HomeMy WebLinkAbout21-3124City of Zephyrhills
Street
5335 Eighth
Zephyrhills, FL 33542
BGR-003124-22021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/02/2021
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 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
entities such as water management, state agencies or federal agencies.
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CTOR SIGNATURE
PERMIT EXPIRES IN 6 MONTHS
PEVMIT OFFICEU
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Fee Simple rdtillwlider Address
LOT #
JOB ADDRESS ogiio
PARCEL ID# L) 6
SUBDWISION ve-v 00 OaAgD FROM PROPERTY TAX NOTICE)
ED E5 ADD/ALT C= SIGN DEMOLISH
WORK PROPOSE3 . N,,INSTALL REPAIR OTHER
PROPOSED USE SFR Comm
TYPE OF CONSTRUCMON BLOCK FRAME STEEL
DESCRIPT,ON OF WORK Ch a? 7 ut n
BUILDING SIZE SO FOOTAGE = HEIGHT
CDBUILDING VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY W.R.E.C.
F LECTRICAL AMP SERVICE
=F LUMBING
CMR':ECHANICAL VALUATION OF MECHANICAL INSTALLATION
IT=
MCILS ROOFING SPECIALTY = OTHER
FINISHED - LOOR ELEVATIONS FLOOD ZONE AREA =]YES NO
BUILDER COMPANY FEE CURREN YIN
REGISTERED YIN
SIONATURI-
License #
Address
COMPANY
FLECTRICt NN SIGNATURE REGISTERED
License #
Address
COMPANY
PLUMBER SIGNATURE REGISTERED
License #
Address
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(10 Z 0
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MECHANIC AL REGISTERED _FE81 CURREN y/ NJ
SIGNATUR 2-
Address A License If
OTHER CREGI RED YIN FEE CURREN YIN
SIGNATURE
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I I I I I I Permit for new construction,
RESIDENTIAL Attach (2) Plot Plans; (2,) sets of Building Plans; (1) set of Energy Forms; R-O-W installed,
Minimum ten (10) working days after submittal date. Rixplred onsitS, Construction plans, Stormwater Plans wl Sift Fence
Sanitary Facilities & I dumPSter', Site Work Permit for subdMsionsilarge projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Lao Safety page; Cl) set of Energy F.. R-o-w Permit for new construction
Minimum ten (10) working days after submittal data. Required onafte, carsirucaory Plans, Stormwater Plans wl Sift Fence installed,
Sanitary Facilities & I dumpster, Site Work Permit for all now projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plains, -PROPERTY SURVEY required for all NEW construction.
Direotio :
Fill ou. application completely.
omm & Contractor sign back of application, notarized
ff over $2500, a Notice of Commencerniefit is required. (A/C upgrades over $750)
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)
Remofs if s- iingles Sewers Service Upgrades A/C Fences (PkWSurvey/Footage)
orivevays-Not over Counter it 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
for -,-�nisdeweanor violation
1*.41.1.W*..,iq.iql MI. 0 MINIM
I, I NUNN I WINNING-,
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
N
ereby made to obtain a permit to' �o work and installation gas indicated, I certify that no work o1r insteirlation 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
SAN
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11".46 1 4 -i i 0 9- :1 F-1 10 0 2 10 F1,11 "4110 Lem"i Z &I I liq I
OWNER OR AGENY CON RAC
subscribed and sworn to (or affirmed) before me this s wo n
by
y _&Aporl
Who ivare personally known to me or has/have produced rao
a or eve
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asidenfification. W are nail k wn it Produced
as identification.
Notary Publi(I Notary Public
Commission No. Commission
N.M. of Notary typed, printed or stamped Nam. of �Nol., typed, printed or -stamped
.9
Billing Address
�,wx+
4408 Eaton Drive
Rockford, IL 61114 USA
Bahr's Propane Gas & A/C Inc. Estimate 8122493
4441 Allen Road, Zephyrhills, Florida 33541 United Job 8114295
States Estimate Date 10/14/2021
(813) 782-5013 Customer PO
C� p� Zi�'I,i l �S
990=
3 Ton Champion 14SEER HP Split System with KW Aux Heat - Copy: Warranty is transferable
Customer confirmed over phone
Task; Description
Quantity Your Price Your Total
P2 Residential Permit- Split System: 1.00 $125.00 $125.00
Residential Permit- Split System
CHP4 3 Ton Champion 14 Seer Heat Pump Split System: 1.00 $5,795.00 $5,795.00
TH4B3521H/AE368BE21
AHRI: 202093358
• Average annual savings of 20% on cooling costs
• Average annual savings of 10% on heating costs
• Single Stage Cooling
• Electric Auxiliary Heater
• Digital Thermostat
• Hurricane Pad/Anchor kit
• Copper/Drain Flush
• Floa't'Switch
• 10 Year Parts Warranty
• 10 Year Compressor Warranty
AH:47.5Tx17.5Wx21.5D
CU: 39,5Tx35.3Wx32D
MOM I I$
Total $5,920.00
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.
4,
10/14/2021 C Z>