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Home My WebLink About11-12470 CITY OF ZEPHYRHILLS " 5335 - 8TH STREET �si3)�so-oo20 12470 FIRE STANDPIPES PERMIT Permit Number: 12470 Address: 5130 GALL BLVD Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL. Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-07000-0012 Improv. Cost: 500.00 Date Issued: 10/26/2011 Name: LUPTON Total Fees: 110.00 Address: 5130 GALL BLVD Amount Paid: 110.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/26/2011 Phone: (813)927-8698 Work Desc: MOVE NOZZLES FOR SUPPRESSION SYSTEM 5. . CONTRACTOR CERTIFICATE 30.00 _, � � � � ��C l (.��Yi( � - ina 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 $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEM T." �� CONTRACTOR SIGNATURE I IC R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 Ri3-�sU-°°2e c.ity ot �epnyrnms rire �-a�e-�uu-uuz, Permit Application � Date Received Q � Phone Contact for Permit .� � F , -. Owner's Name (j �(,J � Owner's Phone Number �� Owner's Address � �l � `� ��/� Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address f ' - ._ ^-x.:;.��,..�x=i:m<3yc -= d"_ _ . .,: - . _ .s ,v '*-�Sw•:$«.<.._ 'a:'�"+."f`.y3" iRF' _ _ °' _ . ,v. . 'z.4..;?' Job Address �G� �`,[, iC.� Lot # � Sub Division Parcel # r �, n =R�M*.:�_ a� ��»�:_,�� .m .�,. . , - - - " n, ��-ae. _. _ _ _ _ ._ .: r�;r.�.a,�r«:;.�.^+�sa�<,��x.,.._� �,. �� .� . Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier tl or RQ Facility) ANNUAL Controlled Burn � Hood Installation • � Emergency Generator < 30 kw � LPlNatural Gas-Installation V �� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale i ) � U�� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL r y emi �n er ��) , 1 � �,�y� -� � C✓ LC� Sprinkler � ❑ ❑ ❑ � Recreational Burn Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations �I 2 � �v Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Instailation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works n � Flammable Application- ANNUAL Valuation of Project Fuel Tanks Q Other. ��'E" Oz �p �' y� �7 ' � R .� �� . x..>.� �:��:�.�•� a.. ,£ � �:��T �..�._ .. � �.:r��:��-� ,w��; � . . _ : �.�:��,�;�.��;�� ._ :_��-� w ::.�� ,,.. . Contractor Company Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRiCIAN Company Signature Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company _ �f Signature Registered Y/ N Fee Current Y/ N Address � License # Directions: 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:l/appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to "deed" restr`ictions" 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 Lav�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 applicabfe 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 f 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 fvr 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 sworn to (or affirtned) 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 identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Bobbie Swetland From: Kerry Barnett Sent: Thursday, October 13, 2011 9:19 AM To: Bobbie Swetland Subject: RE: Question Bobby, It sounds like the cooking line changed and therefore the system is changing, so he would have to submit a 1 page sheet showing the change along with noule type and placement. It would need to be looked at and permit issued. I would probably not charge for a reveiw, just a permit and inspection. However, that determination would be made when once receiving the documents. Kerry From: Bobbie Swetland Sent: Wednesday, October 12, 2011 2:33 PM To: Kerry Barnett Subject: Question Good afternoon Kerry, I'11 give you something to do!!! I just had Mike from A.ble Fire & Safety come in our office. I liad him fill out an application & asked if he had any prints to sul�mit. He said no that all he was doing was moving nozzles to cover appliances main system. Question is: wi11 just the application be enough for you & is it something we could just issue a permit if you give us the fee price? Sorry to bother you at home but I do hope you're doing better each & every day!! Thank you!! Bobbie Bobbie Sharon Swetland City of Zephyrhills - Building Dept 813-780-0020 ext. 3512 813-780-0021 Fax bswetland(a�ci.zephvrhills.fl us 1 .� � � �� AX "�'�ANSMIS�IQN r��'�� T0: �P�"'�.e � .�.�Q /�•�r.�,l'i�a/ FROM: . � � ; FAX SENDER'S NUMBER : 7� ca o2 / _ �H�� : /� G� � DATE: ��` � �` �f # OF PAGES; � , CUSTOMER'S NOTES: i'�'�2�/CS /rt ou.e�r ?o C ,ei�c /�� N�PS • '.v� �° � e � ►.� � � � G` �i w , l�1'' O .� �i�'t. G C 5 • ptJ�` .... �'�- .s� +.�+/� �' �r .� , yu . �l.�i � r A N C 1� . �� i � v: ,r�•rrt �. �Shc e� OFFICE DEPOT�S TERMS OF U$E SEI�ER AGREE$ ryp'T TO USE THIS FAX T0: (1) TRANSMIT MATERIA� NAipgg 'f}2A�g� �g �UyyFUL, NARAS$ING, LIBELAUS, ABU8IVE, THREATENING, MARMFUL, WLGAR� �BSCEN�, PORNOGR�4PMIC OR OTHERNASE 08JECTIONAB�E; (fi) CRE4TE A FA�gE IDENTITY, OR Ol}IERWISE ATTF�PT TO MISLEAp aTMERS AS TO TFIE IDENtITY OF TWE SENDER OR THE ORIC�IN OF TNIS KAX; (NI) PO8T OR iR11N3MIT pNY Mp,TERIAI TMAT M0.Y INFRNrGE 1'HE COPYRIGHT, TRApE SECRET, pR p'fNER RIOHT& OF ANY THIRO PARTY: !M VIOLATE ANY F�PERAL� STATE OR LOCAL LAW IN 1'HE LOC�ATION, OR (V) CON�JC7 ACTIVITIES R�LA7'ED TO GAMBLING, SVYEEPSTAKES, RAFFLES, LOITERIES, CANIESTS, PONZI gCNEhES OR TNfl LIKE. PLEASE N07'E 1'HAT OFFICE DEPOT ppE8 NOT REVIEW TIiE CONTENTS aF ANY F11X 3ENT USMG ITS SERVICES, FURTHER, BY SK'N�NG BELOVY THE SENDER OF THIS PAX HER�Y A(3RE�S TO INDEMNIFY �FF�CE DEPOT'I'0 TNf FULLEST EXTENT QF 'fHE LAW ANO �OR ANyAND ALL CLAIM5, SUIT3, OR DAMAGES ARISN+IG OUT OR IN CpNNECTION WITH THE RBQtlEST Tp �NO, OR SENDING TFIIS FAX, . � CUSTQMER SIGNATUR� �en}; 3TOR� INFORMl1TIW� off�ce D��a�' # 107 1��57 Eas� Adar�a �r. Phon.e �813) 6S4 - 811.1 Fax (813) d54-42 7S THANK YOU FOR USING OFFICE DEPOTS CUSTOMER FAX SERVICES � Fixst Page Additional First Page Additiotta) Loca� Fax Locai Fax Lon Distance Fax Lo� p�� F� F�r�t Page Additiot�ai � � Intemationat Fax International Fax Illllllil�llNlllll II1111�1I,�jIJ�lllllll �Illllif illllllll II!IIIIII �� I11 �JIl�IIN! IIIIIIIII��IW�lll:l IIIIIIIII l IIIllllll 833- 471 456- 6B7 ' ��"� 833- 481 633- 891 833-191 $33- 201 Pr�-En�ine�red Reslaurs�r�! �1�� S�uppr�ession ��a Reporrt 9EfNICE N1� pI1tE OF T1�1E A,M. ' P. � � �/ ANMYIL A1� I��ICr1M�� 01�0�1t�7T � �� BnM�dOry��1d 01d�OQ0�1�6TT' ��-�� .�a �p c� o� . � � � �.. /oZ y� � 8¢� Nu►sreA cru� s� au� cn..�t � � t '�'y �.�r .t'�ir�� CusYr�R aea F aiee u� � F � u�+�'eo� . n�me �✓� �o - - __�_ � � s adaroes � �,,- � � uer r+vono n�r ox� C�4►-�s� ° L�� if�Sr 8t� 21P ��' �"' C � ' � °� 7blephons �it�� "'�'"�� o�e No. _„`^ � Pl1AE i�tfNl�: pp� py� � � OWfI� Or AA8119�pr � I�PI � �, p�{` TI�M�`t �FFT'1U R�Q�' i �� . � � � 4: /I 1. AN apiplt�nces P�'� �overe� w�brr�gct na�fas _� 20. Ropleceq tuee Iinks �p 2. D�x and P� ooyervd wh.�,t no� l��' 21. CHodc srav�ei d cadte nufa/3-I�olcs ' r�" S. C�eck pa�Rlanng of aA naQxlee. _� 22. Ptpin�p 8; oor�di�ft �ept 4. S�at+em Ine�Ned M��rIMFC� UL Nstlr� �/ ,, z3. I�roP�' �r�tioel belw�en � 5. !'�o0d/dtx�f P�tlorffi esaWM wl�W Or UL d6�Ce „ �� 24. proper Uo fllb�a g � � 8. Cl�eck if � k�c� erltlerroe d tamperytg -� 2�. Exhau�t f�n in opereitlng oraer 7. If �e�em heb been �� n �1 /i/�' 26. AA AIM�r�s In pk�pe ""' $. PreBSUr� 9supe in proper t�u� (N 9a�0�'J � 27. Fuel shut-olf tn an posNicn ^�. 0. ��t�c te�et da�e CM �� f 28. M�nual � r�o�e sat/eeds In pl�ca � 11. B yee� rmm�tsnanoe �te � 29, l�eplaoe gyst�s co�$ '-- t 2. Inepo�,K cylln0er �d maunt —��/ �• ��^°�� als in place � 13. Oper�le syate� bvm terminal'lir�k --�. 