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Home My WebLink About21-3290City of III ephyrhills 5335 g Eihth Street Zephyrhills, FIL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 Mlsils BGR-003290-2021 Issue Date: 12/01/2021 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. •Ca s%%%%%% I'll r---- --- --- ---- iiii , ;;;;;; — - 11f iLIIIII . I 1 1 -ME3M= accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.6. NO OCCUPANCY BEFORE C.O. SIGNATURE PE fff OFFICEJ ki 0 0 WMr* 0 1 1f i 0 1641.1-24 Ilia MOVIRTIVI MM�� 813-780-0020 City Of phyrhills Permit Application , �-2 Fax-813-780-0021 Building Department l/ Date Received Phone Contact for Permitting $ _ Owner's name r,_ Owner Phone Number - 11 Owner®s Address Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDJALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER PE OF CONSTRUCTION BLOCK FRAME STEEL BUILDING SIZE SO FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED ;;��FEE �CURREN Address License # ELECTRICIAN COMPANY SIGNATURE' REGISTERED ;;;; �FEEURREN Address License # PLUMBER COMPANY SIGNATURE REGISTERED �Y/ N FEE �CURREN Y I N Address License # MECHANICAL COMPANY E4;6�� SIGNATURE REGISTERED FEE CURREK Y N Address .3 License # OTHER COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # Ill�lllliillllllllll111(IIilI11111111111111It11111111I1I1f1111111111 RESIDENTIAL 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 w/ 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 w/ 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 the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing sami; #VER THE COUNTER :contract .+ . OWNER OR AGEIRIT Subscribed and sworn to (or affirmed) before me this by WhoTs_/_arepersonally known to me or has/have produced -as identification. Name of Notary typed, printed or stamped Subscribed and sworn to (or affirmed) before mi0is by Who is/ar ersonally kn n to a or has/have produced 'P V V� P as identification. 7T7=a!T= Commission No. � 0 k I n , 6/0- ame of N ry typed, printed or stamped CARLOS MALDONADO Commission # GG 346275 Expires June 18, 2023 Bonded Thru Troy Fain Insurance 800-385-7019 CHRIS' A/C dmcmm�� HVAC C 0 M P A N Y PROPOSAL CAC068576 I EC13007703 12232 HVVY 301 DARE CITY (352) 521-4977 DADE CITY, FL 33626 ZEPHYRHILLS (813) 779-9515 -f+ NAME: Peggy Grant Date:11/12/21 SPLIT SYSTEM I I JPKG UNIT I XX SUBDIVISION: Sleepy Hollow HEATPUMP X1 ADDRESS: 38719 Remora Ave CITY: Zephyrhills ZIP CODE: 33542 CONDENSER: WQPM-A036J PHONE: 231-690-6374 WORK: AIR HANDLER: 0 CELL: kER: SEER RATING: 14 1HEATER: 5KW ESTIMATOR: Zach BRAND: RHEEM 10TAL: 6,268.36 DIGITAL THERMOSTAT INSTANT REBATE $ 600.00 PAD TOTAL LESS REBATE $ 4,6583�' DISCONNECT TONNAGE: $200 SENIOR DISCOUNT COMP / COIL: 10YR LABOR: 1 YR SEAL DUCTWORK TO CODE REMOVE EXISTING EQUIPMENT CONDENSER: CONNECTED TO EXISTING DUCTS AND ELECTRIC IR HANDLER: I RATING.. ANCHOR CONDENSER SEER RATING: ### HEATER: #N/A BRAND: #NIA TAX, LABOR AND PERMIT #N HOMELINE TOTA /A INSTANT REBATE: $ #N/A TOTAL LESS REBATE $ #N/A TONNAGE: #N/A PARTS: #N/A COMP / COIL: #N/A ILABOR: #N/A Imp - AIR HANDLER: #N/A SEER RATING: -*—#--]HEATER: #N/A BRAND: #N/A INCLUDES FIRST MAINTENANCE CHECK $ # $ #N/A I HAVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTAL LESS REBATE $ #N/A RETAINS TITLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE. IF PAYMENT TONNAGE: #N/A PARTS: #N/A IS NOT MADE AS AGREED, SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT POMP f COIL: #N/A LABOR: #N/A SELLERS EXPENSE. ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY OF SELLER. LIMITED WARRANTY: EQUIPMENT, PARTS AND MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY. CUSTOMER SIGNATU E DATE: