Y / N I Fee Current I Y / N I Address License # MBER Company ature Registered Y / N I Fee Current I Y / N I Address 1 I License # :HANICAL Company ature Registered Y / N I Fee Current I Y / N I Address 1 I License # ER ature Company c atu 7 G ( �?�1J,.A I` Registered Y / N Fee Current Y N Address IDES N'1.t k Oil ICI CIA_ ( Zo I License # C • SQ. _ • :tons: W`Z � 1- Y if (, j f L 33 Yy 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 subjectao " which may be more restrictive than County regulations. The responsibility for:compliarrcewith any -applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESP.ONSIBILITIES: If owner has - hired - :a - contractor or - contractors 10 undertake work, they may be required to be licensed in accordance with state and local 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 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 lo 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 (Chapter713, Florida Statutes, -as :amended): If valuation of work is $2;600.00 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 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 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 1 understand that the regulations of other govemment 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. 147.03) { �, Jl1l' Q� OWNER OR AGENT CONTRACTOR / // r Subscribed and swom to (or affirmed) before me this Subscribed and swo (or affir� e before me this by • by 1 - g- pf.(,6 Who is/are personally known to me or has/have produced Who is/are personally own 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 813- 780-0020 City of.Zephyrhills Fax- 813 -780 -0021 Permit Application • Date Received Phone Contact for Permit I _ v Owner's Name Owners Phone Number Owners Address Fee Simple Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address Lot # Sub Division Parcel # n Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum I I Hood Installation I Emergency Generator < 30 kw I-1 LP /Natural Gas - Installation I Emergency Generator> 30 kw I LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL IUtrlyI !bemiI Fri 1 Utner Sprinkler n ❑ ❑ ❑ I I Recreational Bum Fire Alarm El ❑ ❑ ❑ I I Sparklers Hood Cleaning n ❑ ❑ ❑ Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ I ( I I Standpipes (Sprinkler Sys) I Fire Alarm Installation 1 I Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 1 I Valuation of Project Fuel Tanks n Other: f Contractor Company Signature , Registered Y / N Fee Current Y / N Address I I License # ELECTRICIAN Company Signature Registered Y / N I Fee Current 1 Y / N Address 1 License # I PLUMBER Company Signature Registered _ Y/ N I Fee Current I Y / N Address 1 I License # I MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address I License # OTHER Company Signature Registered Y / N I Fee Current 1 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) Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 10 -061 Project: Revision Fire Alarm Number of Pages: 1 plus Packet June 8, 2010 I have received and reviewed the revised plans for the fire alarm installation located at 5626 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. Zone map will be required at the panel. 2. Strobes shall remain on when system is silenced. Ensure outdoor strobe/horn is weatherproof. Batteries shall be dated. > ' Phone lines shall be labeled. '§ `" reaker and electric panel location shall be noted inside FA panel. ?s ; .. It 74, eaker in electric panel for fire alarm shall be locked in the on position. \st ADP 1. Acce .tance Test. 1 KERRY B 74 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. 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.: t Plan No.: /`D -- e> ( Contractor: S v %. - & -cc,r.n Business Name: / -f' rof C to - Billing Address:.