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Home My WebLink About12-13630 . CITY OF ZEPHYRHILLS 5335-STH STREET (si3)�so-oo20 13630 � ANNUAL FIRE PROTECTION MAINTENANCE ` Permit Number: 13630 Address: 38107 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: Date Issued: 11/20/2012 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38107 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/20/2012 Phone: Work Desc: FPM- FIRE SPRINKLER QUARTERLY FL MEDICAL CLINIC �i (j�' � l� � :�' � \v � ina Chapter 633, Florida Statubes,authorizes the City to charge and collect user fees to pay for the oosts 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 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 ZePny�r,�iis F��e Fa,-813-780-0021 Pe�m,�Application o�« Re�o��d P�o�e co��«fo�Pe�m�� 813 621 1357 ow��= Name FLORIDA MEDICAL CLINIC ow��,P�o�e N�m,�� ow�e�s Adn�PZS 38107 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542 F��. S��„oie T��iehoide�N��„A T��ienoide.Pno�e N,,,.,De. � � � Fe�S��„oiE T��ie�,oide�And�� n Add „ 38107 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542 � # � s�e o��,o� CITY OF ZEPHYRHILLS Pa e1# � B��-Ha�a�a W:.=�e 5��.��e-ANNUAL � F,.m,ga��o.,Te„� � Com m E,na�..K��he�Hoon/D��. � Ha�a�do�,Ma�e��a�(T��.II o�RQ Fa��,,)ANNUAL � Co�«o��ed B„�„ � Haod I„s��.�o., � Em��qE„�v G�„P.a�o.<30 kw � LP/N.��,..a�Gas-I„�.a��a��o„ � Em.>.g�„�,.G��e.a.��30.w a LP/Na�,.�a�Gas-ANNUALSaIe ,Lr �(„ j� � F�� P�o�E.«,�„M,�„«��„�e-ANNUAL � P�a�PZ o,A„�me�r-ANNUAL I � t `� «�y 0 � SP��k�� ❑ ❑ � � Re��ea�,o„a�B„�„ F��A��,�m � ❑ ❑ ❑ � � SPa�k�e.s Hood C�ea,,,�� ❑ ❑ ❑ � � SP�,.,k�e.SY,.em I.,=��a�,�� HootlSuppress�on ❑ ❑ ❑ ❑ � ❑ Stantlpipe_ �SPrinklerSys� � F��A�a.m I.,,.a��a��o„ � To��h Ro��„�/Ta�Ke«�e � F,�F P„m„ � W,=�e T��e S�o�aqe ANNUAL � F�.e W��k, ❑ Fi�mmae��APPi��a��„-ANNUAL yZ�J.00 Vaivac�onofPro�ecc � F„��Ta„k, � �thcr Concractor Company s,�� Re9, �e�Pn Y/N Fe�c�.�e�. Y/N Ahn.�=, ��e�=e a ELECTRICIAN Co m pa„y s�9�a�� R�9� �e�ed Y/N Fee c��e�. Y/N Ann�,,,. L��e��e# PLUMBER Compa„y s,g�a.�.� R�9, �e�ed Y/N Fee c,..�e�� Y/N Add�ess L�e.,,e# MECHANICAL Com pa„y s�g�a�� RP��=��ed Y/N F��C�.�e�< Y/N Add.ess L�«.,,e # oT"ER JEFFERY D. BURNHAM c�mPa�Y RODAN FIRE SPRINKLERS, INC. s,��e Reg, <P��d Y/N F�e C�,��e�� Y/N Ad�feS= 2501 N. 70TH ST. TAMPA FL 33619 ��=��fe# g3153100012006 D��<<�o,,, F,��o�< <a.,o., �om�,�e. y 0,,.,,,��&PCo.,��.,�.o� a h..�« or aai�<a��o,. „o.��:ed (O. ��py or s�g„Ad �o.,«a«.,,,�.n o..�.,,e�) I.��e�$2500, No��e o�Com me��Fm�,.��,�PA„��e (MP«�„��wo�k o�e�$5000) Supply�w �2��etl oP tlrawin��wicM1 appl�ca�le tlo�umen[ation A��o,,,l0 14 d Y .�.��.��e..,a..e�,,,em�«.,�ad�e Pd��e�#-oe�a�„ed r�om . �� //aP� ��t.. s� � om) Proper�y Ta No �hccp .r pa ogo r NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed" restrictions" which may be more resiricUVe than County regulations I he undersigned assumes responsibili[y for compliance with any applicable deed r strictions UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If ihe ow.,e� ha= h��ed a �o„t�a�to� o� c o n t r a c t o r s t o u n d e r i a k e w o r k, t 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 2 e a n d I o c a I r e g u I a t i o n s �f t h e contrac[or is no2 licensed as required by law, both the owner and coniracior may be cited for a misdemeanor violation under sta2e law �f the owner or intended con2ractor are uncertain as to what licensing requiremen2s may apply for ihe intended work, they arP advised