HomeMy WebLinkAbout21-3295City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003295-2021
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,
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
1
PEJAIT OFFICE()
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a :to] � guy 111MI14
City of Zephyrhills Permit AD ficafion Fax-813--780,0021
p
pherle Contact for Permifthl I
Date Recwtvez
O"Ora Nmma MENENQEZ MARK & CATHERINE
Owmur'e Address LEMIT PiCKETTS MILL AVE
-W10 N.Mi7e, E—
F- Shrpio TruotrDfaer Nam" owner Poona 'Nlirnber
FeF, SimPle TWahoIder Aeddreag
WES MILL AVE, ZERHYMHHLL�i FL 33,541
JOB ADDRESS 7 PICI TiLOTH
t act PARce, to*LO�-�6-21 -0200-00000-0010
WORK PROPOSED ADEVAU SIGN 0EN1,0U,9H
INSTALL REPAIR
PROPOSED USF SFR
TYPE OF CONSTRUCTTON i FRAME F-1 STEEL
DESCRIPTION OF WORK 140GAL ELECTRIC VVATERHETER REPLACEMENT
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su"j-Dil"r, SIZE
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7 VALUATION OF TOTAL CONSTRUCT{01'41
I ,=ELECTRICAL
=PLUMBING
" 1578
=MECHANICAL
CAS E ROOFING
AMP SERVICE = PROGRESS ENERGY =
VALUATION Or MECHANICAL INSTALLAT"ON
$PECLALTY = OTHER
FINISIHED FLOOR ELEVAMONS FLOOD ZONE AREA =Y�-'s Uo
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WfLDER
SIGNATURE COMPANY
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ELECT-3C4AN
COMPANY
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PLUMBER
COMPANY
SIGNATURE PEGiSTE-RI-M
"N T--ai OUR"'NiN
Addres,%
License A
MECHANICAL COMPANY L
$10NATUPE N yj,4
Addt�,,ss
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COMPANY
SIGNATURE L L ff —C-U'4,1 k =Y/ N--
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RESIDPW-nAl,
stfuction,
let pl-.qs LVI sift Fem. imtaflad'
COMMERCIALaces � Pamwt fer nAw construnion,
tell .Purls Of 'Silt patr�a InetaIjej,
SlON PERMIT Avur'5"2) aws of Envirawed plans, rwall"Ac, con"mend'..requiramem nitr't meet "-'0w'pIHr'Of
`PROPERTY SURVEY roqgred roav NE�,,j ,t,,SIO,
apfAicz Jj pjahrly,
& Qont'Ar ww' b—k Of "pplto"qj"' "asrrma
If over $2-SOD, 0 NO"CO Of (OoMoOncenlent Is requirod, (AIC upgrades o1,%r $7wAS
- 'Atrent (for the imqulctci " " poymr of Attorney (for the oivt7eewc,,.Id be notadzaJ letter ", n mkIrw same
OVER rkM COUNTER PERm,,TnNq. (o3qy of W.VtOr=' reqwwp
Reroofs if shingLes Sewers Service upgrads" A•c Fences �Pfo/Sul-,,VyfFootage)
DrivMISYS-Nut Over C0uM$r If on public react ays-neods ROVV
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813-780-00 City of. e'phyritilis lderrf'itApplication Fax- 1R-t8G-cM,
?uttdirx,} Deportment
NOTICE of DEED RESTRICTIONS -'The undeasignad that hats per€sra May, be su€{r»w't tc "d"easinctilms", tobich May ise ran€e notinctuts
daia county regulations, The underisfi sed sssu ms re-SPOnabiflity for oompliance with any bjod sfdL- aced resufo Via. .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSzBtut'f1 - if are wmdr has hired a, COrTzaeas' Of 00,9 c is to [:r's ienatre work, € ray
may foe required to he itcan:sed In msac>niar ie nhbt state and rooaf rspuhod €zs, if t� wfarMICK is MtfiCalnied i sal ed by. any, both the poster and
contractor clay be dated fora nusdameanor violation under state Eat Ifthe anpuer or irneuded Contractor ere uncersua as to whist kersth g requiren errs
raay ?to for ale beached loork< they are adu sad to cWIWI. tha: Pasco coins,, Building it"spe t"an DiAsfan_-Ucensing border? at 7-1 -S47- $0t9.
