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Home My WebLink About20-21392 CITY OF ZEPHYRHILLS w 5335-8TH STREET ' ►' (813)780-0020 21392 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21392 Address: 37544 AARALYN RD BLDG 2#18 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03-26-21-0230-00000-0180 Improv. Cost: 7,900.00 OWNER INFORMATION Date Issued: 1/10/2020 Name: THOMPSON, SANDRA Total Fees: 187.50 Address: 37544 AARALYN RD Amount Paid: 187.50 ZEPHYRHILLS, FL. 33542 Date Paid: 1/10/2020 Phone: 813-779-5467 Work Desc: A/C CHANGE OUT 2 TON W/ ELECTRIC- REINSTATE 1X CONTRACTORS APPLICATION FEES ARS RESCUE ROOTER A/C CHANGEOUT 80.00 ARS RESCUE ROOTER ELECTRICAL FEE 45.00 A/C CHANGEOUT 40.00 ELECTRICAL FEE 22.50 DUCTS INSTALLED Ins ections Required DUCTSINSULATED 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 - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ® - i k . The City # Ze Ry'S 01d0/2022 q b3 q Receipt No. 00822128B q 62.50 ----------------------------------------- Total: 62.+ Cash: Gm mKR A50b 13921x reinstate ck# ' �S! electric y&g q.m M50 Mange: G R b/2;6 Q reinstate G#yaS! electric Dd7y 2 mmm Gawg ) ge \!Rion: Rm±GyR) CITY OF ZEPHYRHILLS 534%�-8TH STREET (813)780-0020 21392 i BUILDING PERMIT i �r t�F � R)IAATION - - `,.10N i'NFO1Ft�AA'3N. " f Permit Number: 21392 Address: 37544 AARALYN RD BLDG 2 It18 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03-26-21-0230-00000-0180 Improv. Cost: 7,900.00 OR;INFO : ON ,I Date Issued: 1/10/2020 Name: THOMPSON, SANDRA Total Fees: 187.50 Address: 37544 AARALYN RD Amount Paid: 187.50 ZEPHYRHILLS, FL. 33542 I Date Paid: 1/10/2020 Phone: 813-779-5467 Work Desc: A/C CHANGE OUT 2 TON W/ ELECTRIC- REINSTATE 1X CO iTftACTOR S APPLIC 014 F S ARS RESCUE ROOTER A/C CHANGEOUT 80.00 ARS RESCUE ROOTER ELECTRICAL FEE 45.00 A/C CHANGEOUT 40.00 ELECTRICAL FEE 22.50 i I I - Ins ections Required DUCTSINSULATED FINAL i 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. i "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. f r CONTRACTOR SIGNATURE PERMIT OFFICOR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I PROTECT CARD FROM WEATHER ' CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21392 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21392 Address: 37544 AARALYN RD BLDG 2#18 Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03-26-21-0230-00000-0180 Improv. Cost: 7,900.00 OWNER INFORMATION Date Issued: 6/19/2019 Name: THOMPSON, SANDRA Total Fees: 125.00 Address: 37544 AARALYN RD Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/19/2019 Phone: 813-779-5467 Work Desc: A/C CHANGE OUT 2 TON W/ ELECTRIC CONTRACTOR ) - APPLICATION FEES AMERICAN RESIDENTIAL SERVICES OF A/C CHANGEOUT 80.00 ARS RESCUE ROOTER ELECTRICAL FEE 45.00 V C11 Y q/ DUCTS INSTALLED Inspections Required DUCTSINSULATED 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. .nNTRACTOR SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received a� H_ 1—I _ �l I 1 q Phone Contact for Permitting �1^ Owner's Name C�- ��l� Owner Phone Number Owner's Address In �C Owner Phone Number ? Fee Simple Titleholri N m Owner Phone Number Fee Simple Titleholder Address, ICJ JOB ADDRESS �� n — LOT# SUBDIVISION I� { f1 PARCEL ID# O'�)OLD--A J -0196 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 Ei� ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE E2— SFR = COMM = OTHER TYPE OF CONSTRUCTION f= BLOCK = FRAME = STEEL = DESCRIPTION OF WORK GIG 10 a +0n ��SC '(1Q,C_A— BUILDING SIZE SQ FOOTAGE L= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ 0 [ 9 ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / le, =GAS = ROOFING 0 SPECIALTY EEff/ OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I l i i f l f I L S I I I I l i I I i 3 i i 1 3 1 i l l dd BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address {� License# ELECTRICIAN COMPANY r' _ CMQ P4C'�O A SIGNATURE REGISTERED / N FEE CURREN I Y//�N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address /�_ (Liiceense# MECHANICAL * COMPANY �`1�S t'_0 e�Y SIGNATURE REGISTERED I i,_YYN I FEE CURREN I Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# IIIIIIIIIIIIIIIIIIIIII1111111111111111111111111 'I,IIIII11111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for neWConstruction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsParge 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,Slornwater Plans wl Silt Fence installed, Sanitary Facilities&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 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 Attorney(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 t NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" 1 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 certify-that-f-have-obtained- ;,)py of tt,e-abo,,e-described-d=frentand-prorni.-ei,rgood faittrtt7 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 YO R-N TICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) P OWNER OR AGENT CONTRACTOR Subscribed and swum to(or affirmed)before me this Subscribed and savor to(or a ffirmed)before me s by by G ' Who is/are personally known to me or has/have produced Who is/are p norwn to me or hasthave produced as identification. as identification. Notary Public /� �1/1��' Notary Public Commission No. Commission No.-FP G')-_I 1 l Q Name of Notary typed,printed or stamped Name of Notary typed,printed or Istamped Hwy fL , MAYBE KRIPS MY COMMISSION#FF929795 EXPIRES October21,2019 (,tfs�'>r1k;;•g1aJ FloridaNr>•aySnrvica com Installation Work Order Est.Stim[)see (727),588-4200 or(81 3j,282-3737 Est.CDMOelion Date right 3340 N.Scharer Drive,5[jilw A&B;St.Pa!ursburo,FL 33716 Corporate CwVorner ,v,1rk_r1lownpit rightAmu.=Revi*,i*)1Gr!rwirm a[RrQs,Ina en f 0AM 249753 Relations Mak9003-0879 CUS 10MER EVNI! tmCsup &ODRESS z VKINL YO U R"VAC SYSTEM D ES I G N OPTION I OP71ON 2 OPTION.3 ,0'SIZE12_1'AW_TYPE CAM I zr-0 S E-2,,P TYPE OW/tr1*7-, EFFI,CI.ENCY 5ffl-1 Hax"p— E IGIENCY/ TYPE CJAMVW�LeF -10/AJOC EJF%:Fl )EIqCySnL,-_-/j ) $ A-A s,4 $ $UBIOTAL 1; SU 13T CTAL M01,14WLY EST.' 1; M 0 Ni llp15 I:"T, 'r 0 0 N 73 1-.I E U r. $ CUSTOMER IMIfflAij CUST+?61ERINrfUtLS CUSTO MEfd wt rmm werran.-y7 19 P.-ji- Lihn, Fwm ,L ba W nty:,- Part. Labo, N =_r, 70 C e*rz_T gird Eix:h;3nl-gry Unlern%u Di e rm'--ve noted,-J I'yiarra nUea are from,,hB m!knufW Lnr, WIT"12 1 a 11- SELECTED GF911)N:V1 EF2_03 Ej Nuw PE,k%npd qr.K:k E3,UV litight. []jHurrddL.iim- SUSTM L $Pmuorlive A eponnect Drain 111ir* jV Vtftme Equipmer.4&ab KH EliNhUmidifier Tha D suund'kulmiuo PV;VA {Pan,A pka-if}. 'ptki rJnnr1?n!1 Ph& t _Cak 0-0 P,UquidTite Conduit R;Man Drain W.-e:y q'FAMb Ij-Hue. er'ling! ElStarl KTI 'gSe�New 6onno,-.1innr, Ga•roo.to c�jztrqpk Refr�geiard ❑LL Dryer— [ISuPpml Aupr ECILipIrIEFIL Refrigcrant y _ El WV" p um. 2 uppl 7 nn,.�ct E-1 KA[Wf IEI�econpect ❑Nerw DuLft Sytnlarn 0 rASH CICHECKW Refrigerant Ppe-CDvef Not Work i Nmw dRcx:mr1nt.KA - fkJ 0 Fuel Piping 11 CREDIT`CARD tLAST 4#8) ? Service PlanF31or,nect t6-y FXPI =,,.-A!3PR(3VAL___ J— El P00 Home R-ota&ian Guaranien! 24-flaurSaivios Gueranm _caho. v;;.j VVCH cl�rATL6� C C)p 81) `•ARSis.rm feelpopsibir fex preexisting 60work.Sea Terms andiGondidana on the beck of this domirnent for delails. WYiaan<,ustojnw auhora&f*n wAil be&Wnrd before beginpinq;1n]9 UHIMX71..nnrldit'e k mal nr twierdrd work. ANY 43ARM FOR CONSTRUCTION DEFeM, ARE SUBJECT,TO THE NOTICE AND CURE PROVISIONS OF -GHA plep wila, FWAI DA STATUTES, 6uy9"RIG"TIR) It YOU do not Want the 9"ft of ftrVkc",)rOU may CMOW� lcs_qthi6.