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HomeMy WebLinkAbout09-8949 CITY OF ZEPHYRHILLS ' 5335 - 8TH STREET (813)780 -0020 8949 ' BUILDING PERMIT 2 r ? l a iT i ` i ) a It :,, ,-',: .; -i 1 .�. t b ;. a : 044 S E E, . Permit Number: 8949 Address: 5015 8TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 21000 -0010 Improv. Cost: 900.00,7E Ts° < .:: ,a .;1ffilLY % Date Issued: 3/20/2009 Name: ALPHA AND OMEGA ROPERTIES INC Total Fees: 52.50 Address: PO BOX 547 Amount Paid: 52.50 ZEPHYRHILLS, FL. 33539 Date Paid: 3/20/2009 Phone: (727)776 -6667 Work Desc: CONSTRUCT HANDICAP RAMP WOZNIA BUILDERS INC BUILDING FEE 52.50 ‘ 7- ; ;-:\ d/9 c� s '. FOOT G ER 2ND ROUGH PLUMB MISC INSULATION CEILING 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 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 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 recordin • yo ; notice of commencement." ip.-,. , or 4 4 / , iN +ACTOR SIGNATURE PERMIT OFFI irR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: POOZA Date Received: 3-/9 5615 6 S( Site: ,, M Permit Type: /ttAd 'CAP ra rP Approved w /no comments: ❑ Approved w /the below comments: ❑ Denied w /the below comments: ❑ 1 acAl Lam. C6itt l (.) r < -F`o/1 P Lj c � r , This c o nt sheet hall be kept with the permit and/or plans. 1 / / , 3 -010 -07 . Kal li — • - . Examiner Date Contractor and/or omeowner (Required when comments are present) Mar 20 2009 3:03PM HP LASERJET FAX p.1 Wozn Wozniak Builders, Inc. Business: 2 P.O. Box 326 C35 ) 5 - 3535 Fax: (35 5 LBu i(iers Dade City, F133526 www.wozniakbuilders.com "Building Better Lives" (X.e. 8// fia 4-1-19 6A0 5 1✓dzn� c 110%/r j /A C . toc_t / Pea)) ��c� 0 i,C ( ( d r, y c 7• /� / cOi-r>0 . t 42rf/ . 44dih 4P S, `^ tO L d r /4/6Y1 J ")(-% f(i G o/1 8,?C e ... State Certified General Contractor #CGC1505145 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER 4 t p h O m E & 0 i a F 4 JOB LOCATION s c v 5 - e77/ ST ZE , R 2 3 S - 3 9 PARCEL I.D.' # 1 / - Z( Z/ 00 /o 2/0150 oalo SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. PVC • • • • EYI UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE • (NOTE EXAMPLES 1 & 2) STREET 6-0 G r STa - 1. SETBACKS FOR R1, R2 ZONING 2. SETBACKS FOR R3 ZONING 60' 60' 10' 10' _P E R X O I 10' P S 10' 10' EXISTING 10' O. T, • 140' 140' S I E N D G PROPOSED • 2O' • 20'SGL PAM 30'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINE Building Schematic - Pasco Co. Property Appraiser Page 1 of 1 • Double -Click on the schematic first, then click on the action button below Original drawing Zoom In Zoom Out Pan W20 S10 N10 FOA =200 W32 • E20 W12 BAS =1276 UEA =16 N8 S8 N8 W20 W12 T =96• S28 N20 N20 7 E5 - E3 W5 f E24 W8 E20 • FGR= E 12 S OA =32 I S4; N4 L' —EB �.I y - ma E ADk . RPtaxp -� 1 oVc - c� iG6ttrr l 5 I5 5o t 8z 14 s` i R.ceT' 2 .e.pkt- -{ ∎ ■ I s L A(h. AIO� Ornec r erg -TIC — S ILr http: / /www. appraiser. pascogov. com / search / traverse /showtrav .asp ?traverse = BAS %3 dW32... 3/16/2009 ,, (4 : o w 4 ifi in 1 p II i l. I i i (( 1 z i'f t.- • v M Y , t n M £ , � 'b • 1 11 r !. mob:- a O 'I ' - ' [ , i, 1 .1 . -4 1, , t 1 ¢ 3 y q 7 5 ,•Z:. Q 0 • F� REVIEW DATE 3:20 -off u4 CITY O F ! Z E P H Y R H I L L S , V A ALLCOMPL W I T H PLANS EXAM INEl t� WAILING CODES, 'FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE AND CITY OF ZEPHYRHILLS ORDINANCES 813 - 780 -0020 City of Zephyrhills Permit Application . Fax- 813 - 780 -0021 Building Department V f6q Date Received , 3 - 1. ° ( -49 9 Phone Contact for Permitting L ( iu -- 7 c Owner's Name 191441t4 ! OxfL /6S //%/! Owner Phone Number —727 yZ 2 7800 50 /S .3`! ,f Owner's Address �T /� � / Z� /!