The URL can be used to link to this page

Home My WebLink About11-11894 CITY OF ZEPHYRHILLS / • 5335 - 8TH STREET ✓ ' (si3)�so-oozo 11894 BUILDING PERMIT Permit Number: 11894 Address: 5128 17TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-20200-0180 Improv. Cost: 5,318.00 Date Issued: 5/20/2011 Name: GARCIA BILLE & NOTHSTEIN RICK Total Fees: 65.00 Address: 5128 17TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/20/2011 Phone: (813)469-5816 Work Desc: A/C CHANGE OUT 2.5 TON SPLIT SYSTEM 5. �� : � \� y � �'� �-- '- � S � �-�� DUCTS INSULAT�p� FINAL ( 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 � 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." `"�=--=<-_ , C '� _ C:� --,- — ; IGNATU -" 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 Permittin -- _�_ �__� Owner's Name ��/ � / '�' �L � � Owner Phone Number O �� "' "�r � Owner's Address J / L � /T� ! �f Owner Phone Number gIJ " � �� '� � 7 %� Fee Simple Titleholder Name � Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS I /7�'1- • T7� T�/ ��`-' Z LOT # � D�" � SUBDIVISION i I � PARCEL ID# II�Z �� '�V�V ^ Z w"' � (OBTAINED FROM PROPERIY TAX NOTICE) WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH INSTALL REPAIR PROPOSED USE � SFR � COMM � OTHER TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL Q DESCRIPTION OF WORK T'T(.: GC c> ��IC�'� � BUILDING SIZE SQ FOOTAGE � HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 �PLUMBING $ �/ `�� % CJ �MECHANICAL $�� / VALUATION OF MECHANICAL INSTALLATION �/ �� l � � �GAS � ROOFING � SPECIALTY � OTHER I � �'�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO -1-F-I--1--�}-:-+-�--�--i-� - BUILDER � COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL � COMPANY L � SIGNATURE ISTERED Y/ N FEE CURRE� Y/ N Address ��d 2 -�� j ° �" ° 7 �L.S{�-�vZ 7 33 ��J License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License # IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilltl RESIDENTIAL Attach (2) Plot Plans, (2) sets of Buiiding 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 Plans, 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 $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 (Front of Application Only) 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 RESTRICTIQNS 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 UNLICENSEp 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 Pascp 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 I.AW (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-Seawalis, 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 ATTORNE BEFORE RECORDING YOUR NOTICE T. FLORIDA JURAT (F S 117 03 OWNER OR AGENT CONTRACTOR �� - Subscribed and sworn to r affirmed) before me this � QIGif/d"�Subscribed and swor to (or a�rmed) before me this / Qf"' b FJ7�'b � /�k��by �C2 � vLGS IIX�L- Who '/ar me or has/have produced Who lare personall w r as/have produced as identification. as identification. � Notary Public Notary Public Commission No ission No �^� °' [BELL �4� BARTO . QUIBE .. � �sizba MNIISSION # DD78t2o4 MY COMMIS6'4� 2012 Name of Notary typed, printed or sta �y EXPIRES. Jm�e 28, 2�1 �m of Notary typed, printed or stamped � �` 5°` c� � � I'�.N�. fl Nxan D�s:.ountHssx. o ; oFy_�y��Dis:.ci��j„ /`� � ��/ I�� r..+�.le.�.1�1'vf�7'e,'��:�/'W`..`-�tw � � _ — � . E ASY A / C 94 02 EAST HIGHWAY 92, SUITE 102 TAMPA, FLORIDA 33610 : WATER CONDITIONING Fax (813) 635 www easyac net A Division of 3G Air Conditioning & Heating, Inc. L i c.# C A C 0 5 8 7 7 4 May 19` 2011 To whom it may concern, This letter is to authorize David Estes to pull a permit in the City of Zephyrhills on 5/20/11. The permit info is 5128 17` Street Zephyrhills, FL 33542. This is a onetime authorization for 5/20/11 only. If you have any questions please call me directly at 813-635-0440 Thank you —_____ , � Keith A. estbrook Contractor CACO58774/I-CACO58774 STATE OF FLORID� � j � COUNTY OF /Y�� Th foregoing instrument was acknowledged b me this� day of �, 20 f � , by LG� G�C�:,�D�' Notar ignature � Notary Name Printed or Stam `„ gARTON P QUIBELL � MY COMMISSION # DD781^64 � , � F a Fti:P�RLS June 28, 2012 �'��" ,��: � F! Ndan Dis�ount Assoc Co Personally Know OR Produced Identification �= ,�=�x�-��a° ,° � Type of Identification roduced (813) 229-3422 (727) 447-6933 (813) 754-4044 (813) 63�0440 Tampa Pinellas Plant City Brandoo, Apollo Beaeh, Riverview � �� f ' DATE (MM/DD/YYYY) ��_= - CERTIFICATE OF LIABILITY INSURANCE 5/19/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tertns and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate dces not confer rights to the certificate holder in lieu of such endorsemenqs). PRODUCER NAME BUHL INSURANCE ac , ex� 813 876-0057 � n,o� (813) 877-8540 PO Box 152698 ADDRESS ktramer@buhlinsure.com Tampa, FL 33684 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A OHIO CASUALTY 24074 INSURED �gy A/C & WATER CONDITIONING INSURER B �"1EST AMERICAN INS . CO. 3G AIR CONDITZONINGAND HEP,TING INC. DBA INSURER C 9402 �'i' . HwY . 92 SUITE 1�2 INSURER D TAMPA, F 33610 INSURER E 813-633-0440 INSURER F COVERAGES CERTIFICATENUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. I�TR TYPE OF INSURANCE �� p pOLICY NUMBER (MMIDD/VYYY) (MM/DD/YVVY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ Z OOO OOO X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 1 Q � O Q O I CLAIMSMADE �I OCCUR MED EXP(Anyoneperson) $ 10 OQO A BRO 53363387 05/21/11 05/21/12 pERSONALBADVINJURY $�, QQO OQQ X GENERAL AGGREGATE $ 2� OOO � OOO GEN'L AGGREGATE LIMITAPPLIESPER PRODUCTS -COMP/OPAGG S 2 OOO OOO POLICY X PRO- JECT LOC g AUTOMOBILE LIABILITY SOO OOO Ea acadeN g � X ANYAUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED �Q 53363387 05/21/11 05/21/12 B AUTOS AUTOS BODILY INJURY (Per acadent) $ NON-OWNED PROPERTV DAMAGE HIRED AUTOS qUTOS $ — (Per accideM) X HIAED AUTO pHYS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABIL�TY �� TORY LIMITS ER ANV PROPRIETOR/PARTNERlEXECUTNE N�A EL EACHACCIDENT OFFICER/MEMBER EXCLUDED� ❑ $ (Mandatory in NH) E L DISEASE- EA EMPLOVEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E �. DISEASE- POLICY LIMIT g A SURETY BOND 3882057 02/08/10 o2/oe/12 $5, 000 OESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AriachACORD 101 Additional RemarksSchedule,if morespaceis reqwred) CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS 5335 HTH STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ZEPHYRHILLS, FI� 33540 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t��,+�.rz�" /�aca� O 1988-2010 ACORD CORPORATION All rights reserved. ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD F�� '��' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YVYY) 5/19/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOIDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE pOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy�ies) must be endorsed. If SUBROGATION IS WAIVED, subject to [he terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME BUHL INSURANCE A�c,"No, exc 813 876-0057 (A/C, No) (813) 877-8540 PO Box 152698 ADORESS ktramer@buhlinsure . com Tampa, FL 33684 INSURER�S) AFFORDING COVERAGE NAICII INSURER A OHIO CASUALTY 24074 INSURED EASY A/C & WATER CONDITIONING INSURER B �ST AMERICAN INS . CO. 3G AIR CONDITIONINGAND HEATING INC. DBA INSURER C 9402 E. HWY . 