HomeMy WebLinkAbout14-15494 /�
�' CITY OF ZE HYRHILLS
5335-8T STREET
�sis)�s -oozo 494
BUILDIN PERMIT
'�x���`:���.,��.. a=>;PERMIT:�INFORIVIATIO.N R , . - -- - - ������,��'� ,�������-
'° °. LOCATION 1NFORMATION z-=� �_.A.,
Permit Number: 15494 Address: 4930 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-00300-0120
Improv. Cost: 5,732.00 .�� �`�OWNER�INF�ORMATION��� s '� ��`_���
Date Issued: 7/17/2014 Name: SISSON IRIS R REVOCABLE TRUST
Total Fees: 65.00 Address: PO BOX 222
Amount Paid: 65.00 EAGLE BAY NY 13331-0222
Date Paid: 7/17/2014 Phone: 315-266-7419
Work Desc: A/C CHANGE OUT 2 TON PKG UNIT
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��"_,�:`'{CONTRACTOR S . � . - APPLICATION FEES= -' ' ` :° :' ._ "'.' � _ -
RON IERNA'S HTG&COOLI INC C CHANGEOUT 65.00
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DUCTS INSTALLED
DUCTSINSULATED
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmehtal
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing, consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans,Specifi,cations Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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Brenda McClellan ,
From: ,HVAC Proposals <proposa s@hvacproposals.com>
Sent: Wednesday,July 16, 2014 :45 PM
' To: joem@iernaair.com; charle e1010@verizon.net; ronnie@iernaair.com;
sherrip@iernaair.com; bren am@iernaair.com; heatherb@iernaair.com
Subject: Proposal Status Changed t Won
The belo�v proposal has been updated�vith a status of'won'.See details belo to process order•
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Title 4930 17th st
Opened Date 07-16-2014
Closed Date 07-17-2014
Customer Lynn Sisson
4930 17th st
Zephyrhills,Fl,33542
Tel:(315)266 7419
Sales Rep Nick Olmedo NickO@iernaair.com
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I Units Added Special Common Servic s Added � Upgrades Added i U��
Parts Parts � Purchased
[]Free 2YEAR ANNLJAL ANCE PLAN
*cannot be combined with y other offer,discount or
coupons.*$175 value,
[] 10 YEAR WARRANTY ON
PARTS/COMPRESSOR 1 LABOR
WARRANTY.,
[]Pernut and inspection,
�� ���,_ []Manual J Heat Load Cal ulation,
PA3ZNB024000— 45XSOX3-C ��Tie into existing duct wo k, []duct replacement 6 1 Good
* []New Elec�ical Whip to ondenser, supply ducts and 1 return
TP, []None 1, ��New hurricane code con enser pad and anchor ldt, flex only 2 12x8 210x6 Systems
[] []TH3110* ��Disposal of equipment, 2 8x4 Quoted
CECP127AOODP 1 []Tie into existina 24v el trical wiring,
[]Tie into existing 220v el ctrical wiring,
[]Dual Breaker Sub Panel vith Ne�v Electrical Whips
Includes electrical permit d disconnect at package unit
location.nothing at locatio' existing.replacing old
fedder equipment,
[]Duct cover with with du t connections for package
unit
13 SEER customer paying with credit card. customer is lind, installers must call when on the way. Also do not
go to front door pull up on grass on side of building and se back door.,
To View the HVACo cost.com website- CLICK THIS INK! HVAC Opcost.com is an independent website.
The results of savings from one system to another may v and Ierna's Heating and Air Conditioning cannot be
held accountable for those same results. The results shou d be considered as a representation of expectations. 1.
To view our website - CLICK THIS LINK! 2. To view t stimonials about our roducts and services - CLICK
THIS LINK!
TERMS & CONDITIONS OF AGREEMENT l. Purcha er hereby accepts the equipment and seivices
described above and agrees to pay Ron Ierna's Heating a d Cooling Inc the price shown above. 2. All
i
�� , a�saso-0ozo City of Zephyrhills ermit Application Fax$�3'�80-002�
� ' Building De rtment
Date Reeeived "7-1�— �, phone Con�dfor Pe it6ng ��� ��� - 10��5
Owners Name �rl �l SS�G� Owner Phone Num6er �j °�r.(�J"'Z��
Owners Address ��O' �� � �''.� I� Owner Phone Number ��3°���"I L �
I Fee Simple Titleholder Name Owner Phone Numher
Fee Simple Titleholder Address
JOB ADDRESS �-`�� �� �� � ��� LOT# '!+
SUBDMSION �� Cl�� PARCELtD# 1�'�G'z'L' o��Q���'bL«✓
(OBTAINED FROM PROPERN TAX NOTC�
WORK PROPOSED NEw coN57a ADD/ALT SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE � SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK � � — vN�l r ��'1' �
BUILDING SIZE SQ FOOTAGE HE(GHT �
QBUILDING $ VALUATION OF T TAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�CHANICAL $ 7?� VALUATION OF ECHANICAL INSTALLATION (�j�� /
J �� (/
QGAS Q ROOFING Q SPECIALN OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES � I�
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BUILDER COMP Y
SIGNATURE REGISTE ED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMP Y
SIGNATURE REGI5fE ED Y! N FEECURREN Y/N
Address License#
PLUMBER COMP Y
SIGNATURE � REGISTE ED Y/ N FEECURREN Y/N
Address License#
MECHANICAL COMP Y �L-�����
SIGNATURE REGI5TE ED N FEE CURREN Y/N
Address i �7�l. V� 'L License# G 1���� /
OTHER COMP Y
SIGNATURE REGI5TE ED Y/ N FEE WRREN Y/N
Address License#
1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 t 1 1 1 1 1 t 1 1 I 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-0-W Permi[for new construction,
Minimum ten(10)working days after submittal date. Requir d onsite,ConsWction Plans,S[ormwater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permi[forsubdi sions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[for new construction.
