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HomeMy WebLinkAbout19-21210 S CITY OF ZEPHYRHILLS 5335-STH STREET (813)780-0020 YAP,0 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21210 Address: 6788 WAGON TRAIL ST Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square.Feet: Subdivision: SILVERADO Est. Value: Parcel Number: 05-26-21-0100-01100-0040 Improv.-Cost: 4,900.00 OWNER INFORMATION Date Issued: 5/16/2019 Name: SIMMONS, ELIZABETH ANN Total Fees: 65.00 Address: 6788 WAGON TRAIL ST Amount Paid: 65.00 ZEPHYRHILLS, FL 33541 Date Paid: 5/16/2019 Phone: 813-862-8648 Work Desc: INSTALLATION 66 FT X 4FT & 159 FT X 6 FT PVC FENCE CONTRACTORS APPLICATION FEES FENCE OUTLET OF TAMPA INC (407)851-6660 FENCE 65.00 i V V' Ins ections Required FINAL REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall_impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances CONTRACTOR PERMIT OFFIOQk PERMIT EXPIR IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 r Building Department Date Received P 12 1 5 — 1 59 D L /� hone Contact for Permitting Owner's Name /vt ZOO. Owner Phone Number Owner's Address 1 S�• Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LD l 1 S LOT# ��/y SUBDIVISION vQi R PARCEL ID# ®5_ -2•(-01W-0%%M-00� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM OTHER .S TYPE OF CONSTRUCTION = BLOCK n n0 FRAME = STEEL 'Q^ `r �'DESCRIPTION OF WORK ZnS�C�SLl� \/ Ll!VC, e P t _V c- 1k + vc P 159% to BUILDING SIZE SO FOOTAGE� HEIGHT T LO BUILDING $ Q/Ve\ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `1 f =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER 11\\ COMPANY SIGNATURE c J� Y` \ 1 y\ ►�(' REGISTERED Y/ N I FEE CURREI Y/N / Address I Zd License# C.10 ` ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# OTHER , COMPANY Qu*kek \ SIGNATURE REGISTERED Y/ N FEE CURREf Y/N Address 120, s. License# I C1 Illllllllllllllllllllllllllllllllllllllllllllllllllllllllllltllllll 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(2)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,Stonmwater 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. Dlrect14.In Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) 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 (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C 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 any 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 fora 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 Trarisportation Impact Fees-and-Resource Recovery Fees must bel 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 incompliance: 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 professional engineer . licensed by the State of Florida. If the fill raterial 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 permitlssued under the attached permit application, for lots less than one (1) acre which are elevated by fill,an.engineered-drainage plan is required: It 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.'specifcally included in the application, A permit issued shall bei 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 airy 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 Official for a period not to exceed ninety(90)-days and.will demonstrate . justifiable cause for the extension. If work ceases for ninety(90)consecutive days;the job 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.1117.0)- OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and FUrn o(or affirmed)before this by v Who is/are personally known to me or has/have produced Who is/are pe pally kno to me or has/have produced as identification. as identific 'on. Notary Public Notary Public Commission No. Commission o. Name of Notary