HomeMy WebLinkAbout11-11602 CITY OF ZEPHYRHILLS
• 5335 - 8TH STREET
� (si3)�so-oozo 11602
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 11602 Address: 7952 7954 GALL BLVD
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE-SPRINKLER SYS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR COMMONS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost: 500.00
Date Issued: 3/07/2011 Name: ZEPHYR COMMONS LLC
Total Fees: 115.00 Address: 3629 MADACA LANE
Amount Paid: 115.00 TAMPA FL 33618
Date Paid: 3/07/2011 Phone: (813)927-0011 •
Work Desc: INSTALLATION 2 FIRE SPRINKLERS IN BATHROOM
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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
aosts 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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CONTRAC IGNATURE 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
a�3aso-oo2o Ciry of Zephyrhills Fire � i I � � Fax-813-780-0021
Permit Application �
Date Received „ r �" � � Phone Contact for Permit �� C� ��
Owner's Name //rie /Cc�... � 1i 2���„� ` p�y�ers Phone Number �� �f�� QG
Owner's Address L �} � � �. �" j (
Fee Simple Titleholder Name TiUeholder Phone Number �� �� �
Fee Simple Titteholder Address
. ,. � . , . , .
JobAddress � �9j� �L �jG�/�- ��
Lot #
Sub Division � ` � [`Gy'y� �vtoi✓S' Paroel #
� Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LPlNatural Gas-Installation
� Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Mainte�ance - ANNUAL � Places of Assembly-ANNUAL
�y emi �n er
Sprinkler � ❑ ❑ p � � Recreational Bum
Fire Alartn � ❑ ❑ ❑ C� � Sparklers
Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkier Sys)
� Fire Alartn Installation � Toroh RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL � Q�, o!� Valuation of Project
Fuel Tanks
Q Other: �'.� Tyrc-L o"� F� � 2,,:�ru��eS' �',J �
Contractor � Company /'7� �p � Gcs i
Signature Registered Y/ N Fee Current Y/ N
Address O n�Aa e, C !C. L .'l License # t� � a
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER
Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
Directions:
Fill out application completely
Owner 8 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:/lappraiser.pascogov.com)
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 responsibiliry for compliance wiih 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.
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'SIOWNER'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 spec�cally 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 ninery (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 COM ENCEMENT.
FLORIDA JURAT (F.S. 117.03)
I !� �
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and swo (or affirm efo me this
bY by �"�[ n�. 'T�A�/ LB �
Who is/are personally known to me or haslhave 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 lyped, printed or stamped
Jacqueline Boges
To: Kerry Barnett
Subject: plans in your box
Placed in your box plans for sprinkler system 7952-7954 gall blvd 5 guys — capso is the contractor.
Jackie Boges
Code Support Specialist
ext. 35
i
Zephyrhills Fire Rescue
C907 Dairy Road, Lephyrhills, I'L 3�542
f�ire Marshal L3us (813) 7fi0-0041
Kerr}� 13arnetl Fax (81 i) 7$0-OU=1�4
�:-mail: kbarnett(r`,Iire.ienhyrhi115.(l.us
Plan Review #: 11-019 � ��~����� �'
Project: Fire Sprinkler Modification
Number of Pages: 1
March 7, 2011
I have received and reviewed the plans for the modification to the fire sprinkler system located at
7952 Call Bivd and will allow it to move forward. By paying for permit contractor acknowledges
to comply with the items below. Should anyone have any questions, please do not hesitate to
contact the Fire Marshal's office.
1. During a site visit it appeared that 2 upright heads were also relocated above the
restroom area.
Inspection Required:
l. Final/Pressure Test @ normal system pressure (completed by this authority last
week — paperwork needed by sprinkler contractor)
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KERR BARNETT, FIRE MARSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with app(icable 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 comp(ete 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 locaf ordinances.
���°���Y'RHILL�S FIRE �EPI�RTM�tVT
69Q7 Dairy Road, Zephyrhilis, FL 33542
F�ee C�i�f �e�rh Williams Bus {813}750-00�� ��x (8� 3)7�t)-t)U!��3
FIRE SERVICE USER FEES
Occupancy IVo.:
Pian No.: � ° �
Contractor: � - -
Business Name. , �r r, � Billing Address: ���a� 4-
Business Address: �` C ,� ���
Business Phone No.: �---°'�''—�--'�'=,�
Billing Phone No.:
Business Fax No.. Billing Fax No.:
Contact:
Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
8 Site Plan FALSE ALpRM FEE
N/C Annual N/C Sprinkler �
Multi-Family/Commercial 06 sf 1st Re-ins lst Alarm N/C
pection N/C Standpipes �a 2nd Atarm N/C
(Minimum Charge $25 00 2nd Re-inspection $100 Fire Pum
� Plan Revisions DBL 3rd Re-inspection $?Sp P $� 3rd Alarm N/C
Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm 350 Sth Alarm
SPRINKLER SYSTEMS (Business closed until $� 50
LP Gas a50 6th Alarm $200
0- 25 Heads $50 violations corrected) Natural Gas
26 plus Heads $100 SPRINKIER SYSTEMS Fuel Tanks- $� NON COMPl.IpNCE $150
per tank �Q
STANDPIPE SYSTEM Hydro Undergrounds g����
� Per Riser $��
$50 Hydrostatic Test �� sysce,,, Fire Works $500
FIRE PUMP Acceptance Test 45 �, sy�m Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $�pp
FIRE ALARM SYSTEM
HoodlDuct $Sp
0- 25 Devices $50 FIRE ALARM SYSTEM Place of AssemW
26 plus Devices $100 System Acceptance $,50 y $� Annual
Fire Protection $�
SUPPRESSION SYSTEMS Recall Acceptance $5p
Flammable Application $50 a�r,uai
wet $� OTHER Waste Tire Stora e
9 � Annual
��Y $50 Fire Wall/Smoke Wall $15 per wa11 Generator < KV1/ $� pp
CO2 $50 LP Gas
$25 per tank Generator >30 KW t sp
Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annua�
KITCHEN EXHAUST
Fumigation Tenting $sp
Flood/Ducts $50 Tent 10'x10' or greater $15 per tent Torch PoVApplied $$p
OTHER Fire Pump $45 Haz. Materials
LP Installation per tank $50 Fif@ SU $� � Annuai
ppression g3p
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 8 Exhaust Hood/Duct �30
� Nafurat Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBl
and cancelled less than 8
24 hours
Construction Insp. N/C
C _ l Emergency Vehicle Ac��
PLANS TOTAL (�>�:�' INSPECTION TOTAL -�' FALSE ALARM
�-� PERMIT TOTAL ��0 TOTAL
� ---- I
GRAND TOTAL � .�
Comments
Date � �' �1
Ins���ctor• ""'-'