HomeMy WebLinkAbout11-12284 - � CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3)�so-oozo 12284
FIRE STANDPIPES PERMIT
Permit Number: 12284 Address: 5727 6TH ST
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02800-0040
Improv. Cost:
Date Issued: 8/24/2011 Name: SAJAN, SUBA
Total Fees: 130.00 Address: 1804 E WHEELER RD
Amount Paid: 130.00 SEFFNER FL 33584
Date Paid: 8/24/2011 Phone: (813)523-6492
Work Desc: REPIPE FIRE SUPPRESSION SYSTEM
5. I 5.00
FIRE INSPECTION FEES 30.00
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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 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 COMMENCEME 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 O�ce - 813-780-0041
, $�3-lso-oo2o City of Zephyrhills Fire
. Fa�c�13-780-0021
" Pertnit Appiicafion
Qate Received "� Phone Contact for Pertnk �j ��
Owne�'s Name %// lJ 2 rf+i-✓ /�E Owner's Phone Number /� SZ 3 �Y9��
Owners Add�ess Z � Y h S= -�
Fee Simpte TiUeholder Name Titleholder Phone Number �� ��
Fee Simple Titleholder Address
Job Address � 27 � T h z��t N- �-/ ��L S f' C Lot # �
Sub Division Pa�el #
- ANNUAL a Fumigation Tent
C°rrx^ Exhaust Krtchen HoodlDuct � Hazardous Material (Tier It or RQ Facii'ity) ANNUAL
um a Hood Installation
� Emergency Generator < 3p kw a LPlNahiral Gas-Insta9atlo� �Z, T�-(
� Emergerscy Generator > 30 kw � LP/Nahual Gas-ANNUAL Sale � f �.� �
� Fire Protection Maintenance - ANNUAL Q Places of Asssmbly-ANHUAL
� ��
Sprinkler � ❑ � D� � Recreational Bum
Fire Alarm � ❑ ❑ ❑ �� � gparklers
Hood Cleaning �❑ C� p� � Sprinkler System instalfations
Hood Suppression �❑ B' ❑ C� � Standpipes (Sprinkler Sys)
� Fre Aiartn Installation � Torch Rooflngffar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
Fire Works
Flammable AppUcation-ANNUAL
Valuation of Project
Fuel Tanks
L� ocner p� -
Contractor
Company
S�9"�� Registered Y/ N Fee currenc Y/ N
Address License #
ELECTRICIAN Company
Signature � Registered Y/ N Fee Curront Y/ N
Address License #
PLUMBER Company
S'g"at""a Registered Y/ N Fee Current Y/ N
Addreas ucer�se #
MECHANIC ���
Signature Registsred Y/ N Fee Current Y/ N
Address License #
OTHER C�nPa�Y G �, L� c�
siynawre ���-�'�- Registerea Y/ N F ciment Y/ N
Address / O c.��c / a C � y Licsnse # — . c a
Directions: .. , � . � � ,
Fill out appiication completely.
Owner & CoMractw sign back of applic�tion. notartzed (Or. copy of signed contract with ovmar)
If over y2500, a Notice of Commencemant is required (Mechanical work over E5000)
Supply ivwo (2) sets of drawfngs with appticable documeMation
Allow 1 Q14 days for review after submit�l date. Parcel #- obtained from Property Tax Notice h J/a
( �P' PP►aiser.pascogw.corn)
' NoTICE OF DEED RESTRICTIONS: The undersigned understands that thts pennit may be subject to'deed" restrictions"
which may be more resfictive than County regulatbns. The undersigned assumes responsibility for compiiance w'rth eny
appticable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILi11ES: if the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accbrdance with state arui local regulatlons. tf the
conUactor is not licensed as required 6y law, both the a�rtier and oantractor may be cdted for a misdemeanor vldauon
under state taw. If the owner or iMended contractor �e uncerlain as to what Ucensing requiremerrts may appfy fvr the
intended work, they are advised to corrtact the Pasco County Bu�lding Inspedion Division--Li�nsing SecNon at 727-847-
8009. Furthertnore, H the owner has hired a contrac6or or corrtractors, he is advised to have the contracior(s) sign
portions of the °cor�tractor Btod� of this appiicatlon for which they wHt be responsible. If you, es the ovmer stpn as the
contractor, that may be an indicafion that he fs not properiy licettsed and is not enfitled to pertnitting privUeges in Pasco
Counly.
TRANSPORTATION iMPACT/U71LITiES IMPACT AND RESOURCE RECOVERY FEES: 7he undersigned understands
that Transportatfon Impacf Fees end Recourse Recavery Fees may appy to the construction of new buildings, change of
use ia exisNng bulldings, or expansion of existing buildinps, as spedfied in Pasco County Ordinance number 89-07 and
90-07, as amended. The underaigned also understands, that such fees, as may be due, m11 be (dentifled at the time of
permitting. It is further understood that Transpo�taaUon Impacl Fees and Resouroe Recovery Fees must be pald prior to
receiving a'certificate of oca�pancy' or flrrel power release. H the project does not invahre a oertiflcate of ocwpancy or
final power releaae, the fees musf be paid prior to permft fasuance. Fu�thermore, tf Pesco County WateNSewer Impact
fees are due, they must be paid prior to permft issuance in accordanoe with applicabte Pasco CouMy orditmnces.
CONSTRUCTION 11EN LAW (Ch�ter 713, Fiorfda Statules, as amended): If valuati�on aF work is 52,500.00 or more, 1
certify thet l, the applica�, have been provided with a copy of the 'Florida Construc�lon Lien Lsw--Homeowner's
Protectfon Guide' prepared by fhe Rotide Departrnent of Agriculture and Cm�sumer Affairs. if ihe epplicani is someone
other th� the 'awner", 1 certify that 1 have obtained a copy af the ebove desaibed documerrt and promfae in good faith to
deliver ft to the `owner" prior to commencemerrt.
CONTRACTOR'SlOWNER'8 AFFIDAVtT: t cerNfy lhat all the irrformation in thfs application is accurete and that eR wak
will be done in compiiance with atl applica�e laws regulatlnp construcdon, mning and land development. AppiicaHon ts
hereby made to obtain a permit to do work and installatlon as indicated. I certify that no work or installatlon has
commencsd prior to issuance of a pemiit and that all work wql be perfortned to meet standa►ds of all laws regulatlng
cor�strucdon, County and City codes, zoning regulaUons, and land devebpment regulations in the jurisdiction. I also
certHy that I understand that the regulations of ott�er govertunent agencies may appiy to the irdended wvrk, and that it is
my responstbAity to identify what adbns 1 must take to be in complfance. Such agendes indude but are not Nmqed to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and EnvirvnmeMeily Sensiti+re
Lands, Water/Wastawater Tr�tment
- Southwest Florida Water Manegement District-We{�, Cypress Bayheads, Wetland Areas, Aftering
Watercx�urses.
- Army Corps of Engkiee�s�wais� Docks, NevigaWe Waterways.
- DepartmeM of Health 8 Rehabilitative Servic�s/Environmentei Health Unit-WeNs, Wastewater Treatmerrt,
Septic Tanks.
- US Environmentsl Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Rurrways.
! understand that the foilowing resblcdor►s apply to the use of f8L
- Use oF fil is rwt sllowed 'm Flood Zone'V' uNesa expressy pemeftled.
- If the flA materiai Is to be used � Flood Zane 'A , ft is understood that a drainege pian eddressing a
'compensatfig vdume' wUl be submmed at tlme of permittlng which is prepared by e professbnal engineer
Ifcensed by the State of Florida.
- If thA flll material is to be used In Flood Zone 'A' in connection wfth a perm(tted buiidir�g using stem wall
constructlon, I certify that flll wiN be used only to fll the � wflh� the stem vraA.
- If flll material is to be used fn arry aree, I oertify that use of such fill wiN not adversely atfect adjacent
propa►ries. If use of fMl is found to adversely aftect ad�acerd PmPerdes, fhe orvner meY be c�ted for violeting
ihe condkb�s of the building pertnit issued under the attacF�ed pertnit applk�tfon, for bts less ttian one (i)
acxe which are elevated by flll. an ergl�eered drah�age P�an ia requked.
ff I am the AGEN'f FOR 7NE OWNER, I prom�e in good faith to iMorm the owner of the pe►mRUng conditfor�s set forth in
thts affidavit prior to commencing oonstrudion. I understand tl�st a seperate permit rt�y be recWired tor electrkal work,
plumbing, signs, wells, pools, air cw�itiadng, gas. or other h�ons not specifk�ly ind�xied in the application. A
permit issued shall be conabued to be a lioense to proceed wRh the w�ork and not as auFhorily to vidate, cancel, aRer, or
set aside arry provls►ons of the techr►icel codes, nor shail �suanoe of a p�mri prev�rtt the BuN�rig Ofiicial trom thereaRer
requfring a correction ot ert�ors in plens, construc�fon or violedoris of arry caodes. Every permit Isaued sfiall become imralid
unless the vrork authorized by such pennit is c�mmenoed within sbc monfhs of permit iss�. or !f work authoriaed by
ihe Permit is susPended or aba�doned for a period of six (B) mortths aiter the Ume the wofk is commenced. An extension
may be requested. in writing, irom the Building Oflicial for a perlod r►ot to e�cceed rdnelY I90) days and wiil demor�trate
just�iable cause tor the extenslon. If work o�aes for ninely (90) cbrisecutive days. the � is c�nsidered abandoned.
WARNING TO OYYI�R: YOUR FAILURE TO RECORD A NOliCE OF COMMENCEMENT MAY RESIJLT IN YOUR
PA71NG TYYICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOtI !1'TEMD TO 08TAIN FlNANCING, CONSULT
ti�� i ri YO:lR L�frDER OR AN ATTQRNEY 6EFORE RECORD�G YOUR NOTlCE OF COMMENCEMENT.
FLORIDA JURAT (FS. 117.03)
ONR�R OR A(�NT COMTRA �
S�Ibad aad awom to {or alllm�sd) be(ae me Bds m 40 (or rtned) be/ae ma 6�Is
YMho klare Parwr�alY Ww�m ��e a heeR�a�re produord
� � W�own fo rt�e or haeAiave produced
as Mv�[wYOn. °S
_ NoterY PubBc �
e. t+�i ri0f11(TNS3 :.
Commisslon No. ..
:+ 'npy PiNIMUI8nc9''��
Nama of Nofary typed. P�irKed or slamped Name oT Nofary
Zephyrhills Fire Rescue
690? Dairy Road, 7.eph��rhi(ls, FI: ; i�42
I-'ir� Marshal 13us (813) 780-00�1
ICerry Barnett Fa�c ( 81 �} 780-0()4�
f-:-�nail: kbarilett�d;lire.�ephyrllills.(1.u5
Plan Review #: 11-109 ��
Project: Hood Suppression System
Number of Pages: 1
August l9, 2011
I have received and reviewed the plans for the installation of a hood suppression system located at
5727 6`�' Street at Mayoor Indian Restaurant and will allow the project to move forward providing
comments below are followed. Paying for permit contractor acknowledges complying with the
items l�sted below. Should anyone have any questions, please do not hesitate to contact the Fire
Marshal's office.
1. Ensure all electric under hood, if any, shuts off.
2. Ensure all placarding for K class extinguisher and remote pull is installed.
3. Ensure a K class extinguisher is installed.
4. Provide a Range Guard specification manual for review during acceptance test.
Inspections Required:
1. Acceptan � � st
,
B
P
1 _"
KER NETT, 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 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 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.
����� ��Y�IF�I��.� �IR� 1���'�4Ft�"EiAEI�'�°
6907 ha�ry Road, �ephyrhills, FL 33542
; t.ai�et Ke��h Wiliiacns E3us (8'i3)Ig0-OU41 �ax (51:3)780�Ot)�c
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: – G' � CoM�actor ��- L�� °' �'�"�
Bus�ness Name � �- u� Billing Address
Bus�ness Address ��.2 � ?�-�--���
Bus�ness Phone No Billing Phone No.:
Business Fax No Billing Fax No..
Contact CoMact� —
PIAN REVIEW FEES INSPECTION FEES PERMIT FEE
FALSE pLARM FEE
Site Plan N!C Annual N/C Sprmkler SSO tst Alarm
M�dt� FarnilylCommctual 06 S1 ist Re-inspectro� N/C N/C
Standpipes 350 2nd Alarm N/�
(Mmimum Charge y25 00 2nd Re-�rtspectwn �100 Fire Pum
P 350 3rd Alarm N/C
Plan Rev�s�ons DBL 3rd Re-inspection 5250 Hoods�
'�'/" 4th Alarm g�pp
4th Re-Inspection a500 Fire Alarm Sth Alarm
SPRINK�ER SYSTEMS (Busmess closed unid 5150
LP Gas S50 6th Alarm $200
0- 25 Neads S50 violations corrected) Natural Gas
as� NONCOMPUANCF $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuet Tanks-
ae� u�k S50
STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers $�pp
� Per R�ser S50 Hydrostatic 7est S65 cer srs+�m Fire Works $Spp
FIRE PUMP Acceptance Test S45 ve, sYs�em Camp Fire S25
n Per Pump $100 Nydrant Flow S75 Conirolled 8um g�pp
FIRE ALARM SYSTEM Hood/Duct a50
0- 2S f)ewces $50 FIRE ALARM SYSTEM Place of Assembl
y $so A„��d�
26 plus Dewces $100 System Acceptance SSO Fire Protecuon s�
SUPPRESSION SYSTEMS Rec211 ACCeptanCe b50 Flammable Application S5p Annual
we� 350 OTHER Waste Tire Stor
age �i� Annual
�ry $50 Fire WalllSmoke Wall $15 per wait Generato� <�(yV $� pp
CO2 $50 LP Gas S25 rtank
a� Generator>301(W tsp
ther $SO ,,,t Natural Gas $25 per system Bio-Hazard Waste a10p ,,,,,,,,
KITCNEN EXHAUST Fumigation Tenting $Sp
� HoodlDucts $50 Tent 10'x10' a greater $15 per tent To►Ch Pot/Apphed $Sp
OTNER Fire Pump E45 Haz Materials
$1� Annuai
LP Inslallal�on pt!r tank 550 re Suppression 3p �
F uel 7ank Installation $5p System Acceptance �
(Per fank) b50 8 Exhaust HoodlOuct $30
❑ Na�ural Ga1 Inslallat�nn $50 Re pg�
( Per System ) (other than annual}
��pray Booth g50 � Inspeclion scheduled D8L
and Cancelled less than 8
24 hours
Conslruction Insp N/C
Emergency Vehicle $50 ��/�". FALSE ALARM
PLANS TOTAL �� INSPECTION TOTA��� PERMIT TOTAL SC� TOTALI I
3� l .__..
GRAND TOTAL � � �
CommaNs
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