HomeMy WebLinkAbout23-5580City r► Zephyrhills
5335 • Street
.• FL 33542
Phone: (813) 780-0020
Fax: *• 780-0021
.....................
BAR- 0-2023
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 • this permit, there may •, 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 •r. .•. •.
11 " hVice f v ra--uill vnijr navu iw
ATM."A
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
PEfff 6FTICEIJ
B13..7E041102G City of Zephyrinift, €Perm., ppfim on Fax-tOC, 78G,0021
Est€���� ,at�c:crrs
Date 12eee3vard _ gpuna Cont&ct for ictmittlttg� )
Owner's Name ame LHtiGiND LINDA SUEOwner Phone Nuraba. ' %
0,wre1'sAdd,eec,1375 L REN AVE
Fee Simple Titleholder Name __...._�... � _ far lei se ,lofnbe,
Fee SirnfaaeTitleholder Address
JOB ADDRESS [3�51:47�L �PWW��Zl
LOT:
SUBDIVISiON PARCEL f u:4? - {t719-FhG£Rtz:i9 FR"�u" , �&ifk(.`.-ff120€ —_
TAX? *TrCLi��
WORK PROPOSED r`� _,t. , �:_'N�lACI iA-T F" 1 5„ N, �.� � DEMOLISHINSTALL � REPAIR �
PROPOSED USE SFR Comm OTHER
TYPE OF CONSTRUCTION BLOCK L_._! FRAME STEEL
DESCelPTION OF WORK 44�i�t G %i T ER HEATER REPLACEMENT
BUILDING 501E a. � ,a0 Fo-,xTAGE F§EttsH+' t
cxU -W $.W-XIEWVgEkX i€ - -- a..-E--;--'-- - ecam:-€-�.-X-Lx,:
�` HtrRLDtPdG VALUATION OF TOTAL CONSTRSC!!OtN
=FLECfRiCALi
�• � Fkiu�3"rTSERktC;L L<� i'RiTUR°LS,FNe`:€tir L'ilA.€.{:[I]PLUMBING U
3
t+tE.,-L4,NiCR1 i�m - VALUATION OF NIECHAP ICAL INS TALL ATION
=GAS j ROOFING SPECIALTY C.J.i O'lHER
P NISHED FLOOR ELFVATIONS �.� __._ FLOOD ZONE AR'FA =YE'w NO
BUILDER � 1OMIPRNY
SIGNATURE � � e �z'Y
Address
.. _ License �.�... .��
ELECl1 [CiAN COMPANY i
SIGNATURE _ RED STE`RED Y r 3 �- �G ca
Address �
Ucense 4
t _—
PLUMBER +, {� �MPANY { g t
4 LdATtiRE _ �cis ncr S _N 7 FFF OtRrEN t L_ Y ha
AddressL L'C�xf?S8."� �
isEcHAi+.=Ee.AL COMP€�--�-
Bi{"xNTURE ____..j
OTHER COMPANY
3f%aNATIlftE � Y, N� Fsa euaFr tv Y I iV
�ca,sTsas= r
Address Lconse#
RESSBEkMAL AdslM (2) faith Plan;; (2) edit, of Building Place (1) set of r--kwgv z cerms: ,_Ck-W Per mit kx re4� :s tin
�7o3f$ "an let' 001, vs" d S°° Otte, sub aihal fie_ Raq ir-i e i-cm-sAu?1ic:an PI s, Stria 1-1 - £'Gass. "I Silt Fell— t.-ImIiea.
Sanitary Pablities a ; dsnncrater; Spa ."aOzt Fart€xif `¢r scA,dr,^.zia� sl4 g L,rap
COMMERCIAL. Attach (2) complete sets of Caaiding € Ians plus a Lcfe• afe4y Page; it) eat of Exec ,rags Foncs. R-f"'-lU FemniB for new am-ei nccticw1.
MIn@ La;, ter I10) vaNI(ing days aftsr Gubm;itat d ,e. Required ona;{e.. Cons':nic.ron Plans, 'Stcr'ratter Plans wl Sill Fend
Sanitary Facifi ies & I dumps€er. Site',Notk' Pe tntf for all ,law projects, All commemal nequirsmenfs must meet cmipliance
SIGN PFRMIT Attach (2) sets of Engineered Plans.
-PROPERTY SURVEY ? red for altl NEW constru tiar,_
DI P¢GQ50lt5:
Fill out application compietety.
