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08-8574
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8574 ANNUAL FIRE PROTECTION MAINTENANCE ti , _ F..: Permit Number: 8574 Address: 6145 ABBOTT STATION DR Permit Type: FIRE PROTECTION MAINTENANC E ZEPHYRHILLS, FL. Class of Work: FIRE-PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS VILLAGE Est. Value: Parcel Number: 03-26-21-0200-00000-00D0 Improv. Cost: Date Issued: 11/26/2008 Name: WESTOVER MANAGEMENT LLC Total Fees: 25.00 Address: PO BOX 48155 Amount Paid: 25.00 TAMPA FL 33646 Date Paid: 11/26/2008 Phone: (813)782-8468 Work Desc: FPM-FIRE ALARM-ANNUAL- LITTLE FRIENDS SCHOOL HOUSE-being done 11/26/08 aye %,.r4'w0.�", �a'.: øIEESII1IjIIII COMPLETE PROTECTION LLC FIRE PERMIT FEES 25.00 - V : U!uh FIRE ACCEPTANCE Finale Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT 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." a., P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 YAY/14/2007/YON 03:53 PY ZEPBYRllILLS BUILDING PAX No. 813-780-0021 P. 002 a1saeo aaio aw ctz r►lfl� , r 1 r�s�sa.aaoe, 3 • - Pblr�llavi�rliou •-_ a.l.w.elwa. T� _1 awnel's Nrne L_ 1 L 'F r r e-,c4. .. .Schoa ' O.. o al4en.11lw0er S'3 II7ifl.l9Q3 FsBrnpioYMebelierNrno , : ..11�dpYerwo� er I. JobAaatw.. e c, �L= eub IAMu n r ri BIe4 drlflNsUL._i- ML` : 0' FlrelpimTiat, t CanIir>M1�1 Hoodfd�ol. Il_..0 iw1,081iiwilorAtf}�ioiJ)ANMiW.- > n $ ifwimAnr>�D dr. 1„PA -isusuvt-- FIA Pl L -AMMNL Pleo .wi�rAlNIAL • .. • - . . eprrlr O •..o. 'n. • 1liowoiw�i�w�: MmAloim .0 •C Sped;-- •' Hoed dwiip. .a 13 ' p SleuirsS+yeliew bwiiWoes Hood 8Vlprwelm • fl .: : .. r ' - ' 'F v AloMn k- - •- - ' H�nmdiApprer/m-ANNUAL •. •L tom.oa VYillliwvfPloOd pWITaaYs Olhw. • - ry - C7- 7C-f'( o" Lc. ' •w.aiw.nc LL Addwesfto FL uo,..s Zoccov , oi-iy1 N 1AteOwwi • AdAws lleww• . Sipr1�pA p od. fildQwwit Adduret LW * lie1,un.d I YIN I • � Ad_000 : ue..in &i-- .- RYed'FYiN I - Fw tirrrnt� • Addriee uaen.ri a+t+oP�loli0n .. - , • �. .!;>rneriC4iedpfayn.berlc'Otp�eerob►�NMei/'l�C�darr0ewd�t.�a.�lr! . •• ' '. •. -• _ - Sable[ rlFlo/uool'Aon -.aw�tls .iW_ i!!�ta.�#oell� : - - • .' . . • 8� raro(?j awr aridnlMMlie wOh do41�e�dMutr . - - - 'Afoyr1044dHlsibr�MowliAr! . . .FYI.{it-dAWrd�owP llirN�e, ���0+�►�� , MAr/14/ZUU7/MUN U3:54 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 003 NOTICE OFSEED RE'.$TRGTIONt3. urhderstdda.ttr■t this.permit UNUCNSED'•CONTRACTORS•.AND-CONTRACTOR •..S'the owner b 'f*ed•a vounbedw or - conbymctorhh bo'undsrfsilcs wOric,V*malt be rsgA ed•bo be Noansed In acwadeihce with stab and io 'r Motions. If the • contractor Is not iloanaed as:tequtrsd by 1enu, bath the owner and 000Ir ail may be died fora w bdame anon violation •under stab law. If the Owner or intended contrad or am'uncertafn.as 10 what Ncensbg'•regciaments may apply for the • Intended work,they are edvtsedio contact the Pasco County Butidkrp hnpedim DMsiom- I.R:rwittp Section-at 727.847- 8006: Furthermore, If-the•owner has.hired-a contractor or•oohIratgom, he Is advised 10 have the oortb'aokir(s) sign portions of thq'co*sotor Block'of this app&aton ibr whiohrhey wit be r.sponible. If you, es-tw owner•sien se the contractor, that may be an indication that hp is not properly ticsneed and is not'entil sd-o••pamcN g Pmegee in Pasco • CON$TRUCTION d.IEN-LAW(Ch■plorM•Florid.Stthrtss,:as:emo*led):• Svaustlon of work is IZ600.00 or more,I - ow* that 1, the applicant. have .been jinMdsd wkh•:a•copy of the Florida Construction Uan. Protection