Furth enatroe, Stine (n mar has, ,hired a conlracna- a rcantra. ae..-;s, h =s advised to have the odn"iactorfa' sF ; "C"nons of file'.wiltrectcr 8i=ock", of this
ERAIM;ppsit for w tmh thaI areal be respoilet sf fan .. as tts uvt.sic, stye as the cxftwtisr, that may be an axitr.aFfx-, v a=, ne, is not propeay- itow'sed and is
not ernaed to perciating,pr,ui2 3s 3n paa�o coutrt'y.
TRANSPORTATION IMPACT/UTILITIESIMPACT/UTILITIES IMPACT AND RESOURCE RECOVER': F S� The undersigned understands
&that Transportation impact seas and Roccurse, € ecovmy Fees ineir apttEy, to tie MISts eicrt Of o6 er brattaamis, c barge of use in exi stictd tesdtrrgss, or
expansion Of eyi;tiirig buitbirigs :as spiatfi in Poxot Count, `krct nwca numbar 8s,07 and 96-07„ as z maridwd- The undersigned don undssietands, that
such fees, o's erRY be €' use Wit ire idenidi#e d 3t the £k_ e, 3f tren tiffing, ft 5 k1hrssr undinetcad idaat frt^-spvan F a w d €v'�e m.as, Floc _r •
,cocas "ront by {ago tasfrrr to receiving s "corn€hc 'ass of occupancy, ar shot pcia+?a otoaas, d tea grojert does not invdve a card scale of occupancy or ood,,
power neteaser the ears must be petit poor to peounk issuarr . Fu tharmore, Fv sa a t r t y it ato , st}, r ,a a t fi es or,, di-e. they roust be ceid prier
to Peoop tssuonee 10 sc=eaRce a 401, aPP19aafee, co County ordinances,
CONSTRUCTION UEN LAIN (Chanter 713, r€adda si aft tes, as amended): if ass a<.tno of wait a 2; 5x'oa or more, i cere33 that s_ the. applicant.
have been fxv aced a d t e copy of doe'Ronds ,ons€rxt t vvt _.aa #�r ma---i-t�sri?^ts :`f'c Pra"er1drn Akre prepatzet ty he bi rda oep, uvsrst of
," 4rsctiftwe and Conturner ?tits s, It the apeficant is vornerqe cute; fildo Its "+34§T e , i Ce ty 1hat t have oftwitfa a copy r4 no above tdesenbe3
dactcru sil and pramtse in good faith to deliver ii,, to the moN,,n ee poor to ccmmetacexrae nl.
CONTR.gCFf:' R s,"i3tVNER's AFFIDAVIT cer! b, that ae Fine itaeet'naabon tat this application is xacc:.irade, wd that ail. work YAM € e once rn compliance with,
aft ,apPfitatte'saaes relpAining construction, ziurn.i and lased development ,aaplineis<srs is Ptalsb;r maid to obtain a Parmit to do want and, installation, as
indicated. d cert?(y^ drat no work 0, instaide§on has oazram 3 prhv to iaar ianco of 0 Permit and rest am sank relit be oho a ceC to.. mttet $%rsdedIs of eat
sags retsila vp ennstructian, count, and City oadess, zon€rig regsftaPi^ns, and bind devieopmert regura, ears n, #Fee gueisdh�frn- } a#so cerlit'y trod 1
unixu-mend that the wilat lta a Other goverment alleacuts may apply to me intandevt rrof' .. eed Drat it is rrry resproslWply to s tar b`y what a,iicras ?
must take to tee tat cornptiagce, Sz_a`: the anies inclubs bars are flat,�'^rk do,
Depa3:°f entz of Entifort'ii'6Gi'n o P€t3'tectkirl-CY01--tts Bayhe dis, t „tei_iwWi Afeas and Enviri3iLt'r`entcafly Sensitive
Lands, Waten"ify8stewater Treatinent.
- Southmsest Florida Water Manxitterrent Disaict-Vaellls, uypre yiteads, W ttand Areas, Altering
ysafercouraes.
Ar ny Corps of r fraeera-Seawalls, Docks, Navigable Wateroarys,
Departo'lent csf,Health, 8, Rehabiffitatlyie ServicesfErv§roli ntat Health Unit-1,Velis, Wastewater Treatment,
Septic Tanks,
s,
- US EaavirisnMenta l FrOvifutierAgency-Asbestos aitatha ant.
