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Home My WebLink About12-13629 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis��so-oo20 .�3629 ANNUAL FIRE PROTECTION MAINTENANCE � Permit Number: 13629 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: 11/20/2012 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 11/20/2012 Phone: 813 780-8440 Work Desc: FPM- FIRE SPRINKLER QUARTERLY FL. MEDICAL CLINIC . r� �. � -2 �; ( �- < < � . _ - ,�., ina Chapber 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 oosts related to the aforementioned. Complete Plans, Specifications and Fee Must Aaompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required pertnits 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 aaordance 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�cy of Z�Pny�h�us F��A Fa.-813-780-0021 P��m�t Application od« Re�t,��d P„o�e ca��a«to�P��m�< 813 621 1357 ow��,s N.,m� FLORIDA MEDICAL CLINIC ow��s P„o�� N�mee� 813 780 8440 ow�e��=Ad��A„ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540 F��S�mP��T�.��n��d�,N:,me T��eno�de�Pho„e N,.mee� � � � FAe S�ma�e T,��eho�d�.Anh.e„ �oe A d „ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540 ��# � s e p ,s,o CITY OF ZEPHYRHILLS Pa,�E,# 02-26-21-0010-03900-0030 � B�o-Ha�a�d Wa,«S�„�a9e ANNUAL � F�m,ga��o.,Te„� � Comm E.na„s�K�«h�„H�od/D„« � H�.a�do,.,Ma«.��(T�e�II o�RQ Fa��y)ANNUAL aCo.,«o��Fn B„�„ � Haod I,,,�a��a�,o„ � Em ��P„�,.G�„e.a�o�<30 kw � LPlNa�,.�a�Ga=-I„=�d��a��o� � Em��g�..,�v GA�e�a=o. >30 kw � LP/N��a�Gd�-ANNUAL Sale � F�� P��<<��M��„«.,a��A-ANNUAL � P�a�es o.Ass�me�v-ANNUAL � / ��j �� 5�,��„k�e� � � ❑ ❑ B � Re«�a�,o.,a�B,..,, F��A�.��m � ❑ O ❑ � � SP��k��, Ho�n Ge��, q � ❑ ❑ ❑ � � S��,,,k�e�Sr «m I.,�.��,o„= H��tl Supprcasion ❑ ❑ ❑ ❑ � ❑ StantlPiP�.�S�rinkler Sy�� F��A�a.m I„��A�,o„ � To��h Roo.�„�/T.,�Ke«�� F�� P�m�= � Wa,�e T��S��a�P ANNUAL � F�«Wo�k, ❑ Fl�mmab�cA,P��a��o�-ANNUAL $L�J.00 ValuationofP�o�eCt � FuE.ITank. � �ihcr Con[r�ccnr Company s,��a�� Re9�,�e��a Y/N Fee C�.��. Y/N ann�AZS �,�e�=A� ELECTRICIAN Com,a.,y s��A<�.e R�g�=«.ed Y/N Fee c��e�� Y/N Anti.,.s, L��e,,,e# PLUMBER Compa.,y s,��E, R�9�=«.�d Y/N Fee C��. Y/N Add.�.. L�«„��# MECHANICAL C�m pa�y s�q�a��.� R�9�,«�ed Y!N Fee c��.��. Y/N Aad.�.. L�e„=e# oTHER c�mpa�y RODAN FIRE SPRINKLERS, INC. s qn ur JEFFERY D. BURNHAM Re�,s�e,ed Y!N Fee c��«�� Y/N Add��== 2501 N, 70TH ST. TAMPA FL 33619 �1Ce��# 83153100012006 D��<<��.,, F��o,.. �a��„��m��.,�,.�y Ow��.&nC�.,«a«�. � ha�k o. PP �a��o„ �o.r�� (O. �opY � 9 ed�o�«a«w��h ow,,.�) .o�,..$2500 a N��A �f C�mme„�eme„��,�E4�� (MA�nr,,,�a�wo�k o..e�$5000) Supply cw �2� Ec�of drawinqs witn appiiranie documencation A�i�„„10 14 d Y .o.�e��e�,..a.ie.,�e,.,�«.,i aa�F Pa.�ei# oe<a�.,ed r.o„� P�oo�..y Ta.No�� (h P 1/aPa.a�,e P ,� 9 �<o,.�) NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restric2ive than County regulations I he unders�gned assumes responsibility for compl�ance wich any applicable deetl r strictions UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If �he ow�e� has h��ed a con2ractor o� coniractors to undertake work, ihey may be required to be licensed in accordance with state and local regulaiions �fthe c o n t r a c t o r �s n o[ 1 i c e n s e d a s r e q u i r e d b y I a w, b o t h t h e o w n e r a n d c o n t r a c t o r m a y b e c i i e d f o r a m i s d e m e a n o r v i o I a t i o n under s2ace law �f the owner or mtended contractor are uncertain as to what licensing requirements may appry for the intended work, they are advised to contac[the Pasco County Uu�lding �nspection �ivision-Licensing Section at 7L7-U47- 8009 Furthermor , iF the owne has hired a ntractor contractors, he is advised to have the contractor�s) sign portions of the °contractor Block" of this application for which they w�� be �e=ponsible If ,,o�, a= the ow�e� s�g� a= =hP contractor, inai may be an indication tha2 he is not properly licensed and is not eneitled to permitting privileges in Pasco Cou nty . CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If �a��at�o� of wo�k ,_ $2,500 00 0� m o�e, 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 ofAgriculture and ConsumerAffairs If the applica„� �= someo�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 cerufy �hat a�� ihe ��fo�mat,o� �� Lh�s application ,s a��„�ate a�d that all work wi11 be done in compliance wiih all applicable laws regulating construciion, zoning and land developmen2. /"�pplication �s hereby made io obtain a permitto do work and installation as indicated � certify tha[ no work or installation has com menced prior 2o issuance of a permit and ihat all work will be performed to m e e 2 s i a n d a r d s o f a I I I a w s r e g u I a t i n g c o n s t r u c 2 i o n, l..o u n i y a n d C i[y c o d e , z o n�n g r e g u I a 2 i o n s, a n d I a n d d e v e I o p m e n 2 r e g u I a t�o n s i n t h P �u r i s d i c t i o n � a I s o c e r t i f y t h a t � u n d e r s t a n d i h a t t h e r e g u I a t i o n s o f o t h e r g o v e r n m e n t a g e n c i e s m a y a p p I y t o t h e i n 2 e n d e tl w o r k, a n d t h a t i t i s m y r e s p o n s i b i I i t y t o i d e n t i f y w h a t a c t i o n s � s t t a k e t o b e i c o m p I i a n c e If I am the AGENTFORTHEOWNER, I P�om�se �� good fa,th �o ��fo�m the ow�e� ofThe permitting �o�d,t�o�s =etfo�th �� this affidavii prior to commencing construction � undersiand chat a separate permi2 may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or oiher installations noc specifically inclutled in the application A p e r m�C i s s u e d s h a I I b e c o n s i r u e d t o b e a I�c e n s e t o p r o c e e d w i t h t Fi e w o r k a n d n o t a 5 a u�Ft o r i t y [o v i o I a t e� c a n C e I� a I t e r� o� set aside any provisions of the iechnical codes, nor shall issuance of a permit prevent2he Uuilding �fficial from thereaf[er requiring a correction of errors in plan , construction or violaiions of any codes Every permit issued shall become invalid unless tF�e work autF�Orized by such permit Is commenced within six months of permit Issuanc � or if work autF�oriZetl by t h e p e r m i t i s s u s p e n d a 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 t h s a ft e r t h e t i m e t h e w o r k i o m m P n c e d A n e x t e n s i o n may be requested, in wriiing, from ihe Uuilding Official for a period not to exceed ninety �9�)cdays and will demonsirate �u s 2 i f i a b l e c a u s e f o r t h e e x i 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 �9�� c o n s e c u t i v e d a y s, i 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,,J� �'� '` S�c�sc��hoh a.,a sworn c �o�arr��mea� oeroro me xr,�s S escrib a a swo. � rr��„ea� rore m h h Y �!-2-G-i� e Y n fi.i�es�l �U,r h j'1.Ca n.� WM10 i��ar personally known io me or has�have protlu�Ptl Wh��s�ar p - or has�have pro�lur�A s �ee�c�r��ac�o� r s ��.,c�n�ac�o� No� �Y P,.e�� N�� Y P,.e�� Camm�=s�o„ No Comm�==,o„ No �� 'TC�32� C �F 1 Y 1 � � u-'i'�F'� �� NamP oFNoi ryiypetl prin2e�f or stampetl Name ofNoi ry[y�printetl or stampetl �,ar•o Notery Publie Std�of FlaMda :°��; Cheryl A Duffell ,y • 6/Iy Commisswn EE14032� +�o�"� �xpirez 11/12/2015