HomeMy WebLinkAbout14-15262 ' - � : CITY OF ZEPHYRHILLS
� � � 5335-8TH STREET
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BUILDING PERMIT
PERMIT 1NFORMATION ° LOCATION`1NFORMATION
Permit Number: 15262 � Address: 5940 DOGWOOD 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: 12-26-21-0260-01800-1290
Improv. Cost: 3,995.00 ; OWNER INFORMATION
Date Issued: 5/12/2014 Name: ZEPHYR CHRISTIAN CHURCH INC
Total Fees: 55.00 Address: 5940 DOGWOOD ST ( MH)
Amount Paid: 55.00 ZEPHYRHILLS, FL 33542
Date Paid: 5/12/2014 Phone: 812-946-2934
Work Desc: A/C CHANGE OUT 4TON
� CONTRACTOR S " APPLICATION FEES
BAHR'S PROPANE GAS C,INC. C CHANGEOUT 55.00
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ins ections:Re uired = ` `
DUCTS INSTAL ED
DUCTSINSULATED
FINAL
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 fl 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.
"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."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
' City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
,C TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� � � � PROPANE GAS � � � �
Service Order/Proposal
� AN� Af�. INC. Air Conditioning 8 Heating
��t�e�988 �� �13-782-5013 "� `��
Sales, Service & Installations ��.��-�4-; n�����-;��::�;F:;�,�r�;t�;��E�r.i 4������F, r*a���v
4441 Allen Rd: • Zephyrhills, FL 33541 �-;�r=��rE::.;�-r�:�iE� �rr�;i<�,�� u�t�� -�:f�;;j�.�� :�.u►; t 7
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DESCRIPTION OF WORK QIY. MATERIALS&SERVIGES - � UNIT PRICE 'AMOUNT
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RECOMMEND"ATIONS , ' ( 3 y� i i
• � _. >;.
Annual Maintenance Recommended by All Equipment.Manufacturers. � �
Pressures Lo HI T-Stat i i
i_ i
REFRIGERANT R- ' LBS. � $per Ibs. I I
FILTERS x x Changed Monthly I � I
FILTERS x z Changed Monthly I . I
❑ REGULAR ❑WARRANTY TOTALSUMMARY ,
Dehumidistat Settings: When here"ON", When Away 60%, T-Stat 80° ❑ MAINTENANCE CONTRACT SERVICE i
LIMITED WARRANTY: All materials,parts and equipment are warranted by lhe manufacturers' METHOD OF PAYMENT CALL i
or suppiiers'written warranty only.All labor performed by the above named company is warranted for TOTAL i
30 days or as otherwise indicated in writing.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on , i
behaif of above named company. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE
I have authorily to order the work outlined above which has been satis(actorily completed.I agree Ihal Seller '
PROG. W / C �
retains title to equipmentlmaterials furnished unlil fnal payment is made.I(payment is nol matle as agreed, CLAIM# �
seller can remove.said equipmentlmaterials at Seller's expense.Any damage resulling from saitl removal shall
nat be Ihe responsibility of Seliec NET 30 DAYS.A 1 12%SERVICE CHARGE WILL BE ADDED MONTHLY TO �G��.n�� I�Q„�
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED � ' �
TECH: T� i
�IZCU/?�fG ✓OTG I
CUSTOMER SIGNATURE DATE TOTAL �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
. • -- ,,
Date Received Phone Contact for Permitting ��� �d� ����
Owner's Name �� �i / C�1 rS ` •v G ��� Owner Phone Idumber �� z ^ ��J
Owner's Address S / �f 6 �O • `5 � Owner Phone Wumber
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 ADD/ALT 0 SIGN Q Q DEMOLISH
y e INSTALL B REPAIR
PROPOSED USE Q . SFR Q COMM 0 OTHER
7YPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��-/L.
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ �j d0 VALUATION OF MECHANICAL INSTALLATION � � ��.�
v � t
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER _ COMPANY -
SIGRIATURE REGISTERED � Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN `COMPANY
SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUINBER , COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHAMICAL COMPANY B��h S (�'rP �-.2�(!G
SIGMATURE REGISTEReo Y/ N FEE CURRE� /N
Address �� �{ L � ���n/ /� - r� � S ��' License# GJIGD � �
OTHER COMPANY
SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDIEIdTIAL Attach(2)Plat Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construcGon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster;Site VVork Permit for subdivisionsAarge projects
COMNIERCIAL Attach(3)complete sets of Build(ng 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. Requfred onsite,Construction Pians,Stormwater Pians wl 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 ofEngineered Plans. __ '
wwwiPROPERTY SURVEY required for all NEW construction. ' -
Directions: �
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
•` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter.from owner authorizing same
OlIER YHE COUNTER PERMITTIMG (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW