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Home My WebLink About12-13354 �" ' CITY OF ZEPHYRHILLS 5335-8TH SIREET (si3)�so-oo20 13354 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13354 Address: 38135 MARKET SQUARE DR 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: 02-26-21-0010-03900-0030 Improv. Cost: Date Issued: 8/20/2012 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 8/20/2012 Phone: (813)780-8440 Work Desc: FPM-QUARTERLY FIRE SPRINKLER �� Z� -( � L� , � � � ma Chapter 633, Florida Statutes,authorizes the City to charge and wllect 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 aforementloned. 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 finai 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 __ 313-780-0020 C�cy ov ZePny�r,�ns F�� Fe.-813-780-0021 Permic Applicacion �d�a Ro«��ed � P�o�a ca��e�„o.Pa.m�� 813 621 1357 ow�a.=rvemo FLORIDA MEDICAL CLINIC ow�a�, P„o�o N�mea, 813 780 8440 ow�A�,Add�A„ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540 F�e S,,,,p�o T,��ano�d�.N�m� T��eha�da�Pho„a N,.meo� � � � F,,.,Si,.,pia T��ianain��And�� o�Ann��„ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540 �o # � s�e p1V1S1O� CITY OF ZEPHYRHILLS P��o,# 02-26-21-0010-03900-0030 � B�o-Ha��,h Wa��e S�o�a9e -ANNUAI � F,.m,9��,0„Te„� � C�m m E.ha,.<<K�«�o„ Hood/D„<< � H�.��do,.=M��a�,a (T,a.II o,RQ Fe..��y)ANNUAL 0 co��.��h 8�� Hood i�=�a,��,o� j � Emo.��„�v Ge„o.A�o�<30 k � LPlNa�..�e�Ge�-I.,,�e��e��o., �-�' J j�` � Eme,ge.,�, G�.,a�a�o�>30 kw � LP/Na��.e�G�=-ANNUALSaIe �� j � F��P�o�o<<�o,.Ma��o�b„<a-ANNUAL � P�a�a�o,A,�ame�y-ANNUAL / � 0 �� ❑ r,,.�'' Sp��.,kio� � � ❑ ❑ R��.,�ao„ai B��„ �-`'` F��A�a�,., � ❑ ❑ ❑ � � SPa��a�s Hootl l.leenin� ❑ ❑ ❑ ❑ � ❑ SPrinkier SY tem �nstalle[ions Hooa S„�P o„�o., � ❑ ❑ ❑ � � S�a.,d��P�, (SP��.,k�o�S �) r � F,�a A��m I„s«��a�,o., � To��n Roo.�.,9lTa, Koa�a � F,�e P�,m�� W��.,T��e S,o,a9e ANNUAL � F,.�Wo�.s � F��„�,,,,,e�OA„pi��a��,.-ANNUAL $Z�J.00 Vai�zc�o� orP�o�e�c � F�e�T�„k� � �cner Contrac[or Compflny ' ' S��e�� Ra9�=�a.ed Y/N Fea C��a�� Y/N Ann��„ L,�e„=a# ELECTRICIAN Campa y s,g.,��u�e Re9� ,��ad Y/N Faa C��a�� Y/N Add..,�� L�a.,�e# PLUMBER ComPa y S,g�H��.., R�9�=�e�ed Y/N F�a C,...a.,� Y/N Adn,o,� L.�a,,,a# MECHANICAL Compa y s�g��.� rzeg�=«�od Y/N Fea C��,a�� Y/N Add��, L��e.,�a 8 oT"ER JEFFERY D. BURNHAM c�mPe�Y RODAN FIRE SPRINKLERS, INC. s�g„�� Re��=�a�ed Y/N Fda C��.a�� Y/N AnnfL55 2501 N, 7 TH T. TAMPA FL 3 1 ��=a�=a# 15 1 0012 6 D��a«�o�, Fill ou[application completely �wnar e�Concractor s�qn beck oI appiica[ion, oenrizea ��r,copY o/slgnntl contrec[w��h owner� I,o�r.$2500,� No��a o,Com ma„�ame.,��.�q,.��od(Md�na,.��a�wo�k o„a.$5000) Suppiy two�2� t�ts o/rlrawinqs wich applicanle tloc�men<a[inn A��o,,,10-14 n ,, ,o.�A,,a,,,,a..��,.em�«a�dA��, Pa.�e�#-oe�a�„ed��om P� operty Taw Notice �M1ttp,Ilappralsor pasrogov<om� NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive [han l.ounty regulacions 1 he undersigned assumes responsibility for compliance wi[h any a p p I i c a b l e d e e tl r e s t r i c t i o n s UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES IF �he ow„e� ,,.,_ ,,,�ed a �o„t�a«o� o� contraciors co undertake work, they may be required [o be licensed in accordance wi[h sta2e and local regulations �fthe con[racior is noc licensed as required by law, bo[h che owner and contractor may be cited for a misdemeanor violation under state law �f the owner or intended con2ractor are uncercain as to what Ilcensing requirernents may apply for the �ntended work, [hey are advised to contactthe Pasco l.ounty Uuilding Inspeccion �ivision-Licensing Seciion at 727-CJ4/- 8009 Furthermore, if the owner has hired a contracCOr or contractors, he is advised to have 2he contracTOr�s� sign portions of the "contractor Block" of this application for which they w�� be responsible If ,,o,,, as t„e owner sign as the c o n t r a c t o r, [h a 2 m a y b e a n i n d i c a t i o n t h a 2 h e I s n o t p r o p e r I y I i c e n s e d a n d i s n o t e n t i t I e d [o p e r m�t t i n g p r i v i l e g e s I n P a s c o County CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If valu ation of wo�k �5 $2,500 00 0� m ore, 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 plica�t �� so m eo„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 �e��,fy �„at a„ t„e ,�fo�mation �� n�s applicauon ,s a��a�e a„d chax all work will be done in compliance with all applicable laws regulating consTruccion, zoning and land development. Applicacion is hereby made to obiain a permitto do work and instauation as indicated � cercify t h a t n o w o r k o r i n s t a I I a t i o n h a s c o m m e n c e d p r i o r [o i s s u a n c e o f a p e r m i c a n d [h a t a I I v�o r k w i I I b e p e r f o r m e d t o m e e x s t a n d a r d s o f a l l l a w s r e g u l a c�n g c o n s t r u c t i o n, l.o u n t y a n d l.i c y c o d e s, z o n i n g r e g u l a t i o n s, a n d l a n d d e v e I o p m e n i r e g u I a[i o n s i n t h e �u r i s d i c t i o n I a I s o c e r i i f y [h a t � u n d e r s t a n d t h a t t h e r e g u I a t i o n s o f o i h e r government agencies may apply to che intendetl work, and chat i2 is my responsibili2y to identify what actions � u s i[a k e t o b e i n c o m p I i a n c e �f � am the AGENT FORTHE OWNER, � promise in good fai2h to inFOrm 2he owner ofthe permitUng condiuons setforih in this affitlavi2 prior to commencing construc[ion I understand tha[ a separate permit may be required for eleccrical work, plumbing, signs, wells, Pools, air cond�tioning, gas, or other Ins2allations not specifically included in the appl�cacion A p e r m i t i s s u e d s h a I I b e c o n s t r u e d t o b e a I i c e n s e t o p r o c e e d w i t h 2 h e w o r k a n d n o t a s a u t h o r�c y t o v i o I a t e, c a n c e I, a I t e r, o r set as�de any provisions of the technical cotles, nor shall issuance of a permit pr eni the Uuiltling Offic�al from thereafter requiring a correction of errors in plans, construccion or violations of any codes Every permit issued shall become invalid u n I e s s t h e w o r k a u[h o r i z e d b y s u c h p e r m i c i s c o m m e n c e d w i i h i n s i x m o n t h s o f p e r m i i i s s u a n c e, o r i f w o r k a u t h o r i z e d b y t h e p e r m i c 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 d o f s i x �6� m o n[h s a f t e r t h e [i m e t h e w o r k i s c o r�m e n c e d A n e x t e n s i o n may be requesced, in wnting, from the Uurid�ng �fficial for a penotl not co exceed ninecy �9�� days and will demonstrate �u s t i f i a b 1 e c a u s e f o r t h e e x t e n s i o n �f w o r k c e a s e s f o r n i n e t y �.7�� c o n s e c u[�v e d a y s, t h e�o b i s c o n s i d e r e d 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 � �L� �''--' / Sut�scriberl snd sworn t (or aff��meA) before me tM1is �ubscrib tl antl swor (D ff��metl, b�e m thi ��{�T °Y e y n.�, D�? ,v. rA...=n Who i5�ar prrsonally known [o me or has�hav protlucetl Who-_I� aliy kn r has�hav protlucetl s itlen[�fication s itlen[�fir_ation No� �Y P„e�� N�� .,,P„e�,� C�mm,�� ., No Comm,��o., No . 1►�'�� Notary Public State of Florida NamE olNot rycyped, printetl or scampetl me c i�i Na orNo a�Y�YPed, p� en � c ge MyCOrtImiSSIOnEE140324 �p�p� Expires 7t/12/2ot5