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
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ALL WO
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CODES FLORIDA SWILUill, C0
s NATIONAL ELECTRIO CODE,
AND THE CITY OFT; PHY
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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%
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_. W COMMISSION#GEXPIRES:Apn19.Notary Public �No��U