typed,.printed or stamped Name of N t a e GG 27B457 Expires Deoelnber 12,2022 BorM Thm Troy Fairs Meuva 80038S10t9 April 28,2019 Elizabeth Ann Simmons 6788 Wagon Trail St. Zephyrhills FL 33541 NOTICE OF APPROVAL RE:6788 Wagon Trail St. Dear Elizabeth Ann Simmons Congratulations!The request for an architectural change,as described below, has been approved. Ticket#12891-Fence The Architectural Application to install a White vinyl Fence has been APPROVED as submitted. We have an objective of allowing adequate fencing for every lot while maintaining,conformity,consistency and aesthetically pleasing fence lines. To obtain this goal,dual fence lines or side-by-side fence lines will not be permitted. If the fence installed on your property is recessed into your property away from the property line in a way which would create a gap or an area of property that cannot properly be maintained, approval of this request is contingent upon your permission and allowing your adjoining neighbors to cantilever fencing and/or fence posts,in a manner to be approved by the ARB, which would correct any gap issues between fence lines. It would be understood the necessary cantilever could cross property lines to close any necessary gaps between fencing. Please ensure thee$25.00 fee is remitted within 7 days of the date of this notice.Feel free to utilize the online services offered to you through your communities'portal for.payment Project must-begin within 90 days and be complete by 180 days after approval letter.The HOA reserves the right to make a final inspection upon completion of the approved changes to ensure compliance. Please be advised that any modifications of the original request will require an additional form to be submitted. Please remember to adhere to all local building codes and setback requirements. If a building permit is necessary, it is the responsibility of the applicant to obtain. The HOA approval is based solely on the aesthetics of the proposed change. This approval should not be construed as a certification of the structural integrity of any construction. Be aware that it is the responsibility of the applicant to contact the appropriate utility companies prior to digging. Sincerely, Trina Starr Community Manager On behalf of Silverado Ranch North Homeowners Association, Inc. Corporate Office Championsgate Lake Mary Palm Coast 1631 E.Vine St.I Suite 300 8390 Championsgate Blvd I Suite 304 725 Primera Blvd I Suite-225 6 Meridian Home Ln.I Suite 201 Kissimmee,FL 34744 Championsgate,FL 33896 Lake Mary,FL 32746 Palm Coast,FL32137 0:407-705-2190 1 F:407-744-2071 Fence Outlet Port Richey LLC. 11507 US Hwy 19 Port Richey FL 34668 Office (727) 857-7590 Fax (727) 857-7590 AUTHORIZED AGENT "FORM I,Jeffrey Tinnon,:of Fence Outlet Port Richey LLC having personally appeared for identification, do hereby authorize the following to act as my Agent(s)in submitting Permit Applications in the area of City of Zephyrhills. (1) Brandie Sizemore (2) Justi Gray (3) I UNDERSTAND THAT I AM THE LICENSED QUALIFIER RESPONSIBLE FOR THE APPLICATION AS SUBMITTED By MY AGENT(S),AS REFERENCED ABOVE. I FURTHER ACKNOWLEDGE THAT THIS ORIGINAL AUTHORIZATION FORM IS IN MY LICENSE OR QUALIFICATION FILE FOR LEGAL REFERENCE PURPOSES. x x May 13,2019 C10252 Co r ctor s Signature Date Registration/Certification/License Number NOTICE: THE LICENSED CONTRACTOR'S SIGNATURE IS TO BE NOTARIZED State of Florida County of Hillsborough The foregoing instrument was acknowledged before me this 13 day of May 2019 By Jeffrey Tinnon ,as Vice President of Fence Outlet Port Richey LLC.and is personally know tome. " a_�V� Notary's Signa, e ----- - Commission Expires: H�:Y'1 PENNY FERNANDEZ _' W