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Home My WebLink About08-7557 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7557 Permit Number: 7557 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 108,390.00 Date Issued: 2/29/2008 Total Fees: 760.50 Amount Paid: 760.50 Date Paid: 2/29/2008 Work Desc: REROOF 28,700 sa FT Address: 6816 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-02400-0020 PIN CHAS RS BOWLING 6816 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: TAPE JOINTS ROOF INSP FINAL REINSPEcnON 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 requirecl 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 befo rding you tice of mencement." TOR Sl NATURE PERMIT OFFI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7557 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7557 RE-ROOF ROOF REPLACEMENT COMMERCIAL Address: 6816 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-02400-0020 108,390.00 @~~ 5QQt,. REROOF 28,700 sa FT PIN CHASER 6816 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: TAPE JOINTS ROOF INSP FINAL 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." CONTRACTOR SIGNATURE PERMIT OFF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 3701 West Cherry Street, Tampa, Florida 33607 · Office (813) 872-8021 · FAX (813) 872-8031 web-site: www.eaalerfa.com · e-mail: eaale@eaalerfa.com February 19,2008 REVISED Pinchasers 4847N, Armenia Ave. Tampa, FL. 33603 ALL WORK SHALL COTv~PLY \VITHALL . PREVAILING CODE:~. FLORIDA BUILDING CODE. NATIONAL ELECTRIC CODE ANJ CEY OF ZEPHYRHILLS ORDINANCES ATTN: Mr. Anthony Perrone RE: Pinchasers - Zephyrhills REVIEV\I DATE ).. -- :J.--'t-O '6 CI'T"'\< O.~:: EVe-;:PH.V~HILLS >> t ' ."J ,"-'-' ,. l"'. ~j/r PLANS EXjo1~MINER (L. ) Dear Anthony: At your request, we have reviewed the existing construction and conditions of the above- mentioned address, Given the existing conditions and construction, we propose the following: Main Roof Area - Mechanicallv attached TPO: 1, Remove existing rake I gable edge trim, gutters & downspouts and legally dispose. 2. Cut back ends of metal panels flush with building walls at eave lines. 3, Furnish and install2"x 4" PT wood nailer along three (3) sides of building for new metal edge & gutter attachment. Nailers to be fastened through existing metal panels into purlins beneath. Fastening accomplished wi 4" purlin screws every 18" O.C. (#12 diameter, steel wi epoxy coating & 800 lbf of resistance). 4. Furnish and set 2.5", 1.25# density EPS insulation to fit between ribs of existing metal roof system. 5. Furnish and install W' Dens Deck over EPS insulation. Fastening to be eight (8) insulation fasteners per 4'x 8' board, through EPS insulation into existing metal roof beneath. 6, Furnish and install a mechanically attached .045 white, fire rated, polyester reinforced TPO (Thermo-Plastic Olefin) membrane roof system over insulation board. Fastening accomplished with 23/8" round barb plates & 4" purlin screws (#12 diameter, steel wi epoxy coating & 800 Ibf of resistance) every 12" O.C. 7, Install all component flashing in accordance to manufacturer' s s~cifications. Consists of low base flashing at front wall, curb flashing, edge flashing, VTR flashing & pitch pans. 8. Fabricate and install 400' LF of drip edge & 150' LF of rake edge wi continuous clip from 24 gauge galvanized steel pre-rmished sheets. &4 that Soars above the Rest .,'~/~ # 9. Fabricate and install 400' LF of gutter & 180' LF of downspout from 24 gauge galvanized steel pre-finished sheets. (color to be chosen from standard color chart) 10. Furnish a two (2) year contractors guarantee from ERe, Inc. 11. Furnish a Fifteen (15) year "NDL" warranty from manufacturer covering workmanship & materials. This To Be Accomplished For The Sum Of ...... ............ ..:............ ............. $ 108,390.00 NOTES: 1. Pricing.DOES include new gutter & downspouts. 2. Pricing does not include any upgrades / improvements to the existing structural elements if deemed necessary. 3. Pricing does not include any plumbing, electrical or mechanical work if necessary. None anticipated. . 4. Pricing does not include any ridge venting as none presently exists. The cost to install 10' long ridge vents would be $ 850.00 / each. 5. Payment to be 35% deposit, 35% upon completion & 30% by (60) calendar days after completion of installation. 6. Set up & storage location of materials will be needed throughout the duration of the project. 7. Project duration is 2-3 weeks complete. 8. Pricing good for 15 days from date above. The above pricing includes all the necessary materials, taxes, freight, loading, hoisting, temporary facilities, labor, permits, disposal, workers compensation & general liability insurance to complete the project. We appreciate the opportunity to provide you with professional roofing services and look forward to hearing from you soon. Should you have any questions pertaining to this proposal, please call. Until then, we remain Sincerely, FA~pNnACT. ORS,INC. ~c. ~3 President By initialing the previous page & signing below, this will serve as our contractual agreement for the project. Company Name: (~C-~ ~~ =-~<O Accepted By: Name Printed: i...J...? L c..h...~","^-, ~ ~ 1" ,\ I ~\-W\bq. \ \ Date: 2of2 ~ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: [Ilt/e &~ ~fr k 2-0~--i$ J9(~(}/1/1 ;51 c/j) Itf~/. te/Jkc~ , Date Received: Site: Permit Type: Approved wino comments~ Approved withe below comments: D Denied withe below comments: D ;JcJ!-OY Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Dale Received if 1~( Owner'sName W/"". ~ /71orri Owner's Add.... I ~5(;~ C:hr../k.v AY~ Fee Simple TItleholder Name I A/ ~ /'(7 X 7ii,.,-._ I ~/?1 Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple TItleholder Add.... I ,;t/ /-'1 &:-cP/v 6q# D D D D MECHANICAL r D GAS ~ ROOFING FINISHED FLOOR ElEVATIONS (C? k-~ I LOa I PARCEL 1011 tJ ? - 7t, -21- cJd/d- t? Z'/a;J- dtJZO a (OBTAINED ~ PROPERTY TAX NOTICE) E3 NEW CONSTR ADD/ALT 0 SIGN D MOVE D DEMOLISH INSTALL ~ REPAIR PROPOSED USE 0 SFR ~ COMM 0 OTHER I TYPE OF CONSTRUCllON 0 BLOCK 0 FRAME 0 STEEL D OTHER I I ~~4-/-! ~~~;rn'" ~ DESCRlPTlON OF WORK ~ BUILDING SIZE 1/ f / ;; /S(J l' SQ FOOTAGE I .,l' -?; ;7aJ ..51 1$ 1$ 1$ JOB ADDRESS SUBDIVISION WORK PROPOSED HEIGHT I : ;zo/ BUILDING I I I I o I VALUATION OF TOTAL CONSTRUCTION / Cl J>: ..:/ 9t1' ' I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C. tJ ~~/ , ELECTRICAL PLUMBING VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 OTHER FLOOD ZONE AREA DYES DNo COMPANY REGISTERED LYi.!!.J FEE CURRENT LYL!U License # COMPANY REGISTERED LYi.!!.J FEE CURRENT LYL!U License # COMPANY REGISTERED LYi.!!.J FEE CURRENT LYL!U License # LYi.!!.J FEE CURRENT LYL!U I I I I I I I I /--4' ' BUILDER SIGNATURE Add.... ELECTRICIAN I SIGNATURE Add.... I PLUMBER I SIGNATURE . I Add.... MECHANICAL I SIGNATURE Addreaa COMMERCIAL License # I ~~ I~~d~~ ~ /".-- IN FEECU YIN Addren ~~/ N- C/W";Y J~/,;;r~~ /"'Z'" ~~7 License # I L"eC",.-G"z 63.csi RESIDENTIAL Attach (2) Plot Plans: (2) se1s of Building Plans; (1) set of E~ Forms; R-O-W Permtt for new construction, Minimum ten (10) woridng days alter submittal date. Required onsite, Construction Plans, Stonnwater Plans wi Si~ Fence installed, Sanitary Facilities & 1 dumpster; Site Work Perm~ for subdivisions/large projects Attach (3) complete se1s of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permtt for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wi Si~ Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permtt for all new projecta All commercial requirements must meet compliance Attach (2) se1s of engineered Plans. -PROPERTY SURVEY required for aU NEW construction. OTHER SIGNATURE SIGN PERMIT Directions: Fill out application comp-.y. OWner & Contractor sign back of application, notarized If over $2500. a Notice of Commencement Is required. (AIC UPllrlldee over $5000) - Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OV~R COUNTER PERMITl1NG (Front of Application Only) ~ Sewets SeMce Upgrades NC Fences (PIotISurveylFootage) _y.Nol over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: 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-licenslng Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible_ If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County . TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that 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. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to Identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater 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 Aorida. 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 material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, 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 of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e requir~d for elect~ca.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically Included In the application. A permit issued shall be construed to be a license to proce~d with the work a~d not as authorio/ !o violat~, cancel, alter, or set aside any provisions of the technical codes, nor shall.lss~ance of a permit prevent the Bull.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or vlolat~o~s o~ any codes. Every ~ermit Issued. shall become. invalid unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or if work authOrized by the permit Is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension may be requested, in writing, from the Building Official for a period not to exceed n1n~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 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 A ORNEY BEFORE RECORDING YOUR NOTICE OF COM NCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT Subscribed and sworn to (or amnned) before me this by Who Is/are personally known to me or haslhave produced as IdenUflcaUon. Notary Public Notary Public Commission No. Com Name of Notary typed, printed or stamped From: Amy Banchs At: Bouchard Insurance Inc FaxIO: To: City of Zephyrhills Date: 2/26/2008 10:34 AM Page: 1 of 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 A41 DATE (MMJDDIYYYY) EAGLE-1 02/26/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bouchard-Clearwater ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE 101 Starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR POBox 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758-6090 Phone: 727-447-6481 Fax: 727-449-1267 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Transport.ation :J:nsurance CO