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Home My WebLink About09-8838 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8838 DRIVEWAY PERMIT Permit Number: 8838 Address: 6043 HARRIET ST Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: PINE CREST M.H.P. Est. Value: Parcel Number: Improv. Cost: 1,000.00 Date Issued: 2/20/2009 Name: PINECREST MHP-CLUBHOUSE Total Fees: 35.00 Address: 6043 HARRIET ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/20/2009 Phone: Work Desc: DRIVEWAY TO DUMPSTER AREA 12' 22- THE LANE CONSTRUCTION CORP (863)425-800( DRIVEWAY 35.00 ,09 DRIVEWAY FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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 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 PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s � r M t d + r . A & x x ' z THE 90 Fieldstone Court LANE Cheshire, CT 06410-1212 203-235-3351 203-237-4260 Fax CONSTRUCTION www.laneconstruct.com CORPORATION A Commitment to Excellence Extract from the minutes of the meeting of the Board of Directors of The Lane Construction Corporation held December 11, 2008: VOTED: That effective January 1, 2009, the following be and hereby are authorized to sign contracts and performance and payment bonds on behalf of this Corporation, rescinding all previous authorizations: R. E.Alger, President and Chief Executive Officer D. P. Dobbs, Executive Vice President Administration and Secretary J. M. Ferrell, Executive Vice President, Chief Financial Officer M. M. Cote, Executive Vice President, Chief Operating Officer Plants K. D. Junco, Executive Vice President, Chief Operating Officer Projects J. S. Cruickshank, Vice President Legal and Safety D. F. Benton, Vice President Engineering and Chief Engineer V. J. Caiola,Treasurer,Assistant Secretary and Chief Information Officer S. A. Leach, Northeast Regional District Manager M.A. Schiller, Mid-Atlantic Regional Plant District Manager J. O. Hughes, Florida Regional District Manager F. K. Hamad, Mid-Atlantic Regional District Manager D. S. Mason,Jr., District Manager H.W. Reitz, District Manager J. P. Lark, District Manager D. J. Rankin, District Manager D.A. Luzier, District Manager R. P. Lane, District Manager M. R. Hindt, District Manager J. P. McLear, District Manager R. A. McDonough,Assistant District Manager G. F. Jerabek,Assistant District Manager P. J. Paul, Assistant District Manager R. K. Curtis,Assistant District Manager I hereby certify that the above is a true copy of a portion of the minutes of the meeting of the Board of Directors of The Lane Construction Corporation held December 11, 2008, and that the above vote has not been rescinded and stands in full force and effect as of this date. THE LANE CONSTRUCTION CORPORATION ate o� Sec tary State of Connecticut of �U County of New Haven Date Personally appeared before me, Donald P. Dobbs, Secretary, and made oath that the above is a true copy of the minutes of the Board of Directors of The Lane Conptyuction Corporation. a 1Lke Notary Public LORI A. NICKERSON NOTARY PUBLIC MY COMMISSION EXPIRES OCT.31,2013 An Equal Opportunity Employer M/F ''Y4iL-,Sj STATE OF FLORIDA {r � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 �/ 1940 NORTH MONROE STREET pf .KE " TALLAHASSEE FL 32399-0783 COTE, MICHAEL MORRIS LANE CONSTRUCTION CORPORATION THE 90 FIELDSTONE COURT CHESHIRE CT 06410 STATE OF FLORIDA AC# 3 8 c 6.6 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. _ ' PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, and they keep Florida's economy strong. CGC1504839 08/05/08 088022198 Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that COTE, MICHAEL MORRIS impact you,subscribe to department newsletters and learn more about the LANE CONSTRUCTION CORPORATION TH Department's initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly.We constantly strive to Serve you better so that you can serve your customers. IS CERTIFIED under the provisions of ch.489 Fs Thank you for doing business in Florida,and congratulations on your new license! Expiration date: AUG 31, 2010 L08080501920 DETACH HERE AC# 26STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L08080501920 . ; . - LICENSE NBR 08/05/200$ 088022198 CGC1504839 . The GENERAL CONTRACTOR I Named below IS CERTIFIED Under the provisions of Chapter 489 FS . Expiration date: AUG 31, 2010 COTE, MICHAEL MORRIS LANE CONSTRUCTION CORPORATION THE 90 FIELDSTONE COURT CHESHIRE CT 06410 CHARLIE GRIST CHARLES W. DRAGO GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW Jacqueline Boges From: Jacqueline Boges Sent: Friday, February 13, 2009 2:04 PM To: Shane LeBlanc Subject: RE: QUESTION ABOUT DRIVE WAY Thanks I placed in your box the drive way permit application for the Pinecrest mobile home park they are ready to do the drive way for the dumpters. Jackie From: Shane LeBlanc Sent: Friday, February 13, 2009 1:43 PM To: Jacqueline Boges o _ ' 1[l E Subject: RE: QUESTION ABOUT DRIVE WAY Private—the closest city street is Greenslope Drive. Thanks, SJL I ShaneI. LeBlanc PUBLIC WORKS SUPERINTENDENT CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS,FL 33542 T:813.780.0022 F:813.780.0025 sleblanc(a)ci.zephyrhills fl us From: Jacqueline Boges Sent: Friday, February 13, 2009 11:30 AM To: Shane LeBlanc Subject: QUESTION ABOUT DRIVE WAY HEY SHANE COULD YOU LET ME KNOW IF THE GRAND HORIZON ROADS ARE PUBLIC OR PRIVATE? jACKIE 1 IMPERIAL POLK COUNTY LOCAL BUSINESS TAX RECEIPT i d 15 RECEIPTIACCT4 3080000724 REYNOLDS RD EXPIRES: 9/30/2009 CLASS • LOCATION: 3350 • 44-LAKELAND-IN-IN CITY OWNER: ROBERT E ALGER-PRES 230000 LTD NON-LICENSED CONSTRUCTION 330005 MANUFACTURING THE LANE CONSTRUCTION CORP 90 FIELDSTONE CT CHESHIRE,CT 06410 BUS TAX TYPE: RENEWAL BASE TAX: 55.00 ADOL FEE: TOTAL: 55.00 THIS POLK COUNTY LOCAL BUSINESS TAX RECEIPT MUST BE CONSPICUOUSLY DISPLAYED AT THE BUSINESS LOCATION PAID-1203015. 0001-0002 12 08/18/2008 85. 00 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CON�9TRUCTXON INDUSTRY LICENSING BOARD C8S0! 487-1395 1940 NORTH HONROE STREET • TALLAHASSEE FL 32399-0783 COTE,A MICHAEL T TIO RUC LNB CON MORRIS CORPORATION THE 90 FIRLDSTONE COURT CHESHIRE CT 06410 I ; l ! BTATR O►ri3ORIDA A0f CongretvtsSa►st Wtth We Itcenee you become one of the nearly one union • • 8•;9 L:S b` Flodt*ons ticeased ine Department of euslneee end f+rofessioeW Reguiatior+. i7RPARTAtENT 4F REGULATION Ot r professlonom and bu&nesaes ret a from orchtects to yacM b kors,from I�Rt13►BSSIt?:7AL • bexarstobabequeresauant .anctieykeepFtartda'seconomystran9. S04639 0$/05/08 088O2298 Every 4dRy we work to knprova the way we do business in order to serve y r better. • for kdormatton about aix services.please log onto www.myltortdaVicense.0om. CERTIFIZD QENERAL CONTRACTOR- • Thera you can ffnd more Worms loon about out wv,stons ad the gulallone that • COTS, MXCAARL MORRIS ,s bso to depatbnen navitedera and learn mare about the LARS CO1KSTR1TION CORPORAT3011 Tit , Capartrnent' Initiatives. Our irliss±cn at the Oepanmentfa:Lre<sse EffidAntty,Regulate Palmy.We • • , cmitardly stove to am youbeiter on that you Lan seem your custo1:ws, rx CRRTITIEA unto+e tss•gro U16'as of eh.48y ra• Tha►k you for doxV buskin lit FlarNa,anti cen�atulatians on your ratw flcazsel a,oarasloe astir Antt-31, 2010 1Adti8053LiZp , DETACH HERE 1 v"ijr k • i • !1c! _ i t DBAtt �p 8;` >pA¢¢988EII AI+ R$ELATZDN r - l:QN; t I RY' bICZH$ NG•$OARI} FiEQI#1GD8d60S0�93d :ve :�c : oiaaasis� cc:c3s :" • - The GE ER CCON!1RA CTot?f': T•• a Named••berota X 'CER?IRXED Undet rho pzc visione of. Che ter• 49 FS-. Ex .raUion date; AUG 33.., 2010 4`•. . COTE, MTCHA1§L• MORRIS • LANE CON$T$fICTION.CORPO_RATIQN;'J Hk', 9O--1ar"ELD TOtfy COURT.• CEEB Ks.CT.0.4 0 . • CHA1kI►T'S ,CRZ$T • ' CHARLESg W DRAGO GOVERNOR ' 99C.RB+ARY L.._ ........�. . .._ . ._.. PWLAY AS REQUIRED BY LAW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department U V Date Received G' Phone Contact for Permitting ( I I -- I Owner's Name CX Owner Phone Number ;t Owner's Address (t ' e-t I Owner Phone Number Fee Simple Titleholder Name J Owner Phone Number I- Fee Simple Titleholder Address JOB ADDRESS to S L1_CE C LOT# SUBDIVISION I I PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ® ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL OTHER DESCRIPTION OF WORK Ii ' 29" BUILDING SIZE I I SQ FOOTAGE I HEIGHT (II LJlIIIlIIIlIIlUIIIuIlIIlIIIIIllIIIIIIIIIIIIIIIIIIIIIhII!IIIIIIuhhIIIIIIIIIIIlIII!IIIIuuhIhI.11IlIfIIflIIfllIflflhIl BUILDING $ VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C = PLUMBING $ = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION LIII GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO 1111111111111111111 BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N Address I License# I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# OTH R COMPANY e_ SIGN A/6 \R�E REGISTERED I Y/ N I FEE CURRENT I Y/N Address J .&33'L ,') License# 11111111111 III I 11111111111 III 1111111111111111111111 I I I 1(11(I 1111111111111111111111 11111111111 111111111111111111111111111111111 lIlIlIllIllIllIll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of commencement is required. (A/C upgrades over$5000) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR 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 work, 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of 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 fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall 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 work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time 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 PAYINGYO TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING ER OR CONSULT AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' WITH FLORIDA JURAT(F. 117.03) .�+ OWNER OR AGENT CONTRACTOR t, �''►L TQ c'C'ia..� Cb`CL�O{t.ATts. Subscribed and swo (or affirme efore me this Subscribed and sw o(or affirmed)before me this Su2aO9 by by `►�Y$A �. Cam'-�''� Who is/ace personally known to me or s/have produced Who is/are personally knowa.i6 me or has/have produced ,., (;¢,nom as identification. s identification. i'?"..R._c:& ≥:_ _4�7�otary Public Notary Public JACQUELINE Commission No. NOTARY I IP,I it ;TA ,OF 1�RJDA Comm ss' mmissron DD 621833 Lore A. Russell Expires Dec " Name of Notary typed,prin 1SS1Q1� Name of Notary`type a°ur's -3es7oia v F 7 �_.