HomeMy WebLinkAbout19-21105 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21105
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21105 Address: 5251 BELTRAM DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 12-26-21-0030-00300-0150
Improv. Cost: 10,950.00 OWNER-INFORMATION
Date Issued: 4/11/2019 Name: BARTH, PHYLLIS & BERNARD
Total Fees: 95.00 Address: 5251 BELTRAM DR
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/11/2019 Phone: (813)784-5949
Work Desc: A/C CHANGE OUT 2 TON W/DUCTWORK
CONTRACTORS APPLICATION FEES
AND SERVICES A/C CHANGEOUT 95.00
Inspection's Required
DUCTS INSTALLED
DUCTSINSULATED
FINAL
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 such subsequent reinspection.
NOTICE: In addition to the requirements-of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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 with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications 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.
C CTOR SI NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
v I V r u v `/vvl
S73 Teo oozo I City of Zephyrhills Permit Application Fax-813-78aao21
' C_ Building Department gyrop, �P
Oats R®coRrod - s f Phwo Contact for PGrmhSn fr/�.$ 9y,��/
Ownsea Nerns E�er.,A�1 r� i��fZR H Owner Phone . . . . .Number ��/�-�J ""
Owner's Address Ie-1 Owner Phone Number
/ Fee Simple THlahoIds Name Owner Phone Number
l'
Fee Simple Tltlsholds Address
JOB ADDRESS .� I C' �`` '0W-'Ve- LOT#
SUBDIVISION 1 2 Pf' —%4 PARCEL ID#I X) A,- L S
(ONTMNED FROM FROPISITMAX n07iCE
WORKPACPOSED ElNEWCONSTRB ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRU ON = BLOCK = FRAME = STEEL =
DESCRIPTION OF RK G .L4C4 LA t. i It See . '-'f
BUILDING SIZE SO FOOTAGE HEIGHT 1�
=BUILDING E VALUATION OF TOTAL CONSTRUCTION
=ELECTRIC S AMP SERVICE = PROGRESS ENERGY = W.RE.C.
=PLUMBING S
1�31611ECHANI $ o 7 sz VALUATION OF MECHANICAL INSTALLATION
= AS G = •, ROOFING Q SPECIALTY.= OTHER
FINISHED FLOOR ELWATIONS FLOOD ZONE AREA =YES NO
BUILDER. COMPANY
SIGNATURE REGISTERED -Y/N I FEE CURRET Y/N
Address Ucwm#
EL ECTR)CIMI COMPANY
SIGNATURE REGISTERED Y/N FEE rxrRRe Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED YIN FEE CURIM Y/N
Address Cleanse#
IIIECHANICAL COMPANY pevlce!
bpti��
Ira,
SIGNATURE REGISTERED Y/N I FEE CURRM
Address �.�j Ll w ' License# Ac/ % 7
OTHER: COMPANY
SIGNATURE REGISTERED I Y/N FEE CURR9, LjLLN
Address Cleanse#
i-17'Tl T"7"T 77-T7"I'T'1"1-fl"1"'1'i"T'7"7-TT'7"I"1'"1'I7 TT T 1 I7 1'r1'7"I7T7"1"7'"7 T"T"1 TT7"TTT-T7 1 7'T"T"T
RESIDENTIAL rh(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permk for new construction,--��_.._.__. fr-mi Won a ldate."f uGodvam;*Cobebuwm—p1rw Slomtlwat"erPxm-wlStttFeffea-Installed.
Very Fadtitlas 61 dumpater,She Work Permit for eubdNlslondlafge pro)oda
COMMERCIAL (a)complete seta of Building Plena plus a Ufa Safety Pegg;(1)set of Energy Forma.RAW Permit for rww ean3buctlon.
inimum tan(10)wwft days after subrNttsi date. Required andte,Con*ucUon Plans,StomwMtw Plana w/Slli Fence Inatatled,
ltery Facilities 61 dumpater.She Work Permit for all new pro)eeta All commercial requirements must meet compliance
SIGN PERMIT (2)Bete of Engineered Plans.