INSURER B Valley Forge Insurance Co Eagle Roofing Contractors, Inc INSURER C Mr Eric Sennott ber.icl.n ca.u.al ty Co of "eaclnq 3701 West Cherry Street INSURER D: Transconti.nental Xnsuranc. Co Tampa FL 33607 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 MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO I'LL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NsR[ TYPE OF INSURANCE POLICY NUMBER DATE (MMJDDNY) -1>'k+'EY (MMJDDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 I- 07/01/07 07/01/08 ~'v,,""'''u D ~ COMMERCII'L GENERAL LIABILITY 2091487362 PREMISES (Ea occurence) $ 100000 I- b CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 PERSONAl & I'DV INJURY $ 1000000 I- GENERI'L AGGREGATE $2000000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 --l POLICY !xl j~ n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 C ~ ANY AUTO C2082846198 07/01/07 07/01/08 (Ea ace, dent) - I'LL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - ~ HIRED AUTOS BODILY INJURY $ ~ NON-OWNED AUTOS (Per aCCident) f-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONlY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A RJ OCCUR 0 CLAIMS MADE CUP2082846265 07/01/07 07/01/08 AGGREGATE $ 1000000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X ITO'R\tiCI'fs I IUE~ B EMPLOYERS' LIABILITY WC2092172401 07/01/07 07/01/08 $ 500000 ANY PROPRIETORIPARTNERlEXECUTIVE EL EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ 500000 If yes, describe under $ 500000 SPECII'L PROVISIONS below EL. DISEASE - POLICY LIMIT OTHER D Rented Leased Equi C2048146410 07/01/07 07/01/08 L/R Equip 50000 D Installation Float C2048146410 07/01/07 07/01/08 Install F 20000 DESCRIPTION OF OPERATIONS / LOCAllONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS FAX: 813-780-0021 CERTIFICATE HOLDER CANCELLATION CITYOFZ SHOULD AJoN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF ZEPHYRHILLS PERMITTING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS FL 33542 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOllCE TO THE CERTIfICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGAllON OR LIABILITY OF AJoN KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOR P SENTAT @ACORDCORPORATION1988 ACORD 25 (2001/08) From: Amv Banchs At: Bouchard Insurance Inc FaxlD: To: Citv of ZeDhvrhills Date: 2/2612008 10:59 AM Paae: 1 of 3 BOUCHARD INSURANCE DATE: TO: ATTN: 2/2612008 10:59:38 AM City of Zephyrhills FAX#: (813) 780-0021 PAGES (INCL 3 RE: Eagle Roofing - revised certificate Adding additional insured wording. Regards, Amy Banchs From the desk of: Amy Banchs 101 Starcrest Drive PO Box 6090 Clearwater, FL 33758 (727) 449-1267 ext 3164 (727) 449-1267 PHONE FAX From: Amy Banchs At: Bouchard Insurance Inc FaxlD: To City of Zephyrhills Date: 2/26/2008 10:59 AM Page: 2 of 3 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 A4[ DATE (MMlDDIYYYY) EAGLE-l 02/26/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bouchard-Clearwater ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 101 Starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR POBox 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33758-6090 Phone: 727-447-6481 Fax: 727-449-1267 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Transport.ation Insurance CO INSURER B Valley Forge Insurance Co Eagle Roofing Contractors, Ine INSURER c: Mr Erie Sennott b.rican Casualty Co of a.aclng 3701 West Cherry Street INSURER D Transcontinental Znsuzanc:. Co Tampa FL 33607 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED Nl\MED 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 LTR NSR TYPE OF INSURANCE POLICY NUMBER D~';!