HomeMy WebLinkAbout08-7369
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7369
Permit Number: 7369
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 30,000.00
Date Issued: 5/06/2008 Name: FLORIDA TRADITION HOLDINGS INC
Total Fees: 401.00 Address: 37741 EILAND BLVD
Amount Paid: 401.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/06/2008 Phone: 813714-6596
Work Desc: REMODEL INTERIOR FOR MODULAR BANK FLOOR PLAN -FLORIDA BANK
Address: 37741 E ND LVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-06300-0000
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BALAITY ELECTRIC INC
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTlON 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. n
IS. PERMIT OFFI
I I 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR SPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7369
Permit Number: 7369
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 30,000.00
Date Issued: Name: FLORIDA TRADITION HOLDINGS INC
Total Fees: 401.00 Address: 37741 EILAND BLVD
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: 813714-6596
Work Desc: REMODEL INTERIOR FOR MODULAR BANK FLOOR PLAN -FLORIDA BANK
Address: 37741 EILAND BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-06300-0000
BALAITY ELECTRIC INC
F I
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
05/05/2008 16:23 9414455976
",..,. .J. LIJVV Il. .", "I
RJMAH'AFFEY CONSTRUCT
PAGE 02
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ZEPHYRHILLS COLONY COMPANY LANDS PB 2 PG 6 THAT 'PART OF
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'PCODitNa. t 3 t"q ~ THAT POR THEREOF LYING WITHIN PCL 165 iEPHYRHILLS BYPASS
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.' '~~~~.~!.,Jr~UEJE T9 eCR'ft,." ThAI IN!: fOREGOING IS A
-. '. . ' . CORRECT COPY OFTHE DOC'liMENT ON FILE
. ,. .' . 08 OF PU8UC RECoftD IN THIS OFFICe. WITNESS MY
.HAND AND OFFICIAL SEAL THIS~ DAY OF
. . /7741 2~
JED ~AN~~ OF CIRCUIT COURT
BY P... t..o iTftJ DEPUTY CLERK
PO~~
MOJ/16/2007/FRI 11:21- AM ZEPBYiHILLS BU ING
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L69610891E 10:80 8000/!0/E0
ZE?HYRHILLS FiRE DepARTMENT
6907 Dairy Road. Zepl1yrhills, FL 33542
Bus (813)780-0041 .=ax ;~8: 3)780-0044
Fire Chief Keith \Nilliams
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.:
Business Name:
Business Address:
Business Phone No.:
Business Fax No.:
Contact:
(JF)fi.~ .
p;, if1f/J~f~
PLAN REVIEW FEES INSPECTION FEES
B Site Plan N/C Annual N/C
Multi-Family/Commercial .06 sf 1st Re-inspection N/C
~ IMI,On,m Chaoge $25.00 2nd Re-inspection $100
(9) Plan Revisions DBL 3rd Re-inspection $250
4th Re-Inspection $500
SPRINKLER SYSTEMS (Business closed until
B 0-25 Heads $50 violations corrected)
26 plus Heads $100 SPRINKLER SYSTEMS
STANDPIPE SYSTEM ~ Hydm U"""",,,,,,od> $45
D Per Riser $50 Hydrostatic Test $65 per symem
FIRE PUMP Acceptance Test $45 per system
D Per Pump $100 Hydrant Flow $75
FIRE ALARM SYSTEM
B 0 - 25 Devices $50 FIRE ALARM SYSTEM
26 plus Devices $100 B System Acceptance $50
SUPPRESSION SYSTEMS Recall Acceptance $50
~we $50 OTHER
Dry $50 ~ Rm w..._ WoI $15 per wall
CO2 $50 LP Gas $25 per tank
Other $50 Natural Gas $25 per system
KITCHEN EXHAUST
D Hood/Ducts $50 ~ T"" 'D'><1U M ,..... $15 per tent
OTHER Fire Pump $45
B LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 B Exhaust Hood/Duct $30
D Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
D Spray Booth $50 o Inspection scheduled DBL
and cancelled less than
24 hours
~ Coosbuotiool... N/C
Emergency Vehicle Ao $50
PLANS TOTAL INSPECTION TOTALc=J
GRAND TOTAL
Comments:
Contractor:
Billing Address:
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEe
$50
$50
$50
$50
