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HomeMy WebLinkAbout19-21261 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 1261 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:21261 Issued: 5/17/2019 Address: 6823 OAKCREST WAY Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):7 Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 9,000.00 Total Fees: 195.00 Subdivision: OAK CREST ESTATES Amount Paid: 195.00 Date Paid: 5/17/2019 Parcel Number: 02-26--21-0250-00000-007 CONTRACTOR INFORMATION OWNER INFORMATION Name: C&C ELECTRICAL CONTRACTORS Name: MILLER CHARLES D &TAYLOR CYNTHIA Addr: 27612 PROSPECT PLACE Address: 6823 OAK CREST WAY WESLEY CHAPEL, FL. 33544 ZEPHYRHILLS, FL. 33542 Phone: (813)968-8300 Lic: Phone: 813-714-5818 Work Desc: ADD ADDITIONAL 8 SOLAR PV PANELS TO EXISTING SYSTEM ON ROOF TOP APPLICATION FEES ELECTRICAL FEE 127.50 BUILDING FEE 67.50 ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER 2-0 C 5 FINAL � )� W 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 renspection,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. "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. CONT ORI PER OFFI PER 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 tF511 rT7=............ Owner's Name ot- Owner Phone Number Owner's Addressi VOLW3 Q_�_ I Owner Phone Number ocl 7 a EQur�[-k�, Owner Phone Number V F JOB ADDRESS 0a )akf Z". Of+Ids )5491 LOT# SUBDIVISION PARCEL ID# 0-a -.2zp -1150 _0000C), 00-7 1) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL DESCRIPTION OF WORK PrD-0 9 Rdd(Won ale. PV 15010r i2�km hco P-A)10- BUILDING SIZE SO FOOTAGE= HEIGHT =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ if DOC) AMP SERVICE DUKE ENERGY W.R.E.C. Ik ( =PLUMBING $ =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO :TW .............. BUILDER t COMPANY SIGNATURE REGISTERED JUYI N FE"URREN Y/N Address License# ELECTRICIAN COMPANY 00 SIGNATURE REGISTERED N FEE CURREN Y/N Address �J 544 License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_Y2 N J Address 7 License# F_ MECHANICAL COMPANY L_ SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F— OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN 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,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities&I 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,Stormwater 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. Dl;:Ct,=. Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (A/C 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, Fences(Plot/Survey/Footage), Driveways-Notover Counter if on public c roadviiays..rieeds ROW OR AGENT CONTRACTOR _ / ed and swornto(or affirmed)before me this ubscribed and b r t for affi ed) t is !� Y G re personally known to me or has/have produced Who is/are personally known tome or has/have produced as identification. as identification. Notary Public G Notary Public ;ion No. Commission No. Notary typed,printed or stamped Name of Notary typed,printed or stamped RiEKI State of Florida cCormick n GG 327797 2023 solar - • • SolarEdge Single Phase Inverters for North America SE3000H=US / SE380OH-US/ SE5000H-US/ SE6000H-US/ SE7600H-US ® solar, rw,�l�wave r YJ-. Ayer ar�- F`a ? h • ♦ I , t t 1 I ALL WORK SHALL COMPLY;WRH PR CODES FLORIDA BUILDING CODE, . NATIONAL'ELECTRIC CODE, . AND THE CITY OF ZEPHYRHILLS, ORDINANCES Optimized installation with HD-Wa'e-technology o Specifically designed to work with,poweroptimizers Record-breaking efficiency _ Fixed voltage inverter for longer strings Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017�seru1S UL1741 SA certified,for CPUC,Rule Z1 grid compliance °�� ���!1���i1l-� Extremely small and easy to install outdoors or indoors `�( O� r High reliability without any electrolytic capacitors Built-in module-level monitoring WGVe Optional:Ref enue grade data,ANSI C12.20 Class 0.5(0.5%accuracy) . USA-CANADA-GERMANY-UK-ITALY-THE NETHERLANDS-JAPAN-CHINA-AUSTRALIA-ISRAEL-FRANCE-BELGIUM-TURXEY-INDIA-BULGARIA-RON4ANIA-HUNG-ARY-SWEDEN- www.solaredge-us SOUTH AFRICA-POLAND-CZECH REPUBLIC a� .