The URL can be used to link to this page

Home My WebLink About16-17795 . � CITY OF ZEPHYRHILLS ;��J 5335-8TH STREET � (813)780-0020 17795 BUILDING PERMIT ✓ PERMIT INFORMATION LOCATION INFORMATION Permit f�f�umber: 17795 Address: 5310 AIRPORT RD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class c�f Work: A/C CHANGEOUT Township: Range: Book: Propos�d Use: NOT APPLICABLE Lot(s): Block: Section: Squa�e Feet: Subdivision: LINCOLN HEIGHTS Es1�. Value: Parcel Number: 12-26-21-0280-00000-0480 Improv. Cost: 5,689.00 - OWNER INFORMATION Date lssued: 10/21/2016 Name: BROOKS JOHN & JANICE Total Fees: 65.00 Address: 208 CLINTON AVE Amo�nt Paid: 65.00 ALTON IA 51003-8 Date Paid: 10/21/2016 Phone: 712-540-9160 Wor;k Desc: A/C CHANGE OUT 2.5 TON CONTRACTOR S APPLICATION FEES AMERIO N RESIDENTIAL SERVICES OF A/C CHANGEOUT 65.00 � Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL .�� \� � REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local �overnment 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. NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may b 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. "Wa n�ng to owner: Your failure to record a notice of commencement may result in your paying twice for impr vements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comp ete 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. � CONT CTOR SIG URE PERMIT OFFI R PERMIT EX RES 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR I SPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • 81�780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 z , ("-��,,Ruiiding Department date Received phone ConWet for Permiffing — `6 � 'T7T'1 . Owners Name `��_�,,,IY )� Owner Phone Number �� i, Owner's Address 6 V �{ Uwner Phone Number ,(�� IFee Slmple Titlehotder Name Owner Phone Number I Fee Slmple Tideholder Address � �' JOB ADDRESS 107# �i(l ��.... &tJSDlViS10N �PAI2CEL ID# � • i (08TA1NE6 FROM PROPEF2TY TAX NOTIGE) WORK PROPOSED e NEW CONSTR� AL7DlALT Q SIGN Q Q DEMOLISH {NSTRIL REPAtR PROPOSED USE Q SFR Q CpMM O OTHEF2 TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK � BUtLD1Nf�S1ZE �� SQ F047AGE HE16N7 QBUILDING �� VALUATlON OF TOTAL CpNSTRUC710N [�ELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. � ��t/� � QPLUMBING � � �MECFiANlCAL $ VALUA7tbPt OF MECHANiCAI tNSTAIlATtON /� � � OGAS Q ROOFING � SPECIALTY Q OTHEFt ! � F1N1StiED FLOtSR EIEVATtOT3S F�OOD ZONE AREA QYES h10 �/�� lY BUILDER � � COMPANY � � SIGNA7URE � REGISTEftED Y/ N FEE CURRE� Y/N Address License#! { 1 ELECiRIClAN � � COMPANY � � StGNATURE � REGlS7ER6D Y! N r-�Ecuw�n Y!N Address License# I � PLUMBER � � COMpANY � SIGNA7URE REGISTERED Y/ N FEE cuw�n Y/N Address � License# � � MEGHANlCAL OMPANY 1 SIGNATURE rtEcisTEREo Y! M1t FHE CURRE� Y/N Address License# �� OTHER � � COMPANY � SlGNATURE � REGIS7ERED Y/ N ��cuw�n Y/N Address License# { � 1111111111111111111111111111111111111111111111111111111111111111111 REStOENTUtL Attach{2}P[at Flans;(2}sets of Building Ptans;(1)set of Energy Forms;R-O-W Permit fot new construction. Minimum ten(tOj working days aRer submittal date. Required onsite,Canstnsctian Plans,Startnwater Plsns w/Silt Fence ins#atied, Sanftary Facilities&1 dumpster,Site Work PertnH far subdivisions/large projecCs - GUMMERCIAL Attach(3)complete sets of Building Plans plus a I.ife Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. � Minimum ten{10}Working days after submiftal date. Reqaired onsite,C�nsWction Plans,Stormvreter Pians wJ Silt Fence instaited, Sanitary Facilities S 1 dumpster.Site Work Permit for a�i new projects.AII commerciat requirements must meet comptiance SIGN PERMIT Attach(2)sets of Engineered Plans. •"'PROPER'iY SURVEY required tar aIl NEY+I consWctian. Directians: Fill out application completely. Owner&Gontractor sign back of appiicatian,notari2ed It over 32500,a Nottes of Cammencemant is reqatred. {AlC upgrades over 57500) •• Agent(for the contractor)or Power of Ariamey(tor the owner)would be someone with notarized letter from owner authorizing same 6VER SHE COUHTER PERMITT{HG {Ftont of Appiica6on 4nly) RerooTs ii shingtes Sewers Service Upgrades AJC Fences(PfoUSurveylFootaga} Drlveways-Not over Cou�ter ff on public roadways..needs ROW - � � CMC 1249406, FC 1427670 ��L�d/l/� (��✓!