92 SUITE 102 INSURER o TAMPA F 33610 INSURER E 813-633-0440 INSURER F COVERAGES CERTIFICATENUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE �TR INSR YWD POLICY NUMBER (MM/DD/YYW) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 OOO OOO X COMMERCIAL GENERAL LIABIUTY PREMISES (Ea occurrence) $ ZOO OOO I CLAIMS-MADE CI OCCUR MED EXP (Anyoneperson) $ 1 O A X BK� 53363387 05/21/11 05/21/12 pERSONAL BADV INJURV $ 1� 000 � 000 GENERAL AGGREGATE $ 2� OOO � OOO GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2 OOO OOO POLICY }[ PRO- LOC $ JECT AUTOMOBILE LIABILITY SOO OOO Ea accident $ i X I ANYAUTO 05/21/11 05/21/12 BODILY INJURY (Per person) $ I AUTOSNED _I AUTOSUIED Bpl� 53363387 BODILYINJURY (Peraccitlent) $ B NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) X HIRED A[/TO PF[YS $ UMBRELLA LIAB pCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ g WORKERS COMPENSATION VJC STATU- OTH- AND EMPLOVERS' LIABILITY �,� TORY LIMITS ER ANV PROPRIETOR/PARTNERlEXECUTNE OFFICER/MEMBER EXCLUDED� ❑ N�A E L EACH ACCIDENT � (Mandatory inNH) EL DISEASE- EAEMPLOYEE $ Ifyes,descnbe untler DESCRIPTION OF OPERATIONS below E L DISEASE- POLICY LIMIT $ A SURETY BOND 3882057 o2/oa/io o2/os/i2 $5,000 DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES (AttachACORD 101 AddiUOnalRemarksSchedule,dmorespaceisreqwred) CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5335 8TH STREET THE EXPIRATION DATE THEREOF, NOTICE WIIL BE DELIVERED IN ZEPHYRHILLS , FL 33540 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE ' ' '� � . ` , . , i:Y OO 1988-2010 ACORD CORPORATION All rights reserved. ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD . EASY A /� � TAMPA, FL 3610E 102 COMFORT MADE EASY FqX �g13) 635-0480 �� '"�""� �"` Lic. #CACO58774 A Division of 3G Air Condifioning & Heating i„�. easyac. net (727) 447-6933 (813) 229-3422 (813) 754-4044 (813) 635-0440 (863) 686-8528 Pinellas Tampa Plant City Brandon, Apollo Beach, Lakelartd �� Riverview Customer �me: � �3 � 7 j Street: � Date: City: � State: FL Z �fp'Z Home Phone: y� Work Phone: ' �- Customer Email Address Cell Phone: �3 71� '� t /� 3 ` We propose to furnish, install and service under guarantee (stated below) products or related equipment for your home in aceordance with the conditions and speciflcations set forth below. � • ' � � � � Brond Tons � �Infinity Control ❑ New low voltage wire ❑ Air CondRioner t Pump ❑ Mercu Thermostat rY ❑Adapt to low vottage ❑ Evaporator Coil u andler ��` �� pigital Thermostat ❑Attic light ❑ Gas FumaCe uro� ❑Freon ❑ Programmabb Thermostat ❑ Package Unit ❑Gas/Eled ❑Roo Top O ElecVical upgrades will be the responsibi�iry of the owner ❑ Upflow ❑ Downflow ` orizontal ❑ Ins all new Amp. ebcfrfc servioe panel ❑ Flue O Adapt W Ex(sting ❑ New (Size) �tside weatherproof disconned �n ide disconnect r+eec smc cicw� 5 K W / Qt'utside whip nside whip ❑ BTU Gaa (Inpuq � � �cal ebdrieal wirin ❑ BTUH Cooli 9 ❑ C ensate circuit ng (Load) SEER B Size O Re-LOCate Condenaer Where @�SreakerType � Size 0 Rs-Loeats Air HanHbr yVhere � � � � = � ensate Drain Hook-up rfmary �> c�cnda � ❑ tum Air Filten Grille(s) ❑ Existiny ❑ New Size efrigerant Line Set � Test