�+ ,. ® ® Single Phase Inverters for North America SE3000H-Us I s s800H,i s L sE500o -us 1 sEs000x-us/sE760aH-us i . ' - SE300OH-US SE380OH-US SE5000H-US SE6000WU5 SE760OH-US OUTPUT _ . Rated AC Power,putPut 3000 3800 .5000 6000 7600 VA Max,AC Power Output 3009 3800 5000 . .. 6000 7600 VA .............. ................................,.,,,..,,.-...,........,_........_-.,., AC Output Voitage.Min:Nom:Max.,(183-208-229) ✓ Vac ......................... -:.-........... .... Vac AC Output Voltage Min:Nom:Max.(211-240-264) ✓ ✓ ✓ ✓ ✓ Vac ........ ................................................... AC Frequency(Nominal} 59,3-60-60.5_111 Hz Maximum Continuous Output Current 208V 24 .. Maximum Contiqupus Output Current 240V 12;5 16 21 25 32 A ......I...,,,..,. �.., ., e?FDIThreshold' _ 1 ....,.. -. ... -... ......................:................... ................................. ......»....... .,....: .....................................................A.,..'.. Utility Monitoring,;Islanding Protection, Yes Count Confi u�rable Thresholds - INPUT Maximurd DC Power 4650 590p 7750 9300 11800 W ...................................,......._........,,.... .,.,........,....... ,....,, ............... ..........,,......... Transformer-less,Ungrounded Yes :.................................................................... MaximuminputUolta a :.............................. 480 ........,....•..,,,....,.. Vdc 380..........:........ 'Nominal DCInPutVolta)2e...,..•••-.• Maximum Input.Current 208V{"I _ - Adc . Maximum Input Cu..... 2...... •.... ._••.•. ••••• 13.5 .......A6 ,.,,:r...••..• 20 . Adc Max.Input Short Circuit Current 45 Adc Reverse Polarity Protectfon ,.Ground-Fauit isolation Detection 600ka Sensitivity» Maximum Inverter Efficiency......................... ;99,.,.,..,.�....,....,'........,,. .... 99.2.,, ,,,..............-.,...,.,._. .,. ,%' CEC Wei hteif Efficiency 99' % ..-, NighttimePower,consumption ¢,2,5 W ADDITIONAL FEATURES- . Supported Comrnunlcatlon Interfaces RS485,Ethernet,Zig ,,, .Bee{optionaif,Ceiiutar{optiana(j ......................................................... ............... .,.., . ..... . Revenue Grade Data,ANSI C12.20 . OPtlonalr" .......... .......................................... ............... Ra id Shutdown-NEC2014 and 2017'690.12 Automatic Rapid Shutdown upon AC Grid Disconnect STANDARD.COMPLIANCE Safety UL1741,uL174i SA,UL1699B,C5A C22.2,Canadian AFCI according to T.I:L:M-07 ................................. Grid Connection Standards IEEESSA7,Rule2l,Rule'24{Hid »..................... ............................. .............................................::...... , Emissions FCC Part 15 Class B. INSTALLATION'SPECIFICATIONS' AC Output Conduit Size J AWG Range_ OJ54" Conduit J 14-6 AWG AW.......................... ................ ...........,,. ......... ...,., ,.........,.._.,..,....:_................ ........,..._ DC Input ConduiYSize/#of Strings/,AWG Range 0.35--1.' Conduit/1-2 strings/14-6 AWG ..... ..... .................... Dimensions with Safety Switch(HxWxD� 17.7 x 14.6 x 6,8/450 x 370 x 174 in/trim LVeaht unth Sa Swdch 22 J 20 25.i J 11.4 26.2 J ii.9 Ib/kg fety Noise........`... I .................................. .......-.,.......».,...,..,.. ' ..................,............,..... <SO ,... dBA ... Natural convection and Cooling Natural Convection internalfan „D erenn Tem ei A�L.WQ.R ,��1H�?LL.CQMPI,.�',11�F1�:H-PR VAI }q............................ replaceable}.. ........................ p,,,,,,g p ratureRan e,,,,,,,,,�`rODES•EL RIDAca I�.DI �• + 11 1� 25to+6 t {.40'F/:40Coption)t..-....... ......LECT F�,C E Protection Rating RI _ O MA 3R{inverter with Safety Switch t , t`i For other regional settings please contact Sol.,Ed iatTHE CITY OF ZEPHYRHILL6 P)A higher current source may be used;the Inverter t I o the values stated ts}Revanue grade inverter P/N:SE—HI-1.1000NNC2 RAW (41POWerda-rating from 50•C 10 varston P/N:SEnaadt-USOOONNU4 - } OP Date:r• • aol ar Z:Gro C.W. ,,,,,Edge Vovvev ft Ndd-()" FOV �4 - O odu�e ?401 P32 o tior► at the .0duie-je\rel inverters ,P\f power 09t*'m specificallOesVed'O"Or tolerance to par'b Up to ,,/. at shading more energy from manufacturing fiicler101(99.SOQ losses, 5,1pedo,e I module mismatch space utilization age 5,15tem) 5 31\tvpes 0 V'010 Mktigate or maximum 'Installed as part of he t3lesysterflles'g" OgIeboIt monitoring eats l\Nhell FIeYa ins takkaov)\N-jt�ja 51 \,,,h module-Ievel NEC reqkilrem Fast maintenance . d rap shutdoWl, Next generation fault protection an fireftobter safety - t\Nltb arc mstaIler BUIG P'j'jP' Comp oltage shutdo\NY) -URvB. SC)'Jj'6 dute-IevO\1 Module 'j,\OA-GWAA'N'i'R-T "Us"'A" so SolarEdge Power Optimizer la: Module Add-On for North America P320 J P370/ P400/ P405 OPTIMIZER MODEL P320 P370 P400 P405 I (for higher-power (typical module compatibility) (for high-power 60 and 72-cell (for 72&96-cell (for thin film 60-cell modules) modules) modules) modules) INPUT Rated Input DC P,owerii3 0-12S. ..... .. 320 Absolute Maximum In put Voltage ........ .... ........ ........... ....................... ......... ....... 0 Voc at lowest temperature}.... .......... .............48�............ ....... ....60 80 Vdc PT Operating Ran e .............. .................... .......... ....... ..... .......... ...... ... .......... .......... ... Vdc imum Short Circuit Cur (Isc ...... ....... ...... _..... . 10, ..M�x .................. ...... ............ .........A A c Maximum 6 ...... 13.75 ..........I.......I.......... . ................ ........12.63 Adc Maximum Effici Fig.................. ........... ........ ............. ........... ....... ....... ................... ................. % 99.5 Weil ted ...... .....1"..... Efficiency........I--....... ..........­­­............ ......... ........... 5..................................... Overvoltage Category OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE-INVERTER) �Wx-imu-m Ntpm�qRment IS ............................. ............. ........... Maxi;mur�Output Voltage 60 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE' Safety Output Voltage per Power Vdc STANDARD COMPLIANCE Optimizer 1±0.1 JmC......­1................. ..... .... ......... ...... _FCC Part15 Class B,I EC61000-6-2,IEC61000 6-3 ................ ...... ........... ....... RoHS ........­­....... ......... ......... ...... ........ ......... Yes INSTALLATION SPECIFICATIONS Maximum Allowed S stem Volta e ........ .... ...... ........... .......... ......... ...1000 Vdc .......... ...... .......................... ..........Compati6ie inverters ........... ....................... _All So)arEd Three Phase inverters ge SI�4t�Phase and 1 Dimensions(W x'L x H) 128 x 152 x 28/5 x 5.97 x 1.1 12 8 x 1 52 x 36 2"x''S'0"/......*.............. ......................................... ................ .................... ............... 5 x 5.97 x 1.9 Tmm/in Weight(including cables} .......... .. ............. ......630/1.4 750/1.7 845/1.9 gr/lb '­.. ........ .......­'­...­*...