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Home My WebLink About13-14483 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 14483 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14483 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: 8/28/2013 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 8/28/2013 Phone: (813)780-8440 Work Desc: FPM- SPRINKLER QUARTERLY- FL MEDICAL CLINIC 5. � � b � � � � e �� i � 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 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 / � �1J��rt.= ` ��y � �j'�� PERMIT OFFICER � PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 613-6�8-0143 09 25 19 a m ��g_26-2013 14/15 y f, f,� 813-78D•0020 City of Zephyrhllls Flra Fai-813-780-0021 ;% Permit Application ,'` Date Received Phone Conlaci for Pertnit 813 62� �357 � ....,..._.__...._,�_.,..._._..,._.,....,_.__ .. ._ ;. , - ..,:..:,. .. ._.._._.._..., . ._-._�...__..,..,.....,-a��._. _.....,,..,.o..,........,«....�.:�.,..._.....,.. .u.....�.._.�. ,.. owners Name FLORIDA MEDICAL CLINIC OvmerS Phone Number 813 780 � � 8440 Owners Address 38135 MARKET SOUARE DR., ZEPHYR111LLS, FL 33540 Fee SlmpFe Titleholde�Nama Titleholder Phona Number � � � Fee Slmple Titleholder Address :_.,_. .,.:__..==:-=:-='=_,_:-.,=.::...-><_.:._.,_.,<..._-..,...�._.:.:.. ..:..::::^::,..:_-_::._;_:_,.�..-,^.-_'-_�..,._'=-_:_:".:.�:=:::. ._-- ._.- -._.._ ... -_...._....... . .... . ..............:.:....:. . ... .. ;:-, JobAddresa 38135 MARKET SQUARE DR.,ZEPHYRHILLS, FL 33540 �otu � sueDivision CfTY OF ZEPHYFiHILLS Parcel# 02-26-21-0010-03900-0030 _ _ _ .,....:�......_..,._._...__.�......,....,,,.,.,....:.. ... :..: . ,, _ ._.__..._. ._.. ......�..,.�.....:_:,..;.:,.:....�.::...._,._...:._�:::.:.:......_.::..�:.._;._.;::..�::.,..,,;.�_...;,.,...::w::,�:..._. .�_..,,_.� .w._.... . .., OBio-Hazard Weste Storage-lWNUAL � FumlgaUon Teni � Comm Exhaust Kllchen HoodlDuct O Hazardous Meterial(Tler II or RQ Faciliry�ANNUAL � Con�rnited Burn � Hood InslallaUon � Emergenry Generelor<30 kw a LPMewrel Gaa-Inslellolion � Emergency Generalor>30 kw a LP/Natural Gas-ANNLIAL Sale � Flre ProtecUon Maintenance-ANNUAL � Places of AssamblyANNUAL � �y emi �n er I�,/`. (Q Spnnklcr � 0 ❑ ❑ � � Racreational Bum �`�� Fira Alerm � ❑ ❑ ❑ � � SparldeB � Nood Cleaning � O ❑ ❑ � � Sprinkler System Installadons Hood Suppresslon � ❑ ❑ ❑ � � Standplpes(Sprinkler Sys) O Fire Alarm Installatlon O To2h Rooflng/Tar Kettle � Fire Pumps � Waste Tire Storegc ANNUAL � Fra Worfcs a Flammable Appllcation•ANNUAL $25.00 Valuatlan of Project OFuetTanMs � Other _. .- ----_... ...... .._. ..�.._. �:�:_: Contractor Compeny_..- � ---�,. .....,.. ......,�..u_.,...,.,.,.. ...,...---�- -- Slgnature Registerad Y/N Fee Cunent Y!N Address Llcense# —� ELECTRICIAN Company signawre Reglstered Y/N Fes Current Y/N Atldress Llcertse it PLUMBER Company SigneNre Registered Y!N Fee Current Y/N Address Licensa q � �� MECMANICAL Company Signature Registered Y(N Fee Currertt Y(N Address Llcense p OTHER JEFFERY D BURNHAM company RODAN FIRE SPRINKLERS, INC. Signature Registeretl Y/N Fee Cunent Y/N Address � TH T 7 P 1 License p 83153100012006 .., ....., , � ::. ...... ..... ._,....._.;...- •:.._�:<::.:._:�...r- -------. .�.._._ ... _ � . - - ... ............. ......... _.:.w��.:•..,.� . _ ... . ._ .._._,.�.. .�,..,...:��.:..W�v:__,.:. __:=- - .. ...,.,.... . .. Dlrecllons. - - - ...v. ., .. _: _:: ::.,,......>..,_�;.,.:.�.......;:,._"""1,..�u�...._��,._......__...�...��....,..._�_..... . .__... FIII out aAPliration complelely. Owner 8 Contractor slgn back of applicatlon,notarizad(Or,copy ol slgned contrect with owner) If over 52300,e Notice of Commencemertt is requlred(Mechanical work over ESD00) Supply hvo(2)sets of drawings wilh applicable documenlaUon Allow 10-14 days for review atler submiUal dale. Parcel t/•obtalned frnm Property TaY No�ce(http;!/appiaiser.pascogov.com) 813-628-01a3 09 �5 35a m 08-26-2013 15/15 NOTICE OF DEED RESTRICTIONS: The undersigned understands that thls permlt may be subJect to"deed"restrlctfons" which may be more restrictive than County regulatlons. The underslgned a6sumes responsibflity for compliance wlth any applicable deed restnctions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contrac[ors to undertake work, they may be required to be Ilcensed In accordance wlth state and loral regulatlons. If the contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor vlolation under state law. if the owner or intended contractor are uncertaln as to what Ilcensing requlrements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor or conlractors, he fs advlsed to have the contractor(s) sign portlons of the "contractor Block° of this application for whlch they will be responsible. If you, as the owner sign as the contractor, that may be an IndicaUon that he Is not properly Ilcensed and Is not entitled to permttting privlleges 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 "Fiorida Constructlon Lien Law—Homeowner's Protectlon Guide" prepared by the Florida Department of Agriculture and Consumer Affalrs. If the appllcant Is someone other than the"owner", I cerlify that I have obtained a copy of the above described document and p�romise in good faith to deliver it to the"owner' prior to commencement. - CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information tn this application is accurate and that all work will be done in compllance wtth all applicable laws regulating constructlon, zoning and land development. Application is hereby made to obtaln a permit to do work and Installation as indicated. I certify that no work or installatlon has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulatlons in the Jurisdlction. I also certlfy that I understand thet the regulatlons of other government ageneies 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 7HE OWNER, I promise in good falth to inform the owner of the permitting conditions set forth In thls affidavit prior to commencing construction. I understand that a separate permlt may be requlred for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically Included in the application. A permlt fssued shall be construed to be a license to proceed with the work and not as authority to v�olale, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permft prevent the Building Official from thereafter requirfng a correctlon of errors in pians, constructlon or violatlons of any codes. Every permit Issued shall become lnvalid unlass the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the peRnit 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, from the Buliding Official for a period not to exceed ninety (90) days and will demonstrate Justiflable cause for the extenslon. 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 OBTAlN FINANCING, CONSULT WLTH YOUR LENOER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FL�RIDA JURAT(F.S.117.03) _,_ ._, _ OWNER OR AGENT CONTRACTOR � �--°-""'�� Subscribed and swom lo(or effirmedJ trefore me thls b bed d s r a��r ,��{-�e�fo�re me� bY ��by � � :�J� I�IE'1 t�1.LN' YI-��I-L Who Islare personally known to me or has/have produced « ra perso y kn�wn ta meyor haslhave praduced es idenlificatlan. es Idenllficatlan. Notary Publlc � � Notary Public Commission No. Commisslon No. =o.�'°�� Motary�PuWic State W Floride Name of Notary typed,printed or stamped Name of Notary typed,prinled a t�t • My Commucion EE1q0324 �or�� Expiren 11/12/�015