The URL can be used to link to this page

Home My WebLink About12-12494 � CITY OF ZEPHYRHILLS .� 5335-8TH STREET � (si3pso-oo20 12494 FIRE SPRINKLER SYSTEM PERMIT Permit Number: 1 2494/1 1 964 Address: 38135 MARKET SQUARE DR Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE-SPRINKLER SYS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03900-0030 Improv. Cost: Date Issued: 5/07/2012 Name: FLORIDA MEDICAL CLINIC Total Fees: 290.00 Address: 38135 MARKET SQUARE Amount Paid: 290.00 ZEPHYRHILLS, FL. 33540 Date Paid: 5/07/2012 Phone: (813)780-8440 Work Desc: SPRINKLER ADDITION INSTALLATION FIRE INSPECTION FEES 110.00 CONTRACTOR CERTIFICATE 30.00 � '� �, � � �-,, -� �- , � 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$100.00, whichever is greater. All work shall be perFormed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN O BEFORE RECORDING YOUR NOTICE OF COMM ��z�-� � � CONTRACTOR NATURE PERMIT OFFICER PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 R�saso-oozc c;ity�r cepnyrnms rire rax-tsi.s-iau-uuzi Permit Application Date Received � Phone Contact for Permit g�3 , �fa SG 3 g . ° - - - _, ., Owner's Name a � � � ' Owner's Phone Number C� � � Owner's Address ,� �3 5 J�� s Cr/P Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address r -��»�� _ +�-c�.;�s+•:.�,�r�c. ..�-.:sa°�e^�R�� .��_�. � ., .,,: ,�,., ,.�. �� -�rrr��s�a��^<��_ , _ . ,a�ra�.°��, Job Address Lot# � Sub Division Parcel# R w .w . .„;�..�..,�,. �. a.-at.'"y�`i# . _ . . _ __=°e.-��°-3P��c..ra�.,,wss,�r..._��-,.�..�,i�v'.++s�*�7-$s+; ___ _ . :2u�nn,- - _ _ ,__��-�.�:�--c�.-�.r,°'fi_'. _ _ -,,,. � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II 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 r y emi �n er � �� c', Sprinkler � ❑ ❑ ❑ � � Recreational Burn � � Fire Alarm � ❑ ❑ ❑ � � Sparklers �� Hood Cleaning � ❑ ❑ ❑ � �SprinklerSystem Installations y��t/� � 2� Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) .' J�1 i� � Fire Alarm Installation � Toroh Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL Fire Works � Flammable Application-ANNUAL Valuation of Project aFuel Tanks Q Other: � .� .�.3�� .. ,��;�� . .�#��.-.��;�-r:��:�_-_�A��, . . x- _ .. -,,, �,m�;-�-.:,�:�. ��.��:� ,��,;.�.�.�� ;,. Contractor Company 1 � r� i j Signature �� Registered Y/N Fee Current Y/N Address (Q ,� � L.,3 �" 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&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:llappraiser.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 regutations. �f 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. 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 CONTRACTORy��.�/1-G� Subscribed an b�wom to(or affirtned)before me this S��'4ed and bwo�to r�affirrr�,ed�Efore/me,thi�� f{ l/ (� f� ' �� Who is/are personally known to me or has/Fiave produced Who i Se person�l known to me or has/have p�oduced as identification. ��Jls-2. as identification. _„ _ Notary Public Notary Public , �ACQUELINE B g Commission No. Com is on � �, �„��ernber 12,2014 Name of Notary typed,printed or stamped Name of Notary typ , �o�s ��r�,,�r��e��.� FiRE ��►��-��nE��- G907 �airy Road. Zephyrhills, FL 33542 -i�F� (.'r��f Ke��h Wiiliarns Bus (8'i3)7$0-OU41 Fax (S13)1�3U-00�� FIRE SERVICE USER FEES �ccupancy No.: 'lan No.: ° .- ��f"` .'� --- 3us�ness Name ,�� ContraCtor �` � � �� °� Billing Address � Q ��y J�� 3us�ness Address �y I 35 rh,�� f�1�,,,,,_ � � ,— 3us�ness Phone No t �S� � Biiling Phone No.. �=j�__�j�,'��3�, 3us�ness Fax No Billing Fax No.. �ontact _ Contact: -- PLAN REVIEW FEES 1NSPECTION�EES PERMIT FEE FALSE ALARM FEE S�te Plan N!C Annual N/C S mkler , � S50 � 1 st Alarm NIC Mulli�l-arndy�(,omrr�c�c�al �S/ 1st Re-inspecfion N/C Stand P'� 2nd Alarm N!C (Minimum Charge b25 00 2nd Re-ut5pection �100 fire PUmp E50 3rd Alarm �Plan Rews�ons NIC OBL 3rd Re-mspection 5250 Hoods SSO 4th A1arm 4th Re•Ins $�� t��^ a`� Fire Alarm SSO 51h Aiarm S1 SO SPRINK�ER SYSTEMS (Bus�ness closed untd LP Gas E50 6th Alarm 0-25 Heads S50 v�olat�ons correcled) Nattxal Gas a� aso NON COMFIIAN(;F a,� 26 plus Neads 00� SPRINKLER SYSTEMS Fuel Tanks- oe�eank Esp STANDPIPE SYSTE Hydro Undergtounds S45 Sparklers a�pp �Pe�Riser S50 Hydrostatic Test S r sn+em Fire Works E500 FIRE PUMP Acceptance Test v��sn<<m Camp Fire S25 �Per Purtip a100 Hydrant Flow 5 Controlled Burn a�pp FIRE ALARM SYSTEM Hood/Ouct a50 �0-75 Devices S50 FIRE ALARM SYSTEM Place ot Assembl y S.