HomeMy WebLinkAbout22-5352City of Zephyrhilis
5335 Eighth Street
Zephyll FL 33542
BGR-005352-2022
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 12/08/2022
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE Il
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
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THOUT APPROVED INSPECTION
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813.780-0020 City Of Zephyrhills Permit Application
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Building Department
Date Received
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Phone contact for Parmittin
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Owner's Name
Owner Ph Number
415
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Owner's Address
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Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address,
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JOB ADDRESS
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LOT #
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SUBDIVISION
PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT SIGN
DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE
SO FOOTAGE
HEIGHT
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
MECHANICAL
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GAS ROOFING E]
AMP SERVICE PROGRESS ENERGY W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �N
BUILDERE::::= COMPANY
SIGNATURE REGISTERED ;;;��F..U�1111EI��
Address License #
ELECTRICIAN COMPANY .__.
SIGNATURE REGISTERED YIN FEE CURREt Y ( N
Address License # ===
PLUMBER COMPANY
SIGNATURE ff REGISTERED Y i N FEE CURREP Y I N
Address License #
MECHANICAL COMPANY49-4 �.URREI
SIGNATURE ` REGISTERED Y 7 N FY 1 N
Address t 9 j
License #
OTHER COMPANY
SIGNATURE REGISTERED Y I N �F.ERREt Y I N
Address License # E._.. _..__._=
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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. (ABC 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
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 accordance with state and local regulations. If the
i K a I i 141 RON ril I a W
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my responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment,
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses,
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Servioes/Environmentat Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
Federal Aviation Authority -Runways,
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone Vunless expressly permitted.
If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
.compensating volume" Will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
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OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
,Notary Public
Name of Notary typed, printed or stamped
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as identification.
Notary Public
Commission No. �A �A t 7 a2M
d Name of �ryty�.�d�Illnt.�orr�t.rnpe�
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PROPOSAL $13 5 818
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Customer name: DENVER WADE Date: 12/6/2022
Street address of job location: 37349 GILL AVE City: Zephyrhilis FL Zip: 33541
Primary phone: 2298817722 Other phone; Email:
X Factory -matched Heat Pump System l ? Factory -matched Air Conditioning System Factory -matched Gas Furnace System
Upto20SEER Upta16SEER Upto14SEER 13SEER
10 Year Ail Part 10 Year All Part 10 Year All Part 10 Year AIt Part Warranty
Compressor Life Tlma ism-ory 10Yasr Campressorwarra-ty 10 Year Compressor Warranty 5Yearc—presser Warranty
e o ! wI Rotobrush duct cleaning Supply & Returns
D Whole House Biotogic3 UV Sterilization System Sig, E Whole House Biologics Electronic Filtrations System
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'91 Replacement Cl Add -on Air Conditioning/Heat/Both X-1 Replacement Add -on Air Conditioning/Heat/Both
L Air Handier (FurnaceVertical — Horizontal X Heat Pump El Air Conditioner 91 Package Unit
k= New Digital Thermostat 191 Non -Program. ❑ Program. 4 tons 14 SEER _. BTUH
Now Digital Programmable Therm. with Humidity Control Model
_i Relocate from _ to F91 Hurricane Pad C Plastic Pad
D Relocate from to
New AHU Stand. _1 Metal i._ Custom __ I New safety disconnect switch
.. } Filtration: �:- Permanent Washable Filter Grille � New 100% copper, dehydrated refrigerant piping
_> New safety disconnect switch :_7 Surge Protection t..1 Fully insulated suction piping
.�. New wire from breaker pane( to equipment New water tight electrical whip
Vent/Flue: T 1 Complete new F-1 Use existing
Engineered duct system for tons vents All labor
Economy _i Anti -Microbial $ ✓ Obtaining permits (where required)
NON -FIBERGLASS -100% Rust Resistant Galvanized Sheet V New A/C circuit protection Brand = __
Metal Duct System. Energy Saving Insulation Included. Existing size is: IChange to: J
Rooms requiring additional alr8ow:._. _____ V Heating and Cooling routine maintenance for__ years
New supply vent to: Check entire system for safety and efficiency
_.J New return vent to: Shoe covers, mats and drop cloths to be used as necessary
- Return and supply ducts u" Remove existing equipment from premises
Mastic and seat all leaking joints _ '� Clean up
'w! Duct Sanitizing_
m 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,
e Bost 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 lees.,_ or we'll pay you a $60.00 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 fob 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 feet 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 hold Guarantee., We are so confident in the Brologic3 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
ror add fim, nmhiarrs si nur am.ric.
Total investment $1Y987 _ (-) Rebates $ (-) Service Repair Refund $
Net Total Investment After All Discounts Including Power Company & Manufacturer rebates $
This High Efficiency Home Comfort System is available with 100% bank financing with no money down for $ per month
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AS Representative '''`` Date of proposal 12/6/2022
CuSto ar agmea la le.vids. am.. is the walk — P 1 a safe sreoirp mart. The above Pees, six cifiroar a terms antl co`t ner s are sailsiactPry and hereby agreed to in tell. mamma
19iYe aohoft.e. to oNer ah,1a.anlro l work. You afo authorized r, do -work ea awtired, Payment it b,, .made as outlined, i ursr,ucand that you are not usle—lbie tar events or delays
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Customer Approval Date: 12/6/2022
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