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Home My WebLink About03-2341 PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT John Vincigurra DBA Aron Electric Inc ;{jQrry QdnIt STATE CERT # I.EC0002512 HAS REGISTERED HIS LICENSE AND FILED PROOF OF REQUIRED LIABILITY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD IN GOOD STANDING UNTIL SEPTEMBER 30, 2003 DATE OF ISSUANCE 10/1/02 471823 STATE OF FLORIDA , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L02070100448 ~~~:::::,~R le ELECTRICAL CONTRACTOR unedbelow IS CERTIFIED lder the provisions of Chapter 489 FS. cpiration date: AUG 31, 2004 rNCIGUERRA, JOHN RON ELECTRIC INC 738 20 AVE N r PETERSBURG FL 33713 JEB BUSH GOVERNOR DISPLAY AS REQUIRED BY LAW KIM BINKLEY-SEYER SECRETARY j J ~ ~ ~ ~ DEsee'" ""N "f OCCUf' A'" IN f'Re'FESSI"N DR "' !SINISS r - ---____._______~_______ __..___ ______ ____ _ ____..___ __________________ ___.____ _______. __ ______.,-.-_4_____._____~ 09525 IELECTRICAL CONTRACTOR I 149.00 ~ #EC0002512 #C3252 I ~ I I 11 ~>!.\""f,~~,'f""ml!Mfm"!1\'lIfP'~f!"m?"!wilim~~'i\~:a.r!;~~:i~.~,1'~~JI,W~1IIti~"f:.:W'i'/j), " CITY, Of~ST. PETERSBURG FLOfUDA , OCCUPATIONAL TAX CEBTIFICATE 2003 ACCOUN1 NO. UtIlE 4216 9/09/02 EXPIR[~; 93012003 ~~~.~~~ ~~W4'~ r:{~~"....\_~ Ii{m;~ '~~:m BUSINESS ARON ELECTRIC 2738 20TH AVE ST PETERSBURG INC N FL 33713 MAIL ['TOT AL 149.00 353102 PAID 14 ~:f~o-o- ARON ELECTRIC INC 2738 20TH AVE N ST PETERSBURG FL 33713 9/09/02 2112- . -:;~~.. ~ 11"', .. ."," .,":' ..._,..,~~n:"I=!l.'~.r..:-'.,'~,',.::_tl':!""a.JWIIlW.;:'j .~ " 'I J " ~ I ( .~ o~ ,----'--- This occupational tax certificate ooes not allow the holder to \'iolatl' any city law, ordinance or rl'gulation, It is not an endorsement, approyal or disapproyal of the holder's skill or compctt'lIcc or of the compliance or 110n- compliancl' of the holder with other laws, I'l'gulations or standards. Changes In business name, address. mailing name or address, as well as additions to the business activity, may require additional applications. Please contact this office before makinq chanaes or if the descriotion on this certificate does not reflect your entire business activity. Additional activities may require ndditional taxes Failure to renew before the expiration datl3 may result in penalty fees being assessed. Display this license certificate conspicuous:ly at all times in the place of business. If there is no place of business. this license certificate must be presented to any police officer or license officer of the city upon their request. Many occupational license taxes are transferable from one owner to another, or one location to another. To transfer this certificate, contact our office for information and price, and fill in the following: I, __,________,______________,_________,____hereby assign all my rights, title and interest in occupational tax certi ficate # _,_ _________ to . _____oo,.oo_ __ __,__ __,_______________,____,___,_______,______ (name of new owner) (signature of previous owner) Office hours= Monday through Friday, 8;00 a.m. to 4:00 p.m.. and Wednesday, 8:00 a.m. to 3;00 p.rn.. Phone= 727-893-7241. ACORD CERTIFICATE OF LIABILITY INSURANC~o~~~ MIl DATE (MMIDDIYY) -----.-.