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Home My WebLink About07-6865 . " CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6865 6865 Permit Type: SLAB PERM IT Class of Work: SLAB Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: FOUNDATION ONLY- NO CHARGE Address: 39421 SOUTH AV ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0000-04900-0000 OF ZEPHYRHILLS 39421 SOUTH AVE ZEPHYRHILLS, FL. 33542 Phone: ~~ ~o.lo dl Is (oJD ~_~-O, I (fQM.. REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone 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 f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ~ ~~ TRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ELECTRICIAN I COMPANY SIGNATURE REGISTERED Y I N FEE CURRENT Y/N Address I License # PLUMBER I COMPANY SIGNATURE REGISTERED Y I N FEE CURRENT Y/N Address I License # MECHANICAL I COMPANY SIGNA TURE REGISTERED Y/N FEE CURRENT Y/N Address I License # OTHER I COMPANY SIGNATURE REGISTERED Y I N FEE CURRENT Y/N Address I License # L City ofZephyrhills ; 'BUliDING pLAN 1ffiVIEW coIv.IIvIENIE .w.___.--..-... .~-'- permit Type: Approved wino comments:O .' Approved withe below comments: rnI Denied withe below comments: 0 ~~ ~~ ~~'I. Ii'lL. <f -l~'-~I ~i Lf2-I SoJlWv. ~N.\)f)n~ f.,IL 'Z 'iTrnJ~b' '. contractor/HomeDwner: Date Received: Site: ~~~L<t'::'- ~U\ ~~~15 '5~-6.. ~ 5\.Jl~jIA\1""-r~ . . . ~~ ,m;~~O JJW~'J.4- ~'. tOol'- .'Y; rpL"~<> : --P '\0t-.>I'I; (<> p ~ r ~Lt'rl> . . ~ . . .' . : @ (.;>~,\~..>j\.. t'i' .~45Il1r'Cr A-'l ~.--i.y2.<;,~. - This comment sheet shall be kept with the pemiit and/or plans. if?' ~y~.' .' .'.~ mldIorHomeowner . , (Reqwred when comments are present) , JUL/13/2007/FR] 11: 57 AM . 813-780-0020 CHASE GC LNC FAX No. 727 789 9391 City of Zephyrhills Permit Application Building Department Phone Contact for Permitting Owner Phone Number I Owner Phone Number I Owner Phone Number I Date Received "'7-1 a-o 1 Ow r' N City of Zephyrhills nB s amB Owner's Address 5335 Eighth Street Zephyrhills, FL 33542 Fee Simple Titleholder Name I Fee Simple Titleholder Address 39421 South Avenue, Zephyrhllls FL 33542 P. 002 F8l(-813-780-0021. S 1~bl>> I I D~I 1 I l l J I J LOU JOB ADDRESS SUBDIVISION I PARCEL 10# I WORK PROPOSED ~ NEW CONSTR B ADDJAL T INSTALL REPAIR PROPOSED USE 0 SFR 0 COMM TYPE OF CONSTR,UCTION 0 BLOCK 0 FRAME o.St"''''L Gilr"'g8!1lln8 M8il'lt!l.lll ,.::~ Sheds--- DESCRIPTION OF WORK BUILDING SIZE ISOX1 00 130XSO L 8000/2400 SQ FOOTAGE D BUILDING 1$ I D ELECTRICAL 1$ I 0 PLUMBING 1$ I D MECHANICAL 1$ I 0 GAS D ROOFING 0 FINISHED FLOOR ELEVATIONS I I (OBTAINED FROM PROPERTY TAX NOTICe) SIGN D MOVE D DEMOLISH OTHEFt I J I 1t~'^' ~il ~,. 71~d"'7 r2{$ , D W.R.E.C. AMP .SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D VALUATION OF MECHANICAL INSTALLATION ~N)~ SPECIAL TV 0 OTHER FLOOD ZONE AREA DYES DNO BUILDER SIGNATURE COMPANY REGISTEREO Address 1497 Main Street ## 343 Dunedin, FL 34698 EL.ECTRICIAN I SIGNATURE . Address. I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Addrecs I OTHER I SIGNATURE Address , COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED FEE CURRENT License tf. I C6C1251195 YI N FEE CURRENT License # Y I N FEE CURRENT License # Y/N FEE CURRENT Ucense # VI N FEE CURRE:NT License # V/N ~JN V/N Y/N JUL/13/2007/FRI 11:57 AM CHASE GC INC FAX No, 727 789 9391 NOTICE OF DEED RESTRICTIONS: The undersigned underalande Ihat this permit may be subject 10 "dEled" restrlcllons" which may be more restrictive than County regulatiQne. The undersigned aS8umes responsibility for compliance with any aPplicable deed reslriclions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hes