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HomeMy WebLinkAbout19-21108 CITY OF ZEPHYRHILLS 5335-8TH STREET % (813)780-0020 211 8 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:21108 Issued: 4/15/2019 Address: 4835 5TH ST Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,259.00 Total Fees: 75.00 Subdivision: MOORES FIRST ADDITION Amount Paid: 75.00 Date Paid: 4/15/2019 Parcel Number: 14-26-21-0010-01400-0040 CONTRACTOR INFORMATION OWNER INFORMATION - Name: FLORIDA DELTA MECHANICAL INC Name: HAZELWOOD, STEVEN & KATHY Addr: 2716 BROADWAY CENTER BLVD Address: 4835 5TH ST BRANDON, FL. 33510 ZEPHYRHILLS, FL. 33542 Phone: (866)219-0880 Lic: Phone: 813-546-9980 Work Desc: REPLACE ELECTRIC WATER HEATER APPLICATION FEES PLUMBING FEE 75.00 INSPECTONS ROPUIRED 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL r 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 such 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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 and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Q✓e1/ CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i a�3;780 -020 City -f Zephy0lls Permit Application Faz e�3-zs0-o02.1 Building Department Date Received 866 . 219. 0880 Inhdhe'Contact for Permitting I I III ,Owne?!s Name STEVEN HAZELWOOD Owner P hone-Numb,er 813-546-9080 4835 5TH ST ZEPHYRHILLS FL 33542 Oiivnei's Aifdress � � - Owner Phone Number Fee Simple T)tieholder Name Owner Phone Number Fee Simple Titleholder Address 'JOB ADDRESS 4835 5TH ST, ZEPHYR HILLS, FL 33542 LOT# SUBDIVISION PARCEL IN 14-26-21-00.10-01400-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH B: INSTALL e REPAIR PROPOSED USE = SFR = COMM 0 .OTHER TYPE OF CONSTRUCTION Q PLOCK 0 FRAME 0 STEEL DESCRIPTION OFWORK 30 CAL ELEC WATER HEATER REPLACEMENT BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING, VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY W.R.E.C. =PLUMBING S 1259 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING 0 SPECIALTY_0 OTHER FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA '=YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE�' Y/N. . Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Address License# PLUMBER. r ! COMPANY FLORIDA DELTA MECHANICAL SIGNATURE d✓ REGISTERED Y N, FEIE..CURREN I Y,-/,N Address- 8402 LAUREL FAIR CIR.SUITE 11,1 TAMPA,FL 33610 , License,# CFC1425917 MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREn Y!N Address License# OTHER: COMPANY SIGNATURE REGISTERED Y/ N, FEE CURREN. Address License# F. .1-111:1.1111111:111114I 'IIIII111111111111111IfIIIIIIIIII ffIIIi141IIII111 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which;nay be`more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED 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 violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements 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 contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. 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 .l, 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 Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'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 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 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, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing 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 technical 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 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 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. 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. FLORIDA JURAT(F.S.117.03) T �/ OWNER OR AGENT CONTRACTOR 1 �O TnQG [�` OP Subscribed and sworn to(or affirmed)before me this S s be And sworn or ad)before me this by • r I M by J✓ Who is/are personally known to me or has/have produced Who's/a erg onally.kgown to me or s'/have produced as identification. Kr'��l�CP S-2 as identification. Notary Public Notary Public Commission No. Comrrssi n N . . . .e C°�uNsa(on#GG 27 Name of Notary typed,printed or stamped Name of Notary a e?tl @F)11 1$2fn2 r�F���B�'3857019 us City of Zephyrhi BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: FYI d,Gam.. G "C Date Received: t C Site: Permit Type: 1ic�� f P"'Q, Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. APR a .a zags r��* !K:a!"�h�S — ans Examiner Date Contractor and/or Homeowner (Required when comments are present) 2019-04-10 3:35 PM (EDT) To: +1 813-780-0021 From: +1 866-219-0729 PermitApplieatton \ X. �;�\ \Vti,w. :� .l .{" ;•� ,r• yr \^\ i � ? `�.\�\�. . � ALL WO RK SHALL CY)MPLY W" .�:PEVAiR.INfs CODES FLORIDA SWILUill, C0 s NATIONAL ELECTRIO CODE, AND THE CITY OFT; PHY RHlLI. . \ MINER sr i -24 \a w..�`++a:;:N:.,:.«,..;nN�iitiNaN,..aN;:,;ti;..::..,.x��C�'+,,'\1S',\Z::;;..,, ... .,.:a..=:;,-•.,^,....,,.,�,,,,,,,.R .. -.�Or,....,w....-N..a..»\\e;'..:..,,,a.N....;wa..N.N......a...,...v,..:..;�«.,.,::`:v::.:.:.-a•:.+vb\i\1\:i:., •ri.Al\M1a',..a\'Aa,Nd,N4.w.,+,NN.N`Q'••...... Home Improvement Agreement: Page 1 Home Depot.License.#'s - For the most current listing visit WWWAOrnedepot.com/LicenseNum' bers EC0001440,CGC1514813,CRC046858,CAC1813767,CFC1426021,CFC1427642,22640,CAC 1818831,CCC1331113,CCC1331130; George Georgiev Salesperson'Name - Registration # (Req:_in CA,CT,ME,MD,MI,NJ.,DC) Home Depot-U.S.A.,Inc.