HomeMy WebLinkAbout13-14053 CITY OF ZEPHYRHILLS
5335-8TH STREET
� � �si3)�so-oo20 14053
FIRE STANDPIPES PERMIT �
Permit Number: 14053 Address: 5420 GALL BLVD
Permit Type: FIRE HOOD SUPPRESSION SYS ZEPHYRHILLS, FL.
Class of Work: FIRE-HOOD SUPPRESSION SYS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12100
Improv. Cost: 500.00
Date Issued: 4/10/2013 Name: STANLAKE YE FAMILY LP
Total Fees: 130.00 Address: 464 W DUARTE RD #B
Amount Paid: 130.00 ARCADIA CA 91007
Date Paid: 4/10/2013 Phone:
Work Desc: REPIPE SUPPRESSION SYSTEM FOR 2 NEW APPLIANCES-MEXICAN RESTUARANT
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CONTRACTOR CERTIFICATE 30.00
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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 E BEFORE
RECORDING YOUR NOTICE OF COMM '
CON RACTOR 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
. . Z�I�r�l(RHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
�ire Chief Keith Williams Bus ($73)'180-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.: �
Plan No.: Coniractor: S�'Cc�r� �i'r� � ��, ,re,��"'
Business Name:__ _4�;e� � M�e xr`can rsT Billing Address:
Business Address: s4 Zca G A l► g I U i�
Business Phone No.:_�7-- 851—l S t3S Billing Phone No.: �352-�b -7�3y�d
Business Fax No.: Billing Fax No.: .
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C. Annual PUC Spdnkler 350 tst Alarm N/C
Mulli-Family/Cammercial .06 Sf 1st Re-inspection N/C Standpipes 350 2nd Alarm N/C
(Minimum Charge 525.00 2nd Re-inspection a100 Flre Pump ,� 3rd Alerm N/C
� Plan RevPsions DBL 3rd Re-inspecUon a250 Hoods %� 4th Alann 5100
4th Re-Inspection $500 Fire Alartn � �q�� $��
SPRINKLER SYSTEMS (Business closed unt� LP Gas �5p qh q�� a�
0-25 Heads S50 violad�s corrected) Netural Gas �5O NON CpM►PIJANCE a150
26 plus Heads a100 SPRINKLER SYSTEMS Fuel Tanks- �►m�k �p
STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers a100
�Per Riser a50 Hydrostatic Test a65 �r sys�em Fire Works y�Op
FtRE PUMP Acceptance Test a45 per ayctem Camp Fire $�
� Per Pump �100 Hydrant Flow $75 Conttolled Bum 3100
FIRE ALARM SYSTEM Hood/Duct �p
8 0-25 DeVICeS �50 FIRE ALARM SYSTEM PIeCe Of ASSertlbly �JO Annual
26 plus Devices 5100 8 System Accepta�ce S50 Fire Protectia� S25
SUPPRESSION SYSTEMS Recall Acceptance a50 p���
Applicetion �SU Annual
Wet S5U OTHER Waste Tire Stwage $50 n,,,,,,,i
�ry , Fire WalUSmoke Well a15 perwaU Genefator<KW s�QQ
�O2 � �` �p�$ a25 per tank Generetor>30 KYY 150
Other NetUrdl Ges a25 per sys�am Bi0-Hazerd W�te 5100 i►nnual
KITCHEN EXHAU5T Fumigation Tentmg SSp
�� T8M tax�a or9r��r s15 ,»�a�c Twch Pof/Applied �p
OTHER Fire Pump , Haz.Materiala a'IOO Annual
LP Installalion per lank s50 Flfe Suppfession s30,
