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HomeMy WebLinkAbout12-13283,13284,13285 � CITY OF ZEPHYRHILLS ' S335-8TH STREET (si3)�so-oo20 13283 FIRE ALARM SYSTEM PERMIT Permit Number: 13283 Address: 38105 MARKET SQUARE 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: 02-26-21-0010-03900-0020 Improv. Cost: 1,050.00 Date Issued: 9/06/2012 Name: FMC MARKET SQUARE INC Total Fees: 150.00 Address: 38103 MARKET SQUARE DR Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/06/2012 Phone: 813 780-8774 Work Desc: INSTALL WIRELESS FIRE ALARM COMMUNICATOR TO MONITORING CENTER-notes FIRE PLAN REVIEW FEES 50.00 n i �_� I ,V, � , .�� � ` � � �e.r t� rt�ce;►�d�b�.� ��e�, � r►�� ' ma 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 BTAIN FIN NG, CONSULT WITH YOUR LENDER OR AN O BEFORE RECORDING YOUR NOTICE OF COMM C CTOR SIGNATURE PERMIT OFFICER PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 . Permit Application ate Received • � ��� Phone Contact for Pertnit $�3 � 3� wvners Name C �'(, Owners Phone Number � � �� �wner's Address ��G [�A.� �"� !'YI� r � 3�� Z' ee Simple Titleholder Name Titleholder Phone Number � � � ee Simple Titleholder Address , . _ �a�~.r ,_ „�n ,t,�sn-:- .r-s° �bAddress p� 5 �t i 33� 2•— Lot# � ub Division Parcel# - �--' ..- _ _ • _ _ *x- ar - +�;T;." s-.w.r. _ ,,- ._ �� _ . . - _ ....� r. .r.�,�-t:•a"°'e��,cmS�.r�+n,4a:w+.�:?a�n°:..�s,�.fr F?'.t' -. . . -� � Bio-Hazard}Waste Storage-ANNUAL � Fumigation Tent a Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAI � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Installation � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL � � �y emi �n er r 2 Sprinkler � ❑ ❑ ❑ � � Recreational Bum I � Fire, ❑ � Sparklers � Hood Cleaning � ❑ O ❑ � � Spri�kler System Installations H Su � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installatio a Torch Roofing/Tar Kettle �FFe umps a Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL �jSG�O° Valuation of Project � Fuel Tanks aOth : � u. I•H � �K '1� r _ _ _ �. _ .. - _. �- ..�."..�_ ,. , . .,.. ,v��^�- . ..n. . _. - . .. , ,.. -. ax-� „ - °r^-, .°�.w- r'�:��.�.. _ �r t--. ... .,. ontractor Company h � Ur� c+ ic P �HC, ignature �_ Registered Y Fee urrent Y/ Address 6 a � � i �i A �G ,�n ( 3 3 �icense# //'7 LECTRICIAN Company ignature Registered Y/N Fee Current Y/N Address License# LUMBER Company ignature Registered Y/N Fee Current Y/N Address License# IECHANICAL Company ' ignature Registered Y/N Fee Current Y/N Address License# THER Company ignature Registered Y/N Fee Current Y/N Address License# irections: Fill out application completely Owner 8 Contractor sign back of appiication,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: tf 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 �esponsible. 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 AGE�lT 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 technicat codes, nor shall issuance of a permit prevent the Building O�cial 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 swom to(or affirtned)before me this Subscribed and swom to(or affirtned)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 ident�cation. Notary Public Notary Public Commission No. Commission No. Name oT Notary typed,printed or stamped Name of Notary typed,printed or stamped Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (813) 780-0044 25 July 2012 Plan Number 12-029 Project: Fire Alarm system modification for Florida Medical Clinic 38105 Market Square Drive, Zephyrhills. Number of Pages: 2 Pages Scope of Work, plus 18 pages of documentation for alarm components This Officer has reviewed the plan for the Fire Alann system modification, installation of Fire Alarm Control Panel dialer, at Florida Medical Center, 38105 Market Square Drive Zephyrhills. Plans are approved as submitted with the following conditions: 1. All installation shall be performed by a Florida licensed Fire Alarm Contractor to NFPA 72 Standards. An identified contractor listed is listed on the permit application. Payment of permit fee indicates acceptance of the requirements of these review comments. Inspections Required: 1. Fire Alarm acceptance test required. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspection. Respectfully submi ed on 25 July 2012 by, G�G� � �'�-�r,��`�` Keith A. Williams, EFO, CFO, CEMSO, MIFireE Fire Chief Fire Safety Inspector, #148104 • 1 ' � , � � ■ � �����1�' �����N�r�� 5610 West Sligh Ave #104 Tampa, Fl. 33634 813-241-3500 Job Location Florida Medical Clinic-Pain Management 38105 Market Square Zephyrhills, Florida 33542 Work Description (Scoue) Provide and install a new fire alarm dialer/communicator for the existing fire alarm control panel, to replace the existing digital alarm communicator(DACT). This Honeywell IGSMCF communicator will use the internet as a primary means of transmition to the Stanley monitoring center and the GSM long range radio as a secondary means. We will monitor general alarm, supervisory and trouble conditions from the existing fire alarm control panel. This will allow the customer to eliminate the existing analog phone lines currently in use. Sepuence of Oueration Upon activation of an alarm condition at the fire alarm control panel, the communicator will transmit an alarm signal to the Stanley UL listed monitoring center, where the proper local fire department is notified immediately. Upon activation of a supervisory signal at the fire alarm control panel, the communicator will transmit a supervisory signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. Upon activation of a trouble signal at the fire alarm control panel, the communicator will transmit a trouble signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. �[JBMITTED PLAN(S)HAVE BEEN REVIEW� �Y ZEPH =IL�.��RZMARSHAL'S OFFICE Date: �' ��+iewer: " Jun 2512 01:27p FLORIDA MEDICAL CLINIC 813-780-8382 p.4 , a �ecurity Salptions �antract Rider Tt►is agreement betwern Slanley Conver�ant 5ecurity Solutions,[uc.("SCSS")and Florida Mediral Clin:c-P_ ain]N �anrivr t("Customer'�supplemen�.c and amends the Contraci Agoemrntbelween the parEies Jarcd 6✓13i201J(tbe"Agreement")covering t6e fumishin�afservice and eqnipme�!to tl3e Custome�s pmuises at_A70 Ma kat�qua•e 7�/{yx;»� Fr a�se?inteuding lo he Iegally bound,the partics fieNher agrce thar 1.The initiat tecm of t6c Agreement is heceby extmded for a puiod of sixly(b(F}months&om the date hereof and sha11 thereaffer automaticelly renew as sel fmth in the AgeemenL 2.Ifadditional service and equipment aze to bc fumished to tLa Cixstamer at said prcmises,thea only such additianal service and cquipment shall6e furnished as is described in d�e Terms and Caaditions sct fortl�bdow(or in a sepacately aftached Tcrms and A�zeernents).In such event Customer agrces lo pay to Stanlry Convergent Securily Solutions,Inc,the insial(aiian charges indicated belov�•by paying an smount equaJ to 50%af tiie iotal installation cherges at the timc of signing this A;�cement at�l by paying the amount of the BALANCE DliE upan complctinn of the instalEation_Furthcr,i�e Cuuomer agrees to pay to Stanley Convergeat Sccwity Solutions,Ioc,the smount ofthe additional Recurripg Servicc Charge irtdicaud betow,ia advance during rhe urm oflhrs Agrcernent on the same periodic pzymen[schedule as the other recurtuig se�vice charges ut Currh in the Agrccment (u}Any additional service and equipment provided pucsoanE to this Iiider shalf be govemed by the provisions of the Ayreement,including without(imilation the pro�ision of Section 4 ("Liquidatad Dama�cs and SCSS LimiGs oFLiabiliry•"). 3.To thc extern the agrcement is modificd other Ihart as set fo[th in Section 2 hereof,such modificatioms,ifany,will be sel foath in tFie Schcdule of Servicc and Protecaon secuon hercof. � UI fllellt • . . --.... ..... _ .. .. . ... .. .... _ ._. . ..__ .. .. . ._._. ._ .__ _ ... _....._ ........ _.. . - �- _� . . .... _. .. �_ .. . _�_. �_... ... . . ..._.. . . Telu{ar Sde Path Cetlular Alarm Communlcator for Commerciai Fire AD-TG7F5 __--------___-._ --•--•-•------------ - - -�- -�� - $@NiC@S •Communtcabon BacfcuP...,_...__.�_.._._,.-.'-:......,�....�,...____°-_-._._,._....�_._�.__.___....-..._._....�.�...�..._�.....___._...-.�..........._,_.� ..__..�._�_.._.._,..,..._._...__._.,._......,_....,_.�. .._..... Speciallnstructionslt�Eotes •• -- --------- -_._.._..._..,. InstalJ(1)TelGuard TG-7FS Cellular Communication unit and cortnect to existing FireL'rte MS-9200 Fire Alarm Confrol panel for Sole Path communicatio� Remave all existing phone/ines and report!o Rod 5he/fon at 8t3-61S-0048 with ifte phane line rrumbers thatar+e being removed _. _---- - ---- ------ - -- - Pricing 8.Deposit Terms ----.. ._ __ - _------�- ----- -----� ---- _.._._.. ------- ----- -- - -- --- - ----- - •- - - - ---- ------ --- Total Ins�aEladon Price IISD 1,050.UO �eposit(in-Ftand). ...___ .-- ----------� -- • -� -- °- --------- ---------- --. ._. __ . _-- - ---�-------- - -- .._. -- - - ----- --- - --__ _ - - ---- - ---- _.. ._. es ax QfAppficable) Balance Due Upon Completion IISD 1,OSD.00 , _. _... _..--------- - - -- ------- . .- -- ---- ---...----- -- ---- _--- - --- - - . _ -�- - ------- --- - ._...- -------- ..._._. ._. ... ,.-- - - otal Price USD 1,O50.00 Totat Mnnthly Fee VSD 40.QO _ -.- ---°- --- - - �-- ------------ - ._ - -- ------ ------�- - _ _ Payment Frequency Monthly in Advanee The Agreement shall remain in(ull lorce and effed in accordance with all tha terms and conditions thereof,modified anly to the extent herei�specifically provided for, Said Agreement as so modified oonslitules the enUre agreernent belvreen!he pariies,which Agreement cannat be iurther mod�ed except by another written agreement executed by the{�artles as herein set frnth_ Thc Rider is not birtding unless approved in writing by�Authorized Represerttative of SCSS.li such approval is not obtained,SCSS only IiabB'rty shall 6e to relum to CusG�mer the amou��if any,paid to Stanley Convergent Security SoluGons,lnc.upon ihe signing oflhis Rider by its Sep�rity Representative. . , . � �v ..� !Z— �� S�� ��`y Quotation Reference: Q-00341385 'S ' urity RcprescnW ivc Dalc Custumcr Page 1 of 1 f k/,fy /1��,v.��,� -z 3-I Z-. CS . uchoiizc rpr ;cu: t�c Dnt:; Cust er �� rarc 'I'ide Da[c License(nForma�im us uf3!l;12:.4L 12-KF(if,12-R47,(2-13?2,12-LZ7g;1Z-147 pla E nic 5ewriry BomiL uf Licenu�it,7956 Vau@hn IGF.,WoucSwmery.AI,3C�I tG(33�ZbF93%8:AZ ROC204975:AR€2i110 0D17, Rcgulmed by Arkansas Bd of Private�nvcs:igators u+d Aivale Secunty\�eni �f a[e ico Pla�a Dr,Lihk Rock,AR T_2U9(501)61&8600:CA 84B019 G7,CIO;AC06055,Alum company oper�tars are licmxd and �b'u���bY�he Rureau of Sxuriq&�nvc;ti�tiveScrviar,DcpC of Conswnv�A ' $ac•amrntoy CA 95R:4:DE W-75S;F tL-0001:YL EF20000.195:GA LWI05586:IL 1270012"�4:LAF(162;F&?Y,FI277:MA 3519C.MD 107-17i7,Mmyl�d Stn�Poliec,Lieeasi�g�ivisiai,1 l l l Reis[rtsmwn IL�Pikesville,MD 2120R:1�SLG330K:36U 120577Z.l�U`7'S012iH:b15 19207-3C MT FPL-RF.GOQO]32:NC 35055-SP-FA/I,.W,21H5-fSA,Alamt Sys[ams Licensiny Bd,4907 Glenwood Ave,Sce2UQ Raleigh,NC 27612(9E9)T68-5320.NJ 1074485;655423;34BF0pp17200:NY Izl'200414y7R86;F400;F403;0071Q24:NY F200D293169,Lice�ised by NYS Dryt,of Stata;Olt 53YB9-TS120K 953:OR i67567:SC FAC338'1;BAC550[_7N 11 B0;1540;I448;1650;1461,144G;CE-U C5528:TX ACR2S39;ECR1821;B02F40:Ui 5704068-6501.VA 2705-OBTL35A,I1-:481,Commonweal�h af V'vginia, T ��l�..�.__�f.-....�.C�..�.� Ilnno_��.C�.,..n:.,L�...,.a�!.\ ��l�.�V�CT�V�l�CM<�r/�Wi�iIS'1io�A � � Honeyweil iGSMCF Internet and � �i Digital Cellular �=°' Communicators ��--` � iGSMV [�c -- v� : SERVICE With Remote ` - � - Services Capability `� � � - SERVICE iA Internet Connection — Honeywell is focused on providing the future of alarm Our GSM radio technology is unique in that it uses GPRS communication solutions for the security industry.Alternative service for data and alarm communications and automatically communication methods are critical in the marketplace due to switches to SMS for alarms if GPRS is unavailable.Through the UoIP,migration from POTS and growth of digital radio networks. internet or radio,the Internet and GSM Communicators offer full Honeywell's Internet and GSM Communicators deliver secure, data reporting and uploading/downloading with most Honeywell reliable and complementary Internet and digital communications control panels.Plus,with zone inputs and optional dialer capture via the GSM(Globai System for Mobile)network.Our exclusive, �pability we're compatible with other manufacturers'control Triple-Path Communications solution combines Internet service p�els as well. with GSM for added reliability and an extra level of security, All signals are delivered to Honeywell's AlarmNet Network offering substantial benefits to protect your investment by future- Control Center,which routes the information to the appropriate proofing your recurring revenue. central station.The state of the art AlarmNet Network Control Center is fully redundant and monitored 24/7.AlarmNet has the ability to route messages using AlarmNet-i and 800 PLUS services, FEATURES providing true redundancy and multi-path message delivery. • Universal Control Panel Compatibility-Flexible modes •Triple-Path Technology-Provides three paths of of operation allow ECP alarm reporting by Honeywell control communication using Internet,GPRS(General Packet Radio panels,4204 relay mode for Honeywell controls(that do not Service), and SMS(Short Message Service). Uses Internet support ECP alarm reporting)and zone triggering for use as primary with dual GSM technology as back-up. GSM with other control panels. path utilizes GPRS and automatically switches to SMS if • Dialer Capture Ready-Compatible with Dialer Capture GPRS is unavailable. Intelligence Device DCID(for LYN�or DCID-DCT(other • Upload/Download-With select Honeywell control panels control panels).Captures Contact ID messages from the using Internet and optionally GPRS. Requires Compass panel's phone line and sends them to the central station version 1.5.8.54a or higher. via the GSM radio. • Dynamic Signaling with Certain Honeywell Control Panels •Six Input Zones-Each zone can be configured for+V, -Provides management of control panel dialer and digital -V,or EOLR triggering.Each zone can be programmed for cellular communicator Programmable priority and delays inverted operation,delayed reporting and restoral reporting, determine signal path. Zone 1 can distinguish between pulsed and steady inputs. •Diagnostic LEDs-Provide signal strength and status •Full Contact ID or ADEMCO High-Speed Reporting- indications. ECP mode with compatible Honeywell control panels •(�OS-Quality of Service diagnostics via AlarmNet supply vital support full Contact ID reporting.All other modes use information including when message was received,battery ADEMCO High-Speed reporting format. voltage,input voltage,signal strength,and message path. •Tamper Protected Enclosure-Built-in tamper sends a •Web-Based Programming-Allows complete interactive report when a tamper condition is detected and a restore programming from AlarmNet Direct. when cleared, https://services.alarmnet.com/AlarmnetDirect •Built-In Power Supply-On board charging circuit design •Intelligent Supervision-Any message generated serves as accommodates back-up battery. Includes primary power a supervision message per optional 24 hour or 30 day intervals. and battery supervision. This feature effectively limits required messages to be sent. •Back-Up Battery-6V 3.1Ah supplied to deliver up to •Remote Services Capability*-Optional Total Connect 24 hours of standby operation. value-added web-based or SMS system control as well as •256-bit AES Encryption-Advanced Encryption Standard e-mail notification of system events. used for secure communications. •Two-Way Voice Transport-GSM voice channel capable to allow two-way voice session in conjunction with an audio verification system(iGSM�. 