HomeMy WebLinkAbout20-22771 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22771
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22771 Address: 38022 MEDICAL CENTER 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0070-00000-0021
Improv. Cost: 7,499.00 OWNER INFORMATION
Date Issued: 4/22/2020 Name: KNIGHT, RANDOLPH
Total Fees: 80.00 Address: 38022 MEDICAL CENTER AVE
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/22/2020 Phone: (813)782-5543
Work Desc: A/C CHANGE OUT 3 TON HP
CONTRACTORS APPLICATION FEES
O'DONOVAN'S A/C & HEATING A/C CHANGEOUT 80.00
Ins ections Required
DUCTS INSTALLED
DUCTS INSULATED
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.
CONT ' 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 Received Phone Contact for Permitting —
I
Owner's Name � '� ! � ', Owner Phone Number v—r
Owner's Address / I D / l/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Add
ress
.JOB ADDRESS / 2V i LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK G(
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ L VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUM
ING $ T`'Iq(
k
ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
:SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY d✓( / I P
SIGNATURE REGISTERED Y/ N FE CURREN nY
Address License# %J
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N
Address I 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$7500)
`• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
o
.DUCT.CERTIFICATION FOR INSTALLATION OF NEW DUCT WORK OR.MODIFICATION OF THE EXISTING
DUCT SYSTEM
FLORIDA ENERGEY CONSERVATION:CODE(FBC ENERGY,SECTION 403)TO BE LEFT:ONSITE AND PICKED
UP BY IN$PJECTOR
Owner:
Permit#:
n 11 /c
Site Address: (✓ �h. .. l�'�l:l . C.Q
Contractor: L20 0V a r.r
License ilf
o ,
Final Inspection Date: G 2: 0
-9 .
I.certify.that-I have installed new or modified the existing duct work associated with the HVAC system .
referenced by the permit listed above and found it'complies with the requirements FBC Energy Code,
Section 403.3.Where modified,the existing ducts have been sealed using-reinforced mastic or code-
approved equivalent..Ducts are located within conditioned space.(Section 403.3)System was tested as
Piet FBC Energy code,section 403.3.2.1..All new duct work is to comply with FBC.Energy 463.2 and-FBC
Mechanical chapter 6.
00mv.
�, D
Name of License Holder(print or type) Signqbr
of
License Holder,