hired a contractor or contraclors 10 undertake work, they may be required to be licensed In accordance with state end local regulations. If the contractor is nol licensed as required by law, both the owner and contractor may be ciled for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as 10 what licensing raqulremllnts may apply for Ihe inlended work, they are advised to contact Ihe Pasco County Building Inspecllon DIvision-Licensing Seclion at 727-847- 8009. F1ll1herfflore, If the owner has hired a contractor or contractors, he Is advised to have the conlractor(s) sign portions of Ihe "conlractor Block'" of this epplicalion for which Ihey will be responsible. If you, as Ihe owner sign as the contractor, thai may be an Indlcalion that he Is not proplll'ty licensed and is not enlllled 10 p4umlttlng privileges in Pasco County. TRANSPORTATION INlPACT/UTlLlTIE:S IIVJPAC1' AND RESOURCE RECOVERY FEES: The undersigned understands thai Transpol1atlon Impact Fees and Rllcourse Recovery Fees lTlay apply to the construction of new buildings, change of USll In exlsClng buildings, or expansion of exlsllng buildings, as specified in Pesco Counly Ordinance number 89-07 end 90-07, as amended, The undersigned also understands. that such fees, as may be due, will be identified at the lime of permlltlng. Ills further understood that Transportation Impacl Fees end Resource Recovery Fees must be paid prtor to receMng a "certlOcate of occupancy" or fmal power release. If Ihe project does nOllnvolve a certificate of occupancy or final power release. the fees must be paid prior to permit lasuence. Furthermore. If Pasco County Water/Sewer Impact fees are due, they must be paid prior 10 permit Issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Ftorlda Statutes, as amended): If valuallon 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 Agrtculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I havll oblalned a copy of the above described document and promise in good faith to deliver it to the "owner" prior 10 commencement CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information in this application is accurale and Ihat an work will be done In compliance with all applicable laws regulating construction, zoning and lIind development. Application Is hereby mada 10 obtain a permit to do work and installation as indicated. I oertify Ihat 00 work or InstallaClon 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 Cily codes. zoning regulations, and land development regulations In Iha. Jurisdiction, I also certify thaI I understand that the regulations of other government agencies may epply to \tie Intended work, and thaI Ills my responslblllly \0 Idenllfy what aclions I must take to be in compliance. Such agencIes Include but are nolllmlted to: Dllpartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Envlronmanlelly Sensitive Lands, WaterlWastewater Treatment Southwest Florida Water Management District-Wells. Cypress Bayheeds, Weiland Areas, AlterIng Watercourses. Army Corps of Engineers-Seawalls. Docks, Navigable Watetways. Department of Health & Rehabilitative Services/Environmental Health Unit-Willis, Wastllwater Treatment, Septic Tanks. US Environmental Proteclion Agency-Asbestos abatemsnl. Federal Aviation Authorily-Runweys. I understand that the following restrictions apply to the use of 011: Use offill Is not ellowad In Flood Zone 'V' unless expressly permilled. If the fill material is to be uaed In Flood Zons "A", It Is understood that a drainage plan addressing a "compensating volume" wtll be submitted altlms of permlltlng which is prepared by a professional engineer licensed