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Home My WebLink About08-8520 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8520 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 8520 Address: 38135 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE 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: Date Issued: 11/10/2008 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 11/10/2008 Phone: (813)780-8440 Work Desc: FPM-SPRINKLER QUARTERLY-FLORIDA MEDICAL CLINIC RODAN FIRE SPRINKLERS,INC. FIRE PERMIT FEES 25.00 (o FIRE ACCEPTANCE Final 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." a,. 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 (� Fax-813-780-0021 Permit Application Date Received I iJ b Phone Contact for Permit ) 7 Owner's Name ' tt ( CG C Owner's Phone Number II Owner's Address S 9 '..-'1C* G ` 4 Fee Simple Titleholder Name Titleholder Phone Number I Fee Simple Titleholder Address I.,,,J J � {..1 d ,..�C'l f E.r� S # i�.c.... 1 w�' (\ Lot# Job Address v Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RO Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL r y emi nLither Sprinkler O ®® a Recreational Bum Fire Alarm � O ❑ O I Sparklers Hood Cleaning ❑ O O Ia Sprinkler System Installations Hood Suppression O O O II a Standpipes(Sprinkler Sys) El Fire Alarm Installation El Torch Roofing/Tar Kettle Fire Pumps El Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL I I Valuation of Project Fuel Tanks Other: Contractor Company LA(' -\ Y t{` 'n -L&r Signature Registered I Fee Current Address (a —] QIt :{ 4Llo1License# ELECTRICIAN Company Signature Registered Y/N I Fee Current I Y/N Address License# PLUMBER Company Signature Registered Y/N I Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N j Fee Current I Y/N Address License# OTHER Company Signature Registered Y/N I Fee Current I Y/N Address License# Directions: 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. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) s permit may NOTICE OF'DEED RESTRICTIONS: 'The undersigned assumes responsibiIbty for:compl a"ncetw'th any which may be more restrictive than County regulations. The undersigned ..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,-of meth de): Ifa Construction onof work r Li $ ,500.00 or more,e I certify that I, the applicant, have been provided with a copy Protection Guide" prepared by the Florida Department of Agriculture above described document and prome in good faith to l psat is someone other than the"owner", I certify that I have obtained a copy o 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. ,or other installations not specifically incl ded pplicat on. A understand ate permit may be required in the a plumbing, signs, wells, pools, conditioning,air 9, gas, 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 p n construction rtlations of any issuait nce, ordif work authorized by shall become invalid unless the work authorized by such permits commenced within six months of permit the permit is suspended or abandoned for a period of six(6) months after the time the work is commdays enced.and will n extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO C OWNER: YOUR FAILURE NOTICE YOU INTEND TO OBTAIN FINANCING,rCONSULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO TI OF MMENCEMENT. FLORIDA JURAT(F.S.117.03) CONTRACTOR is OWNER OR AGEN fore me this S�b sw scribed d bwo ( r S bscried d o to(or rrrr by are personally known or has/have produced (are or has/have producedas identification. as identification. Notary Public Notary Public P e<< Y COMMISSION#DD 730956 MY COMMISSION#DD 730956 Commission No. Commission No. EXPIRES:November 12,2011 EXPIRES:November 12,2011 sq o= Services ndedThm Bud et Nola services Name of Notary typed, n ed or stamped Name of Notary type ,Printed or stamped pe