HomeMy WebLinkAbout18-20010 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20010f
"^ BUILDING PERMIT
PERMIT INFORMATION =: = - `LOCATION'INFORMATION
Permit Number: 20010 Address: 39150 6TH 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00100-0220
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 7/25/2018 Name: NYE BRENT
Total Fees: 60.00 Address: 13820 CYPRESS VILLAGE CIR
Amount Paid: 60.00 TAMPA FL 33618-8406
Date Paid: 7/25/2018 Phone: 813-778-1840
Work Desc: A/C CHANGE OUT 2.5 TON W/ DUCT WORK
CONTRACTORS APPLICATION FEES
HEAVENS BREEZE A/C AND HEATING A/C CHANGEOUT 60.00
3(7.S
Ins ection uired
DUCTS INSTALLED
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.
CONTRA TOR 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
Date ReceivedI Phone ContactL for Permitting'
3= ............... .........................r7jrl I 1= 7
Owner's Name 7
Owner Phone Number
Owner's Address 0 1 wner Phone Number
Fee Simple:Titleholder Name Owner Phone Number
Fee Slmpie,Titleholder Address
JOB ADDRESS l_5_0 6 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONISTR ADD/ALT SIGN DEMOLISH
e INSTALL a REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK a
fv-
w
BUILDING SIZE SO FOOTAGE= HEIGHT
- j
0.
BUILDING 1$
VALUATION OF TOTAL CONSTRUCTION'
=ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C.
=PLUMBING $
QDMECHANICAL
-00,w VALUATION OF MECHANICAL INSTALLATION
GAS 0 ROOFING Q SPECIALTY OTHER
FINISHED!FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
.................
BUILDER is COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN,
Address F License# F
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN
Address' License#
PLUMBER- COMPANY
SIGNATURE REGISTERED-• 1 ,Y1*N'j FEE CURREN LKLN_j
Address License#
MECHANICAL COMPANY. [Aleov_-/2'f -1fpr_e 2.e 'C'
SIGNATURE
REGISTERED YJ N.T FEE CURREN
Address License#'
dd 'as A-)4 -Al
OTHER COMPANY
-SIGNATURE REGISTERED YJ N FEE CURREN
Address License#
111_144,11�iiwll Hll III IIIIIIIIIH!-Hill!!!! I I I III HHH!1 H 1 H!1H!11111.!!HHIIIIII
........... ...c-6 r,66w.qoqstruct!on,
iisiiiiNTIAL' A6 P' R- -W.4nnkfo''Building Energy F67s,
Miniio'um t,6ii(�iOYWarl�'n'gdayi eift6r�sdbinittal dal:6:'Ri6q'ufred"ohsite,Cofisitruction-Plans;Stormwater Plans,w/Siit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge projects
Attach(2)complete sets of Building Plans plus a Llfe.Saf'ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum tan(10)working.opys afte.r.submittal date.,.Reqpire id onsite,Construction Plans,Stormwater Plans w/Silt Farce installed,
Sanitary.Facilities&I dumpster.Site Work Permit for all riew,projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*7"PROPERTY.SURVEY required for all NEW construction.
................
............. ----------------
Directions.
Fill out application completely.
Owner&'Contractor sign:back of applicaton,.notarized.
If over$2500,a Notice of Commencement is required. (A(C upgrades over$7500)
.,Agent#ot the contractor)or Power-of Attomay(for the owner)would be someone with notarized letter from owner authorizing same
OVItItTHEZOUNTER PERMITTING contract,required)
Reidofs if shingles Sewers Servide-Up gradas--A1C- --Fenc-6s(Plot(Stirvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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I
HE
'° ►�� A/C AND
HEATING
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4818 Ridge Point Drive
Tampa. FL 33624
(813)965-7284
Tampa,May 01,2018
To whom it may concern.
I am hereby authorizing Mr:' Carlos Ayala my Agent Contractor to apply for permits under my
Mechanical Contractor license CAC1816891,these permits will be requested before the Counties where
my license has been registered only. Mr. Ayala will be acting as my representative and operating under
my Mechanical Contractor license at all times.
Thanking you in advance,
Oscar Romero
President of Heaven's Breeze A/C&Heating LLC
STATE OF FLO l'��
.COUNTY OF , ��1:���
The foregoing ins rument was acknowledged before me this day of A 20 1�
by 20
1
Signature of NbWry Public
"b'AnYN `c-YL�iA>v"{ ifZ,
Print,Type! tamp Name of Notary
Personally known:_._ate,_
OR Produced identification:
Type of Identification Produced:
P DANNYHERNANDEZ
o=, Notary Public-State of Florida
•; Commissioni31313072855
Mytomm.Expires Mar21,2021
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