$50
$50
$50
$50
$100
$500
$25
$100
$50
$50
$25
$50
$50
$100
150
Sprinkler
Standpipes
Fire Pump
Hoods
Fire Alarm
LP Gas
Natural Gas
FLJel Tanks- perlank
Sparklers
Fire Works
Camp Fire
Controlled Bum
Hood/Duct
Place of Assembly
Fire Protection
Aammable Application
Waste Tire Storage
Generator.< J<JN
Generator >30 J<JN
Bio-Hazard Waste
Fumigation Tenting
Torch PoUApplied
Haz. Materials
B
$100 Annual
$50
$50
$100 Annual
PERMIT TOTALr=J
J1h~1
I
FALSE ALARM FEE
1 st Alarm NlC
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPLIANCE $150
Annual
Annual
Annual
FALSE ALARM
TOTAL I
Date:
I~~ ~,d1i
Insij~ctor:
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
October 15,2007
November 15, 2007 (revision)
I have reviewed and approved the plans for the installation of a modular building located
at 37741 Eiland Blvd. I have attached the comments for the plan approval. If there are
any questions please contact my office at 813-780-0041.
1. Install additional emergency light in break: room.
2. Certified fire extinguisher shall be located inside in accordance with
NFPA 10.
3. Install hard wire smoke detectors with battery back up outside bathrooms in
hall, in break: room and in office where phone board is located.
4. If a fire alarm system is to be installed, plans and permit required.
5. Fire hydrant required to be installed (per site plan meeting) prior to receiving
building final. Contractor responsible to paint hydrant to color determined by
water flow. (WAIVED - HYDRANT SHALL BE INSTALLED PRIOR TO
ANY CONSTRUCTION OF NEW BUILDING PER LAST SITE PLAN
MEETING)
Inspections Required
1. Building Final.
NORTH AMERICAN BUILDINGS, INC.
City of Zephyrhills Florida
Equity 0888
ZephFl 456l
7994
152
5/5/2008
401.00
401.00
Page 1 of 1
Jacqueline Bages
From: Billy Poe
Sent: Tuesday, January 08, 2008 2:43 PM
To: Jacqueline Boges
Subject: RE: Hey check this out!
It has not been released. We are still working on the Basin of Special Concern issues/
Billy
From: Jacqueline Boges
Sent: Tuesday, January 08,200811:34 AM
To: Billy Poe
Subject: Hey check this out!
Mr. Billy
Could I get an update from you about the Ryman project on the Bank that will be going up at 37741
Eiland Blvd ?
Have this project been release from your department to be permitted?
Let me know, thanks Jackie
1/812008
P.01/01
TRANSACTION REPORT
NOV/16/2007/FRI 11:21 AM
RECEIVER
813168219597
TYPE/NOTE
OK
SG3
Roger attached with this cover sheet our permit application to be. su~mitted by the
contractor. The application is self explanatory. I also phoned you back and le~ a message
: that I can not receive th.e' fees for this project until every thing ~s a go for permitting. So as
I .
: much as I would love to take the money I can not at this time '. Please fax. back the permit to
I . . . .' .
: my attention so that I could pla~e With review. plan. The original appliCation will still haye
, . .' ,
': to be submitted once every thirig is a. go.
o .' ,
Will let U know as soon as 1 know w;hen every thing has been taking care of.
. .. .
Any.addition questions do not hesitate to contact; My .ext. # 354~
"
'~~~~f'II'-'"
. "'<:t"".
"*.~. .
.Ci1yof..Zep~yrhill~: . ~~~~,
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Phone: (813)-780-0020 .th
FAx: (813)-780.0021 ,~~,,,
Building Dept. ~';
. ..' .,' . i~\
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. . ~~.,
----------~-------------------------------------~----------~~----~
: TO: ROGERWYCOFF . PROM: JACKIE :'
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: FAX#: 316-821-9597 .FAX#:.813-780-0021 , :
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.. .. eBITIflCATE OF ELI!CTI" TO . Qu.1' FROM PLORIDA WDIIlEllS' ~TI8N LAW .. ..
