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Home My WebLink About13-14481 CITY OF ZEPHYRHILLS . 5335-8TH STREET - �sis)�so-oozo 14481 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14481 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: 8/28/2013 Name: FMC MARKET SQUARE INC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/28/2013 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- FL MEDICAL CLINIC 5. 0 • �`� �� / � �� ina Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fre 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 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 RECORDING YOUR NOTICE OF COMMENCEMENT." .--, ^ - , t� ��,. � ±7� s �f��rt.r � ,��l�`X_�_l 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 09 �4 09 a m 08-26-�Ot 3 10/1 S / e�3-�eo-oozo Clty of Zephyrhllls Fire Faz-et3•780-OOZY" Permit Application Dete Recefved � _._.---- . __. . _._._. --_`_-. •-- --_.,___ _ _ . ... .,.. _...�,.^.. ,� Phon d for Pe ..,_._;__.,,.�„�e Conta ;.,__:..,. �,.��..__:rtni�t�:±............... . ._ ..»_.._�. o,�,mers Narr�e FLOFi1DA MEDICAL CLINIC Ownaf5 Phone Numher � � � Owners Address 38135 MARKET S�UAf�E DR , ZEPHYRHILLS, FL 33542 Fee Simple Titleholder Neme Tltleholder Phone Number � � � Fee Simpfe Tillaholder Address .. . :....._. :::-- , i .... ., .,. . . . .: _. ._.:.�._.::_._.:.y.._..- . J�b Addresa 38051 MARKET SQUARE DR., ZEPHYRHILLS, FL �ot a � suh Oivislon CITY OF ZEPHYRHILLS Pa�cel# 02-26-21-0010-03900-0020 - - -- , :., - ... . ... _ _...... ----- -- - -- - ---- - --- ----._-- - ----- ---------------.___ ____...__.Y..__.,..._.__.._, .. .. - - . .. _ _. ...:.__......�.._. ... .. ... ... .. � . r ..: .:......:........ .:...._ . .::,... .. , .. ....... ... .... a8lo-Hazard Waste Storage-ANNUAL a Fumigatlon Tent � Comm Exhausl Kllchen Hood/Duci a fiazardous Matenal(Tier II w RD Fanlity)ANNUAL aCantrolled Bum � Hood Installation � Emerc�ency Generator<3�kw � LP/Natural Gas-Instellatlon � Emeryency Generator>30 kw O LP/Natural Gas-ANNUAL Sale � F(re Protactlon Malntenance•ANNUAL O Places of Assembly-ANNUAL t y emi � er � Sprinkler � � ❑ ❑ � � Recreatlonal Bum �(� � I Fire Alartn � ❑ ❑ ❑ � � Sperklers �l Hood Cleaning � ❑ ❑ ❑ � � Sprinkler Syslem Installations Hood Suppresslon � ❑ ❑ ❑ � � Stantlpipes(Spnnkler Sys) aFire Alarm IrtSlallaUOn O Torch RooMg/Tar KeIUe � Fire Pumps O Wastc Tire Storogc ANNUAI Fire Works � Flemmable Application-ANNUAL $25.00 -, Valuatlon of Project OFuel Tanks Q Olher Contractor Company ^ N=�.„ -,y'.1r .y_ �.-" Signature Registerod Y/N Fee Cunent Y!N Address License tl ELECTRICIAN Company Signawre Reginered Y/N Fee Gurcent Y!N Address Llcense# PLIIMBER Comparty Signalure Registerad Y/N Fee Currenl Y/N Addrase Llcanse# MECHANICAL Campany Signatura Registered Y/N Fee Currenl Y/N Address Llcense# OTHER JEFFERY D. BURNHAM Company RODAN FIRE SPRINKLERS, INC Slgnecure Reglsterea Y/N Fee Curren� Y/N Address 1 N. TH T. PA F 1 ��cense tt � � .. ... ... .. ..... . ... . ._. ..,........... - - � - ........ . .... ,..--.::.,:,..r..,._. _ _ .. ._ : �._, ---- -,._.. _.... .: _., .., ,. .,.._.:...._ .�:.:<.��-:,u::,:�,-��_:<._,�__�:,�._._.:��,�:.��._�,::_,�.s=:,--°x:.� - - Directions. °��---'- Fill oul applicaGon camplelely Owner 8 Contractar cign back of appllcatlon,notanzad(Or,copy oi signed contrect wilh owner) I!over 52500,a NaUce af Cammencement is reqwred(Mechanical work over 55000) Supply Mro(2)sets of drawings with appllc�ble documenlaUon Allow 1D-14 days tor ravlew aRer submittal dale. Pa2el tl-oblained from Prnperty Ta�c Notice(htip:/lappraiser pascogov.com) 813-628-01G3 09 24 �a a m 08-26-2013 11 /t5 i NOTICE OF DEED RESTRICTIONS- The undersigned understands that this permit may be subJect to"deed"restriclions" which may be more restrictive than County regulations. The undersigned assumes responslbility for compliance with any appllcable deed restrictlons. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or contractors to undertake work, they may be required to be Ilcensed in accordance with state and local regulatlons. If the contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor vlolatlon under state law. If the owner or intended contractor are uncertaln as to what licensing requlrements may apply for the intended work, they are advised to contact the Pasco Counly Building Inspectlon Division—Licensing Sectlon at 727-847- 8009 Furthermore, if the owner has hlred a conVactor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of thls application for whfch they will be responslble. If you, as the owner slgn as the contractor, that may be an Indlcatlon that he Is not properly Ilcensed and Is not endtled to permltting privlleges In Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended)� If valuatlon of work Is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien �aw—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Afiairs. If the appllcant is someone other than the"owner", I certify that i have obtalned a copy of the above described document and promise in good faith to deliver it to the"owner'prior to commencement. - CQNTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. ApPlication is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permil and that all work will be pertormed to meet standards of all laws regulating conslructlon, County and City codes, zoning regulallons, and land development regulatlons in the jurisdiction. I also certify that I understand that the regulatlons of other government agencies may apply to the intended work, and that it is my responsibility to identffy what actions I must take to be In compliance If I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitting conditions set forth In thls affidavit prior to commencing construction. I understand that a separate permit may be requlred for electrlcal work, plumbing, signs, wells, poois, air condltioning, gas, or other installations not specifically inciuded in the application. A permit issued shall be construed to be a Ilcense to proceed wlth the work and not as authority to violate, cancei, alter, or set aside any pfovisions of the technicai codes, nor shall Issuance of a permit prevent the Bullding Offlcial irom thereaRer requiring a correctlon of errors in plans, construction or violatlons of any codes. Every permit issued shall become invafid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6)months after the time the work is commenced. An extenslon may be requested, In writing, irom the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for nfnety(90)consecutive 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 WfTH YOUR L�NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(F.S.117.03) OWNER OR A(3ENT CONTRACTOR f/ Y= —�� Subscribed and swam lo(or effirtned)before me lhis ubs ri ed d swom (a�(fi_rmed) me lhls bY ��'�,-L�by �, 1 XdF1 �1r�� Il�'iM Who Islara personally known lo me or haslhave produced Who islare perspnellv knrnem tn me or h ave produced es Identificatfon. as Identlilcatfon. Notary Public Notary Publlc Commissian No. Cammission No. ad•►�� Notary Puaic Stale of Floritla + f( I Name of Nolary typed,pnnled or slamped Name af Notary typed,printed or ct � My Commisa�on EE1q0324 '��r,� Expires 11112/2015