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Home My WebLink About97-6865 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 6865,8 Date 07/21/97 $75.00 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: South Central Nursing Homes of Zephyrhills 38250 "A" Avenue. Zephyrhills . Fl. 33541 Job Address: Parcell.D. # Water Meter: T.I.IF.'s: Zoning: Energy Code: Radon Gas: Description of Work IIlIprouementa to fin;l alarm SYSt8Hl NO OCCUPANCY BEFORE C.O. FINAL g Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. Inspector DATE W~ tl: e-M~ City License Registration # 21 2 'i State Certified License# EF0000551 Permit Fee $ 7 ') ()() SignatureV~ Company Simplex Time Recorder Address Telephone# Valuation or Contract Price $11,892.00 S;mplpy ~;mp Rp~nr~pr 2125 BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl, Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. JUN--24-' 97 TUE 15: 21 I D: TEL NO: 1=*12143 Pl2ll APPLl:CA'l'XON POa PBBKlT /2 ~')r211-~. /0 ---91 CITY 011' ZBPIIYItB:lLLS ,-l,' 1::0 "c... BUXLDUlO DBPAIlTIIBIIT r1 :J ?vv4 V "---' {\ I . '2 h'l \ L (~ ' _'S =UN ~1\~J ~:'>le1 ~'.~~'1~ '~40~ (,~';44-c 0WIIBIl.8____~5(X)W_()__ _~~~ M&:L"_ D ~~ ,,?-~sJ JOB ADD-BlJlII ~R250 A A-Je.f\ue.. J ~FL, 3354-1 ' 1.BGAI. DBSCItU"I7.OII: Lares) I fhru Bj '} -J.h(tj 10B~sUBDIVIsIoN ~ 5?;e ~kH1&IT 1+-1 r-J -'~ PARCIU. I..D." (OATA-I. _~ PIm__ 'J:'AV "nTTC~} IIOItK. PItOPOSBlh----JI_ CoIDatEUCtj,OO 4ddi.tt.oo ~ter.tUn1 R""P8:1.r _XDa~ ----:5:laa ---.....JIove -->>-.o~1ah PllOl'OSBD U8B e --...JJiIaale 1I'_U,y vea..ercJ.a1. ---1I/F _. of un:l.t.. _SId.-. P001 -.JtI/. _l:Ddua~. _Other ___UJ:LD111G --Jleataur8llt DBSc:Ill:PnOll Oil' 1i01Ut: :::(mf"ovefYl.ef\ h lL . 3~ ~4-"7 Square Peet;. I ~. Relaht ItBSUBIn'LU.: ATrACII (2) PI.O'I' PLAIIS &: (2) SaTS OP BUILDJ:wa PLAIIS &: (1) 811'I' UIIItGr ~. 0DIIKEItc:t.AL: A'l'TACB (3) SB'I'S OP BUJ:LDDG PLAIts . U> SET :a_BIlGY POIUtS. .. C-o JI- PIlOPEItTY SUIlVEr REQIJUtBI) PUR ALL HEW c.oWSTlWCTJ:OII. ,.l fZJ', .... .1 _ 41 l'.....T~S ......DES..... ~.....,., $- U~ IS s L~ 19.2.-.!- Va1ua<iao of To....~' '_' ~_ ...... -".ce "...- _r eo.... -fJtl.;>'f .....,pt-<;.i'9{, Vuuat:l.oo of: Kecbaaica1. Xoat:a1.J.atiloQ 1.9f&1 ROOJI'DIC SPBCLU.'J'Y " . Beal.th Depart:aent ApplrOYal. -to h(U~ ~ S'lS:.T6M BUJ:U)UG SI..ZBr In' -c.no:CAL --.....JIEaIAIrCAI. .. ----!'LDIBDfG GAS ftPB Oil' ~: FIU8BBD I'LDaR BUWAUOIIS: R10Ck ---.Freae --.Ji~eel ot:b.ea' Il'T . IS PIlOJBCT '1. PLOoD ZOM. ARBA1 .......................................... YBS - MO _~ '" -f 1f7JJ~ fp~ onJrl"lt~CYnR SRcTTQJl 1UJr1.DRIt COIIPAIU' SUt;e Cer~. or ".l.8e. . ct.~y LI.c:eDae "al.aCr.c:l.OD . .......................................... sl.paeure Rr ~C'I'IITIn' ..... COIRAIIY suee Cert. or Real.at. . C:l.ty Liceoa. Rea:l..trat;:l.OII . .......................................... 51.......,...1:.......... PI......_ COtIPA.lIY Stat. Cert. or ...:I..t. . C:l.ty L:l.c8D8e aeal.atrael.OQ . .......................................... SiaDature ~""8Tr"""'1 CONPAIIY Sbate Cert. or aea1at. . C:l.ty LLceoae aealatrat;:l.on . .......................................... .~ cotIPAIU' ./ Stata Cert. or ".lat. . CI.~y LlceDae Be&:l.stratLoD .......................................... S:laDa~ure O'I'IIRR PBIrIa'l' OPP:lCBB.. Zeph~r.Haven.N.H. Fax:813-783-1585 '~JUN 25 '91 211: 121PM :iJ.~ D/"l. "~;;;Ic:. COND%~XaN. or ....ZW A..IDAV%~ l.:. .... _._1; .. ..... ...."'..... .... _""" .. ... .......... 11M enr ....11&&... ................... r.......wn' 'er ....._ _.It ., ...U.1aII ... I_~ Jul 2 '97 7:48 P.03 ~; III _ . _ ...... N r.... U ., -.. .. - "'f - .... .tlt. .. a..a ~. . If tall ~t I. .., .,..... II r..... .. ... UII _ ... _tI ~ r _ .. eU" '- . lIIlIJfT-.~. .llll.U. ...... ItldI I.. .f till .... .. IltIIIIIII ..uMtll .. .-.... . .. IIIIt I. JIlL ........... ...., f. _ 111,-," .-a. ....., "" ...... tD _to Me ell'" .......... _..~. "l~ 1JIit. 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M i",tln_l:&aa _ _ aal'UII _ ce.. .. ...~ ' vY\\OA./\ 'v- f.le-at.. ' V\Q 1=:..."t~~..___ _ .........J , ,,~~y Pue DIANE U. MORR.IS ~A'f, COMMISSION * CO 485543 ~ "" EXPlRESMAY21,1999 -? ~ BONDED THRU ~OF >,-1)' ATLANTIC BONDING CO., INC. Zeph~i.Haven.N.H. '1J....,.., ~ ...,.;r, -- -. .... Fax:813-783-lS85 ..;'u~ 2 '97 7 :48 P.02 ~:v LEGAL DESCRIPTION ZEPHYR HAYEN NVRSING HOME 38250 A AVENUE ZEPBYRBILLS, FLORIDA ]3541 Lots 1 t1w 8, Block 13, Moore's Fint Addition to the City of Zephyrhills. as per map or plat thereof as recorded in Plat Book 1. Paac 57, Public Records of Pasco County. FloridL 10119 thru 16, Block 14. Moore's Fim Addition to the City of Zephyrhills. as per map or pial thereof as recorded in Plat Book 1, Page 57, Public Records of Pasco Counly, Florida. 22 D.Simplex Simplex Time Recorder Co. Attention Project P.O, No, Date Job No. ,Ndd ~t, , } ,nALJ/\ IJtU)-t!.~ 71UA..li-''Y1~ LETTER OF TRANSMITTAL To ~i~~ ~~i~~~ 535).A ',> 3z ()J1-0Vl ILJ..Q-J, J 1 53540 I J I GENTLEMEN: WE ARE SENDING YOU Wttached 0 Under separate cover via o Shop Drawings 0 Prints 0 Plans D Copy of Letter 0 Change Order D THESE ARE TRANSMITTED as checked below: ErFor Approval 0 Approved as Submitted [0-fOr Your Use D Approved as Noted D As Requested 0 Returned for Corrections o For Review and Comment 0 o FOR BIDS DUE o Samples , the following items: D Specifications o Resubmit _ Copies for Approval D Submit __ Copies for Distribution o Return __ Corrected Prints ,19_ 0 PRINTS RETURNED AFTER LOAN TO US Date Copies No. , Ohfix~J. I, / I I / I Remarks 't%~ 2 ~ v y{:!Ao - cj '--~ ~'? ' " Copy To t'" , U....L Jh ~L-V. fu~ rV), rV) (\)-1/'lL<Jj Signed M.243.2 FG S Simplex Simplex Time Recorder Co. 5602 Thompson Center Court Suite 405 Tampa. FL 33634 Tampa 886-9396 Fax (813) 886-6320 Certification # EF ??oo792 July 3, 1997 TO TilE ZEPIIYIUIILLS CITY BUILI>ING I>EPT.: I, Michael Brant, do hereby authorize the following people to act as my agents in securing permits in the County of Dade: Tom Garner Diane Morris Bill Kovacs Carl Marich - I understand that I am responsible for all work performed under these permits, My Florida State Certification Number is EF000055I. Subscribed and sworn to before me this 30th day of June, 1997 ; '. ) "I:>' ') (")1} '.L-L-' '.,,\ (I...\..\..J) Bonnie Louis Notary Publi State of Flo My commiss BONNIE LOUIS MY COMMISSION' CC 460738 EXPIRES: August 28. 1999 lr~ ThnI NolaIy NIIlc UndlIIwltt8r8 1 ":;'[":11! I l,ll!~llfti' ,II It 1-!l,.1 I I..:ltlll. I 1..ln~)11!11)(\(llI1 ;\ /-rl{\~llh-~)_ /L1l)ll t,,!, O,JUtt rir.I.1 JUL In '97 01:38PM SIMPLEX BP #292 F' -::=' .~ _. ~e~hyr Haven ~ Nursing Home LJ 38250 A, Avenue, Zephyrhllfs, Florida 33541 ($13) 782-5508 Fax ($13) 783-1586 March 31, 1997 Kimberly Shaw Simplex Time Recorder Company 5602 Thompson Center Court, #405 Tampa, Florida 33624 RE: Letter of Commitment to Purchase Zephyr Haven Nursing Home Dear Ms. Shaw: In lieu of a formal purchase order, please consider this letter as our acceptance of Simplex's proposal number 292-783956-84, dated October 8, 1996 including the terms and conditions as stated. The amount of$11,892.00 is agreed to. This letter is also your notice to proceed with submittals (if any) and/or procurement of materials and equipment for this project. .k-- ~ Peggy M, Snow, CNHA Administrator PSlbg -, .JUL 10 "37 01:37P11 SIt1PLEX BF' #292 F',l G Simplex #292 5602 Thompson Center Court Suite 405 Tampa, FL .33634- 813-886-9396 FAX 813-386~320 From: CI;V ,0+ ~TLr!c;/~ 1...') (dc.:-. l f+' I -y J -- ([1CL-.u- IV! (y~./ 7/ to /0/ S" ')./ 1L uOJect: -' 1 (!ft4J/t I~ '2_u,.t,/'~ Number of Pages: J + Cover. \--{\ , / v(...ULLi.-V/'-f o {-bf;/y_- To: Ann: D~te: If you do not receive all pages, please cal1. Comments: (' .Lf~' , ,) )....p )r-1...! 4-= i' !J ~ t t / 1,' CiM-'-fYarX f/' ,-,".{~ .A U - J/I(~ ~. 7JCi~9 r'1..r.~",. p, llPnr...o{toMl:tlivcs in Princ:oal Cities throu~out the Wc;cld Zeph~r.Haven,N,H. 813 783 1586 Fax:813-783-1586 ~ 96.S-~ Jul 15 '97 12:~2 ...... ~." &A-. .. ,..,.. N,OTICE OF COMMENCEMENT " :::';'.~'.fW. } ...~_. ... ..._a-P' 1111l1l11ll1~~!~~~~~1I1111111111111111111 T", u..........fteII herMY 'nf.r",. .u ......me4 thai ......,..,......tta wi" II. ....... ,. ..,..... .... .,....ey. elM! lit ....nI..... w.th .....Ioft 71~,'~ o. th. "orld. ....u..., .... 'ollow'ng In'erm.a... t. .......... ..... NOTICI 0' CGMM&NCIMINT. DHCrlpdan.f..,.p....y . .t?~A.~('.. ~rl. :.tJK~. :t:t~.,.. .~. .I~.:R~. .~~,U.~.. nW:4i().,..~d!n,.. J~cd.. ~. ,~'~~p',I!r. .fr1.~c...,.Zc:ofh~r.t\i.l.\~I. f.L..:3 3fi"."1..,, .. ~'.~fWt..af..~.. .1~.I.,~.~.IR:t.tl~1 hwlt. .iJ').l~.. .~d-. Q-M. .MJiki,qn. af. .:OU1. ,~,. .:s-...ft.. .j" ..I."~~.. huiJt.,~f(~',...f:r1r.,I:k. ~~1)1~ . '11' . lDf' 6."-:~""li4" Q......I ".'.'Ip.lon Of 'mpro"'",.n'. 13.~i~. ft~..4<<f'), _.~~!'). .in. R(,k,. ,~: ,1:9, ,wJ~, .~O. ~Wt(.,,,, .a\'A"'''iIdP. . , ~~ Own.r .~vth. ,~f:r-4.L ..N.lAf.4itl't. .~~.. .~f..~NIl6,~.e;.... ...... ......, ,................ ....,....... Addr... . .:>.QP... W,~<<'l~..P~..,.~~F;.l\~.) ..l:1tMt\~a.".Fl... "';Z.1S'J., .........,. ... ..,....,..,."..,... Owner'. Int.r... In .'1. of tho ImprO.,....."1 .. . . . ......... . . .... . .. . . . , . . . . . . . . . . . . . . . . . . . Rcpt: 176023 Rec: 6. 00 F.. ","pl. TIU. .......r (If oNr than aWn_' DS: 0. 00 IT: 0. 00 88/20/q7 Dpty Clerk Nam. ..,..,...,.......,....,...,...,.......,....,......,....,.......,..,..,....,., JED PITTMAN, PASCO COUNTY CLERK 88/20/q7 03:22p. 1 of 1 Addr... ............... -.....'...............,......,............".........,.,.. '. OR BK 37'92 PG 254- ' .. Con1retllor,. .Sf.'!t/Ii.~t..... Ti.".~.. .~eC,t1It,~'!A... .<0..................................,.........,........ ......,....,.,..,.". . Addr... .. :fff:>.~... .r~'~"!!,1~~R./o!,. .~~~~.. ,C(J.'f~r.:,.. Skcf,;:;.. .~t;>~,~. .T.II.~..(J:... ~3.~.3K.... f.... I ......... ".IIIM... I . III -.....J . ~.~. ~. .. .l?'.~.~.~.. !!1.o.~1A .e;~'....... ... ............ . ...... . .. ....... . ........., ,................., ....... . . . Atldr... .,...................................,....................,...,...............,...... .Amvun' 0' -.oN. . . .' .. . . . . . . , . . Any ...reon mew,. .10.,. 'or 'he ClOn,"vollon Df tho Im,rv..........; Na",. .,.,.......... ,', . . , . . . . . . . , . . . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . , . . . . . , . . ,. . , . . . .. . . , . . . . . , A4cI,... ....,.."....,.....,.................,...,............,..,..,..,...............".............................,.......... ~.,.on .,"hln the 5.... 0' I'1or1da de.lgnated II" OW"., upon whom nCIIlic.. CIIr otMr documanta ...." be .-wed: Nam. ..,.....................,.,.........,."...,................,...,........,..................,..,.......................,.. Addr... ...........,......................,.....,....,.....".....,. ..,.... ...... . . .. . . . .......,. . . ... ,...... ................ . .. . In eddlUon to him..", 'III""n.r d.-'Vn.... th. foUowing per.on to NCeM . COp" of the Lt...o,'. Notte. .. provided In heelO" 713.13 (1 J ChJ. '10,111I. 8t.'"t... (Fill In .t Owner'. ...lionl. Name ... __. _ . . ' _ _..__.,~, _. . , . . , . . , , . . . __. ._ . . . . . ., . . . . . . ' . . . . . . . . . . . . " , . . . . .. ',...,...,....,..,.,.......................... STATE OF FLOR~DA. COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOqtGOING IS A TRUE AND CORRECT COpy OF THE DnCUMENT ON FilE OR OF PUBLIC RECORD IN THIS om~:.. WIJNESS MY HAND AN OFFICIAL SEAL THlh~Y OF 19 ~ . JED PI ,ClER OF CIRCUIT COO ~ ~ n~ A.d.... T~'~~~~; ;~~.~;;.;;~~~~.~~~~ ~~;~...............................;... CS....' ,., .......,....... ................... .'i~......:~..,.,._.__.. .,......~...,... I)~. f' -<",<0.,* ~~ Swom to and ."IIHtlbed "e'ar. ,n8 Ihi. ....................... . . . . . . . , .."".~,tiL... of ..~. {}I' f\........, ......... ....~Z.. .................,....~~~~........ -_- NaJ'ARYSEAL H G JUDGE NOI"ARY PUBUc Sl'ATE OF FLORIDA COMMISSION NO, CC553387 MY COMMISSION EXP, MAY 19.2000 TEL NO: ~97 HE 15'21 W' ~~r /l~J 1-/!;b97 =::~U;~~~~=:~I~~~~ L40~ ~fJL?A'~. ..... ......."""'1 31",250 A flNe.nlJe. J ~~ ~ ' UlGo\L DIlSCUrnoII, urreB) I +h, 0 B j ':2 .h," If,~ 9 [?fo pr:i Cj 1/11&--{;;, PAIlC&I. x. D. · ;/~ ~.> L... () tL WORK: PROPOSaDI___- c-.tEUCU.OD. -...AddI.U.OIl ~ .' "v t/ft~ --.d' 1-/;'11u ~... ---- rr~~: 56 1~/ PJIOl"OSlm UBBt 9i11a1e F_U,y ----II/P f)~/ ,'~ Vc-"".... _........~. ''I' /~,. ~,~ J ~, --..Jleataur8llc Ii Bea1th Deparl;aent Appro' i' j /' 'i); DBSc:lUPTXOII OP 1I101Ut: -r:r{\-r-o"efY'l~(\-h to h a-E Au. r ~ 1:J0~" · 3~ ~4-'7 SQuare .eet.~ ~ ,,')' ItBSIDBIn'LU.: ATrACII (2) PLOT PUUlS Ii (2) SBTS OP 8UIUJ __... .. (1) 811'I' u__ ~. CiDlll'lER.CIAL: ATTACB (3) SB'I'S or BUXLDDiG PIAIIS Ii U> SaT .NEIlGY POJUIS. .. -<0 """ PROPERTY SlIIlVU RRQUXRBD ;POR ALL HEW CONSTRUCTION. ,l'" ... LJ"., *--{i..J ~-v.d J~TTS """........... ~,....,.,$ U _.e.. ----"UILD1IIc S /~On{2' VaJ._U_ of rO"1~'" It ~.""""" ~- ...... ....""Lee P.lor.... _r Corp. -PI'''' V...".~<f'Y" ----llECllAln.CAL .. Va.l.uat:loo oJ: Nech8G:lca1 Xaat:a1.1.at:.ioa 1. gfltl -J'URBXIfG GAS .OOPIJIG SPBCLU.ft " 1:*12143 Pl2ll ~ IU BlnLDDlQ 81ZBt 1... nPB OP COIISraOCl'XOllt __..B1oclt ---.F~- --..JJteeJ. ot::ta.r' n..:rs1lED PI.DOR BLBYA'l'XO.S: FT, IS PRoJECT X.. PI.OOD ao... AIIBA 7 .......................................... ~ - ..0 CO..,.....CYnR ARCTTQ. 8IJn.D~ COIIPAID' aUte Cert:. or ".l.ae. . City Ltceaae ae.:l8tr.~:loo . .......................................... Si._eure WW RCl"ItTnT AIIII COHl'AItY State Cert. or a..i..t. . C~ty L:lcenae Re.~.tr.t~D . .......................................... 11:4........-=........... PI.I....._ 8laDature OOItPAIU State Cert. or _.:l.t. . C~ty L~ceoae ",:l8tr.e:lOQ . .......................................... ~A.T...~'I COIIPAIIY Sut.e Cert. or aeal.t. . C~ty Li.ceuae Real&tr.~~ . .......................................... '/.... cotIPAIIY ./ State Cert. or ".l&t. . Ci.ty Llceoae Be&:latrat:lOD I .......................................... SlaDature 0'ftIJrD APPLICATIO. APPIIOVII:D BY PDIa'l' Oppxca.