HomeMy WebLinkAbout23-5579City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 01/23/2023
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.
r f-% i v ra-ui t il
IIII! I IF 11 1111111 !111 111!
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.O.
CONTRACTOR SIGNATURE
WRAZZ I M-Mow-
PEfIT OFFICEV
2 z1*1 T, III :ril
813-780-0020 City Of Zephyrh"ills Permit Application Fax-813-780-0021
Building Department
Date Received
a a a � Phone Contact for Permittin _
Owners Name E_WARDNQRMAN BERNARD &BENT NICOLE LEA 71�
Owner Phone Number
Owner's Address 5206 20TH ST Owner Phone Number _
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5206 20TH STREET, ZEPHYRHILLS, FL 33542 LOT#
SUBDIVISION PARCELio# 12-26-21-0010-00100-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED 11 NEW CONSTR � ADDtALT ®� SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER REP ACEMENT
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK 150GAL ELECTRIC HYBRID WATER HEATER REPLACEMENT
BUILDING SIZE — = SO FOOTAGE HEIGHT
=BUILDING I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL �1 AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING $
1739
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS E=
FLOOD ZONE AREA =YES NO
BUILDER COMPANY _
SIGNATURE REGISTERED Y N FEE CURREN ((� 1
Address
LICeflSe
ELECTRICIAN COMPANY ! I
SIGNATURE REGISTERED L_ILN_j PEE CURREN I YIN J
Address
PLUMBER
SIGNATURE
a}uaaE-` COMPANY,ta`, iteUj" ',_a
a eoisTeRec Y f N rEe cU>zReN Y f N
Address �— License
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE �CURRENY I N
Address License #
OTHER COMPANY
SIGNATURE III ReolsrsRED I_Y I N FEE CURREN Y I N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forces; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Starmwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsftarge 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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, a Notice of Commencement is required. (A/C 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
813-78G-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
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILMES: If the owner has hired a contractor or contractors to undertake work, they
If the contractor is not licensed as required by law, both the owner and
may be required to be licensed in accordance with state and local regulationa
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 property licensed and is
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPACTIUTILITIES 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
number 89-07 and 90-07, as amended. The undersigned also understands. that
expansion of existing buildings,
as specified in Pasco County Ordinance nurn sportation Impact Fees and Resource Recovery
such fees, as may be due, will be identified at the time of permitting. it is further understood that Tran
Fees must be paid poor 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 poor to permit issuance. Furthermore. I Pasco County WaterlSewer 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 Dboepartment of
Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the ave 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
I
all applicable laws regulating construction, zoning and land development. Application a 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,
to
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the pennitting conditions set forth in this affidavit prior pools air conditioning, gas, or
commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells,
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 ptechnical codes, nor shall issuance of a permit prevent the Building official from
provisions of the techn 1 unless the work
thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid on a
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
.— --,no kinvir*= ing: rnUMFNrFMENT. -
T (F
MINNIN-AM
Who istlareperso 11 known tomeornastnavepi—u—
identification.
Notary Public
Commission No. (94 cc? I q-T 8a 2-
Name of Notary typed, printed or stamped
"Ay ptil Notary Public State of Florida
Mariana ivanova-Koprheva
My Commission GG 970982
Expires 0312312024
u��5d $w I (or adirm%) �D;Ore FT �1111 '
Who is/are "o— byor hasihave produced
22��� as identification.
Notary Public
Commission No CJ
Name of Notary typed, printed or stamped
Home Improvement Agreement Page
k. FA,1 U
4. Description of Work to be Performed
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work or
Specification which is included in this Agreement.
5. Anticipated Delivery Date l Installation Schedule
Approximate Start Date: v14/2o23 Approximate Finish Date: /14/2023All dates are approximate and
subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
confirming insurance coverage of Your claim for any repair, if applicable.