Minimum ten(10)working days after su6mittal date. Requir d onsite,ConsWction Plans,Stortnwater Plans w/Sitt Fence installed,
Sandary Facili[ies&1 dumpster.Site Work Permi[for aIl ne projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERN SURVEY required for all NEW consVuctlon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notiee of Commencement is required. (AfC upgrades over 57500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be so eone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage)
Drivevrays-Not over Counter iF on public madways..needs ROW
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' NOTICE OF DEED RESTRICTIONS. The undersigned unde tands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES. If the owner has hired a contractor or
contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are unc rtain as to what licensing requirements may apply for the
intended wotic,they are advised to contact the Pasco County uilding 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 li ensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACTNTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,tha such fees,as may be due,will be identified at the time of
pertnitting. It is further understood that Transportation Impa 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 iss ance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Rorida Department of Ag iculture 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 th 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 installati n as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern ent agencies may apply to the intended woric,and that it is
my responsibility to identify what actions I must take to be in mpliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distr ct-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of EngineersSeawalls,Docks,Navi able Waterways.
I - Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment,
Se tic Tanks.
� P
- US Environmental Protection Agency-Asbestos a atement.
' - Federal Aviation Authority-Runways.
i I understand that the following restrictions apply to the use of 11:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
' - If the fill material is to be used in Flood Zon "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 II the area within the stem wall.
- If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent
, properties. If use of fill is found to adversely a ct adjacent properties,the owner may be cited for violating
the conditions of the building permit issued und r the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered d inage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good fai h to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
pertnit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall iss ance of a pertnit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or viola ions of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced ithin sa 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 O�cial for 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING;CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117. 3) /�
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OWNER OR AGENT CO TRACTOR vd�-
Su6scribed and swom to or a firmed)before me this Sub ribed and swnm to(or affirmed)before me this
by by
Who is/are pe�nally known to me or has/have produced Wh isfare personally known to me or has/have produced
asiden' tio as' ntification.
c
o[ary Public Notary Public
Commission No.�G� "t on No.��� J�«
� ur``V� �' V'�l.0 ✓\
Name of Nota t d Na e of Notary type�p�Yi�or
1esY.P�B(� B`�E�JD�A�`�+,�� � �•••�•o �[�A MARIE MCCLELUW
r�'� ��' c* MY COMMISSION#EE 037191 �, * MY COMMISSION#EE 037191
�' EXPIRES:January 22,2015 �,�9 `oP EXPIRES:January 22,2015
' �'rq'FOF�°P�o= Baided Thm Budget Nolery Senices �-oF�oR Bonded Thru Budget Notary Services
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�er��fica#� of Pr�d ct Ratin s �
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AHRI Certified Reference Num6er: 5053509 Date: 7/16/2014
Product:Single-Package Air-Conditioner,Air-Cooted
Model Number:PA3ZNB024000AB**
Manufacturer: BRYANT HEATING AND COOLiNG SYS EMS
Trade/Brand name: BRYANT
Series name:
Manufacturer responsible for the rating of this system combinafion is BRYANT HEATING AND COOLING
SYSTEMS
Rated as follows in accordance with AHRI Standard 2 0/240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to ver�fication of ting accuracy by AHRI sponsored,independent,third
party testing:
Cooling Capacity(Btuh): 22800
EER Rating.(Cooling): 11.50 _
SEER Rating(Cooling): i3.50
IEER Rating(Cooling):
FootNote 11-The AHR1210t240 certified EER ratings are calculated u der the same methodology as the EER ratings aY T1 conditions of ISO
51512010 and ISO 132532011.
•Ratings followed hy an asterisk('}indicaLe a voluntary rerate ot p2viously puhlished ta,unless accompanied ivith a WAS,vt�hich indicates an inwluntary►erate_ •
DISCLAIMER
AHRf dnes not ehdwse the product(s)fisted on this Certifieate and makPS no rap esentations,watranties or guaraMees as to,and assum�s no responsibiGtyfor,
the product{s)16ded on this Certificate.AHRI expr�ssly disdaims all liab�7ity for d mages oP any ltind arising out of the use or pertnrmance ot the pmduct(s),or the '
, unauthnrized alteration of data listed on this Certificatg Certified ratings are vali only for models and cotyfigurations listed in the
directory at wtarwaht[dttectoty.oeg_
TERMS AND CONDITIONS
This Certificate and iLs contents are Proprietary praducts ot AH W.This Certifi shall only be used for iodividual,personal and ,
canfidential reference purposes The eontents ot this Certiiicate may not,ih who e or in part,6e reproduced;capied;disseminatr_d; �
entered intn a r.ompuLer datahase;or otherwise utilized,in any fortn or manner r by any means,except for the user's indrvidual, ���y� ,
persnnal and ccnfidential reference AIR-COND17i0NING,HEAi1NG,
CERTIFICATE VERIFICATION - &REFRlGERATION IN571Tt1iE
The information forthe madel cited an this certificate can he verified at�1v�.a ridirectory.arg,dick on'Verlfy Certiflcate'link p�make life bette�'
and'enterthe AHRI Certified Referenca Numbe►and the date an which the certi cate was issued, �
which is Iisted above,and the Certificate Na,which is listed at hoitam right ;:�c�=,.� -�-
02014 Air�onditioning,Heating,and Refrigeration Institut CERTIFICATE IVO.: 1��n�7163.
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