HomeMy WebLinkAbout12-13247 CITY OF ZEPHYRHILLS
5335-8TH SIREET
�si3)�so-oo20 13247
FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 13247/12975 Address: 7050 GALL BLVD
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE-SPRINKLER SYS Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 30-26-20-0000-00200-0010
Improv. Cost: 15,175.00
Date Issued: 7/16/2012 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 215.00 Address: 7050 GALL BLVa
Amount Paid: 215.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/16/2012 Phone: 813 783-6189
Work Desc: INSTALLATION FIRE SPRINKLER BREAST CENTER
FIRE INSPECTION FEES ✓ 65.00
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FIRE ACCEPTANCE Final
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the aosts 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�nrithout written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO BTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN O BEFORE
RECORDING YOUR NOTICE OF COMM
, ,
CONTRA O 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
s�s-�so-oozo City of Zephyrhills Fire ��{3�l � Fax-813-780-0021
Permit Application �T�
Date Received Phone Contact for Permit �� �!�.1 U'�
�o r�`dc► �oS ���. � � 0 0
Owner's Name Owner's Phone Number
Owner's Address 70 0 �!1 l I V� � /� I� 11�b Y� �3(7� '
Fee Simple Titleholder Name �" � Titleholder Phone Number C� � �
Fee Simple Titleholder Address
Job Address !��G C7`� �� (�1 r�t , xc',�hrr/j 1��s 3a�y I Lot# �
Sub Division Parcel# ^
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Far,ility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
r y emi �n t er
Sprinkler � ❑ ❑ ❑ � Recreational Burn
Fire Alarm � ❑ O ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Oo Valuation of Project
� Fuel Tanks
Q Other:
—�
Contractor Company ►1 ti CI'S i��'� $ /7 G
Signature � Registered /N Fee Current �$/N
Address 7� L License# 7 (Jdd �
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License# -1
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
DirecUons'
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:/lappraiser.pascogov com)
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations If the
contractor is not licensed as required by law, both the owner and contractor may be cited for � misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
- CONTRACTOR'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 installati��n as indicated. I certify
that no work or installation has commenced prior to issuance of a permit and that all uvork 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 ta violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension If work ceases for ninety(90) consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 117 03) �
OWNER OR AGENT CONTRACTOR ~
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to or affirmed) e me this
by �— Z.ti cl 1� by / C )
Who islare personally known to me or has/have produced Who is/are personally known to e or has/have produced
as identification. as identitication.
Notary Public ���i(�� �(�//�L�� Notary Public
Commission No. Commission No.
;o�P,;;';�e,,, OEENA DUNHAM
� .
Name of Notary typed,printed or stamped Name of Notary typed, : d Z �I CON1n1.Expkq AUyl.2015
%?�� � Conn�Nuion I EE�57
��� OonO�d TMro�pM N�Mwf NIInY Aa�.
� � � ;�50 East Hfghland Dnve
Lakelantl, FL 33813
CONSTRUCTION_INC (Phone) 863-689-099Q
QEAlBEC COYTNACTOIti (�ax) 863-fi67-3778
UCEtJSE No. CGC0814BB
PURCHASE aRDER
Project: FL Hospital Zephyrhills Simpson Breast P.O. No.: 230-15241-S
Location:7050 Gall Blvd. Owner: Florida Hospital�'ephryhills
Zephyrhills, FL 33542 ArchlEng: Burt Hill/Pollock Krieg Architects, Inc.
To: Universal Fire Systems, Inc. Phone: 813-662-9200
374 Hobbs Road Fax: 813-662-0080
Tampa, Fk. 33619 CODE: 15241 -FIRE PRO�TECTION SYSTEM
Rodda Construckion, lnc. hereinafter called the"Contractor"and supplier agree as follows: �
1. DESCRIPTION OF THE WORK. Supplier agrees to furnish all material and/or all labor as d�scribed in this patagraph for
the above project as showm on the plans as listed an the attached Exhib�t A and described in the speci�ications as prepared
by the above Architect ar Engineer. Supplier acknowledges receipt of specifications including Addendum (None issued),
inclusive, and Alternates (None Issued) and certifies that he has carefully examined same and is familiar with all the
requirements therein insofar as it affects the work to be done by such Supplier.
