HomeMy WebLinkAbout13-13888 _ CITY OF ZEPHYRHILLS
5335-8TN STREET
(sis)�so-oozo �'13888
ANNUAL FIRE PROTECTION MAINTENANCE
Permit Number: 13888 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: 2/20/2013 Name: FLORIDA MEDICAL CLINIC
Total Fees: 25.00 Address: 38107 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/20/2013 Phone:
Work Desc: FPM- SPRINKLER ANNUAL-FL MEDICAL CLINIC
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Chapter 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
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 shali 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
813-62E -0143
01;32:52 p.m. 02-18-2013 2/75
813-780-0020
C�cy or Zophyrhllls F;�e F..•813-780•OOZI
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813-628-0143
_,.._ 01:33:05 p.m. 02-18-2013 3/15
NOi10E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
whlch mey ye more reaerlctive then l.ouniy regulatlona, 1 ha undwralgnstl essumes responslbllliy 7or eompllanca with any
eppllceble tlaetl rastrlctfons.
UNLICENSED CONTRqCTORS AND CONTRACTOR RESPONSIBILlTIES: I. t„� a W„e� h e s ���a d e �o„ue�to, or
contrpetors to untlerteke work, thsy mey be requirad [a be IicenseO In eccortlance wlch scei• anA f[�eel regulatlona, I}�he
cantrector is not Ileanaed na requlrad by I�w, both the owner and contractor muy be citetl for q miatlemeanor vlalailon
under eta[e Iew. �f the owner or Intended contrector ere uneerteln aa co what licensing req�Iremente may apply for tne
8���In[ended work, they ure etivisetl to cantnetthe Pasco County pulitlfng �nspeetlon �lvlslon�Llceng�ng Sac[lon a[ 7 a �
. Furthermore, If the owner hea hlrecf o contractor or contrae[ors, he Is aOvfyeq [o hevs tho contraetor�}_0 9'^
portions of the "contractor Block" of this application for which they W,,, ba �eE e,,,,,,..
Ccontractor, thot may Ce a� In[fleeClon that he Is not properly I�cenaed q�a �y not entltleq �oYou, ua [he awner sign as tha
ounty, parmltcing privllegas In Paseo
CONSTRUCTtON LIEN L.AW(Chapter743, Florlda Statutes,as amended): !.„a,,,at,,,, of work 19
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law�H meowner's
Protection Guide"prepared by the Florida Depa�tment of Agriculture and ConsumerAffalrs. If t he ePP„�,,,� ,, s,mao�e
other than the"owne�', I certify that I have obtained a copy of the above described document and pramise in good fafth to
detiver it to the`owne�'prior to commencement.
- CQNTRACTOR'S/OWNER'S AFFIDAViT: I
certlfy ihet all the I�formn[lon in th�s oPP���nt�a� �$ eccurate end
thet all work w111 be done In campllpnce w1�h ell app��cabla Iqws regulating construCtlon� toning entl (ATd
development. App��cetlon Is hereby made to obtain e permlcto do work and Ins[alletlon ps InEl�ated. � certlfy
that no work or Installotlon has com maneed prlor to Issunnce of a permlt and that sll work w111 As psrformetl�p
moec atanderds of ell Ipws rsgulnting constructlan, County sntl i..ity codea, zanlny reguletlons, anq lend
�avelopment regulatlons In the Jurlsdic[ion. � nfsa certlfy that � understend tAat the raquleClons of othsr
govornment agencies mey qpp�y�o tha incendad work, end that Ic Is my responsi�illty Co IOentlly whnt actlons �
musctake to Las In compllenca.
I�I a m t„o AGENT FOR THE OWNER, I
prOmise In gootl fal[A to Intorm the pWner of the permltting c.onaltlona aet forth In
this oftitlavit prlor to eom msneing construetlon, � u�dar�tentl that a se orate
plumbin P permit may be requlred for �lectrlcol work,
9� 5�9ns� wells, pD013� eir eontlit{oning, gey, or other installatlons not spscifleally Ineluded In the applleotlon. A
parmlt Isaued shall �e eonstrueC to be o Ilcense to proeeed wlth tha work ond not as au[horley to vlolete, �oncel, elter, o
ae[ aslOe any provislons ofthe technl�el corles, nor ahall lasuance of a parmlt pravenc the f,uilCing �ff1e{el from therea![ar
requlring a corroctlon oi errors In p�ans, conziructlon or vfolnilons of any coden, Lvory permit Isaued shn11 be�ome Inva��cf
unle¢s the work quthOr7zod by such permic Is eommenced wlChl� s1x months ef psrmlt Isauance, or If work nuthorl2ed by
the permlt Is suapendee or ppenponed /or e period ot aiz ��7� A
p mon[hs eReriha time the work Is commeneed. f1n e�tenslon
mey be requastsd, In wrlting, from the Uulltling �fflcinl for a perlad not to axeea[! ninaty �90� days and w�1� tlemonetrata
Justiflable causa for the erte�sion. If work cen�os for nlne[y 9Q
� � eonseeutive dayq, thsJob Is Cons{dered abanqonad.
WARNlNG 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 FINANClNG,CONSULT
W1TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR� ti�" -�_,
Subiq��b�tl wne aworn to�or sntrmeu�unfore mo tms S
by vsise 1 tl A�ern io f/lrmetl}h�j) m�thls
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N.me orNa[ary�ypoa,princ.d or N�m�/ �
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of Npt��y�yp� �p����stl or�tsTpntl
=o'�"� Nolary Puaic state of Florida
. Cheryl A buffell
� ' � MY��mnissbn EE740324
��orn� Exairas 71/t2/pOtS