COMIAMION 0 CG-111686 Pg' EXPIRES:OdoWr'3,2021 ,iR.' BMW Th+u Plotary ftk Undewdlers INSTR#2019080492 OR BK 9904 PG 3308 Page 1 of 1 05/13/2019 11:30 AM Rcpt:2053948 Rec:10.00 DS:0.00 IT:0.00 PauCa S. O'NeiC PFLD., Pasco County Cferk&Compt~roMer r NOTICE OF COMMENCEMENT 0S=2&-2/; 010 Permit Number mom PARCEL# —�frQOL The undersigned hereby gives notice that improvement will be made to certain Real Property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. ego escnprron or me property.and sweet ad PAss,if avails le). LEGAL DESCRIPTION- STi�j D STREET ADDRESS - lao'188 2. GENERAL DESCRIPTION OF IMPROVEM5�.. hyENT: FENCE INSTALLATION This some reserved for recording 3. Name$Address: Interest in Property: �( � �07�� 4✓/kIy7y ,,Y�,,,- Fee Simple Title Holder(if different from.owner listed above): ! , 4. CONTRACTOR: Name: FENCEOUTLETOFTAIRPA,Mc Phone Number. 813-651-3823 Contractors Address: 201 S.FALKENBURG RD..TAMPA FL 33819 5. SURETY(if applicable,a copy of the payment bond is attached):Amount of bond: $ Name: Phone Number Address: 6. LENDER'S NAME: Phone Number. Lendbeis address: 7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name: Phone Number. Address: S. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided.in Section 713.13(1)(b),Florida Statutes. Phone number of person or entity designated by.Owner 9. Expiration of notice commencement(the expiration date will be 1 year from date of recording unless a different date'is specified. 20, WARNING TO OWNER. ANY PAYMENTS MADE:BY THE OWNER AFTER THE.EXPIRATION OF 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 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN:FINANCING, CONSULT WITH YOUR LENDER OR" AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. amlof, vGas- The foregoing .instrument was acknowledged before me this Z day of 204— by . for (type.of authority,...e.g:officer,trustee,attorney in fact). (name of party on.behalf of whom instrument was executed) Personally Kn orfAlfINJEM epew J Maus" . _ . , >rll�d�BNIR OLft6ri0tr N�VtORI!:�a0h+AUy Y,.2020 FormIP502-Revised 01/13/15 THIS I$TO CERTIFY THAT THE FOREGOING 18 A TKU ,AND CORREC'i'OOP'Y OF THE DOCUMENT ON FILC OR OF PUBLIC RECORD IN THIS OPPICE mum y Yr ; . APAUhW , ' SS i1Y HAND FF CIAC SEAL "` "I,:rut�s'e 7rtc r ..: F yr " 9 '' K �I�TROELE�DEPUTY GLIC -p ,�s9 a��� I sl A y U b 1 - r 9671 S.Orange Blossom Trail•Orlando,FL 32837 FENCE OUT L ET Proposal 1 Con Tel(407)B5,:6666 - 1724 West Broadway St.,Suite 100.Oviedo,FL 3276 wwwfenceoutletonline.com k�2011Tel(407)359-9092 CUSTOMER NAME C-�-'��T� -�<�'i/t'�Q�✓S / r S.Falkenberg Road•Tampa,FL 33619 / ,�q-�-/ I(813)651.3623 ADDRESS l D 7RX (J" C� �C �/ 1 11507 US Hwy 19•Port Richey,FL 34668 s / Tel(727)857-7590 12984 Tamiami Trail S.•North Port,FL 34287 PHONE: HOME# Z` MOBILE Tel(941)346-6800 45 S.Wickham Road•Melbourne,FL 32904 OWN PROPERTY?YE3 NO❑ Tel(321)802.6480 , /,�y, l �y / �J / OWNERS NAM E-MAIL /�/7 VtJ `7?- C-rkei •. 64,, DAT 7'5 Tel( South Nova Rd.,Unit N•South Dayt a,FL 32119 `. Tel(386)267-6760 3 Rail Flat i PVC // %® WOOD ALUMINUM CHAIN LIN PVC Feet �V j Wood Feet Aluminum Feet Sinn eet PVC COLOR —/e Cypress❑ PT ' e❑ Pres.Plus❑ Height 4' ❑ 6' ❑ ❑ '❑ 5'❑ 6'❑ Height 4'�5' ❑ 6' BOB ❑ D❑ VSB❑ T&G Privacy ❑ Domed Scalloped ❑ Residenti Commercial ❑ 3 Box Spear ight Privacy With Lattice ❑ Other le Municipa ❑ Industrial ❑ ❑ ial ❑ Commercial❑ Other Style Height 6' 8'❑ Black❑Whl Other ❑ Industrial❑Gate Size LJ Picket 1/2"x 4' ❑ 4" ❑ 3 l ar T p ed❑ Black Vinyl ❑Runner 2"x 4"❑ Post SizenGate Size Gate_Size Gate_Size ❑ I ySizeGate Size Gate SizeFlat Ca �' Bal Ca I ❑ _ Gate_Size Rail Pool C e SizP P Gate SizeGothic ❑ New Eng. ❑ Gothic To Traditional Top ❑ Gate_ ❑ ze