HomeMy WebLinkAbout17-18627 ,
CITY OF ZEPHYRHILLS
d� t 5335-8TH STREET
. - " (813)780-0020 18627 �
BUILDING PERMIT '
PERMIT INFORMATION � - LOCATION INFORMATION
Permit Number: 18627 Address: 39219 5TH AVE
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 �
i Est. Value: Parcel Number: 12-26-21-0030-00100-0180 .
Improv. Cost: 4,700.00 OWNER INFORMATION
Date Issued: 7/03/2017 Name: MORTELLARO, JASON
Total Fees: 65.00 Address: 39219 5TH AVE
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Dafe Paid: 7/03/2017 Phone: (813)715-4067 �
Work Desc: A/C CHANGE OUT 3 TON- NO CONTRACT ADDITIONAL COST************
CONTRACTOR S APPLICATION FEES
EASY AC MECHANICAL FEE 60.00
A/C CHANGEOUT 5.00
� ��1(�- ,_ �- � �
�
� � ,
�
Ins ections Re uired
I ��
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 pertormed in accordance with ,
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. '
� �-��o ;
I
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
PROTECT CARD FROM WEATHER
�
�- - ! 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
.. Building Department
Date Recelved Phone Contact for Perm(tting� )
�'f'I��TITiTiTr
Owner's Name �0. b M 0�'�- Ca(� Owner Phone Number �� � / �' l3 O
Owner's Address 3 a�q � �/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 g a °� �� ��/'e-- � �� �J SL�p� LOT# �
SUBDIVISION Z��� � +��S PARCEL ID# I � �� I ��30� O I OC�� O/
(OBTAINED FROM PROPERTY iAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR a COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME O STEEL Q
DESCRIPTION OF WORK ` UG� G�1Q �}'�- � 3'�
BUILDING SIZE �� SQ FOOTAGE� HEIGNT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, QPLUMBING $
. �ECHANICAL $ ���O�c� VALUATION OF MECHANICAL INSTALLATION � l � � `� ,
�_. �
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �
BUILDER COMPANY �
SIGNATURE REOISTEREO Y/ N FEE CURREA Y/N
Address License# � ��
ELECTRICIAN COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License# ,
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# I
MECHANICAL COMPANY C�1Sy ` I �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
_ Address UoZ V O !k 33��� License# L �� / � I
OTHER COMPANY i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, I
Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit tor subdivisions/iarge projects
COMMERCIAL Attach(2)complete sets o(Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanftary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
Directions:'
Fill out application completely.
Owner$ConVactor sign back of application,notarized
If over$2500,a Notfce of Commencement is requlred. (A/C upgrades over 57500)
" Agent(for the conlractor)or Power o(Attomey(for the owner)would be someone with notarized letter(rom owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Senice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
/�
n 1'-'�=�
' CENTRAL A/C Qc HEAT 9402 E US HWY 92,Ste 102
Tampa, FL 33610
EA�Y �� Phone(813)635-0440
Fax(813)635-0480
�Comfort Made Easy" www.easyac.net
Lic.#CAC058774
A Division of 3G Air Conditioning&Heating, Inc.
�
NLY 3, 2017
;
To whom it may concern in the permits department:
This letter is to authorize the following Easy AC personnel to submit and pull permits only for '
today Monday July 3, 2017: '
Doyle Mishler
If you have any questions please call me direct at 813-635-0440 or fax 813-635-0480.
Thank you,
�
�� � �
�
Keith Westbrook ;
Mechanical Qualifier
Easy AC
Contractor# CAC058774
STATE OF FLORIDA
COLJNTY OF_Hillsborough
The fore oing instrument was acknowledged before me this�day of�v G� , 2017
BY �'� A- GJ�°T��� , '
�
�'BARTON P QUIBELL '
ar'y Signa e �� AQY COMMISSION N d(i16678
�� ��ss:,,�2s,Zoxo I
�
�
Notary name printed �
�
Personally kno or produced identification
�
Keith A.Westbrook
Contractor-CAC058774 !
.