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Home My WebLink About11-12085 CITY OF ZEPHYRHILLS , ' S335 - � H STR (s13�°�--- 12085 FIRE SPRINKLER SYSTEM PERMIT Permit Number: 12085 Address: 6020 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-12800-0000 Improv. Cost: Date Issued: 7/07/2011 Name: GALL BOULEVARD LAND TRUST Total Fees: 95.00 Address: 350 HARBOR PASSAGE Amount Paid: 95.00 CLEARWATER, FL 33767 Date Paid: 7/07/2011 Phone: (727)643-8922 Work Desc: REMOVE 3 HEADS AND REINSTALL � /��,' � . �l� �� C; _ �� K� ,� 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 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 COMMENCEM T." � NTRACTOR 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 , a�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 PeRnit Application Oate Received �� Phone Contact for Pertnit U�� Owner's Name ��— � —[ Owners Phone Number �[� �j�'�Z OwnersAddress ],/�� v�C.�� (�� '��j'j Fee Simple Titleholder Name TiUeholder Phone Number � �� Fee Simple Titleholder Address � - ,tt�-?rr�::�.: :.�>• �� . - .. -- _ �?:`'3: ^'sx t Job Address �,� �� L..L '�.� �� Lot # Sub Division Paroel # - ;�:, ,w , � ., ,>, �.. ., . , ., _, . ,... .., � �; .�:�a. ..;r�.,. - _ � BiaHazard Waste Storage -ANNUAL � Fumigation Tent Yo- `'( P' . � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL a Controlled Bum � Hood Instailation � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � r y emi �n er ry Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � Sparklers Hood Cleaning � ❑ ❑ ❑�� g Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � SWndpipes (SprinklerSys) � Fire Alarm Installation � Torch Rooflng/Tar Kettle a Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL �--� Valuation of Project � Fuel Tanks Q Other: Contractor ` Company 4 y e,� . ' � � Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRICIA 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 & Contrector 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://appreiser.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 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 regu�ations, 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 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 CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirtned) before me this by by Who is/are personally known to me or has/have 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 ryped, printed or stamped Name of Notary typed, printed or stamped PREMIER FIRE SPRINKLERS, INC. � 561�.1 F-G�e�.seea.�t. - Ste. C• Tampa, FL 33610-7199 __ C � Phone (813} 630-4 • Fax (813) 630-5589 � �` ��p. -______. _._.._.. .,% �'� zv8 � T>>�ie 29, 2011 Chief Kerry Barnett City of Ze�hyrhills Fire Dpartment 38410 — 6 Avenue Zephyrhills, FL 33542 SUBMIITED PLAN(S) HAVE BEEN REVIEW�➢ SY ZEPHYRHILI,S FIRE A SHAL' FFICE Date: // RE: Dollar General �taviewer: 6020 Gall Blvd. � Zephyrhills, FL Chief Barnett, This letter is to inform you that Premier Fire Sprinklers, Inc. performed the following irr�provements to the fire sprinkler system: 1. Remove ( 3) existing dry pendent fire sprinkler heads and reinstalled ( 3) new chrome pendent fire sprinkler heads. 2. Installed ( 1) water flow switch. 3. Installed ( 1) FDC sign. Should you have any questions, please do hesitate to call me at (813) 630-4597. Sincerely, � � � J � Ronald Geiger SPRINK[,ER SYSTEMS REPAIRS INSTALLATIONS LAYOUT/DESIGN INSPECTIONS Zephyrhiils F'ire Rescue G9U7 Uair� r�oacl. /_t��h��rhill5. I�I >>5�12 I irc Martihal I�uti (813) 7�i()-U()41 Kcrr�� 13ari7ct� Fax (81 ;) 7�U-UO�t� l:-mail� kbai -- - --- -. �. _._ �.___. _. ._..� .. _ .. .,. � ._,.. _. W�.__ .._._. _---- Plan Review #: 1 1-092 Project: Fire Sprinkler Modification Number of Pages: 1 July 1, 201 1 I have received and reviewed the scope of work letter requested by this authority to relocate 3 heads in a rehab of a tenant space for a Class B Mercantile located at 6020 Gall Bivd and will allow it to move forward. Paying for permit contractor acknowledges complying with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Maishal's office. 1. FDC sign shall be red on white or white on red. The letter for FDC shall be 6" in height. The address range that the sprinkler serves shall be noted below FDC. (Example: 6020 — 6030 Gall Blvd) 2. Tag the system that work was completed on this system. Inspection Required: l. Acceptance Test in conjunction with Fire alarm. ; �� Y �..- �� l , KERRY BARNETT, FIRE MARSHAL ***Please be advised d�is 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 plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance w�th 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. ��.i��fI�L� FiRE ��P',AF�F�il1Ei�`�° 6907 l�airy Road, 7ephyrhills, FL 33542 f=are Chief Keirh Wifiiart�s I�us (8'i3)1gQ-UUa1 �ax ($13)1�3�-Oq�@ FIRE SERVICE USER FEES Occupancy No.: Plan No.: / �-C ' � Contractor r-- '' 'J t >r �, �z� � ' �. , �,�C�>�- c; Busmess Name <� � i� �+.-- Billing Address .// Busmess Address �-�.'�' �.�-�J � =� � � � � �� ,s�� Bus�ness Phone No �"'' � - -"'� -/�� Billing Phone No.: Business Fax No Billing Fax No.. Contact Contact� PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N!C prinkler S 1 MuIlrFamdy/Commeraal O6 sf t st Re-inspection N�� g t st Alarm N/C Standpipes SO 2nd Alarm (M�rnmum Charge a25 00 2nd Re-ins NiC pection �t 00 Fire Pump 3rd Alarm � Plan Revisio�s DBl 3rd Re-mspection �250 N/C Hoods $SO 4th Alarm g�pp 4th Re-Inspection $500 Fire Alarm $50 Sth Alarm SPRINKLER SYSTEMS (Busmess closed untd 5150 LP Gas $SO 6th Alarm a� 0- 25 Heads $50 v�olations corrected � Natural Gas $� NON COMPLIANCE 26 plus Heads $100 SPRINKIER SYSTEMS $150 Fuel Tanks- �, �„k asp STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers � Per Riser $�� $50 Hydrostatic Test S65 per system Fire Works $Spp FIRE PUMP Acceptance Test � ve� sy:�em Camp Fire � Per Pum $25 P $100 Hydrant Flow Controlied Burn g� pp FIRE ALARM SYSTEM Hood/Duct 0- 25 Devices $50 FIRE ALARM SYSTEM $� Place o( Assembly $50 Annuai 26 plus Dewces $100 System Acceptance $50 Fire ProteCtion SUPPRESSION SYSTEMS Recall Acceptance $50 a � Flammable Application $50 Annual Wet $50 OTHER Waste Tire Stwage $50 Annual �rY $50 Fire Wall/Smoke Wall $15 pe�wan Generator < KW $�pp CO2 $50 LPGas Generator>301(Vy 1yp $25 per tank Other $50 Natural Gas $25 �, s tem rs Bio-Hazard Wasle 3100 nnnua� KITCHEN EXHAUST Fumigation Tenting $Sp � Hood/Ducts $SO Tent 10'x10' or greater $15 r�r teot To►ch PoGApplied $50 OTMER Fire Pump S45 Haz Materials LP Installal�on 3��0 Annual per lank $50 Fire Suppression g3p Fuel Tank Installation $50 System Acceptance (Per Tank) $50 8 Exhaust Hood/Ouct $30 � Nalural Gas Inslallahon $50 Re-mspectwn DBL ( Per System ) (other than annual) � Spray Booth $50 � Inspection scheduled DBL a�d cancelled less than 8 ' 24 hours Construction Insp N/C Emergency Vehicle Ac� $50 .: i PLQNS TOTAL �_ I INSPECTION TOTAL �� FALSE ALARM PERMITTOTALI � � TOTALI � - I GRAND TOTAL � CommPnls Date � / �� InsR��ctor �-'�l�' /�b��3CTr �1C��/`