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HomeMy WebLinkAbout08-7452 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7452 Permit Number: 7452 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 38,115.00 Date Issued: Total Fees: 355.00 Amount Paid: 355.00 Date Paid: 2/13/2008 Work Desc: INTERIOR REMODEL FIRE DAMAGED Address: 38349 EVERGREEN VILLAGE DR 1-9 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-05300-0020 Name: Z-HILLS L TD Address: 38349 EVERGREEN VILLAGE DR 1-9 ZEPHYRHILLS, FL. 33542 Phone: 863647-1581 RICHARD J DARLING ELECTRIC INC ON THE MARK HEATING & AlC INC MECHANICAL FEE 35.00 (;n& s: '2- \,- D ~ 'ff F IN 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 NOTICE REQUIRED PROTECT CARD FROM WEATHER ,,__,~_~_,_,,~__"-r----'-''''-------::''':::: ~:.:' . ~~. HmE::::HE:" . -, ...... . .... .----.-..... . '~.--:~:~.-:.: ..,;.;~.:,~'~' . . ........H.. ................. :::::CitY::~fZep1tyrlrllls , . "~lJtQ:m'fG YLAN1ffiV1EW'.CO:rv.nv.rnNTS .'. . '. ApPrDV.ed wino comments. . . ~R(LrrlfVl ~ g ,~J ~lirJ' , (E. '-: . " . . '! - 2. frO f5 . .. .. 3 1; <1M . [-v~':Jrl'eY\ 1J: / t;t. 1: ,,-. . cQ;1tL . tkL . ContraciorlHameowner: . Da:teReceived: . ~ ~ Site: -permit Type: - . enied withe below comments: . D . . JM-~~" . t . UrtlS'AiJ .'-ik{- [-Cd fili-t. u.)o.gR . {'s 1+11tW1~. ~~~s} ~ti);;tL ~~r-l;~.J (tk.~Zf:k- k::;~lIspec'h-&<>~ctb.,:s ~~. .. .. .. wit ... (\grw~eti;s-r ~.r,f)6iLrdiJeeJ::lu 1x s".Jj~,lJhJ k' ..~\~ .t4J... ~00'\.\ foe. t\. MjJ'oevJ . r(Af8 . . ... . CJ rJJt'^- ~; '(/11+- U,lfJJJ uti </tJx-.. /A spet/,~ .. .~.g ~~d . . .70.. ;/I.~~d 'fr,r h4 vU-">>'. .. - -.. · . 'Ibis c 'e kept with ~ p~ ~d!ai:p1ans. . .. . _ .: .../~c27-tJ/~~ ~.'..i;J..'- Exammer . Date . CCl!Ji:ra,.CI:OI a:IJiJ../ or Homeo:wn . . . . (Reqaii-ed when commE::o:ts are ~esf$) KaJ.. . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7452 7452 Permit Type: ADDITION/AL TERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 38,115.00 Date Issued: Total Fees: 355.00 Amount Paid: Date Paid: Work Desc: INTERIOR REMODEL FIRE DAMAGED Address: 38349 EVERGREEN VILLAGE DR 1-9 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0010-05300-0020 Name: Z-HILLS L TD Address: 38349 EVERGREEN VILLAGE DR 1-9 ZEPHYRHILLS, FL. 33542 Phone: 863647-1581 M ND AN RICHARD J DARLING ELECTRIC INC ON THE MARK HEATING & A/C INC ~~ st;J5; Cf^ frz"'"'- /<.6 ~ 1"';0-08 F LAI 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 PERM IT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NOTICE OF COMMENCEMEN. 111111111111111111111111111111111111I111111111111I1111111111 2008013302 Rcpt: 1157005 OS: 0.00 01/28/08 Rec : 10 . 00 IT: 0 . 00 Dpty Clerk STA1EOF F L DR: ~ (\ COUNTY OF ~ f-\ ~ ~ U THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ~ -'3 D 1. Description of property: (legal description of property, and street address if available) P'fl r l. "- \ t'd.. - ~<'c '::t \. D t I D{~~)D 'do/) (;:> L.lLV\-\YQ~;\\.s, ~~hL~'f"''i to. Lf.\n.,j, p~ \l)(..-5'YV'U d')~}; I F'I ()~\r(. (;',3 I) E:' "f... c.:... '= ''-::.. .()u \'0"'\ \-c 'r R,~ ~ I L.~. G C de ~ ~ \ C,. 1::S q l./,. ~ _ . 2. Generaldescriptionofimprovement: e,'\..>\~V'. tlr K'L~\'~Sc\. 384I.JS Eut,(' C-l(oQ.~'())'\\{\'l' l\...N:r 9 3. Owner information: \\ + ' a. Name and address: l \\, l \.:s:. L '"' 1\ c...) n A ~ fY\ t' 1"" '0 \; t'.. y... \ \ (. .... ~ ~.D~()'t -S""~~cll~\:~\..",vv~ r\ 31~~l)J b. Interestinproperty:-' Do 7"" . c. Name and address offee simple titleholder (if other than owner): ~ ~~~2~~~~MA:i : ~C;O fOUNToYf C1ERK OR BK 774 t PG 168 R4. 0'5 Contractor: (name and address) U r lA YY\ ~ 1:'. YU ~ "- a. Phone number: .~~ cl - S- ~ ~ - S - <..J q S ~ro~ Sam ..LY\) C I .. -3 3S ~ ') ~ 0 ~'T"€ L g \ U d R.'.~~ IL ~A.yUur J FL., :3 s S-.;J" ~ Surety: a. Name and address: V\) \ (.\ b. Phone number: c. AmOWlt of bond $ 6. Lender: (name and address): a. Phone number: 7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 13 (l)(a)7, Florida Statutes: (name and address): 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (l)(b), Florida Statutes: (name and address) 3"o..~ 1oL.~ ~~""'-""'<-I ) ~ <") l" q '-~-N ~ \Q. \.-nO 0 ~ ~v...1J~JL '--~ \~ r-l. 33 s: ~~- \ 9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) This Space for Clerk's Use Only IsTATE OF FLOAfDA' !cOUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A !TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE klR OF PUBUC RECORD IN THIS OFFICE. WITNESS MY HAND AND OFFICIAL SEAL THIS..6f.... DAY OF V4tV 2 tZ2ff J~r;ll2MA~ CLE~K OF CIRCUiT COURT BY 11 {}.t IA tJ.IJ:t , OEPUTY CLERK /~- ;e ~ ~ /' (signature of er) Sworn to and subscribed before me this d g day of -:::r -A rv l.~ v:\v-, ' (;),-~Ci & u'k A~~~~~r-'?L~ NOfARYPUBLIC ~ EDNA SUE DRUMMOND ~ MY~~lSSlONf/DD4'763~ , l-Soo.3'NO"rA/lY Fl REs:.hdy 13.2009 . Notary Di_t Assoc. Co. 813-780-0020 City of Zephyrhills Permit Application Buiking Department Fax-813-780-0021 3:;';;;).. S<qs-~-t.j 99 -tt 1l{6'" Date Received LOTlJ I '1 Owner's Name JOB ADDRESS SUBDIVISION o E3 NEWCONSTR D AOOIALT D SIGN D INSTALL ~ REPAIR D SFR D COMM D OTHER D BLOCK D FRAME D STEB. D I'IN'.. : or """"~Il.~\ ,i" \ h ""''''~''!. I sa FOOTAGE I I HEIGHT. MOVE D DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK BUILDING SIZE ~ BUILDING 1$ 121 ~() VALUATION OF TOTAL CONSTRUCTION ~ B.ECTRICAL 1$ 3115.01) AMP SERVICE D PROGRESS ENERGY D PLUMBING 1$ IYJ MECHANICAL 1$ '.3~~&-, U D VALUATION OF MECHANICAL INSTALLATION D GAS CJ ROOFING OTHER FINISHED FLOOR ELEVATIONS I DYES BUILDER SIGNATURE Address 33> d ') Xi ELECTRICIAN I Uf SIGNATURE , Address ~~:"~~RE I I ;:>=:R': ~ FEEcURREKT ,,~! . ~16J I l~nse# I d)::#1 ~f7= 1~~~.i"~K LWU ~ddress 1/'7l>gI,.Cc;feL lS\\I~. Bn>ku;I'~FL. ~'lr.ol license # It~c \~I~,) :1'1 OTHER I I COMPANY I SIGNATURE . . REGISTERED ~ FEE CURRENT Ad dress I I D ~ "" 0 >'V~ to. Y\J ~ ~o \") . ':t. r\) c.. I Y I N FEE CURRENT ~ ." lK:ense# I t.~L \~~D~ I' I ../1., 1R.~~tl .J D~r\.'G:JJ\..cxt:rl-"~~' .~. Y I N FEE CURRENT Y I ~', SO- license # IE R. \~()\ do ~l ~- I I I-ct- abIa'W I I I U1.!:U ~ License # llIl RESIDENTIAL COMMERCIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Perm~ for new construction. Minimum ten (10) working days after submittal date. Required ons~e, Construction Plans, Stormwater Plans wi Si~ Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) complete sels of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R.O-W Perm~ for new construction, Minirn.om ten (10) 'Mlrking days after submittal date. Required onsile, Construction Plans, SIormw:ater Plans wi Si~ Fence installed, Sanitary Facilities & 1 dumpster, Site Work Pennit IDr all new projecIs. AI COfT1rT1efCial requirements must ~ co""'iance AlIach (2) sets of Engr-red Plans ---PROPERTY SURVEY required for all NEW construction, SIGN PERMIT Directions: FiU out application completely. Owner & Contraclor sign back of application, nolarized If over S2liOO. a Notice of Commencement is required. lAIC upgl3des over SllOOO) Agent (loT the conl1acIor) CK p.,...,.. of AIlomey (fer the """"'" would be someone _ nolarized _ from owner authorizing same OVER THE COUNTER PERMITTING (F runt of Application Only) Reroofs Sewers Selvice Upgrades NC Fences (pIotISurveylFootage) Driveways-Not over Counter if on public roadwaysHneeds 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 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 'NOrk, 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 not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTlLITIES 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 nurrber 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this appfication is accurate and that all work will be done in compliance with aU 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 'NOrk or installation has commenced prior to issuance of a perrm and that all work will be performed to meet standards of an 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 lirmed 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 perrMted. 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 lice nsed 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 fiU the area within the stem wall. If fill material is to be used in any area, I certify that use of such fdl 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 alfldavit prior to commencing construction. I understand that a separate permit may be required for electrical1Mlrk. 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 proceed with the work and not as authority to violate, cancel, alter, or set aside any proviSions of the technical codes, nor shaH issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans. construction or violations of any codes. Every permit issued shall become invalid unless the 1Mlrk authorized by such permit is commenced within six months of permit issuance, or if 1Mlrk atlthorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 ATTORNEY BEFORE RECORDING YOUR NOTlC ENCEME FLORIDA JURAT (F.5, 117,03) OWNER OR AGENT /- L ~ Subscribed and SVIOR'f"to (or affinned) before me this by Wlo isfare ,personally known to me or haslh......e produced l'trZo . ".1" "/. S " OZ]. 0 as identification, Letno..l. ,. ~~ryPubIC CONTRACT Subscribed a sworn to (or by IMlo lS/are~""'nally known to me or haslhave produced as identification, ~h~~lW Notary Public Commission No, 8/11 P. ~ ~ LrH '"n rn D n..- d s Name 01 Notary typed. printed or stamped Comrrission No, ~}'V n s... oQ l:Y..... "'" ,........ Q t-- (t....... \ Name eX Notary typed, printed or sta~ G) EDNA SUE DRUMMONDS ~ MY COMMISSION H DD417631 ~ ~ EXPIRES: July 13,2009 >_ I-lIOO-J-NOTARY Fl. NoIary Disc:ounl AIooc. Co. J ri);~~'":.?''' EDNA SUE DRUMMONDS , (~) MY COMMISSION # DD417631 ~ EXPIRES: July 13.2009 '-lIOO-J-NOTARY fl. NoIary DiooounI AIooc. C<> 38445 Evergreen Village Zephyrhills, Florida To Furnish Labor, Material, Insurance and Supervision to do the following scope of work to burn -out Apartment Unit 9. Interior work only. 1. Remove trash from apartment and furnish a dumpster. 2. Replace drywall. (Hang, texture, and Finish). 3. To replace HV AC system. , 4. Install new carpet and vinyl flooring. 