HomeMy WebLinkAbout11-12385 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3) �so-oo20 12385
. ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 12385 Address: 38010 MEDICAL CENTER AVE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0070-00000-0010
Improv. Cost:
Date Issued: 9/26/2011 Name: C G M HOLDINGS TRUST
Total Fees: 25.00 Address: 38023 MEDICAL CENTER AVE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540
Date Paid: 9/26/2011 Phone: (727)484-1142
Work Desc: FPM- FIRE ALARM ANNUAL- FLORIDA CANCER NEW HOPE
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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."
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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
JAN'/07/2008/MON 10:02 AM Z°n�Y�HILLS BUILDING FAX No.81' P.003
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JAN/i�7/200�/NION 10; 0=' AM ZEPHYAHILLS BUILDING FAX No, 813 P, 004
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NQTlCE oF RESTRICTIONS: The,undeTSlgned undersl9nds lhat this permlt may be subjBet lo'dead' �estrlcfions°
wh�ch may tie mo�s restYlotive Chan Caunty regulaifons. The undersigned aeeumss responsibllity 4or compliance wiih any
appl[cable deed restrictions.
UNLICENS�D CONTRACTOliS AiJfl CUNTF�ACTOR RESP�NSIBILlTIES: [f the vWt�er hsa hfred a confractor or
cvntfdctore o undertake work, they may be requlred to 6a Ilcensed In accoidance Wfth stata ar�d local regulatfons. If the
cvniractor Ig not licensed as required 6y taw, both the owner and contraotvr may be cited for a mlademeanor violatlon
under state'law. If the owner or fnfended cantractor ere uncertaln as to what IEcensing �equlrement9 may apply 10� the
Intended woFk, theY arB advised to contect tha I'asco Gounq� BuYdlnB Inspection Dlvisiortlaensing Sectlon at 727-�h7-
8009 Fu�ihermore, tf •the oWller has hlred a confraCtor or contractQrs, he is advlsed to have ihe canireator(a) algn
po�fions vf (he "contracCor 61ack" of this appllcatlon for which they w�l be reaponslble.. If you, as tha owner siBn as the
contractor, that may ba an indlcatlon thet he Is not properly Ucensed end is nof entitled to permltting prEvHeges In Paeco
counry. f
TRANSPOF�TATEON IMPACTIUTILITIES IMPACT AND R�30lfRG@ R�COVERY FE$S: Tha undersigned understands
that Tranaporlation Impaet Fee6 and Fiseourse Recovey �eas msy apply to the construcdon of nsw buildings, ahan9e of
use tn e�cist�ng bufldinge, ar expansivn of existing butfdinge, as specffied in Pasco County Ordinanee number 89-07 and
gD-O7, sa amendad. 7he underelgned also understands, that such fees, es may be due, wtll be Icienti�ied at the tlme of
pefmltting. �It Is turther urideCStovd that 7ransponat(on (mpact Fees artd Reeource Reeovery �ees must ba pald priol' to
recelving a i certlficats of oeeupanay` or final power release. If the projeet doe� not Irnolve a eertificqte oF oacupancy or
flnal power ;release, #he faes muel be paid prlor io permit Issuance. Furthermore, If Pssco CoUnfy WaterlSewar Impact
fees are du�, lhey musf be pa[d prlor to permlt lssuanoe In aecordanae wlth appltceble Pasco Gounly ordlnanese.
CUNSTRlICTION LI� ��W��P�{eeR provlded wlth a aFlorfda Con trucklon �t n LaW wner's
ceriiPy that � I, the app
Protectlon ulde' prepared by lhe Florida Department af Agrlculturs and Consumer Affaira.� If tha appliaant fs someone
other 4han �e Wowner", I ce�lify that I have o6Celned a copy of the above descrlbed document and promise in 800d fslth to
deliver It to the "awne�' pr{or to commel'�cemsnt_
CON�'RACTOFt'3lOWNER's AFFE!)AVIT: I certify that all ihe lnformalfon In thla appllcaticn Is acaurate and that all work
hereby tv btan a permlt o k ss no or
Commenoe¢ prior to issuance of a permlt and that all work w�l be performad lo meek standard9 oi all 1aWS regulating
� construclivp, County ai�d Clty codes, zoning regulations, and lend davelopmant reguladon6 In the jurisdlctlon. 1 ai'so
certify that t �inderstand fhat the regulatlon9 of ottie� govemment �gen�les may apply tv the intended work, and that It Is
my responstbiliry io identlfy what ectione 1 muat taKe.to he In bompliance. Such agencles i�elude but are not Ilmiied to:
-. � Depa1'tment of EnVkOflmental Profectlon-Cypresa Say}reads, 1�Vailand Areas and Envlronmantally Sensltive
� l.ends, WaterlWastewater T�ealment.