1 a. The Supplier to the entent of the work to be performed by the Supplier is bound fo the �Con#ractor by tfie plans and
specifications and assumes toward the Contractor all the ob�igations and responsibilities which the Contractor, by these
documents, assumes toward the Owner and Engineer. The Materials to be furnished and/or°�vork to be done by Supplisr
are as follows:
Includes but is not limited to the labor, materials and equipment necessary for the completion �on the fire sprinkler scope oi
work as it is indicated in the construction documents. All additions and changes to existing fire sprinkler system are
included. All protective cages currently installsd on exisbng heads are t� be removsd per this agreement. AEI heads are t�
he installed in the middle of a tile. Any and all performance test mentioned in the specifications are included. All f1[�
caulking and hangers are included. Electronic submittals are required for this project. ,,..
`�i
,
Contract Price: $15,175.00
DO NOT PROCESS PENDING ARCHITECTS APPROVAL. Includes Tax and Delivery
2_ CONTRACT PRICE AND PAYMENT. Contractor agrees to pay Supplier for fhe performance of this contract the contract
price set forth above, payable as follows: Billings received by the 20th of the month will be paid by the 20th of the foliowing
month. 10°lo retainage ta be held.
3. TERMS AND CONDITIONS. Paragraph 4 through 23, printed on the reverse side hereof are a part of this agreement;
As used herein the term "Supplier" includes any subcantractor or supplier of labor, material, materials or services; and th�
term "work"includes furnishing of labor, materials and service. :�
t;�:
ACCEPTANCE ,�
.
Contractor: Supplier:
RODD CONSTRUCTION, INC. UNIVERSAL FIRE SYSTEMS, INC.
gy; By: �
As fts ice Presic{ent �/ , Q,
�ate: Ui� 1 � 201� Date: (� � �-� "' � Z—
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TERMS AND CONDITIONS
4. Supplier shall be fulfy accountable For lhe(ull pertormance o(his phase oC the work on the project and shall perform his work In a workmanllke
manner to the satisfaction af Contractor and the Architect or Engineer according io the true intent and meaning oF the generel conditlons,plans,
specifications and contract documents,and in the event of any doubt or questlons arising respecting the same,the decision of the Architect or
Engineer shalt be final and conciusive.
5. Supplier admfts that said pians and specifications are sufficient for their intended purpose and that the work can be successFuily and completely
e�cecuted Iri accordance therewith,without any additional cost to Contractar or the Owner.
6. No changes in the woric or adjustments to contract price shall be made unless previousty approved In writing by Contractor.
7. 5upplier will prompfiy begin sald work as soon as requesfed by Contractor and will carry forvrard and complete th�:work as rapidly as Contractor
may judge that fhe progress of fhe project will permit. Should Supplier neglect to prosecute the work properiy,or fail to perfarm any provislan oF this
contract,Contraclor,aRer�48 hours notice ta Supplier,may,without prejudice to any other remedy he may have,mak�e good ihe deficiencies and
may deduct the cost thereof from any payments due Supplier,or,at its optlon,Contractor may terminate this confract and take possesslon of al1
materials,tools and appfiances and finish the work by such means as ft see fd. If the unpaid balance of the contract price exceeds the expense of
finishing the work,such excess shall be paid to Supplier,if such expense exceeds the unpaid balance,Suppiier shalq pay the di(ference to
Contractor.
8. Suppiler shali not cause any unnecessary hindrance or delay to other contractors or subcontractors on said projec;t,and shall be responsible for
all damages done to the work of such other contractors or subcontractors by his employees. Suppller shall cooperate with Contractor and all other
contractors and subcontractors on the projecE to avoid complicaEions and ensure first class workmanship in every respect.
9. 5uppiler shali at hls expense apply fo�and obtain all necessary permits(unless otherwise stated in the specifications}and shall conform strictly
to ail applicable codes,rufes,laws and ordinances inc{uding attached ExhibiE 8(Compliance with Irnmigrafion Laws).
10.Should the proper,wortcmanlike,and accurate pertormance of any work under thls confract depend in any way upon the like pertormance of any
war}c by another cantractor or subcontractor on said project,Supplier agrees to use all means necessary to discover any defects in such other's
wark and report ihe same In writing to Contractor before proceeding wiih his work whlch is so dependent;and Contractor shall have a reasonable
time to remedy such defects.
11. Shauld Contractor discontinue lhe erection of said project on accaunt of the Owner or their agents falling to comply with their contract wiih
Contractor or(or any alher cause not lhe fault of Contractor,then Supplier shall upon written order,discontinue work(or such iime as may be
required by such cause,and shall not praceed again until requested by Contractor,but should such suspenslon be continued and the project not be
completed by Contractor,5upplier shall be entitied to payment onty tor so much as said work as he pertormed or finished,at such price as said woric
is worth in propoRion to the total worlc to be done under this co�tract,at this contract prica. This Provision shalf not prevent the Supplier from
claiming any damages which ha mlght have against the Owner by virtue of sucfi suspe�sion or cancellaUon. Shoutd Suppller be delayed on account
of material to be furnished by Contractor,or any other delay caused by Contractor,the same shall not be grounds for Suppiier to claim damages or
exira compensation.
