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Home My WebLink About15-15892 CI OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 1 5 2 FIRE A RM SYSTEM PERMIT PERMIT�INFORMATION LOCATION INFORMATION Permit Numbe�: 1��92 Address: 38410 6TH AVE Permit Type: FII�E ALARM SYSTEM ZEPHYRHILLS, FL. Class of'�Uork: FlRE ALARM SYSTEM Township: Range: Book: , Proposed Use: GOMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15300-0200 Improv. Cost: , 2,000.00 OWNER INFORMATION Date Issued: ;1/06/2015 Name: ZEPHYRHILLS FIRE DEPT. ' Total Fees: 150.00 Address: 38410 6TH AVE Amount Paid: - 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/06/2015 Phone: Work Desc: INSTALL FIRE ALARM (CUR ENTLY INSTALLED PER BB) CONTRACTOR S APPLICATION FEES PE ALTY E E TRO IC S TEMS. IN FIRE ALARM 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTIO FEES 50.00 � _ � � S� Ins ections e ired FIRE AC EPTANCE Final FIRE ELEVATOR RECALL Chapter 633, Florida Statutes,authorizes th City to charge and collect user fees to pay for the costs of fire prevention and protection related activities s ch as inspections, plan review, administrative fees,and other costs rel ted to the aforementioned. Complete Plans, Specifications and Fee Must Acco pany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required pe mits 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 pertormed i accordance with City Codes and Ordinances. "WARNING TO OWNER: Y UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH OUR LENDER OR AN ATrORNEY BEFORE RECORDING YOU NOTICE OF COMME ENT " CONTRACTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPE ON - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS F RE RESCUE DEPT- 813-780-0041 ai3aso-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received 2 2 � t L�^----�„4..4G`—°�,-� Phone Contact for Permi �:a��;,. .�_w�t�w:v�.�.r:e..............�.r.u...._�,. .�� ..��:�t��,f�`r�. ::��_.n�::,c:�.,�.:�::K,z�=x.:?�:.�-..��:�-�_..,�^;�.-._,,.:�� __ma r_ st Owner's Name � �/ �ti/L h� l Owner's Phone Number � � � Owner's Address � � �� (�p�� (/�`' Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address � 1 t�-_ °.!r":�...._:.�"�"�z.�-�� -�.��".h:x�'-*"-°- :,.'*�..�... „---'_�»--°- �°-..-`:�°=.;..'^w:�, 1-�^"-°� --.�"�'.�.:�,°: •e..�-=�s»+,.�,--:.��--wr " _rc.'�e}-^x"�c�i.c.4-3 t�.:�•-'+m �ob Add�ess� 3 c9 �I l�� (P f/� �� ot#� � Sub Division Parcel# czke-.:.�_:.�tr.;.��..«„�::?.,_+.,...;.-.i�:.�°�'..�k.-.�.n,e..,..�..�..,�...�...._-.,..,�.�.,�.M�S�.-a^' .�:...r'4'::�i�`��,.-�,,...... .,.<_.,s_..vs..-;:;.�..�z�'_�vs:<.,.r°�._,.�.-�d'�a^�:±s.�...._._..�_�.,.......�vi'ti°�'�:f..:=..�'�'�� Bio-Hazard Waste Storage-ANNUAL ��Fumigation Tent - � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL � Controlled Bum � Hood Installation � Emergency Generator<30 kw � LP/Natural Gas-Installation � � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL � try emi n t er• � � Z 5gSprinkler � ❑ ❑ ❑ � Recreational Burn �/ / Fire Alartn � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) �i Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � FlammableApplication-ANNUAL D(J� �° Valuation of Project � Fuel Tanks Q Other: ua�.�=..,.,,,_..,r:.:�-�,w�::��.:��:�.�:vr��y.__..�..,�,_.��,.,.,.�M. ...M.�:-.;r:u,�,..v_..- .:�..�:��.._,�-��^��,��=.�.��....,..� ._:�...� �,�.--:�:.�:,,�-P-.�r.»°.-�;�:�:;..�.�.. _-�--=.�,.-F��:,..� Contractor � Company Signature Registered Y/N Fee Current Y/N Address License# 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# OTHER � � � Company GG�ct � =Cf2nNiC �r/13.�= Signature r' Registered Y/N Fee Current Y/N Address ��j/ ��t.� !�� L FOoo/U lo _ _ , ,...,.<.�..r;R`5.f^' _':�.,s....s;� ...,_.�..-�-�;-,«..... _.. «.�......�,.,.,.'.-., u%.s:sc.a.......:.-..- _..,va;r-.m,.....«�.s�. -.'. .r..-.�....-. ._.._..�_.,.a.-.... .,._,v..; . .,.o.,--..«.�:Y.i.ax«.r.,-.�..._.-,s_.:-__.__,�........ ,-...., . -:�,... ,-<:.,; ., . ,�n.: . _..,.. ..z_ _� •_....,. icense ,�ar�.__�..,. _.,.,_, _.-..., � :..t.. ,::�..�,-°.�-.Y_.