The URL can be used to link to this page

Home My WebLink About13-14482 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 14482 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14482 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: 8/28/2013 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38107 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/28/2013 Phone: Work Desc: FPM- SPRINKLER QUARTERLY- FL MEDICAL CLINIC i � �� . � �� 1 f � inal 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 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." i•y � � ' I ��J} .�+�,�� y 1,.�-�� ` ` CY�J-J r i PERMIT OFFICE � ` PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-628-01a3 09 24 44 a m 08-�6-2013 1�/15 � B13•7BD-0020 City of Zephyrhills Fire Fax-Bt3-7B0-0D21 Permit Application Dete Received Phone Can[ac!for Permit 813 2� ..,.,__.�._........_.._.. _ .. . ._. ... ..... .� ..:...;-. ._.._..,..., - - ,.....,.._ ._.,....._�,---�,.,.._�...—,:,-,_,_._, ...._�_._.,.._._.,,_. �_,�....,...._,_..._. _:�... ,:,_..._,_ �..:�.,M:._..,_.,._�.,..._:_.....�_._.�:__. :._._�s...,..._�.�.:..�.,_s.u.,.._.,.. _.,.......,.,....,.,.. 57 owners Neme FL�RIDA MEDICAL CLINIC owners phone Number �_] � �_� Owners Address 38107 MARKET SG�UARE DR., ZEPHYRHILLS, FL 33542 Fee Slmple Tilleholder Nama Titleholder Phona Number � � �� Fae Slmple Titleholder Address ... ................ ..._....... ....._.._.... ...,...-�----........... ....:... :....._.:._...._.�n..._:a.::.::..,.�:.::....:.....;,._.�.::...;:c:_...<;,::_:.,:::.::.:.::.s:•::...7:,..�_r:..,�;:-._:G_..;.;,...,,_..,..: Jab Addrese 38107 MARKET S�UARE QR.,ZEPHYRHILLS, FL 33542 �o�a � SubDlvlsion CITY OF ZEPHYRHILLS Parcel� _,_.._..:.,.....,....,..... _...,_..._ .. - - _. __ __....__. _._... ...:......... ....... :..... ... .....:.�: ,.. �.... ,,._,_.-._;......,_..._�...�:_..�,..::__..._.._:__..:::.:._._�.::=-.�._.:_. .°_::..�:*_•_�__._:�:_:.�,:�..::t:::;.:t.tra.°: Q Bio-kaiard Wasta Storage-ANNUAL � Fumigatlon Tent � Comm Exnaust Kllchen HoodlOuct � HazarUOUS Meterlal(Tier II or R�Fedllty)ANNUAL � Cant�lled Bum � Hood InsteilaUon aEmergency Generator<30 kw � LPINalural Ga�-Installatlon � EmerBenty Generetor>30 kw a LplNatural Gas-lWNUAL Sale OFre Prolectlon Malntenance-ANNUAL a Places of Assemhly-ANNUAL � Z � emi � er � / � � Spainkler � � ❑ ❑ B � RecreaUonal Bum � Fire Alartn � O ❑ O � � Sparklers Hood Gleaning � O ❑ ❑ � � Sprinkler System Inslalletions Hoad Suppressian � ❑ ❑ ❑ � � Standpipes(Spnnkler SysJ � Fire Alarm Inslellation O Torch Roofing/Ta�Keule � Fire Pumps � Waste Tiro 6torage ANNUAL OFue Works � Ftammable Appllcation•ANNUAL $25.0� Valuation of Project Fuel Tanks � ��18f' ..,..___._... ._.....�....._>.._.._.....: ....._.ti__._. .:.'�-_:.:"=:.a:,::.,..:n:.:..,.::s:.s.ui,,:_...._:.::..:..:..z:.:::•....:"'"'<_=.::3__ Contractor � Company Signalure Repistered Y/N Fee Currant Y/N Addfes5 Llcense tt ELECTRICIAN Company Signatura Reg�stered Y/N Fee Gurrent Y/N Address Ll�ense ii PLUMBER Company Slgnature Reglatered Y!N Fea Cu�ent Y/�) Addres� License# MECHANICAL Company Sigr�ature Registered Y/N Fee Current Y/N Address llcense# OTHER JEFFEF�Y D. BURNHAM Comparty RODAN FIRE SPRINKLERS. INC. Slgnawre Registered Y 1 N Fee Current Y/N Address � N. TH T. A P F 1 ucense p � .. . .... ... .... ... .:::: �.._,_. ..... ,.. ,,:._.m__.... ._.._ _,:: .... _..,. ...� . ,.... _ ,, _ ... � ._ .,.... ... _ . ._ .. ...__..... .... . . irections: ---- - . ._ ._.._... . Fill out appliGatlon campielely Owner 8 Contrector sign back ot application,notarized(Or,wpy of signed conUad with ownef) If over E2500,a Motice o(Commencemertt is required(Mechanical wrnle over 3500D) Supply iwo(2J sate of drewings with applicable documentetian Ailow 10-14 days for review after submlttal dale Parcel#-obtained fmm Property Tax Notice(http;/lappralser.pasrogov.cam) 813-628-0143 09 24 59 a m 08-26-2013 13i15 NOTICE OF DEED RE5TRICTIONS The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations The underslgned assumes responsibility for compliance wilh eny applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS181LITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. I( the owner or intended contractor are uncertain as to what licensing requlrements may apply for the intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847- B009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for whlch they will be responsible If you, as the owner sfgn as the contractor, that may be an indlcation that he is not properly Ilcensed and is not entitled to permitting prlvileges in Pasco County. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation 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 Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affalrs. If the applfcant is someone other than the"owne�', I ce�tify that I have obtained e copy of the above described document and promise in good Faith to dellver it to the"owne�'prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informatlon in this applicetion is accurate and that all work will be done in compliance wlth all applicable laws regulating construction, zoning and land development. Applf�ation Is hereby made to obtain a permit to do work and instsllation as indicated. I certify that no work or installation has commenced pnor to issuance o(a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulatlons, and land development regulations In the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditlons set forth in this affidavlt prior to commencing consWction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not spacifically Included In the application. A permlt issued shall be construed to be a Iicense to proceed with the woric and not as authority to violate, cancel, alter, or set aslde any provisions of the technical codes, nor shall issuence of a permit prevent the Building Official from thereafter requlring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalld 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 extension may be requested, in writing, from the Building Officlal for e period not to exceed ninety (90) deys and will demonstrate Justifiable cause for the extension. If work ceases for ninety(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 FINANCtNG,CONSULT WITH YOUR LENDER OR A,N ATTORNEY BEFORE RECORDING YO �R NnrirF nF COMMENC�MEN7 FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR �-�---� —"'�_ Suhscribed and svrom to(or affirmed)before me lhis b ri ed nd s �0(4`a�_rmed)�p re mythls��, by ��by J � IXG�i'1 F"s[/Y�Y}. K_C3(A.!:__ Who Is/are personally known to me or haslhave p�duced Who Islara personaliv knewn m me or has/have produced as Idenlificetion. ea idenUficellon. Notary Public � Notary Publlc Commission No. Commissia o. =o�T�� Notary Pudic Stata oi Flor�a Che I A DuHell Name of Nolary typed,printed or stamped Name of Notary typed,printed or r{� � My Commiss�on td p�M1� ExQires17r1212015