by the State of Flortda, If the lill materIal Is 10 be used tn Flood Zone "A" in connection with a permitted building using stem wall construction, I certify IIlal nil wtll be uSlld only to fill the area within the stem wan. If fill material Is 10 be used In any area, I certify that use of 8uch fin will not adverssJy affect adjacent propsrtlss. If use of fill is found to adversely affect adjacent properties, Ihe ownar may bll clllld for violating the condlllons of the building permit issued under the atlached permit appllcatlon, for lots less Ihan ons (1) acrs which are elevated by fill, an engineered drainage plan Is required. If I am Ihe AGENT FOR THE OWNER. I promise in good faith to inform the owner of tha parmllllng condlllons set forth in Ihis affidavll prior 10 commencIng construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells. pools, air conditioning, gas, or other instaHations not speclflcelly Inctudlld In Ihll application. A permlllssued shall be construed to be a license to proceed with the work eod not as authority to violate, cancel. aller, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent ths Building Ofndal from Ihereafter requiring a correction of errors in plans, construction or violaUone of any codes. Evsry permit Issued shall become Invalid unlllss Ihe work authorized by such permit is commenced wilhin elx months of permlllssuance. or If work authorized by the parmllls suspended or abandoned for a period of six (6) months after ttle Ume Ihe work Is commenced. An exlension may bll requestlld. In wrlllng, from the Building Official for a pariod not to exceed ninety (00) days and wll demonstrate Justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the Job Is considered abandoned, OWNER OR AGENT subSClill8cl and &WOm 10 (or efllnnecl) bero,. me this by IMlo I~(e p8t8one.y 1cJI0\M11O me or h_lheve produced ;to idcnljficauon, Noluy Pubic NolelY PUllIlc CommissIOn No, CommissIon No. ~ t> Af\~ 1~ & Lre..h~ R: Heme of ollllY Iypld, prinled 0' stamped H._ or Nol...,. typed. pllnl8cl 0' .tempecl P. 003 I ~j ~~I~~ [tm~~ dIU ~ ~i Parcel Information for: 12-26-21-0000-04900-0000 Card: 001 Page 1 of2 $~~r9bt\Qc:lin Show Map Generalized Building Schematic Estimate Taxes Other Parcel Cards: 1 I .2 I ~ I ~ I ~ I .6 I 1 I .a I .9 I 10 I 11 I 12 See Tax Collector Information - Current/Delinquent Taxes Freauently Asked Questions I ParcellD II 12-26-21-0000-04900-0000 (Card: 001 of 012) I I Classification II 89 - Other Municipal I Mailing Address Assessment (totals) CITY OF ZEPHYRHILLS Ag Land $0 5335 8TH ST Land $2,103,496 ZEPHYRHILLS, FL 335424312 Building $1,568,527 Physical Address Extra Features $98,426 39400 SOUTH AVE ZEPHYRHILLS, FL 33542-5241 Total Assessment $3,770,449 legal DescriDtion (First 4 Lines) Save Our Homes $0 E1/4 OF NE1/4 OF SE1/4 OF SEC Taxable Value $0 & S1/2 OF SE1/4 OF SEC & THAT paR OF SE1/4 OF SW1/4 OF SEC LYING EAST OF GILES RD EXC paR land Detail (Card: 001 of 012) I Line I Use Description Zoning Units Type Prl[:i Cond! Value I 1 I 2000 AIRPORT OAP1 12,000.00 SF 1.4 1.00 t $17,040 I 2 , 2000 AIRPORT OAP1 38,000.00 SF .66 1.00 $25,080 3 I 2000 AIRPORT "OAP1 14,743,501.001 SF .40 1.00 1,897,400 4 2000 AIRPORT " OAP2 409,940.00 SF .40 I 1.00 II $163,9761 Additional land Information Acres 1119.45 I Tax Area II 30ZH II Fema Code [~] Comm Codelr IZAPMAA Building Information - Year Built 1985 USE 80 - Warehouses, Metal (Card: 001 of 012) Ext Wall 1 Modular Metal Ext Wall 2 None Roof Str Steel Frame or Truss Roof COy Min Roof(Corr. or Sh M) Int Wall 1 Masonary or Minimum Int Wall 2 None Flooring 1 Finished Concrete Flooring 2 None Fuel None Heat None AC None Baths 5.00 I Line I Description Sq. Feet Repl. Cost New 1 CAN 3,200 $28,896 2 BAS 7,488 $225,389 3 AOF 2,112 $108,059 Extra Features (Card: 001 of 012) I line I Description Year Units Value I 1 I PAV ASP 1985 I 53,418 I $10817 I 2 I CLEENCJ; 1985 9,600 $3384 3 RUNWAY 1965 170,000 $20400 4 PAV ASP 2003 79,380 $53582 5 SHED 2006 288 $4212 I 6 II CLEENCJ; I 2006 5,526 $5974 http://www.appraiser.pascogov.comlsearch/offline _ tca.asp?Sec= 12&Twn=26&Rng=21 &8... 