HomeMy WebLinkAbout03-2424
I
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2424
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2424
MECHANICAL
AlC CHANGEOUT
MOBILE HOME SUBDIVISION
Address: 6019 RIDGEWAY DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 56 Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number: 21-26-03-0130-00000-0560
1,200.00
10/15/2003
40.00
40.00
10/15/2003
PACKAGE UNIT CHANGE-OUT-
Name: GAMBOSE,HENRY
Address: 6019 RIDGEWAY DRIVE
ZEPHYRHILLS, FL. 33542
Phone:
--'-------
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
I
~ __ f0ifgOl
(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
I_ThepaYn:!ent of insp~ion lees shall be made before anY_~~rther_ permits will be is~~ed to_the p~rson owning sam~_~ __ I
I "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
I 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-and Fee Must Accompany App-Iicatioii~-------
__ _....AIllJ\for~shall_be perform~d in accord~nce with City Codes a'!9 OrdinanC:~.._.__n___
NO OCCUPANCY BEFORE C.O.
-----_._.._-_.._._._...,.._-----------------------~._---------- ----.---..----- ---_...,-,.-._----~
~
~.
OR SIGNATURE PERMIT OFF!
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
cJ:n 011 UPB%UJ::LLS >>BJ1IaT APPLI~l:OH
BfJIU)DfG DBl'ARDGDa' 5335.M> Stlftflot, &.pIryEhilu, IT. 33542
813-7110-0020 1"JlX:813~'78o-0021 ItJ I/s /0..~
tlAft ll&CIIXVIW, I f
~ UVIn... -
::::' &Hg;~/I RS:;~~r{'Ud:;;
L&GAL DESCRIP"~ON: LOT(S) ~r BLOCK~<8baDIVISION 0 ~-;~
PAI\ClitL In I C) "'3~___ IOR'I'Jl.TM FROM PIl.OP __ NOTTCl:1
WORK PROPSEO: ClNew CONST1\UCTION
OSIGN
o ADDl'rION
o MOVE
DAL1ERATIOQ )( REPAIR
o DDIOLlSH
o ItlSTALL
PROPOSED USE: OSG!. FAMILY DWELLING OHOLTI-FilMILY
OCCHfDClAL 0 INDUSTRIAL
0, OF UNITS
OSWIMMING POOL
Cl MOJlILE: HOME
o OTItER
o IlESTAU1U\Ht I. HEAL'1'H DEPAft1'H!:N'1' APPROVAL
DESCRIPTION OF WORK ~~6f(. UnJ+ ChaYt:J~ 00T
BUILDING SIZE SQUARe I'OOTAGE HEIGHT
RESIDENTIAL I A'J"l'ACH (2) PLOT PlANS , (21 SETS OF BOILl>nte li'tANS , (11 SET ENERG"'{ FORMS.
COMMERCIAL: ATnCl{ (:'I) SP:rS Or 9U1LOIOO PLANS, (1) St'!' ENERGY FOIIMS_
t>ROPEMY SORVEY REQUIRED FOR J\.LL NOf CONSTRUCTION.
PDMITS RIIQtJBS'BD
o BUILDING
o ELEC'l'IllCAl.
o PLtlMBING
X MECHANIO\.L
o GAS 0 ROOFING
~
VALtJATIotl or l"OTAL CONS'1"IUJeTIOU
AMP SEIlVICE
o rLOIUDA POWER.
o W.R.E.C. .
! l/
jJ-~
,-/
-. --.-- ....----'"
,/
$ /~~O
o SPECIALTY
i
.,/'"
VALOATION OF HECIlANCIAL INSTALLATION
o O'l'RER
TYPE OF CONSTRUCT!ON: 0 BLOCK
o FIWU;
o STEEL
o OTHEa
FINISHED FLOOR ELEVATIONS
IS! Pll.OJEC'l' IN FLOOD z<lNE A1U:AO YES 0 NO .
I:
. .
_.
IJUD.DJ:R
S!GtlATORE
COMJ.>Am'
STATE CER'l' Ol\ '-'SGIST .
CITY PROCESSING ______
.7.**.*.**.._**..*_*.........*..<<.~.~..*.~.*.*~**.*.....***~*_.*.*
JU.SCftJ:CIAN
COMPANY
STAn: CEllT OR REGIST I
CITY PftOCESSING ,
SIGNATURE
.*.........*~...~....**.*..~....**....*.,..*..........*...-.....*.
PLllWBIlR.
ISCJlAMlCAt.
COMPAliIY
STATE CERT OR REGlST I
CITY PROCESSING .
SIGNATURE
SIGIiATtJQ5:
nu.h.h..h.hhh.U~;~;;;.;;.~fi;;..i-*.~~ fs G::. ,
A'l'E CERT OR REGIST . ~ _ _~
CITY PkOcESSING .
..*~..**.*.**..*.*...........**..................*~.....~+..**..*
O'mIIR
COMI?ANY
STATE CUT OR REGIS\' ,
CITY PROCESSING t
SIGNATURE
**.*.*.*w.............*.*.~.......**..~..*..*.**.*..*~***._******
A. NOTICE or DEED RESTRICTIONS
The undersiqn9<f understanclll that this pe:rait _y be subject to "deed reatrictionsH which
may be more restrictive than City regulation.. The unde%sl0ned assumes responsibIlity tor
coaplianee with any applicable <feed restrictions.
B. UNLICi:NSEO CON1'RACTORS AND CONTRACTOR RESPOl'lSIBILI'I';J:ES
If the owner has hired a contractor or contractors to undertake work, they 81ay be required
to be licensed in accordance with state and local r09ulatione_ If the contractor ill not
lic.n.ed a. re~ired by law. both the owner and contractor may be cited for a ad.demeanor
viotatian under state law. If the owner or intended contractor are uncertain a8 to what
licensing requirements may apply tOr the intended work, they are advised to contact the
Clty of zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contrector or contractors, h. is advieed to haVe ~he
contraeeor(s' d.qu po!=tion" of the "Contractor Seceions" ot this application for which they
wi1.1, be responsible. If you, as the owner 8igne as the contractor, you are indicating that
you, rather than the contractor, a~ responsible fpr the work. If the contractor wishes
you to 819n as contractor that IllaY be an Il)dioa1;ion that he is not properly licensed and is
not entitled to permitt1n<j pdvlleqec in the City of ~eph~'J:h111s.
C; TI\ANSPOI\.TATION IMPACT FEES ~D OTtLITY COWNECTION RES
D. CONSTROCTOION LIEN LlUf (CIlAPTD. 713. FLORIDA. STATU'l&S, AS AMENDED)
I certify that I, the applicant, ha~ been provided with a copy of ~~lorida's Construction
lien Law - Hameowner', Protection Guide" prepared by the Florida Oepartment of Agriculture
anet CcmllUlller Affaira. If the applicant. is s<naeone otber that toe ~o_r~, ;r cerify that I
have obtained a copy ot the above described dOClUllKllnt and prcal11e in good fa.ith to deliver
it to the "owner" prior to COMDencement_
B. CON'1'aJ\CTOEt' S!ONNE1' S AFFIDAVIT
I certify that all the Inforaation in this app1ieatlon 111 accurate and that all '~rk will
ba dOne in compliance with all appllcable laws regulating construction, ~oning. and land
dev4tloplRlmt.
llpplic;etion 18 hereby made to obtain a pem1t to do work and instaUation as indicated. I
certify that no work or installation has ~enced prior to i88uance of a permit and that
all work w1.11 be perfoZlled to _et .tanclards of all laws requlating construction, City
codes, zoninq requlaUons. and land developlllent regulations in tbe jurisdiction. I aho
certify that I understand that tbe regulations ot other gove~ntal agenCies may apply to
the intended work, and that it i. .,.y responsibility to identify what actioM I must take to
be in cCIIllpllan".... SUch ageneles include but ara not limJ.ted to: *oepartment of
Environmental Requletion-Cyprell. Baybeads, Wetland ~.as and 2nv1ro~t.lly Sensitive
Lands, Water/Wastewater Treatllent
.Southwest Florida Water Management District-Melle, cypress Bayheade, Wetland Areas,
Alter~n9 Watercourses .
