HomeMy WebLinkAbout16-17005 CITY OF ZEPHYRHILLS
5335-8TH STREET
; � (813)780-0020 17005
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17005 Address: 39353 5TH AVE
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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0040-00100-0210
Improv. Cost: 3,000.00 OWNER INFORMATION
Date Issued: 2/02/2016 Name: 39353 5TH AVE LAND TRUST
Total Fees: 50.00 Address: P.O. BOX 36 �
Amount Paid: 50.00 PALM HARBOR, FL 34682-0036
Date Paid: 2/02/2016 Phone: (727)742-3678
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S � APPLICATION FEES
MTS AIR CONDITIONING SERVICES LL A/C CHANGEOUT 50.00
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- Ins ections Re uired -
DUC IN TA ED
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE 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 �
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MatthewSmith p; 813-512-0353 � aCSeFVICeSt�
License:CAC1817644 s, F: Website:.wwv
Bill To: Phone:
Address: Fax:
Email.
Invoice For:
Item # Description
3 Ton 14 SEER 10 KWHEAT Tempstar Split System Installed �
Hurricane Pad&T-Stat Installed
Connection of Supply&Return Plenums � -
Copper, Electric, Breakers&Dissconnect Boxes
Permit Fee -
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10 year warranty on Parts once unit is registered with Tempstar.1 Year warranty on Labor with MTS Air.
Add 3%if paying by credit card.
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; Make all checks payable to MTS Air LLC. �
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� 1293 Chelsea Lane, Holiday FL 34691 -
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mpabay@gmail.cc ' ',
.mtsairllc.om ',
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Invoice#• 124
Invoice Date:
Unit Price Discount Price
Invoice Subtotal $ 3,000:00
Tax Rate
Sales Tax -
Other
�� V , Deposit Received #REF!
�----—,--,- - ---- TOTAL $ - 3,000.00
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a�s-ysaoo2o City of Zephyrhills Permit Application Fax-813aaaoo2�
Bu9lding Deparfinent
. . .
Date Recelved Phane Contacfifor Permtttin
Owner's Name {,G� t d t 7 Owner Phone Number '7 7 7` t �Z ' 3'��
l�wne�'s Address Owner Phone Nember � �
Fee Slmple Titleholder Name � � Owner Phone Number �— �
Fee Stmple Titleholder Address
JOB ADDRESS �� 3'3 ��h A V t' LOT# �,,�
SUBDIVISION �4 � PARCEL ID# �
(OSTAINED PROM PROP@RTY TAX NQTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN [� Q DEMOLISH
INSTALL REPAIR
P320POSED tISE k SFR � Ct3MM [� OTNER
TYPE QF CONBTRUC710N . BLOCK � Q FRAME Q STEEI. Q
.
DESCRIPTION OF WQRK � C �w � ��v� '�1-ie�� �� GO�a"1 _ ,�CCr"'
BUILDING SIZE SQ F001'AGE���. MEIGHT �_---� ���!����L�r
4m�-.:.�,� ._��_.
QBUII,D1RtG � � VALUATION C1F TOTAL CONSTRUCTION
QELECTR1CAl � � AMP SERViCE Q PRQGRESS ENERGY [� W.R.E.C.
QPLUMBING ��
�MECHAi�lICAL $ 7��' �, VAlUATION C}F MECHANlCAI.INSTALIATION
J
OGAS Q ROOFiNG Q SPEGIAI.TY [� OTHEft
FINISHED FLOOR EI.EVATIONS ��� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNA7URE REGI$7ERED Y/ IV FEE CURREA Y/N
Address Ltcense# r� � ,
ELECTRICIAN ' � COMPANY
51GNATURE REGISTERED Y/ N FEE CUFtRE� Y./N
Address License# � I
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAI. COMPAFiY IM 1 S � d � � ' rr t�lrc C I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/
Address i Z r1� C�,c $tC cn� � ��C �, License# �d"'�C (�j�p yy �
OTNEft COMPANY
SIGNATURE REGISTERED Y/ N . FEe cuR�n Y/N
Address License# � _ �
RESIDENTIAt. Attach(2}ptot Rlans;.{2)sefsofi Buitding Pians;{1)set of'Energy�Forms;R O-W Permi#far new cansbvotion,
Minimum,ten(10),working;days after.submlttal date. Requlred ansite,Constiuctlon Plans,Stormwater'Plans w/S(It Fence installed,
� Sanlfary Faciiities&1 du;r�pster,Sfte Work•Permlt for subd3visionsllarge projeats
COMNiERCiAL Attach(3)complete sets of Buitdirig Plans ptus a Life 5afety Page;(1}set of Energy Forms.R-Q-W Permit for new construc8on.
- Mlnimum ien(10)'working days after submittal date. Required onsite,ConstrucUan Plans,..Stormwater Plans w/Silt Fence installed,
Sanitary Fac1l�Bes&1 dumpster.Sfte Work Permtt for all�ew projects.Aii commerclal requErements must meet compiiance
SIGN PERMiT Attach(2j sets of Engineered Flans..
•«"»PROPERTY SURVEY required for all NEW canstructian.
Dlrectlons: , � ,
FIII out applica8on completely. , �
Owner&Confiactor slgn back of applicatton,natacized` � , � � � � , q , `
If ovar$2500,a Notice af Commencementis required. (A/C upgrades over E7500) = '_ -' ; �
" Agent{for the contractor}or Powec of Attomey(forthe owner)woutd�be someone with notarized letter from owner authodzing same:- �
DVER THE COUNTEFt PERMITTING ,(Front of Application:Only);,` ' ° � ' , � ' � -
Reroofs if shingles Sewers • Seroice Upgrades.A/C; Fences•(PlotlSurvey/Footage) . , ' '
Drlveways-Not aver Counter if on public roadways:.needs ROW� � °�� �° µ~