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Home My WebLink About12-13638 . CITY OF ZEPHYRHILLS 5335-8TH SIREET , ' (si3)�so-oo20 13638 BUILDING PERMTT Permit Number: 13638 Address: 5944 FOREST LN 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: FOREST VILLAS Est. Value: Parcel Number: 10-26-21-0110-00000-0010 Improv. Cost: 5,160.00 Date Issued: 11/21/2012 Name: MCLEOD, MARVENA Total Fees: 65.00 Address: 5944 FOREST LN Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/21/2012 Phone: Work Desc: HVAC REPLACEMENT SEE PROPOSAL FOR DETAILS ,.� � �� -��`�.� ` DUCTSINSULATED FINAL II_ �/ �� REINSPECTION FEES: Reinspection fees will aomply 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 wnstruction 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 aacessible. 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 reoord a notice of aommencement 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 reaording your noNce of oommencement." Complete Plans,Specifications Must Acaompany Application.All work shall be pertormed in acoordanoe with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. v'',. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received •� Phone Contact for Permfttin — Owner's Name � C,� � d� Owner Phone Number 0— J`% � Owner's Address � �i `"� h,h Ow�er Phone Number Fee Simple Titleholder Name Owner Phone Number � � Fee Simple Titleholder Address JOB ADDRESS �� ' "1 LOT# � SUBDIVISION PARCEL ID!! (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �V�C" BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING S VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � „ � ' �%� �� !/� ..-_ � [�MECHANICAL $ /D �� VALUATION OF MECHANICAL INSTALLATION� � ' �j � " � �`` ��,,.-.-:�..• QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE 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 ��Ui"'OC1 COMPANY (�( C SIGNATURE REGI TERED N EE CURRE� Y/N Address '✓ �l5 .— '� � S3f�"� License# �C �( ? � � OTHER COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Facilitles&1 dumpster;Site Work Permit for subdivisionsllarge 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 8 1 dumpster.Site Wo�ic Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. '""PROPERTY SURVEY requlred for all NEW consVucGon. Directions: Fill out application completely. Owner&Co�tractor sign back of applicatlon,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter f�om owner authorizing same OVER THE COUNTER PERMITTING (Frorit of Applicatlon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/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 mo�e 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 Ifcensed in accordance with state and local regulations. If the contractor is not licensed as �equired by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are unce�tain as to what licensing requirements may appiy 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 responstble. 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 IMPACTIUTILITIES 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 buiidings, 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 Resouroe 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 ce�tify 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 appficant 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 applicabte 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 ce�tify 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 1 must take to be in compliance. Such agencies include but are not timited 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 Nealth Unit-Welis, 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 �II 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 fiil 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 a�davit prior to commencing construction. I understand that a separate permit may be required for efectrical 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 vialate, 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 pe�mit 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 YO R LENDER OR AN ATTORNEY EFO E RECORDING YO OTICE OF O E EM NT. FLORIDA JURAT(F.S.117.03) c rDWNER�R AGENT CONTRAC7'OR SuDs�Htied and sWom to_(or af}irmed)before me thls Subscrlbed ati swo Lto r aRt efore m�e this �5�� by �f —„�/`/3��6y Who Is/are personally known to me or has/have produced Who islare personally known to me or haslhave produced as Identlficatlon. � f-� i7 j. as idenHfication. ..,� ; �' � � g _ : r Notary Public � � �' ' Public Commissfon No. Commis '� ''•• BOBBIE S. ��: :�= on 709 Expires F 2 201 Name of Notary typed,p�inted or stamped Name of "�'►�°'�'7019 Nov. 21, 2012 10:38AM Payne Air Conditioni �g No. 1369 P. 2 � , � �' '� I �' ��l 05�� A/R CONDI'T/ON/NG 8 NEA7'/NG /NC. �4 YN , � turn to the ex rt pe� CAC057909 "W'e're There Wkerr You Nced U's" Date U- Customer Neme ��1 �V � � �� - Phone " r WoAc Phone Addr�ess �'� �• ' ' ' .�� Bifl To Add�ss � „ � ��,,5��.Z�� _ ��►.S��,z� �� SI �7�'D� ooa� , . c rt ��s ��r�euons ' . � asI�C�53��r r a� 1 Model Numbers �,��,F�,�ISEER BTu Warfanty: Com 0 Parls� Labor� Rebale �U Invealment �Make Model Numbers�� ` SEE1t ^�Tlf //� ( Warranly: Compressor Parts labor Rebe Investment S t.,Q , p . ��//- ^� r p�S{�{� yVUrU�(}SEER BTU p�, �ke Model Numbs�s warranty: Compressor Parts� l.abor__�5,�/ Rebete Investrnent 3 S,_ O Inslallalfon Shall Include: n � �' � � � 1 � � , 1 r 'ti Reoommended Nvork Modificslans: � � . '� � QAccept �Decline �hr' Includes Equipment,MateNals,�.abor,Taxas nd Permit Fee y w� 07HER OPTIONS: Protect Floor�th Drop Cl�ths � Msalic Seal Ductwork�h�❑ Aprilalre Filler System �� New�,Equipmsnt Disconnect ��,(,�1 ,�,�Q � New Gehranir.e�Draln Pan � Air Knight W Light Syalem Naw Reinfor+Ced Equipmenl Pad 1� ate Ftoat SwiU:h DUCT CLEAN&SANITI2E � _ �New Properiy Sized Retrigarenl Lines � �iidsTiaaTe Drein Piping � Top Ot�1nsuN�lion To R�30 �� Remove EXsung Equlpment Meet All Code Requlrements � � !' � New Suppiy � � �Complele SyStem S18ri Up 0 Q/New Relurn � New Oigilal Thermosta��', � � [�Quality Assurance Inspeclion +]X OFFER EXPIRES IN 30 DAYS ) /1� Terms: Cash On Completlon �. �este►Card!Vlse (� �Inancing Inveatment � �( V� Amerksn Express Avallable oiacover 4 Cwtomer Accentance Taxes S By �.J Date � ( /�� /�� Totallnvestment f ��J Comnanv roval Down Payment S �� R J Byl/'. �i�', D�6 �p�i�IC6 DY9 a \, . 