HomeMy WebLinkAbout16-17033 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)�8o-oozo 1703
B4JILDING PERMIT
`4 � `' _" PERMIT INFORMATION � ,LOCATION INFORMATION �
Permit Number: 17033 Address: 38443 CR 54
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: 02-26-21-0010-06000-0020
improv. Cost: 4,500.00 OWNER INFORMATION - "
Date Issued: 2/10/2016 Name: PLAZA 54 LLC
Total Fees: 60.00 Address: PO BOX 89395
� Amount Paid: 60.00 TAMPA FL 33689-0406 �
Date Paid: 2/10/2016 Phone:
Work Desc: A/C CHANGE OUT 4TON
CONTRACTOR S � � APPLICATION FEES
STRATEGIC AIR CONDITIONING A/C CHANGEOUT 60.00
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' - � ; Ins ections Re uired �
DUCTS INSTA LED
DUCTSINSULAT
FINAL Z��-��
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
frst 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.
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CQ RACT R SIGNATUR PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department
Date Received -- D��� Phone�Contact for Perm(ttin � �� J �7 7 — � ��LI
Owner"s Name� —( W l� Owner Phone Number �( �� "j� � �
Owner's Address Owner Phone Number
Fee Simple Tltleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS �� W J ?j �'7 � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �] OTHER 9 p cA,
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK 7 `�IV � � l,I1lGL� � 0�,
BUILDING SIZE SQ FOOTAGE HEIGHT
OBUILDING $ VALUATIOIV`OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ '
�MECHANICAL $ S"� VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING. Q SPECIALTY C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addres� License#
PLUMBER COMP.ANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL � � j/J COMPANY S�fR�� I � cb �f�{O� r`
SIGNATURE �� �� REGISTERED N FEE CURRE� N
Address License# C, C �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N _ FEECURRE� Y%N
Address � ' License#
RESIDENTIAI Attach(2),Rlot Rlans;.(2)sets of_Building'Plans;(1)set of Energy�Fortns;R-0=W Permit for new construction,
Minimumsten(�1.0)�workfng days aftec.submittal date: Required onsite,Constiirction Plans,Stormwater Plans w/Silt Fence tnstalled,
� Sanitary FadliUes,&..1,dumpster Slte Work,Rermit far subdiVislonsAarge projeats '
_ _COMfNERCIAL Attach(3)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotion. _
' � � � Minimum ten(10)woricing days'after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides 8 1 dumpster.Stte Work Pertnit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Flans. .. : ,� ,.
""PROPERTY SURVEY required for all NEW constnictlon.
Directlons: �
Ffll out application completely.
Owner&Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement is.ceqalred._(AIC upgrades over ST500)
" Agent(for the conVactor)or"Power of Attomey_(for the�owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER P.ERMITTING � �(Front of Application'Only) ,, �
Reroofs if shingles Sewers Service Upgrades.A/C ' Fences(PIoUSurvey/Footage) �
Driveways-Not over Counter if on public roadways..needs ROW �
3726 Abraham Acres Lane Q���°��'� �L� 5
,STRA7'E+�IC' P�ant City,FL 33565
License#GAG1817324
AIR�UNDITIONING (813} 477-0214 ��te: � � 1
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BILL TO f �/ •� • • '�
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MAI(E MAKE
MODEL MODE3
PI10i18 '�j�`a4L—/"��j `7' ,� SERlAt SERfAL
dOB NANlE: �' • � • • •
ADDRESS: `(� l..�
CITY: ,� STATE: /—�' Z1P: tjf
PHONE:
REASON FOR CALL:
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PRESSURES EVAP.GOIL ❑ CLEANED � , � •
COMP.AMPS COND.COIL ❑ � � �
FAN MOTpR AMPS LOW VOL7.CONNECTIONS 2. ��' �' i�
G4NTACTORS HIGH VQLT.CONNEC710NS � !D (/�..!
REI.AYS HEATER FLOAT SWITCH � �` .
RELAYS (BLOWER) FILTER WASHED
DRAIN LINE NEATER ELEMENT - i �IOqT ,SGtJi
SLOWER AMPS DRAIN PAN CLEANED t G G�7!
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TECH: �,.P�
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/�UI L3I70!e71G 1178i8l18IS Oil bie}8C8�S SIfISlftY01C8 8fe Y/87f87118A�Oi 8 �
period ot 30 days from the date oi said invoice.My perts or msteriels Total Materials
wiNti a bnger werranty givNm�by the manufacWrer shall be watranted
forthe period o(time fha manutechireraFefes w/or 30 days,whichever
is the bnQet period of time.Under no u�cutns�does this wanenty �otai Labor i
cover eny incidenfal or consequentiel damsges to the equipment
�, serviced ar to ths prem�ses.Straffigic Air CondiSaning mekas no alher �
� wartanties,sxpres,sed otimp6ed.Neilherits agenls orteehnicians ere pther
auShotized to make any sueh warranties on beheU oSffie above named
� company.All service eha�ges are due upon completion ot rork.ANY (
i INVOICE NOT PAIDAT TIME Of SERV{GE SfiAi.L tiAVEAS25 j
I BILLING FEE ADDED. Reh�med check tea is 345.My eceount not �
1 heve the authotsty tc wder tfie wark as a�tl'ined abave wfilch has been setisfactnriy ccmpleted.i sgree that the setler paid when due sheU be chafged the highestlnterest rate atbwad 6y
retaina 6tle tn equipmenVmaterials fumiahed until final peytnent hes 60en made. H peyment fe not made es egrned, �ew ot 21 percent,whiehwer is ihe lasserof Ihe htro.
WHSOSSt9!8�f888 tD�(dX I:b&L4 8Ad f088 OtYONOG 1t1 CA{IBCIIOII�incWding—but not imitad!a—attomey's fess. it Sub 3otai �
remwel of parts a equipment becomes necessary any demage resulting trom said remwal ahall be the sole responsr
biily of tha underaigned,and the seUer shaV be held bfemaless foreny such damage.
' Discount �
C� t;���i/`GG Tatai �---
� X Date: /�����%��I�..
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