Coachman❑ Tear Drop❑ Other❑ Good Side In ❑ Out ❑ /Remove existing Fence Ft. No ElsiMi roll ntour of slope ElLevel top with slope ❑Follow contour of ground El Level top with rolling terrain Fence Line to be Cleared by Fence Outlet ❑ Fence Line to be Cleared by Owner ❑ Corner Lot Yes ❑ No ❑ S6 Permit Needed Yes No ❑ `= 4d 141 Jurisdiction a ✓lT_Special Instructions: � 7T� l = Fence Outlet will assist the customer,upon request,in determining where the fence is to be erected,but under no circumstances does Fence Outlet assume any responsibility concerning property lines or in any way guarantee their accuracy. If property pins cannot be located,it is recommended that the customer have the property surveyed. Fence Outlet will assume the responsibility for locating underground cables and utilities,however, Fence Outlet is not responsible for any sprinklers or other unmarked buried lines or objects. Payment is due at the time of completion of work,and a finance charge of 1 1/2%per month shall be applied to all accounts not paid in full within 10 days of completion. All material will remain the property of Fence Outlet until payment is received in full. Right of access and removal is granted to Fence Outlet in the event of nonpayment per the terms of this contract. The customer agrees to pay all interest and any costs incurred in the collection of the debt including reasonable attorney fees. If the buyer refuses to allow the seller to begin work or complete work already begun,or to accept materials contracted for,Buyer agrees to pay Seller liquidated damages of a sum equal to 33 1/3%of entire contract price,plus cost of materials and labor already furnished or in progress. Warranty may be voided if sign is removed. Customer assumes full responsibility for obtaining homeowners association approval for the type and.location of fence. ACCORDING TO FLORIDA'S CONSTRUCTION LIED LAID(SECTIONS 713.001-713.37,FLORIDA STATUTES),THOSE WHO WORK On YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN MR RAUE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR(AILS TO PAY SUBCONTRACTORS,SUOrCONIRACTORS,OR MATERIAL SUPPLIERS OR NEGLECTS TO MAHE OTHER LEGALLY REQUIRED PAVMERT& IRE PEOPLE.IDHO ARE OWED MONEY MAV'LOOH 10 YOUR PROPERiV-FOR PAVMERT;EUEU IF YOU RAUE PAID YOUR CONTRACTOR IN FULL IF YOU f All 10 PAY YOUR CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAUE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY-COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR,MATERIALS,OR-OTRER SERUICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAUE,FAILED TO PAY. FLORIDA'S COHSTDUCTIDN LIER LAW IS COMPEER AND IT IS RECOMMENDED THAT IUHEREUER A SPECIFIC PROBLEM ARISES,VOU`COHSOLT AN ATTORNEY. NOTICE TO PURCHASERS OF WOOD FENCES: Wood fence materials are rough mill cut pieces:Wood fence has a tendency to shrink and warp in hot;humid weather and small gaps will appear between boards. Cracks in the wood are a common and accepted occurrence. Fence Outlet will only guarantee the workmanship on wood fences for one year. I HAVE READ AND UNDERSTAND THE ABOVE CLAUSE: (a . C_ 6�� '/ CONTRACTAMOUNT: $ / /Q� �1E�1's OVED A- ? ACCEPTIED FOR CUSTOMER DOWN PAYMENT: 3 ! (L/® l CUSTOMER JDATE BALANCE DUE 2 ®� CUSTOMER DATE UPON COMPLETION $ J ACCEPTED FOR FENCE OU ET DATE STARTED DATE COMPLETED SALE RSO DA INSTALLER LABOR QUO/EVALID1 FOR DAYS «t » EET WAY RWT +c319, .. .i...«..�1++1.7'►•+r�r +++ ++wry—rrr* #A. r+�„� 1 co 'V WA ai`•~in 'i art f i� �� ..-. . . .. ayi � ar's'rya�z•' '4 r.t �� �'rM, ,r • Of �. 4 S WAIX IS is 0-5 OLOCK 4pso now ra �. s * y 9t�r r� "}F h ,�y�e�.w:Y,/ryy. n��:C.''.� ''•' . - P``� ,..'. ..�.�Ff-:a.^z. '.. �- . rIrPW► rrNr r an+ 00 r M�' ly����wj^i�rr1_,.,rt ii!