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Home My WebLink About11-12223 CITY OF ZEPHYRHILLS • � 5335 - 8TH SIREET (si3)�so-oo20 12223 FIRE ALARM SYSTEM PERMIT Permit Number: 12223 Address: 5320 1 ST ST Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-09500-0010 Improv. Cost: 2,500.00 Date Issued: 8/11/2011 Name: COMMUNITY CHAPEL COG Total Fees: 200.00 Address: 5320 1 ST ST Amount Paid: 200.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2011 Phone: (813)293-0981 Work Desc: INSTALLATION FIRE ALARM SYSTEM • 5. FIRE INSPECTION FEES 50.00 � �� f � / � � �/ l �, ina FIRE ELEVATOR RECALL 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 Ciry 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 RDING YOUR NOTICE OF COMMENCEM T." �� ,. ONTRACTOR 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 , ��ao-oozn City of Zephyfiills�Firs• F�-&i3-�ao-oa2� Permit Application )ate Received "7 2 7 /� Phone Co�tact for Permit ,SZ _ _ _ (v � ��' n �� :s�+.:�:� ,�ao..,.. . ,,a.., . . �wner's Name LQn-� /✓1k.+v ��Y <� - L Ownet's Phone Number .� �� C �wner'sAddress 2�/ / f //�-tt/ C � i S =ee Simple T�leholder Name Titleholder Phone Number �� =ee SimpleTiUeholder Address .{�aa ��s`�;r•�&�� Job Address ,j� ,ZD T T�LC Lot # C Sub Division Paroel # .» �"€�.�r �r: x,�r•��s�t � Bio-Hazard Waste 5torage - ANNUAL Q Fumigation Tent � Comm Exhaust }Gtchen HoodlDuct Q Hazardous Materiat �er fi or RQ Facil3ty) ANNUAL � ConVol{ed 8um � Hood Installation � Emergency Generator < 30 kw � LPlNaturel Gas-InstallaGon � Ertrorgency Generator> 30 kw � LPlNatural Gas-ANNUAl. Sale a Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL �y mi � er Sprinkler �❑ O O� � Racreational Bum � 2 � Fre Alarm � ❑ ❑ ❑ � � SparlJers � � Hood Cleaning � O � ❑� Q Sprinlder System instaliatlons t�oe�sr,vQressioR �❑ a o� Q StandpiQes (Sprinkler 5ys) '"� Fire A1arm Installation � � Torofi Roofir�glTar KetUe Fire P, ur�ps_.- ---'' � Waste Tire Storage ANNUAL � Fire Worics Flammable Applicatlon-ANNUAL S"�p " Valua�on of Project Fue( Tanks Q Other: � _ � Contractor Comparry Signature � Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN • Company S/�� L� r /-' /�G S},r� Signature � Registered / N �Current Y/ N Address < < ,t Ucense # Opp PLUMBER Company Signature Registered Y/ N Fee Curtent Y/ N Address License # MECHANICA� Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Addrass License # �mw�¢�9�Af^��.�+. � �a ,.... -- z ._..;,,�,>__ , �.n.�... , m.. �IfBCllOf15: �� X � FII aut application completely. Owner 8 Contraetor sign back of applicatior�, notarized (Or, copy of signed contract with owner} lf over 52500, a Notiae of Commencement is required (Mechanical work over 350oQ) . Suppiy two (2) sets of drawings with applicable dacumerrtation Allow 10-14 days for review after submittai date. Parcel #- abtained frorrt Property Tax NoUce (http:/lappraiser.pascogov.com) NOTICE QF' 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 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 CO MENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR ��-- � Subscribed and swom to (or affirmed) before me this Subscribed and sworn t r affirmed)b �fore rqe this by 7'�`/ � bY �Y//i:✓ LJoa i Who is/are personally known to me or has/have produced Who is/are perso� na^nown to me or has/have produced as identification. as identification. Notary Public � otary Public Commission No. Commission o �� JACQi;; �tN BOGES a �: F�cpires L�ecember 12, 2014 Name of Notary typed, printed or stamped Name of Notary typed s��-�so-oo2o Ciry of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received � � Phone Contact for Pertnit �� ' C"� Owner's Name Ownets Phone Number �� Owner's Address Fee Simple Titleholder Name TiUehofder Phone Number �� Fee Simple Titleholder Address , „ . ;,,.er- °9`>r .:�;�•..� a .e. ; . ;�,... .�,�. ea .. _ . a:s°ra �,,wgp.�:.-�.;,.�:r..