7/13/2007 CHASE GENERAL CONTRACTING, INC. License # CBC 1251195 I Christopher Hoard, CBC ] 25 ] 195, hereby authorize the following to act as my agents in obtaining permits in Zephyrhills, FL. Joseph Tokos- DL # T220-486-540-230 Craig Kahle- DL # K400-1 ]2-564-100 Jason Perrott- DL # P630-436-792-650 David John VanTrump- DL# V536-464-8]3-270 Leslie Van Trump- DL# V536-532-589-61 0 Samuel Harbert- DL# H6]6-793-76-205-0 n effect, unless cancelled in writing by the undersigned. ( State of ~L,; J{t.b County of P\fl.,t,JlCL.S Sworn to (or affirmed) and subscribed before me this ,;t ,daYOf~,20~ By Ch iU.s k,lF'k l-!va.rd I Nec~L (Signature of Notary) linn L 3Ue.hCl"l (Name of Notary printed) My commission expires: 1?- I 7- 0 ~ Personally Know V or Produced identification ANN L SUCHAN Notary Pubc - :State of FIOI1do My COfnJl'(~' t<;)'fe$ Aug 17. COrnrniS1-;)ii if uD310826 Bonded By NGhc'1oi I'Jotcry foJro, (Type of Identification produced) 1497 Main Street #343 · Dunedin, FL 34698 Phone: (727) 787-0101 · Fax: (727) 787-0191 E-mail: chase.gc@verizon.net f/ 1/111':'UlJl 1lJ:"U L~\.II'1 .Ll'1'IJVl\(Al'''L \"'VllU Iln I ACORD TM Dale CERTIFICATE OF LIABILITY INSURANCE 7/11/07 Producer: lion Insurance Company This Certificate Is Issued as a matter of Information only and confers no rights 2739 U,S, Highway 19 N, upon the Certificate Holder. This Certificate does not amend, extend or alter Holiday, FL 34691 the coverage afforded by the policies below, Phone: 727-938-5562 Fax: 727-937-2138 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc, Insurer A: Lion Insurance Campa ny 11075 2739 U,S, Highway 19 N, Insurer B: Holiday, FL 34691 Insurer C: Phone: (727)938-5562 Insurer D: Insurer E: Coverages The poticies 01 insurance listed below have baen isslled to Ihe insured named above for tha policy periOd indicated, Nolwithstanding any requiremenl, tenn or condition 01 any conlract or other docllment with respect to which this certificate may be isslled or may pertain, 1I1e insurance afforded by Iha pollcias described herein is slIbject to all tl1a terms, axc"sims, am concltions of such policies. Aggregate limits shown may have bean reduced by paid claims. tNSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Date Limits LTR INSRD Date (MM/DDIYY) (MM/DDIYY) GENERAL LIABILITY Each Occurrence $ I- Commercial General Liability Damage to rentod promises (EA :: tJ Claims Made 0 Occur occurrence) $ - Med Exp $ - Personal Adv Injury $ General aggregate limit applies per: ] Policy D Project 0 General Aggregate $ LOC Products - ComplOp Agg $ II.UTOMOBILE LIABILITY Combined Single Limit - (EA Accident) $ Any Auto - All OWned Autos Bodily Injury - (Per Person) $ Sctleduled AlIlos - Hired Autos Bodily Injury - Non~Owned Autos (Per Accident) $ - Property D8Ina[le (Per Accident) GARAGE LIABILITY Aulo Only - Ea I\ccident $ ~ Any Auto Other Than EA Ace. $ Autos Only AGG $ EXCESS/UMBRELLA LIABILITY Eacl1 Occurrence I- Occur o Claims Made Aggregate I- Deductible I- Retenlion I- A Workers Compensation and WC 71949 X I WC Statu- I 10TH- 01/0112007 01/0112008 tOI')' Limits ER Employers' Liability Any proprietor/partner/executive officer/member E,L. Each