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Home My WebLink About12-13631 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 136�1 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 13631 Address: 38051 MARKET SQUARE DR Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENAN E 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: 11/20/2012 Name: FMC MARKET SQUARE INC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/20/2012 Phone: Work Desc: FPM- FIRE SPRINKLER QUARTERLY- FL MEDICAL CLINIC _ ��`� �� _ � ,_�;� ,, ina 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,administrat3ve fees,and other costs relabed 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 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,ty of ZePhy,n,iis F,�e Fa.-813-780-0021 Pe�m,t Applicavon o��e R��e��d P��co��a«fo�Pe�m,� 813 621 1357 ow�P,=Nam� FLORIDA MEDICAL CLINIC ow e ,P o N mee � f'—� I—'—� L_J I._ ow��,And��„ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542 Fee S�mwe T��en��d��Nam� T��eno�de�Pho„ mee� � � L�J Fee S�mP�e T,��ho�de,Adh.�„ e N ��e Add�p=, 38051 MARKET SQUARE DR., ZEPHYRHILLS, FL �o # � s�e p,�,.,o� CITY OF ZEPHYRHILLS P�fCe,# 02-26-21-0010-03900-0020 � B�o-Ha�a�d Wa,�e S�o�� ANNUAL � F� ,�a��o„T�� C�mm E,ha,,,�K�«hP., Ho�d/D��. � Ha�a�ho�=M.,.e�a�(T�e.II o�RQ F.��,.)ANNUAL � Em .g�„�,.G�„P.��o�<30 kw a LP/Nal�,.�aa Gao-I„s�a��a��o� � Em��9e„�Y GP��.��. >30 kw � LP/Na�„�,�G�,�-ANNUALSaIe � � 3 � � � � F��e P�o�e�.��„Ma�„«„a„�E-ANNUAL a P�a«, o,A,=e m e�Y ANNUAL f, �� 0 �8 ❑ «ea��o� S��„k�A. � ❑ ❑ R„ ��B��„ F�.E A��.m � ❑ ❑ ❑ � ❑ SPa�.�e�s Hoo�f l.leaninq ❑ ❑ ❑ ❑ � ❑ SPrinkler SYstAm �nstallacions Hood Sup�re.sion ❑ ❑ ❑ ❑ � ❑ Sran Pip�s �S[�rinkler Sys� � F��e A�a�m I,,,�a��a.�o„ � To��h Roo.�.,�/Ta�K� � F��. P,.mP= � Waz«T,.e S�o.a9e ANNUAL � F��E Wo�k� � Fiemmae�e Acai��a.�o„ ANNUAL $Z�J.00 Vai„acio„ o+ P�o�e�c F„��Ta�k, � �u�� Co„�..,<<o. Com�,a.,Y s,��a��e RPg� �e�ed Y/N FPe C�.��, Y/N Add��s L�e,,,e# ELECTRICIAN C mpa y s,9�,��.� R�g «�en Y/N Fee C�.�e�� Y/N Add.ez� L,«�,e# PLUMBER S 9 a��e Ro9,�«�ed Y/N F�e C�.��e�� Y/N Add.�,= L��e„�e# MECHANICAL C mpa^y S��a��P RPq� �P��d Y/N FEe e�«e�� Y/N Add�AZ, L,��.,,e# oT"ER RODAN FIRE SPRINKLERS, INC. JEFFERY D. BURNHAM c°mPa�v s,��.., rzeg� �e�Pd Y/N FF�C�� Y/N Addfe55 2501 N. 70TH ST. TAMPA FL 3619 ��«�5e # 8315310 012006 D�.�«�o�. F��,.�.,�,p�.�e.,a„�� p..� y 0��$2 00[a N��,�eA�FeC�mme„P em�.,�ns��q,.��ectl(M��.,a P��a�wo9k�tl eo$5000) n ow„ �) Suppiy twn�2� secs of tlrawi g wi[h applicable a�cumenta��nn A��o,. 10-14 da,.Fo..��e,,,,a.�e.,,.em�«a�na�e Pa��e�#-oe�a�.,ed f�om . � Propercy Ta Nn ice�hctp��appraiser pa�cogov rom� NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations I he undersigned assumes responsibility for compliance with a ny applicable deed restric[ions UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o�,,,,e� „as ,,,�ed a �o„2�a��o� o� c o n t r a c t o r s t o u n d e r C 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 t e a n d I o c a I r e g u I a t i o n s �f t h e contractor is no2 licensed as required by la , both ihe owner and contractor may be cited for a misdemeanor violation u n d e r s i a t e I a w �f t h e o w n e r o r i n t e n d e d c o n t r a c t o r a r e u n c e r t a i n a s t o w h a t I i c e n s i n g r e q u i r e m e n i s m a y a p p I y f o r 2 h e intentled work, they are advised to concac[tne Pasco County