HomeMy WebLinkAbout15-16116 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3)�so-oo20 116
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BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16116 Address: 37433 LILLY BEA AVE LOT 201
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0140-00000-2010
Improv. Cost: 5,180.00 OWNER INFORMATION
Date Issued: 3/25/2015 Name: RUBENSTEIN, MARTIN & HELENE
Total Fees: 65.00 Address: 37433 LILLY BEA AVE LOT 201
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/25/2015 Phone: (813)788-3800
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
RON IERNA'S HTG&COOLI INC A/C CHANGEOUT 65.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTS IN�S�1LAzED�
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 corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� 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 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 BEFO C.O.
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CO CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�„-,�U-���u City of Zephyrhi{Is Permit Applicatian Fax-813-7so-ooa�
Buitding Department
Date Received "� ��.�j y Phone Contact for Permitting ��� �� �' — � ��
~ t � 't` � _ ' �
Owner'K Name ' '� ��'`�1v fi+; '�� , Owner Phone Number �_
Owner's Address �� � ��11' � "' �" Owner Phone Number �_ �
Fee Stmpte 7lttehoider Name " 4wner Phone Number _
i
� Fee Simpte Titteholder Address
' i !QT# E�`^�
JQB AQDRESS � � �
� SUBDIVISION ,_ PARCEL ID# �
(�BTAINHD FROM PROPERTY TAX NOTICE}
WORK PROPOSED e NEw CONSTR 8 Add/Ai.T � SIGN [� Q DEMOL(SH
INSTAI.L REPAiR
PRdPOSED USE [� SFR C] GOMM C„] l?THER
TYPE QF CONSTRUCTiON Q BLOCK � PRAME [� STEEL Q
DESCRIPTION OF WORK � C— � �`� ��'�
BUILDING SiZE �— � SQ FOOTAGE HEiGHT ��
�SUILD{NG $ � VALUATION OF TOTAL CONSTRUCTION
QEl.ECI'RICRI � � AMP SERVICE [� FFtOGRES5 ENERGY Q W.R.E.C.
QPLUMBlNG ��
��Al1ECHANICAL $ �'] VALUA7lON OF MECHANICAL INSTALlA710N
,7— _.�
QGAS Q ROOFING Q SPECIALTY � OTHER
=tNISHEd FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES NO
,._ _,._. .
3UtLDER `"� COMPANY
�IGNATURE REGISTERED Y/ i�I FEE GURRE� Y/N
Address Llcense# �— �
c�EC7RiCiAN COMPANY
>IGHATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address Ltcense# �� �
��UMBER � � COMPRNY
i1GNATURE ( RfG1STERED Y/ N FEE CURRE� Y I N
Address License# � �
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�ECHANICAL �'''�`�'"5 COMPANY P.��S
�IGNATURE REGfSTERED Y( N FEE CURRER Y J R1
Address License# ���' 1� � .."f'' /� �
1THER COMPANY
�IGNATURE RE6ISTERED Y t N FEE CURREA Y/N
Address License# �"' �
;ESIDENTIAL Attach(2)Piat Plans;(2)sets of Buiiding Plens;(1)set of Energy Forms;R-O-W Permik for new conshvckian,
Minlmum ten(10)worktng days after submittal date, Requt�ed onstke,Conskruatlon Plans,Starmwater Plans wt SHt Fence instatied,
Sanitary FacipBes&1 dumpster,Site Work Pe�rnit for subdivlsions/large projects
I OMMERCl14L Attach(3)complete sets of Building Plans plus a Life Safety Page;{1)se!of Energy Forms.R-Q-W Permit far new canstrtactian.
I Minimum ten(10)working days after su6mtttal date. Required onsite,Consteuction Plans,Stormwater Pians wt Siit Fence installed, _
Sanitary Facllities&1 dumpster.Site Work Permlt for atl new projects.All comr»err.iafrequt�ements must meet compiiance
IGN PERMIT Aftach{2)sets of Eng(neered Plans.
