HomeMy WebLinkAbout15-16211 CITY OF ZEPHYRHILLS
. 5335-8TH STREET
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16211 Address: 38948 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17500-0017
" Improv. Cost: 4,550.00 OWNER INFORMATION
Date Issued: Name: POBLICK, JOSEPH A.
Total Fees: 60.00 Address: 38948 5TH AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/30/2015 Phone: (813)715-6100
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE AS& C,INC. A/C CHANGEOUT 60.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL ,a-L� -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 fi) 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 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 performed 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
E 813-780-0020 City of Zephyrhills Permit Application F�c s�s-7sa-aa2�
° Building Dapartment
Date Rsceived r phane Contact for Permittin 15�.� �� -� ���
Owner's Name �O �Le C.� . "J 05� Owner Phone Numbar D `� � ���"' �/d�
Owner•s Address (C�� . �. ��L� �V Owner Phone Number �— �
Fee Slmple Titieholdar Name ��`� �� Owner Phane Number � �
� Fee Simple Titlebolder Address
,�oe,Ana�tess .�1�'f-�' .5 � er� G� H' I'��fit-1..,s, ��. �'��'� �oT# l��
SUBDIVISION �� —T) PARCEL ID# I� �!� �d �!D ���'DD DD/ �
(OBTAINED FROM PROPERTY TAX NOTICE)
WC1RK PROPOSED � e NEW CON57R�ADDIALT �� 81GN [� [� pEMOLISH
INSTALL REPAIR
PROPOSED USE � SFF2 Q Ct�MM Q OTHER
TYPf OF GONSTf2UCTiOt� Q B�OCK Q FRAME C] STEEI [�
DESCRIPTION OF WORK ����-° �`�� L�G'� �1Cdlf �'�-T- "�� �4 yr"l a�t1���'S
BUILDING SIZE �-��1 SCl FOOTAGE�.� MEIGHT
08UILDiNG �� VALUATION OF TOTAL CONSTRUCTION
� [�EIECTRIGAL {$� AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C.
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� QPLUMBtNG ���
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�� QMECHAMICAL $��-p-��p VALUATlON OF NIECHANICAL thlSTALLATt{�N
�i d
QGRS Q ROOFING Q SPECIAI.TI � OTHER
F!NlSHED FLOQR ELEVATIQf1S r� ..�� F1.00D ZONE AREA QYES NO
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BUi�DER COMpANY
SIGNATURE REGiSTERED Y t N FEE CURREh Y I N
Address Llcense# �� �
EEECTR(CIAN � CBMPANY
SIGNATUIZH REGIS7ERED Y I N FEE CURREh Y J N
Address License# �— � �
PI.UM�ER � � COMPANY
� SIGNATURE REGlSTERED Y/ N FEE CURREA Y t N
Address License# ( �
MHCHANICA! � � ����h✓ coM��nr ��t1R`5 �'�A�'rJ�t�-t �G° �'�!'�
SIQNATURE REGISTERED Y/ N fEE GURREE Y I(U
Address ��71 ��E�c3� � �C° llt f/l1-�S License# ������''r'/�'��
OTNEEt COMPANY
SIGNATURE REGISTERED Y/ N FEE GURREA Y 1 N " —
Address Llcense# � �
RESIDENTIAL Attach(2�Plot Plans;(2)sets of Building Plans;(1)set of Energy Forn�s;R-4-W Permit for aew construcUan,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facitities&1 dumpster,Site Work Pertnit for subdivlsionsflarge projects
COMMERCIAL Attach(3)complete sets af BuildEng Plans pius a Life Safety Page;{1)set af Energy Farms.R Lt-W Permit for new canstrUC�an.
Minimum ten(10)working days'after submittal date. Required onsite,Canstructlon Plans,Stdrmwater Plans w!Sllt Pence lnstalled,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.Al)commercia)requlrements must meet compilance
SIGN PERMIT Attach(2}sets of Ersglneered Plans.
"`*PROPERTY SURVEY required for al!NEW canshucUan.
Qlrectlons: `
Ffll out applicatlon completely.
Owner 8 Contractor slgn back of appifcatlon,notarized � , ,
if over 52500,a Notice of Comme�cement is reqaired. (AiC upgrades over�T580} , - �`` ` ',
" Agent(for the conUactor}or Pawer of Attomey(for the awnar)wauld be someone with notarized tetter ftom owner authorizing seme
OVER THE COUNTER FERl�IiTTiNG (Front of Appllcafion Oniy} �
Reroofs if shingles Sewers Senrice Upgrades A!C Fences{PIoUSurveylFoatage)
Driveways-Not aver Caunter iF an pubtic roadways..�eeds ROW '
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� � � Pi�OPANE GAS Service Order/Proposal � � � � .
� A(�]� Af C INC. Air Conditioning&Heating
��ce �988 813-782-50�� _
• . WORt'. ORDER#lSERVICEh'IAN �7587 JUL
Sales, Service & Installations DATE/T I ME TAKEN �3/1 Ei 15 �9:48
4441 Allen Rd. • Zephyrhills, FL 33541 TAKE�I BY � F'.. g. �`
-� . DATE/T2ME F'ROMISED
NOTES. `��YY1 � "'� - CUSTpMER#/LOCATIDN 1E��� ,
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PHOI�E`# 8�3 48�-1�:88 C
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. � R(]UTE/SEG� ,- J4JL
- � � - MAF� '' . A/H- ATTIC
PORL I Cii, ,70SEF�H - � F'Z]RL I Cli-RENTAL,� JOSEF'H
991E F'REAI'.NESS STAKES WAY ' .?�8948 5TH AVE
DADE C I�TY FL ,?,,:,5c5 Z EF'HY RH I LLS FL3354L
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'� TE�IANT: CAL WORTHII�C�TDN ,
"� - DOhIT DISCUSS W/TENAIVT =
- , _, CD M#�SYC�3G�1�9 5�91E2�$4�
A/C hIOT COOLING / REF'AIR AND GIVE EST. � � '
DESCRIPTION OF WOF2K QTY MATERIALS�SERVICES UNIT PRICE AMOUIVT
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., RECOMMENDATIbNS � ���
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Annual Maintenance Recommended by�All Equipment Manufacturers. � ��
Pressures Lo HI T-S�fat i i
/��� r� REFRIGERANT R- LBS. $per Ibs. I I
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- FILTERS x x Changed Monthly I I
• � • FILTERS x x Changed Monthly � �
�• Cl REGULAR ❑WARRANTY . TOT/AL SUMMARY
Dehumidistat Setting"s: When here"ON",, When Away 60° , T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY• All materials,parts and equipment are warranted by the manufacturers' METHOD-OF PAYMENT- , _. CALL i
or suppliers'written warranty only.All labor performed by the above named company is warranted for ' • TOTAL � i '
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# ' MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such wananties on �
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
i
I have authonty lo order the work outlined above whic�has been satisfactorily completed.I agree Ihat Seller PROG. W I C
retains liUe to eqwpmenVmaterials lurnished until final payment is matle.II payment is nol made as agreed, CLAIM# " I
seller can remove said equipmenUmaterials al Seller's expense.Any tlamage resulting from saitl removal shall _/ ��d
not be the responsibiliry o1 Seller.NET 30 DAYS.A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED �D U O!✓ ��
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS � - . ,
TECH: T� i
CUSTOMER SIGNATURE DATE �/IZ�XiI"G/Y. ���c�� TOTAL ��`j��D