HomeMy WebLinkAbout13-14436 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ' (si3)�so-oo20 14436
BUILDING PERMIT
Permit Number: 14436 Address: 5306 BELTRAM DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00400-0070
Improv. Cost: 7,415.00
Date Issued: 8/12/2013 Name: LICHATZ, JEFFREY
Total Fees: 75.00 Address: 5306 BELTRAM DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-4646
Date Paid: 8/12/2013 Phone: 813-546-5003
Work Desc: A/C CHANGE OUT 3TON
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DUCTSINSU TED
FINAL�����
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or wrrections not made when inspections called d) work not ready for
inspection wrhen calied e) permit not posted on job site f) plans not at job site g)work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owrner: 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 Acxompany Application.All work shall be pertormed in acaordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT 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
� Date Received
Phone ConWct for Pertnitting --
-TITI-1 r
Ownefs Name � �� �( G (Z�Z., Owner Phone Number �3'� �
Owners Address � �p I�q ( Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S�O C L r�A►• � .L.��. LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTV TAJ(NOTICE)
WORK PROPOSED e NEW CONSTR� ADDlALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIP110N OF WORK � t t �-�}�� `.X.( r�N ��
♦
BUILDING SIZE SQ FOOTAGE �S HEIGHT U
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�E�ECTRICAL �� AMP SERVICE O PROGRESS ENERGY � W.R.E.0
�PLUMBING $ ��� j�
'+, J
QMECHANICAL $ � I C' VALUATION OF MECHANICAL INSTALLATION I '
J
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO 7 � (Q Z7
v
BUILDER COMPANY �—
SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N
Address License#
ELECTRICIAN � � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License#
MECHANICAL � G�`' �/ COMPANY /'1'LD�CC� IM`�GN+f�IG�7�- �M
SIGNATURE vf%C�� REGISTERED Y! N FEECURREh Y!N
Address � ! 2( N • �7 � License# `/T l..D C�Z-3
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address
License#
1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1
RESIDENIIAL 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,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities&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 apptication completely
Owner&Contrador sign back of application,notarized
If over 52500,a NoGce of Commencement is required. (A1C upgrades over Z7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authonzing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage)
Driveways-NOt over Counter if on public roadways needs ROW
s�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin __
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number �-
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL e REPAIR
PROPOSEO USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WOFrK
BUILDING SIZE �--� 3p FOOTAGE�� HEIGHT
OBUILDING 3 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# � -�
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �-
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon,
Minimum ten(10)wo►king days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facflities&1 dumpster;Site Work Permit for subdivisfons/large projects
COMMERCIAL Attach(3)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 commerc(al requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY required for all NEW consVuction.
DirecNons:
Fill out application completely.
Owner&ConUactor sign back of application,notarized
If over 52500,a Noti�ce of Commencement is requlred. (A/C upgradas over 57500)
•" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUNTER PffRMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"�estrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
appiicable deed restrictfons.
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 cont�actor 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 prope�ly licensed and is not entiNed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation Impact Fees and Recourse.Recovery Fees may apply to the const�uction 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, wili 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 "ce�tificate of occupancy" or final power release. If the project does not invoive 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 Const�uction 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
deiiver it to the"owne�"prior to commencement.
CONTRACTOR'SlOWNER'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 o� installation has
commenced prior to issuance of a permit and that all work will be pe�formed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify 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:
- Depa�tment 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 8 Rehabilitative Services/Environmental Flealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
1 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, 1 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, t 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 ptan 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 aKdavit 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 technicat 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 wo�k 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 O�cial 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE�ENT.
FLORIDA JURAT(F.S. 117.03) \ �r � J'� J ,�v���
CONTRACTOR D `/� ����
OWNER OR AGENT Subscribed and swom to(or aflirmed)before me this
Subscribed and swom to(or atflrmed)before me thls by
by
Who is/are personally k�own to me or hasJhave produced Who IsJare personally known to me or haslh aefP���on.
as Idendflcatlon.
Notary Public Notary Public
Commissfon No. Commisslon No.
ed, rfnted or stam ed Name of Notary typed,printed or stamped
Name of Notary typ P P
carries liability insurance antl WorKer's C:ompensation Insurance.
8. Caldeco Mechanical Services provides a one-year limited labor warranty. Equipment or system failure due to lack of proper maintenance
service or abuse is expressly excluded. Normal maintenance check-ups and filter replacements are the responsibility of Purchaser.Ali other
warranties, ezpressed or implied, are the responsibility of the manufacturer of the equipment, parts, or materials used in connection with the
services.
9.There are no warranties, expressed or implied,for existing equipment, ductwork, or other materials not installed by Caldeco Mechanical
Services
10. All scheduled warranty work will be performed during Caldeco Mechanical Services normal working hours, 8:OOAM to 5:OOPM, Monday
through Friday.
11. Purchaser is responsible for all costs and reasonable attorney fees incurred by Caldeco Mechanical Servicesin connection with any action
or proceeding(including arbitration and appeals)arising out of this agreement, including collection of any outstanding amounts due, whether or
not suit is filed.
12. Except as provided herein Caldeco Mechanical Services makes no other representations or warrarrties, either express or implied,
including, but not limited to,any implied warranties of inerchantability or fitness for a particular purpose Caldeco Mechanical Services
expressly disclaims all other warranties. Caldeco Mechanical Services maximum liability hereunder shall consist of refunding all moneys paid to
it by Purchaser hereunder subject to removal and return to Caldeco Mechanical Services of all equipment provided hereunder. Under no
circumstances will Caldeco Mechanical Services be liable to Purchaser or any other person for any damages, including,without limitation, any
indirect, incidental, special,or consequential damages, expenses,cost, profits, lost savings or earnings, lost or corrupted data>or other liability
arising out of or related to this agreement, or the services or equipment provided hereunder.
13. This agreement shall be governed and construed solely according to the internal laws of the State of Florida,without reference to any
conflicts of laws.
14.This agreement is the complete and exclusive statement of the agreement between Purchaser and Caldeco Mechanical Services and it
supersedes all prior oral and written proposals and any prior or subsequent communications pertaining to the subject matter hereof.
15.Warranty if 5 years unless registered within 90 days of installation.With Registration,the warranty is 10 Years to initial owner.
Signature of Authorized Purchaser:
Date
Payment to be made as follows: Balance on completion
Caldeco Mechanical Services proposes hereby to furnish and install the equipment and materials as described above on the terms and
conditions provided herein. This proposal is good for thirty (30)days from the date hereof, but may be accepted at any later date at the sole
discretion of Caldeco Mechanical Services
Signature of Authorized Representative of Caldeco Mechanical Services:
Date
5306 Beltram Dr•Date Created:08-02-2013
AVAILABLE UPGRADES & OPTIONS
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AIR CONDITIONING & HEATIMG
UPGRADE 1 (APPROVED and Included in Price)
Customer Initials
$495.00
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Available for:PLATINUM- 15 SEER, GOLD- 15 SEER,
SILVER- 15 SEER, BRONZE- 13 SEER �
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GPS-2400 ' �P����3
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by Global Plasma Solutions. Plasma when produced&
injected into a moving air stream, breaks down gases to "�
harmless compounds prevalent in the atmosphere such
Proposed by: Pepy Flores Proposed for: Jeffrey Litchatz
1709 N Howard Ave 5306 Beltram Dr
Tampa, FI. �3607 Zephyrhills, FI 33542
(813)966 4461 (813) 546 5003
pepyf@caldeco.net jeff.lichatz@3tinnovations.com
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Net lnvestment: $7,496
Financing �etails:
Min. 2°/a paymQnt 11.90% APR Payment based on 36 months $246/mo.
Carrier 25HBC536�A003 Carrier FX4DNF037T00 Carrier Auxiliary Heat Warranty:10 year
, parts, 1 year Labor
-Comfort Series � -Fixed Speed Motor -Aux Heat
-Heat Pump Condens�r
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-GIUALITY ASSURANCE VISff/ORIENTATION(FOLLOWING -1ST TUNE-UP(6 MONTHS FOLLOWING INSTALLATIOI�
INSTALLATIOI� -REFRIGERANT LINE SET 2 THRU 3 TON
-CONNECT TO EXISTING DUCTWORK/EXISTING DUCT -MECHANICAL PERMIT FEES
WORK IS METAL. -REMOVE AND DISPOSE OF OLD E(�UIPMENT
-HORIZONTAL INSTALLATION(Includes:new hanging -
hardware w/primary and secondary overflow pans,
electronic shut off switches&pre-poured condenser pad)
-EXPLAIN SYSTEM OPERATION
-CHECK,TEST&START SYSTEM PER FACTORY
SPECIFICATIONS
-CUSTOMER WILL SUPPLY NEW THERMOSTAT FOR
INSTALLATION
1. To View The HVAC Opcost website-CLICK THIS LINK!
2. To View Our Website-CLICK THIS LINK!
TERMS&CONDITIONS OF AGREEMENT
ALL WORK TO BE PERFORMED IN A NEAT WORK AND PROFESSIONAL MANNER.
1. Purchaser hereby accepts the equipment and services described above and agrees to pay Caldeco Mechanical Services the price shown