HomeMy WebLinkAbout20-633 b
4 ~FI�Nlttti City of Zephyrhills PERMIT NUMBER
ti 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000633-2020
Phone: (813)780-0020
Fax: ($13)7$0-0021 Issue Date: 08/26/2020
Permit Type: Building General (Residential)
Property-Number . Street Address,
5111 19Th Street
Owner.information Permit Informatibm Contractor Information
Name: ANDREW LOPEZ Permit Type:Building General(Residential) Contractor: FLORIDA DELTA
Class of work:Water Heater MECHANICAL INC
Address: 16207 September Dr Building Valuation:$0.00
LUTZ,FL 33549 Electrical Valuation:$0.00
Phone: (813)312-7971 Mechanical Valuation:$0.00
Plumbing Valuation:$1,338.00
Total Valuation:$1,338.00 tt
Total Fees:$70.03
Amount Paid:$70.03
Date Paid:8/2612020 12:31:50PM
Project Description
INSTALLATION WATER HEATER ELECTRIC REPLACMENT
Application Fees
Plumbing Permit Fee $46.69 Plumbing Plan Review Fee $23.34
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.Q.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
:. " " 138-0020 CItY'Of ZePhY(IIIIS,P3rlt A PIlCation813-7 Fx8 -0021:
Building,Department
Date Received
- -Phone Contact for Perm fitting --
'wall[i"["ail. ['[t[!
owners Name AN DREW LOPEZ, owner Phone Number 813=312-7971_:. ,
owners Address 51-1"1::19TH'ST _Owner Phone Number
Fee'Simple Titleholder Name: Owner Phone.Number. '
Fee Simple Titleholder Address
5111 19TH'8T ZEPHYRHILLS, FL-33542
JOB ADDRESS LOT#.: -:
SUBDIVISION PARCEL L ID# 1 1-26-21-001 0-201 00-0090
- - (OBTAINEDFROM PROPERTY TAX NOTICE): -
WORK PROPOSED NEW,CONSTR ADD/ALT = SIGN 0 Q . DEMOLISH
B INSTALL e' REPAIR
PROPOSED USE 0'' SFR COMM = OTHER REPLACEMENT..
-TYPE OF CONSTRUCTION- _. BLOCK' 0 FRAME 0 STEED- 0. -
- 40GAL ELECTRIC WATER HEATER-REPLACEMENT
- DESCRIPTION OF WORK - - -.
BU I LDI NG SIZE SQ FIOoi E HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL _ $ AMP SERVICE = PROGRESS ENERGY 0 WAEC: "
=PLUMBING $1338 �Q
=MEGHANICALr $ VALUATION"OF:.MECHANICAL"INSTALLATION
=GAS =' ROOFING 0- SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN - I Y/N I - -
_ .. -
Address License#
ELECTRICIAN COMPANY.
SIGNATURE, - REGISTERED I Y/N FEE CURREN I Y/N
Address Liven e#
PLUMBER; - r COMPAN �ii ti "
. '
-=SIGNATURE __ _ "' 'REGISTERED Y'l FEECURREN Y/-N:-
Address License"#
MECHANICAL' COMPANY
SIGNATURE REGISTERED I Y/N -FEECURREN: Y/N - "
Add ress License#"
OTHER COMPANY
SIGNATURE REGISTERED Y/N, FEECURREN
Address_ License#.
F.l.hl,l..I!l;.I:LL !.[1"�:l;l.l.i<.!_Ii.[.!"L.t.it"!L`
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Form5-R-O-W Permit for new'constructiori,
Minimum ten(10)working days after submittal date..Required onsite,Construction Plans,Stormwater Plans w/Sift 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-0-W Permit for new construction. ..
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sift 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 Coinrriencement Is'required.(A/C upgrades over$7500) -
Agent(for the contractor)or Power bf Attorney(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(PlottSurvey/Footage)
Driveways-Not over Counter'rf on public roadways..needs ROW
;st3aao-oozo City'of Zephyrhills Permit Application Fax-elsaao-oo21
`Building.Department
NOTICE OF DEED RESTRICTIONS:The'undersigned understands thatthis permit may be subject to"deed",restrictions"Which may be more restrictive
than County"regulation's.The undersigned.assumes responsibility.foccompliance With any applicable deed restrictions.
UNLICENSED,CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired"a contractor_or conVactors to undertake work,they:
may,lie;regiaiied to be licensed ih acoordanoe with state"and,local regulations:"Ii,,th'e contractor is not licensed as required.by law,both the ownerand';.
conVactor.;may be cited for a misdemeanor violation"under state law.If the owner or intended contractor'aie uncertain as towhat 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:
'Furtheftnore,if the owner has hired a contractor orpontractors„he is advised to have the contracfor(s)sign portions of the"contractor Block"bf,this
application.for wh'ich.they willbe.responsible.Ifyou;as the owner sign as the cont ractor,.that may he an indication that he is not properly licensed and.is not entitled to;pgmri tting 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 6se'6 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°certficate 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 M;Florida Statutes,"as amended):If valuation of work'is$2,560.00 or more;I certify,that9,the,applicant
'.have been_provided with a copy of the"F-lor-ida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of
Agriculture and.Consumer.Affairs:Ii'the applicant is someone other than the"owner",'I certify that I have obtained a copy of th_e.above d'esciibi d -
document and promise in good Jeith to deliver it to the"owner"prior to commencement-
'CONTRACTOR'S/OWNER'S AFFIDAVIT:"I certfy thatall 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" "
indicated.I certify that'no,work or installation has commenced prior to issuance of a permit and that all work will be'perforn ed tomeet standards of ail
laws regulating construction;County and City codes,zoning regulations,and land development regulations in the jurisdiction.l'also certify that I.
'understand that the,regulations of other government agencies mb`y apply to the intended work;and that It is my responsibility to'identrfy Met actions I
must
must take to be in compliance.Such agencies include Put 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,Engineer"s-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"-pro fessional_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, -certify-that fill will be used only.to fill.the area within,the stemwall."-
If=fill material is,to:be Used in-any" area,.) certify,that;use'.of, such fill will not adversely affect adjacent,.
0r0 perties,�If`use of:fill,is..fou,nd fo'adyersely.affect adjacent properties;fhe'owner,may,tie'cited'for violating,;::..:_.
,the conditions of the-building'permit issued:Under the attached permitapplication,for-lots less than one,(1)
acr_e.which are elevated by fill,an.engineered drainage plan is required:-•,_ `;
If I am"the AGENT FOR THE,OWNER„I,promise in,good,fadh to,inform the owner of the permitting conditions set forth in this affidavit prior to,
commencing construction:I understand hat a separate permit may be required for electrical work,plumbing,signs,vmIls,_pools,air.conditioning,gas,or
`other installations_not specifically included in the-application.A permit issued shall-be construed to be alicense to proceed''it_h the workand'not as-
authoidyto'violate,cancel,alter,-or set aside any provisions of the technical codes;nor shall issuance of-a.permR'preve.ntthe Buildingo.fficiallfrom
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. "
WARN ING'TO,OWNER:-YOUR FAILURE TO.RE CORD'A'NOTICE.OF-COMMENCEMENT MAY,`RESULT IN.YOUR
PAYING:TWICE"FOR IMPROVEMENTS'TO YOUR PROPERTY."IF.YOU INTEND TO",OBT IN FINANCING;CONSULT
WITH YOU
FLORIDA JURAT(F.S.117.03)" "
OWNER OR AGENT CONTRACTOR
Subscribed,and sworn to(or affirmed)before me this .- . Subscribed and swor or i tl bef r
by ." by
Who istare personally known to me or has/have produced Who is/are,personally known to me or hasthave produced
as identfication. X ass identification.ti
Notary Public:.- . ` lei t Y ." Notary Public.'
Commission No: Commission
Name of Notary typed,printed or stamped -Name Note a ;
' DESISLAVA"KOLAWN
Notary Public-'State.of-Florida'
',per�t��.e'�,My.Comin.Expir s SepS10 2020 `.
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Home:Improvement.Agreement: Page 1 -
Home Depot License#'s - For the most current listing visit www.Homedepot:com/LicenseNumbers
EC0001440,EC13007199,CGC1514813,CGC1522717,CGC061641,CRC046858,CAG1813767;CAC1818831,CFC1426021,CCC1331113,CCC1331130,CCC0583W. -
Salesperson Name. -Registration # (Req. in CA,CT,ME;M'D;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:
ServiGe'Provider Contact lnformat o'ny
_.x.
FLORIDA DELTA MECHANICAL ,
Service Provider- Contact Name Service Provider Company Name_
Phone # Service Provider Email Address Service Provider-.License #(s)
Customeranforrnation ;+s
LOPEZ . ANDREIN j 18929` ti4 1-98961.022381
Customer.Last.Name -Customer.First_Name Store #/ Branch:Name 4Customer Lead/ PO#
5111 19TH STREET ZEPHYRHILLS -1 JFL 33542
Customer-Address °City: State : Zip
813-312-7971 NA.NA@YAHOO.COM
Home Phone# Work Phone#
NOuTICE;.OJFti RIGµHT:TOCAN
._
Cµ.ell Phon # .Customer mer Ema
il Address
. : ::C7777*
YOU MAY CANCEL THIS.AGREEM ENT WITHOUT'PENALTY OR OBLIGAT
IO
N MBYCONTACTING
THE SERVICE PROVIDER OR J
=1
STORE DIRECTLY;'. SERVICE PROVIDER AT:
(
OR'-DELIVERING WRIT-TEN-NOTICE.TO HOME DEPOT AT: ;
t
8402 LAUREL FAIR TAMPA FL 33610
!Address City State Zip
BY MIDNIGHT:.ON THE THIRD BUSINESS DAY AFTER SIGNING; UNLESS.THE.STATE:
4
SUPPLEMENT PROVIDES.A.DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE,IF,ONE IS SPECIFICALLY PRESCRIBED'BY LAW IN YOUR,.STATE.