- ' Southwest Flal'Ida Wate� Management Districi-WsQs, Cypree8 Bayt►eads, Wetland AreBS, AIteF1n9
� Wateroourses.
- { Army Corps of En�lneers-s�awsll6, Docks, Navigeble Waterways.
- Deperlmant of kiaalth & Rehabllllative Servicss/Environmental Nealth Unit Wella, WasCewater Treatment,
� 5aptic Tenks.
- � US Environmental Protecfion Agency-Asbestoe abatement.
� Federal Avlallvn Authorlty-fZUnways. ,
I unde[starid that the Tollowl�g restr�tlone Hpply io the uae of flll:'
llae of flil Es nat ellowad In Flood Za►e `V" uMess expl'essky permitted.
.. ; IF the fill maferlaE is to be used in Flood zone "A', it Is understood that a drainage pken addtessfng e
'"compensa8ng volume' wilf he submltted at tlme vf permitting whloh ie prepared by e proPessEonal engineer
� licensed by the State of Florida.
� if fhQ fiA materia! is io he uaAd in Flood 7_one 'A" In connec6on wlth e perm�tled bullding usi� stem wall
� ( construction, I certlfy ihat flll wll! be ilaed vnty to fi0 the area wlthin the stem wafl.
• IF flll material ls fn be used in any aYea, I certlfy that U6e of auch'fill will not adVefsely affect edJacent
� propetifes. If uae of fill IS founQ to adVersely affeat Ad]acent propertfes, the. owner may be cited fv1' vlolatlng
I. the conditions of the building permit i�su�d under .the attsehed permit appllcaUon, 9or lots IASS ihan ona (1)
� acre Whtch sre elavated by tlll, An engillaered drainage plan 1s requl�ed.
If 1 am the'AGENY FOR THE DWNER, I promise In good falth tv lniorm the awner of ihe permitting condltlons set forth fn
thie affidayt! prior fo commencing consfruction. 1 undersland lhat a 5eparate perml� may be requlred tor electMcal work,
plumbing, lelgns. wells, pools, alr condll'aning, g�s, or other InsYallafions not speciflaally Induded in the applk:ation. A
permlt Issued shall be consinted to be a licetlse t0 proceed wldt the work and not �s authority to. violate, cancef, alter, or
� sef aside any proviabns of the technlcal eodes, rwr shalJ issuance of a perm7t prevant the Bulldirig Offidaf from thereafter
requlring � eoReetion bf erroTS ln plens, oonstructlon or vblalSons of any codes. �very pertnit lssued shall pecome Invakid
unless the work authorized by such pe�rnit Is cammaneed wilhln eix months of permit Issuanee� a� ��+°� authorized bY
the permlt Is suependad or abandoned for a period of s1x (6) manths aRel' the Cifite the Work {s oommenced- An Bxte�s�on
rnay be requested, in writing, from the Bulldtng Of�iClaf for a period not to excaed nlneiy (90) days and w111 damonstrate
Juatmable cause for the extenslon. 1f wo1'k cea6es rtvr Nnety (90) consecutHe deys, lh�Job is conslderad abandoned.
WARNING TQ OWN,ER: 1'OUR �AILURE TU R ORD hOT10E OF CQMMENCENf�NT MAY RE3U1.7 IN YOUR
PAYING �H11lCE FOF21MPR0 ENTS TO Y P �RTY. IF Ybl3 IId7ENP'TO OBTAlfd FINANCII�IG, CONSULT
WI YO L DE • R RN �CO 1N YO c� C � c �'�
FLAf�1DA J�1RAT (F.S. 1 S7.t13)
� CONTRACT
OYYNEIt OFj AOEKT ' �� �d 9WOm l0 (or aflWmed) bOfore rne thls
subsalhed and aw«n to (or rmed) kelare la
��' Knoxm to me or hae/f�ave ced
yyho Is%are peraonallv k io me or ve produoed Who �Y ��
• Ay� flAcetlon.
� Notary PubQc �lotery Publtc
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COff{InIfiSIOR [�o
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Name of NoCary �ped. Printoa ar sbmPed ertte a1 Notary ba�, D�� br s�mped
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