12. During progress of the work Supplier shall reexecute any worlc that fails ta conform to the requirements of the pl�ans and specification,and
Suppfier shall remedy any defects due to faulty materials or worfcmanship wfiich appear within a period of one year or as ofherwise specified From
the date ot completion of the project.
13. Suppfier shall comply with all saFety requlrements,statukory or othenvise,State and Federal,applicable to hls wc,rk,including the Coniract Work
Hours and Safety Standards Act and regufations thereunder,and shall indemnify and hold Contractor harmless for any loss incurred as a resutt of
Suppliets failure to comply with any such safety requirement.
14. Supptler shall fully indemnify and save the Contractor harmless from any and ai1 loss,damages,claims,actions and a11 IegaE and ofher
e�ensES relafing to the defense thereof,arising dlrectiy or indirecfiy aut of the acts or omissions of the Supplier,ifs�gents,employees,assigns,
suppliers or subcontractors.
15. Supplier shall when requesfed by Contractor,report the general progress of the work at the project or elsewhere,and he shall fumish a
competent represantative vrho is to be kept constantty on the grounds while the Suppifers work is In progress to represent Supplier for the purposa
of receiving notices,orders and instructians.
16. Supplier shall fumish to Gontractor,on request,waivers of lien(or all of his laborers and materiai men prior to each month's payment and in the
event Suppller does not pay its material men or laborers,Contractor is authorized to make payments directly to such material men or laborers and
deduct such paymen#s trom amounts due ta Supplier
t 7. Supplier shall malntaln insurance during the progress of the work covering 1)Worlanen's Compensation and Oc:cupational DlsPases;2}
Employer's Llability with limits of at feast�25,004.W per accldent;3} Comprehensive General Liabilify,including Praducts,Contractual,and
Protective coverages,with limits of at least St Q0,000.00 per persen,$200,000.00 per accident for bodily inj�ry,and$100,000.00 per accident for
property damages;4)Automobile Liability,coverirtg owned and naowned vefiicles,with limits of at leasf$t 06,OQO.Ot?l�266,�00 00/$lOQ,000.00 or
as other�vise raguired by specification. Supp:ier sha{l,upon Contractors request,file with Contractar Certi(icates ot insuranca evidencing the above
required crnerages.
18. Contractor agrees to provide utilikies to the proJect;safd util'dies must be extended by Supplier at his expense for his use. Supplier shap provide
a1 this own expense all ladders,scaffolding,implements,equlpment,apparatus,molds,models,hoisting and all other things necessary far the due
perfoRnanc2 of his phase oi the wo�1c.
19. Supplier agress to maintain that part of the pro]ect upon which he�s working reasonabty ciean at all times,and it'Supplier fails to clean up
torthwith after receiving notice irom Contracior so ta do,Confractor may clean up the sald premises and deduct the cost o[said clean-up from any
paymenis due Supp�ier or ofherwise recover ihe cost ot said clean-up from 5upplier.
20. Supplier shaU nat assign this contract wiihout the prior written consent of Contracfar.
21. Contractar shall have the right at any time to require Suppfier to fumish bond cavering the fafthful pertormance af thls contract. Unless
otherwise agreed,the premium for such bond shell be pald by Contractor. If a bond ls required by Contractor subsequent to the signing of this
agreement,and supplier Is then unable to procure such bond,this cantract may at the optlon of Contractor E:e cancelfed forlhwithout Contractor
being liable for damages to Suppller iher2o(.
22. Supplier and his employees shall not be deemed or canstrued to be employees of Gontractor and shall not he entitled to any benefils of
Conkracto�s employees such as Workmen's Gompensation,Unemployment Compensation,group insurance,vacatlon or pension rights.
23. Supplier shall be fulty responsible for the payment,respecting his employees of a11 state and federal i�ces(or unemployment insurance and
social security benefrts,now or hereafler imposed,and to comply with all relafed requirements,and shall Inderrusity and save Conlractor harmless
wiih respect thereto.