"'"PROPERTY SURVEY required for al!NEW construotion.
irections:
Fill aut applicakion completely.
Owner 8�Contractor sign back of appklcatlon,notarized
If over 52500,a Natice of Commencsment is requfred. .{A/C upgrades ov�r ST500j
Agent(far the cantractar}or Pawer of Attomey(for the ownerj would be someone with notarized lekter from owner autharizing same
VER THE COUNTER PERMITTING � ::{Front of Applicatia�On(y}
eroofs if shingles Sewers,, Senrice Upgrades A!C Fenaes(PiatlSurveyiFaotage}
DHveways-Not over Gounter if on pubftc r+oadways..needs RQW
NOTICE OF DEED RESTRICTIONS: The undersigned under�tands that ihis,p�rmtt.may be subJect to"deed"restrictions"
whi�h may be:more cestcictive-than County regulatlons. �The undersigned �ssumes responsibillty for compliance with any
applicable deed restrictions. � - r
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 Ifcensed as requlred�by law, both the owner and conVactor may be cited for a misdemeanor violatton
under state law. If the owner or intended contractor are uncertaln as to what Iicensing.requlrements may apply•for the �
intended work, they are advised to contact the Pasco County Building Inspectton Divis(on—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor vr contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for whlch they will be rasponsible. 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 privfleges in Pasco
County. ' �
TRANSPORTATION IMPACTIUTIL{TIES IMPAC'P AND RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may appiy to.the construction of new buildings, change of
use in existing buildings, or.expansion of existin,g`buildings, as specifled 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 pafd prior to
receiving a "certificate of occupancy" or final powec release. :If the project,does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Ft�rthermore, if: Pasco County Water/Sewer Impact
fees are due, they must be-paid prlor to permit Issuance-In accordance with applicable Pascv County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda 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 "FlorJda Construction Lien Law—Homeowner's
Protectio� Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the applicant ts someone
other than the"owner", I certify that I have obtained a copy of the above described document and pcomise in,good faith to
deliver it to the°owne�"prior to•commencement.-
CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ce�tify that all.the Information In this appltcation is accurate and that all work
will be done in compliance with all appiicable law►s regulating construction, zoning and land development. Applicatton is
hereby made to obtain .a permit to do work and installation as indicated. :l certify that no work or (nstallation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulaking�
construction, County and City codes, zoning regula#ions, and land development regulatfons�in the jurisdictfon. 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.corrlpliance: Such agencles include but are not Ilmited to:
- Depa�tment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive -
� Lands, WateNWastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health 8 Rehabllitative Services/Environmenfal Health Unit-Wells, Wastevitater Treatment,
Septic Tanks. .
- US Environmental Protection Agency-Asbestos abatement. _ u
- Federal Aviation Authority-Runways.
I understand that the following,restrictions apply to the use of flll:�
- 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
Ifcensed by the State�of Florida.
- If the ftll matertal is to be used in Flood Zone "A" in�connection with a permitted building using stem wall
� construction, I certify that fill�:wlll.be used only.to flil 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 flll is found to adversely.affect adjacent properties,.the owner may be cited for viofating
the conditions of the building.permit Issued under the attached permit application, for Iots less than one (1)
acre which are elevated�by flll,an englneered 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 fn
this affidavtt�prior to commencing construction. I unde�stand that a.separate permit may be requtred for electrical work,
plumbing, signs, wells, pools, air condttioning,.gas, or other installations not specifically included-in the application. .A
permit issued shall be construed to be a�Ilcense to p�oceed 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 Bulidirig Of�icial from thereafter �
requiring a correction af errors In.plans, construction or violations of any codes. Every permit issued shall become invalid
' unless the work authorized.by such permit.�is.commenced�withtn six months of permit issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(8)months after the time the work Is commenced. An extension
� may be requested, in writing, from the Building,Official for a perlod not to.exceed ninety�(90) days a�d will demonstrate
justifiable cause for.the extension. If work ceases;for ninety(90)consecutive days,..th�job�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE-TO.RECORD A MOTICE OF�COMMENCEMENT MAY RESULT IPI YOUR
PAYING 1YVICE,FOR IMPROVEMENTS TO YOUR�PROPERTY. IF YOU�INTEND'TO OBTAIN•FIPtANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY�BEFORE�RECORDING�YOUR NOTICE`OF COMMENCEMENT
FLORIDA JURAT(F.S.t17.03) , _ _
C,�i:i��KUKw3ei�IT'— ` — - ------- - CONTRACTO� - ---- - -`-
Subsc►ibad and swom to(or afflrmed)before me this Subscribed and swo ' (or a�rmed)�befprQ_me�i��
by ,.ys JS ' _ 1;,�.�, +�x
Who is/are personally knowm to.me or.has/have produced Who Is/are ersonally kn to me or haslhave produced.
as Identlflcatlon. as IdentlficaUon.
�'
. �
Notary Public . - Notary Public
Commisslon No. Co lon
,,1 �a mmUELINE BOGES .
:� p res Dece 22
�''�",F;, ���a rnm r mber 12�20 ;
Name o(Notary typed,printed or stamped Name of Nolary typed,printed or stampe 'e��aaie
Heather Bledsoe
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From: HVAC Proposals <proposals@hvacproposals.com>
Sent: Tuesday, March 24,2015 10:01 AM
To: charlene1010@verizon.net; ronnie@iernaair.com;sherrip@iernaair.com;
heatherb@iernaair.com; chads@iernaair.com
Subject: Proposal Status Changed to Won
The below proposal has been updated with a status of'won'.See details below to process order:
Title 37433 Lilly bea ave � `�,��`�`' ,���1� ✓'"� `�
�
Opened Date 03-24-2015 � ���} �j��� j
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Closed Date 03-25-2015 � �^� �f�r t��j n�' `I�(1
�� U.�.v,�,��� I ll�
Customer Martin Rubenstein C� ��� �,ll r1 � �
37433 Lilly bea ave 1..� U, 'n �
Zephyrhills,Fl,33541 V 1
Tel.(813)788 3800 � ��c�] ��q� � ��� �
i
Sales Rep Luis Santiago luiss@iemaair.com
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iIInits Added P� Common Parts Services Added IIAdded Units Purchased
���o�c�6000- ��[]EP�SXSOX3-C �� io�wa�xarrrY orr �
TP, � t* 1, � E PARTS/COMPRESSOR, 1 Best Systems
[]CECP065A00, E[]None �[]TH5220D1003 ![]Tie into e�sting duct work, �[]None �a�d
{[] 1, []Free uv light with coupon, i �
�CPDUCFLG002A00 I �[]TT-iJV24-14*1 f[]Free 2yr pma I
14.5 SEER 2yr pma Cust will pay with credit card,
To View the HVACopcost.com website- CLICK THIS LIIVK! HVAC Opcost.com is an irideperident� �
website. The results of savings from one system to another may vary and Iernfa's Heating and Air Conditioning
cannot be held accountable for those same results. The results should be considered as a representation of
expectations.
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TERMS & CONDITIONS OF AGREEMENT
1. Purchaser hereby accepts the equipment and services described above and agrees to pay Ron Ierna's Heating
and Cooling Inc the price shown above.
2. All equipment and material are guaranteed by Ron Ierna's Heating and Cooling Inc to be as specified. All
work will be completed in a worlrnlanlike manner according to normally accepted practices.
3. Materials and work in addition to that described herein will be furnished only on Purchaser's authorization
and will be paid by Purchaser as an e�rtra charge.
4. Upon failure to pay any sums due hereunder, PurchaseX agrees to pay Ron Iema's Heating and Cooling Inc
interest at the rate of one and one half percent (1'/2%) per month(annual rate of 18%) on a11 outstanding
balances. _ -
1