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19-22083
CITY OF ZEPHYRHILLS 5335 -8TH STREET (813)780-0020 2 '83 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22083 Address: 38225 BOXWOOD DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-021A-OOB00-0040 Improv. Cost: 1,200.00 OWNER INFORMATION Date Issued: 11/22/2019 Name: SMITH, ROY& NORMA Total Fees: 135.00 Address: 38225 BOXWOOD DR Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/22/2019 Phone: 813-715-4308 Work Desc: INSTALL JETTED TUB REMOVAL EXISTING TUB CONTRACTORS APPLICATION FEES ALL-STATE PLUMBING SERVICES INC ELECTRICAL FEE 67.50 ADVANCE ELECTRIC PLUMBING FEE 67.50 c� Ins ections Required FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 maybe 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. "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 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. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ALL-STATE PLUMBING 540 E Minnehaha Ave. Services,Ina Clermont,FL 34711 Tel:352-874-4225 E-mail alistplumbing@.3[aboo.com CFC 057323 November 19th,2019 City of Zephyrhills- Building Dept. 5335 8th Street,Zephyrhills, FL 33542 Phone:813-780-0020 Permit:#22083 Address:38225 Boxwood Dr.,Zephyrhills, FL 33542 To whom it may concern: We are requesting that this permit be administratively cancelled/voided for work that was never performed by us for this project.The job was cancelled by the customer prior to work being started. Please let us know if anything else Is needed from us. Respectfully, JloeC7asimiro All-State Plumbing Services, Inc. 352-874-4225 The forgoing instrument was acknowledged before me this &A LEMMEIM 2019, by — UO E L C261 Mead who personally known to me. NWPub lir S tW to o f Day4Erin Loper Day YC'mmi '.n G0 1 3048 Expires OW2021 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 007 399 _0280 Phone Contact for Permitting Owners Name SMITH ROY J &NORMA L Owner Phone Number 813-715-4308 owners Address 1 38225 Boxwood Dr.,Zephyrhills, FL 33542 Owner Phone Number Fee Simple Titleholder Name SMITH ROY J &NORMAL Owner Phone Number Fee Simple Titleholder Address 38225 Boxwood Dr.,Zephyrhills, FL 33542 JOB ADDRESS 38225 Boxwood Dr.,Zephyrhills, FL 33542 LOT# SUBDIVISION Driftwood of Zephyrhills I PARCEL 0# 02-26-21-021A-001300-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED a NEW CONSTR e ADD/ALT EX:] SIGN = Q DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION EXI BLOCK = FRAME = STEEL = DESCRIPTION OF WORK Alteration: Remove existing tub and replace with jetted tub. 15psgft BUILDING SIZE SQ FOOTAGE 1232 HEIGHT SJ U(� V'`y =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. =PLUMBING $800.00 n ��6 /2 / (//ill5_J MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO .ie_a_e_e_e_e_fi-1111 ' 11 ' i9il i ' i . il ' ii ' liiif.. . i..i ' BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY A - TATE PLUMBING SERVICES, INC SIGNATURE _ REGISTERED I Y/P I FEE CURREN I Y/N Address 540 Minnehaha Ave Clermont, FL 34711 License# CFC057323 MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREK Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of Contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 !