Loading...
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 1 ���/v l ���" � � _, ma 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 FaA S�mP A L���ho�d.,,NTme L��e,.a�do�P�o„�N,.mh�. � � L� F<<S�mp�o T,��eno�n��Ad�.��, �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 � B�o He�,�d Wa���S�o�a90 ANNUAL � F„m�9a�,o,.Te.,� � Comm E.na,,,.K�«�,e,.Hood/D�« � Ha�T�da,.t MT«��a�(T�o�II o.RQ F.������v)ANNUAL � Co.,«���dd B„�„ � Hood I.,«a��a,�o„ � Eme���.,�y G�.,�.a�o<<30 kw � LP/Na�,.�a�Ge,-I�«a����,o� aEm��g���y GE:�a�,�o,>30 kw � LP/Na.,,�„�GT=-ANNUALS le �� � F,�o P���A<<�o„Ma�.,�F,,:,.,�e-ANNUAL � P�a«= o.A,s�me�Y ANNU/� �' ��C~ �� 0 �8 � ��ae�,o.,a .,, ��...__.�. t��'�11�i� 5��,�k��� � ❑ ❑ Ro �B� \ �/�. ,^'(� F���A�.��m � ❑ ❑ ❑ ❑ � � sPa�k�a�s / Q � �_ �„��rl l Hoad C�eT���� � ❑ ❑ ❑ � � SP��„k�a.SY��om I,,,�e��a��o,,,��L.� S(J,`L,��+ h H�otl Suppre�sion ❑ ❑ ❑ ❑ � ❑ StantlP�Pns�SPr�nkier SY�� � (i J 1�' LV � F��o A�d�m I,,,�n��a��o� � To«h Roo.,,,9/Ta.Ka«�o � F,�� P,.m�� � Wa��o T,.a S�o�a9a ANNUAL � F���Wo�k, � Fi.,,��„a�,k„A�,ai��a��o� ANNUAL $ZrJ.00 Vawec�o� or P�o�ecc F,. �T� � OLher C�ntiartor Co pa y s,s,.���.� Ros�,�e�oe Y/N F�a C��.a�� Y/N A���.,,, L���,e N ELECTRICIAN Compa y s�9�a��,o R�9, .e.»d Y/N Fo�C��.e�� Y!N An��es L�o„�a# PLUMBER Campb y s,y„a���o Ra�� «�an Y/N FPa c��.a�� Y/N A�,d�E., L<<��e# MECHANICAL Comp y s 9������ RAg,=<a�ah Y/N Far C���a�� Y/N Aad�e�, L�e��a# oTHER JEFFERY D. BURNHAM c�mPa�Y RODAN FIRE SPRINKLERS, INC. s,g��<��o Ra9�„a�ad Y/N Fae C�-�o�� Y/N Ad�«,s 25 1 N. 7 TH T. TAMPA FL 3 61 ��=a�•a# 31 1 12 6 o,�o<<,o�, F„�o�. o �a� `j,C��../�1��tz .�..� �.t2y 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) _ S�i,�i vw (2� <<� or a���.,���y�w��H Pni��nnio eo���„���dno„ A��o.,,10 14 da,,.o...,,��w a��e.�,.hm�ad�n,�� Pa��o�#-oe�.,�.,aa r�om na e(h 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 � �` — S�ns���e.:a ana swo��c �o� nrr�r,,,.;e� eero�e me cr,�s S cr„��ea ana swo�n� �o�arr,�mea� nero�e me cn�s �(j�� p �/1 Y by Who i5�ar ��ersonally known to me or has�have protluceA Who s�&� pe�sonally kn r has�hav pr�tluceA s �dentification s itlentifii_9[ion No� �,, P,.e��� No� �„ P„e�� Comm�s�,o„ No Comm,���o., No Nameo.No� �Y�rPed, P.�.,«�, o�s�amPed NameofN ��� �,�4 oce�y xypea, p� ca Chery�A DuMstl �� My Canmleuon EH1a032a pi}`� Explrot 11112I2013