HomeMy WebLinkAbout11-11574 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
. (sis)�so-oozo 1 574
} BUILDING PERMIT
Permit Number: 11574 Address: 5029 16TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21200-04a2
Improv. Cost: 2,910.00
Date Issued: 3/01/2011 Name: PEAVEY, JOHN & SHIRLEY
Total Fees: 50.00 Address: 5029 16TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/01/2011 Phone: (813)782-6076
Work Desc: A/C CHANGE OUT 3 TON
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DUCTS INSUJ�IT�R ,�,,
FINAL CZ `I � �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oo2o City of Zephyrhills Permit Application j rs�rl Fax-813-780-0021
Building Department �� I � �
Date Received Phone Contact for Permittin —
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Owner's Name /�N �/'Q� Owner Phone Number
Owner's Address � � V/ �/ 3jS� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRE3S ��- LOT # �
SUBDIVISION , PARCEL ID# '� -� '' ���v � �Da' 6��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ��� �� s�'L�� � � � �C_ � '�/
BUILDING SIZE SQ FOOTAGE � HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ 9' . VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUI�DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y( N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL COMPANY ��'� � � �+Z���
SIGNATURE �� REGISTERED / N FEE CURRE� / N
Address � r -��� �(,�> `/ ? 'ZS � License # � ' `
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
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 8 1 dumpster; Site Work Permit for subdivisions/large projects
10651 Hwy. 301
'' r Dade City, FL 33525
� (352) 567-6224
Fax: (352} 521-5980
Appliances Since 1959 sonappl@tampabay
- www.sonnysappliances.net
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DAT OF DER CALL FIRST C.O.O. CREDIT CARD COMMERCIAL CHG FINANCE CO. NEXT PURCHASE SALESPERSON
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QTY. INT: MODEL NUMBERAND DES RIPTION SERIAL NUMBER AMOUNT
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ALL SALES ARE FlNAL. DEPOSITS NON REFUNDABLE. NOtCS: INSTALL
TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS: A FINANCE CHARGE OF
0.0493°6 PER DAY WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS,
ANNUAL PERCENTAGE RATE OF 1B%. ALL MECHANDISE REMAINS PROPERTY OF DELIVERY
SONNY'S DISCOUNTAPPLIANCES, INC. UNTIL PAID IN FULLAND STANDAS SECURITY
FOR THE OUTSTANDING BAIANCE SHOULD IT BECOME NECESSARY TO PROCESS
SAME FOR C L ION. I AGREETO PAY pEASONABLE ATTORNEY'S FEEAND COST SUBTOTAL � (�
OFTHIS CALL ION FOR SONNY'S DISCOUNT APPLIANCES, INC. �
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All cleims entl retumetl goods MUST be accompanied by thie blll. CT: TOTAL � j/.3 �
TERMSANDCONDITONSACCEPTED. MERCHANDISERECEIVEDINfi00D C-�: DEPOSIT
CONDITION AN A PROPERTY LEFT IN OOOD CONDITION.
Received � BALANCE DUE
WHITE-ORI INAL YELLOW-CUSTOMER PINK-DELIVERY GOLD-SALES 1 1 a 8 4 9