HomeMy WebLinkAbout14-15313 CI OF ZEPHYRHILLS
5335-8TH STREET
` - � , (sis)�so-oozo 15313
� FIRE SPRI KLER SYSTEM PERMIT
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Permit Number: 15313/14813 Address: 38410 6TH AVE
Permit Type: FIRE SPRINKLER SYSTEM ZEPHYRHILLS, FL.
Class 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: 11-26-21-0010-15300-0200
. . . �_�.:.rt��.�t.:OWNER;INFO;RMATION=.'``�` �>,:��:mW_�;;�..� �.-._'
Improv. Cost• 2,500.00 ��� '' ' �"�
Date Issued: 5/23/2014 Name: ZEPHYRHILLS FIRE DEPT.
Total Fees: Address: 38410 6TH AVE '
Amount Paid: ZEPHYRHILLS, FL. 33542 I
Date Paid: Phone:
Work Desc: INSTALLATION FIRE SPRIN LER SYSTEM-FEE WAIVED
��' '�r�CONTRACTOR $ • � APPLICATION FEES
� FIRE SAFETY INC FIRE SPRINKLE SYS 0.00
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r FIRE-PRESS RE 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 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 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: UR 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
RECORDI U NOTICE OF COMMENCEMENT."
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NT TOR SIGNATURE PERMIT OFFICE
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSP ON - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS IRE RESCUE DEPT- 813-780-0041
FI�E" SAFETY, INC.
A Fire Sprinkler Co. 2721 Ro sevelt Boulevard,Cleanvater,FL 33760-2502 (727)523-1843,523-8595 fax
1/7/2015 ,
To: Bill Burgess
City of Zephyrhills
5335 8t�' Street
Zephyrhills, Florida 33542
. Re: Fire Station#2
Permit# 15313
38410 6t�'Avenue
Zephyrhills,FL 33542
Bill,
Due to as-Uuilt conditions and changes to the ceiling and soffits in Conference room 102 the Fire
approved sprinkler layout was changed The fire sprinkler heads as currently installed, provide
proper coverage in the room. Please let ine lcnow if you need any other information or further
clarification.
Thanlc you,
B n J. Scott
.P.
St. Lic. 47876200012006
Visit us at:firesafety-inacom
813-780-d020 Ci of Zephyrhills Fire Fax-813-780-0021
ermit Application
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r / 3
Date Received �5'�� J�/, Phone Contact far Permit C / L`/ �_ �'� p
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C3wner's Name �n,,, � �°' Qwners Phone Number [� �� [�
..�`t !'"`_"!
Owner's Address � � �- ��'�' �'+�cs l�`-�J " �
Fee Simple Titleholder Name Titleholder Phone Number �� � �
Fee Simple Titleho{der Address
Job AddressM.._�.._... � �§--Q, _ �'�'..� �� �J� � ��� Lot#�....:��
Sub Division �� � C, , � � Parce!#
r_.."_�.M_____ ._.. �.�.. .,_.. .�,._._��. ��____�--�.�..��.---`�� � �
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitcfien Haod/Duct � Nazardous Material{Tier((ar RQ Facility}ANNUAL
� Controlled Bum a Hood Installation
� Emergency Generator,<30 kw � �P/Natural Gas-lnstalla6on
� Emergency Generator>30 kw � L.P/Natural Gas-ANNUAL Sale
� Fire Protection Mainfenance-ANFlUAL o Places of Assembly-ANNUAL
t y emi n t er �� �
Sprinkler � ❑ ❑ � Recreational Bum (�
j �� 1
Fire Alarm � ❑ ❑ � � Sparklers ��"" �
t
fiood C(ganing � Ci � � � Sprinkler System Insfallations �
Hoad Suppression � 0 ❑ � � Standpipes(Sprinkler Sys)
� Fire Aiarm tnstat(ation � Torch RoofinglTar Kettie
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL �'�'��"-(?�, Valuation of Project