863-686- 163 � FAX 863-686-6161 � 1048 E.OLEANDER STREET � LAKELAND,�LORIDA 33801-x012 Pasco County Parcel: 10-26-21-0110-00000-0010 001 Page 1 of 2 �ata Current as Of: Weekly Archive - Monday, November 19, 2012 Parcel ID 10-26-21-0110-00000-0010 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value DEUTSCHER REBECCA Ag Land $0 48 BOGUS HILL RD Land $5,552 NEW FAIRFIELD CT 06812-2804 Building $40,959 Physical Address Extra Features $2,003 5944 FOREST LN ZEPHYRHILLS FL 33542-3259 7ust Value $48,514 Assessed (Save Our Homes) $48,514 Legal Descri�tion (First 4 Lines) Homestead 196.031 - $25,000 FOREST VILLAS UNRECORDED PLAT Non-School Additional Homestead Exemption - $0 LOT 1 DESC AS COM AT THE NE COR OF SECTION 10 TH N89DEG38' Taxable Value $23,014 40"W 671.73 FT ALG THE NORTH Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoniny Units Type Price Condition Value 1 0100 SFR OOR4 3,470.10 SF $1.60 1.00 $5,552 Additional Land Information Acres 0.08 Tax Area ZH FEMA Code X FVLALPl Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1980 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 �AS 1,108 $46,314 2 �� 64 $418 3 � 64 $920 4 F,R 288 $4,807 5 � 75 $460 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWA —1 1980 300 $170 � 2 FIRE PL 1980 1 $390 3 CLFENCE 2000 1,370 $547 4 UDU-M 2000 1 $328 5 F�,� 2001 160 $568 Sales History Previous Owner DEUTSCHER REBECCAANE REV TR Month/Year Book/Pa9e Type COde Condition Amount 11/2012 $784/ 2336 Quit Claim 11 Improved $0 Deed �— Quit Claim�� http://www.appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21&sbb=... 11/21/2012 A. U.•S DEPARTMENT OF AOU3iNG AND URBAN DBVELOPMENT li. 7'YAB OF LOAN SETTLEMENTSTATEMENT Sunstate TiHe Agency,Inc. �.[�F►u z. [J�,e+� s.[)rn�,v u�s t3937 7th Stroet DadeCity,Fiorida 33525 +. Qvn s. Qcoxvirrs. 352-567-1141 fax 352-56�-3830 6�� .t.wn r+�abv 5-29270 a wonae.�..c..xe: C.NOTE: 77us jrxm rsJwntthrd ro gNS y,�u a.ttmtnrmt ofaeroraf nnkment eosu Amwmlr patd lo aaal by�ht ssdlement agen[are rhoim.lremr morked Inal were mld mrrsfde du elar/rnt Thav ar+e rhown har r DdornwtlawlAwnara and an no1 tneladea�tn the rotola u•t3uyer. STEVE W,McLEOp and MARVENA McLEOD his wife ' ' E.Seller. REBSCCA DEUTSCHER F.Lender: 5944 FOREST LANE G.Property. ZePhyrhilis,Paaco Counry,Florida 33542 A POR170N OF IATS 21 AND 22,BIACK 2 FO1tEST HEI(}H'1'S SUBDMSION,Book 8,Page 10,Aascro County,Florida KNpW AS FOREST VILLAS(iJiVRECORDED) H.Setttemem Agent Sunstate Tipe Agency,Tnc. Place of Settiement: 13937 7th S Dade City Florida 33525 Pasco County t.Settiement Data November 13 2012 - J. Summsry of Bayer's Transaction IC. Sammary of Sdier's Tmntactioa 100.Grou Amoant Dae Frnm Bu er. 400.Groas Amouet Doe To Sellae: i01. Contrad Sales Price 70 000.00 401. Corrtract Salee Price 70 000.00 ' 102. Personal Pro 402. Personai Pro 103. Settlement CF�a to B ine 1400 220.00 403. 104. 404. IOS. 445. Ad'nstrnents for Items Psid b Selier ie Advanee: Ad ns6nenfs for Items Peid 3eiler in Advaoce: 106. Ci /Town Taxes 406. C' !7'own Taxes 107. �°"ty/P8f7�'Taxes Nov 12,2012 thru Dec 88.06 40�. CO�ty/��raxes Nov 12,2012 thru Dec 3I 2012 31 2012 88.06 108. Ass�ssme� 408. Assessments . 109. 409. i10. 410. 120. Gross Amoaat Dne Crom Ba r. 70 06 420. Gross Amonnt Dae to Sellar. 70 088.06 200. Amornfs Paid or ia Bebalf of B r. 500. Rednctioes 9n Amoant Due to Shcer. 301. it/Eamest M 3 00.00 501. Excess it see insdvdions 202. Princi Amount of New Loan 502. Settlema�t Cb to Seller ine 1400 6 167.13 203. Existin I.oan s 503. Existin s 2�. iO4. P ff of First M 205. 505. Pa of Second Mo 206. 506. Purchase Mo M Ad ustmeab for Ihms Un Sd Seller. Ad nstmeob for Items C!a id Seller. 210. Ci /Tawn Taxes 510. Ci /Town Ta�ces 211. Coun /Parish Taxes 51 L Cou /Parish Taxes 2�2• Assessmuits 5t2. Assessmenu 2�3• S13. 214. 5l4. 2?A. ToMI Pald b /for Bn er: 00.00 520. 'Cotsl Redactioas lu Amonnt Dac SeNer: 6 167.13 300. Gsh at Settlement trom/to B er. 60Q. Cask at Setttemsnt to 1 trom Se r. 301. Gross Amount due from line I?A '70"08.06 601. Gross AmouM due to 3eller line 420 70,088.OG 342. L.ess Amount Paid by/for Buyer(line 220) 3,500.00 b02. 5��uctioris Amount due Sella Qine 6,167.13 3U3. Cash From Buyer: 566,808.U6 603. Cash To Selier: $63,920.93 ' HUD-1 May 2007 OMB No.2502-0265 . November 9,2012 2:28 PM RESPA handboak 4�5.2 SettlemeM QaEe:November 13,2012 Ffle Number:5-29270 L SetHensat ChsrPea 700. Total Sala/Brolaer's Commisaioe: Psid trom Paid tmm Besed on Pricc S7U,000.00 � 6.00y. = 54,200.00 Buyer'a Shce�'s Division ofCommLssion a�failows Faads at Funds at 701. 4 00.00 W COLDWELL BANKER/PENCY QWENS REAL1'Y Setdement Settlement 702. 703. Commission Peid at SettlemcM 4 00.00 800. ltema Pa LIC 10 COUnlCf�09 WIHi I.OiO: 801. Loan Ori 'nation Fx 802. [.osn Discount 803. raissl Fee 804. GeQit rt 805. Lenda's I 'on Fee - 806. JGIoK Luurance A tication Fea 807. Assum tion Fa • 900. Ihms uirod 6 I.ender to be paid in Advapce: 901• Dail inta+est e from Nov 13,2012 902. M Insuranoe Premium 903. Hazard Inswxnce Premium 904. Flood Insurannoe Premium 905. Winstorm Insurance 1000. Reserva ted with I.eoder:' IOOI. Hazard Insurance 1002. M insurance 1003. Ci Pro Taxes 1004. Coun Pro Taxes 1005. Annwi Asse�ma�ts 1006. Flood Insurance 1007. Windstortn insuru�ce 1300. 7'Itle Ch� es• i 1 Ol. Seul�t or Closin Fx to Sunsdtto TiNe Inc. 200.00 200.00 1102. Abstract or Tide SeArch w SunState�Ue nc lnc. �� 1103. TiUt Exemination 1104. �Ne Insuro�ce Binder � I105. Document ratian 1106. N Fees 1107. Attorney Fces iacludes above item nutnbers: ��p$ Titia Tnsuranoe W Sunstate Title Agency,Iac. includes sbove item numbas: 402.50 1109. Co�eYse 0.00 t 110. C��g� 70,000.00 Risk Rate premium: 5402.50 I200. Governmeat Recordin and Transfer C6a es: 1201. Recordin Fees: Deed 20.00 M O.pp Aeieases O.pp 20.00 I202. Ci /Coun Tex/Stsm : Doed 0.00 M 0.00 " I203. State Ta�Stmm : Deed 490.00 Mort 0.00 490.00 1204, taton 'ble Tax m Clerk of the Circuit Court 1205. record wstees affidavit&oorrective deod to Clerk of the Circuit Court �0.� 1300. Addidonsl Setdemeet Cha es: 1301. Surv 1302. Pestlns 'oa 1303. Real F.statc Taxes to Mike Olso tax eoll 521.28 l304. Mobile Home Trenafer 1305. Du licste Title Fee/Wiffi Fast TiUe 1306. UPS/tiandiin Pa off 1307. Mobile Home Retirement/Reoordin Fees 1308. Real Estate Taxes to Mike Olson tax coli 123.35 1400. Totai Settlement Chargp(Enter oa liue 103,Sectton J and Itoe 502,Section I� 5220.00 56,167.13 1 hnve carcfully reviewed the}Np-I Sealaoont Statement md to tbe bert ot my Irnowkdge and 6eliet;et ia a due and aocaate statement of aN receipis end disbucs�maus msde on my accamt or by me in this trmretion.I fiuUrcr aatify thu I Aeve rtaivad of FTL1D-1 Sh t. Buyer. ��Ds:i��t,�� Sr,llc ,� �'�-'�r_ � � REB�-CCA DEU75CHER 8�,,�: ��'�Gr�� 'Y7��e.