HomeMy WebLinkAbout12-13352 ,
CITY OF ZEPHYRHILLS
�' S335-8TH STREET
(si3)�so-oozo 13352
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13352 Address: 38051 MARKET SQUARE DR
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Ciass of Work: FIRE-SPARKLERS 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: 8/20/2012 Name: FMC MARKET SQUARE INC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/20/2012 Phone:
Work Desc: FPM-QUARTERLY FIRE SPRINKLER
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Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the wsts 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 pertormed 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 RECO IN Y R NOTICE
OF COMMENCEMENT." '
PERMIT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780 0020 C��Y or Z�P r,y�n�iis F��� F�„-813-780 0021
• - Pe�m,�Application
���a Re�a��ad G " ' � P�o�a co��a«.o�Pe�m�� 813 621 1357
ow�d��s N„mA FLORIDA MEDICAL CLINIC ow�e�= P�o�a N�mea� � � �
ow�e�s Add�es= 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542
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�or,Add��s= 38051 MARKET SQUARE DR., ZEPHYRHILLS, FL �o # �
s�e p,�,s,o� CITY OF ZEPHYRHILLS PH1Cp,� 02-26-21-0010-03900-0020
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Vwn�r�Canrraccor ign back ot npp cat�on no[nriz� �Qr c py or Iqnnrl contrac�w�th own r� '� �� ✓� 1`�
L o,e�$2500 a No���e o,Comm�„�ome„���� q�,.oda(M,.�ha,,,�:,�wo�.o„d�$5000) _
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P�o r[y T�.Nor�c ap I�ap�reiser pasco9ov com�
NOTICE OF DEED RESTRICTIONS• The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more res[r�ctive ihan County regulations I he untlers�gned assumes responsib�lity for compliance with any
a p p I i c a b l e d e e d r e s t r i c[i o n s
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If ihe owner ha5 hired a contractor o�
c o n t r a c[o r s c o u n d e r t a k e w o r k, [h e y m a y b e r e q u i r e d t o b e I i c e n s e d i n a c c o r d a n c e w i t h s t a t e a n cl I o c a I r e g u I a t i o n s �f[h e
contractor is noi licensetl as required by law, both che owner and contractor may be c�ied for a misdemeanor viola[ion
under scace Iaw �f the owner or intended convaccor e uncertain as ro whac licensing requirements may apply for the
intended work, chey are advised co concac2 che Pasco l..ouncy Building �nspeccion D�„�s�o„—Licensmg Seccion ac 72/-U4/-
8009 Furihermore, if the owner has hired a coniraccor or con[ractors, he is advised to ha�e [he contractor�s) sign
portions of the "contractor Block° of this application for which they w��� be responsible If yo,,, �,s the owner sign as the
con[raccor, chac may be an indicacion thac he �s noc properly I�censed and is not enucled to permitt�ng privileges in Pasco
Councy
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, as amended), If „aluation ofwo,k ,s $2,50000 0� 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 a p p lic a„t �s s o m e o n e
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 tha� a„ t„e ,,,forma�,o� ,,, t,,,� application �s accurate a„a
2 h a t a I I w o r k w i I I b e d o n e �n c o m p I i a n c e w i 2 h a I I a p p I i c a b l e I a w s r e g u I a t i n g c o n s t r u c t i o n, z o n i n g a n d I a n d
d e v e I o p m e n t. A p p I i c a t i o n i s h e r e b y m a d e c o o b t a i n a p e r m i c t o tl o w o r k a n d i n s t a I I a t i o n a s i n d i c a i e d I c e r t i f y
thai no work or installation Y�aS commenced prlor co issuance of a permit and that all �vork will hP. performed to
meet standards of an laws regula2ing construction, l.ouncy and Ci[y codes, zoning regula[�ons, and lantl
developmeni regulations in the �urisOic[ion � also certify that � understand ihat :.he regulations of other
g o v e r n m e n[ a g e n c i e s m a y a p p l y t o i h e i n[e n d e d w o r k, a n tl [h a t i t i s m y r e s p o n s i b i l i i y t o i d e n t i f y w h a 2 a c t i o n s �
musecake to be in compl�ance
�f � am the AGENT FORTHE OWNER, � promise m good faith to inform xhe owner ofthe permitung condibons sei forth in
this affidavit prior to commencing consiruction � understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air condiuoning, gas, or other mstallavons not specifically inclutled in the application A
p e r m i t i s s u e d s h a l l b e c o n s t r u e d t o b e a l i c e n s e [o p r o c e e tl w i t h [h e w o r k a n d n o t a s a u t h o r i t y 2 o v i o l a i e, c a n c e l, a l t e r, o r
set aside any provisions of Che technical codes, nor shall issuance of a permi[ preventthe Uuild�ng �fficial from thereafter
requiring a correciion of errors in plans, construc[�on or violations of any codes Every permic issued shall become invalid
unless che work authorized by such permit �s commenced within six monchs of permit issuance, or if work auihorized by
[h e p e r m i i i s s u s p e n d e d o r a b a n d o n e d f o r a p e r i o tl o f s i x �6� m o n t h s a f t e r t h e t i m e t h e w o r k i s c o rn m e n c e d A n e x[e n s i o n
m a y b e r e q u e s t e d, i n w�i t i n g, f r o m t h e U u i I d i n g �f f i c i a l f o r a p e r i o d n o t t o e x c e e tl n i n e t y �.7�) tl a y s a n d w i I I d e m o n s x r a c e
�u s t i f i a b l e c a u s e f o r t h e e x c e n s i o n �f w o r k c e a s e s f o r n�n e c y (g Q) c o n s e c u t i v e d a y s, [h e�o b i s c o n s i tl e r e tl a b a n d o n e d
WARNING TO OWNER: 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 117 03)
OWNER OR AGENT CONTRACTOR � �` —
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Who i5�ar ��ersonally known to me or has�have protluceA Who s�&� pe�sonally kn r has�hav pr�tluceA
s �dentification
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