HomeMy WebLinkAbout17-18281 CITY OF ZEPHYRHILLS
' -' S335-8TH STREET
(813)780-0020 1828 �
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18281 Address: 38425 EVERGREEN VILLAGE DR UNITG�
Permit Type: MECHANICAL ZEPHYRHILLS, FL. �
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): �lock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-05300-0020
Improv. Cost: 3,195.00 OWNER INFORMATION
Date Issued: 3/17/2017 Name: Z HILLS LTD C/O A&M PROPERTIES
Total Fees: 55.00 Address: PO BOX 5252
Amount Paid: 55.00 LAKELAND FL 33807-5252
Date Paid: 3/17/2017 Phone: 813-782-2740
Work Desc: A/C CHANGE OUT 2TON
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT � 55.00
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Ins ections Re uired
DUCTSINSTALLED
DUCTS INSU�EDz('�
FINAL '��/(J � l
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.
NOTlCE: 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
.
ONTRAC O SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813aao-oo2o City of Zephyrhills Permit Application Fax-813aeaoa2�
� BuHd9ng Department
Date Recetved -. - Phon�-Cant�ct#or Perniittin �U v� �f
Owner's Name L` !r � 7L L!G'-S Owner Phone Numlaer O J� 7 ��t�
Owner's Address r"b/v � f'L'.� /� Owner Phone Number° � K��
Fee Stmple Tltleholder.Name � � � ' Owner Phone Number � �
;j ' .
Fee Stmple Titleholder Addresa °
JOB AdDRESS �� � �I P� G�11�/%��G� LOT# �_��„�
SUBDIVISI4N ° PARCEL ID# G!� �tL�• � �}�jLf �J�,��}� ���
, � , . (pBTAINED FROM PROPERTY TAX NOTICE)
WORK PROF'Q3ED ;,NEW CONSTR ADDIAI.'F C� StGN Q • [� DEMOI.lSH
�e, INSTALL -� REPAIR
PROPOSED�USE Q SFR- Q Gt?MM �,,_] C?TNER '
TYPH OF CONSTRUCTION Q " '" BLOCK " Q FRAME C� STEEL Q
DESCR{PT10N OF WORK 7f ,��— L�G� pf l�fN �� p5 li1?7Y1 J�JCa "�j
Bt�ILDING'SIZE � �'SQ FOOTACaE C��. ~ HEIGHT�E��
OBl!lLDING � � VAtUAT10N'.'OF�TOTA�CONS7ftt1C`TION
QELEGTRiCAL � �� AMP SERViCE Q PRC}GRESS ENERGY Q W.R:E,C.
,.,..,_„'. � '
QPLUMBING � � � '
� �1�}�*D ��� VALUATION OF:MECHANICAL tNSTALLflT1t7N
MECHANtGAI $
,. l�'! p J �
QGAS Q RQ.QFIt+IG .Q SPEGIAI.TY � QTHER= •
FWISHED FLOOR ELEVATIQNS ��� FLOOD ZQNE AREA QYES NO
SUILDER COMPi4NY; .
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s License# � -- �
ElECTRtC1AN. � ' COMPA4IY - -
SIGNATURE ��` REGISTERED Y/ N FEE CURRE�` Y/N
4
AdtttB$8 ` � liCBflSe.#.� �
PLUNOBER ` COMPANY . . `- ,
SIGNAI'URE'� ' ; �REGISTERED Y./=N., _. . FEE CURREA` Y.�/N '•
Addre�s . ' l�cense# � - ��
MECHANlGAL` �j1� C,OMRANY ����5 f /�Q�S�` G.��
SIGNATURE• � ��� ,•./?//�G��20iJt,p„� � ` REGISTERED , Y./ N � FEE CURRE� Y./�N �
Add�s��� ��� ��`1Tl�v!'L ���/t' , Licc�nse#.����L���� �
OTHEit �, � . . . . _ _ " � ',`GOMPlWY - ,
S{GNATURE' �• - �� � � ' ' � � �' � REGISTERED ` � Y/ N. FEE CURRE��� Y/N
Address ': � -, ' 1� , � Cicense# � —� '
... p�.�' + ' .` • . �' , �
RESiDEN'itAl;�., _:Attacti"(2):Flot P;lans;,.(2)sets:ofiBuEtding:Plans;(1)set of�EnergyrForrns;'R=0-W°Periritt for new ctinstruction, � , .
- ��Mintmum�tenr(1A):wo,rking"ciays_aiter,:subriilttai date::•Requlred onsife,:EonstiucBon�Plans;8torinwate''r'P1ans w/SiifFence instaped,
L ' � �SanitaryFacllttles,&,1�;dumpste.r,^Site•Wor1c:,P�rmit#orsubdiWslons/large';projects.:•,-.".,_-_ ' " '
CQN�MERCIAt. Attach{3)-complete sets'af'Bultding Pta�s ptus a�kife Safely Page;{1}set of E»ergy Farnts.R O-W Pemtit for neW canstructton.
Minimum ten(10)working days after submlttal date. Required onsite,CanstrucUan Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.5ite Work Permit for all new projects:.All commercfal requlrements must meet compilance �
SIGN PERMIT Attactt"(2}sets of Engirieer,edcP[ans.;�,.-.:-.. � � ,. , ��, : ' .
"`"PROPERTY SURVEY reGuired for all NEW construcUon.
Dlreetlons: .. .-,,.,,,, _ .
Fill out appiicatlon completely.
Owner&ContracMr sign back of applfcatlon,notarized
If aver�2500,a Notice of Commancement la requlred. {AtC upgrades aver�T500}
��'-'�_;,..-..
"` Agent(for the conVaotor)'or Powe�of Atkomey'(fo��the owner)would be�someone with notarized letter trom owner autharizing same
OVER THE COUt�ETEEt PE�III�f'f-TING-'�:��F�r`�t'���,'-�"'iication�Oflty);:�� - �" � _ . �.: ,
Reroofs if shingles Sev�e�S,;, ;:� f�S�rvice U` graiies A/G.��.;;;�'•�F�ences(PlobSurvey/Footage) -!J��"wfs��.�#IV1?'i; ��n YF����,
�,� C' ifi r,.�c. -^tit��� �i tnf : ' �_�^_�,, I _,i C 7 ��Yr:G�"R';iY
f r't.... ',,� ., _ :�h'St`,'�44 9�$i<" ^I�U r�pt��DG. =f+� Y`et
- `- " 1 C r ",f°c •j'^; �• � ' � a t
Drivsways-Natover urite�Jfoa`p}ili�l�'roadZvays'naed�ROVt1��::' ` ' �=t".�`�u�z�=�c��? �s���e::t�«� g.���P�;,=
,�..�t�c:u � +n ��Q�ra�mr}co� •'�.>"�.�:''` ` :a�;S.rtBE a�, +A riat4:in�rric�;. :�ry�,;�,�`';
!i2Y'„�'YIL!JP�C�'iCif: � .�o�J-��"J�°� �����'�{t[,`%F�'.
.:iP„�U:��fi��'sRilJft J'��1.�r:',�`� .i'!'s7.�tiF.I'Jti lFiiQ:'.iSi��l�.il:'ti7',�!i:a';��j ��:+:�ii�°�
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�� � :� � PROPANE GAS Service Order/Proposal ��
� ` AND AIC wc.
�i�ce �988 813-782-5013 Invoice
WORK ORDER#/SERVICEMAhI 7514�7 JUL •
Sales, Service & Installations DATE/T I ME TAKEN 03�13117 11 :28
4441 Allen Rd. • Zephyrhills, FL 33541 TA�.EN BY N.IM ��
NOTES � � DATE/TIME P'ROMISED 03/13/17 �0:�4�
CUSTOMER#/LOCATION 01357
PHONE# 813-479-33��
CONTACT SHARON
ROUTE/SEQ JUL
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A K M F�ROPERTIES EVERC,,R�EEN VILLAGE AGTS
f�0 ROX �L52 � 3842� EVERGREEIV VILLAGE DR
APT #8 '
LAKELAND FL 338�7 ZEPHYRHILLS FL33�4�
RHEEM
FADC�D i BJAS, 65i�4Fc30Q�10cQ�6
RUI�S, NOT BLOW I NG
. � DESCRIPTION OF WORK . :`.QTY: MATERIACS.&SERVICES • - .UNIT:PRICE .`AMOUNT -
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�RECOMMENDATIONS , � � �
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'Annual Maint�nance Recommended'by All Equipment Manufacturers. pressures Lo HI T-Stat i i
� , .REFRIGERANT R- �. � � LBS. 5 pec Ibs. , �' �
� I -- I
FILTERS x x Changed Monthly I I
' , FILTERS x x Changed Monthly I I
. • L7 REGULAR ❑WARRANTY i�: .<:-a. "
TOTALaSUN{hA��Y �
. - - ;:;;� �
Dehumidistat Settings: When here"ON" When Away 60°0, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY• NI materials,parts and equipment are warranted by the manufacturers' ' ' ME.T.HQD OF�PAYMENT - CALL i
or suppliers'written warranty only.All labor performed by lhe above named company is warranted for
30 days or as otherwise indicated in writing.The above named company makes no other warcanties, ❑CASH �❑'CK# TOTAL _ i
express or implied,and its agents or technicians are not authorized to make any such wartanlies on . , MATERIALS • i ,
behalf of above named company. ❑DEBI7''0 CREDIT ❑OTHER MAINTENANCE �
- PROG. W 1 C ��
I have aulhoriry lo order the work outlined above which has been satisfactorily completed.I agree Ihal Seller -
relains lille lo epui0menl/materials lumished until fnal payment is made.II payment is nL1i made as agreed, CLAIM# �
seller can remove said equipmenUmatenals at Sellar s expense.Any demage resul6ng from said removal shall ,
noc be lhe responsibility of Seller.NET 30 DAYS.A 1 7/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED I
ALL UNPAID BAIANCES OVER 30 DAYS.NO REFUNDS
TECH: ' T'� � �
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CUSTOMERSIGNATURE DATE TOTAL I