•1�_. Y.[. c ',�'.�C,yj.•,:j't- ,r.., _�„,n Ate' ^''�t'"F^' s, i ..rt rr}�*`��ak..:.arb:pf"`•� .�_- _ . �`�,'�4 fir•• - r •'r t ,yI , t i es ro� 4w r ; 'yam. �a 5W t� ^C FENCOUT-01 DWAGNER CERTIFICATE OF LIABILITY INSURANCE DATE YY) /3/201g THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)'must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Stahl Morse&Associates PHONE 407 869-4200 FAX 407 862-7656 1000 Wekiva Springs Road (A/C,No,Ext):( ) (A/c,No):( ) Longwood,FL 32779 ADDRIESS:certs@stahlinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Allied Property&Casualty Insurance Company 42579 INSURED Fence Outlet Inc.,Fence Outlet of Oviedo Inc., Fence Outlet INSURER B:Nationwide Ins Co of America 25453 of Tampa Inc, INSURER C:Travelers Property Casualty Company of America 25674 Fence Outlet North Port LLC,Fence Outlet Melbourne LLC Fence Outlet Port Richey LLC,Fence Outlet Daytona LLC INSURER D:FCCI Insurance Group 10178 9671 S.Orange Blossom Tr. INSURERE: Orlando,FL 32837 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LT INSD WV MM DD Y M DD 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F_X]OCCUR ACPGLP05993684403 12131/2018 12/31/2019 DAM AGETORENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY D PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (EOMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO ACPBAZ5993684403 12/31/2018 12/31/2019 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PeOaccitlenDAMAGE $ AUTOS ONLY AUTOS ONLY C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE ZUP-7lM20191-18-NF 12/31/2018 12/31/2019 AGGREGATE 10,000,000 DED I X RETENTION$ 10,000 $ D WORKERS COMPENSATION X PTAT TE EORH AND EMPLOYERS'LIABILITY Y/N 001-WC19A-73596 5l4/2019 5/4/2020 1,000,000 OFFICEWMEMBER EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Equipment Floater ACPCIMP5993684403 12131/2018 12/31/2019 Scheduled Equipment 581,396 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ze h rhills Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y p y g p ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th Street Zephyrhills,FL 33542 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 05-26-21-0100-01100-0040 1 Pasco County Property Appraiser Page 1 of 1 Due to a software conversion, changes in ownership and sales may be delayed. Data Current as Of: Weekly Archive - Saturday, January 12, 2019 Parcel ID 05-26-21-0100-01100-0040 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Property Value SIMMONS ELIZABETH ANN Ag Land $0 6788 WAGON TRAIL STREET Land $2,543 ZEPHYRHILLS FL 33541 Building $0 Physical Address Extra Features $0 6788 WAGON TRAIL STREET ZEPHYRHILLS, FL 33541 Just Value $2,543 Legal Description (First 4 Lines) Assessed (Non-School Amendment 1) $2,543 SILVERADO RANCH SUBDIVISION PHASES 7, 9B, 11A AND 116 PB 77 PG 079 Taxable Value $2,543 BLOCK 11 Jurisdiction City of Zephyrhills Land Detail (Card: 001 of 001) Line Use_ Description;Zoning Units Type !Price 'Condit! no Value 11. 0100 1 SFR MPUD 1, 6,358.00.1 F $0.40 1.00 ! $2,543 _ Additional Land_ InformationFEMA Acres 0.15 Tax Area 30SI Code — Residential Code NEWSUBB, Building Information - Use 00 - Unimproved (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description lYear --- --� Wits lValue No Extra Features Sales History - See All 7 sales Previous Owner: DUNE FL LAND I SUB LLC Month/Year Book/Page_ ^^ Type DOR Code :Condition Amount 04/2019 ! 9892 / 1585 Warranty Deed , 01 Improved $208,000 11/2018 ; 9813 / 3320 _Warranty Deed 05 Vacant # Multi-Parcel Sale 05/2017 9535 / 0546 Certificate of Title 05 Vacant I Multi-Parcel Sale http://search.pascopa.com/parcel.aspx?parcel=2126050100011000040 4/29/2019