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Home My WebLink About12-12844 CITY OF ZEPHYRHILLS ° 5335-STH STREET ' (sis)�so-oozo 12844 FIRE ALARM SYSTEM PERMIT Permit Number: 12844 Address: 6151 12TH ST 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: 02-26-21-0080-00200-0020 Improv. Cost: 1,040.00 Date Issued: 3/02/2012 Name: FIRST CHURCH OF NAZARENE Total Fees: 150.00 - Address: 6151 12TH ST Amount Pai�Clr� �� ,/� � � - ZEPHYRHILLS, FL. 33542 Date Pai �._� one' Work Desc: ADD STROBES-FEE WAIVED N PR R CHIEF KW FIRE PLAN REVIEW FEES 50.00 - - � � /D o��'�� ,t.�-AC .�LYI�11G/ __/,..__�----___._ - -- ------- - ".� �, (--____� _ ` _ __-- � = ) ��G �, __ ��, . ( � � . C ina 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 COMMENCEM T." � � � � ' CO SI NATURE 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 Bobbie Swetland Subject: inspect fire strobes @ 6151 12th st-First church of nazarene �� Q;��,��G Start: Fri 10/26/2012 9:00 AM End: Fri 10/26/2012 9:30 AM Recurrence: (none) Organizer: Bill Burgess �S'��j� (�'� �C.�� C�T�� j r c..L � � �� 't�� `T�" ��i7,�.� �le��l ��- �� f � � n �� J"�! �� y� � � �Z� �� _ �'� / S�� - � � ,�? -� �� r� l� � ; z�� 813-780-0020 City of Zephyrhilis Fire � � 1 L),� Fax-813-780-0021 /iv ' Permit Application ate Received �� Phone Contact for Pertnit ��' � yU 1 �� nmer's Name ' �/�Cb / 7/�� •� C/t ti Z Owner's Phone Number C] � � �nrner's Address �� 'y �1 je Simple Titleholder Name TiUeholder Phone Number � � � ;e Simple Titleholder Address �b Address /f/ Lot# � �b Division Parcel# �� '� -•��0 ��L� ' � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �y emi �n er Sprinkler � ❑ ❑ ❑ � Recreational Bum �M Fire Alarm � � ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations "` Hood Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � Fire Pumps a Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL , Valuation of Project Fuel Tanks �6ther. - � t5 .•3 �ntrector Company ✓rc� _ �'lv%1• gnature � Registered Y/N Fee Current Y Address License# _ECTRICIAN Company gnature � Registered Y/N Fee Curtent Y/N Address License# _UMBER Company gnature Registered Y/N Fee Current Y/N Address License# _CHANICA Company ��ature Registered Y/N Fee Current Y/N Address License# fHER Company �nature Registered Y/N Fee Current Y/N Address License# rections: Fill out application completely. Owner&Contractor sign back of application,notarized(�r,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation ;tU�B�iI'�'�D� �IV(S�HAVE BEEN�EVIEW� Allow 10-14 days for review after submittal date. Parcel#-obtained from Pro�eYyZEP�ice L$p�ir iser.p�AQgpy,c��S OF'FICE �r�IRF,M 1tJYl Date: a 7�l� � :iev:ewer: _�__ 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 compli�nce 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 pe�formed 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 CONTRACTOR Subscribed and sworn to(or affirmed)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 identification. Notary Public Notary Public Commission No Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �� S�STEM =� .., � �� SE/VSORN �" �: �� Indoor Selectable-Output � �a.y :�� ., Horns, Strobes, and ��i��"'�� Horn Strobes for Wall Applications �� SpectrAlert'Advance audible visible notification o producis are rich with features guaranteed ro cui SPECTI�"t�� A � V A N C E installation times and maximize profits. Features The SpectrAl�rt Advance seri�s offers the most versatile and •Plug-in design with minimal intrusion into the back box easy-to-use line of horns,strobes,and horn strobes in the industry •Tamper-resistant construction With white and red plastic housings,wall and ceiling mounting options,and plain and FIRE-printed devices,SpectrAlert Advance can •Automatic selection of 12-or 24-volt operation at 15 and 1 S/75 meet virtually any application requirement. candela •Field-selectable candela settinqs on wall units.1 S,15/75,30,75,95, Like the entire SpectrAlert Advance product line,wall-mount horns, 1 10,11 S,135,150,177,and 185 strobes,and horn strobes include a variety of features that increase •Horn rated at 88+dBA at 16 volts their application versatility while simplifying installation.All devices •Rotary switch for horn tone and three volume selections feature plug-in designs with minimal intrusion into the back box, making installations fast and foolproof while virtually eliminating •Universal mounting plate for wall units costly and time-consuming ground faults. •Mounting plate shorting spring checks wiring continuity before device instaliation To further simplify instaliation and protect devices from construction •Electrically Compatible with legacy SpectrAlert devices damage,SpectrAlert Advance utilizes a universal mounting plate •Compatible with MDL sync module with an onboard shorting spring,so installers can test wiring continuity before the device is installed. Installers can also easily adapt devices to a suit a wide range of application requirements using field-selectable candela settings, automatic selection of 12-or 24-volt operation,and a rotary switch for horn tones with three volume selections. Agency Listings s�s�uuNS � �� F M MGM a roved ��ZS-1653186(mdoorsvobes� LISTED APiROVED PP 71I5-1653188(hanstrob=s, Sa[1'�Ichimes,hom;trobes,hwn;) 3023572 MEA452-OS-E ch�mes[ro6es) 5551<Iztrobes) 7135-1653 I B9(horn;ChimeS) SpectrAlert Advance Specifications Generel SpectrAlert Advance homs,strobes,and hom strobes shall mount to a standard 4 x 4 x l Yz-inch back box,4-inch octagon back box,or double-gang back box.Two-wire products shall also mount to a single-gang 2 x 4 x P/a-inch back box.A unroersal mounting plate shall be used for mounung ceiling and wall products.The notification appliance circuit wiring shall terminate at the universal mounting plate.Also,SpectrAlert Advance products,when used with the SynaCircuit"Module accessory,shali be powered from a non-coded notification appliance circuit output and shall operate on a nominal 12 or 24 volts. When used with the Syno-Circuit Module,12-volt-rated notification appliance circuit outputs shall operate between 9 and U.5 volts,24volt-rated notification appliance circuit outputs shall operate between 17 and 33 volts.Indoor SpectrAlert Advance products shall operete between 32 and 120 degrees Fahrenheit Rom a regulated DC or full-wave rectified unfiltered power supply Strobes and hom strobes shall have field-selectable candela setti�gs including 15,15/75,30, 75,95,110,115,135,150,177,and 185 Strobe The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and shall be approved for fire protective service.The strobe shall be wired as a primary-signaling notification appliance and compiy with the Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operatmg voltage range.The strobe Iight shall consist of a xenon flash tube and associated lens/reflector system. Horn Strobe Combination The hom strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shali be approved for fire protective service.The horn strobe shall be wired as a primary-signaling notification appliance and complywith the Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system The hom shall have three audibility options and an option to switch between a temporal three pattem and a non-temporal(continuous)pattern.These options are set by a multiple position switch.On four-wire products,the strobe shall be powered independently of the sounder.The horn on horn strobe models shall operate on a coded or non-coded power supply Synchronization Module The module shall be a System Sensor SynaCircuit model MDL listed to UL 464 and shall be approved for fire protective service.The module shall synchronize SpectrAlert strobes at 1 Hz and homs at temporal three.Also,while operating the strobes,the module shall silence the homs on hom strobe models over a single pair of wires.The module shall mount to a 4��/,6 x 4��/,b x 2�/e-inch back box.The module shall also control two Style Y(class B)circuits or one Style Z (dass A)circuit.The module shall synchronize multiple zones.Daisy chaining two or more synchronization modules together will synchronize all the zones they control.The module shall not operate on a coded power supply Standard Opereting Tempereture 32°F to 120°F(0°C to 49°C) Humidity Range 10 to 9396 non-condensing Strobe Flash Rate 1 flash per second Nominal Voltage Regulated 12 DCJFWR or regulated 24 DCIFWR' Operating Voltage Range2 8 to 175 V(12 V nominal)or 16 to 33 V(24V nominal) InputTerminal Wire Gauge 12 to 1 S AWG Wall-Mount Dimensions(including lens) 5.6"L x 4.7"W x 2.5"D(142 mm L x 119 mm W�:64 mm D) Horn Dimensions 5.6"L x 4.7"W x 1.3"D(142 mm L x 119 mm W�;33 mm D) Wall-Mount Back Box Skirt Dimensions(BBS-2,BBSW-2) 5.9"L x 5.0"W x 2.2"D(1 S 1 mm L x 128 mm W�;56 mm D) Wall-Mount Trim Ring Dimensions(sold as a 5 pack)(TR-H5,TRW-HS) 5.7"L x 4.8"W x 0.35"D(145 mm L x 122 mm W x 9 mm D) Notes: i Full Wave Rectified(FWR)voltage is a non-requlated,time-varying power source that is used on some power supply and panei outputs. 2.P,S,PC,and SC products will operate at 1�V nominal onlyfor 15 and 1 S/75 cd. nwsooboa UL Current Draw Data . . 8-17.5 Volts 16-33 Volts 8-17.5 Volts 16-33 Volts Candela DC FWR DC FWR Sound Pattern d6 DC F1NR DC FWR Standard 15 123 128 66 71 Temporal High 57 55 69 75 Candela Range 15/75 742 148 77 81 Temporal Medium 44 49 58 69 30 NA NA 94 96 Temporal Low 38 44 44 48 75 NA NA 158 153 Non-temporal High 57 Sfi 69 75 95 NA NA 181 176 Non-temporal Medium 42 SO 60 69 110 NA NA 202 195 Non-temporal Low 41 44 50 SO 115 NA NA 210 205 Coded High 57 5'i 69 75 High 135 NA NA 228 207 Coded Medium 44 5'I 56 69 Candela Range 150 NA NA 246 220 Coded Low 40 4fi 52 50 177 NA NA 281 251 185 NA NA 286 258 � 8-17.5 Volts 16-33 Volts DClnput 75 15/75 75 15/75 30 75 95 710 115 Temporal High 137 147 79 90 107 176 194 212 218 Temporal Medium 132 144 69 80 97 157 182 201 210 Temporal Low 132 143 66 77 93 154 179 198 207 Non Temporal High 141 152 91 100 116 176 201 221 229 Non Temporal Medium 133 145 75 85 102 163 187 207 �16 Non-Temporal Low 131 144 68 79 96 156 182 201 210 FWR Input Temporal High 136 155 88 97 112 168 190 210 �18 Temporal Medium 129 152 78 88 103 160 184 202 206 Temporal Low 129 151 76 86 101 160 184 194 201 Non Temporal High 142 161 103 112 126 181 203 221 229 Non Temporal Medium 134 155 85 95 110 166 189 208 216 Non Temporal Low 132 154 SO 90 105 161 184 202 211 r 16-33 Volts 16-33 Volts DC Input 135 150 177 185 FWR Input 135 150 177 785 Temporal High 245 259 290 297 Temporal High 215 231 258 265 Temporal Medium 235 253 288 297 Temporal Medium 209 224 250 258 Temporal Low 232 251 282 292 Temporal Low 207 221 248 256 Non Temporal Nigh 255 270 303 309 Non Temporal High 233 248 275 281 Non-Temporal Medium 242 259 293 299 Non Temporal Medium 219 232 262 267 Non Temporal Low 238 254 291 295 Non Temporal Low 214 229 256 262 Horn Tones and Sound Output Data . . 8-17.5 16-33 24Volt Nominal Switch Volts Volts Reverberant Anechoic Position Sound Pattern d6 DC FWR DC FWR DC FWR DC FWR 1 Temporal High 78 78 84 84 88 88 99 98 2 Temporal Medium 74 74 80 80 86 86 96 96 3 Temporal Low 71 73 76 76 83 80 94 89 4 Non Temporal High 82 82 88 88 93 92 100 100 5 Non Temporal Medium 78 78 85 85 90 90 98 98 6 Non-Temporal Low 75 75 81 81 88 84 96 92 7T Coded High 82 82 88 88 93 92 101 101 8t Coded Medium 78 78 85 85 90 90 97 98 9' Coded Low 75 75 81 81 88 85 96 92 rSettings 7,8,and 9 are not available on 2-wire hom strobes nwsaccao SpectrAlert Advance Dimensions 4.7" 2.5" 5.05=—� �2.23"=►� � � ..�� o QQ � � 5.6" 5.98" 0 0 � � o ° o � Wall-mount horn strobes Wall back box skirt SpectrAlert Advance Ordering Information .