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PAGE 05
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PIUlDUCIR (941)366-7070 .FAX (941)953-4901
PunllOrt a Nartin Insur..ce Agen(;)', lLC
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Sarasota. FL 34237
Ashley Cote
INIUIlED 8a 1 a1 ty El ect r1 c , Inc.
4753 s.eetmeadaw Circle
sarasota, Flor1da34231
ACOBQ CERTIFICATE OF LIABILITY INSURANCE I :'i=
THIS CERTlACATE IS ISSUED AS A MATTER OF "FORMATION
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RJ Mahaffey Construction, LLC
1109 Dona Way
Nakanrls, FL 34275
ACORD 25 (2001108) FAX: 445-5976
_CORD CORPORATION 1..
04/18/2a08 08:16
.9414455976
RJMAHAFFEY CDNSTRUCT
PAGE 02
2007-08 . SARASOTA COUNTY LOCAL BUSINESS TAX 1tECE1PT ACCOUNT NO,
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15:50 APR 10, 2008
FR: WENDI MCILVAIN
*2150 PAGE: 1/2
Employee Leasing Solutions, Inc.
1401 Manatee Ave W.
Bradenton, FL 34205
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To:
Company:
Fax Number :
Phone Number :
1(813)7800021
From:
Wendi McIlvain
Fax Number :
Phone Number
757-1333
941-746-6567
Time Sent :
Pages :
Description :
Thursday, Apr 10, 2008 04:49PM
2
Attn: Jackie
ACORD..
CERTIFICATE OF LIABILITY INSURANCE 1'=:;m
ml6 CERTlFlCA'l'I! IS l8SUED A& A MAnER oP 1NftORIIA1ION
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HOLDER. THI$ C::ER11FICA'R DOES NOT AIIEND EXTEND OR
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IllIClIlIlCllR
Affiliated Agency Ops
16 South River SIt"t
Wilkes-Barre, PA 18702
_flED
Employee Leasing Solutions. Inc.
DING COVERAcI}!
HAle tI
1401 Manatee Ave W. Suite 600
Bradento FL 34205
IN
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ocr.
ElICElI~UAMJTY
o OCQJR 0 Q.AlMS lWlE.
RDt;OU,~rllil.j
RETENTION i
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iWl.OYEh' UMIIlT\"
A ,,",,~AimlERIPiI:UTI\IE
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I!ACHOCQJllRl!NCE
AGGREGo\TE
EMWC802839
1 0/10/2007
01/01/2008
Xl Y=~ I 19!r"
lOA.. illiCIt I\CClOliHt $ ''-.IlllI
EA.. llt&EASE. Ell EIoFLDVEI! $ j GOD-
i!.L llI&EA&E. PClLlC... UMll" $ 1.0000GllO
OnteR
Client ID: .2108130
___..._.....-... H.__.._........ . _---..__
~ ~gN 01' ~T1gNli I LO<:ATION& IviAlcI:QJ EXCLUlIlONl AOOED 8'1' ENDOIUi8IENT I &PECUl&. PROVISIONs ~UARD Insurance Company .
( CCl\/EAAGEi APPLJ&a ONL'I' TO THOSE EIII'LOvas LEAlEIH'Q.1IUT NOT SUBCONllUCTORS Of: .
R J Mahaffey Construction LLC.".,., carries an A.M. Best
Qualifiers Name: Ed Hardellty/RJ Mahaffey;' Rating of A- (Exce'I~)
~~ ' Flft_cIal~'"
.-- ...-" and a tlnanclal sb ~
Ap ~n!l_~P'~llt!!!9.~nt:.~to-_... - Category ofYlI' -::i~~
CERnRCATE HOLDER
AUn: Roger
North American BUildings, Inc.
9139 e. 37th St. N.
