HomeMy WebLinkAbout12-13520 CITY OF ZEPHYRHILLS
• 5335-8TH STREET ,r
� (sis)�so-oo20 13520
FIRE ALARM SYSTEM PERMIT
Permit Number: 13520 Address: 38250 A AVE
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: 14-26-21-0010-01300-0010
Improv. Cost: 8,9111�50
Date Issued: 10/10/2012 Name: ZEPHYR HAVEN NURSING HOME
Total Fees: 100.00 Address: 38250 A AVE
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/10/2012 Phone: (407 975-3000
Work Desc: INSTALL ANTI- ELOPMENT SYSTEM INCLUDE MAGNETIC LOCK & KEY PAD
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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
FINANCING, CONSULT WITH YOUR LENDER OR AN O BEFORE
RDING YOUR NOTICE OF COMM '
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CONT O SIGNATU E PERMIT OFFICER
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
�EPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
�ire Chief Keith Williams Bus (813)780-0041 Fax �;813)780-0044
FIRE SERVICE USER FEES
Occupancy No.: r.J � � j
Plan No.: Contractor: - 'fe�K ��S I �e d�U (,��t�S�
Business Name: �� 14►� ���-► c� ��� Billing A�dress: J
Business Address: � � v�
Business Phone No.: �, f 3 -"7 d Z - S�� Billing Phone No.:
Business Fax No.� Billing Fax No :
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1 st Alarm N/C
Mufti-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Pe�w�k $50
STANDP�PE SYSTEM Hydro Undergrounds $45 Sparlclers $100
� Per Riser $50 Hydrostatic Test $65 per system Fire Worics $500
FIRE PUMP Acceptance Test $45 persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 ConUolled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 ystem Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Repll Acceptance $50 Flammable Applicanon $50 nnnuai
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Ftre WalUSmoke Wall $15 per wall Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Othe� $50 Natural Gas $25 persystem Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 Annual
8 LP Installanon per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acxeptance
(Per Tank) $50 Exhaust HoodlDuct $30
�Natural Gas Installatio� $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 FALSE ALARM
PLANS TOTAL�_i INSPECTION TOTAL�V � PERMIT TOTAL�_', TOTAL��
GRAND TOTAL
Comments:
Date: � �'��� Z'
Inspector:�� ��r�j'��SS
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1 Illill Illll IIIII IIIII IIIII illll IIIII IIIN I{III Ilill 1111 IIII
' 2012168439
NOTICE OF COMMENCEMENT
Permit No.
Property Idenrification No. ��'OZ b "�� "���D" �l 3 a�'�7���7
T'HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
I 1. Description of property(legal description:
a) Street Address: �. Z ` 3
2. Ge�a de criptiono�prov ents ( 1 .e.w�e i+ � oe C
.t C ' �u
' 3 Owner Informa i n � � ^ � 1 A( ` /� 1 1
a) Name and address: U tMn w� IVuVS/nA �S dF��iu��i�I�S �nC �C��LoUr(�aN� �1 S�e�Q�
b) Name and address of fee simple titleholder(if ther than owner
c) Interest in proper[y
Contractor Information n
a) Name and address: � t Y�o � c 4a6a G„ l�ai raz B�Jd �Y� o � �'
b) Telephone No.:�n�— 36��9 S� J Fax No.(Opt.)
I 5. Surery Information (Rcpl,:1465770 Rec: 10.00
a) Name and address: DS: 0.00 IT: 0.00
b) AmountofBond: �10/04/12 C. Cook, Dpty Clerk
c) Telephone No.: Fax No.(Opt.}
6. Lender
a) Name and address:
�
' "/. Identity of person within the State of Florida designated by owner upon whom r�*+�P�����cumenta_mav be_served;
PAULR 5 0'NEIL,Ph D PFlSCO CLERK S COMPTROLLER
� a) Name and address: I _
10/04/12 03:51 m 1 of 1
b) Telephone No.: Fax No.(C OR BK PG '
8. In addition to himself,owner designates the following person to receive a copy._______ $7 4 _.__25$8 J
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.{Opt.)