Fuel Tank Installation E50 System Acceptance
❑ (Per Tank) S50 8 Fad�aust Hood/Duct 5�30
Nalural Ges Insfallation a50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth 350 �Inspection scheduled DBL 8
arxl cancelkd lesa then •
24 hours
-- 8 Construction Insp. N/C
Emergency Vehicle Aa 350 FALSE ALARM
PLANS TOTAL S'O INSPECTION TOtAL� PERMIT TOTAL S�O TOTAL�__`__)
(3RAND TOTAL p� e�
Comments:
—�a1E'� � '� '�.,�'Z
Ins���ctor:�.-�� �` �� .Q(�
613-780-0020 Cit�+of Zephyrhills Fire Fax-813-780-0021
Permit Application
4ate Received �-2�—(� Phone Contact for Permit r.35� r 7 7340
Owner'sNama David Cortes: Hacienda Mexican Restauran p,�,�ersPhoneNumber �2� 851 1585
OwnePs Address 5420 Gall Blvd
Fes Simple Titleholder hlame Tideholder phone Numher C� � ��
Fee Simple Titleholder Address
.loh a,ddress 33542 �ot# �
Sub Division Parcei# i�-2s-2�-ooiaizioc-ozsa
QBio-Flazard Waste Slorage-ANNUAL Q �umigai+on Tent
� Comm Euhausi Kifchen Hood/Duat � Hazardous Metarfal(Tfer H or RQ Facility)ANNUAL
QCoMrolled Bum Q Haod Installa�on
� Emergency Generator<3D kw Q LP/Naturat Gas-l�tallatton
� Emergency Ganarator>30 Scw lPlNatural Gas-ANNUAL Sate
� Fire Protectlon Maintenence-ANNUAL Piaces ot Assembiy-ANNUAL
� sm� R�"T�n r
SpAnkler � ❑ ❑ d � Recreatiflnal Bum , ` ��
Fire Alartn � ❑ ❑ Ci �� � Sparklers � I wa
Hood Cleani n g � C7 D C7 � � Sprinkfer System installations
Hood Suppression � ❑ G G ep i e � Standpipos(Sprinkier Sys)
� Fire Atarm Instailation � Torch Rooflng/Tar Kettle
Fire Pumps � 1Naste Tire Storage ANNUAL
Firo Works
Fiammable Application-ANNUAL s soo 00 —� V�Itk'�tion Of ProjBC#
Fuel Tanks
x� Gther. Re i e s stem for 2 new a li.ances
Contraetor Company ,
g�9��fe Registered Y/N Fee CuRent Y/N
Address L'tcense#
ELECTRiCIAN Comparty ��
Signature � Registered Y 1 N Fee Current Y/N
Addross License#
PLUMBER Campany .
Signature Registered Y/N Fee CurreM Y/N
Address lioense#
MECtiAN3CAL Company ��
Signature Registered Y/N Fee Current Y 11�I
Address ��#
UTHER Company Securit Fire E ui ment LLC
Signature Registered Y 1�V Fee Cut►ent Y/N r
Addreas 18 3 3 0 Lawrence Rd License#
Direations:
Fiti out appiication compleieiy.
Owner&Contractor sign bacic of appiication,notarized{Or,copy of signed coMract with owner)
!i over$2500,a NoUce of Commencement is requfred(Machanical work over E5000)
Supply iwo{2)sets ot drawings with appiicable docume�tation
Aliow 10-14 days tor review after submittal date. Parcel#-obtained from Property Tax Notice(http:!lappraiser.pascogov.c�m)
NOTICE OF DE�RE8TRiCTtONS: The tuxter9i9n�u�erstands thst this perm&msy be sab}ect to`deed'resbictions
which may he more reatrictive Utan County regutations. The unde►signed assumes responsibfHty far compliance with erry
appUt�►bte deed►estria�fons.
