HomeMy WebLinkAbout10-10687 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10687
FIRE 'STANDPIPES PERMIT
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Permit Number: 10687 Address: 38333 COTTONWOOD PL
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE -HOOD SUPPRESSION SYS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: DRIFTWOOD
Est. Value: Parcel Number: 02- 26- 21- 021B -OOR00 -0000
Improv. Cost: 2,400.00 l'-.-'''''' ; ,;:
Date Issued: 7/13/2010 Name: DRIFTWOOD CONDO ASSOC
Total Fees: 130.00 Address: 38333 COTTONWOOD PL
Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/13/2010 Phone:
Work Desc: INSTALL GUEDION III FIRE SUPPRESSION SYSTEM
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FIR MA ` - • E •N IR U0 eN 50.00 FIRE IN P ION E 30.00
FIRE PLAN REVIEW FEES 50.00
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FIR BALL* •N E -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 ITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDI G , • r ■ • TICE OF COMMENCEMENT."
4. AV a s
CO ; Tr ' CTOR SIGNATURE _ rd _ -?
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
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 -076
Project: Hood Suppression
Number of Pages: 1 plus Packet
July 6, 2010
I have received and reviewed the plans for the installation of a hood suppression system
located at 38333 Cottonwood Place 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. Ensure electrician pulls permit or signs on this permit to perform work.
Inspections Required:
1. Acceptance Test
KERRY % 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.
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ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)760-00411 Fax (813)780;_ 0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: /D - c' 76. Contractor /V_ /9 ST�i -.
Business Name: b&/) =�‘.., i.e>,e1 t "c�,WeeS' Billing Address: r/ , . - ,L/
Business Address: 3 i- 33 3 / lQG �,cs- y ' .g3.6ia
/
Business Phone No.: Billing Phone No.: 1
Business Fax No.: Billing Fax No.: I '
Contact: Contact:
PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE 1 _ FALSE ALARM FEE
^ Site Plan N/C — Annual N/C Sprinkler $501 _ 1st Alarm N/C
Multi- Family /Commercial .06 sf _ 1st Re- inspection N/C Standpipes $5t} r 2nd Alarm N/C
(Minimum Charge $25.00 2nd Re- inspection $100 Fire Pump $50 _ 3rd Alarm N/C
0 Plan Revisions DBL _ 3rd Re- inspection $250 Hoods. SIP $5500 _ 14th Alarm 5100
4th Re- Inspection $500 Fire Alarm X50 _ 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until • LP Gas $501 _ 6th Alarm 5200
^ 0 - 25 Heads $50 violations corrected) Natural Gas $501 _ NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $501
STANDPIPE SYSTEM . _ Hydro Undergrounds $45 Sparklers $10
❑ Per Riser
$50 _Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP _ Acceptance Test $45 per system Camp Fire $251
0 Per Pump $100 _ Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
— 0 - 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $501 Annual
26 plus Devices 5100 _ System Acceptance $50 Fire Protection - $25!
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual
Wet $50
—
OTHER Waste Tire Storage $50 Annual
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_ Dry $50 _ Fire Wall/Smoke Wall $15 per wall Generator < KW $10
_ CO2 $50 _ LP Gas $25 pertank Generator >30 KW 150
ther 0 Natural Gas $25 per system 1310-Hazard Waste $100 Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
Ei Hood/Ducts $50 _ Tent 1lYx1p or greeter $15 per tent Torch Pot/Applied $50
OTHER
— Fire Pump $45 Haz. Materials $100; Annual
LP Installation per tank $50 NFire Suppression $30
Fuel Tank Installation $50 c— System Acceptance -'�
(Per Tank) $50 _ Exhaust Hood/Duct $30
0 Natural Gas Installation $50 Re DBL
(Per System) (other than annual) _
0 Spray Booth $50 0 Inspection scheduled DBL
and cancelled Tess than.
24 hours
_ Construction Insp. N/C
1 _ Emergency Vehicle A r 1 • FALSE ALARM
PLANS TOTAL 50 I INSPECTION TOT , "��I PERMIT' TOTAL TO1
1
GRAND TOTAL
Comments: I
Date: /
_
Insp P _
77G %e
813-780 -0020 City of Zephyrhills Fire- i 6 ^ Fax - 813 - 780 -0021
/ Permit Application 1
Date Received .6 ' 3 v� / C7 Phone Contact for Permit MAI 4 7,Se'
.
Owner's Name )n L.- Co nd crl 1 tl f C.r.r1 5 Owner's Phone Number 1 1 I .I = I
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number I I
Fee Simple Titleholder Address I
:::::: . ... -f J � j� -z? / x.
3 833 3 ( d `'V� L''��c- ` ` a �'e-- Lot #
Sub Division Parcel # 1
- blo- Hazaro wasTe"Slmage AMIL I I Fumigation Tent
W ' Comm Exhaust Ki - I - . • • • - - - 1 I Hazardous Material (Tier II or RQ Facility) ANNUAL
W.. Controlled Bum I
Hood Installation
I] Emergency Generator < 30 kw I I LP /Natural Gas - Installation
I Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale
I Fire Protection Maintenance - ANNUAL [I Places of Assembly- ANNUAL
It2trly) 'Semi) 1 1 Other
Sprinkler n ❑ ❑ ❑ I I Recreational Bum
Fire Alarm n ❑ ❑ ❑ ( J I Sparklers
Hood Cleaning n ❑ ❑ ❑ I I I I Sprinkler System Installations
Hood Suppression r t ❑ n Standpipes (Sprinkler Sys)
n Fire Alarm Installation I I Torch Roofing/Tar Kettle
( Fire Pumps [ I Waste Tire Storage ANNUAL
I Fire Works
El Flammable Application- ANNUAL I • vv ( Valuation of Project
Fuel Tanks
fl Other I /Ii fG- 6- t4.0.1.a.1 rrc 4 5_ prr- .+Srcn 5
Contractor 1� , t~ Company � - posa - F.rt p•yL�.-. i'e -..<.
M, I
Signature J Registered Y/ N I Fee Current Y/ N
I I
Address I L1701 !iG !t 1. r 4..6 toe.- "r i_ .r t 1 License # // 1 062O j , 9.
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y / N
Address I I License # I
PLUMBER Company I
Signature Registered Y/ N Fee Current I Y/ N
Address I I License # I I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I
I License # I
OTHER Company
Signature Registered Y/ N I Fee Current I Y/ N j
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 may be subjectto "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 -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 (Chapter 713,, 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
DER OR AN ETT • RNEY RE RECORDING YOUR NOTICE OFOB• OBTAIN ' CONSULT
MENCEMENT.
WITH YOUR LEN
FLORIDA JURAT (F.S. 117.0 /
OWNER OR AGENT CONTRACTOR - f .-
Subscribed and swom to (or a med) before me his Subscribed and sworn to (' affirmed) before me this
by by
Who islare personally known to me Y Who is /are personally known to me or has/have produced
identification. ation. has/have produced as identification.
as ientific
Notary Public Notary Public
Commission No.
Commission No.
Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped
Jacqueline Boges
From: Kerry Barnett
Sent: Friday, October 08, 2010 8:18 AM
To: Jacqueline Boges
Subject: RE: question about inspection
yes
From: Jacqueline Boges
Sent: Thursday, October 07, 2010 2:40 PM
To: Kerry Barnett
Subject: question about inspection
Kerry did you are Hector do a final inspection for the driftwood 38333 cottonwood installation of suppression done by
firemaster?
Jackie Boges
Code Support Specialist
ext. 35
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