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Home My WebLink About11-12539 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3) �so-oo20 12539 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 12539 Address: 38051 MARKET SQUARE DR 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 Numbe�: 02-26-21-0010-03900-0020 Improv. Cost: Date Issued: 11/16/2011 Name: FMC MARKET SQUARE �NC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11 /16/2011 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- FLORIDA MEDICAL CLINIC . �, �� ,(- ( ��- � � ina 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 wsts 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 Office - 813-780-0041 813-780-OD20 City ofZephyrhills�Fir�e• FaX-a�aaao-oo2i Permit Appiication � � ._ _ Date Received � Phone Contactfor Permit Owner's Name Q ("� ` �1 � � Owners Phone Number -� �. � Owners Address QJ � � � Fee Simple Titlehoider Name Titleholder Phone Number �� Fee Simple Tttleholder Address JobAddress � � C, � I 335y� Lot# � Sub Division Paroel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material �er II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation a Emergency Generator < 30 kw � LPMatural Gas-Instaliation � Emergency Generator> 3D kw � LP/Natural Gas-ANNUAL Sale Fire Protection Mairrtenance - ANNUAL � Places of Assembly-ANNUAL �y emi �n er � � 5prinkler � ❑ ❑ ❑ � Recreationai Bum � / � Fire Alartn ❑ ❑ �Z � � Sparklers ' � Hood Cieaning g❑ ❑ ❑ C� � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle Fire Pumps � Waste Tira Storage ANNUAL Fire Works Flammable Application- ANNUAL Valuation of Project Fuei Tanks Q Othe � ConUactor Company Q �� Signature Registered Y/ N Fee Cu nt Y/ ��bUo 1 Add�ess License # ELECTRICIAN Company Signature " Registered Y/ N Fee Currant Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICAL Company Signature Registered Y/ N Fee Curtent Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Wsr.�� i �f'rwu�.teranu m�r�sr�mtmnil Directions: FII out appiication compietely. Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner) tf 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 #- obiained from Property Tax Notice (httpJ/appraiser.pascogov.com) �NOTICE OF=DEEDRESTRICTIONS: The undersigned understands.that this permit may_be�subject:to�"deed°:cest�ictions'� which may be more restrictive than County�regulations. - i"he.undersigned.assumes responsibility for:�ompliar�e�with any _applicable deed restrictions. UNLICENSED CONTRi4CTORS AND �CONTRACTOR RESPONSIBILITIES: If the owner has �hiredr:a-contractor or - contractors to undertake work, they may be required to be ficensed in accordance with state and local�regulations. If the contractor is not licensed as required by law, both the owner :and contractor may be cfted �for a violation under state law. If the owner or intended contractor are uncertain .as to what ficensing �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 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 l, �the applicant, have been provided with a copy of fhe °Florida Construction Lien Lau�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 "owne�' 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 taws 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 FORTHE OWNER, I 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 instaflations 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 the technical 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 tMe work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and wil( demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING 70 OWPIER: YOUR FAILURE TO RECORD A'NOTICE �OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W[TH YOUR LENDER OR AN ATTORNEY BEFORE REC�RDING YOUR N ICE OF COMMENCEMENT. FLORIDA JURAT (F.S.117.03) OWNER OR AGENT CONTRACTO Subscribed and swom W(or affirmed) before me this Subscribed an s m to (or a' rm before me this b y Who is/are e nal known e or haslhave produced Who islare personally known to me or has/tiave produced p ry as identifiption. as identifiq8on. Notary Public Notary Public Commission No. Commission No. Name of Notary typed; printed or stamped Name of Notary typed. printed or stamped