~(MM/DDNYI "DATE' (MM/DONYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - D X ~ COMMERCiAl GENERAl LIABILITY 2091487362 07/01/07 07/01/08 I~~"l: $ 100000 ~ CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) - MED EXP (Anyone person) $ 5000 PERSONAL & I'DV INJURY $ 1000000 GENERAl AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AGG $2000000 I [Xl PRO- nLOC POLICY X JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ $ 1000000 C ~ ANY AlITO C2082846198 07/01/07 07/01/08 (Ea aCCident) AlL OWNED AUTOS BODIL Y INJURY I-- $ SCHEDULED AlITOS (Per person) - ~ HIRED AlITOS BODIL Y INJURY $ ~ NON-OWNED AlITOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AlITO ONL Y . EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A gj .OCCUR 0 CLAIMS MI'DE CUP2082846265 07/01/07 07/01/08 AGGREGATE $ 1000000 $ 8 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X IT~~tT~S I IUER B EMPLOYERS' LIABILITY WC2092172401 07/01/07 07/01/08 $ 500000 ANY PROPRIETORIPAATNERlEXEClITlVE EL EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E l DISEASE - EA EMPLOYEE $ 500000 If yes, describe lJlder EL DISEASE - POLICY LIMIT $ 500000 SPECiAl PROVISIONS below OTHER D Rented Leased Equi C2048146410 07/01/07 07/01/08 L/R Equip 50000 D Installation Float C2048146410 07/01/07 07/01/08 Install F 20000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY SUBJECT TO THE TERMS CONDITIONS AND EXCLUSIONS OF THE POLIVY FAX: 813-780-0021 CERTIFICATE HOLDER CANCELLATION CITYOFZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF ZEPHYRHILLS PERMITTING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOR P SENTA @ACORD CORPORATION 1988 ACORD 25 (2001/08) From: Amy Banchs At: Bouchard Insurance Inc FaxlD: To Oty of Zephyrhills Date: 2/26/2008 10:59 AM Page: 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) r'" ~ .... - ~ r: i', ~\ A F ':: r.,1 C' V F '.. _ ;.. t r .... .:, l) \.' ~', 8:;i~ "ST, t::I),'/ C, c)23~;,iJ1862'[J r-- Membl1lne Type: Deck Type 21: Deck n.erlptiOD: Sy,tem Type D("): Single Ply, Thermoplasti(:, TPO Steel, Illliwated I S-22 811.. Steel f?Af.\[ ?f6 - ~U~ A(( f.'1 Membrane attached over preliminary fute.nod insulation All General aad S)'Item UmitatfGbIi apply. Deck: 18.22 p., 1.5 in (38mm) deep, ASTM A653 or AlOO8 Grade 30 steel d~k le(:ured 10 O.2S in (6nun) structUral Stlpports spaced iI maximum 6 ft o.e. with Buildex Teks 4 or T'eks 5 fasteners spaced 1'DaX. 6 in o.c. Barner: (Optional) Minimum ::i/." gyp8\.m1 Ooard or W' OeosDeck, loose laid One or more layers of any of the fOUowina iDSUlatiOb: Insulation Laver FUlen.r ~...itv ~ -'_teller Tme Any .pproved PolylJOeyuurate Minimum; 1.0"thick N/A N1A - Note: All iuu"tioa .ball be prelimillary at1lleblDent prior to tbe IDstaRation oUbe roollal me. br.ne at · mlulmam applitaliOD rate of nro fastenen per board for in.ullltioa boardl having no dim.uloas greater tlJan 4 ft., aDd four rutenen for a.y insulation ha"'iD& 10 dim'D.Ae. cr..ter aaD 8 ft. '-....... MellJbrue: t:JtraPly TPO (MD) attached to deck as follows: - ? FllteaUla Nl: Fireatone HI> Sew Plares and Finlstone HD Fasteners spaced ulaximwn 6 Ua. o.c. within minimum 6 in. wide lip. tapa are S'pIc.ed at maximwn 144 in. o.c:. and sealed with minimum l.iS in. wide heat wold 00 the outside edge of the I.p. Muimum DeJigrl Preaure: ..45 Pit (See Ceneral LilnltlltJoli #'1) Fanenil, *2: Firestone 3" HD Plus SeIll'l1 Plates and Firestonf HD PJusFlL'Jtaners spaced mllXUuum 12 in. o.c:. within minimum 6 in. wide Illp5. 