to contact the Pasco County Uuilding �nspection D,,,�=�o�—Licensing Section at 727-847- 8009 Furthermore, if the owner ha hired ntractor or contractors, he is advised io have the contractor�s) sign portions of the "contractor Block" of this application for which they w�� be �e=Po�=,b�e If ,,o,,, as �he ow„e� =�g„ as the c o n 2 r a c t o r, t h a i m a y b e a n i n d i c a t i o n t h a t n e i s n o t p r o p e r I y I f c e n s e d a n d i s n o t e n t i[I e d t o p e r m i tt i n g p r i v i l e g e s i n r a s c o Councy CONSTRUCTION UEN 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 of Agriculture and Consumer Affairs. If the a p p I ic a„t �_ =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 cerUfy that a�� ne ,,,fo�mat�o„ �„ t,,,s application �s accurate a�d that all work will be done in compliance wi2h all applicable laws regulaiing construction, zoning and land developmeni. Application is hereby made [o obTain a permitto do work and installation as indicated � cert�fy that no work or insiallation has commenced prior to IsSUance of a permft and Chac all work will be performed io meet standards of all laws regulating construction, County and Ciiy codes, zoning regulaCions, and land development regulations in the �urisdiction I also certify thai I understand that She regula2ions of otFter government agencies may apply to tY�e intentled work� and that ii is my responsibiliiy io ident�fy what aciion5 I s t 2 a k e t o b e i m p I i a n c e If I am the AGENT FORTHE OWNER, I P�om,se �„ good .a�th to ,,,Fo�m fhe ow„e� oftne permitting �o„d,��o„s set.o�th �„ ihis affidavit prior to commencing construction � understand that a separate permi[ may be required for elecirical work, plumbing, sign , wells, pools, air condi[ioning, gas, or other insiallations not specifically included in ihe application 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 5 e t o p r o c e e d w 1 T h f Ft e w o r k a n d n o t a s a u t Ft o r f T y t o v I o I a t e� c a n c e I� a I t e r� o r se[ aside any prov�sions of 2he technical codes, nor shall issuance of a permii preventthe Uuilding Official from thereafter requiring a correction of errors in plan , construction or viola2�ons of any codes Every permit issued shall become invalid u n I e s s t h e w o r k a u t h o r i z e d b y s u c h p e r m i 2 i s c o m m e n c e d w�[h i n s i x m o n t h s o f p e r m i t 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 tl b y 2 h e p e r m i t 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 (V) m o n t h s a fi e r t h e t i m e t Fi e w o r k i s c o m m e n c e d A n e x t e n s i o n may be requested, in writing, from ihe Building �fficial for a pe iod noi to exceed ninety ��) days and w�ll tlemonstraie �ustifiable cause for ihe extension �f work ceases for nineiy �9�)rconsecutive days, the job is considered abandoned 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 � �� Subscribed �nei sworn to (or affirmeel) before me this S bsc betl A o ( ff�rm tl) {o e eY 1l—?G-12 eY rn�.��Q,y►�ec�wvL��.aa�. WFO is�are� per�onal�y known io mP or Fas�have pro�urPC1 Who�s�a c personallv kno r has�have producrd s i�fe�ntifieation s itlen[ifieation No� �Y P,.e�� No� .,, P„e�� omm�ss�o� N� �omm�s=,o� No �� lyc 3-LN �h�e-� 1 y4- . 'D u. -��'e Zl N�,,.,e o.No� .YiYPed, P.�.,i�� o� �ia,.,pee Na�.,e orNoi .r=yr P.�„ied o�s�ar.,pea ��Y��,� Not�ry PuWic Stete of Flonda , Cheryl A Duflell • MyCommlalenHE�4032a �or�� Expirea11f1212075