HomeMy WebLinkAbout16-17380 ', CITY OF ZEPHYRHILLS
� ' ' S335-8TH STREET
, � (sl3pso-oozo 17380 ;
� BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17380 Adclress: 65�9 VICTORIAN WAY �
Perrriit Type: MECHANICAL ZEPHYRHILLS, FL. �
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squa�e Feet: Subdivision: SILVER OAKS VILLAGE
Esg. Value: Parcel Number: 03-26-21-0220-00B00-0260
Improv. Cost: 5,225.00 OWNER INFORMATION
Date Issued: 7/21/2016 Name: WADE, CHARLES
Total Fees: 65.00 Address: 6529 VICTORIAN WAY
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/21/2016 Phone: 813-325-4525
Wo�k Desc: A/C CHANGE OUT 3 TON 14 SEER
CONTRACTOR S APPLICATION FEES
ACS HOME SERVICES A/C CHANGEOUT 65.00
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I Ins ections Re uired
DUCTSINSTALLED
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DUCTSINSULAT
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REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local jovernment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I 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. '
I NO OCCUPANCY BEFORE C.O.
� ��----- __; � �
� N CTOR SIGN/AT�U%F� PERMIT OFFI R
� PERMIT EXP�IR�S IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' � Building Department
Date Received �7 • 1 (� �j ��
1 '/� Phone Contact for Permitting � � �C� V �
-r 1-� �-� t o-� - - - - �-� �-�-� -
Owner's Name wi�— U(J�� C/ Owner Phone Number g a 5' �oG�
Owner's Address �� b 1(iL vF—��� "`��- Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS w� "( V!C%l�V�,�-� I.(, LOT# �
SUBDIVISI ON PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0
DESCRIPTION OF WORK �C.C, �j�,GU.1 � (,L /,(�J(, WM I� CJ� ���
BUILDING SIZE SQ FOOTAGE HEIGHT
��BUILDING $ VALUATION OF TOTAL CONSTRUCTION
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OIELECTRICAL $ AMP SERVICE 0 PROciF��SS ENERGY � W.R.E.C.
�,�,�i
OPLUMBING $ V�` � ���
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�MECHANICAL $5 a a 5�� VALUATION OF MECHANICAL INSTALLATION
OGAS 0 ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
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BUILDER COMPANY
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SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBE�2 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add'ress License#
MECHANICAL J //_// G//� R�MP RN p �l,� N r' 'vFEE CURRE CeJ Y/N
SIGNATURE ���r �'G� ��
Address 7� � •�i,GUGL,f�� c� License# �/)CC,�CJ� ��U �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addlress License#
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RESIDEh�TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*'**PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW �
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. NCl710E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
wh�ch may be mare restrictive than Courtty regulatians. The undersigned assumes responsibility far compliance with ar�y
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CQNTRACTOR RESPONSIBI�ITIES: If the owner has hired a contractor�or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is nat licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended cantractor are uncertain as ta what licensing requirements may apply far the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
80Q9. Furthermore, if the owner has hired a contractor or contractors, he is advised ta have the contractor{s} sigrt
portions af the "contractor Block" af this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
Caunty.
TRANSPORTA710N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation Impact Fees and Recourse Recovety Fees may apply to the canstruction of new buildings, change of
use ,n existing buildings, or expansion of exis#ing buildings, as specified in Pasco County Ordinance number 89-07 and
90-Q� , as amended. The unders'sgned alsa understands, that such fees, as may be due, will be identified at the time of
per �itting. It is further understood that Transportatian Impact Fees and Resaurce Recovery Fees must be paid prio� to
rece ving a °certificate of occupancy" or fina! power release. If the project does not invalve a certificate of accupancy ar
final�power re(ease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer (mpact
fees'are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �
CC11dSTRUCTION L1EN LAW�Chapter?13, Florida Statutes, as amended}: If valuation of wark is$2,500.00 or mare, I
certifiy that I, the applicant, have been provided with a copy of the "Florida Construction L.ien Law—Homeowner's
Pratection Guide" prepared by the Florida �epartment af Agriculture and Consumer Affairs. If the applicant is someone
othe�than the"owner", I certify that 1 have obtained a copy of the above described document and promise in good faith to
deliv�er it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFtDAVIT: 1 cer#ify that all the informatipn in this app(ication is accurate and that all work
will be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is
hereby made to obtain a perrnit to do work and ins#allation as indicatecf. ! certify that no work or installatian has
commenced priar to issuance of a permit and that all wark will be perforrried to meet standards of all laws regulating
construction, Caunty and City codes, zoning regulations, and land developrnent regulations in the jurisdiction. 1 alsa
certify that I understand #hat the regu(ations of ather government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited to:'
Department of Environmental Protection-Cypress Bayheads, Wefland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Sauthwest Florida Water Management District-Vl(ells, Cypress Bayheads, Vlfetland Areas, Alte�ing
Watercourses. �
� Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ;
Department of Heal#h & Rehabiiitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. �
� US EnviranmentaE Protectian Agency-Asbestos abatement.