'Service subscription required. . Internet and Digitai Cellular Communicators ACCESSORIES 7720P Programmer K14139 Battery 1332 DCID DCID-EXT Transformer Dialer Capture Dialer Capture (1332CN for Intelligence Device Intelligence Device Canada) (For non-ECP LYNX controls) (For non-ECP capable control panels) i=---�— r'T-�,—I � �✓�k ,EI ----- _ - --I L Crn:Lt C ': 1� � " -_ :�_ ��,:� i=:=_ J ===1 �_�=,_��._�._.,! �E. Communication Description Testing Commercial Standards Residential Standards Devices Agency UL 365 Poltce UL 609 Local UL 1610 UL 1635 NIST Natianal UL Bfi4 flev.9 UL 064 Rev.9 CaLtomia UL�023 UL 985 Connected eurgiar Alartn Central Station Digital Alartn Institute of Standalone• Primary/ State Fre Household Household eurglarAlartn Systems BurglarAlarm CommunicaGons 5[andardsand Backup" Marshal BurglarAlarm Fire Cammercial Commercial Commercial Technology (CSFM) eurglar 9urglar Burgiar .___-__...__..____ _____..___. _..-___.._._._.___- _.__ __ _...____ _..... ._ __.____.._._. . ..._ iGSMV InterneVGSM Cellular ✓ ✓ ✓ ✓ `� `� `� `� `� `� iGSMCF Communication Module UUE7L (FfL Only) (UL Only) (ETL Only) (ETL Onty� (UL Only) (U�Onl� '.__...__—___._....---_.._.____..__.__ ___.—______. .___ _. .__.__—__..____...____..._._ .___-________ .._.._.________ .._...._.._.._.._. ___'____._...._..._._.._.._ ___'___.__—_ ...._.._..._ 'Stantlab�x IlsYng dor3 not requme a sepante 4sted OAGT. •'Primaryibackup Gs�ing raqNres use ot a GsteC OAGT. Communication Description Testing Canadian Standards Devlces Agency -__.____....__.._._._.__.._....__..__..—___ __..__..__._._.___.. ____ —_____—'.. .._...__._ —_ I1LC•5303-M91 ULG5304-06 11LC-5545-OZ ULC Subject ULGS559-04 Local Burgla� Central and Residential Fre C7023•74 Atarm Monitoring Station Warning Sysfem Household BurglarAlarm Bur Iar —__—__'_—.._—._..._'—_'__"'_'_'___"—"_'__"'_'_—'_—_—""__'_—_"....—._.—_..._—'__—'_—"___"_'_'__---'—__—'____'"—'__9'_'___...__—'—'__'_____-'_' iGSMVCN IntemeUGSM Celiular iGSMCN Communication Module cUWLC �/ � �/ � ✓ —_'—_-'__.._. .._..' _'__' UGSMCN OnN) _..._..._. .__"___-__—'_"'____'______ .._..."___—_'__.. . _ '_'—_'_'__'--_'___ _____._.._'_"'_"_'__—'_'__—_-'____ _ Agency Listings iGSMV-DC pending. SPECIFICATIONS Power •Transmission Power: •Input Operating Voltages: -850 MHz-1 Watt 10.5-14.3VDC or 9-16.5VAC, -1900 MHz-2 Watts transformer included Mechanical •Backup Battery: •Dimensions:S"H x 7.5"W x 1.86"D 6V 3.1A(24 hrs.standby) •Operating Temperature: •Current Requirements: -22°F to 140°F(-30°C to 60°C) -60mA standby •Humidity: -400mA during transmission 0%-90%non-condensing ORDERING iGSMCF Standalone Commerciai Fire Communications Kit iGSMCN Internet and Digital Cellular Communicator for Canada with Remote Services Capability iGSMV Internet and Digital Cellular Communicator iGSMV-EX Internet and Digital Cellular Communicator(Export) For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr. Suite 100 Hon���" P O. Box 9040 Melville, NY 11747 1.800.467.5875 vicsr�nwio August 2010 www.honeywell.com OO 2010 Honeywell International Inc. • � • � • ' • z , ,_, � / ��� ����f �-�'� � - y _ t� ! � i• ��-�� .( � �f1 F1 1 � �r' i T� i�t - � .� �„, �� �j ( � sa '_ � �' �"- �i�i���"i ' % �.: � r �i r����E s� e�= ,y��'� _ � � ��'` z�.'t _ z � =" �=-�-'"-�.tr ..,,.,. � �r „�� �,g'!��+I� . / �� ��M;,�!�;,a` •,,� �r e ..� �„���� ��,�,�g��@�e�� --. _ �,r����;,vi� _ Qf�� I0 pllTt: uta�FC�.��.1��0�@e��� ��--,� � � � , � � [� �'� �$I g� �p f 0 ` � - - � ,.� �� bi�rAf��� fO��I���I�if � ' 4 ��t.. � �� . �. _ � �,r ,�. � e�r�re�re��� �. s'��� "'' �� �'° � t�terere��aa re re�� r� �_ � ��: . ��,�_.�_ i rer�►te��i�'�@�r���re��e�+� . #.� , '. � ��� � � �- io�e� er�te �'� t� ��a�ere�er�re r���e@�x� � �;��--� -.�� . 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L-......._ . . • � �� � � • • • • � . � l � Communication Description Testing Commerciai Burglary Standards Devices Agency UL365 Police UL609 Local UL1610 UL1635 Level� Connected Burglar Alarm Central Station Digital Alarm Securii Burglar Alarm Systems Burglar Alarm Communications (Grade Commercial Commercial Commercial Comm� Burglar Burglar Burglar Burglai GSMCF GSM Cellular UUETL d � � � GSMV Communication Module (ETL Only) (UL Only) GSMHS Line Security Communicator UL c� a� � GSMVLP GSM Communication Module �� � for LYNX Plus GSMX GSM Cellular Communication UUETL � Module (ETL Only) ,, iGSMCF Internet/GSM Cellular � � iGSMV Communication Module UUETL � (ETL Only) � (UL Only) a VISTA-GSNI GSM Communication Module ETL �7 ef e! � for VISTA-21 iP Controi �810i� ��.� InterneUlntranetAlarm UUETL � � Receiver 7845i-ENT InterneUlntranet UL � cf r� � c! Communicator Module 7847i Internet Communication �� � � � � � Module � ,� : Internet Communication p > ` � �.: 7847i-L Module for LYNXR-ULYNXR-2 ETL os � a! b a! Control �� �� Commercial Fire Standards Residential Standards t Line NIST National UL864 Rev.9 UL864 Rev.9 UL864 Rev.8 Factory California UL1023 UL985 ty Institue of Standalone* Primary/ Mutual(FM) State Fire Household Household AA) Standards and Backup"* Commercial Marshall Burglar Alarm Fire ercial Technology Fire (CSFM} r � � � � (ETL Only) e� e� � � � � (ETL Only) (ETL Only) � � � � � � (ETL Only) (ETL Only) (UL Only) (UL Only) � r� e� � � � f � 6+ � � d t� � � V e� a/ � es V rf V ej e� a� ar � Commercial Fire Communications o�e el� -- --- - - � � r-- - _ _--_ _- - ��'�```�„�,�' � - -- - � _ ---_ .� � � . � � � �;� �' -.—. - _— — ' . . :�;s,+ � "_�.�"•—� , . [� �..r. , ' � - � , �' ,; " • ¢. t� i • � __� . �=.:: ,`— �. '� ,���!� -- �'�, ' ����� / a � _,,-. L j�.��'�!I� ,� r �� k.. � t: } � � S � I fd � �� I t - � �r F 31.,,`.°�. f"�i�"�.� _ � *T�M�` ,Y , '��'�k.�-�ry � ' '} v �_ ' ��� '�."��. .�� "- '`w<� a. _ "�' � 'y ` ��.i � �� r' ; � �. �� _" ��" _ _ �� ., ,. L��4.. -L;, � ' �— • .y _ '. I _ _�� �.+fJl. F IMPORTANT INFORMATION FOR AUTHORITIES HAVING JURISDiCTION Code Compliant Fire Solutions • Definitions 1JL365 - Police Station Conr�ected Burglar�►larm Uni'ts and Sysfems These requirements cover construction,perFormance and maintenance of police station connected burglar alarm units and systems for use in mercantile premises,mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a police station connected alarm system consists of protective circuits and devices,connected through a control apparatus to an enclosed tamper-protected sounding device mounted on an outside or inside wall of the building in which the protected properry is situated,and a constantly-manned police department.Intrusion into or disturbance of the units or wiring causes the sounding device to be actuated and a signal to be transmitted to the police department.The sounding device and signal to the police department continue to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing element that is preset for a definite operating period. UL609 - Standard for Safety�or Local Burglar Alarm Units and Systerv�s Thesa requirements cover construction,performance and maintenance of local burglar alarm units and systems for use in mercantile premises, mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a local alarm system consists of protective circuits and devices,connected through a control apparatus to an enclosed tamper-protected sounding device mounted on an outside wall of the building in which the protected property is situated.Intrusion into or disturbance of the units or wiring causes the sounding device to be actuated.The sounding device continues to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing element that is preset for a defnite operating period. UL864 - Control lJnits for dFirre Protecfive Signaling Systems These requirements cover electrical control units and accessories for fire-protective signaling systems to be employed in ordinary indoor locations. A control unit as covered by these requirements consists of a unit assembly of electrical parts having provision for the connection of power supply circuits routed through the control unit equipment by a prescribed scheme of circuiting.The circuits are extended to separate devices by which the operating part of the control unit are actuated for signals,and to separate and/or integral devices by which the signals are indicated so as to form a coordinated system combination for definite signaling services.An installation wiring diagram attached to the control unit,or referenced in the control unit marking,indicates the devices and circuits which are acceptable for connection to the control unit in the field. 1JL98� - Fiousehold �ire lNarning Syster� Unifs These requirements cover household fire warning system control units intended to be installed in accordance with the National Fire Alarm Code. A household fire warning system control unit consists of a unit assembly of electrical parts having provision for connection of power supply and initiating device circuits. Provision for connection of an indicating device circuit is also required unless an alarm sounding device is integral with the control unit. Additional terminals may be provided for the connection of supplementary devices,such as annunciators,remote switches and the like.A secondary supply,such as a battery,may be provided integral with the control unit or provision may be provided for its connection to the control unit. ULi023 - hlousehold Burglar�,larm System Units These requirements cover burglar alarm system units intended for use in residences to protect a complete multi-room residence,one room of a residence,or one opening or area in a residence. Household burglar alarm system units covered by these requirements consist of one or more unit assemblies of electrical components that are designed to detect the presence,movement,sound,or other activity of an intruder.Provisions are made for the connection of a power supply,remote control and signal circuits by a prescribed method of wiring. UL1690 - C�ntral ��ation �urglar �►larm llnits These requirements cover components of central station burglar alarm systems intended and specifically designated for burglary protection use at mercantile and 6anking premises,on mercantile safes,and on bank safes and vaults. The components covered by these requirements are intended for use in a burglar alarm system in which the operations of electrical protection circuits and devices are transmitted automatically to,recorded in,maintained and supervised from a central station that employs trained operators and alarm investigators who are in attendance at all times. UL1635 � �farrd�rol fo� Safiefy fo� �igita9 Al�rrv� Corns�au�nicator Sys�erira Uno�s These requirements cover digital alarm communicator system units for use in central station burglar alarm sysfems,proprietary burglar alarm systems,police station connect burglar alarm systems,residential burglar alarm systems,residential fire warning systems and home health care medical alert systems. As covered by these requirements,a digital alarm communicator system consists of a digital alarm communicator transmitter interconnected to or integral with:a)a central station burglar alarm control unit,b)a proprietary burglar alarm control unit,c)a police-station-connect burglar alarm control unit,d)a residential burglar alarm control unit,e)a residential fire warning control unit,or fl a home health care medical alert control unit.A need for off premises transmission will activate the digital alarm communicator transmitter that contacts a digital alarm communicator receiver located at a central station or residential monitoring station through the telephone company's switched network(dial system)and transmits a message identifying the change in condition at the protected premises or residence. UL-http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/index.htm ETL-http://www.intertek-etlsemko.com NIST-httpJ/www.nist.gov/ For more information: www.honeywell com/security/hsc Automation and Control Solutions Honeywell Security&Communications ��� ��� 2 Corporate Center Dr Suite 100 P O. Box 9040 Melville, NY 11747 UUSCOMLSIB/D August 2010 www.honeywelLcom OO 2010 Honeyv✓ell International Inc. � Fire Solutions that Meet Industry Standards...and Yours Honeywell is committed to delivering code-compliant Our versatile fire communications solutions provide a higher communications solutions that meet the demanding level of reliability than ever thanks to multi-technology signai requirements of commercial fire applications and Authorities delivery via the Internet and GSM. You can also eliminate Having Jurisdiction (AHJs). Our digital communicators meet the worries from communication failures caused by floods, NFPA72 and UL864 standards for fire communications storms, vandalism, accidents, maintenance problems or without the need for phone lines. They are built and backed lack of phone line availability. by the power and dependability of Honeywell and are the best defense against today's communications challenges. • GPRS (General Packet Radio Service)and SMS (Short Message Service) provide robust communications Secure,Versatile Monitoring pathways The demise of traditional POTS lines require alternative • Internet technology offers a fast, reliable transportation communications. Honeywell knows it's critical that signals method get through to the central monitoring station whether • Internet can be combined with GSM for a triple-path protected facilities are using regular landlines, cell phones solution or VoIP. Reliable Path of Protection No matter what technology you choose, all alarm signals are processed through Honeywell's AlarmNet network control center Supervised 24 hours a day, the AlarmNet control center sends your signal to the central station to protect businesses 365 days of the year. i - - -- - - -___ __ --------- --_...._..._.�---- -- -r----- --- - - - --- - ---- - - '� � _ � - � ` ' _ - � - - = � I � -- '��1 a.- I ! i���, ..i�,,k. � :r ��- �, I i � i `• _ .._ _j fi �`: ... From Facility... ...to AlarmNet ...to Central ...to Response Network Station Team - -- - - - - For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr Suite 100 P.O. Box 9040 �p���" Melville, NY 11747 ��s 1.800.467.5875 UGSMCFPF/D July 2010 www.honeywell.com c0 2010 Honeywell International Inc. � t�° � ..������. � �Fe,�e�c��t,�eceip�-��.5cat;c� . . � ��` , � �' � � :� 0 �' �s � Q' �iir�t�ei�EFF an sa•Je ff#f Receipt Informatian pa � � ` yment InFormation Receipt No 0416216 Date 08J2[1/2012 Total due: 450.00 Scar,rrt��aa Customer Information ��-�:���€�ca:lu;a�rr c�r.scar Cash 0.00 �;,�.�p���,_ Cu�No: 000000 -e s'� [� ,; De(ault Pay Method Name: Slanley Black&Decker qmount Pay Method Reference Number Address: �!� � Ciry: - � f State: Zip Code. - Change. 0.00 k��courrt i Cate9�Y � L7et�) � i_istay ( L -� Show detail for this account only � ' System Customer Lic./Pec No Type Amoimt Due Amount To Pay Description � � � � � � -M. '�� � � •a k+A) �+CJ ..�: t.. . �,�_� Needs to be in building department for permits � � �� � � ,�,, � ��� � � N . . �� ' � n �-� m ' � ' � � � � , �� �� � � � ���� �� � . r � ,�- ( Z Jac ueline Bo es ��' � ! To: Stacie Poppell Subject: correction to account for building permit Attachments: building permit.pdf Hey Stacie Need for you to please move money place in mis.Acct by utilities department.To building department money$450. Should have been paid towards building permits. See attachment per your request. Thank you may you just email me back letting me know that is has been done so that I may close my paper work. Jackie Boges Code Support Specialist ext. 3513 i H�t tiu��1i�.