HomeMy WebLinkAbout08-8477 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8477
PLUMBING PERMIT
Permit Number: 8477 Address: 5624 MUSE CT
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0310-00000-0870
Improv. Cost: 5,495.00 €,r
Date Issued: Name: HIGSON, MARGARET & LALONDE, LEO
Total Fees: 90.00 Address: 5929 13TH ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/21/2008 Phone: (813)782-8707
Work Desc: INSTALL SOLAR HOT WATER HEATER
FAFCO SOLAR PLUMBING FEE 90.00
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1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
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 f) plans not a 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
CONTRACT PER OF
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8477
PLUMBING PERMIT
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Permit Number: 8477 Address: 5624 MUSE CT
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0310-00000-0870
Improv. Cost: 5,495.00 ...
Date Issued:
Fees: 90.00 Address:Name: HIGSON, MARGARET & LALONDE, LEO
5929 13TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782-8707
Work Desc: INSTALL SOLAR HOT WATER HEATER
FAFCO SOLAR PLUMBING FEE 90.00
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1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
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 f) plans not a 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
CONTRACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received /0 Phone Contact for Permlttin _ '2.(P
1
Owners Name m 1 Owner Phone Number M3 1$Z•8 1C
Owners Address I Fjt.p'l.'ir ( f G(i I Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
1
JOB ADDRESS L tThic Lt. iihr3hiQs FL LOT# J
SUBDIVISION PARCEL ID# IL- - 2.1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED [Ti NEW CONSTR ADD/ALT SIGN O MOVE O DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR O COMM O OTHER
TYPE OF CONSTRUCTION O BLOCK O FRAME O STEEL O OTHER
DESCRIPTION OF WORK 5q s-
BUILDING SIZE C SQ FOOTAGE HEIGHT
BUILDING $ 5 S VALUATION OF TOTAL CONSTRUCTION
O ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY O W.R.E.C.
PLUMBING $ I
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
O GAS O ROOFING O SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA OYES ONO
BUILDER COMPANY
SIGNATURE REGISTERED J Y/ N I FEE CURRENT I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License# I I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address AA License#
OTHER 0` COMPANY K
SIGNATURE REGISTERED Y ISbRENTI Y1 N
Address License# I b I(Agg I
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/Sift 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&I dumpster.Site Work Permit for all new projects.AU 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 COONI I A iNG (Front of Application Only)
Reroofs Service Upgrades A/C Fences(Plot/Survey/Footage)
DrIv.ways-No4 or if on public roadways..needs ROW
,fix
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'S/OWNER'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
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.
FLORIDA JURAT(F.S.117.03)
OWNS OR AGENT CONTRACTOR
a o(or m me this
b
o are nal known to me or has/have produced "is/a rsonally known t me or has/have produced
as identification. as identification.
Notary Public , 99 Notary Public
Commission No. Commission No.
C-STATE OF FLORIDA NOTARY PUBLC.STATF na
Name of Notary 011 Name of Notary ri or FLORIDA
mission#DD81SI62 iiiamiltan
Com
irCS: AUG.27,2012 = Expires:mission#DD818162
s.•
uealMr1CBONDINGco.,etc ' AUG.27,2012
SONDE r MRU ATLVMC BONDLYG Co.,WC.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � /c
Date Received: /() Z ?- U 8
Site: Th 24 /'1l%'S (J
Permit Type: c /u✓ ��/ �Ct4�
YP
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be ept with the permit and/or plans.
