HomeMy WebLinkAbout16-17019 CITY OF ZEPHYRHILLS `�
5335-8TH STREET
(8i3)7so-oozo ' 19
` ` BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 17019 Address: 6930 GALL BLVD
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-00800-0050
Improv. Cost: 4,495.00 OWNER INFORMATION
Date Issued: 2/05/2016 Name: COMMUNITY NATIONAL BANK
Total Fees: 60.00 Address: 6930 GALL BLVD
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/05/2016 Phone: (813)783-8122
Work Desc: A/C CHANGE OUT 4 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
�
" Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATE[� /
FINAL 7i'��
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�' si�'�ao-oo2o City of Zephyrhilis Permit Application FaX e�aaaaoo2�
����� ,n�`� � Building Department
��
Date...-Reculve� Phone Contact for Permittin —
Owner's Name �m m urv c��, ���f- U��-� ,� Owner Phone Number ��.J ^ �
Owner's Address ��� � v������ � � �H�L� Owner Phone Number � -
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Titleholder Address �
JOB ADDRESS !-L� /�� C�'�'f/ � 1� • �`�/��S f�., ��� r,f� LOT# �
SUBDIVISION PARCEL ID# L/�-�� �l �`� aagd� ����
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , B NEW CONSTR�ADD/ALT Q SIGN' Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK � Q FRAME Q STEEL Q
DESCRIPTION OF WORK �✓ � Ge��}'/V r b�� � ��7 ONG�/�%S � 7D/II
BUILDING SIZE SQ FOOTAGE� HEIGHT .
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ ��d�� � , VALUATION OF MECHANICAL INSTALLATION
/
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
10.ddress License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHAfdICAL �^��O `���h, - COMPANY ���R S /' �- �'%� ��
SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N
Addres� �� / �l lenl 1� N/B,L..J�'- License# /�����
OTHER COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/iU
Address License#
,
RESIDENTIAI;. �Attach(2).RIot�Plans;(2)sets of:Building Pians;(1)set of-Energy�Forms;R-O-W Permit for new construction,
_ Minimum.ten•(10)working days after.submittai date. Requfred onsite,Construction Plans;Stormwater Plans w/Silt Fence fnstalled,
Sanitary Facilities.&1:dumpster Site Work•Pertnit for subdi4islonsAarge projects ' -
COMMERCIAL -Attach(3)aomplete sefs'of Building Plan's plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon.
Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed,
SaNtary Facilitles 8 1 dumpster.Site Work Permit for all new project's.All commerciaLrequirements must meet compliance
SIGN PERMIT AttacFi(2)sets of'Engineered-Plans;..; � � -
" ""PROPERTY SURVEY required_for all NEW constructlon.
Directlons: `
Fill out applicadon completely.
Owner&Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement i�requfred. (AIC upgrades over 57500)
" Agent(for the cantractor)or Power of Attomey(fo�the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER..PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
Driveways-Not over Counter if on publfc roadways..needs ROW
. �
.,�`'�_ _ � _ , , ��,,i��,.� • v 4'�
�� � ' PROPANE GAS Service Order/Proposal . � � � �
AN� Af�. INC. Air Conditioning 8�Heating
� ���ce , 813-782�5013
, �.
Sales, Service & Installations '�``''-'`' ' `'���'`-�`$' - �'` ' `^ -4'�.` . ` � � '
4441 Allen'Rd. }•Zephyrhills, FL 33541 `�''-�'� `-: �' :` �, ! ���` � � ' ':��,� , . . � , �
T i�ii i-' P' I ' 4S' .
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, :DESGRIPTION UF N/ORK - •"QTY:. , MAT�W�sS�&SERVIC�S �' UNIT PRICE AMOUNT
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REC�MMENDATIONS � � i i
.
. - " i i
Annuai;-Nlaintenance Becominended by All fquipment Manufacturers. ' '
Pressures Lo M T-Stat _ i : i
i i
. REFRIGERANT R- LBS. $per Ibs. � i
, FILTERS x x Changed Monthly I• I
� � � • FILTERS x x Changed Monthly � ' �
9
O REGULAR ❑WARRANTY TOTAL SUNfi�AARY
�Dehumidistat Settings_ When here"ON"; When Away�,:T-Stat 8Q°_ ❑ MAINTENANCE CONTRACT � ' SERVICE / �
LIMITED WARRANTY: All materials,parts and equipment are warranted by the manufacturers' , METFiOD OF;PAYMENT CALL i
or suppliers'written warranry only.All labor performed by the above named company is warranted for - TOTAL i
30 days oras othenvise indicated in writing.The above named company makes no otherwartanties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
�
be a o above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE i
1 have authority to order the work outlined above which has been salisfactorily mmpleted.I agree that Seller PROG. W/ C
reWins title lo equipmenUmaterials furnished until finel payment is made.If payment Is not made es agreed, CLAIM$� �
seller can remove said equipmenUma�erials al Sellei s expense.Any tlamage resulting from said removal shall
not be the responsibiliry of Seller.NET 30 DAYS.A 1 7!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
ALLUNPAIDBALANCESOVER300AYS.NOREFUNOS DATE COMPL'ETED
- TECH. T� ' �
G/—����� ��// i
CUSTOMERSIGNATURE DATE ✓1E%LI//Gl(i ✓du TOTAL �