Accident $1000000 excluded? E ,L, Disease - Ea Empioyee $1000000 If Yes, describe under special provisions below, E,L. Disease - Policy Limits $1000000 Other 3040009 Chase General Contracting, Inc COVERAGE APPLIES ONLY TO THOSE EMPLOYEES LEASED, NOT TO SUBCONTRACTORS, Descripflons of Operatlons/LocationsNehicles/Exclusions added by Endorsement/Special Provistons: ADD ON DATE: 2/20/06 COVERAGE APPLIES ONLY IN THE STATE OF FLORIDA TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF Chase General Contracting, Inc' FAX: 727-787-01911 iSSUE 07-11-07 (JOY) Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 CERTIFICAlE HOLDER CANCELLATtON CITY OF ZEPHYRHILLS Should any of the above described pOlicies be canceUed belore the e""lretlon date thereof, the issuing insurer Will endeavor 10 mail 30 deys wrttten notice to the cerlillcale hotder named 10 the leR, but failure to do so shall impose no obligation or tiability of any kind upon the inslIrer, its agenls or representatives, 5335 8TH STREET )tZ,~~, ZEPHYRHILLS FL 33542 ACORD 25(1001108) ACORD CORPORATION 1988 ACORD' . CE~TIFICA TE OF LIABILITY INSURANCE I DATE; (MMIDDIYY) '" 0711012007 PRODUCER Sori!:ll # 104667 THIS CI:Ril~ICATE IS ISSUED AS A MATTER OF INFORMATION LAPLANTE; AGENCY ONLY AND CONFERS NO RIQHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2115 STATE ROAD 580 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CL.tARWATE.R FL 337G1 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A; MID-CONTINENT CASUAL TV COMPANY , CHASE GI:NI::KAL CON I KAI,; liNG INC INSI)RI;R iii: CHRISTOPHER HOARD INSU~ER c: 248 US AL T 19 SUITE A I PALM HARBOR Fl 34683 INSURER D, INSUReR e: COVERAGeS nlE POLICIE;S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ~ERIOD INDICATED, NOTWITHSTANDING ANY Re:aUfREME;NT,TERM OR CONDITION OF ANY CONlRACT OR OTHER DOCUMENTWITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ~E:RTAIN, THE: INSURANCE AFFORDED BY THE POllOE;S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I~'~ ~~~ TYPE 01' INSURANCE POUCY NUMBE~ p~k~JJWJ~%'W~ PgklR )( lION LIMITS ~NERAI. LIABILITY EACH OCCURRENCE $ 1.000,000 A ~ WUMMl:.I'<<';IAL U"'N~i'lAL LIA~lLI r Y 04-GL -OOO64~333 09/03/06 OS/OJ/07 I B~rt.o~Ho l'lIiMTliO $ 100,000 h CLAIMS MADE []] OCCUI'l M5D F.XP (A~v DnA pon;on\ $ EXCLUDED - PEMONAL 6. ADV INJURY $ 1.000,000 " GENERAL AOGREOATE $ 2,000 000 ~'LAGGR!'in LIMIT APn ~ER: PRODUCTS, COMP/OP AGG S 2.000,000 X POLICY ~tlRT I LCle ~TOMoeIL!; Llilen.ITY COMBiNED SINGLE LIMIT m ANY AUTO (Ea itllidMt) "- I-- A~1. QWN~O AUTOS BODILY INJUf<Y $ SCHEDULlW AUTOS (P....pl!l~M) i-- "-- HIRED AUTOS BODILY INJURY ~ - NON,OWNED AUTOS (Per ~c<;!<.lent) PROPERTY DAMAGE: $ (Per accident) RAAGI; 1IA,B1I..1T'Y AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER l"IAN EA ACC $ AuTO ONLY: A13G ~ OESS/UMBRELLA LIABILITY r;;ACH OCCURRENCE $ OCCUR 0 CI.AIMS MAD!:; AGGREGATE $ H DEDI)CTI8~F. $ $ RETENTION ,~ $ WORKER'S COMPSNSA nON AND I T~~JmYs I PJ~' EMPLOYSRS' LlABIL1TY ANy' P~Of'I'lIS"QR/PAflTNER/5XEiCVTIVE el EACH ACCIDENT $ ornC!:RIMCMocn r:XOLUOCO? oJ. I;lllil;AliE;. .!;A I;MPll,lYcc ~ m~I~~'~~6,)j~O'NS belOW El DISEASE . PO~ICY LIMIT $ OTHEfl DESCRIPTION OF OPERAnONS/LOCATIDNSNEHICl[;S/[;XClUSIOIIIS ADDED BY ENDORSEMENT/SPECIAL PROIIISIONS *I:XCEPT 10 DAYS FOR NON PAYMENT CERTIFICATE HOLDER CANC~U-ATlON SHOU~D AflV OF THE< Ar;lOVP. CIiSCRIOeO 1"0"'0156 95 CANCGI.I.ED a!;FORe; THE EXPIRATION CITY OF ZgpHYRHrLl$ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~DAYS WRITTEN NOTIC!; TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CO SO SHALL IMPose NO OBLI~ATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REI"RE6ENTATIVE5, AUTIlORIZED RE?RESENTATIVE OF INDEPENDENT INSURANCE AGENCY j _.