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Home My WebLink About12-12941 CITY OF ZEPHYRHILLS � 5335-8TH STREET � (sis)�so-oo20 12941 ' � PLUMBING PERMIT � �P ' � �„k ",�•','�: . ,�� -;�,er�„ 'y� '�rs„ �� az� o-�r�C'+�.�.,,��'y� Permit�#:12941 Issued: 4/02/2012 �� Address: 39435 8TH AVE Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 9,800.00 Total Fees: 127.50 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 127.50 Date Paid: 4/02/2012 Parcel Number: 12-26-21-0310-00000-0580 �.y, w�..o-<�-; �;�;,� ',��. Name: SUN-T.E.0 Name: LUPP, FREEMAN LINDA Addr: 12101 31 ST COURT N Address: 39435 8TH AVE ST. PETERSBURG, FL 33716 ZEPHYRHILLS, FL. 33542 Phone: (727 571-4141 Lic: Phone: (813)788-2827 Work Desc: INSTALL SOLAR WATER HEATER ;;aa;�A,�„, t �� ,.. � �� : �-��:� PLUMBING FEE �127.50 _ ,, , � � .� , � ;, �„�. Y �� ..,r.,� � , �, � � F. <,r Et��,.a: •+� �' r �Sr '�,'�. � a� ,.�, 3 r ""�'�' re..,'�. r�,, d� s, 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER .r 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 a 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 commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. � � N CTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � Phone Contact for Permitting �� — � ' � � i � � � � � � � �ii Owner's Name L N� � 1.�� Owner Phone Number � " P� . Owner's Address � ' `•v Owner Phone Number ,� '��J'� ,�� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS �� LOT# [� SUBDIVISION ��LSc� � � PARCEL ID# � O '� � — �3 ��V OOO��' WORK PROPOSED B NSTALLS7R B R�EPAIR �SIGN NEO FR�OM PROPERTY T�nce)DEMqLISH PROPOSED USE � SFR Q COMM � OTHER —� TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTIONOFWORK --' �u.Jjl�v._ 5pL'T1C. �li�l�� H�7�I� SySle�"� BUILDING SIZE Sa FOOTAGE� HEIGHT � �BUIIDING $ Q��' VALUATION OF TOTAL CONSTRUCTION 0 QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R E.C. OPLUMBING $ r � n��y� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �G1' � [� f � Z � �GAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER � ��OMPANY L�G�'��. � SIGNATURE REGISTERED N FEE CURRE� Y/N Address License# �� ELECTRICIAN COMPANY � SIGNATURE REGISTERED Y! N fEE CURREA Y/N Address License# �� PLUMBER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# �� MECHANICAL COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# r--� OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oI 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, Sanilary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnstruction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stortnwater Plans w!Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Permit for all new pro�ects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely Owner 8 Contrector sign back of application,notanzed If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurveylFOOtage) Driveways-Not over Counter rf on pubhc roadways.needs ROW NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subjed to"deed"restrictions" � which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any � bpplicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contrador 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�icensing Section at 727�47- 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 Courrty TRANSPORTATION IMPACTNTILffIES IMPACT AND RESOURCE RECOVERYFEES. The undersigned understands that Transportation Impad Fees and Recourse Recovery Fees may apply to the construc6on 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 aiso 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 Pasoo County ordinances. CONSTRUCTqN LIEN LAW(Chapter713,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�-lomeowner'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'SIOWNERS 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. Appiication 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 agenaes may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agenaes include but are not limited to: - Department of Environmental Protec6on-Cypress Bayheads,Wetlarxi Areas and Environmentally Sensitive Lands,WaterlWastewaterTreatment. - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering Watercoirses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Departmerrt of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater TreaUnent, Septic Tanks. - US Envirorunental ProtectionAgency-Asbestosabatement. - Federal Aviation Authority-Runways. I understand that the following resYictions apply to the use of fill: - Use of fill is not allowed in Floal 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 construc5on,I certify that fill will be used only to fill the area within 1he 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 viola6ng 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 permR may be required for electrical work, plumbing, signs,welis, 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 shail issuance of a permit preverr[the Building Offidal from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the worlc authorized by such pertnit 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 Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extiensan. If work ceases for ninety(90)oonsecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCHNENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV9NENTS TO Y�DUR PROPERTY. IF YOU INTENDTO OBTAIN FINANCING,CONSILT WITH Y UR LENDE OR N A - NEY BEFORE RECORDNG YO R NO ICE O ' ENCEMENT. FLORIOA JURAT(F.S.11 3) OWNER OR AGENT � CONTRACTOR � Subscribed an b�wo r a i me yfor�me this Su sjc' ed an bYOm�tp r ffir d)before me this Frt i't�6 I'"1� L-,12.�55 �Who is/ar ersonally known to me or has/have producetl Who is are personal�y known to me or haslhave produced as identification 1.7L as identification. fr •%•' — Notary Public _Notary Public Com ssion No. '� �� j�J3 mission Ef vI o r� 3 H�6► PN U - Na KeC�alamp�� yped,printed or stam ed ,:►�:Y°.� ' HENG H PHU :�. �`?�: ��*�"•��; HENG H PHl! '' *; MY COMMISSION#EEOt05G� =+°' .'� EXPIRES Jul 20,20�A _�, '� MY COMMISSION#EE010563 I��'�°F��`�� y �.',?�d�'�� EXPIRES July 20,2014 (a0J)398-0153 Floridallota Serv!co. (407}399-0153 FloridallotaryScn�-�.com rasco Lounty rarcet: t�,-�b-L i-u.s�u-uuuuu-u��u uu i Yage 1 ot l �Data Current as Of: Weekly Archive - Saturday, February 25, 2012 Parcel ID 12-26-21-0310-00000-0580 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value FREEMAN LINDA S Ag Land $0 39435 8TH AVE Land $15,510 ZEPHYRHILLS FL 33542-6866 Building $65,423 Physical Address Extra Features $10,061 39435 8TH AVE ZEPHYRHILLS FL 33542-6866 )ustValue $90,994 Assessed (Save Our Homes) $90,994 LeAal DeSCrip#iort (First 4 Lines) Homestead 196.031 - $25,000 Non-School Additional Homestead Exemption - $25,000 See Plat€or this Subdivision .�' SUNSET ESTATES #2 MB 16 PG 3-4 Non-School Taxable Value $40,994 LOT 58 School District Taxable Value $65,994 OR 5125 PG 1951 Warning: A significant taxable value increase may occur when sold. Click here for details and infa. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �1 0100 SFR OOR2 6,600.00 SF $2.35 1.00 $15,510 Additional Land Information Acres 0.15 Tax Area 302H FEMA Code �Residential Code ZHLG�P4 Buildinq Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1979 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 1.5 Line Description Sq. Feet Repl. Cost New 1 BAS 1,624 �— $79,495 2 FG R 252 $4,944 3 FOP 16 $196 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWC 1979 750 $572 2 FIRE PL 1984 1 � $696 3 DCFENCE 1991 946 � $353 4 POOI-6 1991 392 � $4,704 5 JACUZZI 1991 1 $600 6 C�OL DK 1991 220 $573 7 CON PTO 1997 256 $432 8 UDU-M 1999 1 � $403 9 SCRN-AF 2004 960 $1,728 Sales History Previous Owner BASSETT MARK D& DONNA Year Month Book/Page Type Amount �� http://www.appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=03... 