HomeMy WebLinkAbout21-2571City of Zephyrhills
5335 Eighth Street �"I"i
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Zephyrhills, FL 33542 BGR-002571-2021
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Rate: 07/29/2021
Permit Type: Building General (Residential)
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35 25 21 0050 00000 0320 7236 Ashland Drive
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Name: EILEEN KING Permit Type: Building General (Residential) Contractor: JACOBS HEATING AND
Class of Work: HVAC Changeout 1COOLING LLC
Address: 7236 Ashland Dr
ZEPHYRHILLS, FL 33542
Phone: (813) 713-4374
Building i ii
Valuation:Electrical i it
Plumbing • ii
Total♦ i i!
Total.•
Paid:,25
Amount Paid: $69.25
Date * ! i.'
entitiesREINSPECTION 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 subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
w.. agencies,
OCCUPANCYaccordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO BEFORE C.O.
d
C CTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES
r. • MONTHS WITHOUT APPROVED
•r` w
INSPECTION-
y, FOR
INSPECTION M r NOTICE REQUIRED
PROTECT
.: CARD
rOM WEATHER
013-780-0020 City Of Zephyrhill5 Permit Application Fax-513-780-0021
Building Department
Eff to
I
Owner's Address Owner Phone Number
Fee Simple Titleholder Name _ Owner Phone Number
JOB ADDRESS
cz \
LOT #
SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADDIALT
SIGN DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
PE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
BUILDING SiZE [:::::::= Sty FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
PLUMBING $
MECHANICAL Eii
VALUATION OF MECHANICAL INSTALLATION
c-) 3�72
GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED ;;;;�FEECURREII Y 1 N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN �FEECURREt,Y / N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED :�; N �FEERRU Y I N
Address License # a
MECHANICAL � COMPANY
�c t r I t'
REGISTERED Yd N FEEGURR N YIN
Address 10, t T License # '
OTHER:r E..� L .? ,iti `, ift ,. t.. `COPER
SIGNATURE, REGiST���FEE
Address License # E=
IN III III oil 111111111111111111.111111111i11111111111111111111Iloilo IN
RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Flans; (1) set of Energy; Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, ConstructionPlans, Stormwater Plans wl 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 wT 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 contractor)f Attorney (for the owner) would be someone with notarized_ from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles♦«Fences _
Jacobs Heating and Cooling LLC
State License# CAC1 819750
Zephyrhills, FI 33542
Phone: (813) 784-0654
Email: JacobsHeatingandCooling@gmaii.com
E: =r.
New A/C Installation
(813) 713-4374
EM
install new air handler and condenser with 1 Okw auxiliary heat.This will include 1 year labor
warranty and 10 year parts warranty, Customer will pay when job is complete. 3 ton GrandAire
equipment. Includes hurricane pad, sealing ductwork Plenum's at the air handler, hanging kit,
secoqg�_�pan , float swi�ches_a �dermit,
Subtotal $5,850M
Signed on: 07/27/2021
Mllllll�
INSTRfl 202.1151357
12:38pt-
Page t 0 f
Rr�pt: 2a2838:7
ris 1 11 . C" �
Rec: V) 0111
N&ki t�lvarez-,'Sowles, '� !Fq,
Pasco Cowiitv Clcrk ?x
NO Off' OF C0MWNCEMXNT
Permit 0.
Propertty . �=NoC,
3,Owner Information
b) Name and address of feetsimple titleholder (if other thim owner)
c) Interest inproperty
41,Contractof Information 11 4f-
&)'N and address, ') t'c"' 11 it C
3o 6 'S A
b) Telephone No,'
5.Surety Wbttmition
a) Naineand address:
b) Amount ofDond:
c)TelepboneNo.'
Fax No. (Opt)
a) Name and address:
Phone NO.
7. Identity ofperson within the State offlorida d-iinataby- -ow-n-e-r u—pon whom notices or other documents way be served:
a) Name and address:
b) Telephone No.:
No. (Opt)
8,1n addition to himselt owner designates the,01 receive a
copy ofthe Lienor's Notice as provided in Section
713A3(l)(b ,), Florida S4wipt",
a) Name and td"s-
r
b) Telephone No�'- I
fox No. (Opt,)
-9-,Exliimtion date of e ofcommin cement (the expiratio-n-da—te is —one year from the date of recording unless a different date is
specified):
wARNINGTo ownR: ANYIPAYMENTS MADE BY TM OWNER AMP, TFIE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED U%4PROPER PAYMENTS UNDER CRAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTE$, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BF RECORDED AND POSTED ON THE JOB SITE BEFORE TM F!IRST
INSPEMON. IF YOU INTEND OR I TAI , N FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
STATEOF"RMA
COUNTY OF PASCO
sirwtu a or Ownti's AuthoriW
The foregoing instrument was acknowledged before me this
day Of 0 20 Z,t( by �/ �IIAO)
as t 2 {type of authority, e.g. officcr, trustee, anomey
in fact) for (name of party on behalf of whom_Wstrument was executed).
Personally Known kolk Produced Identification Notary Signature
�7
Type of Identification Produced Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it an true to the best of my knowledge and belief.
F0RWMQC.n6d=
SCOTT C BLACKMAN
Notary Public State of Florida
sion # GG 230776
Commission
'CAI
f�'t My Comm. Expires Jun 20, 2022
Bonded through National Notary Assn.