\� �►.S<>l��FIRti �t.;�Rn�sYS�H.�-95 72-`�:i FIRE ALARM SYSTEM RECORD OF COMPLETION ; To be completed by the system instaUation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION , Name of property:- � ;.''`'�-"i-�-=-j��° `-,--�t`-- �. s,f-le.L/Lt--l-�.:.. —- — -- -- -- -- — I Address:_ ; '�S 4�''`r (1�1 '�_�-1� r f.�_v ^ � � �� µ -�`�-� —��---��``N ..J,'�1-t !t L..• ��_:��--— i Description of property: i-t('' �A{,�� �.j+� � �_ _ Occupancy type: _ ___ __ ___ Name of propert,y representative: � �.N+ F i4-' f},�c� �!� Address: i Phone �! � -� �'b "'e'-(�.� C� Fax: E-mail: Authority having jurisdiction over this property:__}' �?�l3, C�� ,:_�I/1..� �'���_ ' Phone• --- Fax: --- --- --- --- E-mail: � 2. FIRE ALARM SYSTEM INSTALLATION,SERVICE,AND TESTING INFORMATION Installation contractor for this equipment: :%��f�-t"ti) l-�`_ ,�_Sr� � �,,�r'� �.�, / Address: � �u ( l� � '�-r i c. 1 f�V� %Ta v"`"����_l^L �'� -'�,,�5(y— .-, -. - Phone._�!� -.-_�{1' �`1'U� Fax. ---- --- —__ _ ___. E-mail: Service organizat.ion f'or this equipment. ; %�nJ C-r�.t ��r �� l:�� !L Address. `.�✓t�t �� /�`� � i rL�,!� i Phone. - -- — Fax:-- -- ---- E-mail. Location of as-built drawings: ___ ___ _ __ Location of historical test reports:_ Location of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of , Contracted testing company Address: Phone. Fax: E-mail -- -- — ---- Contract expires: Contract number• Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA �2 Chapter Reference of System Type•_Te;,� ;- � �'f=i L C"�i,��t__�__ �_�_��F p__�L� ` � Name of organization receiving alarm signals with phone numbers lif applicable)� Alarm: '' �,T(,� ,C� E-/i L[ �, , ' ,�_=��c- Phone: Supervisory:____ - n '� � - ,.z r� � _LN-=���`�-�---- ---- Phone:_ �_'f L���_5 T--- Trouble• r-=�< /��;:��r C:r�-t Phone: L',4.z� 1, S - -- - - r Entity to which alarms are retransmitted. '�r_r �. [pr�rv/ UNt �., Phone: Method of retransmission of alarms to that organization or location: OO 2007 National Fire Protection Association NFPA 72(p.1 of 5) FIGURE 4.5.2.1 Recorrl of Completion. 2007 Edition �{ ' 72—:i�! V:\17c)\:\L FIRE �I.;�RAi Ct)Ut: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If'Chapter 8,note the means of transmission f'rom the protected premises to the central station. U Digital alarm communicator U McCulloh !.� Multiplex '�-way radio ..i 1-way radio �i N/A If Chapter 9,note the type of connection. J Local energy J Shunt �T/A 3.1 System Software Operating system(executive)software revision level: Site-specific software revision date: Revision completed by: 4. SIGNA�ING LINE CIRCUITS Ch�rac�teristics of signaliiag line circuits connected to this system(see NFPA 72. Table 6.6.1): Quantity: Style� Class: 5. ALARM-INITIATING DEVICES AND CIRCUITS Clt¢racteristics of iititiating ctevice circuits corcnected to this system(see NFPA 72, Table 6.51 Quantity:_ ___ Style: Class: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations:_ Type of devices. J Addressable �I Conventional J Coded ❑ Transmitter J N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors. Type of caverage: �I Complete area � Partial area � Nonrequired partial area ❑ N/A Type of devices: .] Addressable � Conventional �l Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology U Ionization ❑ Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: J Addressable ::1 Conventional ::i Coded ❑ Transmitter Ll NJA Type of smoke detector sensing technology: L� Ionization ❑ Photoelectric 52.3 Heat Detectors Number of heat detectors. Type of coverage: G Complete area � Partial area � Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable � Conventional �I Coded ❑ Transmitter ❑ N/A 52.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices J Addressable � Conventional 0 Coded 0 Transmitter _1 N/A 52.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: U Enabled .�I Disabled J Set for seconds OO 2007 National Fire Protection Association NFPA�2(p.2 of 5) FTGURE 4.5.2.1 C.ontinued �.if 2007 Edition F� �u��tt.�l �►.5 c��'r'��zti �t_�izht ti�ti t H.�-i, 72-:t:� 6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switche�•_ ____ __ Type of'devices. J Addressable iJ Conventional J Coded � Transmitter J N!A 6.2 Fire Pump T,ype of fire pump. ..! Electric J Diesel Type of fire pump supervisory devices: J Addressable J Conventional J Coded J Transmitter J NJA Fire Pump Functions Supervised J Fire pump power J Fire pump running J Fire pump phase reversal J Selector switch not in auto ❑ Engine or control pane]trouble J Low fuel Other• 6.3 Engine-Driven Generator T,ype of generator supervisory devices: I� Addressable � Conventional iJ Coded _l Transmitter .� N/A 'J Engine or control panel trouble �1 Generator running U Selector switch not in auto � Low fuel Othe.r• 7. ANNUNCIATORS 7.1 Annunciator 1 � Local J Remote Type J Addressable U Directory J Graphic J N/A Location:_ _ _____ ____ __ _ _ 7.2 Annunciator 2 .� Local :� Remote Type: J Addressable iJ Directory �I Graphic � N/A Location:_ _ 7.3 Annunciator 3 � Local � Remote Type J Addressable L.i Directory ❑ Graphic ::I N/A Location. 8. ALARM NOTIFICATtON DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: _______—__ Number of speaker zones:— __ __ ___ .__ ____ __ 8.2 Telephone Jacks Number of telephone jacks installed: ._ Number of telephone handsets stored on site:— __ Type of telephone system installed: J Electrically powered U Sound powered J N/A 8.3 Nonvoice Audible System Charcrcteristics of noti.fi.cation de��ice crrcuits co�znected to this system(see NFPA 72, Table 6.51. Quantity _ Style:_ Class: OO 2007 Nationai Fire Protection Association NFPA 72(p.3 of 5) FIGURE 4.52.1 Continued 2007 Edition �# 72-:i�; V.111(1\.\i.FIRF::1[.;�RA1(:(?Ul•. 8. ALARM NOTIFICATION DEVICES AND CIRCUITS(continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: _ With visual device: Horns. With visual device: Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other tdescribe)• 9. EMERGENCY CONTROI.FUNCTIONS ACTIVATED J Hold-open door releasing devices J Smoke management or smoke control _l Door unlocking J Elevator recall =1 Other 10. SYSTEM POWER SUPP�Y 10.1 Primary Power Nominal voltage �f� V Amps ✓-u t�'��_ Overcurrent protection: Type �1����L. Amps %'c��r� Location tof primary supply panelboard)• Disconnecting means location. 10.2 Secondary Power Location: �P/'J F L Type: ��%'T � Nominal voltage:r�`�_ Current rating�P Number of standby batteries: 1 Amp hour rating: �A-,.�p Location of emergency generator• Location of fuel storage� Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. RECORD OF SYSTEM INSTALLATION Fill out after all instttllation is complete and wiring has been checked for opens,shorts,ground faults,and improper branching, but before conducting operational¢cceptance tests. The system has been installed in accordance with the following NFPA standards:lNote any or all that apply.J �NFPA 72 �NFPA 70,National Electrical Code,Article 760 U Manufacturer's published instructions U Other(please specify): ____ _ System clevi�xt}ons from referenced NFPA standards: __ _ �` -� / /� , Sig�ed: �,� �� �`-+'"'..�'t � Printed name:r�T��_�-(-��_ Date: �C>" Z.3 - I�___ tJ Organization._ Title: Phone: 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below,on the date shown below,and were found to be operating properly in accorda�ce with the requirements of• ,1��1VFPA 72 �y(�IFPA 70,Nationa,l Electrical Code,Article 760 U Manufacturer's published instructione J Other(please specifyl: J Docum,ent,�tion in accordance with Inspection and Testing Form(Figure 10 6.2.3)is attached � � Signed:- f � ` �'`!_ Printed name ��%�lVi� Date: ��J_ _�_�'_�__�_ Organization.— ____ __ Title: Phone: _—__ _ �O 2007 National Fire Protection Association NFPA 72(p.4 of 5) FIGURE 4.5.2.1 Continued 7im{ 2007 Edition hl \U\11F.\I ll SO}� FIRF: \I \1:�11 Sti51 l�,\7ti 72—'ii 13. CERTIFICATIONS ANO APPROVALS 13.1 System Installation Contractor Thi�avsteix�specified herein has been installed and tested according to all NFPA standards cited herein. Signed._��`� "_�" t�..� Printed name:�- ' �� � c� Date: ' � `j - ,�� Organizat�on. ,{7`f�,_N G� j/>�r1/c'�}-�_ Title. ?N�fi'`U� �G.�f-f Phone �/,-� i�- ���� 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. ,'i� - ^ , Signed. _ Printed name: Date. — � � �L Organization._�r=�/'�/�j,K.,.� � 'u � 1 Title. ��_��____ Phone• k��/'7 ';-�(/ " 3�v 6 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Si ed. Printed name•_ _ Date __f� � � --- — -- - --- --- — `-".Z--��.� - Organization. �P�!LF=� �-�;v f_�tr�_ Title. �_F�NT�'i.- .iT i4 i/ON Phone: � 7)-U?/� -C.�� � 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: _ ___ Printed name:__ _ Date: _ Organization.__ Title• Phone 13.5 Authority Having Jurisdiction I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance w' 'ts approved plans and specifications,its approved sequence of operations,and with all NFPA standards cite her in. /) � Signed.��._ `_/Rc----- Printed n,ame: �--����' (�1N' � , ����Date f���`� � r � i Q) ,7 Organization._� . � Title:��)�.���Y'-�--"��- Phone'�_Y� [ �� - �� �/ v'L�'�� S , r�,�`�j�.Ta J OO 2007 Nationai Fire Protection Association NFPA 72(p.5 of 5) FIGURE 4.5.2.1 Continued 2007 Edition � , _ CITY OF ZEPHYRHILLS 5335-81'H SIREET (sis)�$o-oozo 13284 FIRE ALARM SYSTEM PERMIT Permit Number: 13284 Address: 38135 MARKET SQUARE DR Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM 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: 1,050.00 Date Issued: 9/06/2012 Name: FLORIDA MEDICAL CLINIC Total Fees: 150.00 Address: 38135 MARKET SQUARE Amount Paid: 150.00 ZEPHYRHILLS, FL. 33540 Date Paid: 9/06/2012 Phone: 813 780-8440 Work Desc: INSTALL WIRELESS FIRE ALARM COMMUNICATOR TO MONITOR SYSTEM-note FIRE INSPECTION FEES 50.00 � "1 ; J ' �� l � I � / , �� _ �I. j 1 l (;..Y.�'K� . �t'l�i�'t'A '�jSt,l�� �`F�'�(70-e ma:j�. ��- � ma FIRE ELEVATOR RECALL Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts of fire prevention and protection related activities such as inspections,plan review,administrative fees,and other oosts 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 acrnrdance 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 FINAN N , CONSULT WITH YOUR LENDER OR AN O BEFORE RECORDING YOUR NOTICE OF COMM �-- TOR SIGNATURE PERMIT OFFICER - PERMIT EXPIRES IN 6 MONTHS WITIiOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT-813-780-0041 813-780-0020 Ciry of Zephyrhills Fire Fax-813-780-0021 _ Permit Application , Y ate Received �"7�'C Phone Contact for Permit $�3 s Z4 '3 Sli� �r, a ..� , �wner's Name �G 1�G IY,..i�j � ���V�;(; Owner's Phone Number �_� � � vvner'sAddress 30 �35 '�' �, h��f�' ��. S j�,2 ee Simple Titleholder Name Titleholder Phone Number �� C� � L�J ee Simple Titleholder Address - �: _. _ , , , ' ' �zs�a.e ..,�•. r. - �b Address �r 3 � / ^ (?'l g' u � 3 72 Lot# �� ' �J ub Division Parcel# ...��...,,.,,.,-�=..:»,...��-,., .�, �,. � - - - .. ..-a� ,...,,. � ,. ° ` ..- : .. . :rw��°..�.�.,.�.,*�s�,�..�� -a.:,�s,,,.�,�,,-;�.. a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent ` a 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 � LP/Naturel Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL ❑�y emi �n er ❑ 3��j, ( Sprinkler ❑ ❑ ❑ Recreational Bum �j �/ !' Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � O ❑ ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL /Q $G�0 v Valuation of Project Fuel Ta s QOther hS 'r Sr c rw. �, n� o an �e, �N _ _ - - �.__u - -�- -��aM _ s. � - , . �-#:�:.r.'.,�x, �. . .., _ ,- _ _• : . t.,-..�a;^�n�;�ms�.yr: - ' - r ontractor "`" �;.s_, .�.,«a���.a:�_. ,-, .��s=.�,...,_. .,�.s•=,a.� Company O �GMVt!' G fl So �t'c++ 1NC. ignature Registered N Fee C nt Y/N Address 56�a " , � ) c� p �(,� License# � pp �r'� LECTRICIAN Company ignature Registered Y/N Fee Current Y/N Address License# LUMBER Company �gnature Registered Y/N Fee Current Y/N Address License# ECHANICAL Company gnature Registered Y/N Fee Current Y/N Address License# fHER Company �nature Registered Y/N Fee Current Y/N Address License# �ections: 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 htt //a ( p: ppraiser.pascogov.com) HOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed�" restric4ior��" which may be more restrictive than County regulations. The undersigned assumes responsibility for compli�ance 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 misdemeanorlvif�lat�he under state law. tf the owner or intended contractor are uncertain as to what licensing requirements may app y intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Fu�thermore, 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 privifeges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, 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'SIOWNER'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 er�ors 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 WITH YO R'LENDER'O AN ATTORNEY EFORE RECORDING YOUR NOTICE F COMMENC MENT.�CONSULT FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirtned)before me this by by Who islare personally known to me or haslhave 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 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (813) 780-0044 25 July 2012 Plan Number 12-028 Project: Fire Alarm system modification for Florida Medical Clinic 38135 Market Square Drive, Zephyrhills. Number of Pages: 2 Pages Scope of Work,plus 18 pages of documentation for alarm components This Officer has reviewed the plan for the Fire Alarm system modification, installation of Fire Alarm Control Panel dialer, at Florida Medical Center, 38135 Market Square Drive Zephyrhills. Plans are approved as submitted with the following conditions: 1. All installation shall be performed by a Florida licensed Fire Alarm Contractor to NFPA 72 Standards. An identified contractor listed is listed on the permit application. Payment of permit fee indicates acceptance of the requirements of these review comments. Inspections Required: 1. Fire Alarm acceptance test required. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspection. Respectfully submitted on 25July 2012 by, /�� Keith A. Williams, EFO, CFO, CEMSO, MIFireE Fire Chief Fire Safety Inspector, #148104 - � � �����i�" ,��I������ 5610 West Sligh Av#104 Tampa, Fl. 33634 813-241-3 500 Job Location Florida Medical Clinic- Zephyrhills Bldg A 38135 Market Square Zephyrhills, Florida 33542 Work Description (Scone) Provide and install a new fire alarm dialer/communicator for the existing fire alarm control panel, to replace the existing digital alarm communicator (DACT). This Honeywell IGSMCF communicator will use the internet as a primary means of transmition to the Stanley monitoring center and the GSM long range radio as a secondary means. We will monitor general alarm, supervisory and trouble conditions from the existing fire alarm control panel. This will allow the customer to eliminate the existing analog phone lines currently in use. Sequence of Oneration Upon activation of an alarm condition at the fire alarm control panel, the communicator will transmit an alarm signal to the Stanley UL listed monitoring center, where the proper local fire department is notified immediately. Upon activation of a supervisory signal at the fire alarm control panel, the communicator will transmit a supervisory signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. Upon activation of a trouble signal at the fire alarm control panel, the communicator will transmit a trouble signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. ���TE�'�LAN(S)HAV7�BEEN�E�IEW� D te•Ep Z L Z�E�RSHAL'S OFFICE �aiew�r: ,,�--- --.,�.._ Jian 2512 01:29p FLORIDA MEDICAL CLINIC 813-780-8382. p,g _ � ,, , Seeurity Sofu�ions �'ontractRider This ag�eement betwcen Stanley Convergent Securiry$olutioas,Inc.("$CSS")and Florida iLfedica!Cli�i 7e hvrhillc R/� Agreement behveen the parties datad 1i25/Z011 the"A � g P A ("Customer"}suppfemcnts and amend.c the Contract � SnQ°j��� ��eria ibe fvcn�shtng oCserviee and equipment to the Cactamers premises at 38135 Mrnlc_r cqUare Tamnn F� 3�.L4�inirnding to be fegalEy 6ound,lbe paives further agree thah L.The initial term of the Agceement is heteby extended for a period ofsixty(60)monlhs frum t6c date hereof and shaIl thereafler automatically rcnew ac set forth in the Agrcement. 2_If additional scrvice and equipmcnt are to be fuinished io the Customer at said Iuernises,then only sLC�additional servicc aod cquipmeut shall be fumished aF]S described in ihe Tcrms and Conditians sct forth belmv(orin a separauly attachcd Tertns and AgreemenLc).[n such event Cuctomer agcees to pay to Scanley Coavergtnt Socurity Solutions,Inc_the installation charges indicarod below by paying an amount equal tn 50°/,of tiie totaL installation chazges At the time of siy►iog ehis q�aement aud by paying the amo�mt of the EALANC$DiJE upon completia¢i of thc instaLfation_Further,the CY�sloma agrees[o pay�o Sran3cy Convergent Sectuiey Solutians,luc.the amount of the additioaal Recutring Service Cbarge indicazcd below,in advance during tfie tertn of this AgreemenCOn the same periodiepaymeirt schedule as the oiher rccurring sercice chacges set fmt6 in the Agreemcnt. (a)Any additional secvice and eqvipment provided pursuant to[his Ridet shal]be y,ovcmed by rhepro�isions of thc Agreemeot,including without limitation tho}7ravision of SecBon 4 ("Liquida[ed Damages nnd SCSS Limiu ofLiability"). 3.To Ihe exteut the agreemertt is modiFicd othcr than as set forlh in Section 2 herco�such moditications,ifatry,will be set forlh in the Schedule of Sen�ice and Protec�en sccYion hereof. E ui merrt � . .. . . ... ..... .......... . _. �- -..�.. _.. ..�.._. . . _...., � ..- - - - - -._.�.._ _. . ._ • Felula�Sde Palh CeUularAlarm Cammunicator for Commercial Fre � '� "' -'" ""' `- . _...._ __... - - ----- _ ------_ _ --•----. ..----- ------ AD TG7FS . _.---- --. _-• ----------- __ __. ---- ----------- --------.__. ... ------------ ----- Services �...__._....._._.....__..._._.:�..,.w.__.--�:.____...�_..._._.._._-, •Communication Backup .,_._._.-�_.,-___,_ �.�....._,.,_......._.___.._�...�.....�._.�>..._....._..�.......,.._.._..._..�._...,.__...._.__.._._._.�._....._.,...<-�_....,w,._._...._..._._... _ .... -- �-------------�-----.._..- --- Special Instructions!Notes • - ------- ------ _-. ..._._..--.----.-.---,-- lnstall(1)TelGuard TG-7FS Cellular Communicaiion unit and oonnsct to existing Notifier Fire�Alarm Contro�panel for Sole w � Path communieation Work with FA installing coniractor(may be additional charge fo customer)for programming assistance Remove a11 existing phone lines and report to Rod Shelton at 813-618-0048 with the phone line nUmbers thaf are being removed ---- --�---- ------- -- --� --- ---� - .. ----------- --- ---- -- - Prici�g 8 Depasit Tertns ---- - - -_._.__..----- _. _. .._.. _ ......--- �-- --- ------ - --•------- - -- -- ----- - • ---- otal Fns[alEation Price ----------° -�----.._._...._.._ -- - - - -- �- S6 ,O50.00 Deposit(fnd-Eand) --�-------�-°- • -- - - -- ----- - - --� ---- --- ---- - . .. ----�-- ----- -- °----- - -�------- -----------..._. ._..._ . as ax(If Applicable) Balancs Dve Upon ComPletion ._._. - ------....._ ....-.- _.. ---- - . ._._ VSD 1 0 - ---- -- - ------_ -__.. .__ - - - - ---------------- ------ - , a.00 oc�ip�� - ___ -------- ------ --... _ . --._ ._ SD ,050_06 Toial Monthl Fee USD 40.00 -- - -- - - - - - y _ , _..---- -- - - — _' _ -- - - - --- �------ - ---- .. ._ _._ PaymentFreyuency Monthly in Advanee Tfie Agreement shal(remain in fvll torce and eKed in accordance with all the terms and condtiors thereaf,mod�ed only tn!he extent he�ein specifically provided ior.Said Agreement as so modified constilutes the entire agreement bahveen the partFes,which Agreement cannol be further modified exeept by anolher written agreement exeaited by the parties as herein sel forth. The Rider is not binding unless approved in writing by an Authorized Representative of SCSS_if such approval is not o6tained,SCSS only liability shall be 10 retum to Glrstomer ihe amount,if amr,paid 10 Stanfey Convergent Security SoluUons,tnc.upon Ihe sigoing of thts Rider by its Sewrity Represeniative. �' ���"� �� �D� Quotarion Reference: Q-OU301382 S..S c�uriCy Itcpr•sc utivc n•to c�,>«,»�. Page 1 of 1 CSS. uiLori� e r'� , livc �/�/� /`r��'ti � �2� Z P°� Daic Ca i�rc re Ticic Dsle rInromziuon asof3�7lIZ•AL.F2-8B8,[�-&47,11_�322,�Z_�27g��2_�q��q�abs���y,,�dc SccvitryBoani uiLiee�orq i956 Vaug}m Rd.,Muataomw,AL 36]i 6(334)2CrL9388:AZ ROC204975:AR E2QI0 UOl7, Regulated try Arkansas Ad of Pria�aie Tnv�sNgaiors and privace 5avRty Agcncies�HI S�a�Police Plan Dr•,LinFe Roek,AR?2204[50!)618-8600:CA 648019 G7,CIO;AC06055,Alarm tanpatry ope.ators ara licensed and rcSuLund ty die Aureau ol'Seruriry&7nvacGguve Secvice�ne.p�u{ConsumerAlL�'vs,Sacr�mcum,CA 95814:DF,pA-�58;F.LL-OCDI_FL EF20000d9c;�L41J4055tl6:R.727001y�4:LA FI162;Ftl',5;F127':MA 3519C:MD 107-1.17,Maryland Stace PoScq Licenvog Divivm,111 I Reis�emown Rd,Pikcc�il)q MD 2t2UN:MI S I0330C13601205T72:bW Y'Sp1238:MS 19207-SC IJ7'F�L-BE[,-000132 T�C25055-SP-G.VLV;2185fSA,Alazm Sys:ems Licensing Rd,4yDt Clemwood Avq St<2W,Ilaleisla NC z1612(919)78R-5320:NJ IU73485;659423;34BF000 L7ZOD:NV NV20pd149788Cr,F4pD;F4{)1;0p71024:NV 72000293169,Liceavod by�iYS Dep�afS�ra Olf 53_69•I512:OK 953FOR 161567:SC FAC3367;BACSS01:T.Y(]g0;1540;[448;]650;14G7;lA4G;C@-0 65528:1'KACR2639;ECRI621;B02140:(IT 5764f16q-65pi;V�2705-OS7235A,1]-54SI,Comr.ionwcalth of Vi.ginia, n n �. ��nno__�_c.__.a"`_"at.•�aa�o.n.•crswnrcn�cr.ra.�inir�anoio�rn � Honeyweli iGSMCF � Internet and Digital Ceilular =i� Communicators �-�� � iGSMV [�c -- '►!� ; SERVICE ` �. With Remote - � - � Services Capability '�: - - - - SERVICE Internet Connection `1— Honeywell is focused on providing the future of alarm Our GSM radio technology is unique in that it uses GPRS communication solutions for the security industry.Alternative service for data and alarm communications and automatically communication methods are critical in the marketplace due to switches to SMS for alarms if GPRS is unavailable.Through the UoIP,migration from POTS and growth of digitai radio networks. Internet or radio,the Internet and GSM Communicators offer full Honeyweil's Internet and GSM Communicators deliver secure, data reporting and uploading/downloading with most Honeywell reliable and complementary Internet and digital communications control panels.Plus,with zone inputs and optional dialer capture via the GSM(Global System for Mobile)network.Our exclusive, capability we're compatibie with other man�.ifacturers'control Triple-Path Communications solution combines Internet service panels as well. with GSM for added reliability and an extra level of security, All signals are delivered to Honeywell's AlarmNet Network offering substantial benefits to protect your investment by future- Control Center,which routes the information to the appropriate proofing your recurring revenue. central station.The state of the art AlarmNet Network Control Center is fully redundant and monitored 24/7.AlarmNet has the ability to route messages using AlarmNet-i and 800 PLUS services, FEATURES providing true redundancy and multi-path message delivery. • Universal Control Panel Compatibility—Flexible modes •Triple-Path Technology—Provides three paths of of operation allow ECP alarm reporting by Honeywell control communication using Internet, GPRS(General Packet Radio panels,4204 relay mode for Honeywell controls(that do not Service),and SMS(Short Message Service). Uses Internet support ECP alarm reporting)and zone triggering for use as primary with dual GSM technology as back-up.GSM with other control panels. path utilizes GPRS and automatically switches to SMS if • Dialer Capture Ready—Compatible with Dialer Capture GPRS is unavailable. Intelligence Device DCID(for LYN�or DCID-DCf other . ( Upload/Download—With select Honeywell control panels control panels). Captures Contact ID messages from the using Internet and optionally GPRS. Req�aires Compass panel's phone line and sends them to the centrai station version 1.5 8.54a or higher. via the GSM radio. • Dynamic Signaling with Certain Honeywell Control Paneis •Six Input Zones—Each zone can be configured for+V, —Provides management of control panel dialer and digital -V, or EOLR triggering.Each zone can be programmed for cellular communicator. Programmable priority and delays inverted operation,delayed reporting and restoral reporting, determine signal path. Zone 1 can distinguish between pulsed and steady inputs. •Diagnostic LEDs—Provide signal strength and status • Fuli Contact ID or ADEMCO High-Speed Reporting— indications. ECP mode with compatible Honeywell control panels •(�OS—Quality of Service diagnostics via AlarmNet supply vital support fulf Contact ID reporting.All other modes use information including when message was received,battery ADEMCO High-Speed reporting format. voltage,input voltage,signal strength,ancl message path. •Tamper Protected Enclosure—Built-in tamper sends a •Web-Based Pro rammin report when a tamper condition is detected and a restore g J—Allows complete interactive programming from AlarmNet Direct. when cleared. https://services.alarmnet.com/AlarmnetDirect • Built-In Power Supply—On board charging circuit design •Intelligent Supervision—Any message generated serves as accommodates back-up battery. Includes primary power a supervision message per optional 24 hour or 30 day intervals. and battery supervision. This feature effectively limits required messages to be sent. • Back-Up Battery—6V 3.1 Ah supplied to deliver up to •Remote Services Capability�—Optional Total Connect 24 hours of standby operation. value-added web-based or SMS system control as well as •256-bit AES Encryption—Advanced Encryption Standard e-mail notification of system events. used for secure communications. •Two-Way Voice Transport—GSM voice channel capable to allow two-way voice session in conjunction with an audio verification system(iGSM�. 'Service subscription requirE:d. Internet and Digital Cellular Communicators ACCESSORIES 7720P Programmer K14139 Battery 1332 DCID DCID-EXT Transformer Dialer Capture Dialer Capture (1332CN for Intelligence Device Intelligence Device Canada) (For non-ECP LYNX controls) (For non-ECP capable control panels) i=---- i L�% ',I ' I✓#M4 ,y� �-----. - - ——I L r. , d � : _- ' 'r_ c? ..r• r�. •-'•>� i!� ===1 i.�=_��,.:_,: ,.= �_ �, � -- -- ��� ; Communication Description Testing Commercial Standards Devices Agency Residential SWndards UL 365 Police UL 609 Local UL 1fi10 UL 1635 NIST National UL 964 Hev.9 UL 864 pev.9 Cali(ornia UL 7023 UL 9B5 Connected BurglarAlarm Central Slation Digital Alarm Ins6tute oi Standalona• Primary/ State Fira Household Household OurglarAlarm Systems BurglarAlartn CommuNcaflons Standardsand Backup" Marshal BurglarAlarm Fre Commercial Cammercial Commercial Technology (CSFM� Burglar Burglar Burglar _.._. .._._..__._ ___.._._ ._.____.____.. ____.._.___..____"__'__'__'_"_" - '_'__'__ .__._._.._ .._._.___ iGSMV IntemeVGSM Celluiar ✓ ,/ ,/ � � � � � � ✓ - iGSMCF Communication Module UUE7L (ETL Only) (UL Only) (EfL Only) (ETL Onl 1� (UL Only) (UL Onl� ____'_______-_'_____"__'...__.._'_'__'__ -._..__. .__. _...__.._..___ '_"'___'-'_" '__".__._..'_____'__'_"__.__...._.._' - anaaone isun eoesnot.e "-"-----" '-- ""__..__.__.___...__- '__ a a�o-�a:.pna��r:awona. ._..--------... "PrimaryhacWp 451ing resryires use o(a Os�e4 OALi. Communication Description 7esting CanadianStandards DevlCes A enc _..._....____.____. _.'._._.____.-__.____.___.________.______. '_'_y_'_ '_... ULG5303-M91 ULC-5304-06 ULGS545-02 ULC Su6ject ULFS559-04 LacalBurglar Centraland pesidentialFre C1o23-74 Alarm Monitoring Sfation wa.ntna sntem Hausehold ___-__ __..______._.______.-.____.___.___.__._.-___.____ _...._"__"_" ' urglarAlarm 6urglar .._.__....______'__'__'__._..._'_''___""_ iGSMVCN IntemeVGSM Cellular � ��� iGSMCN �mmunicationModule cUWLG �/ � � —____'__._. ..__"_ _ ✓ ✓ _ -_.. ._._._.._______'_____'__'_____'...___ AgencyListings --- --- --- resnncNO�y� iGSMV-IX pending. SPECIFICATIONS Power •Transmission Power: •Input Operating Voltages: -850 MHz-1 Watt 10.5-14.3VDC or 9-16.5VAC, -1900 MHz-2 Watts transformer included Mechanical •Backup Battery: •Dimensions:8"H x 7.5"W x 1.86"D 6V 3.1A(24 hrs.standby) •pperating Temperature: •Current Requirements: -22°F to 140°F(-30°C to 60°C) -60mA standby •Humidity: -400mA during transmission 0%-90%non-condensing ORDERING iGSMCF Standalone Commercial Fire Communications Kit iGSMCN Internet and Digital Ceilular Communicator for Canada with Remote Services Capability iGSMV Internet and Digital Cellular Communicator iGSMV EX Internet and Digital Cellular Communicator(Export) For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr. Suite 100 Honeywe" P.O. Box 9040 Melville, NY 11747 1.800.467.5875 LIIGSMVD/D www.hone August 2010 ywell.com m 2010 Honeywell International Inc. • � • � • � • ",_ �`. .� - x _� � ��� �� !' ,d �r� � ��' 1"'` � f r a�,_, �; ftts� ✓ �` � �{ ? � _ � ` .il ` i1S � ,� ,�� .,,_-1 ," ..!'- " � ��(�7��fft j_ � ;� .'-���� � ..� 1 ; �jifliCi , C.x ✓f�� ����1,� A� /� �y f'�[1 A���f�� � � _ � � � ' ��� .. . `' ��� � ��}I+��` °;'�-�r e r ;- `�� ;.. !� � ri �rr� 6 ■ , � .� r�� ,..r- � �p�.� � �� �� e�r@�e@ -` .� � �'� �E��r r�i�,€�[ -�."..r- -�' � � nn�''� U�;FF�������e re r �d,. ��: ;:, r.�� , .,. �� t'"[.�- e;��g I O r ef�@ f ` �,�J,._�:. rer a re �� � � � '°'� � � �� ��e.r�► a r e���Q�r r��� _ � , ,, r� ��tere��� re�'��e� _�", � �. " �`� rat. te�t�ra �eter���c � � ��;� �,��ti, ' , ' , � , � �� ' ' ��- 10I0�9[8t0�Q����i�j�T�a' _ i _ •.��ry. � � x f � , 1B19I0[�t�i0� i .� . ' � ,.�� : � � � �� t �a�ste�eterer��re re xF ��, . � � �� ������ ��: t*'`� ����' 9 0I9[di0'ie ie�X@,c,t�i 0�� i "�r` _ '"�;:;, 16tpT�9t0�0�'0ik�t0r ` ' � _,x�._. _ � ta�atim�oce�etere' .��, : - :a - ,�.+; l`.� - t\d9titil9t0r0�01�� __� • . '3 �., ���`��� -�-..�--`-� � I�10�9�0�0t� , - ; �' , ; - : , � .�.w._ '" 6�BC�[0t0t� ,, �i - _ ';;,1 \4�fl�9r6t0 , � " ,', _ _ ,, _.. \�\Q�O��tO� . .. -- �. ...-- ...- f' ^t ' ,` . \�\�\��9�OtE� � : �:. _ f � � i_ �� � r�'i , `10��0`\0�[�8t'��. �, - ..._' � ,,.. ..,_r ���� _ _ �-,,..,'-` ��a� �. � �YO��]\�� -- ` " ,A\ tOZQE�� -� - y ..- _ �',�` �� �1`1����� " � � ,__.,_�':� � � ' 'mt:' �'x" °� :�_ �� � �. , - _ , _ .. F;. � - `,� ��T��i; 'ti�;�t _ - �= �� � '� a �L �� » �,.:',� �F"--`- - . A -_ -� _ , M17k 5 _ � �� � ��, .s . . . -_ � ,,, , , �� . . : _ , , 1 ., , .. __� -'�'nrr, _ .� . - . _ _ ,�� � � .., R :� .- . -.�. �,{r �,{.- �^ F.•-'_ ,�,v+:.��.�. �.,��. � � 'k k 4ti � �- . � - � �: . • • .���r'.' Y � � :: ,; . . t _ '!!"'-� . .�,,,-�,,,,__. §i = � .�.../'��'� .. t`'_ '�.v.i,•��+..�r,.}+� _ .��'�-,�"�. �' ��'t"�'T �k:,_ - ' �:C � +� �i:.. - . ,� • � �� � � � � • • I � ' ■ ' � Communication Description Testing Commercial Burglary Standards Devices Agency UL365 Police UL609 Local UL1610 UL1635 Level� Connected Burglar Alarm Central Station Digital Alarm Securil Burglar Alarm Systems Burglar Alarm Communications (Grade Commercial Commercial Commercial Comm� Burglar Burglar Burglar Burglai GSMCF' GSM Cellular UUETL es � e/ e� GSMV Communication Module (ETL Only) (UL Oniy) GSMHS Line Security Communicator UL d � � GSMVLP GSM Communication Module �� � for LYNX Pius GSMX GSM Cellular Communication UUETL � Module (ETL Only) ' , iGSMCF InterneVGSM Cellular � � `�; iGSMV Communication Module UUETL � (ETL Only) � (UL Only) +` VISTA-GSM GSM Communication Module ETL a� � e� � for VISTA-21 iP Control 78101R-EN� InterneVlntranet Alarm UUETL � � Receiver 7845i-EfV7 InterneUlntranet UL t� rl c� e� eJ Communicator Module 78471 Internet Communication ETL V o/ e/ ar al Module � a , � Internet Communication / / / s �r,'�.,` 78471-L Module for LYNXR-I/LYNXR-2 ETL e/ e/ a7 s� a/ Control . ',r -. . �� �� Commercial Fire Standards Residential Standards I Line NIST National UL864 Rev.9 UL864 Rev.9 UL864 Rev.8 Factory California UL1023 UL985 ty Institue of Standalone* Primary/ Mutual(FM) State Fire Household Household AA) Standards and Backup** Commercial Marshall Burglar Alarm Fire ercial Technology Fire (CSFM) r � � � � (ETL Only) � � � � � � (ETL Only) (ETL Only) � (ET Only) (ET Only) � (U O ly) (U O ly) � � � � � � t� c� d c� d t� � e� e� e� a� a� e� � a� � e� e� ✓ � Commercial Fire Communications 0�1��I11�11 r-- -- -- --- - - - _ _e�*=-. _ ���`'` �"k �, - ---� —- - - - ,� --— ��-- �- � . � � � C? 2^"_.._. ".� � �y .�� 'j. i� _ -� "� � ��, f . �, - --- � , �F � �� � ' . e. , � �.1'�'«.'Y'° t .�' y� . � � ; � ���.`g'. , f' -- � �i'��. � � - ;�'i'�, „, j�.��'�ii � {. 7: � � � � � t � , � ;b. Y ' � � .m.,�i. ' s...4'`+,.`,.';;'� - �°*�,, +� � . m ,,,, � '� : ' ^� ��� M �� r" �� ��`'� �'_ ' ��, , � � w f� . -'- _� � �'� , j a . �• �� .- #'� . i�'� � � a.��;. � -'� ��4' �y� • iI � - _ � �� ,•�' IMPORTANT INFORMATION FOR AUTHORITIES HAVING JURISDICTION Code Compliant Fire Solutions Definitions 11L365 - t�olice Stafion Conr�ected Burglar Alarrrr� llni�s and Systems These requirements cover construction,performance and maintenance of police station connected burglar alarm units and systems for use in mercantile premises,mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a police station connected alarm system consists of protective circuits and devices,connected through a control apparatus to an enclosed tamper-protected sounding device mounted on an outside or inside wall of the building in which the protected properry is situated,and a constantly-manned police department.Intrusion into or disturbance of the units or wiring causes the sounding device to be actuated and a signal to be transmitted to the police department.The sounding device and signal to the police department continue to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing element that is preset for a definite operating period. UL609 - Standard for Safety for Local Burglar Alarm lJnits and Systerrns These requirements cover construction,performance and maintenance of local burglar alarm units and systems for use in mercantile premises, mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a local alarm system consists of protective circuits and devices,connected through a control apparatus to an enclosed tamper-protected sounding device mounted on an outside wall of the building in which the protected properry is situated.Intrusion into or disturbance of the units or wiring causes the sounding device to be actuated.The sounding device continues to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing element that is preset for a definite operating period. UL864 - Control lJnifs for Fire Protective Signaling Systems These requirements cover electrical control units and accessories for fire-protective signaling systems to be employed in ordinary indoor locations. A control unit as covered by these requirements consists of a unit assembly of electrical parts having provision for the connection of power supply circuits routed through the control unit equipment by a prescribed scheme of circuiting.The circuits are extended to separate devices k�y which the operating part of the control unit are actuated for signals,and to separate and/or integral devices by which the signals are indicated so as to form a coordinated system combination for definite signaling services.An installation wiring diagram attached to the control unit,or referenced in the control unit marking,indicates the devices and circuits which are acceptable for connection to the control unit in the field. 1JL985 � Hotasehold Fire Wa�^ning Systern llnifs These requirements cover household fire warning system control units intended to be installed in accordance with the National Fire Alarm Code. A household fire warning system control unit consists of a unit assembly of electrical parts having provision for connection of power supply and initiating device circuits. Provision for connection of an indicating device circuit is also required unless an alarrn sounding device is integral with the control unit. Additional terminals may be provided for the connection of supplementary devices,such as annunciators,remote switches and the like.A secondary supply,such as a battery,may be provided integral with the control unit or provision may be provided for its connection to the control unit. UL1023 - Household Burglar Alarm System Units These requirements cover burglar alarm system units intended for use in residences to protect a complete multi-room residence,one room of a residence,or one opening or area in a residence. Household burglar alarm system units covered by these requirements consist of one or more unit assemblies of electrical components that are designed to detect the presence,movement,sound,or other activity of an intruder.Provisions are made for the connection of a power supply, remote control and signal circuits by a prescribed method of wiring. UL9690 � C�ntral S$ation �urglar l�larm LDnits These requirements cover components of central station burglar alarm systems intended and specifically designated for burglary protection use at mercantile and banking premises,on mercantile safes,and on bank safes and vaults. The components covered by these requirements are intended for use in a burglar alarm system in which the operations of electrical protection circuits and devices are transmitted automatically to,recorded in,maintained and supervised from a central station that employs trainecl operators and alarm investigators who are in attendance at all times. UL1635 � S�andarrd forr Saf�ty forr �igifal �larrn Cornrn�anicator Sys�err� Units These requirements cover digital alarm communicator system units for use in central station burglar alarm systems,proprietary burglar alarm systems,police station connect burglar alarm systems,residential burglar alarm systems,residential fire warning systems and home health care medical alert systems. As covered by these requirements,a digital alarm communicator system consists of a digital alarm communicator transmitter interconnected to or integral with:a)a central station burglar alarm control unit,b)a proprietary burglar alarm control unit,c)a police-station-connect burglar alarm control unit,d)a residential burglar alarm control unit,e)a residential fire warning control unit,or�a home health care medical alert control unit.A need for off premises transmission will activate the digital alarm communicator transmitter that contacts a digital alarm communicator receiver located at a central station or residential monitoring station through the telephone company's switched network(dial system)and transmits a message identifying the change in condition at the protected premises or residence. UL-http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/index.htm ETL-http://www.intertek-etlsemko.com NIST-http://www.nist.gov/ For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications ��� ��� 2 Corporate Center Dr. Suite 100 P.O. Box 9040 Melville, NY 11747 WSCOMLSiB/D August 2010 www.honeywelLcom O 2010 Honeywell Intemational Inc. Fire Solutions that Meet Inclustry Stanclards...and Yours Honeywell is committed to delivering code-compliant Our versatile fire communications solutions provide a higher communications solutions that meet the demanding level of reliability than ever thanks to multi-technology signal requirements of commercial fire applications and Authorities delivery via the Internet and GSM. You can also eliminate Having Jurisdiction (AHJs). Our digital communicators meet the worries from communication failures caused by floods, NFPA72 and UL864 standards for fire communications storms, vandalism, accidents, maintenance problems or without the need for phone lines. They are built and backed lack of phone line availability. by the power and dependability of Honeywell and are the best defense against today's communications challenges. • GPRS(General Packet Radio Servic;e) and SMS (Short Message Service) provide robust communications Secure, Versatile Monitoring pathways The demise of traditional POTS lines require alternative • �nternet technology offers a fast, reliable transportation communications. Honeywell knows it's critical that signals method get through to the central monitoring station whether • Internet can be combined with GSM for a triple-path protected facilities are using regular landlines, cell phones solution or VoIP. Reliable Path of Protection No matter what technology you choose, all alarm signals are processed through Honeywell's AlarmNet network control center. Supervised 24 hours a day, the AlarmNet control center sends your signal to the centrai station to protect businesses 365 days of the year. � -- - -_ - -- --- --- ----___ ____..__...._._.._. -- - _-_-- - - - - - -- -- -- - _ . .__ --- � . � :.. , - i I i �, � -- 'i� �; I ' f-�L� .�€gx,� 'r _ �.I i � . � I� " ' � �- -- �- --- ----- ----- � � �.�, -— _ -- -- - - ---- —! _---�--------------- - ----------- --—---- ` � -- -------------------- From Facility... ...to AlarmNet ...to Central ...to Response Network Station Team For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr. Suite 100 PO Box 9040 �p�a�-,�" Melville, NY 11747 �� �� 1.800.467.5875 UGSMCFPF/D July 2010 www.honeywell.com OO 2010 Honeywell International Inc. . ZE��9YRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Wiliiams Bus ($13)780-0041 Fax {g13)780-0044 FIRE SERVICE USER FEES Occupancy No.: � Plan No.: � Contrador: - � ��' ' �F�' Gw :�P-c,v12� J��`� Business Name: � a,c,i �- - !c � Billing Address: d S � � � �l�Y Business Address:, l3 n-� ���P g�J,c� 3,3 6��'y/ Business Phone No.: Billing�Shone No.: �/3��4</-3S�� a Business Fax o.: Billing Fax No.: . Contact: �� c� - Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Site Plan NIC Annual N/C Sprinlder t5p tst Alartn �/C MuNi-Family/Commarcial .O6 s( 1 st Re-inspection N!C Standpipes S50 Znd Alamt N!C (Minimum Charge s25.00 2nd Re-k�spedion 5100 Flre Pump a50 3rd Al�m N/C �Plan Revislons DBL 3rd Re-Y�spection 5250 oods S50 Mh Alarm 5100 4th Re-Inspection s500 Flro Alarm S50 Sfh Alerm 5150 SPRINKLER SYSTEMS (Buslt�ess cbsed unal LP(3as SSp 6th qlaum sZpp B0-25 Heads S50 vlolatlor�s correded) N�txal Gas S50 woN co�uarce � 5150 26 plus Heads 3100 SPRWKLER SYSTEMS Fuel Tanks- perhnt j,ip STANDPIPE SYSTEM Hydro Undergrounds 345 Sparklers :tpp � Per Riser 350 Hydrostatb Test S65 par syswn Firo Wdics ta00 FIRE PUMP Acceptar�Test 545 oarsysmm Camp pke s25 � Per Pump E100 Hydrar�t Flow S75 CotdroNed gum s1 pp FIRE ALARM SYSTEM Hood/Duct s50 0-25 Devices s50 FIRE ALARM SYSTEM Place o(Assembly s50 �nnwi 26 plus Devices 5100 �System Acc�ptance S50 Fine Prdection S25 SUPPRESSION SYSTEMS Recall A�lance s50 Ft�rtaneble qpplk�Uon SSp �,,,,,,a Wet S50 OTHER yy�e 7�g�p� �,rp ti„�„� Dry Sso ��.w.ius�w.n St 5 �W,u Generetor<KW i100 CO2 S50 LP Gas SZS p„w�c Ger�eraM�>3p Kyy 15p Other i50 NatUral Gas s25 v«qRt«n Bio-HaZeM Waate s100 /►nnw� KITCHEN EXHAUST Fumipeiion Tenting s50 �Hood/bucts s50 Tent 10'xt0'a qroata s15 p.r�t Toroh Pof/AppNed jS0 OTHER Fke Pump S45 Hat.Matdiela 5100 ti,nw� LP Inetallation per lank S50 Fife Suppfesslon =30 Fuel Tank Installstion 350 System Accept�nce (Per Tank) i50 E�aust Hood/puct �3p �Platurol Gas Indallatian :50 RNns�bn DBL {Per System) (otherthan annuel) �Spray Booth S50 �Inspeclfon scheduled DBL 8 and cancelled leas than • 24 houre ConstnJdion Insp. N/C Emergency Vehlcle Aa S50 FALSE ALARM — --- -- - PLANS TOTAL� iiiiS�CT1ON TO�AL PERMR TOTAL � r � TOTAL C�--� (3RAND TOTAL Comments: --[]atE• //iG� /_��� I nsq,�ctor: �� �� T r� �u,��iN:�r��.�c�r�r�ixr. �i�vzn�5���E.�iti 72-`t:, 6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinklel'System Number of valve supervisory s��itche�.__ _ _ __ _ __ Type of'de��ices. J Addressable 'tl Conventional J Coded J Transmitter J N/A 6.2 Fire Pump Type of fire pump J Electric J Diesel Type of'fire pump supervisory devices: J Addressable �i Conventional J Coded J Transmitter J N/A Fire Yump Functions Supervised J Fire pump power J Fire pump running J Fire pump phase reversal J Selector switch not in auto ❑ Engine or control panel trouble � Low fuel Qthet�: 6.3 Engine-Driven Generator Type of generator supervisory devices: J Addressable J Conventional U Coded > Transmitter J N/A U Engine or control panel trouble � Generator running U Selector switch not in auto � Low fuel Other• __ 7. ANNUNCIATORS 7.1 Annunciator 1 � Local � Remote Type• _1 Addressable i.J Directory �J Graphic J N/A Location: 7.2 Annuneiator 2 � I.ocal � Remote Type: J Addressable ❑ Directory U Graphic ,.! NlA Location:__ 7.3 Annunciator 3 � Local ..1 Remote Type: J Addressable U Directory '�! Graphic ..1 N/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels. Number of multiple voice alarm channels. Number of speakers: Number of speaker zones. 8.2 Telephone Jacks Number nf telephone jacks installed. Number of telephane handsets stored on site• TS�pe of telephone system installed: J Electrically powered � Sound powered J NIA 8.3 Nonvoice Audible System Characterastics of notrfica.tion device circuats connected to this system(see NFPA 72, Table 6..51: (�luantity Style: Class: OO 2007 National Fire Protection Association NFPA 72(p.3 of 5) FIGURE 4.5.2.1 Coutinued 2007 Edition `.� 72-:;�; �:��u>�.�i FIRF. �I.1RA1(:(>UF. 8. ALARM NOTIFICATION DEVICES AND CIRCUITS(continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed $ells: With visual device: Horns: With visual device: Chimes• With visual device: Bells: With visual device: Visual devices without audible devices: Other tdescribe)' 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED J Hold-open door releasing devices J Smoke management or smoke control J Door unlocking 7 Elevator recall > Other 10. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage �((_)�( Amps =�P U r' Overcurrent protection: Type ���f�I�f I1 Amps �=T-�"p Location(of primary supply panelboard): Disconnecting means location: 10.2 Secondary Power Location: ��"� � � Type: ���'rr � Nominalvoltage ��—�!r� Cizrrentrating:_��,� Number of standby batteries: ( Amp hour rating: �� Location of emergency generator• Location of fuel storage. -- Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: 11. RECORD OF SYSTEM INSTA�LATION Fill out after all installation is complete and u;iring has been checked for opens,shorts,ground faults,and improper branching,but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards:(Note any or all that apply.> ,�.NFPA 72 �NFPA 70,National Eleetri.eal Code,Artiele 760 U Manufacturer's published instructions J Other(please specify): System deviations from referenced NFPA standards:_ -- �� f 9 �' f CJ -,.� =�^r gig�:�� Printed name._L_�� C� h C �'L Date. � 2- �._.- � Q Organization: Title: Phone• 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below,on the date shown below,and were found to be operating properly in accordance with the requirements of. �,NFPA 72 '2f-NFPA 70,National Electrical Code,Article 760 U Manufacturer's published instructions J Other(please specify): �, Documen�-ation in accordance with Inspection and Testing Form(Figure 1Q 6.2.3)is attached � � i �, /� Signed. —l�=�� Printed name: /'�-�-?