HomeMy WebLinkAbout11-11642 CITY OF ZEPHYRHILLS .,.��
5335 - 8TH STREET
� �- (si3) �so-oozo 11642
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 11642 Address: 37834 MEDICAL ARTS CT
Permit Type: FIRE PROTECTION MAINTENANC 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: 34-25-21-0080-00000-0030
Improv. Cost:
Date Issued: �3��� ;S- l��' �� Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 25.00 Address: 7050 GALL BLVD
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/15/2011 Phone: (813)788-0411
Work Desc: FPM- FIRE ALARM ANNUAL- FLORIDA HOSPITAL PREMIER SURGERY CNTR
5.
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 IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal O�ce - 813-780-0041
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� Bio-Hazard Wasfe Sforage - ANNUAL � J � Fumigafion Tent .��
� Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai (Tier If or RQ Facilify) ANHUAL
� Controfled Bum � Hood Irtstalfafion
� Emergency Generator < 30 kw a LP/Natural Gas-InsfaflaPion
_ � Emergency Generator � 30 kw � LP/t�fatural Gas-At�tNUAl. Sale
� Fire Protection Mainfenance-ANNU�iL � Places ofAssembly-ANtdUAL
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- -- . Hood Suppression � ❑ ❑ O � � Standpipes (Sprinkler Sys)
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Fire Pumps � Wasfe Tire Storage Rt�[HUAL
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-;., � .� FlaminabfeApplicafion-AHNUAL Valuation of Project
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Confractor '
Company � �Y�"' F,�,.ti C
Signafure Registered Y! N Fee .Currenf Y/ N
Add�ess • _ License # •
ELECTRICfAN'; .- " ° - . ' ' , Company �
SignaEu�e - • " - � Regisfered � Y / N. Fee Current �' / N • .
Address License # ' - -
PLUMBER - _ - � " CompanY `�' - .
Signafure Registe; ed Y[ Iv � Fee CurrenP Y/. nj ~
Address � License #�
MECHANECAL Company
Signature Regisfered Y/ N Fee Currenf Y��
Address . License #
OTHER Company .
Signafure Registered Y/ N Fee Curr>nt Y/�
Address License #
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Direcfions: �:_y� _ ,_ _ ..�,--� �.��°'."��.�_:�: � �� .�-�.,-_ � :--�.��;T-, :�
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Fi[( ouf app'licafion comp(etely. ,
� Owner � Contracforsign back of applicaiion, notarized (Or, copy of sign=d contract with owner)
[f over $Z500, a t�Iotice of Commencemant is required.(M=chaniea( wortc over $5000}
- Supply iwo (2} sefs of drawings with applica6[e documenfafion "
,_ _ A(todf 10-14 days for review at�Eer submiifaf dafe. Parcet �- obfained frnm Prope�Ey Tax t�lofice (Ftifp://appraiser.pascogav.com}
�i6T(CE �F-€�EEQ FZESTREGTIO(�S: � he.undersigned unders�ands.fhat this permit may_6e subj�cc �o °reszric���r�s'
wF�ic�t may be more restr�ctive than Couny regula�ions. l h°_undersigned assumes responsibii�y for:compfi�r:t�e 4�ith any
_appl�cab(e deed resfrictions. _
UNL(C�PISED �CQNTRACT�E�S AE�D CONTRACTOR FZ�SPOC�SIB[LfT[ES: if the owner has �hired or -
coniracfors to under�ake work, fhey may be required io be [[censed in accordance wit{� sfate and local If �ne
confracfor is not licensed as required by (aw, both tf�e owner .and contractor may be elted �for .a misdemeanor v�ofa�ion
under sfafe law. (f fhe owner ar infended con�ractar are uncer�ain.as co what ficensing requirements may�apply for �he
infended �vorfc, they are advised fo contact fhe Pasco County Buifding fnspection Division—Licens[ng Secfion_at Z27-847-
8Q09. Furfherrnbre� ifi ff�e owner has hired -a confracfor or confractars, E�e �s advised fo I�ave the confracEor(s) sign
porEions of fhe "confracfor B[ocK' of fhis appticafion�for which they wi[[ be responsible. ff you, as the a�vner sign as the
contracfor, that may be an indicatian thaf he is nof properfy [icensed and is nof enfif(ed�to permit�ing privileges in Pasca
Counfy.
