HomeMy WebLinkAbout11-12072 CITY OF ZEPHYRHILLS
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5335 - 8TH STREET
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BUILDING PERMIT
Permit Number: 12072 Address: 37648 GILL AVE LT 263
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 3425-21-0170-00000-2630
Improv. Cost: 2,495.00
Date Issued: 7/05/2011 Name: STALL DEBORAH
Total Fees: 100.00 Address: 412 BALDWIN AVE
Amount Paid: 100.00 FINDLAY OH 45840
Date Paid: 7/05/2011 Phone: 813-388-9492
Work Desc: A/C CHANGE OUT 4TON PKG UNIT S/C 10 KW (DOUBLE PRMT WORK W/OUT)
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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 con�ections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site t� 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 properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commenceme "
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CONT OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jun z9 2011 10:25RM Superior Heating&Cooling 8138149374 p.2
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6, Existing A/H dimensians HpR� or VBRT height depth �
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8. Naturel Gas Furnace 8xisting unit SEER rating Groas BTU rating
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13. Copper Line Size exisring
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1S. RI I Flush YES ORNO
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ll. Heat Strips needed Skw Skw 14kw Skw
18. T'Stat 'Stat wire siu
19. Line voltage wire siu AlH 2� 6 6 10 other
20. Hanging kit needod Y�S or NO Flaor stand needed Y r NQ 4cher
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Pasco County Parcel: 34-25-21-0170-00000-2630 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, June 25, 2011
Parcel ID 34-25-21-0170-00000-2630 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Property Value
STALL DEBORAH H Ag Land $0
412 BALDWIN AVE Land $27,012
FINDLAY OH 45840-2208
Physical Address Building $90,171
Extra Features $2,125
37648 GILL AVE
ZEPHYRHILLS FL 33541-7703 Market Value $119,308
L@Qdl DeSC1'IDtIOn (First 4 Lines) Assessed (Non-School Amendment 1) $119,308
See Plat for this Subdivision � Taxable Value ;119,308
GRAND HORIZONS - PHASE THREE
PB 53 PG 120
LOT 263
OR 6500 PG 1746 &
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0200 MSUBM OOM1 6,000.00 SF $4.40 1.00 $26,400
� 0200 MSUBM OOM1 1,113.00 SF $0.55 1.00 $612
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA Code � Residential Code GDHZLPI
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 2008 Stories 1.0
Exterior Wall i Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Sheet Vinyl Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C None Baths 2.0
� Line Description Sq. Feet Repl. Cost New
1 BAS 1,590 $83,380
2 FCA 688 $7,237
3 � � 182 $4,300
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � DWC 2008 � 540 � $1,019
2 CAC-4� 2008 1 $1,106
Sales History
Previous Owner STALL JERRY L
Year � Month Book/Page Type Amount
2008 04 7847 / 0245 WD $111,500
2005 06 6500 / 1746 WD �
1995 �� � 3508 / 0207 WD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=34&twn=25&rng=21 &sbb=0170&b... 6/29/2011
06/29/2011 WED 13:09 FAX 727 784 8554 STAHL �001/001
��^� OP ID: D
AC'UR[7 DATE (MMUDDIWYI�
� CERTIFICATE OF LIABILITY INSURANCE 06129N1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED
REPRESENTATNE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certHicate holder is an ADDITIONAL INSURED, the poNcy�les) must be endorsed. If SUBROGATION IS WANED, subJect to
the terms and conditions of the policy, certain policies may require an endorsemeM. A statemerrt on tMs certHicate does not confer �igMs to the
c rt c e h Ider in Ileu of such endorsemerrt s.
PRODUCER 813-818-5300
Stahl 8� Associates Ins., Inc. 813-818-5396 H0 N; E: roo :
3939 Tampa Road
Oldsmar, FL 34677 AD°
Michael Pagano, AAI • SUPER�
INSURER(S) AFFORDING COVERAGE NAIC i
INSURED Superior Heating 8� Cooling INSURERA. NBLIOflBI T�USt IflSUPBflCE CO.
Management �flC. INSURERB.
785 Dunbar Ave
Oldsmar, FL 34677 INSURERC.
IN3URER D .
INSURER E .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL01N HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NONIIITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOYVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 7ypE OF INSURANCE P ICY NUNIBER ��M�
GENERAL IIABILRY EACH OCCURRENCE $ 'I �OOO�OO
A X COMMERCIALGENERALLIABILITY GL001042102 OB/O'IN1 OBIO'IHY pREMISES Eeoccurrence $ �OO,OO
CLA�MSMADE � OCCUR MED EXP (My one person) $ 5,��
PERSONAL & ADV INJURY $ 'I,OOO�OO
GENERAL AGGREGATE $ Z,OOO�O
GEN'L AGGREGAlE IIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z,OOO�O
POLICY X PRa LOC Em B611. $ 'I OOO OO
AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT
A X/wv,4lJfo CA001615802 06101/11 06101l12 �Eaaccident) $ 1,000�00
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per acadent) $
SCHEOULED AUTOS
PROPERTY DAMAGE $
HIRED AUTOS (PeracadeM)
NON-OWNED AUTOS $
$
x UMBRELLALIAB X OCCUR EACH OCCURRENCE $ Z,OOO,OO
EXCESS LIAB CLAIMS-MADE AGGREGATE $ Z,OOO�OO
A UMB001082702 06101l11 06101112
DEDUCTIBLE $
X R NTION � O OOO
WORKER8 COMPEN8ATION
AND EMPLOYERS' LIABILITY Y! N
ANYPROPRIETOR/PARTNERIEXECU'fIVE E.L EACHACC�DENT $
OFFICERlMEMBER EXCLUDEO? N J A
(MSnd�tory in NH) E.L DISEASE - EA EMPLOYE $
If yes, descnbe under
E.L DISEASE - POLICY LIMIT
q Physical Damage CA001615802 06101l11 06101l12 Comp Ded 50
Coll Ded 50
DESCRIPT'ION OF OPERATIONS ! LOCATIONS! VEHICLES (AGach ACORD 107, AddWond Rsmuk� Sehsduls, it more spacs la roquirod)
ZEPHY-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE 1MLL BE DELIVERED IN
ACCORDANCE NIITN THE POLICY PROVI810N8.
City of Zephyrhills
5335 8th Street AUTHORI�D REPRESENTATIVE
Zephyrhills, FL 33542
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O 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009I08) The ACORD name and logo are registered marks of ACORD
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• CERTIFICATE OF LIABILITY INSURANCE ��5izoii
Producer Lion Insurance Company This Certlficate is i�ued as a matEer of informatlon only and confers no rights
. 2739 U S HIghWBy 19 N. upon the CertlFlcaee Holder This Certlficate does not amend, extend or alber
Holiday, FL 34691 �e ���9e afforded by the policles below.
(727) 938 Insurers Affording Coverage NAIC #
Insured South East Employee Leasing Services �nC. InsurerA. tionInsuranceCompeny 11075
2739 U S Highway 19 N. �nsurer e:
H011day, FL 34691 �nsurerc:
Insurer D�
Insurer E:
Coverages
epuiues insurance iste euw ave eeniswe to emsure reme a ove or epuicyGeno m icate . utm stan ingaMrequiremeM,termurcon i�on arycoiro'adcr er ocumeMm respeRto r
this cerd�cote moy be issuetl or may pertom, the msuronce ottorAetl by Vie poliaes tlescnbetl heram is subJect to oll the terms, exclusions, ontl contli4ons of such pohaes Aggrego[e limrt9 5hovm mfry hOVe been fetlutetl qy
peid claims
INSR ADOL Poliey Effeetive Poliey E�iration Date LIn11tS
�rn IfJSRD Type of Insurence Policy Number p�
(MM/DD/YY) (MM/DD/YY)
ENERAL LIABILITY Eachocarrence 6
Commercial General Liability
DamaSle to rerted premises (EA
Claims Made � Occur occurrence� �
Med E�
eneral aggregate limit applies per Personal Adv injury
Generel Aggrega[e
P�h�y ❑ Pru�ett ❑ LOC
Products - Como/0o A90
UTOMOBILE LIABILITY Combined Sin�e Limit
Arry Auto (EA Acadenq 6
All Owned Au[os BotliN In�ury
Sched�ed Autos (Per Person)
Hued Autos Dod�y In�ury
Non-Omed Autos (Per Acaderrt)
Property Damage
(Per Acaderrc)
EXCESS/UMBRE�LA LIABILITY Each occurrence
Occur ❑ Claims Made Aggregate
DeducGble
A Workers Compensation and WC 71949 01J01/2011 01/0112012 x wC swa,- O7H-
Empbyers' Llabllity to L'mits ER
Arry proprietodpartner/exeeudve officerhnember E.L. Eech Aaident 81.000,000
excluded9
C.L. Disenae - Ce Cmployee S�.00O,000
If Yes, describe under special provisions below.
E.L. Disease - Poliey Limits S�.000,000
other Lion Insuranee Company is A.M. Best Company rated A- (Exeeilent . AMB # 12616
Descriptfons of OperationslLocationsNehicles/Exclusions added by EndorsementlSpecial Provisions: Client ID: 06-65-644
Coverage only applies to acdve employee(s) of South East Employee Leasing Senrices, Inc. that are leased to the following "Client Company":
Superior Heatiny & Cooliny Manayement, Inc.
Coverage only applies to injuries incurred by Soutli Eest Employee Leasing Services, Inc. acdve employee(s) , while woiicing in Florida.
Coverage does not apply to statutory employee(s) or independent conuactor(s) of the Client Company or any other endty.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562.
Project Name:
FAX. 813-814-3449 & 813-780-0021 / ISSUE 11-02-09 (TD) / RENEWAL 12-17-09 (SH) ! REISSUE 01-0&10 (SD� / REISSUE 03-3410 (SD) / REISSUE 0�29-
11 (SD) / REISSUE 07-05-11 (TD)
In Date: 1 1 2007
CERTIFICATE HOLDER CANCELLATION
CITY OF ZEPHYRHILLS Should ary ofttre above descnbed policies be canceNed before tAe expiretlon dffie thereof, the issuing insurerwill
BUILDING DEPARTM ENT endoavor to mail 30 duyc wnttcn no4cc to Ibc ccrtificatc holder nomed to thc Icft, but failurc to do co ohall impooc no
ob6gauon or hebihry of arry Wnd upon [he msurer rts ager� or represerrcauves.
5535 8TH STREET
ZEPHYRHILLS, FL 33512 / �O�
K A