� Fuei Tanks
QOther:
��._...��,.__._�..�.,.�.._._�. ..- _.._.�.._.,�._ m...�,_.____�:__. ......_._ .�_.�...�...,.,�..._�.._...___�-._......�_...._...... ..�.a,- �....._:;�,. _.�„_..__.�r�._..��..._..a.°-~.�~�
Contractor Company �--�rl� {�
Signature �� Registered Y I Itil Fee C rent Y/1�1
Address G '` License#
E�EGTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address �icense#
PLUMBER Company
Signature Registered Y 1 N Fee Current �(/N
Address License#
MECHAN�CAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Currenk Y I N
Address �icense#
�..:......._.._._w��.._.�..._.�.w �......,._ _m,.�..�..��.._.�.._..�.�,,..... .._.,._. _._�.._.�._.�.. �.__... ..��_..,.__..x.__�.__..�_._.�..�.�.m._.d,..W..�_.._..._.. ....._.��:_
Directions:
Fill out application completely
t7wner R Contractor sign back of applicatian,notarized{Or, apy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mec anical work over$5000)
Suppty two{2}se2s of drawings with applicable documeniati �
AIIow 10-14 days for review after submiftat date. Parcei#-obtained frorn Property Tax Notice(http:l/appraiser.pascogov.com}
i
�E�E��'���LE.� � [E�E 6EP��.E�T[i��t�T
• � ' 6907 Dairy Road Zephyrhills, FL 33542
� FIRE S�R ICE USER�FEES
Occupancy No.: �
Plan No.: Contractor:
Business Name: ' c Biiling Address:
Business Addcess: v j �°- �
Business Phone No.: Biiling Phone No::
Susiness Fax No.: Biiling Fax No:: �
Contact: Contact:
PLAN REYIEW FEES • INSPEGTION'F ES PERMIT FEE FALSE ALARM FEE
�Site Plan WC Mnual ' N C Sprinkler �50 1st Alarm N/C
Multi-FainUy/Commercial .06 sf 'Ist Re-inspection C Sta�dpipes S50 2nd Alarm N/C
(Minirnum Charge$25.00 2nd Re-ir�spection $ 00 Fire R�mp S50 �3rd Alarm N/C
�Plan Revisions DBL 3rd Re-inspection .� 50 Hoods S� 4�a� 5100
4th Re-inspection � 00 �ire Alarm �5U � 5th AIaRn 5150
SPRINKLER SYSTEMS (Business dosed until lP Gas 550 6tfi Alartn $'ZOU�.
0-25 Heads a50 violadons coReded) Natunl Gas S� �N��'�� 5150
26 plus Heads $100 SPRINKLER SYSTEM Fuel Tanks- pertank �50
ST/WDPIPE SYSTEM Hydro Undergrounds 5 Sparklers a100
� Per Riser S50 Hydrostatic Test 65 persyscem Flre Works 5500
FIRE PUMP ACceptance Test 5 persystem Camp Fi�e 325�
�Per Pump $100 Hydrant Flow 75 Controlled Bum �100
FIRE ALARM SYSTEM Hood/Duct a50
0-25 Devices �50 FIRE ALARM SYS1'E Place of Assembly $50 �mua�
26 pius Devices $100 System�Acceptance 50 Flre Protec�too S25
SUPPRESSION SYSTEMS Recall Acxeptance 50 Flammable Appticatton �50 � '
Wet S50 OTHER Waste Tire Storage a50 �nnuai
Dry S50 Fire WalilSmoke Watl 15 �wa�� Generator<KW 5100
CO2 S50 LP Gas 25 pertaak Generator>30 KW 150
Other ��50 Naturat Gas 25 ��Sy�� Bio-HazarcJ Waste 5100 �aa
KITCHEN EXHAUS7 Fumigation Tenting $50
�HoodJDuds �50 Tent 10k10'or greater ' 15 per tent Torch PoUApplied S� _
OTHER Fire Pump , 45 Hai.Materiafs a100 �,uai
aLP Irutallaeon perxank a50 Fire Suppression �30
FueCTank InshallaUon S50 System Acceptance '
(Per Tank) �50 E�aust Hood/Dud S30
�Nawral Gas Installa4on � $50 Re-Inspection DBL
(Per System) (other than annual)
�Spray Booth �50 a Inspec:tion scheduled DBL 8
and pncelled less tha
24 hours
Construcdon Insp. WC
Emerge�cy Vehicle Ac _�50 FALSE ALARM
----PL�AidS Tt���.'�-1NSPE�CT10N�t��t.. ---P�W4N�'��9� fiAt-�------._.._._
.
