HomeMy WebLinkAbout07-7296
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7296
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 1,800.00
Date Issued: 12/11/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 12/11/2007 Phone:
Work Desc: RELOCATE LAUNDRY ROOM SERVICE FRM ENTRANCE INSIDE TO OUTSIDE
Address: 4..;:),
ELECTRICAL MISC ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
NOT APPLICABLE Lot(s): Block:
GUARANTEE ELECTRIC INC Book: Page:
Subdivision: N/A
Parcel Number: 12-26-21-002B00500-0000
Section:
Name: SIXTH AVENUE LLC
Address: 2 NORTH RIVERSIDE PLAZA #800
CHICAGO, IL 60606-2682
ELECTRICAL FEE
35.00
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 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.
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 payin
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.
J~ ~r:~
CONTRACTOR
PERMIT EXPIR
CALL FO
~s WImO~ ~PR~I~f:::r
PECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7~20
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Address
Fee Simple rrlleholder Neme I
I
I
#'?OO rh/C''''30 TL ~o6ol~
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(OBTAINED FROM PllOPERTY TAX NOTICE)
SIGN [kt MOVE 0
Owner Phone Number I
Owner Phone Number I
Fee Simple TItleholder Adcha 10< /11"''-''''1+ ((, 1/ E RS I/) E Pi A 2 ~
JOB ADDRESS
SUBDIVISION
E3
PROPOSED USE 0
TYPE OF CONSTRUCTION B'"
DESCRIPTlON OF WORK Jf!.t toe Ii TL
BUILDlNGSIZE ~7' X';<Y' ' I SQFOOTAGE
WORK PROPOSED
NEW CONSTR
INSTAlL
SFR
BLOCK
B ADD/AlT
REPAIR
D COMM
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DEMOliSH
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OTHER I
STEEL D OTHER I
E/C."V /(!c
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HEIGHT I
D BUILDING 1$
[2' ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
ROOFING
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VALUATION OF TOTAl CO~S7
IWtP SERVICE0200 PROGRESS ENERGY
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W.R.E.C.
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VALUATION OF MECHANICAL INSTAlLATION
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES ONO
BUILDER
SIGNATURE
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FEE CURRENT
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ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
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MECHANICAL I
SIGNATURE .
A~s I
~I~~TURE I
Address I
License #
COMPANY
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License #
COMPANY
REGISTERED
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FEE CURRENT
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License #
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RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Enetgy Foons
Minimum ten (10) working days after submittat date. Required onsita, Construction P.....s, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Foons.
Minimum ten (10) working days after submittat date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered P.....s.
"***PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2600, . Notice of C..........~,...nt Is requl...... (AIC __ OYer $5000)
- Agent (for the contractor) or Power of Altomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AJC Fences (PlotISurveylFootage)
Driveways-Not over ColXlter ~ on public roadwaysuneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to lideed" 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 for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-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 hot 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 Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable 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. I
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. t 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 in compliance. 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 a professional engineer
licensed by the State of Florida. .
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction I certify that fill will be used only to fill the area within the stem wall.
If fill materi~' 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 a~versely affect adjacent properti~s, the. ow~er may be cited for violating
the conditions of the building permit Issued under the attached permit appllcatron, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required. . . . . .
If I am the AGENT FOR THE OWNER, I promise ,in good faith to inform the owner ~f the permlttln~ condltrons s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t may ?e reqUlr~d for elect~lca~ work;
plumbing, signs, wells, pools; air conditioning, gas, or other ~nstallatlons not speCifically In~luded. In the appllcatton. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y !o. vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued. shall become. invalid
unless the work authorized by such permit is commen~ed within six months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of SIX (6) months after the lime th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) da~s 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 RECORDA 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 ATTORN BEFORE RECORDING YOUR NOTICE OF COM MEN MENT.
FLORIDA JURAT (ES. 117 3)
OWNER OR AGENT
Subscribed and sworn to or affirme ) before me, this
1z../ll/o1 by )::u.o\ 0 ~ ~en~c.~
Who Is/are personally known to me or has/have produced
FL ""De,) R L-\ C as Identification.
~ "'--...... N ~ Notary publllC
Commission It~~ Karel" L Miller
{!t. ....~ co~m\ssion # 00609664
Name of Not
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Nolary Public
813-780-0020
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"'2x-813-780-0021
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Owner P!1i,:me Number
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~~==~] (lv/ller PhiJne Number I
~:===] (lwllel' Phone Number I
Date Received
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Owner's Name
Owner's Address
Fee Simple Titleholder Namel
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Fee Simple Titleholder Address
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LOT #
JOB ADDRESS
---------
DESCRIPTION OF WORK
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(OEITAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR B ADD/liLT [=:I SIGN D MOVE D DEMOLISH
INSTALL REPAIR
SFR D COMM [=:I OTHER I
BLOCK D FRAME [=:J STEEL D OTHER I
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
SQ FOOTAGE c===~
HI:IGHT I
BUILDING SIZE
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D BUILDING 1$ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
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PROGRESS ENERGY
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VALUA.TION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
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BUILDER ] GOMPAIIJY [
SIGNATURE FlEGISTERED Y/ N FEE CURRENT
Address ] License #
ELECTRICIAN ] GOMPAltIIY [
SIGNATURE HEGISTEF:ED I Y/ N FEE CURRENT
Address ] License #
PLUMBER ] COMPANY [
SIGNATURE I~EGISTEFtED Y/N FEE CURRENT
Address ] License #
MECHANICAL ] COMPANY [
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address ] License #
OTHER ] COMPANY [
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address ] License #
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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/largel projects
COMMERCIAL Attach (3) 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIItllllllllllllllli
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the cqntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
. Pasco County Parcel: 12-26-21-002B-00500-0000 001
Page 1 of1
~grch Again Show Map Generalized Building Schematic Estimate Taxes FrequentlY Asked Questions
Other Parcel Cards: 1 I .2 I J
Other Agency Data: Tax Collector School Board SUDervisor of Elections
I Data Current as Of: I Weekly Archive - Friday, December 07, 2007
I Parcel ID I 12-26-21-0026-00500-0000 (Card: 001 of 003)
I Classification II 28 - Rental MHjRV Park I
Mailing Address Assessment (totals)
SIXTH AVENUE LLC Ag Land $0
C/O FAIZ ALI #7800 Land $2,172,490
2 NORTH RIVERSIDE PLAZA #800 Building $62,970
CHICAGO, IL 606062682
Phvsical Address - See All 139 addresses (First Shown) Extra Features $1,885
5542 ANNETTE ST Total Assessment $2,237,345
ZEPHYRHILLS, FL 33542-6800 Save Our Homes $0
Legal Description (First 4 Lines) Taxable Value
ZEPHYRHILLS COLONY COMPANY $2,237,345
LANDS PB 2 PG 16 THAT PART OF
TRACT 4 LYING WEST OF RR IN
THE SWl/4 OF NEl/4 AND THAT
Land Detail (Card: 001 of 003)
Line Use IDescriPtionl1 Zoning Units Type " Price I Condition II Value I
1 0210 I TRLR PARK II 00M2 135.00 UT " $15,634.00 1.02 1$2,152,8021
2 0220 I RV PARK II 00M2 , 4.00 UT " $4,922.00 1.00 II $19,688 I
Additional Land Information
Acr:J 13.38 " Tax " JQZtl " FEMA X IIReSidential cOdellRMHpcdlcommerical COdellRMHPCL3
Area Code II II II II
Buildina Information - Use 77 - Clubs, Lodges, Halls (Card: 001 of 003)
Year Built 1967 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Masonary or Minimum Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 None
Fuel Gas Heat Forced Air - Not Ducted
A/C Window Unit Baths 2.0
Line II Description II Sq. Feet II Repl. Cost New
1 I BAS II 1,924 II $70,438 I
2 I CAN II 100 II $1,098 I
Extra Features (Card: 001 of 003)
Line II Description " Year " Units II Value
No Extra Features
! Sales History I
Previous Owner MERKLIN BRYAN A & NANCY L
Year Month Book/Page I Type II Amount
1999 09 4230 / 0265 WDj: $2,369,300
1996 11 3664 / 1036 WD $1,800,000
I 1991 I 09 2043 / 1811 WD $1,336,000
Search Again Show Map Generalized Buildina Schematic Estimate Taxes Freauently Asked Ouestions
Other Parcel Cards: 1 I .2 I J
Other Agency Data: Tax Collector School Board ~~Dervisor of Elections
http://appraiser.pascogov . com! search/parcel.aspx?sec= 12&twn=26&rng=21 &sbb=002B...
