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Home My WebLink About08-7400 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7400 Permit Number: 7400 Permit Type: MECHANICAL Class of Work: AlC CHANGEOUT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 8,000.00 Date Issued: Total Fees: 70.00 Amount Paid: 70.00 Date Paid: 1/17/2008 Work Desc: 4 TON AlC CHANGE OUT Address: 5636 BEECH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: YINGLING ADDITION Parcel Number: 12-26-21-006B-00000-0090 Name: ELIAS KEYS, MAYRA Address: 5636 BEECH ST ZEPHYRHILLS, FL. 33542 Phone: 813 758-0220 b 0o.la-cD \ '2<lo~ ,~ L DUCTS INSULATED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." CTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received" /' Owner's Name / Owner's Address Fee Simple Titleholder Namel ,/ JOB ADDRESS Fee Simple Titleholder Address I 15636 I 8eed.. Sf. I D NEW CONSTR E3 ADD/ALT D D INSTALL REPAIR D SFR D. COMM 0 o BLOCK D FRAME 0 Il(ftm ~( ~ ~ tJ<<d dc,C.k I SQ FOOTAGE I I HEIGHT ~ept,tf.rAr/(j PARCEL ID#I Fe 5"3f1k LOT # SUBDIVISION WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER STEEL I D OTHER I ,/ DESCRIPTION OF WORK I ...11..'11...111.....1..'.....11..11'..........11..'11....111.111.....1....1.........1.............1......1.11.1........1'......1.111.1."..11...,1 BUILDING SIZE 0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL 1$ I AMP SERVICE I.R.E.C. 0 PLUMBING 1$ I ~d, ~ ./ /0 MECHANICAL 1$ ttJ7)t) I VALUATION OF MEC fY11&-- 0 GAS 0 ROOFING D SPECIALTY L FINISHED FLOOR ELEVATIONS I I FLOOD ZONE P COMPANY REGISTERED DJJ:tI ........111...11...11.....'",.,............,.......1."'1"","""1""'11""'" COMPANY REGISTERED I I I" rcc .....urtl"(t:N I T 11'1 . r:Y~' ~ (2 ~ ~ I I I I I I I BUILDER SIGNATURE License # COMPANY REGISTERED Y / N FEE CURRENT Y/N Address MECHANICAL: "- ./ SIGNATURE Address OTHER SIGNATURE Address License # I AlR- WCL-\\.ov-.-aUJ I Y / N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT Y/N License # 11I11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans w/ Silt Fence installed. Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. '---PROPERTY SURVEY required for all NEW construction. 111II111111I11 I 11II111111111111111111 I 11111111111111111 I 11111111111111111 I I111111 I 11111111111111111111111111111111111111111111111111111111I1111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with a.ny applicable deed restrictions. 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 Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify 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. 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-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. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~ty ~90) da~s and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the,)ob IS 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. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed, printed or stamped . -.-NOTICE OF-COMMENCEMENT 11111111111I1111I111111111I1111I111111111I11111 11111 11111111 2008008441 "m_'___.