HomeMy WebLinkAbout21-3057City of Zephyrhills
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CROWN`
5335 Eighth Street
Zephyrhills, FL 33542
BGR-003057-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 10/20/2021
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 relinspection, whichever is greater, for each subsequent relinspection.
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
entities such as water management, state agencies or federal agencies.
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Complete Plans, Specifications add fee 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.
0 TRACTOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS I
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DESCRIPT.ON OF WORK
SO FOOTAGE
BUILDING SIZE
HEIGHT
SUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE
PROGRESS ENERGY � W.R.E.G.
FLUMBING $ �_
h':ECt fANfCAL $ ."� tom, a VALUATION OF MECHANICAL INSTALLATION
C 4S ROOFING SPECIALTY C= OTHER
FINISHED -LOOR ELEVATIONS FLOOD ZONE AREA YES NO
BUILDER COMPANY ®•®.a �•R�••�® REGISTERED Y 1 N FEE GURREft YIN
SIGNATUR:e
License If
Address
El E :9N COMPANY FEE euRRE� Y / N
SIGNATURE REGISTERED
License #
Address —
COMPANY
PLUMBER Y/ N FEE euRREn Y 1 N _�J
SIGNATURE REGISTERED
License #
tees COM_
j 4 r 6 $ �J
MECHANIC AL t v q R1EGiM NY
�4 "°S 6 REGtSTEfiED � YIN FEE URREft Y IN
SIGNATUP ? ` _ r
I I License #
Address
COMPANY
SIGNATURE REGISTERED Y / N FEE CURREF YIN
N
OTHER
License #
Addre :s
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RESIDENTAL Attach {2) Plot Plans; (2) sets o€ Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (90) working days a submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sift Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERcfAL Attach (2) complete sets of Building Plans Pius a Life Safety Page; (1) set of Energy Forms- R-O-W Permit for new construction.
Minimum ten (10) worlang days after Subirtutal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Wok Permit for all new projects. All commercial requirements must meet compliance
SIGN PERh11T Attach (2) sets of Engineered Plans.
PROPERTY SURVEY requited for all NEW construction.
Oi ions:
Fill ou: application completely.
Ownet & Contractor sign back of application, notarized
If over $2500, a Notice of Cornmencerneint is required, (AIC 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 PERMffMNG (copy of con-det required)
Reroofs if s-,ingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Drive-.,ays-Not over Counter if on public roadways -needs ROW :
Commission
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in jccordance with state and local regulations. If the
ireia&4 ?s reouir
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County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
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deliver it to the "owner" prior to commencement.
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justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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
-1- -.- --- - - - - - ---. --- - - -- -
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who iware personally known to me of has/have produced
as identification.
as identification.
Public Notary Public
Commission No.
me or
Name of Notary typed, printed or stamped Name ry p nt r P
or o Notary Public Stele of Fk)rk1a
Tafrwnie M Rws
MY r-OmMi6sion GG 913245
Expires 0911512023
b.
PROPANE G A
AND A/C INC.
C601d kp�YMWL
Bahr's Propane Gas & A/C Inc.
4441 Allen Road, Zephyrhills, Florida 33541 United
States
(813) 782-5013
Mt-
Estimate 8083198
Job 8069372
Estimate Date 10/13/2021
Customer PO
Job Address
Vic Dyson -GRAND HORIZONS
37352 NEUKOM AVE
ZEPHYRHILLS, FL 33544 USA
--7 E Sr-
3 Ton Tempstar 14 SEER Pkg AC with 12.4 KW heat: Will need new breaker disconnect box
10 yr labor warranty is optional
Task # Description Quantity Your Price Your Total
Straight Cool Package Units 3 TempStar 3 Ton 14 Seer Value: 1.00 $3,875.00 $3,875.00
3 Ton TempStar
14 Seer Efficiency: Average savings of 20% on Cooling cost!
Single stage
10 KW Heat
Pad
Digital Thermostat
Model # PAJ436000
10 year parts warranty
10 year compressor warranty
I year labor warranty
10101035 Install Breaker Disconnect: 1.00 $150.00 $150.00
Install Breaker Disconnect
Pi Residential Permit- Package Unit: 1 1.00 $100.00 $100.00
Residential Permit- Package Unit
TSCW 10 year extended labor warranty Tempstar Straight Cool only: 1.00 $550,00 $550.00
10 year extended labor warranty Tempstar Straight Cool only
Sub -Total $4,675.00
Tax $0.00
Total $_4_,675.00
Thank you for choosing Bahr's Propane Gas & A/C Inc.
THIS IS AN ESTIMATE, NOT A CONTRACT FOR SERVICES. The summary above is furnished by Bahr's Propane Gas & A/C Inc. as a good faith
estimate of work to be performed at the location described above and is based on our evaluation and does not include material price increases
or additional labor and materials which may be required should unforeseen problems arise after the work has started. I understand that the final
cost of the work may differ from the estimate, perhaps materially. THIS IS NOT A GUARANTEE OF THE FINAL PRICE OF WORK TO BE PERFORMED.
I agree and authorize the work as summarized on these estimated terms, and I agree to pay the full amount for all work performed.
10/13/2021