�.� MARVENA McLEpD The HUD-I Sealemw Statement which I Aave prepmcd is a true md acewu account of this transaaion.I havc camed a will cause tbe f�sids ro be disburxd'm accadance with this statenront. / SatkmartAgent: , ti,�,,J Dam: Nowmber I3.2012 SUNSTA 71TiE WARN W 0:1t is a aime to Iaaweigly make false statements to the United Suas on this a my otha rimilar fmm.Pmalties upon oonviaion�an uidude n fine or imprisannuu. For depils sce:Titk I S U.S.Code Sectien 1001 uid Seuion I010. HUD-1 Mey 2007 NoNember 9,2D12 226 pM OMB No.2502-0265 RESPA handbook 4305.2 PAYNE AIR CONDITIONING AND HEATING, INC. COST ESTIMATE FOR R/N/C AND EXISTING JOBS EST DATE. 11/20/2012 CATEGORY 4 SALESMAN: 5 JOB# 542-594 START DATE. 11/21/12 �og NAnnE. MARVENA McCLEOQ BILL T0 �oe A��RESS: 5944 FOREST LANE BILL ADDRESS: ciN,STATE,ziP� ZEPHYRHILLS, FLORIDA 33542 cin,STATE,ziP� �og PHOtvE#� 430-3989 BILL TO PHONE. ESTIMATOR: LAR CUSTOMER#� PLAN NAME. COMPUTER FILE. CELL PHONE#� PROPOSALNOTES EQUIPMENT MODEL C2TY 25HCC530A003 1 FX4DNF031 T00 1 NOTES: REPLACE OLD SYSTEM=A/H IS HORIZ IN ATTIC,ACCESS IS THRU BEDROOM CEILING, REMOVE THE OTHER OLD A/H HEATERS , MODEL QTY. THAT WAS LEFT IN ATTIC BY SOMEONE ELSE!! DISCONNECI CARRIER CE0501N 05 5KW THE(2)SUPPLIES WHICH RUN TO GARAGE&CAP OFF TXV- CE0801 N 08 8KW 1 TXV- CE0901 N 10 10KW LEAVE THE GRILLE BOXES&PUT DUCT BOARD INSIDE 7 TC-NAC NON-PROGRAM CE16013 15 15KW TB-PHP01 NON-PROGRAM 1 MISC LEAVE GRILLE. Power-vac duct clean&sanitizeall su plies&WA TC-PHP PROGRAM AMANA TP-PRH-A THERMIDISTAT HKR-05 5KW new aux drain p[an w/float switch, new digital pro rammable SYSTXCCUID01-B Infinity HKR-08 8KW HONEYWELL TH3210D1004 HKR-10 10KW T-stat, new lineset, slab w/straps, Seal duct joints. HONEYWELL TH3110D1008 MISC T-STAT MISC MISC COLLECT A CHECK FOR$5,160.00 UPON COMPLETION 11/20/2012 11�04 AM SUMMARY PAGE SHORTCUT TO AOR2012-3 Nov. 21. 2012 10:38AM Payne Air Conditioni �g No. 1369 P, 1 , , PAYNE AIR CONDI'I`�UNIlVG � FAX N�E�VIO ��- �c T - �� r��,�) �,�.��.r �om: nA� � c l� � �: `�� .�^�e� /�7'l�h/1 tr� , ,,,. ;�, � ��i�r��i PLEASE k�E�L FREE TU CALL M�'PI�YTH ANY QU�S�ONS YOU MA'Y X7A'V�; PHOIVE :(8b3)686-6163 EX.1'.#116 � �Y 1048 E.OlAander Street . Lakeland,F�.338p1-2012 � (863)866-6163 Nov, 21, 2012 10. 34AM Payne Rir Conditioning No. 1366 P. 1/3 Payne �4ir Condi�ioning � He��ing,, Inc. , 1048 E. Qleander S�reet, Lakeland, ��. 33841-201� . Phane #863-68�-fi163 � Fax #863�686-6'!6� Fax Mema � If there are any problems with the qualitiy of the following transmissions, please call or fax our office at the above number. Dabe: t #of pages; 3 To:_. ._�� Fax#:,�(3 _ � � ' ..DQ�-I . 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Nov. 21. 2012 10:35AM : Pay�e Air Conditioning • • - No, 1366 P, 3/3 � C1TY OF LAKELAND� � 2092-20�3 BUS/NESS TAX RE`CEIPT BuShlgss rdX 0lMC6,226 S M9SSaChusefts Ave.,Lakeland,FL 9380i � THIS BUSINESS TAX RECEIPT�XP,�R�S,y�EPTEMBER 30.2013 RECEIPT N0: 03907' '"DUPLICATE"* AcCOUnt Number; 1030287 ?