5. Install standard grade tub, vanity, sink, toilet and mirror. 6. Furnish and install standard grade Interior doors. One Exterior six panel door. 7. Install single standard window. 8. Paint interior with standard grade paint. 9. Install new standard grade cabinet. 10. Install laminate counter top with stainless steel sink. Faucets included. 11. New Electrical. Scope Install Electric wiring for Duplex Receptacles, Weatherproof Outlets, GFCI Protected Outlets, Single Decor Switches. Smoke Detectors with battery backup, Pre-wire and install lights. Arc Fault Protection, Washmachine Circult,Dryer Circuit, Water heater with Disconnect, Refrigerator Circuit, Garbage Disposal Circuit, Range Hood Pre-Wire and Hung, Range Circuit,4" Florescent Wrap, attic light and switchcombo,Air conditioner circuit with disconnect, air handler with disconnect. Appliance furnished by Owner. '- \\ ~ 0.\\\ vJ\ ~-t- '.J _"'1) v0 _ AO e..-1-~J ~~v- vJ(}P'-~ ~:\~ \.0 v->, K B vs., \ \ t- li) Drummonds and Son, L -1'V (9.-€- 352-583-5499 Fax # 352-583-6394 i~N/ 3D/2i10~/VIED 09.40 AM ZEPHYRH [LLS BU I LD I ~ FAX No, 813-780-J021 P. 002 ~781Um1 ..~~ ~ S~~-S'l/ 'I 9 B1:J..1llO<<I2D City 01 Zcph)lhll& PenritAppllgahn NIIIg~ DeIlIt Rec:el. owner f'll0I_ NUIIlM' u~r~NuIl...1 'ltl") I ~~..,.,... O..n". NaIIIe I J ~el!!_p1."'IIOer~ I " I t~WS: f.p"''1Lj~'tll~~= I 1M. I: 1 _ _ PAIICa...___~.--J.:.~o - ~30D. ~~OI -... WOIII< PRaIIOi&D El :~Il f:;1 ::{ 0 SIIiI'f D MOVE D r;llOWOlJSI1 PROIIO:aJ UIlE 0 ~ El COMlI D 01HER I tYPE OF CCINllTRUCrICN CJ IlLOQ( CJ RtAUlE D ~ D OllER r::- -..- l:x.;)I~.: ,. 1l......~~ ,E i .1::0. ^"-~j ,.:\, lIUCJJl/4GSIll! L I <<Irooft.~r , ~"'. ~ ~ 8UIlO1NG l~ l~ 2., ~i) I VAlUATIONOFTOrALOONcrllucnON ~ ~ CUI:1'RICAL tll'.s ' 01) J AllP6ER\IIC& . 0 I'103IE19 sGBY 0 W.R.e.c. o PlUPotlW; ~ "~ l\O~ . 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PI8nli, ~ PIMs"" _p_ NllllIId. ~,......,........ 6IlI_fIIIlmIIIWIII_JIViRCa N____.....-_......_.__ AIlII;llCD""~JlIea PRClNRTV SURVI!Y ....\NIII..... NaN---., . COllllleRmo\l SlCN PaUIIT D1recllo1is: FlI......... .........,.. 0..-. c-.Illookrl;wleallal\ __ "_1ZlDIl. a Na6Il:..W11IM1lc:8ln.......UIlll. lAIC: _..-DWr..... - fIos'ItODlIll' __ ",,-,Of .......,.(IiI'..._eo llllIlllIl>> _............."" _fIlIlm_llUIIIOII:ling_ ova T1lE CDI,jNT1il\ 1'IHmTl- (FlOIl rJ/ I\fIl**ll 0lWl ~ s.... 6eMlIu..... NG F_~ ~"I'8'Nol_r Clno'Ila< ;llM'o .",,* .-yc.._ AOW 2/~'d 1200 08L ~~8:o.L t7t7t7S66L2S~ ~~~W3H.LNO:WO~~ t70:2~ 8002-0~-N~r STATE OF FLORIDA DEPARTMENT OF 8USlNESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 (SSO) 487-1395 WELLS, MARK ROBERT ON THE MARK HEATING << AIR CONDITIONING INC 17086 CORTEZ RD BROOKSVILLE FL 34601 (J 'DY' ACt! 2 7 0 4 4 4 5 . STATEOFFLCfUDA DBPARTMBNT OP BUSINESS AND . PROPBSSIONAL REGULATION CAC1813727 08/09/06 060087074 CERTIFIED AIR COND CONTR WELLS, MARK R.OBERT ON THE MARK HEATING & AIR. CONDITI IS CERT:IFIED IIIIder the provil1..... of Ch.469 W:J, &xp1Eet:lDD dac.. J,,1J'Q :n, 2008 LOU809007S4 DETACH HERE ACt 2 7 0 4 4 45 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#Lo6oe0900754 : . LICENSE NBR 08 09 '2006 060087074 CAC1813727 The CLASS A AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 3~, 2008 WELLS, MARK ROBERT ON THE MARK HEATING & AIR CONDITIONING INC 29250 WILPAYNE ROAD BROOKSVILLE FL 34602 JEB BUSH GOVERNOR 2/2'd !200 08L ~!8:~L ~T vvvS66L2S~ SIMONE MARSTILLER SECRETARY )t~tfW3H.LNO : W 0 .I.::l tz0: 2 T 8002 - 0~ -Ntff nl~CI ^V A<;l g~~llIgc:n QV I ^'A1 qJ JPt'j-28-2208 09: 56 From: mm-01ARK 0- <:r - .? '~ c) ~ 0- s.. d (3) 0" \J7 V 7 - -.:r 2 00 I Y) .:5 .:. '<' ... ~ c~ L u -- <I .---. .V) '} () ~ \:: '-l:!. ~ V') ~ V) ~ 4:.- 0- -c:t.. 35279'35444 L ~q oj i : \~ , " g v -I To: 3525836394 P,l"l Page 1 of 1 Jacqueline Boges From: Jacqueline Boges Sent: Wednesday, January 30,20088:14 AM To: Kerry Barnett Subject: plan Mr Kerry I have a submittal of work to be done at an apartment located at the Evergreen Village it had fire damage. Would you need to review this? Also did you get a chance to go by 3751 Laurel Valley Blvd? Jackie 1/3012008 City of Zephyrhills: Phone: (813)-780-0020 FAX: (813)-780-0021 Building Dept. -----------------------------------------------------------------~ : TO: On The Mark FROM: Jackie : I I : FAX#:352-799-5444 FAX#: 813-780-0021 : I I : DATE:1-30-08 # OF PAGES: 2 : I I I I I I I I : MESSAGE: : I I : Attached with this cover sheet you will find a permit application and I will need for you to : I I : place signature in the mechanical area. Fax back to the fax # at the top of this form : I I : Thanks Jackie : I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I , I I I I I : I -----------------------------------------------------------------~ 01/30/2008 22:36 3528480225 ~AN/30/2003/';;ED Uc, 4L A:1l 't.t't1UnlLL.\;' DV1...1.111'll.l 11$-M)tal DARLING ELECTRIC INC ,.... ..,.., ...,..... ... 'oJ .. ,- -. . -- . ~of~Pwnrit~. ~7IQ.OIR1 ~ ...-.1.1 D.Q .....~ S<i'~-'.;) -:7 -:r, PAGE 02 11.--..- OW"''''' ~j ...-~_.