HomeMy WebLinkAbout14-15325 �
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CI OF ZEPHYRHILLS /.�`�
� 5335-8TH STREET
(si3)�so-oo20 15•25
' FIRE TANDPIPES PERMIT
�} PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15325 Address: 7331 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: ii
Square Feet: Subdivision: CITY OF ZEPHYRHILLS i
Est. Value: Parcel Number: 34-25-21-0000-00300-0020 I
Improv. Cost: 1,500.00 OWNER INFORMATION '
Date Issued: 5/29/2014 Name: MERCHANTS STATION c/o PHILLIPS i
Total Fees: 160.00 Address: 7331 GALL BLVD
Amount Paid: 160.00 ZEPHYRHILLS, FL. 33542 I�
Date Paid: 5/29/2014 Phone:
Work Desc: INSTALLATION FIRE SUPP ESSION
I CONTRACTOR S APPLICATION FEES
AB FIRE EQUIPMENT INC FIRE SUPPRES ION 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTI N FEES 30.00 CONTRACTOR CERTIFICATE 30.00
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In ections Re uired
FIRE BALLOON TEST-Final
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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: 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
RECORDING YOU NOTICE OF COMMENC MENT�" �- � (1
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CONTRA SIGNATURE PERMIT OFFICER
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ON - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS IRE RESCUE DEPT- 813-780-0041
813-780-0020 City of ephyrhills Permit Application Fax-e��z�, /
,. -- '"" ,` Building Department ����� /� �� ��
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L� J���d�
Date Received Phon ContactforPertnitting � � �� �—
Owners Name Y' � �liC� Owner Phone Number
Ownels Address l✓Q � ✓�Q�� /� �� Owner Phone Number
Fee Simple TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
, ' �
JOB ADDRESS cJ� 9� � I� LOT#
�I JJ �2 dn
SUBDIVISION PARCELID# � �oc 'D�BO�T/����—dOo7d �jQ/ OT d/'�L.
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH I
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER i
TYPE OF CONSTRUC770N Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ����/T /�� SC/ ���SS��
BUILDING SIZE SQ FOOTA E� HEIGHT �
�BUILDING $ ALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ MP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���� �f L
�L.J
' �MECHANICAL $ ��t ALUATION OF MECHANICAL INSTALLATION �
/L�5✓pP
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN COM PANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL (� COMPANY /r �/
SIGNATURE REGISTERED Y/ N FEE CURRE Y N
Address �/� �! �� License# ���v��� (
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1'1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building lans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after sub ittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Wo Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plan plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after sub ittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wo Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. •
""PROPER7Y SURVEY required for ail EW construction.
Directions:
Fill out application completely
Owner 8 Conlractor sign back of application,notarized
If over$2500,a Notice of Commencement is require . (A/C upgrades over$7500)
" Agent(for the conlractor)or Power of Attorney(for the o ner)would be someone wilh notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (Front of Applica ion Only)
Reroofs if shingles Sewers Service Upgrades A/ Fences(PIoUSurvey/Footage)
• Driveways-Nol over Counter if on public roadways..nee s ROW
N0710E OF DEED RESTRICTI NS: The undersigned understands that lhis permit may be subject to"deed"restrictions"
4 which may be more restrictive t an County regulatfons. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTOR AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
> contractors to undertake work, ey may be required to be licensed in accordance with state and local regulations. If lhe
contractor is not licensed as re uired by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner r intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advise to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the ow er has hired a conlractor or contractors, he is advised to have ihe contractor(s) sign
, portions of the"contractor Bloc "of this appl(cation for which they will be responsible. If you, as the owner sign as the
• contractor, that may be an indi ation that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPAC71 TILITIES INiPAC7 AP1D i2ESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fee and Recourse Recovery Fees may apply to the construction of new buildings,change of
' use in existing buildings, or ex ansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The unde signed also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further underst od that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occu ncy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees st be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAWI( hapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, h ve been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by he Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owrier", I certify hat I have obtained a copy of the above described document and promise in good faith to
deliver it lo the"owner"prior to ommencement.
CONTRACTOR'SIOWNER'S FFIDAVIY: I certify that all the information in this application is accurate and that all work
will be done in compliance wii all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a per it to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance f 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 th regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify wh t actions l must take to be in compliance. Such agencies include but are not limited to:
- Department of En ironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWas water Treatment.
- Southwest Florid Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Eng neers-Seawalis,Docks,Navigable Waterways.
- Department of He Ith 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental rotection Agency-Asbestos abatement.
- Federal Aviation A thority-Runways.
I understand lhat the following strictions apply to the use of fill:
- Use of fill is not all ed 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 vol me"will be submitted at time of permitting which is prepared by a professional engineer
Iicensed by the Sta e of Florida.
- If the fill material i to be used in Flood Zone "A" in conneclion with a permiited building using stem wall
construction, I certi y that fill will be used only to fiil the area within the stem wall.