- Federal Aviation rthor ty-R;»rnontys,
4 unde€s€and that Use fra of nng rasaysir ne apicy to be ass, of oil:
Use of fill is not allowed in Flood Zone "'af` useless ere rassix, pout shied.
if this fill material is to be used in Flood Zone "Fa`, it is understood that a drainage plan addressing a
"cor2,p nsating volume" vvi l be submitted at date Of Permitting uvFa ch is Pfet rind gy la Professional en stotter
licensed by the State of Florida.
If IN fill Material is to be used in Flood Zane A- in connection v�sth a penmifted Wilding using .stern rvall
constrNotion, i ceftify that fill otiit be used Only to fill the area within the steal tea i.
if filf maternal is to be used .r any area, s certify that use of such fill wilt not adversely affect adjacent
properties. if use of fall is found to adversely affect adjacent pro, perties, the ousmer may be cited for vitaiating
the conditions of the building iatif issued under the attached permit application. for lots less then one (t)
acre lottich are elevated fry fill, are engineered drainage plans is required.
if 1 am tilt. AGENT FOR THE 0asNER, f pi ormse of gand faith to itz€and the aueuar of ho parmi`zing oondisous set forth In ribs siaadmfC Pricer to,
commencing construction, 3 understand mat a separate Permit ass, be seflutie d f-- wec#hcal yarn, plurrr*.a , a t is, mmit pares, air coat titters ng, gas, or
iew insdtaff"ai ics, not speaffloally ink In the applipation, hA pas°?tit issued alas be coin rued to be a ticance f7 past th'he wror r add ndf as
sly"Orts' to e0oiEe, cannel, after, or set aside any Provisions of 'he t h rica! codes, taor sh°si Issuance of a permit prevent the BoUding: Oa;chd from
there Mer Fsate 'irzrty to c Meet,'on of arena ise lAsna, eoastrueenz vs,r o"ha a its of arty des, Eater; ped-,uI issued siadi b�--=e ; v-a winos the vnx
aaritstrsfaer# by such R:srfritk is co nmenced wift z six c rode of ga^.,i mil t sadwQs, cr €f work .eu'€3rcxri`xw try, the pa.tnft is susparded or sbandonec xw i
period of six (8) rnorcre after the itme ins wok Is ccrsmoncad. An ietiension m9} be ,egUested. 4n tsvz g, Purr the yatr roof e aai for a period n44 Tn
exceed ninety { tt daps and rtit demonstrrate iustdladte cause €or, he sa.ar=aain. !f W Ceases f<ar oininy iso) consiscut1w days, fuse tab is wifstored
abandoned,
WARNINGsLf
PAYING T F IM ROVE
rF cfeUDA JcsaaT tr.s. I
NER OR AG ,
t,€ CLD' taldJ OF fay
OUR
IF Yo NO TO
GCAh 'To,
t=rss _ au6scrbeci and s~:vord't tc {cv^ att"#mteci?
MAY RESULT IN YOUR
F)RAINCMd- CONSULT
r,., as 7dextliftc.9t4cxn. �.. . _ to nitT=cailnrt.
Public
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1 11
Page I
s `Home Improvement Agreement,
l�
l
Richard Kinney
Salesperson Name
Home Depot U.S.A.Jn .(84 o e Depot") or Authorized Service provider named below will furnish, installand/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Acknowledged by:
268 rater Heat" (16 Nov. 20) (C)
The Home Depot - 2455 Poem_ Ferry Road, N.W, Bldg, B-3g Atlanta, Georgia 30339 a Customer Cam. 14MO46&3337
Generated mate Lea
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Home Impment Agreement Page 2 ki V rove
4. Destription of car to be Performed,
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work or
SDecification which is included in this Amement.
Approximate Start Date: [11/18/2021 n Approximate Finish Date: All dates are approximate and
subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
confirmina insurance coverage of Your claim for any repair, if applicable.
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: $ Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ (If applicable, total amount of taxes included in Contract Price)
(IViinum deposit ON'1-Ytqq,4h- Me in ilffl, JIEI,331''� k N"'I IP7 (99"01)
Remaining Balance $
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; (W) 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 purposes.
X L-,-iw e CUS
X is;l e F ome Depot
—J
Digital Signature
For questions related to your Installation, contact Service Provider at
For any other concerns, contact The.Home Depot at 1-800-466-3337
Date
Date
The Home Depot - 2455 Paces Ferry Road, N.W, Mdg. &3, Atlanta, Georgia 30339 - Customer Care: 1-800466-3337
268 We Heater (21 Jul. 2 1) (C) Generated Date Lead/PO# v 64-0.0