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Home My WebLink About08-7810 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7810 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Phone: Work Desc: SEE DESCRIPT/6938 - 6937MEDICAL VIEW LANE-CONDUIT UNDR RDWA-NO CHRGE 7810 MISC RIGHT-OF-WAY COMMERCIAL Address: 6938 M DICAL VIEW LN ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 02-26-21-0290-00000-0070 4/29/2008 Name: LENDALL, KNIGHT& CHRISTINA Address: 4901 SEMINARY RD ALEXANDER VI 22311 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 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 before recording your notice of commencement." 1# \~,a..-- 4;;,1- tI CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER /, 7275223573 COMeo ~ O'(Vl CJ) 'J Y\S~~ t"\R'U"'O om OF:ZEPHVRHltl:S-;;. 'BtJltDING'OePARTMENT' ~. , ~ ~ SV~. ,RIGHT-OF-WAY USE PERMIT' "JhI'- ~j~~ PERMrr#: "18 (b ~ 04/09/2008 13:59 ._--------_.........~.. DATE:~-O~.. No construction under ground, or ab0V9 ground of any facility shall be accomplished on any'CIty Rights of WrIy without wr.ttten approval from #Ie CIty Building Department. Any application for approvel of construction 'opera1Ions on any City owned Rlshts df Way s;t,e/' fumlsh e detailed drawing showing the complete scope of the proposed work In triplicate to1he office of the Building Official for. approval prtor to the commencement of any WOI1t. A copy of this permit Is to be kePt readNy available at the site of 1he work at all times. , ' PARCEL 10:#:02 - Zb -'2. I -'02fo - OtJfP() -oo70CITY ROAD tn~&l c;fc.... l/lflj,J LII-I/IE- ; LOCATION.(LegaI.Descrl~lon): ,.11. C i'l' i!~ ~1c/H.! ~!v (/T'NC- ~'1 OJ rJ bolA; T tkJ A,QL /l.A ~ fb , b 0/37 r'hE.J/C*- /A ~w ~ if Permission is hereby granted to For the construction and maintenance of: ' ~ee of ~LJ' Subject to the followtng conditions: ' 1. The construction and malntenlnce of such utility shsJl not 1nterf8re with the p~ end rights of acprlor occupanl 2, All work shall be done'ln keeping with 1he standards of the Qty Str'eBts DePartment and under the supervision of the CIty Building OfIlclal, who will be notified at least one day prior to commencsment of construction. All materials and equlpn\8rIt shall be subject to Inspection by thEi CIty Building OfRclal. During construction a1138fety ragUlatlons of the 08pmtment of Transportation shall be observed end the CIty shan be relieved of all rnpanslbDIty from damage of any nature mtsIng from this permit. Subject to the same terms and conditions. the psnnlt holder may take such safety measl:Ife$. It:ldudlng placing and display of caution signs, as It may deem necessalY In conduct of alnStructlon and maintenance work hereuncler. It Is the responslbl~ of the permltt8e to Tn? ' All private.end all CIty property shall be restored to Its; ortgInal condition as far as prac1Icalln the opinion of the CIty Bulcllng Official. All underground cro8SIng lnsIaII8tions shall be laid at such depth as may be specified by the City BuDding OfIIcIaI. The slairtch covenng the detals of this InstaUatlon $hall be made a part of this ptnnlt. ThIs pennlt Is granted with !he understanding that the applicant has nottfled all other utility users, In the area covered by the permit and tEl_ full. responBlblllty for any damage inCUlTed. by prtor Installations as a ...u1t of his operatlons In order that they may safe guard their IntBnIStS, It Is expressly stipulated that this permit Is a license for permlsslw use only and that the pIacIrJg of facllUss upon public property pursuant ID this permIt shall not operate to C1'eRle or to vest any properly I1ght In salcl holder. Whenever the CIty cIecIr:IIIs to further exploit the CIty RIghts of WaY. any or ell salel poles, w1I'11S, pipes, cables, or other facllitles and appurtenances authorIzeCI hereUnder, shall be Immedlat8ly removed from said Rights of Way, or reset or relocated 1hereon 11$ required by the CIty Building OfficIal at the expense of the holder of this permit. The holcler shall S8VIl and .." the Clty harmle9s from any and an damages, claims, Dr Injuries that may occur by reason of the construction, maintenance. and opemfIon of said fadlIty. " ' , The hDIdllrshall cornpl.the requested work within _ days or this permit shell become nuD and",vold. In the l!IVent the work requested Is not completed upon the' expIndlon date of 1h1s permit the CIty shell have the light to complete such work. end to charge the holder of the pennlt for ell cos1s Jnamed In complBted said work. The holder shall.post a cash or sUl'8ty'bond v.1th the CIIy Manager In the.sum of $~ dollar!! to guarantee p8l'formance of the ,obligations herein. and to 9U8r.a-e maintenance of the l'lghkIfooway described herein for a period of one (1) year 1'o1lowlng completion of the l'8CIUIIstsd Installation. In the event e $UA!ty bond Is posted. the surety bond shall be made payable to 1he CIty and 91'811 obligate the surety to hold the CIty harmless In the event the holder of this pennlt should fall to meet any of lis obIlgat1ans hereunder. The bond shall 81so indemnify the ClW for all coun costs and reasonable.attameys fees in the event legal sellon Is required 10 collect on said bond, sUBMITTED BY: 13 Ci t1.