HomeMy WebLinkAbout22-4369III`/ i0 , R! II a a genii
Phone:5335 Eighth Street
1 !1
Issue Cate: 0612�12022
respectREINSPECTION FEES* (c) With Reinspection fees will comply with Florida{
local government shall impose a fee of four times the amount of the foe imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent
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.
accordanceComplete Plans, Specifications add fee Must Accompany Application. All work shall be performed ir,
Codes and
OrdinanceS. NO OCCUPANCY BEFORE
1'',llk
O OCCUPANCY
A ' BEFORE
.
CONTRACTOR SIGNATURE
ITHOUT APPROVED INSPECTION
Nmr-M,
PE q1T OFFICE
813-780-002u City of Zephyr hills Permit Application Fax-813-78c-0027
Building Department
Date Received Phone Contact for Permitting ( }
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple "titleholder Address
JOB ADDRESS LOT #
SUBDIVISION � PARCEL ID# 4
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F--1 ADD/ALT = SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE) PROGRESSENERGY W.R:E.C.
=PLUMBING
ECHANICAL $ - VALUATION OF MECHANICAL INSTALLATION
]GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED ;;;=FEI cuRRTvN Y I N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N �G.RREN�N�
Address License #�
PLUMBER COMPANY E u
SIGNATURE REGISTERF0 �;N FEE cuRRFN Y/ N
Address License 4
MECHANICAL COMPANY C
SIGNATURE REGISTERED � N � FEE cuRREN Y ! N
Address i License #
OTHER COMPANY
SIGNATURE d REGISTERED Y I N FEE Dossed Y/ N
Address License #.... r�
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (1 p) working days after submittal date. Required onsite, Construction' Plans, Stormwater 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 wl 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.
Directions.
Fill out application completely„
Owner & Contractor ,sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $7500)
Agent (for the contractor) or Power of 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 (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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive i
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 contracter(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/UTILITIESIMPACT/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 89-07iand 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 1, 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 cony of the above described
document and promise in good faith to deliver it to the "owner"prior to commencement;
CONTRACTOR'SIOWNER'S AFFIDAVIT: l 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 Treatments
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 W" 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 ofsuch 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 became 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
FLORiDA URA (F.`8. 99 3}'
OWNER OR AGENT' CONTRACTOR
Sub ur' d savor (o off r e of re men s scri d sworn o (or affirmed) b fore me this
by by
on i are n ily known to me or as/ij o produced W re e sa known
to me
r+ s/have prod
bed
as idenfi`fication. as identification.
Notary Public Notary Public
Commiss )a No, Commission No,7,
a
P" or stamped �
Nam of ry typed, printed orstamped ' Name , printed
"pva NA Notary peW State of Florida
Stephanie Mairrow oy Notiary Public of Florida
My Condourswon HH 133242 ��
%ear Expires412025 My r oamer i HH t 2
Y") Expires 0612412025
6/27/22 7:59 AM
Cornerstone Pros
Proposed by: Travis Browning
Eric Roman
4946 Land 9 Lakes Blvd
5030 9th Street
Land 0 Lakes, FL 34639
Zephyrhills, Fi 33542
Tel: 8139494445
Tel : 0000000000
travis.b@cornerstonepros.com
cornerstone pros
eu�atarzi�s�=�au�rassa�,�r .,..
BUDGET
ient
Your Investin,
594
.'with approved credit:
MODELS
Net investment after all
Goodman
Honeywell
available discounts
C PC1424H41E*
TH6210U2001
-T6 Pro
-Programmable Thermostat 2h11C 5-1-1
Financing etaiW
Min 1.32% minimum payment
9.99% APR Payment based
Can 120 Mo
SPECIAL INCLUSION&
Package Materials
Single Point Power Kit
10 year parts 1 year labor
12 Year Manufacturer All Parks
1 Year Cornerstone Labor
warranty * Crafternanship
Guarantee provide: that the
installation Yearn will respect the
homeowner's property, clear) up
the work area after installation and
do a final inspection systern at
start tip and will "Hurt county
code. * 24 Hour hespon w time
Service Guarantee 5 days a week
-See details below ' Apples to
apple Guarantee we well match
any competitor quote for
equivalent equipment, warranties
and guarantees, when provide with
a written estimate from a licensed
contractor * System Eligible for
Finance Plan 9.99% interest for
7,5 years.
5 KVV heater
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6/27/22, 7:59 AM Cornerstone Pros
INCLUDED SERVICES;
NEW FLOAT SWITCH AND SAFETY DEVICES INSTALLED PURGING & VACUUMING OF EXISTING REFRIGERANT
LINES (copper lines) & CHARGE NEW SYSTEM TO
CONNECT TO EXISTING ING SUPPLY AND RETURN URN PLENUMS MANUFACTURERS SPECIFICATIONS
& MAKE; AIR TIGHT PLENUM TRANSITION
* NEW NEW DIGITAL THERM STAF INSTALLED � CONNECT TO EXISTING ELECTRICAL CONNECTIONS
REMOVE EXISTING EQUIPMENT FROM PREMISES
FULL SYSTEM DIAGNOSIS & START-UP
CLEAN WORK AREA TO CUSTOMERS SATISFACTION
REGISTER WARRANTYWITHMANUFACTURER
FF )VIDE HOMEOWNER WETH ALLEQUIPMENT1ANl,ALS COUNTY PERMITTING AND IN aPECTION INCLUDED - MEET
ALL CODE REQUIREMENTS
* ' €N rRUCT Fi€ MEOy\1NER OF OPERATION OF NEW UNIT m NEW HURRICANE CONCRETE SLAB & HURRICANE TIE:
DOWNS
**24 HOUR RESPONSE TIME SERVICE GUARANTEE
APPLIES MONDAY FRIDAY 8-5 BUDGET SYSTEM AND 7
DAYS A WEEK 8-8 FOR GOOD, BETTER, BEST, (For the first
30 days the budget system will be eligible for after hours and
weekend warranty work) This guarantee for response time is to
return the customer's call for service within 24 hours of receipt of
the initial request and book at our next availability that company
has,
**24 HOUR RESPONSETIME SERVICE GUARANTEE APPLIES MONDAY-FRIDAY 5-5 BUDGET SYSTEM AND 7 DAYS A WEE '8, 8
FOR GOOD, BETTER, BE:,S"T". (For the first 30 days the budget systern will be eligible for after hours and weekend warranty work.) We
guarantee to return thecustomer's call for service within 24 hours of receipt of initial request and book at our next availability.
**CUSTOMERS EXISTING AC; DRAINLINES ARE WARRANTIED FOR FIRST 30 DAYS FROM DATE OF INSTALL.. FOR ANY DRAIN
LINE BACKUPS, NO COVERAGE APPLIES AFTER THE 30 DAYS;
ADDITIONAL OPTIONS ARE AVAILABLE FOR DRAIN LINES - CUSTOMER CAN UPGRADE WITH NEW DRAIN LINE. AND HAVE
ADDITIONAL WARRANTY IF DESIRED`FORi ADDITIONAL COST
"Any property zoned as or utilized as commercial will have 5 year parts warranty only front the Manufacturer`*
—Any property zoned as or utilized as commercial, will have 1 year harts warranty only from the Manufacturer FOR BRYANT Products —
TERMS & CONDITIONS OF AGREEMENT"
". Purchaser hereby accepts the equipment and service described above and, agrees to pay Cornerstone Pros the price shown above, The
customer agrees to pay a 50% deposit prior to the installation of equipment and the balance of 60% will be due in full on the date of
installation "completion of project installation" and be collected by installers on -site that day. Balancer due upon completion of
project/installation prior to installation crew leaving the location of the project and upon startup of system. Payment is clue in full and cannot
be held for any reason including but not limited to awaiting county Inspect€ons or subcontracted work corrections to be performed by
Gathers. "Completion of project installation" is when the world' install work performed by Cornerstone is completed,
2. All equipment and material are guaranteed by Cornerstone Pros to be as specified. All work will be completed in a workmanlike: manner
according to normally accepted practices.
3, Materials and work in'addition 'to that described herein will be furnished only on Purchaser's authorization and will be paid by Purchaser
as an extra charge,
4. Upon failure to pay any sums due hereunder, Purchaser agrees to pay Cornerstone Pros interest at the rate of one and one-half percent
(t'/,&) per month (annual rate of 18%) on all outstanding balances, Customer also agrees that it shall pay all expenses incurred by Seller
for the collection of any delinquent accounts including, but not limited to, actual attorney's fees, filing fees and cost and lien placed on the
subject property, Any and all disputes arising out of this sale shall be interpreted under the laws of the state in which the work was
performed. I agree to pay collection fees, reasonable attorney's fees and court cost in the event of legal action,
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6/27/22, 7:59 AM Cornerstone Pros
5. Cornerstone Pros shall not be liable for any default caused by events beyond its control, including but not limited to, fire, flood, strikes,
accidents, or delays affecting this work or other operations in which it is involved, directly or indirectly,
6, Purchaser shalt permit Cornerstone Pros reasonable access to the property on which equipment is to be installed, Title to all provided
equipment remains with Cornerstone Pros until all amounts due thereon are paid in full, whether such equipment is affixed to the realty or
riot, and shall remain personal property and be deemed sever -able without injury to the freehold, On any, payment default by Purchaser, or
If in Cornerstone Pros's judgment, reasonably exercised, its equity appears to be imperiled, then, Cornerstone Pros may without further
notice enter the premises and remove or resell the equipment, and Purchaser shall be liable for any deficiency or loss sustained by
Cornerstone Pros in connectiontherewith,
7, Once the equipment is connected at Purchaser's property, Purchaser assumes all risk of loss or damage to such equipment and shall
ensure the saute fully to protect all interests of Cornerstone Pros, cost of insurance to be paid by Purchaser. Cornerstone Pros carries
liability insurance and Worker's Compensation Insurance,
6. Cornerstone Pros provides a cane -year limited labor warranty, Equipment or system failure due to lack of proper maintenance service or
abuse is expressly excluded. Normal maintenance check-ups and filter replacements are the responsibility of Purchaser, All other
warranties, expressed or implied, are the responsibility of the manufacturer of the equipment, parts, or materials used in connection with the
services, If work is performed on the system by anyone other than a Cornerstone Technician (employee) the terrras of the extended labor
warranty provided by Cornerstone are null and void,
9, There are, no warranties, expressed or implied, for existing equipment, ductwork, drain lines, copper lines or hurnidity control issues. No
warranties for other materials not installed by Cornerstone Pros or not within the scrape of the work described on the contract heroin,
1 O" All warranty work will be performed during Cornerstone Pros's normal working hours, (&00AM to ta:OOPM, 7 days a week for Goan,
batter, and Best systems). For Budget systems all warranty work will be performed Monday through Friday 8:d0AM to 5:06PM.
11. Purchaser is responsible for all costs and reasonable attorney fees incurred by Cornerstone Pros in connection with any action or
proceeding (including arbitration and appeals) arising out of this agreement, including the collection of any outstanding amounts due,
whether or rash suit is filed,
12. Except as'provided sherein Cornerstone Pros makes no other representations or warranties, either express or implied, including, but not
limited to, any implied warranties of merchantability or fitness for a particular purpose Cornerstone Pros expressly disclaims all other
warranties, Cornerstone Pros's maximum liability hereunder shall consist of refunding all moneys paid to it by Purchaser hereunder subject
to removal and return to Cornerstone Pros of all equipment provided hereunder, Under no circumstances will Cornerstone Pros be Iiabie to
Purchaser or any other person for any damages, including, without limitation, any indirect, incidental, special, or consequential damages,
expenses, cost, profits, lost savings or earnings, lust or corrupted data, or other liability arising out of or rotated to this agreement, or the
services or equipment provided hereunder.
13, This a greernent shall be governed and construed solely according to the internal laws of the State of Florida, without reference to :any.
conflicts of haws,
14, This agr€ ernant is the complete and exclusive statement of the agreement between Purchaser and Cornerstone Pros and it Supersedes
all prior oral and written proposals and any prior or subsequent communications pertaining to the subject matter hereof.
15, 1, the consumer, Understand'the terms and conditions of the third party finance company that have selected to finance this project %sim
and understand that otiose the project is complete all payments for the project and payment issues will be directed to the third party finance
company that was selected by the consumer, Cornerstone assumes no responsibility with the finance contract that was signed by the
consumer with the third party finances company.
16, 1 the consumer, understand: he terms and conditions of the Renew Financials PACE program, including but not limited to the prograrn
description, how the program and payment terms work and what type of work and/or services qualify for the finance program, Cornerstone
Pros uses Renew Financial as a' recommendation to consumers if denied for traditional financing, if the consumer agrees to use
the renew Financial PACE program, they waive their right to the three day right of rescission, Cornerstone Pros is not responsible for any
misunderstanding of the program; and /or the program terms and has provided the consumer with all program details and Contact
information for Renew Financial. -fly signing below you, the consumer, agree to all statements above and waive the right to seek legal
action against Cornerstone Pros for any reason regarding the Renew Financial PACE Program
All warranty issues must be allowed to be inspected and approved by Cornerstone: Air, Plumbing and Electrical Inc; before any repair is
made or, warranty is voided, Warranty is riot transferable, Not liable for damaged caused by weather, normal maintenance items not
reviewed by whomever, manufacture defects, or Act of God. Cornerstone Pros is not liable for damages that may happen doing
installation/repairs or pre-existing damages to any cabinetry, countertops, tile, flooring, drywall, doors, door frames, molding, or any other
materials that are pre-existing in the home. Cornerstone Pros is not linable or responsible for any existing or future claims that may arise. for
Fungi or Bacteria as defined below due to water, humidity or moisture within a property that work ties been performed at by a Cornerstone
employee:
A. "bodily injury" or "property damage" which would not have occurred, in whole or in part, but for the actual, alleged or threatened
inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, any "fungi" or bacteria on or within ea building or structure,
including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to
such injury or damage,
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6/27122, 7:59 AM Cornerstone'Pros
8, Any loss, cost or expense arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying,
rleUtraliZinq, remediating or disposing of , or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any insured or by
any other person or entity,
"Fungi" is defined as "any type or form Of fungus, including mold or mildew and any rnycotoxins, spores, scents or byproducts produced, or
released by fUrIgi.
Cornerstone Pros proposes hereby to furnish and install the equipment and materials as described above on the terms and conditions
provided herein, This proposal is good for fifteen (15) days from the date hereof but may be accepted at any later date at the sole discretion
of Cornerstone Pros,
2 Ton Straight Coot Package Lennox, Goodman, Daikiri Date Created: 06-24-2022
Payment 01htions
Financing
Eric rom,,.-in
June 24, 2022
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