HomeMy WebLinkAbout21-3294City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003294-2021
Issue Date: 12/03/2021
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.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFOREc.6.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
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PE fIT OFFICEU
I MRHWA-4110-111
11 A ;Izue Jlayh-: MGM,
813 780-0020 City of. ephyrhi(,s Peardt Application Fax-813-78&,0021
Building Department
Datrt e pteceived Pitons contact for Perr i10
ownefs 'Naine 07PENDOOR PROPERTY TRUS I I Owner Phone Number 720-233-3203
Owners. Address E503:9UMMER HIEL D&RIVYE, Owner phonir Number
Omer Phn. Number
Fee Simple TWelholder Address
JOS ADORESS 5039 ;7UNIMEP HILL DRT�--, ikiPYRHILL S, FL 335 �22
LOT#
SUDIAWSION PARCEL Wl 12-26-21-0100-00000-01130
IOSTAINF-D FROM PROPEIRTYTAX NOTICm
WORI(PROPOSED --j NRV COKSTR AN -01,ALT
LJ INSTALL REPAIR
PROPOSED USE SrR Cols i OTHER
TYPE OF CONSTRUCT1014 BLOCK FRAhIE STEEL
DESCRIPTION OF WORK F4(Z�L ELECTRIG WATER fig TER REPLACEMENT
SLflLDING SIZE SQ L -OOTAGS HrIGHT
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V E 4 V x VIC k il�w C-C A x t 4; C C tA W 41 t t t t X t C X X t IL A VX C X t t K 4E't VC t ILA �E t VX W 4� W S CIE7 A IE-It 'i C 4: 1& e IE
=WLDING I - VALUATION OF TOTAL CONSTRUCTION
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=GLECTRIC-AL
=PLUM8040
i 1151 1
=PAECHANICAL
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AMP SERMCE = PROGRESS ENERGY =
VALUATION OF ki-ECRANIQAL INSTALLATION
VV, R - E . C.
=GA-S = ROORNG SF-IGIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
Wit ' DeR COMPAey L Fla-r Pe AA,$�
SIONATVRE L]Y) �N
Address
UL-nee 4
ELECTRICiAN COMPANY
IGNATURE
ReaN, S FERW
Address Loense* L
PLWASER COMPANY
WONATURE IL ---------------------------- j I
Address
license 0
MECKMCAL CONTPANY
SIONAWIRE REGISTERED
Address Licanse#
OTHER ..,dPA"y
StONATURr
Address License 44
St PATE. Attwh 121 Plot Plarur� (2) sels of Br W-krit Plan'; (Ti get 01 Es gV Forma; R O-Wairurnit far newronesoobc,,,
I 'AhMum ton (Wj woAfiro dav s afle.f%mbanta) Drew Required oneffa, C.110truonon M"P" ans, SiSIO"nio, �— � OCR F.— in.teg--1
' Sanitary Facifta a I dumpirer: Site ofom Pirmlit
COMMERCIAL Arach (2,, complete sets of BUilding Plarrs;Aus a Life Safety Page: II) got of Energy Foad-k. R-OLW Poffnit, for nau, conat, uctjon.
minimiap ten (10) seirking clays after subrniftai date. Required onsite, Coristamton Plans, strson'ater Plans "d sift FA�Tce Installed,
sarit" ra=" & I durnpster. site t'volk Pemrk N, W mvpnec", AU ammercia; reQuIrernents must mente-Trafierma
SIGN PERMIT Allacil (2) sets of ERWnesirod piano,
—PROPERTY SURVEY arquired for a0 Nlaq construction.
Fitt out application oornplrdeS,,
0',ner & Confi—ts, sirl" Back of epreficat"On' notenzed
If over $2500, a NOTice Of Commencement is required, (ArC upgrade* over $7600)
A Ilan t Our Me G on Im rA or) 0 r P a rm� r of AV vm ey (for H V Men ef) riou Id be a orl lei) ne vol 11 P, ot a ft ad feter frarn rer-n U. a uthr IL'j no a an " e
ovrmR rHE couNTF-R PERmirn-ta (copy or N'tract required;
Pe 00fiq if �w nalw 8'%"a'a %ric Upgades A,,'C Fences
Duns Rys Not over counbe-ft On pnbIc '—d—s-naads ROW
7-
15
za City of ZephyhIiIs PerTl€t pDIica'ears Fax-3'h-arc-1021
Building De, t
"NOTICE OF DEED R TRRICTIONS:The under nod understands trial aft€s palms,may₹:e subbacla to"deed restnrtt tat V4tiu t may be more restrictive
than County reguletaons_The undersigned assumes responsibility for corrptladve emir any appticab€e dead restrictions,
uaUllbhllD CONTRACTORS AND CONTRACTOR RSINPON$lcttUflRA If the sexier ltd„treed a corttnsctpr or contract€e=s tcart,cia1taki work,they
may be respbr'ed to be t'scensert In s000rdence<sitta scats and focet regulations.If the contractor is not₹irenand as requ%mad by t v,both the c'aaaer and
enn'motor may be oiled darn mindsasanstro,Vfnfa₹(Qo candor state taw,ti the o a er or intended ccrnfactor are uaaceriat''t as to Vaud licensing require mares
may apply₹or lire inte'tried work they are arc red Is nasal t the Pasco Co racy dtra ding inrrevction C visitasr--Lice rsing bast en at 727.Sox-gip.
Pearl TC,It t Mussy has l atari e,aontrectoa or'otatretaoraa ire is anfa to here Ie canterdas el sign par'rows sf the"crusted'Situ`of t₹at"
application for Cluch they eel}en insperacible_if you,as the ov'oon sign as the contractor,tha€may been'rd ica,i'at n that he is not,pr* dyr grossed snit is
not entitled to pemtttEissg privis r€n Peers County.
TRANSPORTATION IMPACT/UT1UTIES IMPACT AND RRAOURC1 ICOFRY FEES:The undersigned understands
that Transportation repent Fees and Recourse Recovery Fees mey apply to the ronstrca tcz of sea'buftdtsgs.change of use in existing buildings,or
expansion of ex)sting bleldrigs,es specified in csene County Ordinance number Alt-de"'and hut?,so amesaded.The xrndrortgt ed also ueva rstanda,that
such fees,as may be due,nail be trier 6lled at the€iime 4f penn;tting at is further understand that T€axnsportstion imp fees and Resource Recovery
Tess must be paid prior to rnoeluiatg a"ce.intricate of ttpsrrr t car flop paw a cancer tilde p,pleas cites not Inca are a cecIl caste o''ormatpnsarcy or final
ixxver release,tone treat roust be paid prior to peer"asses,Ce.:ur3hsrnssin,it Pasco CutCounty F'ate seveir trnpt£;t toe'are chx threy firsts be paid mums
to pntaratt'eseanace isat.sn'caotatorceevfh state Pasco County ofCoutatty otct'naae ann,
CONSTRUCTION LIEN LAW(C4tepter 713,Plo Ida Statutes,as emended€:it ntuuatiort of work lie dl.:auad.0f,or st€rre,I t'e'Iy trait i,the apt€54r
₹lave taeen provided with a copy cf€tae Fta'tcte Construction Lien Leta--tloaa"eoa',scar aratectton C'u'd",ress,ad by_tste ltartda€)tap srtraent of
A4tricu'tese and Consumer Alfal ru,If the applicant is so secs e other titan the"tuner I ca rely stet£'ave obtaisred a copy of the above clearcibed
deetr.'. at rat xd promise in goo fate'tnt detsrr'it to the-Carat i a'pan to mart'mencement,
CONTRACt a'S,'QWN 'S At't'lOAVtTr i vanity the,as the tn'on rat tcva.in this eppltcetton is acctara to and tina'alt wo*nut bat dotw fen cony I afire Milt
ate eppctltcelais yeses mgufatrag"re'etrt,ecaorr,aomnct start rand dvets:,pmen'.Ap,wcaaon is Cersay stases to ottatn a per's it.to so wars and in altation as
Indicated_I Comfy that no cioik or ixnstallation,has eoranaenced prior tc restart are of e pare➢mit and tt'aat ate wr?rk wJt be performed totrteet s€andards or oil
teats regulating oon,action Courtly sod City codes,or ag ro u simian,a ad land development ropestreams in l"e' Iedilctron s also ctertify that I
understand that₹tan sego€ations of ott?ser gracesnntant ogre''see r*ay apply to the intended nark,and des,it is my respons kdty to etetrbly what actions i
ssuet sIte to be m terms, at.Such sgsrcieetjxdude era rot esiteal l :
Department of EnvironEnvironmental Protection-Cypress Sayheads,P tetdand ear cab andFt's Environmentally Set`stthre
Lainds,Waterlttttastewater Treatment.
Souttwast Flor€da Water Management Dtstr`ct-L leils, Cypress Bayheads, Wetland Areas, Alerting
trrpatercottr5e5,
Army Cates of Engineers See its,Docks,NavigcibleWateneays.
Department of Health & Rettabilitatieye s icesi nvtronraental htattht Unit-.urine, Wastewater Treatsiment,
Septic Tanks.
US Environmental Protection°gencantAsbestos ataatement,
Federal Aviation Author ity-Putsr^rasrs,
ursderaaxad tl fit the tel erring r tematae apply to the use o alit;
Use of fill is not allowed it Flood Zone"\/ tireless 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"tit be submitted at tisane of peatritting which is prepstrad by a professional engineer
licensed by the State of Florida.
if the fit material Is to be rase€€isn Flood Zone"A'in connection vtth a pei"rnitted btiildirief using steno wale
construction,I certify that Ill wit be used only to fill the area a ttbin the stems;evall,
If fill material is to he used in any area, I certify that use of such fill sell not adversely rsely al eat adjacent
properties,if use of Tilt a found to adversely a€fec₹adjacent properties.the owner may be cited for violati to
the conditions of the building permit issued under the attached permit application,for lots loss than one{`i)
acre which are elevated by fill,en engineered drainage plan is required.
If I aim the AGENT FOR THE OWNER,I ptraanise In gores tart h to inform theta'raer of the . rrttng cond€lions set forth In:tees afftdevt₹prier to
crxttttretartog oortstn otalta,i u tderslaird₹trs,a separate permit may be required for et 'tiff croak,promising,signs,welts,p*nas,aa,toady pitmen gee,or
Ott av It stat neone taut epetattossy bsactc deC in the app`fibers_A panda:issued sf be construes-to be a cerase to pre,nseat vdth the vverk.and no€as
cuts stay 4e Oral cstaoe#.,e'ts or task asrGa airy pro tfie"te trs tk``₹ire te"a`v€$cal Gouge nor e'sari issuance at a permit pr'anent Si.tndin 1 ta"'rdel 1r1aa1
ttasrea€ter reqaetrog a f trans of errors at plaans,not etruct€on or v otnliotts of any porter.Every Pentad eeeed shwa€sac lnuaild 011855 the rvo S
authorized by sues dais is commenced:wtth s sax movese at pearit ssuaraart,of R mark a authorized Sty the permit is suspended or std ndcased`fir a
ptrtod of six;d?nnotaels alter the there;ace a stark ss a,cntmenced.An.enetcslars spy be requested,i€i ealto q,rote llae Betildirag ctial for a pee iod not to
ea need n nety'rOl daps and ward demonstrate};.as ttlala e cause ter€,ate.exesns urn.P work as.s for I"itat it consecutive days,tfre fob as considered
abandoned.
WARNING TO 0 YOUR F 1LURS TO RECORD A NOTICE OF "' MENCEMENT MAY RESULT IN YOUR
PAYING W I E F IM ROVEM '1ST OUR PROPERTY F YOU T 0 TOO AIN FtRNCING CONSULT
OWNER AGENT 1 CONTRACTOR,
be is ribsed ettd saran'to(or asivinrtetdt Were rare this Subsorered₹and ssaaaan io(or aikrsned)tan ma'anti'
! fI riy, any
V\ho tai soneah is; or ha tuh3 ue aroduserti babe tmf <ae t,mssinrv�prod,.xasxi{
k Ca€tot &S?d lft£ASiO.R.
vats y habit i ._ 'Flotary Pub₹Ec
Commission Plc. �...._ Commission NNo.
M_3s la of sY ly ad.CtttPte tai eIamfe nab Y t pert,CaGtia sfa pe L
F%ItL`s"44,MFI)INA :nq,"«"` l EI Y H, §EaIE
eX4tz sit Jura 19,z
eXPVR S'Jusne 11,2422 r+,` a m a•d Tlatu Matafy P tblie t1 dot nMPei5
".��c,afi° 6oms d Tied Not y Pubil Undenaitt i y
rImprovement Agreement: Page 1
Richard Kir�T ,,.
Sales ison
t,
Florida Delta Mechanical, INC. LTA MECHANICAL, INC,
k
5039 Summer Hill Drive Liephyrhills
1
wax .. � .'�«w�vmrce aasmYwvu�w. � mw.i �mwn rew�
Acknowledged by:
Date
Bldg. B-3, Atlanta, G 3033mer Core., 1-800466-3334
Gexent LeadtPO#k v 60.0.0
Home Improvement Agreement Page 2
Payment ot 117, 1 nu act _rrifzu I ty
below or in a payment addendum.
Contract Price: $ 5 �1, 1 1. o ��— Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ (If applicable, total amount of taxes included in Contract Price)
0
Date
[1 E/l/2L=
The Home Depot Digital Signature Date
For questions related to your installation, contact Service Provider at 888-536-9181
For any other concerns, contact The Home Depot at 1-800-466-333 7
The Home Depot - 2455 Paces Ferry Road, N.W. Bid& B-3, Atlanta, Georgia 3W39 - Customer Care, 1400466-3337
268 Water Heater (21 Jul. 21) (C) Generated Date LeadtPO# v 64.0.0