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Q
fIMIMI City of Zephyrhills PERMIT NUMBER
-, ; 5335 Eighth Street
Zephyrhills, FL 33542 FIRE-001592-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/26/2021
Permit Type: Fire
Property Number Street Address
1126 210010 20700 OOAO 5026 Gall Boulevard
Owner Information . Permit Information Contractor,Information
Name: Price Marcus Permit Type:Fire Contractor: RISING STAR EVENTS AND
Class of Work:Places of Assembly PLANNING
Address: 37902 7Th Ave Building Valuation:$0.00
Zephyrhills,FL 33542 Electrical Valuation:
Phone: Mechanical Valuation: f (\n y
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$50.00
Amount Paid:$50.00
Date Paid:2/26/2021 12:41:13PM
Project Description
PLACE OF ASSEMBLY RISING STAR EVENTS EXP 2/26/2022
Application Fees
Places of Assembly Permit Fee $50.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property.If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
aLW*Ve*r-
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81348 020 City of Zephyrhills Fire Fax-813-780-0D21
Permit Application .
Date Received Phone Contact for Permit
Owner's Name 1 O•-.ice. Ogwner's Phone Number. ,
Owners Address l�2-
Fee Simple Titleholder Name Titleholder Phone Number .:
Fee Simple Titleholder Address
Job Address Lot#
Sub Division Parcel.#
BlaHaz$rd lAlaste Storage c ANNUAL Fum►gation Tent.
Comm Exhaust Kttchsh'Hood/Duct Hazardous Material(Tier 11 or RO Facility)ANNUAL
Controlled Bum R Hood Installation
Emergency Generator<30 kw LR/Natural Gas-Iristallatior
finerget►cy Generator>30 kw LPMatural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL
® em ® er 7
Sprinkler ❑ ❑ ❑ Reereational Bum
Fire Alarm El ❑ ❑• ❑ Sparklers
Hood Cleaning ❑ 13 ❑ Sprinkler System Installations f0
Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage.ANNUAL
RFlammable Application-ANNUAL Valuation of Project
Fuel Tanks
Other:
/contractor Company
'Signature Registered Y-/N' . Fee Current /N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current I YIN-
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N' Fee Current
Address License#
OTHER Company
Signature Registered I Y/N Fee Current
Address License#
Direollons:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appmiser.paseagov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions ' W
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. -
IJNG t`iBED CONTRACTORS AND CONTRACTOR(RESPONSiMLITIIIS: if the owner has hired a contractor.or .
contractors to undertake work, they-' ay tie 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 violation
tlndor state law: if the owner or interded cdntrector are uncertain as to:what licensing requirements may apply for.the
intended work,they,are advised to contact the Pasco C o#inty Building.Inspection Divls on--licensing Section at 7.27.847-
8008. Furthermore, if the owner has Hired a contractor or contraotors, he is advised to helve the contraotorls) sign
pi`tians of the"contractor Black°of this application for tnthich they will be responsible. ff.you,'as file owner sign as the
Co�that may be'an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
C:ounty..
CQi`,1STRUCTION LIEN I.AW.(Chopter 713,F1oritla�Statutes,as amended): If valuation of work Is$2,500 00 or more, I
Certify that 1, the applicant; have been provided with a t Qpy'of ttie "Florida CoiistPuction Lien w- -Homeawner's
Protection Guide" prepsired by the.Flonda Deper#ment of Agriculture and Const'.mdr Affairs. If the applicant is soiviaorie
other than the 4owner", i certify that.1 ljave optained a copy afi the above described dodutnent and promise in good faith to
deliver it to the owner".prior to gommern�mont.
CCNTRMCTOR'SIOW-NER'S l fIRAVIT: I certify that all the information,in this application is accurate and
that all work will b3 dens in:Gpmpliance with all applicable laws regulating construction, zoning and land
development. Application is hard*triads to obtain a permit to do work and Instaliatian'as"indicated. I certify
that no work or installation has Commenced*prior.to issuance of a per'mit'and that ail WorkViii 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 work,and that it is my iespansibitity to identify what actions I
must take to bo it compliance.
If I am the AGENT FOR THE 011ilNR, "[promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to corrimending construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any,provisions of the technidal codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized !�y 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 lia requested, in writing,from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work Ceases for ninety(90)consecutive days,the job is considered abandoned.
YifARNING TO,pttifNE_R; YOUR FAII.1lRE TO RECQEtf .A 1dOTICE 4F CCMMI=NCSMENT MAY SULT IN YOUR
PAYING Tti ids FOR IMRRQ�/l*MEM'T$TO YO.Utt PRbI�EM Y. 1F YOB!INTEND TO OEiTAIN F-I MCINd,CONSULT
Wlt1'I YOUR`Lt NDER OR AN:ATTORNEY BEFORE RECORDING YOUR NOTICE OI"60MMENt EMSNT.
FL RMA JURAT(F.S.111.03)
OWNER OR AGENT. CONTRACTpft
subscribed and sworn to(or affim;ed)•before me this Subscribed and sworn to(or affirmed)before me this
by by
Who islare personally known to me or hasthave'produced Who islare personally_ known to me or hasihave produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped