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Home My WebLink About11-12126 � CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3�s -,e� 12126 FIRE SPRINKLER SYSTEM PERMIT Permit Number: 12126 Address: 6748 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: 02-26-21-0010-02500-0020 Improv. Cost: 4,654.00 Date Issued: 7/15/2011 Name: FLORIDA HOSPITAL ZEPHYRHILLS INC Total Fees: 260.00 Address: 7050 GALL BLVD Amount Paid: 260.00 ZEPHYRHtLLS FL 33542 Date Paid: 7/15/2011 Phone: (813)783-6189 Work Desc: INSTALLATION FIRE SPRINKLER SYSTEM , . 5. . FIRE PLAN REVIEW FEES 100.00 C� �� r t 2- 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 wmmercial 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 COMMENCEM T." ' � � i.. ��C NTRAC IGN T RE I IC R PE PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 sis-�ao-oozo Ciry of Zephyrhills Fire Fax-813-780-0021 Permit Application Date FY�ceived �'" �� Phone Contact for Permit �� r�� 1 y 7 7"� �laD Owner's Name � �('1� Owner's Phone Number � 1! LL41.J �l � � Owner's Address � � V � (� , ,� � 3 � I � Fee Simple Titleholder Name Titieholder Phone Number �� Fee Simpie Titleholder Address Job Address �� I l Y . � � � � Lot # � Sub Division Parcei # � ' � � ' - (� � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn Hood Installation � Emergency Generator < 30 kw � LP/Natural Gas-Installation Z/� � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale �� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL r y emi �n er Sprinkler � ❑ ❑ ❑ B � Recreational Burn / Fire Alarm � ❑ ❑ ❑ � � Sparklers b � � �/t�( �, �,.. . Nood Cleaning � ❑ ❑ ❑ � � Spnnkler System Installations � �(/�.J Lp � Hood Suppress�on � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) �7" � �� Fire Alarm Installation � Torch Roofing/Tar Kettie � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project Fuel Tanks Q Other Contractor � � Company `r' r� C � n Signature Registered Y/ N Fee Current Y/ N Address y Q (, G( � �] License # ( E�ECTRICIAN 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 & 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 subject to "deed" restrictions" which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any applicabie 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 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!0�) _ � . �-.� � `r _l '> > - I ''� � � OWNER OR AGENT • ' � � `� '` CONTRACTOR � � : L� f �.%�'— S_u d and swo to (or a i e reme this Su cri ed and swor o(or affi d) ore me this -�1�-bY ` 1 by . WKo is%are p�rsonallv known to me or has/have produced W o is/are p ersonally know to me or ha have produced as identification. as identification. ' p,� Notary Public W� Notary Public Commissio o f0 '-) -� �'{ Commissio fn _ I�1 �( Name of Notary typed, printed o • Name of Notary typed, printed or stamped public State of Florida R` ��yv o� Notacy Pneto = o ��+ Gaotg�a wssion DD981 g t�fi s � Notary Public State of FlOnda ' � My Comm ; Oeorgia W Prieto `? ` a Expirea OSf0112014 e . � ,,�, � t` My Commiasion DD9B7372 . o � F �� Expires OA/01/2014 4 � Ju10511 11:26a SealanderContractorServ 813-788-4028 p 3 � IIIIlillllllllllllllllllitlllllll�llllllflllll11111111�11111 2011073643 \ ~ L E G A L D E S C Ft I P T I O N: ASSESSED