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HomeMy WebLinkAbout10-11350 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET (813)780 -0020 11350 BUILDING PERMIT Permit Number: 11350 Address: 6219 CAMEO ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: OAKSIDE MHP Est. Value: Parcel Number: Improv. Cost: 2,534.00 Date Issued: 12/21/2010 Name: ZACK, WM E TRUST & ZACK, M Total Fees: 50.00 Address: 6219 CAMEO ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/21/2010 Phone: Work Desc: EQUAL A/C CHG OUT TO INCLUDE AH & CONDENSOR • 1 -\. • •• ., •' J 1. . DUCTS INSULATED FINAL I �� REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." 4 A-12-4-( 6/ea__ 1 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 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department Date Received Phone Contact for Permitting 111111111tt -- {, Owner's Name N \ \k kCl 1N1 24( (�,` 1(LA,S f JL C2 (G OSK-' Owner Phone Number ��j j 1 a -� 0 7 7 7 Owner's Address , 00k.405 Oaks Lzt ve__I Smnele 337 ; Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS (i) 24 9 Ca kell 0 S ( t / LOT # SUBDIVISION (') `S Q&LSlc�-e /3'I i- I PARCEL ID# 0 ' 2 (0 a I -4010 -00300 &) ( v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 I I MOVE I I DEMOLISH INSTALL REPAIR 1 PROPOSED USE SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION I I BLOCK /� ��p r I I FRAME II I STEEL Ii I OTHER I DESCRIPTION OF WORK e L &CA Q 17� lam/ ICf U V�-a aV (n W(, ' � (` 6,-"1 BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ � VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I I PROGRE ENERGY I I W.R E.C. I I PLUMBING $ V MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING I I SPECIALTY I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # f PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address �j�� T ,, License # _ I n - MECHANICAL \. L I e Y V COMPANY Y' t -� /I�r j[ 1 '►� i —�rC. SIGNATURE Vort_11 REGISTERED I Y/ N I FEE CURRENT I Y/ N �� Address I gr2-1 US toy F 33 Ty 9 License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I Address License # 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, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) 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 Plaris, Stormwater Plans w/ 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 $5000) ** 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 (Front of Application Only) Reroofs 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 c ontact 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 prio - 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'iin 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 "I 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 fi 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 LEN'_ R OR AN ATTORNEY BEFORE