CONSTRUCT�OH-L[EN LAW (Chapter713, Florida S�af�Ees,_as.amended}: (f vafuaEion of �vork is $2;500.00 or mare, I
cerEify tf�at f, �Ehe appficant, have been provided w[th a copy of the "Florida Construction Lien Law—Homeowner's
Profecfion Guide" prepared by�fhe Florida Department of /Agricu(ture and Consumer Affairs. (f the appfiean� is someone
other than the "owner', [ certify that f have obtained a copy of the above described document and promise in good faith to
defiver [t to fhe "owne�' prior to commencement.
COt�Tf2ACTOR'S/OWi�tER'S-A�FtDAVfT: I ce�fify fhat a[I tFte informafion in fhis application is accurate and
that a!i work will be done in compliance with aff applicab(e I.aws regufa�ing construcfion, zoning an� land
devefopment. Applicatian is here6}� made to obtain a permit to do work and insfallation as indicated. d cer�ify
fhat no work or �nstallation has commenced prior to issuance of a perPnit and�tha� al( work wi(I be performed fo
meet sfandards of al( (aws regulating construction, County and Gify codes, zoning regulafions, and fand
development regulations in the jurisdiction. I also cerEify that I understand thaf the regulations of other
_ government agencies may applyfo fhe intended work, and that it is my respansibifify fo idenfify what actions [
must fake to be in comp(iance.
ff ('am the AGENT FQRTHE OWNER, I promise in good faith Eo inform Ehe owner of the perm[f�ing.conditions sef forEh in
_ � _ . .; . ...
-- this-affrdavit-prior-to comme�cing--construction_.._.Cunders.fand_�ha�.a.separate_permit.may.be._reguired for elecfrical wor ,___ _
plumbing, signs, welis, pools, air condifioning, gas, .or ofher instal[ations not specifica(ly included in the appfication. A
permit issued shall be�construed to be a license fo proceed wiffi the work and nof as authority to violafe, cancel, alfer, or
set aside any p�ovisions of fhe technical codes, nor shall issuance of a permif prevenf fhe Building Official from fhereafEer
requiring a correctian of errors in plans, cbnsfruction or violafions of any codes. Every pe.rmit issued shal.�,becorne inva[id
unless the work authorized by such permit is commenced within six montf�s of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months afEer the time fhe work is commencec{. An extension
may be requested, in writing, from ti�e Building Official for a period not fa exceed ninefy (90) days and will demonstrate
justifiab(e cause for the extension. ff work ceases for ninety (90) consecutive days, the job is considered a6andoned.
- WARN[NG'TO.OWNER: YOUR FAILURE TD RECORD A'NQ'T[CE`OF COMMENCEMENT' M�4Y F2ESULT I�I YOUR '
PAYtNG TWIC� FOR [MPROVEMENl"S T� YOUR PROPERTY. [� YDU lNTE�ID TO OBT N F(HANC[HG, CCINSULT
WITH YOUk2 LENDER �R AN ATtO BEFORE R�CORDWG YOUR NOTICE C ENCEMENl'. .
FLORIDA JURAT (F.S: 117.
OWf�[ER OR AGENl' l CONTRACTOR
Subscribed and s om to or irmed) before me th�s
Subscribed arid swom (or �f � ed) before me fhis bY
b y Who is/are ersonaliy known to me o� haslhave produced
Who is(are personaffy known fo rrre or has(have produced P as iden6ficafion.
as idenfifica6on.
Notary Pub[ic Nafary Pub[ic
Commission No.
Commission i�io_ . '
ed; rinted or stam ed I�fame of [�Iatary typed, prinfed or sfamPed
Name of Notary fyp p P ,