*`0im4)WO'""N by tidepg"orby mall.This notilce m tat WGI110te that you A thhg Agr8ww0t tP/..PMf0l"9 WMW do "Weli day Aft6F YW ruAwai"Ifedool j!ixwand Ib8fM*MId;1lj;htpf thtethift!IbL W*461110fif not 11mapf i ur patl al sO cash dorm puOrfi6 a lit it pip n 4 _ hartbeon uVb.used woli?mi oMfvgfd in V.Arg Mng ft oanoftt ku*" 3w, 'ftrkWre*MC'% uAd tdicotioftaot aide-hp0ad. h A ad ff)�-sm #MDV 'TO.0 WMWO impm.van'0:06100. 1,; -am' p tax 0tlfitl al -_�IWMW , illlllllllllllllllllllllllllllllllllllllll@illllllllllllllll i 2018131421 Rcpt:1979374 Rec: 10.00 Permit Number DS: 0.00 IT: 0.00 Parcel ID Number t;�j—a�_a�--(fLd- 0—v1li0 08/03/2018 J. G. , Dpty Clerk NOTICE OF COMMENCEMENT PAULA S.0'NEIL,Ph.D.PASCO CLERK & COMPTROLLER State of Florida 08/03/2018 10:04am 1 of County of Pinellas POSCo OR BK 97657 PG 859 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description): 'EE_► 0x�,& Par1L Towrl�-6C-f� S: P9 lQ0 PG l02 a)Street(job)Address: - --.-� --- - — - --- ---- -- - --- - .� �►`" - AA►( 2.Generaldescription of improvements: ILA C4 _0. �_-t- L 3.Owner Information or Lessee information if the Lessee contracted for the improvement: r a)Name and address: S0_r"6JrQ-rr or-o SO,b1 --- _�J1 t)yL-i AQro n Rd . I b)Name and address�f fee simple titleholder(if differe t than Owner listed above) - c)Interest in property: 4.Contractor Information o a)Name and address: A 9,S R1 SCAM Qoo- - 33LA b - ScJ1- X-Q X_ �J r - S� -Dzlt z C b)Telephone No.: oZ1- ►--f1C��(_Q Fax No.:(optional) 5.Surety(if applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: c)Amount of Bond: $ 6.Lender a)Name and address: - ----- - - ---- b)Telephone No.: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a)Name and address: b)Telephone No.: Fax No.: (optional) 8.a.ln addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713,13(1)(b), Florida Statutes. b)Phone Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified)_ - _ 20 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE_COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty per' claf'e ve_that I ha read the foregoing notice of commencement and 'that t is stated therzin are true to the best of my knowledge an b -�-= -- - - - - --- -t -- ---- -- - r G.-- I----- - --• -- (9igOa a of Ow r or esm ;o wner's or I ssee's(Authorized Officer/Director/Partner/Manager) Pnrt Name and Provide Signatory's Title(Offce)e, The regoing in ` iment was acknowledged before me this day of 20 b by as a of hori ----- — ------------ (� _p5�f�- _--.--_ .- (�(�-2fi]�,L�(1.Qom_- (type ty,e.g.officer,trustee,attorney in fact) for as (Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact) for _ - — _— — (name of party on behalf of whom instrument was executed). Personally Known ❑ Produced ID ❑ may, Type of ID _ _ Notary Signature ` G y n Print name Mamus 0Gdffey Q � Commission#FF987818 ,"€ Expires: May 1, 2020 °�` �'� Bonded thru Aaron Notary DUCT CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR MODIFICATION OF THE EXISTING. DUCT•SYSTEM FLORiDA ENERGEY-CONSERVATION CODE(FBC ENERGY,SECTION 403)TO BE LEFT ONSiTE AND•PICKED UP BY-INSPECTOR Owner:- . CA N V 16MO Permit#: Ma :Site Address: AAMLqA1 Contractor:: ek License#: /= Final Inspection Dote: I certify that I..have,inst0ed new:or modified.the'existing duct work associated with the HVAC system. : referenced by the permit listed above and found it complies with the requirements FBC Energy Code, Section 403:3:Wh r .rr�odified,_the existing-d.utts._have:been_seated_using_reinforced-mastie_o"ode— -=----= =- approved.equivalent. Ducts are located within conditioned space(Section 403.3)System.was.tested as. per,FBC Energy code,section 40112.1.All new duct work is to comply with FBC Energy 403:2 and FBC Mechanical chapter67-7 Name of License Holder(print or type) Slgnature of:Liuse Holder: