HomeMy WebLinkAbout18-20129 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 201 9"'
BUILDING PERMIT ,o
PERMIT INFORMATION- LOCATION INFORMATION
Permit Number: 20129 Address: 37646 GEORGINA TER#116
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: EILAND PARK TOWNHOMES
Est. Value: Parcel Number: 03-26-21-0250-00000-1160
Improv. Cost: 5,030.00 OWNER INFORMATION
Date Issued: 8/20/2018 Name: MCCLELLAND DOROTHY
Total Fees: 70.00 Address: 37646 GEORGINA TER
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542-3299
Date Paid: 8/20/2018 Phone: 813-715-9978
Work Desc: A/C CHANGE OUT 2 TON HP
CONTRACTORS APPLICATION FEES
RON IERNA'S HTG & COOLING INC A/C CHANGEOUT 70.00
Ins ections Required
DUCTS INSTALLED
DUCTS INSU -D-
FINAL
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 - B HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department n a
Date R6ceived l Phone Contact for �j Permitting C7 1-37 O - �53q
Owner's Name 19-C`I/ 11 Ole,( Q Owner Phone Number �/3-�)S n
! /Al
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Owners Address (,O (O C— Owner Phone Number
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address rr�
JOB ADDRESS C P li��� ��n C._ I P�G Gf✓ 22 LOT#
SUBDIVISIONi��n/`L PARCEL ID# 9J-Z(o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK
��jj Q FRAME = STEEL`�aQ�{
DESCRIPTION OF WORK 'i G 2 V v v Q F W
BUILDING SIZE SQ FOOTAGE HEIGHT
. . .
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
MECHANICAL $L�11 VALUATION OF MECHANICAL INSTALLATION --/� i�u
=GAS = V ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11N
Address Y License#
MECHANICAL COMPANY
SIGNATURE �/ / ,y REGISTERED Y/ N FEE CURREt, Y/N
Address �O03 �S _!'l License# 1
oj O
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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,Storrmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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.Al[commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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"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 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,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 Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I 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,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 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 COMMENCEMENT.
FLORIDA JURAT(F.S.117. ) S�
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OWNER OR AGENT Z -f— CONTRACTOR
Subscribed and s ( r affi edrrn )b re mmee this Subscribed and b or (or affirme fore a this��
v s `
Who is/a ersonally known me or has/have produced Who is/are pe all know me or has/have produced
as identification. as identification.
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`�[�— �-,tary Public `* otary Public
Commission No. o J O� Pf�C�Commission No. Q 3
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'r .°�: Notary Public-State of Florida =`_ Notary Public State of Florida
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lema's Heating,Cooling&Plumbing,Inc. Estimate 43942146
18843 US Hwy 41 N Job 43460961
Lutz,FL 33549 Estimate Date 8/13/2018
813-948-6355 Completed Date
#CAC1813676/#CFC1429475
N6A7ING,CoOLINo a PLU61BINo Customer PO
Billing Address Job Address
Dorothy McClelland Dorothy McClelland
37646 Georgina Terrace 37646 Georgina Terrace
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Estimate Details
Unit Replacement 14 Seer Hp: 14 Seer Bryant Split Unit HP
Customer paying personal check
Vertical install
Task# Description Quantity Your Price Your Total
1598 2 TON HEAT PUMP(LEGACY) 1.00 $5,030.47 $5,030.47
214DNA024000
FX4DNF025L00
AUXILIARY HEATER
10 YEAR PART 1 YEAR LABOR
SEER:14
EER:11.5
HSPF:8.2
AHRI#9676146
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
Sub-Total $5,030A7
Tax $0.00
Total $5,030.47
IERNA Your Trust-IERNA Your Business!
By signing this document you confirm that you have a full understanding of the information being presented to you with no warranties
or guarantees of conditions that are not seen,nor identified.Any concerns of the home's or business's existing duct system have been
discussed with you and if the homeowner/business owner opt not to replace the existing duct system,IERNA's nor it's representatives
shall be held liable in any way for any performance issues and/or premature breakdown of new equipment that may arise from the
home or business's existing duct system.Customer's signature on this form signifies that you have read and understand the
information being provided to you.
,
8/14/2018