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Home My WebLink About08-7497 . l. ~li.~:-- CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 7497 ANNUAL FIRE PROT,ECTION MAINTENANCE ,WlITI 'JrIOR:, . , Permit Number: 7497 Address: 38135 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINJrENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: COMMERCIAL .Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03900-0030 Improv. Cost:tilERel... Date Issued: 2/13/2008 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 2/13/2008 Phone: 813780-8440 Work Desc: FPM-FLORIDA MEDICAL CLlNIC-ANNUAL-FIRE ALARM SYSTEM 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 IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 813-780-0020 City of Zephyrhills Fire .Permit Application 1 tfq 1 Fax-813-780-0021 - . Phone Contact for Permit Date Received 8'1..:3 1.17 ff 0 II ~~ ~ " ner's Name iFM C 11 &lor ~et s~"~e 1 YlC S ~ 1.:gs-Mll.'rKet S LLCl.re I I I :3 f? 135 1'1 iJ-'f" K.e t SCf:.. l.(t;l,t' e r Owner's Phone Number II Fee .Slmple Titleholder Name II I TItleholder Phone Number I OWner's Address Fee Simple Titleholder Address (fIDrirlILHd.ical C/[/'Jic) I Lot' . Parcel # I. lvtj I AINCU rKVIVl t'KVt'cK I T I AA N.V III...C} I Job Address Sub Division D Bio-Hazard Waste Storage - ANNUAL D Comm Exhaust Kitchen Hood/Duct D Controlled Bum o . Emergency Generator < 30 kw U Emergency Generator> 30 kw ~Fire protectiOn.Malntenan~ Sprinkler . Fire Alarm ~ Hood OeanlSuppresslon 0 Fumigation Tent HazardOUS Material (Tier II or RQ Facility) ANNUAL Hood Installation LP/Natural Gas-Installation (0 LP/Natural Gas-ANNUAL Sale .~!Bfo~.. I . I :J Places of Assembly-ANNUAL P v'q,q f J.f)}~ Recreational Bum "J ~ .1'- Sparklers ~I in Ir ~w~n . IVl.n ((e.- rfb D 5F fA" 1 <oOItl . 813~. . .1 ValUatiOn~ct Sprinkler System Installations D Fire Alarm Installation D Fire Pumps D Fire Works D Flammable Application- ANNUAL o Fuel Tanks D Other: I =~ [~~-l ~=::~~YI w. W~rr.H ;rre)~mpa FL93~~~1 Address I I ~M~ II Signature . . ~~I I MECHANICALlI. Signature . I . Address I I ! Standpipes (Sprinkler Sys) Torch Roofing Waste TIre Storage ANNUAL Company I~Dr SeCu'l'IC(SerY1ce5 Registered r::s:z:E] Fee CUrrent __ Y IN. I Company I Registered I .1 I I I I J J=F "t){//I~ I Y IN I I I I I I I I License # Y/N I Fee Current I License # Company Registered Y/N I Fee Current I Y/N Y/N I Fee Current I Y/N Y/N I Fee CUrrent I Y/N License # Company Registered License # OTHER Signature Address I. Directions: Company Registered Ucense # Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. 'V ..:..-."":--...-----..-.....-...._.~_.._....__._ .___"R" ._~_.. .:NO-T-ICE.SF;DEBD,RESTRICTIONS: The undersigned -understands 1hatthls permit may.b.e~lJbject to ~deed-. restrictions-. Which may be.more restrictive .than County regulations. The undersigned assumes'responslblllty for comPliance With any applicable deed restrictions. . ..' .. '. . 'UNLICENSED CONTRACTORS AND ,CONTRACTOR RESPONSIBIL.mES: If the owner has hired a contraatoror! . contractors to undertake work, they may be require.d to..be licensed In accordanc$ with .state andlocat regulations. If the conf!actor Is not licensed as required bylaw, both the owner and contractor rrtaY be.cited fur s';mlsdemeanor violation under. state law. If .the owner or intended contractor are uncertain as to. what licensing ;requirements may apply for the intended wOrl<, -they are advised to contact the Pasco.county Building Inspection Djvlsion-l.:.icenslng Section af'727 -847- . 