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Home My WebLink About10-11209 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 11209 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 11209 Address: 38051 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0020 Improv. Cost: Date Issued: 11/29/2010 Name: FMC MARKET SQUARE INC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/29/2010 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- FLORIDA MEDICAL CLINIC =��•� - -- � _ i, - -' : 5.11 i )2 /\L) - 1 inal 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 T 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 91 7BO -0C2O City of Zephyrnllls Fire ran - o I o l ov - wL I • Permit Application Date Received Phone Contact for Permit 5 8 '13 GL I 1 13x Owner's Name , c(,012.00.-- ffZ c_C,) rt, u- Owner's Phone Number , Owner's Address 36)3. mfkg4.J T INJA Zc1300-i)ILLS , p(, . 39s4o Fee Simple Titleholder Name Titleholder Phone Number Fee SimpleTitleholderAddress c - -., .7.0,a c ..- .'s;+:_ _.�,., •, .s"."" - .NnUfZ2StZMI: s- ZVJZ ZSE::. -x 4.A." .' m."-x „z m5 5.'Fr, Yr. ra ti. _. Job Address 56 OS) P'sree -r.ldT :.t OMM-z Lot # Sub Division Y'r ri (71P Z anti L•thea.. . ( Parcel # Z.1 • DO • () 35� D7 �' Z( .• IU v Cti ., *-- ,- A.,- +� »----,W •-.., .: - 'ti_ -4 rtNa.,, „,., -,,,, , • .... ',..3i .',._ aggitanftWASIMECIMMINZWAIMITAMILVMZWISMAZIttae I Bio -Hazard Waste Storage - ANNUAL I I Fumigation Tent I Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL I Controlled Bum I I Hood Installation 7 Emergency Generator < 30 kw I I LP /Natural Gas - Installation I Emergency Generator> 30 kw h LP /Natural Gas - ANNUAL Sale /' ZO 41:f I Fire Protection Maintenance - ANNUAL I I Places of Assembly - ANNUAL . lutriyl ISemi' tither Sprinkler 71 0 ❑ ❑ ( Recreational Burn Fire Alarm ! 1 ❑ ❑ ❑ 1 I 1 Sparklers OD Hood Z, Hood Cleaning I ❑ ❑ ❑ I I Sprinkler System Installations I v Hood Suppression I ❑ ❑ ❑ I I I I Standpipes (Sprinkler Sys) I Fire Alarm Installation I I Torch Roofing/Tar Kettle I Fire Pumps I I Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I -4 Z-C.,4,>C0 I Valuation of Project I Fuel Tanks I Other: $�'. !- i,.ew: i£�Ipz< - sY- ^r „�,p. �S.wuY.'..:. �N .ze,^ }i : �.c.�s...'� s��k'd..cR6. _°a`_�xr .s. , a.i,: i >_.., ....- .» 'aa _M'6+`"t`: cr �?51;'F�s F.a�� ...�•• SirY,.::� v+�C >.':'”` k , Yv r.-,�;Mw r�y k?fi.:�ca. /iJ.'m4�S;Y:_,,,,x Contractor i712- Company (�7"P r- P11US z.rnX.C.,C- - h5 r M., , Signature 41 ` Registered c N I Fee Current a/ N Address I License# I t.(o 8 4S Toc.27f I Ss I ELECTRICIAN Company Signature Registered Y / N Fee Current I Y / N J • Address I I License # I I PLUMBER Company Signature Registered Y / N 1 Fee Current I Y/ N J Address I • 1 License # I I MECHANICAL Company Signature Registered Y / N I Fee Current I Y / N Address I I License # I I OTHER Company Signature Registered Y/ N 1 Fee Current I Y / N Address 1 License #,,,, • taw ..._ ..,.__ .a....,.,... �*,� � .,1 Directions: Fit out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over 52500, 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: /J'appraiser.pascogov.com) 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 forcompliance 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 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 (Chapter713, 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. 1 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, 1 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 techrncal 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 WITH NYO TWICE FOR AN BEFORE RECORDING YOUR NOTICD OBTAIN FINANCING, CONSULT COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) C N OWNER OR AGENT CONTRACTOR -4 S scribed and swom 119.4 0 i T me this /V OV 4 2/ , Subscribed and sworn to (or affirmed) before me this cx Q n by �J P -r �' L by Who is /are personally known to me or has/have produced Mods/are personally known to • e or has /have produced as identification. as identification. Notary ublic 14 i . /� � M � Notary Public ry M. WE% < CHERYL A. DUFFEL. No. Commission No. a MY COMMISSION # DD 730956 �' - II i EXPIRES. Nnuamhar 19 9011 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamp OF ,,,;f Bonded Thru Budget Notary Services