~~ JL.V ACORD 25 (2001/08) C:\FMPFtO\CERTPFtOS.F~5 @ACORDCORPORATION1988 PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT Christopher Newell Hoard DBA Chase General Contracting Ine STATE CERT# I-CBC1251196 HAS REGISTERED HIS LICENSE AND FILED PROOF OF REQUIRED LIABILITY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD, IN GOOD STANDING UNTIL SEPTEMBER 30, 2007 DATE OF ISSUANCE 10/1/06 STATE OF FLORIDA R E C E \ V E 0 J UJ ,., ts lUUb DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 (850) 487-1395 HOARD, CHRISTOPHER NEWELL CHASE GENERAL CONTRACTING INC 1497 MAIN ST. #343 DUNEDIN FL 34698 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND , PROFESSIONAL REGULATION AC# 2 7 6 0 2 3 9 CBC1251195 08/29/06 068010412 CERTIFIED BUILD~~G CqNTRACTOR HOARD, Cll:RIS:TOPHER NEW'SLL CHASE GENE'kAL CONTRACTING INC IS CERTIFIED under the provisions of ch.489 liS. Expiration date, AUG 31, 2008 L06082901S92 DETACH HERE ............_.___"_._..___h...'._...__~..._._.......h......~__~._..___.___...____......_.__.__.__.~...~.___..___,._..._......_.._...___..~__.~.~_..._...~__.~...n_.._._.__.n_..____..__._._...__.~___.._..._.._...._________._..._._._......_.._._..._..._._"'.__.~.._..__n___.m._.._.__...._.d..._.._ AC# 27 602 3 9 5T A TE OF FLORIDA . DEI?ARTM,EN'I' OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L06082901592 08";:29 ..2:~">6 :06S:0'10412CB, ,125119$ Th:e'jOILDING CONTRACTOR Named below IS CERTIFIED Under .the prov'isions of Chap~$r 4'8'9 FS. Expiration date: AUG 31, 2008 HbAl{t>.,,:ca~:t;$TOl?Ii:!1lR NEWELL eHAS~L$l!:NEl~t.. 'CONTRACTING INC 1497MAINS.T. #343 DUNEDJ:N FL 3469B J:$,a BUSH GOVE,:J;U.rOR SIMONE MARSTILLER SECRETARY nlr"\r-l' ^ 'J ^ t"'t 1"""""'-"1 Il,.....r-r"'\ n" I ^\^t FS 7J3.0C)I SEMINOLE FORM 407 WARNING TO OWNER: UNDER FLORIDA LAW, YOUR FAIWRE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOURPAYJNG TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAJHA WRtlTENRELU,SE FROM US EVERY TIME YOU PAVYOUR CONTRACTOR. NOTICE TO OWNER To C ~ ~ \ Date ()+ 2ef~~r hr-,) ) s I (Owner) 15~JO-(j7 Address The undersigned hereby Informs you that he has furnished, oris furnishing services or materials as follows: LO\ boe- -\--a fr~f \ p laa I CV\~ r=~() \~J- CoV'\c..re:4: ~r \:)G+ B~~ \dl~"'~S ~) 8. for tl1e Improvement of the real property Identlfled as: (Descrfbereaf property sufficiently for identification, IncludIng street \ and number If known) under an order given by ~ kC\~-(. c,ef\erl\. ) ('.9 "- -\- O( c4 (\9 Florida law prescribes the serving of this notice and restrfcts your right to make payments under your contract In accordance with section 713.06, Florida Statutes. IMPORTANT INFoRMATION FOR YOUR PROh:C'nON Under Rorlda's laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment against your property. This claim Is known aa a constrUCtion lien. If your contractor falls to pay subcontractors Of material auppl}8l'8 Of negIeots to make Other .legally requltiKI payments, the people who are owed money may look to your property for payment, EVeN IF YOu HAVE PAID VOt.fR CONTRACTOR IN fUlL. PROTECT YOURSELF: RECOGNIZE that thIs Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid. LEARN more about the Construction Uen Law, Chapter 713, Part I, Florida ~, and the meaning of this notice by contaotlng an attorney or the Florida Department of Agriculture and Consumer ServIces, OIvisIon of Consumer Services. CopIes to c... kd<' ~{"V\eI'1. \ ~"tlj Jj ('.1; n+ 2-<jkyk\h ' B-tw ~r('-\-cY04 ~r(/( Lc 6 ~ f"""N<iiiio B ... v--.0J'od)- Uenor's Signature Address Q04l W~a..o U ~ (Pf- 3'l.~<{O