1.aps are spaced maximum t 14 in. o.c. and sealed with minimum L7S in. wide heat weld on the outside ed&e of the lap. Muimllnl Desiell p....urc: -4! psf(See General Limitlltion.#7) M8IlblllM Design P"'llrc: . See Membrane F'IIeDIng Options Above I NOA N(l..: .O,..a71J.D:2 ExpintionDale: 07117/12 Appl'f,lv.1 D8te: 11122101 P.. 12 0(22 STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY HAND ~ OFFiCIAL SEAL TH1S..a.t.a... DAY OF r--e,h ~ JED ,^I~A~ CLE, OF C)5CUIT COURT BY ~DEPUTYCLERK 1111111111111111I111111111I111111111111111 111111111111111111 2008029344 Rcpl : 1163371 Rec: 10.00 DS: 0.00 IT: 0.00 02/26/08 Dpty Clerk NOTICE OF COMMENCEMENT JED PITTMAN, PASCO COUNTY CLERK 02/26/08 01: 37pm 1 of 1 OR BK 7770 PG 454 Pennit No. Property Identification No_ &Z-'zc,- 2/- CtJ/O - tJ2~aJ -ouZO TIm UNDERSIGNED hereby gM informs you that lite improvement will be made to certain real property, and in accordance willt Section 713.13 of the Florida Statutca, the following infommon is provided in this NOTICE OF COMMENCEMENT. l.Descriptionofproperty(k,rllldacrp;....:) 02.- zr; - Z~O$ - ~Z Ya?-~~2-<.~ a)StreetMdress: 6R/~ 6.#.// ;~/M - Ave ~/'4......-='2. U"-= Z- 2.Gcneral description of improvements:. / - ;z::? A'p,tj-/f- r'~di>/"d?.HtJ'e""o~ - rC/7~' i( 3.0wner Information l. a) Name and address: 'v.; , 1\, Gr'Y\ F: 01a.--,,-: <;. . (.,,~olP E. fV...~\'t"r ~. 1~1, fL- ~17 ,-(; !\ b) Name and addreaa of fee simple titleholdet (if other than owner) ''--R.' , c) Intcrcat in property \ 00 ',. 4.Contractor Information ~ ~ ~ . 9 .4~ ,,/, ..; =>' 7 .... a) Name and address: ~~ ./\'#.::1' 7 J' ..; 74"" Pi/. c; . ...17-, ~k/Z'- ,j...;J",ux b) Telephone No_: J>/3'"r 'Z-<T'.tJ'2 ' Fa:\: No. (Opt) 'B - d" _ = _~I 5.Surety Information . a) Name and addn:sa: A/ A b) Amount of Bond: ", c) Telephone No.: Fax No. (Opt) 6.Lcndcr a) NlUl1e and address: A/' A Phone No. 7. Identity of pcnoIl within the State of Florida designated by owner upon whom noficca or other documents may be lICIVcd: a) Name and address: b) Telephone No.: Fax No. (Opt) x' Un addition to himael( owner designates lite following JlCl1IOn to receive a copy of the Lienor'. Notice as provided in Section 713.13(I)(b), Florida StaCutea: _ r -r. r a)Nameandaddreas: ~~ l.)~c.n't- L.,~ C. .t"bl;je.r % ~. 1'\.. '"3~iJ b) Telephone No.: <i?1?' <A Y II () Fax No. (Opt) I!::;q. 01<- X 9.Eltpintion date of Notice of CODlDlCllcement (the expiration date ill one year from the date of recording lIDless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY mE OWNER AFTER mE EXPIRATION OF mE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STA11JTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON mE JOB E BEFORE TIlE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CON T YOUR LENDER R AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF MMENCEMENT. STAll: 01' ttOltmA COUNTY 01' PASCO x: ---- ~ of Owner IX Owner's . OflicerlDirectaiPsrtno!rJManag l..J\\\ltliY\ .~ l"Y>orn "- Print Nome K' The foregoing inalnuncnt was acknowledged before Ole litis ~ day of ~ bf~ . 20 og . by W \\, CIl1 C. (\'\\)1' (It ~ as 0 AU:f (type ofauthority, e.g. offlCCl', trustee, attorney """)" e-.C'v.<;<.< ",~ pc<<O (_of_Mbdu':f'1i:~._-:')_~L Personally Kno~ OR Produccd Identification _ Notary Signature ~U I< l~ Name (print) . ~h-e-y'1 L. L0.n C;h-+- Type ofIdcntif"lC8tion Produced Verification pursuant to Section 92.525, Florida Statutes. Under penalties e rcaclllte foregoing and that . _____ the facta staUld i!! ij lIR' We WI1l1dbMmy knowledge and belief. ~ '~v:J~. ~nen 1-. '=fs". U;~ .....~~ Corrlil'liSSIOn # 00326804 >< :*: '\C~pireS August 27 I 2008 Signalme oCNattnl Penon SigniJ1l AIxw ~~..., ,,'3{~- --. . , /Ill" Inc 800-315-7019 ''7,!f. f.\'- S<Jnded troy Fain. .nou . . ZEPHYRHILLS COLONY COMPANY S3/5 OF TR 24 LYING E OF US THEREOF SUBJECT TO AN EASEMENT 16.00 FT THEREOF & SUBJECT TO PER OR 3771 PG 1003 LANDS SUB PB 1 PG 55 HWY NO 301 R/W EXC S 15 FT OVER NORTH 1.00 FT OF SOUTH & TOGETHER WITH EASEMENTS OR 1563 PG 113 Pasco County Parcel: 02-26-21-0010-02400-0020001 Page I of2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequentlv Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Friday, February 22, 2008 I ParcelID I 02-26-21-0010-02400-0020 (Card: 001 of 001) Classification 34 - Bowling Alleys, Arenas Mailing Address Assessment (totals) PIN CHASERS - EAST PASCO INC Ag Land $0 4847 N ARMENIA AVE Land $404,999 TAMPA, FL 336031438 Building $571,637 Physical Address Extra Features $10,892 6816 GALL BLVD ZEPHYRHILLS, FL 33542-2512 Total Assessment $987,528 Leaal DescriDtion (First 4 Lines) Save Our Homes $0 ZEPHYRHILLS COLONY COMPANY Taxable Value $987,528 LANDS SUB PB 1 PG 55 S3/5 OF TR 24 LYING E OF US HWY NO 301 R/W EXC S 15 FT p~ Land Detail (Card: 001 of 001) Use Descriptionll Zoning II Units II Type I Price Condition I Value I 3400 I BO~~ING /I 00C2 1/12,000.00 /I SF I $7.32 1.00 I $87,840 I I 2 II 3400 I BO~~ING I 00C2 1/38,000.00 II SF II $4.86 " 1.00 II $184,680 I I 3 II 3400 I BOWLING I 00C2 1/48,174.001/ SF I $2.75 II 1.00 II $132,479/ LN ! Additional Land Information I Acres II 2.25 II Tax Area II 30ZH II FEMA COdelCUrCommerical Cod ell M3012FP I Buildina Information - Use 34 - Bowling Alleys, Arenas (Card: 001 of 001) Year Built 1981 Stories 1.0 Exterior Wall 1 Minimum Exterior Wall 2 None Roof Structure Steel Frame or Truss Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Hardwood Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line I Description Sq. Feet Repl. Cost New 1 FST 3,847 $78,769 2 BAS I 25,403 I' $1,039,999 , 3 FOA 256 $2,088 Extra Features (Card: 001 of 001) Line Description Year Units Value I 1 I PAY ASP 1978 50,400 $10,206 2 CLFENCE I 1978 I 1,947 $686 Sales History 1 Previous Owner I N/A Year II Month Book/Page Type Amount 1986 12 1563 / 0108 WD $825,000 1986 11 1563 / 0113 I WQ 'I $753,500 ! I I http://appraiser.pascogov.comlsearchlparcel.aspx?sec=02&twn=26&mg=21 &sbb=OO 1 O&b... 2/26/2008 3701 W. Cherry Street, Tampa, Florida 33607 . Office (813) 872-8021 . FAX (813) 872-8031 web-site: www.eaalerfa.com e-mail: eaaleta>.eaalerfa.com February 28, 2008 City of Zephyrhills Building Department / Permitting 5335 8th Street Zephyrhills, Fl 33542 A TTN : Building Department / Permitting To whom it may concern: I authorize Dan Harrison to represent my interests as an agent for the owner. Dan Harrison will apply for and pick up permits in the City of Zephyrhills. If registering is involved, he is authorized to do so. Should you require any additional information, please contact me at the number above or my cell phone @ (813) 917-9290. Sincerely, EAGLE ROOFIN Eric D. Senno President I Owner Subscribed and sworn to before me this 28th day of February, 2008. l~~ /3-iA~~ Notary Public State of Florida NOTARY PUBUC-STATE OF FLORIDA .:-.....".",,~ Rosemary A. Barquin ~ _ i Co~mission # DD734746 ..",......... ExpIres: DEC. 07, 2011 BONDED THRU ArLANncBONDING co.,INC, 04 that Soars above the Rest