Federal Aviation Authority-Runways. '
! understand that the following restrictions apply to the use of filk
I Use of fill is not a(lowed in Flood Zone°V"unless expressly permitted. ,
!f the fill material is to be used in Flaod Zane "A", it is understoad that a drainage plan acldressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professiona( engineer
licensed by the State of Florida.
- !f the fill materia) is to be used in Flood Zone "A" in connection with a perrr2itted buiEding using sterrt wa11
� construction, I certify that fill wilt be used only ta fill the area within the stem wall. '
,- If fill material is to be used in any area, ! certify that use of such fil! will not adversely affect adjacent
� properties. If use of fiN is found to adversely affect adjacent properfies, the owner may be cited for via(ating
the conditions of the building permit issued under the attached permit application, far lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. ,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set farth in
this�a�davit prior ta commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, we�ls, pools, air conditioning, gas, ar other installatiaris not specifically included in the application: A
permit issued shall be construed to be a license to praceed with the work and not as authority to violate, cancel, alter, or
set l,aside any provisians of the technical codes, nor sha11 issuance of a permit prevent the Building Official from thereafter
requiring a correction af errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such perrt�it is commenced within six months of permit issuance, or if wark authorized by
the permit is suspended or abandoned far a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Bui�ding Official for a period not to exceed ninety (90} days and will demonstrate
justifiabie cause for the extension. If work ceases for ninety(90}consecutive days, the job is considered abandoned. �
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WARNING TO tJWNER: Y4UR FAI�URE T{� RECt.}RD A NOTtCE OF COMMENCEMENT MAY RESU�T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W1T H YC1UR LENDER OR AN ATTORNEY BEFORE RECORDING YC?UR NOTICE OF COMMENCEMENT. �
FLOR(DA JURAT(F.S. 117.03}
QWNER OR AGENT GQEtTRACTOi2�k��-"—""'!"f�G�'
Subscribed and sworn to(or affirmed}before me this Subscribed and swarn to(or affirmed)before me th's
� by /��'�' r/�/fer by_ I�Y1Gr.-�'�L'd�LI'I�C��GO�Ct!"') �
Wha islare personally knawn to me or haslhave produced Who is! re personally known to me or haslhave produced
as identification. �~ as identification. �
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Notary Public ����" Notary Public
Comi ission No. Commissian No. �
. �++lu. ISRJIfL GADRERA
Nam'e of Notary typed,printed or stamped Na eejppppf�blk at& Or •
. . commi.�ron+r o0 oass��
. . . �MY Comm.Expkas Jun 27.2ti24 �
,Nt.�`r aondM ItNouqA Mitlon�l Not�ry Assn.
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03-26-21-0220-OOB00-0260 � Pasco County Property Appraiser Page 1 of 1
� � • Mike Wells Pasco County Property Appraiser
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Data Current as Of: Weekly Archive - Saturday, May 21, 2016 �
Parcel ID 03-26-21-0220-OOB00-0260 (Card: 001 of 001) '
� Classification 01 - Single Family �
Mailing Address Property Value
FISCHER RODNEY JOSEPH JR Ag Land $0
6529 VICTORIAN WAY Land $18,425
ZEPHYRHILLS FL 33542-2987
Physical Address Building $91,238
6529 VICTORIAN WAY Extra Features $1,279
ZEPHYRHILLS FL 33542-2987
Lecaal Descriation (First 4 Lines) Just Value $110,942
See Plat for this Subdivision Assessed (Save Our Homes) $103,561
SILVER OAKS VILLAGE - PHASE Homestead 196.031 - $25,000
TWO PB 50 PG 029 Non-School Additional Homestead Exemption - $25,000
BLOCK B
LOT 26
7urisdiction
Citv of zephvrhills Non-School Taxable Value $53,561
School District Taxable Value $78,561
Warning: A significant taxable value increase may occur when sold
Click here for details and info. regarding the posting of exemptions
Land Detail (Card_001 of_001) ___ _ ______
----------�-------r--- -� . ����—, -- — --- ---- ---------
._._. _
Line ; Use Description Zoning ; Units _; __Type _ i Price ,:Condition I Value
----_-�----�------- —
- _ --' �0.40 ��---------�-------
_ 1__. __,..___0100 SFR OPUD i 5,500.00 ` ____.SF____ � _ .$3.25_ �--1_00---�(--$17,875
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2 0100 SFR � OPUD 1,375.00 SF I � 1.00 ; $550
----..�.__---- - —------ --- I
j Additional Land Information
-�---__----;---- -----r-- -- ---- ._,_-------_ �_-----__ - --�__.- ------ - - --- ---_....__-------
! (.__,-_FEMA__..
Acres 0.16 � Tax Area ; 30ZH � Code ; X iltesidential Code� SOVGLPI
I Buildinq Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2005 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Tnterior Wall 1 Drywall Interior Wall 2 None
�looring 1 Ceramic Clay Tile Flooring 2 Carpet
VFuel Electric Heat Forced Air - Ducted ,
A/C Central Baths 2.0 '
� Line __f Description ; Sq. Feet I Re I. Cost New �
----____--------- -- - -- --- --- -- - p- -�------ I
— - -� --- ---
1 I -----� BAS---- ---'--------- 1,498--------'--- - $90,659
-- --------
---------------._�,_I_ FOP ; 279 ; $4,236
G--- ----- --�----- -- - ------ ---�-- ---- -___,-- - -- ------- ---- - --�--- -_ _ ___ _
3 ; FGR i 463 � $11,196
Extra Features (Card: 001 of 001) __ ___ ;
I---_____-- – -- -- � -- - - --- -- ------------------ ------__ - ---,- - -- -- --- _ _
Line ; Description ! Year Units Value
' _ _---; ------ ----__ - --- - --- - - -- - --.�
-- ------- _ -_ __ -_ -- ---___- --r-- -- - ---._..
1 _ ! DWSWC �___- 2005 - _--_ ' _---_-__384 � 847
- ---------- ' -_-------- , $
_ _,___�-- -------- -
2 I CON PTO 2005 � 196 $432
Sales Historv- See All 7 sales
Previous Owner: HOUSING & URBAN DEVELOPMENT i
– - –_ __—___- ---- _�----- --- __ -- ---_. ------.____---_-___-- ------- -
Month/Year I Book/Page ' Type ' DOR Code Condition � Amount �
-- ---- - ---
--- -----------
03/2014 , 9008 / 0819 ' Warranty Deed 18 I Improved ', $108,000 '
--. ...- --- ,----- --- - --- - --- --- - -- ----'- i
09/2013 ' 8927 / 1638 ' Certificate of Title i ' ` �
12 i Improved , $81,200
- ----- -- � -- - ' -- - - �- -- ---
- --- - - — --- -- - - --- ----_ -- --- - ---- - --
08/2013 8972 / 3334 � Warranty Deed � 12 ' Improved � $0
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http://appraiser.pascogov.com/search/parcel.aspx?parce1=212603022000B000260 5/24/2016
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�7/21/2016
I Matthew McClellan LIC#CAC1817480, give permission for Larry Mounts to pick up and sign �
documents on my behalf for City Of Zephyrhills. If you have any questions, please feel free to
�ontact my office at 813-618-5631.
i hank you,
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� atthew Mc lellan �
ACS Home Services
�13-618-5631 !
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TATE OF•FL RIDA �
couiv�oF�I IS rvu. h
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, he foregoing instrument was acknowledged before me this�day of � , 20 ��0,by ;
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Matthew McClellan . �
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i �.��`'�rnkay� ISRAELCAbBERA �� -
=:�. •'�+� Not�r .Pu -St,te el tin , �
'• .• Comml��ion Ar Ga 00Sf57 '
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�',:� .• ., xp ry un ..20�0 I
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Bonded throuph N�tiaji�l Nof�ry'A�an.
� Persona o � ..-,,�:4;� . . uced Identification
Type of Identification Produced
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� ACS Home Services 0 CAC 1817480
1712 E Seward Street Tam a FL 33604 0 813-618-5631 0 Office 855-773-7693
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• ' Daniel Whitmore
Home SoIu6on Title,Inc. �
1001 W.Cleveland Street;Ste C '
Tampa,FL 33606
File Number: T1512002
Warranty Deed
Made shis Febn,ary 1,2016 A.D.By Rodney Joseph Fischer,Jr.,and Brianna Fischer,husband and wife,whose
address is:6529 Victorian Way,Zephyrhills,Florida 33542,hereinafter called the grantor,to Charles W.Wade,and Keri L.
Wade,his wife,whose post office address is: 7723 Tangle Brook Blvd,Gibsonton,Florida 33534,hereinafter ralled the grnntee:
(Whc�va used 6ercin the ucm'�antor"and'grantee`include ell the pania tn this inswmrnt and the hein,legal teprtsrniativa�d auigcu of
individunLi, and ihe�ucccsson end assigns of corporetians)
WitIIesseth�that the gantor,for and in consideration of the sum of Ten Dollars,($10.00)and other valuable considerations,
receipt whereof is hereby aclmowtedged,hereby grants,bargains,selLs,aliens,remises,releases,conveys and conftrms unto the grantee,
all that certain land situate in Pasco Counry,Florida,viz ,
Lot 26,Block B,Silver Oaks Village-Phase Two,according to the map or plat thereof,as ,
recorded in Plat Book 50,Page(s)29 and 30,of the Public Records of Pasco Connty,Florida.
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Parcel ID Number:03-26-21-0220-OOB00-0260 '
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Together with all the tenemenu,hereditaments and appurtenances theceto belonging or in anywise appertaining.
To Hsve and to Hold, the same in fee simple forever.
And the granror hereby covenants with said grantee that the gantor is lawfully seized of said land in fce simple;that the gantor
_ has good rig6t and lawful authority to sell and convey said land;that the grantor heroby fiilly warrants the tifle to said land and will defend
�- the same against the lawful claims of aIl persons whomsoever, and that said land is free of all enaunbrances except taxes accnung !
. subsequent to December 31,2015.
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In Witness Whereof, the said gantor has signed and sealed these presenu the day and year fust above written
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i 5=: DEED Individual Wazrenty Dccd-Lcgal on Faa
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�' � c;arporate xaaress: rttysu;di r�uu�Ca�. �o �sJ v r o-:�vv �
-F `� i 712 E. Seward St 1712 E. Seward St
� Tampa, FL 33604 Tampa, FL 33604 CAC # 1817480 • �'��
Fax:(855) 773-7693 - • . •- --.. • . .. + - . . : • • - • �
- — ---.— , ,
•—" � - - _Return Supply_ High Lowx StiJSC D1B °foRFi �,
HC)111.�` ..�!C�r'V1.C�:S — -- .- —P_referred Temperature Setting for your home: �
-�, —
Heating& Cooling (�j .� 7 � � � Before Rate the level of dust in the home from 1 -10: �
ACSHomeServices.com After Who suffers from allergies/asthma/congestion? -� � ;
DATE: .�1 I�.[��P .,
WVOICE#: Time In:�. Time Out:� ^� U Mo de l � �, � ���'�j W h 1c h room in t he home is har dest to 000l and heat? � {
Model S1N � `
Name: �� �V ..� ���� �S � � Jr
Address:_ �cJ� '�'� ���. Y)G�L17 �� Date the Last Maintenance was Performed: �
PGK Mode! S!N
�'- �,y`���_�����Z� � ,
��, �7 • . • �
Home Tel: �,�"'c.�l��`'����� �j Horizontal Vertical Package Roaf AHU
Servtced Serviced
Checked CU Checked
CelUFax: •- Evap.Coii Y J N Fan Motor Y! N
Email: SIC �j� HP Toris Insp.lClean Drain Pan Y t N Condensar Coii Y/ N � �
� � � Transformer Y! N Freon Charge Y/ N � ;
Reason fOr Today's G�II:_�/�l..X,'� Heat Element Strip Y / N Compressor Y / N �
New Gaod Fair Poor glawer Cap Y / N Amp.Rating Y / N I �
Service Res/Comm Clean/Check Residential Estimated Age: Yrs Average Life: Yrs Biawer Amp Y/ N ( ) Y/ N ;
Warranty Res/Comm Maintenance Highest Electric Bill:$ Month DUCT SYSTEM i
8ervice Return Duct Cleaning Estimated Utility Overpayment$ /5 Years Ducts ( ) Duct Leaks Y/ N �
Good 1 Fair ! Poor Y� � Sanitization Y! N f
�- . • � - I
� �� �/' FORNi OF PAYNIEtVT �
_Cash ,_Check# �,
Credit Card: _VISA_MC�AmEx�Other i
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Name on Card: !
� Card No.:
Auth.Code: Expiration_
� a ��� , ���
� �,, Payment Plan Company:�� �����
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�^,(jj�'� Parls and Labor Warranty:
AII parts as recorded aze warranted as per mann(acturer specifications. if
` repairs leter laecome necessary due to other detecBve parts,they will be
charged separatety, We guarantee that atl repairs ara done rlght. if a cepalr
� 1 h2186y Buth011ZB th8 a6pVe tY4f/c f0 68 dotl8&S SO fdBtBd 8ttd . lefls during the seeSon,we will repafr ft agein absol�tely(ree.
r!'hanl�You outlilled above. It is agreed that the seller.wfll�Btain titla to any , BUYER'S RIGNT TO CANCEL-This Is a home solicitaGon sale,and if you do
eqtlipmenf Or m8terial unfit fina!i�omptaf9 payment is mad8. !f tha' not want ihe goods or services,you may cance!this agreemant by providing
settlement is not made as agreed,the seller has the right to remove Total Amount Due �J-����7� written notice to the seller in person�by t9legtem,or by mflil.This noUce must �
equlpmant and material and fha setler wi!!be held harmless far any indicate that you do not want the goods or sarvices and must be detivsred or
damagas resu(ti from the,rett�}val of equipment t� postmarked betore mid�ight of the third buslness day efter you sign this
�������_I / 1 8 ! �- � ' \C,ry� egreement.it y F Yancai this agreement,the seiter may not keep ai{oe part oi �
��� St nature_ TZ,.,. i����� any cash down a menG
- _ _ician s Signafure _ Authorized by I hereby ecknawledge tbe satlsfecrory complef/on a!fhe abova descdbed vrork NFPCI JJ28849
� - _ v I acknowledge form of peyment and terms. ACS•0-002
' Initlals----- ---- . -
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�������.�: ���r�Tz����
March 7, 2017 I�,
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, FL 33542
RE: Permit Payment Enclosed—City of Zephyrhills Permit#17380
Please see the enclosed check#10763 for Permit#17380 for Charles Wade located at 6529
Uictorian Way. The Permit failed Final Inspection because Homeowner was not home. ,
Please apply this payment to Permit#17380 so I can set Final Inspection again to close out this '
permit. �
lease feel free to contact me with any questions and/or concerns at 813-618-5631.
�`hank You ! < +;, �,- ;r.��., �_�;j �
I i'i��e �2•. �� �� � ,;r�;:
incerely, � �3i i;;?717 f i e���? �� ,
;Et_��<<� �a�e re�3a��a
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