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Home My WebLink About14-15312 �j CI OF ZEPHYRHILLS ' � 5335-8TH STREET (si3)�so-oozo 15312 � FIRE SPR NKLER SYSTEM PERMIT s� ` PERMIT INFORMATION LOCATION INFORMATION � Permit Number: 15312/15176 Address: 7348 GALL BLVD -.d�ermit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL. Glass of Work: FIRE-SPRINKLER SYS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: , Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-08800-0000 Improv. Cost: 1,500.00 OWNER INFORMATION Date Issued: 5/23/2014 Name: CONCIRE CENTERS INC Total Fees: 175.00 Address: 7348 GALL BLVD Amount Paid: 175.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/23/2014 Phone: Work Desc: SPRINKLER SYSTEM INST LL-LAB CORP CONTRACTOR S APPLICATION FEES FIRE SAFETY INC FIRE SPRINKLE SYS 50.00 FIRE INSPECTION FEES 45.00 I FIRE PLAN REV EW FEES 50.00 CONTRACTOR CERTIFICATE 30.00 i �� P �\ / � �� . c In ections Re uired FIRE-PRESSURE TEST FIRE ACCEPTANCE Final � 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 uch as inspections, plan review,administrative fees,and other costs re ated 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 p rmits or opening up for commercial activity without an approved final inspection shall be charged double permit fee p r 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: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT YOUR LENDER OR AN ATTORNEY BEFORE REC G YOU NOTICE OF COMMENCEMENT." �� - - � �).��-�-�.. �. - , �� - CONTRACTOR SIGNATURE PERMIT OFFICER � PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION CALL FOR INSP ON - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS IRE RESCUE DEPT- 813-780-0041 813-780-0020 ity of Zephyrhills Fire Fax-813-780-0021 I Permit Application Date Received �.S �f Phone Contact for Permit 727 1 523 1843 -----____..�,w.�� .�,...�.� �.�_._.....m_.�_.�._ c.._..,.�._.._..�......_..._.._.._._.__r_��__.___. .....�._..._._._.__. .._._ ,� __. _.��._ ..______.___._.__..._._._ . _._.._,. _�..... .._�.�.�_..�_.�__,_._.. ...._.__.._..__ _.w_.�_.M... .�_.�.._._._..._....._._. .._.�..�.»»..d_r._._,_...._._...__._.._.__. .r..< Owner's Name Townvlew Retail LLC Owner's Phone Number 610 667 5800 Owner's Address 725 Consh hocken State Road Bala Cynwyd, Pa 190042102 Fee Simpie Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address _____.....__,...�....�.��,._,,..._...... .�...�_ ..�.........w.M_.._..�..._... .....w..._.... .._ .. .____...�..__.. _. _..._. _. . _._..._._._�_� _._. ..__._.._.�..�..._....�......_�_._�..T.�.._ _._...,..._._.__�_....;._....:...._:��._.�_..._..;�.._��...____._�.... ._..�,._...__.�_..__. __:._._.�._..r...�...___._..___�.._:_..a-_. �� Job Address 7348 Gall Blvd Zephyrhills, Florida 33541 �ot# � Sub Division City of Zephyrhills Parcel# 35-25-21-0010-08800-0000 � _..� — __.__ ____�a_.� �. - ._. __ ----� � 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 tr y emi t er � v Sprinkler � ❑ ❑ � � Recreational Bum � J Fire Alarm � ❑ ❑ � � Sparklers �L 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 �� — Valuation of Project � Fuel Tanks � Other: .____._ _ ._�__,_.�__.� __��..�..�_____.�.._._.�._ _�._._._._�_____.___._ _.__.__._ �__.u._..._._.�.�_.�_._.�.._��_.,_.�_�... - _..______.__ _____. __..�._��.. _______...�_ --� Contractor B n cott Company Fire Safety Inc. Signature Registered Y/N Fee Current Y/N Address P.O. B x 17371 Clearwater, Florida 3 762 License# 748762-0001-2006 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 Signature Registered Y/N Fee Current Y/N Address License# �::_:.m�M.M.m.. , __.__.__...�__-^_.�_�- - -.. Directions:_.__. _..,_�.�..__. __..�.__�._______._.._...... .. �...�....�._...__...._� ._..._.._.__._..��..�...�.. .____�._._........_.�_._._...�...�_....__..�........_..� _ .. Fill out application completely i Owner&Contractor sign back of application,notarized(Or, opy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mec anical work over$5000) Supply two(2)sets of drawings with applicable documentat n Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulati ns. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AIVD CONTRA OR RESPONSIBILITIES: If the owner has hired a contractor or c�ntractors to undertake work, they may be requir d to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, bot the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contrac or are uncertain as to what licensing requirements may apply for the in`tended work, they are advised to contact the Pas o County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a co tractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this applicatio for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is no properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Flori a 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 Depart ent of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtaine 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 AFFIDA IT: I certify that all the information in this application is accurate and that all work will be done in complia ce with all applicable laws regulating construction, zoning and land development. Application is hereby m de to obtain a permit to do work and installation as indicated. I certify that no work or installation has comme ced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulatin construction, County and City codes, zoning regulations, and land development regulations in the jurisd ction. I also certify that I understand that the regulations of other government agencies may apply to th 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 i good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I nderstand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, ga , or other installations not specifically included in the application. A permit issued shall be construed to be a license t proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, no shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, constructi n or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is com enced 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 O icial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases r ninety(90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO R CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) 'I OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subsc'bed and s orn to a i ed)before me this by 5 •� 1 by cSC� Who islare personally known to me or has/have produced , Who is/are personally known to me or has/have produced 'i as identification. as identification. I I I Notary Public � Notary Public Commission No. Commission No. ••'��""Y'"e�'`� NICOLE WHITL.OlN e�t �n': i Name of Notary typed,printed or stamped Name of Notary typed,print ,g;r.. p,�ti MY COMMISSION#FF087669 '-•".�' = o?:`� EXPIRE3 January 28,2018 ,orF�, (ao��o�•o�Ba FIarl�aNate ��rvloe,aam �EE��''R��'��.� �FI�E .��P`��€�'!`��t�T 6907 Dairy Roa ,Zephyrhills, FL 33542 , FlRE S�R ICE USER�FEES Occupancy No.: . Plan No.: Gantractor. Bu"siness Name: Biiling Address: Business Address: `�' `�� G� f � - Business Phone No.: Billing Phane No.: Business Fax No.: , , Billing �auc No:: � Gontact. Con#act: PLAM REVIEW FEES - tNSPEGZCON' ES P�FtMIT�EE FALSE At.ARM FE� �Site Plan WC Annual ' . /C Sprinkle� �50 1st Alarm N/C Mutti-Fain�lylCammercial .06 sf 1st Re-inspection C Standpipes $50 2nd Alarm NIC (Minimum Charge$25.00 2nd Re-f�spection . 00 Fire Pump �5d �3rti Atartn N!C �Plan Reuisions DBL 3rc1 Re-inspectlon . 50 Noods �5U 4th Alarm 5100 +tth Re-inspection 00 Fi�e Alartn $50 5th Ata�n $15Q SPRIN�CL.ER SYSTEMS (Business dosed until : LP Gas $50 : 6th Alartn �2pp� 0-25 Neads �50 viotations coReded} Natural•Gas �5D riart cor.�tuutcE �154 6 plus Heads $100 SPRINK�ER SYSTE S Fuel Tanks- perta�c a50 STMEDPiPE SYSTEM Hyciro�ndecgrouads 45 Spa�ictess Si00 �per Rise� , S50 Hydrostatic Test 65 persystem Fire Wortcs 5500 F1RE PLlMP 'Aa�pfanc�Test 5 Fersystem Gamp Fire �25. - �Per Pump $100 Hydrant�low 75 Controlled Bum a100 FlREALARM SYSTEM , HoodlDucc �50 �0-25 Devices �50 FIRE ALARM SYST M P(ace of Assembty $50 ^ruwat 26 plus Devices $i(?0 System Acceptance 50 Rre Frofection �25 SUPPRESSION SYSTEMS �Recaii A�eptance 50 Frammabie Appi'�cation a50 �nn�,at Wet �50 OTHER Waste Tire Storage �50 ku,uau Dry $50 Rr�e Wa1USrnoke Wan �15 �waa Ge�et�tar E KW . �'{�0 � G02 $50 LP'Gas $25 Per tank Generator>30 KW 150 t�ther �50 Nafurat�Gas $25 Persys►em� B[a-Nazard Waste $'t00 � KITCHEN EXHAUST Fumk,�ation 7en6ng �50 �HaodlDuds $�0 Tent'tOk1Q'ocg�eater '�15 pertent Tor�hPo#lApptied �550 OTHER Fire Pump . �45 � Hai.Materials �100 �mua� tP Instat�uuon p�rtank �50 Fice Suppresstan �30 o pp FuelTank Installatlon �50 System A�ocept�ance ' � {Per Tank} �50 Fachaust HoadtDuc� S30 aNatural Gas�nstaliation S50 �Re-inspection pBL tPer Systern} {other than arinuai) �Spray Booth $50 �tnspedion scheduled OBL . � • and cance{!ed less tha 24 hours 8 Constructian Insp. hUC Emergency Vehicle A< �50 FALSE 1�At2M .�_—�-�•—'f�t�iS-fiOT�i..�---iNSf�eC9'10N-�t>fi�4i ---.••----PE�RMi�'-3'�6i'�kL-�-------��i'�Ai.-�•-----..._._.._.._ GRAN TOTAL ' �1 �,�,�._ . Comments• D�t�:� � �ot� • � .____. _� ._._ __ ___ � ._�._...._. ._ __�..____.._..�_ ....,__�._��._.a_._..__�_��..,_..._�....�._�...._..._r_�...�_._.__._..�u.�..__..,r.�.��s_�..�.��.u_...__��__..._..a._.._..._.��_. lnspector�" .' nm