HomeMy WebLinkAbout15-16652 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION . + � �LOCATION INFORMATION '
Permit Number: 16652 Address: 38018 12TH AVE �
Permit Type: MECHANICAL ZEPHYRHILLS, FL. '
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: li
Square Feet: Subdivision: CITY OF ZEPHYRHILLS ,
Est. Value: Parcel Number: 11-26-21-0010-06000-0180 ',
Improv. Cost: 6,700.00 - OWNER INFORMATION - ',
Date Issued: 10/06/2015 Name: COOK, JACKIE JR & BESSIE ��
Total Fees: 140.00 Address: 38014 12TH AVE
Amount Paid: 140.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/06/2015 Phone: (813)838-2888
Work Desc: A/C CHANGE OUT 2 TON DOUBLE FEE
' CONTRACTOR S ` � APPLICATION FEES- �
AIR MASTERS OF TAMPA BA INC. C CHANGEO T 70.00 AFTER THE FACT 70.00
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DU TS INSTALLED
DUCTSINSULATED
FINAL �O r/ (7 r��
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
' first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
. � � �
CONTRACTO SIGNA URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 i
^ Building Department i
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Date Recelved �0/6H5 Phone Contact for Pertnittin 813 234 Z4�9
Owner's Name �ackie Cook Owner Phone Number g�3-838-2888
Owner's Address 3801812th Ave Zephyrhills FL 33542 Owner Phone Number
Fee Simple Titleholder Nama Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3801812th Ave Zephyrhills FL 33542 LOT# �
SUBDIVISION PARCEL ID# 11-26-21-0070-06000-0180
(OBTAINED FROM PROPERTY TAl(NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH _
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK equal 2 ton 14 seer ale ehange out
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���1 .
, � `� ��
XQMECHANICAL $ 6,700.00 VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y I N FEE CURREtv Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTEReo Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY Alr Masters of Tampa Bay,Inc
SIGNATURE �D REGISTERED Y/ N FEE CURRE� Y/N
Address 4830 N Flortda Ave Tampa FL 33603 License# CMC1249497
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Wark Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVUCtion.
Minimum len(10)woriting days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Wark 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 construcUon.
Directions:•
Fill out application completely.
Owner&Contractar sign back of application,notarized
If over 52500,a Notice of Commeneement is required. (AIC upgrades over E7500)
•' 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
"!3}234$419 C� ' r.�-7l�J'Q.�T���
4, ��� - OfT8117p�B�y 1� $!!'10�i� BES7 PRICE
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�^a q Pment,sales tax.Gcense a�Pe►mits(or the complete instaliation as ou+�ined be?ow Atf such work shail
--� �I�. �ss�ot�l manner and'm accotdance with afi aPpGcabte state and tocal codes.
i�'�Canh�y ac�a�zed 1�reQ�i�ements and guaranlee the tollorrin9 eq�Pment to be of su�iaent size aml
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Brar�d Name
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Heater Size �
Energy Ra6ng(Seer)
F y(8r Sate Pi�ce
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�"�c�2ers Ctedit,Discount �J �
�! NET Imestment �
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�°���0`"'�, Air Masters Guarantees in writin to ou,a com lete ualit evatuation of the►nstal{ation,and waik throu h
�"°• each detaii of the new system. 1009�SATISFACT/ON __ -
AIR PURIF1CATtON:
0 � PEACE OF MIND GUARANTEES ELE RICAL AND CONTROLS: � E��rclean Green
� h Electronic Thermoslal
�Lifeflme Warranty on workmanshiP � P�rommabfe Thermostat ❑ Clean EETeds 99.88°la F1ter System
�24hr.Emergency Servi�lt�a oT�1 ❑ Pertect Frt Pteated Air Filter
❑ HoneyweU Prestige Thermoslat H-D ���s�K
❑ 5 Year Malntenance Agreement �U.V.Light System
❑ Provide New Outdoor Disconnect -!
❑ Extended Warranty lJ Sanitize Air Duct System
�/ ❑ Change Cfrcuit Breaker a�Y ',
l� One Year Sa6sfaotian Guarantee �P���de�_New elecUical WhiP
❑ ElecUipl By Others (y��CELLANEOUS:
AIR DISTRIBUTION p�ING: � �+ d New Pad
❑ New R/Air Griltes n�Y Re�9�nt Une Set FIli�1 j/G,f'� ❑ Galvanized Line Cover
� ❑ New S/Air Gril�es Q�Y Q Melal Air Handler 5tand
�Float Switch _`
o f�e1"'�����m �Auxiliary Drain Pan U Disposal of OId Equipment
�( ��R��"���"9�� ❑ ondensate Pump Vokts �Conderiser Tie Dawm Kit
� pdd pud Run n�Y ��in Lines F/�f y
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� Ouraaeyeassetvice�esPa�s'�Y
' WARRANTY&SERVICE a�R�sx.�
haveaone yearwarranty Irom Ihe day of'vatatlatfai against laetorydefeet.Gtetimewamanty�+toi Release�l�femnity and AssumP
� M eQwPme��terial and canVOEs gr due W biown(uses.uiPPed bre�era.�NnY filiers ot,plugged drain lines.Agreeman
�, does not indude breakd°w�s d su��rendered by companY,cuswmor ceAiOes e^d ggresuttirtg irom alc sarrice rtave risk ot motd ar�d customer exqrasslY intends to
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s���e � ass��the rtslc of dama9es er�d�"1°ry'��8"1`'resulting from any and all mold related damage for the
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�"��o �� ereb to fumish material and labor,complete in accordance with above SPoliars($ns�Z�l•
�oNT We propose h Y
�,,, `°' sum of: ��'
� Payment to be mede as follows: _
Qu !�Valid For 30 days.
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� ^ Building Department
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,.s�a�P�a FEROZE PHILLIP GONSALVES
'��' `�z Not�ry Pub�ic-St�te of florid�
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°' •: My'.Comm.Expirea Jan 1.2017
':;FOF����o• Commiaslon#�EE 859673
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