HomeMy WebLinkAbout19-21845 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21845
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21845 Address: 38705 WINDFLOWER 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 T.T.PK#2
Est. Value: Parcel.Number: 02-26-21-0260-00000-0050
Improv. Cost: 4,214.00 OWNER INFORMATION
Date Issued: 10/04/2019 Name: SLEEPY HOLLOW MOBILE ESTATES
Total Fees: 65.00 Address: 38615 LANSING AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL 33542-6312
Date Paid: 10/04/2019 Phone: 519-987-3767
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS . APPLICATION FEES
RON IERNA'S HTG & COOLING INC A/C CHANGEOUT 65.00
�b f
� l
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
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.
&-, &ze�,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7e0-0020 City of Zephyrhills Permit Application Fax s1s-7aa0021
Building Department
Date Received o t/// Phone Contact for Permitting
z
Owner s Name Lprr CTt Owner Phone Number '-
Owner's Address ,h. 9„ad/" AP_ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
�7
JOB ADDRESS 3 w4y%' LOT#
, �SUBDIVISION PARCEL ID# -�'" • �+
1013TAINED FROM.PROPERTY TAX NOTICE)
WORK PROPOSED e NEWCONSTRB ADD/ALT [� SIGN 0 [� DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q
DESCRIPTION OF WORK C i 7`O
I
BUILDING SIZE SO FOOTAGE[= HEIGHT
=BUILDING _ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING �$ —
MECHANICAL $
(1 q^i y VALUATION OF MECHANICAL INSTALLATION
'7 V
=GAS ROOFING M SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �.�
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREK
Address License#�!
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N FEECURREA Y!N
Address License# 1
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREK
Address Licentse#
MECHANICAL ��-- COMPANY
SIGNATURE REGISTERED I Y/N F E CURRE Y/N'
Address h Ky3 Q5T VI on License# f,.IR15 7�
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREK Y/N
Address License#I I
! ! 1 ! lltlllllllltlliiti1111liittttittlllllft11I11IflflttllltlttffIfI
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forts;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 dumpstar,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms,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.
.. . : . . : . . . . . . . . ate! ! t ! ' '-' A A ■ a . . . .
■ .�.' ■� i i ■ i L' ! '�.: -
DIrecllons:
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 W 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 y
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 1, 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",t 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. 1 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,WaterAlVastewater 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,
l understand that the following restrictions apply to the use of fill:
- Use of fits 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 i
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 III the area within the stem wail.
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,after,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
WiT O LE ND ER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORlOA JURAT(F.S
OWNER OR AGENT CONTRACTOR
�u e and swo (or affirm b re e this Subscribed and sworn to(or affirmed)before me this
by �n,{>d t i by
o l are personally kn n to me or hasthave produced Who isfare personally known to me or haslhave produced
as identification. as identification.
Ocr� W�f,rVr Notary Public Notary Public
Commisson No. t 9�S Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
roses pl/"c JAM1E M CLANTt7N
Commission#GG 175M
N Expires February 11,2022
4rFoaF>o�\o BmW Tm Budget NotarySwiim
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: �e lC
Permit#: 2 ova /�
Site Address: 7D Gt�"� �..I .�f +''fir
Contractor:
License#: CAU 3 to rl 6
Final Inspection Date: I 0
I certify that I have installed 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.Where modified,the existing ducts have been sealed using reinforced mastic or code-
approved equivalent. Ducts are located within conditioned space (Section 463.3)System was tested as
per FBC Energy code,section 403.3.2.1.All new duct work is to comply with FBC Energy 403.2 and FBC
Mechanical chapter 6.
Name of License Holder(print or type) Signature of License Holder
I
lerna's Heating,Cooling&Plumbing,Inc. Estimate 50565688
18843 US Hwy 41 N Job 50437807
Lutzj 813-,FL 3354 Estimate Date 9/23/2019
#CAC1813676/#CFC1429475 Technician Alex H.
HBATyttG,CCOLItYtC$'PLU6ADIN" Customer PO
Billing Address Job Address
Lori Hrynyk Lori Hrynyk
38705 Windflower Avenue 38705 Windflower Avenue
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Estimate Details
3 ton package:40 amp square d panel, Honeywell thermostat 5 kw heater
Task# Description Quantity Standard Price Your Price Your Total
PACKAGE UNIT 1.00 $0.00 $0.00 $0.00
• Reconnect to existing ductwork
• Reconnect to existing electrical
• Duct cover(as needed)
• Hurricane slab(as needed)
• Hurricane clips
• Remove and haul away of old equipment
• Clean up all work areas to customer satisfaction
• Permit included
1017 misc 1.00 $281.25 $225.00 $225.00
APC1436H41 APC1436H41 1.00 $4,198.95 $3,989.00 $3,989.00
APC1436H41
Member Savings$266.20
Sub-Total $4,214.00
Tax $0.00
Total $4,214.00
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.
11-14
9/23/2019