HomeMy WebLinkAbout12-12672 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
. , �sis��so-oozo 12672
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 12672 Address: 7050 GALL BLVD
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE-SPRINKLER SYS Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30-26-20-0000-00200-0010
Improv. Cost:
Date Issued: 1/18/2012 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 226.18 Address: 7050 GALL BLVD
Amount Paid: 226.18 ZEPHYRHILLS, FL. 33542
Date Paid: 1/18/2012 Phone: (813)783-6189
Work Desc: FIRE SPRINKLER RENOVATION FOR ANGIOGRAPHY RM
. 45.
FIRE PLAN REVIEW FEES 131 18
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FIRE ACCEPTANCE Final
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEM T."
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CONTRACTOR SIGNATURE I IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
a�saao-oozo �iry or �epnyrnws r�re �aX-��3-�au-uuz�
Permit Application
Date Received �� ��1 '�.O l� Phone Contact for Permit �� 3 Glo � 0�' �
, � �� _-� _,., �.. .- .
Owner's Name �' � p.^ ;�, �'O ' P 1 �.- Owner's Phone Number �� �
Owner's Address �7 C�Sc� G7 /a.�..� �l.-V (� - 3 3S`'� �
Fee Simple Titleholder Name Titleholder Phone Number �� �
Fee Simple Titleholder Address
,.. ..a... •r;�:.rr:; �,�° �:,aa.;.r_... ,;.,�� o, r..a» �:r�a�r...:a�. ��2=;��,s:=n�,,.� - . - .. ;.�
[ Job Address � d S d �µ � �'' �--L g �- v � � � 3 � � � Lot # �
Sub Division Parcel #
f �W -.F. �.ns3$a'v�`�". _'.'�!kY^I '.o-RSe_�A�; -. -.ch'Sr�r� , „ „ �.H,k.�. , � , ks.R.�k';'.�y'$YS#�.4�t•t;,`.�3`A'.'S1 1 d.l0 � , _$?F.3�"'�-$:`SSYAF�"i4'�3�lNR"ah.+� .s�n'-y+rtb.k'aw. ,e'n�.n
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL
� Controlled Burn � Hood Installation
� 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
�y emi �n er �
Sprinkler � ❑ ❑ ❑ � Recreational Bum p �'�L �.Y�
�.... �� � r2�3�
Fire Alarm � ❑ ❑ O � � Sparklers (),/� „
Hood Cleaning � ❑ O ❑� � Sprinkler System Installations �„"•
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application- ANNUAL Valuation of Project
� Fuel Tanks
� Other: r�RZ 4'R.t+�6c: f►-C�ovr�� �csv� M��
s �. .., .-a..a� ..�. x�: �..t&� w��'�«�s°- -�r,�s:.�...,� _ .. .�... , .. -i?•Ra.�rr:--° ;;":.r..i _..&ssar°;..
- - 6�`�^5� ,T+�-.."rh
ContraeinC_ , Company S �Vl PL ' k��2 /�v rv 4 L L
Signature c 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
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://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 w'th 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Lavw—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. 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 N I COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and s a before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally k own to me or has/have produced
as identifica6on. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire G�hief Ke�th Wiiliams Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.: #
Plan No.: /� - c�0 ( Contractor: S/�-�J� C:�/'iNe ll
Business Name: /� o� �,� -; � e �� 1�%/ Billing Address: �
Business Address: t7 1� � a l
Business Phone No.: /3 -. 3- �/�y Billing Phone No.:
Business Fax No.: Billing Fax No.: /� -,�a �2
Contact: ��,�t �,r �vr� Contact: �n�/c� ,T,�n,�s
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
Site Ptan N/C Annual N/C Sprinkler $50 1stAlarm N/C
Multi-Famlly/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge $25.001 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alartn $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLWNCE $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 syatem Fire Works $500
FIRE PUMP Acceptance Test $45 Per syscem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
8 0- 25 Devices $50 FIRE ALARM SY3TEM Place of Assembly $50 nnn�,si
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRES310N SYSTEMS Recall Acceptance $50 Flammable Application $50 a,n�ai
Wet $50 OTHER Waste Tire Storage $50 Ann�,ai
Dry $50 Fire WalUSmoke Wall $15 Per Wau Generator < F(W $100
CO2 $50 LP Gas $25 pertank Generator>30 KV1/ 150
Other $50 Natural Gas $25 �rsye�em Bio-Hazard Waste $100 nnn�ei
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10' or greater $15 Percen� Torch PoUApplied $50
OTHER Fire Pump $45 Haz. Materials $100 anru,ai
8 LP InstallaUon per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
❑ (Per Tank) $50 8 Exhaust Hood/Duct $30
Natural Gas Inatallation $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL B
and cancelled less than
�� �b� 24 hours
�49-� � J Construction Msp. N/C
8 Emergency Vehicle A� $50 � FALSE ALARM
PLANS TOTAL� INSPECTION TOTAL� PERMIT TOTAL� TOTAL��
GRAND TOTAL
Comments:
Date: �� D 3 �zo �
Inspector:
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Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Bus (813) 780-0041
Keith Williams Fax (813) 780-0044
3 January 2012
Plan Number 12-001
Number of Pages: 3
Date received: by City 12-29-11, by ZFR 01-03-2012
This Officer has reviewed the submitted plans for demolition and new construction of fire
sprinkler system at Florida Hospital Zephyrhills, 7050 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. Demolition and Installation must be performed by a licensed Fire Sprinkler
Contractor. One has been identified on application. Demolition has occurred
prior to a site visit on this date.