Uuilding �nspection �ivision-Licensing Seciion at 7C7-U47- 8009 I urthermore, if the own has hired a contractor or contrac2ors, he is advised to have the ntractor�s) portions of the "contractor Blocke of this application for which the w�� be �es c° 51g� y ponsible �f you, as the owner sign as che contracior, thai may be an indication that he is not properly licensed antl is not entitled to permitting privilege Pasco County s in CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended) If valuation of wo�k �s $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 applica�t ;s =omeo„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�t,f,, t,,a� a„ t„e ,,,fo�,,,at,o„ ,,, t,,,= apP,,�at�o„ ,= a«��a1e a�d that all work will be done in compliance with all applicable laws regula[ing construction, zoning and land development. /"ipplica[ion is hereby made to obtain a permiito tlo work and installa[ion as indicaied � certify that no work or installation has com menced prior to iss nce of a permit and [hat all work will be performed to m e e t s t 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 t i o n, l..o u n[y a n d C i t y c o d e s, z o n i n g r e g u I a t i o n s, a n d I a n d developmeni regulaiions in the �urisdiction � also certify tha[ � understand that the regulations of other g o v e r n m e n t a g e n c i e s m a y a p p l y 2 o t h e i n t e n d e d w o r k, a n d 2 h a t i t i s m y r e s p o n s i b i l i 2 y t o i d e n t i f y w h a t a c t i o n s � m u s t t a k e i o b e �n c o m p I i a n c e If I am �he AGENTFORTHEOWNER, I p�om�=e ,,, good fa�th to �„fo�m the o,,,,,,e� of�he permitting �o„d�t�o„5 setfo�th �� th�s affidavit prior io commencing construction � unders[and that a separate permit may be requiretl for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other ins2allations not speciFically included m che application /-� p e r m i i 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 t h e w o r k a n d n o f a s a u i h o r i t y c o v i o I a i e, c a n c e I, a I t e r, o r set aside any provisions of[he technical codes, nor shall issuance of a permi2 preventthe Uuilding Official from thereafter requ�ring a correction oF errors in plan , consiruc[ion or violations of any codes Every permit issued shall become invali❑ unless ihe work au2horized by such permit is commenced wi2hin six months of permit issuance, or if work authorized by t 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 d o f s i x �6) m o n[h s a f i e r t h e 2 i m e [h e w o r k i s c o m m e n c e d Y1 n x t e n may bP requested, in writing, from the Uuilding �fficial for a period notio exceed nine2y �9�) days and will demonstrate �us[ifiable cause for the extension �f work ceases for ninety �9�) consecutive da the b is con y s, �o s i tl 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 '`~ `�—�---- Subscribe<] an<1 swo�n to (or .iffirmeA) before me ihis S bscribecJ or �o ffirmetl) f thi w .i�, ey 11—Zv—rSZ eY ?. [�C�r�r �w� M10 i � personally known io me or ha>�M1ave protlucetl W=`o is/ar e peryonally kn r ha��have p�otlu�:ed s icfentifi�ation s ��fencificacion No� .Y P„e�,� No� �Y P,.e�� C��mm,��o., N�, Comm�ss�o., No �. 1�lcr� �.� Name o.N��a.Y�,,P�ti, p.,,.�eh o� y�amP�h m� , 1 A '—�.�-��II Na _ orNo arycypea, v. ea or srempea o��°�� Notary Pudic St�ta ol Florida _ . Cneryi A Dufieu • � My Comml��fon EE140324 ��orr�� Explrn 11H2l2015