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HomeMy WebLinkAbout03-1937 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1937 (813) 780-0020 ) I Date 2~ Jlt I\J?- - . BUILDING elECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: {AJ I LL-l f'M (~ / 5~bVl:A j)1ViIVIrlttJ Job Address: ~L8'f ib ~ ~~ I Parcel I. D. " Water Conn: Water Meter: T.I.F.'s: Zoning: DescriDtion of Work Energy Code: Radon Gas: Z 1\1&vJ It /(. s 'f~ T~s.. ^ \u A\ 'l< r r .-UoIlIC NO OCCUPANCY BEFORE C.O. FINAL 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 _ ~ Permit Fee ;;.J S;gnaMe ~ _ _ ~~ Company Address Telephone# Valuation or ~.., ~U Contract Price ';/ ') City license Registration # State Certified license# Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final ]J7J~ ~1)'\1%Z TO- v~~o MECHANICAL Ftr. Pre SLB lintel FRM. Insul. CL WL ELECTRICAL Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five 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. FLA. 1977 lI\WS FS 713.13 SEMINOLE FORM 408 NOTICE OF COl\tlMENCEMENT ~:a:~:f o:lorida f- ~ } IPR~PARE IN DUPLICATE' ~~~~~ll~I~!~1I111111I111111I111111111I11111I111111I1 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property '" .17.r~r..,. ../Ct. Tlt.......~ -"'("'.~r:;:-T... ';:a~t/#...../ /-:-.;?~.~;?I.-:-.Qo.l.9.-:.I9 .Joe 7 . 7-'~'I!t ~C ~ Ol{10 . , , . . . . . . . . . . . . . , . . . . . . . ~ ~,.J:!.V.7 . . . .1(, . .~) . : .~. . . . . . . . 31;;1.? Y:?:-:-: . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ...... ..... ... ... ........... ..... .................. ... ..... ..... .-......................... .............. ..................... -1/. /1/... ;f Rcpt: 664279 Rec: 6 00 Generaldes~ionofimprovements ....,4.?...,..~~,<=?~~.._",. ~~~l~i~~ IT: 0:00 Owner.. ,~~~. .:J::kI(fJ~~q.0,...,...,. '......,.,....".,..............., . ,.............,........ . .D~~Y. .Cl~"~. ,.. .7:Y3.Y,.., . I?? t~,... ~1. .'.... "?~~".(~).EC.... .~!~~rb........................ Address Owner's interest in site of the improvement. . . . , . . , . . . , . . . . . . . . . . . . , . . , , . , . . . . . . . . . . . . . . Fee Simple Title holder (if ether than owner) i~91~~~lf'lAIs:~':;O fOUNT!, C\ERK OR BK 5279 PG 1101 Name ....... .,....................................,.,................, .......... .. ........ ....... .......... R Address......... ........:...............,...,..~..................~.... ... f..... . .... ."...: ....................... ..... .. ..... Contracto'...... vL"" ~kC.. jk~~c~... U9...... (J-a:tlU'L~.,........... Address....... ~5.cJ.-1..... .4/:...... )(I.'1??/ !i.tf.15lf.4.. .~~.-. .'.... T~? F(.... ?-!.o/(t(.... Surety (if any) ..............................,...........,.....,...... Address ...............................................,...,....,........... Any person making a loan for the construction of the improvements: .. .... . . . .Amount of bond $ ... Name .............. Address .................................,........................,........................................, Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ....... .... Address ................ ..,........................,..,..........."...................................... . . . . . . . . . In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). Name Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THIS SPACE FOR RECORDER'S USE ONLY (- ... .~~:)~'. ,.'1...---__________ Owner Sworn to and subscribed before me this . . 1 q f '-'~ 'it (':> .~ (k~. . . ')" . .. . ........................dayv .M.t~HtS.?10'J ~~ '~~~.~2Q~ . ~ , 7.1/)"", 19..F:..:::. .. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING nIllPARTM~NT 5335 8th STRIllET ZIllPHYRHILLS, FL 33540 Pho~eI813-780-Q020 FaxI813-780-0021 IJA'rBJ RIllCBlIVIllD __, ___ __,~ PhANS RBlVIEW FIBI . OWNER' a lIA"EJ!I{~!".._~~~-Z>L/~v::_._. _._ PHONE CONl'A<,"._._-::: __ ,J08 SI'l'El AD1}RElSSL_2..'!'.3/-_LLt..~~ -~~'-f_L._________________~_________._________.__ IJB1(]1\L DBJSC!RT P'I'IUll: LOT (S) BLOCK SUBDIVISION -_..~.~-------.. _.. ._-~'....._- ._, -_._~~--- PARCEl, II.l # WORK PROPSElIJ I [.J NEW c'ONS'I'RI1CTlON -.----_._-------'-------_.__.~._._-~--_._-._-_._-------'_.._-_...__._-+---~._._._-, (OBTAIN PROM PRoPER'ry 'I'AX NO'l'ICEl) - - .----.__~____4 -----+-...._. ...~_~... ~ ......_ _.~..__.,_____ .__0 rJ ADD I'I' ION o AUrElRA'rION [J RElPAIR [J IN8'rAIJI, r.::J s rem [J MOVE [J DElMUl,ISII PROPOSED USE: I [Jsm, Fl\MII,y DWEJU,H1Gl []~1lJW'I" FAMIl,Y Cl# UF UNl'l'S CJSN1MMINl1 POUL [] 1108!I,El llot1HJ IJ OTHER [] COf1MBlRl'JAI, [J INDUSTRIAlJ L~J RE1STAURANT & HElAI,TIl DElPAR'll1EJNT APPROVAL, J>EJBCRIPTION OF NORK B!1IL.flINt~ SIZEJ N___~____.______.__...______..___~._,__ .._.___.__._..~_.___.._.____.__.________.____.. ____.___.._ ...~__.__ --_.~_._---._---- SQUARE FOOTAGE I/EllI1H'r ._._____._ __________ RES IDIllNTIAl. I A'!"I'l\ClI (:2) PL,o'!' PIJAI1S & (:2) SElTS OF BUHDINl3 PLANS & (1.) BEl'!, ElNElRnV FORMS, COHMBlRCIAL,I A'I"liACH (3) SE'I'S OF BUtLDING PLANS & (1) SET ElNElR(~Y FORtIlS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUCTION. ~ERMITS REQUESTED lJ BlnLIJINf3 1:.1 ElLBlC'I'RlCAI, $__. VALUATION OF TOTAL CONSTRUC'I'IOH -.---.----------- AMP gElRVICEI o FI,ORIDA POWElR [J ~l . R , III , C1 , [] PWt18ING ~HANIC!A.rJ [J (ms rJ ROOFING . 00 $_.-~/.3 ~O_~_ VAIJUATION OF tIlElCHA.NCIAr. HlS'I'AI,I,A'I'TON -Yj LJ SPEJCIAUry [I O'I'HEJR TYPEl OF' COH8TRtJ(!'l'IDH I [J BLOCK [J FRAJIIEJ [J STElEL [J OTHEJR FINISHEJJ Fl.UCJR ElIJElVATIONS IS PROLrEC'I' IN FLOO/) ZONE ARElAO YElS [) l~o BUI LDBlR CDt1P A N Y____ .._____...___.__________.. _'_____h__ .. ___....______._.__ STATE CEJRT OR RElrns'I' # __________________._.. 81r31~A.TUREl __.__________.______________________.______ CITY PROCEl8SUTG L_ -__.__._h_._____. __.__ ____.__.._._ """"""""""""*"*"'**""*"'*"""'*"""""""" mI.B1Cl'riUCan 8 J (mATURE: _m_ . '.----...-- -._-~------,_.. -'--------- ----- --------.------.