HomeMy WebLinkAbout11-12574 CITY OF ZEPHYRHILLS
� ^ 5335 - 8TH STREET
(si3)�so-oo20 12574
FIRE ALARM SYSTEM PERMIT
Permit Number: 12574 Address: 38231 5TH AVE
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15600-0060
Improv. Cost: 4,000.00
Date Issued: 12/02/2011 Name: FIRST BAPTIST CHURCH
Total Fees: 250.00 Address: 38231 5TH AVE
Amount Paid: 250.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/02/2011 Phone:
Work Desc: INSTALL FIRE ALARM W/ SPECIAL INSTRUCTIONS SEE KB COMM SHEET
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FIRE PLAN REVIEW FEES 100.00
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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 COMMENCEME 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
Jacqueline Boges
From: Jacqueline Boges
Sent: Monday, June 04, 2012 9:47 AM
To: Keith Williams
Subject: question about permit
Attachments: permit 12574.pdf
Greetings Chief,
Welcome back!
Hey, Kerry did a plan review for permit for First Baptist Church ,(Florida Alarm Company is the contractor)-- per his
comments he charged two inspection fee because the permit is to be done in two phases.
He (Kerry) said that permit would be review based on the permits expiring in six months from time of purchase. This
permit has expire and my question is could you let me know where the job is at this time!
See attachment and let me know please.
Thank you Chief
Jackie Boges
Code Support Specialist
e�rt. 35
i
ZE�°�iY'�HiLL� FIRE DEPAF�TiViE�J`�
690`7 C�airy Road, ZephyrhilBs, Ft_ 33542
Fere Cfi�ief KeAr� Wilii�ms 8us (8� 3)780�On41 Fax (813) T�3fl-004�
FIRE SERVICE USER FEES
Occupancy Na.: / 7
Plan No.: � I— Contractor �,G cl c� /���+� � ��
Business Name: _� S e.�k Billing Address: �Z yv
Business Address� _�5�:� i S`�- L
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No..
Contact. Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N!C
Multi-Family/Commercial .O6 sf 1 st 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 Revisions DBL 3rd Re-inspection $250 , oods $50 4th Alarm $100
4th Re-lnspection $500 Fire Alarm ��} 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas �50 6th Alarm
$200
0- 25 Heads $50 violations conected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- ��r��k $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 Pe� syscem Fire Works $500
FIRE PUMP ceptance Test $45 �, 5yscem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM HoodlDuct $50
0- 25 Devices $ FIRE ALARM SYSTEM Place of Assembly $50 An�ual
26 plus Devices 100 ` System Acceptance $50 �� Fire Protection $25
SUPPRESSION SYSTE ReCall Acceptance $50 Flammable Application $50 nnnuai
Wet $50 OTHER Waste Tire Storage $SO Annuat
�ry $50 Fire Wall/Smoke Wall $15 per wau Generato� < KW $100
CO2 $50 LP Gas $25 pertank Generator >30 K1,V 150
Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10' or greater $15 Per te�t Torch Pot/Applied $50
OTHER Fire Pump $45 Haz. Materials $100 Annual
8 LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
❑ (Per Tank) $50 8 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 Ac� $50 FALSE ALARM
PLANS TOTAL (� INSPECTION TOTAL �/`�� PERMIT TOTAL � TOTAL I__ I
7 — t
GRAND TOTAL � �
Comments:
Date: 1 / ��
Ins��ctor: f ✓ ` � � /�
813-78U-0U20 C:tiy OT Le(JhyfhIllS rlf@ rax-813-/8U-UUZ1
Permit Application
Date Received , �� 3� � Phone Contact for Permit I,3 �
F� . . , _ .. -. , r� _ _. _.H.n . .. _ z v � . Y �• `_ - . , m _
� � ' / � � �
Owner's Name 1 5 , � r v Z� /�� Owner's Phone Number
Owner's Address
' � S �� 5�3� Z
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titlehoider Address
� _ _ _ >»^."-._ «.3:.'�4.'"5`a�ge: _ - r xs ::S���'.':-;^ c a'�; :aa#�' � ":'fim'.:::°:a';� g . � _
. _ _ ' _ __ ... ..-i.�£:u'".
Job Address � � L�.,.J � �
Lot # � � �
Sub Division Paroel #
t .,. _,,:.�.x=+� , .. m a ,. _.. .�s.. �._ �a��aff� -. . �
-� - - - - drrc_ �svA�:v,.:�.�rs`� - - - *�#ara�yr� ' _ M _ , .ma;.5�u�:.r,,,•��m^s
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
a Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator < 30 kw � LPlNatural Gas-Installation
� Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �[-/'
�y emi �n er � I �J,y �
t d .
Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kerile
Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
Fuel Tanks
Q Other:
, � ,xF.. . .r . . .. ..�::�,f ��� , � ��..��<.:��. ���..�;,��,. t ,�,� ,. . � . ..
. `4 x :'"'�.F'+ -'Ab<'�rci°Yr;c�?'?",• w.,�.�..
Contractor Company
Signature Registered Y/ N Fee Current Y/(�I
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 Curtent 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 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" 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 faw, 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 wilt 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 1 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 CONTRACT
Subscribed and swom to (or affirtned) before me this Subscribed and swom to (or aifirtned) before
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced
as identiflcatlon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Zephyrhilis Fire Rescue
6907 Dairy Road, Zephyrlli(Is, l� L 335�2
Pire Marshal Bus (8l3) 780-0041
Keri�y Barnett f�ax (8l ;) 780-004�L
�;-mail: kbarilett(�r,tire.zephyrllills.fl.us
Plan Review #: 11-131
Project: Fire Alarm
Number of Pages: 1 plus calcs and details
November 30, 2011
I have received and reviewed the plans for the fire alarm system located at 38231 5`" Ave
and will allow the project to move forward at this time. This project will be completed in two
phases with the first phase starting once the permit is received. The second phase shall be
completed within 1 year from the initial permit date. Two inspection fees were assessed due
to the installation being completed in two phases. Furthermare, the permit will have to be
r
�aying 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. Ensure all penetrations are properly sealed.
2. Label fire alarm panel where the breaker is located to shut off system.
3. Install breaker lock so breaker cannot be turned off.
4. Provide a zone map at the panel.
5. Labe1 telephone jacks.
6. Date batteries.
7. Strobes shall remain on when system is silenced.
8. Devices shall be labeled to reflect the address on the fire alarm panel.
9. Install the duct detector on the 4`" floor AHU in phase one and not phase two.
10. Ensure all holes within the hood where old piping was located in sealed.
Inspections Required:
1. Acceptance Te fter each phase)
KERRY 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 shal( 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.
-----------LEGAL DESCRIPTION FOR PROPERTY
CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 6 TO 9 INCL BLOCK 156
� OR 4724 PGS 1888-1889
Permit No. ! v� �/ � - - -- ----- � � ,
Parcel ID No __�� � Z 1 P -- Z�` OC�I �� i J�vOO i�Q (,� C,
NOTICE OF COMMENCEMENT
State of �f a r' � G C�- County of �� S�-�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in thts Notice of Commencement:
1. Descriptlon of PropeRy: Parcel IdeMification No. _ �- ' �t 5 �j�� �' % /,S % ( ' �/� R G �
Street Address: 3� c�'� / �'f�f, ,�¢ V�
2. General Description of Improvement �1V ST f��t-- 1 J/Qf /� L./� R7� S�'��' yyf
3. Owner Information or Lessee information if the Lessee contracted for the improvement I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII (III
� 2011193802
`f �s� i3�P7�s7 �u��H
3fsa-_3� " � � .¢ v�- Z,�OrKyfi�1� �LG. 5 ,�= �—
Address City State
Interest in Property:
Name of Fee S(mple Tiqeholdor;
(If different irom Owner listed above)
Address Ci
4. Contractor• �� D "i ��f /1/ � LI � ) T � .J � State
, Name p� � D`l� /�� �.l�G i� kS l� 7 L c.. � }%C.
� , ��tY State
Contractor's Telephone No.: �� � - �b `�' � P �(7 ,/
5. Surery: Rcpt:1404176 Rec: 10.00
Name
DS: 0.00 IT: 0.00
Address ���, 12/14/11 C. Cook Dpty Clerk
Amount of Bond: $ Telephone No.:
6. Lender:
Name PAULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLE,
Address 12/14/11 10:21am 1 of 1
Ciry OR BK ���� PG 3�56
Lender's Telephone No.: °
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7), Florida Statutes: • .
Name -
Address City State
Telephane Number of Designated Person:
8. In addiUon to Mmself, the owner designates of
to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. E�iration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury, I deGare that 1 have read the foregoing notice of commencemeM and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA - , J �
COUNTY OF PASCO " �d
� KEVIN R. JADICK re of er or L s, or Owners or Lessee's Authorized
�i MY COMMISS[ON ll DD812539 eNDirector/Partner ager �
� EXPIRES. August 06, 2012 �
as
I.d(M}J-NO'CAFtr FI. Nwy' piwounl Assoc Co. — � ^ ' ' ' � _ � J� "%��
Signatory s Title/O�ice
The foregoing instrument was acknowledged before me this �ay of� C- , 20�, by �l Q�� O Li G p r ti k.
83 c.itntu.rl U� I t'J:'� 2
(type of authority, e.g., officer, trustee, attomey in fact) for
i'� �' � ��� �"1 �"�` �--k v r �%L� . (name of party on behalf of whom instrume�nt wa executed).
Personally Known � Qg Produced Identification Notary Signature /�. _.— �.�,..�/ ,
Type of Identification Produced �G- �il! v�l S � C��S� Name (Print) C�
TRUE ,4ND CORRECT COPY 0� TH� DOCUMENT
ON FILE OR OF PUB�IC RECORD IN THIS OFFICE
1� �TNES$ MY HAND g�VD OFFICIAL SEAL THIS
--- � DAY OF � � 2 , --_
P LA S O'NEIL, CL K& COMPTROLLEF2
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wpdata/bcs/noticecommencement�c053048 � uF �LERK