GRAN TOTAL
Comme�ts: �
Date: a �6L. �
_�_. .___ ,. .-- --.- -_._._..__._-_---�_..__....___._____._..____._�....____.�._,._,____..�.Y.�.__�..�__.._.�.�___s_.___..__u._....:.
nspec`tor: __�__. __�.�� \
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�U1��0�'��"a��t 1�.�r�t�I�,�3�.$ �uTscontract 33ate:Novemnber 22,2013
C�I�1'�'RACT�R: �' LAlt COI�ISTRUCTI�N GRO�',LLC
13 2 Bewman�treet Clermont,Florida 347�1
P e: {352)394-1032 Faac:(352)394-1794
SUBC�1�iTRA,CT�R: �AT�T3�,Il�'C.
P. Box 17371 Clearwater,FL 337b2
�V�YtK: � E EXffiBIT A
Y'�tC�JE�T: 11 13�07 F`IRE �TATIt�N#�
�i�i�NE�: T�OF ZEPA�R�'.I=5
53 5 $`� Street��phyrhills,FL 335��
�ub��n�a�ter L�eg Swtm Pric�: $2 500.00 USD
M�1��hiy��llin8: O ' al AIA Pay Application to be received by Contractar by the 25th
of e month.
�eta��d P�rc�mtag�: T Percent(10%)
Ch��ge O�tie�flw��H�ad��a�I'�e�i#; P �entags as specifi�d in Prsme Coniract to the extent.paid bq Owner
Pay�n�n.t a�d Pea�fo�aan���B�mds: Required�Nat Rec�tZired .
(The above tetms are incorporated by re�eren and are more fiilly explained belaw,)
T�dYS SUBC[31�iTI3t�CT F�LI,O�YS SUB��Olm1 �T��t'S RECEIg'T ANd) I�i7��1 �F ALL C41�iTRA�
Dt��UN#E1VTS. IT�InSa�RESULTS FTtOI�i T PAI�.TIE$' I�T���TIA'�I�i�1� A�D Ai�TY �UBNIISSIOtd� SY
SUBCt�NTIBAC'I'�I2, ALL O� WffiC� TH� PARZ'iE� EE?�IBE,�SL�Y AG +'_E A�tE &UFFiL�EI)ED B� IT�
T�iVI�. Ct3I�1'TItA�TOR HAS R�LIEIa O THE 1'A�tTYE�' AG�REEI�p1T� IN 1�R�)CEEI�IPIG WITH
� ��JBCOI�'�RACTOR A�tD SIGNIl�TG THI� SUS�O1�TItAC'�. SH�ULD ��7B�UNTRACTOR FAIL Q�
1�+FU�+i TU PR()CE�+1� WIT� THI� SUBC �TT1iACT, �UBC�L�I'TR.��T(AR L� R�SF�I�I�IBLE i'4R ANY
CO�'Y'(Irt£;LUDIgT�I�IIE TU DELA�} T€� C NTR.dlCT+(�R. 'Y'HI� 3IIBCO1�iTItA►Z°I' AN� COIWTRACT�R�3 ��
�SP(jI�1�I�ILI�Y H��FEUL�IDH�R I�EXPiZE �LY C�NDT�IOI�IED UPOl�t COI�1'i'RACTi3I8'S RE�EIPT AN�
�XECU'�I�3N O�THE PRYI�IE�Ol4I�RACT H THE O��gt. � ',
Pag�1 of 27 �abcantra�t�r Inifials
�v�t���for Iiai�aal�
NOTICE OF QEED RESTRICTIONS: The undersi ed 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 AND CONTRAC OR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be require 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 contrac r are uncertain as to what licensing requirements may apply for the
intended 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 "owne�', I certify that I have obtaine a copy of the above described document and promise in good faith to
deliver it to the"owne�' 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 ninery (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 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)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and worn to a irmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped