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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