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This Instrument Prepared By: �7/H/ I IIIIII IIIII I�III IIIII I`II)IIIII IIIII IIIII IIIII IIIII IIII IIII
Name: Rodda Constructiorr Inc. 250 E.Hi�hland Drive, l,nJ�elnrtd.Fl..33813 20121 i 1134
Permii No. Tax Folio No. �Rcpt:1445325 Rec: 18.50
OS: 0.00 IT: 0.00
NOTICEOFCOMMENCEMENT 07/02/12 K. Gareia, Dpty Clerk
STATE OF Florida
COUNTY OF Pascn
THE UNDERSIGNED hereby gives notiee that improvements will be made to eertain real property,and in aecordanee wilh
Chapter 713,Florida Statutes,the joUowing information is provided in this Notice of Commencement.
1. Description of prope�ty: (legal description of property,and street address if available)
Florida Hospita[ZephyrhilLs Simpson Breast Center Legal: 35-25-21-0010-1OS00-0000
7050 Gall Blvd PRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
ZephyrhiUs,FL 33541 07/02/12 01•22 m 1 of 2
2. General description ojimprovement:Renovation oJSimpson Breast Center OR BK ���� PG 1013
3. O►vner/Tenant information
a. Name and Address: Florida Hospital Zephyrhills, 7050 GaU Blvd,Zephyrhil/s,Fi.33541
b. Interest in property:Owner
c. Name and address of fee simple titleho[der('jother than owner):
4. Contracfor:
� a. Name and address: Rodda Construction,Inc.,2S0 E.Highland Drive,Lakeland,FL 3.3813
b. Phone number:863-669-0990
S. Surety
a. Name and address:N/A
b Amount of bond$
c. Phone number:
6. Lender
a. Name and address:N/.4
b. Phone number:
7. Persons wilhin the State of Florida designated by Owner upon whom notices or other ducument.s may be served as
provided in section 713.13(1)(a)7.,Florida Statutes:
u. Name and address:
b. Phone number:
8. In addilion tn himself,' Owner designates the followingperson(s)to receive a copy of the Lienor'.s Notice asprovided in
Section 713.13(1)(b).,F[orida Statutes:
a. Name and address: Rodda Construction,Inc.,250 E.Highland Drive,Lakeland,F133813
b. Phone number:863-669-0990
9. Expiration date of notice of commencement(the expiratian dale is 1 yearJrom the date of recording unless a diJferent
date is spec fed)
WA/2NINC TO OWNER:ANY PA YMENTS MADE BY THE OWNER AFTER TFIE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERGD I OPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA
STATUTES,AND CAN RESULT IN YOU P NG TWICE FOR IMPROVEMENTS TO YOUR PROI'ERTY.A NOTICE OF
COMMENCF.M T MUST BE RECO E D POSTED ON THE JOB SITE BEFORE THE I'IRST INSP�C'TION.IF YOU INTEND
TO OI3TAIN F N N C, CONSUL WI OUR LENDER OR ANATTORNEYBEFORE COMMENCINC WOItK OR RECORDINC
YOUR NO'I E C NCE
, ��
(Si true ojOwner or 's Author ed OJficer/Director/Partner/Manager)
� � J
(Signatory's Ti11P10jftce)
Tke foregoing instrume was acknowledged bejore me this�day oJr ?' .,20I2,by �-X�X � •�C`�'V
(name ojperson) as . :�' (type of authority,... e.g. oJ icer,t�ustee,attorney in jact),jor(name o party on
behalf of whom instrum nt as cuted).
d,.a����a., SUSAN L.BENNETT
J � ` �s Notary Public-SUte of Flortdt
ignature`o Not ry Pu lic---State of Florida) • My Comm.Expins Auq 11,2012
�. Comrtqssion�QD 612112
• � •'� lond�d flro�pA N�tforal Nobry Astn.
(Print, Type,or Stamp Commissioned Name of Notary Pub[ic)
Personally Known OR Produced I�lenn'fication Type of Idenhfcation Produced'
DATE : 07/02/12 PASCO COUNTY PROPERTY APPRAISER 13 : 14 : 38
O N - L I N E P A R C E L P R I N T C� U T
PARCEL-ID: 35 25 21 0010 10500 0000 TYPE: STATUS : A ��LA: 100107
SC TP RG SUB BLOCK LOT TRACT: 0328004
PARENT: 35 25 21 0010 07200 0000 DATE-SPLIT: 050205/VGL CLASS : 73
NOTES : 83Z/C #346 ;CMB 1-104-1, 1- 106-0, 1-122-O ;CMB 1-103-0 LETTER CD-
, 1-121-1 , 6-0-4 , 6-0-5 HERE 94WHOLLYOK;SPL 1-1p3-1 OWNER CHG-
NAME: ADVENTIST HEALTH SYSTEM/ 7050 GALL BLVD
/ADDR SUNBELT INC
FS119 CODE: ZEPHYRHILLS FL 335411347
STREET ADDRESS : 7052 GALL BLVD ZEPH`1'RHILLS F
VALUE & TAX INFO: E X E M P T I O N I N F O: SC>H HX APP
LAND AG: NUM CD H W D V T PCT HX-OVRD YEAF� DATE S YR DVD%
-JUST: 2958514 001 19 0 0 0 0 0 1995 030194
BLDG: 42544522
XFOB : 247712
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APPR: 45750748 OR BK 872� �G 1014
SOH:
NS ASD: 34405265
RPG:
EXEM: 34405265
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BS TXB: 11345483
S DVD: �
S DSM:
S TXBL: 11345483 AREA: 30ZH ACRES : 27 . 89 SPEC HX:
BC TXB 34405265
ADD EX:
C DVD:
C DSM:
C TXBL: PRIOR YR VALUE: 31277514
PRIOR YEAR P+IKT: 31277514
HX VAL: 0 NON-HX: 45750748 MKT DIFFERENCE: 0
MKT CHG HX: 0 NON-HX: 14473234 PRIOR HX VALUE: 0
MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT:
PHYS HX: 0 NON-HX: 0 PRIOR NON H:�: 31277514
PRIOR N-HX ASD: 31277514
S A L E S :
YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST :LIFE I/V TOI
1992 10 3164 0724 QC I X
1984 11 2051 0751 V
1982 O1 1170 1881 145000 V
1982 O1 1170 1830 410000 `1
L E G A L D E S C R I P T I O N:
ASSESSED IN SECTION 35, TOWNSHIP 25 SOUTH, RA:[�GE 21 EAST,
PASCO COUNTY, FLORIDA
ZEPHYRHILLS COLONY CO LANDS PB 1 PG 55 FOLLOWI:[�G DESC PROP
LYING W OF DAIRY RD R/W AS NOW LOCATED TRACTS 103, 105, 106, 119
, 120 & 122 & E 100 FT OF TRACT 104 & E 105 . 76 FT ��F TRACT 121
EXC W 187 FT OF E 267 FT OF N 172 FT OF TRACT 103 & EXC US
HWY 301 R/W & EXC R/W FOR DAUGHTERY RD; & ARBOR RIDGE
SUB PB 22 PG 44 LOTS 5, 6 , 7 & 8 OR 3041 PG 160
OR 3154 PG 65 OR 164 PG 724
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� �.``�,'��_ UNl VERSAL
SYSTEMS lNC.
374 Hobbs Road •Tampa, FL 33619
(813)662-9200• Fax 662-0080
TRANSMITTAL
To: City of Zephyrhills UFSI Job No. 12021 Date: 7/2/12
5335 8th St. Re: Florida Hospitai Simpsan Breast Health
Zephyrhills, FL 33542 7050 Gall Blvd
Zephyrhills, FL 33541
Attention: Building Department
We are sending you
� Shop Drawings � Reproducible Drawings � F'roduct Data
� As-Built Drawings � Hydraulic Calculations � Other
No of Copies Dated Descri tion
2 6/22/12 Fire Protection Drawin s FF 1, FD.1, FK.1 Si ned & Sealed
1 7/2/12 A lication
1 Co of Si ned Contract
1 Product Data - Heads
These are transmitted
� For approval
� For your use
� As requested
Notes:
Please contact me at 813-662-9200 if you need additional infor�mation
cc: Respectfully,
UNIVERSAL FIRE SYSTEMS, INC.
