HomeMy WebLinkAbout15-16746 /
CITY OF ZEPHYRHILLS
5335-8TH STREET
� (sis��$o-oozo 167 6
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16746 Address: 38627 LANSING AVE
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1170
Improv. Cost: 6,350.00 - OWNER INFORMATION
Date Issued: 11/17/2015 Name: SLEEPY HOLLOW MOBILE '
Total Fees: 70.00 Address: 38615 LANSING AVE
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-6312
Date Paid: 11/17/2015 Phone: 315-489-3217
Work Desc: A/C CHANGE OUT
CONTRACTOR S APPLICATION FEES
RON ER A'S HTG CO LI INC C CHANGEOUT 70.00
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Ins ections Re uired
DUCT IN TALLED
DUCTSINSULATE
FINAL 0 Z r �� -(' G-
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.
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 af Zephyrhills Permit Application Fax 813-780-0021
Build�ng Department
Date Received j� f ��j Phane�Cantact for Psrmtttin �� 1 � — �d �3��
I Owner's Name Owner Phone Number �fJ� G --
Owner's Address � �w �� ,,.- Owner Phone Number r �
Fee Slmple Tltlehold�r Name ' Owner Phone Nuenber �— �
Fee Simple Titleholder Address
JOB ADDRESS � LOT# C�
SUBDNISiON PARCEL ID#
(OBTAINEQ FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONS'TR ADDJALT ��' SIGN Q Q DEMOLISH
� INSTALL REPAIR
PROP08ED USE Q SFR Q COMM [� OTHEi2
TYPE OF CONSTRUGI'ION Q LOCK " Q FRAME � BTEE� Q
pE3CRIPTION OF WORK �' � q � rt '� � l�
BtlILD1NG S1ZE � I .SQ FOOTAGE HEIGHT C`�
���i�'����' (" w � VALUA710N"<)F�TOTA�CON87RUCTlON
��
' QE�ECTRiCAI. � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
, [�P�UMBING � ��1��
' � �(
�MECHANIGAI $ D VALUATION CtF MECHANtGAI.INSTA�LATION
i
' QGAS Q ROOFING Q SPECIAl.TY � OTHER "
� FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES NO
L
BUI�DER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I,
i Address Cicense# r� �
liEIECTRICIAN COMPANY
� SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
I
�, Addrsss License# �— �
I PLUMBER COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �� �
MECHAP111CAL ...., COMPANY
SIGNATURE +�.,,�r� REGIS7ERED Y/ N FEE CURRE� Y/N
� Address Y� License# �� �_G��''� (��� �
OTFiER COMPANY
SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N
Address Cicense# �i �
, RESIDEN'ilAL Attach(2):Plot�Plans;(2}sets of 8tiilding Plans;{1)set of Energ}+�Forms;.R-O-W Permit far'new constsuc6on,
, Minimum,ten;(1.0}.working;tlays after..submittal date. Required onsite,ConsfiicBan Pla�s,Stortnwater Plans w/Silt Fence fnstalled,
, Sanitary Facflltles&,1.dumpster;Site'Work�i?ertnitfor subdivislons/large'projects
COMMERCtAL Attach{3}complete sets of Builclirig P}ans ptus a l.ife Safety Page;{1}set of Energy Forms.R-0 W Permtt for new cansUvc°tlon.
Minlmum ten(10)warking days after submfttal date. Required onsite,ConsUucUon Plans,Stortnwater Plans wl 8ilt Fence installed,
Sanitary Facili8es&1 dumpster.Site.Work Pertn(t for all new projeats.All commercial requlrements must meet compltance
SIGN PERMIT Attacli{2}"sets af Ecigineered,F?lans.., � .
""PROPERTY SURVEY required for all NEW canstrucUon.
Dlrections: r
Ffll out appNcation completely.
