HomeMy WebLinkAbout14-15416 4
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.t. � CITY OF ZEPHYRH�LLS
. � 5335-STii St"REEf
_ ` (s13»so-oozo 9 541 6
` BIJIL�ING PERMIT
Pa�mit Numb�r_ 'i S4'16 Asidress= 5544 GALL L.VLI
Permit Typs= MECHANICAL Z�PHYRHILI_S, FL..
Class of Work_ A/C CHANG�OUT Township_ R�nge: BooK:
P�oposed User_ COMM�RCIAL 4oY(s): Blocic= Sgction_
'3iqusrer F�at- 'a`�rubdivisio»: CI1`Y OF �TEPHYRt-i1LLS
Est. Valras- Parc�eri NumbBr: '1'i-26-2'i-tJ0'f0-0570t?-0250
Innprov_ Caa�t_ 3,995_00
�ata Issuacf= 6/20/2014 Name: WELLESL�.Y ��VE ORP C/O NYE OM
Totai Feers= 5S_00 Addrgss= 346'19 SR 54
Amount Paid: 58_00 ZEPHYRHiLLS, FL_ 33542
Uat+a Paiti= 6/20/2014 PI'�cwng:
Work Ueesc: REPLA�.....'T-ON A/C �3- S��R -� - - --��- - - - - --- - -
`�-��i� �y�� �"
ouoTS tnis�f.j�T�o
FINAL_, !0-' Z 3-""" ....
REINSPECT.ZQN FEES: R+einsp�ction feeys wi�l comply with Florida St�tute 553_80 �2��+e) when eactra in�pection
trips are r�epccssary du+�to any on�a of tF�re fo�lowing reasanse a�wrong addrests b)candemned worK r+�su�ting
fwm fau�ty oons#ruction c) repalrs or corrcck�ons not made when lnspectionac calf�c.1 d)work not reeady for
snspection wF�+�n caiied�j permit nat post�d o�job s�te fj p�arzs not at jab�ite g�warHc r�ot accescaxib�e.
NOTIC�: In addition to tF�� requiremenks of tYtiis permit, there rnay b�additional r�strictions applicabl�to this prpperty that
may bG found in th� publiC recOrds oP tF�is cOUnty, and th�re may be additional p�rmits requir�d from other governmental
�ntities sucti as water mana9ement, state agencies or Pederat agencies. '
�--- �- -- --- - - ...... _ . -
"Warning to ownerc Your Y�ilurvM to r�cord a notice of comm�r�cemerit may�su�t in your paying twice faar
improvem�nts to your prop+erty_ If you intecnd to obtain fnancing�conycult wi#!�your lender or an attorney
bef+orre r�cording your noti�ee of commencarne�t."
Compi�te Plaras�'K"uQecifi�cations Must ACCOmp�ny App�ic�atior�. A�� worK sha�� b�perFUrmed���in acCOrdance wLth
„ K_� City Codes and Ordinances_ NKf OCClJPANCY BEFO 'C_O.
_ _— - -- - --- .
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CONT��ACTd SIGNATtJFtE PERMtT C?FFI F2
I PERMIT EXP'IRE"S IN 6 MCINTiiS WITHOUT APPROVEC► IN"SrPECTION J
� CALL POR IN5'rPECTI0IV - 8 HOUR NClTICE REQUIRE�
L_ PRClTECT CAR� PROM WEATHER
818-780 0020 City of Zephyrhills Permit Application Fax-813-780-0021
� • Building Departrnent
�► '
Date Redeived' Phona Contaet for Pernnittin �� J ��� -- �� �
�r,
pvme�'s N��s w � � � Ej D /7� Owner Phone Number ��a -� 3�1� " �30
Owner's Address '��"c.e�� S�. Jr' i G» � 12H'I Clwner Phone Number
Fee Simple Titlehalder Name Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRE$S ��`r"�� ��[ ��� LC1T# �y�
SUBDMSIdN � � PARCEL iD# 1���'���1""��f��''QJr 1�"' Q2��}
(OBTAINED FROM PR4PERTY TAX NOTICE)
WORIt PROPQSED e NEW CONSTR� ADDlALT [� SIGN Q Q QEMOtiSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � ��° � �/�J � � �'� ���'�-
BUIi.DING SIZE ��� SQ FOOTAGE�__�� HEIGHT ���
QBUICDING � � VALUATfGtN OF TOTAL CONSTRUCTlON
QEL.EGTRICAL ���� AMP SERttICE Q PROGRESS EIVERGY [� W.R.E.C.