Nancy L Safran
SALES . SERVICE . INSPECTIONS . REPA/RS
ZE��9Y�tHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keiih Wiiliams Bus (813)780-0041 Fax (81;3)`1i30-0044
. FIRE SERVICE USER FEES
Occupancy No.: /
Plan No.: l -D �.�.�' Contractor. N��l'r.�.+�/ 2�S � ,.�. ' ,,..�
Business Name:,�/a2� ,� s r -Z� u/�sn�s�.Billing Address: ��d d s ,2��,�
Business Address: 7�' � � � S ��� �- � � �'
Business Phone No.: '�'"'� Billing one No.: ,3�/3 �'lal� z -yl�)J
Business Fax No.: C� Billing Fax No.: 4/.3 - /��.z - Ov}�c�
Contact: Contact:
PIAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N!C Annwal N/C prinlder s50 1st Alarm N/C
Multi-FamilylCommercial .06 st 1st Re-inepeCtion N/C Standpipes S50 2nd A18mt N/C
(Minimum Charge 325.00 2nd R�pection 3700 Fire Pump s50 3rd Alarm N/C
�Plan Revisions DBL 3rd Re-inspecCan �250 Hoods s50 4th Alarrr� alpp
4th Re-Inspection s500 Firo Alann s50 5th Alarm 5150
SPRINKLER SYSTEMS (Business cloaed uM� lP Gas t50 qh Alam� s2pp
0-25 Heads S50 violations corrected) Natural Gas S50 woN coMr�ur�ce s150
26 pws Heads 5100 SPRINKLER SYSTEMS Fuel Tanks- oer mnk �p
STANDPIPE SYSTEM Hydro Undergrounds 345 Sparklers s100
� Per Riser S50 Hydrostatic Test s65 �sysoem Fire Works 3500
FIRE PUMP Acceptance Test S45 �.ysmm Camp Fire S25
�Per Pump 5100 Hydrant Flow S75 Contrdled Bum 5100
FIRE ALARM SYSTEM Hood/Duct �,50
8 0-25 Devices 350 FIRE ALARM SYSTEM Place of Assembly S50 �m,wi
26 plus Devices 5100 System Acceptance S50 Fire Prdection S25
SUPPRESSION SYSTEMS Recall Acceptance �50 Flammable Application S50 �nnua�
Wet S50 OTMER Waste Tire Storage s50 �,,,,,,a�
Dry S50 Fire WalUSmoke Wall 315 Psrwau Generator<KW 5100
CO2 S50 LP Gas a25 per tank Generator>30 K4Y 150
Other 350 Nahxal Gas 325 Persy.e� Bio-Hazard Waste S�� Mnual
KITCHEN EXHAUST Fumigation Te�ing s50
�HoodlDucts S50 Tent 10'x10'or grestsr 315 psrum� Torch Pof/Applied s50
OTHER Fire Pump 345 Haz.Materials 3100 nmwa�
8 LP Installalion per lank s50 Fife SUppfessbn S30
Fuel Tank Installation 350 Syatem Acceptance
(Per Tank) S5o Exhaust Hood/Duct S30
�Natura�Gas Installation S50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth E50 �Inspection scheduled DBL 8
and canceUed less than '
24 hours
8��,��. N,�
Emergency Vehicle Aa 350 FALSE ALARM
PLANS TOTAL�� INSPECTION TOTAI� PERMIT TOTAL� TOTAI,�_` �
GRAND TOTAI C` •�
Comments:
--�ate: i''f l� �� '� -- -----
,
1 .
Ins�ctor: � �/�Lc.��--�_
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Bus (813) 780-0041
Keith Williams Fax (813) 780-0044
10 July 2012
Plan Number 12-025
Project: Florida Hospital Zephyrhills- Simpson Breast Health Center, 7050 G��11 Blvd
Fire Sprinkler System
Number of Pages: 3 Pages, plus 10 pages of documentation for Sprinkler Heads
This Officer has reviewed the plan for the Fire Sprinkler system installation of health care
occupancy located at 7050 Gall Blvd, Zephyrhills. Plans are approved as submitted with
the following conditions:
1. All sprinkler installation shall be performed by a Florida licensed Fire
Protection Contractor to NFPA 13 Standards. An identified contractor listed is
listed on the permit application.
2. Hydrostatic testing of system shall be performed at 50 PSI above ambient
system pressure, for two hours. Inspection is required.
Payment of permit fee indicates acceptance of the requirements of these review
comments.
Inspections Required:
1. Fire Sprinkler rough-in, hydrostatic and final inspection.
Review and approval of the submitted plans does not relieve the contractor from the
responsibility of correcting any deficiencies noted during inspection.
Respectfully submitted on10 July 2012 by,
G� -�Z��.l1-v�^'�—
Keith A. Williams, EFO, CFO, CEMSO, MIFireE
Fire Chief
Fire Safety Inspector, #148104
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FIRE PROTECTION NOTES
1. THIS BUILDING SHALL BE PROTECTED THROUGHOUT BY AUTOMATIC
SPRINKLERS. THE DESIGN AND INSTALLATION SHALL BE IN ACCORDANCE
WITH NFPA 13, LATEST ENFORCEABLE EDITION.
2. ADHERE TO AND OBTAIN ALL PERMITS, LICENSES AND ALL GOVERNMENT
REQUIREMENTS.
3. ALL AREAS SHALL BE FIRE SPRINKLERED. THIS SHALL INCLUDE ELEVATOR
EQUIPMENT ROOMS, ELEVATOR SHAFT PIT, ELECTRICAL ROOMS,
TELEPHONE ROOMS, AND ANY CONCEALED SPACES OF COMBUSTIBLE
CONSTRUCTION.