� Building Department I �I Date Received Phone Contact for Permitting U ► L — B Owners NameR69 Owner Phone Number �I Owners Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number /L� Fee Simple Titleholder Address -3J '2_ JOB ADDRESS ii Dg ---77� II``l`` .L TT## SUBDIVISION PARCEL ID#bL' 6' . `CO P (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK J 7Q` (�FRRAMME 0 STEEL Q —fit ei1^ DESCRIPTION OF WORK .-y ` 15- � BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION CS�ELECTRICAL $ o _ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . BUILDER r.. COMPANY SIGNATURE r `fir REGISTERED Y/ N FEE CURREt Y/N Address (°- i—1 License# ELECTRICIAN (COMPANY NA V 't� C SIGNATURE t r REGISTERED Y/ N FEE CURREt, Y N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LLLN Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllll.1111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"•PROPERTY SURVEY required for all NEW construction. Dlrectlont Fill out application completely. Owner&Contractor sign back of application,notarized r r� If over$2500,a Notice of Commencement Is required. (A/.9 upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)iwould be song eone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) i Reroofs if shingles Sewers Service Upgrades A/C 'Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW i NOTICE 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 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. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. 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 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. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. 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) Q OWNER OR AGENT CONTRACTO Subscribed and swom to(or affirmed)before me this Subscribed an, n s o to(or off rmed)bef e m is by b 6 f r Who is/are personally known to me or has/have produced Who i ersonally rn t ve or hasthave pr8duced as identification. as identification. Notary Public Notary Public Commission No. Commission No. 66G _3 1?C/ Name of Notary typed,printed or stamped Name of Notary typed,printed or p 4Pv'V•tom Notary Public State of Florida �K� Heather L Bridges My Commission GG 320594 Oa tti Expires 04/07/2023 Parcel ID 02-26-21-021A-OOB00-0040 (Card: 1 of 1) Classification 00400-Condominium Mailing Address Property Value SMITH ROY J &NORMA L Ag Land $0 38225 BOXWOOD DR Land $6,351 ZEPHYRHILLS, FL 33542-6613 Building $0 Extra Features $53,418 Physical Address 38225 BOXWOOD DRIVE, Just Value $59,769 ZEPHYRHILLS, FL 33542 Assessed (Non-School Amendment 1) $59,769 Legal Description (First 200 characters) Homestead -$25,000 See Plat for this Subdivision Additional Homestead -$9,769 DRIFTWOOD OF ZEPHYRHILLS CONDO Additional Exemptions -$25,000 PHASE 1 PB 21 PG 53 UNIT 4 BLDG B & COMMON ELEMENTS OR 9226 PG 2415 Non-School Taxable Value $0 Jurisdiction School District Taxable Value $O CITY OF ZEPHYRHILLS Land Detail (Card: 1 of 1) Line aUseCo_de Description ;Zoning Units iType Price ;Condition Value 1 1 04000 O-OV ; Residential Condo i OOR4 1.00 I UN 1$6,351.00 1.00 $6,351 Additional Land Information Acres ^� i Tax Area F_E_MA Code Res Code i Com Code I Condo Code 0.00 �30ZH -- � 4DWZ 4DWZ j 4DWZ View Sketch Building Information - Use 0400-Condominium (Card: 1 of 1) Year Built 1982 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric ,n Heat Forced Air- Ducted /C Central Baths 2.0 Line Code ;Description Sq. Feet Value_ ^1 _i BAS01 j LIVING AREA 1,094 j '$0 _ 2� I FEP01 FINISHED ENCL PORCH 96 -(— $0 3 1 FOP01 FINISHED OPEN PORCH 33 i $0 ST0I FINISHED STORAGE 9 $0 Extra Features (Card: 1 of 1) Line ,Code Description Year Units �^ Value _ _A 1 RFOP FINISHED OPEN PORCH 1982 a 33 2 RFEP ! FI 82_N ENCL PORCH 19 i 96 ( $1,_276 —----__ 82 _ 3� RFST FINISHED STORAGE 1982 9_ 4 ! RCONDO CONDO 1982 1 ^T $51,_641 T`T 5 !RCARPORTI CARPORT j 1987 320 j $291 Sales History Previous Owner: SCUDDER GEORGE L LIFE EST&SCUDDER RICHARD &SCUDDER RITA T LIFE EST&SCUDDER ROBER Month/Year Book/Page_ Type DOR Code Cond tion iAmount� 07/2015 _ 9226 / 2415 Warranty Deed I 01 Improved i $67,000 — 04/2005 I 6327 / 0384 � Warranty Deed ! Improved $0 08/1999 3458 / 0114 � Warranty Deed 1 Improved $60,000 10/1988 ^��j 1752 / 0787 ro Quit Claim Deed Impved $0 10/1983 I �1288 / 1636~ j i Improved $46,000 902 West ad Pra7-2 Texas 75050 SPECIFICATION 1 Pho l:85b,2,A.2183 1 ax:7.67-205 BOOB • wti..l alh.com ^� A Product of Safety Tubs Company,LLC A Product of Florldn Safety Tubs Company,LLC w_R= (I©VA +yPYJ��0 l;l P�,o `1l i I Btryr^ts)d�rn,Rr•I We of Coe rest (1� i®I24(1 etry (,)g 22 ,5,, I `-1. ®b on-a 2e r 's —L. 3 13—(s)Hemp Tdg1luaxf N, x, BW.1s)Cal Trtct>txxtr:Nunaun ) I Bop(s)Firal Add— fV i i3uycr(:)lislcd above barebyjoinlly and severally agrees to purchase I.hc goods anti/or services listed below,in accordance with the prices and I tcnas drsctibtd on this Specification Sheet and the fmnt;md(he reverse of the accompanying CUSTOM REMODELING AGRt,EM N"1, of tvhit:h this Specification Shcct.is a part. Walls-In Bath/Shower - I _30"x 51'Liberation Walk-In Tub DraiNDoorSide: ❑ Right C3'Left _Special Order Tub Shower-Value/Deluxe/1-Piece Color: White El Linen i Standard Features: F / i rSY16 Water Massage Jets Of 28 Air Spa Massage Jets 1 g P 9 ck Pillow Cl- 7<Rromatherapy 1 atented Door System l*rl'Line Whirlpool Heater Pr/a ' in Faucet w/handheld Shower Wand U Tub Extender j U Value Series(Gelcoat, FI Q�uick Drain®Fast Water Removal System electronic Controls L�fcromatherapy 1� 8 Water Jets,21 Air Jets, ;14evitaJetTM Hydrotherapy S i Heater,Quick Drains Y pY System ❑ Other: r I j f) Additions I - Back Shelf for Wider Existing Tub _Now/Upgraded Electrical Service w/Meter t R rse Plumbing , ! _Cut Wall&Repair(paba rmey) _Build Pony Wall Second Floor Install ti Electrical Panel Upgrade 100A to 200A locate F Fisting Electric(I tw oray) - --Additional Extension Kit I _Enlarging Bathroom Door p„d.Door,Frmrie,a Now Header) _ Remove 8 Reinstall Door&Frame' Flat Acrylic Surround acid.a Remove&Re face Va,dt w/Now or Same oust,pimia Tile Pattern Surround(md.G.Board)' Minorl Tile Repalr{wao,nrx to Hanish tie) P. Y .. 1 0� _ New Sub Panel Remove&Install New Tollot(cede roust.proWdad) _Mar bla Pattern Surround MeL G.Board) Safety Bar 24' _ _ ove&Replace Existing Toilet Acrylic Back splash Handheld Shower Glide Bar Shower Rod&Curtain � — _,..Shower Glass Door t Other Work fie Pert Ld ed or E clu ed �� a T C L I)O-A I- At,T t� rj Bu er undeo.tandi.he/sheldwy isfere teaponslbie for,in uddilton to the prices dehoealed herclu:(l) Vall papering;(2)1 iidden d vull damn t•re au'In Y Ys b p d.mold;(3)interior Paiying/;laiHtn�;l•t7 tiub flour wn�,dldreking repair,(5)Tcnnile damage repair;(6)1liddcn plumbing damage repair/cloggal drain;(7)Ledd paint and Asbe los,In the event that ale•repair ifi Herded,cuslomrr in t es)mnsible G,r provldhijq tile.Buyer uudMiands Ihat while the contractor's representative may,in tioml faith,ndviw RHveras to the w iffiLlenq ul'Ctoyrr's r•zistrng water healer if regneswd by Boyer,(he contractor makes Ire reprrsenlatlnn orgilarnnlee as ur the suflldency of same and(illY r should not rcir on any oral,Lpr,wotalitim.A$500 water Ir toward 111e Pnrchasc of isle lob hoe heen Riven to Ihiyer in the event the existing water hmter's c,pecity i< irmufficicnl.Conomcr Initietaf_�f% 1, is agreed and understood by and between the, parties that this Specification She STO et, along with the CUM jtGMOPT•.LING AGRUMENT, constitutes tiro entire, understanding between the parties, and there are 110 Verbal understandings changing or modifying any of the terms. ThiN Specification Sheet caay not be ch>tn *d w. its tEr . pnodi6ed or varied in any way unless such changes arr..in writing and slgoad by both the $aye r(s) tIIR4 C"Iltmtto Buyer(s) hereby acknowledge that Buyer(s)has read tlsia Spccitication Shotot, Safety'Cub Colin y,I ,C/Florida Safety`Cribs Company,11C i f, of Sa!os Roprrxaonlalfvy� SIp aloe R ilr)1 9 f'r)nl PLtnui Slgnalum 'w,ti i'ri(n Ntenal -'r` ;� k r ;tr r' AL a4td 4/(µ U dAA"dRY/1 hr A/.1VA.t I'1,Cfl�:ILI f II4b 1T>h;Cl1 2i1197Q'/MQ 1,LI C;IRI l flit fl-G4,21d?2M1;t:f I I`I't)(,rrl,ld(.T113.',:I'1111�11,4J''�'I'r11'Nk.(11r11iU�21141T:(:I'ilia:.1}M7,tIIK,III,C:(�(;1K77R,l4r)A(:I]A.7R?I it)rfC.I4 J4'SSJf •���'£��41 MNi100%1 i;Msttl;A%MT2)(1pr11Ni)PIVI11Nlt�Hrn.00IN11iNII Ili:13VIIf1'Vf)2:(RI;NVl;1la:?2a3jf{M_ �:` %l�3• 11,unlNy`g5tailir'YtJ7krr,Illlah4lRY;r,h1gnIiVAT1i�51'yritd;t,VyAtin11(CI`I'CHnpl.l";W1111112u;lVVAWV .,;:: - L I B E R A T I O N INSTALLATION MANUAL ELECTRICAL INSTALLATION ' :3zr gram a)mm i€tc cicctrfcai wnf?�gumlion and comic"Ifuis f<ir the iiidfi•icfital s}•starts, NOTE: The in-line heater and air pump require their own dedicated 15 amp circuits. DU NU I BYPASS WN I ROL BOXES PUR INS IALLAI IUN. Onn:e(tl.?5,11 Chrumu.Light.(a,nA) Cunlml Yancl \19 0 t 910 a. 0000 Llopj �,,az srctlRr�x air Ilm-ap W irlpnni Pump t%•[Q:V. 6i !'L11pd,wr — 0 Priman,Valve Bath Control(90018) t Lirlroc 1 Pam,pni+ ve[a a vhr rimy16 tot' s 1m:n,1:fill ann w \ Uvw Drain Pump(5.511A) PLV4P1. e•.n,plrt�vA c ... c 0 llcalrr ttti+un tlait clmay Dedicated Cirndtc Ct � u . 'a uP-spbrces 1LMUT ED POWER OF ATT®I�IE�Y Date: l� ' �8 ' 6q I hereby name and appoint: � '7 S� �06 an agent of: Moam ev P n+v&,'r_ (Name of Company) to be my lawful-attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for(check only one option): C� All permits and applications submitted by this contractor. ❑ The specific permit and application for worIc located at: (Street Address) Expiration Date for This Limited Power of Attorney: ', c) _ License Holder Name: State License Number: 6C C-)C -)-(.g Signature of License Holder: STATE OF FLORIDA COUNTY OF r The foregoing instrument was acknowledged before me this 1—day o 20 by �6Sc�n rJ n who i scan sown to me or o who has produced I as identification and who did(did not) �take an oath. Signature (Notary Seal) �12 L-° �J� 4C_S: Print or type name Op• Notary Public State of Florida Notary Public-State of� �a Heather L Bridgpes Commission No.