HomeMy WebLinkAbout16-17233 �
CITY OF ZEPHYRHILLS
''' � ' S335-8TH STREEf /�
(si3)7so-oo20 1�7233
BUILDING PERMIT � '
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17233 Address: 4608 BLOSSOM BLVD BLD C
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-017D-00300-OOAO
Improv. Cost: 4,245.00 OWNER INFORMATION
Date Issued: 4/12/2016 Name: RICHMOND JOY
Total Fees: 60.00 Address: 4608 BLOSSOM BLVD
Amount Paid: 60.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/12/2016 Phone: 813-713-2184
Work Desc: A/C CHANGE OUT 2 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
, ,
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSU E
FINAL ' '��
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.
�
ONTRACTO SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
e�saao-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
j . . Buflding Departrnent
Date Received Phone Contact for Permtttin
j� 2 - � �� ,�
- cy t ic o�v
Owner's Name / ' Owner Phone Number'-_. . ..-. g'l — / ' 8
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS `�� O `Q�j.s6/Y) L l� , D�aN e 1DS� �qNG LOT# �
sueoiwsioN PARCEL ID# J5-��-' l- !"7� b��Od UDfal�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , e °NEW CONSTR� ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED:USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK ' �GS, �/C C1�`/g/�V �'U� � � �/�JeN�S � ��,
BUILDING SIZE � SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION'OF TO`fAL CONSTRIJCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ �h LJ'� b� VALUATION OF MECHANICAL INSTALLATION
oc'T
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRER Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE y REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL ` " COMPANY �H2 S �/�.� ���.=/ /r
SIGNATURE ��J�G REGISTERED Y/ N FEE CURRE� Y/N
Address ����'/I�G�Iv �/LL , f `. License# �`���7�'.j /��
OTHER COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Address License#
RESIDENTIAI: Attach(2)Rlot Plans;(2)sets of Building'Plans;(1)set of Energy Fortns;R-0=W Permit for new construction,
Minimum,ten,(1,0)�working daysaftec submittai date. Requlred onsite,ConsUuction Plans;Stormwater Plans w/Stlt Fence installed,
Sanitary Facilities&�•1_dumpster,Site Work Permit for subdivisions/large projects �
COMMERCIAL Attach(3)coinplete setis of BuitcJirig Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon:
Minimum ten(10)worktng days'after submittal date. Requ(red onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed, --- _
Sanitary Facilitles&1 dumpster.Site Work Pertnit for all new proJecis.All commercial requlrements must meet compliance - �
SIGN PERMIT Attacli(2)sets of Eiigtneered Plens._. -�
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out applicatlon completely.
Owner 8 ConVactor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement i�required. (AlC upgrade�over E7500)
" �qent(for the contractor)'or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C �Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
� � .
s ! � PROPANE GAS Service Order/Proposal � � � e
� - AI�ID AIC �Nc. Air Conditioning&Heating �i
��tce�988 813-782•5013 � I
�JC��RF; ?�;?I:iEi�:=;��i�E:r la l:C�:::�IF?r•� ���,�3`38 }-;r'�
Sales, Service & Installations � • ���a��f��1���€� "��ar;�,r�1 ���;�_,i. ,��.u ��.�i_1
4441 Al�en Rd. • Zephyrhills, FL 33541 `°� 7'�"`�`����''# �=r'�F�"� ('}7 '� k��:�`j }� / 4��-�
LI�f"1�'t_!t 1 .!i���_ I'-11���J('�.�i.}�_IJ �_��F{��t: f�1^l �.Ju�f�=L
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- ':;> - REGOMMEND14TIONS,<,;;�'.� �^,}�'�'. _ - i r
_ - - : _ - -;;Y"` - - 7
- -- - _ �::i-=.: - = - -
i i, x
Annuai;Mainfenance:R,ecommended;by:Aii•Equipment;Manufacfc7rers:'-;:{'°
- - - - - = -= - - - =�a:��::,..:-�-=_,= Pressures Lo HI T-Stat �,, i
, ._ . .. � � _
, s�.;`"- _��.=�� `z:-, _ _ - - }c;. __ - _ �-`_ --_ _-i, - i
:R RI ERANTR=:=;�,`,, ',LBS;:�`�" ^�.$�Per,lbs.. ,
FILTERS x x Changed Monthly I I
, FILTERS x x Changed Monthly � �
O REGULAR ❑WARRANTY - - '�>"�,TQTAL�S�UMMARY_,- , .�. .��"
DehuitiidistafSettings;��;When here uON°.;;'When Away 6�r;;T-Stat 80°: ❑ MAINTENANCE CONTRACT .
- -- -= == SERVICE i
LIMITED WARRANTY: Nl�materials,parts and equipment are warranted by the�manufacturers' >:- __` - � �� `� � �� - "` CALL i
_ _ �:-�;NIETHOD;.OF;PAYMENT;�S:';�'�_��?
or suppliers'written warranty only.All labor pedormed by the above named company is warcanted for ''" �``� � `-J "- 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 warranties on
P Y ❑DEBIT ❑CREDIT ❑OTHER MAINTENA�lCE �
behalf of above named com an. I
I have euthority to order the work outlined above which has been satistactorily compie[ed.I agree that Seller . PR�G. W� C
retalns title to equipmenUmaterials furnished untll fnal payment is made.I(payment is not made as agreed, CLAIM# �
seller cen remove said equipmenUmaterials at Seller s eupense.My damage resulUng 6om said removal shall
not be the responsibility of Seller.NET 30 DAYS.A 1 112%SERVICE CHARGE WILL BE ADDED MONTHLY TO (J I
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED ( J � �
j � I
� � ,� � TECH: J at T� i
�- „'—''r G'S���l �� � � / ��J/ �
USTO R I `A E DATE ✓� ✓azc �'OTAL I