HomeMy WebLinkAbout13-14790 CITY OF ZEPHYRHILLS
• • 5335-8TH STREET
(813)780-0020 1�? 0
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FIRE SPRINKLER SYSTEM PERMIT
Permit Number: 14790/14634 Address: 38051 MARKET SQUARE DR
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE-SPRINKLER SYS 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: 3,918.00
Date Issued: 12/05/2013 Name: FMC MARKET SQUARE INC
Total Fees: 50.00 Address: 38135 MARKET SQUARE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/05/2013 Phone:
Work Desc: RELOCATE APPROXIMATELY 7 FIRE SPRINKLERS AND CUT BACK 5
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FIRE ACCEPTANCE Final �— �� 'l S f 3 1�/� �2
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE ORDING YOUR NOTICE OF COMMENCEMENT."
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CONTRACTOR 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
� INTERI�JATIOI�JAL
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FIRE PROTECTIOIV INC .
"Complete Fire Protection Service"
November 27, 2013
City of Zephyrhills, FL
To Whom It May Concern:
This letter is authorization for the following persons to act on my behalf in all matters pertaining to
submitting plans and picking up permits:
Ovidiu Mate FL DL#M300-640-78-246-0
Matthew H. McGuire FL DL#M260-548-75-269-0
Jeffrey K. Holley FL DL#H400-431-73-455-8
My Florida State Competency License number is: 20080000012010
Sincerely,
International Fire Protection, Inc.
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Jason G. Dean
District Manager
State of Florida
County of Hillsborough
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Subscribed and sworn before me this � `7 day of N v����-�._ ��',u 13
By Jason G. Dean, who is personally known to me.
Notary Public: `"� � �-�`� --- " '
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Printed Name: Karen D. Herrmann
��:3"1P�e��.,; KAREN D HERRMANN
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Commi�sion#�FF 031149
1402 Mercantile Court� Plant City, FL 33563-1151 Office(813) 754-1383 � {813) 754-1638
Certificate#56212700012005
24 HOUR EMERGENCY SERVICE
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ZEPKYR�ILLS F[RE DEP�RTl�E[�T
6907 Dairy Road, Zephyrhills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: Contractor:
Business Name: Billing Address:
Business Addres • �5 i ��`o�r i.
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPfCT10N FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Mnual N!C Sprinkler $50 1st.Narm N/C
Mufti-FamilylCommercial .06 sf 1st Re-inspection !V/C Standpipes 550 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alartn N/C
�Plan Revisions DBL 3rd Re-inspection 5250 Hoods a50 4th Alarm a100
4th Re-Inspection a500 Fire Alarm $50 5th Alartn $150
SPRINKLER SYSTEMS (Business closed until LP Gas S50 6th Alarm a200
0-25 Heads $50 violations corrected) Natural Gas $50 NON�COMPLIANCE �150
26 plus Heads a100 SPRINKLER SYSTEMS Fuel Tanks- Per�c $50
STANDPIPE SYSTEM Hydro Undergrounds a45 Spa�lclers 5100
� Per Riser a50 Hydrosta6c Test $65 pe�Sys�em Fire Works 5500
FIRE PUMP Acceptance Test $45 ye�system Camp Fire 325
� Per Pump $100 Hydrant Flow $75 Controlled Bum 5100
FIRE ALARM SYSTEM Hood/Duct S50
a0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 ar,uai
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acoepffince $50 Flammable Applicatbn a50 Mnual
Wet $50 OTHER Waste Tire Storage �50 �
Dry $50 Fire WalUSmolce Wall $15 perwau Generator<KW 5100
CO2 $50 LP Gas $25 per fank Generator>30 KW 150
Other S50 Natural Gas $25 per system Bio-Hazard Waste 5100 �nouai
KITCHEN EXHAUST Fumigation Tendng $50
� Hood/Ducfs S50 Tent 10k10'or greater $15 per tent Torch PoUApplied S50
OTHER Fire Pump �45 Haz.Materials 5100 �
LP Installatlon pertank $50 Fire Suppression $30
Fuel Tank InstallaUon a50 System Acceptance
(Per Tank) S50 Exhaust Hood/Duct S30
�NaWral Gas Instaflation $50 Re-inSpeCtion DBL
(Per System) (other than annual)
�Spray Booth �50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. WC
Emergency Vehide A� $50 FALSE ALARM
-- - -f'L�WS Tt�TAi.,----- ---11VSPE�TION Tt1i'74L - Pf1tM1��9�Ai - — —�'flT�4t!J
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GRAND TOTAL
Comments:
Date: 1 � (
Inspector: A=� `�• �V.�
nin �
Jacqueline Boges
From: Verne Riggall
Sent: Wednesday, December 04, 2013 5:44 PM
To: ovi.mate@ifpinc.us
Cc: Jacqueline Boges
Subject: Permit Application
Ovi;
Just getting back to the office from several days off.
I reviewed the paperwork you submitted. t do not believe there will be any problems with your work. I will need to come
by and see where this will be done and what impact it will have on the system. Please advise of a time to meet.
I am going to give a verbal ok to Jackie Boges at the building department so you can get on with the project.
I am available 12/5 at 1330 hrs or 12/12 in the morning.
Chief
Verne E. Riggall, Chief
Zephyrhills Fire Rescue
6750 Dairy road
Zephyrhills, FL 33542-1631
813-780-0041-Office
813-780-0044- Fax
813-714-6328-Cell
vri��all@fire.zephvrhills.fl.us
1
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received
Phone ContactforPermittin -
TITr
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Owner's Name � wl`i�l� M �C� CLi 1�{�C Owner Phone Number
Owner's Address ��5 1 ��FCi_I �. ►1�. Owner Phone Number ��
Fee Simple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS V���� �"��T��-� iJ�Q� �� . LOT# [�
SUBDIVISION PARCEL ID# �
(OBTAINED FROM PROPERTY 7AX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q �-�
DESCRIPTION OF WORK �
BUILDING SIZE S�FOOTAGE� HEIGHT �
TTrI'TI"ITTTrTI"ITrT1"rr rq..r
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � x'��l �/� �O�'� : R��UCA'I� ��OX��M/A� �
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i'J2r .Sr�Z%►�/,�c��.s �irb ear' 6ldc,K .�tlAPcar.
�MECHANICAL $ '2 A(�p �� VALUATION OF MECHANICAL INSTALLATION .
J� -1 c'1
�e�.i'�li� = Q✓� /�/�l�
QGAS � ROOFING Q SPECIALTY � OTHER �A�^ ���^07`
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �_wJL �7�� P��C/�0/��
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BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �
ELECTRICIAN � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License# �
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 ( f �� t� COMPANY ^ l +1' �J�L' �/��C�/��l l`��
SIGNATURE ��v" • REGISTERED Y/ N FEE CURRE� Y/N
Address ���1- I��C..f►�M1��G• 1 �1 / � License# ����C�()lL�/
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Bwiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new coristruction.
Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construdion.
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Directions:
Fill outapphcation completely .�f�1V[[TTEf PLAN(�)I�AVE HEEN 1�E�'hiW:i
Owner&Contractor sign back of application,notanzed
�f over 52500,a Notice of Commencement is required. (A/C upgrades over��o�?� �� H LLS FIRE MARSHAL'S OFFICE
"' Agent(for the contractor)or Power of Attomey(for the owner)would be someonef3��ota ere�. �r aut i ' me
OVER THE COUNTER PERMI771NG (Front of Application Only) ,�
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyl�oot ge)� - � �---
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 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 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 cantractor(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 IMPACTIUTILITIES 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 dces not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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 Iaws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do woric 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 govemment agencies may apply to the intended worlc,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are nut limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitiv2
Lands,WaterlWastewater 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-Welis, 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 pertnitting 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 <3ffect 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, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR_�
Subscribed and sworn to(or affirmed)before me this ubscri d and���n t,o_,(Qr affirmed)be�re me this
bY !l c'� � "6y J 450'�.. 'aJ22�/�.
Who is/are personally known to me or has/have produced ho is are pers n II �to me or has/have produced
as identification. N as identification.
Notary Public � �--- ��, — '^ Notary Pubhc
Commission No. � � �3 ���q
Commission No.
c�.-c� �. ��rr o.r�
Name of Notary typed,pnnted or stamped Name of Notary typed,pnnted or stamped ��,,�
� " KAHEN D HERRMANN
� �= Notary Publ�c -State of flori/�
�= My Comm Expires Jul 13,2017
Commission�M fF 031149
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