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Home My WebLink About07-7109 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7109 Permit Number: 7109 Permit Type: FIRE PROTECTION MAINTENANC Class of Work: FIRE ALARM SYSTEM Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38135 MARKET SQUARE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-03900-0030 10/16/2007 Name: FLORIDA MEDICAL CLINIC 25.00 Address: 38135 MARKET SQUARE 25.00 ZEPHYRHILLS, FL. 33540 10/16/2007 Phone: 813780-8440 FIRE PROTECTION MAINTENANCE -FIRE ALARM r r-t-eJ ~'1i\~tl \ \1\v1\O ETE T FIRE LIGHT TEST-Final FIRE SYSTEM ACCEPTANCE Fina 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 COMMENCEMNT 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." ~ P IT OFFICER PERMIT EXPIRES I 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 OCT/1'1/2007/THU 0 I: II PM 813.780-0020 FAX No. 813-780-0021 q City of.Zephyrhllls Fire ~ '71 b Permit Application ZEPHYRHILLS BUILDING p, 00 I Fax-813-780-0021 Date Received 0 --- I ". 0 Phone Contact for Permit Owner's Nama I r ffi r f{\(\ X-t 0 \- :::-nl ~a.y.e , \ nC I Owners PhOrlB Numher o.ne<,Ad"." I ~\~ rf\lrkoJ ~ ~(e LQrh~rh"/lsr:L. Fee SImple Titleholder Name I, : . _I TItleholder Phone Number Fee Simple TItleholder Address I Job Address Sub Division ~~ 1 btM D D D D ~ D D .D D D o Contractor 'Signature ELECTRICIA Signature Address I I PLUMBER Signature Addre5s I MECHANICALI Signature Address I OTHER Signature [ ~~blU ~~>-' ~w I mr--- I /'1 ??:J5 LJ 2.. , I " II It Blo-Hazard Waste Storage - ANNUAL Comm Exhaust Kitchen HoodlDuct ' Controlled Bum , Emergency Generator <: 30 kw Emergency Generator:> 30 kw Fire Protection Malntanancs - ANNUAL Sprinkler D ,Fire Alarm g Hood Clean/Suppression 0 Fire Alarm Installation Fire'Pumps Fire Works Flammable Applicatlon- ANNUAL Fuel Tank.. II ~ liJIIl .,. =-<II"~ [l ll~_...._......_JllJiII-Il.ll,1 -- Parcel # .......AIIm4tl ~~~ D o D' Hood Installation D LPlNatural Gas-Installation D LPJNatural Gas-ANNUAl-Sale. o Places of A5sembly-ANNUAL. D Recreallonal Bum D Sparklers D Sprinkler System Installations D Standpipes (Sprinkler Sys) D Torch Roofing D 'Waste Tire Storage ANNUAL I Fumigation Tent Hazardous Material (Tier" arRQ Facility) ANNUAL ~ P ~1/()"1 t'Pf' IO~3 1 Valuation of Project Company Reglstered ~m ~FC i c" / Fr /'ce':i:C Oh'lM ,~. J Y IN, F9flCumm[ ,1:Yl N I ' IF.=F,oOOo 7~ I J .y I N I Fee Current I Y IN' I I I, Y I N I Fee Current Y I N I I Y IN I I Licen..a # C~mpany Registered License # Company Registered License # 'I Company I Registered LIcense # I Company I Registered . Y1N r Fee Current Fee Current I Y I N I ~___ L~l 'dce~~# r;rL~, '~-_'oJ_;: \:~~, 1 Y/N ~. ~ddr~-.u._~~_.....--.,,,~_':",, rr:lI--l'i-- Directions: , Fill out application completely. Owner 0& COntractor sign back of application, notarized (Or. copy of signed oontractwith owner) If over $2500, a Notice of Comrnancement Is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for revIew after submittal date. lZ!lll:.ll>...1ft'I..dI><:\.___ OCT/H/2007/THU 01: 12 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002 _.I ........-_-.-..--.__~."~_.......__":'___"".....-.-..,_____.~...-- ."--..---..-.. '''-'''..' ,-,.. .'NOT,ICE.QFDEEO.,RESTRICTIONS: The undersigned ,understands that this permit m~y'he subject to "(jeed" restrictions. 'which may be,more ~-e~trictlvethan County regulations. TAB undersigned. assumes 'responsibility'fClr comp.liallce with any applicable deed restncbens, , ' " ' UNLICeNSED CONTRACTORS AND 'CONTRACT-OR 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 IDeal regUlations. If the contractor Is not licensed as required by law, both the owner and contractor may be.clted for a'.misdemeanor violation under state law. lithEl owner or intended contractor arB uncertain as to. what licensing -requirements may apply for the Intended wor~, they are advised to contact the Pasoo ,County BUilding Inspection DivIslon:--Ucenslng Section at727-847- 8009. Furthermore, if the owner has 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 tndication that he Is not properly licensed and is not'entitled to permitting'prlvlleges in Pasco County. ", CONSTRUCTION 'LIEN 'LAW (Chapter713, 'Florida Statutes, as amendad): tfvaluation of work is,$2,500.00 or more;'1 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 AgriGulb:Jre and Consumer Affairs. If the applicant Is someone other thatl-the "owner", I.certify that'l 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 aJl:the Information In this application ,is accurate and ,,-:that' all, work -will b8<ione III compliance, with.. all.-applioabls..laws 're~\;/latiAg'-aonstruotiol'l...';zoniAg~'amj.,lafld..-.. '...n development. Application is hereby made to obtain a perm,it to do work and installation as indicated. I certify 'that no wOlkor installation has commenoed prior to Issuance of a permit and that all work will be pBrfQrm~d to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land dBvelopm~nt regulations in the jurisdiction. I also GElrtlfy .that I understand that the regulations of other government agencies may apply to the Intended work, and that it IS my responsibility to identify what aclions I must take to be in compllancEl. If lam the AG~NT rO~ mE OWNER. I promise In good faith to inform the owner of the permitting conditions set forth:in thls affl.davlt prior -t9, coritm~nclng construction. I understand that a separate permit may .be required for. electrical' work, plumbing; signs; weJls,'Pools, air conditioning, gas, or otherinstallatiol1s not specifically. Included In the application. A p,ef.mlt:iSj;;!:!~d,S:hRII'b,e oonstrued to be a.:license to proceed ,with the work and not as alith9rity to violate, cancei, alter, or set.;3sl~e aoy'provh,lons of the technical codes, nor shall issuance of a permit prevent the Building Offiolal from thereafter , . requlrb~g.a'.cerrecllon of errors in pl~ns, construction or violations of any codes. Every permit Issued shall become Invalid ,un.l1i~~':~~~~~~tl(~i.Jt!1priz8d"bY such ,perrilit lS'oommen?ed Within six months '1 permlt:is~u~nce, or if ~ork authorized by ".tli,e:petJ,Jrlt.Js susp\7nd~d or abandoned for a period of SIX (6) months after the,time the workrs commenced. An extension may'he requested, in 'writing, from the Building Official.for a period not to exceed ninety (90),days and ,will demonstrate . j~~~~~tih~ cause for. the extension. If work ceases for ninety (gO) consecutive days, the job is considered abandoned. Notary Public , .fb .b ~ -" \ ~ ~./ --Iu~-4~otr3.ry Public Commission No. ,Qommi55lon Ng, #b-ttUG fi -bk&J~ Name of Notazy typed, printed Dr stamped Nama of NDtary typed. prlnt~ or stamped