� 9 Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
sgecified):
VVARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
i COiVIIVIENCEMENT ARE CONSIDERED TMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
i F'LORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. -
i STATE OF FLORIDA
COUIVTY OF PASCO
ignature OF O or ner's ed Officer/Direcror/Parmor/Manager �
� ,�.b .c�,��.�Ey�;�
Print Name ^
The fo going inshvment was acknowled ed before me this t day of �z���—___ ,20 lP�by �`���
(�A e�',3.{� � �Q�1�lt 1.►IST�A-TO/y (rype of authority,e.g.officer,trustee,attorney in fact)for
(name of party on be f af om instrument was xecuted).
�..... I�-'�.
� �Personally Kno �OR Produced Id�tification_ Notary Sign
� Type of[dentification Produced Name(print) ` ����-
�I Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
' in it are true to the best of m kn w e � --�`
Fow,�s�r,oc.rvsazoo, ��.••,y� Nonry P�aK saa a Fw�c.
} � Tania BfuCE / �+nveorNenvd nsi va
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ST�^TE QF FLORIDA, COUNT�'C3F P��i.:C�
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TNi,�, i5 7C�CERTIFY THAT THE FOREGOW� ��F'. � � �, *
I hUE P,NQ CURRECT COPY OF THE DOCUN�'tNT * � Iny�,tv�eT''"`` • *
0`v F�LE UR UF FUBLI RECORD IN THIS OFFICE
WIT,' S PJ�Y NANG �Q FI IALSEALTHIS *� � � � �.
�,�— t�AY C�r" iJ 2 �/ v * 1887 P,
LA S C �Eit_, C�. ki� �� COMPTROLLER � • J
, �,a ��
��"� / �./� � DEFUTY CLERK �O��
• � �
BUII ' P �,���'� t
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Date Received .- -- 1
' � � � � � � � Phone Contact for Permitt g� 7 y� 3� -- � �
Owner's Name �Q � J' �/�(/�r✓ f-�Qi}��r/ «.� �t�j �rPho�s�'Num�.._r. _ ,___._ -g.s�
/� be � �l' ?ys2 $
Owner's Address �$ ��� � /�i�L°' � h � L Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��`S O � �U � R � j / �- ,jS�� LOT# ��
SUBDIVISION PARCELID# I�" G '-�I' (J��� ` Q�3dC�� "' OOjD
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��a �� GLH'�7��e � �, '�v (nC e ma �e��iocks c�-r�� ��• a 5
BUILDING SIZE SQ FOOTAGE /�' �laa HEIGHT
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ � ���, �Q � AMP SER�I�E Q PROGRESS ENERGY Q W.R.E.0
� 1 �� �
OPLUMBING $ � ���' ,,l
� � ��j? V
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� l �/
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
11111111111111111111111111111111111111111111111111111111111111111111
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# ���
ELECTRICIAN COMPANY a � I-�° J�C {�( �P
SIGNATURE REGISTERED Y FEE CURRE� /N
Address Q � n ��.t+J¢.- �/`V� � �u 3��a� License# % y C�C��3
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
11111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans, (2)sets of Building Pians;(1)set of Energy Forms; R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*"'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed" restrictions"
which may b� 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 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
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances
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, Counry 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 responsibitity to identify what actions I must take to be in compliance. Such agencies include but are not limited to
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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 OfFcial 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 NOTIC OF M NCEMENT.
FLORIDA JURAT(F.S 117.0 �
OWNER OR AGEN CONTRACTOR'~
$ubscribed��anad�s (o affi ed e me th� �� Subscribed and w n t or aff ed re mg this
�_tl�. c �O C'T�1� by �C c�2 i`f�lJ+�a
Who is re na known to me has produced Who islare personally known to me or has/have produced
as ident�cation. "FL L1 L as identification.
��_�..__.�, �`�Y�. � �'��f,� \. '` c —
`�""� �''-'" F"' .. Notary Public ` � � �� �-
� Notary Public
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Comm�ssiQn I�S----�-- �� b� << � Commission No. C� ��� �(�-
�`�,�.��.-__ � �CJ2
Name o o Name of Nota r
��sY►u� Noury Public State d Fbrida Notary PuWic Stats d Fbrda
, Tenia Bruce :P`��� Tania Bruce
^,4 ��� F My Commiaio�EE071129
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�___.._...__--- 3 0 �
omeowner: .� � � „�,S � ��,
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Datc Rcccivcd: � lp -- -/�
Site: a��.��� \\ � j� �r
Permit Type: �;— �� �v
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Approved w/no commentsf� Approved w/the below co ents: ❑ Denied w/th elow comments: ❑
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This ' ent sheet shall be kept with the permit and/or plans.
' � ,�'' � �,� L
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Kalvin Swi -�' ans Examiner Date Contractor and/or Homeowner
(Required when comments aze present)
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RFTEL'HNOLOCy1�S�
Code Alert�System Quote
Wandering Management Solution
(Wlth CPS)-With Premier Pncing
Mr.Neal Frasbr,Dlrector o1 Phnt$srvk�s Ouole t: 34683
�PHYR HAVEN 11EALTFI AND REHAB dD�: CGp72612
9d250 A Avenus �
Zephyr HNIs,FL �154Z
Emall: ned.ir�Nsr�sphyrhmren.can
Phone: (879?782•6509 (auo�ie D�1a: 71Z8/2012
F�c: (81�7�-1�6 Ou�ta�: 9V80Z012
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SPECIFICATIONS
Size: 6"x 16"x 16"
Weight: 30 Ibs.
Power: 120V AC, 3A Max
Single-Phase Power
�'� Output: 15V DC, 9A Maximum,
� branched into four class II zones
polyfused at 4A Max
Enclosure: Steel cabinet with
•� locking door and keyswitch
� " � power on/off
�--,,,.,,"'"..-�""...�-
Standards: NFPA Standard 72,
Fire Protective Signaling Service,
;� � �„�„-__.:� UL 864 Listed, Class II, UL Listed
�.
� Releasing Device 49XM
x
Wire Requirement:l6/4 AWG
Standard Plenum-rated
Conforms to U�Standa�d 864,
Releasing Device 49XM
■ Eliminates the Need to Install Outlets at Each Monitored Location
■ Automatically Disables Electromagnetic CodeLocks`" Upon Fire Alarm Activation
■ UL Listed
Saves Time and Money
The Central Power Supply connects multiple components to one central power source,
significantly reducing installation time and labor It eliminates the need to run cable from
the fire alarm panel to each monitored CodeLock'" location and the need to install
individual outlets at each location.
Meets NFPA Standards
Upon activation of the fire alarm,the Central Power Supply will deactivate all Safe Place�
and Code Alert�Electromagnetic CodeLocks while continuing to power the Security
System, ensuring resident and patient safety.
3125 North 126th Street, Brookfield, WI 53005 USA
phone 800 669 9946 web www rft.com RFTECHNOLOGIES
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SPECIFICATIONS
Model:CL151
Oimensions: 10"L x 2"H x 2 3/8"
''�" ���,,, D(25.4 x 5.08 x 6.03 cm)
P,
..�
"k, Weight:6.5 Lbs(2.95 Kg}
Enclosure: Brushed Aluminum
indudes mounting hardware
ar�d egress sign required by
NFPA-101 code
Haiding Force:6001bs.