� Ronded Inc. Jacqueline Boges From: PAScala@laneconstruct.com Sent: Thursday, February 19, 2009 8:43 AM To: Jacqueline Boges Cc: CLAngel@laneconstruct.com Subject: FW: City of Zephyrhills, Pinecrest Mobil Home Park Attachments: Zephyrhills (2).pdf Hi Jackie Attached is a certificate of insurance that was requested per the e-mail below. Please advise if anything else is required. Thanks Patty, From: Cheryl L. Angel Sent: Wednesday, February 18, 2009 6:40 PM To: Patty A. Scala Cc: Lorie A. Russell Subject: City of Zephyrhills, Pinecrest Mobil Home Park RE: Pinecrest Mobil Home Park Road to new Trash Container Patty. We have been requested to supply a General Liability with the--* City of Zephyrhills as certificate Holder*** Workers Compensation Lorie told me you would request limits. I called the City and they said they had none. Please e-mail to: jboges ci.zephyrhills.fl.us Please mail to: Jackie Boges Code Support Specialist City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 TEL(813)780-0020 FAX(813)780-0021 Thank you, 1 C Cheryl Angel Senior Salesperson The Lane Construction Corporation (863)899-2643 Cell (863)665-0457 Lakeland Office (863)665-2624 Lakeland Fax (863)425-8000 Mulberry Office ,(863)425-3995 Mulberry Fax Note: This message is for the named person's use only. It may contain confidential,proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error,please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly,use, disclose, distribute,print, or copy any part of this message if you are not the intended recipient. LANE INDUSTRIES and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks. Any views expressed in this message are those of the individual sender, except where the message states otherwise and the sender is authorized to state them to be the views of any such entity. Thank You. 2 • +. IMPERIAL POLK COUNTY LOCAL BUSINESS TAX RECEIPT A ' iiJ a; g RECEIPT/ACCT u 3080000724 • 1 LOCATION: 3350 REYNOLDS RD EXPIRES. 9/30/2009 CLASS 44-LAKELAND-IN-IN CITY OWNER: ROBERT E ALGER-PRES 230000, LTD NON-LICENSED CONSTRUCTION 330005 MANUFACTURING THE LANE CONSTRUCTION CORP 90 FIELDSTONE CT CHESHIRE,CT 06410 BUS TAX TYPE: RENEWAL BASE TAX: 55.00 ADOL FEE: - TOTAL: 55.00 • •� • • • THIS POLK COUNTY LOCAL BUSINESS TAX RECEIPT MUST BE CONSPICUOUSLY DISPLAYED AT THE BUSINESS LOCATION PAID-1203015. 0001-0002 12 08/18/2008 85. 00 Certificate of Insurance THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO RIGHT UPON YOU THE CERTIFICATE HOLDER.THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND.EICTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This Is to Certify that THE LANE CONSTRUCTION CORPORATION T Liberty NAME AND I ••• ADDRESS 90 FIELDSTONE'COURT OFINSURED mutuge I CHESHIRE CT 06410 J Is,at the line date of deli eandEoate,Itnwad by the Company order the poBey(las)Sited bibw.The bvaatm aflbrded by the hated paHey(lce)is nibjeet te all their Lima human aM Conditions end it not shied by any require nqufrumcat,terra or eoedidoat of any contactor other doemteat with nepoct to which this amti8leaned.c maybe leaned. EX?DATE comw TYPE OF POLICY O D s POLICY NUMBER LIMrr OF LIABILITY ®POLICY TERM WA 7-61 D-004030-098 COVERAGE AFFORDED UNDER WC WORKERS 5/30/2009 LAW OF THE FOLLOWING ELATES: E11dPLOYERS UABII'1TY COMPENSATION ALL STATES Barry I� y�� Bodily Irjury By Dhaaa $500.000 Bodily Irdwy By Dhoue $500.000 GENERAL LIABnXrY 5/30/2009 T32-611-004030-108 liner Amato-Odwr Ona Pcedame/CorcPwed gasetiom $2.000.000 OCCURRENCE Pmdacta/Completed Operatieea AWcple S2.000.000 ❑CLAIMS MADE Bodily lglwy and Ptopaq Damp Liability Per Oa rwiwe REM DATE Paswul Itittry Pcr Pe Loa J Orpebition Outer Each AcIdas—Sleigmit AUTOMOBILE 5/30/2009 AS2-611-004030-118 $2,000,000 I And P.O.CCombiinea LIABILITY LLI Each Pence NON-OWNED Each Accident or omswtaae RI HIRED Each Accident orOccortencc OTHER COVERS ALL WORK PERFORMED BY THE NAMED INSURED IN THE CONTINENTAL UNITED STATES ADDITIONAL COMMENTS RE: Pinecrest Mobil Home Park Additional Insured: City of Zephyrhills •If the eenlfena exalgitloc date in atnalaeew an extended lain,you will be notllied If covenjo i,aamtouad orredoeed befre the ccrt Nate intiaa dale. dPECIAI.NOPIai1O0t ANY PBRaONW�p�WITH ItR&fT 7D o FRAw t1R KNOWING TIIATN!M FACILITATING A FRAUD AOAINBT AN ai3URP,EUAMTTS AN APPLICATION OR PILES ACI.AIM CflNTNNI1 A PALE!OR DICIP"srATBMENI is OWLTY OF MSURANCE PRAUD. - D1PORTARTNO'ITC=TOPICRIDAPOUCYROLIMSAl CIM-wn ATE1aOLC &INTIEEV!1TYOUHAVEANYQpUUETR@aORNLEDRROIWATIONABOUT THIS-CFRTIFICATE FORM Y REASON.PLEASE CONTACT YOUR LOCAL SALE!PROOUC6R WBOSENAUZAM TEIJQEoNE MaIlER APIELRS IN TER IOW= RIOST HM®COINER OP71IW C!ZTIPICATR THE APPIOPAJATB LOCAL SALES OFFICE MAJUNO ADDRESS MAY ALSO RE OBTAINED BY CALLING THIS NUMBES. Liberty Mutual NOTICED?CANCELLATION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS EWTWIED BELLOW.) I —m Group BEFORE THE STATED ®WEIATION DATE THE COMPANY WILL NOT C�10EL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTR.AT LEAST JU DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: • F City of Zephyrhills ��' "`� Denise Fenn Attn: Jackie Boges WaUngbrd 0183 Liberty Plaza,101 Samoa Rd. AUTHORIZED REPRESENTATIVE 5335 Eighth Street Wallingford CT 00492 203-21ta-1505 2/19/2009 LZephyrhills, FL 33542 J OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance ea is afforded by those Companies NM 772 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING AOARD (850) 487-1395 . 1y40 NORTH MONROE STREET TALLAMASSZE FL 3239.9-4783 COTE, MICHAEL MORRIS I',ANE CONSTRUCTION CORPORATION THE 90 FIELDSTONE COYfRT CHESF3IRE CT 06410 i •di 87AT6 oPgtOA AC Si Gar ,ratulatbnel With this Vicenee you become one of the nearly one n Rlon e .3 9 Ftoridtuns licensed by the DepsAment of euRnesa and Professional Re ulation. DETARTDt>i:NT a» EVSI'tTi'Ss 41R>3 . 8 PROIPESSIOVAL REGULATION Our prate:stvrmis and businesses renje from ocohttacts to yacht akors,trvrr, box®rstobabequere4auraote,anC2gykeepFlatda's weconomystrory QocY504639 09 22198 Every day we wortc to Improve the way we do buelnus in order to same yxt batter. For:nfor*mtion about our services.please log onto www,rnyftorldallcense.com. CERI•IFFIED QENERAL CONTRACTOR- 7I+are you Can find MM Wormatbn about out divisions and the regulations that COTS', NXCRAEL MORRIS Impact you,aubscnbe to department newele tera and learn mare about the LANE CONSTRULTION CORDORATI.OR5 TR . Oeportment's Initiatives. Our mtss:an at the Department Is;Lrcernse Efficteetty.Regulate leatrty.We constantly strive to serve y ouJtetter va that you Gen seem your customers,Th Is CBRTZIMED unt■a tU- • ank you for doing bust aess in Florida,amt CMctratulettons on your new fioettael r�Y:rian■oz et��sa9 :: "Tasroc A"qT AM -11r 2010 L0110a060LD20 DETACH HERE i DEk'A& bar �� P�SB;. g �r pT�E88 AL i (TLATWN t - NSTI�ti -: NDI7STRY' bICEIFr1G 90ARA r _ ;.,,4• $EQ#fYA806D501920 = �. s• L4CEN1Rc ,, :oe�C~k'. o ':vies isf3' cac ti tgag.." • - ► '1'230 GENEM f,�'C'Ow1}tACTOI�'•• ' - i Named beit7t�r 'CISRTIEE3 Unties visions' 4 . ChaEJter• � 9 T`$ Esc rak art daitEi': ova 31, COTE, NICHAgL• MORRIS LANE CO TRt CTION.CORP0_RATIQN;TIRE 9I . CIOT_I$ R 7Ot!IE COURT.. CT.0 4-,0.. . .. • r : _ , CHARLIE ,CR19T - , CHARLES W. DRACO ... :............GOVERNOR SECRETARY DPtYAAs i�=Qt31f2Ef}$Y L4W • ... I Jacqueline Boges From: CLAngel@laneconstruct.com Sent: Wednesday, February 18, 2009 6:17 PM To: Jacqueline Boges Subject: FW: Polk County Lakeland License Attachments: Polk County Lakeland License exp. 9-30-09.pdf Jackie Boges Code Support Specialist City of Zephyrhills 5335 Eighth Street Zephyrhills, Fl 33542 RE: Pinecrest Mobil Home Park Thank you Jackie See you Friday Cheryl Angel From: Anne M. Timko Sent: Wednesday, February 18, 2009 4:47 PM To: Cheryl L. Angel; Lorie A. Russell Subject: Polk County Lakeland License Ladies, As per your request, attached is the current Polk County Lakeland License. Please let me know if I can be of any further assistance. Anne Anne M. Timko Administrative Assistant--Finance The LANE Construction Corporation 90 Fieldstone Court Cheshire, CT 06410 203-235-3351, ext. 2868 Note: This message is for the named person's use only. It may contain confidential,proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error,please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute,print, or copy any part of this message if you are not the intended recipient. LANE INDUSTRIES and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks. 1 Any views expressed in this message are those of the individual sender, except where the message states otherwise and the sender is authorized to state them to be the views of any such entity. Thank You. 2 Jacqueline Boges From: CLAngel@laneconstruct.com Sent: Wednesday, February 18, 2009 6:15 PM To: Jacqueline Boges Subject: FW: Emailing: license_0001 Attachments: Iicense_0001.pdf <<license_0001.pdf>> Jackie Boges Code Support Specialist City of Zephyrhills 5335 Eighth Street Zephyrhills, Fl 33542 RE: Pinecrest Mobil Home Park Jackie, I am starting to collect the forms you request. I should be able to drop off the balance on Friday Morning, Anything I receive over e-mail I forward you directly Thank you for all your help Cheryl Angel Senior Salesperson The Lane Construction Corporation P.O. Box 2684 Eaton Park, Fl 33840 (863) 899-2642 Cell (863) 665-0457 Lakeland Office (863) 665-2624 Lakeland Fax (863) 425-8000 Mulberry Office (863) 425-3995 Mulberry Fax ##################### ######## 11111111 II 111111 II##JI##### ######### Note: This message is for the named person's use only. It may contain confidential, proprietary or legally privileged information. No confidentiality or privilege is waived or lost by any mistransmission. If you receive this message in error, please immediately delete it and all copies of it from your system, destroy any hard copies of it and notify the sender. You must not, directly or indirectly, use, disclose, distribute, print, or copy any part of this message if you are not the intended recipient. LANE INDUSTRIES and any of its subsidiaries each reserve the right to monitor all e-mail communications through its networks. Any views expressed in this message are those of the individual sender, except where the message states otherwise and the sender is authorized to state them to be the views of any such entity. Thank You. #####################################################################i liiili############ 1