-fis P151-EL �'-e .60'41-..5. c&_ Business Address: .EG G ,---)p , ‹., - ,�i f Business Phone No.: Billing Phone No.: .3 Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE FALSE ALARM FEE R Site Plan N/C _ Annual N/C Sprinkler $50 111 1st Alarm N/C Mufti 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 Alarm , 1 3rd Ala N/C Plan Rev isions _ 3rd Re- inspection $250 oods :4th Alarm $100 4th Re Inspection $500 Ire Alarm $501 , .5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas --+•r • , 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 $10 p P 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 $1o0 FIRE ALARM SYSTEM Hood/Duct $501 0 - 25 Devices;. $ 1 7 FIRE ALARM SYSTEM Place of Assembly $501 Annual 51 e:• plus Devices_.; .100 143 System Acceptance $50 Fire Protection - $25 SUPPRESSION SYSTE ' , Recall Acceptance =.• Flammable Application $501 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 $1 Annual KITCHEN EXHAUST _ Fumigation Tenting $501 Ei Hood/Ducts $50 ^ Tent 10'x1 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) El Spray Booth $50 El Inspection scheduled DBL _ and cancelled Tess than _ _ 24 hours Construction Insp. N/C _ Emergency Vehicle Acs --- FALSE ALARM PLANS TOTAL f��ri INSPECTION TOTAL PERMIT TOTAL I5 ! I TOTAL GRAND TOTAL Comments: Date: ■ f 1 Ins t ,ditf 1fl, i 0 P.01 /01 TRANSACTION REPORT MAY /28/2009/THU 09:44 AM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 MAY /28 09:43AM 818885968464 0:00:57 2 OK G3 0636 • ,ice ;of Zephyr` hills.: . ... Buildin Department :rrd s ;:a; ;; va:L.;x k • Phone: (813)=780 -0020 Fax -(813)- 780 -0021 ti i5 TO: .JODI FROM: JACKIE FAX #:.888 -596 -8464 FAX #: DATE: 5/28/10 # OF PAGES including cover sheet: 2 ATTACHED TO THIS' COVER SHEET IS THE COMMENT SHEETFROM KERRY •FIREMARSHALL ABOUT REJECTION. HIS PHONE NUMBERIS LOCATED AT THE TOP -OF 'LETTER FOR ANY •OF'YOUR QUESTIONS. THERE IS NO CHARGE FOR THIS REVIEW AT THIS TIME. THANK YOU • - JACKIE MESSAGE • R j�� 9^d� 1/4 mmtl City of Zephyrhills: � 11 E ��' ,, . 1 fit‘• Building Department Phone: (813)- 780 -0020 Fax: (813)- 780 -0021 TO: JODI FROM: JACKIE FAX #: 888 -596 -8464 FAX #: DATE: 5/28/10 # OF PAGES including cover sheet: 2 t t a t t t t t F t t t ATTACHED TO THIS COVER SHEET IS THE COMMENT SHEET FROM KERRY FIRE MARSHALL ABOUT REJECTION. HIS PHONE NUMBER IS LOCATED AT THE TOP OF LETTER FOR ANY OF YOUR QUESTIONS. THERE IS NO CHARGE FOR THIS REVIEW AT THIS TIME. t t t t t t THANK YOU t t JACKIE a t � t F t a t MESSAGE a a t t t a C t [ t t t t t C C t 1 4 t B f i I S t F t f I t t f t f i Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett @fire.zephyrhills.fl.us Plan Review #: 10 -061 Project: Fire Alarm Installation Number of Pages: 1 plus packet May 27, 2010 I have received and reviewed the plans for the fire alarm installation located at 5626 20 Street and have rejected the plans for not enough information provided by the contractor. Information required and items that should be noted on the plan are listed below. There have been no fees applied at this time. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Contractor shall ensure alarm system, specifically monitoring, complies with NFPA 72, Chapter 8.5.4. 2. Contractor shall provide a disaster recovery plan to address individual customer outages and network power restoration procedures. (69A- 48.008) 3. Contractor shall demonstrate that the network is a MFVN as described by the rule by submitting to this office an attestation that the company's network meets the criteria in paragraphs (a) through (f) of item #3 in 69A- 48.008 4. At this time there is concern that the battery will provide 8 hours of continued uninterrupted voice service availability to the attached alarm system. 