- '.. . ,- 04/07/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ILER WALL & SHONTER INS INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 49TH ST NORTH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 14448 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST. PETERSBURG FL 33733 INSURERS AFFORDING COVERAGE Phone: 727-327-7070 Fax:727-328-2502 INSURED INSURER A: Old Dominion/National Grange INSURER B: Hanover Insurance Company Axon ElectricRRlnc. INSURER c: FCCI Mutual Insurance Co. JOHN VINCIGUE 2738 20th Avenue North INSURER D: St. Petersburg FL 33713 I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~f~ TYPE OF INSURANCE POLICY NUMBER b~ff~'M;~BTJ~~E ~B~~~~\'6~m?N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ $1,000,000 I-- B X COMMERCIAL GENERAL LIABILITY OHJ610231503 03/01/03 03/01/04 FIRE DAMAGE (Anyone fire) $ $300,000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $$15,000 PERSONAL & ADV INJURY $ $1,000,000 GENERAL AGGREGATE $$2,000,000 1--' $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS, COMP/OP AGG --1 n PRO n -- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 -i A ANY AUTO B1G42726 02/04/03 02/04/04 (Ea aceidenl) ~" ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - X HIRED AUTOS BODILY INJURY --. (Per aceident) $ X NON,OWNED AUTOS - 1--. PROPERTY DAMAGE $ (Per aceident) GARAG E LIABILITY AUTO ONLY, EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ tJ OCCUR l~ CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION .$ $. WORKERS COMPENSATION AND X I TORY L1Mrj-J IU~~' . C EMPLOYERS' LIABILITY 42670 04/01/03 04/01/04 E.L. EACH ACCIDENT $ $500,000 E.L. DISEASE, EA EMPLOYEE $ $500,000 E.L. DISEASE - POLICY LIMIT $ $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N"f' ADDITIONAL INSURED; INSURER LE,TER: CANCELLATION ORANC-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlm DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN Orange County Building Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Contractor Licensing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P 0 Box 2687 Orlando FL 32802-2687 REPRESENTATIVES. AU./?p; REPRESENTATIVE ~O/ /) 1//;' /J ....-n-., I I'/J..II/~ ,- - ""r "-J ACORD 25-5 (7/97) @ACORDCORPORATION 1988 I' , CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2341 , . , I :. Permit Number: 2341 Issued: 9/08/2003 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 51,000.00 Total Fees: Amount Paid: 323.00 Date Paid: Address: 6512 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: JMP SOLUTIONS INC Addr: 4409 N. HESPERIDES ST. I TAMPA,FL. 33614 Phone: (813)875-8997 Lie: I Work Desc: UPGRADING EXISTING GAS TANKS RADIANT GROUP LLC 6512 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: ~ -) UrJ-tJt' ~ [:(ec. q 115/d~ I-fJ C '00'J 9/r/o3 ;<c r J- /1:)'0 F .1 L PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL I FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. I INSULATION CEILING MISC. MISC. I MISC. , DRIVEWAY MISC. MISC. I FIRE DEPT. FINAL -REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible __lj1e!:>~'irnen~9!..inspe~i()n fees~hall be ma<!~efor~ C1~y furth~,~ permits_will be ~!ilJed to tht:J!.erson owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twicEa~-- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _~fore ~~ording your notice of cOl!lmencement." '__, <""/~~- '\ -'14~/ CONTRACTORS SIG t CALL NO OCCUPANCY BEFORE C.O. - ~- PERMIT OFFI N - 8 HOUR NOTICE REQUIRED ARD FROM WEATHER ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAMEJkk.rr Soup- LLe PHONE t/o7- t{~ -5"5'19 JOB ADDRESS 6512 Co ' Blvd 2~pA-' FI. '53510 I BLOCK SUBDIVISION.2'e,vh. &(. ~ , LEGAL DESCRIPTION: LOT(S) PARCEL 10 # WORK PROPS ED: 0 NEW CONSTRUCT ION o ADDITION OALTERATION o REPAIR PROPOSED ~IG ' USE: 0 L FAMILY DWELLING COMMERCIAL o MOVE o DEMOLISH ~ v\\ ;r1J DESCRIPTION OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER OF WORK J;n L s BUILDING SIZE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, o BUTLDING PERMITS REQUESTED $ -5? ooe). 00 l'} 0 rL VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL o GAS o ROOFING $ 5~ 000 . 00 VALUATION OF MECHANCIAL INSTALLATION o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL . 0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ******************~~)*********************************k********* / /.. COMPANyJl/~11 E!atI'GL.5Jh" ~IlCfqueIIQ / / ..-s'TATE CERT OR REGIST # t=COOO.:25"I/2.. CITY PROCESSING # "H' ,8, H H' H H H H'" H H" H" H H' COMPANY STATE CERT OR REGIST # CITY PROCESSING # ,vub -/tJ ~. ELECTRICIAN PLUMBER SIGNATURE SIGNATURE STATE CERT OR REGIST CITY PROCESSING # MECHANICAL **************************************~**** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** A, NOTICE OF DEED RESTRICTIONS The undersigned understands tha~ this permit may be subject to "deed restrictionsU which may be more restrictive than City regulations. The undersigned assumes responsibility tor compliance with any applicable deed restrictions. B. 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 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsU of this application for which they will be responsible, If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection GuideU prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerU prior to commencement. E, 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.u, it is understood that a drainage plan addressing a "compensating volumeu will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Owho has produced (type and whoO did 0 did not of identification) take an oath. Owho has produced (type of identification) and who Odid O:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped MAY-12-03 08:34 AM J&M PUMP FM ,,'" -. i:>> I A II: OF FLO~'DA , .~. I ~f. ~ DEPARTMENT OF BUSINESS AND PROFiSSIONAL REGULATION . ~I . , . .-/ CONSTRUCTION INDUSTRY LICl!:NSING BOARO ('~ .-<' 1940 NORTH MONROE STREET ~ TALLAHASS~E PL 32399-0783 12397685318 P_01 (850) 487-1395 ~~B~&T~~~~~~CJ 14065 METRO PKWY 1203 FORT MYERS FL 33912 e. ~ ITATe.OF FLORIOA AC# 090CUc. . . l)EPARTln:wr OF BUSINJ:SS A2ID ".;:.:,' PROFESS:rONAL U~LATION PCC04S028 O~/30/03 200411876 CSRT POt.1.U'l"ANT STORA~I S"iS CONTP. HUBBARD, MAURICE J .1MP SOLUTIONS IHO %8 CZP.TIPI.tl Wld..- ~". ,~..vLlioll. 01 CIl.4U rJ, kpiuU_ uu, Ava 31. 2004 LOUUOOOU7 OETACH HERE I STATE OF FLORIDA DEPART~NT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L030t3000657 2003 200411876 ., - POLL~ANT STORAG SYSTEMS CONTRACTOR ;. ad below IS CERTItIED ; ~. '7 :'t) ... er the provision. pf Chapter 489 FS. irat:ion date: AUG .3l1 2004, .', ,. . -, .':1; i\.: .'~..,..', .~. HtJ BA:RD.l-MAURICE J , SOLUTIONS INC ' 12 65 kETRO PJCWY *203:'.' 1'1' 'E~g 'PL 33912 DISPUW AS REQUIRED BY LAW DIANE eMIt SECRETARY .-. _.a__ A CORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) 03/22/2003 PRODUCER (904)448-9777 FAX (904)448-9788 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insdrance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2700 University Blvd.West ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Building B INSURERS AFFORDING COVERAGE Jacksonville, FL 32217 INSURED JMP Sol ut10ns, Inc. INSURER A: Gulf Insurance Co 4409 N Hersperides St INSURER B: Hartford Insurance Co TaqJa, F1 33614 INSURER C: Gulf Insurance CO INSURER D: Bridgefield Employees Ins Co I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER P~.k+i~~~6g~E P8i!fl,~~~N LIMITS LTR ~NERAL LIABILITY 1GU2827677 03/24/2003 03/24/2004 EACH OCCURRENCE $ I,OOO,OOel X. COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,oot I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 5,000 A X Pollution PERSONAL & ADV INJURY $ I,OOO,OOe: I-- 2,000,oOii I-- GENERAL AGGREGATE $ GEN'L