HomeMy WebLinkAbout13-13889 • - CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020
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ANNUAL FIRE PROTECTION MAINTENANCE .��
Permit Number: 13889 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: 2/20/2013 Name: FLORIDA MEDICAL CLINIC
Total Fees: 25.00 Address: 38135 MARKET SQUARE
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540
Date Paid: 2/20/2013 Phone: (813)780-8440
Work Desc: FPM- SPRINKLER ANNUAL- FL MEDICAL CLINIC
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Chapter 633, Florida Statutes,authorizes the City to charge and oollect 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 rnmmercial 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
813-628-0143
. . 01:33:22 p.m. 02-18-2013 4/15
813•780•0020 C�ey or ZopAyrnlaa Fire
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813-628-0143
. - 01:33:36 p.m. 02-18-2013 5/15
NOTlCE OF DEED RESTRICTIONS: The undersigned understands that this pennit may be subject to"deed"restrictions"
wh7ch mey be mora reatrictive [han County ragulatione, I he untlerslgnad assumas reeponslbll�ty /or compllence with eny
applicable aastl rastNCilons.
UNLICENSED CONTRACTORS AND CONTRqCT�R RESPONSIBILITIES: If �„e owner hes hirstl e contractor o�
contractors to untlortoke work, they may he requlraq to ba 1lcanaed In aceordence wlth etata antl Ioce1 rsgulations. �f iha
eontractor Is not Ileansetl es requlretl by tow, both the owner end eonuector mey be eited /or a misdameenor �iolatlon
untlsr stete lew. �t the ow�er or 1n[entlstl contraetor ere u�cportaln aa to w�at Ilcsnsing rsqulroments mey epply for tAe
8009�^�enCaq work, they are 8d�leed to contact the Paaco County {,7ullding �nspectlon �lvlakon��Canaing S�Ctlon aC� o �7
. Furthsrmore, If [he owner hea hlrad e con[�ector or contrectora, he Is advieed ta have ths eontreetor�)_�y g'n
portions of the "contractor Blxk" af this application for which they W,,, be reaponslble. I. ,,o,,, ea �he oW,,,� „a„ ,5 �,,a
Ccontractor, the[ mey be en Indlcation that M1e 1s not proparly Ilcansstl end Ia no[ enUtleti to permltting prlvll�ges iti Paaeo
ou nty.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): I...e,,,,�,o„ „W„k ,s
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—H meowner's
Protection Guide° prepared by the Flo�ida Department af Agriculture and Consumer Affairs. If the �P,,,�,„� ,s s o m ep,,6
ather than the°owne�', I certify that 1 have obtained a copy of the above described document and promise in good faith to
detiver It to the"owne�'prior to commencement.
- CQNTRACTOR'S/OWNER'S AFFIDAVIT; I
cerpfy that all the Intormetlon In this epp���stlon Is accurece and
that afl work w111 be do�1e in campllance witA q11 epplicqble lews regulating construction, zoning ond tand
tlavelopmsnt. /-1pp11cocion le AereCy made to obteln a permltto tlo work and InstallaUnn as intllceCeq, � certlfy
thet no work or lnsielletlon hes com meneed prlor to lasuance of e psrmit end tha� all work w111 Ge performotl to
maet atenCarda o1 all laws rsguleiing canstructlon, County entl City codea, zoning �eguletlona, end lenq
tlevalopmen[ regulotlona I� the Jurfadletion. � elso cer[Ify thet � unders[and that the reg�la[ions af oiher
governm ent egenelea may epply to the Intended work, and chet IC Is my responslblllty to {aencify wha2 aetlons �
muatteke to ba In cpmplienca.
I.I a m t„e AGENT FOR THE OWNER, I
promlae In goad faf[n to {n(orm [he ownur of the permittlne condltlone sst/orth !n
[hla affldaWt prlor to commsndng eonsCruc[lon, � uncferstend thoc n aeparate parml[ may ba raqulred for elecerlaal work,
plumbing, algns, wella, pools, pir aondltioning, gna, or other Inscnilatlona not speef/lcelly Ineluaed In the appllcetlon, A
parmlt lesued ahall be canntrueq to pe a Ilcensa [o proceod wlth ths work and no[ aa euthorliy to vlpinte, cencel, atter, „
set es�de nny provlslana of che technlcal codes, nor shell Issuance of a parmlt prevent the B�iltling Officlal from thereefter
requlring a eorreetion af errors In pfans, conatrueclon or vlolatlons of any eotles. Lvery parmlt laaued e:hall beeoma invelld
unleas ihe work authorl=ed 6y aueh permit Is com menced within alx monlhs oT psrmlt Issuence, or 1f work authorizetl dy
the parmli Is suapended or ebar��foned for e perlop of aIx �6� months ef[sf the time iAe work Is CommanGap. /1n sxtenslon
may he reques[etl, in wrlting, from the Oullding Officinl fnr a period no[2o exeeed nlnecy �9v) deys antl w111 demonetrete
)uatllleble ceuse Ior tha aYtenalon, �f work eeesqa �or nineiy �9�) eonaecutive deys,tha�o� Is consldered ebendonad,
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 FlNANCING�CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR�¢" ./�c.---
Sue.e.m.a ana.worn io�ar.m.mea� eeto.e m ��'
a nnia e.S a.�a : or �r ee�ee r
by }J���+/���+/�� ef [�( m�thl• / �
Whe If��f• =—�jOy � � �m�'1 l.s�lI hLI I.nf//�I
parson�Ny known to me or iras�h�ve protluestl Wh_=-������
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