p Adapt �New S(ze_L�� 9 � �s * Systems 1 �nd ❑Plywood Dedc� �❑Top Only UV-Light �Bulb ❑ 2- Bulb p Odoc Splice Lin et Protedive Cover 4/Tianging Kk rain Pan ❑ Deodorizing/lonization ❑ Medfa Fiker ❑ HEPA Guardian _ iRer Drier _❑�nline Float Swltch pJ1ux Float Switch q Fitter 1` Pbat D Std ❑ Ebctronic ❑ Cqndensate Pump Vokage �Rigid fiberglaas dud plenum with reinforced repguard y� T�p vapor barrier main trunk and flexible branch and return duct � � ❑$heetmetal Insulated supply duct system ❑ E�cisting Ceiling Damage Yea❑ No0 q� Balance system for unifortn air disMbution and comfort ❑��an of Damage Homeowner Initial ❑ Mastik & Tepe ❑ Runs p Mobib Home Supply ❑ MobNe Home Retum �U-package charginy of air eonditioner �� a � rk done in accordance with exiadng codes ppy and rotum pbnum aa needed to install new air handbr All roquired pertn�nspections (] ew suPPy royfster(a) Ceiling - Floor Wall ❑ Quiet kk Microbiel pbnums ❑ Premium Duct Pkg ❑ Reinforcement mounting ped �elly chedc dud system for leaka ❑ Deluxe Duct Pkg � C�� p ❑ ettic deck Hook up to exfsGng ductwork p Standard Duct Pkg ��auge gelvanized ateel weatherproof duct cover for package unit O HazaMous Material Disposal Fes 3°h All work to be performed in a neat and profeasanel manner by joumeyman � •� �� Gass technicians. Swee in dusti p g, ng, vawuming, will be exompliahed at �years full guarantee of labor yro rust warranty the concluaion of each daYs wak and ell debris romoved from promiaes � years fufl guarontee of parts yrs IigMning warreMy ❑ Other arentee of Compresso years ❑ 25°� Heating & Cooling ❑ 3 day Buyer's right to cancel. You may cancel this agreement by Guarantee of Coils �:5� ears $aving guarantee Y providiny written notice to the seller in person, by telegram, or by mafl. ❑ Guarentee of Heat Exchanger yean O 1 yr $ badc guarentee This notiee must indieate that you do not went the yoods or services O yuarentee on all dud work instelbd by Easy A/C a�d muat be deliverod or poatrnarked before mklnipht of the third businesa asy A/C is open 365 days per yr. da after y you sign this agreement If you cancel thfs agreement, the seibr Reyular WARRANTY/Service Hours aro M-F 8 am to 4 pm, may not kaep all or paR of any cesh down payment. AiZer Houn, Weeken 's & Holidays ero available for a nomi I fee. Ij!'Installation Date 5 � Beforo noory Aftemoon ❑ �Other "! l� r � w�n, � Tetal• �� Instant Rebate• � � Misc.� � 7 � �- pose y W f co bte as ove pe ' ed for� t�h �oi (tax inGuded) 7 ' . " " �� i'=�� , '"'�---�-=G'�� Dollan TOTAL INVESTMEN7`. S ❑ Approval � Initlal Inveatrnent• S Payments as followa: ❑ Chedc ❑ Cash ❑ Finance Balence Due on Compktion: S Cerd (type �, (Expiretion Date) ` ApProval: Approval• � �l��' (Co ) Date: .!� �d f _ , mer) Pasco County Parcel: 11-26-21-0010-20200-0180 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, May 14, 2011 Parcel ID 11-26-21-0010-20200-0180 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value GARCIA BILLIE D& Ag Land �p NOTHSTEIN RICKIE LEE GARCIA Land $22,848 5128 17TH ST Building $27,77g ZEPHYRHILLS FL 33542-2150 Physical Address Extra Features $1,235 5128 17TH ST Market Value �51,861 ZEPHYRHILLS FL 33542-2149 Assessed (Save Our Homes) $46,794 Le4al DeSCriution (First 4 Lines) Homestead 196.031 -$25,000 See Plat for this Subdivision ,�''° Non-School Additional Homestead Exemption -$0 CITY OF ZEPHYRHILLS Taxable Value $21,794 PB 1 PG 54 Warning: A significant taxable value increase may occur when sold. LOTS 18 & 19 BLOCK 202 Click