HomeMy WebLinkAbout13-13890 - — CITY OF ZEPHYRHILLS
5335-8TH SIREET
�sis��so-oozo 13890
ANNUAL FIRE PROTECTION MAINTENANCE �
Permit Number: 13890 Address: 38105 MARKET SQUARE
Permit Type: FIRE PROTECTION MAINTENANC ZEPHYRHILLS, FL.
Ciass 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: 2/20/2013 Name: FMC MARKET SQUARE INC
Total Fees: 25.00 Address: 38103 MARKET SQUARE DR
Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/20/2013 Phone: (813)780-8774
Work Desc: FPM- SPRINKLER ANNUAL- FL MEDICAL CLINIC
� ^ c'�/
I� r�
C \J
2�
z� ��
ina
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 re�ated 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 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
813-628-0143
� 01.33:52 p.m. 02-18-2013 6J15
813-780-0020
Cuy or Zoytiy�nws Firo F..-813-780-0021
D�<.R.�.i...a �-_� p°�m1° pp�cac�on
.�, ,.., . ..: -.. . ......�.
. :. ... _ ..� :.._ ,..�..�_».«..�,,,...�....,.. , ..._._�................ �.e.P..mK �
.,,,,�,...,�.......u:..:...:=::<.��._.. ..._.. ..�,_.._...._.......
P�o,,.Ca„<.�
_,_: _.: . ._.._.._ 813
� .... ,.r..................._,.....,........._<.;�:: 621
.._. ...� .>..�.---:-::.:��w.:.._.,:>.-:-:. ..
. 357
�,�....::.... ..._...:-___.�..._,..�,,.r.,..,,��.�.:: .,�.�w..:.,.,.
ow�.,�.N.m. FLQRlDA MEOICAL CLINIC ��.;,P„o�w��Te. �"� � ��
�wn�r s Aaer.:.
38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542 L-�—J
F..5�m,��T���.�o�a.�N.m. � �� �
Tiu.neia..Peenw Nume.r
F..S,.i,p�.7ai e n e�e..Aa n....
�- _.....: ......::�:.:..::,.�;;... ...._ _.,., �..�._:.,_. ,..,�..:�:,.....,::r:: -
_....._.. ..... .��_.,..:�:..«•�:•.o., .:.,,,.�,..:...,•..�<. - -
...::�r..r�..._:.......:_......:.....• .:e�.,::v�: - - -
� .... . ........... .
...........•�..:.._.... . . _ •.:..,.:......<.....».:. - -
..............�....;. ..,w �.�,..�.._....�._. ,
. ..::.....5._r:::::.:.:•:E•:�::_-:.:xi.:::...::'1,::-r�R��,��;��,�:.;t_�.•.....,..:r..::,.�.,..,...
,._�. .__.. ......_ ...._.._.._,.r�
Jee Add�.,. 38051 MARKET SQUARE DR.,ZEPHYRHILLS, FL
Lo.�
s�e�,�,.,o� CfTY OF ZEPMYRHILLS P.,�.,,� Q2-26-21-00'l0-03900-Q020
:........ ,..,..:.-.-...,�
...,. .. __...�......�...... ........�..
. ... ...
..�..�........:::��,..:_m:_.:_::..�... ......�..,;.��.•�__. -
. ,...:,
..,.:.....:.::.:.........::.::�:.:. -�
.,.. ., ..,_._.:._....... _._ ..
.:,._-.=:._: ::_::...:�. :::..::::.:��._..:: , ,_;:.,<.,...�w..�:.::._ _......_
_ ... .. . ,. .4. .. . ._._.,...�......,...��.:�.:,:...:_:...... .:.......w�..�.�;, .,._.....w.:.,
❑ , r,�....�-..,..._.. . .....,._._.._..,,..�. ._............._...
..:i ...�..,.._,...,.......-,�:•..:�_..