�._ Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized(O,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Me hanical work over$5000) Supply two(2)sets of drawings with applicable document tion Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations.,The undersigned assumes responsibflity for compliance with any � applicable deed restrictions. - � � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conhactor 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 vlolation 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 cantact the Pasco County Building Inspection Division—Licensing:Section at 727-847- � , 8009. Furthermare, if the owner ftas 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 properiy 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 spec�ed 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 fdentified at the time of • ' permitting. It is further understood thal Transportation Impact Fees and,Resource Recovery Fees must be paid prior to . recefving a'certificate of accupancy"or final power release. If the project does not involve a cert�cate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthertnore, ff Pasco County WateNSewer Impact fees are due,they must be pald prior to permit issuance in accordance with applicable Pasco County ardinances. ' CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certtfy that I, the applicant, have been provided with a copy of the 'Florida Constn�ction 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 cerlify 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 installatlon as indicated. I cerlify that no work or installation has commenced prior to issuance of a permit and that all work wili be performed to meet standards of all laws regulating • construction; County and Ciiy codes, zoning regulations, and land development regulations in the jurisdiction. ( also certify.that I understand that'the regulaiions of ottier govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agenc)es include but are not limited to: - Department of Environmental Protection-Cypress Hayheads, VUetland Areas and Environmentally Sensitive Lands,WaterlWastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland A�eas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. \'�, - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, ' Septic Tanks. � - US Environmental Protecdon 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 flll materlal is to be used in Flood Zone 'A", it is understood that a drainage plan addressing a ' 'compensating volume"will be submttted 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 wili be used only to fill the area within the stem wall. - If fill material is io be used in any area, I certify that use of such fill will not adversely effect 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 flll,an engineered drainage plan is required. I If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting canditions set forth in this affidavit pNor to comrriencing construction: I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, air conditioning, gas, or other installations not specffically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as autho�ity to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig 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 with(n 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. M extension may be requested, in writing,irom the Building.Qfficial for a period not to exceed ninety(90)days and will demonstrate just�abie cause for the extension. If work ceases for ninely(90)consecutive days,the job is considered abandoned. WARNtNG 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 FINANCIMG,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) , OVYNER OR AGENT � COHiRACTOR � � Subsalbed and swom to(or aftirtned)before me this Subsaibed and swom to(or afflrtned)before me fhis by by ' ' . Who Islare personally known to me or hasR�ave produced Who Is/are personaity Imown to me or hasRiave produced as identlficatlon. as identificatlon. Notary Pubtic _ Notary Public Commission No. Commission No. Name of Nohdry typed,pdnted or stamped �Name of Notary lyped.printed or sfamped o � r�- .:�: . � -�' -'`�/ ity of Zephyrhills . BUILDING LAN REVIEW COMMENTS Contractor/Homeowner: S E C i i� �L�CT R v�� --- C llsir��t� Date Received: `Z _ 2 y � `s Site: 3�'S y t (�+� V" Permit Type: �lRE L11Ri+A 1�i➢5 i�I.LA°��a Approved w/no comments: Approved w/th below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit d/or plans. � �yt Kalvin Switzer s Examiner Date Contractor and/or Homeowner (Required when comments are present) � , - ,.- . .. . , . . __ . _ , , _ . � S P E C 1 A LT Y E L E C T R O N 1 C 5 Y S T E M S� � N C■ Meana of tranamisaion of signals from the protected premisea to the central station� 3791 9 HEATHER PLAZA • DADE CITY� FLORIDA 33525 McCulloh Multiplex ►��One-wayradio 3 5 2-5 6 7-5 9 9 6- 3 5 2-5 2 1 -6 O 8 5 Digital alarm communicator 'I`wo-way radio �Others �� FIRE ALARM SYSTEM RECORD OF COMPLETION Means of tranemisaion of alarms to the public fire aervice communications center: Name of protected property: �—��d�`��''��=� L'�-�-�� ! � - (8) Addresa: ��k.��,� �^��°`� "�Ll�: ��,��° l�l^-81�: . $"�• �"S,�`i`�.� �b) Representative of protected property(name/phone): t Syatem location: Authority having juriadiction: NFPA 72,Chapter 9—Awdllary Address/telephone number: Indicate type of connection: Local energy Shunt Parallel telephone Org¢nization name/phone Representatiue rzarnelphone �-+ �� K Location af telephone number for receipt of signals: Installer Specialty Electronic Systems 352-567-5996 �Lo�;��.`�-� •�.Y '+..�?�"v�� Supplier - Service organization S ecial Electronic S stems 2.Record of System Installation Location of record(as-built)drawinge:_ �°'�" � �' - (Fill out after installation ia complete and wiring ia checked for opens,shorts,ground faults,and improper branching, Location of operation and maintenance�manuals: ..�++� but prior to conducting operational acceptance tests.) Location of test reports: ��'-�+�''• - This ayatem has been installed in accordance with the NFPA standarda as shown below,was inepected by A contract for test and inapection in accordance with NFPA etandard(s) ��.E��"° t��s-i.s on ��eS ,includes the devices ehown Contract No(s): Effective date: Expiration date: in 5 and 6,and has been in service aince _, . Syatem Software �NFPA72,Chaptera 1 2 3 4 5 6 7'8 9 10 -11--(circle all that apply) (a)Operating system(executive)software revision level(s): ,� �---___.__. ` J (b)Site-epecific softwaze revision�date: " , !N�F'PA 70,N¢tional Electrical Code,Artic7e 780-1��—`�"�l��'M_ (c)Revision completed by: ' (name) ; (n�) ��Manufacturer'a instructions 1.Type(s)of System or Service _Other(specify): NFPA 72,Chapter 6—Local ` �� If alarm is transmitted to location(s)off premiaea,list where received: ¢'� ,, � Signed: P--- � Date: e � A,b l 4� �� L"� Specialty El�ctronic Systems � NFPA 72,Chapter S=Remote Station _ Telephone numbers of the organization receiving alarm: 3.Record of System Operatlon �� Documentation in accordance with Inepection Testing Form,Figure 10.6.2.3,is attached p Supervisory: All operational features and functione of this system were tested by ti'��'o.a�''��.�'.-T�-�� date � C�`�Cy,� (.'.'�� Trouble: and found to be operating properly in accordance with the requirements of: + g If alarme are retransmitted to public fire aervice communicatione centers or othera,indicate lceation and telephone j _._�_._ _____ J numbers of the organization receiving.alarm: �NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11' (circle all that apply) � Indicate how alarm is retransmitted: "�NFPA 70,National Elect'rccZ Co`de,Ar�icle-760 ^�'��' NFPA 72,Chapter 8—Proprietary —Manufacturer's instructions Telephone numbera of the organization receiving alarm: , Alarm: ' _Other(specify):!"� Tr ubles�ry. Signed:_ /�� .�� Date: E ��9 ��" ' I£alarms�are retransmitted to public fire service communications centers or others,indicate location and telephone ' �''�'"'r`� i Organization:_Specialty Electronic Systems nnmbers of the organization receiving alartn: ' `. .r! �Indicate how alarm ia retransmitted: 4.Signaling Line Circults �°+� NFPA 72,Chapter 8=Central Statiion Quantity and class of aignaling line circuits connected to system(see NFPA 72,Table 6.6.I): Prime contractor: -��►°''�' � r��Pdi. .