5. Strobes shall remain on when system is silenced. 6. A zone map will be provided at the panel. 7. Ensure strobe /horn installed on outside of building is weather proof. " 4/ KERRY BARNE" " ', 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. Legal DescrIptUOn :2- 26- 21- 0020.00400 -01 I • in SecUOn i2 ,n 76 Su Range 21 East assessed pt PaSCO Tow County, ship F i 1 Yi BLO ITIO EXC W EST S T EF oM.4 PB P54 16 LOTS 11 THRU 2G NOTICE OF COMMENCEMENT Permit No Property Identification No f . Z C Z.1 C- ZC 0C400 CAW THE UNDERSIGNED hereby give informs you that the improvement will he made to certain real property, and in accordance with Section 713 13 of the Honda Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I I )cscription of property (legal d e s c r i p t i o n : ) - -_ -- - - E 147 1 C al Street Address 5 11 Z ( u )-e art _ 1 . . Zc �l{ _,� 5 1 - _ C E3 - - - 2 General description of improvements Tiv-t IT} Lt. fi77O-t 0 f ! !( rr 41 : :: 7\ 1 S 7 !I 4-- - i ( )w eer Information a) N,tme and address C (l tl 5 A t Cl„( I' - Ld (7 I(. if-IA C. if L.1 V 1 i f 5 67 Z L_ Z L r l-f hl Name and address of tee simple titleholder ( ifother than owner i c) Interest in property 4 Contractor Information - a) Name and address St - L (e rt , F (Y fife 22 5' [f 51L4 LE `/ O 1+ (: 1 Ft j( -2 I t C S C4 L� (.1 -1 1Q . L r • hl Telephone No b I 6 7c.' 9 7 7 - - - 1-,is No tOpt 1 E 't E S " (. ' _7> Surety Information - - -- - " -- a) Name and address h) Amount 01 Bond cl lelephoneNo Fax No ((Opt 1 - -- — - -- -- h 1 ender a) Name and address Phone No -- / 7 Identity of person w ithm the.S�tate of iortdat latee r ot%ner upon ho not or other d s may hl. sc ed / t / , ( 3 a) Name and addresl f) J n 1 1 T m uu e. / Iq j t Z D OS� „, 6 '! � 'A/ j� 7 l I)) Telephone No 3 - ?cf. _ ? 2? Fav No (Opt 1 8 In addition to himself; owner designates the tnllos n g person to receive a copy of the Lrenor's Notice as provided in Section 713 1.-it 185). Florida Statutes a) Name and address hl telephone No _ l-as No (Opt 1 9 Iapiratlon date of Notice of Commencement (the espiranon date is one sear from the date of recording unless a different date is specified) -- -- — — WARNING TO OWNER: ANN PAN MEN1 S \LADE 111 THE OWNER .AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS l NDE:R CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1'O1 R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEKI'1". A NOTICE OF COMMENCE :MENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSI 1.T 1 OCR LENDER OR AN ATTORNEY BEFORE: COMMENCING WORK OR RECORDING l 01 R \OTI( E: ( - COMMENCEMENT. • S I UTE OF FLORIDA / c COUNT OF PAS I ._.. 2 6 O ..._ - _.---- - -- -- -- - / - e JJ -�•`� �� Sienanue , 111, 1 - ur u.wei Authorized 4)Ricer t)irectot Partner Manager P.M N.III1C [he foregoing Instrument w l d as acknow'ed hetorc ;rte this � Jan of IA-A) C - - - 2(1 0 O . by 1 41. 1__L�. e �_ �_! __ as Q GE le (tspe of authority, e.g officer. trustee. attorney in fact) torOU.R 5A//fig. f.) (native of patty on hchalfof whom instrument w - eve fed) Personally Known OR Produced Identification Notary Signature - - 1 - v pe of Identification Produced -- -- Name (print/ AIR JN el -- A. Verification pursuant to Section 92 525 Florida Statutes l (rider penalties of pepur.. I declare that I have read the li regoing and that the farts stated in it are true to the hest of my kno..kdge and belief ¢u 11 1 I '.nin.J I'etaon Stems!, Alx'se �JCMS /NVC, Wd ,H' q tr Nit, Notary Public State of Florida . Nancy A Souder • My Commission DD953804 o nS Expires 01/1912014 Securiteam Inc. 3545 City of Zepherhills 6/10/2010 300.00 SunTrust Checking 300.00