__-:.........-~.m._.______~__.___._..__~._~.~___~._.._._ ._~_.. Permit No. Property Identification No. fJ. - 26 - J I - 000 B- ~ -cx::PtO Rcpt: 11!54906 Rec: 10.00 DS: 0.00 IT: 0.00 01/17/08 Dpty Clerk R THE UNDERSIGNED hereby give'informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following infonnation is provided in this NOTICE, OF COMMENCEMENT. l.Description of property (legal des-cr' tio . ,/, nGlI n AJdi't,Vv1 a) Street Address:e_ e e T Yl . . II\. JED PITTMAN, PASCO COUNTY CLERK 01/17/0.8 12:37.'J:! 1 Jll 1.. OR BK _ 774l!J PG .c4~ ~ F"(IP:Jh. c.IL ,. I WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPmATIONOF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, ' FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPEC'I:ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATI'ORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. . STATE OF FLORIDA COUNTY OF PASCO -., TIFFANY WARD . G MY ""'.......#00"""" . EXPIRES: AUG 29, 2011 ",rr6 Bonded Ih'ough tsl SIaIe Inslnnce The fore oing fore me '~ T)1le ofIdentification Produced ""'0(Jr\. . '. 20aB, by' ' lT~d , (type of authority, e.g. O~ey in fact) for ' (name of party on 'behalf of whom instrwnent was executed). P=onaIly Known / OR Produced Identificatiim ~ Notary Signature E!l'~,-(J;P~ fJ...) end Nmoe (print) '\'I \'-\Q~ ward Verification pursuant to Section 92.525, Florida Statutes.' Under penalties of pexjury, I declare that I have read the foregomg and that the factS stated in it are true to the best OfmY~knOWIedge aodbe~ \", ~Q . .. . . '. s;~~.:;;;; p_s~;..___ FORMSlNOC,rvsd2007 l 1/14/2008 18:21 LION INSURANCE COMPANY LYONS I NSURANCE COMPANy.... Air Nati ona I, LLC 1/1 Dale . ACORD TM CERTIFICATE OF LIABILITY INSURANCE 1/14/08 Producer: Lion Insurance Company This Certificate Is Issued as a matter of Information only and confers no rights 2739 u.s. Highway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter Holiday, FL 34691 the coverage afforded by the policies below. Phone: 727-938-5562 Fax: 727-937-2138 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Phone (727)938-5562 Insurer 0 Insurer E: Coverages The policIes of Insurance listed below have been Issued to the Insured named above for the policy penod indicated Notwithstanding any requirement, term or condition of eny cortrael or olher document WIth respect to which thiS certIficate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms. e)a;:lisICfls. an::l condtions of such policies. Aggregate limits shown may have been reduced by paid claims INSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Dale Limits LTR INSRD Date (MMIDDIYY) (MM/DDIYY) ~NERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premises (EA : tJ Claims Made 0 Occur occurrence) ~ - Med Exp lo- Personal Adv Injury beneral aggregate limit applies per: t:l Policy o PrOject 0 General Aggregate $ LOC Products - Comp/Op Agg $ AUTOMOBILE LIABILITY Combined Single limit I- (EA ACCident) My Auto - Bodily Injury All <::Mned Autos "- (Per Person) Scheduled Autos "- Hired