-- C011 PAN Y ._h_____...hH __, __ ___ ______ .______ ___..._______._.._ STATE: e'ERT OR R@CHS'l' # CITY PROCE881Nl~ # PJ,tJMBBlR ..... 11' '1t: Ii\" """ * * *' * ~ J.r * ",. 1; "* * ;l * * '* .I: ~ -); * -j.- * -A- + * * ./.. J,' ~_ 1- *' ,,: /, ~ + -lr -I.: .l. 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TT99-88L-E:t8 '1uelu:pedea 611TPyTtIEl StTTq~^t{de'Z JO filT;) et{1 1ptquoo 01 pesT^pl;! e.lE ~elt1 ')(:tOM pepml1uT 13tl1 .loJ ATdde hl;!Ul !:queUle:q:nb:::q DtlTslle:J n l"'ltM 01 Be Ult11:taoun e:rE .l010E.l1UOO pep11a1UT :to .leUMO a'll ~1 'Mt11 e1l;!ls .lepul\ uOJ1E(0T"^ :roll~e\ll::;lpSpu I? ~o;r p;qro eq lit1UI :roloe.:tluoo pue .leUt1o e1n t{~oq 'MeT Aq pe:tTnbe:t 5't1 peSlleo T"T lOll 8T :to:loE.l1UOa eql Jl . 5'UOTleln6e.l [eooy PUE a::j.l;l15' t[1V1 eOl1ep:roooe liT p<3Sllea n ;:!q 01 pS.lltlba:t eq ~1;1UI ~eql ':~pOM a:l{~l::repttn 01 8:t0101;1.l11100 :to .1010E.l1ll00 E pa.:qq S&I{ .1eUHO eln :II S:n,LI'IIElTSNOaS8ti tIOJ,::nm,T,NO;) UN'If StiO,L::Jii'd,LNO:) CJ:i!SN8:lI'TNO ' EI 'suoTl0T~lS<3.:t p<3<3p alC'{t101ydde tiue ~=1-TH aauETTdmoD ~oJ A1TTTqTStlodse~ seumsse peu6Ts:tepun <3 It ,I, 'sUOT1~F\6e.:t A::jT~ Ut1t{l I3^T1oT.l1Sal: a~oUl aq ^"'tll '10P{M "suor~OT~lSe.l peep" o~ 1:.Ja~qn8 eq keUI 1 Tuusd sTt{l 1~Hn Sptl1;1'4s:repun petl6lS~apl.ltl et{.L SNor~~ItI~S8H a~aa JlO ~~I~ON ''If .LIAVUIJlJlV ,LlWij:!ld ,if 0 SNOIJ,HJNO~) JUliOR HERIAloEz Heating & Cooling Contractor Contract for Business This a special pricing quote prepared for: William C. Green Sandra Dallman 5434 16th street Zephyrhills, FL 33542 Junior Hernandez Heating and Cooling agrees to supply and install (2) 2.5 TON 12 SEER Gibson Heat pump Systems. The location ofthe air handler shall be horizontal in the attic area provided. There shall be a new secondary metal pan for the air handlers along with safety condensate overflow devices. The condensing units will be installed in the same location as the old and shall sit on existing pads. Main refrigeration copper runs will be fe-used, all existing air ducts will be re-used, main drain lines shall be re-used, all electrical lines and connections shall be re-used * with exceptions to breakers (only if needed). New digital heatpump thermostats will be included. The warranties are as follows: 10 year Parts 10 year Compressor ] 0 year Labor The 1 st year labor warranty shall be provided by Junior Hernandez Heating and Cooling, the additional Labor Warranty shall be provided by Nordyne Watch Dog Program. Junior Hernandez Heating and Cooling agrees to perform all work described above for a compensation sum of $ 5350.00 due upon completion Junior Hernandez Heating and Cooling agrees to install said equipment on a timely basis and conform to all existing codes and implement all new building code requirements. A Florida Power 12 SEER Heat pump rebate form shall be filled out for each system that is changed out. Free Estimates 4521 W. Knollwood St. . Tampa, Fl33614 · Zephyrhills Office: (813) 782-8428 . Fax: (813) 884-1648 24 Hr. Emergency: (813) 299-0423 lic. No. CAC058251 Junior Hernandez Heating and Cooling is a State of Florida certified HV AC in previty to lien contractor LiC# CAC058251 I have thoroughly read and understand all terms and conditions of this contract between Junior Hernandez Heating and Cooling (a State of Florida HV AC contractor); Sandra Dallman and William C. Green referred to as (owners). Furthermore we the (owners) state to have the authority to make such decisions for said property located at 5434 16th. Street Zephyrhills, Florida 33542. And do so authorize the above entitled contractor to start work immediately. Sandra Dallman (owner) a--. William C. Green (owner) tj; ~ C'. ~~/ JuniOrHernandez(contractoG~ -y 4r~ -Ii> ~.aw / I ~~ J;:; h -, ~~;~~%~~~T~~~k)~ L) On thi~ \ 0.1' . l\~ " - ,,-.. .3, .'1-' nf I ( I, ,., "" "\ I! ........ th'" fi' - .---' J - '- ^.I:.! h ..- J' ) v.oregomf!~~"M"o,l ~_'_ '_ , - " . \ i '-F:', 'l" '!!1ent was acknowledged before \,,2"\ . '-LJ .-.......- ~;' ~~-;tkn,:c:,:: - -__._.....l:....i..--.::... . OFFiCiAL '':::'''.' _ I'..,." J1i"./'I-"~ N 'Viu:lRYN D - ."'; ;>:_i-l.r:-- O'rARYPUBu 'HERRIMAN / Co c sr A.TE 0'-' 1 M'Y........~MISsION No r-.-: F.....OR.IDA ~. '!-VlY1M'-,....,. ........ . '. . L<' J:n lS3[l . -...."'.. ,- STATE OFFLORIOA DEPARTMENT OF INSURANCE OfVtSIONOFWORKERS' COMPENSATION CERTFlCA TE . OF EXEMPTION.FROMfLORtDA WOAK.ERS'COMPENSATfQN lAW 1.2-06-2002 CONSTRUCTION INDUSTRY EXEMPT!ON This certifies that theiodlviduallisted belo.w has elected to be exempt from Florida Workers' COIl1PCJn$8tion law , EFFECTIVE PERSON 12/07/.2002 EXPJRA TION DATE 12} 06 / 2004 HEP.Klib.~EZ JUN.!OR R S~N 072~.64 -::\42S FEW BUSINESS 59321293J HEP.NANDEZ JtJlUOR HEATlNG it COOL um -4521 W KNOLLWOOD ST 'I'A.."1PA F'L:5 3 614 NOTE: Pursuant to Chapter 440, 1(H1},{g), 2.LS . a so~prollrietor. pattner, or an offfettr -of. '" CVJ.V4KilIlluil '.1lIrhu .Cluct~ eAUlJ~tiun (nn.. tI~nul ide. Wo.L'OO. .t;..' COmpen$tltion Law. mav not recovel" benetitt or. eompenution under Chapter 44 () , NEASE cm our HtE lirnil1ID:l an .~4-3m J~:t.f. CARD RHOt! _1 . , ~ . ."IF ..10 tL io I j IH 1 ~E 1 In IE J I AND &tTAIH FOR fUTURE RErfRFNCf r^WNN"'~ .. . . .!' lOTAlI:OF' 1-lORl)A . na>AA1'MENt OJ. ~AH::f f Ql'1lSOi o;WOA!WlS' COlW"tNSATIOf. r CONSTAOCTlON N:lUSTRY , i ""')'<'l'~1I'1" (~t!'~_I'I\_t'l..OIl.lDA l WOIU(EW-> COt.ft:HSA TlOtLLAW f EFFECTIVE' i EXPlJiATION iPEftSON jSSK ffflN iUusrNESS I ....:<:""'-'...~Ao,"\ ?Jl~l; t.;f~i.- fi.-jE' ~~wt(c\i;:~ lKf{;H;\l,~. LL ~ -$:-* :'~~i~t::t. r1~~.. ~~~ ~ff~.~'d 1:". U1}::tl1.~~ :ri~_- m.-n tnmtbt ftc~: "::';1 f1itij1 \'n~fr$; -C~u. l~ nr. mt 1*~Ot W'~fu$V' wq~mitt\:;; '$!~' C~W <<~ llf~':1J-:~ Sill'12.S!1 ~Jl!}:Z J'Ji,~~Tr;11 coo uz: wmtuvrow. so; lAir:' R 13m CUT HERE · Carry bottom portion 01'1 the Job, ~ upper portion for your records. '", _._. J.~ .."'..,.>_.....'.e_._"~_ ~. I <...~'"""'...............