Diener & Contractor Sign Dark cArIpaiscasan, Marted
If aver WOO, a Mott' e Of Q51myenTequJUied, (ems upgrades crew $75M)
"" Agent (for thfk centn3,".#a) or Ps5w #' ik; Alto row floc the �s? '�^ ?� .xtec�r:�- ix:fh F¢s',u --i € ati f.0 , auth-Fe' 1 s: ,a
OVER 1HE CQVNTERr—afts91j-nNQ {..Fy of GCitfl-5Gi iEt�uir-8d)
Reroots 9 Shingles Suers Servic-e L�p;rades AtC Fens dlitot/Eui ey/Footag3}
Ddveaeays-Not Ovrir Coulter if on pubtic roadwsp-needs ROW
813-780-0020 City of Zephyphills Pennit Application Fax-tinc-780,00,21
Building Depeoment
NOTICE OF DEED RESTRICTIONS:11he undersigned understands that tilts parrot May use subject to "dead' reside bcars' which may be more restrictive
than County regulations, The underspined --5uffdaS resiparsdillity for complience Win any applicable deed restnetions-
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSOUTIE& If the ociner has hired a coninAor Or confuslaorstaundediske work, they
may be required to be licensed in accordance with state and local regulaturns. If the conitactar is not licensed as required by law, both the owner and
contractor may be cited for a misdertmanx violation under state taw. It the comer or intended careractm are unoedarn as toahlot irocn.siig requirement,
inay apply R, the miended ek, they are advised To coetact the ps.3co County Ruirdrnq raoristor—Licansfiraj Sodion, at 7%7 1_'_ OU00.
portions of the "contractor Biock" of this
application for eAsch they will be iaspgrndiskr- if you, as the coiner sign as the contractor, that may be an indication that he is not property licenve'd and is
not emitted to permitting privitisfas in Isaaco, County,
TRANSPORTATION INPACTfUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply IQ the construction Of nev, buildlit,91, cnenge of use in existing buildings, or
expansion Of existing buildings, as specified in Pasco County Ordinance, nurnber 8q-07 and 90-07, as ivnended- The undersigned also untieudands. that
such tees, as may he due, will do Identified at the hum of peaufifing, it is further undecdood fed Transportation mrsisot Fees and Resource Recovery
Fees must be paid prior to socilstrig a Iciatific-airt of occupancy" or final power release if Hie project, does not inwive a ceoificate of occutrancy or final
power Ismise, tire fees must be paid pOcw to permit Issuance. Furthermont, if Pase-,o Corinty Vyater,'Sewer Impact fees are due, they must bp paid firror
to Permit leakpince in abCautepoe VALI applicalse Pasco covely qndnarrres.
CONSTRUC-11ON LIEN' LAW (Chapter 7 43, Fleanda Statutes, as antrendedy if valuation oaf truck is 12,500ci) or incre, t cerfify met 1, the appricant,
have been Pfretood with a copy of the "Flop da Construction Lien Protection Guide' Prepared by the Florida Dertartment of
Agriculture and if the appismitt is oorreand, Other than I certify fiat t iswis uIltairsyl a copy (Al In,, Musa cidlarstlaeo
dot crere aud p—nice io good fids, I. doirveg it L, kn, ,,scr pc a do
lot to coo met ZovaM
CONTRACTOR'SlOWNFR'SAFFIDAVIT,I cvruffy that ail the intormation In this application
all ppil—bl. I—rs iefirilating construction, zoning and lead developmort.Aprilication is hereby arabe IQ obtain a Permil to do rizoly and installation as
indicated.! certify that no orark armstallation has commenced prior to issuance of a permit and that all workeA be pedernled is meet standards of avi
laws regulating construction, County and City codes, zoating reOulaisms, and land development regulations fax the juriediction- I also Codify that I
understand that the regfulations of other govemcnerd agencies r7ray apply to she intoodedW10m, Slid that it is my responsibility to idenlrbi what actions I
must take to be in cornplcince. gush agairdye Include hot ate, not firnseato:
Department of Environmental, Prolection-Cypress Brapeads,Vitleitand Areas and Envircrunentaliy Sensitive
Lands. Water t'liVaste%aAter Treatment,
Southwest Florida �alratef Martagerneint DistftltWells, Cyffess Beyheieds, �Nidlatnd areas, Altering
watercourses.
Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
Department of Health & Rehabilitative Servicesig-rivingnmental Health Und.-Wells, Wastewater Treatment,
Septic Tanks,
US Eim0nonmental Protection Agericy-Asibestob abatement,
Federal Aviation Authicrits-Runty arys-
I understand that thefiovAuri—tuctislus alarb, to tire use of fill.
Use of fill is Pat allowed In Flood Zen-- `Y' unless exlefessly permitted,
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
Compensating volume" brill be submitted at time of permitting vyhich is prepared by a professional engineer
licensed by the State of Flohda.
