HomeMy WebLinkAbout18-19962 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 9962
BUILDING PERMIT
PERMIT INFORMATION LOCATION:INFORMATION
Permit Number: 19962 Address: 37930 MEDICAL ARTS CT
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
Est. Value: Parcel Number: 34-25-21-0080-00000-0010
Improv. Cost: 7,450.00 OWNER INFORMATION
Date Issued: 7/16/2018 Name: DAIRY QUEEN
Total Fees: 80.00 Address: 37930 MEDICAL ARTS CT
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/16/2018 Phone: (813)780-2826
Work Desc: A/C CHANGE OUT 7.5 TON UNIT#2 ( PRMT#17612 EXP NOT INSPECTED)
CONTRACTORS APPLICATION FEES
J M HAYS INC A/C CHANGEOUT 80.00
l JI
Ins ections Re uired
DUCTS INSTALLED
DUCTS INSULATED
FINAL
REINSPECTIONTEES: (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.
G�
C RACTOR SldNOUDRE 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 `
Date Received `/ p �/3 d S _ 6
�� /D 8 Phone Contact for Permitting cam,
Owner's Name n ( Owner Phone Number
Owner's Address 3� cco C Owner Phone Number
Fee Simple?itleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 37� 0 me It cc .I,I3 C LOT# I�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX N TICE)
WORK PROPOSED R
NEW CONSTR R
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION =t BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK �^ c is ri 7� .n. AC e^ P CJ
BUILDING SIZE SQ FOOTAGE HEIGHT
4
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE. = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OG,'AS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Y NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
i
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/'N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY ICI
SIGNATURE REGISTERED JQ2 N FEff CURREN
o Y/N
Address `0 ` 1`1 (.'-r Pi Se�v. /ct`�2sr License# c i c-osi-s6
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
JOB PROPOSAL
JX HAYS, INC. \GER
Refrigeration & rz—Ax 0
Air Conditioning Services EFR IG l DAIRE
State Class"A"Lic. CAC 055504 N *Rd C40fing Pw"I& AW_
\W/- 1�0
P.O. Box 6889 (813)654-6918 _
Seffner, FL 33583 Toll Free 1-888-884-HAYS(4297) Date:
f o, 2o f
Proposal Sbubmitted To: Phone:
A re—
Street: fip Job Name:
o-
City,State&Zip: Job Location:
2 e 930 CA
Contact Person:
We Hereby Submit Specifications and Estimates For:
c-e own e- f —7 4 T,0'A
16 1017 e`Xr
#
We Propose Hereby to Furnish Material and Labor 7 Complete in Accordance ith, Above
Specifications, For the Sum Of: f*_V.'-r CLI
.04-^gad !fZa'!n Dollars ($ M!9_00-00
Payment to Be Made as Follows: f �jt4a
U_
NOTICE:Any changes requested by the customer are not covered by this agreement, and must
be added subsequently, at the cost agreed upon by both parties. Quotes are good for 30 days
from the proposal date.
ACCEPTANCE OF PROPOSAL: The above prices, specifications, and conditions are satisfactory
-and are hereby accepted. You are authorized to do the work as specified. Payment to be made
as outlined.
Date: Signature: ._jn"::A —