+Anay Co1.-pS Of Engineers-Seawalls, Docks, Naviglabl4t Waterways
*Oepar~nt of Health ~ Rehabilitative Service., Environmental Health Unit-Wells,
Wastewater 'l'reatmant, Septio 'tanka
.U.8, Envlrollll\8ntal Protection l\Qenc:y-A8belltOIl abateaent ~
I al~o C.~~ify that. if fill mat.ri.~ is ~o be used in Flood Zone ~A. ar ~A,etc.d. it 1.
understood that a dra.inage plan addressing- a "cOIIIplinsatinq volUIH" will bit subJllitted which
1s preparsd by a professional engineer registered in the State of Florida prior to permit
issuance.
A perlllit issued shaH be construed to be It license to proceecl with the work and not. as
authority to d,elate, cancel. alter, or set aside any provid.ons of. the technical codes,
nor shall issuance of a pe~t prevent the 8uilding Official froll thereafter requiring a
corractlon of errots in plan., construction. or vIolations of any code. Every permit
issued IIhall beoaae invalid unle8~ the work authorized by such permit 1s commenced witoln
six II\Onths at issuanCe, or if work authorized by the pem1t ill suspended or abandoned for'a
period of six IIlOnl:hll arter the t1lle the lf01!:k 15 o_need. One 90 day extension of t1llle
may be allowed for the permit with fe. charge of $15.00_ The extension ahall be requested
in wrlting to the BuUdin9 Official. An approved Inapection must be logqed during each six
Ilonth period, or the project w.i.ll b6 considered abandoned.
WARNING TO 0IftlER: YOtJ8. FAILllRIil fO It.I:OOltl) A NOTICE or COMMEtlCEMDn' HAY BESOL'l' I.N YOtlll
PAYING TWICE FOR IMPROV!MDlTS 'l'O YOUll ~ROP"RTY. IF YOU nrrENO 'l'O OB'I'AIN FINANcINQ. CONSl1LT
WItH YOUll L1mDER OR Al'I A'I'TORNEY BEFORE RECORDING YOUR NOTrCl: OF COMMENCEMENT. .1088 ONDER
...... to ~ "'" .... '" ......., .0. ""'. . """'lCl! O' ~".
~~ ---~~ 2
SIGNATmu:! 0IfNER OR J\Gli:NT SIGNATURE: CON'I'RACTOR
/-1
~ o~FFLOaIDA ~. I ~cc,
The f~ing i,~.r~U)aent ~o"ledgedO'3
:fo-~_j)l)20_
Iname of person a~kn~ledged)
- eLho i. pe~sonally known to me, or
~'-has produced f:' L 7J L 1'3fV - (.. t:. D" 71, --1/69- 0
- ----~ '!I.J.lt of identifical:1on)
and who [J9Ld ~i.cl ot k.. a a
STATE OF FLORIDA
COUNty OF
The foregoinq inst~nt was .c~wlBdge~
Befor. me this _ day o~ , 2lt-
by
(name of person aoknowledqed.)
Qwho is personally known to me, or.
O..ho has produe&<;l
(type of identification)
and ..noD did Odid not take.n oath.
Siqnature of person taking acknowledqement
.~~
. '" February 22, 2004
~'(;:.' ,,-'>'i-" lONOED tHRU TROY FAIN INSURANCE, INC
Na~.. typed, pxinted or stamped
Name typed, printed or stamped
I
anar
Air C' nditioning & Refrigel1tion Co.
...
12103 S.W. 114 CT. Miami, FL 33176
Phone (305) .34-4no. Fax (305) 2344780. Email armando@danarts.com
, UCENSED AND INSURED
DATE:
OU SHOULD RE . ElVER PAGE, INCLUDING THIS COVER SHEET_ IF YOU DO NOT
RECEIVE ALL THE! PAGES, PLEASE CALL (305) 234-471B.
o 0 FOR REVIEW 0 PLEASE REPL Y 0 INFO oNL. Y
NOTE:
THANK YOU,
THANK YOU FOR YOUR BUSINESS!