~ 1A- RlES:'~ 3. '4, 5. 6. 7. 8, 9. 10, 11. 12. (PERMITTEE)~N :;; Signature&Ti,We4~ Address s~/ 5~ ~< -~4 rV' '71:. . fI' APPRoVED BY: CITY OF ZEPHVRHILLS ~lrtg OfIlclal :~:::-~7 'fu~ ~ MaNger Date Date -y/ /lJ/i;" ~/L?/Dr Date Date -g '.. - .............,..., .'N..... ....-1dIf O5Iuo:J 3NY'l M31^ 1Y:)IGaIN - -.... 9NOlSI~ ......"'^-:IIII'M I'" UJ 5 ~ ~ w :> ~ <i G (,) Z C i= UJ ~ en :E X (!) w gO ~ :z M ~ C) ~ co ~ c % z UJ (!) ~ >l1VM3CIS .S ~ a::: ~ UJ ~ ~, c I I I I :> 0 I :> 0: : w", Q.. : z.... uJ Ni ~~~9 I . (J - : ~~<~ I I I I GZX zoo -Nln ti-..J _0:-, xuJ:) w>l1. 3N'Vl M31^ 1'17'OIQ3V\1 -0 . ~uJ >I'VM30IS .s 1:1.I 5 ~, w 5 ~ (,) c w ::i r-- ('I) en <0 C) 6: c N C) z 1= UJ ~ GB 39'v'd o:::lWo:::l EL9EGG9LGL 69:E1 8BBG/6B/~e _ .~:. ;ST~:r&Q" FLORIDA . ~ D~_nB - .,~~. ':;~"',.' --:~Q1r~S~~~ -- -..,. -- - - '-'::"--.-.- GGao:z~~~!!. :::;. CERT:J:FXE ; ,'. ., VJr~C~",;' , VIS!<:,. f!Q \"!:;',; ."', ;',:"" ,"'1 i' ,:".-,,~Cf . -.,' , ' ,',' '-,'" ._--'- /'. -__ I .XS., """"""......'~ ~',,;..:.'"'-..,"",,.S~ ".,.1 : '~~Q"t:l<>nl~-:'~Uli:~1~;..2ltil-8 :~.=:: :LDj~3b~,S2:';;~ .-=c-:,_" . .~- ~,' ~:r-0<',:~o ~- codes ELECTRICAL CONTRACTORS' LICENSING BOARD General Terms In general an "alarm system contractor" means a person whose business includes the execution of contracts requiring the experience and skill to layout, fabricate, install, maintain, alter, repair, monitor, inspect, replace, or service any electrical device, signaling device, or combination of electrical devices used to signal or detect a burglary, fire, robbery, or medical emergency. A "registered contractor" means any contractor who has registered with the department pursuant to fulfilling the competency requirements in the jurisdiction for which the registration is issued. Registered contractors may contract only in such jurisdictions. Definitions including the occupation codes and class codes, where applicable. EC - An "electrical contractor" means a person who conducts business in the electrical trade field and who has the experience and knowledge install, repair, alter, add to, or design electrical wiring, fixtures, appliances, apparatus, raceways, and conduit, including the electrical installations and systems within plants and substations and ALL alarm systems and specialty categories. EF - An "alarm system contractor I" means an alarm system contractor whose business includes all types of alarm systems for all purposes. EG - An "alarm system contractor II" means an alarm system contractor whose business includes all types of alarm systems other than fire, for all purposes. EY (EH)* - A "registered alarm system contractor I" means an alarm system contractor whose business includes all types of alarm systems for all purposes. A registered "alarm system contractor I" may contract only in the cities and/or counties for which his or her registration is Issued. *EY and EZ are the alpha letters currently being used. No new licenses are issued with EH and EI, however old licenses with these designation can be renewed. EZ (EI)* - A "registered alarm system contractor II" means an alarm system contractor whose business includes all types of alarm systems, other than fire, for all purposes. A "registered alarm system contractor II" may contract only in the cities and/or counties for which his or her registration is issued. *EY and EZ are the alpha letters currently being used. No new licenses are issued with EH and EI, however old licenses with these designations can be renewed. EJ - A "registered residential alarm system contractor" means an alarm system contractor whose business is limited to burglar alarm systems in Single-family residential, quadruplex housing, and mobile homes of a residential occupancy class. A "registered residential alarm system contractor" may contract only in the cities and/or counties for which his or her registration is issued. ER - A "registered electrical contractor" means an electrical contractor who has registered with the department pursuant to fulfilling the competency requirements in the jurisdiction for which the registration is issued. A "registered electrical contractor" may contract for electrical systems, including all speCialty categories, only in the cities and/or counties for which his or her registration is issued. A "registered electrical contractor" MAY NOT contract for any alarm system. ES - A "specialty contractor" means a contractor whose scope of practice is limited to a speCific segment of electrical or alarm system contracting, including, but not limited to: elevator specialist (class code 066), utility line electrical specialist (class code 068), low voltage system specialist (class code 069), residential electrical contracting (class code 043), maintenance of electrical fixtures (class code 065), and fabrication, erection, installation, and maintenance of electrical advertising signs (class code 067). ET - A "registered electric'al specialty contractor" elevator specialist (class code 066), utility line electrical specialist (class code 068), low voltage system specialist (class code 069), residential electrical contracting (class code 043), maintenance of electrical fixtures (class code 065), and fabrication, erection, Installation, and maintenance of electrical advertising signs (class code 067). A "registered electrical specialty contractor" may contract only in the cities and/or counties for which his or her registration is issued. Acc-{)~., ~Gs --rttrr AI\J s-rp;\€,- SLfrt0Tl?~ L ':'>f"\'\V'LfX--(U~ 0\'1. \"\ Aff~ Ur-l'\)~ ~~tJ1} ~ 6~~L u'li LYl-l C~N '\t1..RC:.'T!>r- u5~~L D WortlL.. INfVhL(C- R<-OruJ ~ (0. ~ ~J (tUZ-f) t.f t ~fDe (b/ http://www.myflorida.com!dbpr/pro/ elboardl codes.html Page 1 of2 9/28/2007 A~CORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYVY) 04/03/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB& Tiler Wall & Shonter ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 49th Street North HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 14448 St Petersburg, Fl 33733 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Southern Owners Insurance Company 10190 Visk Construction Inc. - INSURER B: Auto Owners Insurance Company 18988 12604 Orange lake Drive INSURER C: Bridgefield Employers Insurance 10701 Thonotosassa, Fl 33592 INSURER 0: -- INSURER E: .___-.i Client#. 894791 69VISKCON 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 PJ>A~~~ri~r~8,w\E p~~fJ/~X':'~~N LTR NSR TYPE OF INSURANCE POLICY NUMBER LIMITS A GENERAL LIABILITY 0446122065318307 06/20/07 06/20/08 EACH OCCURRENCE $1 000000 - ~~~~pE TO RENTE~enra\ X COMMERCIAL GENERAL LIABILITY $100000 l CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10.000 -- ~ PO Ded:250 PERSONAL & ADV INJURY $1 000 000 -- ~ OCP GENERAL AGGREGATE $2 000 000 GEN'L AGGREnE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $1 000000 Ii PRO- POLICY JECT lOC B ~TOMOBILE LIABILITY 9659430101 06/20/07 06/20/08 COMBINED SINGLE LIMIT ~ ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) - - ~ HIRED AUTOS BODILY INJURY $ ~ NON-OWNED AUTOS (Per accident) ----- - PROPERTY DAMAGE $ (Per accident) RRAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ -- ANY AUTO OTHER THAN EA ACC $ -- AUTO ONL Y: AGG $ B tiJESS/UMBRELLA LIABILITY 9659430102 06/20/07 06/20/08 EACH OCCURRENCE $1 000000 X OCCUR 0 CLAIMS MADE AGGREGATE $1 000 000 $ ~ DEDUCTIBLE $ ----- X RETENTION $ 10000 $ C 83026968 03/01/08 03/01/09 X I WC STATU-, , IOJ~- WORKERS COMPENSATION AND I T;';;'y' ',ArT'- EMPLOYERS' LIABILITY $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL, EACH ACCIDENT -- OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under .--- SPECIAL PROVISIONS below EL, DISEASE POLICY LIMIT $1,000,000 - A OTHER Contr Equip 0446122065318307 06/20/07 06/20/08 $235,681 A Rent/leased Equip 0446122065318307 06/20/07 06/20/08 $30,000 $500 Oed. r ;;;;;;;h-. ~ l.(' ~ cur::' e~ I ~lb --- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for nonpayment of premium. ltlAPR 2 4 ml~ L_,__.....________..._"j City of Zephyrhills .......'.., CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Zephyrhills-Building DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAll 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, Fl 33542 REPRESENTATIVES, AUTHORI~ED REPRESENt:)V~ 'J'J( ~~.J1. L"- J,.,J ACORD 25 (2001108) 1 of 2 #M2426815 EH2 @ ACORD CORPORATION 1988 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 25-5 (2001/08) 2 of2 #M2426815 0 0 0 ci 0 ~ cO z 0 M 0 0 ::; N 0 u. to 0 0 CO 0> ww 100 C ..- 1-e>0 COcO C "'0::0 , ,.... ~..:: . ~ :I: 0 . ~ , . 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