4. REFER TO ARCHITECTURAL REFLECTED CEILING AND ELECTRICAL LIGHTING
DRAWINGS FOR CEILING DESCRIPTIONS AND HEIGHTS.
5. THE LOCATIONS OF SIAMESE CONNECTION, RISERS, FEED MAINS, CROSS
MAINS AND BRANCH PIPING WHERE SHOWN ON THE DRAWINGS IS APPROXIMATE.
FINAL LOCATION IS THE CONTRACTOR'S RESPONSIBILITY AND SHALL BE IN
COMPLIANCE WITH THE SPECIFICATIONS AND ALL APPLICABLE CODES OR
REGULATIONS.
6. PROVIDE HEADS GUARDS FOR SPRINKLERS IN ELECTRICAL ROOMS, ELEVATOR
MACHINE ROOMS AND ANY HEADS THAT ARE SUBJECT TO MECHANICAL DAMAGE
AND /OR BELOW 7' -0"
7. NOT ALL PIPING, VALVES AND APPURTENANCES ARE SHOWN ON PLANS.
REFER TO PIPING AND RISER DIAGRAMS, DETAILS AND SPECIFICATIONS
FOR ADDITIONAL INFORMATION.
8. INSPECTOR'S TEST CONNECTIONS SHALL BE PROVIDED FOR ALL ZONES SO
THAT THE WATER FLOW SWITCH FOR EACH ZONE CAN BE TESTED.
CONNECTIONS SHALL HAVE A MINIMUM 11/2 INCH OUTLET AND DRAIN
VALVE LOCATED IN AN ACCESSIBLE LOCATION PIPED TO AN APPROVED
LOCATION.
9. PROVIDE ACCESS PANELS TO ALL VALVES ABOVE NOW ACCESSIBLE CEILINGS
AND CHASES.
10. ALL VALVES ON THE FIRE PROTECTION SYSTEM TO BE ELECTRICALLY
SUPERVISED. TYPE AND EXACT LOCATION OF FLOW AND SUPERVISORY
SWITCHES SHALL BE ACCOMPLISHED BETWEEN THE DIFFERENT RESPONSIBLE
TRADES.
11. PROVIDE A PERMANENTLY ATTACHED NAME TAG STATING THE REQUIRED
DESIGN CRITERIA FOR EACH HYDRAULICALLY DESIGNED SYSTEM.
12. ALL SPRINKLER HEADS MOUNTED IN CEILING SHALL BE LOCATED A MINIMUM
OF 4" AWAY FROM ANY WALLS, CEILING HEIGHT CHANGES OR ANY OTHER
VERTICAL INTERSECTING STRUCTURAL SURFACE.
13. PROVIDE SPRINKLERS ABOVE AND BELOW EXPOSED DUCTWORK 48" OR
WIDER.
14. PROVIDE ADDITIONAL OFFSETS OR FITTINGS REQUIRED FOR PROPER
INSTALLATION, COORDINATION WITH OTHER TRADES, AND /OR TO MAIN rAIN
PROPER CLEARANCES. VERIFY STRUCTURAL, MECHANICAL, ELECTRICAL
INSTALLATIONS TO AVOID OBSTRUCTIONS OR INTERFERENCE WITH FIRE
PROTECTION PIPE ROUTING.
15. FIRE STOP ALL PENETRATIONS OF SMOKE /FIRE WALLS. FIRESTOPPING SHALL
BE OF A U.L. LISTED ASSEMBLY.
16. SPRINKLER HEADS ARE TO BE COORDINATED WITH ALL DIFFUSERS,
SPEAKERS, LIGHTING FIXTURES, CEILING SYSTEMS AND STRUCTURAL
SYSTEM.
17. SPRINKLER SHOP DRAWINGS SHALL BE SUBMITTED TO ARCHITECT. NO
INSTALLATION SHALL BE PERMITTED UNTIL SPRINKLER SHOP DRAWINGS HAVE
BEEN APPROVED.
18. DESIGN CRITERIA:
A. ALL LIGHT HAZARD AREAS (OFFICES, TREATMENT ROOMS, ETC.)
SHALL BE HYDRAULICALLY DESIGNED FOR A DENSITY OF
0.10 GPM /SQ. FT. OVER THE MOST HYDRAULICALLY REMOTE 1,500 SQ.
FT. AND SHOULD INCLUDE A 100 GPM INSIDE HOSE STREAM ALLOWANCE.
B. ALL ORDINARY HAZARD AREAS (MECHANICAL ROOMS, STORAGE AREAS,
ETC.) SHALL BE HYDRAULICALLY DESIGNED FOR A DENSITY OF 0.20
GPM /SQ. FT. OVER THE MOST HYDRAULICALLY REMOTE 1,500 SQ. FT.