- If fill material is t be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use f fill is found to adversely affect adjacent properties, the owner may be cited for violating
lhe conditions of t e building permit issued under the attached permit application, for lots less than one(1)
acre which are ele ated by Till,an engineered drainage plan is required.
If I am the AGENT FOR THE WNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commenci g construction. I understand that a separate permit may be required for electricai work,
plumbing, signs, wells, pools, ir conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be constru d lo be a license to proceed with the work and not as authority to violate,cancel, alter, or
set aside any provisions of the echnical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
requiring a correction of errors n plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by uch permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or aba doned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, om the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extensi n. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WI�RNING TO OWNER: YO R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPRO EMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDEi2 OR AN ATTORNEY BEFORE RECORDING YOUR ICE OF CO ENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWIdER OR AGENT CONTRACTOR
Subscrlbed and swom to(or affirmed) efore me this Subscribed and o r affirmed)b ore r is
by by /i 4 Lb
Who islare personally known to me or as/have produced Who Islare personally known to me or has/have produced
as Id nUficaflon. as Identltication.
Notary Public Nofary Public
Commissfon No. Commisslon No.
I
Name of Notary typed,printed or stam ed Name of Notary typed,printed or stamped
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•710 S Powerline Road #H • eerfield Beach • FL • 33442 • (954) 570-9860 • Fax:
(954) 570-9865
Breakfast Station #6
7331 Gall Blvd
Zephyrhills, FL 33541
IN-3288
To Whom It May Concern,
Below please �nd the cost fo the above job:
The cost for the Hood install tion including Material and Labor - $20076.00
The cost for installing the Fir Suppression including Material & Labor - $ 1500.00
Total Cost of job $21576.00
If you have any questions pl ase feel free to contact Lori at 800-322-8730.
Thanks,
� � �
` - G��"/
Michael Lubowicki Jack Kanter
Owner Owner
ZEE�t��'I��IL�.� �Ft�E t3E��[�TE��[�T
' 6907 Dairy Ro ,Zephyrhills, FL 33542
� FIRE SER ICE USER�FEES
Occupancy No.: � .
Plan No.: Contractor:
-Business Name: ` i✓ Billing Address:
Business Add�ess: �
Bwsiness Phone No.: Billing Phone No:: __
'Business Fax No.: � Billing Fax No.: �
' Contact: Contact:
PLAN RE1/IEW FEES • INSPEGTION' ES PERMIT FEE FALSE ALARM FEE
�Site Plan WC Mnual ' /C Sprinkler �50 1stAlarm N/C
Multi-FamUy/Commercial .06 sf 1st Re-inspection C Standpipes S50 2nd Alartn N/C
(Minimum Charc,�e$25.00 2nd Re-inspection .$ 00 Fire Fnmp S50 �3rd Alann N/C
�Plan Revisions DBL 3rd Re-inspecUon �.� 50 Noods �50 4th Alartn $100
4th Re-lospectlon $ 00 f.ire Alartn �50 5th AIaRn 5150
SPRINKLFR SYSTEMS (Business dosed untii � LP Gas $30 6th Alartn �2pp
8 0-25 Heads • y50 violaUons correded) Natural Gas a50 troN c�wwcE 5150
26 plus Heads $100 SPRINKLER SYSTE Fue!Ta�ks- pertadc a50
ST/WDPIPE SYSTEM Hydro Undergrounds 45 Spa�fclers 5100
�Per Riser S50 Hydrostatic Test 65 persystem Flre Worfcs 5500
FIRE PUMP � Aoceptance Test 5 per system Camp Fire �25�
�Per Pump $100 Hydrant Flow 75 ' Controtled Bum a100
- FIRE ALARM SYSTEM Hood/Duct $50
0-25 Oe�ces �50 FIRE ALARM SYSTE Place of.Assembly $50 rnnuai
26 plus Devices $1d0 System�Acceptance 50 Flre Protection �25
SUPPRESSION SYSTEMS a Recall Acceptance 50 Flammab�e Appiicatton a50 �nnuat �
Wet S50 OTHER VNaste Tire Storage �50 �u,uai
, Dry �50 Flre WalUSmoke Wall 15 perwau Generator<KW 5100
CO2 $50 LP Gas 25 per�ank Generator>30 KW 150
Other ��50 Natural Gas . 25 persyscem B'�rd Waste 5100 kuu�a
KITCHEN EXHAUST Fumtgation Tenti�g �50
�Hood/Duds �50 Tent 10k10'w greater ' 15 per teat Torch PoUApplied S50
OTHER Fire Pump . Haz Materiais 5100 �mua�
�LP 4uta1latlon pertank $50 �ire Suppression 30
Fue(Tank InshallaUon �50 System Acceptance ` �
(PerTank) �50 ' ExhaustHood/Dud S30
�Natural Gas Installation $50 Re-inspection BL
(Per System) (other than a�nual) '
�Spray Booth $50 � Inspedion scheduled BL e
and cancelled less tha
24 hours
� y Construc8on Insp. WC
Emergency Vehicle A� �50 FALSE A1.ARM
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GRAND TOTAL "
Commecats:
Date: s L�
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