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Home My WebLink About00-9469 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 09469 Date _;-- /6 -Do . BUilDING ~Al PlU~...BJNG C:CHANIC~ Sewer Conn -----~ 1jjJ J . /'. Water Conn: ~ ~ ~04IbR~w.t.:Mel.' __~ _ _ T,I.F, s, -- Property Ow~ Job Address: Parcel 1.0. # .34~~~~' Zoning: Descriotion of Work NO OCCUPANCY BEFORE C.O. FINAL ?-//;-OJO DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector SI? _.Permit Fee o Signature) Company Address.--- C~~:~,'.) '8 /~-'Jr;-2 3 BUILDING ----' ELECTRICAL PlU Ftr. Pre SlB lintel Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. Cl Wl 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 ($ 25.00) 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. ~5/12/2000 02:49 17278199343 JACKS AIR CONDITION PAGE 01. IFAX I Date 5- \ 2...- DO TO: L \\Y 0( 2't. pt'(~ h. Ih Number of pages including cover sheet :3 FROM: Jack's Heating & Air Conditioning, Inc. 9715 Sunbeam Drive New Port Richey, Florida 34654 Phone FIIX Phone ~ \ ~ ,~~ . 5L a.. I cc: Phone 727-819-9523 Fax Phone 727-819-9343 REMARKS: o Urgent .... ~ For your review o Reply ASA.P o Please Comment ~'C-rfY\:~ ~\ Cx~ \= \ 6 C\d..a... ['-re- I Pc". s, co \k::) ,on ~ t-t (YYJL Ci) (3~2-) 52-\-042-0 ~ ~ UUr-~ e5/12/2eee e2:49 JACKS AIR CONDITION PAGE e2 APPLlCA'1'l~ I'OIl ~'1' Clft' or UI'IIYUILLa 8VXLDIRG "PU'DaDI'l' DAft UCZ:rvED p~ ~ .... l=>l'oo2... U.~-k..~. T~ k """E."..... ~\'" L c~<o ~"""'2': ~~~l'" \it' ~,I,~iI"I -, >. -"N4~ "'" '3 JOB ADDRESS ?,~O~"'6 ~. ______b,JI_,c;i.. 3~5"\ 1 7278199343 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID jI WORK PROPSED: []NEW CONSTRUCTION DSIGN InBTATN FROM PROPERTY TAX NOTICE' o ADDITION DALTERATION o REPAIR r;r!NSTALL o MOVE o DEMOLISH PROPOSED USE: []SGL F~ILY DWELLING ~OMMERCIAL C4ruLTI-FAHILY [] INDUSTRIAL O. OF UNITS [] SWIMMlNG POOL o MOBILE HOME o OTHER c:J RESTAURANT . HEALTH DEPARTMENT APPROVAL DEscrUPTION OF WORK Lx-c.nl".'i:... 6'\ S \br-J ~\r- ~14~ 0-\( \ + ( )f\,-\-. BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS, (2) SETS OF BUILDIN~ PLANS , (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUES'l'ED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTIl.ICAL AMP SERVICE o FLORIDA POWER o V.R.E.C. o PLUMBING ~CHANICAL $ \'S><&C1- VALUATION OF MECHANCIAL INSTALLATION DGA,S o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AJl,1:J\.[] YES 0 NO 8UlLDD COMPANY STATE CERT OR REGIST jI CITY PROCESSING jI SIGNATURE ....................................**............................ KLZCftlCIAII COMPANY STATE CERT OR REGIST " CITY PROCESSING . SIGNATURE ...............*.................................................. PIoUM8D SIGNATURE COHl'ANY STATE CERT OR REGIST jI CITY PROCESSING . .. ... .......,.............. ........ ...................*!'".. ......... ..,... .- ~CAI. COHl'ANY y. (' ~'., ~.~~ t.. ~r ~..~. - 11-1 I. i/ /J~ -.---- STATE CERT OR REGIST jI "'tACD '510,00 SIGNATURE ~ ~ ~ ~ CITY PROCESSING /I " "q ................................................................. 0'l'IIIlP. COHP1INY STATE CERT OR REGIST /I CITY PROCESSING I SIGNATURE ...........................**.................................... El5/l2/2ElElEl JACKS AIR COliDITION CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE O~ DEED RESTRICTIONS Tbe understgned understands thst th~s permit may be subject to "deed restrictions~ which may be mOre restrictive than City regUlations. The undersigned assumes responsibility tor compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIl.ITIES If the owner has hired a contractor or contractora to undertake work, they may be required to be licensed in accordance with state and local regulations, It the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain aa to what licensing requirements may apply for the intended wor~, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he 18 advised to have the contractorls) sIgn portions of the "Contractor Sections. of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrh111s. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEEs 0, CONSTRUCTUION LIEN lJ\.1f (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner'a Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I eerity that I have obtained a copy of the above described docum2nt and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work w111 be done in compliance with all applicable laws regulating construct10n, zoning, and land development. Application is hereby made to obtain a permit to do work and installation a5 indicated, I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it i8 my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways *Department of Health' Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-^-bestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted Which is prepared by a professional engineer registered in the State of Florida prior to peDmlt iSlJuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aaide any provisions of the t@chnieal codes, nor ehall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ahall become invalid unless the work authorized by such permit ia commenced within sIx months of issuance, or if work authoriz@d by the pe~t is suspend@d or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall b@ requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will b@ considered abandoned. 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 Jl.N ATTORNEY BEFORE RECORDING YOUR NOTICI': O~ COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT~. El2:49 17278199343 PAGE El3 t~ XLtmiM. SIGNATURE: OWNER OR AGENT ~ t1~J-- SIGN~ : CONT CTOR -- STATE OF FLORIDA () COUNTY OF t"rA 4 () The foregoing instrument was acknowledged Before ml} this ,7~ day of ~ ,~2000 by ~_H L~." Cde.~ / (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY 01" The foregoing instrument was acknowledged Before me It:s 12.~day of ~~ :z.c.,,"," by 6-'r 4:tA ,d ~ /' lname of person acknowledged) ELho Is personally known to me, or ~<^S L.<.> o who o who haa of identification) take an oath. nt CE L BIlUAS . ccll54!lO ri,n or~ Co 1-<; ..-.,...~ ...-.............. . ~ 0~/14/2000 22:21 17278199343 JACKS AIR CONDITION PAGE 02_ I' ~ i I _Iii I. OOOOOOOODOmmOOOO DODOOODDOODQODOl:lDDOODl:lO!;JOO~ .. · · ~! ~ I! I 11~lIiiHnlliIIUi~iinlmIHUr~~llnlmnill , ~ I I i 111h! III 'H~' IltHhllUrU tlllU!n Ii ~r~. ~.";-;"'e"rn'.l IUll"II.-1 ~~i~.:~ . I ' __ __.__n_ --..,j,,!iI- . ~ I ..'~ '.' II I ~i Ii'. I i~. ili Hili \ ~ ~.. ,'r [ . c.......,-.., ! !a ~ i ~ II] 11' ~ ~ ~... ~,., , '-' \. o ()[)[]Oi .~'. I-Ill' I , :,:~ \ ,~~-~ I sO ~DDDG S }!).! II ~~. ~ ~.(j '~~ \~~~i:' ; 0 o. 0 D. D Cl.3' t.I, ~.. "'~-l' 1 ,) ~,:k ,::! ~ ~ ~ ~ ~ i J ~ . c; t. n ! I I I' , I I ~".I :....~; lliL .:~~ ~ b. ~~~ I ..-...."'....- () i I I · " '\ - > ~". I 11..."'....c... ~. '1' I i ~..' ~ ...... I ";p. \...1 " I ! ,'" 11'8 I~ ~U~ I i r ~ ~ K ~;. ~I IlOG!t- I ~ ~ ~,~ /'".... . i~I" I ~eD!D ~ i, I I., ..~~ .. .' ", >C I ~ ~'IUm II.~.~~, ~,,~~ l' ~~~ ~R~ 1D<~'::i' ~ I I ; 8 .::~.I I. ~ ~ ~~(~ ~ ~~ ~ ~t ~ ~I . ~~)~ 8~ I ~~ .IE'all I ~ ~ t ~ ,\~~ ~ · ~~ ~ i~ I ~ '" ,Ii i i I ~-. ~ . .- · '""" g ~ ~ a ! ~ li!lll. !! I '.l ~~ ~~; ~ · ~ ~ ~ \ ; ~. I i ~ it ~ "~-!Ii :1 ~,~ ~ I ~;I '" ~~~ftlill ~ > ~ . ", ~.Jilll. I I ~ ~ ~ ~j J.. I ~ ;~ " . ~~! I; I . I " I ~ : " ,,~. ~ Q l' ~ ~ ~ I; ~ t ~ \ J I, 11~llil ~;~ ~ ~, ~ ~ ~ I ~ lr~ ..I!~~ 'S ~Ii. I! f.-.....!fk~~l~~,i ~~ ~. r;~~ ~ i ~ , hal!~I' .J.J-. ,.~ l' ~h;- k, r Vol ~ ~ 5' I " i s li:II.......11I ~I ~I ~ ~ I ~~' t'~~- ( .~ i ~ · is ~ "" ;t, ". I ~ ~ ~ ..... j .... ,~~ ~ ".......... " I '1 " ~ " nC$.-" ... -- -- - -- . -.. . -- - -- -- - -.. - ~.... H -..... ... . ~ I .... OO~I ijll~ DO, · I 5 I'li '" I '!"I~ ........ ........ ........ 8 N en U1 W ,c. "'i RSKCo 5/15/00 10:14 PAGE 2/2 RightFAX Certificate of Insurance This cer~ficate is issued as a matter of information only and confers no rigtts upon you the oertificate holder. This oertificate is not an insuralC8 policy ald does not amend, extend, or alter the ooverage afforded by the policies listed bel~. Named Insured(s): TAFF LEASING, L.P., BY STAFF ACQUISITION, INC., THE NERAL PARTNER, AND THE AFFILIATED UMITED ARTNERSHIPS OF WHICH STAFF ACQUISITION, INC. IS THE NERAL PARTNER AND STAFF LEASING, INC IS THE LIMITED ARTNER. 00 301 BOULEVARD WEST, SUITE 202 RADENTON, FL 34205 C'NA RISK MANAGEMENT I Insurer Affording Coverage Coverages: I Continental Casualty Company The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policyCies) described herein is subject to all the terms, exdusions and conditions of such policyCies). Certlflcate Exp. Date Type of Insurance o CO\lTINUruS Policy Number Limits o EXTENDED IIi P{1ICV TERM //1-1-20V we 189165165 Employers Liability Workers' Bodily Injury By Acddent Compensation we 189165182 $1,000,000 Eadl Accident "--- Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Eadl Person Other: Employees Leased To: Effective Date: Ol.-JAN-2000 8396.Jacks Beating & Air Conditioning Inc The above referenced workers' compensation policy provides statutory benefits only to employfl8S d the Named Insured(s) on the policy, not 10 employees d alY other employer. .If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date, However, you will not be notified annually of the continuation of coverage, Notice of Cancellation: (Not applicable unless a number of days are entered below) Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policYCies) until at least 30 days notice of such ciYlcellation has been mailed to: I/J- at/.~~~ -- Certificate Holder 5335 8TH STREET Zeohvrhills, FL 33540 51 Lwis, MO (877]427-5567 Office Phone Martin Oosterba., Authorized Repres...tative 1.5-MAY-2000 CITY OF ZEPHYRHILLS Date Issued DATE RECEIVED PLANS lUWIEW FEE \.?::>Co02. U.%~""St-. T~ k OWNER'S NAME \=-\O(,dCA ~~ L<i:.J~'~_1 \ \>(A.~~\LS\~P~~~~C1\2-L.\~'44 3>3co\3 JOB ADDRESS 3'503"& \..)o\~\\\JL' 2..'7 rh4'~) Is I ~L APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 3-~)S~ t LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION D SIGN D ADDITION DALTERATION D REPAIR IidIN S TALL DMOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING ~OMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK U"CAf'!C..<L c.~;\ S \b\\J ~\C- L-<5'{'d<t~-^ 0.-\( _ () n \-t . \ - BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING ~CHANICAL $ \~~~- VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUJ:LDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE * * * * ** ** ***,** * * * * **** ** ****** * *** **** *** ***** * ** *** **** *.~ ******* **, .- MECHANICAL COMPANY }"C. c ~ ~ ~ L ,..\.. r '--'fv'.el..~. - K~I J. h / f}j - ----- STATE CERT OR REGIST # ~Ac...o 'S1C\CO SIGNATURE ~ i!!/ /~ CITY PROCESSING # "~9 ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". t~~ SIGNATURE: OWNER OR AGENT ~I{//-- SIGNAT E: CONTRACTOR ----- STATE OF FLORIDA () COUNTY OF ,0. SLo The foregoing instrument was acknowledged Before m~ this \7~ day of ~ ' ~'2.OOC by. ~/\L}(...<i:.l ') ~e. / (name of person acknowledged) Bwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me ~iS i2.......day of ~~ ',.:l:? "2,c:.0b0 by D B T e...., \ A). C -::::i12. ...u I"'-' ~ (name of person acknowledged) Ekho is personally known to me, or \>(As'Lo of identification) take an oath. o who has produced (type of identification) ~id ot t ke an oath o who has produced (type o did not Sig 1\-\. ent Name t