Owner&Contractor sign back of applfcaflon,notadxed
i If over�2500,a Notice of Cammencement Is requ9fed. (A/C upgrades over�7500}
�� '" Agent(for the contractor)'or Power of Attamey(fqr the awne�)wauld be someone with notarized letter irom'owner autho�izing.same_ , �
i .. - „ .�-. :_ _>. ..... ........:... .�,: :t - -1 �;. .. --
I C3VER TNE COUNTER RERM1771t1G (Front of^ApPlira�on.On.iyj.;:;<;:.: ' , ,i�, , . , _ , � ,.
, . ;�:
Reroofs if shingles Sewers r: Ser,vlcafUpgradc�s.AlC•G;,� -Fences,(F'kaUSurvey/Foo#age) ,;- • � - `
( ," [J���� -�wi(i`.'-_'�J .� ^_,': ' _ �`. , a. � a .._ ,.� ��]1t ... - _ T.i�
..� ,
Driveways-Nat over Coun#er if on,public.roadways::needs•ROW;;,f•�;`�' ' � -� --- , ,, .' �`�r
,...x .-..__.. .._ • <... ,. .. ._..�„�..�-_.-.� . . ,.� ,--_
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NOTICE C1E DEED RESTRICTIONS: The unde'rsigned under�tands°th�t.#his,p�rmtt.maybe:subject toa°dee�"_restrfcttans" . `
which may be.,more;r.estcict(ve�thart County r�egulatlons:�'7he undersigned�'assumes'responsibility far'compllancFi with any
appticable deed resutctions, - � � .. � , ' .
UNLICENSED CCINTRACTORS .AND CCINTRACTOR RESPONSiBILITiES: -if the owner-has hirec!�a �conhactor or
contractors to undertake work� they may be;requ'ired�_to-be;itaensed In accardance.with stat�.and�local.regulations. :If�the �
con#tactor ts not 1lcensed as requfced:`tiy iaw, both #he ovm�r anii-aontcactor�may be aited for-a-misdemeanor viotatian -
under state law. If the owner ar Intended�contractor are:_uncertaln as to what Ilcensing.require�nents:may�.apply>��for the - -
3ntended work,they are�dvised to contact�the Pasco Cnurity Building"lnspectlon D�vislon—l�icensfrrg Section at 727-847-
- -.._ ._
8009. Furkhermore, if the owner�has hlred a contractor or contractors, fie is adv{sed to have the cantractar(s). slgn
portia�s of the "contractor Block" of this appllcatlon for which they wilt be respansible. !f.you�-as.the awner slgn�a�the
contractor, tha#�may be an ind�cation that�iie is�not properly Ilcensed and;ls rio#enfft�ed to permittlttg privilegeis In Pasco
County. � "
TRANSPORTATIQN IMPACT/UTII:ITIES�IMPAG�'ANd RESQURCE RECQVERY�FEES:The understgned understands
that Transportation impact Fees and.Reco.urse Recove.ry.Fees may=apply to�tF�e consbvction of new buildings,;change of -
use in ex�sting buildings, or,:expansion.of�-ezlstin�`:6ulldings, as speclfled In PascQ County Ordinance number 89-07 and
90-OT, as amended., The undersigned alsa;understands, fh�it�such fees�-as�may�be.:dae;wl1l:6e identified at the':time of
permikting. It is fu"rtlier understood #hat Transportatlon Impact"Fees and Resource Recovery"Fees.mus# be paid priar to
rece�ving a"cerEi�ca#e of occupancy" or�inal-power.�release. :1#the pro�sct;;does not invotve:a=certlficafe of occupancy or
final power release;;the�fees must°be paid prior#o permit Issuance. Ft�tthermore;�if:Pasco County�INater/Sewer,lmpact
fees are due,they�.must.be-pald prlor to permlt=isst�ance�ln accord"ance wlth�appltcabie.Pasco'County ordirtances»
CONSTRU�TiON`LiEN`LAW(Chap#er 713,Flar�da Statute��as amended}: If�aivation of work�is$2,600.00,or more, t
certify that I, the applicant,_ have-been proVided with a copy- of the "Florida�Constructlon Uen .L'aw=.Hameowner's
Pro#ectian Guide" p�epa�red by the Flo�da Departmenf of Agricu[ture and ConsumerAffairs. If the appticant!s sameone
other ihan the°owner", I certify„that.,l�have,obtained�a copy;of.the,abaverlescribed docuir�ent�and promise-_in,gaad faith to ,
deliver it to the_°owne�'�prior to=commencement;' '
CONTRACTOR'SIOWNER'S AFFIDAVIT: i certify.that ail the�lnformatton ln thl�appt(catlon is accurate end that all work
will�be done in comptiance with all applicable lawa regulating construction� zoning anc!-land development. Apppcation is
hereby made to abtain .a permit.Co do. work,:and lns#allation as indlca#ed:�� '1 ce�tity�that no work�or tnstal{atian has
commenced pr(or to fssuance �Of'a perm(t and�#hat.all work will be perFormed to meet standards of all laws regulating-
canstruction, Counfy and Gi#y��codes, zoning regulations, and land devetopm�r►t re�#ala#ions�ln the �urisdic#lon: 1 aiso
certify that I understand that the regulations of other government agencles may�apply�#o the intended work, and that it is
my�esponsfbility to Identify�what.actEans�!must take to be=ln:.co�tpllance: S.uch agencies-incictde but are.no#lfmitec!to: - .
- Department of Environmentai Protection-Gypress.Bayheads, Wetland Areas and Envlranmentally.Sensi#ive
Lands,Water/Wastewater Treatment. ,� � � �
- Sauthwest Flarlda V1►ater Management DisttEct=Welis, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Co�ps af Engineers�Seawai4s. Docks,Navtgatile Watecways.
- Deparkment of Health�'& Ret�abilltative SeniicesJEnvironmentai Heatth Unit Wells, Waste�ntater Treatment, ,
Septic Tanks. _
- US Environmental Protectlan Agency-Asbestas abatement.
- Federal Av.iativn.Authorlty-Runways.
!undecstand that the folloviring:restrlctions apply to#he use a#fiil:
- Use of fili ls not ailowed in Fioad Zone"V"unless expressiy permitted.
- If the fill material�Is-to� be used'In Flood Zone. "A", It. !s understood #hat-a drainage plan addressing a
"campensating vatume°will be submitted at#ime of permitting w6icM is prepared by a professional engineer
Iicensed by the;State-of:Florida..
- If the fill matecia)_Is�:to be used In Fload Zone °A" in�canrtecEion�w1Eh��a perml�ted buliding using stem waEi
� aonstruct(on, I certify tha#fill�w�ll.b.e�used only to.fill the area withtn the�stem�wall.
- !f flll materlai 1s ta be�used In any area� t aertlty that .use of such fl!I w111 not adv�rsely affeat adjacent
properties. tf use of filt ls found to adversely:�ffect adjacent��properties,.the owner may be cited for vioCating
the condltions of the bulliling:permit issued�under the attached�ermit applicatian, for lots less than.one (1)
acre which are elevated�by flli,an engineered dralnage plan is tequired.
If I am the AGENT FOR THE OWNER, I,;promise in gaod faith to Infarm the�owner of�the permitting condi#tons set forth (n
this affidavit prfor ta commencing constructlon. �lYunderstand that�a,segarate permit may be req�ired#or electricaf work,
plumbing, signs, wetls, poots; air canditioning,.ga�s, or other Install�Nons not,spec�ically inciuded�in tMe,aPplication. �A
permit issued shall be canshued to be a Ilcense ko�praceed with the work and nat as:authority to.violate;cancel, alter, or .
set aside any provisions of t�e.#echnical codes; nor sha111ssttance�of a:permit.pcevent fhe Bulldlrig;�tcia!froin�;ther.eafter
requiring a cor�ection df errors In plans, consftuction or violations of any codes.�Every permlt(.ssued shail become invalid
unless the work au#horized.by suah permit�Is.coEnmenced wlthin s�Gc months af permit lssuance, or tf work author#zed by
the permit is suspended or.abandoned for�.per(ad of six�(H)montFis.after the#ime the�inwork��s commenced. M extension
may be requested� tn writ�ng� from the 8ufliding Off#cia! for a per(od�not-ta exceed_ntnety__(90)_da�s_a�d v�rill_demonstr�te– -
-�^�ustl�atiie cause for:the eztension�. (f work ceases�far ninety(90}cons.ecuttve:day.s,..the�ab is,consfdered abandoned.
WARNING TO L�WNfR: YOUR.�AIL.URE�TQ.,RE�QRD A �4T�IGE OF�CQMMENCEM�t�}T MAY RESU�T IN YQUR
PAYING TWICE;FOR�IMPROVEMENTS TC1 YOUR.PR�C3PERTY. IF�YO.U�IN�TE�D�:TO OBTAIN��FIPtANE1NG;�CONSULT
WITH YOUR LENDER OR At��'tTORNEY�BfFORE�RECORQING�YOUR'NOZ�OF CQMII�qENCENI�,NT
FLORipA dUWI�(f.S.1.17.03) , ' � '
QWNER OR AOEN . �'�;°�' --,�,G�� CONTRAGTO
Subsctibed and swom aflirmed)before tne thls Subsc►Ibed and'swam to{o flirme pbefore me tti g
�y .by �
Who ls/are psrso nawn to.me or haslhave produced Who(slare person own•tt�me or#�as/have�proditced •
� as tden88caUan. as identificatton.
l � -
� ublic ��,� Notary Publfc
Com 1 Ian N '",,��a�6E��„T07 � Cammisslon. ,,,F,,,.
:'�' ;: Cammisslo F 3 ,• •
_}: 29 2016 ;.: �' Commission#FF 137073
Name ot Nata s�tpsnik� `
' ,R,'„,`' Name of Nota ,P�,,, t ,,,,�,,,,�„aooaas.toto
1�►-•� 4.
Nikole Brown �
From: HVAC Proposals <proposals@hvacproposals.com>
Sent: � Friday, October 30,2015 12:08 PM
To: charlene1010@verizon.net; ronnie@iernaair.com;sherrip@iernaair.com;
heatherb@iernaair.com;chads@iernaair.com;Anthonyh@iernaair.com;
nikoleb@iernaair.com;johnn@iernaair.com
Subject: Proposal Status Changed to Won
T'he below proposal has been updated with a status of'won'.See details below to process order:
Title 3.0 TON PACKAGE iJrIIT-HEAT PUMP
Opened Date 10-30-2015
Closed Date 10-30-2015
Install Date 00-00-0000
Customer joe ogiba � '
386271ansing ave
zhills,fl,33542 -
Tel:(315)489 3217 �
jogiba@northnet.org
Sales Rep Clay Coffman clayc@iernaair.com
Units Added Sp� e�ial Common Parts Services Added Upgrades I Units �
Parts Added Purchased
[] 10 YEAR WARRANTY ON
[]EP-45XSOX3-C P`�TS/COMPRESSOR,
[]SOVR-A36---3-TP, *1� []1'emut and inspection,
[]CECP052A00, []TH5220D 1003 ��New liquid line filter drier for refrigerant, 1 Best Systems
�� []None * 1 []Add/Remove refrigerant of proper operation, []None Quoted
CPDUCFLG002A00 []TT-iTV24-14* ��Disposal of equipment,
1 []Dual Breaker Sub Panel with New Electrical
Whips Includes electrical permit,
[]Single wide duct change out
15 seer,
To View the HVACopcost.com website- CLICK THIS LINK! HVAC Opcost.com is an independent �
website. The results of savings from one system to another may vary and Ierna's Heating and Air Conditioning
cannot be held accountable for those same results. The results should be considered as a representation of
expecta.tions.
1. To view our website- CLICK THIS LINK!
2. To view testimonials about our products and services - CLICK THIS LINK!
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 atiove.
1