HomeMy WebLinkAbout11-12375 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�si3)�so-oo20 12375
FIRE ALARM SYSTEM PERMIT
Permit Number: 12375 Address: 6126 GALL BLVD
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: 03-26-21-0010-11200-0010
Improv. Cost: 500.00 .
Date Issued: 9/22/2011 ����; � Name: TAK PROPERTIES LLC
Total Fees: 1 0�� Address: 36413 SR 54
Amount Paid: 10 . 0 �J�Q� � ZEPHYRHILLS, FL. 33541
Date Paid: 9/22/20 1 Phone:
Work Desc: TIE INTO SPRINKLER SYSTEM FA SYSTEM(BIG TIME SPORTS)- fee waived per fm
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FIRE ELEVATOR RECALL
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the wsts 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
ECORDING YOUR NOTICE OF COMMENCEM T."
� �
ONTRACTO 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
s�s-Y"rio-oo20 ' City of Zephyrhilis Fire Fax-&�3�so-oo2�
. Permit Application
� Received . ' Phone Contact for Pertnit ���
ier's Name .�..�, Ovmers Phone Number �� �
iers Address ��.� vg �� ('� � V
Simple Titleholder Name Titleholder Phone Number �� �
Simple Titleholder Address
Address � �e� � ��� Lot # �
Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw Q LPlNatural Gas-Installation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale
Q Fire Protection Maintenance - ANNUAL � Ptaces of Assembly-ANNUAL
�y emi �n er
Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alartn ❑ ❑ ❑ � � Sparklers Jy � �, j ( J
��r
Hood Cleaning O ❑ ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alartn Installation � Torch Roofing/Tar Kettle
Fire Pumps � Waste Tire Storage ANNUAL
a Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
[� Other. � / v S r- •a, Te -� '7� - Fr •-.
tractor Company
iature Registered Y/ N Fee Current Y/ N
Address License #
:CTRICIAN Company
iature � Registered Y/ N Fee Current Y/ N
Address License #
IMBER Company
�ature Registered Y/ N Fee Current Y/ N
Address License #
:HANICA Company
iature Registered Y/ N Fee Curtent Y/ N
Address License #
1ER
/ Company � sy �-a. S t'c �
iature Registered N Fee Current Y/ N
Address Y License # —� d OV p l
ctions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contrect with owner)
If over $2500, a Notice of Commencement is required (Mechanical worlc 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://appreiser.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 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. 1 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 identification. as identificaGon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary ryped, 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
Re£ Big Time Sports Tavern
6126 Gall Rd
Zephryhills, FL
The above location I am connecting the fire sprinkler's outside gate valve,
tamper switch, and flow switch to the existing fire alarm system. If you need
anything more from me please call.
Thank �u
,-
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A&A larm Systems
� p�,qN(S) HAV� gEEN REVIEW�
s Y ZEPHY��,� � �
Date: 'S FFICE
2�viewor c %
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780-0041
Kerry Barnett Fax (813) 780-0044
E-mail: kbarnett(a�fire.zephyrhills.fl.us
Plan Review #: 11-115
Project: Fire Alarm Addition
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. Tampers will be installed on
the backflow by the fire sprinkler company. Fire alarm contractor will be wiring the flow and
tampers into the existing fire alarm panel. 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. Update zone map at this location.
Inspections Required:
1. Final
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.
_ Z�B�}: i1'!�d-�OLL� FIRE tl���l�l��'�IEf�`�"
6907 ba�ry Road, Zephyrhills, FL 33542
+_ne (,htef ECe�►h Wilii�rr.�s 8us ($'I�)7$0-OU41 Fax (51:3)I�30-0()�lc+
FIRE SERVICE USER FEES
Occupancy No • �� � ����,�
Plan No.: / �'' f /L�_ Contractor:
Busmess Name r % �,� S '
��------- � , Billing Address �
Busmess Addres _ /'���/� y.� �
cl �
Bus�ness Phone No Bilting Phone No. ,�- „ ��
Bus�ness Fax No Bilting Fax No..
Contact Contact. —
PIAN REVIEW FEES INSPECTION FEES
PERMIT FEE FALSE ALARM FEE
Srte Plan N/C Annual N/C
Sprinkler SSp 1 st Alami N/C
Mul�� O6 sl tst Re-inspection N/C
Standpipes $50 2nd Alarm N/C
(Mm�mum Charge b25 00 2nd Re-irtspection a100 F�re Pum
P S50 3td Aiarm N/C
Plan Revisions DBL 3rd Re-�nspeCtion E250 Hoods
S50 4thAlarm g�p0
4th Re-Inspection a500 Fire Alarm �
SPRINKLER SYSTEMS (Bus��ess closed u�til Sth Alarm a� �
LP Gas 6th Alarm a20
8 0- 25 Heads S50 v�olations corrected) Natural Gag
P E100 SPRINKIER SYSTEMS a � ���MPLIANCE a15p
26 lus Heads Fuel Tanks-
vefv^k S50
STANDPIPE SYSTEM Hydro Undergrounds b45 Sparklers y�pp
� Per R�ser S50 Hyd�ostatic Test E65 cer svs+�m F�re Works
FIRE PUMP E500
Accepfance Test s45 a , 5ys��m Camp Fire S25
� Per Pump $100 Hydrant Flow S75 Controlled Burn y�pp
FIRE AIARM SYStEM Hood/Duct
aso
0- 25 Devices E50 FIRE ALARM SYSTEM Place of Assembl
26 plu5 UCV�CeS �100 $� q� y $� �`^��al
yst eptance F�re Protect;on S�
SUPPRESSION SYSTEMS � Recatl Acceptance E50 Flammable
�iC2flOn � Annual
wet a50 OTHER Waste Tire Storage SSp ,,,,,,,,,,
�ry b50 Fire WalUSmoke Wall a15 perwan Generator < KW a�pp
CO2 350 LP Gas E25 perank Ge►IEratOf >3Q KVH 150
Other 350 Natural Gas S25 Pe,:yu�m Bio-Hazard Waste
KITCHEN EXHAUST E�� A��ua�
Fumigation Tenting S50
� NoodlDucls $50 Te�t 10'x10' a greater a15 pe� �em To►Ch Pot/Applied ESp
OTHER Fire Pump S45 Naz Materials
a100 Annuai
LP Insldllal�on pr,� tank b50 F�re Suppressio� 53p
F�el Tank lnstaltalion S5p System AcCeptanCe
(Per �ank) E50 8 Exhaust Nood/Duct E30
� Nalural C;as Inslallaho� S50 Re-mspectio� OBl
(Per System) � (otherthan annual)
� �pray Booth a50 Inspecfion scheduled OBL
and cancelled less than 8 '
24 hours
Construction Insp N!C
Emergency Vehicle Ac� 55,Q ` FALSE AIARM
PLANS TOTAL I__ � INSPECTION TOTAL .��' PERMtT TOTAL l�"`�' TOTAL I I
GRAND TOTAL � ,_._
CommP fs � n/� - �'� �-(• � S(,l� � r � Z !Yl �� L t"'�
I.�n k'Z � S, t'Yl � _ C-�C�G�i
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Date �Zv �i
Insnectnr � . �