HomeMy WebLinkAbout18-19387 CITY OF ZEPHYRHILLS
5335-8TH STREET
(8i3)78o-0020 19387
� a BUILDING PERMIT
, � PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 19387 Address: 4852 TIMBERWAY
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 15-26-21-0200-00000-0080
Improv. Cost: 5,238.00 OWNER INFORMATION
Date Issued: 2/28/2018 Name: SHAWLER LISA &ANTHONY T II
Total Fees: 70.00 Address: 4852 TIMBERWAY
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 �
Date Paid: 2/28/2018 Phone:
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTOR S APPLICATION FEES
RON IERNA'S HTG & COOLING INC A/C CHANGEOUT 70.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSUL ED
FINAL r
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,Specifcations Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE 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
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813-780-0020 City of Zephyrhilis Permit Application Fax-813asaoo2�
, , Building Department
Date Recelved , 'Z �f,�� t� pttone-Contact far PermlttFn j� � � – 3��'�
Owner's Name t"�`� � �8,/ Owner Rhoae Number
Owner's Address `Z�.)�i �, _ � Owner Phone Number �; �
Fee Simple Titleholder Name, Owner Phone Number � �
Fee Simple Titlaholder Addre�s '
JOBAbDRESS `�[ ���' ��rri r l/J LOT# [� '
SUBDIViS10N �(��� Sp,,,u,� � PARCEL ID# 'Z l -t "'D Zc� –�3"D "'�'���
(OBTAINEO FROM PROPERTY TAX NQTICE)
, WORK PROPOSED NEW CONStR ADD/Al3" � StGhl Q � DEMOLI$H
INSTALL REPAIR
, PRQPOSED•USE Q SFR Q COMM �� OTHER ,
TYPE OF CONSTRUC710N Q BLOCK " Q FRAME � 87EEL Q
DESCRIPTION OF WORK i � �- '� �" Z1 y(��,� �
������-o�
( BUILDING S12E _St1 FOOTAGE HEIGHT
QBt111.DING �� VALUATiON�OF TOTAI CONSTRUCTION
QE�ECTRICAI. �� AMP SERt!!CE Q PRCIGRESS ENERGY Q W.R.E.C.
', OPLUMBING �>_-�
[���CHANtGAI $ � � V,4�UATlON OF MECHANtGA�INSTRLIATIQN ���}�
� -��C
QGP+S Q ROOFING Q SPECIALTY [� QTFtER "
FINISHED FLQOR ELEVATIONS ��� FLOOD Z4NE ARF_A [�]YES NO
� BUI�DER COMpANY
' SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense# � `�
ELECTRICIAN COMPANY
I SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—� �
� P�UMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
' Addrass License# f �
. „ .,
SIGNATURE � � �'" �,/"'� ROMPEANY Y/ N 5 FEE�CUR�R � Y/•N ly
Address 1��'�3 �S � �/ � ucense# ����j?���'�_�
OTHEF2 �pMp�y
SIGNATURE REGI57ERED Y/ N FEE CURRE� Y/N
Addrass ° _� . . _ - Licens�# � � -
REStDENTiAL Attach{2)_Plof Plans;.{2}sets of Bu1ldfng7Plans,(1}se#of EnergyFarms;.Ft-f?-W Permlt far new construction,
Minimum;ten(1.0).worktng;days after.submittal ilate. Required onsite,Construction Plans,Stortnwater Ptans w/Silt Fence installed,
Sanitery FaclllUes,&�1 dumqster Site'Work�Rertnit for sub"dlvislonsflarge proJects , '
COMMERCIAl. Attach{3}coinplete sets�of Bultd9ng Plans plus a l.ife Safety Page;{1}se#of Enetgy Forms.R-O-W Permit far new conshuction.
Minimum ten(10)working days after submittal date. Requlred onsite,CanstrucUon Plans,Stormwater Plans w/SGt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Work Permtt tor ail new proJects.All commercial requlraments must mest complfance
SI�N PERMIT Attach{2)sets of Erigineered Plans... � �
""PROPERTY SURVEY reguired for all NEW constructian.
D3rectians:
Fill out application completely.
