HomeMy WebLinkAbout20-555 riuninn City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000665-2020
Phone: (813)780-0020
V ry Fax: (813)780-0021 Issue Date: 08/13/2020
•
Permit Type: Building General (Residential)
Property Number Street Address
15 26 21 0200 00000 0230 4739 Timber Way
Owner Information Permit Information Contractor Information
Name: CHELSEA CHEATUM Permit Type:Building General(Residential) Contractor: RON IERNA'S HTG&
Class of Work:HVAC Changeout COOLING INC
Address: 4739 Timber Way Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)435-0207 Mechanical Valuation:$4,965.00
Plumbing Valuation:$0.00
Total Valuation:$4,965.00 11
Total Fees:$64.82 /110
Amount Paid:$64.82
Date Paid:8113/2020 2:09:40PM
jProject Description
A/C CHANGE OUT 2.5 TON
jApplication Fees
Mechanical Permit Fee $64.82
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 653.80(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.
"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 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.
'-�RACTOR SIGNATURE PE IT OFFICE()
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 .
Building Department 0
Date Received
Phone Contact for Permitting ( )
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Owner's Name v G I� l���T(JYYI Owner Phone Number �� a2 0
Owner's Address ��'3 Tilrn b ► Wa Il Owner Phone Number
Fee Simple Titleholder Name N(II` Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS `7i 31 t ,mW bOa , FL 53.572- LOT#
SUBDIVISION 1. o 1 ar& PARCEL ID# 115'21j'Z)- 0200-00000-07-150
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
e INSTALL R REPAIR
PROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME 1= STEEL =
DESCRIPTION OF WORK
BUILDING SIZE r SQ FOOTAGE=. HEIGHT fAq C oSvrr-�
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
EVTMECHANICAL $ 1 (� VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE r , REGISTERED Y/N FEE CURREN Y/N
Address 3 uS /y �L 3 y� License# lit
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE-CURREN Y/N
Address License#
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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 727-847-8009.
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 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 16 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 I,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.
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 Healt ent,
. YP"'
t v SHE•�I:1_0TON
Septic Tanks. :°• � Notary Puo.ic.State of Florida
US Environmental Protection Agency-Asbestos abatement. f Commission#GG 975326
- Federal Aviation Authority-Runways. ,oFt,,.,' My Comm.Expires Apr t,2024
1 understand that the following restrictions apply to the use of fill: Bonded through National Notary Assn.
- 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 ir5-10�
abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULPAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINGWITH YOUR LENDE13 OR AN ATTQRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, D :" JFLORIDA JURAT(F.S. 117.03)OWNER OR AGENT CONTRACTOR ESubscribed and sworn to(or affirmed)before me this c ibed and swor o affirmed)before me this by Who is/are personally known to me or has/have produced Who is/a personally known to a or as/have producedas identification. as identification. m
Notary Public , Notary Public
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lerna's Heating,Cooling&Plumbing,Inc. Invoice 64705902
18843 US Hwy 41 N Invoice Date 8/5/2020
Lutz,FL 33549 Completed Date 8/5/2020
1 813-948-6355 Technicians Daniel S.
#CAC1813676/#CFC1429475
K�ic7rNa,cootr�r 1 .UM61a Kenny N.
Customer PO
Payment Term Due Upon Receipt
Due Date 8/5/2020
Billing Address Job Address
Chelsea Cheatum Chelsea Cheatum
4739'Timber Way 4739 Timber Way
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
10 yr warranty on all parts and 1 yr labor
Task# Description Quantity Your Price Your Total
RUUD2.5L 1.00 $4,965.00 $4,965.00
2.5 TON HEAT PUMP(RUUD LEGACY)
214DNA030POG
F134CNP030L00
SEER:14
EER:11.5
HSPF:8.2
AHRI#9678696
SINGLE STAGE COMPRESSOR
10 Year Compressor Warranty
10 Year Parts Warranty
1 Year Labor Warranty
*** Homeowner must register equipment to receive the 10 year warranty***
STDPMA1-FREE Standard PMA 1 Unit-Free with Install 1.00 $0.00 $0.00
VERTICAL 1.00 $0.00 $0.00
• Flush refrigerate line set with RX11 flush
• Reconnect to existing line set,Cover with UV protected arma-flex
• Reconnect to existing electrical
• Reconnect to existing ductwork
• Reconnect to existing drain line(30 day warranty)
• New filter drier
• Hurricane slab(as needed)
• Hurricane clips
• Charge unit per manufacture specifications
• Remove and haul away of old equipment
• Clean up all work areas to customer satisfaction
• Permit included
• SS2 Float switch
Paid On Type Memo Amount
8/5/2020 Credit Card $4,965.00
Sub-Total $4,965.00
Tax $0.00
Total Due $4,965.00
Payment $4,965.00
Balance Due $0.00
IERNA Your Trust-IERNA Your Business!
I have the authority to order the above work and do so order as outlined above.It is agreed that the seller will retain title to any
equipment or material furnished until final&complete payment is made.And if settlement is not made as agreed,the seller shall have
the right to remove the same and the seller will be held harmless for any damages resulting from the removal thereof.Payments not
received within 10 days are subject to a service charge of 1.5%on unpaid balance.Returned checks subject to all applicable fees.
CANCELLATIONS:
DEPOSITS ARE NON-REFUNDABLE.All other Cancellations are subject to any permit fees incurred by said county.Applicable fees will
become the financial responsibility of purchaser and/or property owner.
Customers are responsible for registering their equipment within 90 days for applicable warranties.Please see warranty Terms and
Conditions
8/5/2020
Above ordered work has been completed and I acknowledge receipt of my copy.
sisno?n