3/2/2012 a x «�� 7 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ;.-- � �, ' Contract /Homeowner: � Ci�- , �,�t� . � Date Received: � �� P - �c� Site: � ��-� -" � � �lJ,�— � � Permit Type: cr..._ /.c1c� r' S �� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet al e k t with the permit and/or plans. .,�J_� Kalv' S i Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) S/� IIIIIIIIIIIIIIIIIIIIIII{Ilflllllllllllllllllllllllllllllllll , . 2012044340 � Rcpl:1422433 R�e: 10.00 DS: 0.00 IT: 0.00 03/19/12 C. Fa�rtn�ton, Dpl.y Cle�k NOTICE OF COMMENCEMENT PAULq 5.0'NEIL,Ph D.Pp5C0 CLERK R COMPTROLLER Permit No. 03/19/12 �0��q i o �� Tax Folio tdo.� "� a�O"�'-{�,,�—006�'"�`�� OR BK 1 PG THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Sedion 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1_ Description of Property(legal description) ��5 �a NB � �-S�� qS( a)Street(job)Address 6� �1'Y� 2_ General Description of Improvements ��5774'LL ��-H� �w�4�Q'LYL '��1�/�bi�,�� 3. Owner Information a)Name and address ��N� F�'M� �� y'� �� 1'�,��}�� . 3��. b)Name and address of fee simple titleholder(if other than owner) c)Interestin property 4. Contractor Information � 1 a)Name and address L' ��; t � c.31�C''� N� � !� b)Telephone Number��-- t7�71"�"�`�� Fax Number(Optional) — ''d � 5. Surery tnformation � /� a)Name and address � b)Amount of Bond c)Telephone Number Fax Number(Optional) 6. Lender Information * y l� , a)Name and address �v� b)Telephone Number 7_ Identity of person within the State of Florida desi�a�e�d b,y owner upon whom notices or other documents may be served a)Name and address � b)Telephone Number Fax Number(Optional) 8. In addition to himself,owner designates the following p rson to receive a copy of tfie Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes a)Name and address N � b)Telephone Number Fax Number(Optional) 9. Expiration date of Notice of Commencement(the expiration date is one yea�from the date af recording unless a different date is specified) WARNING TO OWIVER:ANY PAYMENTS MADE BYTHE OWNER AFTERTHE EXPIRATION OFTHE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7i3,PART 1,SECTION 773.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MYST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTENDTO OBTAIN FINACING,CONSULT YOUR LENQER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO�CE O��CO�ME�EMENT. STATE OF FLORIDA �,�`'�'� HENG H PHU � • COUNTYOFPINELLAS _: � MYCOIdMt3310N#EE010583 i9natureofOwnerorOwner'sAuthorized cer/DirectodPartner/Manager . EXPIRES July Z0,2014 " L l r.S�A �• �.-U � I ' Print Name I07 ��Ot53 rvteo.ean The foregoing instrument was acknowledged before me this` day of ��.l�+ll� ,20 �•.by �N� F. �.1�. as �4��-- (type of authority,e.g;officer,trustee,attorney in facty for (name of party on behalf o w tnstrument was executed). ❑Personally Known �Froduced Identification Notary Signature Type of Identification Produced ��--• Name(Print) ��V�a. P�"El� • AND Verification pursuant to Section 97_.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. � �. - , -n � vy�pc,q_ Signature of Natural rson Signing(in line k10)Above ��A°��,?� �LOi�ll�p+,�RJUNTYO EGOSNG�NT TNl5 I5 T�G� TRUE ANC GO��PUBT iC RECC�RDHN D0�OFFICE ON FII.E�� 'rl lAL ALTNIS g WIT E MY HAND A � __1�-Z�---�AY�F - K&COM RO ER PAULA S O N�l DEPUTY CLERK BY 2012-03-13 17;04 L 7833292 » 727 540 0804 P 2/3 /� TO WHOM IT MAY CONCERN: Attached is a copy of the court order Iegally changing my name as follows: FIRST MI„� LAST nLD NAME Linda Sue Freeman�Lupp NEW NAME Linda Freeman Lupp Flease change your records and if appropriate, issue nPw iD cards. lf you need any further information, please contact me. Thank you, ;� .�. � �, r , ' j ` � ,�, , . )\ ' �.� .. . , ! Linda F. Lupp ._ ... 39435 8`"Ave � �, - � � -� -- � .-. _ .. Zephyrhil�s, FL 33542 �'`� "'.'"'.,�� :� 813-788-2827 � • .�K��>"'�► L iop-5?� R 2 g51-p . , �.CMff�A FREEnnnt. y,r Lupp �! ��AVE ��++u.s,Fz sas�z�s , �s�,n�.l,°6?_aex F �0 Nni .r,.� � '�'�`� �1-9018 :�l�b• ��..,.L. 'a �,� r'�i',N��, RC�..Aa.�!�j.7'�201� -a,. ,�, ,� � ,�, 9'�'P�'DRrVBR � � ..,�.,, � . . , .r� , . 2012-03-13 17;05 L 7833292 » 727 540 0804 P 3/3 ��, �. IN THE CIRCUTf COURT O�THE �� lUDiC1AL CIRCUI'I', IN AND POR W COUNTY, FLQRIDA Cese No.5 � 2 � 1 1 p R - Z 6 l 7 � S D'+vision: IN R�: THE NAME CHANGE OF 'a '„ A ,r�� ., �.� r��,>p� �5.:_.. �l�.��n� •-LU�AP ^� � �� „r , . ..-- — Pctitioner. . •'> �, , .r :•{ � . �;. -� �. . � , ��T1AI.�JUArM�;N'�'OT rH.AN(yE QF NAME (AnUL'I�;, -; `� rv , '� .�. ��' .c� � , .� c ," This cause came betb�e the Court or� (date) LZ �, f'ur a hed!'ing on Potition'for Change of Name(Aduh)under sectian 68.Q7, Florida Stadrte.9,and it appearing tc�the Coart that: ' C.1 i� 1. Petidone�• is a bona fidc resident of _.��_i�`-?_..._.,_.....,._, ._(=nunty, I�bricl�; 2. petitioner's requast ig nM for any ulterMr�r ill�al pur��se; en�� 3. granting this petitian wil)nat in Hny manne�r invade the.pro�x;r,ty righrs�,t'�ih.�,:q,wh�rh��•�,a��p, patent, goad will, privaay, tr�ma�•k, or cnhr.n-wi,se; ir i�; ORDER�D thAt Petitioner's present itame,._L_-:`.'•�.`'._1_.._ :', .�.'�� _.r �-�A�r�l � .�)(��' --� is changed to L- �n�?� �P-�M��v �. � � f.� _. by which Petitioaer shall hcreaf3er be knawn. �RUERED ON �� .:�I I . .- - , , ;�� ...�., _. ,.�. �, ._�_. ......,._�....___._ .. _ .,, .., ��T -�--- .. .___.... _. C'.(R�'•l1TT.I1117('rT' - COPIES TO: Petfioner S7A7�dr F�Lp�:IDA,CnIINTY OF PASCU 1'I�IS IS�1�U CEE:�'�FY"rHA7 rHC FOREGUlNG IS A T{�UC AND Cn^RF�T;,CPV rir T�F t')(.X;IIMF.N'f ON FlIF Of�c;;. F,!Fsi �!',►;�C��2��;,V r�.� • ;�F�•ICt_ ,�,17�;� c a/Y � .':�r�;;• ';''F�C,r�;_�- , .�,,•; ,�.S =�\r,�; � �� .� � -,�,,��: ! ►_ 11,�.1.. ' � � �� .:..:,�, �,��;�,�;;_<<►.;; �.: c�:��;it>-�,. i�.i..r��`i i�;_�� . � 13Y�,..; �:,.J„�..��4—: � f f�lLl'Ul'Y�ll:ItK �, < < 1 i�,L..�:.: � � Florida 5upreme Cowl Approved Fa►nily I.aw Fo►m 12,987(b),final.lud6ment ofC:l►�nR�ol'N�uoe(Ad�d��rmm 03/14/2012 10: 17 8137828877 THE UPS STORE PAGE 02 �Y To wxo� �T�►Y corrc��v: Attached is a copy of the court o�der legal�y changing tny na,�e a,� follows: F� MIDDLE LAST OLD NAME Linda Sue Fre�man-Lupp NEW 1YA.1V�E Linda Freena,an LuPP Please change youx records and if appropxiate, issue new ID cards. If you need any further information, please contact me. Thank you, °�, � '% y{; ' ' � •; _� ',', , . )� . �..�_,_ k' � � f � , � ,. Linda F. LupA -•�---.- _.. . - -----.__ _..----.- ---.--...._._... . .. --------__.._ 9435 $ Ave - .:��,:�: •- ,.-� _ ___--.... Zephyrhills, ,FL 33542 � �, �:�*'`� � � �" 8I3-788-2827 � - j �1 � `� :�. 04-�26-52- ,� �l�1-U ��a:, � . ��t ;�o� O�.i��FI"QA15�f4'�BeMO , •3Ex:f � � NG!•Si►6 . . . , ��n,l�'� �A�,iiw� ' ' " -'E'�,'�C:''1•1��UTt 'H,�. �v..e,..,.�,,.�,�„O.yR'svER� t nr•. �:q..nt r, i n�..,«rrr.. �wrw,.t, �_. e3/14/2012 10: 17 8137828877 THE UP5 STORE PAGE 03 . � �,,.. IN THE CIRCUIT COURT OF THE �� JUDICIAL CIRCUI'I', IN AND FOR COLJNTY, FLOWDA � Casc No.5 1 2 0 1 1 � R - 2 6 7 7 � S Q�' IN RE: TH�NAME CHANGE OF •a "'' � � �� , . l_., ti��/� � �-R.��H1�4n� -�-v�� ;�, �b � -, ._..._____.__��...� _ ,.� � Petitione�r. ' � ;_j . �r • --o ,. . , � , . l�'NAI� NnGMk;NT Ol+' �ANG� Cak'NAME (ADUL'I�:' = ' � :�i er .c- � � ��, , f� This C�use came befvre d18 Court on fdate/ _..:.!�., for a heat'i'ing an Petition�for Changc ofName(Aduit) ur�cler sect�on 68•�7, FMrida Statutrts,�d it appearing eo the Court thaR: 1. Petitin�rer is a bona fidc resida�t vf.._.�^�i�,`>�•�`�._._.__..._Lo+mty, ;Flvrici,�a; 2. Petitioner's request is nat fot any ulbe�'irn'cx•il1r,�pur�a�e;And 3. gCBlltillg thlS�lBtifi0I1 wl�l nOt�ri�lny YY2at1i1Ct"IttVBC�t}1e p�•nper't,y i'i�hts nf'f�h,r,ry, �vhat.h�r aa1'�Ip'�hi�� patent, good wil1, ptivsuy, tradem�s�s, c�s�ti�crwi�e; ir is ORI)ERED Ihat Petititmer's pt'esent nRnnc,._�;,-��>!'?�,_...`'�_..��'�_'�='�: t�'`�., "...1 -��'',��---> _ .__._.. . ._.._. .,. .,. is ChBttgCd to� ►N��t ��M�tv . , .,_. t...�� . ..... ... �Y W�ic}1 P�titioner shel! heceaRer be known. 4RDERED ON �� A�"c.:!,__,,.._ �-•--�-• /J��_.�"�J"+►w�..r�'_ __" r'�.- . t'_, �. ..��M�� .. ,��:V�.r�.. ..-. -.--...��,.�.i..........�...�-..� C�RCtJTT.ti1D�Fi CQPSES TO• Pd'etioner sYn�r�o�F�arziQ�,couNrr o��scc� THlS tS TU CEfi1�1LY THAT YNF�n«�G��lNt�15� 'i'{:UE'AI�[�CO^.Rcrv �;npv n� ?�� nnCEIMEM� UN F'il.E� 0�t:2" ;-'._'�t '�,�;�C!11"t� !V � , •;;a1-�ICf .� • � 'r'in'._�z- `''i4' �,��i i^,i S��AY ±,;i��i�,�,L'i; is� � •- . � , , : , -;:v r•,H�_i_�i�.:�_ . N'l�l.�L,�^: .�.�hEiL. :�t_b=i�Y�b:i�')AA(�"i:,.3L.1_EFZ !. � � � �/� i.aY*.1'.:. `�...�i:�J-�-k!-�-^��.1.._n��?l1TY rt..t:f�K r � ' Plorida Suprema CourE Approved Faiaify I,a�r Fwm 12.982(b),Pi��nl Judgm�a�ofCheage of Nh�n�(nduti�(o�r�� Sun-T:c.C. / LSCI, INC. 12101 31St Court North #A St. Petersburg, FL 33716 727-571-4141 AGREEMENT Solar Contractors Lic.#CVC056656 Painting Specialty Lic.#C-10006 Purchaser's Name Date DOB Page 1 of�_ Z O ' Street Phone# � H:c 8� '��s—a8�� c:cf� �7c3—t7�`� City Zip County SSN r I/We,t e ners of the premises described below,hereafter referred to as"Purchaser"offer to contract with above company, hereafter referred to as"LSCI, INC.",to furnish,deliver and arrange for installation of all materials necessary to improve the premises according to the following specifications including all attached worksheets and forms: �HW ❑Photovoltaic SPH ❑ ❑ Coating ❑ Solar Shield ❑ Other Bank Y/N Deposit$ � Permit$ Balance$ Total $ Cash Check No. CC Type CC No. DOE_ SC No. Please make checks payable to LSCI, INC. Please Note:Equipment/Products must be installed to perform properly by code and within limitations of building structure. Under NO circumstances will product engineering,site specific specifications,warranty requirements,Building Department requirements,installation requirements,manufactures test and recommendations of application/installation be altered. Property owners/purchasers shall not have the authority to alter,change,release liability from the above requirements for any reason.Should any third party other than LSCI licensed,certified or trained technicians alter,change,relocate,damage equipment or portions of LSCI installed equipment and system,all warranties are null and void and the property owner bears all responsibility and liability and releases all vendors,suppliers,manufactures,engineers,test facilities and LSCI from such liabilities.Verbal understandings and agreements with LSCI�epresentatives are not binding on LSCI.Any understanding not set forth in this agreement is not binding on LSCI or any LSCI contemporary companies. 1) This Agreement is not binding on LSCI unless accepted by an officer of LSCI. 2) This Agreement is not assignable by the purchaser,but shall be binding on the heirs,assignees,successors and administrators of the estate of Purchasers. 3) Purchaser shall pay to LSCI on demand a late fee equal to 5°�of any installment due under this Agreement that is more than 10 days delinquent should purchaser purposely and without cause delay said project.Returned checks shall carry an additional fee of$100.00 due immediately. 4) Liquidated damages:Because adual damages for breach of this Agreement,before commencement of work,may be difficult to determine,Purchaser shall pay to LSCI,10%of the cash price stated in this Agreement as liquidated damages for a breach of Agreement that occurs before commencement of work.Once LSCI furnishes any labor,services,or materials under this Agreement,LSCI will be entitled to actual damages plus 10�o if Purchaser breaches this Agreement. 5) The undersigned authorized LSCI to verify and review their credit record with an independent credit reporting agency and release LSCI from any inadvertent omissions or errors,if applicable. 6) This Agreement is governed by the laws of the State of Florida.The exclusive venue for all legal proceedings relating to this Agreement is Pinellas County Florida. Each par[y agrees that Pinellas County,Florida,is a proper and convenient venue for legal proceedings rising from this Agreement.Purchaser shall reimburse LSCI for all costs and expenses incurred by LSCI in enforcing its rights under this Agreement,including without limitation,attorney's fees,court costs or associated costs of investigating,preparing for prosecuting,defending against,or providing evidence producing documents or taking any other action(whether at trial,on appeal or in bankruptcy or other proceedings)in connection with the enforcement of LSCI's rights under this Agreement. 7) LSCI will only repair and replace non-structural exterior wood specified as per work order. 8) This Agreement contains the final,complete and exclusive understanding between the parties and supersedes any prior or contemporaneous agreement, understanding,or representation, oral or written,by either Purchaser or LSCI(except for loan documents executed by those parties with respect to this Agreement ).An amendment or modification of this Agreement will be valid and effective only if it is in writing and signed by the party against whom the amendment or modification is sought to be enforced.All changes,alteration,demands by the customer must be accomplished by change order Additional work may require additional charges which the customer shall pay all increased amounts in excess of$100.00 charge at time of such changes.Equipment/color changes or alterations by customer after materials are specifically ordered/tinted,as selected by customer,shall require an up charge due upon such change. 9) LSCI shall exclude any structures or deck areas with swimming pools,spas or hot tubs for the purpose of pressure washing,spraying,repairing,replacing or rescreening.No walkways,decks,floors or driveways shall be under warranty in reference to any exterior coating agreements. Florida Statute 713.001-713.37:Accorcling to Construction Lien Laws,those who work on your propeKy or provide materials and services and are not paid in full have a right to enforce their claim for payment against your property.This claim is known as a Construction Lien.If your contractor fails to pay subcontractors or material suppliers,those who are owed money may look to your property for payment,even if you have paid your contractor in full.If you fail to pay your contractor,your contractor may also have a right to file a lien on your property.This means if a Ifen is filed on your property,this property could be sold against your will to pay for labor, materials or other services that your contractor may have failed to pay.To protect yourself,you can require your contractor to fumish you a written lien release after project completion and monies paid to the Contractor If the contractor provided you with a"Notice to Owner",this notice must be posted on your property,if this action is applicable. Buyer's Right to cancel:If this is a home solicitation sale,and if you do not want the goods or services,you may cancel this agreement by providing written notice to the seller(LSCI)in person,by telegram,or by mail.This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement.If you cancel this agreement,the seller may not keep all or part of any cash down payment. � p • I� .� �• � � I� �;. i � Rep(print) (�L1!