6, Electronic Records Authorization
You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications 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 providing your consent and verifying your email address
above, you confirm that you have access to a computer that can receive and open emails and PDF documents.
7. Contract Price and Payment Schedule
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: $ $1,739.00 Includes all applicable taxes. Excludes finance charges.*
�. �_.___, pp g
Sales Tax: $ so.00 � (If applicable, total amount of taxes included in Contract Price)
*'Wil-Vi uu deposit .yT , Ytq)[Vicable in 11 , .114, ME (3 y< , tt'7 (99"0)
Deposit % Deposit Amount $ Remaining Balance $ $1 7 39, 00
8. Finance Charges
Any interest payments or other finance charges will be determined by Customer's separate cardholder or 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 or 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.
9. Acceptance and Authorization
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; (iii) 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.
1l14l2023
x
Customer's Signature Date
X = /s/ The Home Depot 1/14/2023 _�]
The Home Depot Digital Signature Date
For questions related to your installation, contact Service Provider at
For any other concerns, contact The Home Depot at I-800-466-3337
888-536-9181
The Flome Depot- 24.5.5 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
268 Water Heater (21 Jn1.21)(C) Generated Date Lead/PO�t
v 64.0.0
The new degree of comfort'
PERFORMANCEO electric water heaters
feature dual copper heating elements
and a six -year warranty
Efficiency
N.92 93 UEF
0 Isolated tank design reduces
conductive heat loss
N Dual 380OW or 450OW copper
heating elements depending on unit
Performance
0 FHR: 33 - 61 gallons, based on
gallon capacity
0 Recovery: Up to 21 GPH at a
9W F rise, depending on model**
Longer Life
M Premium grade anode rod provides
long-lasting tank protection
Features
M Electric junction box located above
heating elements for easy installation
10 Over -temperature protector cuts
off power in excess temperature
situations
Plus..
0 Temperature and pressure relief valve
included
N Low lead compliant
Warranty
N 6-Year limited warranty for tank
and parts, 1 -year full in -home labor
warranty'
*See written warranty for complete details
Units meet or exceed ANSI requirements and have
been tested according to D.O.E. procedures. Units
meet or exceed the energy efficiency requirements
of NAECA. ASIARAE standard 90. ICC Code and all
state energy efficiency performance criteria.
PERFORMANCE
20 to 50-Gallon Capacities
240 Volt AC/Single Phase
Double and Single Element Models
• 1.
1W17 FORM NO. THD-PE06 N R 4
tt
The new degree of comfort'
PERFORMANCE'
Electric Specifications
Nominal
Rated
Racouery
First Hour
Tank
Haight to
Ship
thtitarm
Galton
Galion
hloda}
in GZ,
Hating
Height
Water Conn.
Dhimeter
Weight
Energy factor
Fuel Type
Description i
Capacity
Capacity
Numher
9D° f Aise
G.P.H.
A
B
C
(CBS)
(UEf}
�...
lectrtc ;`
Tall
50
45
XESOT06ST45U1
21
61
58-7/8
61-5/8
20-1/4
121
0.93
„lectfr�
Medium
50
45
XE50M06ST45U1
21
48
50.1/2
23
132
0.93
Elebtric
Short
47
43
XE47SB06ST45U0'
21
_61
54
32
34
26-1/4
169
0.93
Electric
Tall
40
36
XE40T06ST45U1
21
C 54
60-3/4
63-5/8
19-1/4
109
0,93
Medium
40
36
XE40106ST45U1
21
53
48-114
( 50-1/2
20-1/4
106
0.93
Medium
40
36
XE40M06ST38U1
17
52
48-1/4
1 50-112
20-1/4
106
0.92
,,Electric
Short
38
35
XE38SWST451-1'
21
51
31-1/2
32-578
23
108
0.93
Xtecift
Short
..--—
38
-
35
—
XE38S06ST38U1*
I--
17
48
311/2
32-5/8
--
23
108
- -
0,92
-------
eu`tfl
Short
36
33
XE36S06ST45U0
21
46
311r2
33
24-1/4
118
0.92
'Electric
Short
36
33
XE36SO6ST38UO
17
j 34
31-1/2
33
24-1l4
118
0.92
Electric.
