HomeMy WebLinkAbout16-17312 CITY OF ZEPHYRHILLS
, 5335-8TH STREET
' (813)780-0020 1 12
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17312 Address: 5045 5TH ST
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: 11-26-21-0010-18700-0060
Improv. Cost: 3,800.00 OWNER INFORMATION
Date Issued: 5/06/2016 Name: PERIGO, SHERMAN M. YOLANDA D
Total Fees: 55.00 Address: 5045 5TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/06/2016 Phone: (813)783-6978
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTOR S APPLICATION FEES
AIR TECH SERVICES OF PASCO INC A/C CHANGEOUT 55.00
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Ins ections Re uired �
D CT I STALLED
DUCTS INSU�D�
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C T TOR SI ATURE 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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Office: 813-779-7508 • Fax: 813-779-7504 • Lic#CAC1815498 Date:
Customer Name ��i'-f'L� �� �� �`� � �'"�
Address Sr� �� � S' � � `�l � Zip Code
Job Location Subdiv:
Phone# �I � 7 g� �17� Alternate#
Existing Equi . �}
nnoa.# � �v�''���b6 �- 1 � J�` SER.# O`f C�`7 � �, �
Mod.# �-- SER.#
Permit #
�pe of Unit: M/S S/C H/P S/S PAC Ton: ,s Seer���
Y N
❑ p�Duct Work Tvoe of Duct Work: Metal Flex MH flex Duct Board R-
�❑ Float 5 W: �
— / Heater KW: � Wire S'ze � Breaker Type �
L�' � Heat Shield•
./ Elec. Panel Brand: AH Cond. PAC
Q ❑ Pad:
❑ �Line Set: T stat: Prog Non-prog
Airhandler Location: • �� AHU L_" H "W " "�I�cd� �'
�� Mastic Seal: — — �
� �eht& Rec� Return Air�" Duct Size `�'/� / �
�
� �ervice Platform: Access/Closet Door: /: �� Attic Height/Closet Size:
/� ��
Attic Insulation Depth �L y = R Value
Special Notes: L�.�l ���� �� t�r'� ��� o� ��G� ��
L�t'l l.�� �e.N ��l �� L"�11a� l�U�� Z�J��.-.. �F� Sc�c�v��� �dr_ �zi n
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/ �'. s C� �a;� f 1� _~ --��- -'�--�.
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Bryant$ � �D� Rheem $ �� Comfo aker$ ��� , $
Factory Rebates: ,.
Warranty: 10 year Compressor and Parts& 1 year on labor
10 year Compressor and Parts &2 vear on labor
Air Tech Services Approv � date. �--.��" � ,
� �.. �� � �
Customers Approval , `�- �l�G�'�C�. date��� �� 'I
813-7so-oozo City of Zephyrhills Permit Application �� l � Fax-813-780.0021
Bullding Department _
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Date Recsived phprte CoM�act•for Permtttln { — C�
Owner•s Nams J���1'�1V �E-'�l�"� Qwner Pho»e Flumber O �7
Owner's Address �G�S (�� = Owner Phone Nuri�ber � �
Fee Slmple Titleholder Name � � Owner Phone Number � �
Fee Simple Titleholder Addres�
JOB ADDRESS ��� ��F LOT# [__�
3UBDIVISiON �� � PARCEL ID#
(06TAINED FROM PROPERTY TAX NOTICE)
WORK PRBPOSED NEW CONSTR ' ADDlALT Q SIGN� Q Q DEMOLISH
INSTALL e REPAIR
PROPOSED_1JSE , Q $FR Q COMM � OTHER
TYPE OF CONSTRUCTION [� BLOCK R Q FFtAME C] � STEEL Q
pE3CFtIPTION OF WQRK /"T I� (.,.1'�U. (�.,,,� �` �
BUILDMNG SiZE � � SQ FOOTAGE C�� MEIGHT ���
QBUt�DiNG �6 � VALUATION OF TOTAI.CONSTRUCTION _
[�EIECTRiCAI. � � AMP SERViCE Q PR4GRES5 ENERGY Q W.R.E.C.
�PLUMBlNG �"�
L � � 3� �
�ECNANICAI $ ���Q VAItlATfON QF NiECl�{ANICAI.�(VSTAILAztON
QGAS Q ROOFiNG Q SPECIALTY � OTHEFt
FINISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N
Address License# � �
ELEGTRtC1AN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � I
PIUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CUFtRE� Y/N
Address License# � �
MECHANtC�tt. �,,,� ,_S� COMPANY �'t� �� � — C •J�-��C3
SIGNATURE �f^���� REGI3TERED Y/ N FEE CURRE� Y/N
Address � License# C./�C._.( �''( �j��f_��
OTHER COMPAt+1Y
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N '
Address � License# �� �
_ . RESIDENTIAL Attach{2};Ptat Plans;{2)sats of�Building'Plans;{1)set af Energy Forms;R-O-V1t Permit far new construa#ion,
, Minimum,ten�(1.0)working.days after..submittel date. Requlred onslte,Construc�an Plans;Stormwater Plans w/Silt Fence(nstailed,
Sanitacy FacifiBes&1;dumpstervStte Work Permit for subdivislonsAarge proJects -
' Gd►i�lMERCIAL Attach(3}compiefe sets of Bullciing�Plans plus a I.ife Safety Page;(1}se#af Energy Forms.ft-Q-W Permit far new canstruLttan.
� Minimum ten(10)working days'after submittal date. Required onsite,CanstrucUon Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Faciii8es&4 dumpster.5ite Wo,rk Permtt far ail new projects:Ri)commercia!requfrements must mesL compliat►ce
S16N PER�VIfiT Attach{2)sets of Engineered Plans. ,
""'PROPERTY SURVEY reguired for ail NEW canstructlon.
Dlrecttan�:
FIII out applicadon completely.
Owner&Cantracbor sign back of appi(catlon,notarized
(f over 52540,a Notice of Commencernent(s required. (l4lC upgrades over 57500) �
" Agent(for ttie contractor)'o�Power of Attomay(fo�the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITfING (Front of Apptication Only}
Reroafs if shingles Sewers Service Upgrades A/C Pences(Plot/Survey/Footage)
Driveways-Not over Counter if an pubiic roadways..needs ROW