- ~ ~ == ~ ~$ ~~~t~.1":,:'j~i~~;:,~~:'~~:l~ E3 ~~ p;1 =' Cl ... CJ UlNE 0 llIImUIft I'tlQllOllDUR c::J - 0 QOIIIlI 0 0'Il8I' ~ I ~l!OP~. D!!LOCK CJ'-'" I:J eIf-- t::I cmp.- -:-' """......_. ~,.... : n Y 1\;;". ~~ . 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Cl) _de.... ......fl4.W........ -----, --C'lGt.......,.............. ........., ~,..., ...-,..-...."-.........., .............., __, ..ww.,........._....... ............-- --~ -~.......,..".., ....,. ,~VWt ......",.1 ~_....., ft~L COMMlICI&1. Q1RaIeIlS: ~1I_..,- .....-.,.. _.~...Md(........",_ If_r_a__.'~.,..l........, ..........--. .. Aftllt.-_.,..........-.....--'--------~- avu TMI ~QUUIllPl!MlTl1ll8 "1Id1ll1lfl*lllan ~ ,.",... _ .......~ NO '-~ -~ 11M ..t..._~.......__- 01/29/08 16:49 FAX 9417506153 ADMIN CONCEPTS I4J 001/0'01' ACORD". CERTIFICATE OF LIABILllY INSURANCE 10001801 I DA'lK (MMIDD/VY'N) 112912110B PRQDIJCI!R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Risk Concepts Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERl1F~CATE 41043rd Street West Suite N HOLDER. THIS CERnFICATE DOES NOT AMEND, EXTEUD OR Bradenton, FL 34209 ALTER THE COVERAGE AFFORDED BY THE POLICES BI!LOW. Phone: 1.877.746.2209 INSURERS AFFORDING COVERAGE NAlCII INSURED Insurer A; Southem Eagle Insurance Co. Administrative Concepts Corp Reinsurer B: Uoyds of London AA.11ZmOO 406 43rd Street West Reinsurer C: Aspen Reinsurance AA-1121)337 Bradenton, FL 34209 Reinsurer D: Max Re Bermuda AA-319')829 I Reinsur.er E: Odyssey Re 23680 COVERAGES "THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVIII1liST.l\NDING ~Y REQUIReMENT. TERM OR eoNDlT1ON OF ANY CONTRACT OR OTHER DOCUMENT ~ RESPECT TO WHICH THIS CERllFICATE MAY BE ISSIJED OR MAY PERTAIN, TtiE INSURANCe AI"FORDED IlYTI1E POLICIES DESCRIIlED HEREIN IS SUIlJECTTO ALL Tl-lE TERMS, EXCLUSIONS AND CONomONS OF SUCH I---".". POLICIES. AGGREGATE LIMITS SHO\/IIIIl MAY tlAVE BEEN REDUCED BY PAID CLAIMS, POucYEiPlRA'I1DN It'if = PDLlc:;";,EF~~ L1"T$ POI.1C;Y _e"R DATE MMIDO ~EN!RAl. L1ABIUlY EACH OCCURRENCE S "-- 3"II..IERCIAl.. GI!NERAl.. LIABILITY ~~F; .... .c,.."",,,,,' S "-- ClAIMS MADE 0 OCCUR MED EX? (An~ one person) S - PERSONAl.. L I'DV IN.JJRY S '-- GENERIIL AGGRf:GATE $ n'L AGG~EnE LIMIT APn PCR. PROOUcrS - COMPIOP AGG S POLICY ~ LOC ~UTCMDBIl.E 1.1A81UTY COMBINEDSNGLE LIMIT $ IWY AUTO (Ee 8eddlll't) - - Al.~ O'M>l5D AUTOS BODILY NJURY (Per pe",on) $ I-- SCHEDULED AUTOS I-- MIRED AUTOS BODILY INJURY S NON-OW.~O AUTOS (Per aCCIdent) I-- 10- PROPERTY DAMAGE $ (Por ""odcnt) RRAGE LlAlllI.lTY ~ ~NL Y..:..~.~IR5!'li. .~----_.. ANY AUTO OTME!< THAN EAACC f Al.JTO ONLY' HSG S EXcesstUMEIREUA UABUTY EACH OCCURRENCE S o OCCUR 0 CLAIMS MADE AGGREGA~ S S R oeoucrlBLE $ RET~ ION $ ( A WO_l!RS COMPEN!lATlDN AND 1/1/2008 1/112009 X I T~5T~I.!t:" I I OJ;!;!- EMPLOYERS" LIABlLITY WC0272682.QO At<< FROFRIETORIPARTNERlEXECU11V!: E.L.liI\CH J\CCJDENT S 1 000 0:>0 OFFlCERlMeMBER EXa.UDED? E.L. DI~ . '^ El\IPLOYIiE S 1.000,0)0 ~c~~b~Jts1oNS bol"", E.L. DiSEASe -I'OLCY LIMIT . 1.000.0JO BC O~ I ..,sase nolB 1IlBt ~OLAl1BlTl t:egJe Insurance UJmpeny I1B relf\Su I mas In excess . er tile JlDIlca.ifS of Workers Compensation InsUl3nce listed above wlltl undenMllel$ ll$ted A- or beuer alme tlme of pIac:ement of sllCh relns\lllilnc;e. Suctl relnsuli'lee are DE Excess Coverage Subjeello !heir own IermS, condiUons and limits. This is for informa~onal purposes and nOthing herein shall creale any right under such reinsurancss. DeSCIlIP110N OF OPIJIATlONS' L0CA1'10NS I \lBjlCl..ES , EXClUSIONS AllCll!D f1<( ENOOItGMI!Nr I SPECIAL pmV1S1ONS Effective: 12/31/2006 024004 Coverage is extended to the leased employees of alternate employer (Florida Operations Only): On the Mark Heating and AIr Conditioning DISCLAIMeR: This Certificate of Insurance does not conslitute a contract between the issuing insurer(s), authorized representative or prodUCE"., ilnd It>e ~cete h91der, nor does It affirm8tlvely or negatively amend. extend or alter the coverage afforded by the policies listed thereon. Ce:~TlACAl'E HOLDER City of Zephymills CANCELLATION SHOULD AN'( OF lltE ABOVE DESCRlBSl POLICES BE CANCB.LED BEFORE TliE E ;:PIAAllON OA115 'TlEREOF. 1lE ISSUNG INSURER WLL ENDEAVOR TO MAIL ...1!L.. DAYli WNl'll:N NOTIcE;; TO nE CEIlTII'ICATI! WOLDI!R. NAYS!:) TO THE U!f'T. BUT FAILURE TO 00 ~ SHAU IMPOIiS NO OeUGA'I10N OR UAeILm' OF AI<< KIND UPON'IllE INS\.RER. ITS A:;errs OR REl'REBENTA_. AlITHOltlZED REPRESENTATIVE 5335 8th Street Zephymills, I=L 33542 Fax # (813) 780-0021 \ ~ .J.J... . @lACORDCORPORATlON1988 ACORD 2S (2001108) From: FAXmaker To 1-813-7.80-0021 pye 2/3 Date 1/29/200811 :5203 AM Al.,UnLf. l;~K 11t-Il;A I ~ Ut- LIAtslLl1 IN:SUKANl;~ I 01/29/2008 PRODUCER (352) 796-1451 FAX (352)799-5986 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~illingsworth Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 19259 Cortez Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0, Box 1750 Brooksville, Fl 34605-1750 INSURERS AFFORDING COVERAGE NAIC# INSURED On the Mark Heating & A/C Inc. INSURER A Safeco Insurance Company 17086 Cortez Blvd. INSURER