� A�inual 26 plus Uevices a100 System Acceptance E50 f ne Protecuo� s� SUPPRESSION SYSTEMS Recall Acceptance E50 Flammable Application 35p Annual we� 550 OTHER Waste T��e Stor � S50 �,,,,,,,� �ry $50 Fire Wa111Smoke Wa{I 515 per wan Generatw<KW a100 CO2 S50 lP Gas S25 per bnk Generatpr>3p Kyy 150 Ulhei $50 Nalwal Gas S25 Pe�syuem Bio-Hazard Waste =100 ��,,,� KITCHEN EXMAUST Fumigation Tenting SSp � H�� E50 Tent 10Y10'w greater 515 ��cm Torc�Pot/A Pp��d E50 OTNER F�re Pump 545 Haz Materials ylpp ,,,,,,�a� �LV Insl'allabon pr.�lank �$0 Fire Suppre55ion �� uel Tank Installat�on 550 System Acceptance (Per f ank) E50 8 Exhaust Hood/Duct 330 ]Nalural G�s Installatinn b50 Re-mspection OBl (Per System) (otherthanannual) � :,pray 800lh a50 �Inspecfron scheduled DBL and canceNed less than 8 24 hours 8 Constructan Insp N/C Emergency Vehicle Au S50 FALSE ALARM P�ANS TOTAI I��G� �NSPECTION TOTAL�� PERMIT TOTALI�� I TOTAI I GRAND TOTAL ��%�� CommPnte •�J r �ate _ P .�/� �'- — Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhill5, l�L 335%�2 I�ire Marshal [3us (8 l 3) 780-004 l Kerry 13ar�lett f�aa (8J�} 780-U044 E-mail: kbar�lett(L,fire.�ephyrllills.fl.us Plan Review#: 11-125 Project: Revision—Fire Sprinkler System Addition Number of Pages: 2 plus Calcs/Details October 28,2011 I have received and reviewed the plans for the fire sprinkler addition located at an existing business occupancy located at 38135 Market Sq Dr and will allow the project to move forward. By paying for permit, contractor acknowledges in complying with the comments below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Installation shall be compliant to NFPA 72, 2002 Edition. 2. Install FDC sign at connection. Sign shall have 6"reflective letters"FDC"on contrasting background. (typical red on white) 3. Ensure there are tampers on the backflow preventor, if none install them. 4. Backflow preventor may need to be repainted red. If faded repaint. 5. The parking space in front of the preventor shall be lined out for no parking. Inspections Required: l. Pressure Test 2. Rough-In 3. Acceptance KERRY BARNETT, MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractur in compliance with applicable fire safety codes.This review is not intended to be a final approval of the submitted ptans.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. 28-22--'12 09:15 FROM-wallace Associates 7275200789 T-813 P0003/0003 F-512 ., J � �►.� �.A� � , Assoc��r�s, �.�..c. � �2 �� GENERALCONTRACTORS � SEN',�CE�tTfb'�D 11�AII.06Ji07/12 #7007 0710 0005 30811840 FA7Ii�D TO'!'!�*�Y.�'Q6N7/12 813-759-6761 3,��,zoi2 � �e�i��;eC� �.e�er��u�n�d~ Trimble Automatic Fire Sp�inklez Co.,�nc. '��'►M�p,Q ��1,�V�If �c,��Ct� �� s4�o�x�a a� p c� o�<<� , -� P1am�t Gyty,FI.33565 ��lYt��'� �tE: Flo�rida 1VZedics�i C7inic P�'oposed A.SC E�uosaon /Ze °.1,"E-�� 3$�361V�arloet^�qu�u'e,Z�ephyx'bu'�)s,FL 3354t! ��--,'�' '�'ERIVIINAT[UN OF 3UBCON'TYZACT AGI,tEE1V�NT#ix04-15-300 Dear Ma�rk: 'This ld�sbatl serire as foxmal No�ice�o T.er�on o�Suboa�tract A,g�numbear �I04-15 300 datod,July 11,2411. The grounds for�ian•are•du�to.#b�e eve�s of dcfault of your cosrtract wbich inch�e, but are not livaaited tia: . . � - - 1. Faihu�e to pe�oz�oa�ely px�s of tt�e work. 2. �ailure to Ptrn�idc adequate manPower. 3. �ailu�+e to coinply w�ithin 24 hours ofNo�ice o�Def�lt(��emailed 06/06/t2) 4. Failure to£ttlfill ca�cac�ual abl�ons. As of FrYday, Juae S, 2012 all, rig��is anci obligatiiao�s of Trimble A�rt�o�oaanic Fire Spria�er Ca., �nc.'s subcontracx om �e �roj«x at k'lo�ida Mechcai Ctiundc Proposed ASC Ex�aasian arc i�auanedistely termi�n�ted. Sincerely, W CE T�' ,LY�C Cbarles E.Adaiu� . Chief Operating O�xcez cc: Trimble Subco�Fi�e .7oha Wallace,Presi�aat/CEO •Tbomas]'.oCice%P�+ojoct:Mauager • . Britt Galipauzt,Acco�mtin� 5435 M.L. KING ST. NORTW, ST. PETERSBURG, FL 33703 W PHONE: {727� 520-0700-FAX: (727) 520-0789 CGC #044505