31. Slawi sy�fern opeislional w � 14. '� 1bt p�oPe�' opsratlon from ra�rrot� � 32. Clean cypndar 8 rnour�t � 1 S. CNeak operatio� of micio sNl�h -"`--� 33, Fan weu'1Hng slph o� #�ood y te. a,eak op�rstlon af g�s,naiy,d 3a. P�roonr�el �necn,,c�d In mean,al a�er�tlon of sys�en, 1�. Clean n�oszias � �. Proper ►�nq pq��a ��er� 1 B. ProPer nos�e core�s in piece ✓ � - 37. � C � �� 19. CheCk fi�se 6Mce and Cle� ✓ NO��E DI�F1EPlyVICES OR DEFICIENCIE3 �I..UW � COMM�NTSu � � • � /�,� �� • e.,s�' • ,,,,,j � OtI �s�e a ' �v' • �s . r'' ' . � � � �� c s, ,� , w✓ _ i . /��n:w.. + N� � ' � ! .�� e�'� _ On this d�tte, this pre-enginee►�d fire su ` '' � suppression s stem r p�ssion syst�em was inspected and aperationally tested in accordanca with tFie fir�e Y e'4u��'eR'�e�ts of NFpA17 or 17A, 96 and the manufa�turer's manuaf with the results indicated above, X � �� / / 3EF�IIICE TECHNICIAN PERMIT NO . T1ME: AM PM CUS'�'1MER'3 AIJTFIOqIZED AOEN"r Tltie above service techniaian c�rtMies tha�t the system was persoqally iilspe�h9d and f+DUnd condi6or�s to be as indicarted on this �t., � CUSTOMER r,OpY . ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Wiliiams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy N : / � Pian f�o.: " 2 Contractor: d�/`« E' Business Name: Billing Addr s: Business Address: �S .3[;� a l v �2 �;,�, Business Phone No.: � � 3-- S�Z� �G � S? Billing Phone No.: Business Fax,�`� Billing Fax No.: Contact: (�-��/�-ts Contact: �l� p �- �G �_Z, ly PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N!C Annual N!C Sprinkler a50 1stAlarm N/C MuIH-FamilyiCommercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan RBvisions DBL 3rd Re-inspection $250 oods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLL4NCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 Per syaeem Fire Works $500 FIRE PUMP Acceptance Test $45 per sys�em Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Control�ed Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 nnnuei 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Appllcation $50 nmuai Wet $50 OTHER Waste Tire Storage $50 nnu,ai Dry $50 Fire walUSmoke Wal� $15 Perwau Generator < �(W $100 CO2 $50 LP Gas $25 per tank Generator >30 KW 150 Other $50 Natural Gas $25 per sys�em Bio-HazaM Waste $100 nnnuai KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Qucts ��(� $50 Tent 10'x10' or greater $15 per �ent Torch PoVApplied $50 OTHER Fire Pump $45 Haz. Materials a100 annuai LP Installatlon per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 � Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle A� $50 FALSE ALARM PLAN3 TOTAL� INSPECTION TOTAL� PERMITTOTAL� TOTAL� GRAND TOTAL Comments: Date: I v ��' Z�l�` Inspector: �u=u-�. /Ilh Zephyrhiils Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (813) 780-0044 20 October 2011 This Officer has reviewed the submitted plans for altering the location of nozzles on a fire protection system at 5130 Gall Blvd. Following the review, a conditional approval to proceed is given. Payment for permit acknowledges acceptance and compliance of the conditions noted herein. The following items shall be considered: 1. Installation must be performed by a licensed Fire protection Contractor. One has been identified on application. 2. Drawing shall be provided showing placement of nozzles in relation to appliances under hood system. Nozzle type sha11 be identified on such plans. 3. Suggest signage that identified nozzles under Hood 1 are not active in the system. Piping should be removed under that hood if possible. 4. Certified Class K Extinguisher needed in kitchen. Inspections Required: 1. System Inspection after certification, and work completed. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspections. Respectfully submitted on 20 October 2011 by, �� Keith A. Williams, EFO, CFO, CMO, MIFireE Fire Chief Fire Safety Inspector