°�� Busin�se ClasslBcaUodsl Class Catsaorv Quantllv Workers: 83 Y�r �� PROF�SSIONAL FIRM OFFICE 13555 1 Squpre Footage: 18478 ; .?. AIR CONOtTIONING CONYRACTOR,A 4607 2 Fea: 1,522.14 �1;%' � RETAILMERCHANT 10500 1 x lss�iQO.e�fi�� .F• �_.;.••.--�. '.'2 1048 E OLEANDER ST ; :�='�� i'.; � r : i .r'' ." mie aaln..s ux r.aip►ao.•na p.m�Y ne no�a.r a op.nu in @usiasas Nama&MallinaAddross:`• . , �''^��olwwCiprl�r,orahunw«nwMUon�nyaaugsln �, ;' loanion a o+maihiP�l bs�ppowd by 1hi Ciq�Budness TsK PAYNEAIR CONDITIONING ds H�TING ING"' � S.dia�s�i�bmniner.sria�na 7i�isR.aaipdv.sno� FRANKLINFAUSTL�WSFORb,PR�s �' ��Ma�dIMh01Al�6 9046 E OLEANDER ST t ��..,'k e�(A«��«�an� , LAKELAND,FL 33601-2012 � ;,� ' •.,__._.. � � RECEIPT MUST BE CONSPICUOUSIY DISPLAYEO IN YOUR PLACE OF BUSINESS VALID ONLY WHEN SIGNED .......... .... . . , , . J . . • • � ` • • � ' • . • IQAYNE A/R COND/TION/NG 6 HEATING, INC. "We're There When You Need Us" / • turn to the experts� � November 21, 2012 Permit Office City of Zephyrhilis To Whom It May Concern: v"� Please accept this letter as authorization for the following individuals to sign for the purchase of permits for Payne Air Conditioning& Heating, Inc. Installations: Frank Lansford Randy Henderson John Welsh Charlie Townsel Roy Cheatwood Kevin Ryan Judy Hulcher Larry Snider Mary Volner Wayne McKinney Alicia Milling James Jarrett Please let me know if you have any questions or need any additional information. Sincerely, � Q� Frank Lansford President CAC1817108 STATE OF FLORIDA COUNTY OF POLK {{ ,j ' f,��,� Sworn to and subscribed before me this �I � day of ►"1��1�U-� 2012 Personally known or produced identification � �, r i�bf4tt:"+Jb�°6! �-c ' � � �.��'"°`� ALI�'IA M MILLING Notary Public �1V C'U�AMl�SION#DD940999 °� P,o I�kPtRES December 27,2013 ��F�� FI No�an Diseount Assoc Co I.RfNl-1-Nt)1 NtY 863-686-6163 • FAX 863-686-6161 • 1048 E. OLEANDER STREET• LAKELAND, FLORIDA 33801-2012 dispatch @ payneair.com �AYNE A/R COND/T/ON/NG 6 HEATING, INC. "We're There When You Need Us" / ' turn to the experts" � November 21, 2012 Permit Office City of Zephyrhills To Whom It May Concern: Please accept this letter as notification that effective November 1st, 2012—Payne Air Conditioning& Heating, Inc. will no longer use License#CAC057909 for Permits. Going forward, please use the following license information: Qualifier: Franklin F. Lansford License: CAC1817108 Please let me know if you have any questions or need any additional information. Thanks, �� Frank Lansford President 863-686-6163 • FAX 863-686-6161 • 1048 E. OLEANDER STREET • LAKELAND, FLORIDA 33801-2012 dispatch @ payneair.com �r i m y .I_,i" } - ti Duct Seal Affidavit Company C License#__ C �C I S�f 7/0�' Address ��1 � �-��,,,, � Permit#�f.�lp � �� . �"38�D1 �'9�y : �� !'�'��./ affiant,hereby affirm that I am the duly licensed contractor of record for the a bove referenced permit,that all of the forgoing information is true and accurate,and that the duct sealing at the above referenced address has been completed in accordance with all applicable codes and standards. Contractors Name(printed) /�/�4�5 (�1�✓IUS� Date f( �Z � �� Si nature , ��-✓�1.� B � ,��. Right JO M obile Report Da e: 11/20/2012 Entire House By: Payne Air Cond. Inc. Payne Air Cond. Inc. 1048 E.Oleander Street,Lakeland,FL 33801 Phone:(863)666-6163 Email:686-616 � � ' • � For Marvena McCleod 5944 Forest Lane, Zephyrhilis, FL 33542 Phone (863)403-3989 � - • • • • Location: Indoor: Heating Cooling Tampa, FL, US Indoor temperature (°� 70 75 Elevation 10 ft Design TD (°� 29 16 Latitude 28°N Relative humidity (%) 30 50 Outdoor: Heating Coollllg Moisture difference(gr/Ib) 2.8 55 8 Drybulb(°F) 41 91 Infiltration: Dailyrange (°F) - 15 ( L ) Method Simplified V1Ret bulb(°� - 78 Construction quality Average Wind speed (mph) 15 0 7 5 Fireplaces 0 � Component Btuh/ft2 Btuh % of load Walls 8 0 7964 34 0 Irfi�tr�rn Glazing 26 5 2988 12 7 Doors 11 5 241 10 V1HI Ceilings 3 3 4157 17 7 R� Floors 4 5 5636 24 1 Infiltration 2.2 2449 10 4 Ducts 0 0 Piping 0 0 Humidification p p Q�� i Ventilation 0 0 � "� Adjustments p Total 23435 100.0 • � Com onent Btuh/ft� Btuh % of load Walls 5 8 5824 28.5 �� Glazing 51 4 5801 28 3 I�{i��iq� Doors 119 251 1.2 V1�11� Ceilings 4 9 6236 30 5 Floors 0 0 0 Infiltration 0 6 698 3 4 Ducts p p Ceilings Ventilation 0 0 Internal gains 1660 8 1 Blower 0 0 Adjustments p Q�� Total 20470 100.0 Latent Cooling Load = 1870 Btuh Overall U-value =0 195 Btuh/fi�-°F Data entries checked .,�. �- wright�tst't' z012-Nov-20 09:43:55 "�'�� Right-Suite�Universal 2012 12 1 00 Right J�Mobile Page 1 �v^ C:\WINDOWS\TEMP\wstmpla8ab40fb-e5a2-4621-a000-582d80042539.rup Calc=MJS Front Door faces. N Project Summary Job: , �� Date: 11/20/2012 Entire House By: Payne Air Cond. Inc. Payne Air Cond. Inc. 1048 E.Oleander Street,Lakeland,FL 33801 Phone.(863)686-6163 Email:686-616 � � � � � For Marvena McCleod 5944 Forest Lane, Zephyrhills, FL 33542 Phone (863)403-3989 Notes. � - • � • Weather� Tampa, FL, US Winter Design Conditions Summer Design Conditions Outside db 41 °F Outside db g� °F Inside db 70 °F Inside db 75 °F Design TD 29 °F Design TD 16 °F Daily range L Relative humidity 50 % Moisture difference 56 grllb Heating Summary Sensible Cooling Equipment Load Sizing Structure 23435 Btuh Structure 20470 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 23435 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 20470 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 1870 Btuh Ducts 0 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 1263 1263 Equipment latent load 1870 Btuh Volume (ft) 10100 10100 Air changes/hour 0 45 0.23 Equipment total load 22339 Btuh Equiv AVF (cfm) 76 39 Req.total capacity at 0 70 SHR 2.4 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 0 AFUE Efficiency 0 SEER Heating input 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 931 cfm Actual air flow 931 cfm Air flow factor 0 040 cfm/Btuh Air flow factor 0 045 cfm/Btuh Static pressure 0 in H20 Static pressure 0 in H20 Space thermostat Load sensible heat ratio 0 92 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ++._ W4"� f'!t'��D�' 2012-Nov-20 09 43.55 g Right-Suite�Universal 2012 12 1 00 Right J�Mobile page 1 �� C\WINDOWS\TEMP\wstmp\a8ab40fb-e5a2-4621-a000-582d80042539.rup Calc=MJ8 Front Door faces: N