�, 3� � My CamMiael®n j 320564 arn7fa0,'�3 My Commission Expires:4, , ' (Rev.3/27/07) -aw'o Project Dr ing Customer Na-ie-. 'Date; Tr rk a. 4ri C14- O WdRK SHALL CC)hlp UILb1lUAILING Al RR 8LECTRIC CODE CODE, DTH8 C17-Y ODE ORDItNCES OFZEPHYRHILLS v A- 2 A 1 Rev/��vv 36 Ciry�pZFpyY�� OA -2-7, ALTERATION: REMOVE EXISTING TUB AND REPLACE WITH JETTED TUB. TUB BUTTS UP TO EXISTING TILE. NO NEW PLUMBING REQUIRED, NEW TUB CONNECTS TO EXISTING DRAIN 8NQ Yi&ua,C0NffCTI0NSi,-- .......... Faucet Installation Diagram HOT COLD DIVERTER TUB HAND CONTROL CONTROL HANDLE SPOUT SHOWER HANDLE HANDLE MMAGON& . KEY Foams nur WMER s�i�'T�ii:J���•i.�•i•'•: •;.a /j ,{�S srR t� f}t�yr n' !s�R� ,j i •;s �4 l• SSJ lti; i}«1•� 1,-:S , e\y •'•°•'Yt• l � yf\•s•♦Y�•d\••v\"1\•�' 'd\�s1.Y�Y1• 1 � �• y,\• \� .e�'• •• i'r'1•1�1•d 'd\.1 Y•YMf• 1 ` di.i� � � f 'ti ..•1•�•�,\. {� !{t't!{4:1{k ' � a:1, �!{4•J {k: I s. d1.'! � ' ". 4't•;5:.' !.{ i! ..! AR 'i.tS.'t!t4ll.E4,. Z:OD RiJMM WAG1NER—*. F19EA WA*1ER—+ FWA WASH€A—+.�.� It ER WASHM-.-s VALVE BODY RU84E 1NAS}tER—� H#IE8€RWASNEi1--« FMERWASHER--► �"^PA®IICs'Ilui ~'fAUAttA.l�it FAR WASt�ER--► FIDER WAMGR--► �Y�W�O 'jF .t STEEL t tACM H06fi•4!• ttTE£i t STEEL SPAM ��toPrto�+µt—• � ��toga—+� TO HOUiE ' ToHOME '40T MTM LG* COLO WATER LING $-13 k • i b , 8 -(mil{ri j)(U 40 CABLE DRAIN WT Hn©� CA yvovIl1=ucngNS \ • O Y�-LOW WASHQtVmRucrION SEE FLEJQBLE S BELOW OVERFLOW .. PLATE "-� HANDLE 3 • SETSCREW IMMERSE SPANNER DISC FERRULE TOOLIr if DRAIN SPANNER TOOL PIPE NOT 5 DRAIN • SCREW 8 SHORT `'.i RANGE RRULE DONOTUSI;TOOLS 9 LONG DRAIN 6 FERRULE FLANGE ti O DRAIN SHOE WASHER WASHER :N PIPE NOT SUPPLIED `.` RIB SIDE UP - F N . -Ip DRAIN SHOE WASHER DRAIN SHOE >t005ELYA BLETHE� N SHOE&TEETO MEASURE AND GUTPIPESIZES ZASWABLE USING THE PROPER SOLVEN{ I PLACE OVERFLOW WASHEl<DFULUX INTO OVERFLOW BODY_AS IAUAMOUNT OF X,0N ACID SWCONE WILLAID SEALWG, f 4,PLACE IM LSC�2 OVER I DL(LO�IN A SEPARATE COLORED RAM. . ROTATE PLA 3 AN LACE OVQt+f D1S f 22 -SEE IMMERSE DISC INSTRUCTIONS, 6.SG' WON FERRULE�4�LDOSELY,ALIGN OVERFLOW AND P 7.HAND 7IGFi7EN A QLfARTERTU&IB51 SPANNER TOCt 5 ONLY,DO iROF LI M C#I fJ PUSH VdASHE 6 ONTO DRA1N FLANSHOWN.SELEGTTHE CORRECtSrm FE12RI1 8 ORQ. g PlACEHER 10 INTO DRAIN SHOUP.A5MALL AMOUNT OF NON ACID SILICONE WILL AID SEALING. 10.SCREW FERRULE OSELY INTO DRAIN SHOE 711NSTALLpRA N CD 7 AND USE THEAD USTINGSCREWTOALLOWTHEWASHERTO 12. pRAI VERQ J SEAL ON THE FLANGE I4.DUE TC3THFIRMAL'EKKPANSIONICONITIACTION,HOUSE SETTIINf;,ETC,SIRFSS MAYBE PUT aN THE RIGID DRAIjyI,SHOE BEFORETIGTEJdihtfi, supxT}IE DRAIN SHOE IS NOTUNDE125MESs,HANDTIGHTENPLUSA(IUARTERTURN USING SPAJNNERT001)1(S)1 ONLY.DO NOT USE WREIVCHORPOWERTOOLS t4 GHECKALLJ INT5 TO mUREi NO LEAKS Io�dorus'bjectfndat vr4thoutnodc�r ; 51m revski----- farm sw0Wlmffesm Campliance Certifications Meets or Exceeds the Following Specifications: ETL - INTER`PEK SEMKO • IAPMO - U5PC • A NSI Z 124.1 .2 - fc�r Plastic Bathtubs • ASME A.112.19.15 - fo r Walk- In bathtubs • C56r B-45.5 - Canadian Plumbing Fixtures. IAPMO RESEARCH AND TESTINGr INC. 40i East Rt ilad�4phi `:5tr t;f3nt it% lil rtiaa. 1761-2816. .E A; � = 7' m l titJ�9CC 47?-4244-WWs .Iakojr or :+CC Accredttod ;Rrcductt�crttffuklonf3ody ruv:r4mA5dtC3d �w, 9R: C 'T I : . .. ; rT1 IAPMO Research and Testing,Inc.Is a product certification body which tests and Inspects samples taken from the supplier's stock or from the market or a combination of both to verify compliance to the requirements of applicable codes and standards.This activity is coupled with periodic surveillance ofthe supplier's factory and warehouses as well as the assessment of the supplier's Quality Assurance System.This listing Is subject to the conditions set forth In � the characteristics below and is not to be construed as any recommendation,assurance or guarantee by IAPMO Research and Testing,Inc.of the product Y. acceptance by Authorities Having Jurisdiction. The most updated information on this Certificate of Listing is available online at pld.iapmo.org Effective Date: October 2017 Void After: October 2018 Product: Plumbing Fixture Fittings File No. 6799 Issued To: Safety Tubs Llc 902 W. North Carrier Pkwy Grand Prairie, TX 75050 Identification: Plumbing supply fittings complying with this Standard shall be marked with the manufacturer's recognized name, trademark, or other mark or, in the case of private labeling, the name, trademark or other mark of the customer for whom the fitting was manufactured. The marking shall be accomplished by use of a permanent mark or by placing a permanent label on the product. Markings on plumbing supply fittings shall be visible after installation. Single-handle, single-control, and automatic compensating mixing bath and shower valves shall have identifiable temperature control settings in which the settings are indicated by words ("cold", "warm", "hot"'etc:) , by numbers, or graphically. Packages shall be marked with the manufacturer's name, trademark, or other mark as well as the model number or, in the case of private labeling, the name, trademark, or mark of the customer for whom the fitting was manufactured as well as the model number. Chylrfnar�PtbdurtC6fti"aunt C nnitt�-e CE0,1f,e1APiwt0Gr®ua; This listing period is based upon the last date of the month Indicated on the Effective Date and Void After Date shown above.Any change In material, manufacturing process, marking or design without having first obtained the approval of the Product Certification Committee,or any evidence of i:•f noncompliance with applicable codes and standards or of Inferior workmanship, may be deemed sufficient cause for revocation of this listing. ?;=�;, Production of or reference to this form for advertising purposes may be made only by specific written permission of IAPMO Research and Testing,Inc.- Any alteration of this certificate could be grounds for revocation of the listing. This document shall be reproduced in Its entirety. i 'CERTIFICATEDOL TING. UIR' IAPMO,RESEARCH-AND TESTING, INC. Void After: October 2018 Product: Plumbing Fixture Fittings File No. 6799 Issued To: Safety Tubs Llc Automatic compensating valves shall be accompanied by instructions for their installation, adjustment, and servicing, which shall specify how the handle position or limit setting is to be adjusted. Listed products shall bear the cUPC° certification mark. Characteristics: Fittings may include lavatory, sink, bath & shower, lawn and sediment faucets. To be installed in accordance with the manufacturer's instructions and the requirements of the latest edition of the Uniform Plumbing Code. Products listed on this certificate have been tested by an IAPMO R&T recognized laboratory. This recognition has been granted based upon the laboratory's compliance to the applicable requirements of ISO/IEC 17025. Products are in compliance with the following code(s) : Uniform Plumbing Code (UPC°) National Plumbing Code of Canada International Plumbing Code (IPCO) Products are in compliance with the following standard(s) : AS E 112".18�1=271 5 A B125: "=12'� :I PM0! DES AND `IN , INC.. 9CR .. Void After: October 2018 Product: Plumbing Fixture Fittings File No. 6799 Issued To: Safety Tubs Llc MODELS: Page 3 of 3 i { Full Access to Seat for Easy Transfer lI fl,1. r ; ` _...{ Providing a safe and comfortable way for adults to bathe, the watertight door swings outward I. providing more room when entering and exiting the bath. It also allows for immediate access to the bather in the event of a medical emergency, plus offers the bather full access to the chair height seat ,..'. for trouble-free transfer from a wheelchair. I ' BUH_7 -1V4 FnPX Ur�_--S LIFyE ATI �I 1`10:?EL 32520.E • Large outward opening tub door • Multi-Settings Shower Wand • High quality gelcoat with !' • Built-in chair height seat • Embossed Backlit Controls fiberglass reinforcement • Textured Bathtub Floor • Chromatherapy o 32" wide x 52" long x 40" high • Built-In Safety Grab Bar • Aromatherapy • Operating capacity: 80 gallons +> • 15 Directional Water Jets • Neck Pillow • Color: white or linen { " • 28 Multi-Speed, Heated Air Jets • In-Line Heater • Left hand or right hand door & ' • Legs-Only Massage • Self-Cleaning Sanitary System drain • Foot Jets on Tub Floor • Auto Purge System • Hand/Wrist Jets • Extension Kit to Fit into 60" Space s • Patented Quick Drain 00 BEST IN-CLASS LIMITED PATENTED QUICK DRAIN``, 43 HYDROTHERAPY JETS MORE I LIFETIME WARRANTY ON BATH DRAINS IN UNDER 2 MINUTES THAN MOST OTHER WALK-IN BATHS , 3 .. �i'sa8ier-�'rasrww' �tLSr *3r ffi#w'srriwrw■www wrew ■ f Wt s°t� �a•q•••s wa 6$a"`$`6L"rreee5a`�4 s�=a "ne"'^'- r#ERio-.'f�°Y ' '�•" �r n"�.$nar'ea"r�«e�z'am s s'. <t MJtDzquttiMws>b rNw3erw rest f9wEs r alYal¢irll it'i��•A• ."s"seL`I'i.gq�s ; ,a urd� ''" 'a`c'� i.'s11"r•�i$�3'eUMMAnvi�5's9��r°r �.Px'.« • .;'s'•. .. .. ..s•.` ,:•r, - ,. .," '�, ,'yam;+`;" `; iaan �r� *wrr rwr ww ■n z r wv wmo sssww;ts x rwsi wwwr xsrr w ■ •, .,� Ym mrir2r aras�Pr Vra-wrr mr w�etrwa•r tabor r a - ,4°;', .. - . 52" (1321nim) Liberation 32520D Soaking Tub 9.51, t` Premium gelcoat construction (241mm)I' • Free standing metal support frame with five leveling feet j - • Easy access outward opening door system • Contoured,built-in seat for easy transfer (368mm) • Built-in grab bar and textured tub floor 32" I • Premium deck-mounted tub filler faucet with hand shower (813mm) i • Polished chrome cable driven drain assembly 4" • Air filled neck pillow (609mni} • Extension kit to fit into 60"space Liberation 32520D Combination System • Premium gelcoat construction • Free standing metal support frame with five leveling feet — S2 • Easy access outward opening door system (132101m) • Contoured,built-in seat for easy transfer 34" • Built-in grab bar and textured tub floor (876rnm) • Premium