Autos Bodily Injury "- Non-Owned Autos (Per Accident) $ - Property Damage (Per Accident) ~ GARAGE LIABILITY Auto Only - Ea ACCident ~ My Auto Other Than EA Acc $ Autos Only AGG EXCESs/UMBRELLA LIABILITY Each Occurrence I- o Claims Made Occur Aggregate I- Deductible I- Retention I- A Workers Compensation and X I WC Statu- I IOTH- WC 71949 0110112008 0110112009 tory L.mots ER Employers' Liability Arry proprietor/partner/executive officer/member E.L. Each Accident $1000000 excluded? EL Disease - Ea Employee $1000000 IIYes, describe under special provisions below. E.L. Disease - Policy Limots $1000000 Other 0665409 Air National, LLC COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED, NOT TO SUBCONTRACTORS. Oescnptions of Operations/locationsNehicles/Exdusions added by Endorsement/Special Provisions: ADD ON DATE: 8/14/06 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF Air National, LLC' FAA: 813-514- 6458 & 813-7BO-0021IlSSUE 11-21-07 (SO) I REISSUE 01-14-08 (JOY) Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS Should any of the above descnbed pobcles be cancelled before the expiration date thereof, the IssUIng Insurer wiU endeavor to mail 30 days wntten notice to the certificate holder named to the left, but failure to do BUILDING DEPARTMENT so shall Impose no obligation or ~abihty of any kind upon the Insurer, its agents or representatives 5335 BTH ST ~/-- ZEPHYRHILLS FL 33542 , ACORD 2_, (1001/08) ACORD CORPORATION 1988 01116/2008 12:46 FAX 8139631452 DAVIDSON INSURANCE ~002 CERTIFICATE OF INSURANCE The Company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Cert1ficate of Insurance does not amend. extend. or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: CITY OF ZEPHYRHILlS 5335 8TH STREET ZEPHYRHILlS. FL 33542 INSURED: AIR NATIONAL LlC 1002 W BUSCH BLVD TAMPA. FL 33612-7704 I I I I I I I I I I I ,I I I . I AllTOMCIIIlE LIABILITY , [X] 8USINESS AUTO I I I I I l- I I I [ ] Umbrella Form I- I I I I I I I Should any of the above described policies be cancelled before the expiration date. the 1nsurance company will mail 30 days wr;:tten notice to the above named cert1ficate holder. POLICY NlM3ER I POLICY I POLICY I TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE I EXP. DATE I lIABILITY I 77-AC-8l2843-3001 1 03-16-07 I 03-16-08 I [X) liability and I NATIONWIDE I I I Any One Occurrence........ $ Medical Expense I MUTUAL FIRE I I I [X) Personal and I INSURANCE CO. I I I Any One Person/Org ....... $ Advertising Injury I I I , [X) Medical Expenses I I I I ANY ONE PERSON ........... s [X] Fire legal I I I I Any One Fire or Explosion $ liability I I I 1 I I I I Genera 1 Aggregate* ..... _. $ J I I I Prod/Camp Ops Aggregate* . S [ ) Other liability I I I I lIMITS OF lIABILITY (*lIMITS AT INCEPTION) EXCESS lIABILITY I 77-BA-B22B43-3002 I 03-16-07 I 03-16-08 I I NATIONWIDE I , I Bodily Injury I MUTUAL FIRE I I I (Each Person) ......... _ $ I INSURANCE CO. I I I (Each Accident) ........ $ I I I I Property Oanage I I I I (Each Accident) ........ s I I I I Combined Single limit .... $ I I Each Occurrence .......... $ I I Prod/Camp Ops/Disease I I Aggregate*.. . . .. .. .. . " $ I STATUTORY lIMITS I BODILY INJURY/ACCIDENT... S I Bodi ly Injury by Disease I EACH EMPLOYEE .......... $ I Bodily Injury by Disease 1 POLICY LIMIT ........... $ I I I 1.000.000 I I 1.000,000 I I 5.000 I 100.000 I I 2.000.000 I 1.000,000 I I J I I I I I I 300.000 I I I I I I I I I I ) I I DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS (X] Owned (X) Hired [X] Non-Owned [ ] Workers' Compensation and [ ) fn1ll oyers' Liabi 1 ity Effective Date of Certificate: 03-16-2007 Date Certificate ISSued: 01-15-2008 AuthoriZed Representative: CounterSigned at: Ila'~ Inc. 13911 CarrollWOOd Village Run TAMPA, FL 33618 z tIJ ~ ~ )> ~ ~ c: t..) 0 C") 0 1-:1~>'~ tzJ c::lZ 1-:1 0\ "*" '" m CIJ 0 . <II ...., ~t.nH ~ [~ go .... ,,< >>u I (j)y ....~ r'0 o :J> - t..) ill a Z 0 0 OtzJ "dO) ~ ....(1) (I) W (J) U> :... 0 <:tx1 >' ZtzJ Ii Ii ~n I\) 6 ] to 0 ~.O _z <: m <::> 0 ~OJ tz.l ~>~ III t1 ~ 51 i~ 0 0 ::; ~gf I-:1t1l rt rttJ" >' 0 c..n 0 i'iiJ: t1H" ....::r'(I) tIl 0 g I~ CIJ ~ 0 '" - o :~ 0 or- Otll HO o (I) .....tIl 0\ (J) ~ ~ CIJ m >> r- ~tI: ~55~ ::s 0 <..0 ~(J) 'tj. ~.tJj 0 -l 0 ~OJ o rn txIt1~ 0.11 U1 c..o Z .?;: -f ffiO (j) ~ ;!:: >' ~ 1Il0H>' 0 ~ ~~ '" ::0 c::lt1t< rt <tIlH 0) )> ::0 0 0 tf 'ii () OJ (j)t1 (I).... ~ 0 i'ii e C tI:n~ ..mn....:! tz.l 0 >< 0 ~ G) .... tzJ n U1 "d I Z m Z ~J: ~ ~g ~O ~ >' >> ~ m m ~() ~ 0 ::0 () en (j)mH~ z en '" 0 tzJ >' 1-:1. 0 m Z :<! 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OJ tIlH 0 "'mr-::o !< HO .- ,r--< 6 ;:0 <() ~~ )> o ~ 0 .... m Z t1 1:1 0 txI )> ::0 m O~ r- m >< tIl >'tz.l , Z Jl 0-0 m H ~(j) !2:')> ~ ;0 l3: tfc::l 0- 0 t1 tOO m ~. , en tIlZ >' 00l tzJtJ:I 1-:1 OW CD n H --J W CIl I .W C W ~~ 0 . .j:>. ~;:r 0 Z . (]I. <::> j; ~ I ~~ ~<Xl t..) en o ;0 CIl 0 Q(]I 0(;);;1...... 0 ~1-:1 m 0 m -oJ CO t<H ~ -' C1I ." t1 C1I 0 t1 t" ~ r tJ:I 0 -" ~g (5 ~ 0\ <Xl :z 0 0 0 0 0\ 0 0 ..... w 0 0 ID "" W - ....... =- AirNatioMI Air Conditioning and Heating City of Zephyrhills 5335 8th St Zephyrhills, FL 33542 To Whom It May Concern: I, Barry Andrews, owner and license holder of Air National authorize Pat Skinner to obtain, administrate and all else for permitting with the City of Zephyrhills. Thank you, Barry Andrews Owner 7b-~ STATE OF FL~R!-LA COUNTY OF The foregoing instrument was acknowledged before me this ~~y of'-:50C\ 20.01$ by (name of person acknowledging). (NOTARY SEAL) TfFANY WARD MY COMMISSION #00709832 !JJi EXPIRES: AUG 29. 2011 Bondecllllmugh 1st SlUe Insurance Personally Known .~ OR Produced Identification Type of Identification Produced 1002 W Busch Blvd · Tampal FL 33612 813.341.5400 · Fax 813.514.6458 Lie #CAC 1814992 Pasco County Parcel: 12-26-21-006B-00000-0090 001 Page 1 oimO 00 J . Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, January 12, 2008 ParcelID 12-26-21-0066-00000-0090 (Card: 001 of 001) Classification I 01 - Single Family I Mailing Address Assessment (totals) ELIAS-KEYS MAYRA Ag Land $0 5636 BEECH ST Land $21,544 ZEPHYRHILLS, FL 335424502 Building $133,024 Physical Address Extra Features $1,425 5636 BEECH ST ZEPHYRHILLS, FL 33542-4502 Total Assessment $155,993 Save Our Homes $155,993 J.~gal Description (First 4 Lines) Homestead Exemption - $25,000 YINGLING ADDITION UNREC PLAT OF TRACTS 14 15 16 20 21 22 & Taxable Value $130,993 E 16.00 FT TRACTS 17 & 22 OF Warning: A significant taxable value increase ZEPHYRHILLS COLONY COMPANY may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use I DOSCriP~ Un;" l Typ. I ~~nd~on I 1 II 0100 I SFR 2 I 7,270.00 II SE I $2 1.00 $20,720 I 2 II 0100 SFR 00R2 I 1,830.20 II SF I $0.45 1.00 I $824 I Additional Land Information I Acres II 0.21 II Tax Area II 30ZH II FEMA Code ICUrResidential Codell ZHLGLP4 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1988 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,252 $104,166 2 FEP 342 $19,885 3 FSA 162 $4,742 4 FGR 956 $31,782 5 .EQe 30 $666 Extra Features (Card: 001 of 001) I Une I Description Year Units Value 1 II DWSWC 1994 966 $1,425 Sales History Previous Owner 5636 BEECH ST LAND TRUST Year Month Book/Page Type Amount 2005 12 6784 / 1244 WD $0 2005 12 6764 / 1071 WD $210,000 2005 10 6662 / 0783 WD $0 S~~m:;b_AgQin Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board SUDervisor of Elections http://appraiser.pascogov.com!searchlparce1.aspx?sec=12&twn=26&mg=21&sbb=006B&. .. 1/14/2008 0 ::> C') t-3~>'~ tJ:.l Cl 2: t-3 0'1 ~ ~U1H ~ &; ; ~ r\) Cil'-l ~::tI OtJ:.l Itfoo ::tI ~.(1) (1) W m <tJj >'~~~ Ii Ii p...n ~ tzJ PI t'I ~ ~~ t-3oo rt ("OJ" >' 0 ()I totH" ~. p" (1) 00 0 000 HO o (1) ......00 0'1 m ::tIl:Il 2:ZtJj ::s 0 <..0 tJ:.l>'>' '0 ~tJj 0 tJjt'l::tl p..1i U1 c.o ~ ::tI PlOH>,g t'I~ rt<ooH t:l Cilt'l (1)~. ::tI 0 l:Iln~ .. tIJ n -..J tzJ ~. tJ:.l n U1 Itf ~ ~g~OfJ >' ::tI tJ:.l >' CiltIJHEJ t-3 t'I t%JH :3: t%J t'I UJOHt-39 t'I ntJ:.l tot ~H\tJ:.lH n H 02: .. t:l 0 n 2:t-3 S H >~n n UJ n 2: ~ tJ:.l 00 00 W ~::;J'H 00 Z t-30 ~. H tz.I > ~ (') ~ ~ n oPl 2: ~ 00 ::tIt%J .. 0\ rT 1.>:1 ~~ ...... 0'0 Cil ~ tJ:.l Cl t"- O ~ 0 ld !2:tz.lH (J) t:l ~ oort \0 ntJj ~ ~ >::E:1zJ ...... 1tItz.1 en (1) n \0 2: .,C:: (; H ~(/.IH ~ ~1tI fIl "l ~ iJ Ii 0 ~ tJj Hoo en rT H H~ tz.I \0 0> ~ ~ Z ::tI OH -f 1.>:1 0 t:l \0 1zJ~ iil tI::> t-3 2:2: ~ > t:l !2:tll l\,) tz.I~ 0 c:: ~ >>> 00 ~ tJ:.l Q :s (/.IS:: 'Tl )> \0 Hoo 110 ti~H (/.Itz.I 'Tl en EJoo m IN It ~~ ~~ r n ro Ii tiKl 0 ;;0 t%J t-3 0 .. ti n 0 !2: ~ m 00 0 .~~ p- o ." ~ It n~~ 0\ >0 :I> 0 ::tI 0'" ......... tilzJ C ." o Ii ...... ;;0 ::tI r- oo 0 w ~tll < ~I'O 0 ... >n ......... tz.IQ m ::tI WI tiO 0 Q{/.I 0 :::c ... t'l0 0 ti~ 0\ QH)> :s lP Ht%J C WI ti !2: C') -< ntJ:.l )> t' 0 ~ 0 >tz.I~ ~ tJ:.loo 0 .. U1 ~(f.l '" 2:00 o n 0 H {/.I rtJ '" P' (J) ~> 0- ooH .... HO '" "" 0 g 00 -...I ~~ ~~ '" 10 U1 ... 0\ IT" '" "<I tot ~ w ....lJ tJj ..n O::tl 00 >'tJ:.l H ::tICil ~ t:lCl t'I 002: ~ tJ:.ltzJ n H ~.