HomeMy WebLinkAbout21-3064City of Zelphyrhills
5335 Eighth Street
Zephyrhills, Fl- 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003064-2021
Issue Date: 10/22/2021
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 reinspection, 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
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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.
912
1A
C6ffACTOR 7NATURE 14E
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Permitcity of Zephyrhills • +
813-780-W20 Building Department
Date
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Fax-813.78G-0021
Jim
Q RtPT:ON OF WORK
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SQ FOOTAGE HEIGHT
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BUILDING VALUATION OF TOTAL CONSTRUCTION
— PROGRESS ENERGY [� W-R.E.C.
ELECTRICAL $ AMP SERVICE
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?ECHANfCAL $ r t VALUATION OF MECHANICAL INSTALLATION
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QC +LS ROOFING ® SPECIALTY = OTHER
FINISHED --LOOR ELEVATIONS
FLOOD ZONE AREA ®YES NO
BUILDER COMPANY
REGISTERED YIN FEE GURREn YIN
SIGNATUR,?
License #
Address
ELECTRICt;IN COMPANY
SIGNATURt REGISTERED
CURREn Y / N
License #
Addre3$
PLUMBER COMPANY
PLUMB URE REGISTERED YIN J FEE CURREn Y / N { ��
siGNAT
License #
Address
jf_ _ �p PANY
MECHANIC ALc REn Y / N
i Ig w'
$ GNA UR �,.•t: /�^�" t '" REGISTERED Y / N FEE CUR " --
s' 53 License
Address �
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREII Y / N
License # i
Address
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RESI!?ENT'AL Attach {2} PWt Plans; {2} sets of Buikkttg Plans; {9}set of Energy Forms; R O-W Permit for rtor water Plans
Minimum ten (1Q} wroetcing days afro subm4ttai date- Required onsite, Construction Puns, Stormwafer Plans wl Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for sutxfivisions/iarge projects
COMMERCIAL Attach (2) co<t'7Wete sat5 of Buitcpltg Plans plus a t-ife Safety Page; C'I) set of EnargY Forrns. Rmw Permit for new constnrctioal
Minimum ten (1Q) wrakirtg days a€tBP St,Ibrnittal dace- FiagUir wrsite. Construction Plans, Stormwater Plans wf Silt Fancy installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all now projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
'* PROPERTY SURVEY required far all NEW construction.
Directions:
Fill ou. application completely. .
owner & Contractor sign back of application, notarized
if , a Notice of commencerriervit is required. (A!C upgrades over $7500)
Agent (for the ) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if s-angles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
OPivew,,ays-Not over Counter if on public roadways.. needs ROW
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 iccordance with state and local regulations. If the
contrector is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
001111 , WIN. 1011. *#V1 �101. I I WIN Ld
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County.
TRANSPORTATION IMPACT/UTtLITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
other than the "owner, I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
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Subscribed and sworn to (or affirmed) 'before me this swo� r
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by by
OWNER OR AGENT CON C 0
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y W ns..� .11
Who is; are personally known to me or has/have produced W We r1onallnown to me
- as identification.
Public
Commission
Commission
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
op NNoWry Pub4rc State of Fr�
it Tommie M R
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My CommiWon GG 913245
or Expires 09/ 15/2023
Public
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Customer PO
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Billing Address Job Address
Brandon Emerson ( /| V ���� [y�/V � ` '�*�_, Brandon Emerson -SILVER OAKS
6452LAVHELYYOODDR `~� / `~` " � /}�/`—/ 6452LAURELVVOODDR
ZEPHYRH|LL5.FL33542USA _/ \ ZGPHYRH|US.FL 33542VSA
Estimate Details
4ton Franklin heat pumppkg. unit 16seer: 5hwauxheat strip
Honeywell 8UUOt-ststhookup dehum
Blocks
Disconnect box and line whip
14"@16"metal 9D'sfor back nfunit
Add 22x12return inmaster bedroom
Task# Description Quantity Your Price Your Total
PKGHP17 Franklin 4Ton 16 Seer Heat Pump Deluxe: 1.00 $5.995{0 $5.995/00
Franklin 4Ton 16Seer Heat Pump Deluxe
~ Average savings of4V%oncooling cost
° Average savings of2n%onheating cost
~ Two stage cooling
~Honeywell 8OOOt-stot
~Blocks and anchored
*Model #GPH1648w141
1Oyear parts warranty
1Oyear compressor warranty
1Oyear labor warranty
P1 Residentia|Pennit-PackageVnit 1.00 $100.00 $10080
Residentia|Permit-PackaQeVnit
12345 Discount: 1.00 $-200.00 $-200.00
Invoice Discount
DVV5 Additional Ductwork with install: 1.00 $350.00 $350.00
Add 12x1ureturn inbedroom
8"duc1
Filter
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