HomeMy WebLinkAbout21-3246813-780-0020
City of Zephyrhills Permit Application Fax-813.780-0021
Building Department
Date Received
Ph... Co. -rmitti
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Owner's Name
Owner Phone Number
'5 , 13 C1
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Owner's Address
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
LOT If
SUBDIVISION L —H WL
PARCEL ID#
(0- 99 LY
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE
SFR COMM OTHER
TYPE OF CONSTRUCTION
BLOCK E:] FRAME STEEL
DESCRIPTION OF WORK
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T1,
BUILDING SIZE
SQ FOOTAGE
=
HEIGHT
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
1$
AMP SERVICE PROGRESS ENERGY W,R.E,C.
=PLUMBING
1$
�nMECHANICAL
LEC-3-3-1 VALUATION OF MECHANICAL INSTALLATION
GAS
ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS Ll FLOOD ZONE AREA =YES NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
MR112124 ITAR
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
p.
COMPANY
REGISTERED
COMPANY
REGISTERED
F—
FEE CURREN
License# =
�N
_-FEE CURREN
cu�E_ /N FEE �E — _C_ RREN 6
License #
FEE CURREN _Y /N��
License #
L_YI_N J
FEE CURREN N
License #
FEE CURREN
License #
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 wl Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
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
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. (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 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
I&UgIcaltylls]
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who islare personally known to me or has/have produced
as identification,
I=
Commission
Name of Notary typed, printed or stamped
Who Were personally known to me or hes'Mave produced
--as identification,
% Notary Public
Commission No.
Name ��ofNo t typed, printed orstamped
q,9pi,
0'1 Notary Pubhc State of Florida
NI M3i-y V Stewart
�%4y (omn)rssicin H H 0 1, 7289
44_e Expires 07116/2024
nd
s e r v i c IF s
A!, conditioning - Plumbing - El.ah,al.1
813-4464818 727-268-6980
941-312.7815 863-808-4590
MnL.afaftervices-clarn
g2ittacl@andservices com
CAC 181019, GFC-142865. EC-13002e94
Customer name: Edward Hopkins I V 1 WY62 I -
Street address of job location: FL Zip: 33542
Primary phone: 570-237-2651 Other phone: Email: fallsfarmrtwo@yahoo.com
R.1 Factory -matched Heat Pump System E.11' Factory -matched Air Conditioning System El Factory -matched Gas Furnace System
El Optimum# 11 Premium#
UP to 20 SEER I Up to 16 SEER
✓ 10 Year All Part 1 10 Year All Part
Compressor Life Time Warranty ✓ 10 Year Compressor Warranty
I -Ill -WTIZ f 1JITO
CI Whole House Biologic3 UV Sterilization System Stg.
0 Replacement F1 Add -on Air Conditioning/Heat/Both
El Air Handier /Furnace E71 Vertical EI Horizontal
I? L I New Digital Thermostat K Non -Program. 1-1 Program.
L-11 New Digital Programmable Therm, with Humidity Control
1—i Relocate from to
EJ New AMU Stand: Ej Metal D Custom
EJ Filtration: EJ Permanent Washable Filter D Grille
Ei New safety disconnect switch El Surge Protection
11 New wire from breaker panel to equipment
E] Vent!Flue: I-] Complete new F1 Use existing
El Engineered duct system for _tons _vents
[1 Economy P, Anti -Microbial $
NON -FIBERGLASS -100% Rust Resistant Galvanized Sheet
Metal Duct System. Energy Saving Insulation Included,
Rooms requiring additional airflow: ---
I I New supply vent to:
New return vent to:
and return trunks
[.7 Mastic and seal all leaking joints
11 Duct Sanitizing
OTAL CONFIr,
W Deluxe#
0 Economy #
UPt0l4SEER
13SEER
10 Year All Part
10 Year All Part Warranty
✓ 10 Year Compressor Warranty
5 Year Compressor Warranty
LJ Rotobrush duct cleaning
_ Supply & _ Returns
0 Whole House Biologic3 Electronic Filtrations System
I- Replacement E-1 Add -on Air Conditioning/Heat/Both
W1 Heat Pump E] Air Conditioner KI Package Unit
— tons SEER BTUH
Model Bryant
❑ Hurricane Pad P, Plastic Pad
❑ Relocate from to
01 New safety disconnect switch
EJ New 100% copper, dehydrated refrigerant piping
0 Fully insulated suction piping
EJ New water tight electrical whip
K 1 year labor
INCLUDED IN EVERY INSTALLATION
V All labor
V Obtaining permits (where required)
New A/C circuit protection Brand =
Existing size is: 3.5 �14 Change to: 3-5 /14
Heating and Cooling routine maintenance for 1 _____years
v Check entire system for safety and efficiency
v" Shoe covers, mats and drop cloths to be used as necessary
✓ Remove existing equipment from premises
✓ Clean up
24-Hour Fix It or Hotel Guarantee: Unlike most companies, we are a service company. We have a staff of qualified service technicians that
are there to serve you in the unlikely event your system has a problem. So our guarantee to you is that when we arrive, we guarantee that we will
have your system up and running within 24 hours of our arrival or we will put you up in the local Embassy Suites for the night.
Best Value Guarantee; Anyone can make something cheaper by cutting comers and pricing it for less. So, it's important to know what is and
is not included in any heating and cooling system you choose for your home. Our Best Value Guarantee is our promise to you that you cannot find
a comparable installation for less... or we'll pay you a $50.00 bonus over the difference. All we ask is that it be a "published apples -to -apples"
comparison, within 14 days of purchase, and have the same written installation specifications as AS.
Installation Workmanship Guarantee: Our installation technicians are the best in skill, attitude and workmanship. They'll care for your
home and complete the job with speed and precision. They wear floor savers, clean up when they are finished and take personal responsibility for
your satisfaction. They will not smoke or swear in your home and they are polite and courteous. If, when they have finished in your home, they
have not performed in accordance with these high standards, we'll refund whatever amount of the purchase price you feel to be fair, All we ask is
that our office be notified of any level of dissatisfaction before the technicians leave the home so that any issues can be addressed accordingly.
Exclusive "No Lemons" Guarantee: If the Compressor (the heart of your system) in your Air Conditioner fails during the first five years of
ownership we will remove the entire outside unit, rather than the component, and install a completely new one, if you've ever bought a 'lemon"
before, you truly appreciate our commitment to your long-term satisfaction.
No Mold Guarantee: We are so confident in the Biologic3 UV Sterilization & Electronic filtration systems ability to keep your system clean that
we guarantee with proper annual maintenance your system will be mold free for life or we will perform any necessary cleaning to the air handier to
remedy the problem at our expense.
YOUR TOTAL INVESTMENT
Total Investment H Rebates $ --- H Service Repair Refund $
Net Total Investment After All Discounts Including Power Company & Manufacturer rebates $ 8033
This High Efficiency Home Comfort System is available with 100% bank financing with no money down for $__ per month
(with approved credit)_
AS Representative Date of proposal 11/1312021
Coel-mal .91— to Provide free .$s to the work area and a oro, working environment. The above prices, specifications, terms, and conditions are satisfactory and hereby agreed to in full.
I give authan,mlian to order aforementioned work. You are authorized to do the work as epe.ificei. Payment will be rnade as outlined. I understand that y.. are not —Paneled in, evanta or retort,
beyond your cont near., .91— In ..try adequate fire, stand, and other rao,,okkary insurance All of our werkamwork is covered by Workman's Compensation and a Two Million General Liability
1--helt If collection is doere—Y, boy-, Agrees in Pay ail Wl..flon r.ata and interest
Customer Approval Date: 11/13/2021
01995 And Srvir.,-