~ 0 Z en >'00 m ::tIt-3 0 ~H tot :t:I::. tot t:' 0 tJ:.l 0\ ::tI 0 0\ ...... W 0 0 \D ~ W , 1/16/2008 09:31 LION INSURANCE COMPANY Lion Insurance Company-+Alr National, LLC III Date ACORD TM CERnFICATE OF UABIUTY INSURANCE 1/1612008 Producer: Lion I~. CompllllY This Certlficllllllslssued as a matlllr of Information only and confers no rights 2739 U.S. Highway 19 N. upon the Certificate Halder. This Certificate does not a_d, extend or ai_ Holiday, FL 34691 the coverage afforded by the polIcieS below. Phone: 727-938-5562 FlIX: 727-937-2138 Insurers Affording Coverage NAtC # Insured: South East Personnel leasing, Inc. Insurer A: Lion Ill$unlnce ComPll ny . 11015 2739 US. Highway 19 N. Insurer B: Holiday, Fl 34691 Insurer C: Phone: (727)938-5562 Insurer 0: IllSla'er E: Coverages The policies of Insulance iSlod belowhavs boon issued 10 the i.....od named ab<Ml for the poley period irdcalod. NoMithSlan.ing 01Iti requ;r9l1l9nt. tetm or conci~on of arIi coroad or o1hOf docllTJ9nlwtll 'ElSI>9Ct to which this cor1ificate may be issued or rMypertain. the illSllll/lCB -dedl7fthe palaes _ herem IS sulJfectto 911 the tenns. exckJSions. ancI condl1lonsof such poIaes A!I!I'egaIe~rnls sho\lwlmayhawl been reduced l7f paid claims NSR AOOl Type of Insurance PoNcy NLlYlber PoIiey Effective Policy Expiration Date Umils LTR NSRO Date (MMIODIYY) (MMIODIYY) ~NERAL UABILlTY Each OCOJmlnCe $ Commercial General liability Damage to r9llled prenises (EA : ::J Claims Made 0 Occur ocCIDence) $ - Mod Exp $ - Personal AtN InjuIy $ General aggregate limit applies per: ::J Polley o Project 0 General Aggregate $ LOC Products. CompIOp Agg iAUTOMOBILE UABlLlTY Comblned Single Lirril i- (EA ACCidenl) $ Arf;AWl ~ AI OWned AiJlos BodIIyIn;.y i- (Per Person) $ Scheduled Allos i- Hired Allos BodIy Irv; i- (Per Accident) $ NOfl-Ov<<led AiJlos i- Property Damage (Per Accidert) $ GARAGE LIABILITY ALto Orly - Ea Aecident $ =J Arf; Allo other Than EA Ace $ ~os 0nI{ AGG $ EXCESs/UMBRELLA LIABILITY Each OcCW8llCO - o ClaimsMade Ocw Aggregate ~ Deductible ~ Retention ..... A Worf(ers Compensation and x I we Statu- I I om Employers' LlabHIy we 71949 0110112008 0110112009 tory Limits ER Ant proprielDr!p8ltnerlexecutive officetlmember E.l. ElICh Accident $1000ooo excluded? E.l. Disease - Ea Employee $1000ooo I'Yes, describe uncler speci8l plOllisions below. E.l. Disease - Potiey limls $1000ooo Other 0665409 Air National, llC COVERAGE APPLIES ONLY TO THOSE EMPLOYEES lEASED, NOT TO SUBCONTRACTORS. De.criptions OfOp.rationslLocl!ionllV.hlclellE""....lon. added by Endon~ ProvilioM: ADO ONOA1E: 8/14/2006 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF Air NlIlional, LLC . FAX: 813-514-6458 & 813-780-0021/ISSUE 11-21-01 (SO) I REISSUE 01.14-08 (JOY)/REISSUE 01-16-09 (NM) Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 ct:RT1FICATE HOLDER CANCelLATION CITY OF ZEPHYRHILLS Shot.td sryofthe _d9scribedpollCles be eMCeIod beIore Ihe 8l<pinltion dstelllereol.1he iSSlling i_WiI erd9lMlf to mail 30 days written noIice 10 the cellifiCale holder named 10 the left. bul faiue 10 do so shaI impose ro BUILDING DEPARTMENT oljgelion or iabilty 01 sry kind upon the insur9f. its __s or representatives. 