If the fill material is to be used in Flood Zone Win connection onth a permitted building using stern wall
construction, I certify that fill vidit be used only to fill the area virdhin the stem waH_
If flit material is to be used in any area, I wrtify that use of Such fill' vielt not adve,,eery affect adjacent
properties_ If use at fill is found to adversely affect adjacent properties, the awnter may be cited for vio4afing
the condition, of the buildinq , permit issued under the attached permit appficattn, for lots less than one (I)
acre which are elevated by fill, an engineered drainage plan is required.
It I am the AGENT FOR THE OWNER, I pronuse in good faith to imbnn the owner of the per skiing rxvndittans set foroi in this fficavit prior to
commencing construction. I under-Mand that i tapaogo Pe mil may be requit, ,ad for olectocal tvwk. plumbing, signs, wails, posis, air Qonstronjug. Was, or
other installabonsnot specifically included in the applicadon- A bound issued shall he coristnust to des Bourse to proceed with, the wait( and not as
authority to violate, cannot, arter, Or set aside arty Provision$ afthe technical mates, nor shalt issuartto of a permit present the Bailding Of tram
thereafter requiring a coruccolon, Is eussin plant, construction 0, mobtfiong of any cories. Every partrit issued shay became invalid unless the wont
aerthonziel by such peach is onareduced with at six nforiths, a pormit Issuance, Or if istoldr, augurinzed by the pencit is suspeaded Of asia-inarreed rM 4
period of six (6) months after me fieve the work, is cornmerpred- Aim extension my be fecue ,liare sled pand
exceed ninety ISO) days arm wil dencran'stratte ms-effatita, f"), the ieftrixion. K work ceases fat virtety, (90) coresavative dwat, the fob is considered
abandoned.
WARNING TO OWN - YOUR FAILURE TO RECORD A NOTICE OF, MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F I ROVE M TS TO) OUR PROPERTY. IF YO IN ND TO TAIN FINANGIN,CONS ULT
FLORIDA JURAT (F.S. I Qsi
7
\i /- , 3 'A I I C I
OWNER OR AGENT _�Ir wl� i
uDscaoeo anct sorn to (oraunrood, befts'd site was d I Supetare9d and evsra to (or airmnec)'llieforitIme, WL,
r
pf7,// 2Z'b d
y �°2*—c-beLL"
k vo�iu Were u, the or Oasaave Produces
as ldenitoion- 1dIcon,
Notary Public
Commission No. Cemlnlirtlml No.
ga�,_,e of N,of v Iss_d veu xc7,_,oa—' , d - & __y Wit. PI'v-d o; --poll
EMILYKMEDINA
MY COMMISSION # HH 2772`13
EXPIRES: June 16, 2026
9EME1WILY R MEDINA
MYCOMMISSION#41277213
EXPIRES: jur* 16, 2020
Home Improvement Agreement: Page 1
k 211
Home Depot License #'s - For the most current listing visit xvv x0lornedepo orn 1 icenseNunib r•s
IN 1 ! i
Hanlet L.
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,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, INC. _ FLORIDA DELTA MEC ANICAL, INC.
Service Provider Contact Name Service Provider Company Name
888-536-9181 csr@deltamechanical com CFC1425917
Phone # Service Provider Email Address Service Provider License #(s)
2. Customer Information
Linda Hoagland Linda Hoagland 8929 1 1 163508168611
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO#
37545 Lorena Avenue Zephyrhllls FL 33541
Customer Address City State Zip
(727) 678-1763 na@na.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
3. NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING
THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT:
csr@ deltamechanical.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
Address City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
• •' 1 1 ! 'i i, 1 1 •
RAI W0121 PA3171 CH I I 130•i 1 1MIN
�
Fusto�mer's
1/19/2023 .�
ignature Date
The Home Depot - 2455 Paces Ferry Road, NAV. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
268 Water Heater (16 Nov. 20) (C) Generated Date Lead/POP,'
v 60.0.0
r7l
Home Improvement Agreement Page 2
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 I Installation Schedule'
Approximate Start Date: [/19/2023 ] Approximate Finish Date: Irl/19/2023 All 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: $ �Z,saa 00 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ so.00 (If applicable, total amount of taxes included in Contract Price)
I m i r deposit 0y' ,I,applicable in MD, JL1, ME ":;>3,. ), Y,11, 111 "0
Deposit % Deposit Amount $ [7777�— Remaining Balance $ $o
---------
. 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 �erson listed as "Customer" above; and (iv) Electronic signatures will be deemed originals for all purposes.
1/19T 10
Customer's Signature Date
X F-/s/ The Home Depot 1/19/2023
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 1-800-466-3337
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
268 Water Heater (21 Jul- 2I) (C) Generated Date Lead/Po" v 64.0.0
The., .ewdeq gree of omfort'
PERFORMANCEO electric water heaters
feature dual copper heating elements
and a six -year warranty
Efficiency
10.90 - .93 UEF
11 Isolated tank design reduces
conductive heat loss
6 Dual 380OW or 450OW copper
heating elements depending on unit
Performance
11 FHR: 33 - 61 gallons, based on
gallon capacity
0 Recovery: Up to 21 SPH at a
90' F rise, depending on models
Longer Life
Premium grade anode rod provides
long-lasting tank protection
Features
0 Electric junction box located above
heating elements for easy installation
Over -temperature protector cuts
off power in excess temperature
situations
Plus...
0 Temperature and pressure relief valve
included
IN Models are compliant to HUD
Standards for manufactured housing
and modular construction
FA Low lead compliant
Warranty
8 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 NAEGA. ASHRAE 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
See specifications chart on back.
10/21 FORM NO. THD-PE06 N Rev, 7
Nominal
Rated
Recovery Fast Hour Tank
Height to
Ship
uniform
Galion
Gathm
Model
in G,t!N. bating Height
Water Cone
Diametar
Weight
Energy Factor
Fuel Type
Description
Capacity
Capacity
Number
90' F Rise (Gallons} A
8
S.}
(1111
.iBCor'
Tall
50
45
XESOT06ST45U1
21 61 58-7/8
61-5/8
20-1/4
121
0,93
Electric
Medium
50
45
XE50M06ST45U1
21 61 48
j 50-1/2
23
1 132
0,93
Electric
Short
47
43
XE47S06ST45U1
21 54 32
34
26-114
148
0,93
Electric
Tall
40
36
XE40T06ST45U1
21 54 60-3/4
63-5/8
19-1/4
109
0.93
Medium
40
36
XE40M06ST45U1
21 53 ! 48-1/4
50-1/2
20-1/4
106
0.93
,toctrit
,� 1@CtfiG
Medium
40
36
XE40M06ST38U1
17 52 48-114
50-1/2
20-1/4
106
0,93
.: ,EleCiti&
Short
38
35
XE38S06ST45Ul-
21 i 51 31-1/2
34
23
108
0,92
''.Eae�irjC
Short
38
35
XE38SO6ST38U1`
17 49 31-1/2
34
23
108
0,91
'Electric
Short
36
33
XE36SO6ST45UO
21 46 31-1/2
33
24-1/4
—
118
0,92
tBCtrie
Short
36
33
XE36S06ST38U0
17 34 31-1/2
33
24-1/4
118
0-92
EtrectriC
Tall
30
27
XE30106ST45U1
21 46 47-1/2
50-3/8
19
92
0,92
iaeetric
Tall
30
27
XE30T06ST38U1
17 36 47-1/2
50-3/8
19
92
0.92
fr10,
Medium
30
27
XE30MMST45U1
21 45 37-1/2
40-1/2
20-1/4
92
DaD
fi0
Short
30
27
XE30S06ST45U1"
21 46 30
32
19-3/4
110
D.92
.G`ttic
Short
30
27
XE30SO6S738Ui'*
17 33 ! 30
32
19-3/4
110
0.92
,,,'=Eiecit[6
Short
28
25
XE28SO6ST45UO
21 45 30
31-1/8
23
95
0,92
ENctrtC
Short
28
( 25
XE28SO6ST38UO
17 45 i 30
31-1/8
23
95
0,92
Electric
Short
20
WA
XE20SO6ST38UO
17 N/A 31-1/2
31-1/2
17
62
N/A
'Insulation blanket(si required to achieve UEF value. Water heater dimensions prior to installing insu[ation blankeds). Blankets) will be included with
all
water heater. The banket(s) add 2 Inches to the tank height and 4lnches to tank diameter
Insulation blanket(s) required to achieve UEF value. Water heater dimensions prior to installing insulation blanket(s) - Blankets) will be included
with water heater, The hlanket(s) add 2-1/2 'inches to the tank height and 10 inches to tank diameter,
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 wiring, and 4500 watt upper and lower heating elements.
NOT
• Ali models equipped with heat traps.
WATER
COLD
CONNECTION WATER
�tRecovery=wattage/242 x temp. rise °E
t
'Recovery wattage/2.42 x temp. rise °E.
RELIEF VALVE � CONNECTION
Example: 450OW = 21 GPH
Example: 380OW =17 GPH
CONNECTION ANODE
2.42 x 90'
_
2.42 x 90'
ROD
`Recovery
G
DIAMETER
calculations used are based on 4500 watt elements used in non -simultaneous operation.
A
o
B
WATER CONNECTIONS ALL 3/4" N.P.T.
to keeping with its policy of continuous progress and product improvementt Rheem reserves the right to make changes without notice.
L —
Rheem Water Heating • 1115 Northmeadow Parkway, Suite 100
Roswell, Georgia 30076 > www.rheem.com
10/21 FORM NO, THD-PE06 N Rev. 7