HomeMy WebLinkAbout18-19939 CITY OF ZEPHYRHILLS
.5335-8TH STREET
(813)780-0020 19939
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: . 19939 Address: 6110 16TH ST
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: PARK HILL
Est. Value: Parcel Number: 0226-21-0180-00000-0720
Improv. Cost: 5,049.00 OWNER INFORMATION
Date Issued: 7/11/2018 Name: HANSEN MARY JO
Total Fees: 70.00 Address: 6110 16TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/11/2018 Phone: (813)788-9056
Work Desc: A/C CHANGE OUT 2.5 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
i
DUCTS INSTALLED Ins ections Required
DUCTSINSULATED
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.
CONTRACTOR 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 Department - C
Date Revived Phone Contact for Permitting ( r� ) u �(�����v¢
Owner's Name Owner Phone Number O��� VO v 93015
Owners Address �l 6'r r' Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS !/ o LOT#
SUBDIVISION PARCEL ID# 4Q a6 O100 40641 �72a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK Wes. ' C G 17Q/U G oU-i- a `/off -*Al ® "f-
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING is
1ECHANICAL is
So �D VALUATION OF MECHANICAL INSTALLATION
=C'AS Q ROOFING Q SPECIALTY Q OTHER n j
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address l License# �/►
MECHANICAL A',„r,-OG/% .iA COMPANY �H'r/2 S
SIGNATURE REGISTERED Y/N I FEE CURREn I
`YY/N
Address r/�i�lJ �/f/ ir� License# T6T
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N
Addre>s License#
t111111111111111111111111111111111111111111i1111111111111.1111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL _Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)wortdng days after submittal date. Required onsite,Construction Plans,Stornwater 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.
PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500;a Notice of.Commencement is.required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarised letter from owner.authorizing same
OVER THE COUNTER PERMITTING• '-(copy of,contract'required)
Reroots if shingles Severs, Service Upgrades AIC" Fences(Plot/Survey/Footage)
Driveways-Not over Counter,,if on public roadway"s'.needs'ROW
E-9=11M
r k PAOP ACGAS.
Service Ordeir/Pr oposal
el'oe 1908 13-782-5013 lnvoiae\.
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Sales Service & Installations 'AiORK ORDER41/
H
Tom.4441 Allen Rd. - Zephyrhills, FL33541
NOTES:
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DESCRIPTION OF WORK --=MATERI ALS&SERV -UNIT, RICE'l-AMOUNT
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FILTERS X X Changed Monthly
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FILTERS X x Changed Monthly
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REGULAR Q WARRANTY TOTA RY
64"8 h,`.-�,Wtfen here�f MAINTENANCE CONTRACT
_d_N.`-'�',`,When Away 6 T-Stat
SERVICE
LIMITED WARRANTY. All materials,parts and equipment are warranted by the manufacturers' CALL
or suppliers'written warranty only.All labor performed by tha.above named company is warranted for- rTOTAL
30 days or as otherwise indicated in writing,The above named company makes no other warranties, QCASH UCK# MATERIALS
express or implied,and its agents or technicians are not,authorized to make any such warranties on
behalf of above named company. 0 DEBIT U CREDIT U OTHER MAINTENANCE
I have authority to order the work outlined above which has been satisfactorily completed.I agree that Seller PROG. W/ C
retains litle to equipmentimaterials,furnished until final payment Is made,If payment Is not made as agreed, CLAIM#
seller can remove said equipment/materials at Seller's expense.Any damage resulting from said removal shall ii
not be the responsibility of Sel NET 30 DAYS,A 1 1/2%SERVICE CHARGE WILL BE ADDED MONTHLY TO
ALL UNPAID BALANCE$OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TAX
TECH:
7 /11 —
TOTAL
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