B Brooksville, Fl 34601 INSURER C: INSURER D INSURER E 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, I~: ~9:I~} TYPE OF INSURANCE POLICY NUMBER Pgk~CY EFFECTIVE Pg~lfY EXPIRATION LIMITS GENERAL LIABILITY OlCH48792710 OS/21/2007 OS/21/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 200,000 - ~ CLAIMS MADE [K] OCCUR MED EXP (Any one person) $ 10,000 - 1,000,000 A PERSONAL & ADV INJURY $ - 2,000,000 GENERAL AGGREGATE $ - 2,000,00C GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ I n PRO. nLOC POLICY JE CT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ (Ea aCCIdent) $ ANY AUTO ~ ALL OWNED AUTOS BODILY INJURY ~ (Per person) $ SCHEDULED AUTOS ~ HIRED AUTOS BODILY INJURY e-- (Per aCCIdent) $ NON-OWNED AUTOS ~ e-- PROPERTY DAMAGE $ (Per aCCl dent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ O-OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WCSTATU- I IOTH- TORY LlMrrS ER EMPLOYERS' LIABILITY E L EACH ACCIDENT $ ANY PROPRIETORlPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE $ ~~e~t?:C~~~~r~~NS below EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS imits shown are those in effect at policy inception date. SHOULD AtoN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....l2.... DAYS WRIlTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY City of Zephyrhills OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ~ I'. , o'\J C) ~.... \... ....~.).,.\\~ Vicki Parrish/VICKI ACORD 25 (2001/08) FAX: (813) 780-0021 @)ACORDCORPORATION 1988 This fax was sent with GFI FAXmaker fax server For more information, visit: http://www,gfi,com From FAXmaker To 1-813-780-0021 Page 1/3 Date 1/29/200811 :5203 AM ::::::::;::::::::::::::::::::::;::::::::::::::::;:::::::::::;:::::::::::::;:::::::::::::::::::::::::::::::;:::::;:;:::::::::::;::::::::::::::=::;:::::::::::::;:::::::::::::::::::;::::=:::::=;:::::::::::::::::::::::::::::::::::::::;:::::::::::::::::::::::;:::::::::::::::::::::::::::;:::::;:::::::::::::;:::::::::::::::::::::::::::::;:::::::::::::::::::;:::::;:::::::::::::::::::;:::::::::;:::::::::::::::::::::;:;:::;:::::::::::::::::::::::::::;:;::::: FAX TRANSMISSION ;:::::::::;:;:;:;:;:::;:::.;:::;:::::::::::;:::::::::;:::;:.~::;:::;:;:;:;:;:;:;:;:::;:::::;:;:::;:::;:;:;:;:;:::::::::;:::;:;:::;;.;:;:;:::;:;:::;:;:;:;:::::::::;:::::::::;:::::::.}:;:;:;:::;:::::;:;:;:;:;:::::::::::::::::.}::=;:::;:::::::;:::::;:;:::::::::::;:;:::::::;:;:;:;:::;:;:::::;:;:;:;:::::;:;:::::::::::::;:::;:::;:;:;:::::::;:::;:::::;:::;:::::;:;:::;:::::::;:;:::;:;:::;::=::;:::;:::;:.~;:::::::;:::;:::;:::::;:;:;:::::;:;:::;:;:;:;:;:::;: To: 1-813-780-0021 From: Vicki Parrish - Killingsworth Agency, Inc. Subject: ::=:=:=:::::::=:=:=:=::=::::::::::::::::::::::::::=:=:::::::::=:::=:::::::::::::=:::::::::::::::=:::::=:=:=:::::::::=:::::::::::::=:=:::::::::::::::::::::=:::::=:::::=:::=::==:::=:=:::::::::~::::=:::::=:::=:::::=:::=:::::::::::::::::::::=:::::::=:=:=:::::=:::=:::::::::::::::::::::=:::::=:=:=:=:::=:::::=:::=:=:::::::::::::::::::::::::::=:::::=:::=:::=:=:::=:::::::::::::::::::::=:::=:::=:::::=:::=:::::::::::::::::::::=:=:=:=:::::::=:=:::::::::::=::: Message: Vicki Parrish Account Representative Killingsworth Agency Inc, (352)796-1451 (352)799-5986 Fax Confidentiality Note: The information contained in this electronic mail/Fax is privileged and confidential and is intended for the use of the individual or entity named above, If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this electronic mail is strictly prohibited, If you have received this electronic mail in error, please immediately notify the sender and delete all copies. :7:~:::::~:::7:~:':::7:~:~:~:~:::':':':':':~:::::::'::::::=::':7:~:':':':':::':7:::':7:':;:::;:~:~:;:;:::':::~:;:':':':':':':':':7:':7:~:;:~:::::;:~:':':':'~:':::':':':':':::::::::;:;:~:;:~::=::';':':':':::::::7:7:::::::::::':::':':::':':7:::':7:':::::::::~:::':':::':':-:':7:':':7:7:7:7:::':~:;:~:;:':;:;:::;:':':':':':':':':':':':':':::7:::~:::~:~:;:::;:':':':':':':':':':':':':::::~:;:::;:':':':7:':':':':;:::::::':;:7:':;:7:;:':;:':7:':':':':':':::::::::;:: Killingsworth Agency, Inc. 19259 Cortez Blvd Brooksville, Fl 34601 TeI352-796-1451 Fax 352-799-5986 :;:;:::;:::::::::::~::::;:;=::::;:~:;:.~::::;:::::;:::;:::~:::;-=~:::::;:::::;:~~}:::;:::;:::::~:;:::;:::::~:;=~:;::::;;:::;:::;:;:::;:;:::;:::i:i:;:::~:;:::;:::~:~:::;:::::::::::::::::;:::::~=;:~:::::;:::;:::;:;:::::;:;:;:;:::i:;:::;:::::::;:::;:;:;:;:;:;:::i:i:~:;:;:::;:;:~:;:::::;:;:;:::::;:::;:.:;::i:;:;:i:;:::i:;:;:;:;:::;:;:;:;:::;:;:;:;:;:::::~:::;:;:::i:;:;:~:;:;:;:;:;:;:;:;:;:;:::::i:::;:::::;:~:~:;:;:;:;:;:::;:.~;:::::;:;:;:::;:;:;:::~:;:;:;:;:;:; This fax was sent with GFI FAXmaker fax server. For more information, visit: http://www,gfi,com I-'~:::: &.-oN&: (T. lie c....,-,..~ by P.....tlt.. .~'Iwe) sua-CONTRACTOR AFFIDAVIT DAlE: O'l~510g , , TO WHOM IT MAY CONCERN: I._Richard ]Javl1rllj dIbIa .RlchCtrd S, ]x::u'--\tr'll) Elec..+.J(; :InC. License Number: --'11lB 004)"3 30 . wiD be the (Example: Electrical. Mechanical, E \ e L -\- r \ c.. c,-l contradDr for this permit application. The job address Plumbing, Roofing, Gas. Etc.) is: 3 8 L.jLj5.