IN SE�TION 02, TOWIiSHIP 26 SOUTH, RAnGE 21 EAST, � " PASCO CCTJ'_VTY, F�ORI�A ZEPHYRH=L'S COLONY COMPr'1NY LANDS YB 1 PG 55 NGRTH 1/2 OF TRACT 25 LYING EAST OF US 301 LESS EAST 230 FT THEREOF & LESS WES'^ 160 FT O? NORTH 1/2 LYII3G EAST OF US 301 OR 8021 PG 206 . Permit No. Parcel ID No 02-26-21-0010-02500-0020 NOTICE OF COMMENCEMEPTT Rcpt,:1368030 Reo: 10.00 D5: 0.00 IT: 0.00 Slate o( Florida County of Pasco 05/ 17 / 11 C. Cook , Dp ty C] erk THE UNUERSIGNED hereby gives notice tha[ improuement will be rnade to certain real property, and in accordance wkh Chapter 713, Florida Statutes, the following infomiation is provided in this Notioa d CommencErnent 1 Description of Praperty: Aarcel Identificadon No. OZ-26-21�01Q02500-0020 Slreet Address: 6748 l BNd ZeohvrhiHs FL 33541 2. General Desuiption of Impro�ement IMerior renoralion interior uralls electrical HVAC and alumbinq. PRULq 5 D'NE[L PP D Pq5C0 CLERK & COf1PTROLLER 3. Owner Infomiation. Florida Hospital Zeohvrhilis. Ina �� 17/ 11 1: 38 1 of 1 Name OR BK � 5� PG 3502 7D50 Gall $Nd.. Zeohvrhitls FL Address City State Interest in Property Name of Fee Siry�le Titleholtler (If other tlan owner) Address City State " 4 Contraclor. Sealander ContracEw Services, Inc. Nama 5,,�05 Cambertea Ave. Zephyrtills FL Address City State ConUactors Telephone No.. 81�-Sa6-7295 5 Surety: Name Address C:ly State Amou�t oFBond $ Telephone No 6. Lender hlame �d� Ciry State LendeYS Telephone No. 7 Persons within the Stale oi Fbrida designated by tNe owner upon whom notices ar other documents may be sarved as provided by Sedion 713.13(1){a�('n, Florida Slatutes: AAike Gardner Name 7O�+�II BIVd. ZBD11Vff11IIS � Adtlress City State Telephone Nfumber of Designatetl Person: 61�•7836189 8. In addftion to himself, the awner designates Cad Sealander of Sealander Contrador Services. Inc. to receive a copy of the L�enors Nolice as prov�ded in SecGOn 7t3.13(1)(b), Flonda Statutes. Telephone Number af Person or Entiry Designffied by Owner. 613546�7295 9. Expiration date of Notroe of Commencement is one year from the date of recording unless a d"dfererrt date is spedfied. WARNING TO 01MMER: ANY pAYMENTS MADE 8Y THE OWNER AFTEFt THE EXPIRATION OF THE NOl'ICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PAR71, SEC710N 713.13, FLORIDA STAMES, AND CAN RESULTIN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDAND POST�D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN7END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT STATE OF FLORIpA s, �� ` COUNTY OF PASCO � ��G�j`�—� _ Signatune of Owner or Owner's Aulhor¢ed OfficedDirectonParfiarlManager Signator)!s TitlelOfBce The fwego'e�g instrument was aclmowledged h�pre me this !�,.day of zaL, b •� oY ✓1 i1 as UU I� i 7sl2/� /L� ( of authority, e.g., officer, ttustee, attorney in faC) for ` (name o arty on 6ehalf o ortyi stnxnent was exec ted). / Personaly Known Produoed Identficanan ❑ Notary Signature Type af Ident�cation Produced Name {Prim) � Venfication pursuant 2 S t s U e alties of perjury, i dedare lhat I have reaC the for ang and thal lhe Tads sta[ed in it are true to the best �� I ►� • fYh M fMltl� �,�i��/cdz ��'�� Signature of Natural Person Signing Above CMwYY� 10p �1f11! MNI �� AU�. wpdatafbcslbcs form n i Z��,-�Y��il&�� IRE C)��lAE��'�iAE�`� _ 6907 �airy Road, Zephyrhilis, FL 33542 � �rfa (,ha�f Keit� Wifiiarns Bus (8'i3)180-OUa1 Fax (81:3)7�30-0p�1.� FIRE SERVICE USER FEES Occupancy No.: Plan No.: �- c��, r Contractor: � 1%�'�' ;��c ��i e� Business Name /2- �� t Billing Add�ess: �i lt� ,r e•s, � ;,�� ,�, 8usmess Address. �=��`f� C�:� �! t oc.r�-�-- .�� i�� l Bus�ness Phone No Billing Phone No.: �`�-- ��'7 -- �� 7 Bus�ness Fax No . Billing Fax No.. Contact Contact: P�AN REVIEW FEES INSPECTION FEES PERMIT F FALSE ALARM FEE 8 S�te Plan N/C Annual N!C Sprinkler $50 1 st Alarrn N/C Mul�� O6 sf t st Re N/C Standpipes 2nd Alarm N/C (Mmimum Charge $25 00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm NiC � Plan Rev�sions DBl 3rd Re-mspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRtNKLER SYSTEMS (Busfness closed until LP Gas $50 6th Alarm a2pp 0- 25 Heads $SO vwlations corrected) Natural Gas 350 NON COMPLIANCE $150 26 pius Heads $1 SPRtNKIER SYSTEMS Fuel Tanks- �� k a5p STANDPIPE SYSTEM Hydro Undergrounds Sparklers $100 � Per Riser $50 Hydrostatic Test � s tem Fire Works $500 FIRE PUMP Acceptance Test $45 � system Camp Fire �2$ � Per Pump $100 Hydrant Flow 5 Controlled Burn $100 FtRE ALARM SYSTEM Hood/Duct $5p 0- 25 Dewces $SO FIRE ALARM SYSTEM Place ot Assembly $50 n��ai 26 plus Devices $100 System Acceptance a50 Fire Protection a� SUPPRESSION SYSTEMS Recall ACCeptance $50 Flammable Application $50 Annual we� S50 OTHER Waste Tire Siorage $50 n��,,,i �ry $50 Fire Wa►IlSmoke Wall at5 perwatl Generatof < KW Etpp CO2 $50 LP Gas $25 ��w�a Generator >3p ►(W 1,p Other $50 Natu�al Gas $25 per system Bio-Hazard Waste y100 n��u,i KI7CHEN EXHAUST Fumigation Tenting $50 � HoodlUucts $50 7ent 10'x10' or greater $15 ne�tent Torch Pot/Applied $50 OTHER Fire Pump $45 Naz. Materials $100 Annual LP Installat�on pPr lank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance {Per Tank) $50 8 Exhaust Hood/Duct $30 � Natural Gas Installahon $50 Re-RISPeCtIOn DBL (Per System) (otherthanannual) � Spray Booth $SO � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N!C � Emergency Vehicle A $SO r � i FALSE ALARM PLANS TOTAL (�� INSPECTION TO7A� �!' PERMIT TOTAL TOTAI I - I L _� GRAND TOTAL / y Comments Date i InsA��ctor ,,• � �i� !�' f�'G� Zephyrhills Fire Rescue Gt)07 Uairy Roaci, Zephyrhills. I� L 335�2 1'ic� Marshal Bus (813) 780-0041 K�rry 13arnett Fax (813) 780-U044 C-mail: I<barnett�a; fire.zerhyrh il ls.tl.us Plan Review #: 1 l -095 Project: Fire Sprinkler Modification Number of Pages: 2 July 14, 2011 I have received and reviewed the plan for the fire sprinkler modification located at 6748 Gail 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 ti�e Fire Marshal's office. 1. If the sprinkler system is to be down for more than 4 hours, this authority shall be notified and fire watch will have to be established. Paperwork for fire watch will have to be obtained from this authority. 2. System shall be recertified and tagged once completed. 3. Seal all penetrations to any rated walls (smoke and/or fire). Inspection Required: 1. Pressure test at 50 psi above normal 2. Final �� ,� . i � .��._. KERR BARNETT, F1RE 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 sote 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.