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Home My WebLink About12-13488 _ CITY OF ZEPHYRHILLS , 5335-8TH SIREET , (sis)�so-oozo 13488 BUILDING PERMIT Permit Number: 13488 Address: 4846 ROLLINS 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: WINTERS Est. Value: Parcel Number: 1426-21-0000-00200-0000 Improv. Cost: 4,275.00 Date Issued: Name: WINTERS MOBILE HOME PRK INC Total Fees: 60.00 Address: 38022 WINTER DR Amount Paid: 60.00 ZEPHYRHILLS FL 3542 Date Paid: 9/26/2012 Phone: 508 726-4387 Work Desc: A/C CHANGE OUT PACKAGE UNIT (MH -- DUMAIS RON 3TON � � ��G .� � ✓ DUCTSINSULAT FINAL � ((� - REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection tNps are neaessary 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. "Warning to owner: Your failure to recoM a notice of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of oommenaement." Complete Plans, Speciflcations Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO 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 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin - Owner's Name Owner Phone Number � � Owner's Address V lY � Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS `��y �. h r � i s 33��a LOT# �� SUBDIVISION W IQ�C. PARCEL IDI� `"1 ' ��I ~ �` �(�V(� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK e�l� I� C C�Wl " C1 CK,� {� (�(,n I ' (� �T � BUILDING SIZE � SQ FOOTAGE�� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE ' Q PROGRESS ENERGY Q W,R.E.C. QPLUMBING $ �]MECHANICAL $ ry-�� VALUATION OF MECHANICAL INSTALLATION oc I OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO 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 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � MECHANICAL I � f COMPANY n ��l�S t"iCG.`M � l.wt+M'� SIGNATURE L REGISTERED Y/ N FEE CURRE� Y/N Addresa �q �[.-�l uJ -1� Z J S� License# C l O �3�7�P OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �- � RESIDENTIAL Attach(2)Plot Pla�s;(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 FaGlities 8�1 dumpster;Site Wortc Permit for subdivisionsAarge proJects COMMERCIAL Attach(3)complete sets of Building Plans ptus 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/Sift Fence installed, Sanitary Facilittes&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 consVuction. Directions: Fill out application completely. Ovmer&Contractor sign back of application,notarized If over 32500,a Notice of Commencement is required. (A/C upgrades over s7500) " Agent(for the contractor)or Power of Attomey(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(PIoUSurveylFootage) Driveways-Pfot over Counter if on public roadways..needs ROW • � , ` . 4. . » .. . 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 restrictfons. 