here for details and info. regarding the posting of exemptions. OR 3630 PG 1073 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �_] 0100 SFR OOR2 8,400.00 SF $2.72 1.00 $22,848 Additional Land Information Acres 0.19 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2 Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1958 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plastered Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 780 $32,292 2 � FEP 248 $7,204 3 UST � 96 $1,573 4 UOP 16 $83 Extra Features (Card: 001 of 001) Line Description Year Units Value � � 1 I �� 1958 222 � $83 2 UDG 1958 � 480 $1,152 Sales History Previous Owner ZIESMER LYDIA G Year � Month Book/Page Type Amount 1996 � 09 3630 / 1073 WD $0 -� 1996 06 3596 / 1767 WD $40,000 � 1977 08 0903 / 0353 WD � $0 � http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 5/20/2011 i�i�srK. - w.�� ;KUV14, ,KEITI� ,�LAN; .17oi.ng T3usincss As. EASY ,�/C qND W,A,'rER .,. YagE l. of 1 r �:ss: xr a�w �zono, � LiCen�ee ICleta�ils Licensee Infermation Name: W�$TBROOIC� KEx'�M ALAN (vrlmary Name) EASY A/C AND WATER CONDITZQNING (osA Name) Mdin Address: iS30S LEWxS GALLAGH�R ROAD DOV��t Florida 3352� County: HxI.LSBOROUGH License Mailing: LicenseLocatipn: 9402 EA$T yWy g2 grtE lOZ TAMPA �L 336�p County: HILLSEiOROUGH License inforrnation License Type: Certified Air Conditioning Contractor Rank: Cert Air LicenSE Number: CACO5$774 Status: Current,Activ� Licensure Date: 01/18/2ppZ Expires: 08/$�/2pi2, Special Quall€ieations Qu,�lification Effective Class B Cqnstruction Business 02/x0/Z004 View Re�ated License Intarmation View LiGense Complaint Cancact Us ,; ig4A North Monroo Strcet, TaIIphl+SSee FI. 3�399 �: CaII.Center�rdbpr.stataF,fl,us :: L,uSCOmer Contacr, �;r.ncer Fia0.487.13!�5 t'��r Skat� nf Flnri�la Is en AA/FEp r.rnrloyer Copyr�gh�,;pd7•Zp,10, 5xake At Finrida. Prlqacy 3}a{�mq�� under Ficrlon iaw, r.-irinil i�f�lrp; d�'2 PUbIIC ��GQrdS� 1f YOU (Sp t14Y. w��M yp�� f`• addrESS rel��so-xl u� respons� rp � �auhllareco�tl5 re4ueat, tlo npt xtnd e:l�r•pnM rneil Lo N�I� rn�ity, fnst�a�f, rtonknet Lhe �fRcc by phone or by tra�ln�onal meil. lh yrn, h&ve nny qu¢e�lpna r�gaMlnp bL�PR's ApA wep r«psslblllty, hf�,eE ��tact our Web Masl�r at webm,aTerQtlh�r.at,��y.ry,.us. https://wwr�v.myfloridalicense,coaxt/�,icensel7etail,asp?SID=&id=F6685518C61 DOSF6A.t11... 5/2�/7f►1 1 � � � �. � N �'3. rW . � � � � mz � Dy � ♦/� Z � � � �`� y � Z(�A O .�N I�! n . � � � � A -�� A �� a� n� g o s � �^�a �m m V� � � � a wY � � � � r��o �� a z ��'� o ° `N° g N �c � � o �� m x z z � � c) � � nz a y c Ca o � � o � fli � � � � � � z rn x n � � gq o � . o � �� x 'C RI 4 m M`i'� "�±� �•m aW� '� x�. � �a1 D� �o� Q G z rn � O o � a � ' � m � �n � � No m , m p o m b� oN � � : ° � � �► a± o �° r� o i �� " C�7 ' O U � m rt� � � �O O � N C y A O � � � p Q . R.ai��cct i., 1Cf'.T1SP, 1111'QCITIfll'1017 Yage 1 of 1 I..ix�et�ce� Name: WESYBROOK, K�xTH q1.pN Litense Number; 58774 Rank: Certifled pir Conditioning Contractor Lfcense Expiratlon paCe: a8/3ijx012 Prlmary Status: Current Orfqinal License nate: p1/i8/�002 Secondary Status: Active R�lateci License Inf�rmatiun License St�tus Related part Relatlonship �e��tion �xpiration Number y Ty �� E�ective Rank pate ba#e 19735 Current, 3G AIR CONDITIpNING &, H�A7ING INC primary 09/�,5/2004 ConsCructlon OS/31/20�.a ACtivE Quallfying Business Agent for Informatlon Busine55 https://www.myflorid.alicensE.eom/relatian.,List.asp?record cnrl&LieId=$3$313&Lname... S/20/2011