�� /� /L�� 335 f-� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5.6 /5 87 - % Za= 'a/ Ai ;Li, 3 353 9 LOT # SUBDIVISION PARCEL ID# /( Z L L / 00 (O Z /000 CO /a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F5 ADD /ALT I I SIGN I I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I, j COMM I I OTHER I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I DESCRIPTION OF WORK /0i /L/d/ R/0 BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION X 90 0 • Da I 1 ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.C. I 1 PLUMBING $ , MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I 1 ROOFING I I SPECIALTY I I OTHER IkuP FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I�NO BUILDER 401— COMPANY tOOZttJ /.44- v3t /o/e S, //ye. 1/ G N FEE CURRENT Y / N SIGNATURE ` � � U REGISTERED I Y(J I I l 7 Address V . 0 . 61A 3 a(fl ,Dad.e,l , , 3 a5c941 r License # C I SD5I S ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N ( FEE CURRENT I Y/ N l Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N l Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N ] FEE CURRENT I Y/ N l Address License # 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 thev' bdtq tr 'NcxrLien 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 Tess 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 ob is considered abandoned. \ j justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the 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 F COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR t - Subscribed and sworn to (or affirmed) before me this Subscribed e1d sworn ,to rieks (or affirm t before e this by Who by known to me or has /have produced Who is/are personally known to me i has/ cats produced t CASE as identification. as identification. � '�` 1)1 Notary Public Notary Public , 1 , !,yt J QUtLINtld• 9 +• :.= Commission DD 621:': Commission No. Commissio - '•+o"_ xpires , ecem•er 1 0 Bonded Thu+ Trey Run Insurance 800386 -7019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 777.< STATE OF FLORIDA 6P DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD - v r - 1940 NORTH MONROE STREET (850) 487-1395 TALLAHASSEE , .....2,...,- FL 32399-0783 WOZNIAK, VICTOR PAUL WOZNIAK BUILDERS INC PO BOX 326 DADE CITY FL 33526 -,. ,,4 s TATE OF FLORIDA Congratulations! With th:s license you .!Je.:,()me ore of the nearly one 'r: DEPARTMENT isine i *-41 DEPARTMENT OF BUSINESS AND Floridians licensed cy the Deparment Es t of iss and P Regulation iiii& etior 2 PROFESSIONAL REGULATION Our professionals and busir:esses range from architects to yacht brokers, front boxers to barbeque restaurants. and they keep Florra's economy strong OGC1505145 08/30/08 088049950 Every day we work to improve the way WE: do business in order to serki :ipL )etter For information about our services, : please log onto www.myfloridalicense.com. i CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions i:mri the regulations that i WOZNIAK, VICTOR PAUL impact you, subscribe to department newsletters and learn more about the i WOZNIAK BUILDERS INC 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 o Ch.489 FR Thank you for doing business in Florida and congratulations on your new license! i AUG 31 , 2010 L08083001209 ,..* niFTACH HFRF STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,,• CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L08083001209 ! DATE BATCH NUMBER LICENSE NBR 08/30/2008 088049950 ICGC1505145 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2010 i WOZNIAK, VICTOR PAUL . WOZNIAK BUILDERS INC 14220 8TH STREET DADE CITY FL 33525 , , CHARLIE CRIST CHARLES W. DRAGQ GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW Mar 19 2009 1:27PM HP LASERJET FAX p.2 • 0 a ± n °ACC m m 11 O = D C w s m w s > n 1�1 7. N Z N z T x ^' "° • 5 10 m nn; Z p n co -I Z =' m a. S °e *P.,•_ M0 sN H M * x n s 3'!_ :t a •s m a co CI -I r P T w w 1,2 v w O C A > R 64 Z '', i rr, A� m m g "" p -. ;° Z ~ D O D $ �€ B UJ 2 E C 1 a El ,f 7 b o O 3 m w` o gg - m e A :L.: w M W D O N y w w s" p I0 N 10 . Z op s m , k P _,s9 1r3-. n y ° O O m I` 41`', z • . D a o 0 023 :` If . 0 7" . • - M =2 _ 33�� 1 a 51 r). M;" O o m 0 " T - ° N 2 f Z A m g n O a Qm - 4 " d = Zy Z n w ".�< C N.1 sw a_ 0 L"! n i 1. e m 1 O a N s m s' ^ w "O K gwa. n m O B r!: 3 Z r H i 'n.7.1 9 3o 0 a eo m :7,......a.- = f o . ° w O 2.G I i C f v ; c ., w=.tgr2 n w m s_ * O ..:=• ~ * a A W . Of O • • f`� ° CERTIFICATE OF LIABILITY INSURANCE DA (PANT o0 1 PRODUCER Bauer & Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 12210 US'Highway 301 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dade City, FL 33525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (352)567 -3702 Fax (352)523 -0434 INSURERS AFFORDING COVERAGE NAIC # INSURED WOZNIAK BUILDERS INC. INSURER A: SOUTHERN OWNERS INSURANCE PO BOX 326 INSURER s: DADE CITY, FL 33526 INSURER C: INSURER D: 1 INSURER E: COVERAGES INSURER F; THE POLICIES OF INSURANCE LISTED 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 ISSUEO OR ' MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TY O F INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMIT9 I TR INSRD DATE (MM/DD/YY1 DATE IMMIODIYYI GENERAL LIABILITY EACH OCCURRENCE 1 MIL *DAMAGE TO D COMMERCIAL GENERAL LIABILITY 20715654 01/19/09 01/19/10 PREMISES (EaEoccurence) 50,000 LJ ❑ CLAIMS MADE Q OCCUR MED EXP (Any one person) 5,000 A ❑ ❑ PERSONAL & ADV INJURY 1 MI L ❑ GENERAL AGGREGATE 2MIL GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 2MIL _ 2 POUCY ❑ PROJECT ❑ LOC AUTOMOBILE UASIUTY COMBINED SINGLE LIMIT ❑ ANY AUTO 4672735000 03/19/08 03/19/10 _(Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY 100,000 A ❑ © SCHEDULED AUTOS (Per person) _ ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODILY INJURY 300,000 (Per accident) ❑ PROPERTY DAMAGE I 100,000 ❑ (Pov accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY AGG , EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ 10 OCCUR fl CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RrrENTION $ WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS' LIABILITY TORY LIMITS FR ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER / MEMBER EXCLUDED? E.L. DISEASE EA EMPLOYEE If yes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY UMT • OTHER A LICENSE & PERMIT BOND 66022954 1 09/14/08 _ 09/14/09 5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS PLUMBING CONTRACTOR • CERTIFICATE HOLDER CANCELLATION SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF ZEPHYRHILLS SO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO BUILDING DEPT. THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 5335 8TH STREET a MIMED REPRESENTATIVE ZEPHYRHILLS , FL 33542 3/ 1 FAX @813 -780 -0021 1 / '7 /0 91 ACORD 25 (2001/08) OF ® RD CORPORATION 1888 Woznzak, Wozniak Builders, Inc. Business: (352) 5 Dade CtyF133526 tBui&fers www.wozniakbuilders.com F "Building Better Lives" 3/17/2009 City of Zephyrhills- Building Dept 5335 8 Street Zephyrhills, FL 33542 To Whom It May Concern: Please except this letter as my authorization for Ann Wozniak or Randy Lawrence to sign and pick up permits on my behalf. Sincerely, Victor Wozniak • Nota ty An j,f A., if .......„„„../. ?. ' OOmnM� 0000_ 4 '' E kes 3/10/2011 ' Flood. No4rrArn.. Inc ,.nn...nn. un...nnn.n.n...n. n ..: State Certified General Contractor #CGC15o5145 awN $$$$$ t.:._ venzaaa04;„7,03 ACCOUNT NO 054278 SIC CODE: 1541 TYPE OF BUSINESS: BUILDING CONTRACTOR LOCATION ADDRESS: 14220 8TH ST WOZNIAK BUILDERS INC ,x, DADE CITY PO BOX 326 DADE CITY FL 33526 -0326 DATE RECEIPT AMOUNT 08/29/08 553687 31.25 Mar 19 2009 1:27PM HP LRSERJET FAX p 1 Wozniak Builders, inc. WozC LS Buirs Fax Cover Page No, of Pages 2 Date 2009/03/19 To City of Zephyrhills -Building Dept. From Ann Fax Number 813- 780 -0021 Fax Number (352) 521 -3535 Phone Number Phone Number (352) 521 -3535 Urgent For Your Review D Reply ASAP D Please Comment Attached please find our Exemption; Certificate from the Division of Workers' Compensation. Our General Liability Insurance Certificate should be forthcoming from our insurance agent. Thank you! Ann If you have problems receiving this message, please call Wozniak Builders Wozniak Buikkrs, Inc • PO Box 326 • Dade City • 33526• Phone: (352) 521 -3535 Fax: (352) 521 -0635 - www.wozniakbuiidersaom