The URL can be used to link to this page

Home My WebLink About09-9788 CITY OF ZEPHYRHILLS - 5335 - 8T1-I STREET (813) 780 -0020 9788 ANNUAL FIRE PROTECTION MAINTENANCE , 7772 P°`.e?;. «_ -4`7 ., „, Z Permit Number: - 9788 Address: 38135 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENAN fE Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02 26 - 0010 - 03900 - 0030 Improv. Cost: &Ai 7,50.117 77 77 Date Issued: 11/20/2009 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 11/20/2009 Phone: (813)780 - 8440 Work Desc: FPM- SPRINKLER QUARTERLY- FLORIDA MEDICAL CLINIC nt2: .H7 R IN . IR E' MIT Z EE _ .a" :4',74.6 R•DAN ' 25.00 CD .0i f x ffi x • , IR A P AN 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." Ewe Ar7.41WI Awirry 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. rax -o t -i ov i • Permit Application _. . _.. Date Received Phone Contact for Pemilt iNYM4ik Owner's Name 1 1 ,n 6 1C -4-c_ L y iL I Owner's Phone Number 1 l N 1 VA I $q Owner's Address 3ti31 Ml 5 Q UIQ7a . Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address 36 l mf -t (...rr ' L5It)A,e�s Da-. Lot# Sub Division G.1 f`( 1 f Z(.='P ki 14- 4( -lC.C.S Parcel # 102. -- jam. 44-0010 • 0"5900 •t El Bio -Hazard Waste Storage - ANNUAL h Fumigation Tent Ej Comm Exhaust Kitchen Hood/Duct FT Hazardous Material (Tier II or RQ Facility) ANNUAL El Controlled Bum h Hood Installation ED Emergency Generator < 30 kw h LP /Natural Gas - Installation Emergency Generator> 30 kw I LP/Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL r Places of Assembly- ANNUAL FMil WEI (A Uther Sprinkler IN ❑ ❑ I Recreational Bum Fire Alarm E ❑ ❑ ❑ I I El Sparklers Hood Cleaning ❑ ❑ ❑ . I 1 n Sprinkler System Installations Hood Suppression ❑ ❑ ❑ 1 I Standpipes (Sprinkler Sys) Fire Alarm Installation j ] Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL dIS Z s - - 00 ) Valuation of Project Fuel Tanks Q Other: I Contractor 3(yLf`• T • _ ^` "' r i g ' Company (1�0lAY% F .� 5 l ft.(�Z.i!'1i1CL-t:7a•S . ) rlc • ( Signature / J Registered (P/N 1 Fee Current I / N Address IX. -519 l 1.1 . 10 - f PP- , pt .. ,1 45 ( License # I e,V•e, z o l i co6 I ELECTRICIAN Company Signature Registered Y/ N j Fee Current I Y/ N J Address ( " I License # PLUMBER •; -. i Company P Y Signature Registered Y/ N 1 Fee Current I Y/ N I Address I License # I MECHANICAL Company Signature Registered Y/ N I Fee Current I Y / N J Address I 1 License # I I OTHER Company Signature Registered Y/ N I Fee Current I Y/ N l 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) 'NOTICE OF RESTRICTIONS: The undersigned understands that this permit may b fty for s which with any which may be more restrictive than County regulations. The undersigned as P ons applicable deed restrictions. UNLICENSED CONTRACTORS AND bON q�ed be RESPONSIBILITIES: iB ac i co E dance with state and local -regulations. If contractors to undertake work, they may for the contractor is not licensed as required by lac w, both are uncertain as to what licensing requiremen may apply i olation under state law. If the owner or intended intended work, they are advised to contact the Pasco County s contractors, he Inspection s _ advi advised to have contractor(s) 727-84 the l be responsible. If you, as th owner sin as 8009. Furthermore, if the owner has hired a contractor or cot of the "contractor Block" n that h application sot prroperly I licensed is not entitled to permittingepr v legesg n Pasco contractor, that may ay be an Indlcatiolo County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, ,a amended): If valuation $2,500.00 or more, I of the certify that I, the applicant, have been provided with a copy Construction Lien Ilcant is e omeene Protection Guide" prepared by the Florida Department of Agriculture above described document and promsumer Affairs. If the in good faith to other than the "owner ", I certify that I have obtained a copy of the deliver it to the "owner" prior to commencement. _ regulating on is accurate and CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that ll the information n this application zoning and land that all work will be done in compliance with all app 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 d permit ande shat allliwgork regulations, will be performed and meet standards of all laws regulating construction, County City development regulations in the jurisdiction. ntended work, and that it is myeespons responsibility to actions t I . government agencies may apply to t must take to be in compliance. forth in If I am the AGENT FOR THE OWNER, I promise in faith d that a inform separat permit may be eq 9 ed for i electr cal work A , this affidavit prior to commencing construction. I u nderstan plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. ermitissued shall be construed to be a license to or shales with authority to violate, - Of€icetal- from thereafter requiring P provisions of the tecFinca! codes, n set aside any requiring a correction of errors in plans, construction or a months of per Every i uo tl work become authorized by unless the work authorized by such permit is commenced within six the permit is suspended or abandoned for a period of six (6) months after th ,tirpe the work s commenced. da s e nd will An extension may be requested, in writing, from the Building Official for a period not tilt ed Vie° je) is (9 considered abandonen. justifiable cause for the extension. If work ceases for ninety (90) cones Y$, WARNING TO OWNER: • YOUR FAILURE TO RECORD A "NOTICE OF COMMI NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR BEFORE PROPERTY. IF YOU RECORDING YOUR NOEND TO OBTAIN MMENCEMENT. FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO air OR AGENT FLORIDA JURAT (F.S. 117.03) CONTRACTOR �e • , me this �` Subscribed and sworn to (or affirmed) before me this S �¢ scribed a wo • or - Td y • __�_by ' re personal) kno .r has/have produced Who is/are personally known to me or has/have produced Who rs/a as identification. as identification. `�� ,,' -1�� Notary Public Notary Public ,, A r/ Commission No. Commission No. ,,, CHERYL A. DUFFEL Name of Notary typed, printed or std } . ; Q EXPIRES: November 12, 2011 Name of Notary typed, printed or stamped , F ,,c,., B onded Thru Budget Notary Service=