rYOUR, PAYMENT(S) WILL BE RETURNED WITHIN TEN-(10) BUSINESS,DAYS AFTER HOME. "
DEPOT'S_R.ECEIPT OF.YOUR NOTICE. YOU MUST'MAKE AVAILABLE fOR-PICKUP BY HOME
DE,POT:OR SERVIC15 VID.ER, AT.YO,UR-SERVICE ADDRESS AND]N.SUBSTANTIALLY:THE
SAME CONDITION AS WHEN DELIVERED, ANY'MERCHANDISEOR`MATERIALS.DELIVERED
TO YOU. OR YOU MAY CONTACT HOME, DEPOT FOR INSTRUCTIONS REGARDING-RETURN
SHIPMENT AT HOME_DEPOT'S EXPENSE: a
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: V .fl=, 07/14/20. =
Customer's Signature Date �Y
268 Water Heater(16 Oct.18)(C) Generated Date 07/1 512 0 20 Lead/Mi 1.98961022381 V 50.0.0
Home Improvement Agreement Page2
4e i 'F' 1 i.d
Descri tionA`of�Work=to.be=Perfor..n ed,'
RL. ..t,,.:.�..,.,. k.z �..,„, -
A detailed description of the-work be.performed is included in the paragraph entitled Scope-of o' rkj i
or Specification which is included:in this Agreement.
,,. ......:, •_—e�._-fir.."..u,,'•T.;T-'-:'-" .",
Ant�apated Delivery,=:D,ate :Installation Schedul.ez
07/14/20 OS/13/20
Approximate Start Date: Approximate Finish Date: 0:All$dates,-are approximate y'
sand sublect_to:change.based on unforeseen events including inclement weather,.permitting delays, and,
delays in confirming insurance coverageµof Your claim for any repair, if applicable. i
Electronic:RecordsAuthorization z 5«
You are entitled to a paper copy of this Agreement if you choose. If you consent to.an e-mailed:copy, i
your consent applies to this Agreement and all subsequent documents and.written communications . g
i related to this Agreement. By contacting your Service Provider, you may_update your email:address,.
Withdraw your consent, or obtain a.paper copy of the Agreement or related documents at no-charge.-By-I .
,providing your consent and verifying your email address above, you confirm that ou have-access,to-a i
computer that,can receive and open emails and PDF docurrients.-I do"_®✓ do not[ consentto receive
only ,electronic records related to-this"transaction.
7: 7-
Pa ment of the 'Contract Price is'due upon signing,unless a differentpayment.schedule is requiredlby� .l
law, specified below or in a payment.addendum.
k ;
Contract Price: $ 11,338.00 Includes all applicable taxes. Excludes finance charges.*
. i
ISales;Tax: $ (If applicable, total amount-of taxes:included"in Contract Price)
Maxirnurir deposit QNL.y'applicable in MD,-;MA, ME,(33•%), till,llVl(99/).. I
Deposit % Deposit Amount $ Remaining Balance
-
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,rY !_+.
k
Finn h r
I.
a ce.>C a es� -
Any interest payments or other finance charges.will3 be determinedyby Custom.er's separate cardholder s.
for 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-.0r,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. roceeds will will not be used to a some or all of the total amount of sale:.
._._..._..._ p �Q� 0_ __...d..�pJ! _. -- a_. ,ram
s
Acceptance�an'dAuthor.:ization�. _ � _ ,� Y4 � 1 i �.
By^signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any
iServices 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 i
signing,!you acknowledgethat:.(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; (ill) all rights and interests under this Agreement are solely vested in the person
listed as Customer above and (iv) Electronic signatures will be deemed,originals for all: urp
_. _...
, _
_I D
Customer's Signature Date
71,X /s/The Home.Depof 07/15/2020
e Home Depot Digital,Signature Date-_Th.. , . , .
For questions related .to.your installation, contact Service Provider_ at
For any other-concerns, contact The Home Depot'at-1-800-466-3337
268 Water Heater(16 Oct.18)(c) Generated Date 07/15i2020 Lea&PO# 1-98961022381 v 50.0.0