2. All of the installation shall be in accordance with NFPA 13, latest edition.
3. It should be noted that the new construction plans for the first floor show 20
heads to be installed as per the drawing, however; the detail notes state 19
heads to be in the new construction. Drawing and description are equal.
4. Contractor shall follow general and keyed notes as per plans.
5. The contractor shall insure that the type/model of new sprinkler heads shall be
included in the required sprinkler head box if these are a change in the
existing sprinkler head types in the remainder of the building. (It is not
believed that these are different type heads, but must be included if they are
different)
6. "As-builY' drawings shall be provided to the owner showing placement of
heads in relation physical features of the completed project and on site at final
inspection.
Inspections Required:
1. Rough-in Inspection shall be required after new installation.
2. Final inspection shall be conducted after construction has been completed.
Review and approval of the submitted plans does not relieve the contractor from the
responsibility of correcting any deficiencies noted during inspections.
Respec lly sub itted on 3 January 2012 by,
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Keith A. Williams, EFO, CFO, CMO, MIFireE
Fire Chief
Fire Safety Inspector, # 148104
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GENERAL NOTES:
1. BUILDING IS AN EXISTING BUILDING WITH
EXISTING FIRE PROTECTION.
2. SIMPLEXGRINNELL TO REWORK FIRE
SPRINKLER BRANCH LINES TO ACCOMMODATE
AREA 100% SPRINKLERED NEW CEILING HEIGHTS AND LAYOUT.
BY EXISTING AUTOMATIC FIRE
SPRINKLER SYSTEM PER INFORMATION 3. ALL WORK SHALL BE IN ACCORDANCE WITH
OBTAINED FROM OWNER
_ NFPA -13.
4. SPRINKLERS SHO ULD BE POSITIONED TO
AVOID OBSTRUCTION FROM ALL SOFFITS,
LIGHTING, PARTITIONS, FIXTURES AND ANY
{� OTHER EQUIPMENT OR STORAGE BEING
INSTALLED BY THE CONTRACTORS OR TENANT.
5. NO COMBUSTIBLE OCCUPANCY SHOULD BE
i BROUGHT INTO SPACE PRIOR TO THE
SPRINKLERS BEING IN FULL SERVICE.
8. ALL PIPE 2Yz" AND LARGER TO BE
�.� SCHEDULE 10 BLACK STEEL PIPE WITH
GROOVED ENDS AND GROOVED FITTINGS.
Ir
A 7. ALL PIPE 2" THRU 134" TO BE SCHEDULE 40
BLACK STEEL PIPE WITH THREADED ENDS
AND FITTINGS.
8. ALL NEW FIRE SPRINKLERS TO BE
CONCEALED TYPE AND C .ENTER OF TILE.
9. ALL NEW FIRE SPRINKLERS TO BE INSTALLED
ON FLEXIBLE HEAD CONNECTIONS.
10. ALL PIPE LENGTHS SHO ARE CENTER TO
CENTER LENGTHS.
11. SYSTEM TO BE TESTED PER NFPA -13.
o KEYED NOTES:
FE�
O REMOVE EXISTING FE. TURN OVER FIRE EXTINGUISHER TO OWNER.
•o O REMEND EXI BRANCH PIPING BACK TO LIMITS SHOWN AND PREPARE PIPING TO
OFFSET EXISTING A/S MAIN AS NEEDED TO ACCOMODATE INSTALLATION OF NEW
✓ � O CEILING HEIGHTS, ABOVE CEILING EQUIPMENT, DUCTWORK, PIPING, CONDUIT, _TC.
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GENERAL NOTES:
1. BUILDING IS AN EXISTING BUILDING WITH
EXISTING FIRE PROTECTION.
2. SIMPLEXGRINNELL TO REWORK FIRE
SPRINKLER BRANCH LINES TO ACCOMMODATE
NEW CEILING HEIGHTS AND LAYOUT.
3. ALL WORK SHALL BE IN ACCORDANCE WITH
NFPA -13.
4. SPRINKLERS SHOULD BE POSITIONED TO
AVOID OBSTRUCTION FROM ALL SOFFITS,
LIGHTING, PARTITIONS, FIXTURES AND ANY
OTHER EQUIPMENT OR STORAGE BEING
INSTALLED BY THE CONTRACTORS OR TENANT.
5. NO COMBUSTIBLE OCCUPANCY SHOULD BE
BROUGHT INTO SPACE PRIOR TO 7I1E
SPRINKLERS BEING IN FULL SERVICE.
8. ALL PIPE 2S'z" AND LARGER TO BE
SCHEDULE 10 BLACK STEEL PIPE WITH
GROOVED ENDS AND GROOVED FITTINGS.
7. ALL PIPE 2" THRU lY4* TO BE SCHEDULE 40
BLACK STEEL PIPE WITH THREADED ENDS
AND FITTINGS.
8. ALL NEW FIRE SPRINKLERS TO BE
CONCEALED TYPE AND CENTER OF TILE.
9. ALL NEW FIRE SPRINKLERS TO BE INSTALLED
ON FLEXIBLE HEAD CONNECTIONS.
10. ALL PIPE LENGTHS SHOWN ARE CENTER TO
CENTER LENGTHS.
11. SYSTEM TO BE TESTED PER NFPA -13.
KEYED NOTES:
OFFSET EXISTING A/S MAIN AS NEEDED TO ACCOMODATE INSTALLATION OF NEW
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