HomeMy WebLinkAbout18-19957 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19957
BUILDING PERMIT
-'PERMIT INFORMATION LOCATION INFORMATION'
Permit Number: 19957 Address: 4625 WISTERIA DR
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: 15-26-21-0160-00000-0170
Improv. Cost: 5,349.00 OWNER INFORMATION
Date Issued: 7/13/2018 Name: SHAY, DAVID & BRENDA
Total Fees: 70.00 Address: 4625 WISTERIA DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/13/2018 Phone: (931)374-1347
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 70.00
DUCTS INSTALLED Ins ections Re uired
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
e13-7e0-ao20 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received / Phone Contact for Permitting ( 3 79�
Q �7
Owners Name
/�jq 1 % Owner Phone Number f9—76- / 7 11
Owners Address I�i/Z/(�tJ i Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder/Address
JOB ADDRESS / IS fete;;a' �2+ +o�� > LOT#
SUBDPJISION PARCEL ID# �y�10 / d 161) '61 W
(o6TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q, FRAME = STEEL Q ./
DESCRIPT ON OF WORK es, �C Gr'{�N e^p v_4 3 7-anJ Cam» ,066eW-45
BUILDING SIZE SO FOOTAGE= HEIGHT r
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING S
,MECHANICAL S �+ 11 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURF REGISTERED Y/ N FEE CURREN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN LILN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y 1 N FEE CURREN Y/N
Address License#
MECHANICAL � Q,(/1 Jj COMPANY 819w S r nvye�v'9 J_/4C
SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N
Address y��/ z�/ai/!S G license#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREI,
Address License#
Iltlltlltllltlllltllllllllllllllllltllllillillllllltllllltllllllttl
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 subdivisionsilarge 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)working days after submittal date. Required onsite,Construction Plans,Stormwater 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$7500)
Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarised letter from owner authorizing same ..
OVER THE COUNTER PERMITTING ,, (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footege)
Driveways-Not over Counter if on public roadways..needs ROW
`r '� 6�1..•iL'A.. � • r •
sE W
PROPANE GAS, :. Service Order/Proposal
�. AND AIC INC.
,Ace 1988 813-782-50 11 -
MC.
_..
1' WQiRK ORDER#.15E.RVICEMAN 889Ea4 FEB
Sales, Service & Installations DATE/T-I ME TAF;EN 0 7/1 1 118 09:20
4441 Allen Rd. • Zephyrhills, FL 33541 TOKEN BY K I M 00
C�3 r % AA-r`E TIME PROM I SFD
NOTES: Xy T1,L CUSTOMER#;L-OCAT£QN AC 1543
ZZ ltr D PHONEV 931•-374--1347 C
PHONE2# 813-715--'5717 H
ROUTE/SEG! ` g FEB33541
10q 10 1� 5T3-7 4
/ 1 �
SHAY., DAVID SHAY, DAVID
4625 WISTERIA DR K 4625 WISTERIA DR
WHISPERING OAKS
ZEPHYRHILL-S FL.. 33541 ZEPHYRHILLS FL33541
CARRIER 3 TON HEAT PUMP
CD: 38BYGO36300, 2005E45016
AH: FC4CNF042, 1 E05A7 5736
NOT COOLING
., .,;;•...,,.., w,.. , . . -'4,•'.<.; RVIGES UNIT-PRICE.
n,.M 7.r AESCRIP r10N.OF WORK. : QTY .MATERIALS.&SE M,.
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•' _ ;REFRIGERANTR= .CBS:- •ri•_ =$per :� _ :";
FILTERS x ' x Changed Monthly I
FILTERS x x Changed Monthly I I
y
!� REGULAR ❑WARRANTY TOTAL�UMIVA N,!:::-,
_•
°'Delju idi>;f8t hefting : When here" When Away OU0,IT-Stat a El MAINTENANCE CONTRACT SERVICE
LIMITEDWARRANTY: All materials, arts and equipment are warranted b the manufacturers' ' CALL I
p p y ,. "'.r ; g?�':METI=IOFwi?i4l'AAENT:;='''?�=
or suppliers'written warranty only.All labor performed by the above named company is warranted for
mays of as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# TOTAL I
e>Qxess or implied,and its agents or technicians are not authorized to make any such warranties on MATERIALS I
beh�lfhfabove named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I hove-authority to order the work outlined above which has been satisfactorily completed.l agree that Seller
PROG. IN/ C
retalns'fitle to equipment/materials furnished until final payment Is made.If payment Is not made as agreed, CLAIM# I
wU&r can remove said equfpmerrUmaterials at Seller's expense.Any damage resulting from said removal shall r
not be the responsibility of Seller.NET 30 DAYS.A 1 1!2%SERVICE CHARGE WILL BE ADDED MONTHLY TO DATE COMPLETED
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS
AX
TECH: �Tair e; T
CUSTOMER SIGNATURE DATE
✓�� au.. TOTAL