- Eve-(~.(-e..erl V,IICtge -.:bIt v{. ~-G=,~ a SIgnature ofUcense Hdderor ~ Agent STATE OF F \o(\d~ COUNlY OF \4e. r nGLnc1 0 I HEREBY CERnFY that the foregoing insIrumentwas ~ before me tis ;;J5- day of :-Jor)uCt(''-1 .2001< .by 'ihchn,-d . I rhr73 .~is,,8OI1811y ~ to me orwtio has produced . as idellIiIkaIbL ..~-'-1 ~_ ~[U.L;), s.9~Public ~a+\t1L1 E. KtOLDr'\ Print. Type. or stantp Name of Notary ."~""'" KATHY E. BROWN . . NotIry PubIc . Slale d Florida Com.IdwIun Expha Ju/" 2010 "' eon..~ , DO 57084'7 Bonded HltIonIl ~ Alan, HetrImdo Co. Dtv. Dept.. 20. N. AfehStnMt. RourD 1~ a~d8. RoddlI346f11 .(3!S2J1M 405D . Far ~1tJ E:\wodaIa\aermils\.di:ll wM .. . ...,...........- 01/30/2008 06:03 3528480225 DARLING ELECTRIC INC PAGE 01 I! Richard J. Darling Electric, Inc. Fax Cover Sheet ~ .-f) Send to: City of Zephymll18- Building Dept ~: eu.I.... omce of RIc:tNIrd,. Darting ~Un: Jackie Dati!: JanualY 29, 2008, "':03 PM Phone Number: 813-7110-OO20 Phone Number: (352) 196-5809 Fax Number: 813-780-0021 Fax Number: (352) 848-0225 Total Pages Including Cover: 2 X Urgent Cl Please Review Cl Reply ASAP Cl For Your Information l:J Please Comment Dear Jackie, Attached is all the information you requested for Richard J. Darling Electric. Inc. can be put as a subcontractor on Drummonds and Son, Inc. Permit. Project name is Everygreen Village. If you have any questions or need anything else feel free to contact me. Thank you. Kathy Brown Richard J. Darling Electric. Inc. CanflClerlUlIIlly s,..- TIle __ oonIPo.d in lIIe ~...." be """'-* _1_ -'Y lor lIIe... DIllie indi._ D< -"Y 10 """"" R" _. -0.0. -.....nl_II_.......... _ It pr1Vjleged or ~ed from d_"-"'~ _ If,..., _ nalllle _ reCllpienl. pi-. <,> be__ "* _... __1011. -no. or CCJII\Ilng '" IN. __ "It SlIIl:U\I f'nI/ltIlIt8d". _ l2INllWY _I~ tly --- - -.... 01/30/2008 05:~3 3528480225 - _._-,,_.._~' DARLING ELECTRIC INC " ' " . STATE OF fLQt(IV"" ..' ", . ,;', PAGE 02 Dll~AR~ dP:B~~gt~~~~~iI~ON SEQlt.0607270149 .' _::,' ~r.~CTR.~~-,C:.';..;. '~;" '..,~. \'.:~;":' '-".~":: ','::<i--/' ' LICENSE NBR ... ~: ,.",.-, ., ." '-,:,::Q":}-'i n7 C# ~wQ";_{.'-.:, DATE 07 27 2006 068015399ERijOiZ~i5 The ELECTRICAL coNTRActOR Named bel.ow BAS:REGIST.aRED'" '" Undex- the provi.esions ox Chiipter 489 FS. Expiration date: AtJG 3~, 2008 ' (INDIVIDUAL MUST BET ALL LOCAL LICEN'SING REQUIREMENTS PRIOR TO C~CTDlG :IN ,A)1YAREA),' ..:~ -::;A..~L;:NG. RICHARD J" " R:r. CE..~ J. .DARLmG BLBCTRIC :IN'C l62 9 7 CORTEZ BOULEVARD BROOKSVILLE FL 34~01 : ...'..'~ ...~' ... ... ,',,-, '" ...,:.... ",' .;..", '-', ',- .:.:/:.t :-: . , ~. . ,,", '.:/. ~~:: ~~......"' . '. . ~' .. ." ,. . "...:~~..: ,.-::~~:~, <"',.;, .. ~.: ..' .-" ,":., " . '.:~ -,.;' ?~.' ~:.::. :" ...... ','"0 ,.,-= ", ',' :~.~$1_iL~~~ ' ...,- JEB BUSH OOv:emroR .'". .. . . OisPLAY AS REQUIRED BY LAW HERNANDO COUNT"f BUILDING DIVISION CERTIFICATE OF COMPETENCY DARLING R!CHARD J RICHARD J DARLING ELECTRIC INC 16297 CORTEZ BLVD, BROOKSVILLE FL 34601 LICENSE #: AAA0041330 UNLIMITED ELECTRICAL CONTR EXPIRES: 11/30/2009 , . ,STATS OF FlORIDA~. .'ACI i 61.~:]:11 . . tJ,RPAlt'1'il1Qt,t' OF BUSINBS:S AND . ,PROPBSSXONAL RBGULATXOR ER~30~231S 07/27/06 068015399 REG ELBCTRICAL CORTRAC'l'OR. DARLING, RICHARD J RICHARD J. DARLrNG ELECTRIC IHC , (INDIVIDUAL WST MEET ALL LOCAL LICENSING RBQVXRKMERTS PRIOR TO CONTRACT'IIIG tx ANY AREA) HAS RBGIS1'2JlBD' un4~-"be px:-ovl.oi...." of 0..489 .""lraUOIl 4..c... AUG ,3;1.. 2008 (,06072701UO Jan.29. 2008 5:06PM KILLINGSWORTH AGENCY, INC, No.3394 po. -1 /1 ACORct CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIVYVY) . 01/29/2008 PRODUCER (352)796-1451 FAX (352)799-5986 THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION Killingsworth Agency. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 19259 Cortez Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 1750 Brooksville, FL 34605-1750 INSURERS AFFORDING COVERAGE NAIC# INSURED Rlcnara J. Darllng Elec~rlc Inc. INSURER A: F. C. C. I. Ins. Group 16297 Cortez Blvd. INSURERB: F .c.e. I Ins. Co. 0028 Brooksv;lle, FL 34601 INSURER c: Western Surety 0086 INSUREft 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITI1STANDIN ANY ReaUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRI8ED HEREIN 1$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO' TYPE Of' INSURANCE POUcY NUMBER POLICY EI'FECTIVE POUCY EXPIRATION LIMITS GENERAl. LIABILITY CLOOO44S82 08/11/2007 08/11/Z008 EACH OCCURRiNCE S 1 ,000. 00<<l X COMMEFlCIAL GENERAL UABJLITY DAMAGE TO RElIITEO $ 100.00CI I CLAIMS MADE [K] OCCUfl ~ MEO EXP (Any 0'l1l1lGf$O'l) $ 5 , Ooel A PERSONAL & AOV INJURY $ 1.000.0Ge: - 2,OOO.OO( GENERAl. AGGREGATE $ - 2.000.000 GEN'L AGGREGATE UMIT APPUES PER: PROOUCTS - COMPIOP AGG $ I POLICY n ~~i n LaC AUTOMOBILE LfA81UTY COMBINED SINGLE LIMIT - (Ea accidenll $ ANY AUTO - ALL OWNED AUTOS BOOlL Y INJURY - (Perpll:l'SOll) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - (PIIt' accidenO $ NON-OWNED AUTOS I-- ...... PROPERlY DAMAGE $ (Per eccidllll1) GARAGE UABIUTY AUTO ONLY. SA ACClOiNT $ R ANY AUTO OTHER THAN EA ACe $ AUTO ONLY: AGG S EXCESSIUM81lELLA UA8lUTY EACH OOCUAAENCE $ tJ OCCUR o CLAIMS MADE AGGREGATE $ $ R DEOUCTIBLE $ RF.TeNTION $ $ WORKERS COMPENSATION AND WC07AS724S 12/04/2007 12/04/2008 I we STATU- .1 IO~- EMPLOYERS' UABIUTY e.L EACH ACCIDENT $ 1,OOO,00(] B ANY PROPRIETORIPARTNERIEXECUTIVE r E.L DISEASE - EA EMPLOYeE $ OFFICEAfMEMBEfl EXCUJOEO? 