RECORDING YOU' NOTICE OF COMMENCEMENT. FLORIDA JURAT (F17.03) ,400 f OWNER OR AGEN CONTRACTOR • / b ribe and swor 1 to (or affirmed) before', me this b crib d ands om to (or affirmed) before me this Y Ct by Who is are personally known to me or has /hve produced Who /are personally known to me or, has /have produced as identification. as identification. / a it...._ / - Notary Public Notary Public /� Commissi No. Co missi• No. Name of Notary tysed, printed or stam red Name of Nota , . - • • • �r NOW NO� Public State of Florida i Nota Public State of F orida .. `� Joseph L Massa N M Commission DD942937 • Joseph L Masse ' 1 if d Expires 11/29/2013 My Commission D0942937 of 4 Expires 11/29/2013 3LIA , iT 7 r -iR .- ,,, ,T')_- CF1PT;ON Pr-'ICE AMOUNT I Ron Ierna's Heating & Cooling, Inc. © s. • / eiht $ !.n SJ4 AlAr 19121 US Hwy 41 North • Lutz, FL 33549 / -1 =' I Yeift to tga /gait_ z...- At it 4-nr Local (813) 948 6355 • Fax (813) 949 9266 Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 ' ' z #CAC 1813676 • Qualifying #QB26202 • Licensed, Bonded & insured W f LAW www IemaAir.com NAME DATE �► S i Q . B� .-.1 t'2/ 24/ (0 DATE ORDERED • / 4 7 / - i1K.oa7 STREET 4241 0 ! CITY _ ZIP DATE SCHEDULED „ IA) Le. -4 .. _ . >� _� a . - 3 5 / / kJ / '-, ♦ _ - : ta/ MODEL SERIAL NUMBER � f ,.. 33! ,, 2__ t f Ct 7 eri `61zI 15491 N _' 64S R�v4 -Ce PHONE . A/ ".`. t AIRIPIMII WORK PHONE j CELL PHONE { I'G ii"- A(� kd.Np . • .I BDIVISION ❑ PROGRESS ORIGINAL COMPLAINT ENERGY ❑ LAKELAND ELECTRIC 0 L -- 1...3, L r _ _ . , ,< :.. ❑ FPNL AoDmoNAL PARTS LISnNG1 TOTAL PARTS 4 ❑ WITHLACOOCHEE ON BACK OF PART 3 ❑ OTHER ❑ COMPRESSOR DESCRIPTION OF WORK ❑ SUCTION PSI PARTS ❑ HEAD PSI ' ❑ VOLTS AMPS W ,'Q A " t`' • ❑ ELECTRICAL CONNECTIONS ( _ k CW 41.1 ir,,i ql_ irJ 1171 A- %Az, LeeD Scum"- ' S-R.') ❑ OIL LEVEL & CONDITION ( � • 0 SUPER HEAT ,,� • Fu ti Rol-N I IJcs ex LED -- C ,• t�WSrt•fAS ❑ SUB COOLING ❑ LIQUID LINE TEMP. r E i I ❑ SUCTION LINE TEMP. lwri 'y� 1am Y /� ��i � �{ � slu , STATIC PRESSURE _ POS. _ NEG. � Mr , � [ s � ❑ REFRIGERANT N J ' * j A -(AC'•' r 7 C C' ' ''id �7 `rrrt Li ' p ` - . ' , e ❑ FAN MOTOR GE ❑ VOLTS AMPS t.J i r ['Li 11 3 ` G' S k�`^LZ ❑ ELECTRICAL CONNECTIONS ¢ L ❑ CONTACTS TIGHT & CLEAN B NJA'C� ❑ FAN PULLEYS (ADJUST BELT) Ft/4.014- ❑ CHECK LUB BEARINGS & MOTOR ❑ CFM ❑ EVAPORATOR COIL 0 0 LVeNJ Pic L j - El CLEAN COIL & CHECK FIN f ^ 1 0 TEMP • ❑ CONDENSER COIL ❑ CLEAN COIL & CHECK FIN COND. erg '. f l j� p o i ` �b ay I a Le' 173-17.