HomeMy WebLinkAbout11-11572 CITY OF �EPH't�"�HILLS
5335 - 8TH STREET
(sis)�so-oozo 11572
BUILDING PERMIT
Permit Number: 11572 Address: 38238 5TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16400-0010
Improv. Cost: 5,250.00
Date Issued: 3/02/2011 Name: FERRUCCI, GRACE & JOSEPH
Total Fees: 105.00 Address: 38238 5TH AVE
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/02/2011 Phone:
Work Desc: A/C CHANGE OUT 3TON W/ ELECTRIC ISSUES
5. .
FIRST CLASS ELECTRIC INC
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DUCTSINSULATED
FINAL � -,�-�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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 � 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."
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NT �'OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
From:Lee Reed Insurance � �, 03/01/2011 09:41 #095 P.001/001
ACO � °"�n�"�°�'�'
CERTIFICATE OF LIABILITY INSURANCE s/�/zois
TMIS CEATIFICATE IS 188UED AS A NATTER OF INfOltMAT10N ONLY AND CONFERS NO RIGFiTB UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE �OES NDT AFFIRNATNELY OR NEOATNELY AMEND, FJREI� OR ALTER THE COVERAGE AFFORDEC BY TNE POUCIES
BELOW. THIS C�tT�ICATE OF INBURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TME ISSUMIG N�tItiER�S), AUTFiOR1�D
REPRESENTATNE OR PRODUCER, AND TitE CERTIFICATE HOLDER.
NApORTANT: N tM eatlfkrta holdar b an ADDITIONAL MISUREO. 1M policy�iu) m�pt M�ndorsed. H SUBR06ATpN 1$ WMIEp. wbj�cf �p
1M Mrma and eondidons of tM Po1icY. cerhM policies may requke sn �ndw�anwnt. A stebm�M on tAN cudficats dws not oonfer rlglMS M tM
eardf�at• hoMar in ilw d auch sndors�m�rN(s).
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LEE REED INSURANCf PHO� 813 782-5502
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Z phy hi108 FL 33539-0908 �ss: andy�leereedins.com
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IN8URERA Owners Insurance Company 32700
��n First Cldss Elettric i � 8
David Hayford Electric, inc. dba ,,,���
7141 Berry Road � o
Zephyrhilis, FL 33540-4003 ,�� E
INSUNER F .
COVERAGES CERTIRCATE NUMBER: REVISION NUMBER
THIS I5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW MAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDIMG ANY REQUIREMENT, TERM OR CONDRION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC7 TO WHICH THIS
CERTIFICATE MAY SE iSSUfD OR MAY PERTAIN, THE INSURANCE AFFORDEp BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAIp CLAIMS.
�M TYPE OF INBURANCE � � POLICY NUAABER NMIOpNYYY � W��tTS
OENERAL 11ABILITY EACM OCCURRENCE 3 1�OOU�UOO
x COMMERCIAL OENERAL LIABILITY Prte►eisEa e, oauna�c. s 50,000
cuiMS�uuoe � occua r�o�w(�nya»w�nl s 5,000
X 884612-20679941 2/24/11 2/24/12 aenso►uaa�wruuurtr s 1,000,000
oer�n�� ,�c:a�o�� s ����,000
OEML AOfiR£6ATE UMIT APPI.IES PER: PRODUCSB - CWIPJpP AO6 f 1rQOO�OOQ
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AND EMPLOVERS' INBILITY Y!N TORYUMRS ER ..
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�EBCRIPTION OF OPERATIONS / LOCATIONS / VEMICL.ES (Abscl� ACORp 1D1. AO�wW iismMU StlrdW. N mon �pre� b roq�k�A)
CERTIFICATE HOLDER CANCELLATION
City of Zephyrhilis
5335 8th Street 5HOULD ANY OF THE ABpVE pE$(C�i18ED POLICIES BE CANCELLEp BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNEREp IN
Zephyrhills, FL 33542 ACCORDANCE WITH TliE POLlCY PROVISIONS.
Fax:(813)780-0022
AUTFIORIZED REPREBENTATIVE ^
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� 1988-2010 ACORD CORPORATION. Ali riphts reserved,
ACORD25(2010/05} The ACORD name and logo are registered marks of ACORD
813-780-0020 City ot Lephyrhills Nermit AppUcation rax
Buildinh Depar"L�ent
Date Rece(ved Phone Contact for Permittin —
'�-- 37 / � G! ` � _ �
Owners Name �r2 � Owner Phone Number ���� .Z r
Owner's Address ��� ����P Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT # �
SUBDIVISION . PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � l<Jr-� � � �"" E.��� r,(� ��C � C�
BUI�DING SIZE SQ FOOTAGE � HEIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
ele����
�PLUMBING $ ., (� �YtS �
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MECHANICAL $ .-� VALUATION OF MECHANICAL INSTALLATION� , G(C�t
0 s ozs�. �-
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QGAS Q ROOFING Q SPECIALTY Q OTHER O
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N
Address ' License # �
� ELECTRICIAN COMPANY � (v -rj� `r �- �.
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �� ��7���
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL COMPANY �"'S C..c�y.- �u/ l 2 p' �-
SIGNATURE ' Re�isreRe� Y/ N FEE CURRE� Y/ N
Address Ucense # � r ��2
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8� 1 dumpster; Site Work Permit for subdivisions/large projects
Kinsey Cent�al
Heat & Air-Conditioning, Inc.
P.O. Box 2209
Zephyrhilis, Florida 33539-2209
(813) 782-2300 CA-0O58626
PHONE � f DATE OF ORDER
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NAME ' / ' r"" DATE PROMISED
1 G' • �'S '� F. C. ` C.!
� ADDRESS " APARTMENT
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MAKE MODEL SERIAL NO.
� TIMATE
NATURE OF ❑ CASH
SERVICE
REQUEST ❑ CHARGE
QUAN. PART NO DESCRIPTION PRICE AMOUNT
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SERVICE PERFORMED TOTAL
MATERIAL
' TECHNICAL '
SERVICE TIME
'
A charge of 1.5"'0 �rill be made on aIl unpaid Unlances after 30 days, e�hich iti an annual perccntage rete T� �
of I N",'� applicd to past duc balanccs Customer is liablc for an� chargcs incuacd in collcctin@ ihis bill.
DATE COMPLETED ON COMPLETION �
' Jlt� ZlOCG� CASI1 OF WORK � TOTAL I
TECHNICIAN CUSI'OMER'S SIGNATURC