HomeMy WebLinkAbout11-12374 CITY OF ZEPHYRHILLS �
5335 - 8TH STREET
� ' �ai3��so-oozo 12374
FIRE ALARM SYSTEM PERMIT
Permit Number: 12374 Address: 4241 SKYDIVE LN
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: 18-26-22-0010-08600-0000
Improv. Cost:
Date Issued: 9/22/2011 Name: SKYDIVE CITY
Total Fees: 100.00 Address: 4241 SKYDIVE LANE
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/22/2011 Phone:
Work Desc: INSTALLATION FIRE ALARM COMMUNICATION FOR MONITORING
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FIRE ELEVATOR RECALL
Chapter 633, Fiorida 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 Acwmpany Appiication. 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."
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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
81:, , City of Zephyrfiills Fife Fax-813-780-0021
Permit Application
: Received '� � Phone Contact for Permit �_] ��
iers Name S �1 � Owners Phone Number �� �
ier's Address ��-`�/ �K �r ✓�G. ti
Simple Titleholder Name Titleholder Phone Number ���
Simple TiGeholder Address
Address Lot # �
Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigalion Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installatlon
� 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
❑ � emi � er �
5prinkler ❑ ❑ ❑ Recreational Bum
FireAlartn Q Sparklers � � Z � ��
Hood Cleaning ❑ ❑ ❑� � S'rinkler System Installations
Hood Suppression � ❑ D O� � Standpipes (Sprinkler Sys)
Fire Alarm Installation � Toroh RoofinglTar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
a Flammable Application- ANNUAL Valuation of Project
� Fuel Tanks
� Other. .i 74-L( Uh.� (.� — �,c /.4•�h C�� .t.�..,� st?os . � I'ho••..Te�tr�.
tractor Company
iacure Registered Y/ N Fee Current Y/ N
Address License #
:CTRICIAN Company
iature � Registered Y/ N Fee Curtent Y/ N
Address License #
IMBER Company
iature Registered Y/ N Fee Cument Y/ N
Address
License #
�HANICAL
Company
iature Registered Y/ N Fee Current Y/ N
Address __
- License #
1ER � ' Company i¢ ��,,,� ,S"
, Y/s +a
iature - Registered N Fee Current Y/ N
Address . Q b Q) � � t L License # �' GYXX) ,s
ctions:
Fill out application completely.
Ovmer & Contractor sig� 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" restrictiors"
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 owne� 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 1
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 affirmed) before me this
by by
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as ident�cation.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
A&A Alarm Systems, Inc.
PO Box 1955
Seffner, FL 33583
813-661-8262
Lic#: EF0000531
Zephryhills Fire Dept.
Inspector Kerry Barnett
Ref: Sky Dive City
4241 Sky Dive Ln
Zephryhills, FL 33542
The above location I am installing a GS3055-ICF wireless alarm
communicator. This system complies with all UL requirements for fire alarm
monitoring.
Tl� You
G erry B � que ��i y�f,
A&A larm Systems
ytJBMI1TED PLAN(S) HAVE BEEN REVIEW�
3Y ZEPHYRHILL IR MARSHAL'S OFFICE
Dstc: i�
DteviewK: --
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780-0041
Keriy Barnett Fa�c (813) 780-0044
E-mail: kbarnett(a�fire.zephyrhills.fl.us
Plan Review #: 11-116
Project: Fire Alarm — Install Wireless FA Communicator
Number of Pages: Scope Letter
September 20, 2011
I have received and reviewed the letter for the scope of work and have spoken with the installing
company with regards to this project. No plan review was involved, fire alarm is existing. Fees
assessed for the permit and inspection associated with the final. Should anyone have any
questions, please do not hesitate to contact the Fire Marshal's office.
1. Provide cut sheets and/or data on new communicator at time of inspection.
2. Update zone map at this location.
Inspections Required:
l. Final
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KERRY BA , 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.
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6907 �a�ry Road, Zephyrh�lis, �L 33542
;-i�E> t,Yi�ef E(e�ih Wiliiarns 8us (8'i�)7$0-aU41 Fax (51:;)7�0-Ot)�lc+
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: ,� �,�/ /� Contractor: �� � ���d� S S ��
Bus+ness Name _� / � v+� � BiQing Address� �--
8usiness Address � � _,
Bus�ness Phone No Billing Phone No.:
Busmess Fax No Biiling Fax No..
Contact Contact:
P�qN REVIEW FEES INSPECTION FEES PERM17 FEE FALSE AI.ARM FEE
S�te Pian N/C Annual N/C Sprmkler SSO tst Alarm
N/C
Mu1ti�FarmlylCommeraal O6 s( ist Re-inspecfion N/C Standpipes S50 2nd Alarm
Nic
(Mmimum Charge b25 00 2nd Re-inspection b100 Fire Pump S50 3rd Alarm
N/C
Plan Rev�s�ons DBl 3rd Re-inspeClion E250 Hoods S50 4th Alarm
a�oo
4th Re-Inspection a500 Fire Alarm 5th Aia�m g�sp
SPRINKLER SYSTEMS (Bus�ness closed u�td LP Gas 6th Alarm
5200
0- 25 Heads S50 violat�ons corrected) Natural Gas 350 NON COMp��ANCE
26 plus Heads a100 SPRINK�ER SYSTEMS Fuel Tanks- $� �
ve� ��k E50
STANDPIPE SYSTEM Hydro Underqrounds E45 Sparklers $�pp
� Per Riser SSO Hydrostat+c Test a65 per syst�m Fire Works a500
FIRE PUMP Acceptance Test sq5 0�, 5y5��m Camp Fire S25
� Per Pump 3100 Hydrant Fiow a75 Controlled Burn a100
FIRE AIARM SYSTEM Haod/Duct a50
0- 25 Devices 350 FIRE ALARM SYSTEM Place of Assembly SSO Annual
26 plus Uevices a100 System Acceptance � Fue Protect�on s�
SUPPRESSION SYSTEMS Recall Acceptance SSU FtammaWe Applicatan �50 �nnual
We 350 OTHER Waste Tire Storage $SO ��,,,,,,
Dry b50 Fire Wall/Smoke Watl s1 S per wan Gener8t0► < KW
Et00
CO2 E50 tP Gas S25 pertank Gen�atpr >3p F(yy 150
Other a50 Natu►al Gas S25 ce� sy:��m Bio-Hazard Waste E100 �,,,,,,,�
KtTCNEN EXHAUST Fumigation Tenting SSp
� HoodlDucts E50 Tent 10'x10' a greater b15 Pe� teot TorCh PotlApplied S50
OTNER Fne Pump 545 Naz Materials St00 A�nuai
8 LP Installal�qn pri tank 350 Fve Suppression E30
fuel Tank Installation 550 System Acceptance
(Per �ank) b50 8 Exhaust Hood/Ducf b30
� Nalu�al Gws Installation S50 Re-inspectio� DBL
(Per System) (otherthanannual)
� �pray Boolh �50 � Inspect�on scheduled DBL 8
and cancelled less than
24 hours
8 Construction Insp N!C
Emergency Vehicle Ac� �0. ,,� FALSE ALARM
PLANS TOTAL I_� INSPECTION TOTAL �� PERMIT TOTAL L.�S � TOTAL I I
GRANO TOTAL �� ��
Comments
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