12/11/2007
@
MANUFACTURED HOME COMMUNITIES, INC.
Sixth A venue MHP
39345 6th Avenue East
Zephyrhills, Florida 33542
(813) 782-1174
Fax (813) 782-7554
September 25,2007
Guarantee Electric, Inc.
10645 Fawn Dr.
New Port Richey, FI 34654
Guarantee Electric:
This is approval to do the work at Sixth Avenue Mobile Home Park. This work will
commenced during the month of December 2007.
This work \'vill include the relocation of existing 200 amp service entrance locating in the
laundry bui !ding to the exterior wall removing it from inter closet.
The total quoted price being $1800.00 for this work.
Sincerely,
/lA~ ~~~---
/" ~iehae] Minton
Community Manager
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ACCOUNT NO: 000394
SIC CODE: 1731.02
Mike Olson
GUARANTEE ELECTRIC INC
10645 FAWN DR
NEW PRT RCHY FL 34654-1407
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TYPE OF BUSINESS:
ELECTRICAL CONTRACTOR
LOCATION ADDRESS:
10645 FAWN DR
NEW PRT RCHY
DATE
RECEIPT
AMOUNT
31.25
09/14/07 533783
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02-01-2007
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERnFICATE OF B.ECTION TO BE EXEMPT FROM RORIOA WORkERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 03/02/2007
PERSON: KENNEDY
FEIN: 592970767
BUSINESS NAME AND ADDRESS:
GUARANTEE ELECTRIC INC
101145 FAWN DRIVE
NEW PORT RICHEY FL 34B54
EXPIRATION DATE: 03/01/2009
DAVID F
SCOPES OF BUSINESS OR TRADE:
1- ELECTRICAL CONTRACTOR
IMPDRTANT: PurSUIR! 10 Cblpler 44D . D5(141, F.S., .n alfieer af I earp..llial .ba eleels exellpliaD froll lllis eNpler by fllllg I eeniffelle of eleellan II~er Ibis
slellll m.y Dol recover benefits ar eampHslliol uder Ibis eblpll'. P.rs.I.1 10 Chlpler 440.05(121, F.S., Clnllielles of electl.. 10 bo exlmpl... .pply only .lIbl. Ihe
seepe .f Iho blslness or Ir.~o Iisld on tae lalice of oleelion 10 bl eXllllpl. Plrsue.1 10 Chlpl., 44ll. 051 I 31, F.S., Noliees of Illctlal 10 bl eXlmpl II~ eeniliellls of
eleellon II bl Ixellpl sh.1I be sub jeel Ie revoeetio. if, II I.y lime eller Ibl filin, of ... .etlee or Iho IS_Ice 01 ... eenilieele, 11I1 perna ....d H Ibe .oliee or
eertllle.le no lo.ger IIIlels Ibe requlre.onls of Ihls soeliDII for IssuI.ee of I unllieete. TIll ~ep.n.111 shill rev.le I eenllielll II Iny lime for IIU.e 01 Ihe persal
nlmed an Ihl eenllie..e la meel Ihe rlquire..lnls af Ihis slelial.
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
QUESTIONS? (850) 413-1609
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DMSfON OF WORKERS' COMPENSATION
CONSTRUCTION INJUSTRY
CERTfFlCATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 03/02/2007 EXPIRATION DATE:
PERSON: DAVID F KENlIEDY
FEIN: 582870787
BUSINESS NAME AND ADDRESS:
GUARANTEE ELECTRIC INC
10645 FAWN DRIVE
NEW PORT RICHEY. FL 34654
.,.
.
03/01/2009
SCOPE OF BUSINESS OR TRADE:
1 - ELECTRICAL CONTRACTOR
F IMPORTANT
o PursUlllt to Chlpter 440.05(14). F.S.. an officer of a corporation who
L elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or compensation under this
D chapter.
H P..-suant to Chapter 440..05(2). F.S.. Certificates of election to be
E exempt.. apply only within the scope of the business or trade listed on
the notice of election to be exempt
R
E Pursuant to Chlpter 440.05(13). F.S.. Notices of election to be exempt
and certificlites of election to be exempt shlIIl be subject to revocation
if. at any time after the filing ,f the notice or the issuance of the
certificate. the person l1IIned on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
deplrtment shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
CUT HERE
* Carry bottom portion on the job. keep upper portion for your records.
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
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