Pawer: 12-15 VDC,520mA
UL Lfsting:Auxiliary Lodc
Category 15S3 UL File Number
R17097
Signage: Includes Signage to
Meet NFPA 101 Specs
■ Meets NFPA-101 Life Safety Code,Adopted by Most States
■ UL Listed
■ Automatically Unlocks in the Event of Electrical Failure or Fire Alarm Actnration
■ Door Movement Activates Delayed Egress, Independent of Door Latch
■ New Construction or Retrofit on Most Existing Doors
Various Security Levels based on Facility Needs
The Compact CodeLock is an electromagnetic device with delayed egress
functionality used to secure a door to keep residents safe.When integrated with the
Code Alert Wandering Management Solution,the CodeLock automatically secures the
door when a resident wearing a transmitter enters the monitored area.The door
automatically unlocks when the monitored resident moves away from the door,
allowing staff and visitors to move about the facility without barriers.The CodeLock
can also be integrated with a Code Alert Keypad Perimeter Alartn to create a more
secure area for locked units and stairwells,while allowing authorized staff the ability to
move about as needed.
Reduce the Risk of Elopements
The CodeLock allows the delay needed for a caregiver to get to the secured area to
redirect wandering residents to a safe place before elopement occurs. Redirecting the
resident to safety,with no shrill ala�ms, preserves the dignity of the resident and
provides a calm and quiet environment for everyone.This saves staff the time of
having to retrieve a resident who attempts to leave the facility through a door that
solely has an alarm system.
3125 North 126th Street, Brcokfield, Gti%I 53005 USA RF��E�htNC7LOGPES�
phone 800 669 9946 �a�eb �s�vrw rft com
051�-�022 Rev C 12-06
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, SPECIFICATIONS
_ �'8fl�f��
• �ont u '`�nLv Size:6.5"x 4.5"x 2.25"
� e �oo� �
� a�k 0�� * �. Weight:1 Ib.(0.5 kg)
Ma� � .."
� �n��i � ��f ` Power: 16V AC c�ass 2 tr8nsfortner or
.. • ass
M� �` � +� 1418V DC,#rom the Central Power
��� SuPPIy,200mA
�' In uts:8 set, 1 set
p p�r zone,normally
•/� Gosed
� �o
'`°�...,� Outputs:N/O Dry Co�tad,activated
�, - � upon alarm, 10A rating
Lights:(8)Red LED's,(1)per zone,
(1)Green LED,to indicate power
Enclosure:Steel,surtace or flush
�`'t mount available
Wire Requiremenk 22/4 AWG
Standard Plenum-rated
Confonns to UL Standards 294 and
1069
■ Audible�Visual Staff Notification
�+��4
■ Adjustable Volume 8�Cadence E1� us
■ Fully Supervised System
■ Notification of Cut Wire 8 Power Loss
■ SurFace or Flush Mount �3�87��
Monitors Up to Eight Doors�or Zones
The Staff Alert Panel provides an audible and visual alarm when a protected resident
enters/exits a monitored area. The Staff Alert Panel works in conjunction with the
Code Alert Wandering Management Solution and can monitor up to eight doors or
zones per panel
Instant Notification of Alarm and Exit Location
The Staff Alert Panel is usually placed at a central location such as a nurse's station
so that it is visible to staff. The Staff Alert Panel contains eight red LED's which
identify each of the monitored zones. Each LED lights up while a tone sounds
providing staff the exit location of the wandering resident so a caregiver can quickly
be dispatched to deter the potential elopement.
Customizable for Your Needs
The Staff Alert Panel has an adjustable volume and cadence control,which allows
you to program each Staff Alert Panel as desired for your particular environment.
3125 North 126th Street, Brookfield, WI 53005 USA
phone 800 669 9946 web www rft com RFTEGHNOLOGIES
0517-7030 Rev E 04-10
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� �••` t \ Contr�ol Unit Models
9450 Model 70(NFPA-101)
< 5 s ` 9450 Model 71 (ICC-compliant)
� B S Dimensions: 6.5 in. x 4.5 in. x
� D �y
� 1.5 in. (h x w x d)
! e'��O�ae<r
� Q Weight: 1 5 Ibs.
