HomeMy WebLinkAbout23-55995335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021 1
g
BGR-005599-2023
Issue Date: 01/2712023
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.
lI 1111 1111711117'' 111 11711711 111111 � I I
Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed Ir
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
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PEfIT OFFICEU
ITHOUT APPROVED INSPECTION
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a13-7.lit 20 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact fo nj
Fee Simple Titleholder Address
JJ P
LOT III
JOB ADDRESS 'W)W
SUBDIVISION PARCEL
'afa op
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT
ISH
SIGN DEMOLISH
INSTALL REPAIR
PROPOSEDUSE EZ SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK >
STEEL
DESCRIPTION OF WORK ge. W"11111111jr? 11`111" i
vw lie 11
HEIGHT
BUILDING SIZE SO FOOTAGE
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R,E.C.
E015"LUMBING 1$ C -4,-
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING a SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS ---------- FLOOD ZONE AREA =YES NO
BUILDER COMPANY E
SIGNATURE REGISTERED ;Y;/N� �FEEGURRENY�/N��
Address License #
ELECTRICIAN COMPANY E;;� FEE U�RREN���
SIGNATURE REGISTERED
Address License#
PLUMBER COMPANY
R [4�ffFEE CURRE.
SIGNATU E REGISTERED
Address,License #
MECHANICAL COMPANY E:;�I�FE..RREN�N�
SIGNATURE REGISTERED
Address License #
OTHER COMPANY E
SIGNATURE REGISTERED ;;Y1 ;N� FEE CGR.REN Y �/N
Address License 9
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RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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 Facilitios & 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 w/ Silt Fence installed,
Sanitary Facilities & I dumpster. Site Work Permit for all now projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Fill out application completely.
Owner & Contractor sign back of application, notarized
if over $2500, 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)
RerQofs if shingles Sewers Service Upgrades A/C Fences (PloUSurvey/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
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- 8000.
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 properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/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 89-07 and 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 pennn 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 copy of the above described
document and promise in good faith to deliver it to the "owner" prior to commencement.
CONTRACTORWOWNER'S AFFIDAVIT: I 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, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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 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 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.
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 become 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 JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Su b d swor r mn d I r me is Sgrvowd sworn oraffir ad eforemethis
by by
Whop oval k a to me or has/have produced Who is/are a ly to me o as/have produced
as identification. as I entification.
Notary Public Notary Public
Commis on No. Commission No.
)TNotary typed, printed Wor stamped Name of Notary typed, printed or stamped
5W Pig Notary Public State of Florida
"If Stpharae Morrow Notary PublicStalla of Florida
14%� Stephanie Morrow
My Commission HH 133242 My Commission HH 133242
" 0 � lld.� �
Expires 05/2412025 Yj Expires 05/24/2025
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4946 Land 0 Lakes Boulevard
Land 0 Lakes, FL 34639
813,949 4445
813,929,8088
CFC1428982 (AC1816647,EC0001103
1/27/2023
City of Zephyrhills Building Department
Attention: Permitting Dept
Bernard Mierzwa
5412 2Oth Street
Zephyrhills, FL 33542
2 bathroom whole home repipe
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BILL TO
AnneNierzwa
541ounhStreet
zephvrhiUo.FL33s42USA
JOB ADDRESS
Anne Mierzwa
5412 20th Street
Zenhyrhi||s.FL3os*2USA
��Land �Lakes Blvd.
Land �Lakes, FL3463
81u-n4e-4445'352-75+1440.Toll Free 1-866-949-4445
Licensed, Bonded, insured
#CAC1816647.#CFC1428982.&#EC13011923
DESCRIPTION OF WORK
mcppetwo bathroom home vncrawl space would require all new water lines throughout the home new shut off valves at
the fixtures. New single handle shower valves inboth bathrooms, Vptoahose bibs onthe outside and anew hose bib
installed for the RV. 20yr manufacturer's warranty on the piping and a lyr warranty on the labor.
TASK DESCRIPTION
QTv PRICE TOTAL
RAISED HOME RAISED HOME -P[XPIPING SYSTEM WHOLE HOME kEP{PE2BATH: 1D0 $6,735.33 $6,735.33
-msp|ps2 psXissemi-flexhle.which allows for long, continuous runs through
BATH joists and studs. Long runs reduce the need for tees, elbows and other
fittings where leaks may occur. pExexpands and contracts with
temperature changes and isresistant tvbursting incold weather and
sweating inwarm, humid weather.
