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Home My WebLink About08-7641 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780-0020 ANNUAL FIRE PROTECTION MAINTENANCE 7641 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7641 FIRE PROTECTION MAINTENANC FIRE-PROTECTION MAINTENAN E COMMERCIAL Address: 38135 MA KET SQUARE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-03900-0030 3/17/2008 Name: FLORIDA MEDICAL CLINIC 25.00 Address: 38135 MARKET SQUARE 25.00 ZEPHYRHILLS, FL. 33540 3/17/2008 Phone: 813780-8440 FPM-FLORIDA MEDICAL CLINIC-ANNUAL SPRINKLER i:nJ ~~U I" /)j JC{f 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 NOnCE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041 City of Zephyrhills Fire Permit Application ~~~Y;~llVlmJi'~l.-""."_-...,,__,..,,,l-.ulmil!\5!!!!l~Ml'llar___~~~.~g)~~~~P~~W..,.~~2...JJ2!_",,_u.!21t;' I 'g/3 II 1]80 11.f17~ I PL 3~Jf/~ TiUetlolder Phone Number I ~/3 II'lKO IlR77Y I <Z~E~'-'_:'~~~ll1lHi;;;;-..iiiiiilIllj~2iffiijjllllIHl! I Lol# I I lVtlI I\INl:U ~t(VM PROPERTY lAX NUTlGI:} I .. .. -- - llIIIIlflIlI&;Oi....=;~OlIl!illllllllllb'ii; 813-780-0020 Owner's Name Owner's Address Fee Simpl9 TiUenolder Name r:=====--~~~~~~i~:.:~: Job Address I V~ ~ '- I 41~c{( Fax-813-780-0021 Parcel # ,ii~llIllt:l:e;:';.'\:r.IIlllIIlll~ D Fumigetion Tenl D Hazardous Material (fi9r II or RQ FlIcllily) ANNUAL D Hood Instllllllllon D LP/NlItural Gas-Installation D L.PlNalural Gas-ANNUAL Sale D Places or Assembly-ANNUAL D Recre8~onal Surn D Sparklers D Sprinkler System Installations D D D Wasl8lirG SIOI'8ge ANNUAL _lflI3d! ""'O~'lf.-m;;............__..IlnIlInnn~_llll!llIIlll~1I111 lUtlo. __~!ffi'.!;r,l!~~Ullllll4lWi Company fl2:oatu\ I1.rt. ~riQ.~ T~JL.~ I Regislered rmNI Fee Current I YJ oN ( LicenS91# ~ ZfX){J II q 'i q ... J'Stl&'i 1: i~~ Company [ I Registered l Y / N r Fee Currenl Y I N License # I Company I Regislered Licen~ #- I ~~~~::d I Y I N License 1# r ~ I I ~m~~ I Signeture Registered Y I N I !lllllll~~lI_lIl1"_'."'.'_'''''..'''''''..lI'm''''''''''.'.''''.'''''''''III'''''''''''"''',,",___'L~J~_"""".lI""" Direclions: Fill Olll application completely. Owner &. Contrector lOign back Qf applicetion, notarized (Or. copy of signed contract wilh owner) II' oller $2500. a Nolice of Commencement Is required (MechanICal work over $5000) Supply two (2) sels of drawings with applicable documentation Allow 10-14 days lor rel/iew after submittal date. Sub Dil/ision i;;a!~!lilllllUN.llli -- D D D o D ~ Bio-Hazard Wasle Storage. ANNUAL Comm Exhaust Kitchen HoodlOuct Controlled Burn Emergency Generator <; 30 kw Emergency Generalor > 30 kw Fire Protection Malntenllnce - A~ Sprinkler ~ ~ir9Ararm 0 Hood Cleen/Suppression 0 Fire Alarm Inslallation Fire PUmps Fire Works Flammable Application- ANNUAL Fuel Tanks Contractor Slgnatl.lre Address ELECTRICIANI Signalur9 . Address I PLUMBER Signalure Address I M.ECHANICALI Signature . Address I OTHER ~ 'd ono 'ON Stllndpipes (Sprinkler Sys) Torctl Roofing Valuation of Project Y/N I - Fee Current Y/N Fee Currenl Y/N Fee Current I Y I N I "',.._......'.,~"....._~~~!$i'.J;;1!!~~ JINIlJ lVJI03W VOI~Olj ~d9~:E 800~ 'El 'H~ NOTICE.oF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR 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 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 contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 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 indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida 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 Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I 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 all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit 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 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 the regulations of other government agencies may apply to the 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 in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END TO 0 TAIN FINANCING, CONSULT WITH YOUR LEND N ATTORNEY BEFORE RECORDING YOU NO OF OMMENCEMENT. FLORIDA JURAT (F.S. 7.03 OWNER OR AGENT ~SC}ibed and swor ~'/.O, by ho is! Public lie