Girlie".prepared by the Florida• Diperdment of Aprtoukure.and Consumer Ms.. N 8w appI r t•Wacmeon other than theowner'.I certify that I have allied a copy of the above dsoafbsd dooumenl and pri6mbs In good'bllh to delIver It to the'cwner'prior to comrnenoemertti• • . CONTRACTOR'BVQWt1ER'S.A AVI�T: I oertiy that at the kdbnna ion in this q*lm tlnn'is aocivats and • that all work will be dons in.cotrrpNarmos with at appNCable lee rvgufwtinp oonalruotion, zoning and fend • .'development Applicstlon'b hereby made Is obtain a penult to do work.ard kwbd■tbn as krceoaled. I oeriry. that no work or installation has commenced prior to Issuance of a pert* nd-ihed all work will be performed to - • meet standards of all laws repciialfnp aonituction. County and City oades,•aonke rapuiepons.-and lend • devetopmwt regwatonp In the jurtedidon. I also ceraf r that I und.rstand drat tto regulefiorms of ether - govemrrient•agencies may afpp4i'to the inlendsd wo'i4`and that It b�my responetay toidentiy wtmat actions I must take-b be In compliance. If I an the AGENTFORTI4E OWNER, I proriniss In good faith to inform t e owner of the perlriNtirg conditions set forth In this affidavit prior to commencing conshuollon. •t.undaramrd that a evpar,siI penult may be regiihd for sladricel worl. plumbing, signs, walls, pools, air conditui* ,•pas, or-other a aIIations.not epnncttic*kd udad in the applca8on. A permit Issued shall be construed to be a barns to goosed with the work and not ee authority to violals,ceutoel.tinter,or set aside any provisions of the technical codes.nor:shall Mauros cf s permit prevent the B ldkg ORbial from thareeller raphv a correction of errors hi plans,coon or vIo ns•af any codes. Every permit Issued shad become hwald uMaes the work authorized by arch wens*Is commenced within etc months of permit Issuance,or V work ariryorhod by the permit Is suspended or abandoned for a period af,etc(6),moidiw aNer the*ns-the work Is commenced. An.extension may be requested, in writing,from the BuIldkigOfflci for a period not to moosad.nhiety(90)drryyl and will demonetwia justiNats owe for the a ctension. .If work caarsee for nins4y(90)borsectrtMe days,the job ls considered abandoned. -WARNNO TO OWNER: YOUR FALURE TO RECORD A 1 110E'OF`CON tit N7'M(►YREBULT N YOUR •PAYNG TWICE FOR IMPROVEMENTS TO YOUR PROF TY. 1F YOU RITUND?O OIRT. N FNIANCING,CONSILT R.0RIQA JURAT(P.8_.117.08) coTf+y SC 4t L • 8irbepWed ad ewortc b a ail fife BLe...Lod om�nd psyonm b(or dome )bums ms : �j�1p 1Mpter ►lower io ms of pnoduoed Who r�M lafaMcri b an orluNllsrs'prs{tu0rd - • — meltio_ore idsam&. --^—•U.1 - - . f�rbea. =+ � C?emrtaielon Na • - . Neu d NomY t r�Ntl ail aarq+ed NsseatNolerr peril srasnnped m � l itI II vi T~ a a 3a Oiii o' g � W o O C: p. u a W u' o �; .- w , ur C w; U, V L' � a �; p v y �1 W 2 — 4 IX �. e1 erf z! e: o- N W a d O W � . N � N � S � o ti- U ' H ow . M Odco1+ CL O g~ o o m 0 W O � Q a4 N � `vy c 0. am c ° ti yU) y VO Iiu v ti if C o �' a V Q a r' ro % �' CI v ro n, 2 � � a'� x W zp $' w U O► O 9 c aunva- N� �. ww C) A/ N W V1 ^Q N c 1 H OFr- o a O a OQ �v o' �' a ,--♦♦ ++ - Q U) • V 0 z ry tea`; H� 4 w n 4 a n • •- a d m • (7) ti a Fes- Z c q� H I / Ia 4O I, m ig7ito � y t m Ed WdE T:b0 800E 9E •^°N 2SSZ 8E9 ?S2: •ON Xdd Ai I df09S '8 9d I d AaUB89f19: W02ld c# 38276O3 A `� �ggggSlOi�il3m REGULATION Nmed below 12 Ci1 t El�5ING BOARD SEtLoso624Y�o�55 _ v.'r/.. Y.J.'' �'✓^'�'?i �._._.F-tis":r-.:" - . tinder ttke gr' sfi o43 ^<,.r 1xpiratix -date. AUG2r :,' ii'l.