Wltchita, KS 67226
CANCELLATION
lIHOULD IoKr onllE MCl\Ili OUCRtSEO POLIc:les IE CAHeaLED IEFOIlETHE EllI'IRATION
DAlIiTlElEOF, THE IIIIIN8 lNlUllEIt WlLl.ENDEAVOIlTOIMIL A- OAYSWIIITTEN
NOTICE TO.Tt1E CElmflCATE HOLDER NMIEO TO THE LEfI', IUT fAIWRE TO oo.~ IHALI-
l".ooaa IlO OIILIGATlOlll OR IJA8II.Il'Y Of Nf'f lQIItD llPOft TIle IIllIUilElt, ITI AClE/ml DR
IUiI'IlI!_A'IlVeS.
AUTt10RIDD REI'RESENT"
~ ACORD CORPORATION 1988
........,..
ACORD 25 (2001/08)
P13 39t1d
S90iH Nt1OI~3Wt1 Hl~ON
L6S6'tZ89"[E
"[Z:813 81313Z/"[Z/E13
To: N~rth A~erican Building Inc
From: Vicki Schooley
217/20083:33:52 PM (Page 2 of 3)
~.c.ORDPM
INSUItt;D
R J MlIhlltfcy COl\stlUL:tiUlI
1109 Dona Way
Nokomis, FL 34275
DATe I_DD/nvy)
217/200R
'rt11S CERTIFICATE IS ISSUED AS A MATTEA OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATe DOES NOT AMEND, EX'reND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
CERTIFICATE OF LIABILITY INSURANCE
PRODuCliK
Diclc, Johnson & Jet'fua'Scnl, irK::. - CORI~
1429 60th A\lel1LlI~ W
Suite 200
Bradollt'lIl, FJol'idil 34207
INSURERS AFFORDING COVERAGE
IN$\JtlEFl A: Amcri~ll ~fclY lllwrmily
!N.SI~ RER 8:
INSURER C:
~IN$lJl'IF:R D:
INSURER E:
NAIC_
25433
COVERAGES
"1"111:. ~I.ICIES OF INSURANCE. LIS I ~o lil:;L.OW I.IAVE BEEN ISSUED '1'0 'H~ IN$llRED NAMED ABOVE ~OM , HE POLICY PERIOD INDICA-rt:U. NQ1Wrn ISTANDING
ANY REQUIREMENT, 'rr:RM OR CONDITION OF AN'\' CON"~ACT OR OTHER DOCUME'IIT w"f~1 RESPECT TO WHICH THIS CclHIFICATE MAY BE 'ISSUED OR
MAY PERTAIIIt, '1' H~ INSURANCE AFFORDED BY THE ~ICI[S DI;;SCR'BED HERI3N IS SUtsJLC 110 AL.L THE TERMS. EXc..USIONS AND CONDITIONS OF SUCH
POLICIES. AGGr..EGATE LIMITS SHOWN MAV HAVE BEf.N REDUCED BY PAID CLAIMS.
l~ ~~ TVP&O~ IN~~~~- POUC'I' NUM~R-" "~c'Y "......,CTlVlO
~ENERALWWIUI'l' I S6A 111J3063-oo 112R1200fl
'"",/- COMMERCIAl, c;F.,..,eRAL LIAliILrrv
'. :=J CLAIMS "'''DE 0 OCCUR
p~~~.re~~"
1/211/2009
UMlTS
PHOQUCTS-COMP~rAGG $
$ 1.000,000
. . ~ ---.-. --~~--i OO~
$ 5,000
$ 1.000,000
_". . $ ... 2,000,000
_. _ 2!~O~,OOO .
- -.. ."..-
~'LAGGR~~..!f LIMI~ oIU'~ 1'1:11:
I POLICY I I ~~81 I I LaC
AUTOMOIJII.E UAlJlury
==1 ANy AUTO
..._' ALLOWNEPAVTO.s
_ SCHElJuU;:UAUIOS
HIRI'nAVrOS
EACH OCCUI~R15NQ;
lJAWc;i! 'i'i:1 RIiNT!;D . ..
. P~FMI8ES lE.occ.....,cel
~!! ~XP (Ally one porsan)
~!;<!lONAI.'.4\l1V INJUny
GF.NFAAI. AGGAEGA',,,
^
I - ,..,ONoQVVNECI AUTOS
COM81NED SINGLI: LMIT $
I En t1Gcidonll
- .. .. -...