deck-mounted tub filler faucet with hand shower y ------ -- - • Polished chrome cable driven drain assembly i • Air filled neck pillow • Includes exclusive Quick Drain"fast water removal } 33" I 0838mm) technology 40" • Embossed backlit controls (1016nim) 16., • 7 amp whirlpool pump 4 (406mm 23" I` • In-line heater` (584m ) m ' • 15 directional water jets i + • 28 multi-speed,heated jets • Legs-only massage -x - - - d..6i • Automatic purge cycle • Self-cleaning sanitary system GENERAL SPECIFICATIONS FOR LIBERATION 3252 • Extension kit to fit into 60"space WALK-IN BATHTUB WITH OUTWARD OPENING DOOR • Chromatherapy INSTALLEDSIZE 52x32x401n.(1321x813x1016mm) • Aromatherapy WEIGHT 161 Lbs.(73 Kg.) WEIGHT w/WATER 828 Lbs.(376 Kg.) Nominal Dimensions: OPERATINGGALLON 8OGal.(303L.) 32"x 52"x 40" FLOOR LOADING 72 Lbs./Sq.Ft.(351 Kgs/Sq,m.) (813 x 1321 x 1016mm) (PROJECTED AREA) CUBE(FT') 38.5 Required Electrical Specifications: The in-line heater and air pump require their own dedicated 15 amp circuits.Drain and Whirlpool pumps should be run off Notes: of a 20 amp circuit. DO NOT BYPASS CONTROL BOXES FOR TUB IS SUPPORTED BY THE FRAME AND FIVE INTEGRATED INSTALLATION. ADJUSTABLE FEET,NO ADDITIONAL SUPPORT REQUIRED. Compliance Certifications- REFER TO INSTALLATION INSTRUCTIONS SUPPLIED WITH TUB Meets Or Exceeds the Following Specifications: FOR ADDITIONAL INFORMATION. • ETL-INTERTEK SEMKO PROVIDE SUITABLE REINFORCEMENT TO SUB FLOOR FOR ALL • IAPMO-USPC SUPPORTS. • ANSI Z 124.1.2-for Plastic Bathtubs IMPORTANT:Dimensions of fixtures are nominal,may vary and • ASME A112.19.7-Whirlpool Appliances • ASME A112.19.15-for Walk-In Bathtubs are subject to change or ion, No responsibility is assumeded for for use of superseded or voided • CSA B-45.5-Canadian Plumbing Fixtures leaflet. To Be Specified -Required: ❑ Drain Configuration:Left(L)or Right(R) ❑ Color:White(W)or Linen(L) Note:The whirlpool heater is designed to maintain water temperature during operation. It will not heat cold water to desired bathing temperature. CE;2015 AS America,Inc. v a L 1, %xS x5r• �'y� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: n `C/ Date Received: Site: 2- Permit Type: Approved w/the below comments: El Denied w/the below comments:Approved Who commentsv This comment sheet shall be kept with the permit and/or plans. - //XI/XNV� 202019 KaMi ' itzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) �f NOTICE 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 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. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. 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 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. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone'V'unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. 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) OWNER OR AGENT CO4'be OR Subscribed and sworn to(or affirmed)before me this Subnd sworn t or ffirme )bef re me this by _Who is/are personally known to me or has/have produced Whrsonally k ow t m or h ave produced as identification. as identification. Notary Public Jv+ \ baV Notary Public Commission No. Commission No. a J G. 1 r (r DA Name of Notary typed,printed or stamped Name of Notary ty ad, ri to o st e L1- fFlorda 103 �� Expires 08/01J2021