AGG~nE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $ 2,OOO,OOC: Ii PRO- n POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ -.!. ANY AUTO 21UENUV2209 03/25/2003 03/25/2004 (Ea acddent) I,OOO,OO( ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILY INJURY - S X NON-OWNED AUTOS (Per accident) - X C~ Oed $1000 PROPERTY DAMAGE X Coll Oed $1000 (Per accident) $ ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ,- . uU2827955 04/15/2003 03/24/2004 1,000,000 EXCESS LIABILITY EACH OCCURRENCE $ o OCCUR 0 CLAIMS MADE "UMBRELLA FORM" AGGREGATE $ 1,ooO,OOel C $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ~66599oo 03/24/2003 03/24/2004 X I TORY LIMITS I lUJ"f EMPLOYERS'L~LITY E.L EACH ACCIDENT $ 500,OO~ 0 E.L. DISEASE - EA EMPLOYEE $ 500.00e: E.L. DISEASE - POLICY LIMIT $ 500.00el OTHER 3~~CRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r Party Pollution Liability is included in the General Liability Coverage subject to Policy Terms ~nd Conditions. Coverages are on an Occurance Form. Re: Maurice Hubbard - 4409 N Hesperides St. TaJqJa, F1 33614- CERTIFICATE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Code Enforcement Oepartment EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Building Inspection Comnrission JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, License Section BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 7530 Little Rd OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. N Port Richey, FL 33465 AUTHORIZED REPRESENTATIVE ~~ John Davis (IOA)/KATHY ACORD 25-8 (7/97) @ACORD CORPORATION 1988 - - --'_._--- 1 A CORDm CERTIFICATE C:' ~.ABILITY .N.:)URANCE I DATE (MMlDDIYY) 05/17/2003 PRODUCER (904)448-9777 FAX (904)448-9788 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2700 University Blvd.West ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Building B INSURERS AFFORDING COVERAGE J.11.cksonville, Fl 32217 -'- INS'.!,j,iED INSURER A: Gulf Insurance Company JMP Solutions,Inc. INSURER B: Hartford Insurance Company 4409 N Hersperides St INSURER c: Gulf Insurance Company Ta~a, Fl 33614 INSURER 0: Bridgefield Employers Ins. Co I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~Al.:}~~~lZg~E Pg~!fl,~~~N LIMITS LTR ~ERAL LIABILITY ICiU2827677 03/24/2003 03/24/2004 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone flre) $ 50,OO(J I CLAIMS MADE 00 OCCUR MEO EXP (Anyone person) $ 5,000 A X Poll ution PERSONAL & ADV INJURY $ l,ooO,OO(J - 2,000,000 - GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 II .n-PRO- n POLICY JECT LOC ~OMOBILE LIABILITY ~lUENUV2209 03/25/2003 03/25/2004 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accldenl) l,OOO,OOCl ~ ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) B f- ~ HIRED AUTOS BODILY INJURY (Per accldenl) $ ~ NON-OWNED AUTOS f-- PROPERTY DAMAGE $ (Per accldenl) ~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y: AGG $ GU2827955 -, 03/24/2004 l,OOO,OO(J EXCESS LIABIUTY 04/15/2003 EACH OCCURRENCE $ ::J OCCUR D CLAIMS MADE "UMBRELLA FORM" AGGREGATE $ l,OOO,OO(J C $ ==i DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ~6599-00 03/24/2003 03/24/2004 X I T~~~rtJNs I .loTH- . ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500.000 D E.L. DISEASE - EA EMPLOYEE $ 500,OO(J E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER I~ESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVJ~ONS rd Party Pollution liability is included i~ the General liabi ity Coverage subject to Policy Terms Ind Conditions. Coverages are on an Occurance Form. tertificate Holder is Additional Insured regarding General liability where required by written Icontract. CERTIFICATE HOLDER I X I ADDmONAL INSURED; INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Pasco County. ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . licensing Dept. BUT FAILURE TO MAIL SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR UABILlTY 7532 little- Rei. #118 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. N Port Richey, FL 34654 AUTHDR2EDREPRESENTATlVE ~~ John Davis (IOA)/KATHY ACORD 25-5 (7/97) @ACORD CORPORATION 1988 HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE RENEWAL INSTRUCTIONS Chapter 205.05~5 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and return entire form in enclosed envelope. Your validated license will be returned to you. 2. Licenses expire midnight, September 30th. Failure to display a valid occupational license after September 30th is a violation of Hillsborough County Ordinance 95-4. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR POBox 172920 TAMPA, FL 33672-0920 2003-2004 HILLSBOROUGH COUNTY OCCUPATIONAL LICENSE EXPIRES 9-30-2004 FOLIO NO. I 0 IN R o o o 27 113611 OCC.CODE 090.000 BUSINESS TYPE PETROLEUM EQUIPMENT INSTALLATION ST L1C PCC045028 H. WASTE TAX SURCHARGE 40.00 54.00 BUSINESS LOCATION 4409 N HESPERIDES ST TAMPA 33614 JMP SOLUTIONSIHt* * D U F" LIe ATE * * * 4409J)t.~~\ii~ ~llsborc'llgh Co fa:: ColI. TAM.5'~gt--+.i614-7618 $94.00 . 08/121200 ~Y'HD~K fRAN:0001K 113611.0~0 9:14AM REC00005451 00005451-021 SXG 4206 LICENSE NAME MAILING ADDRESS DOUG BELDEN, TAX COLLECTOR 813-635-5200 THIS BECOMES A TAX RECEIPT WHEN VAUDATED. IS HEREBY LICENSED TO ENGAGE IN BUSINESS, PROFESSION. OR OCCUPATION SPECIFIED HEREON. ~I\ $94.00 $0.00 CHANGE 4206 11361100008 000054007 000040006 IMP Solutions, Inc. 4409 N. Hesperides 51. Tampa, Fl 33614 813/815-8991, 813/815-0168 fax 12065 Metro Parkway, Suite #200 Fl Myers. Fl 33912 239n68-3535, 239n68-5318 fax August 5, 2003 Re: Amoco 204 6512 Gall Blvd. Zepherhills, FL TO WHOM IT MAY CONCERN: lM...~ This letter verifies that Susan Kirby Young, JMP Solutions, Inc., for the above project. I have known this individual for many years and can personally testify to their impeccable and outstanding character and reputation. Sincerely, ~~ Maurice J Hubbard Qualifier State Certification # PCC 045028 Hillsborough County Florida The above, subscribed to me on this is personally known to me, Sworn to and A. D. 20(03 ~ ttJL _dii~. Ina A fly W: l:"'t}. MYCOMMISSION# D01M856 EXPIRES · ~. December 14, 2006 . BONllllllHllU TI!OV FAIlIllSlJlWlClINC. Notary VIIe1colll_e : B~C()I'(js~earcl1 : Parcel Detail S~arc:h Again Show Map Generalized Building Sch~matic C~culate "'(fl)(~~ See Tax Collector Infounation - Current/Delinquent Taxes ParcellD Classification Mailing Address RADIANT GROUP LLC 1302 N 19TH ST STE 300 TAMPA, FL 336055213 Physical Address 6512 GALL BLVD ZEPHYRHILLS, FL 33540 02-26-21-001A-00000-0010 (Card: 1 of 1) 11 - Retail Stores, One Story, All Types Assessment (totals) Ag Land Land Building Extra Features Q \\f o o t D tyJ ('- \ , Legal Description (First 4 Lines) ZEPHYRHILLS EXECUTIVE PARK PB 19 PG 68 LOT 1 OR 4514 PG 736 Total Assessment Save Our Homes $779,293 $480,462 $29,534 $1,289,289 $0 Taxable Value $1,289,289 Line Use 01 1100 02 1100 03 II 1100 Description STORE 1 FLR STORE 1 FLR STORE 1 FLR Land Detail (Card: 1 of 1) CMAJ2AD Line 1 2 3 4 Information - Year Concrete Block Stucco Flat Drywall Quarry or Hard Tile Electric Central Description BAS CAN CSC FDU S . Feet 4,183 167 4,636 968 Repl. Cost New $442,771 $5,293 $49,114 $61,499 c\\ -- \)0 Ext Wall 1 Roof Str Int Wall 1 Flooring 1 Fuel AC Line 1 Extra Features (Card: 1 of 1) . ion Year Units PAV CON 1991 32,815 Sales History AMOCO Oil COMPANY Book/Page