8009. ..Furthe",!1ore, .If the owner has hired a contractor .or-contractors, he is advised to have the contractor(s) sign portions .of the contractor Block" of-thtsappllcatlon fur which theY will be responsible. If you, as the owner sign as the contractor, . that may be an indication that he Is not properly licensed. and Is not entitled to . permitting privileges In Pasco County. .. CONSTRUCTION'UEN.LAW (Chapter713, Florida Statutes, as amended): Ifvaluation.ofworkis.$2,500.00 or more'.1 Certify that I,the applicant, have been provided with a.. oopy of the "Florida 'Construction Lien Law-Homeowne~s Protection Guide. prepared by the Florida Department of Agriculture and Consumer Affairs. If the appliCant is someone either than"the "owner", I.certlfy that I have obtained a copy of the above described document arid promise in good faith to deliver it to the "owner prior to .commencement. .. .CONlRACTOR'S/OWNER'S AFFIDAVIT: I certify that all. the information in this application is accurate and .. ..... ,.. "that.: all ,work -will. be <lone In-. com~liance.wIth..aU..applicable..laws 'fegl;JlatiAg'"coAStruotioA,:,zoAiAg~:and'.land...-..-,.,. development. Application is hereby made to obtain a perm.it to do work and installation as indicated. I certify that no work or installation has commenCed prior to issuance of a permit and that all work will be perfQrmed to meet standards of all laws regulating .construction, County and City codes, zoning regulations, and .Iand developm~nt regulations in the jurisdiction. I also certify .that I understand that the regulations of other government agencies may apply to the intended work, and that It is my resPonsibility to. I~entlfy what actions I mustiake to be In compliance. . If l.am the AGENT fO~ THE. OWNER, I promise In g~od faith to infurmthe owner of the permitting conditions'set forth :in this affj~avlt "nor -~P. corill:n~ncing construction. I understand that a separate permit may -be required for. electrical" work, plumbing, signs; wells, :pools, air Conditioning, gas, or other .installations not l?pecifically. Included In the application. A ~.r.mn'.i~$ued .Sti;all:~ cons.trued to be a .license to proceed with the work and not as auth~ to violate, cancei, alter, or setaside' any"prOvl~lons of the technical codes, nor shall issuance of a permit prevent the Building Official from ttlereafter 'requiFiAg.a;.correction of errors in plC!ns, construction or viqlations of any codes. . Every permit issued shall become invalid , .urjl.jlje:YJ.oiK.'aUttlqrized"by such .perrillt is commenced Within six monthl? O! permit. issuance, or if ~rk authorized by ..,ffie~;~~fS~U$~rided or abandoned fur a period of six (6) months after tAe time the work is commenced. An extension . .mai~ ~eq~ested, ~n .writing, from the Building OfficlB!.for aperlad not tc:>> exceed nln~ty ~90).dars and..will demonstrate . f~~~ ~ilse for the extension. If work ceases for mnety (90) consecutive days, the Job IS conSidered abandoned. WARNiNG 'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM,..ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOu.R pRqP.~T\'. .IF y, ,I". NQ,1:Q..gf;rAl~'~CJNG" CONSULT . . R"4.Ei .R,A ,.A+I'i I, II ,..' ,. , E"O'E:COMMEHCE:MENT. . i~' .". '. "., . "09f'...':'o,'..':'.".: "., ".' "" ~. . ".", _ .:- *" -_.~~~~ --- --------~.- ... ~ .... ...- ~ IsIare personally known to me or hasIhave produced Who IsIare personally known to me or haslhave produced . . as Identlficaflon. . , as identification. Notary Public Notary Public . COmmission No. Commission No. Name of Notary t;vped,printed or stamped Name of Notary t;yped. prIntsd or stamped