Owner&Contractor sign badc of appllcatlon,notarized
!f over$2540,a Natice of Commeneement ts required. (AtC upgtades over$7500) . _ •
'" Agent(for the contracto�)or Power of Attomey(for the owner)would be someone with notarized letter from owner authodzing same
OVER TFiE COUNTER P.ERMITi1NG- {Front of Appliration Only)
Reroofs if shinglqs,,:�„��,��;s�,::s.,:;,Service�Upgrades A/C Fences(PIoUSunrey/Footage) ;:,::._ - - , _ � ,._...,,,. .
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t"'�'i'drt i .� :.y� ' ' `y " , c',���,_ _
Ltriveways-Natraver-��iriter if on publtc roaduiays..needs ROW �' . ;, �•
�, iu�S�r4�' :ti!ryU�Ytn1p;�+ ,, ?� �� - ' ' � ���1,: �j'
�?�1� �; RQiitilM1LiH%J • � ;�y . , , . , v C. _,'�.�
� _, .:'�w+tss'tqdt' :r;'1at,_? �,,�' , f�t'?"d�S � _ ,.;��,:,� � -:r; ��, , -, .
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NOTICE OF DEED RESTRICTIONS: The undersigned undetgtands�.th�t this_��rmit.may.be,,subject to"deed"restrlctlons" �
which maybe�more=r.est�ictive=th�n County regulatlons. �The'undersigned�assumes responsibility'fo��compliance witFi'"any
applicable deed restrictions. , . , � _ =
UNLICENSED CONTRACTORS AND -CONTRACTOR RESPONSIBILITIES: �If the owner has hired a �contractor or
contractors to undertake work, they may.be;r�qulred-to:�be�;licensed In accordance.with.state.and�local.regulations: _If=the
contractor fs not 1(censed as requlred'by'law, botFr the owner and conVactor-inay be-cited-for a-misdemeanor violatlon
under state law. If the owner or intended contractor�are uncertaln as to what Iicensing.requirements may-apply:�for.:the
intended work, they are advised to contact�the Pasco County Building�InspecQion Division—Llcensing Section at 727-847-
8009. Furthermore, (f the owner has�hl�ed a contracfor o��contractors, he is advlsed to have the contractor(s), sign
portions of the "contractor Block" of this application for which they will be responslble. If.you,.as.fhe owrier"sfgn as 4he
�� contractor, that may be an indication that�he Is not.properly Ncensed and'is not entitled�to perinitting p�ivileges in Pasco
County. ' '
TRANSPORTATION.IMPACTIUTILITIES IMPACT ANb�RESOUi2CE RECOVERY�FEES:��The undersigned understands
, that Transportatfon Impact Fees and.Recourse Recove.ry:Fees may°�apply�to�the construction of new bulldings,�change of =
use in existing buildings, or expansion�.of��ezf§tirig°�6uildings, as specifled in Pascv County Ordinance number 89-07 and
90-07, as amended... The undersigned also:understands, thait such fees�-,as,tnay:�be.due,::wlll,be (dentified at the time of �
permitting. It Is furtlier understood that Transportatlon Impact�Fees and��Resource Recovery'Fees..musf be paid prior to
receiving a "certl�cate of occupancy" or flnal�power.-release. :if�the project;does not Involve a.-.certiflcafe of occupancy or
final power release;.the fees must be paid prior to permit issuance. Fu�thermore��if Pasco-County-Water/Sewer:�lmpact
fees are due,.they:.must be-pald prior to permit=lssuance=ln accordance vuith applicabls.Pasco'County ordinances.
COtV�TRUCTION�LIEN�LAW(Chapter 713� Florlda Statutes�aa amended): if valuatlon of work is$2,500.00:or more, I .
certify that I, the appiicant,_ have�been provided with a copy of the� "Florida Constructton Lten L`aw—Homeowner's
Protection Guide" prepared by,tFi.e Florida Depertment of Agric.ulture and Consumer A#fa(rs. If the applicant is someone ,
other than the"owner", I certify that.l have.otitained�a copy,of the above.riescribed docurr�ent°and.promise�in.good�faith to
deliver it to the:'owne�prioc�to�cammencement: ' � � '
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the,inf.ormation ln 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 obtatn .a permit Co do. work;and Installatlon as Indlcafed: 'I certify that no work.or Installatton has
commenced prior to Issuance of'a permit and that.all work wili be perFormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulations, and land development r.egulations�in the jurlsdtction. 1 ai'so
certify that I understand that the regulatlons 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:.corr�pliancs; S.uch agencies,include but are.not Ilmited to:
- Department of E�lviconmental Protection-Cypress. Bayheads; Vlfetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment. � �
- Southwest Florida Water Management .Dtstrtct-Wells, Cypress.� Bay,heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navtgable Waterways.
- _ Department of Health 8 ReMabllitattve Services/Envitonmenfal Nealth Unit Wells� Wasteu�rater�Treatment,
Septic Tanks. � .
- US Envi�onmental�Protection Agency-Asbestos abatement.
Federal Avlatlon.Authority-Runways.
I understand that the foliowing:restrictlons�apply to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill mateNal_.is to�be used In �Flood Zone "A", It. Is understood that-a drainage plan addressing a
°compensating volume" will be submitted at#ime of permitt(ng wh(ch Is prepared by a professional engineer
Iicensed by.the�State�of Florida. '
� - If ihe fill material:is.to be used in Flood Zone 'A" in�connec�fon�with�a permitted buiiding using stem wall
� construction, I certify that fill:wall°be used only.to#ill the area wlthin the stem�wall.
- if flil material is to be used °in any area, 1 certify that .use of such flll will not adversely affect adJacent
properties. If use of flll is found to adversely:�ffect adJacent�p�operties,.the owner may be clted for vlolating
the conditions of the�tiuilding:perrriit Issued�under the atEached permit appiication, for:lots less than one (1)
acre which are elevated by flil�an engineered dralnage pian is required. •
If I am the AGENT FOR THE OWNER,•I,�promise in good faith to Inform the�owner of�the permitting condit(ons set forth in
this affidavit�prior to commencing construction: I understand that:a�separate permtt may be requtred for electrical work, �
� plumbing. signs, wells, pools; air conditioning, .gas, or:other installat(ons not specfflcally included�in.the application. .A
permit issued shall be consttued to be�a'Iicense.to�p�oceed w(th the work and not as:authority to.violate, cancel. alte�, or ,
set aside any provis(ons of the.technical cod�s; nor shall issuance�of a.permit.prevent the 8ulidirig Oificial from thereafter
re uirl a correction af errors In. lans cons4ruction or vlolations of an codes. Eve �ermft issued sh II bec va'd
q ng p , y ry p a ome in li
unless the work authorized.by such permit.is-commenced�wlthin sUc months of permit issuance, or if work authorized by
the pe�mit is suspended or.abar�doned#or a;period of-six�(8)montfis.after the time the�wotk ts commenced. An extension
may be requested, tn writing, from tNe Building,Official for a period-�not to exceed ninety(90) days and will demonstrate
justifiable_causefor.the_exten5ion. IfworkcQases:for_ninety.(90)_conQ.ec«tly�:days,:#h�)ob�Ps-coresld�rs�d-aba��oned:— --- —
WARNING TO OWNER: YOUR.FAILURE�TO..REC.ORD A,NOTIGE OF•COMMENCEMEt�T MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS�TO YOUR::PR�PERTY.:IP�YO.U�IN�TEND"T�'OBTAIN�FIN�ANCING,�CONSULT
WITH OUR E. DE O NI�TTORNEY�B FORE�RECOR�t7 f�1Y0U � O �C `OF' �� � E E
FLORIDA JURA'�(F.S.117,03) � `
OWNER OR AdENT ` �� CONTRACTO
�bS scribe swa or a(firmed) efore me this ' �I� scri ed nd'swo t afflrmedl.� me ttit�
y ,���� �P��vfJ W���by �� ��2�-1�—
Who Islare�ersonally k n t,o.me or hasR�ave produced , o Is/are personal Jcnown to me or hasR�ave•produced •
as Identlflcatlon. as tdenBflpGon.
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�"htatary Public Notary Publlc
Commisslon No:` � Commisslon No. �l�
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Nam f� �ped,print���rt�py��N Name of Notary lyped,printed or sta ed�PaY P�a�,, SHERRI L LAY70N
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:°' Notary Public-State ot Florida ���' ic�? Notary Public-Shte of Florida
� ;y "o�; Commission#FF 970369� ,,� "o�; Commission�Y FF 970369
''%;eoFF�o?; My Comm.Expires Mar 18,2020 �'%FOFF���'� My Comm.Ezp(res Mar 13,2020
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February 27, 2018
To Whom It May Concern:
Please accept this letter as permission for the below agents to pull permits for lerna's Heating& Cooling.