BODILVINJUHY $
(PlN' IN'lIUI1)
.....~_..
80DllY INJUIW $
(pa.. Ut!~':knll)
r-ROI'EH 1''1' DAMAGe $
IPOl' ~cQd..nI)
"~~ic;E UAIIIUTY
I ANY.lITO
AUTOONLY.EAACCIOliNr s
"..--.. - ... . ....
OIHtRIHAN ~.ACC $
AUTO aNI. y,
AGG 5
EJl.CE BSIUMBREUA L1AilLHY
:=J OCCUR 0 CUll"le MADE
EACH OCCURRIiNCE _._.~
AGGRl!!GATll $
S
$
ROEDUc:TlIlI I'
RE)'''N'(,ON :$
WORI(ERS COIiIPENSA'rlO.._o
EMPI.OYERliI'l.IA8IUTY
/lNY PIlOPRIETORJPARl'NEI:QlOOiCU'i'IVti
O"~'Ct;l\Ifoo1EMBER EXCUJOED?
~~CI~~~~~~~~ Nil bolDw
OTHER
I~~~I~~~I IO~~- ..._
E.L. EACH ACCIDEN:f_.~.____._
S:L'!!I~E.~S.~.~E.~.EMPLOYEE s .._
E.L.DISEASIi .POLICVLIMrf S
DI!SCK.TION OFOPEAATIONS' I.OCATIONS I \/EKICU:S I C:XCLUSIONS ADDUl BY ENDORSEMENT I &PECIALPROYIliIIONS
R.,,~idO::llliill (j~neral ConlCllClor
CERTIFICATE HOLDER
CANCELLATION
Hulder'~ Nilture of Inl~rc5t : Ccniliclte HDlder SHOULO ANY Of' rHI ABove UESCHIlIaIt>OllCIIO. lllO CANCIiL.U:1:J 1I....0Rl; .... ~MA lION
North Amorican Buildill& Inc DAn; Y"Ii.n!op, THti JSsu...G INIiUIlIER WILL ENDEAYO'" TO MAIL .. 10.. DAYS WI'lITf"N
Roger Wycoff NOllCE 1 D TIlE CERTIFICATE HOLDER NAMED TO THf U::"'f. auT I'AILUIUi'1 0 DO SO SHAlL
9139 E 37th St N IMPOS6 NO OlluGAllON 011 lJAB,LJTY OF AHY KINO UPON THE II'ISUAe.... ITS AGeNl'S OK
Wi\;hitOl. KoS (,7221'1 ",""MllSllN'i'ATlViiS.
~"f.m_D~R~~~
v'
ACORD 25 (2001108)
@ACDRO CORPORATION 1988
913 39\1d
S9aie N\18I~3W\1 HL~ON
L6961Z;S91E
1Z;:Sla SlalaZ;/IZ;/Ela
04/07/2008 07:36
9414455976
RJMAHAFFEY CONSTRUCT
PAGE 02
,
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Alwa.,ys check out your Contractor'
Use the link below.and use the Contractor Number CGC047540
hnPs:llwww.my(loridalicense.com/wll1.~~?mod
e= 28lsearch = LicNbrItSID=8lbrd =8ttyR=
Certified General
Contractor
MAHAFFEY. ROBERT
JOHN
CGC047540 Current, Active
Primary Cert
General 08/31/2008
No
License Location Address*:
Main Address"':
Mailing Address"':
BRADENTON.FL34203
BRADENTON, FL 34203
BRADENTON, fl 34203
:".;: _:":_' IJt ~ ., ^,~l'... ' ,-
04/07/2008 07:36
9414455976
RJMAHAFFEY CONSTRUCT
PAGE 03
2007-08
SARASO'1~COUNTY WCAL BUSINESS TAX RECEIPT
ACCOUNT NO.
MAOHINES
TIIlS"TM DOM "Of ASSUItE QUALITY 0,.....080.. C()tllfDlM TllAT gOOLA.TOIlY O. 990010089219
ZONING IlEQUIIlEMENTS HAVE tEEN MltT. IT IS TBB OWNP'S JliSPONSIBILlTr TO ElIISURE COMPLIANcy!"
ROOMS SeRs EMPLOVEES
.1
BUSINESSlYPE .'
230049 GENERAL .CONTRACTOR - CERT (L)
EnJSlNESS
ADDRESS
1109 DONAWAY
NOKOMIS FL 34275
'. .. ...
.PAI~~OOO'~-T04'02n3i2ooa-14;16 .'
. '. '..
R J-IWfAFFEY CONSTRiJCTloN..... .
. 111J9 'DONA WAY
NOKOMIS R.. 3oQ75
.-,....
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. u',_. ,.' ';'01 S<~ASHJ~ON(~~~=~~. FUI'~~~6-6993
.. '" ::~~.S~TaxCoIlector-oom ~ 1~~~~~!aicCo1teC(6i';col
. MUST'BE niSPLAYED 1N A cONsPicuous PLACE
VALID UNTD:.I0111O&
. ,. ..- ~
:'. ~ ...
04/07/2008 07:36 9414455976
RJMAHAFFEV CONSTRUCT
PAGE 01
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Fax Transmittal
To: ~~
~ 0 'Jt.JlJ...z
Fr: J:,{ /'4---- if
Re: ~~
Date: t{,~ 7- e8-
<<
Number of pages including cover sheet:" ~
I. .~c. _~~~UJ ~.~4";J<< __~~-'
3. /3At.A fTY E 4& cTA./e; W/c:: ~~j
~~I ~'.~ /
Please 5J~1 with any questions or receiving problems.
t;.l ~ . f~/- 73"7- 3~<{q
16:50 APR 10, 2008
FR: WENDI MCILVAIN
*2160 PAGE: 2/2
.ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MINDDJYVYY)
04/10/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Affiliated Agency Ops ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
16 South River Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Wilkes-Barre, PA 18702
Tel: (800) 673-2465 Fax: (570) 825-0611 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: EaslGUARD Insurance Companv 14702
Employee Leasing Solutions, Inc. INSURER B
Phone: (941) 746-6567
INSURER c:
1401 Manatee Ave W. Suite 600 INSURER D:
Bradenton, FL 34205
'1 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 "DO' P~~~~=~ ~':i:Y,=~~
LTR INSR; TYPE OF INSURANCE POLICY NUMBER LIMITS
~ERAl LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
- 5MERCIAL GENERAL LIABIliTY $
- CLAIMS MADE 0 OCCUR MED EXP {f,~, one -son' $
PERSONAL & ADV INJURY Is
GENERAL AGGREGATE $
~L AGGREM LIMIT APn PER: I~
PRO.
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE lIMrr
- (Ea accident) $
I-- MolY AUTO
I-- ALL OWNED AUTOS ll9.DIL Y INJURY
er person) $
I-- SCHEDULED AUTOS
I-- HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE lIABLITY AUTO ONLY - EA ACCIOENT $
R MolY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~EISSIUMBRELLUILlTY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
=l ~EDUCTIBLE $
RETENTION $
WORKERS COMPENSATION AND X I WCSTATU,: W~i
EMPLOYERS' LIABILITY TORY lIMrrS ER
A AIofY PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT $ 1,000,000
OFFICERlMEMBER EXCLUDED? EMWC904495 01/01/2008 01/01/2009 E.L DISEASE. EA EMPlOYEE $ 1.000,000
~fE'b~~o~~~s below E.L DISEASE, POLICY lIMrr $ 1,000,000
OTHER
Client 10: #2109130 .. Valid in the State of Florida ..
DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT (SPECIAL PROVISIONS EastGUARD Insurance Company
COVERAGE APPliES ONLY TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF:
R J Mahaffey Construction LLC carries an A.M. Best
Qualifiers Name: Ed Hardesty/RJ Mahaffey Rating of A- (Excellent)
and a financial size Fln.nDi.. St......gth
Aprox active employee count: 10 Category of VIII ~
A- 'Eiiaituent
CERTIFICATE HOLDER
CANCELLATION
City Of Zephyrhills
5335 8th Street
SHOUlD ANY OF THE ABOVE DESCRIBED POUCES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR lIABLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Zephyrhills, FL 33540
AUTHORIZED REPRESENTA
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)
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