Bm-H.�..n W.::.Sio.�a•-14NNUAL � Fwm�a.t�e�T.�e
QCo�.m E.n.�.�K�e�h.�Hosa/Dw« � H. ,M.r..i.�(T�..8 e.RQ F.�m�r)ANNUAL
aC4��.on.e 8,,.� a Haoe I.�.i�..,o�
QEm..o.��y G.�.�..o.c 30 w,.., �
� LPlN.��..�G..•1�...��.��a„
Em..,.,,�„G.,,.,...e.>30.y,. a LPlN.���.�G.,-ANNUAL Sals
aFn.Ro...:uo,.M.i,,..�.��.-ANNUAL �"'_'� � Pi.�..�.A,..meirANNUAL
� ��r L_�� n.r r
SP��„«�.� O ❑ Q9 � R. ..�.,,..�B,,.� �! h
F�..A�.�m � ❑ ❑ ❑ � � 5�,,.�... �( ''lJ Z V
Ho.,a Ci..,,i.,o � Q O ❑ � � SPrInMl�r Sy.e.�,I.,.�.i�.ue.,,
Have$wnn�R..�o� � ❑ O CI � �
� 5t�ntlplP�s�Sprinwl�r 5y��
F�..A�..m I.,...��.��e� � To.��Roe..,,lT..K...�.
F��.P�mP. � W,...T��.15.o�.a.ANNUAL
F�...Wo.w.
F�.m m.ei.APO���..�e�•ANNUAL SZS.O�
Valuetion oI Pro�oct
F,,.�T...k.
0 0«0.:
�o�«.��e. ... ._,.._.._. . .. . _ .. z. .� . .. -_ . - - . :-� : �. ,.,., . , .. .:- .- ._ _.....�.. ...... . _....._- .:�
$�a�.�.,..
Camp.�y
R.a�...�.d Y/N Fe.c�...�� Y/N
Ann.�..
L��.,.,.N '_'��
ELECTRICIAN
S�o.....,.. Co.o P.n y
Rag,.�„..a Y/N F..c� �� Y/N
{iaaro.. nw
L��.,.,e N
PLUMBER
Sio�.���. Co,�p...r �
R.g�.�...a Y/N F..C,....�t Y/N
Ad ti�.,
+ L�.�..# —�
MECHANICA�
$�a�.��.., Co�,P.�y .�
R�pl�ur�q Y/N F..C Y/N �
Aa e... ...�.
L�..,.,� �—�
SOTHER JEFFERY p. BURNHAM Cemp�ny RODAN FIRE 5PRINKLERS, 1NC.
�a.,..�.. Y/N F..C,.. Y/N
R.fl�.�...,a ..��
f�aara•. 5
.:- ,_. ._.... .-.
_.._... ..:.. ...... ..........._......_,.._ 3
.. ...............z;z:.:=-:.-:.......__.......... ...__...- • ,:::a�.., 9 .
D,�.�.�o,,,. ._.__.�_�....... ,..._.::E,::��:.._�.. �' 1�9
�.�,.r
_.. . _ ro...., .. ....._.. 3
153100d 06
. ._. ......, >. .�...,. ....._.....-:--...._.�::_:: ......._�_
......,.._...�_.>::.. . ... ......... .....:.<:
F�u o��.ron�..�e��emP�.e.y ,._. _ _.._._..
0�...,,..&Ce,.�. �,e..�a„�,.�„af�PPllc�rlon.not��IteO(O..� �,�
opy eI tlO��e e
!r a,,.�52500�f,.No�i�«er Ce�..�..��.�..�.�.�.q�..n(M.<n..,i�.i.,.e.�e �$5000)��„..�..�
Supply[wo�G���t�e1 er�wlnda w�i1��pp��c�Oln tlocum�nl�[lon vw
Altow�Q-�4 tl�ys for r��l�w�h�r fubnrlK�l tl�e. P�re�11r-obt�in�tl from i're y Taa No4c��hes l�� v eo
o..e F, pyr�u�r.O��ebpe . m)
813-628-0143
, _ 01:34:05 p.m. 02-18-2013 7��5
NOTtCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
whlch may be more �satrlcilv� then County regulations. 1 he underslgned essumas responalhlllty fnr comp�ianco wlth eny
opplicable deed restrictlons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: I. t„a ow„a� hay „,�.d a contractor o�
contrsctors [o underteke work, ihey mey hs r�qulrstl to he IlcanaeA In eccortlanca wlth ate[e and local raguletlons. �fthe
controctar Is noC Ilcensed aa requlreq py Iaw, bo[h the owner entl cpnireetor rnay be clCed fof e fnlsdemeenor vloleClon
untler atets InW. �f the ow�er or Intended eontraetor ere uncerialn ec to what 1lc1enying raqulremsnta mey apply tor the
8�Intendaq work, they nre edvlsetl to conteet tho Pasco Couniy Oullding �nspopC�n� u���b�o�•��cenaing Ssctlon at�f O �7
V9� FuKhermnra, II the ownor has hlretl e eont�nccor or con[reetors, he ia edvleetl to heve [hq �o�����or( )_a 9J��
portions of the "contractor Biock" of this application for whtch the W��� De res e„s,a,., s'
contrac[o�, that me � P �f you, es fthe owner slgn aa tha
y Oe en Intlicetlon tfia[ hs la noi propo�ly 1lcensad end is not entltled to permitting privllsgss in Paaco
County,
CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes,as amendedj: I.�e,,,a�,o„ 01 work �9
certify that I, the applicant, have been provided with a copy of the "�lorida Construction Lien Law�H meowne�'s
Protectian Guide`prepared by the Florida Department of Agriculture and Cansume�Affairs. If the a p p Ile e nt �g „m e ofe
other than the"awner", I certify that I have obtained a copy of the above described dxument and promise in goad faith to
deliver it to the"owner"prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAYIT: I eartl/y thqc a,�t,,, ,,,.o�,,,a�,o„ ,,, t,,,, eppllcatlon �, accurote s.,d
[hat all work w111 bs �one In compllenee wlth ell nppUeable lews regulating co�atructlon, zoning pntl IanA
tlevelopmeni, i'lpplleeilon Is har�by meds to o6teln a p�rmlt to do work and Inntellatlon .ea Inqlcatotl� 1 eertlfy
[hat no work or Insiollotlon has commenced p�lor to Issunnce of a permlt end CheC a11 work w111 6e parformcO to
meet atentlards of ell law� reguleting cons[ructlon, l.ounSy end Clty cotles, xoning regulacione, entl lenp
devalopment reaulatlons In che Jurlatlictlon. � elso csr2lfy ihet � untlerstnnd chot the reguletlona of other
government egencles m ay apply Co tha In[enCetl work, end thet I[Iz my responalblllty to Identify what ��t�ona �
muat[eke to be In compllance.
I.f a m �„a AGENT FOR THE OWNER, I
promisa In gootl Telth to Inform tha ownar of tne permltting condltlona set forch in
thla oflltlevif prlor to commencing constructlon. � undefetand Lhat a aepare[e permlt mny be requlretJ for eiectrical work�
plumbing, algna, welis, pools� aIr contlltloning� ges� or other Insta11at1or�s not speelryeelly Inelutled In the opplieatlon, A
parmlt Is�uetl shnll 6w construed to be o Ilcense to proceed with the work an� �ot as auihorlfy co y�olate, cencel, elter, n
set oslde any provislons of tha technlcel cotlea, nor shall Issuence oI e permlt p�avenC Che Bullding �fflcial/rom [hereefter
requlring n corracclon of errors in plens, construcUon or v�olations of any codes. Every permlt lasued eha17 oecome 1nvalitl
�n�ess the work authorlxetl ty auch parmfC Is eommeneacl wlthin six months of psrmlt Isauenee, or If' work euthorizad 6y
the permlt Is suspunqsd or eOnnOOned for a period of slr �6� A
montha afterthe Ume the work Is commancatl. f1n axtenalon
mey be requested, �� writing, irpm che Bullding �fflelni /or e perlo0 nocto oxceotl nlnecy �90) deya and wi11 damonscrata
JuStltfable cauae forthe extenslon, �fwork ceeaes /or ninety ,7Q
� � consacutive tley9�theJot� Is eOnsldare0 abendoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEN7S TO YOUR PROPERTY. IF YOU INi'END TO OBTAIN FINANCING,CONSULi'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117,03)
OWNER OR AGENi' CONTRACTOR�/�_
rJueacrin.n�nn awe•n te�er�R�rmaa�e S� ��_
elorw mecnle
p • orn i y\/f/� /(�� e T p thl•
y crlbe� ndGy �,., D� l,r�t� L.Cl��j1 �i�A�v"
W1�u����re persen�lly k�e�vn to mo or h�a�heve � Q
p�otlucetl Wt�^�I���r� pq�son���y Nnown to m •h���h�ve
�iJenelflestlon. -- P�etlue�el
.�dentlrlceHOn
No�.�„P��,���
Comryo No�..y P�e���
m,,,,o� E t ----
com �o ruo �I �
N.m.or�foprytyp�d,printotl o�.c.�„P.a N.�.,� N � � `� �
o� oc�ry t tl�pr10ta�f or atempatl
=�M"' Notary Fnaic smte a ftorida
'��� Ct�eryl A DuHeq
• MyCommissbnEE1�0324
�orn� Ezpims11H2/2015