--
. Yunasi Ramos
From:
Sent:
To:
Subject:
esender@ahslink.com
Wednesday. September 17, 2003 B: 1 0 AM
arrnand~dan8rts.ornm
Dispatch_ID"J380666.2_AHS_Dispatch_Request
. American Home Shield
Carro1-I Service Cen: er ~ Carroll, IA 7I2/792~6710
Fax 712/792-6430
------------------- -----------------------------
Vendor
Phone
DANART A/c. & REI:" COMPANY <TAMP
(866) 326-.787 Fa.x: (305) 662-1053
Contract : 409056fn:
Listing Date O. /01/2002
Effective Date : 0 /01/2003
Expires
Expires
02/28/2002
03/01/2004
Property Address :
6019 RIDGEWAY DR
ZEPHYRHILLS, FL 3542
CUstomer :
HENRY GAMBATESE (. UYER)
(813) 180~7S81 Rome
Dispatch Contact's)::
MRS GAMBATESE '
(813) 780-7581 Home
Service Fee
Dispatch Type
Original
Urgency
Uonnal
Dispi'ltch In
Dispatch Date
Item 14112
Symptoms
Location
How Many
738 : 6662
091 7/2003 07:08
Air Conditioning (Central-Electric)
L LNG FREON
Not 'Cooling
Gro. d
1
I S COVERED * *
o RECEIVE AUTHO~~~
***FAX***CONTACT YOUR CONTRACTOR RELATIONS REPRESENTATIVE FOR MORE
Notes
** AC FREON RECAPTU .
***ALTERNATIVE WAYS
INTRANET SITE***EMAi
INFORMATION. '
1
Yunasi Ramos
From:
Sent:
To:
Subject:
esender@ahslink.com
Wednesday, September 17,20038:10 AM
armando@danarts.com
Oispatch_ID _73806662_AHS_Dispatch_Request
j
1~/~~ i
~
~
------------------- ---------------------------- ..---------------------
American Home Shield.
Carroll Service Cen er - Carroll, IA 712/792-6710 Fax 712/792-6430
VendoL"
Phone
DANART Alc. & REI!' COMPANY <TAMP
(866) 326-' 787 Fax: (305) 662-1053
Contract ; 40905681
Listing Date 0 /01/2002
Effective Date : 0 /01/2003
Expires
Expires
02/28/2002
03/0112004
Property Address :
6019 RIDGEWAY DR
7,F.PHYRHILLS,. FL 3542
Customer :
HENRY G.AMBATESE (. UYER)
(813) 780-7581 Rome
. .. .....'
Dispatch Contact(s)
MRS GAMBATESE .
(813) 780-7581 Horne
Service Fee :
.00 Dispatch Type Original
Urgency NO.mal
Di.spatch ID
Dispatch Date
Item 14112
Symptoms
Location
How Many
738'6662
09/ 7/2003 07:08
Air Conditioning (Central-Electric)
T.BA ING FREON
Not Cool.ing
Gro nd
1
~~~ to Ma..H~(7.."""j ....Itvte..
C\\v.\":) ~;",-- ~ ~(.
Notes :
* * AC FREON RECAPTU .
***ALTERNA~rVE WAYS
INTRANET SITE***~
INFORMA.TION.
r-lD'Ob-rr _:&\-ro.-i ht &>0\ ~~ u.n'r\--
~o A.p A 4~6\ ~~A '554Q.A \L-A. \
, ~. LJ-';)..A kA \
s~\- 9to''-\ \tQ \~ f'lPA55
~"P A 554C;)-AKA
I S COVERED * *
o RECEIVE AUTHO***
***FAX***CONTACT YOUR CONTRACTOR RELATIONS REPRESENTATTVE FOR MORE
.3Y~ 10(\
.lqq&;,-yr
BtfJi
~/J
1
.;.
+F: Ie)
i'".&\)"IQA-"
"IfAQr'-CA.It:.IH
r 1t~(J ;>~IC.A.