License #: CAC1813676
Charlene lerna
Nikole Brown
Brandon Richardson
Nick Olmedo
Richard Register
Robert Hicks
Please remove any names not listed on this letter. This will supersede any previous agents.
Sincerely,
� �
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on lerna � ' '
18843 US Hwy 41 N
;o<�a�P�o�y,, SHERRI l LAYTON
Lutz, FL 33549 ;2, A�:
, . : Notary Public-State o1 Florida
813-948-6355 ='° •�: Commission#FF 970359
813-949-9266- Fax ��:�,����;;�'� My Comm.Expires Mar 19,202o I
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Proudly Serving:Hillsborough,Pasco,Hernando,Pinellas&Polk Couniies +
Pasco:813-948-6355�Tampa:813-643-0496�Lakeland:863-859-0062�Toll-Free:866-323-COOL(2665) WWW. ��������CO/TI
To:City of Zephyrhills Page 2 of 3 2018-02-28 16:46:12(GM"� 18134335616 From:Charlene lerna
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lema's Heating,Cooling&Plumbing,Inc. Invoice 409Z3724
18843 US Hvry 41 N Invoice Date Z/28/2018
�$• Lua,FL 33549 Completed Date
-d c #CAC31813676/#CFC1429475 Customer PQ
;
Billing Address Job Address
Anthony Shawler Anthony Shawler
4852 Timber Way 4852 Timber Way
Zephyrhills,FL 33542 USA Zephyrhills,FL 335dZ USA
Description of Work
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Vertical garage
5 kw 35 amp sc�uare DQO �
Enlarge return flex to 18"flex only w/start collars 1-bag
6ring 7"duct back from kids directiy back to plenum 2-bags
Hurricane pad,w/anchor kit
Flush copper linesef w/pro flush
Has 30 amp breaker
Install Wednesday paying a�/synchrony credit card
Permits include
Task�t Description Quantity Your Price Your Tatal
1596 � 3 TaN HEAT pUMP(LEGACI� 1.00 $4,998.00 $4,998.00
214DNA036000
FXdDNF037L00
AUXILIARY HEATER �
HONEYVJELL THERMOSTAT pro 6�00
10 YEAR PART 7 YEAR LABOR
SEER:15
EER:12.5
HSPF:8,5
SINGLE STAGECOMPRESSOR
AHRI#9662370
PMA-1 Year Free With PMA-1 Year Free With Install 1.00 $0.00 $0.00
Install
Duct Mods Duct Mods 1.00 $350,D0 $350.00
Service Call Credit Service tall Credit 1.00 $-110.00 $-170.00
Sub-Total $5,238.00
Tax $0,00
Total Due $5,238.00
Balance Due$5,238.00
IERN.4 Your Trust-IERNA Your Business!
I have the authority to order the above work and do s�order as outlined above.It is agreed that the seller will retain title to any
equipment or materiat furnished until final&tomplete paymeht is made.And if settlement is hot made as agreed,the seller shall have
the nght 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°.b on unpaid balance.Returned checks subject to all applicable fees.
CANCELLATIONS:
All Cancellations are subject to any permitfees incurred by said county.Applicable fees will become the financial responsibility of
purchaser and/or property owner,
Please see Warranty Terms and Conditions
Above ordered work has been completed and I acknowledge receipt of my copy.
To.City of Zephyrhills Page 3 of 3 2018-02-28 16:46:12(GMT} 18134335616 From:Charlene lerna
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PARTS WARRAN'1'Y
All parts as recorded are warranted as per manufatturer specifications.
LABOR GUARRNTY
The labor charge as recorded here rela#ive to the equipment serviced as noted,is guaranteed for a
period of 30 days.
ALL WARRANTIES REQiJIRE ANNUAL MAINTE�lANCE.
Ptease retain maintenance records for proof of perfarmance.
Dirty/clogged air filters,tripped breakers and cl�gged drain lines are not warranty issues.
We do not,of course guaranty other parts than those we suppiy.If repairs later becors�e necessary due
to other defective parts,they wil(be charged separateiy.