I Type I 4514/0736 I WD I 2047/0279 WD , 642 / 0053 WD Value $29,534 Previous Owner Year Month 2000 12 1991 09 1987 09 ~RON ELECTRIC, INC. Petroleum Equipment Specialist . Commercial . Residential EC - 0002512 Sl~Ll'" Certified Ek..:tfh.:al Contractor AUTHORIZED AGENT FORM Date: August 26, 2003 .. I HEREBY APPOINT SUSAN YOUNG OF AARON ELECTRIC TO ACT FOR ME AND APPLY TO THE CITY OF ZEPHYRHILLS BLDG. DEPT. FORA ELECTRICAL Since 1981 PERMIT FOR WORK TO BE PERFORMED AT A LOCATION DESCRIBED AS: 6512 Gall Blvd OWNER: AMOCO/RADIANT AND TO SIGN MY NAME AND DO ALL THINGS NECESSARY TO THIS APPOINTMENT. NAME OF CERTIFIED CONTRACTOR- SIGNATURE OF CERT. CONTR The foregoing instrument was ac 2003 by JOHN VINCIGUERRA NOTARY PUBLIC STATE OF FLORID PRINTED NAME OF NOTARY/SEAL: i~ P(l~ artene Lopez t ;, ~I .; My Commission DD1OO753 "1- 0, ,;..# Expires March 17 2006 ACQRD,M CERTIFICATE OF LIABILITY IN5URANC~o~~~ M~ DATE (MM/DDIYY) 04/07/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ILER WALL & SHONTER INS INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 49TH ST NORTH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 14448 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST. PETERSBURG FL 33733 Phone: 727-327-7070 Fax:727-328-2502 INSURERS AFFORDING COVERAGE INSURED '" INSURER A: Old Dominion/National Grange INSURER B: Hanover Insurance Company Aron ElectricRR!nc. INSURER c: FCCI Mutual Insurance Co. JOHN VINCIGUE 2738 20th Avenue North INSURER 0: St. Petersburg FL 337~? I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~2~~~itbB~W P2.L!",y i;~':'lRA0}?N LIMITS LTR DATE "(MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $$1,000,000 - B X COMMERCIAL GENERAL LIABILITY OHJ610231503 03/01/03 03/01/04 FIRE DAMAGE (Anyone fire) $ $300,000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $$15,000 PERSONAL & ADV INJURY $ $1,000,000 - --~-_. GENERAL AGGREGATE $ $2,000,000 - i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $2,000,000 1'1 n PRO- n I POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT A I , ANY AUTO B1G42726 02/04/03 02/04/04 (Ea accident) $ 500,000 ~~I ACC ow,,, AOM xl ~e",o",,, AOW~ , BODILY INJURY $ (Per person) X HIRED AUTOS BODILY INJURY R 'o,~ow," ADm' (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ i AUTO ONl.Y: AGG $ I EXCESS LIABILITY EACH OCCURRENCE $ ~ oew' D e~'M'~", AGGREGATE $ $ -l DEDUCTIBLE $ . RETENTION $ . $ WORKERS COMPENSATION AND X I TORY L1MrrS I IOJ~- C EMPLOYERS' LIABILITY 42670 04/01/03 04/01/04 $ $500,000 E.L. EACH ACCIDENT I E.L. DISEASE - EA EMPLOYEE $ $500,000 E.L. DISEASE - POLICY LIMIT $ $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION LEEC010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Zephyrhil!s NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th St. REPRESENTATIVES. ZephyrhilIs, FL 33540-4312 AU~ REP'/LENTATlVE .ItJ--/ /) .f/,' I ~.I" ~-v1... 1 "/ A~ . '. ACORD 25-S (7/97) @ACORDCORPORATION 1988 h..Z-z ~O-.-V\ 1-1-' PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT John Vincigurra DBA Aron Electric Inc STATE CERT # I-EC0002512 HAS REGISTERED HIS LICENSE AND FILED PROOF OF REQUIRED LIABILITY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD. IN GOOD STANDING UNTIL SEPTEMBER 30, 2003 DATE OF ISSUANCE 10/1/02 ~c# 0 4 7 1 8 2 3 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L02070100448 ~~::::::l~B The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2004 VINCIGUERRA, JOHN ARON ELECTRIC INC 2738 20 AVE N ST PETERSBURG FL 33713 JEB BUSH GOVERNOR DISPLAY AS REQUIRED BY LAW KIM BINKLEY-SEYER SECRETARY FJilrn"':"":":'''!r~,~,..w,.r'~'''~Y''.~~,'I'/;7",,:1,:,t:f''~~~~~~'lI~--'--,;ppn.~~~,J,~.lIll'litm~~___UUl.");t;;>:'~7.nDiYA..,1I1,mt"'~~ml~_"__~,r.u.t""'J.I, c:rrv ()~.: ~3T. PETERSBUBG, FLOHIDA occUP i\TIONAL TAX CERTIFICATE !\U ( 200~1 I {'),.! Ui\n' 4216 9/09/02 ExrlflES 9/30120:11 ~,~ ~~ Isg!'h~..\WII':I ~I~ H 1I c; 1 [\Jr. S:, ARON ELECTRIC 2738 20TH AVE ST PETERSBURG INC N FL 33713 Jj I 09525 ELECTRICAL CONTRACTOR 1 '#EC0002512 #C3252 ~ f (. 1!;Sllill'll()r~ UF UCUJfJATIUI\J. FI'IOFESSIOI\J, OF:: BUSINESS --_.,-_._-~---_._._._.__.,.._._._-'-_.."._--~----_._----------~~- M/\!i [TOTAL ARON ELECTRIC 2738 20TH AVE N ST PETERSBURG 9/09/02 2112- 149.00 INC FL 33713 ChilllgOS in business name, address, mailing name or address, as well as additic)I)s to the business activity, may require additional applications. f"'lease cC)I)tact this office before rnakinq chanaes or if the descriDtion on tt lis certi ficdte does not reflect your en-tire business activity. Additional activities may require additional taxes. Failure to renew before the expiration date may result in penalty fees being assessed --., _# :,.r 1" ~.:.,.", _"~,*,,I. ;:;'-:;'':''~~f!1';;.~',n..:,~_.t~,~ r! pc ~l H ~, hi r fi {",,:,,! ':i I ,) (,1 l: f' "',i. ; i) 1',',',...1.'.. .1 j r: I~l .~ -----'-------l------'--------'i , ~ 149.001 j " i j J J j 'I I J I ~ '1 i 14-9--:00-;1 1 j '~ :I ') 1 'J .1 1 ':1 'J 353102 PAID This occupational tax certificate does not allt", the holder to \' jolate any city law, ordinance or regulation. It is not an endorsement, approval or disapproval of the holder's skill or competencl' or of the compliance or non- compliance of t.he holder with other laws, regulations or standards. Display this license certificate conspicuously at a/l times in the place of business. If there is no place of business, this license certificate must be presented to any police officer or license officer of the city upon their request. lVIany occupational license taxes are transferable from one owner to another', or one location to another. To transfer this certificate, contact our office for information and price, and fill in the following: L ._.____hereby assign a/l my rights, title and interest in occupational tax certificatE) II . to ---.---- ---- ._-. --..---..____.__~__._________ __u.________.___ __ _____,~_ _._,._.~ __ __~__~_.___....., __._~_~.._ (name of new owner) (signature of previous owner) .m;~~,! "' OflICf.' huurs= Monday through Friday, 8:00 a,m. to 4:00 p.rn., and Wednesday, 8:00 a,m. to 3:00 p,rn.. Phone= 727-893-7241. SUOCC00014 Lee County Tax Collector 2480 Thompson Street Fort Myers, Florida 33901 www.leetc.com Tel: (239) 339-6000 License Number: 002038 Dear Business Owner: Attached to the bottom of this form is your 2002-03 Lee County Occupational License. This license is valid from October 1,2002 through September 30,2003. Your next renewal notice will be mailed to the address on record in August 2003. If you do not receive a notice by the middle of August, please contact us at (239) 339-6000 or visit one of our Tax Offices. Please verify that the information on your license is accurate then display it noticeably at your place of business so it is visible to the public and available for inspection, Please keep in mind that an occupational license is in addition to any other license that may be required by law and does not signify compliance with zoning, he~lth or other regulatory requirements, . The top portion of this form should be retained as your receipt and for future informational needs should you need to transfer your occupational license due to a change in business name, ownership or location. The procedures for these transfers are listed on the back of this form. I hope you have a successful year. ?'az; /~ Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records ST ATE OF FLORIDA LEE COUNTY OCCUPATIONAL LICENSE LICENSE YEAR: 2002.2003 LICENSE NUMBER: 002038 Location 2738 20TH AVE N ST PETE FL 33713 ARON ELECTRIC INC VINCIGUERRA JOHN M 2738 20TH AVE N ST PETE FL 33713 EXPIRES: SEPTEMBER 30, 2003 Is hereby licensed at above address to engage in the business, profession or occupation of: ELECTRICAL CONTRACTOR THIS IS NOT A BILL - DO NOT PAY PAID 141648-17-1 KXJ1 09/04/2002 02:26 $50.00 THIS LICENSE VALID ONLY WHEN RECEIPTED BY TAX COLLECTOR IMP Solutions, Inc. 4409 N. Hesperides Sl Tampa, Fl 33614 813/815-8991. 813/815-0168 lax 12065 Metro Parkway, Suite #200 Fl Myers. Fl 33912 239n68-3535, 239n68-5318 lax August 5, 2003 To: Pasco County TO WHOM IT MAY CONCERN: This letter verifies that Susan Kirby Young, SS# 430-11-2641, has full authority to reregister the license for JMP Solutions, Inc, I have known this individual for many years and can personally testify to their impeccable and outstanding character and reputation, Sincerely, j~ Maurice J. Hubbard Qualifier State Certification # PCC 045028 Hillsborough County Florida The above, v} V) ( ~ subscribed to me bn this S-~ I: j./ j ); p~ is personally, known to me. Sworn to and day of tt '"7 '-i-d ~ A. D~ 20~ 03 . ~~t~ ' Ina A Fry 1.:4):..\ MYCOMMISSIONI 00164856 EXPIRES :~:o :: December 14,2006 " 0.. 0 BONDEOTHRUTROYFAlNINSUIlAIla, 1NC .., Seal 11111111111111111111111111111111111I111111111111111111111111 2003166809 Ai . ;'J~.','.,' . ~ PREPARED BY & RETURN TO: MICHELLE FAVA CAPITANO, PA Michelle Fava Capitano, Esq. p, 0, Box 75141 Tampa, FL 33675 Rcpl: 714009 OS: 0.00 09/09/03 Rec: 6.00 IT: 0.00 _____ Dpty Clerk Permit No. Tax Folio No. 02-26-21-001A-OOOO-OOIO NOTICE OF COMMENCEMENT JEO PITTMANft PASCO COUNTY CLERK 09/09/03 1\(1 : !52am 1 of 1 OR BK 5529 PG 131 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. State of Florida County of Pasco 1. Description of property: 6512 Gall Boulevard - Zeohrvhills. Florida, as further described as follows: Lot 1, ZEPHR YHILLS EXECUTWE PARK, according to the plat thereof as recorded in Plat Book 19, Page 68; Public Records of Pasco County, Florida. 2. General description of improvement: Removal of existing dispensers pumps, dispenser pans, and underground piping; installation of new dispenser pumps, dispenser sumps, tank sumps, and underground piping. 3. Owner information: a. Name: Address: The Radiant Group, LLC a Florida limited liability company P.O. Box 5238 Tampa, Florida 33675 b. Interest in property: Fee Simole Title Holder c. Name and Address of Fee simple titleholder (if other than Owner): N/A 4. Contractor: JMP Solutions, Inc. 4409 N. Hesperides Street Tampa, FL 33614 STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT copy Of rHE DOCUMENT ON FilE OR OF PUBLIC RECORD ilJ THiS OFFICE WITNESS MY HAND A OF'ICIAL S[:/.\L THIS--2- DAY OF 2~ , :;LEHK OF CIRCUIT COURT DEPUTY CLERK 5. Surety: None 6. Lender: None 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 13(I)(a)7., Florida Statutes: John Myers, 1302 N. 19th Street, Suite 300, Tampa, Florida 33605 8. In addition to himself, Owner designates Michelle Fava Capitano, Attorney at Law, 1302 N. 19th Street, Suite 300, Tampa, Florida 33605, to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement August 30. 2003 Sworn to and subscribed before me this 25th day of Julv , 2003. THE RADIANT GROUP, LLC, a Florida limited liability company By (Print N.;:;- .tt t).( :"pl~{J/) Its: -I1J~A.t1..~cy:r \ . ... PEIIFZ .....tI.... . ... ..... .. - ... 111I IIIIIJIt ...., J :\CK\Construct\204Comm2. wpd i t Page 1 of 2 "---"/