PL.3319 · ...... CJOQ Ml..... JW: (:lIS) fG.1Ol.J
........: _-..........~
· CAe teSnH
BILL TO
:_ 'I ~"",_~
i ~t9 0 ':"AJCiJ: '-' .bJL
~" 3~~)
'1n . 710- ?S". ~ J
:A-1'CI~C
"k;
art. ~"s:~
r I.. lS ~ - ... ,
A-
rt
T
.
I
.
.
T
A
I..
l-
E
D
I~JZ-."
UNIf l'MllI!
~
L
'"
A-
~
..
N
E
II
II
I
D
.. fie.... t!II~_~'~... ~..., pIIlIt..."..........,...
"'__WIIrI_ \IIlIIOWInlJ
8,-""'",~u9dil.~ lht......__~_~
<<..lNkllllBr1D...... ............. If_.nat~........
eIIIoll'Gdw .. llIaIIeft"tl6..,......~
__........IIl. ...lOIIIIIaIIlIII'*........ Out
.....,...,..,.... Clllllll......,
11.- ~'-'-:."'CIIII"_IIWlOo\eINllIll.
...... w.mt:;1llIlIy1Q ~a......~",.............
OlllytlalleallM.. ..,....W....._.Cur..,..,.,Dft
lINI/INVIlMlMIc ...._lIle__~..
........10....___ _......... _'NIl """'""'_ no....
...-.cllllCl "~'l:tL \'bu"'~~J:,fOrtho....,.ot...
lMt,_aa1'l'U1lllUIIld11 ~4lene'_ ~""_...,..'
( ) ~ Q.AUsE: 'TlIa . 10M I1Ilf Incble ~ ... ~ III .......
........-...- Ol"~"'-""""IIICICII''''''
'"'*-!lrIl,hllllllellalo............. .IcIIl~~.,.......
{ )8ERVlC5SPll;~ .'l'lllu..._ ~
I'-~.. ".........................._
::-.:-- "__Ia_II_~..:=
A ;:,u ~...u.oj ,- ~ -'-':!"" _::>
P.O<5
N!
,. MlRI[ IS 10 lIE:
Dc.o.D. DeNARCIi D8IIMCE CONTRACT Owwwrrt
D-. '1~1
'1'NMIt
...
~ ~
0.... =- ~fO
~-- . ..,.... .A
R~~ 1DIlU., l'IMe 5r"
DIllICIW'IM OF WOllI( "',."..., TMlL / kf
ss.:~U/G~ e_ ..... "'{NJltT '7'IfcXM.. VNIT
, J~~_" F~ ~
e.6(rA~~eQ,r' ~ ~
ff .., -r: . ,.,.
..
Tt-
....M? A&.l- I' ... I
--t. qc. ~ 't.~
------ .
__OIlIlflmN. OHCOK UlIT
--
.-n'.
~I--
-
IIOC)S.
~
"-. AN ~..,.:& *17...... __
M~_7,.,. "'dJ-~ ~II ~" ~-
,,~ L --- ,
,rvs't?>~ lJ~ ...- ..I
I"S - ~.LIt
.
~
L"IIIUI.; ~71f
UMITID WMRANTV: All matMWIr, '*"- lIftd
'"'f<ir'T-... wM'IlIIIIlf ~ a.~'
or ...... ..... ~ 0IltI. M.....
~ by .. ..... llMIClCI ClltIIf*lJ ill
~IgrSOdeyaOf_~~
"'lIIriMO- .....IINNII-..d~...... no
... ...... ..... or ..... IIld III
.......~_lIIIIlIUIIIllrIa8dto...
MyIUdl........ on IlIllIIr tII..... IlMIed
~
7~"
~4rltrjr' .-z(J.t? 77?1f C
~r~JJ7 ~fa~
CdZ
1lJIIlL
'n>taL J
I.A8CNt l
IJtAllIl~_ 1
CItAMI
....... !
1&X .
I
-.n- .
MCEMlII 'i"~ . 4J'Q I
I
TOTAL I
j