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 �ees 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 "ce�tificate 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 Agricutture 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'SIOWNER'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 wiil 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 �egulations 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 8 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 ptior 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 plan Qr�I{Ss�c t�°menced'within s zamonthseof perm t p s aln esuo aif wolrk au horized by unless the work authorized by such p 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, onm f work oe'a es�forini ety(0)rconsecutive days, the job is�cons de ed ba'ndonedstrate justifiable cause for the extensi WARNING TO OWNER: YOUR FAILS TO OUR PROPERTY.TIF YOU INTEND TO OBTA N F NANC NG CIONSULT PAYING TWICE FOR IMPROVEMENT WITH YOUR LENDER OR AN ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 11 � CONTRACTOR OWNER OR AGENT Subsc' a d swom to r afflrmed)before me this ��ub ed�and swom or a � �re me thls by �� n G.. aY bY Who Is/are personally known to me or haslhave produced Who islare personally known to me or has/have produced — as identification. — �as identlficatlon. � � Notary Public �' Notary Public _ � Comm No. Co ion No. � Name f Notary typed,prf or s m ed .+ a of Notary , �g�p� ,,�� +��., HEp,THER A BLEDSOE :R; � MY COMMISSION N DD 929787 ?°' '"' _R: .- MY COMMISSION k DD 9297F7 �3; EXPIRES:Febniary 1,2014 ��,�:r' EXP�RES:Feb�uary 1,2014 �'�,��,' Bonded Thru NMary Publ�UndenNiters dd�' gonded Thru Notary Pubfic Undervrtitars I Yf t••• _ + c This combination qualifies for a Federal Energy� i � Efficiency Tax Credit when placed in sE.-�ice � � between Feb 17,2009 and Dec 31, 2011. s �er�i�ica�e o� �roc�uc� �a�in s i AHRI Certified Reference Number: 3393488 Date: 9/25/2012 � � � Product: Single-Package Air-Conditioner,Air-Cooled �` Model Number: 707CNXA36000AA , Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING � SYSTEMS � Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Sowce � Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third ! party testing: E � § � Cooling Capacity(Btuh). 34200 � EER Rating (Cooling): 12.00 � �! SEER Rating (Cooling): 14 50 � , —e � :� m� _ £ ��; � —i e � � __ � � ' _e � � � e � � : 'Ralings followed by an asterisk(')indicate a voluntary rerate of previousty published data,unless accompanied with a WAS,which indicates an involuntary rerate : DISCLAIMER AHW dces not endorse the producqs)listed on this Certificate and makes no representations,uoarranties a y�ar�m��and assumes no responsibility fw, the producqs)listed on this Certificate.AHW e�ressly disclaims all liability for damages of any kind arising out of the use or pertormance ofthe produc�51�or the �' unauthorized akeretion of data listed on this Certiticate.Cert'rfied ratlngs are valid only for models and configuretions 1'isted in the directory at•::::•:_�.__?s�:s:>__>�;,.�.� � TERMS AND CONDITIONS j This Certificate and'rts conterrts are proprietary producfs of AHRI.This Certlficate shall only be used for individual,personal and confideMial reference purposes, � _! The wntents of this CerG�Cate may not,in whde a in part,be repr��;��•disseminated;entered inGo a computer database;or otherwise utilaed,in arry fam or manner or an means,ex personal and coMidentlal reference. � bY Y cept for the user's individual, i CERTIFICATE VERIFICATION � ��' The infortnation for the mode��ited on th�s certifcate wn be veriFied at www,ahridiractory.org, � click on'veriiy Ca:titicate"link and errterthe AHRI Certified Re6erence Number and the date on �. ■■ -' Alr-CondltiOning,Heating, wnicn n,e certrtcate was;ssued,which is listed above,and tl�e Ce�cate No.,whicn is iisoed be�ow, and Refrigeration institute 02012 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 129930753164964461 �� -.m ,_ _,_,a�`,;;,, „ Ron lerna s Heating & Cooling, Inc. .. � � ,.� ,;�.:, ° , � � �'I L �(..k � �1..�. � �L(�, __ , 19121 US Hwy 41 North•Lutz,FL 335�19 � Local(813)948�355•Fas(813)949-9266 =�' ( ,'� d � Toll Free(866)323-CQOL• Lakeland(863)859-0062 � , � , ; ,^ �Z ; � , i t #CAC 1813676�Qualifying#QB26202•Licensed,Bonded&Insured �'�'l t � ��t/}� j� wwu•.IemaAir.com i ` - 1 i �,.. L �' 1 f NAM�i-� � I -- " _ ` i` � � '� ,� i' / SiRE � ` OATE ORDERED i + _ - _ a` I i�� 1 ' , � '� � � ;^ __ / / ` /� ` � ;F' } CITY - /•I � ` i L � , 'SfiAT��--�-�� ZIP SCH L�D \ � (�_. _ EMAIL J \" � � ±— ,�L-= � _ i� ��: s � ` ��( �(� _ '� � , MAKE MODEL SER'�,qLNVMBER L L � � 'J 1 L 1,,. y� -- � 7 � µI � . � � _��~C, _1 �p.HONE� �(� � f = i�'' J .) i, � �l ��}�..,�[ , \L. _ ��yc � i INORK PHONE .� � �`-� '�ti Y.i�(� y� " �T` ------------ --- ' 1 1 �/ � \ �I�-< j C'� GEIL PHONE - �� — -+- ---F�-- �L'" �"-x---.�_ �a:� � `-�"� � I � i� �'� I 1 - �� ' I I I G TECO ' �'v � I n cROGRESg I � `j SUBDiVISiON ENERGY � C LAKE;AND � � ORIGNAL COMPLAINT � ELECTRIC � ' � ; ❑FPNL � ADD1TIpNAL?ARTS LIS WG TOTAL PARTS � ' ��------�� ' �wirHi..,cc�ocNEE ON BACK OF PAR?3 � ❑OTHER ❑COMPRESSOR ❑SUCTION Psi DESCRIPTION OF WORK PARTS ❑HEAD P51 r--� � ❑VOLTS_ AMPS � � � � �i / "� � ❑ELECTRICAL CONNECTIONS � ` �� ` Ct�� L �,(_� , i ❑OIL LEVE�8 CONDITION � ❑SUPER HEAT 1•� � s'� � ' I ❑SUB COOLING )� ' �, �-1 �� ' �IL " �-, � '��i ❑LIQUID LINE TEMP ❑SUCTION LINE TEMP — � � �L.-1 t,.,�� STATiC PRESSURE FOS NEG �"'�- ❑REFRIGERAN7 ! / �J (."> ❑LEAK ❑CHARGE � �.'/Cr, .-- � � ) L�' ❑FAN R MOTOR ❑VOLTS AMPS ❑EIECTRICAL CONNECTiONS - ` J� ❑CONTACTS TIGHT 8 CLEAN I /'� '. � � ' �� J f ` . � � ` l ❑FAN PULLEYS(AQIUST BELn L ' ❑CFMCK W B BEARINGS 8 MOTOR �^+ �� y'� ( ,�- , \�t ;� G � i 1 _ 6�' � � � � ,�` � l.f...l `L ! � � iJ� '7 ' EVAPORATOR COIL ,(� �' r, r ❑CLEAN CCIL&CHECK FIN ;�; rl��% � �� f� ."t � � ❑TEMP Drop � � , � �r � �- CONDENSERCOIL ' ��'{�,+J II`}'' / � jj " y�/ O CIEAN COIL 8 CHECK FIN COND -'-±_�-�=-�W��C i� ' ,� ' - �[ i-{ �CONDENSATE AREAS r \ �, ,�✓"j �� ,' �,} ❑INSPECT&CLEAN DRAIN PAN � t ,� l �� ❑INSPECT 8 C�E4N DRAIN � ❑AIR FILTERS I ❑CLEANED ❑REPLACED I FILTER SIZE ❑HEATING ASSEMBLY ❑BURNER&NEqT EXCNANGER ❑NEW ❑EXISTING HOW YOU HEARD ABOUT US�; �� ❑FUEL SUPPLY&PRESSURE � � � ❑PILOT ASSEMBLY PARTS WARRANTY �fV� ❑fLAME ADJUSTMENT A{.�pARTS AS RECORDEDARE WARR/WTEp AS PER ARR�vE �' y3�✓1 DEPART I L - t,.