- Ttir(�4 rTC •�' � ❑ CONDENSATE AREAS L L ( A�' i 0 ,r4' keV...air ❑ INSPECT & CLEAN DRAIN PAN ❑ INSPECT & CLEAN DRAIN ❑ AIR FILTERS w. FILTER SIZE vS� P; Ir1I"� �� Z' w x / ❑ CLEANED ❑ REPLACED t Z ~ X Y/ ❑ HEATING ASSEMBLY . c.iw Q6 c ST -ATla ❑ BURNER & HEAT EXCHANGER �/ ❑ FUEL SUPPLY & PRESSURE PARTS WARRANTY ARRIVE 3.1 'S 3 DEPART d( `. )- 7 ❑ PILOT ASSEMBLY ALL PARTS AS RECORDED ARE WARRANTED AS PER O FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS. ❑ PRIMARY RELAY & FLUE LABOR GUARANTY zY CANCELLATIONS zt ❑ FAN & LIMIT SWITCH OPERATOR THE LABOR CHARGE AS RECORDED HERE RELATIVE ❑ BLOWER ASSEMBLY TO THE EQUIPMENT SERVICED AS NOTED, IS GUARAN- ❑ STRIP HEAT TEED FORA PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT ❑DEFROST CYCLE DIRTY/CLOGGED AIR FILTERS, TRIPPED BREAKERS FEES INCURRED BY SAID COUNTY. APPLICABLE FEES ❑ ELECTRICAL COMPONENTS AND CLOGGED DRAIN LINES ARE NOT wry WILL BECOME THE FINANCIAL RESPONSIBILITY OF ❑ RELAYS ❑ CONTACTOR ICES- PURCHASER AND / OR PROPERTY OWNER. ❑ OVERLOAD 0 PRESS. SWITCH WE DO NOT OF COURSE GUARANTY OTHER PARTS ' ❑ THERMOSTAT THAN THOSE WE SUPPLY. F REPAIRS LATER BECOME ® p.re. i TECH. #2 + ❑ OK ❑ REPLACE NECESSARY DUE TO OTHER DEFECTIVE PARTS, THEY TECHNICIAN A ❑ RELOCATE WILL BE CHARGED SEPARATELY. TECHNICIAN 1 O of C !' y,� EC,.JIPv"EN T CH CK _tc TERMS: DUE UPON COMPLETION - 3USTOTAL. $ Z. �+ , TYPE SYSTEM CHANGED I 1 1 I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK ARO DO SO REFRtG OUT (OR ' ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL (DEPOSIT) $ QTY- REPLACED) YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL n 7 DISMANTLED? I I i I FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX $ R RECOVERED? YES NO QTY. YES No I MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE E i r-- REFRIGERANT DISPOSAL f SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP E RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED $ R RECYCLED? YES NO WITHIN THIN 1D DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON CHARGE 1 I OUR ^ PERSONNEL RECOMMEND UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE GC FEE G RECLAIMED? YES NO QTY - FEES % E �, l 4 +3 / R RETURNED TO I- I t �`y 31°C4241"1"1 ._ $ A THIS SYSTEM? YES NO QTY. V< "1 N T DISPOSAL SIGNATURE I 1 OWNER'S INITIALS ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY I NON USABLE YES NO QTY. PTED DECLINED ) �J /� DISPOSAL 4�qj / 20 / J , Pasco County Parcel: 02- 26 -21- 0020 - 00300 -0010 001 Page 1 of 2 Data Current as Of: II Weekly Archive - Saturday, December 18, 2010 Parcel ID II 02- 26 -21- 0020 - 00300 -0010 (Card: 001 of 006) I Classification II 28 - Rental MH /RV Park Mailing Address Property Value ZACK WILLIAM E TRUST & Ag Land $0 ZACK MILDRED S TRUST Land $2,815,843 ZACK WILLIAM E & M S TTEES Building $122,411 10063 OAKS LN SEMINOLE FL 33772 -2006 Extra Features $13,242 Physical Address - See All 213 addresses (First Market Value $2,951,496 Shown) 6038 14TH ST Assessed (Non - School Amendment $2,951,496 ZEPHYRHILLS FL 33542 Legal Description (First 4 Lines) Taxable Value $2,951,496 See Plat for this Subdivision .2- SUB W1 /2 