�'1'+-•• - t..c�i Yom'-�� r - - - HOMOSASA 3 CRUCR DRAGO CHA I - INTER3M SECRETARY "BYLAW 07-26-2007 ALDC sMNC STATE OF FLORIDA C1le� rALCFraea� DEPARTME r OF FINANCIAL SERV1cES DIVISION OF Wsa COMPENSATION * * l RaMATI: OF BECTM TO dE EX9lT'MUM aLOI IOA WOUKBIS' !0A110N LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies pat the individual listed below has elected to be exempt from Florida Workafs' Compensation Iaw. E ECTIVE DATE 08126/20O7 EXPIRATION DATE 08125/2009 PERSON: SCALZI . TIMOTHY FEINt 593239071 BUSINESS NAME AND ADDRESS: CMVLETC PROTECrIWd LlC PO 50X 757 ISMS* SPItII S FL 34"? SCOPES OF BUStwE.Ss OR TRADE 1- AL4 1 / SECURITY INSTALLATION I*C0Th1IT. PNSIYt to Ct.11tea 440 -WKt4l.f.&_ r aMicer M a ewNtetla. woe slim eaaapi.. floe nis eeaplef by lilis9 ■ cen(Iitaie if eMnla.adv pis seeli.a My Mt n.eW Mooed rr ce -Mpp.. wdel this aei/1er. IYstrr Ti CAieier 440.05(12).f.5.. CenilicMes of .l.imaM le N e st"N d pe besiaMs w Inf Iia.f M N. M11.e d elect).. to M eava , hrsa.M H "'oe- �I arI.a N. daatlaa to M eaawp moll N aarjeet a r.s.cewe U. w 4r I IIts1. f.s., ■atieas o1 ecee• T low ea 41 eM tM/7kMma d _ ls _ aoiia r ilele ahw Nitlae flliy at N. More a III issaYce of W tanNicMe, pe anal ell N .MGIkaIM to west n�-r f it N IM s dnMisMMac.at a tawlcse. ne�1M.i Nil, ie..e. s ceniiicale M a.r fMe/w fall�a if porous irn...K1 " Ind.-rt R Ger'1 Na m aac cwt asp war nrrt, nw n.• 4MESTu..r (9501 4 Ed Wd2T:PO 8@02 9Z •^ON ESS2 829 ZSZ: 0N XU.d Al I21l033S 8 Sold Aau3a3f1S: W02ld From:Nancy Slaughter At.The Hagar Group FaxiD.352 726-2363 To:City of Zephyrhills Date: 11/26/2008 03:10 PM Page:2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID NS DATE(MMIDD//0 COMPL-2 11/26/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Hagar Group HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2121 S. E. Hwy 19 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Crystal River FL 34429 Phone: 352-795-2697 Fax:352-795-0677 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Scottsdale Insurance Company INSURER B: Old Republic Surety Complete Protection LLC Tim ScalZi INSURER C Post Office Box 757 INSURERD Homosassa Springs FL 34447-1277 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDA') DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A x1 COMMERCIAL GENERAL LIABILITY CSL1413485 10/23/08 10/23/09 PREMISES(Ea occurence) $50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $1,000,000 X Error & Omissions GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $1,000,000 POLICY JET JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E .DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below EL.DISEASE-POLICY LIMIT $ OTHER B STMT OF BONDING OFL0SS4110 01/03/07 01/03/17 25000 B CONTRACTOR BOND OFL0554115 10/09/08 10/09/09 KERN. CTY 5000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Alarms & Alarm Systems-Install Service or Repair CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City of ZephyrhillsS Street Bldg. Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR street 5335 8th REPRESENTATIVES. Zephyrhills FL 33542 A EPRESENT ACORD 25(2001/08) ©ACORD CORPORATION 1988 From:Nancy Slaughter At:The Hagar Group FaxID:352 726-2363 To:City of Zephyrhills Date: 11/26/2008 0310 PM Page 1 of 2 Phone: (352)726-1691 Fax: (352)726-6077 Fax From: Nancy Slaughter To: Pages: 2 Fax: (813) 780-0021 Date: 11/26/2008 03:10:37 PM Phone: ( ) - Subject: Complete Protection LLC Message: Certificate of insurance following for above customerr