��!J' 1 ❑PRIMARY REJtY 8 FLUE MANUFACTURER SPECIfIG710NS C FAN&LIMIT SY�ITCH OPERATOR ❑BLOWER ASSEMBLV LABOR GUARANTY s?CANCELLATIONS sY � ❑STRIP HEAT 7HE UBOR CHARGE AS RECORDED HERE REUTIVE ❑DEfR0.ST CYCLE TO TME EQUIPMENT SERVICED AS NOTED,IS GUARAN- TEED FOR A PERIO�OF 70�AVS qLL CANCELLATIONS ARE SUBJECT TO ANY PERMIT ❑ELECTRICAL COMPONENTS d11N/CIOGGED AIR FILtER3,TRI��ED6REAKERS FEES INCURRED BY SAID COUNTY.APPLICABLE FEES ❑RELAVS ❑CONTACTOR AND CL006ED DRAlN LINES ARE NOT WARRANTY ❑OVERLOAD ❑PRESS.SIMTCH issuea WILL BECOME THE FINANCIAL RESPONSlBILITY OF ❑THERMOSTA7 PURCHASER AND!O PROPERTY OWNER. i ❑OK ❑REPLACE TNAN iH09E WE 9UPPLV�IP REP4R9 LATER BECOME ❑RELOCATE NECWlARY W!tOOTMER DEFEC7NE►ARTS,TN[Y TECHNICIAN� TECH 712 VMLl6ECHA1IGlDfE/MATEIY. SIGNATURE ;' � k� ��`` �"'� '�' ` -7ERMS:DUE UPON COMPLETION- uerorn� $ ,s ��. TMPE � SV�� CMANOED I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO � ��R ��— (DEPOSin $ REPRiG Q*Y REPL�CEDi _- — ORDERAS OUTLINEDA80VE.IT IS AGREED THAT THE SELLER WiL� -' RE7AfN TITLE TO AM'EQUIPMENT OR MA7ERIAL FURNISHEO UNTIL � I^^I DiSMAN7LED+ �� P�NAL 8 CAMPLETE PAVMENT IS MADE.AND IP SETTLEMENT IS NOT ?,qX $ R RECOVEREO'+ ��es vo pry res no MADE AS AGREED.THE SELLER SHALL HAVE THE RIGHT TO REMOVE E -"� , REFRIDERAN7 CtSPOSAL S,t�E AND THE SELLER 1MLL BE HELD HARMLESS FOR ANY DAMAGES F � �-� �N—� �T, RESULTING FROM tHE REM�VAL THEREOF PAYMENTf NOT RECEIYED TRIP $ RECVC�ED� re; WITMINi00AY3,4tE8U8JECTTOA9ERVICECHARGEOf1.S%ON CHARGE R � I r-� R PERSIXJNEL RECOMdEN� UNPND BALANCE RETURNED CHEfKa-St��TO/LLL APPLICABLE I U G RECIAIMED? ��Ei LJ Q7y � , � FEES/'�\ � C/C FEE � E �� . � ,. `� . 1 . ( 3% �. R RETURNED TO L_J '/ i '��—\ y`�V'` �/ � ^ ( � ! t %� A TNIS SYSTBA� r[? rac � �TY , . �' „ � —/}/ 2, � I � '�� f� NDISPOSAL ASITMOR12E03pN}RURE �J/'�`��L�� tY,.� i f �J��Y , I O 'S INITIALS \ �� `j ABOVE ORDERED 1NORK HAS BEEN COMPLETED AND I ACKN0IM.EDGE RECEIPT b�MY COPY NON USABIE +cs J r�o I QTY ED DEttINED DISPOSIL ,!1 X / / Ron Ierna's Heating & Cooling, Inc � � �p� 19121 US Hwy 41 North �,� � Lutz, Florida 33549 www.IernaAir,com To Whom It May Concern: Please update your file's to show that only the following list of employee's are authorized to be able to pull permits and schedule inspections for Ron Ierna's Heating and Cooling. This updated list will take place of any other list you show for us, effective immediately. Our license number is CAC 1813676 and should you have any questions please contact me at 813-948-6355. Authorized Emuloyees: Charlene Ierna Jamie Clanton _____—___„ Ronald F Ierna State of Florida, Hillsborough County The Foregoing instrument was acknowledged before me this 26th day of September 2012 by Ron F Ierna, who is personally known to me. �''''''��-----��.`. ,'`� � � :�fi'�`ty�;: HEATHER A BLEDSOE � ,�,`�*: += MY CAMMISSION�DD 929787 '1�Fotary Signature a(;,�.,��;' EXPIRES:February�,2p14 y� ,P Bonded Thru Nofary Public UndenMiteB Ierna's Heating & Cooling, Inc. www.IernaAir.com License# CAC1813676 Tele: 813-948-6355* 866-323-COOL*Fax: 813-949-9266