*­­ [­*­............ ........ ............. Input Connector MC4 Compatible MC4/ MC4 Compatible ................. ......... .... .... ..........._...... ... .....ATpheRql•m4........... ......... ............. ........ ......I................ Double Insulated;MC4 Double Insulated; Output Wire Type/Connector Compatible MC4/ Double Insulated;MC4 Compatible ............................................... .............. ..... .....Amphenol AH4 u ...­............... .......... ... ......­............................. ........... ...... ................... 0�.9.5�i i.0.......... .... 1.2./.3..9 / mft ..QPRCatiq.�Temperature Range....^. .. .................... . . .40-+85 -40-+185 C/.F ...................I..................... ........Protection Rating ......... ......... ............. ...... ... ...................... IP68/NEMA6P ............. .....................I......___............... Relative Humidity 0-100 lr ............. ......... ..................................%...... Rated STC powerof the module.Module of up to+5%1 owertolarance allowed. PV SYSTEM DESIGNUSING SINGLE PHASE A SOLAREDGE INVERT'ER(23131 HD-WAVE SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length P320,P370, 8 ........................ ........ ........... (Power Optimizers} P405 ................ ........ .................6 8 14 Maximum Stringlength ........... ...... ... ...................... ................. ..... ........ (Power Optimizers} 25 25 50, Maximum Power'per String 5700(6000 with 5250 6000 12750 W Parallel Strings of Different Lengths ...... .. ..................... .. ...................... ... ....... ............... .. ............... plrat� Orientations i Yes . .................... ....... ­......­­­......,............I.................. ......... ...... ............ ............. Ivl For detailed string shing information refer to:http://www.solatedge.wmlsitesldefault/files/string—siting-pa.pdf. It Is not allowed to mix P405 with P320jP370jP400jP000/P70D/P800 in one string. A string with more thin 30 optimizers does not meet NEC rapid shutdown requirements,safety voltage will be above the 30V requirement Ram MONO FDt Y HE'NIEIVF 60-CIL n 0CRYS A iWgo ��� �►rr r► P*ER llll Illl !i s I, f s � ,f 1 : l 1 1 ' 1 a PRoojaW / f(� , , ,ANTY ( �� `�.:::;;,;:� GUARANTEED POSITIVE POWER SORTING: t-0:t4.99 i e R- Wp] LINEAR • GUARANTEE • i DESIGNED FO R 1500V DC APPLICATIONS ``-- MAN UFACTURED ACC HELIENE I QUALITY SYSTEM S AND DI NG TO► NC.IS ARDS; NTERNATtONAI MANUFACTURER A PREMIER SOLAR IS09O01 SOLAR I SE _ MODULE ENERGY MARKETS OF GROWING NORTH COMBINING AMER/CA. , H�BIACKINTEGRATION NTEGR WITH PROVEN EUROPEAN TECHNOLOGY ATIONAVAILABLE _._..__ NORTH AMERICAN INGENUITY (ALL-BLACK MODULE) HELIENE TO MAKE A REAL COL 1 N E A R P E PROVIDING SMARTER.E MMITMNT ALLOWS THE FUTURE.. NERG Y CH01 mon' R F R M A N G E GUARANTEE ARANTEE "aiyay Flo ._ - _ a rye'------------- - � p ry n N N � N 600 ELECTRICAL DATA (STC) DIMENSIONS I ' HELIENE 60MMODULES Peak Rated Power PmP.(W) 305 300 295 290 285 Maximum Power Voltage TVm (V) I 33'44 33.14 32.84 32.537 32.236 Maximum Power Current I"P'(A) 9.196 9.127 .9:06- 8.989- 8.92 992 mm ^z Open Circuit Voltage V.(V) 1 39.901 39.83 ( 39.68 i 39.528--�-- 39.38�j ,� 30mm I 40mm - - 1-4-3-0 a mm '~ Short Circuit Current Isc(A) 9.673 9.59 9.51 9.424 9.34 �e 1 * — 'E r 4Yoymm Module Efficiency* ^� Eff(%) 18.9 18.6 18.3 18.0 �17.7 j I _ f Power,0utput Tolerance - [ 0,+4.991 Wp STC-Standard Test Conditions:Irradiation 1000 W/m2-Air mass AM 1.5-Cell temperature 25°C EI I i *Calculated using maximum power based an full positive output tolerance[-0,+4.991 Wp Ij- � = i MECHANICAL DATA 2x°4mm Dxxu5DlxxxD,c 1 i I I Dimensions(L x W x D) ! 