��v�� p� ; IN�TALLATION WORK ORDER 72 8�20Q � r � � • ' � (�13) 2�2-373; �I�h� ��C�� 7 , �7 , ((� Customer N e � Date ' � � C�S�# ��1./ �� i'�� 1 Ad r ss I �/� � � ( ) City State Zi de � � � Phone Phone Scheduled Installation Date We hereby a ree to furnish and you agree to pay for all n �essary equipment,materials and or to install the following items listed in accordanc with the cond tions and specifications set forth on the r erse side. ' !� ' Option #1�� Option#2�,�- � Option #3 AH �(,, 'V ��C�� CU �� W/ KW W/ ,, KW W/ KW ti�: -_ ____`. __ '__ -' __._.� ._.._' "__-'__-_____..__" ___ ' _`_' __ .�.__ _ " .. ,. ._... _i_"�_"_i.._ r . _ . PRICE � ��-- � � � OPTIONS + - + - + - � + - + - ,� + - + -. ' + - + - TOTAL � ,� � �/ "• � � � Warranty: Comp arts.�.Labor Warranty:�Comp �P ts�Labor Warranty: Comp Parts Lab� �Refrigerant recovered and disposed of as quired by law. Complet ean up including use of floor savers to protect your home and rer�ov I of existing equipment. All work leted is done ' ccordance with existing codes and permits, as required. • � � - , � � Hurric ne Tie Downs ❑ ig. ' ) ❑ Drain Line , e�o��ect_New ❑ Supply plen econnect w o New ❑ Lifeti e equipment slab ❑ Re ig.pipe cover �ddew Plywood Deck Return plenum nnec New �Soun isolation pads ❑ Expansion valve ❑ Ceiling saver kit(pan&float) �R move existing equipment ❑ A/H hip/Disconnect ❑ Tape/5eal Duct ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box ❑ Cr'U hip/Disconnect ❑ T-StBt Wlfe_Reconnecl_New ❑ Attic Light ❑ New Outlet ❑ Insulate Return Box ❑ Digiia T-stat Conn.to exist.elect. ❑ Support attic equipment ❑ Vertical ❑ Horizontal ❑ Flood one ❑ IAQ ) ❑ Crane/Stories Reach ❑ Access ( ) �reaker Brand Size A/H�� Size C/U �Nire Size A/H � Size ClU� - - --- - _ -- - - - _- - - _ - - -- - - •--=�= - - - - - : �j'•.• • _ �. ._- _ _ - _ - _ - - - - - - - � :ifl�mate�Arflfe�f o � :r` ' : .:�-t" .-=_--=-: __-_=_ :�.�i�:_�=:::::::;�::--:= . n_Gu�.a_ _ e;`-.-= :=_�:=�=�=:==;�I:f��a=€1��can�ifiaiial:�li�ne��:Ba�.`==;`��_ar�_eE__ . ---r��--=_=-_:===�===-=-=-==-=-�-�---=-:-= : - - '�------- - -_-� __- _ _ - - --- - _ - - - - _ - - -_ _ - _ - - - - - - - - - --- -- =- - -�-=-=_=== _ - - - -- - ___:_�: _-: _,_-. _ _ _ _ _ -. �rYrfo��Guar�a�fe�::::.:::::: :.I :_;_:�=::::::_:::_=:_ = : :�;h :.r_-:: :�: :: - - - - - - - :��I�i'��:_�'t��_ _._.- �- ---- ------------ - - - - - - - - - - - - - ---�.___��.S�ru�e.Guai�rt`�e�::=�=�:=:=_=::�=:-:=:=:-:=:=:=:=====: ________________________ - - - - - - - --- -----�-=-=-====�-=-:---�---=-- - - - - • . . . - - - - - � - - ----- - ----- - - - -- -��-- - - --- - ---------------�------�-.------ � - � - - - AD TION L: INSTALLED � � > ��` a � AMOUNT: $ $ REBATE $ Initials � S is noi responsible for any existing ductwork. (mailed to ho � ner) f 'I J .� g T By: Date: Date: Custnmei Campany Represenlative Terms: Cash ❑ Check N ❑ CG� Exp. ❑ Financed through: Note:Beginnin 20�0.R-22 equipment wtll no longer be produced. Replacement parts and retrigerant will be available,however,equipment cannol be mixed. 410A is the new refriger � E3UYER'S RIG T TO CANCEL.ihis is a home solicilalion sale,and if you do not want the gootls or services.you may cancel Ihls agreemenl by providing written notice to the seller in person,by tele•ram,or by mail.This notice musl indicale that you do not want lhe goods or services and must be delivered or postmarked belore midnight of the third business day afte you sign tl�is ac reement.It you cancel this agrePment,the seller may not keep all or part of any cash down payment. L ` � .�RS/Rescue Roofer �' 3340 N.Scherer Dr.,Stes A � . St Petersburg,FL 33716 � � • � • Fax:(727)581-3058 � DFWN CLFANING,SArnG /�FtS.Com IRT�N�DN�ppR AIR uNE5a5YbiEM� _ H�A�,�,,aP�uMB„a� License#American Residential — - ------------ — ---------- Services ofFlo�ida,lnc. -- ---- ate: September 30th, 2016 o City of Zephyrhills: e: Letter of Authorization Plumbing his is to certify that the person(s) whose signature appears below is/are my employee (s) artner (s) and/or officers are authorized to purchase permits and /or call for inspections. Authorized Person s , - evin Nagley _ ared Smith �'-�^�' r red Burke red Henderson �lr� i�►��,��,P�� ennis John Zacek; Contractor Signature: �-�-�� tate License# CFC1428283 Date: ��1��r��_ ubscribed and sworn to (or affirmed) before me thi `� d f � 2016 �rsonall � . ��; RENEE M WILLIAMS-COX "' •'c MY COMMISSION#GG022644 N ota r U b�I C �'};g,��.• EXPIRES August 18,2020 *� . A � . � � � � • " _�J