UNLiCENSHD CONTKRCTO�&AND CONIRACTOR RESPONSiBILRlES: If tl�e owner has hired a contr'ectar ar
coMrectore bo tmdertake wo�ic�theY�Y��N�to be Ik�ensed in act:ordence wRh state and bcal re9t�aUo�. H the
cbnfractor is nOt}kk�nnsed es reciuired bY laW.t#h Ure owner and c�ntractor mey be cReQ for e misdemoamor violatlon
u�er state law. if the owner or intended contractor are w�certsdn as to what i'rc:enaing requhemerris may a�►piy for fhe
inte�xled work,tl�ey�e advised to corrtac�the Paaco Courtty Bukdin�Itlspe�ion Divlsion--Lioensing Section at T27-847-
8009. Furtherrtiore, tf the orvner haa hked e contrac3or a�, he Ts advlsed to ha�re Ehe oontra�Ka) sign
potdons of the'contractor 91oc9t'of thfs�piicatlon fnr whioh they w�t be respo�ibie. tf you,�the owner ai�rt as Ure
contrecta.Ntet rt�ay be an tndic�Nan that i�e is not properiy Ifoeneed ar�d(s rat etrt�ed to pertnitdn8 privNege.s�t Pasco
Cout�ty.
TRANSPORTATION HNPACTtUT1LIl1ES IMPACT AND RESOURCE RECOVC-RY FEEB: Tha undersigned uridersiends
that TransP����Ped Feea end�urae Recova�+Feea►rmY�pip to 9�e�uc�ior►of new buildinps.cfien$e of
use kr e�stin8 buifdMgs,or expanalon of e�dstlqC buldinpa,ss spedfled ln Pacoo Cou[�t�r Ehdinance number 89-07 argi
60-D7,as amended. The undersipned also understands,that stich tees,as may i�e due,w�l be WenUfled et dte Bme af
permttling. lt is turther understood that Ttansportatlon lmped Fees end Resax�Recovery Fees must be p�d prior�
recelvin8 a`cettlflc�ate af o�rwy or fi�l power reheee. ff the projec�does not irnrot�a certiRcate af occa�pancy or
final power relesse.the fees must t�e p�td prior to perma i�suaetoe. Furthenriore�If Pesco Cour�ly We�rlSewer Itnp�ct
#ses srs due�t1�Y must be Paid p�ior to permit lssuenoe�1 ec�farroe wlth applicable Pasco Coimty ordinenoas.
CONSTRUC'E]ON L1EN tAY1l(CMpter 718,F�eide Stad+ivs.as am�dadj: ff vatuatlon of vwa�c[s 32.50Q.00 w more,1
certitq that 4 !he apP�iCSnt, hava been provlded with a copy af the `Fbrida Cormttuc6o� Lien Ue��eowne�'s
ProtecUon Gulde prepered by the Plorlda Dep�trnent trf Agrlcxdhae and Consum�Aflahs. if ihe app�rard ls�rnea�e
other than tt�'o�wneY,l certiTy that 1 ltave obtafned a cbpy oT tl�e above descrlbed dvcumerd�d pramise in good fsith to
deliv�it fo the'orunet'P�'t�oor�unencxmerrt.
CONT�tACTOR'SK?iM1�fER'S AFFIDA111T: 1 c�ertlfy ihat all the(fiortnatfo�n in this applfw�tion is a�xurate�d that all woric
will be done in compi�arrxoe wRh al1 aippHcabte iews regulatln�construction,z�+inq ar�d larid developmenY. Appiicetion is
hareby rtiade to obtain e permlt to do wvrk end ltiet�AeBon as UI�d, i t3erHfy that �to wDrk w haafabedlan hns
commeneea prior co fasua►me ofi a pertnH�,ci met dt wo►tc wa�be periartned to maet sianaatde or ait�awa regu�
construction.Camly end Clty codea� zanin9►eSuieNoT�e, and bnd devsiopment teguledons in 1he]ur�on. I sGso
ce�{Ny tfiat I urtderat�+red that tite re8ulatkms ot adtier gaver�nnent ager�ie9 rt1aY aPP�Y�the itrtended rwTi4�d fhat it�
my responstbNftyr to(dentlfy what aatiorrs 1 must teke to be in ixxnplfer�oe. Such agencies fndude�t�e rrot iimiled�n:
- Departrnent of Emrironrtront�ProtediorrLyprees Ba�s,YYa9ar+d Areas�d Env4vrnnerMaMy 3ensMive
La�da,Wa[erl4Uaefewater Tr�bnent.
- SouU�west Rorida Water Managemert Dlstrict-WeHs, Cyptess Bayheads, Wetlend Areas, Aitering
Water�outses.
- nr►ny co�ps of E►�gir,eers-seavvaBs,Docks,Nevlg�fe V+late*wars.
- pepstlmetrt of Fieedth� Ret�blBtative Servh�slEftvkvn+nerrtat Weaith Unif-WeHs, Wastew�ater Treatrnent,
Se�la T�dcs.
- US Envtranmental Probectlon I�encY Asbeetos abatement.
- Federal A�mtfon Authortt�-R�x�uueYs.
I understand thsf fhe foNovrinQ rastrictio�s aPP�Y!01he t�ae of�:
- ltse of fll Is not&Mawed&t F(ood Zone'1A tNfle�e�[e�lY Pe��.
_ ►f Che#Ig trmterfai ts io be used in Rood Zone 'A, R Is understood lhet a drahtage plan addtessing a
•compenssthtg volume'wAI he svbm�d at 9me of Pe��9��P�PBred bY H professlonef+eclptr�eer
NCOnaed br 918 Sfete Of F1o13de.
- H the iill roa�ial!s to be used in Flood Zone`A"in cotme�fion witfi e perrnitf�i buAd�g ustng at�n waR
cor�sbuctlon.I ceN(y that fHi vv�iN be used t�nty ta f81 the aree�the stem weU.
- tF flit matedet ta to be used in any srea, 1 ceatay thet use of sut#�flll rnAq not adversaly effeet edjeo�t
propsRiea. If use of flU is found to advereely efiect ad��t P�Pe►�S,ifie owner mey tie c�ed tor vida6ng .
ii�e condiUons of 8re buikifng petmil isaued undet tl�e a�hed Pemm�itt ap�ik�tfon.tor iots iess 9�an one(1}
acxe which are slevetad byfAl,en e�h�ted�e Ptar►Is�e4uked
if i am the AGEN'f FOR TFiE OWNER,I prarnl�e 6�good ia�to inForm the ormer aE the pert�p conditlons set forth fn
ihis arfidavft prior to commerx�ng conatruotion. I un_detatend 1t�aE s separata pennit Inay be toqui►ed tor�i work,
plumbing,s�9►�,wN��P�Is,air�,9as•or otlu�1r�Ho��sp�ily indudad in 2he appik�tioti. A
permtt teauea ena�he cor�swea to be a Aoer�e to prvoeed rWfn the mxic s�nd not ee auttwfity ta vioiate,oenae�,alfer,or �
set asids eny proviskrms of the tec�mk�i eodes,nor shatl iasuance of a pemdt�av�9�e Bu1�iD OrAdal from thereeft� �
►equi�e oonscnon ot errors x,�,a,c�onstrucnon a vtaauocu►a eM+coaes. Every patmlt iasued shall bemme irwalid i
ur+ie.$a,a w�oun,o.r�a by e�n�.r�t���,oea wm,�►�m«,u,��t�rrrat�►oe.�x wai�a�a by i
u,e permit(s s�pernfed or abar,aonea#aa periva of slx(s>rrmnuis ei�ano rime�e work fa commenoed. ar,e�en�on �
may be reyuested,in xfitl�.tram the Bt�clh+g_ofltdel tor a perlod not to exceed nineh'f 9�)daya snd w�1 damonatrete
]usflf�ble cause tor the exte�ior►. 1�work r.�s�for ninety(9�)�naewdve days.the�lob is�a�abanda�nd.
WARNlN6 TO OWNBL• YOUR FAILilRE 70 RECORD A NOTiCE OF COMMENCEIIAENT 1rIA'Y RESULT�1 YOUR
PAYfl�IG'TWiCE FQR 1MPROVEN�NTS TD YOUR PRUPERTIf. iF YOU lNTENLI TO OBTA�t F�IANCM[i,CONSULT
Pf.ORtDA JURAT(Fc3.117.0.t)
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YMho kf�vs pawa►�fllY krov�n t°�idanEi���� Whu hhrQ pe�seanHy Imovrn b�x a� I
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