HomeMy WebLinkAbout17-18650 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
•. _ . (813)780-0020 18.650
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BUILDING PERMIT .�
PERMIT INFORNIATION LOCATION INFORMATION
Permit Number: 18650 Address: 37701 NEWAL 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0130-00000-0220
Improv. Cost: 5,886.00 OWNER INFORMATION
Date Issued: 7/11/2017 Name: ROCHE,WILLIAM J & CLAUDIA B
, Total Fees: 105.00 Address: 37701 NEWAL AVE
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542-7917
Date Paid: 7/11/2017 Phone: (813)390-5245
Work Desc: A/C CHANGE OUT3 TON W/ELECTRIC
CONTRACTOR S APPLICATION FEES
UNIQUE SERVICES A/C CHANGEOUT 65.00
UNIQUE AIR INC ELECTRICAL FEE 40.00
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Ins ections Re uired
DUCTS INSTALLED
DUCTSINSULATED
FINAL i
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 properly 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.
NO OCCUPANCY BEFORE C.O.
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C T CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building DepaRment
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Date Received ��7 _ CS�
Phone Contact for Permittin �
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Owner's Name l I I 'l,��.�l G( Q Owner Phone Num6er ( '� ,� — V 2
Owner's Address �.+/l.�Cl� �ve. h ���l'btvner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS ��7�� ��-Q.I � Z h �J`�� LOT# � �
SUBDIVISION e+ � �� PARCELID#U3'���I�u���V�CCD � �aa�
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED n _ NEW C�NSTR e ADD/ALT � SIGN Q Q DEMOLISH
�� INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FR,4ME � STEEL Q
DESCRIPTION OF WORK C C �CLL- Q�IC� C I� ' •I , �Z� k�d�\^, 'rV�� .�� IXFl���Ua��
0 Ot�ot��-tk w�vk, �p�4C-H�to�l
BUILDINGSIZE SQFOOTAGE HEIGHT w � n-L'1rJ �iSCOY�YL4.�S
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0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ECECTRICAL $ �/-� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
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�PLUMBING $ �
�'MECHANICAL $�� �� VALUATION OF MECHANICAL INSTALLATION �/��
OGAS Q ROOFING Q SPECIAL'IY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �V�
BUILDER - 9M2AN��—— -�--t,�� ---�—
SIGNATURE i� REGISTERED Y N FEE CURRE� Y/N
Address /J�/ ��t� J 7�3 License# ��� - C�
ELECTRICIAN COMPANY ��l � �C�+!V 1���
SIGNATURE l REGISTERED Y N FEE CURRE� Y/N
Address �j�S � �)T G�L� .�Y4�d��E[-�+�"I ��Zd-� License# E C I�D a Z�r�-/2
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL � � COMPANY �L n�� � �CS7�
SIGNATURE REGISTERED N FEE CURRE� Y/N
Address l f �7'G�� ! ����3 License# ` � �0�;7 u J�J
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
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" R SIE DENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction,
Minimum ten(10)working days after submittal date. Required onsite,ConSWclion Plans,Stomtwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects I
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction. I
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 all new projects.All commercial requirements must meet compliance �
SIGN PERMIT Attach(2)sets of Engineered Plans. I
""PROPERI'Y SURVEY required for all NEW construction. I
Directions:' '
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice oi Commencement is requlred. (A/C upgredes 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 if shingles Sewers Service Upgrades A/C Fences(Piof/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,,.���i,�f;� �1N IC�IJ E A1 i�� Installation Contract
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877-247-7365
INSTALLATION ADDRE55 BILLING ADDRESS
Name of Client Claudia Roche Claudia Roche
Address 37701 Newal Ave 37701 Newal Ave
Clty/State/Zlp Zephyrhills,FL 33542-7917 Zephyrhills,FL 33542-7917
I Phone Number 8133905245 8133905245
E-mail Address
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. . INVESTMENT
Reta i I: $10,313
Utility Rebates: �$p�
Manufacturer Rebate: �$p�
Discounts: ($3,318)
Amount Due: $6,995 Paym`ent{�etails -
Cash Discount: ($1,359) ' ., . <
Depdsit. ,� � , � r'�$0
Cash Due: $5,636 � , � ` � ` . .,
Balance Due(Check} ` :$5;636
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�. , ` - P,OST INSTALL REBATES�� ���wµ� ��� _- x � �TOTALWCOST OF OINNERSHIP�(TCOj =
Utility Rebate: $p Est. 1 Yr Savings: __
Other Rebate: $p Est. 10 Yr Savings: __ I
Tax Credit: $0 TCO
Net Investment: $5,636 TCO Monthly -- �
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
materials used to improve the property until Buyer's full payment is received by Unique. A service charge of 1.5%per month(18%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
any Instant Rebates provided under this Agreement become uncol lectible,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.
Customer Signature �av���`t�ti.� CA Signature
Customer Name Claudia Roche CA Name Quinn Olsen
Date 07/07/17 Date 07/07/17
051013 License numbers: CMC 041072 � CFC 1426265 � EC 13002942
SO# 1076571 Thank You for Choosing Unique Services as your Home Comfort Specialist.