Kalvin Switzer—P1 s niner Date Contractor and/or Homeowner
(Required when comments are present)
Pasco County Parcel: 12-26-21-0310-00000-0870 001 Page 1 of 2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, October 25, 2008
Parcel ID 12-26-21-0310-00000-0870 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
HIGSON MARGARET& Ag Land $0
LALONDE LEO L Land $21,487
C/O M HIGSON
5929 13TH ST Building $103,599
ZEPHYRHILLS, FL 335423666 Extra Features $23,689
Physical Address Market Value $148,775
5624 MUSE CT ZEPHYRHILLS Assessed (Save Our Homes) $148,775
, FL 33542-6856 Homestead 196.031 - $25,000
Non-School Additional Homestead Exemption - $25,000
Legal Description (First 4 Lines)
SUNSET ESTATES #2 Non-School Taxable Value $98,775
PB 16 PGS 3 &4 School District Taxable Value $123,775
LOT 87 Warning: A significant taxable value increase
OR 3152 PG 1966 may occur when sold. Click here for details
and info, regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price IlConditionil Value*
11 0100 SFR 00R2 6,800.00 SF $2.85 1.00 $19,380
�2 0100 SFR 00R2 4,299.00 SF $0.49 1.00 $2,107
Additional Land Information
Acres 0.25 Tax Area 30ZH FEMA Code X liResidential Codejj ZHLGLP4
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1980 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.5
Line Description Sq. Feet Repl. Cost New
1 BAS 1,408 $110,106
2 FOA 312 $6,100
3 UOA 27 $313
4 UOP 92 �-$1,095
5 FOR 364 $11,417
6 FSP 156 $4,301
Extra Features (Card: 00.1 of 001)
Line Description Year Units Value
1 DWSWC 1980480 $576
2 POOL-6 2007 336 $12,835
3 COOL DK 2007 417 $1,561
4 SCRN-AF 2007 � 1,545 $4,403
5 � UDU-M 2007 1 $2,364
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0310&... 10/27/2008
i 111111 IIIII IIIII IIIII IIIII IIIII iiiii iiiii IIIII iii
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008152499
Rcpt:1209205 Rec: 10.00
DS: 0.00
10/20/08 IT: 0.00
��DPty Clerk
NOTICE OF COMMENCEMENT
JED PITTMAN. PASC0 COUNTY CLERK
10087950 1 �
0R BK PG 585
Permit No.
Property Identification No.I2'Zlo•ii— 031a-00000-01b
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(leegal desc 'do ) 2 P ') $1 0*'5152.
a)Street Address: �..
2.General description of�rovemen :
3.Owner Information
a)Name and address: ar 1�H Mu*. Ct. t qh ril(S. FL 33T42
-
b Name and address o fee S 1e titlehol if other than owner
c)Interest in property
4.Contractor Information /—
a)Name and address: 17D'1 ( k.s r /3 t U rh o4 P'L 3 G(0
b)Telephone No.: f l3— 35= Fax No.(Opt.)
S.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO ØIr/L - '
ignalu of or or Owner's uthonzed Officer orTartnevNfanager
Print Name
The fbregoing instrument was acknowledged before me this day of 2t by
f/N as (type of authority,e.g.officer,lruee,attorney
(name of party on behalf of whom instrument was executed).
rf MY tla�j� OR Produced Identification Notary Signature tl i L
MXPIR 28
SW40 hrrNOWy rs 1L'
oduced Name(print) je ca 1
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
S' of N Person Signing Above
FORMSMOC,-d2007
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF"HE DOCUMENT ON FILE
OR OF PUBLIC RECOF jN THiS OFFICE. WITNESS MY
HAND AN -FILIAL SEAL THIS
-.G2- DAY OF
eI EIJ PITTA ()t(',IR"UiT VR
.MSep 06 08 1917a Dancjn
tt ■ 6137882396 p. 1
■
$ PPa t .
4709 Oak Fair Blvd.
Tampa, FL 33610
Phone (B 13)635-08-6
Fax(813)635-0925
hip !w w.fafcotamna.com 1 •
Factory Direct Solar Domestic Hot Water Systems
JOB LOCATION INVOICE ADDRESS �y ^�
ADDRESS �
C �,r ATE CITY STATE ZIP JOB NO.
LEGAL P.O.NO.
- LEAD? 8O
COMPANY
NUMBER OF PANELS - PANEL SIZE. fi ❑PROMO Dsic ❑
OPTIONS J SASE mar a
Hurricane Package C3elf-draining System ®Signature Plumbing SYSTEM
OPTIONS
ADDITIONAL COMMENTS /t't dPfAi1- TOTAL
INVESTMENT
EXTRA ---r
SUBTOTAL
DEPOSIT _.
