HomeMy WebLinkAbout16-17018 CITY OF ZEPHYRHILLS
5335-8TH STREET
� � (813)780-0020 1701.8" � �i
BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17018 Address: 38012 LAWANDA LP
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: WAYWARD WIND
Est. Value: Parcel Number: 14-26-21-0160-00000-0260
Improv. Cost: 3,395.00 OWNER INFORMATION
Date Issued: 2/05/2016 Name: VANDERVORT ROBERT & GERALDINE
Total Fees: 55.00 Address: 8994 MIDDLE RD
Amount Paid: 55.00 SPRINGVILLE NY 14141-9605
Date Paid: 2/05/2016 Phone: 813-783-6386
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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Ins ections Re uired . � -
DU TS INSTALLED
DUCTSINSULATED.�..�� �
FINAL `�,- �� ��I._�
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 and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRAC PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT A ED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813aao-oozo City af Zephyrhills Permit Application Fax-813-780-0021
BuiEding Depa�trnent
Date Received . Pho�e Contact for Permitfin
Owner's Name �`�''/��C��Q7�� �f�P�2-i Qwner Phone Number C}��,!" /�.1'"°!l�.7 t� .
Owner's Address � g9� �/ ��61�G 1 � v/�� Owner Phone Number � � I
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Fee 5lmple Titleholder Name � Owner Phone Number � � I,
Fee Slmple TlNeholder Address �
JOB ADDRESB ��U�r..� �,Q-�,L,3,�'1�'�(�»• UG1 LOT# �� �
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SUBD�VISION �� �� PARCEL'ID# / T � �I �l�O U ���� ��Cp� {
(QBTAINEO FROM PROPERTY TAX NOTICE) I
WORK PRBPOSED , e NEW CANSTR� ADD/AtT � S1GN• Q Q DEMOI.tSH
IN3TALL REPAIR i
PRQPOSED USE Q SFR � C{7MM �] OTFiER
TYPE OF CONSTRUC'i'ION Q BLOCK T �] FFtAME C�] STEEL Q '''
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DESCRIPTION OF WORK � L �I�j� G�-'�ZG�� — �✓ON !� D��. �rr1' DNG�'/tJ� i
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BUILDING SIZE 5Q FOOTAGE HEIGHT '
�8���'Q»� � � VALUA710N QF TOTAL CONSTRUGTION _
QE�BCTRICA� � � AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C.
QP�UM8ING � i
� ��J ��� 1'
QMECHRNICAL $ ���� �v ' VALUATION OF MECHMIICAI.tNSTALLATlOtV '
QGAS Q ROOFIl+tG Q SPECIA�IY [� OTHER
FINISHED FLOOR ELEVATIONS �� FLQOD ZQNE AREA �YES NO
���E�E� COMPi4NY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Addres� Cicense# �� � �
EIECTRICIAN � CBMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r� �
PLUMBER � COMP.ANY
$IGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Address License# �—� �
MEGHAi�i1CAi. �.,+ . C 1,`�t,, , GOMPANY ��}�'� fijdlff'11j�- S ���' ,.��j
SIGNATURE �'��'�''� `""�'��h^-� REGIS7ERED Y/ N , FEE CURREn Y/N
� AddrBss `7'�}7 j /7�f�.'!�/ ,�'�}J�-S �, a LicenSe# (..�/1�"U���c��'���
OTFlER COMPANY
SIGNATURE REGISTERED Y/ N. FEE CURRE� Y/N
Address - License# � �
REStDENT1A[., At#ach(2}Rlof Rlans;{2)setsof Building"Plans;(1)set of Enengy�Forrns;F2-O-W Pemiit far new canstructian,
Minimum.ten.(10).working;days akec,submNtal date. Requlred onsite,ConstrucHon Plans;Stormwater Plans w/S(It Fence installed,
Sanitary Facilikies&1.dumpste,r,Slte'Work-Parmit for subdidlslons!large projects
- COMtd1�RClAL Attach{3}cornptete sefs o#Buitditig'Plans plus a Life Safety+Page;{1}set of Et�ergy Forms.R O-W Pertnit for new cansUuetion.
Mlnfmum ten(10)wa�lcing days afker submlttal date. Required onsite,Ca�structlon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.8[te Work Pertnit for all neinr projects.AI!carremercia!reqairements must meet comp!}ance
StGN PERMIT Attach{2}sets of Engineered Plans.,, �
""`PROPER7'Y SURVEY required for all NEW canstructlon.
Dlrsatlons:
Ffll out applfcaUon completely.
Owner&Cantractor sign back of appliratlon,notadzed
if aver 52508,a Natice af Commencement is required. (AIC upgrades over!�T500)
'" Agent(for tFie contractor)or Power of Attomey(for the owner)would ba someone with natarized letter from owner authorizing same
dVER THE Ct3UNTER.PERMITTiNG (Front af Application Only}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
Driveways-Not over Counter if on publtc roadways..needs ROW
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�. � � P N ~ AS •
� pRo A E G Service. Order/Proposal
AND AIC tNc. Air Conditioning 8�Heating
�S'i7�e �988 8'I3-782M�vOi3 u�`�f, ����a3���s�:�vr�;�:r���� �_.:���s. ,���-��.�
Sales, Service & Instailations ,A-�F.'��'-�`:�� ; ���':; ;�,=`�`�,`;'=, �''�°`�''`'�
4441 Allen Rd. • Zephyrhills, FL 33541 Ttal�;�;�a ���= s� �!�=��
t�r�i C:r 7 t��i��_ r,F?y�ipl:f�i�f� 5:�,=� �'ii�,':��� i_1�<<���'�
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FILTERS x x Changed Monthly I I
f FILTERS x x Changed Monthly � �
9��. c�G �9 �'tt' �
• ❑ REGULAR ❑WARRANTY `�':''�'�����-`;':TOTAi:'SUitiA�AARY`=
:'-Dehumidtstat Seftings:;When here°ONb:.>When Away¢Qlg;:T Stat�°�• 0 MAWTEIVANCE CONTRACT� �r L SERVICE , �
LIMITED WARRANTY: All materials,parts and equipment are wartanted�by the manufacturers' ;:<;i`:''';'�:,;;;: �q�OD QF.'=PAI!MEf3T z.��,<.';�-�`-.'. CALL i
or suppliers'written wartanry only.NI lahor pedortned by the above named company is warranted for ` �� " ' " TOTAL i
30 days or as othenvise indicated in wriGng.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
behalf of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have authoriry to order the work ouUlned above which has been sadsfactorily completed,I agree that Seller
PROG. W/ C �
retains UUe to equipmenVmaterlals fumished untll final payment is made.If payment is not made as agreed, CLAIM# �
seller ean remove said equipmenVmaterials at SeOer's expense.My damage resultlng from satd removal shall ���� 1 �
not be the responsibTity of Sellec NET 30 DAYS A�12%SERVICE CHARGE WILL BE ADDED MONTHLY TO �� n �
ALLUNPAIDBALANCESOVE DAYS.NO EFUNDS DATE COMPLETED
� � TECH: T� �
� g '� ��� yo�c TOTAL �
USTOMER SIGNANRE DATE