ROPERTY SURVEY ragtdmd for all NEW construction.
Dinretlons:
Fill out sppli completely.
OMaror 8 Contr ctor aign basic of eppiieatlon,notarized
N over$2M, Notles of Commencement Is required. WC uPOredes over S7WO)
Agent(for the i wftdw)or Power of Attorney(for the owner)would be someone with notadzed letter from owner authortrJng same
OVER THE R PERMITTING (Front of AWI atlon Only)
Reroofd h shingles Sewers Service Upgrades AIC Fences(Plot/SurveYlFootaga)
DrlvwAmys-Na over Counter h on publle roedwap-needs ROW
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 Divislon—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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 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 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 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",1 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.
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 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 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.
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 OBTAJN FINANCING,CONSULT
LENDERWITHtO
OR AN A ORNEY RlgFORE RECORD RECORDIN OF COMMENCEMENT.
OWNER OR AGENT CONTRACTOR N,'6 r;
Subscribed and swom to(or affirmed)before me this S bed had-end m to(or affirmed be me this
by ��by I y\ -i�
Who Is/are personally known tome or heslheve produced Id Are personally known to me aslhave produced yH ,Gn 4.
as identification, as identification. 'o !
_ co t'
U c) H
Notary Public y Notary Public
Commission No. Commission No. LL &)vC n W
t..l U S I ti. �,3re't G
Name of Notary typed,printed or stamped Name of Notary lyp40,printed or stampede
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PROPO.S�L'' ,. . 9 046
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Street address of Joti.location: 2CJ` �1 QI r City: '.FL'-�:'Lp:
Primary phone: Other phone: ErtiaiL'
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Up to 20,SE R Up to 16 SEER Up 1D 145EER 13 SEER: —�
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Com'preseor.ktie Slrrre,Wertenty.?,..; !.:10Ywu Compressor Warranty 10 Yew Compressor,WarrerRy .:.;...5 Year CompressorWananty
�" -e •• • Ej R6totipii'ductalealiing"_SuPPIY.& Returns
Whole:House Biol'ogic3_LN<-Sterilization tSystem.,Stg,_ W�tits Hou�e.8iologlc3:E1'ectionic Filtrations'.System
INSIDE YOUR HOME OUTSIDE YOUR HOME
❑' Replacement, s:? dd on Air Qondtti ning/He /Both Replecament ❑Add on Afr ConditioningMeatBoth'
a corn
Jts1 Air Handley/Furnace ❑ Vertical Hod Heat Pump+: > ❑-AirCond'Rioner ❑•Package Unit
New Digital fhermostet❑ Non-Program: ❑ Program.' ❑ 2_tons_ SEER;,_.11:BTUH
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❑ NewDigitaf P.,,rogrammableTheiin't4ith_Humidity,C6'ritrcl' Model
❑ Relocate from to 7 Hurricane Pad" ❑plastic Pad
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NewAHUStan :Mete)❑.Custom !New afety,disconnectswtch;:
Filtration;[7 Permanent Washable Filter P`Grille New.100%copper,detiydrefetl`refrigeraht piping
New safety disconnect switchW; :❑ Surge Protection ��'�.tr Fully insulated suction piping'
New wire from breaker-paneHo equipment r� �51. New water tight,elat;gr, I whip ..
❑ VenVF,lUe:.:l_„rO:<Complete,neW: _ .❑Use'existing ., .,❑ ..., .• ,,,, ;,,,,,,, ,,,,;. ., .. ..•1
DUCT SYSTEM
INCLUDED
-.-,..v.. .. ..
2WEngfneeredductu'systey;tor'' c bons, vents"'' y `Alllabo�" r " ,'``INSTALLATION' '
❑ Economy Anti-Microbial$ q Obtaining permits(where required)
❑ NON-FIBERGI ASS-100%'Rust Resistant Galvenizetl,Sheet New/VC.circu t protection Brand =
Metal Duct System.Energy.Saving Insulation Included.. Existing size is: / Change to:
❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for .years
❑ New supply vent to: ✓ Check entire system for safety and efficiency
❑ New return vent to: ✓ Shoe covers,mats and drop cloths to be used as necessary
❑ ✓ Remove existing equipment from premises
Mastic and seal all leaking joints Clean up
❑ Duct Sanitizing
TOTAL • •
24-Hour Flan It o�'H6te/G`uaianMe:Unike most companles;we ere a service company.)Ale have a staff of qualified seivica technicans that
are there to serve you in the unlikely event your system has a problem.So our guarantee td you is that when we arrive,we guarantee that we will .
have your system up and running within 24 hours of our arrival or we will put you up lr the local Embassy Suites for the night.
Best Value Guarantee:Anyone can make something cheaper:by cutting comers and pricing it for less.So,It's Important to know what is and
is not Included in any heating and cooling system you choose for your home.Our Best Value Guarantee is our promise to you that you cannot find
a comparable Installation for less...or we'll pay you a$50.00 bonus over the difference.Ali we;ask is that it be a'published apples-to-apples'
comparison;=in 14 days of purchase,and have the same written'Installation specifications as AS. '
•• Installation Worlonansh►p, Guarantee: our installation technicians are.the best In skill,attitude and workmanship.They'll care for your
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have not performed In accordance with these high standards,we'll refund whatever amount of the purchase price you feel to be fair.All we ask is
that our office be notified-of any letyel of dissatisfaction before the technicians leave the home so that any Issues can be addressed accordingly.
• Exclusive '.'No Lemons"Guarantee:If the Compressor(the heart of your system)In your A r Conditioner fails during the first two years of
r ownership We%vIll remove the entire outside unit,rather than the component,and install a completely new one,If you've ever bought a'lemon"
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• No Mold Guarantee:We are so confident In the BlolDgic9 UV Sterilization&Electronic filtration systems ability to keep your system dean that
—we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handler to
remedy the problem al our expense.' r
YOUR •
Total Investment $, 4 O (-) Rebates$ (-) Service Repair Refund$
Net Total Investment After All Discounts Including Power Company&Manufacturer rebates$ �J 5 An C
This High Efficiency Home Comfort System is available with 100%bank financing with no money down for$ per month
(with eppmnd cmdln.
AS Representative Date of proposal ! !
Cnmlomar agmea to pmvldo free aooas to the wark area end a safe woddng environment The above pdcos,specifications.tame,and conmtiens ere satisfactory and hereby agmed to in full.
I give adlmRmllan to order aforemer:tloned wok You am eulMrlmd to do the wore w spedfied.Payment w0 be made m ougbed.I u demtend that you we not mapomible for e,,anta or delays
beyond yow control.owner Bgmas to cony adequate rue.atone.end oNw recossm bm mx.All of oar wwke wwk is covered by Wodmen's eamperwtm and a Two MIMm General ue liy
IMnaertco.0 coilarion Is ogress m pay mppectlon mob�W.lyrde—coal
Customer Appro I � r•••� .mot�•a�f�L Date:
0105 And sW-o
DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA--EN ERG EY-CONSERVATION-CODE-(FBC—ENERGY-;SECTION-403)TO BE LEFT ONSI-TE AND PICKED- -- ---
UP BY INSPECTOR
Owner: f3e a j o n-o 0,4yn-TW
Permit#: ')//o J
Site Address: �a S i Hr IAA
Contractor: Se r—,v I C e- T
License#: C f`K rJ
Final Inspection Date:
I certify that I have installed new or modified the existing duct work associated with the HVAC system
referenced by the permit listed above and found it complies with the requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space(Section 403.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
Name of License Holder(prin r type) Signature of Li nse Holder