1650x992x40mm(65x39x_1.6inch) E Weight* 20 kg(43.9 Ibs) i9smm a Output Cables. ' 1.1 m(43.3 inch)symmetrical cables with MC4 type connectors 9zo4mm Junction Box IP-67 rated with bypass diodes / _ _ Frame ; Double webbed 15 micron anodized aluminum alloy Front Glass Low-iron content,high-transmission PV solar glass Solar Cells 60 Monocrystalline cells(156 x 156 mm) *Calculated using 3.2mm PV glass,if 4mm profile is requested weight load will vary '' 60M SERIESCERTIFICATIONS UrL Listed ULC/ORD-Cl703-1,UL1103,UL1703 Fire.Classification Type 1 _� D IEC Listed IEC 61215,IEC 61730 a All Heliene modules are certified under the California Energy Commision(CEC)Listing Report a— - EN E m<— D-;�_- ) TEMPERATURE RATINGS PACKAGING CONFIGURATION 2 t 7— -- --� -I 5"YID 15 20 25 3D 3'5 0 45 SD -; Nominal Operating Cell Modules per box: 25 pieces +45°C(t2°C) 1 Y.rc,Y,m Temperature iNOCT) _ Modules per 53'trailer:�f 750 pieces I Temperature Coefficient of P _ -0.39%/°C 5 Temperature Coefficient of 0.31%/°C Temperature Coefficient of I 0.045%/°C 4 t MAXIMUM RATINGS 5 10'•'15 20 ,25 30 35 40 45-50 Operational Temperature -40°C-+85°C Max System Voltage ! 1500V(UL/IEC) CERTIFICATIONS -- - Max Series Fuse Rating 15 A o ) si WARRANTY 1 FCE� ,n[ertek i mrerrek I 10 Year Manufacturers Workmanship Warranty 1 — o 25 Year Linear Power Guarantee LE (Refer to product warranty page for details) CAUTION:READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. ©2016 Heliene Inc.All rights reserved.Specifications included in this datasheet are subject to HELIENE change without notice. fLOR1Uf1 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: co Date Received: l —/ g Site: 23 Q J ® o/ Permit Type: add l°7"I�/h� /�fte� �dG��4117 Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall a-kept with the permit and/or plans. MAY Kalvm S it r—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) ' ® DATE(MM/DDNYYY) A`�o CERTIFICATE OF LIABILITY INSURANCE 02/05/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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). PRODUCER CONTACT Brooke Railey NAME., Single Source Insurance arc No Ext: (727)298-0302 IX No, (727)298-0029 2189 Cleveland Street E-MAIL brooke@singlesourceins.com ADDRESS: Unit 235 INSURER(S)AFFORDING COVERAGE NAIC# Clearwater FL 33765 INSURER A: Arch Specialty insurance Company INSURED INSURER B: Employers Preferred Insurance Company 10346 Setup My Solar,Inc INSURER C: 4845 Allen Rd INSURER D: INSURER E: Zephyrhills FL 33541-3553 INSURERF: COVERAGES CERTIFICATE NUMBER: CL192508623 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 POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE NI OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 A AGLOO58253-00 02/25/2019 02/25/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JERa LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO % BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBEREXCLUDED? ❑ NIA EIG 2793715-00 02/02/2019 02/02/2020 (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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) .Setup My Solar- CGC1526411 .I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th St AUTHORIZED REPRESENTATIVE Zephyrhills FL 33542 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . CITY OF / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT f z(e 1 THIS JOB HAS NOT BEEN COMPLETED. he following additions or corrections shall be made before the job will be accepted. 1 . Ur ' 6v� .� a,,*V ilefC &14 - 790 002 0 It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS AR ADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 F - P or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR