HomeMy WebLinkAbout17-18626 CIT�( OF ZEPHYRF�ILLS �
f '� 5335-8TH STREET
(813)780-0020 18626 r '
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BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION /
Permit Number: 18626 Address: 38604 CAMDEN AVE ('
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: ALPHA VILLAGE
Est. Value: Parcel Number: '
Improv. Cost: 8,600.00 OWNER INFORMATION
Date Issued: 7/11/2017 Name: SIMPSON TERRY& RIVARD-SIMPSON J
Total Fees: 120.00 Address: 38604 CAMDEN AVE
Amount Paid: 120.00 ZEPHYRHILLS FL 33540-1035
Date Paid: 7/11/2017 Phone: (813)838-4776 '
Work Desc: A/C CHANGEOUT 3 TON W/ ELECTRIC
CONTRACTOR S APPLICATION FEES
UNIQUE SERVICES ' A/C CHANGEOUT 80.00
UNIQUE AIR INC ELECTRICAL FEE 40.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED �, '
FINAL
ELECTRICAL 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." � �
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. ,
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CONT CT SIGNATURE � PERMIT OFFI R '
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ��
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
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ais-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
Date Received phone ContactforPertnitting `�I � - V�5�
Owners Name Q�1'10� C� bM� Owner Phone Number �� "0 � 4 7��o
Owners Address �p��� I.GLM(it� � Z 1,(�11� S Owner Phone Number
540
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titlehalder Address
JOB ADDRESS O LQU� CQ Z'e \I S�'I'O LOT# � I
SUBDIVISION 1` PARCELID# So�S'o7I�����V��-I i
(OBTAINED FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
, PROPOSED USE Q SFR Q COMM � OTHER u,
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
chA.�Seo u-t � �n X l lp5'�3'1�t,7v �prGD� ,1 Sc�n' 3t»n,8' v�►
DESCRIPTION OF WORK �p d '(,�W cY1�
BUILDING SIZE SQ FOOTAGE� HEIGHT � ti/q 1�'V1 W��, p1.l.I.')
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I
a`�' W�Yf.�u-ll
OPLUMBING $ I
�MECHANICAL $�'^O� VALUATION OF MECHANICAL INSTALLATION � I
Vl ��• .
QGAS Q ROOFING Q SPECIALTY Q OTHER I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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ELECTRICIAN COMPANY I LI,Q iCCS j
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ,
Address �}- /Cf� c5�" CT� ro.cle�.�han ' y .'� License# "C� d�1� Z I
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PLUMBER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address License# I
MECHANICAL COMPANY ' `� ���-e-S i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address S( �q�' � � r �3 License# N"(., oZ SS
OTHER COMPANY �- �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ;
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Address License# i
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects �
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construclion. �
Minimum ten(10)working days after submittal date. Required orisite.Construction Plans,Stortnwater Plans w/Silt Fence installed, I
Sanitary Facilities&1 dumpster Site Work Pertnit 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.
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Directions:•
Fill out application completely
Owner&ConVactor sign back of appliption,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over�7500)
•' Agenl(for the contractor)or Power of Attomey(for the owner)would ba someone with notarized letter i;om owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlutiSurvey/Footage)
r,� STEPHANIE SII�ITH
°tr��� MY COMMISSION#Ff910782
Driveways-Not over Counter if on public roadways..n s ROW =� tn
/�„ I�O f ��/ � IXPIRES:AUG 18,2019
�'�� C I � �"� Bonded through 1 st State Insurarce
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��;�� ��y�, �!I , , n Installation Contract
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877-247-7365
INSTALLATION ADDRESS BILLING ADDRESS
Name of Client Johanna&Terry Simpson Johanna&Terry Simpson
Address 38604 Camden Ave 38604 Camden Ave
Clty/State/Zlp Zephyrhills,FL 33540-1035 Zephyrhills,FL 33540-1035
Phone Number 8138384776 8138384776
E-mail Address jsimpson2@me.com
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' � IialVE5TMENT �
Reta i I: $13,480
Utility Rebates: �$p�
Manufacturer Rebate: �$p� ,
Discounts: ($2,661) �
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Amount Due: $10,819 PaymentDetails ,
Cash Discount: ($2,219) � ` - � �
' Deposit , : $0-
I Cash Due: $8,600 I
Balance Due(Cash) $8,640.
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' POST INSTALL REBATE5 � � i ' TOTAL C05T O�OWNERSHIP-(TCO)� �: '�
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Utility Rebate: $p Est. 1 Yr Savings: $735
Other Rebate: $p Est. 10 Yr Savings: $7,350 '
Tax Credit: $0 TCO I'
Net Investment: $1,250
$8,600 TCO Monthly $11 �
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Buyer is the owner of the property at the Installation Address and is legally authorized to enter into this Agreement. Unique retains title to all equipment,parts and Ii
materials used to improve the property until Buyer's full payment is received by Unique.A service charge of 1.5%per month(18�/o annual percentage rete)or the maximum �
rate permitted by applicable law,whichever is less,will be made on all overdue amounts. Buyer responsible for attorney fees,where allowed,for amounts not paid. Should I
any Instant Rebates provided under this Agreement become uncollectible,Buyer will be responsible for payment to Unique of such uncollectible Instant Rebates. Prices are �
valid for 10 da s from issuance of this A reement. I
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Customer Signature CA Signature '
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Customer Name l��T��� CA Name
Date v Date
051013 License nunabers: CMC 041072 � CFC 1-�26265 � EC 13002942
SO# 7 069005 Thank You f'or Choosing Unique Services as yotrr Home Comfort Specicrlist. ,
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From:Stephenie Smith Fax:(941)3438757 To: Fax: (813)780-0021 Pege 5 of 5 08/30f2017 2:52 PM ,
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System L�eveE: �rerriier(Da�ki�) -5 ngte Stage�om�a�essor:A compressor that an�y
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SO# i069�05 ?larrnk Yau�or�,'hoasiag�Jnrqu�Serulces rrs yn u•.€�fome Cnmfort Specfalesf.