. Color: White
Enclosure: White painted surface
Restrapnt�Free fulonitorinq of Residents at Risk mountsteelenclosureorgalvanized
Code Alert�"provides reliable, restraint-free monitoring of residents at risk for steel flush mount enclosure
elopement with our Wandering Management Solutions Using radio frequency power: 14-16 VAC or DC,400 mA
technology, this system uses. lightweight transmitters worn by residents, receivers per unit required
to detect residents' presence, reed switches to know when a door is open, and a
control unit that issues the alarm. The system can be reset and bypassed at a �nputs: Staff/visitor bypass input
monitored location using the control unit keypad, keeping residents safe while tamper switch
allowing staff and visitors the ability to move about the facility without barriers. DuoLink Exit Alarm Receivers
Door F'osition Switch
Easy-to-Use System Door F�jar Input from CodeLock
Residents can wear transmitters on their wrist, ankle, or attach them to Outputs:4 sets of supervised
wheelchairs. The transmitter is secured with a durable band and is protected with Normally Open and Normally Closed
a water-tight case Long-lasting CodeWatch"' transmitters reduce operating costs relay contacts can be used to
and eliminate the need to frequently order replacements In the event a resident activate staff alert panels and other
enters a monitored area while a door is open, an alarm will sound locally as well auxiliary devices
as at optional remote locations. Communication• RS-485 Data
Customizable Safety Features Signaling �
The Wandering Management Solution includes innovative features that ensure the DuoLink Exit Alarm Receivers
well being of residents. Our Visitor Bypass feature alarms when a monitored Dimensions: 12.2 in. x 1.77 in. x
resident follows a visitor or staff member through a monitored area. Supervised 1.30 in. (I x w x d); includes 30-ft.
wiring and tamper switches notify you if damage, vandalism or power outages cords
occur The ability for authorized personnel to control and customize settings Weight• 5 75 oz.
through the control unit keypad allows features to be changed quickly and easily. �
Range:Adjustable up to 8 ft. each
Model 70 Options CodeL.ock Model CL151 (Optional)
■ CodeLock`"' Electromagnetic Lock—Automatically secures door when Dimensions: 10 in. x 2 in. x
resident with transmitter enters monitored area 2.375 in. (I x h x d)
■ Automatic Door/Elevator Deactivation Module—Can deactivate a motorized yyeight•6.5 Ibs.
sliding door or hold an elevator door open, preventing wandering residents from '
leaving the floor Holding Force:600 Ibs.
■ Staff Alert Panel— Remote annunciator monitors up to 8 exits, usually placed
at nurse station Conforms to UL Standard 294
■ Transmitter Tester—Portable tester carried by staff to document that worn .�N�
transmitters are functioning ��� �
� Programmable Timer—Automatically switches system from wandering
management to perimeter alarm system for increased security during off-hours
(3048736)
3125 North 126th Street, Brookfield. WI 53005 USA
phone 800 669 9946 web www rft com
RFTECHNOLOCa/ES°
05�1-2033 Rev D 02-10
Zephyrhills Fire Rescue
6907 Dairy Road,Zephyrhills,FL 33542
Fire(:hief Bus(813) 780-0041
Keith Williams Fax (813)780-0044
26 June 2012
Neal Frasier
Director of Plant Services
Zephyr Haven Health and Rehab Center
38250 A Avenue
Zephyrhills,Florida 33542
Mr. Frasier,
At your reyuest I have reviewed your concerns forwazded by your vendor for tlte
WariderGuard system you are wishing to install. The concern expressed by the vendor
cited NFPA 101 Chapter 7.1.5 dealing with headroom reyuirements for access in a means
of egress. Per the specifications sent to ihis Office by the vendor,new devices do not
appear to occupy excessive azeas of the headroom approaching the door opening thus not
detracting from the intent of the above cited section. The placement of new devices on
the doors, while being slightly larger than the existing devices could be installed with
minimal intrusion on the required floor to ceiling heights of doorways in your existing
occupancy. Should you or the vendor have any questions please feel free to use the above
contact information,
Sincere}y,
��� �
Keith A. Williams,EFO, CFO, CEMSO,MIFireE
Fire Chief
Fire Safety Inspector#t48104