1,000,OOCl It~. de&CtlDe under E.L DISEASE - POliCY UMIT $ 1.000.00Cl S ClAL PROVISIONS below OTHER 24539642 10/01/2006 10/01/Z008 limit - $5000 C ~asco Coun~y Bond OESCRIPTION OF OPliRATlONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVl$lONS ~imits shown are those in effect at policy inception date. C!;RTIFICA TE HOLD~R , A ..,,...., SHOULD ANY OF THE ABOVE DESCRIBED POUClES 8E CANCfLLED BEFOllE THE EXPIRATION DATE THEREOF, THE I$$UING INSURER W1LLEHDEAVOR TO MAlL City of Zephyrhil's Building Depar~~ ...!2..- DAYS WRITTEN NOTICE TO THE CEflTlFlCATE HOLDER NAMED TO THE LEFT, Attn:' Jackie 8lIT FAILURE TO MAlLSUCM NOTICE SHALL IMPOSE NO 08UGATlON OR UA.8lUtY 5335 8th Street OF AHY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE j~~ 4. Ik~~ Daniel1e Healis/CLARE ACORD 2S (2001108) FAX: (813) 780-0021 ~ACORD CORPORATION 1988 From: FAXmaker To 1-813-780-0021 Pre 2/2 Date 1/29/200841100 PM R l, U f"( L.f.. \,;t:K II~I\';A I t: Ut- LIAI:ULII IN~UKAN\';t: I - 01/29/2008 PRODUCER (352)796-1451 FAX (352)799-5936 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION K>ilHngsworth Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ~9259 Cortez Blvd. AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P, 0, Box 1750 Brooksville, FL 34605-1750 INSURERS AFFORDING COVERAGE NAIC " INSURED Rlchard J. Darllng El ectrlc Inc, INSURER A: F,C.C.I. Ins, Group 16297 Cortez Blvd. INSURER B: F.C,C.I (WC) Ins, Co. 0023 Brooksville, Fl 34601 INSURER C Western Surety 0086 INSURER D 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, I~~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL liABILITY GlOO044582 08/11/2007 08/11/2008 EACH DCCURRENCE $ 1,000,000 - DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY $ 100,000 - ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000 - A PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COM PlOP AGG S 2,000,000 h POLICY n ~~ n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- $ ANY AUTO (Ea acCident) I-- ALL OWNED AUTOS BODILY INJURY I-- $ SCHEDULED AUTOS (Per person) I-- HIRED AUTOS BODILY INJURY - S NON-OWNED AUTOS (Per aCCident) - PROPERTY DAMAGE $ (Per aCCident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ q ANY AUTO OTHER THAN i:OAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY i:OACH OCCURRi:ONCE $ :J OCCUR D CLAIMS MADE AGGREGATE $ S R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC07A57245 12/04/2007 12/04/2008 I T"X~$m~;, I IOJ~' EMPLOYERS' LIABILITY 1,000,000 B ANY PROPRIETORJPARTNER/EXECUTIVE EL. EACH ACCIDENT $ OFFICER/MEMBER i:OXCLUDi:OD? EL DISEASE. EA EMPLOYEE S 1,000,000 If yes, describe under 1,000,000 SPECIAL PROVISIONS below E,L, DISEASE - POLICY LIMIT $ OTHER 24539642 10/01/2006 10/01/2008 limit - $5000 C Pasco County Bond DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS imits shown are those in effect at policy inception date, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .-.!L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Zephyrhills BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5H5 3th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhi 11 5, FL 33542 AUTHORIZED REPRESENTATIVE ;~t..4 Danielle Healis/CLARE ~u..J ACORD 25 (2001/08) FAX: (313) 7 &0-0021 @ACORD CORPORATION 1988 This fax was sent with GFI FAXmaker fax server. For more information, visit: http://WI/VIN,gfi.com ~ HERNANDO COUNTY TAX COLLECTOR JUANITA B. SIKES, C.F.C. 20 NORTH MAIN ST" ROOM 112 * BROOKSVlLLE, FLORIDA 34601-2892 TELEPHONE (352) 7~180 * FAX (352) 7~189 * EMAIL TC@HERNANDOCOUNTY.US June 25, 2007 Dear Business Owner: Effective July 1, 2007 you will no longer be required to renew your Hernando County local Business Receipt (Occupational license), If you are in the City of Brooksville you will still be required to purchase a City Local Business Receipt {Occupational license) and lor pay your County or City Hazardous Waste Fee. Per Florida statute you will now have from July 1 st to September 30th to do your renewal. If you have any questions concerning these changes, please contact this office. Sincerely, .d4D Juanita B. Sikes, CFC Hernando County Tax Collector - -- - - ~-----~-- - -- ---~--~- C"'\ \'L~ O\\d.d..\\:)~ :l.~\S~W\ Thou ~ 1\J~ ~Q..'tV"\ '--~\..\\h. t\J ~ ~ 't\c..l FROM :Drummonds and Son FAX NO, :3525836394 Jan, 29 2008 11:55AM Pi , ' CONTRACTOR AGREEMENT TR1S CONTllAC"lOIl AGllDMl:NT is made aD !be 9!k day of llnl8lY 2008. The parties to dliS .ASftemeat De as fOUO....: CONTRACTOR: 1\___""... SolI. ... Nam~ 33.215 Carta JJv.I.. RIde M_. n 33523 Address l3!2) ., ~ J'u: C3S2) S&J~ TelepIQae ~ OWN&R: CIIC 12!O:511 Liceue NwDber N:we A tmd M Pnpdi~ PO Box 52.5.2 I ~ FIarNb 33m1 Address 1. W.rtc; S.. The Work will he po;4o(med at Ihe Ca1IowiJlI WoJk Site: 3lk4' berplm ViIIap Apl. fItJ ZelitydIiUs florida 1. Scope of Work. 11Ie C<mIractar willlbmish all of thI:. ~rials and peIform 811 oftbe Wo!t dcsaibed em me auacbli:d to this ~ as EXHIB1T A. whic:lt is put oftbil AlncmcDl, OM. lID fDmiIb.aJJ ~. 