HomeMy WebLinkAbout14-15305 1
CITY OF ZEPHYRHILLS
,; 5335-8TH STREET
`' � (813)780-0020 1��
BUILDING PERMIT
;�: ���:�PERMIT�INFORMATION " . `- :�:A gr� :�_..-�..;us.�,r�,s�. ��-;������-;,
,�;,.�<,_.� , � sLOCATION.��INFORMATI'ON;` ��4 -.:�� ���
Permit Number: 15305 � Address: 5510 19TH ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14300-0000
Improv. Cost: 5,530.00 �'`�=�`��4��<������OWNERaINFORMATION�`�'������
Date Issued: 5/22/2014 � Name: FIRST PRESBYTERIAN CHURCH OF ZE
Total Fees: 65.00 Address: 5510 19TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/22/2014 Phone: (813)782-7412
Work Desc: REPLACE A/C CHANGE OUT 4 TON
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�:. ° _ .CONTRACTOR'S^" .¢ : , . . �">� . , ,�: . °: APPLICATION FEES', - ,� . - ' . :°
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WARD'S HTG.&AIR C C A GEOUT 65.00
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a��,�,:' =;` - -, - . Ins ections Re ui�ed ° , . .... _ ._�',..
DUCTS INSTALLED
DUCTSINS LATED
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� 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGN 'RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Dabe Received Phone Contact for Pertnitting -
Owraers Name �'1 RS°� ���3yT{���� C�V�'�'� Owner Phone Number g 13��S`Z-�!y 1 Z.
Owner'sAddress �5�� t�� �a �C.QH�(1�.�1\L'�S �l. pv�nerPhoneNumber ��CO� 2�gZ-
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S Jr� O �i cST, Z•�1�N�"� �}1L�. I . LOT# �
SUBDIVISION PARCEL ID# ��-2'�_�'S � �y�a d � �0 d 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR •
PR�POSED USE Q SFR Q COMM Q OTHER 'Z.0 L�C� 1� c, 5 ST��`�1
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �+L pl-'�C� � TQ 1�� s ST�M ��0 N C-'y`�/ �V C.'��/�/O���
ii � � g �
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $ �� `/
� I J
Q MECHANICAL $ 5� �Q as VALUATION OF MECHANICAL INSTALLATION �
�GAS Q ROOFING Q SPECIALTY Q OTHER rv,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ]��v"
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
MECHANICAL � COMPANY �1 A-C-
SIGNATURE REGISTERED Y/ N FEE CURRE� 1
Address ��iJ G'��►VE �• [.gkcl.���v �F�.'�3ff l3 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License# c�CO$7 3 3
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RESFDENTIAL 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
�� _GOMMERCIAL Attach(3)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,
Sartitary Facilfties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'*"PROPERN SURVEY required for all NEW construction.
�_�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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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 Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW
May 27 2014 3:1QPM HP Faxwards 8637019025 page 2
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Ta: First I�rasbxteriu�n Ctturch af Zephyrhills
Fmm: Mascfn
Date:fV[a 13,2014
Job: 551� l�'�`St
Zepljyrhiits,F1335�2
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, Q�utiug»�v systern on area witt��#'rigec�nt Ie�cs.
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�� 14rane 4 tv�13 seec hettt pump system, 4TWB30d�SHt/TEM3A(}C48S�
Tot�l Pzic�:�S,S�O.l��
s Price lnaludes:
: Aaxili�r+y c�rain pun and�lvat switch.�laat switch for pi�mary drain.Transeixan to exisiing
ductwork.�7ispase ax o!d�uip�nent.AI11At�or a�d matcriats,
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. W�rrauly i�one year functionat parts 2u�d labor.Calnpressvr lias a fv�year parts
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We prop�a�n�'o furnish mauriei and lulwr complete in�ccnt�dance with abave spcciF�catious,'ferm�i�i6
upoa c:omptet�on. ,��i�.d+�'�""' .
AuWorized S�rtaR+re:
hax�nce df ProposAl The abavs pricxis,specificMtans d • ions are satisfactary ancl are h+�r�eby
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ac�cepted. fo +�a�rh+sri�ed W do the�tvvoric i�ic t z Yll be ma as autlined above.
Date•�"' /t Sign�ltare; �
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