HomeMy WebLinkAbout16-17291 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
' ' ' (813)780-0020 17291
BUILDING PERMIT
� PERMIT INFORMATION-� ' - - - �LOCATION 1NFORMATION . � �
Permit Number: 17291 Address: 5636 5TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03100-0230
Improv. Cost: 4,800.00 � � - - OWNER INFORMATION �
Date Issued: 4/26/2016 Name: BAKER CYNTHIA
Total Fees: 100.00 Address: 7242 HIGHLAND LOOP
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-4261
Date Paid: 4/26/2016 Phone:
Work Desc: A/C CHANGE OUT 2TON & ELECTRIC ADD
' - CONTRACTOR S _ � � - _ APPLICATION FEES .. � -
PERFORMANCE AIR CONDITIONING & H A/C CHANGEOUT 60.00
MADIGAN ELECTRIC INC ELECTRICAL FEE 40.00
� `n
r ' ���
. L' �
_ - - � Ins ections Re uired - -- , , • .
D TS INSTALLED
DUCTSINSULATED
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.
,."S.,
_ �!. �' Li
'_ ��
CONTRACTOR SIGN RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. ;
� CITY OF ZEPHYRHILLS
' � � ` 5335-8TH STREET
(813)780-0020 17 91
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 17291 Address: 5636 5TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03100-0230
Improv. Cost: 4,300.00 OWNER INFORMATION
Date Issued: 4/26/2016 Name: BAKER CYNTHIA
Total Fees: 60.00 Address: 7242 HIGHLAND LOOP
Amount Paid: 60.00 ZEPHYRHILLS FL 33541-4261
Date Paid: 4/26/2016 Phone:
Work Desc: A/C CHANGE OUT 2TON
CONTRACTOR S APPLICATION FEES
PERFORMANCE AIR CONDITIONING & H A/C CHANGEOUT 60.00
Ins ections Re uired
DU TS INSTALLED
DUCTSINSULATED
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 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 ces. NO OCCUPANCY BEFORE C.O.
---�` �� CCUP NCY BEFORE C.O.
J%'~� -''
�
%
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8��aeo-oozo City of Zephyrhills Permit Application Fax-a�a-7so•ao2�
Building Department
` .
Date Recetved Phone ContacYfar"Permtttln � �
Owner's Name `� '�r- Owner Phone Number
Owner's Address OwnerPhone Number �� �
Fee Slmple Tltleholder Name Owner Phone Number �i � ,
,.;� .
,
Fee Simple Titleholder Address 'a
JOB ADDRESS ' r � � ���� LOT# ��
SUBOMStON �i � PARCEL iD# ' -�
(OBTAINED FR4M PROPERTY TAX NOTICE),
WORK PRQPOSfD '� NEw CONST1t RDDIAI.T C� SIGN Q � Q DEMOI.ISN -
, e INSTALL R�PAIR
PROPOSED�USE [� SFR � CQN1M [� OTt{ER
TYPE OF CONSTRUCTION Q 'BLOCK " �[_] FRAME � STEEI. Q
DESCRIP7IQN OF WORK ' •b �
BUILDING SIZE - SQ FOtiT .HEIGHT. ,
�8���'�»�''� � , � VALUATiO�t�l t7�F T'tXi'AL CONSI'Rt7CTiON � -
�J
Q � � AMP�uERV{CE PRpGRE55 Et�lERGY
EE.ECTRICAL $ Q Q W.R.E.C.
,.
QP�UMBING ��
I , �
�AftECHANiCRL $ VP+�UAT14N OF MECHAE�lICAI INS7ALIATION b
��Jy �r
QGAS , RQQFIlVG Q SPEGIALTY_��- fJ'FHER .�" � �
t�
FINISHED FI.QOR ELEVATIONS FLOOD 20NE AREA C]YES. NO
i
I BUILDEit COMPA�IY
�i SIGNATiIRE REGISTERED Y/ N FEE CURRE� Y./.N
Address License# � �
E�EGTRICIAN COMPANY
SIGNATURE y RE01$TERED Y/ N FEE CUFtRE� Y/N
Address + -.License# � � �:.
Pl.UMBER j� � COMPIWY� , .
SIGNATURE L ry . REGISTERED Y/:-N - FEE CURRE� Y/N.
Addre�s , lice #. .
MEC#iANtCAl. � CLIMPANY .�' . �
SIGNATURE / REGISTERED. Y/ N � FEE CURREP %N
, � .
.
, ��/ / ,,��, r�
' Address � �. Ltcense# ����/ ���1�'l�
O'iHER � � COIiRP'A1�tY � ' J .
SIGNI4TURE�:� REGISTeRE� ' Y/ N._ . �eE cuw�n Y�/-N .
Address , °t_- - ' „ ,, _ - Clcense#�� �
..b, �:.r ,
..,.., � - ' ;,��.::
RESIDENT1At::• Attach{2):�.P.Iot.P<tat�s;:(2}seEs:of'BuildingrPi�ts;(1)sef of�Energji�Fo`rm's;:R-O=WPemilt for new,.,,coi�struction,
. ,,.' _.rr.;y.. .;»„�:'� , .i. � F�.,,.....i
�-Minlmum;4tena(.1A);workfng,days.after",;.`sutimlftal dafe.=Required onstfe;�Constrticdon�Plans;�Stormwa4erPlans w/Stlt Fence installed,
� 'SanitaryFaciltties�&51�jdumpster�SitetWork,P.,,ermitforsutidivislo'ns/large'proJects� '='::.;�;::''` ' � = �
GOMMERCiAt,. At#ach{3}ooinplete sets of Biiildt�g Plaris plas a"�tfe Safety Page;{1}set of Energy Forms.R O-W Permtt for new construction.
Minimum ten(10)working days afker submittal dake. Requlred onsite,CansUucdon Plans,Stormwater Plans w!Silt Fence Instelled,
Sanitary Facili8es&1 dumpster.Site Work Permtt for all'newbprojects.All commercial requkements must meet compNance
SIGN PEFtMP7' Aftacti{2}"set's of�E�glneer,ed:P,l'atts:t:r,�,;:;�_,: . �
""PROPERTY SURVEY reguireeii,forall NEW constructian.:, .
Dlreeilons: ;-, .- � _
Fill out applicatlan completely.
Qwner 8 Contractor slgn back-of applfcaUon,notanzed
!f vves S2S00,a Nottce aE Commencement is requited. (A/C upgrades over 57500j .,
YM �� ��'�C+��`N
Agent(for the�contracto�)`cr.Power�of qttomey(fo��tFie��owner)would be someone with notarized letter fram owner authodzing same
OVER'fHE'CCitlNTER.PERMITFiNG-.�.•:�•-�=�{Frontof-AppticaSonOrily)•;- '�
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
Driveways-Nat aver Counter if on pubtic roadways.:needs ROW � � ,