3. Wo.........~p h~ AD.lIlIIIIIc:rials m: &'~ to be u 1PCdfic:d and ll!l 1\81.AodW by the man6ctIrm. AD work: will be ~ompletcd in a ~lib II\&JUIer ~ to s1a]dud pacUc:eI. The marenaIs wl work Mil comply with qpllC3ble bddtnt, OOUs.llllld. mdi-, ... A~ The ~ rhaDbC 1dIdet.. dimction of. aod in~l~ with the drawingsaad spcc:ifkations PRIJUal by the Ardaitcf;;t. .Atcbicccl N/A Address 5. Ti..e f1I CGlllPIdiClL l"be Work to be ~ UIldIlr this Agrcemem shall be S1aIUI! by 200L and shall be 8UbIra1aially c:omp1ded by . ~. ClUlqIIIbat dJe time or Cftn91c1ion is ~ 1IpOD strikes. 8CCidats. pertonnaoce of mbc:aDIr~ ~.., 1"-_ ot IUIcriaIs aDd otMr dd~'5 bcy01I4 UIe Ccm1Iactor's ~ CODIIOL Owner is respoDSible for III8kiDC aclCClII5lmi11b1e to 0BnIculr Wonday tbru Prictay from 8 LIIl. till S lUll. .. COIItrIet ~tke ... Pa)....... Owner 'llliD pwy ~ Ibr tk ~..r.l"tIJIY completion ottb.; WorIc.. 1:7 1b; 5aIII qt'DdrCy -Two ".........- DGUIrI ($32,OOO} C $ 555.00 pcr(llcul)f:ldIa's~doin8.dIewwn. Paymcat of the CoDbl<< Price ,Wile 1DIde.~: . '" Iowa pay.- 1"' dmw after dcmoIitioa r draw due afta 0IywaI1 iMIIII..... 3r<l dI1l'w after tIoorin& 10% Fmal draw upcm aJIIIfIJo::dcm r1jOb. SpedalonIer..... __10 be PIIid...... ___ .... ~ __~abIe. N(1te: Fallfln i!O .. ~ Q$1J'OvJtl<<l t1bt1tIe may ruull ", ContrfICtOI' IuIw; 1m mjQK'.eobIe clatnl DglZl1JSl1he property ill llCCOrQQ/I08 widl applicabl_ Ii_ l/ltfl$. s~.oo S64OO-I)0 S9CiOO 00 $6400.00 $3200.00 ,.,"" ':lI:\H.J c:: f...l':: r':nnM':l'rT.....tr1 :t:.O"/O~7""C"' ~~I~~ nnn~'"T/~^ -' FROM :Drummonds and Son FAX NO, :3525836394 Jan, 29 2008 :11: 55AM P2 , ' 7. I&tru. Arty al1e:lation or deviatioD fI'am tbe lI1lll)pe of wod anacbmcnt A ilMPMag qxtJa costs will ~ nndeI'aWn only U1K'D wri1le:D order of o-er ... will bcc:aIJle. all adctiboaall3qc am4 mIIY extebd <<be time c4 COftlp1edOD. t. o.n.er ...lIIIIIIMIitiet. ()lnm is n:spouibIc lOr location or SUM!} mukc1a. tbr prcMdiDg tocaW:lD orall ~d sprinkler syanm. eIec:Iric. etC. ~ lMIIl SoB, Iac:. (1),8.1.) will1lOt he ft!IIIIlII!Iible for replacelMnt or tep8m of any and~ sy&Sem$ itSlOl pmpedy ambd om by mmec, It 15 aIao the rapoll8iblNty oro.e (JflIl1tI!t to povid~ adeqUate access 10 the joblri.we. D.S.I. ie JfJt ~ for ~. flU or jdIeUe daIDaF CIaIIed by tnck$, equipmeDt. etc. ~. SllbceIdnctDl'lI. Thc~D8Y eapF SlJbcoI\traet6d 10 perform Work. provided lbatthc CoDtrBCtorwill COlltimle 10 be aapoasftlie for perbmiIIg.all Wcnk IDler tIUs ~ ~ sure law 1U)' Rqaift ~ to depastt payment amOUlUIO pay ~ It). ....~ Tho- ~win aWUin,pdNqUire SUbcoD~to ~A. Walker's ClmupenIation ~ lL ~ If lbere is any qucISticm aIDlt lbellliCQiag of U\C drawiQllS and ~ it shall be decidailYy the ArchitllCl whose clecisiOll wiD be fiJIIL Any ~ Of c1aiJ1I. ansmg out of or rdaDDg to tbi$ ~~ (iacludiIIg the a~ ~ ifdlae is no Io~). or 1k bn:lIcb tbm:of. s1I8IJ be II:ttk:cl 'by amiaatiOP in acmrd8nce widllbe Rules of the AmcIicu AlbUmIioll. Ali&ol:iatiOu, aDlijudpM!ftl upon 1M awud rmdeft:d by the Nbiaator($) may be cnr:ezed m 8Il~ coon laWtlP'rrliou 1bI:nlof. 12. ~ AD wodtdoAe by ~ ComnIdot and S\IbCOIIIr3CtGI1 wiD he panIDkcd as specified. 13. Material OWDenlUp. AAy IDIII:daIs S1JIlPliedordcmoby D.S,1.1bat ~aftct tlc compIetiQl\ of tile job are propertY or D.S_l 1'" ~ This ContraCt is biDdiIIa OIl all p&I'lieS wbo law1Dlly IlICCUd to tile Iigtlrs or 181m rhc ptacc of the o..~ or COJI,tmetor, EdIer.-nY wirhaIII... Miam ~ ollbe Ollila-.., DOt -go IIUs CamtllCt. nm PARTlES HAVE READ 11fE CONTRACf. mEY HAVE IWCENED A COMPLETELy FIi..I.ED-INCOl>>Y AND ACK..\lOWLEDGE RECEIPT OF ~ms OF nm DRAWINGS AND SPECIFICATIONS. THEY HAVE SIONED TIlE CONTltACT AS OP nm DA11! 'WlllnEN ATTHE TOP. OWNER _(jJA ()Ll~t- $(, L L Dele: JmIllII(y 9., 200ll CONTRACTOR ~~r~~ 'J'lUidm eo I oJ.... tTnnM':I"""l\-I""I !~::lT/qc:~CS:- ~~:~~ RvRi./qt/T.~ ~u'eline Boges From: Sent: To: Bobbie Swetland Wednesday, January 09, 2008 8:39 AM Karen Miller; Jacqueline Boges Ladies, Yesterday I had an inquiry re: a permit for fire restoration on Apt9 in Evergreen Village Apts. I spoke w/Bill & he said (1) we needed a list or repairs & once he's reviewed that (2) we need to set-up an on-site inspection of the apt before we can relay what will be required for permitting. Contact person is: Sue (352) 583-5499 w/Drummonds & Sons out of Ridge Manor. I called her this am & gave her information. As the contractor - they're to meet w/apt owners/managers on-site today & then she will fax info on repairs to us. Also I stated to her that we needed an update on state license, liability, wc, & btr. I wanted to let you ladies know this info since I will be gone after 11:15 am today. As always - many thanks for all your help with everything - you two are the best! ! Bobbie 1