AND SHOULD INCLUDE A 100 GPM INSIDE HOSE STREAM ALLOWANCE AND
A 150 GPM OUTSIDE HOSE STREAM ALLOWANCE.
20. UNLESS OTHERWISE NOTED, ALL SPRINKLER HEADS TO BE QUICK RESPONSE.
$DATE$ $T /ME$ $F/LEA$
LEGEND
EXISTING PIPE
NEW PIPE
PIPING TO BE
REMOVED
NEW TO EXISTING
LIMIT OF REMOVAL
O
SPRINKLER BRANCH LINE OUTLET
SPRINKLER OUTLET SHALL BE TO
HE SIDE, NOT DOWN.)
FLEXIBLE PIPE
TEE CLAMP, CENTER ON TILES AS INDICATED
ON ARCH- RFFLFCTFD CFILING Pi AN
CEILING TILE
CEILING GRID TEE
FLEXIBLE PIPE OPTION
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1' "CAST IRON -
SiCR. 90 DEG. ELL
PIPE CLAMP
TYPICAL SPRINKLER HEAD
1" CAST IRON SCR. 90 DEG.
!� ELL OR TEE (AS REQ'D)
SPRINKLER BRANCH LINE PIPING
(SPRINKLER OUTLET MAY BE TURNED
DOWN, DEPENDING ON SITUATION.)
1" PIPING TO PENDENT SPRINKLER HEAD
LINE OF SUSPENDED CEILING
u
TYPICAL SPRINKLED HEAD --- Z
HARD PIPE OPTION
SUPPLY DETAIL FOR SPRINKLER HEADS
NTS
SPRIINKLER SYMBOL DESCRIPTION
SYMBOL
SIZE
TYPE
RESP
FINISH
TEMP
K- FACTOR
0
EXISTING
- --
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CONCEALED
QR
WHITE
165
5.6
0
%
SSU
QR
BRASS
165
5.6
O INDICATES SPRINKLER HEAD WITH GUARD
DRAWING INDEX
SHEET
NUMBER TITLE
FF.1 FIRE PROTECTION LEGEND, NOTES & SCHEDULES
FDA FIRE PROTECTION DEMOLITION PLAN - GROUND FLOOR
FKA FIRE PROTECTION PLAN - GROUND FLOOR
DEMOLITION NOTES
1. THE CONTRACTOR SHALL REMOVE ALL SPRINKLER HEADS,
PIPING, VALVES, EQUIPMENT, ETC. THAT IS OBSOLETE DUE
TO CHANGES IN THE BUILDING.
2. WHERE EXISTING CONDITIONS ARE SHOWN, THEY HAVE BEEN
DERIVED FROM AVAILABLE DRAWINGS AND REPRESENT THE
ENGINEER'S BEST ESTIMATE OF ACTUAL CONDITIONS BUT HAVE
NOT IN ALL CASES BEEN VERIFIED BY FIELD INVESTIGATION.
3. THE CONTRACTOR SHALL NOT ASSUME THAT EXISTING CONDITIONS
SHOWN ON THE DRAWINGS ARE COMPLETE AND ACCURATE
REPRESENTATIONS OF THE EXISTING FIRE PROTECTION SYSTEMS.
THE CONTRACTOR SHALL VISIT THE JOB SITE AND BECOME FAMILIAR
WITH THE SITE CONDITIONS BEFORE SUBMITTING A BID. ANY ADDITIONAL
WORK CAUSED DUE TO LACK OF KNOWLEDGE OF EXISTING SYSTEMS
SHALL BE DONE AT NO ADDITIONAL EXPENSE TO THE OWNER. IF
AGREEABLE TO THE OWNER, THE CONTRACTOR CAN ESTABLISH LINE
ITEM COSTS FOR POSSIBLE DEMOLITION ITEMSTHAT ARE UNABLE TO
BE IDENTIFIED WITH REASONABLE INVESTIGATION.
t
design
Heery International Inc.
4700 Ylllenia Boulevard,
Suite 550,
Orlando, Florida 32839
407.992.6300
EB 0005176
Seal:
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NORTH FIRE PROTECTION DEMOLITION PLAN - GROUND FLOOR
SCALE: %" = V - 0"
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NORTH FIRE PROTECTION PLAN - GROUND FLOOR
SCALE : %" =1' - V
NOTES:
1. ALL SPRINKLER BRANCH RUNOUTS SHALL BE 1"
UNLESS NOTED OTHERWISE
2. FOR EXISTING SPRINKLER PIPE SIZES SEE SHEET FD.1
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