OF SE1 /4 B 2 P 6 LOTS 1458BLK3 &LOTS 12345 6 BLK 4 & LOT 1 BLK 5 EXC PCL 20 FT BY 20 FT WHERE LIFT Land Detail (Card: 001 of 006) I Line II Use I°Descriptionll Zoning II Units 11 Type II Price Ir Condition II Value I 1 Il 0210 II TRLR PARK II 00M2 II 239.00 II UT 11 $10,200.0011 1.15 11 $2,803,470 I 2 II 0100 II SFR II 00M2 0 0.11 II AC II$17,880.0011 1.00 II $1,967 I 3 0 0220 II RV PARK II 00M2 0 2.00 II UT II $5,203.00 U 1.00 II $10,406 I " • ditional Land Information 1 Acres 20.58 Tax II 30ZH C FEMA ode X Residential Code RMHPCL2 Commerical Code RMHPCL2 Building Inf • . ion - Use 12 - Stores / Office SFR (Card: 001 of 006) Year Built 1957 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Flat Roof Cover Built -Up Tar and Gravel Interior Wall 1 Plastered Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 I Line I Description II Sq. Feet II Repl. Cost New I 1 II BAS II 832 $47,840 I 2 I UST II 55 0 $1,265 I 3 II FCP Il 209 II $2,990 I 4 lI FEP Il 132 II $5,290 I Extra Features (Card: 001 of 006) I Line I Description I Year Units Value I 1 I DWSWC 1 1975 44 $17 2 I UDG I 1985 I 480 $900 1 3 I CANOPY I 1989 I 960 $2,302 I 4 I CLFENCE I 1975 I 11,400 $4,019 I 5 1 SHUFFLE I 1975 I 3,333 $1,250 I 6 U D U - 1984 1 $427 I 7 1 CANOPY I 1993 I 1,200 $3,129 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0020 &... 12/21/2010 f POINT POINT PRINTING, LLC • (813) 792 -2710 076664 QUANTITY FI.I . � �� �, _ Ron Ierna's Heating & Cooling, Inc. ( f . . 610. 19121 US Hwy 41 North • Lutz. FL 33549 i • L I iid � I Local (813) 948 -6355 • Fax (813) 949 -9266 Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 c #CAC 1813676 • Qualifying #QB26202 • Licensed, Bonded & Insured$ 1 -* CLAIM 1 1 2 n w .IemaAir.com -t. ` 6.--14 ° _ �l NAME (. ! 1(1. 1• q t A ` � ST / i , ■ DATE DE l �� 1 I P - j°�,� 1 J � C �=• 1 _ STAT DATE SCHEDULED 1 l — — – -- c Cy Lam} 1.� MAKE MODEL SERIAL NUMBER ,,i .6i : \ • C13 I \ • ; C -fin �. I .1. �. • , - - 1 _ WORK PH•NE I I CELL PHONE 1 SUBDIVISION -- ❑ TECO ' _ ❑ PROGRESS r - ! ORIGINAL COMPLAINT ENERGY f ` — ❑ LAKELAND ELECTRIC 1 or e - 1 �.. ❑ WITHLACOOCHEE 1 I ADDITIONAL PARTS LISTING 1 TOTAL PARTS –> 1 - - - -. 1 S '0 � —__ _ - -_. ❑ OTHER —. - - , ON BACK OF PART 3 1 COMPRESS - DESCRIPTION OF WORK PARTS ECTRICAL CONNECTIONS T 1 ,J � CONTACTS 11G T & CLEAN a .� OIL LEVEL & CO DITION _. `- ._ ` _L - .._. - --- - -- - - -- __. - - _ i__ - _ -- ---- - - - O SUPER HEAT 0 SUB COOLING _ _ LIQUID LINE TE P. _ • - -- - - - - - ---- - - --- -- - - -- - - -- - -- - - -- - -- - _ - - - - -- - - - -- SUCTION UNE T MP ■ STATICPRESSUR: POS. _NEC- - -- ❑ REFRIGERANT C LEAK G CHAR. E _ -_ - - -- r - -- .__ -. - _- - -_ —. . ❑ FAN & MOTOR - E: VOLTS •; PS - -t ELECTRICAL CO NECT1ONS ❑ CONTACTS T1GH & CLEAN D FAN PULLEYS (AI'JUST BELT) - - - - - -- -- - - -- - 1 ❑ CHECK LUB BEA • INGS & MOTOR j ' ❑ EVAPORATOR. C:11L tC — C CL EA N COIL & C ' ECK FfN - --- - - - -- - -- - - -- -- - - - - -- - -_- __ _. 10 CONDENSATE A- EAS INSPECT & CLE • DRAIN PAN I __ - INSPECT & CL DRAIN AIR FILTERS -- — — — T I O CLEANED ❑ -, PLACED I FILTER SIZE - -__ __ - - - - - - - - -- 1 ❑ HEATING ASSE BLY ' O BURNER & HEA EXCHANGER illIMIt _ - O FUEL SUPPLY & • RESSURE �" . •� J O PILOT ASSEMBL PARTS WARRANTY ARRIV. L� ` '— ■EPART / // « ■ ' ❑ FLAME ADJUS ENT ALL PARTS AS RECORDED ARE WA}IRANTFD AS PER I __ _ _ -._ MANUFACTURER SPECIFICATIONS. _ � -� O PRIMARY RELA & FLUE CANCELLATIONS :Y 0 FAN & UMIT SW; CH OPERATOR LABOR GUARANTY O BLOWER ASSE :LY THE LABOR CHARGE AS RECORDED HERE RELATIVE STRIP HEAT TEED FORA PERIOD OF 3CCDAD AS NOTED. IS GUARA:+- ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT I DEFROST CYCL FEES INCURRED BY SAID COUNTY. APPLICABLE PEES !� ❑ ELECTR - • PONE S DIRTYICLOGGED AIR O2 T8, TRIPPED BREAKERS TRA�R AND CLOGGED DRAIN LINES ARE NOT WARRANT" WILL BECOME THE FINANCIAL RESPONSIBILITY OF ❑ RELA ISSUES. ! u OVERL• • PRE •. SWITCH 7 ■ PURCHASER AND / OR PROPERTY OWNER. 1 ' • jt WE DO NOT, OF COURSE GUARANTY OTHER PARTS 1 _ - ! ..... ! D THERMOST • THAN THOSE WE SUPPLY. IF REPAIRS LATER BECOME O OK ❑ REP 4. • NECESSARY DUE TO OTHER DEFECTIVE PARTS, THEY TE CHNICIAN �1 .�, TECH. 42 - 1 ❑RELOCATE wlueE CHARGED SEPARATELY. SIGNATURE - L'51.- L i _ — - �,.�, - TERMS: DUE UPON COMPLETION - SUBTOTAL': $ J ' ' I I TYPE SYSTEM CHANGED F 1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO (DEPOSIT)1 $ �'1. OUT (OR ! ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL — REFR!G G REPLACED) rs RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL DISMANTLED? , _ FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX i $ 1 YES MADE AS AGREED. THE SELLER SHALL HAVE THE RIGHT TO REMOVE L__ ° - -- R ECOVERE — R D? YES _ QN -. ' REFRIGERANT DISPCSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP 1 - 1 RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED t $ r F `-- , WITHIN 10 DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON CHARGE RECYCLED? res QTY ' - - - - - - -- I R f J (OUR PEROO RECOMALND UNPAID BALANCE RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE I FEES. +3% G RECLAIMED? YES • QTY. _ ? - t 1 -- - - -: I R : I 1 x ' mot ,� / -I $ .-- " ' RE SY 70 A THIS STFM� QTY Pasco Courty Parcel: 02- 26 -21- 0020 -00300 -0010 001 Page 2 of I____ Sales History 1 Previous Owner I ZACK WILLIAM E & I Year II Month I Book /Page II Type II Amount 2002 II 02 I 4 984 / 1216 0 WD II $ I 2002 11 02 I 4984 / 1213 II WD II $ I I 1991 II 01 II 1981 / 0205 II QC II $0 I http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0020 &... 12/21/2010 POINT TO POINT PRINTING, LLC • (813) 792 -2710 076664 - - -- - • AN71T.-: ,.T QU r - , / Ron Ierna's Heating & Cooling, Inc. t C 47--- 19121 US Hwy 41 North • Lutz, FL 33549 Local (813) 948 -6355 • Fax (813) 949 -9266 - —� eV Toll Free (866) 323 COOL • Lakeland (863) 859-0062 G _ ` CAC 1813676 • Qualifying fiQB26202 •Licensed, Bonded & Insured • www.lemaAir.com NAME r, IS /2 � tO X1.43 - STREET DATE � �.J� -/�,,/ DATEORDERED 13 3 7 W M ■CD w � 1 Sr ZIP DATE SCHEDULED �_ CITY 3353'8' ■ MAKE I MODEL I SERIAL NUMBER / (•- I (scooOfA o O &-A/ Pc-K 8 —i or)g- - 2, • PHONE 3[n --Y/3 4 I . - -- i — - I WORK PHONE i 1 i '' CELL PHONE -� i 1 I I - I — — ET TECO — SUBDIVISION Ales. _ a 0 PROGRESS i ORIGINAL COMPLAINT ENERGY ❑ LAKELAND f — -- : _ ' ELECTRIC • C ./ _� ❑ FPNL - -- — — I L WITHL4COOCHEE i ADDITIONAL PARTS LISTING TOTAL PARTS I Li OTHER O BACK OF PART 3 - - - -- - _ - - - . I — X257( SUCTION DESCRIPTION OF WORK . PARTS ®COMPRES PS' -_ -- -- PSI 9 rn � / ` _ HEAD ' �aH.�aMPS I k � .- COY � ! f ‘ . OC C r� 1,. - VOLTS ! b. - ; ELECTRICAL NNEC NS - .�.� V� _ __ - -_ - - -I CONTACTS TIGHT &CLEAN OIL LEVEL &CONDITION -� 1 SUPER HEAT I -_ - - - - -- - - . I SUB COOLING R �E - -r,[ 'r L G� -. / S - • � LIQUID LINE I (� )��t „ / � i - -E _ -. - »PRESSUREPOS . -C_ t — . , • NEG. - I E T W 8 T_ - HARGE I---- . - � -- - -. —_.— ju�1 & MOT q i I . VOLTS � . c � AMPS _ ( i - -- -- _ f 1 ELECTRICAL CONNECTIONS CONTACTS TIGHT & CLEAN I FA , I I CFM ' 1 L E A N COIL OTOR COIL F N 0 ;l CLEAN COIL COIL FIN - - -- -- - ENSATE AREAS ❑ NSPECT & CLEAN DRAIN PAN — j INSPECT & CLEAN DRAIN R FiLTERs n n c FILTER F m CE[1���_y k y - FILTER SIZE b x,(�Q - - �- - - -- leg ASSEMBLY — -- 1 - -- - -- I.� :. :NER : . .. - . - - - Icl loa no -E PARTS WARRANTY A RRIVE_ t � - — I DEPART _ - -- - ___--- i ALL PARTS AS RECORDED ARE WARRANTED AS PER. F ' MANUFACTURER SPECIFICATIONS. F — II 1 : :. .! 11 FAN & LIMIT SWITCH OPERATOR , LABOR GUARANTY >t CANCELLATIONS I i I DEFROST CYCLE , 1 BLOWER ASSEMBLY ' THE LABOR CHARGE AS RETARDED HERE RELATIVE 1 STRIP HEAT L W I TO THE EQUIPMENT SERVICED ASNOTEC, ISGUARAN- ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT �— — t _ , ' TEED FOR A PERIOD OF DAYS- v FEES INCURRED BY SAID COUNTY. APPLICABLE FEES — — - LECTRICAL COMPONENTS DIRTY/CLOGGED AIR FILTERS, TRIPPED BREAKERS , ^,, AND CLOGGED DRAIN LINES ARE NOT WARRANTY WILL BECOME ANDE OR PRO OWNER.ILITY OF RELAYS N ISSUES. OR -- -... -- i VERLOAD PRESS. SWI TCH I ! v WE DO NOT, OF COURSE GUARANTY OTHER PARTS y HERMOSTA THAN THOSE WE SUPPLY. IF REPAIRS LATER BECOME TECHNICIAN / �� TECH. #2 i 1 211 3? - e!6K 9•RGRNeE� NECESSARY OUE TO OTHER DEFECTIVE PMTS, THEY SIGNATURE O ! 1. - WALL BE CHARGED SEPARATELY. ,,.