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City Of ZephyrhillS PERMIT NUMB ,
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5335 Eighth Street
Zephyrhills, FL 33542 BGR-00044 -2020
` Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/24/2020
Permit Type: Building General (Residential)
Property Number Street Address
14 26 21 0010 01100 0010 38328 South Avenue
Owner Information Permit1nformation Contractor Information
Name: LEE CARLTON Permit Type:Building General(Residential) Contractor: RON IERNA'S HTG &
Class of Work:HVAC Changeout C OILING INC
Address: 38328 South Ave Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)624-9464 Mechanical Valuation:$7,400.00
Plumbing Valuation:$0.00
Total Valuation:$7,400.00
Total Fees:$77.00
Amount Paid:$77.00
Date Paid:7/24/2020 1:32:37PM
Project Description
A/C CHANGE OUT 3 TON
Application Fees
Mechanical Permit Fee $77.00
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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
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CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting ( ) -
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Owner's Name Z?C-L� Owner Phone Number 13-&2 . -�
Owner's Address 3GO ,50all) (/fWp i�l 5 LL 7L-Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address DQk
JOB ADDRESS 3212 SO j LOT# 13
SUBDIVISION M00`8 ►1(Sf cid-1HSYI PARCEL ID# 14-2-02) "C010-0 0 -00M
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR R
ADD/ALT 0 SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR O COMM EZ OTHER G /
TYPE OF CONSTRUCTION Q BLOCK Q nFRAME STEEL Q
DESCRIPTION OF WORK gGlla '¢Jed/ eU &102mt
BUILDING SIZE SQ FOOTAGE HEIGHT �✓ v e L
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ �
MECHANICAL $ CO O VALUATION OF MECHANICAL INSTALLATIONS
=GAS Q ROOFING 0 SPECIALTY 0 OTHER
3q
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License# /� f
MECHANICAL _ COMPANY
SIGNATURE REGISTERED Y/N FEE REN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 W" 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 pe
exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is nsicare( N
abandoned. M N z
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 10
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, 919
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE QF COMMENCEMENT, a� tsaq
FLORIDA JURAT(F.S. 117.03) _ E E on
N Z.E E
OWNER OR AGENT CONTRACTOR z`9
Subscribed and sworn to(or affirmed)before me this $ub cribe and swo r affirmed before me this y
Who is/are personally known to me or has/have produced Who is/ar all known tom or has/have produced
as identification. as identification.
t
Notary Public Notary Public
C:nmmiccinn Nn C:nmmiccinn Nn �� V�
{
lerna's Heating,Cooling&Plumbing,Inc. Invoice 60580070
18843 US Hwy 41 N Invoice Date 3/21/2020
Lutz,FL 33549 Completed Date 3/21/2020
813-948-6355 Technicians Jerry P.
#CAC1813676/#CFC1429475
NNA?INO,COOLI 6 A PLU' DING Roger M.
Customer PO
Payment Term Due Upon Receipt
Due Date 3/21/2020
Billing Address Job Address
Lee Carlton Lee Carlton
38328 South Avenue 38328 South Avenue
Zephyrhills,FL 33542 USA Zephyrhills,FL 33542 USA
Description of Work
Single Stage Compressor
Variable speed Fan Coil
Heat Pump
Housewise WiFi Thermostat
1) 12"flex 2 boxes
Need return ran under house from main return to bottom of unit see pics
Installing Saturday 3/21
Vertical install platform
Wells Fargo Financing 0%for 60
Task# Description Quantity Standard Price Your Price Your Total
1576 3 TON HEAT PUMP BRONZE(PREFERRED) 1.00 $6,450.00 $6,450.00 $6,450.00
226CNA036000
FV4CNF005L00
AUXILIARY HEATER
SEER:16
EER:13
HSPF:9
SINGLE STAGE COMPRESSOR
AHRI#10488252
10 Year Compressor Warranty
10 Year Parts Warranty
1 Year Labor Warranty
***Homeowner must register equipment to receive the 10-year
warranty***
200.36 BRONZE Customer Appreciation Rebate 1.00 $-450.00 $-450.00 $-450.00
Duct Mods Duct Mods 1.00 $450.00 $450.00 $450.00
1369 Patriot air purifier 1.00 $1,187.50 $950.00 $950.00
00 NOT ' PMA-1 Year Free With Install 1.00 $0.00 $0.00 $0.00
USE
Paid On Type Memo Amount
3/24/2020 Wells Fargo $7,400.00
Member Savings$237.50
Sub-Total $7,400.00
Tax $0.00
Total Due $7,400.00
Payment $7,400.00
Balance Due $0.00
[ERNAYourTrust-IERNAYourBusiness!- -
I have the authority to order the above work and do so order as outlined above.It is agreed that the seller will retain title to any
equipment or material furnished until final &complete payment is made.And if settlement is not made as agreed,the seller shall have
the right.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%on unpaid balance.Returned checks subject to all applicable fees.
CANCELLATIONS:
DEPOSITS ARE NON-REFUNDABLE.All other Cancellations are subject to any permit fees incurred by said county.Applicable fees will
become the financial responsibility of purchaser and/or property owner.
Customers are responsible for registering their equipment within 90 days for applicable warranties.Please see warranty Terms and
Conditions
3/21/2020
Above ordered work has been completed and I acknowledge receipt of my copy.
r
3/21/2020