Tall
30
27
XE30T06ST45U1
21
46
47-1/2
50-3/8
19-1/4
92
0,92
`-Ftac`lC '
Tall
30
27
XE30106ST38111
17
36
47-112
50-3/8
19-1/4
92
0,92
7.EleGtriC
Medium
30
27
l XE30M06ST45U1
21
45
37-1/2
40-1/2
20-1/4
92
0,92
.t .*ctlio
Short
30
27
XE30SO6ST45Ul'
21
46
30
32
19-3/4 ;
95
0.92
EIeCh'iG 1`
Short
30
27
XE30SO6ST38Ul*
17
33
30
32
19-3/4
95
0,92
.Elec}ne
Short
28
l 25
XE28S06ST45U0
21
45
30
31-1I8
23
95
0.92 -
,: "Elowc .; ,
Short
28
25
XE28S06ST38U0 1
17
4
30
1 31-1/8
23
95
0.92
"Malu�
Shori
20
N/A
XE20S06ST38U0
17
N/A—
31_t/2
31-1,2
17
62
N/A
" Water heater dimensions prior cr installing insulation blanket that Is included with water theater The blanket adds 1-1i2 inches to tank height
and 2 Inches to tank diameter, except on model XE47 SC6T45UO the blanket adds 5 Inches to tank diameter. B
Uniform Energy Factor and rated gallon capacity based on Department of Energy (-DOE) requirements.
• Heaters furnished with standard 240 volt AC, single phase non -simultaneous Winne and 4500 watt upper and lower heating elements-
• All models equipped with heat traps -
HOT
Recover, = wattagel242 x temp. rise -F I "Recovery = wattage/242 x temp. rise `F WATER COLD
Example: 45C0W = 21 aPH I Example: 38CCW = CONNECTION
.7 GPH WATER
242 x 90° . RELIEF VALVE CO
242 x 90` NNECTION
L-----—---- ----1 CONNECTION ANODE
"Recovery calculations used are based on 4500 watt elements used in non -simultaneous operation. ROD
DIA ETER
1
AO
B
WATER CONNECTIONS ALL 3/4" N.P.T.
n keeping with its policy of continuous progress and product improvement, Rheem reserves the right to make changes without notice.
Rheem Water Heating • 1115 Northmeadow Parkway, Suite 100
Roswell, Georgia 30076 • www.rheem.com
10/17 FORM NO. THD-PE06 N Rev. 4
a�
Home Improvement Agreement: Page I
Home Depot License Ws -For the most current listing visit��.I,lonn depoi.� on Liccrtse Nwnbers_
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,N,I,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.
1. Service Provider Contact Information
Florida Delta Mechanical, INE.wreNW
Service Provider Contact Name
888-536-9181 csr@deltamechanical.com
Phone # Service Provider Email Address
2. Customer Information
dNorman
Norman UVar� Nan Ward �
�_ a
Customer Last Name Customer First Name
FLORIDA DELTA MECHAMCAL, INC
Service Provider Company Name
EFE1425 1
Service Provider License #(s)�
8929 1 1 1-163411940382
Store # / Branch Name Customer Lead/ PO#
5206 20th Street � ephyrhill�_��-�__ F� �33542
Customer Address City State Zip
(813) 714-8936 1 1 NA@NA.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
3. NOTICE OF RIGHT
FiT.
i.MVJ on
• I MIN
csr@deltamechanical.com
i
IMPM M Mi
Acknowledged by:
111412023
Customer's Signature Date
The Home Depot- 2455 paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30334- Customer Care: 1-800-466-3337
268 Water Heater (16 Nov. 20) (C) Generated Date Lead/PO
v 60.Q 0