\. ��_Purchaser � Date �� y LSCI Officer Purchaser CT�� Date � �°— ��- ORIGINAL—OFFICE COPY—CUSTOMER Revised 04/01/2011 � � E , � �: � � i �"Lc7RIt�� `_ic.�L:��k �;tiERta�' �,LN`I"E�l� ? ------ _ � Approved Solar Energy System � Approval Date: April 1983 ' FSEC#S 1175 Revision Date: July 2011 � DISTRIBUTOR SYSTF.M � Solar Hydronics Carp. 0-80�0 � 1423 Gunn �-lighway � Odessa, Florida 33�56 � Tliis system was evaluated by the Plorida Solar Eaergy Center (FSEC) in aecordance with the Florida � Standards Program for Solar Uomestic VJater and Pool Heating S_ystems (FSE(� Standard ]04-OS) and was � tound to meet the minimum standards establ ished by FSEC. � a North Central South � �1�he calculated Plorida Energy F�actors for ihis system are: 2.1 2.2 z,2 � DESCRIPTIUN � Collector�anuf�cturer �SEC Nurnber Model Units s l. Atternate Ener�y Technologies 00090N AE-40 � � 2. Alternate Ener�y Technologies 00215N MSC-40 � � 3. Solar Hydronics Cor-p. 00333N SHC-40 1 � =�. Alternate Energy Technologies 00081N AE-21 2 = �. Alternate Ener�;,y T'echno(ogies 00213N MSG21 2 � b Solar I-lydronics Corp. 00444N SfIC-21 2 � � '1'ank Mauufactvrer _ Model Wumber Capacity(�al} Type; Direct $ 1. American Water Heater SE-b2/1]2-80H-045S 80 �. Any Equivalent [Ji.. I_.istcd Tank gp � 3. } _ ; Yump Manufacturer Mode!Number Power Draw (Watts) Rated Power � � 'raco UO3-BC4 51.75 1/40 H.P. � 2. Solar Hydronics Corp. 003-BC4 51 J� 1/40 H.P. � 3. Solar Nydronics Corp. 003 VTf3C4 Pump/Control 51.75 1/40 H.P. � � � Controller Manufacturer Moe�el Number Ty�e: Differential � i. lndependent Energy/Goldline CM30/C-30/GL-30LC0 AC � � 2. Solar Hydronics Corp. SHC-30-LCO/GL-30LC0 AC � 3. Stecca TRO-301-1-B-0� AC � 4. IMC SOLR-2ELC-10 AC � �. Reso1 � DeltaSol BS/t AC � -- --- � Freeze Protec�tion � 3 I. Manual drain down � � 2_ Freeze protection valve � ?. Automatic Rec;irculation � _3i»'.`t: � � ll��t� (�,x:�• (': .�i:� i':%�? i; 'i It i_>I-U+�-:ii3l'' I,` t_'1-b�:5,lt)It� • �r;rv:t>c'�, uct.c�lct ? � ' � ts• 'I�. :<.fl^E x:nt .i, _ ,li =l� . , .., .. . . ._ ..�. � -!�i':, -. ii..'. , ., .� I�',,. . „ ... .n. t'! , z ' SaLAR WATER HEATING SYSTEM (AC) � { � t_,oi�EC i�c3 ou t!..t.-� `' j � — " ROOF E�Er;�'Rai orv =: A�Jl:F:�?SNi�lt; - rSEE DE�A:�B�ECr��; � �� __ t;�JCI�-��ETRl�'iCN � - �j . AN'.��LA.SHIr.,�� j i: 11 � j: t� �~ ---�`_!-=--� - /^ --__ _--1 _�--�I_- � - --�`--_=-_---- ---;-_I . ---- ___-l�__ ___r---�_ _ - _- --�?_-----T--==]� __�____ :. �"� s_- _'7"'�_ ''Y1T ' T- 1� �r � __ L �- _`-_-.�----_-�_ � -- -- ; ---L--__ _ =� �,J . -----� , � ., S:JL?�i - ��r't,-ife� ."�.'C�LFtfi �--�__�,. I ;r`J�'r3Ei;i�t�SL-. � SIJY�_�' �' ' � ; �- a � _{� � ;�� ; n ,N. �oo : -- 14 �� ?o�,r�c ; --_ ��1-r '-- I r——..—I ,� � , � �s , -;, ,� �I � : � �� _� �� ,��, �� i a � , � .. i � ; , ,r �� y � .. , ;: li2 ! � � ---- i � ( �(� �C,GUE�A�� % � � � � �� _ � � / � ��J ��✓1 TOP bF TANK � L�T7j f q ;;��'�r�s f 1_A;; i�{J�J� , a� ��-_-_- �;�� PLUMBING DEATILS � � i� T�----- ,_-_- '- ` �-_ _4 j COLLECTOR OUTLET& i ', � �- - �� ; _ � -;- , ROQf FLAStiIhIG�ETAIL � � �� r' -��`-� ;_ -..._ _ i_; ;�. ;"t.AA?��+�.R.UHL r �., FRE5SUF2E RcLEASE � �\• _ --- ____L,AL'yJ—___- � / r -- _ � . _�.�- . �...__' --- � � � �------_—_._._-� � ! � � ; COMP4NENT LEGEND : , � � � � I ; �NO DESCRIPTION �____._. ._ _ ._ ._ _____-. � r r � ` � � 1 SOLAR STORAG��'WATER HEATER i i EI 2 DIFFERENTIAL TErAP CL�NTROL � i f � 3, 16 THERMISTOR/SENSOR(S� i I 4 THERMISTOR/SENSnR WIRING � THEROtJtOS"iAT 2. i F?L/111NCa E�EMENT � 5 SUPPLY"SHUTQFF"VALVE � 6 FREEZE PROTECTION VALVF' � � � 7 CIRCULATION PUMP ' I ; � � 8, 13 ISOLATION SALL VALVE{S) � ; 9, 14 BQILER DRAtN(S) ' � ' 14 PRESSURE RELIEF VALVE � . : -- ----- -------' 11 COL!_.ECTOR(S} � � � 12 A�!TI-THERMOSIPHON VALVE' � 15 AIR I�ENT" �,`_ �l � * OPTIONAL (TEM --.-� • � � SOLAR COLLECTOR CERTIFIED SOLAR COLLECTOR CERTIFICATION AND RATING SUPPLIER: Atternate Eoergy Technotogies 1057 N. Ellis Road �� Jacksonville, FL 32254 USA � MODEL: AE-40 n��„ COLLECTOR TYPE: Alternate Energy Glazed Flat-Plate SRCC OG-100 CERTIF'ICATION#: 2002001F COLLECTOR'I`HERMAL PERFORMANCE RATING Megajoales Per Pa i Per Day Thoosauds of BTU Pcr Pane!Per Day CATEGORY CLEAR MII,DLY CLOUDY CA"I'EGORY CLEAR MILDLY CLOUDY (Ti-Ta) DAY CLOUDY DAY (Ci-T'a) DAY CLOUDY DAY A {-5°C) 54.8 4l_4 28_1 A (-9°F) 51_9 39_2 26_6 B (5°C) 49.8 36.4 23.1 B (9°� 47� 34_5 21_9 C (2ll°C) 41 7 28.6 15_6- C (36°F) 39.6 27_1 14.8 D (50°C) 25_I 13_3 2_9 D (90°F7 23_7 12.6 2_8 E (80°C) 9_7 l 4 0.0 E (144°F) 92 1_3 0.0 A-Pooi Heating(Warm Climatt)B-Pool Heahng(Cool Climate)C-Waier HeaOng(Warm Clunate)D-Watcr Heaung(Cool Climate)E- Air Conditioning Onginal Certification Date=22-NOV-02 COLLECTOR SPECIFICATIONS Gross Area• 3.696 m' 39_79 ft Net Aperature Area: 3 48 mZ 37 47 fti Dry WeighL- 69.4 kg l53_Ib Fluid Capaciry: 6 1 liter L6 gal Test Pressure: t l03_KPa 160.psg COLLECTOR MATERTA_L,S Pressure Drop Frame: Anodized Aluminum �a�,. ap Covcr(Outer): Low Imn Tempered Glass mUs gpm Pa in HZO Covcr([nner): None Absorber Materialc Tube-Copper/ Iasulation Side: Poly�socyanurate Plate-Copper Fin Absorber Coatingv Selective Coating. Insuiatioo Bacic: Polyisocyanu�a[e TECHNICAL IlVFORMATION EC6cieacy Equation[NOTE=Bascd oa gross arca aad(P)=Ti-Tnj� Y INTERCEPT SLOPE S i[JNITS: q=0_69 t -339600 {P)/I -0.01968 (P)�/I 0.706 -4.9I0 W/m2.°C I P CINITS: q=0.691 -059821 (P)/I -0_00193 (P)Z/I 0.706 -0_865 Btu/hr.ftj.°F Incident Angle Modifier[(S)=VcosA-1,0°<9G--60°� Model Tated: AE-21 ICa=l -0.194 (S) -0.006 (S)2 Test Fluid: Water , Ka=1 -020 (S) Linear Fit Test F7ow Rate: 10.5 ml/s_m� OA l55 gpm/ft Ii.EMARKS: September,20'10 Cert�cation must be renewed annually,For current status contact: SOLAR RATlNG&CERTIFICATION CORPORATION c%FSEC s 1679 Clearlake Road�Cocoa,FL 32922�(32'1)638-'1537.Fax(32'I)638-10�0 Retum to Search � a7e�y.,Gom�� Cle?�latxl,Ohio 44735 P- � �tsoo�3z�-ss�z PLASTIC Fax:{800)321-953� WpTER HEATER PANS '�D� �x.oate��.corn SUBRA(fTAL SPECIFICAl10N Engineering Specification: Oatey Plastic Water Heater Pans�n be installed under electr-ic water Job Reference heatels to protett from water damage. Available with 1"PVC or 1"CPVC drain fittings to al(ow for connection to indirect drain_ n! �"�--�- �� ;� i � - !` ----- - -�` - I` —q— --- j - ! --- - ----g----- - � } �1 .r. -` s,.--.�n•�!s�_ ,:,�.._�=--� (AI( dimensions in inches) . Manufactured from 0.0625"plastic polymer ♦ 1"PVC or 1°CPVC dtain fitting provided ♦ -Pre-cut side opening accommodates drain fitting . For use with Electric Water Heater Tanks . Meets requirements of Southern Building Code • Pan depth is Z.50" ♦ V�t Softening Temperature is 180° F � Product Deso-iption Qty Inside Outside No. Diameter Diameter A g WATER HEATER PA(VS WITH 1'CPVC FITTING 34160 18"PlasUC Water Heater Pan-Bulk 12 18 18_75 34161 20"Plastic water tieater Pan-Bulk 12 20 -21.25 34162 22"Plastic Water Heater Pan—Bulk 12 22 23Z5 34163 24^Plastic Water Heater Pan-Sulk 12 24 24.50 34164 26"Plastic Water Heater Pan-Bulk 12 26 26_75 " 34168 28"Plastic Water Heater Pan-Bulk 12 28 29.75 34165 30"Ptastic Water Heater Pan-Bulk iZ 30 31.00 WATER HEATER PANS W1TH 1"PVC FITTING 34060 18"Plastic Water Heater Pan-Bulk 12 18 18.75 34061 20"Plastic Water Heater Pan-Bulk 12 20 21_25 34062 22"Plastic Wat�Heater Pan-Bulk 12 22 , �.ZS 34063 24"Plastic Water Heater Pan-Bulk 12 24 24_50 34058 24^P►astic Water Heater Pan-Bagged 6 24 24.50 -�"` 34064 26"Plastic Water Heater Pan-Bulk 12 26 26.75 34072 28"plastic WaYer Heater Pan-Bulk 12 28 29.75 34065 30"Pfastic Water Heater Pan-Bulk 12 30 31_00 WATER HEATER PAN ADAPTERS 34086 1-�/z"PVC Adapter iz 39088 1"PVC Adapter 12 34089 1"CPVC Adapter lZ Data is subject to ma�ufacturing[olerances. 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