QP�UMBING �6 y�
�MECHANIGAL $ ��n � �� YA�UATION OF MECHANICAL INSTA�tA710N ��[ t
`7 . ��
QGAS {,� ROQFING Q SPECIALTY � OTNER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPAIVY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �� �
EE.ECTRtG1AF1 C�NIPANY
SIGNATUFtE � REGISTERED Y/ N FEE CURRE� Y/N
Address ticense# �- �
PLUMBER _W� CtJMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Addresa Llcense# C ^ �
MECHANICA! ��„^��;���'��._� co��ai+nr RH�S P�Ne L'�S ����.�/�
SIGNATURE ��� FtEGISTERED Y/ N FHE CURRE� Y/N
Address "7�"� l7 I �'N � /l I� ���f �icense# ��L-'�����"t3 �
O'FNER COMPANY
SIGNATURE REGISTERED Y I N FEH CURREi+ Y!N
Address �lcense# �� �
RESIDENTIAL Attach{2}Plat Plans;{2}sets of Buifding Pians;{1}set of Energy Forms;R-Q-W Permit for new constructia�,
Mfnimum ten(10)warking days after submittai date. Required onsite,Construction Pians,8tormvwater Ptans w!Silt Fence instalted,
Sanitary Fadlides 8�1 dumpster;Site Work Permit fpr subdivisionsAarge projects
Ct3MMERGtI►l. Attach{3}comple#e sets of BuAding Plans plus a tlfe Safety Page;(1)set of Energy Farms.R-O-W Permik for new construction.
Minimum ten(10)working days aiter submittai date. Requtred onsite,Construction Pians,Stortnvvater Rfans wf Siit Fence instaifed,
Sanitary Fadlilies 8�1 dumpster.Site Work Permit far all new proJects.All commercial requirements must meet campliance
SIGN PERMIT AttaGtx{2}sets of Engineered P1ans.
•"""PROPERTY SURVEY required far all NEW constructlon.
Directiona:
Fill out applicatlon completely.
Owner d�Contractor sign back of applicabon,nota�lzed
if over 52500,a Natice of Cammencemen�#is requlred. (AlC upgrades over;T500)
•" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autharizing same
C1YER THE COUNTER PERMtT11NG {Front of Appllcation Only}
Reroofs ff shingles Sewers Service Upgrades A/C Fenaes(PIaUSurvey/Footage)
Driveways-Not over Counter if an public roadvways..needs RdW
� •N i`", f � � � � MII IU�
� j PROPANE GAS �ervice Order/Proposal ��
.��� A�� 1NC. Air Gonditiamng&Heating
��ce 19�8 813-782-5013
Sales, Service & Installat'rons wc��t, o����#1s��t�zc�mA�v �t��_� EsT
4441 A(len Rd. • Zephyrhiiis, FL 33541 �A�'���'I m� �'�t�.E� �Eil�►�l 14 l �. :��+
' TAI'.�lV RY K. H. 1�+
NOTES DATE/TIM� ��RCIMTS�D
. CUSTOMER#lLOCATIGhI �5�57
F'NOIVE# ,�E� �16--43��;,'
CQI�ITACT � RDhlRlIE—F'RdR �iC,R
ROUTE/SEG! EST—NC—
. ' � . .
I�YE CCIMMERC I A!_ NYE COI�M�HG I AL — RENTAL
`80� WI�IDC�UARU CIR JJ�M� GALI.. �LVD
TEI�iAhlT: REh10DEl�I NCa FOR SAL.O{`�i
ZEFiHYRHTLLS �L ,_,..�,544 ZEF�HYRNII��� Ff�w.�:,S�+�
TRAh#E S. C CCIM1ID
TTB748A 1��A�, GS��:�341�,
FRONT QF SALCIN N(JT CQDL I tVG
DESCRiP'"tiON OF WORK QTY MATERIALS&SERVIGES UNIT PRICE AIfAOUNT
i 3
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RECOMMENDAT1t}�tS � �
i i
MrNia1 Maint�er►ance Reoomrt�ended by Atl Equipment Irlanufacturers. , '
Pressures Lo HI 7-Stat i i
� i
REARU�wnt,ir'rt- l.es. St��s• t ,
FlLTERS x x Changed Mon2fiiky i i
FILTERS s x Changed Monthly � �
❑ REGULAR 0 WAC2RANTY TOTAL SUMMARY
t}ehumidistat 5ettings: When here".�N", When Away�, T-Staf$Q° Q MAINTENAFfCE CONTRACT
SERVICE i
LIMFTEti WARRANTY: AII matenats,parts a�eqmpment are warranted by the manufacturers' (utE't'Flpp OF PAYMENT CAL.L �
x supphers'written warranty orily All labor per(ormed by the above named company is warranted for
30 days or as othenvise mdiqted m wnting The above named company makes no other warranties. !�GASH ❑CK# MATERIALS i
�xpress or�mplied.2nd its agenis ar technicians are not authanzed fo make any such waRanties an —
�enaltofabovenamedcompany !�DEBIT l.�CREDIT U OTHER MAINTENANCE �
nave authonry lo ortler Ih¢work outhned above which has been salislaclonry compleletl I agree tM1at Seller PROG � � �,
etams Gtlg to eqwpmpnUmatenals furmshed untA final payment�s mede II payment�s not made as agreed C��M#
;pligr can remove said u�menVmaienais a�Seilers ex Cnse An dama �
eq p p y g?resuttmg kom saitl removai shaii
iot be the respons�bAiry ot Seller NET 30 OAVS A 1 1/2%SERVICE CNARGE WILL BE ADDEO MONTHLY TO I
itl UNPAip BAtAMCES OUER 30 OAY$NO REFUhDS QRTE COMPR..ETEQ ,,,,,,,_,,,,,,, ,,,,,,,_,,,,,,,,,,_„_,_,,,,,,�_,
TECH� �� �
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:USTOMER SIGkA7URE DATE
:�j�ran�r `��t� TUTAL ,�/ ��