-'w ��-" C L�—_ Date• —�G�' �- �� /�_ - Organization:— Title: Phone• OO 2007 National Fire Protection Association NFPA 72(p 4 of 5) FIGURE 4.5.2.1 Continued ,`.°� 2007 Edition 72-:;�1 V,1I1(1ti:11.P�IKE::�I.;1R�1(;<)[)ti 3. TYPE OF FIRE A�ARM SYSTEM OR SERVICE (continued) If Chapter 8,note the means of transmission from the protected premises to the central station. I..I Digital alarm communicator U McCulloh U Multiplex �2-way radio J 1-way radio U NJA If Chapter 9,note the type of connection J Local energy U Shunt �NJA 3.1 System Software Operating system�executive)software revision level: Site-specific sof'tware revision date: Revision completed by: 4. SIGNALING LINE CIRCUITS Chara�teristies of sig�znling line eireuits eonnected tn this system(see NFPA 72, Table 6.6.1j: Quantity: Style• Class: 5. ALARM-INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system{see NFPA 72, Table 6.51: Quantity:_____ _ Style: Class: _.— 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations._ ____ _. Type of devices: J Addressable � Conventional � Coded ❑ Transmitter « N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors.. Type of coverage: CI Complete area � Partial area � Nonrequired partial area ❑ N/A Type of devices: � Addressable ❑ Conventional � Coded ❑ Transmitter � N/A Type of smoke detector sensing technalogy U Ionization D Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: .] Addressable U Conventional :J Coded U Transmitter ..l N!A Type of smoke detector sensing technology U Ionization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors. Type of coverage: ❑ Complete area � Partial area � Nonrequired partial area ❑ N/A Type of devices: � Addressable J Conventional J Coded U Transmitter U N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices J Addressable �> Conventional U Coded D Transmitter J N/A 5.2.5 Alarm Verifieation Number of devices subject to alarm verification. Alarm verification on this system is: U Enabled J Disabled :] Set for seconds �2007 National Fire Protection Association NFPA 72(p.2 of 5) FIGURE 4.5.2.1 Continued `.:,,� 2007 Edition Et tiu�stF�� �t�c��'H'tizt�. �t_�it��5ti'ti�r.t�� 72-'t7 I 13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor ThiS s��stem as�pecified herein has been installed and tested according to all NFPA standards cited herein. ,,,---"; -' - / r/ r i S�ned: - W� /� l�--..�-^- Printed name: '� r �:- � f •.� r � Date /C� =� " ,��-- .-, • .-T- �'.' o Orgamzation. �-r�v�/_'c_i .5�;•-�.,��-� TltlE': JU�j'I@CL 7/"; N Phone• � /��= yr- 3so 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed._ _ Printed name: Date Organization. ,1<�L'✓<<f__�_._��.:.c..�.,��,r�—_ Title• 5%'_v�4.�.__�::__�Z__ Phone• �(�; `��i�' j�v 13.3 Central Station This system as specified herein will be monitored according to all NFPA standards cited herein. Signed.__ _ ___—___ ______ Printed name: Date:__ Organization.�„F N t i_ �f�,-•_:�� � Title. �'�= „vr�'i4t Si/`�i/dN Phone: �^77 �7�0 �7t9 0 13.4 Property Representative I accept thie system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: _ Printed name: Date: ___ OTganization: ___ Title: Phone 13.5 Authority Having Jurisdiction 1 have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance i its approved plans and specifications,its approved sequence of operations,and with all NFPA standard�ci d erei . � t 1 � ,,� � / < <1 Signed:( � ��— Printed nar�e• t( � '� �� ' � �� Dat.. �'�l � .�' r- ,- �,,� 7 Organization. CS ~ Title.�� ���'-� Phone:� 1 / 2,� �`f��flt�� ��,,s� ����i��� ��`�' �� � `� `l� �~ �1 ,� OO 2007 National Fire Protection Associatio� NFPA 72(p.5 ot 5) FIGURE 4.5.2.1 Continued 2007 Edition ,`�.,� H t `t�,��t�:�r at.�c>� H'iKti. �t ��tni sti�51 H:�i� 72—:i:i FIRE ALARM SYSTEM RECORD OF COMPLETION To be campleted by the system instatlation contractor at the time of system acceptance and appraval. 1. PROTECTED PROPERTY INFORMATION , , Name of property� -_ r`!-' ' —'"_� 1.'-.�_.� r� �..�L.��L- -- - - Addrecs. � ' _ Y '> r•= _,,�_r_ �� tJ.� -E. "�l k����`T`---`�--�tL�--�.�`TM�-�-� Description of property• _. -_ __ Occupancy t.ype: Name of property representative: _ Address: z �1 i� �1 Phone. - � ' " ' t�' Fax: E-mail: Authority having jurisdiction over this property: : � � .� � � � !-_r-'���,, ,. J-! ! ,._ :. __ _ Phone: _ .�_��_� -.�:.`-t��;� _ Fax: —.-- -- --- E-mail. --- ---- - 2. FIRE ALARM SYSTEM INSTALLATION,SERVICE,AND TESTING INFORMATION Installation contractor for this equipment: ` T ;?, ; r_;_. _, � r ;�: ���_ � ,., Address: ! '� '' ;1.-, t' t?~ � � �� y di r' L :` � _� ,J Phone. r i�_=-_��__,, ,,__'�'�-'. ._ Fax:------ - _ - - ----- E-mail. _ Service organization for this equipment: - r� s.>�-r_. �.�( ''; t . � l"-.� t +_-, Address: ' ,°• �= ' r=' t C� '�;C_ � Phone __,__._ Fax:. _ E-mail: Location of as-built drawings:__ ____ Location of historical test reports. Location of system operation and maintenance manuals: i A contract for test and inspection in accordance with NFPA standards is in effect as of � Contracted testing company: Address: Phone: Fax: E-mail• Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type:__ ��:�^�-�: f_.�: �-=__�r�.�° ���_ ,�`� :--.:__ _ � Name of organization receiving alarm signals with phone numbers(if applicable)• Alarm._=__T�:�__�. L`rl< <._�. ,e=--�� Phone: Supervisory:---=-,'"=?. �-- - Phone. ---�,�-< - • _-_- Trouble• ' %""r r' ��d � Phone• -t�: �_ L � f' Entity to which alarms are retransmitted. ;' t� �,.i.+� Phone._ Method of retransmission of alarms to that organization or location: OO 2007 National Fire Protection Association NFPA 72(p. 1 of 5) FIGURE 4.5.2.1 Record of Completion. 2007 Edition � CITY OF ZEPHYRHILLS . .. ' • 5335-8TH STREET (sis)�so-oozo 13285 FIRE ALARM SYSTEM PERMIT Permit Number: 13285 Address: 38051 MARKET SQUARE DR 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: 02-26-21-0010-03900-0020 Improv. Cost: 1,050.00 Date Issued: 9/06/2012 Name: FMC MARKET SQUARE INC Total Fees: 150.00 Address: 38135 MARKET SQUARE Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/06/2012 Phone: Work Desc: INSTALL WIRELESS FIRE ALARM COMMUNICATOR TO MONITOR SYSTEM-notes FIRE PLAN REVIEW FEES 50.00 \� � � /� ,/,� � ,�� � a�-r 1�'ci.��lr�1J� SE �n'1 f`i�l� f�'.,; � , 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 tl�e 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 FINA NG, CONSULT WITH YOUR LENDER OR AN O BEFORE RECORDING YOUR NOTICE OF COMM ��� CTOR SIGNATURE PERMIT OFFICER PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 Permit Application ate Received = • � - Z.3�f Z Phone Contact for Permit / 3 �j 5 1. .. .. . A..z „ _ . .. _. ,._� � �wner's Name ��CL p q � -C. Owner's Phone Number � � � rovner's Address $�s� /' � � (�Q { C., 4j Y1;1 S � _ �3 ee Simple Titleholder Name Titleholder Phone Number � � � ee Simple Titleholder Address - _ ._ .._ ,:,...:n 4,�r=. x � -� s_.=,a:�:x...,; -.. � .,a.���,x=.-�� ^a�.�-w, . .,_ - � �b Address Q S1 af' � � � ;r`f J,3 �7'� Lot# � ub Division • Parcel:# - -- - ' ,,.v�„�,,,.m..�.. � _ �..-.u.,.s,-�z.,,K.�;�,x,�..,�„�..«�v.� ;o,,.�ee,,,.,_ ..,_ -s ._.- .__...._-a- _ �•r�,-r-�.-,wc.�.�'Gt�'�w'+_,�F .,�1k...rE��1V�ax�x 'e�rr' ... , . . � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation aEmergency Generator>30 kw a LP/Naturel Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � ry emi �n er ��� Sprinkler � ❑ ❑ ❑ B � Recreational8um � � Fire Alartn � O ❑ ❑ � � Sparklers Hood Cleaning � ❑ O ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) QFire Alarm Installation a Torch Roofing/Tar Kettle � Fire P�mps a Waste Tire Storage ANNUAL � Fire Works Q Flammable Application-ANNUAL Valuation of Project QFuel Tanks a �th@f: -C $'l' YN 1N C � c �k ._ _ _ _ �. _�_ ._ ,,. ...,.¢�..�. , �.. . .. �s^�.�»�-;_,xw.. .��.e - P _. ^�� _ , . , �:X.^��r,-.ri; �.:r.:..�.:�, _ �.. .�ts_�c�-+n,�c�,:'a^ :.Yt^� .:t^'r�;�,,. �,y. ontractor Company � �.(;cN �uC ignature Registered -Y N Fee Cu t Y/N Address , � p� -� � 36 �icense# LECTRICIAN Company ignature Registered Y/N Fee Current Y/N Address License# LUMBER Company ignature Registered Y/N Fee Current Y/N Address License# IECHANICAL Company ignature Registered Y/N Fee Current Y/N Address License# THER Company ignature Registered Y/N Fee Curtent Y/N Address License# irections: 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" r�str,ictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with ariy 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: 1 certify that all the information in this application is accurate and that all work will be done in compliance with all applicabte laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I ce�tify 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 regufations 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 AGEkT 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 enors in plans, construction or violations of any codes. Every permit issued shail 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 swom to(or affirmed)before me this Subscribed and swom to(or affirtned)before me lhis 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 , , . Z���IYRHILLS 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.: C�-,i,,�r��� Plan No.: 02-��? Contractor. !�µ'�P �'ac.�1. ,� �,.� s Business Name: o�.� �- ct �w�.c. Billing Address: � Q � � Business Address: . ��,� • tr,�,(,r,,� -� -� - ,,� ¢ � C - 33 Business Phone No.: �'���� Billing Phone No.: ;3'/3� a 4�/-3�'v� Business Fa�y�,�o.: Billing Fax No.: Contact: _ 9r� c___F_._ Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALqRM FEE 8 Site Plan N!C Mnual N/C Spdnlder S50 1st Alami N/C Multi-Family/Commercial .O6 Sf 1 st Re-k�specNon N/C Standpipes :50 2nd Alarm N/C (Minimum Charge 525.00 2nd Re-inspection s100 Flre PumP i50 3rd Akrm N/C �Plan Revisions DBL 3rd Re-inspection s25p H� �p ,p��� s�� 4th Re-InspeNion s500 Firo Alarm S50 Sth Ala►m 5150 SPRINKLER SYSTEMS (Busk�esa cbsed untN LP Oas s50 Blh Alsm� S2W 0-25 Hesds s50 vtolstlons oorrecc�,ted) Natural Gas s5p ra�� � s150 26 P�us Heads 5100 SPRINI(LER SYSTEMS Fuel Ta�ks- parhnk �p STANDPIPE SYSTEM Hydro Undergrounds y{5 Sparkbrs s100 �Per Riser S50 HydrostaNa Test S65 v�sy.am Firo Waics �pp FIRE PUMP ACC�ptance Test s45 per system Camp Fke � �Per PumP s100 HydraM Flow S75 Co�olbc�g� slpp FIRE ALARM SYSTEM H�p� � 0-25 DeviCes s50 FIRE ALARM SYSTEM Place of ASSemdy S50 Annwl 26 plus Devices 5100 Systam Accepfanca S50 Fire Protecibn S25 SUPPRESSION SYSTEMS �RecaU A�ceptar� SSp p�,�q��� � �i Wet S50 OTHER Waste Tire Storage S5p M,w.i ��Y S50 Fira wawsmoke wa�i S15 ,�w,u Generator<Kyy Zt pp Co2 s50 LP Gas 325 aer wdc Generator>30 KW 150 � t5o Naadxa�Gas S25 v�� Bio-Hazerd Waete t100 � KITCHEN EXHAUST FumipeUon TeMing SSp �Hood/Ducls S50 Tent 105c10'a pnater s15 p..aoc Toroh PWApplied S5p OTHER Fire Pu1nP S45 Haz.Materiels s100 Mnw� LP Inelallallon par lank S50 Fke SUppfesslofl S3Q Fuel Tank Ir�taNstion �50 System qccepta�e (Per Tank) t5o 8 E�d�t Hood/puct s,3p �Nawral Gas InstaMation S50 RNncpedion DBL (Per System) (ott�than annual) ❑SPraY Bo�h S50 �Inspedbn sclteduled DBL and cencellsd bss d�n 8 . 24 hours construai«,�nsP. wc EmerpencY Vehlcle Aa S50 FALSE AL.ARM PLAN5 TOTAL� INSi��C110N TOtAL� PERMIT TOTAL� TOTAt,(�Y `------� - - (3RAND TOTAL Comments: � --Date• �� Ins{��ctor: n�� .ti��.� Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (81�) 780-0044 25 July 2012 Plan Number 12-027 Project: Fire Alarm system modification for Florida Medical Clinic 38051Market Square Drive, Zephyrhills. Number of Pages: 2 Pages Scope of Work, plus 18 pages of documentation for alarm components This Officer has reviewed the plan for the Fire Alarm system modification, installation of Fire Alarm Control Panel dialer, at Florida Medical Center, 38051 Market Square Drive Zephyrhills. Plans are approved as submitted with the following conditions: 1. All installation shall be performed by a Florida licensed Fire Alarm Contractor to NFPA 72 Standards. An identified contractor listed is listed on the permit application. Payment of permit fee indicates acceptance of the requirements of these review comments. Inspections Required: 1. Fire Alarm acceptance test required. Review and approval of the submitted plans does not relieve the contractor from the responsibility of correcting any deficiencies noted during inspection. Respectfully submitted on 25July 2012 by, � ' Keith A. Williams, EFO, CFO, CEMSO, MIFireE Fire Chief Fire Safety Inspector, #148104 . � � � � � � '1 � � ������� ��I��i�rr� 5610 West Sligh Av#104 Tampa, Fl. 33634 813-241-3500 Job Location Florida Medical Clinic- Center Bldg. B 38051 Market Square Zephyrhills, Florida 33542 Work Descriqtion (Scope) Provide and install a new fire alarm dialer/communicator for the existing fire alarm control panel, to replace the existing digital alarm communicator (DACT). This Honeywell IGSMCF communicator will use the internet as a primary means of transmition to the Stanley monitoring center and the GSM long range radio as a secondary means. We will monitor general alarm, supervisory and trouble conditions from the existing fire alarm control panel. This will allow the customer to eliminate the existing analog phone lines currently in use. SeQuence of Oneration Upon activation of an alarm condition at the fire alarm control panel, the communicator will transmit an alarm signal to the Stanley UL listed monitoring center, where the proper local fire department is notified immediately. Upon activation of a supervisory signal at the fire alarm control panel, the communicator will transmit a supervisory signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. Upon activation of a trouble signal at the fire alarm control panel,the communicator will transmit a trouble signal to the Stanley UL listed monitoring center, where the responsible building representative will be notified immediately. �I[JBMI'I°I'�T)PLAN(S}HAVE�3EEI!REVIEW1El� 3Y ZEPHY � RE MARSFiAL'S OFFICE Date:---,G� � f ataviewa': - ___ .�un 2512 01:28p FLORIDA MEDICAL CLINIC 813-780-8382 p.5 . Secarity Solutions�� Contract Rider This ageemen�belweco Stanlcy Convergeut Security So(utioas,Inc.("SCSS")aod F.OR7J7A 1.A A R B.n B ("Cuctamsr'� supplemcnis and amaods the Coutract Ageemeat bchveen the pacties dated 3/IL/199% (the "Agreement") covering the f�mich�no of servicc and cquipment co the Customer's prcmises at 8051}��jlA�, 7F_p�prz/S FL.33S4I1 imending�o be legaliy bauud,the parties fnrther agree thar. 1.The initiallecm of lhe Ageemmt is hexc6y cxtrnded for aperiod of sixty(b0)manths from the date hercof and shall thereafter automaticalty renew as sel forth in the A�eement. 2.If additional secszee and equipmeQt aze to be fumished to the Customer at said premises,chen only sue€i adciitianal service�d equipment shall be fucnished az is deser[bed in the Terms aod Conditions set forth below(or in a separately attached Terms and Agreements).in such evenc Cuseomcr agree.to pay tn Stantey Convergent Security Solutions,Inc the inslallation charges indicated below�by paying au amount cqual to 50%of the total iast�llatian charges az the time of si�ing this Aseemcnt and by paymg thc amount of the BALANCL D[:E upon complUion of tho installaaan.Furtber,tlie Cuctomer agees to pay to Stanley Convcrgcnt Sa.-uiity Solutions,Fna[he amount of tLe additional Recurring Srnice Chacgc mdi�tcd bctow,in advahce duriog t6e term ofthis Agreemrnt on the same periodic paym�t schedule as Ihc othcr rccurring servicc chuges ut forth in the Agrecrnent {a)Any additional service and equipmrnt provided pursuant to ihis Ridcr shall be governed by thc provisions of 13ic Agreemad,including without limitation Ilto pro«uon of Section 4 (°Liqnidalcd Damages and SCSS Limits of LiabiGry"). 