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Home My WebLink About13-14713 . CITY OF ZEPHYRHILLS 5335-8TH S11tEET (sis)�so-oo20 1471 f ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 14713 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: 11/14/2013 Name: FLORIDA MEDICAL CLINIC Total Fees: 25.00 Address: 38135 MARKET SQUARE Amount Paid: 25.00 ZEPHYRHILLS, FL. 33540 Date Paid: 11/14/2013 Phone: (813)780-8440 Work Desc: FPM-ANNUAL FIRE SPRINKLER FOR FLORIDA MEDICAL .� �` �, , I Y�-� 2 ,2� ' , 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 t� ;�„� : L,�-..r�, � �r�-�i'-�' 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•780-0020 City of Zephyfiills Fire Fax-8�3-780-0021 Permit ApplicaGon Date Received � ' � Phone Con�ad tor Permit 813 621 1357 owner�s Name FLORIDA MEDICAI CLINIC Owners PAOne Number 813 780 8440 owners/+ddress 38135 MARKET SQUARE DR.,ZEPHYRHILLS, FL 33540 Fee Simple Titieholder Name TiUehdder Phone Number � � �� Fee Simpie Titleholder Address Job Address 38135 MARKET SQUARE DR.,ZEPHYRHILLS,FL 33540 �o�p � sue oivision CITY OF ZEPHYRNILLS pe��q 02-26-21-0010-03900-0030 aBio-He�rd Waste Storage-ANNUAL Q Fumigation Tent � Comm Exhaust Kitchen HoodlDucl o Hazardous Matarial(Tier II a RQ Fecility)ANNUAL aControlled 8um � Hood InstallaUon aEmergency Generalor<3p kw � LPMatural Gas-installation � � oEmergency Genaralor>30 kw � IP/Naturai Gas-ANNUAI.Sai� QFire Protection Maintanance-ANNUAI a Places of Assembly-ANNU /��/�� em � er � Sprinkler � ❑ O � � � RecreaUonal Bum Fire Alarm � D ❑ � � � Sparklers Hood Cieaning � ❑ ❑ ❑ � � Sptinkler System installatlons - Hood Suppression � C� Q O � � Standpipes(Sprinkier Sya) aFire Alartn Instailation � Torch Roofingffar Ketlle QFire Pumps a Waste Tirc Slorage ANNUAI Fire Works FlammaDle Apptication-ANNUAL $25.00 _� Valuation of Project aFuel Tanks QOther: ConVactor Company Signature Regislered Y/N Fee Current Y/N Address License l� EIECTRICIAN Company ^_� SignaWre Registered Y(N�Fee Current Y/N Address �Icense# PlUMBER Company � Signature Registered Y I N Fee CuRent Y/N�'� Address License# MECHANICAL C�p�y � - - Signature Registered Y J N fee Cu�reM Y!N Address License tl OTHER JEFFERY D. BURNHAM ��+ae�v RODAN FIRE SPRINKLERS, INC. � Signature Registered �Y/N Fee Curcem Y/N Address 1 H F License# Directions: Fiii out appiication compietety. Owner 8 ConVaclor sign baqk of application,notarized{Or,copy of signed contract wlth owner) If over 52500,a Notiee of Commencement is required(Mechanicai wo�ic over 55000) Supply Mro�2�sets of drewings with appNcabla dxumentation Allow 10-74 deys for review after submittel date. Paroe1#•obtained irom Property Tax Notice(h(tp:tlappreiser.pascogov.comj NOTlCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any appiicable deed restrictions. UNLICENSEO CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the intended worlc, 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 contractors, he is advised to have the contractor(s) sign portions of the "contractor Block° of this application for which they will be responslble. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges 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 Agric�lture and Co�sumer Affairs. If the applicant is someone other than the"owner", � certify that I have obtained a copy of the above desc�ibed document and promise in good faith to deliver it to the"owner"prior to commencement. - CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all khe information in this application is accurate and that all work will be done in compliance with all applicable laws regulating constn.iction, zoning and land development. Appiication 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 permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, 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 wark, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGEN7 FOR THE OWNER, I p�omise in good faith to inform the owner of the pe�mitting conditions set forth in this affidavil prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wel(s, pools, air conditioning, gas, or other installations not specifically included in the applicakion. R � permit issued shall be construed to be a license to proceed with the work and not as autho�ity to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official f�om thereafter requiring a correction of eROrs in plans, construction or violatio�s of any codes. Every perrnit issued shall become invalid 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 O�cial for a period not to exceed ninety(90}days and will demonstrate justifiable ca�se for the extension. lf work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAt�URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN YOUR PAYtNG TWICE FOR 1MPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING,CONSULT WITH YOUR�ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR � ' — '—''�r Subscribed an bywom to(or a�rmed)before me this Su�sc d a�nd_b�ot,ptlfrme�e(ete` u rN��_ Who is/are ersonall known to me w haslhave roduced apf1Y�„jyare �¢ L� p y p peraone�(y,�pQvm w me o aslhave produced as identification. as identlfication. .M Notary Public Notary Public Gomm�ss�on No Commission No. � T � ohd8 Name of Natary typed,printed or stamped Name of Natary typed,printed or stam ;Q��, �ne��,'A�vtfelt � �; MyCommiss�onEE140a24 ��io�ho� Expues17712�2015