�. t. y ° . + � Lot # Job Address Sub Division Parcel # . r v 3� . . . : M . �. + � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct a Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � 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 emi �n er � Sprinkler � ❑ ❑ ❑ Recreational Bum Fire Alartn � ❑ ❑ ❑ Sparklers Hood Cleaning ❑ ❑ ❑� � Sprinkler System Installations Hood Suppression � ❑ ❑ �� Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofinglfar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL � Valuation of Project � Fuel Tanks Q Other. , . A , . Contractor Company Signature Registered Y/ N Fee Curtent 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 # MECHANICA Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ M Fee Current Y/ N Address License # D irections: �*. ~f, M. � u � , M,4 », � 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) Zephyrhills Fire Rescue (907 Dairy Roaci, Lephyrhilis, I'L �35�2 I'ier- N1arshal L3us (8l3) 7�i0-0041 Kerry 13arnett f�t�x (81 ;) 780-OU��I Gmail: kbarnett(��).fire.�ephyrhills.fl.us Plan Review #: 11-102 � �� ~� �� Project: Fire Alarm Number of Pages: 1 plus calcs and cut sheets August 10, 201 1 I have received and reviewed the plans for the installation of the fire alarm system located at 5320 1 S` Street and will allow the project 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 Marshal's office. 1. There were no devices shown in the sanctuary portion of the building. Ensure the panel is large enough to support adding devices to this area. A system may be required in that location after the next annual inspection based on occupant load. 2. Strobes shall remain on when system is silenced. 3. Install a knox box at the main doors. Application may be obtained from the station at the address above. 4. Ensure all devices are labeled according to the addresses on the panel. 5. Label telephone jacks. 6. Date the batteries. 7. Install breaker lock on breaker to panel. 8. Labe) location of breaker on FA panel. 9. Provide a zone map and log book at the panel. Inspection Required: 1. Acceptance Test � � v' .•� �" KERRY ARNETT, 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 tlie contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. ln the event that further examination or site inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at their sole expeiise 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. ��8� FIR� D��'A��'�iAEf�`� 6907 �airy Road, Zephyrhilis, FL 33542 + c.,haef fCe�ii� WiHiarns �us ($'i3)%$0-OU41 Fax {813)7�30-p().�< FIRE SERVICE USER FEES Occupancy No.: Plan No.: /- /� Contractor: � - Bus�ness Name �•,-., '%��s:�y ` � _�. � C �� ,+ � - �-� Billing Addr� � ,.I � Bus�ness Address L 3�� f . ,� - � �.�.�' E��. �- � . - Busmess Phone No Biliing Phone No.. �S� `�= S�-'S Busmess Fax No � �� -� y �-� Contact Billing Fax No.. Contact: — PLAN REUIEW FEES INSPECTION FEES PERMI7 FEE FALSE ALARM FEE 5�te Plan N/C Annual N!C Sprinkler $50 1 st Ala�m N/C Midh O6 sf tst Re-�nspection N/C Standpipes $50 2nd Alarm NIC (Mmimum Charge g25 00 2nd Re-inspection a100 Fire Pump g50 3rd Alarm N�G � Plan Rev�sions DBL 3rd Re-�nspection 5250 Hoods �1 4th Alarm g�pp 4th Re-Inspection $S00 Fire Alarm ��j) SPRINKIER SYSTEMS (Busmess closed unGl � Sfh Alarm $150 LP Gas $50 6th Alarm b200 0- 25 Heads S50 violations corrected) Natural Gas $50 NpN COMPLIANCE �150 26 plus Heads E100 SPRINKLER SYSTEMS Fuel Tanks- �, r,,,k asp STANUPIPE SYSTEM Hydro Undergrounds ;45 Sparklers $�p� Per Riser a50 Hydrostatic 7est �5 per system FIf2 WOf�CS $� FIRE PUMP Acceptance Test S45 oe, 5 tem n Camp Fire E25 Per Pump E100 Hydrant Flow S75 FIRE ALARM SYSTEM Controlled Bum a�pp Flood/Duct gsp 0- 2S Devices S50 FtRE ALARM SYSTEM Place ot Assembly $5p Annual 26 plus Uev�ces 100 � iSystem Acceptance Sp ' SUPPRESSION SYSTEM� Fire Protection a� Recall ACCEptanCe $50 Flammable Application $50 Annual Wet a50 OTHER Waste Tire Storage 550 Annual - �rY $50 Fire WalUSmoke Wall $15 perwan Generator < Kyy b100 CO2 a50 LP Gas S25 per tank Generator >30 ►(yy t sp Other $50 Natural Gas $25 n �� 5«m Bio-Hazard Waste b10p Annual KITCHEN EXFIAUST Fumigation Tenting $5p HoodlQucts a5Q Tent 10'x10' w greater E15 �, ie�� To►ch PoUApplied $Sp OTHER Fne Pump a45 Haz Materials $10p q��ual LP Installal�on pr� tank S50 Fire Suppresswn $30 fuel Tank Installation $50 System Acceptance (Per Tank) g50 Exhaust Hood/Duct $3p � Natural Gaa Installation 550 Re-mspeCtiOn pg� (Per System) (otherthanannual) � �pray Booth $50 � Inspection scheduled DBL and cancelled Iess than 8 24 hours Construct�on Insp N/C Emergency Veh�cte Ac� $50 FALSE ALARM PIANS TOTAII/fi� INSPECTION TOTAL[_�� PERMIT TOTALI ' ; i L_�� TOTAII � GRAND TOTAL � Comments �" �t' Date ��L' // i Ins �ctor __�__�°� �"' R, � � t c , -,,. ,,��,�!�""� �,� .