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Home My WebLink About11-12226 • CITY OF ZEPHYRHILLS � .. 5335 - 8TH STREET �sis��so-oozo 12226 FIRE ALARM SYSTEM PERMIT Permit Number: 12226 Address: 7050 GALL BLVD Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: 5,903.00 Date Issued: Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 250.00 Address: 7050 GALL BLVD Amount Paid: 250.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/11/2011 Phone: (813)783-6189 Work Desc: FIRE ALARM RELOCATE-DOUBLE PERMIT WORK W/OUT PERMIT . . 5. FIRE INSPECTION FEES 50.00 1 G� - l 2, � ` � � 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 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 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." � � � 4 CONTRACT R 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 APG Electric, Inc. Vendor : CITZ P e rm i t , f o r Job _ 7 5 4 3 _ ------- --------- --�- -- - - - - - — ----- --- - - -- - --- - �.. - -.. , GL#78200 City of Zephryhills : 082126 08/10/11 250.00 0.00 250.00 � Total Net Check Amount 250.00 . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oo20 12226 FIRE ALARM SYSTEM PERMIT Permit Number: 12226 Address: 7050 GALL BLVD Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: Date Issued: Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 250.00 Address: 7050 GALL BLVD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: 813)783-6189 Work Desc: FIRE ALARM RELOCATE-DOUBLE PERMIT WORK W/OUT PERMIT . 5. 5. FIRE INSPECTION FEES 50.00 � �� Y✓ll No �;�,,J� �e�-►ri;+� Sb l � 8-10-! �io- ina FIRE ELEVATOR RECALL Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fre prevenfion 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." � 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 City of Zephyrhills Fire Fax-813-780.0021 Permit Application Date Received 9�(� "� Phone Contact for Pertnit �� Owners Name Owners Phone Number �� Owner's Address Fee Simple Titleholder Name TiUeholder Phone Number �� Fee Simple Titleholder Address �, .:t,3'.r,.;.-g,r.xaiv:"::+�4` . .-y.x� %.0'`"L'::9f�°�.✓; <'R< � °' , ,., � o.�Aac►�ss ( !�/1�.� �ot # �_.. - Sub Division Parcel # ' , . k .. ,. .. 53" .. �.,. -§:: :.. .,. . <. ...a 'n 1 . _. . . � 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 � i� 2/ � Emergency Generator> 30 kw � lP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �y emi �n er Sprinkler � O ❑ ❑ � Recreational Bum Fire Alartn � O ❑ ❑ � � Sparklers Hood Cleaning � � ❑ ❑� a Sprinkler System Installations Hood Suppression � � ❑ ❑� � Standpipes (Sprinkler Sys) � Fire Alartn Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL �-_� Valuation of Project � Fuel Tanks Q Other: / z U � Contractor Company e ,� 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 # MECHANICA 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 contrect 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 PropeRy Tax Notice (http:lJappraiser.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 T13, 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 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 affirtned) before me this Subscribed and swom to (or affirmed) 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 idenGfication. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Zephyrhills Fire Rescue C907 Uairy Road, Lephyrhills, l� L 3i5�2 l� ire Marshal L�us ($13 ) 780-004 I Kerey 13 arnett f�ax (81 �) 780-OU4� E-mail: kbarnett(�r,`,fire.lephyrllills.(l.us Plan Review #: 11-105 � � Project: Fire Alarm Number of Pages: 4 August l0, 201 l I have received and reviewed the plans for the modification of a fire alarm system located at 7050 Gall Blvd 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. An additional fee has been assessed for working without a permit per City Resolution. The fee allowed is double the permit fee per day of operation. The permit fee is $50. This allows a fee of $100 per day, only $100 was charged. 2. If the fire alarm system is to be shut down for 4 hours or more in a 24 hr period, a fire watch shall be established by Fl Hospital and proper paperwork filled out. 3. Acceptance paperwork shall be supplied at final inspect. Inspection Required: 1. Acceptance Test � KERRY BA 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 finai approvai 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. 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 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. ��I��ni��(��il��.� FIR� D��'A��'LillEt�`�° 6907 l�airy Road, Zephyrhilis, �L 33542 ;=��F� t,��et aCe��i� WiUiarns I�us (813)l80-bU�d1 Fax (813)730-D(�� FIRE SERVICE USER FEES Occupancy o.: Plan No.: �—� Contractor f1 �Co� �/C C=� ,� Busmess Name L ^;�— Biiling Ad�iress. �_., Busmess Address � ��' �' �� ' �c�tvw� -�'' I�G. '�S = �'" 7 � ..'_ �,� /,�:' � Bus�ness Phone No Billmg Phone No. Bus�ness Fax No Biliing Fax No. Contact Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE Site Plan FALSE ALARM FEE � N�C Annual N/C Sprinkler $50 t st Alarm Muh� 06 St tst Re N/C pection N/C Standpipes $50 2nd Alarm N« (Mirnmum Charge $25 00 2nd Re a100 Fire Pum � Plan Rewsio�s P �� 3fd Alarm N!C DBL 3rd Re-inspection 5250 Hoods $SO 4th Alarm 5100 4th Re-Inspection $500 Fire Alarm � Sth Alarm SPRINKLER SYSTEMS $150 (6usmess closed untd LP Gas 6th Alarm 0- 25 Heads a50 violatiO�S CO�fQCted $� � Natural Gas S50 Nori connaunNCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per unk a�jQ STANDPIPE SYSTEM Hydro Undergrounds ;45 Sparkle�s $�pp � Per Riser 350 Hydrostatic Test S65 r�� 5, Fire Works FIRE PUMP $5 � Acceptance Test S45 ce, sy5�em Camp Fire g25 ❑ Per Pun,p $t00 Hydrant Flow a75 FIRE ALARM SYSTEM Controlled Burn $�qp r�. Haod/Duct gsp - 25 Devices C 550! FtRE ALARM SYSTE �.� Place oi Assembly $50 Annual 26 plus Devices $100 System Acceptance y50 Fire Protection SUPPRESSION SYSTEMS a �' RECaII ACCeptanCe Flammable Application $SU Annual Wet $5p OTHER Was1e Tire Storage $5p qnn�a� ��y $50 Fire WalUSmoke Wall $� 5 ae� Wan Generator c KW b� pp �n 350 LP Gas $25 per tank Generator >30 KW 15p Other $5p Natu�al Gas $� ce� sys�em Bio-Hazard Waste �10p an�uai � KITCHEN EXHAUST fumigation Tenting $50 HoodlDucts $50 Tent 10'x10' or greater $15 �� te�t Torch PoGApp�ied $50 OTHER Fire Pump b45 az. Materials $10p qnnual LP Inslallal�on p�.� �ank $�j0 Fire Suppressio� $3Q ,,j, fuel Tank Installation S5p System Acceptance � k "� ��'' '"`�'"�� "�° (Per Tank) S50 Exhaust Hood/Duct g3p �� ` � Na�ural G�y Inslallahon $SO 8 Re-inspection pg� `��r'`°�'�� !Ya�` �}�-�`'� �GG ( Per System ) (other than annual) � Spray Booth $SO � Inspection scheduled DBL and cancelled less t�an 8 ' 24 hours Construction Insp N/C Emergency Vehicle Ac� $50 � FALSE ALARM PLANS TOTAL �� INSPECTION TOTAL � PERMIT TOTAL L�S �,� TOTAI I I GRAND TOTAL ��Z,i � Comments ---- Date � �c� // Insq�clor . �� ,., � �`�,/��