�LJ • - TERMS: DUE UPON COMPLETION - 1SUBTOTALI $ ` '`' TYPE SYSTEM CHANGED i I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO I (DEPOSIT)I $ REFRIG I OUT )OR QTY. ORDER AS OUTLINED ABOVE. R IS AGREED THAT THE SELLER WILL '''''''' � �,2 _ _ REPLACED) P RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL P , . ; ' DISMANTLED? FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT ( TAX -I $ - -_ i ES y;, MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE i TRIP R RECOVERED? S ao QTY —._ i REFRIGERANT DISPOSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES I E L_1 l � _ - RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED CHARGE I $ I WITHIN 10 DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON R i 1 y_. F RECYCLED? yES No ON 4 OUR PERSONNEL RECOMlAEND UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE , C!C FEE 1 DES I J / /y / / / / �j/ G RECLAIMED r= No QTY. 1 G(QX +3% — C��:/v` . 1 �� / / • $ A /� R 1 l J et Ea.• RETURNED TO A T::iC cVCTFM� `e, nn X I� DTY ' Pasco County Property Appraiser - Physical Address List for: 02- 26 -21- 0020 - 00300 -0010 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 02- 26 -21- 0020 - 00300 -0010 « Prev Next » Displaying Records 51 to 75 View in groups of: 10 25 50 100 500 of 213 Street Number Street Name + Unit 6142 CAMEO ST 6143 CAMEO ST 6145 CAMEO ST 6146 CAMEO ST 6149 CAMEO ST 6152 CAMEO ST 6153 CAMEO ST 6200 CAMEO ST 6201 CAMEO ST 6204 CAMEO ST 6207 CAMEO ST 6210 CAMEO ST 6211 CAMEO ST 6214 CAMEO ST 6215 CAMEO ST 6218 CAMEO ST 6219 CAMEO ST 6221 CAMEO ST 38539 CRESCENT AVE 38611 CRESCENT AVE 6038 LARK ST 6041 LARK ST 6042 LARK ST 6047 LARK ST 6048 LARK ST « Prev Pages (9): 1 2 3 4 5 6 7 9 Next » Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 12/21/2010 12:29:12 PM http: / /appraiser.pascogov.com/ search /physadd.aspx ?mprs= 2 &src =Q &parcel= 212602002... 12/21/2010 POINT TO POINT PRINTING. LLC • (813) 792 -2710 076664 1 QUAN7,7,, = F R o - Ron Ierna's Heating & Cooling, Inc. l C k- sl S _ 19121 US Hwy 41 North • Lutz, FL 33549 I Local (813) 948 -6355 • Fax (813) 949 -9266 Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 I #CAC 1813676 • Qualifying #QB26202 • Licensed, Bonded & Insured kIAOfcW - -r�f1 ,,,, `! ` i `i W ('� ! ,. svKnv.IemaAir.com rYr i[ N AME 201.400/4„/.L.4 DATE C.i14 4-& * _ 1 \ I B / / it) - ' STREET IDATE ORDERED ti 3v e7pAar5 41 nR. 1 — STATE ZIP DATE SCHEDULED CITY � • f� ! t > - - - - 1 '.. 6a,'../ (�M 1 f . 33558 `, - {' MAKE MODEL SERIAL NUMBER , 1 J j1 I t �aa,r... FCYC1v i4.e�q +A 3c054 3 PHONE 3 CAt.saic X 3 8 °Y2 3 Y1 1—'105C 015Y.0 , re/-4 7Y_t_ -_ WOR PHONE f - i CELL PHONE _, — TECO SUBDIVISION ___i 0 PROGRESS ORIGINAL COMPLAINT ENERGY _._ - a OR ❑ LAKELAND ELECTRIC „ 1r SL— 1 ❑ WITHLACOOCHEE D FPNL —J - - ADDI PARTS LISTING TOTAL PARTS ❑ OTHER ON BACK OF PART 3 (f - I ' - -- HE COM i PRESSOO�t I DESCRIPTION OF WORK ffii a PARTS : SUCTION PSI ti HEAD og e&Lo ed C4W4 4PA/ c e J 4G 1 4l C�` C1 _ VOLTS AM S,, p - — -- - -- -- ELECTRIC O NECTIO a p,,,�J ////! I _ CONTACTS TIGHT & CLEAN / Lis- _ _ _ - t �/I . ` pa .. 4� 2, _ OIL LEVEL & COND _ i — SUPER OLIN //' L jrp G , f”. /WV ge40 16 �- ,,; ■ B COOLING �Q�ky Q 4 S j co_. - J'1,w,( �Gy'oi// � - � --- • LIQUID LINE TEMP- ( 1/ 'I // SUCTION S SU TEMP. ,n Pot S A' _ kZ vi ~ - - �' — r k - T:. TIC PRESSURE — POS. NEG. I 'I 3. I '5 = FRIGERANT ! r Jo di' }- ,„i --- . • 7 -- �"/�/ N� VEIN L MOTOR LT AM4'4 _ - VO - -- _ CONTACTS I CONNEC P9r - _ . � � S I com/Y-05- CONTACTS TIGHT & CLEAN i v ( �r „ ed W (^J , - -_ _ -- --- - F M I G L� ��/ sr �L 0 - l f CHEC E CLE A N COIL COIL 64E.c ,1�y // CLEN CIL 8 CHECK FIN I_ -- eCONDENSATE AREAS /�� �' - -_ _ - -- , INSPECT & CLEAN DRAIN PAN { 1. INSPECT & CLEAN DRAIN AIR FILTERS IA — LA CED {� i 'l - C I FILTER SIZE � I 14 j I — -- — _ jecrEATING ASSEMBLY 4 - - - - 1. PARTS WARRANTY ARRIVE _ i ii S/ I DEPART ALL PARTS AS RECORDED ARE WARRANTED AS PER - -_- _- '�•• • M ANUFACTURER SPECIFICATIONS. '. P AN & LIMIT SWITCH OPERATOR LABOR GUARANTY a.�: - IF �Y CANCELLATIONS ' >� .- - - -._- ' F & LIIT 1 '.. THE LABOR CHARGE AS RECORDED HERE RELATIVE I I BLOWER ASSEMBLY ��� � / TO THE EQUIPMENT SERVICED AS NOTED. IS GUARAN- PERMIT - -- -, II STRIP HEAT � 1,1A/1! I TEED FORAPERIODOF30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY I I DEFROST CYCLE FEES INCURRED BY SAID COUNTY. APPLICABLE FEES CTRIC °moo L GGG GE EO E DRA M UN NOT WAR TV WILL BECOME THE FINANCIAL RESPONSIBILITY OF ;. - - - - -- d RELAYS CONTRACTORS ISSUES. PURCHASER AND / OR PROPERTY OWNER. OVERLOAD PRESS. SNITCH - '�,.� WE DO NOT, OF COURSE . REPAIRS OTHER PARTS ERMOSTAT THAN THOSE WE SUPPLY. IF REPAIRS LATER BECOME T ECHNICIAN �// /i! TECH. #2 , >' T WILL BE BE CH CH ARG RG TO OTHER DEFECTIVE PARTS. THEY ED SEPARATELY. SIGNATURE T o Q'l 1 / ( i 1 ' I I WILL TERMS: DUE UPON COMPLETION - � sUBTOTAL� $ 1 4! - j SYSTEM CHANGED 7 I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND 00 SO (DEPOSIT) $ - -- TYPE Q 2. n ` QTY OUT (OP I ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL REFRIG REPLACED) v,--s RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL T DIS MANTLED _ FINAL & COMPLETE PAYMENT IS MADE. AND IF SETTLEMENT IS NOT I I I ? Es L. - -- -- - -- - j I. , '' J res .c. MADE AS AGREED. THE SELLER SHALL HAVE THE RIGHT TO REMOVE TRIP R I RECOVERED? YES NO OW REFRIGERANT DISPOSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES -� E I— '.____I RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED CHARGE . R LOUR PERSONNEL RECOMMEN __ WITHIN 10 DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON F RECYCLED? *� ^ D Q TY - UPWAID BALANCE RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE FEES. X30 _____ i ■ G RECLAIMED? YES , - J NO QTY. R RET URNED TO -- ` QTY X A THIS SYSTEM, YES N