("Home Depot") or Authorized Service Provider named:below will furnish, install and/or.service the-equipment listed below at the price, terms and conditions as outlined on this form. Service Provider.Contact'Information George Georgiev - Delta Mechanical Inc. .: Service Provider Contact:Name. Service.Provider.Company Name.. 480-898-0007. info@deltamechanical.com CFC142591T Phone # : Service Provider.Email Address Service Provider License#(s) Customer Information HAZELWOOD STEVEN 8929 1-43781449358 Customer Last Name Customer First Name Store #/.Branch Name Customer Lead/ PO# 48355thStreet, ': - ZEPHYRHILLS. - FL 33542. :. Customer Address; City State Zip 813-546-9980 BRADH 1972@AOL.COM Home Phone# Work Phone# Cell.Phone#. Customer Email Address `NOTICE OF RIGHT TO CANCEL _ - _ - YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE:P.ROVIDER AT:. info@deltamechanical.com OR DELIVERING:WRITTEN NOTICE TO HOME DEPOT AT: 6056 E. Baseline Rd#1.55 Mesa 85206. Y Address Cit State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, :UNLESS.THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S)WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY.HOME DEPOT OR SERVICE:PROVIDER, AT YOUR.SERVICE ADDRESS; AND IN 'SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED ITO YOU.. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS_ REGARDING RETURN ISHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A.NOTICE.EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE.THAT YOU HAVE BEEN GIVEN ORAL AND.WRITTEN NOTICE_ .OF YOUR RIGHT:TO CANCEL. Acknowledged by: Customer's Signature_ Date_ 268 Water Heater 06 Oct.18)(C) Generated Date 03/18/2019 Lead/PO# 1 437814493 v 42.0.0 Home Improvement Agreement Page2 Description of Work to be Performed: A detailed description of the work to be performed is included in the paragraph entitled Scope of Work or Specification which is included in this Agreement. Anticipated.Del ivery.:Date (Installation Schedule Approximate Start Date: 3iisi2ols.. Approximate Finish Date: All dates are approximate ~ and subject to change based on unforeseen events.including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. `Electronic Records Authorization You are entitled to-a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subseq nt documents and ritten communications related to this Agreement. By contacting.your Service �vider, you may ute your email address; withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to.a I computer that can receive and open.emails and PDF documents. I do do not consent to receive only electronic records-related to this transaction. ,Contract:Price and Payment Schedule Payment of the Contract Price.is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 1259.77 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ (If applicable, total amount of taxes included in Contract Price) *Maximum.deposit OMLYapplicable in MD, MA, ME(33%), NJ, WI 99%) {Deposit % Deposit Amount $ Remaining:Balance $ 1259.7 7 -....:_.. ...__....._.-._.-:. M:..... - ._.. ,.-......:.._...r.....-...._.................._..._.._- - -._.._..__ - � _......r -:__._ ..---- -- Finance Charges Any interest.payments or'other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition.to-Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan, agreement, as applicable. No funds should:be made payable to Service Provider; however, Service Provider may;collect Customer's payments made payable to Home Depot.. Insurance.proceeds will will not be used to pay some or all of the total amount of sale.. Acceptance and Authorization By signing-below, you:authorize Home Depot to:.(a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise; including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided.to You later.) By signing, you acknowledge that: (i) You have read, understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this.Agreement; (III) all rights and interests under this Agreement are solely vested in the person listed as "Customer" above; and (IV) Electronic signatures will.be.deemed.6riginals for all purposes. . )( I 03.18.119 Customer's-Signature Date )( /s/The Home,Depot: 03/18/2019 The Home Depot Digital Signature Date For questions related to your installation, contact Service-Provider.at 480-898-0007 For any other concerns, contact The Home Depot at 1-800-466-3337 268 Water Heater(16 Oct.18)(C) Generated Date 03/18/2019 Lead/PO# 1437814493 - v 42.0.0 .`r FLORIDA DELTA MECHANICAL 8402 LAUREL FAIR CIRCLE,TAMPA, FL: 33610 PERMIT DEPT. 866-219-0880 TOLL FREE 866-219-0729 FAX 'Contractor's Authorized Signature Form By:Qualifier: Dimitre Bobev License Information: Number: CFC1425917 Limited Power Of Attorney from Contractor Be it known;that I Dimitre Bobev the contractor above, have made and appointed, and by these presents do make and appoint as agent Thomas Knapp to be true and lawful attorney for me and in my name, place, and stead,of:the sole specific and limited-purposes to execute any and all documents: pertaining to building permits issued and/or inspections performed by The City of Zephyrhills Planning, Zoning.and, Building Department as I,the undersigned, might or could do if personally present. The., authority of the.person appointed-as me attorney and agent to exercise the.powers granted herein-shall commence on the date set below and shall remain in full force and effect until the license expiration date. note below, or death or specific written rescission by either party. I understand that, by signing this instrument, I am_authoring The City of Zephyrhills Planning,Zoning,:and Building Department to issue permits based on the signature of my above-named attorney and agent. I further Understand that I am fully responsible and legally bound-for all acts performed under my license number, including those of the agent. In witness whereof, I have hereunto set my hand and seal this. day of f 4 I 20 Signed.sealed and delivered in the presence of: Signature of Qualifier State of Florida County of Hillsborough g The foregoing instrument was acknowledged by me this . .�5 day of 1 20 Gl by:Dimitre Bobev who is personally known by me or who has produced as identification and who did/did not take an oath.* 1 =�4�'• ESPfffD3V6% M01 s _. W COMMISSION#GEXPIRES:Apn19.Notary Public �No��U