BALANCE DUE ≤ 5-WQN COMPLETION t
MONTHLY
The buyer bee tha right to cancel the transaction at anytime prior to midnight of the third INVESTMENT
burin sy after the data of this transaction. UPON APPROVAL
Date
1/44j 4—�S,aer`'�o3F'
ayya /47) I" paw
1
PAFCO Tampa Representative �+v
IridrDMians ws ba pwbnnsd by FAFCO Sehr eewcaml9
This contract represents the entire agreement between buyer and seller and Is binding when reviewed and accepted by the General Manager of FAFCO Tampa.
G 'd 8IN 'ON OW6 soot '6 ,daS
Gevity 10/21/2008 3 : 13 PM PAGE 2/002 Fax Server
Cortifiosto of Insumnoe
Thla cwtlflcata Ia Iaaued as a matter of Information only and confrra no ri"hte upon the Cartlflcaia Heider other than those provided by this pollcj.
This certificate does not emend,aodand,or alter the coverage afforded by the poldes described herein.
Named Insured(s);
;
Cevity HR, Ina Cavity HR,LP;Cavity HR II, LP;CavIty HR III,LP;
oevlty HR IV,LP; t3eVny HR V,LP;t3evlty HR Vi,LP;t3evlty HR VII,LP;
Gevity HR VIII. LP: Cavity HR IX.LP:Cavity HR X. LP:Cavity HR XI.LLC: MARS H
Govity MR X11 Corp;Cavity XIV,LLC.
0000 Town Center Porkwy Insurer Affording Coverage
Bradenton, FL 34202
ArneCNI Home Assurance Co.,
Covemgesr Member of American International Oroup,lnc.(AIO)
Thla la to certify that the pollcy(lea)of insurance described herein have been Issued to the Insured named herein for the policy period Indicated.
Notwithalanding any requlrernanl,term or condlllun of any oontred or other document with
the Insurance a r rasa by ins polcy(Ies)described herein Is*ibjad t0 all the terms,conditions andlelcluslona sua< c ppoelloy(la).laLed may partetn,
(Aygepale)Limits shown may have been reduced by paid Balms.
Type of Insurance Certificate Exp. Policy Number Limits
Date
Empl
RMWC4402574 l or Liability s
ent
Compensation 1-1-2000 RMWC4275887 $2.000000 EachAcddent
eoaly injury ay Disease
U2,000.000 Pdlgr Limit
Bodily Injury By Discuss
$2,000,000 Eadi Parson
Other;
Employees Leased TO; Effective Date; 01-JAN-2000
13721.Fafco solar
Time above rareranaea Wokws-mmpaisation polgl(Ies)prcwide(s)statutory canals only to employees or ins Named Insured(s)an such pol (les),not to
the employees of any other employer.
Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof.the Insurer
affording oovorogo will ondoavorto mall 30 days written ndloo to the oortlfloato hoidor nomad horoln,but folluro to mall such ndloo
shall Impose no obtlgatlon or liability or any Kind upon me insurer affording coverage,is agents or represoriatives.
CeRificate Holder v.ti
City of Zephyrhllls Building Depe,trnent Mloheol C.Worse
Authortaed Representative or Maroin USA Inc.
53358th St (O66)443.845A 21-0CT-2006
Zephyrhilis, FL 33542 Phone Date Issued
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90/Z0 39Vd elvlOs OOJVd 86Z9tL56EZ 09:60 8002/LZ/0i
$o+ YEARS
rJ Lee 239.574.1500
tme Business Collier 239.282.1540
true Family 0: Charlotte 941.829.1500
9 SW FL Et' !ulJI. fl Fax 239.514.6196
nce 1974 E N E RØ Y l alooSoler.com
10/21/08
City of Zephyrhilis Building Department
To Whom It May Concern.
I authorize the following individuals to submit and pick up permits from the City of
Clermont.
Phillip Reyes
Kira Halmiton
Tha V61
Daniel
CWC02 -r�4r pc Fz-OALOA
x-41 tln�7 1 F Lr
Signature MUM
,p lyalulilMrl►l4sIlI�OII�
IDN -II"0001I
wMi�li7lrli�l IMIurNulel►Mi�
Printed Name of Notary Public
My Commission expires 0 if
A Florida State Certified Solar Contractor pool heaters- pool controls natural chlorine
CVWCO22619 generators
A Division of Solar Pool Heaters,Inc. 901 SE 13th PI Cope Coral, FL 33990 tubular skylights-solar attic fans
90/90 39Cd zlV1DS OOJVd 86I9tL96£Z b9:60 8002/LZ/0I
LEE COUNTY LOCAL BUSINESS TAX RECEIPT
• 202- .
'YI Mr,1��Y�I� �11i11GInt•TI Efil'f'9I .. -
ACCOUNT NUMBER! 8k1066 ACCOUR'r EXPW18 SEPTEMBER 30.2009
. . .
�.lJQS11bf1
101 SE 13TH PL.
CAPE CORAL FL* O
TH9 LOCAL ii0S1WE$ TAX HW9P#is mm It"-UUYomy
FAFOA 80LAR OL R POOL HE Tt1 "
SOY _ V 3 IS NIlllLL•DO N OT PAff
901 SE 1I 3TH PL
CAPEC AI.PLSao PAW O16fi 91.t 02OG&b1t4 Pt
DP500 - . S�C?Dti
. .
90!£0 3JVd elV1OS OOJVd 86Z9tL96£Z t' 60 8002/LZ/0t
Mw
Lee 239.574,1500
Same Famiily M — Collier 239.262.1500
iervingSam8BYV FL �-�. Chariotte 941.629.1500
Since 1974
.:. Fax 239.574.6198
•R•, '-wns�+mantnTiaiwau FafcoSolar.com
Fax Date: 10/27/08 Pages:
To: From Marca Brown
Company: Company Fafco Solar
Phone# Phone# 239-574-1500
Fax# 813-876-4327 Fax# 239-574-6198
E-mail E-mail marca@fafcosolar.com
Special Instructions
For your information.
Please review and call to discuss.
Please call if not received correctly.
Phil,
These does are on their way to your office. I didn't know if you could use faxed
copies.
Enjoy the weather!
Thanks
Marca
A Florida Star certitird Solar Contractor CWC022614 pool beaters pool controls-natural chlorine 9eneratnrs
A Olvlalon To Solar Pool Heaters,Inc. tuwiar dkognas-sour attic Edna
90/t0 3E d da-10S OOdvd 86T9t'L96£Z b5:60 8002/LZ/0T
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MM/DD/YYYY)
SOLAR-1 10 22 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Olin Hill & Associates Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2804 Del Prado Blvd. #107 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cape Coral FL 33904
Phone: 239-945-1900 Fax:239-945-3163 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: FCCI Insurance Company 10178
INSURER B
Solar Pool Heater Inc Dba Fafco Solar INSURER C.
901 Se 13th Pl Suite B INSURER D:
Cape Coral FL 33990
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.
•NSR WD POLICY EFFECTIVE POLICY EXPIRATION
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE MM/DD/YY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY GL0004648 08/29/08 08/29/09 PREMISES(Eaoccurence) $ 100,000
CLAIMS MADE OCCUR MEN D EXP(Any one person) $5,000
PERSONAL&ADVINJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
POLICY PRO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1 000
0
A ANY AUTO CA0007887 08/29/08 08/29/09 0
(Ea accident) r 0
ALL OWNED AUTOS
BODILY INJURY $
X 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 $ 1,000,000
A X OCCUR LIICLAIMSMADE UMB0004575 08/29/08 08/29/09 AGGREGATE $ 1,000,000
$
DEDUCTIBLE
X RETENTION $10,000 $
WORKERS COMPENSATION AND I TORY LIMITS ER
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $
OTHER
I I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Fax: 813-780-0005
CERTIFICATE HOLDER CANCELLATION
ZEPHY00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
City of Zephyrhills Building
Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
5335 8th Street REPRESENTATIVES.
Zephyrhills FL 33542 AUT R¢ED RE RE NTATI
ACORD 25(2001/08) ` ACORD CORPORATION 1988