- . •- Wail Horn Strobes Horns P2R"' 2-Wire Horn Strobe,Standard cd=,Red HR Horn,Red P2RH" 2-wre Horn Strobe,High cd,Red HW Horn,White P2W 2-Wire Horn Strobe,Standard cd,White Accessories P2WH" 2-wre Horn Strobe,High cd,White BBS-2 Back Box Skirt,Wali,Red P4R" 4-Wire Horn Strobe,Standard cd,Red BBSW-2 Back Box Skirt,Wall,White P4RH 4-Wire Hom Strobe,High cd,Red TR-HS Trim Ring,WaII,Red P4W 4-Wire Horn Strobe,Standard cd,White TRW-HS Trim Ring,Wall Whiie Wall Strobes SR"f Strobe,Standard cd,Red SRH*i Strobe,High cd,Red SW Strobe,Standard cd,White SWH* Strobe,High cd,White Notes: •Add'-P"to model number for plain housing(no"FIRE"marking on wver),e.g.,P2R-P t Add"-SP"to model number for'FUEGO"marking on cover,e.g.,P2R-SP #"Standard cd'refers to strobes that indude 15,15/75,30,75,95,110,and i l S candela settings."High cd'refers to strobes that indude 135,150,177,and 1 SS candela settings. �� SYSTEM 02011 Syztem Smsor �� SENSOR 3825 Ohio Avenue•St Charles,IL 60174 a��a�aw��,��o�na��wm,��av�nmcm,sm��:�� E cwrmt prc+ducc inf«manm,induding the latest�ers�m Mthn data sh<et Phone:800-SENSOR2•Fax:63o-377-6495 nwv�aoo•en�•�zem Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (813) 780-0044 22 February 2012 Plan Number 12-011 Project: Fire Alarm Strobe replacement lst Church of the Nazarene, 6151 12�' Street, Zephyrhills Number of Pages: 1 (application), with 4 pages of specifications for devices Date received: by this Office 02-13-2012 This Officer has reviewed the Fire Alarm modification plans for the replacement of notification devices at the 1 St Church of the Nazarene, 6151 12th Street,Zephyrhills. 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 shall be by a Florida licensed fire alarm contractor. 2. Installation shall include strobe notification device placement in rest rooms. Inspections Required: 1. FinalInspection. Review and approval of the submitted plans does not relieve the contractor frum the responsibility of correcting any deficiencies noted during inspection. Respectfully submitted on 22 February 2012 by, �'�-�� - Keith A. Williams, EFO, CFO, CMO, MIFireE Fire Chief Fire Safety Inspector, #148104 ZEPHYRHI�LS FIRE DEPARTMENT ' � 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: ��D � Contractor. ��d�'0�-- �-u, � Business Name� � a 7�-�c Billin A dress: C�ZoZ ��-"�A-r�-�� . Business Address: �.� , -L . s ��e- �� ,-��,�-{F� �3'�f��i' � Business Phone No.: Billing Phone No.: �!3�� '�9�71 Business Fax No.: Billing Fax No.: Contact: Contact: ��,2,� ��d�N4s � •- "f�7��p PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE � Site Plan N/C Annual N!C Sprinkler $50 1 st Alarm N/C MuRi-Famiy/Commercial .06 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 � P►an Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 ire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed uMil LP Gas $50 6th Alarm $200 B0-25 Heads $50 violations conected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Parr��k $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 �( 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembty $50 Annual LJ26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS � Recall Acceptance $50 Flammable Application $50 nnnuai Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire WalUSmoke Wall $15 perwall Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KVV 150 Other $50 Natural Gas $25 �r 5y5cem BiaHazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 Pe�tent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual LP Instauation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 � Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-InSpeCtlon OBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL B and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle AG $50 FALSE ALARM PLANS TOTAL� INSPECTION TOTAL� PERMIT TOTAL �� TOTAL� --�" G ND TOTA p /�� Gt/y�y[�!/f�—�„"cGt'""` Comments: ''�'e l,�G[��`'C► �-- �w 7" p � � Date: �� G��- Ins��ctor: - ��'�^--