5335 9TH ST ..JZ4 ../J~ ZEPHYRHI LLS FL 33542 ACORD 25 (1001108) ACORD CORPORATION 1988 ~ 1/16/2008 09:31 LION INSURANCE COMPANY Lion Insurance CompanY"'Air National. LLC 1/1 Date :4 CORD TM CERTIFICATE OF LIABILITY INSURANCE 1/16/2008 Producer: Lion Insurance Company This Certificate Is Issued as a matter of Information only and confers no rights 2739 u.s. Highway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter Holiday, Fl 34691 the coverage afforded by the policies below, Phone: 727-938-5562 Fax: 727-937-2138 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. Insurer A Lion Insurance Company 11075 2739 US. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Phone (727)936-5562 Insurer D. Insurer E: Coverages The poliCies of insurance listed below have been Issued to the Insured named above for the po~cy penod IndIcated Notwithstanding any reqUirement. term or condition of any contract or other document wth respect to which this certifIcate may be Issued or may pertain, the insurance anorded by the pOlicies described herein IS subject to all the terms, exclusions, and conditions of such pOlicies Aggregate limIts shown may have been reduced by paid claims INSR ADDL Policy NlITlber Policy Effective Policy Expiration Date Limits LTR INSRD Type of Insurance Date (MMIDDIYY) (MMIDDIYY) !:!.ENERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premIses (EA : :J Claims Made 0 Occur occurrence) $ - Med Exp $ - Personal Adv Injury $ General aggregate limit applies per: t:J Policy o Project 0 General Aggregate $ LOC Products. Comp/Op Agg $ ~UTOMOBILE LIABILITY Combined Single limit ~ (EA ACCident) $ Any Auto ~ Bodily InjUry All Owned Autos ~ (Per Person) $ Scheduled Autos ~ Bodily InjUry Hired Autos ~ Non-Owned Autos (Per ACCIdent) $ - Property Damage (Per ACCident) $ GARAGE LIABILITY Auto Only - Ea Accident $ ::J Any Auto Other Than EA Acc $ Autos Only AGG $ EXCESS/UMBRELLA LIABILITY Each Occurrence ~ o Claims Made Occur Aggregate ~ Deductible ~ Retention ~ A Workers Compensation and X I WC Statu. I 10TH. WC 71949 01/0112008 01/0112009 tory Limits ER Employers' Liability Any proprietor/partner/execullve officer/member EL. Each Accident $1000000 excluded? E.L. Disease - Ea Employee $1000000 If Yes, describe under special provisions below E.L Disease - Policy Limits $1000000 Other 0665409 Air National, LLC COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED, NOT TO SUBCONTRACTORS. Descriptions ofOperationslLocationsIV.hicl.slExclullons added by Endor.ementlSpecia' Provisions: ADD ON DATE: 8/14/2006 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF Air National, LLC . FAX: 813.514-6458 & 813-780-0021I1SSUE 11-21-07 (SO) / REISSUE 01-14-08 (JOY)/ REISSUE 01-16-08 (NM) Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS Should any of the above descnbed polICies be canceUed before the expiration date thereof, the Issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose I'K) BUILDING DEPARTMENT obligation or liabHiry of any kind upon the insurer, its agents or representatives 5335 8TH ST ~ ~--- ZEPHYRHILLS FL 33542 ACORD 25 ( 001108) ACORD CORPORATION 1988