HomeMy WebLinkAbout11-11932 ' CITY OF ZEPHYRHILLS �
• 5335 - 8TH STREET
(si3)�so-oozo 11932
FIRE STANDPIPES PERMIT
Permit Number: 11932 Address: 5914 GALL BLVD
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00200-0010
Improv. Cost: 1,000.00
Date Issued: 6/01/2011 Name: THE YOUNG GROUP INC.
Total Fees: 130.00 Address: 5914 GALL BLVD
Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/01/2011 Phone:
Work Desc: FIRE SUPPRESSION SYSTEM INSTALL RAZZLES
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FIRE PLAN REVIEW FEES 50.00
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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 pertormed 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."
�..
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 Ciry of Zephyrhills Fire Fax-813-780-0021
Permit Application
�Jate Received Phone Contact for Permit � C� ��
Owner's Name ZL - Owner's Phone Number � 3 �� �/�'
Owner's Address / L L,
Fee Simple Titleholder Name TiUeholder Phone Number � ���
Fee Simple Titleholder Address
Job Address j �. �, ��/� S ��
Lot #
Sub Division Parcel # �1 � Z�Q � - p � � � _ �/b
� Bio-Hazard Waste Storage - ANNUAL � 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 Generetor > 30 kw � LP/Naturat Gas-ANNUAL Sale n
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �� I 7 3�
�y em� �n er 1
Sprinkler � ❑ ❑ ❑ � � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ O ❑� a Sprinkler System Installations
Hood Suppression � ❑ O ❑� � Standpipes (Sprinkler Sys)
� Fire Alartn Instaliation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
Q Other: ;QF' , ,�^�sio�ll SYsrE'�"'�
� � � - � , : . _ .<•. _ , . .
. , . <_ . a . , ,. .. >. .. ..
Contractor Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature I 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 ^ N Fee Current / N
Address p =7� License # —�
Directions:. . . . .�..,. ., ro. �. ... .> .� .. �,_ , , , CJz .. �. �.Q��rSc�
Fill out application completely
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with ovmer)
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 subject to "deed" rest°rictions"'
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.
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.
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 O�cial 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. 117.03)
OWNER OR AGENT �P' i�-� CONTRACTOR i°_ 7 � —
Subscribed and swo (or a before me this Subscribed and m to (or a rmed) before me this
by b y
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as idendfication. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary ryped, printed or stamped Name of Notary ryped, printed or stamped
Zephyrhills F'ire Rescue
(��)07 �)air� Poad, 7,cphyrhills. F[. 33��4?
t 1V(arshal F3us (813) 780-U041
Kcrry f�arn�tt Fa?. (81 ;) 780-00��
I;-mail: kbarnetl�ri.!lire.zephy�rhills.fl.us
__...---------. . . _ .. _�_ _... . .__.___._� __....__� __.__. _. _ _. .._ ....... -
Plan Review #: 1 1-069
Project: Hood Suppression System
Number of Pages: 1
May 27, 201 1
I have received and reviewed the plans for the installation of the hood suppression system located
at 5914 Gall Blvd and will allow tllis project to move forward. Paying for permit, contractor
acknowledges to the comments listed below. Should anyone have any questions, please do not
hesitate to contact the Fire Marshal's office.
1. Ensure installation is completed in accordance to NFPA 17A, edition currently
adopted by Florida.
2. Ensure there is a K Class extinguisher on site.
3. Ensure proper placarding is located at manual pull station and K class
extinguisher.
Inspection Required:
1. Acceptance Test
'.,
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KERRY B 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 ofthe
submitted �lans. 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 bnng 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.
Z��� FIRE DEPART�AEIV�
6907' Dairy Road, Zephyrhiils, FL 33542
Fere Chief Ke�th Wiflidms Bus (813)780-UU41 Fax (813)780-OU�d4
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: / — Contractor: __ ��. � �; � j= �
Business Name� � / Billing Address: /fr � ���";�. � �„ C„� �)
Business Address: �% �y EsA � � r-
a-c.. 3 ,. Z�-
Business Phone No Billing Phone No.: �-�, �-'7�
Business Fax No.: Billing Fax No.:
Contact Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Sfte Plan N/C Annual N!C Sprinkler $50 1 st Alarm N/C
Mult� O6 sf 1 st 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
� Plan Revisions DBL 3rd Re-inspection $250 Hoods, �650 4th Alarm $100
4th Re-Inspection $500 Fire Alarm 5th Alarm g� 50
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0- 25 Heads $50 violations coRected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pe� ca�k $Sp
STANOPIPE SYSTEM Hydro Undergrounds a4S Sparklers $�pp
� Per Riser $50 Hydrostatic Test $65 �� system Fire Works $Spp
FIRE PUMP Acceptance Test $45 Pe� syscem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE AIARM SYSTEM Hood/Duct $5p
8 0- 25 Devices $50 FIRE AIARM SYSTEM Place of Assembly $50 An�ual
26 plus Devices $100 System Acceptance a50 Fire Protection $�
SUPPRESSION SYSTEMS Recall ACCeptance $50 Flammable Application $50 annuai
Wet $50 OTHER Waste Tire Storage $50 qnnual
��Y $50 Fire Wall/5moke Wall $15 per wan Generator < KW $� pp
CO2 LP Gas $25 �� r��k Generator >3p KW 15p
' Other 350 Naturat Gas 325 per system BiaHazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/DuC4s $50 Tcnt 10'x10' or greater $15
per tent TO►ch PoUApplied $50
OTHER Fire Pump $45 Haz. Materials $100 Annual
LP Instal�ation per lank $50 Fire Suppression ' a3(y(
Fuel Tank Installation $50 System Acceptance �"'
(Per Tank) $50 Exhaust Hood/Duct $30
� Natural Gas Installation $50 Re DBL
( Per System ) (other than annual}
� Spray Booth $SO � lnspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
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Emergency Vehicle Ac� $50 '� FALSE ALARM
PLANS TOTAL (� r)� INSPECTION TOTAL �� PERMIT TOTAL I___� TOTAL
t�-�, I---_ I
GRAND TOTAL �
Comments
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