-� "`Central station location: Quantity: � Style: '+ Clasa: E�`'�• (NFPA 72,1 oi 4) �NFPA 72,2 of 4) �•i. " ' _ I 5.Alarm-In(tiating Devices and Circuits � , 7.Annunciator(s) Quantity and claes of initiating device circuite(see 1VFPA 72,�hbde 6.5): _. _ -� _ Numbee••_ �^ Type:_ Location: Quantity: � Style: �'4 Class: �.`'� ' ` � �U� - � „ 8.Alarm Notlfication Appliances and Circuits �, ' (a)Manual atations Noncoded �anemittere Coded Addressable F''� � NFPA 72,Chapter 6—Emergency VoicelAlarm Service (b)Combination manual fire alarm and guard's tour coded atationa Quantity of'voice/alai•m channels: Single: Multiple: ' Quantity of'speakers installed._ Quantity of'speakei•zones: AUTOMATIC Quantity of telephones oi•telephone jacks included in system: Coverage: Complete Partial , � Selective Nonrequired i Quantity and the class oE'notification appliance circuita connected to system(see NFPA 72,Table 6.7)• (a)Smoke detectors Ion Photo Addressable 4 Quantity:_ �� Style. �� Class: � (b)Duct detectors Ion Photo Addressable Types and quantities of notiticatiun appliances installed: � (c)Heat detectors FT RR FT/RR RC Addreasable .� " �a) Bells_ _ With Visible (d)Sprinkler waterIlow indicatora: Transmitters t� Noncoded � Coded Addressable 1 � I b) Speakers With Visible (e)The alarm verification feature is disabled �F� or enabled ,changed from seconda to aeconds. �� H�I•Ils_ ��, �� - �� + _ With Visible (fj Other(list): ` ��_�`�.n�.5 l��..�°�.�.^a..» �::.\a'��.�`:�,�:. �°-��'..�>:�c; �° a� (d) Chimes With Visible �`�'°`.`�?'_. '"'�°'F'`';,`��'�:`��'"..' � �.• (e) Other: With Visible .. If'1 Visible appliances without audible: � 6.Supervisory Signal-Initiating Devices and Ciroults(use blenks to indicate quantity of devices) ' GUARD'S TOUR - ' 9.System Power Supplies • (a) Coded etations (a) Fire Alarm Conti•ol Panel: Nominal voltage:_ i^��F�+�- Current rating: (b) Noncoded statione , , Overcurrent protectiou. `I�pe: Current rating: � (c) Compulsory guard's tour aystem comprised of tranemitter stations and intermediate atations �, Locatioii: Note:Combination devices are recorded under b(b),Manual,and 6(a),Guard'e Tour. (b) Secondary(standk�y): _- 'I Storage battery• e��,�ry�s.G,. Amp-hour rating: � s� ��r��, SPRINKLER SYS'I'EM - i ,��_e _ � Calculated capacity to drive system,in hours: •�`r_b Check if provided 5.J,,' ;� -.a; ;Engine-d►•iven generator dedicated to fire alarm system; � (a) _'� Valve supervisory switchea • , (b) Building temperature points - Location of'fuel storage: (c) Emergency system used as backup to prima►•y power supply: (c) Site water temperature points , Emergeiicy system described in NFPA 70,Ai•ticle 700• (d) Site water supply level points , - Electric fire pump: • ' 10.Comments (e) Fire pump power { Frequency of routine tests and inspections,if other than in accordance with the re£erenced NFPA standard(s): (fl F�re pump running (g) Phase reversal � ' System deviations from the ref'ei•enced NFPA standard(s)are: Engine-driven fire pump: ' '. � (h) Selector in auto position ° (i) Engine or control panel trouble , �f•�.,y� ��a ��,�� y'r�� (j) Fire pump running � (signed)for installation,contta`ctor/supp�ier (title) ' (date) ' � ENGINE-DRIVEN GENERATOR: '' �r ', � [ 1,-�'�.�''-,+ 'd t.i;:� q`.�i,..6�~�°,J`�' L �tX`-`�Q� (a) SelectoT��in auto poaition ! (signed)br a�arm service company (title) date) " (b) Control panel trouble � � � (c) �ansfer switches G, (signed)for central station , (title) • (date) � (d) Engine running - � �°1, ,� Other supervieory function(s).(specify): Upon co p,'�letio',•of�the system(sl eatisf'ac�ytory test(s)witnessed(if i•equired by the authority havi g jurisdiction): �. = ' \_-�--��'e,..f`�"e' i,�J:��'.e��a� C��lt�;t� d`��;.�t° . . ; • , f_�. " j� (signed)representa$ive ol`the�faufhority having jurisdiction .e^ (title) �„, ,,�.. ,� j`'�dat) (NFPA 72,3 of 4) r � ��y t�,s�:��_�-� d�c,��,¢�iY._�Ji� ( , (NFPA 72,4 of 4) 1 -t_ �, - I