HomeMy WebLinkAbout16-17032 CITY OF ZEPHYRHILLS I
5335-8TH STREET
(813)780-0020 17032
- " BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17032 Address: 6411 SILVER OAKS DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C.CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-1070
Improv. Cost: 4,595.00 � OWNER INFORMATION -
Date Issued: 2/10/2016 Name: GAINES, JOHN
Total Fees: 60.00 Address: 6411 SILVER OAKS DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/10/2016 Phone: (813)715-6487
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 60.00
, � 4
� Y�
Ins ections Re uired
DUCTS INSTAL 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 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."
i 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.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�saso-oozo City af Zephyrhills Permit Application FaX-a�a-�aaoaa�
� Buitding Department
Date Receiv�� " Phone-Contact for Permtttln � l�� - ��u�
pwner's Name v�- C1 Owner Phone Number ��-�" �J"� G�'
Owner's Address � � �/!l.'�' {� � Owner.Phone Number �� �
', Fee Simple Titleholder Name �� � Owner Phone Number �� �
Fee Slmple Titleholder Address
JOB ACIDRESS C.�'�`,��/ Q�//lJ�12 ��K� �� I.OT# C�
SUBDiV1SION � � PARCEL Iq# �^3 � �l ���� ��� f���
(0@TAINED FROM PROPER'IY TAX N0710E}
W012K PROPOSED e NEW CONSTR� ADDlALT � SIGi3 Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR [_] COMM � OTh[ER
TYPE 4F CONSTRUCI'ION Q BLOCK � Q FRAME � S7EEL Q
DESCRIPTION OF WORK l�f+L-"S�7a�@AI�Y!�I',j �,�� C�/�i`N L�DG[� 3 �N Z Cl�7d`) Dq,��/�
'i BUiLDiNG S1ZE
� � SQ FOOTAGE C�� HEIGHT C_�
�B�«'���� �_� VALUATION OF TOTAL CONSTRUCTION _
..�1
, �El.ECTRICAi. $ AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C.
QPLUM8ING ��
QNIECHANICA� $ ��-fy�/ �� . VA�IlATlON OF MECNMIICAI.iPISTA[.IATtON
��
QGAS Q ROOFIPlC`a Q SP�CIAI"iY � QTNER
FINISHED FLOOR ELEVATIONS ��� FI.QOD ZONE AREA QYES NO
BUiCDER COMPANY
31GNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �! �
EI.ECTRlCIAi�t _, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Licensa# �- �
P�UMBER COMPANY
SIGNATURE Re�iStEREo Y/ N ��e cu�t�n Y/N
, Address License# �� �
. j� �j
' MECHANICAL �������.tp/)LLI,� C�MAAI�iY ��3��/7��`i'�1l��Lj�"�`%t-''.,-T��
I 51GNATURE REGIS7ERED Y./ N FEE Cu�RE� Y/N
Addrsss� 7'i��f ��l�R� ��. �/'�j/��S � License# �����3,/� �
t}THER COMP,AlriY
51GNATURE REGIS'I'ERED Y/ N FEE CURRE� Y/N
Address
License# � �
EtES1DENTiAt Attach{2}Ftof Plans;{2)sats of=Building'Plans;{1}set of Energy~Forms;R-tJ-W Perinit for new t�nstructian,
Minimum.ten�(10)watking days aftec;subrrilttal date. Required onsite,Construction Plans;Stortnwater Plans w/Sllt Fence installed,
Sanitary Facil(Ues&1.dumpster;Slte Work:Rertnit far subdivlstonsAarge proJecis � , ''L _
G01VINf�RCiAL Attach{3)complete se#s of Bu3ldtag f'lans plus a�ifet,Safety Page;{1}set of Energy Focros..R Q-W Permit for iiaiN construi:Uon.
Minimum ten(10)warking days'after submittal date: Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facllitles&.1 dumpsler.Site VVorlc Pertnit for all.new projects.All commercial requirements must meet camptlance
SIGN PERNt1T Aftach(2}set`s af Engineered-Plans.�. �
"••PROPERTY SURVEY required for all NEW const[uctlon.
Directtans:
Fill out applicatlon completely.
Owner 8�ContracMr sign back of appifca8on,notarfzed
If aver E2500,a Natice of Commencement is required. (A/C upgrades over b7580j
MM Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authodzi�g same
t3VER'YtiE COUNTER.PERMIT[ING - {Front of Applicatlon Only)
Reroofs if shingles Sewers 8ervice Upgrades A/C Fenaes(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roedways..needs ROW
a r� �� -
� � �y�2S Z_�`%� �
�� � PROPANE GAS Service Order/Pronosal � � � �
AND AIG�'ttvc. r Air Conditioning�Heatinc
��t�e�988 813�782•5013
Sales, Service & Installations WORK ORDER#iSERVICEMAN �51�3 EFE
DATE/TIME TAKEIV Q►il��/lE, �7a��
4441 Allen Rd. • Zephyrhills, FL 33541 TAP�EIV ev K. R. �r�
NOTES: 11� DATElTII�E PROh'IISED
, CUSTOMER#/LOCATION �71��
( PHONE# 7i�-6487
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GA T hlS, JOHN GA I t�S9 JOH(U
�411 SILVER OAKS DR E411 SILVER OAKS DR
ZEPHYRHILLS FL .:i.:rJ�FG ZEI�HYRHILLS FL3�54�
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FILTERS x x Changed Monthly I I
FILTERS x x Changed Monthiy � �
❑ REGULAR ❑WARRANTY :"�:� F;;�=:IOT ";SUMMARY�-=';;`'�'•'�-
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��_."�?Inidist�t�Seftingsr�When here"ON°;,When Away 6�;��T Stat 80K ❑ MAINTENANCE CONTRACT
...�P'�,�=r;N =_=;,:�:,�:�.r,.f,,�� ::��. / 1SERVICE '_
LIMITED�WARRANTY: Allmaterials artsand�eYlui`mentarewa v`Y`< " = - - - - - ==:�_=�>a CALL
,P 4 P rranted by the manufacturers' .;�y.;;,l�ry<";`METHQD'=OF;P%� N3<��"rV"';"-.<= �
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or suppliers'written warranry only.All labor performed by the above named company is wartanted for �_==�.�:�-�=-�` �"'`"^s'�`�=='�'"`-==�-''^='�"-..:"'�='�":_;-*�.
30 days or as othenvise indicated in writing.The above named company makes no other warranties, ❑CASH` ❑„CK# TOTAL i
express or implied,and its agents or technicians are not authorized to make any such warranGes on MATERIALS i
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have aulhority to order the work oWinetl abova whidi has been satistactonly completed.I agree that Seller
PROG. W/ C �
reWins tiLe to equipmenUmalerials fumished until final payment is maEe.If payment is not made as agreed, CLAIM# �
seller can remove said equipmenVmalerials at Seller's expense.My damage resulting from said removal shall
not be Ne responsibility of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO I
/LLL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TECH: T��hG J�,�A.�
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CUSTOMERSIGNATURE DATE ✓�� �oic TOTAL I i
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