ATTIC -PExPIPING SYSTEM WHOLE HOME xspPs2
eAT+xmTc*sw/uvuwomY
Starting from where the water enters the home wewill install new
shut off valve atthe home
Running water lines through attic and insulating
Dropping down walls torun tofixtures, interior orexterior asneeded
Accessing plumbing through drywall, will install access panels where
feasible
Installing all new angle stops and braided supply lines toall fixtures
New washing machine valves, box, and braided supply lines
New shut off valve for water heater
Replacement ufvpto3existing hose bibs. Location may slightly
change according toaccessibility
Replace upto2existing tub/shower valves with anew chrome finish
Replacement ofuptooexisting hose bibs. Location may slightly
change according toaccessibility
Replace unm2existing tub/shower valves with anew chrome finish
remodel trim kit.
*This estimate isvalid for 15days
By agreeing to this estimate customer agrees mthe following terms in
addition to agreed conditions vnseparate page:
Permits - County permits will herequired for all opipcsand
homeowner understands that they must complete and
allow county tocomplete inspection.
- Change Orders may bcrequired from time totime during the term qf
this
agreement, however any change prmodification will brprovided ln
writing with
the additional cost toclient before the changes are made. Client may
be
responsible for additional charges ifany unforeseen conditions are
found after
start ufthe initial contract. All work orders will need tobcaccepted bv
client before any additional work *rpricing i,added tnclients original
contract.
-EstimatcddmeonpnVectisanestimatcandinnowayguarantces
that
Cornerstone Pros will complete the rnpiveproject inthe time
indicated above.
This isaestimation oftime needed unproject. Aswith any large
project, unknown delays oracts of
nature can extend the time ofthe project, cumc,otvnn Pros will du
our best tp
complete the project inthe time specified.
- Property Access - cvme,,mne Pros will be scheduling your project
on the
date indicated and will bebooking eninstallation crew for the days
indicated
and therefore homeowner must provide access tothe property to
avoid any additional charges
from occurring, |fhomeowner does not allow crews nns|tefor a
minimum ofR
hours aday, homeowner can accrue additional fees of$con.0oper
day.
- Install Crew - Cornerstone atits discretion will send installation
crews
that are available tocomplete project and innoway guarantees that
the crews
will bcnnsite for the length vfthe project. Crews unsitewill vary
based on
company volume.
- Warranty- zoyear manufacturer warranty nnpipe and fittings. z
vear|abor
warranty from Cornerstone. All warranty work tobrperformed
during normal
business hours Monday -Friday 8-Sunless otherwise stated unthe
front vfthis
proposal. Warranties are subject toservice fee (and
fee)
after the time specified vnthe front ofthis proposal.
' Line temperatures -n|,common tmhave warmer water uutv,vov,
cold lines
inthe summer time during the day. This occurs when apipe sits ina
hot attic
for several hours. insulating can slow down the heat gain vfthe pipe
but it
will not cool the pipe inany form. Some attics are better vented than
others
making itless likely for this toever beanissue.
-cmnerstone will dothe best wecan mleave aclean work space but
this isemajor construction process and wcare not responsible for
any final clean ups e/walls, floors, cabinetry, and more during o,after
the work |scompleted.
-chaee/extehp,woterUms
'nmay benecessary tnrun achase nnexterior walls orexposed
areas inorder for full completion nfthe work tohccompleted. This
will hedetermined atthe discretion ofthe installation crew atthe
home onthe best route for the new plumbing.
- Existing copper risers at showers will not be replaced with repipe.
EXCLUDES:
-New Fixtures (unles noted otherwise)
-Drywall repairs o,access repairs where necessary
- Landscaping repairs such assod, pavers, and more.
-Tile repairs/installation
-concreeUnbhwmk,we will rough patch concrete at completion
only
W11311MEW
TIME0111M
1/25/2023 Credit Card $49.00
POTENTIAL SAVINGS $20.00
SUB -TOTAL �784.33
TAX $0.00
TOTAL DUE $6,784.1
Thank you for your business!
CUSTOMER AUTHORIZATION
Buyer hereby declares that buyer holds the title to property where merchandise is being installed and has legal authority to
order work outlined above. The seller retains tit|e tuall material and property listed herein until payments are made infull.
3
a
Project #154094861 Page 3mf4
Accounts not paid within 30 days of being invoiced are in default and a late payment charge computed at the periodic rate
of 11/2% per month will be added. Buyer agrees to any reasonable attorney or collection fee incurred by seller in securing
payment for this account. By signing, I havd the authority to order the above work and do so as outlined in the {terms}.
Sign here Date
CUSTOMER ACKNOWLEDGEMENT
I hereby acknowledge the satisfactory completion of the above described work.
Sign here Date
Project #154094861 Page 4 of 4