3.To thc eztcnt the agreement is modified other than as sct forth in Section 2 hereof,such rnodifications,iFany,will be set forth in thc Schedulc of Service and Protectiarz section hereof. E ui ment . _. .. .... .... . .. ... �,.. .... . .__ .. _ ..._._....�.... _.. .... .: ........... . .._ �..._....., ....�_..,__--..... .. ._. .. . _... ..... . .. .. ._.. . . ..�.�.._._.. ... .. . ...� .. i Telular Sole PaUi Cellular Nartn Communicator for Commeraa!Fire AD-TG7FS Services _....,_._.,......____.......�.v.._....�_.,_._._...._,.,.,�.._.,....._.....�..._..._..._...__.._...v....._.�__.__., ^•commun'�cation eachup.'._......._ _.......__._... _........ _. ---...__..... .__..._�_.___,......_......_.. Speaial Instructions 1 Notes Install (1)TelGuard TG-7FS Cellular Communication unit and connect to existing 5104 Fire Alarm Communicator panel for Sole Path cammunication. Remove a/I existing phone lines aRd rep�rt to Rod Shelton at 813-618 0048 with the phone�lne nvmders that are being removed Pricing 8�DepositTertns ,.. _.. _. ---- --- --- ----------------------------- -- -------- --�------•--- .....------------------------ -. _.._..---- --- �--�--- --- - Total[nstalEatlon Price IIS� 1,OS0.00 Deposit[I�rHand) --- -------•----------------------- --- --- -- - ... .._,..-- •-- --_ ----. _- - __�. -- - --- - --- - - -- -- - - --- -- -------- - Sales 7ax(If Applicahle) Balanca Due Upor,Completion VSD 1�O50.00 ...--- --- -�- - -- - .... . _ _ . -- - • - --- --__ ----- ----- - -- -- -- ---- - - - - _ _ Total Prica iTSD 1,O50.o 0 To7al Monthty Fee USD 40.OD --- .. _.. - --- --- ------ . .. .- - - -- -•--- -- ------ - --------- - ------------�-------�----- ----- ---------�---- ----°------ --- --- --� PaymentFrequency Monthly in Advance The Agreement shatl remain In full force and effed In accordance with all the terms and mnditions thereaf,modified only to the extent herein specifically provided ior.Said Agreement as so modifled constilutes the entire agreement beiween the parties,which Agreement cannot be further modified excepl by another wn'tten�reement execu4ed 6y the parties as herein set forth. The Rider is not bi�ding u�less approved in writing by an Authorized l2epresentative of SCSS_If such approval is not ob4ained,SCSS only liability sha0 be to rehum to Qistomer 13�e amount,if a�y,paid lo Stanley Convergenl Security Solutions,Inc,uport the signing of this Rider by its Seatrity E2eprESenlaBve. • n ` Quotation Reference: Q-00301383 �Q � !� ° S� 'E v�� Page 1 of 1 �CSS Sceu' �R:.•r�r..sc�i4•i[i• Ua'� 'us:um�� Z f�.1,�, �,�.,�..��� 6�-�� L �CS'Au orireJ R p�elemx' e Da e C:uau icnat Tiilc Da`n liccatc ufcxmation u of 3.7111:AL 12-0tBB,12-847.12-13?2,E2-1276:)2-1472,?.lahuna Electronic Searrity fivazd of Liccrtsurt 795G Vwghn A.l.,Mua.gomcry,AL J6116(334)Z64-9388•AZ ROC�4975:AR�Ot00017, RegulaLed by Atka�a:I3d of Privote invrsdgplors and Private Securiry Agrnci�til Stbe Pvlice P]aTr D,Little Rock,AR 72209(501 j 6lA-R600�CA 836019 C-7,C10;ACO(A55,Alarm mmpany opaanors are lie�ced and �egulafedbytheBumaeofSeeurity$im�eatigativeSaviceyDq�c.oCCansumcrAf7alr,�5aaa.-ncnlo,C495f+14:DE04l5R;FA*-0007 FLEF200W495:GALWSDSSB6:IL(2;0012i4:LAF]]62;F%75;F1277•b1A35F9C_MD 1 D7-t i 17,Maryland Swta Pol:cy Z=cassing Division,17(1 hcstastown Rd,Pikesville,nf�Z I ZO�:MI 5103306;3 601 20 5 772:MN TSO f 23d:Tt5 7 9207-SC MC F1'LAE4p00132:NC 25055•SP-FA,'LV;2185-CSA,Narm Systans Lirensing BJ.,4901 Glrnwood A��c,Scc 200.Ra[ei�h,NC 37612(919)TBB-5320:I�U 10144&i;65942J;3-0BSU001_'�W:NV NV200414978A6;P�WO;F40I.00770.'�4:NY)2000293169,Licrncrd by M'$DtyK.of 5ntr.Of I 53-A9-1572i OK 953:OR 161567:SC FAC3787;BACSSOI:TN I180;1549;[448;tE5D;1t61:1446;CE•D 6557.8:7X ACR2639;ECA182(,B02140e UT 5704068-6501:VA 2705-087235A,I 1-5491,Commonwealrh ofvfgnia, i._�_rr----'`_'--°---'.V,inn v��.n�..n...�,_...-.„„�_,..�c-r.an.-cm o�o,w.j..v��a,n ` Honeyweil iGSMCF Internet and � ; Digital Cellular � 1=�' Communicators ��-i` /� iGSMV 0 ---- y� : SERVICE With Remote �` - ; _ � Services Capability - seRwce ., -- � Internet Connection — Honeywell is focused on providing the future of alarm Our GSM radio technology is unique in that it uses GPRS communication solutions for the security industry.Alternative service for data and alarm communications and automatically communication methods are critical in the marketplace due to switches to SMS for alarms if GPRS is unavailable.Through the VoIP,migration from POTS and growth of digital radio neiworks. Internet or radio,the Internet and GSM Communicators offer full Honeywell's Internet and GSM Communicators deliver secure, data reporting and uploading/downloading with most Honeywell reliable and complementary internet and digital communications control panels.Plus,with zone inputs and optional dialer capture via the GSM(Global System for Mobile)network.Our exclusive, capability we're compatible with other man��facturers'control Triple-Path Communications solution combines Internet service paneis as well. with GSM for added reliability and an extra level of security, All signals are delivered to Honeywell's AlarmNet Network offering substantial benefits to protect your investment by future- Control Center,which routes the information to the appropriate proofing your recurring revenue. central station.The state of the art AlarmNet Network Control Center is fully redundant and monitored 24,i7.AlarmNet has the ability to route messages using AlarmNet-i arid 800 PLUS services, FEATURES providing true redundancy and multi-path message delivery. • Universal Control Panel Compatibility—Flexible modes •Triple-Path Technology—Provides three paths of of operation allow ECP alarm reporting by Honeywell control communication using internet, GPRS(General Packet Radio panels,4204 relay mode for Honeywell controls(that do not Service),and SMS(Short Message Service). Uses Internet support ECP alarm reporting)and zone triggering for use as primary with dual GSM technology as back-up.GSM with other control panels. path utilizes GPRS and automatically switches to SMS if • Dialer Capture Ready—Compatible with Dialer Capture GPRS is unavailable. Intelligence Device DCID(for LYN�or DCID-EXT(other •Upload/Download—With select Honeywell control panels control panels).Captures Contact ID messages from the using Internet and optionally GPRS. Req�aires Compass panel's phone line and sends them to the central station version 1.5.8.54a or higher. via the GSM radio •Dynamic Signaling with Certain Honeywell Control Panels •Six Input Zones—Each zone can be configured for+V, —Provides management of control panel dialer and digital -V,or EOLR triggering. Each zone can be programmed for cellular communicator Programmable priority and delays inverted operation,delayed reporting and restoral reporting. determine signal path. Zone 1 can distinguish between pulsed and steady inputs. •Diagnostic LEDs—Provide signal strength and status • Full Contact ID or ADEMCO High-Speed Reporting— indications. ECP mode with compatible Honeywell control panels •(�OS—Quality of Service diagnostics via AlarmNet supply vital support full Contact ID reporting.All other modes use information including when message was received,battery ADEMCO High-Speed reporting format. voltage,input voltage,signal strength,and message path. •Tamper Protected Enclosure—Built-in tamper sends a •Web-Based Programming—Allows corr�plete interactive report when a tamper condition is detected and a restore programming from AlarmNet Direct. when cleared. https://services.alarmnet.com/AlarmnetDirect • Built-In Power Supply—On board charging circuit design •Intelligent Supervision—Any message generated serves as accommodates back-up battery. Includes primary power a supervision message per optional 24 hour or 30 day intervals. and battery supervision. This feature effectively limits required messages to be sent. •Back-Up Battery—6V 3.1 Ah supplied to deliver up to •Remote Services Capability*—Optional Total Connect 24 hours of standby operation. value-added web-based or SMS system control as well as •256-bit AES Encryption—Advanced Encryption Standard e-mail notification of system events. used for secure communications. •Two-Way Voice Transport—GSM voice c;hannel capable to allow two-way voice session in conjunctiori with an audio verification system(iGSM�. `Service subscription required. � � Internet and Digital Celiular Communicators ACCESSORIES 7720P Programmer K14139 Battery 1332 DCID DCID-EXT Transformer Dialer Capture Dialer Capture (1332CN for Intelligence Device Intelligence Device Canada) (For non-ECP LYNX controls) (For non-ECP capable control panels) ,_------ r_�— �,I � " �----- '_ ___ L C L-�u�x � � '� '� M� _ — r t� �• �` .,.. ,s, I� i ��- __= , --J l�=--��`'--'- E � Communicatfon Description Testing CommercialStandards Residential5tandards Devices Agency UL 365 Polica UL 609 Local UL 1610 UL 7635 NIST Na[ional UL 864 Rev.9 UL 864 flev.9 California UL 1023 UL 9&5 Connected BurglarAlarm CentralStation Di9italAlarm Instltuteot SWndalona' Primary/ StataFire Household Household BurglarAlarm Systems BurglarAtarm CommuNcatlons Slandardsand Backup" Marshal BurglarAlarm Fire Cammercial Lommercial Cammerclal Technology (CSFM) Burglar Burglar 6urglar ____.. __.___ __.__.._ .__._._. ___._..—__..__—___..__..___. ._—_ __.._._ _. _. .__ iGSMV InferneUGSM Cellular ✓ ✓ ✓ �/ �/ �/ �/ �/ �/ � iGSMCF Gommunication Module UUE7L (ETt.Only� (UL Only) (E7L Onl� (ETL Only) (UL Oniy) (UL Onl� ___._..._______.__._..____._._...________.__.__._____.____.. ....___.___._______.._.—___ .._..______. ___._..___._...._—__._..._.______.__..._ _ .._..__ ....._..._____'_'____._.._._' �sia�aa on�u:u�a aoc ooi mv�t.�a ssaami�rs«a oncT. "Primay/backupls�ing requiru use ola fs�etl DAGT. Communfcation Description Testing CanadianStandards Devices Agency _.._...___._..._'_._..._—____...__.______ ____—_ _. __ __. ___e___ _.'___._.______—._ __..____ __.—_—..--.-_--. __.._._. ________ ULC•5303-M91 11LC-S30q-O6 ULC-5595•02 ULCSubfed ULG5559-04 Loeal Burgiar Central and Residential Fire G1023-74 Alarm Monitoring Strtion Warning System Household 0ur IarAlarm Burglar —_—'___—__—__._.._"__'_'_'..__._._..._'_'_''__"_"_—'______'_— '__'_"___" '_'_'__._...__"___"_'_'_'_ ____'_""'_______"'_ '__—_...—_'_ ___'___ iGSMVCN InterneVGSM Cellular ✓ ✓ iGSMCN CommunicationModula cUWLC � f � --_"_______. ._.._.__. ._.. (iGSMCN Only) __._.—.._..__._'__' "_'__'..."___"__""'_ __..._.._'_...._.. ._.._"'___'—___""_'__'.._...—._._'_'_____'___'_'__'_____._._...._...____.. ._ .._...._.._______'_____'_ Agency Listings iGSMV-DC pending. SPECIFICATIONS Power •Transmission Power: •Input Operating Voltages: -850 MHz-1 Watt 10.5-14.3VDC or 9-16.5VAC, -1900 MHz-2 Watts transformer included Mechanical •Backup Battery: •Dimensions:8"H x 7.5"W x 1.86"D 6V 3.1A(24 hrs.standby) •Operating Temperature: •Current Requirements: -22°F to 140°F(-30°C to 60°C) -60mA standby •Humidity: -400mA during transmission 0%-90%non-condensing ORDERING iGSMCF Standalone Commercial Fire Communications Kit iGSMCN Internet and Digital Cellular Communicator for Canada with Remote Services Capability iGSMV Internet and Digital Cellular Communicator iGSMV-EX Internet and Digital Cellular Communicator(Export) For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr.Suite 100 Honeywe" P.O. Box 9040 Melville, NY 11747 1.800.467.5875 UIGSMVD/D August 2010 www.honeywell.com �2010 Honeywell International Inc. � I � • � _ � �x; , . l . �'� � y� ' � -.. � ..�"., ��... +; � ,� �. � � . H S '� �� � ,.>� ��� � �j , -.., ` � �,,Ei t � ��, t<< . �� �g __ -., x � r'�T��i f�+' � � f i , �_ � y,7 % i /F �: _ ..��� � ' � � f ���f 7�,�`�; E �.. �,,-! 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'� - 141a1d{F1t9�9rB[P,- � r� . _�,'� = � �=_.� . � ._:._.:------- ,. : t��tflt9t0i 0I01 -- .-. , ,,,��-r-1,a.- _ r���. � 1i1t9�6C0i0CF � _f_ .�.-_- _ , - _ : 6t4���0[0tF - _ �` �" \1Q�9�6�.6t� '� � - � - - __ _ '� ,. ��0\��.��F�tO� . . , � �' � ^' ,i �_ Aa\tl\E1�9�9�F3 --- _ _—_ -----�--- ___ - - s �r,T� � � \ i010�e��. '� � `'., 6 --- ,- ` _ _ �.-_-� c��::,;�: `�� dtk��8�0` � �_�_;"`--� - — �, - i� � , = _ �� `;�� n"";`3����.,q\ d\d 0\ _ :, ,� - `_ __ _ � r : ��.k,, . - , . fl ,�� � ;�. � .� ' � . ��,� � .��. �- � t .� : �i�.�� L. � "�� � -= �� �-� < `:�4 �� `s � ,A��'"- - T=- > ,.. r- � - : .• T, : - , 3 .. ' . t __. , � � _—_- -,•.. _ �, .� w _ ��M _ � . .. ._ +�. ,. ,� �` - �-_-, ,,;,,�, .� . . _ _ _� s . . v. - i3 �. . -. • M __. _�.. 4 -,�. .. . .'' `: '--'�".---a . 4 �"��'?' �- `,�3`, ,:t .� . � �'t ti "` ' .,+�°*, R.. _ 'c�-v"-'r _�. { .�����. �; ,:" !r.�.,u' .. , , � . , � ._.- � �,: , .; � �,. . ;_�., . -�;�° ,1 .. ,._..- . , � . .� � . � � � � � � ' ■ � Communication Descri tion Testing Devices p Agency Commercial Burglary Standards UL365 Police UL609 Local UL1610 UL1635 Level� Connected Burglar Alarm Central Station Digital Alarm Securil Burglar Alarm Systems Burglar Alarm Communications (Grade Commercial Commercial Commercial Comm� Burglar Burglar Burglar Burglai GSMCF GSM Cellular UUETL e� � � � GSMV Communication Module (ETL Only) (UL Onl ) Y GSMHS Line Security Communicator UL ef �,✓ � GSMVLP GSM Communication Module �� � for LYNX Plus GSMX GSM Ceilular Communication UUETL � Module (ETL Only) � iGSMCF Internet/GSM Cellular UUETL � � � e� „� iGSMV Communication Module (ETL Only) (UL Only) r VISTA-GSM GSM Communication Module ETL c� rf e� � , for VISTA-21 iP Control 7810iR-EN'i' InterneUlntranet Alarm UUETL cJ � Receiver 7845i-EIVT Internet/Intranet UL t� c� � � � Communicator Module 784�� Internet Communication ETL � f y� � � Module ::� ' Internet Communication / � � �.,� 7847i-L Module for LYNXR-ULYNXR-2 ETL c� � � Control d �� • �� Commercial Fire Standards Residential Standards {Line NIST National UL864 Rev. 9 UL864 Rev.9 UL864 Rev.8 Factory California UL1023 UL985 ty Institue of Standalone* Primary/ Mutual(FM) State Fire Household Household AA) Standards and Backup** Commercial Marshall Burglar Alarm Fire ercial Technology Fire (CSFM) r (ETL Only) � � � �� � e� f � � (ETL Only) (ETL Only) � (ET Only) (ET Only) � °� � (UL Only) (UL Only) � � � � � � . � � � � � � � J � � � � , e� � � � � � � Commercial Fire Communications p��y��'� --- ------- ' - �___ _- .- � ��� ��� � -�l _ _ .�:: _ - - - - - T _ - �� .._ ._,�-- __ �±_ ' -- '�r� . . ,'t � '� _y __- _ ' '� � ,� t' ' � � Y =.� '# a � .� ,�+r, . . '� +r � i � � �b. i � &r .._ -� _,�• � F, ' I�+. .�,.���g' - �' � �i'�� � - r � , , t��j;'�I, �� �`.fu k � '� �� 1', -- i , i, � �, �' - � ���j�.,'V�r;d ,^r�;pk.t. �' y.`-.�,.-5�� ' , '�!�. .�"U.: � � A. � -. ^u � �* � ,;�_ k �m � i �� �� �, � *q � 1� � tv �� t — � � �� *' � �� � � �� t ' # L�+T��4'F,y �— '� � _ .� .. •x� �. a � II f __� _ � ♦SF_ IMPORTANT INFORMATION FOR AUTHORITIES HAVING JURISDICTION Code Compliant Fire Solutions � Definitions 11L365 - Poiice 5tation Connecfed �urglar�larm Units and Sysfems These requirements cover construction,perFormance and maintenance of police station connected burglar alarm units and systems for use in mercantile premises,mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a police station connected alarm system consists of protective circuits and devices,connE;cted through a control apparatus to an enclosed tamper-protected sounding device mounted on an outside or inside wall of the building in which the protected property is situated,and a constantly-manned police department.Intrusion into or disturbance of the units or wiring causes the sounding device to be actuated and a signal to be transmitted to the police department.The sounding device and signal to the police department continue to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing elerrient that is preset for a definite operating period. UL609 - Standard forr Safety for Local Burglar Alarm Units and Systems These requirements cover construction,performance and maintenance of local burglar alarm units and systems for use in mercantile premises, mercantile safes and vaults,and bank safes and vaults. As covered by these requirements,a local alarm system consists of protective circuits and devices,connected throu h a control a tamper-protecfed sounding device mounted on an outside wall of the building in which the protected property is situated.Intrusion ipt ao�r disoturbance�of d the units or wiring causes the sounding device to be actuated.The sounding device continues to operate until it is stopped by using the proper control key,by exhaustion of the power supply,or by action of an automatic timing element that is preset for a definite operating period. UL864 - Control Unifs for Fire Protective Signaling Systerr�s These requirements cover electricai control units and accessories for fire-protective signaling systems to be employed in ordinary indoor locations. A control unit as covered by these requirements consists of a unit assembly of electrical parts having provision for the connection of power supply circuits routed through the control unit equipment by a prescribed scheme of circuiting.The circuits are extended to separate devices by which the operating part of the control unit are actuated for signals,and to separate and/or integral devices by which the signals are indicated so as to form a coordinated system combination for definite signaling services.An installation wiring diagram attached to the control unit,or referenced in the control unit marking,indicates the devices and circuits which are acceptable for connection to the control unit in the field. 11L985 � FBousehold �'ire Wa�nir�g Systeav� Units These requirements cover household fire warning system control units intended to be installed in accordance with the National Fire Alarm Code. A household fire warning system control unit consists of a unit assembly of electrical parts having provision for connection of power supply and initiating device circuits. Provision for connection of an indicating device circuit is also required unless an alarm sounding device is integral with the control unit. Additional terminals may be provided for the connection of supplementary devices,such as annunciators,remote switches and the like.A secondary supply,such as a battery,may be provided integral with the control unit or provision may be provided for its connection to the ccmtrol unit. UL1023 - Householel �urglar Alarm System Units These requirements cover burglar alarm system units intended for use in residences to protect a complete multi-room residence,one room of a residence,or one opening or area in a residence. Household burglar alarm system units covered by these requirements consist of one or more unit assemblies of electrical compcnents that are designed to detect the presence,movement,sound,or other activity of an intruder.Provisions are made for the connection of a power supply,remote control and signal circuits by a prescribed method of wiring. UL1610 - C�ntral �tation ��arglar Al�rm Units These requirements cover components of central station burglar alarm systems intended and specifically designated for burglary protection use at mercantile and banking premises,on mercantile safes,and on bank safes and vaults. The components covered by these requirements are intended for use in a burglar alarm system in which the operations of electric;al protection circuits and devices are transmitted automatically to,recorded in,maintained and supervised from a central station that employs trained operators and alarm investigators who are in attendance at all times. UL163� � �tand�rd �ow Safety�o� �igital Alarr� �ornrnu�scator Systerra llni�s These requirements cover digital alarm communicator system units for use in central station burglar alarm systems,proprietary burglar alarm systems,police station connect burglar alarm systems,residential burglar alarm systems,residential fire warning systems and home health care medical alert systems. As covered by these requirements,a digital alarm communicator system consists of a digital alarm communicator transmitter interconnected to or integral with:a)a central sfation burglar alarm control unit, b)a proprietary burglar alarm control unit,c)a police-station-connect burglar alarm control unit,d)a residential burglar alarm control unit,e)a residential fire warning control unit,or f}a home health care medical alert control unit.A need for off premises transmission will activate the digital alarm communicator transmitter that contacts a digital alarm communicator receiver located at a central station or residential monitoring station through the telephone company's switched network(dial system)and transmits a rriessage identifying the change in condition at the protected premises or residence. UL-http://database.ul.com/cgi-bin/XYV/template/LISDCT/1FRAME/index.htm ETL-http://www.intertek-etlsemko.com NIST-http://www.nist.gov/ For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications ��'� 2 Corporate Center Dr. Suite 100 ��� PO. Box 9040 Melville, NY 1 1747 VUSCOMLSTB/D www.honeywell.com August 2010 �2010 Honeywell International Inc. Fire Solutions that Meet Industry Stanclards...and Yours Honeywell is committed to delivering code-compliant Our versatile fire communications salutions provide a higher communications solutions that meet the demanding level of reliability than ever thanks to multi-technology signal requirements of commercial fire applications and Authorities delivery via the Internet and GSM. You can also eliminate Having Jurisdiction (AHJs). Our digital communicators meet the worries from communication failures caused by floods, NFPA72 and UL864 standards for fire communications storms, vandalism, accidents, maintenance problems or without the need for phone lines. They are buiit and backed lack of phone line availability. by the power and dependability of Honeywell and are the best defense against today's communications challenges. • GPRS (General Packet Radio Service)and SMS (Short Message Service)provide robust�;ommunications Secure,Versatile Monitoring pathways The demise of traditional POTS lines require alternative • Internet technology offers a fast, rE;liable transportation communications. Honeywell knows it's critical that signais method get through to the central monitoring station whether • Internet can be combined with GSM for a triple-path protected facilities are using regular landlines, cell phones solution or VoIP. Reliable Path of Protection No matter what technology you choose, all alarm signals are processed through Honeywell's AlarmNet network control center. Supervised 24 hours a day, the AlarmNet control center sends your signal to the ceritral station to protect businesses 365 days of the year. --- -----..._....-_----- , _...-----_.. - -- -` y ;. - - � _ _- --�.._. �-�----- --_.. - -- - - £^,.. I - � i ' ' _ = i I ). 'r� ;• I - "" ■'I�� { � - � - I , � i 'f }rfF ,'' i I � __ i � ..- i . ._ . .. !_""__'._.___" � , i '_'________'_'_"__"'"'_'_"_ .yy ! ______'__________.__._._____..___ "_'_______.__.__..___..____...___.___" rom Facility... ...to AlarmNet ...to Central ...to Response Network Station Team For more information: www.honeywell.com/security/hsc Automation and Control Solutions Honeywell Security&Communications 2 Corporate Center Dr. Suite 100 P.O. Box 9040 Melville, NY 11747 ����/{A/�" el �° 1.800.467.5875 UGSMCFPF/D www.honeywell.com ��y Zoio �2010 Honeywell Internationai Inc. E t �u,a�tE.:�r�t 5 c>r�t�[ttE �t��Kn-� ��:ti i H.uS 72—:i:� FIRE ALARM SYSTEM RECORD OF COMPLETION To be comp/eted by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property• �' �_C: S�-� t_�F1;__[�!��_ '� `�' ' �—C_c___��_�1.��._�— ---- -- Address. `" �tl a t" N`r �E.,�:_f - �.i� ,at'� f�1� -�-�---� r � �'—�`i-�' _1-�4s` � Z- - -��-`-�t� , �-- - Description of'property•__ G�': y��'� �,� l-T�" --- - --- - - --- Occupancy type• __ _ __ __ - ---- - - -- - Name of property representative: �r� r�.r !�-_, f� ����I�� Address: Phone ,�� � �7�0�-�'L��� Fax: E-mail. Authority having jurisdiction over this property: ' r.- � A � = r_. �'�}.} � �LT_ Phone � . O_- �'y� C� ��� -���—��-- ---i-- Fax:- - _ E-mail:-- -- 2. FIRE ALARM SYSTEM INSTALLATION,SERVICE,AND TESTING INFORMATION Installation contractor for this equipment: < - - ', i, �„,'�,� t� Address: �> o � t G,..) . �ti � � A�( !' 'Z'f*w^ �(.1 (= c "-�� C� �� Phone .�' j -�_=r�t 1 - =� �'O_� Fax: _ -- -_--- E-mail: _ — Service organizat�on for this equipment: �T,�,�,.�.,�_��F {��. �� �; Address: : � e�� �.. �r-' � A 3G �!�, Phone. __ ___ Fax: __ E-mail. Location of as-built drawings:___ ____ ___________ __ Location of historical test repurts. __ __ _ Location of system operation and maintenance manuals. A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company:__ Address._ ______ ___ Phone:_ - -- Fax: F.-maiL -- Contract expires: Contract number: Frequenc,y of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE NFPA 72 Chapter Reference of System Type:___"�`C��7 F � C� �_��. Co�n_��{-� A��y,�2 �_ ___ _ _ Name of organization receiving alarm signals with phone numbers(if applicable)• Alarm. Y �� ti��,_T� � t � y�_.�',r� h ,�_� Phone• Supervisory:__ � L y'vl S; j��_�_��_ ---- Phone._.__ c_'(^� � �_"!.� --�--�- - - - Trouble. {� {_ j�+ �� C:� t��IU..�. Phone: :-'{�t� L� � j- Entity to which alarxns are retransmitted. '' A N Phone Method of retransmission of alarms to that organization or location: O 2007 National Fire Protection Association NFPA 72(p. 1 of 5) FIGURE 4.5.2.1 Recorcl of Completion. 2007 Edition �„# 72–:;1 ti.�ru�ti:�t.�•tKt. �[��K�1 cx>ur: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE {continued) If C:hapter S,note the means of transmission from the protected premises to the central station. U Digital alarm communicator U McCulloh J Multiplex ',1�2-way radio J 1-way radio J N/A If Chapter 9,note the type of connection• J Local energy U Shunt �N/A 3.1 System Software Operating system lexecutive}software revision level: Site-specific sof'tware revision date. Revision completed by: 4. SIGNALiNG LINE CIRCUITS Ch�racteristics of signalzng line eircuits connected to this s,ystem(see NFPA 72, Table 6.6.11: Quantity• Style: Class. 5. ALARM-INITIATING DEVICES AND CIRCUITS Characteristics of i�aitiating device circuits co�inected to this systeni(see NFPA 72, Table 6.5)• St le:_ Class: --- Quantity:.______ — Y 5.1 Manual Initiating Devices � 5.1.1 Manual Pull Stations Number of manual pull stations. —. Type of devices. iJ Addressable J Conventional .� Coded C� Transmitter U N/A 5.2 Automatic Initiating Devices � 52.1 Area Smoke Detectors Number of smoke detectors. Type of coverage: �I Complete area � Partial area � Nonrequired partial area ❑ N/A Type of devices: ❑ Addressable ❑ Conventional J Coded ❑ Transmitter ❑ N/A Type of smoke detector sensing technology: U Ionization ❑ Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage. Type or devices: l� Addressable tJ Conventional =1 Coded U Transmitter U N(A Type of smoke detector sensing technology: U Ianization ❑ Photoelectric 5.2.3 Heat Detectors Number of heat detectors. Type of coverage: ❑ Complete area ❑ Partial area � Nonrequired partial area � N/A Type of devices: J Addressable Ci Conventional � Coded ❑ Transmitter 7 N/A 52.4 Sprinkler Watertlow Detectors Number of waterflow detectors: Type of devices J Addressable � Conventional !� Coded U Transmitter J N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification Alarm verification on this system is• U Enabled J Disabled J Set for seconds OO 2007 National Fire Protection Association NFPA 72(p.2 of 5) FIGURE 4.5.2.1 Continued „� 2007 Edition . Fl tiU,\S1H.ti I 1LS OF FTRk�: 1l_�R;11 St'�,"1'F;\-tti 72-3!"i 6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve super��isory switches:_ _ ____ Tvpe of devices. .� Addressable � Conventional J Coded J Transmitter J N/A 6.2 Fire Pump Type af fire pump. J Electric � Diesel Type of'6re pump supervisory devices: J Addressable J Conventional J Coded J Transmitter J N/A Fire Pump Functione Supervised U Fire pump power J Fire pump running J Fire pump phase reversal J Selector switch not in auto G Engine or control panel trouble _1 Low fuel Other: 6.3 Engine-Driven Generator Type of generator supervisory devices: U Addressable J Conventional U Coded J Transmitter J N/A U Engine or control panel trouble J Generator running J Selector switch not in auto J Low fuel Other: 7. ANNUNCIATORS 7.1 Annunciator 1 � Loca] � Remote Type J Addressable J Directory U Graphic J N/A Location: 7.2 Annunciator 2 � Local :.i Remote Type� � Addressable ❑ Directory U Graphic � N/A Location: 7.3 Annunciator 3 � Local ..l Remote Type: J Addressable L� Directory U Graphic .� N/A Location: , 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service ' Number of single voice alarm channels: Number of multiple voice alarm channels• Number of speakers: Number of speaker zones. � 8.2 Telephone Jacks I Number of telephone jacks installed: Number of telephone handsets stored on site• Tvpe of telephone system installed: J Electrically powered U Sound powered 'J N/A 8.3 Nonvoice Audible System Character•istics of notif'icatron deorce carcuats connected to thzs system (see NFPA 72, Table 6.51: Quantity• Style: Class:— ___ OO 2007 National Fire Protection Association NFPA 72(p.3 of 5) � FIGURE 4.5.2.1 Continued ' ' �+ � 2007 Edition � 72-:i�� :v.�ru��:�i.r�K1�: �i��Kni cc>ur� 8. ALARM NOTIFICATION DEVICES AND CIRCUITS(continued) , 8.4 Types and(�uantities of Nonvoice Notification Appliances Installed , i Bells: With visual device: Horns: With visual device• Chimes With visual device: Bells: With visual device: ' Visual devices without audible devices: Other tdescribel• 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED J Hold-open door releasing devices � Smoke management or smoke control ' J Door unlocking J Elevator recall r] Other ! 10. SYSTEM POWER SUPPLY 10.1 Primary Power � Nominal voltage � fG Y Amps �--�P �`^� Overcurrent protection. Type ��F��=4 r �ps �,?,h �¢r- ,0 � Location(of primary supply panelboard): I Disconnecting means location: 10.2 Second�ry Power � Location: �"}�N = � Type:� t t. Nominal voltage: �.`_�� Current rating:'� - Number of standby batteries: t Amp hour rating: 7 q„�..p � Location of emergency generator: __ Location of fuel storage. Calculated capacity of'secondary power to drive the system In standby mode: In alarm mode: 11. RECORD OF SYSTEM INSTALLATION Fill out c�fter all installation is complete and wiring has been checked for opens,shorts,ground faults,and improper branching,but before conducting operational acceptance tests. The system has been installed in accordance with the following NFPA standards:(Note any or all that apply.) �NFPA 72 �NFPA 70,National Electrieat C,ode,Artiele 760 �.J Manuf'acturer's published instructions �l Other(please specify): System ded ' s from referenced NFPA standards. ____ ____________ j ,.�s l) Signed:�, �"'"��' � � Printed name: 1�� T -+ r /��� jc/`i`- � – �„ + ff !�r 'c..� Date: �.'?� Organization: Title: Phone: ' 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below,on ; the date shown below,and were found to be operating properly in accordance with the requirements of: �-I�FPA 72 �TFPA 70,Nationa,l Electrical Code,Article 760 J Manufacturer's published instructions � Other(please specifyJ: i �� Doc�en�tion in acFordance with Inspection and Testing Form(Figure 10 62.3)is attached � �,,.% � f - / Sig{ied.-.,> c. C.. __ Printed name�. �/�i��"� t����-`� Date: � –:�;1-'__�_``• _ _ Orga in'zation:_._ —_. Title: Phone: _ _ 0 2007 National Fire Protection Associatio� NFPA 72(p.4 of 5) ' , i FIGURE 4.5.2.1 Continucd �P.i,f 2007 Edition