HomeMy WebLinkAbout15-16208 � : • CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-ooza 1 08
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16208 Address: 39104 3RD AVE
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: 12-26-21-0010-00200-0110
Improv. Cost: 4,870.00 OWNER INFORMATION
Date Issued: 4/30/2015 Name: VOLLSTEDT TIMOTHY J & LINDA
Total Fees: 60.00 Address: 39104 3RD AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/30/2015 Phone: (309)531-8931
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE AS& C, INC. C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTS If�,SULATED
FINAL S -�L[z `�L�-
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 fl 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 properly 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 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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
: � at�-7aa-oa2o City af Zephyrhills Permit Application Fax-813-780-Od2i
Bufiding Depa�tment
Date Received Phone Contact for Pactnitting ��� �7�'2. - ��1 �
Owner's Name V d LG.���� l / Owner Phone Number �������" �l �l
Owner's Address ��`� `7� �D L�� dwner Phone Number � �
Fse Simpie Titiehoidsr Name � � Owner Phone Number �� �
Fee Slmple Titlshotder Addres�
JOB AQRRES3 -/ D�'T' „3 Q� (,IL, �e �'7 /�/�/�-L,-S t'�, �� LOT# [___,�
SUBDIVISION ��` I PARCEL Ib# !�- o�(D`�-1-�dlD -L�C��G� - al1D'
(OBTAINED FROM PROpERTY TAX MOTICE)
WORK PROPQSEd , e NEW CONSTR�ADD/ALT Q SIGN Q Q DEMOLISH
INSTAIL REPAIR
PROFOSED USE [� SFR Q COMM �� OTHER
TYPf OF CQNBTRUCTION Q B�OCK Q FRAME � STEEI �
DESCRIPTIONOFWORK ��l1�IDUc.° }�" U° I%�L'G T 1/7J e'!�-� G4/r7 "'" � ��'?'� G711��.'
BUILDING SiZE � � S4 FOOTAGE C� HEIGHT ��`-�
�$����«� �� VALUATION OF TOTAL CONSTRUCTION
' QEIECTRICAi. �i � AMP SERVICE Q FROGRESS ENERGY W.R.E.C.
.._,... �
QPLUMBfNG $ �
QMECHANICAL $ ����� �� VAl,UATlON OF MEGNANICA�.lNSTAllRT10N
QGAS Q ROOFING Q SPECIALT`( � OTHER
FINISHED FLOQR ELEVATIQNS �� F�OOp ZCiNE AREA QYES fit0
BUIID�R CpMpAN1f
SIGNATURE ^,,_ REGtsTEttEO Y t N FEE GURRE{� Y!N
Address Lfcense# �
EIECTRtClAN COMPAFtY
SIGNATURE REGiS7ERED Y t N FEE Ci1RRE� Y 1 N
Addraas L,icense# l �
PLtlMBER � � COMPANY
SIGNATURE � REGlSTERED Y 1 N FEE CURRER Y 1 N
Address License# ( �
MEGHANICAl. ��,�_�����Y�����, GOMPANY �rf��f,/2'u 1'"F��id/�l��C�7�5� �}�� '�-'.
SI(3NATURE REGISTERED Y/ N F�e CU� Y i N
Address `t'�f-T � ��I�� Ucense# ������T ��
bTMER CQMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address License# � �
RESIDENTIAL Attach{2)plot Plans;(2)sets of Building Plans;{1 j set of Energy Forms;R-O-W Pertnit tor new aonstructlon,
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
8anitary FaciliUes&1 dumpster,Site Work Pertnit for subdivistons/iarge projeots
COMMERCIAL Aktach(3}complake sets of Building Plans plus a trfe Safety Page;(1)set af Energy For�tts.RA W Permit for new construct3on.
Minimum ten(10)worktng days'after submittal date. Ftequlred onsite,Canstrucdon Plans,Stormwater Plans w/Silt Fence InstaAed,
Sanitary FaciEi#ies&1 dumpster.8ite Work Permit for all new projects.Ali commercial requlrements must meet campilance
SlGN PERMlT Rttach(2}sets of EngMesred Plans.
"•"PROPER7Y SURVEY required for all NEW construction.
Direatfons. t � �
FIII out applicaUon completely. � 4
Owner 8 Contractor sign back of applicaidon,notarized _ . '�, _ ''' �'. '; j, '{,
if over a2500,a Nat{ce of Cammenceman#[s reguEred. (AiC upgrades over 57540) - - -~'` '`�'�� �; �
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" Agent(for the contractor}ar Pawer af Attomey(Eor the awner)would be someone with notarized lettor ftom owner authorizing same. ' �
DVER THE COUNTER PERMITftNG {Front of Application Only} _ � . . , _.,._ , .. ,
Reroofs if shingles Sewers Service Upgrades A!C Fences(PloUSurveylFootage)
Q�iveways-Not over Caunter if an pubiia roadways..neads Rt3W
° we�d _ �'�y� � � �
� � � � PROPANE GAS � ' ' ' '
� AND AIC �NC. Ser.vice Order/Proposal A�r Conditioning 8�Heating
�y�e �988 813•782-50�3
WORf:. ORDER#/SERV ICEI+7AI�I 5B7c4 AF�R
Sales, Service & Installations D.f�TEIT2ME TAI�.E�I �4/�3l15 1�:4�
4441 Allen Rd. • Zephyrhills, FL 33541 TAKEhI_: BY � AC ��+
pQ � DATE�TIME i�ftOMSSED �4/.�3/i� i;�:Q��
VOTES: CQJI�, ��� ���], GUSTOMER#/LDCATIOhI. ��14�
pHOIUE# �Q�9-5,:�1-8�31
' RQUTE/SEQ.. ' AF�R '
t� l� �� �1 L�DI t� d'6�D0
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UOLLSTEDT, T I h� V OLLSTEDT9 T I M �
��14�4 3RD AVE 3�1�4 �RD AVE .
ZEF'HYRHILLS FL 3�,54` ZEF�HYRHTLLS FL,.:,354�
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FILTERS x x Changed Monthly I I
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_IMITED WARRANTY: Ail materials,parts and equipment are warranted by�thejmanuhacturers' - -��: iw"' ' 'P �j, "''" '��`-,� CALL i
;�_<�w. :,:�:METHOD�OF� AYME T;��:�;=t:�,";v;_
�r suppliers'written warranty only.All labor performed by the above named company is warranted for °- ��^`���� -'��-�"'`-'�= - - -``'���_{=-==-=;'
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH'"❑CK#`' � TOTAL i
:xpress or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS i
�ehalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
have authority lo order the vrork outlined above whlch has been satlsfactorily mmplaled.I agree that Seller
PROG. W! C �
etains ti�e to equipmenVmaterials fumished undl final payment is made.If payment is not made as agreed, CLAIM# �
;eller wn remove said equipmenVmalerials at Seller's expense.My damage resuiting from said removal shall
iot be the responsibility of Selier.NEi 30 DAYS.A�112%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
1LLU CESOVER30DAYS. REFUNDS DATE COMPLETED
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:USTOMERSIGNATURE� DATE ✓1l�aV//�L ✓au TOTAL /�{�� ���
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