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HomeMy WebLinkAbout09-9132 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • (813)780 -0020 9132 BUILDING PERMIT Permit Number: 9132 Address: 37649 GILL AVE LOT 292 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34- 25 -21- 0170 - 00000 -2920 Improv. Cost: 5,194.00 Date Issued: 5/21/2009 Name: GROOT, ADRIAN & CERRINA Total Fees: 117.50 Address: 37649 GILL AVE LOT 292 Amount Paid: 117.50 ZEPHYRHILLS, FL. 33542 Date Paid: 5/21/2009 Phone: (813)779 -1518 Work Desc: INSTALL 7 WINDOWS TO EXISTING SCREEN RM 12 X 18 SECURITY ALUMINUM & SCREENING BUILDING FEE 82.50 ELECTRICAL FEE 35.00 G„,n,: Rte. lt►e -+ri c-‘ lie• p it `s 9 FOOTER 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 recording your notice of commencement." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9132 BUILDING PERMIT Permit Number: 9132 Address: 37649 GILL AVE LOT 292 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34- 25 -21- 0170 - 00000 -2920 Improv. Cost: 5,194.00 < < a Date Issued: Name: GROOT, ADRIAN & CERRINA Total Fees: 117.50 Address: 37649 GILL AVE LOT 292 Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: INSTALL 7 WINDOWS TO EXISTING SCREEN RM 12 X 18 SECURITY ALUMINUM & SCREENING BUILDING FEE 82.50 ELECTRICAL FEE 35.00 II t /0 /0 0 t i() 1L1. 5_ l5-u • z 2 1 a... FOOTER 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 recording your notice of commencement." 1 - CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 111111111111111111111111111111111111111111111111111111111111 2009067099 Rept Rec: 10.00 DS: 0.00 IT:0.00 05/14/09 Dpty Clerk PRULR S. O'NEIL, PASCO CLERK & COMPTROLLER NOTICE OF COMMENCEMENT 05/14/09 16 7 1 OR BK PG 39 Permit No. Q Property Identification No. 3L/-4 (J 'd 170 - OO C0 - / -o 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 ( a & P DC Li41 ' f , p 'S2 PG" / -(j to 'IS / -1S a) Street Address: Y chi / ,'V¢, 2Q j1✓ / , 3 r f - D L` ✓rCf^tS I Y t 2.General description of improvements: r b f3 �o / t/ 3 .Owner Information /� / �t / a) Name and address: 9_6,V ink_ (4 G r n r 1 l it ` 3 (at 4' 9 C Ave, . , T e h. /ib r �^ l d J r7 / b) Name and address o ink_ ee simple titleholder (if other than owner) c) Interest in property – _ 4.Contractor Information a) Name and address: c r Ali...:., ,, t{ 34 1 Oz rl ltsn Prvt 13-1 . el ic:n. FLL b) Telephone No.: 1 1.') 'ILA,- 4-,1f A Fax No. (Opt) 5.Surety Information a) Name and address: ',t — —_ 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 saved: 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: 5) 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 COMMENCEMENT. T�� �� STATE OF FLORIDA ✓ `' COUNTY OF PASCO Si atrae of Owner or Owner's f gto i1ed Officer/Director /Partner /Manager . 1 n c L.1-root \ \ \ sine / The foregoing instrument was acknowledged before me this a hl day of , / r l 20 1) 9 , by c r r to rp G r Oa f ' 1 1, as 0 W ^ Q, v - (type of authority, e.g. officer, trustee, attorney in fact) for – (name of party on behalf m instrument was execu ). �) Personally Known OR Produced Identification ../. Notary Signature Type of Identification Produced 1) ( . A. C. - Name (print) 13 (O A::::ka_kNnv:(:) h a 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. �j Signature of Natural Person Signing Above FORMSNOC,rvsd2OO7 p p 4 Notary Public State of Florida . Debra Hammond j My Commission DD828063 or n. Expires 12/07/2012 STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AND OFFICIAL SEAL THIS f i DAY OF Ae,/,, 2 /J AULA S. O' IL, L ' OMPTRO ER BY �L /i EPUTY CLERK :si . --z f'1 :1c 1 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor /Homeowner: &e_iir, - 47' //a. /11 �S�e Date Received: /_3- d ' Site: 376519 6:1/ 1/ j Permit Type: i AArk CL 7akielouLs � Approved wino comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin Switzer Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) I {,'i/ I /2OCE7STN1 ;13:42 :!il ZEPHYRHILLS BUILDING Fr„ N'. 81'3-78j-1_021 ?. OC_ /C22 B13- 781.0020 City of Zephyrhills Permit Application Fax -913- 78o -OO21 Budding Department �j . • Date Received I � Y Phone Contact for Permittin GS ' e -- Owner's Name • • • a Owner Phone Number : - • t Owner's Address 1 7 L y l 9 • - T � t• (1 ; Ave.. Owner Phone Number Fee Simple Titleholder Noma( Owner Phone Number Fee Simple Titlkholder Address JOB ADDRESS (? 7 ( y 9 C. -i 1•/ ri YQ . LOT# • • I (91(4 Yuri' 20.E 1 3 . A, SSUBDIVISION N PARCELIDN 5'- a).- o f ?a - 00•0 00 - P1d° (OBTAINED FROM PROPERTY TAX NOTICE) • WORK PROPOSED NEW CONSTR MI ADD/ALT n SIGN n . MOVE n DEMOUSH , INSTALL Y REPAIR PROPOSED 119E , SFR • • n] • COMM I • TYPE OF CONSTRUCTION n • BLOCK n , FRAME 0 STEEL Q OTHER I DESCRIPTION OF WORK • i1)S ! 1 / j • 3/aS.0 -/,,,i.A4v6,ds / n p . >c,•.1 / / ru v .. C . g 4 BUILDING. SIZE I la i X/ r r c/a 1 SQ FOOTAGE [ . 8 / i 1 tiFJGHT / '-io io r WI BUILDING $� . ' Y • o o I VALUATION OF TOTAL CONSTRUCTION ELECTRI 1$ I AMP SERVICE 1 I • PROGRESS ENERGY 1 J W.RE,C. 0- d r O Q PLUMBING I 1 ` 1-. • FT MECHANICAL I$ 1 VALUATION OF MECHANICAL INSTALfATION t' 7' 0 Li GAS rl ROOFING . 1 SPEC (l OTHER 1 1 9 ,,,..10-• DONE AR FINISHED FLOOR ELEVATIONS ` re AYES n e • Ilb I _ V . aa� Arc . B 1 UILDER , / / COMPANY ' C&s • 7 SC/Q ' v SIGNATURE 7�ty. /! -.c; REGISTERED ® E URREN J Address � t /" 5Tr i 3i-1r / e I r C i, ' . l ice # I 0 5 b y 9 ` ELECTRICIAN �j„ _�� [� f t r I p--_ Y f N Y � FEEkuRrs�NT n Y J SIGNATURE , Address l © — j u . _ . ISIMIEffiltl 'Pr-smelt ' 1E R.c) (1 `Q e i? • PLUMBER COMPANY SIGNATURE REGSTERED 1 Y 1 N J. FEE CURRE=NT . 1 Y/ N I • • Address License* MECHANICAL COMPANY SIGNATURE Rees -mien 1 Y I N 1 FEE CURRENT ] Y !IV I Address License # • OTHER • • , COMPANY I I SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT ] Y / N I Address 1 _ _ I. . License# 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -•w Permit for near corwtn,cuon, Minimum ten (10) Working days alter submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpater; SlIe Work Permit for subdivisionsdarge projects COMMERCIAL • Attach (3) complete sets of Building Flares plus a Life Safely Page; (1) set of Energy Forms. R -O•W Permit for new construction. Muwntlm ten (10) waking days after submittal date. Requted onslte, Construction Plane; Stotmwater Plans w/ Silt Fence Installed, Smithey Fadltlee & 1 dumpster. SIfe Work Permit for all new projects. M commercial requirements must meet compliance • SIGN PERMIT Attach (2) sets of Engineered Plane. "'*PROPERTY SURVEY required for al NEW donstruclion.• Directions: ' • Fll out application completely. , Owner& Contractor sign bads of application, notarized • • • If over $2500, a Notice of Commencement le required. (A/C upgrades over $5000) Agent (for the ogntractor) or Power of Attorney (for the owner) would be someone with notarized letter Fran owner authorizing same OVER THE COUNTER PERMITTING (Front of Applcaticn Only) Reroofs Sewers Service Upgrades A/G Fences (rloraurvey /Fo0lage) • Driveways -Not over Counter if on puba° roadweya.neede ROW HAY/ 1 /20[3 /S II 13 :42 ZEPHYBHILLS BUILDING FA'f, No. 813- 78D-0J21 3. OC2/232 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 =intact 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 Biock" 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 IMPACTIUTILI11ES 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, is 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. h Is further understood that Transportation Impact Fees and Resource Recovery Fees must be pald prior to receiving a "certificate of occupancy" or final power release. if the protect 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 eomeone 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 es 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 agendas may apply to the intended work, and that it is my responsibility to identify whet aotions.1 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, Welland 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 1111 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 budding using stem wall construction, 1 certify that fill wit 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 1111 wifl not adversely affect adjacent properties. • If. use of fil 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, 1 promise in good faith to Inform the owner of the permitting conditions set forth In this affidavit prior to commenting 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 Budding 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 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 WI YO __ t, : ' : ATTO , = - ORER r :'i. YOU:' • OF CO sC _MENT. FLORIDA JURAT (F S.1I7. OWNER OR AGENT • • t CONTRACTOR +- �_ ' �• Subscribed and sworn to (or stfarned) me Subscribed and sworn 1p (or afQrme e. me ,�, 4/_by 4. / ` C Q ! t e P i i /.2 by Who 1155/ore personally imnwn to me or hosfhave produced MO Ochre • -• . known L. me or haaRxwe produced p zi - _S n / / as Mortification. . �1 •Gs klentlecallon_ v .v � Notary Public oict Notary Public State of Florida r : 4.. e � t ` , j`.��' atom : " 4'r: y ' .1.71. ,_ • Tut ',,. • • •• . ap odr Expires 12/07/2012 1 My Commission DD828063 • j „ ..._ 1 i - ".. --•,. ,• - — ......._ .,, 1 : -2)------ 1 i y ---- : --.., 4, ' ? ..... 4 ... : i --;. ----:- - ,, , , 1 , ......, ,e--- - - ... ....,_. ,...- .,...... ,-- 1 '--• ,, -, - x. , 1 ...„... - ..: r, r --:',:-.. --__..?.• •;_,..L4L—_—_. ” ' • ...,_ i . •••-_,_, ' d C• ../ ig' , ••„,, __I I , c• 1.•;) , :,,--- t 4 4 ,-rr=, "•," r • •••••-,----- '.‘, d ------ i • , -I- '''', ; i • .-z_ -- k ' . • ,,.• r' i• tc ! - X .1.- 1 4 j-_ = r -' LI _...,: 1 , • 1 •• K ..„-,-; ,_ . - i • i _, • . 1 •----- CK. 9 i , •••- ' (...;._, ; 1 i' - --- ••••4 J ' q..., _ . 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' " 7 - 7. `" CD Z CO •,,, --1.-- 4. •-' 0 , - , giallo sTlim ‘,..- co I to Z. . a(100 „...., = a s' glop DRIllvsala .- --. 5 ! - $ •,:t ...„. ........., 0 Oilerlifig V C1111° , 0 1 ti i 011112'3'1'a TiliOlIVNI i NOD ....‘ irpf 11 Al trt oo Vs/11S - )1110111: 11 V _f:-: --- r.; % 4 ("‘ . ) C■ V ,, Security Aluminum & Screening 9347 Denton Ave. Unit B12 9P 7 , ( \_.. 7 ' ,..„/ C. t ,,__. i 'I A , - , .-4%. ,.- t ! ii / Hudson, FL 34667 ------, ,-.' r (------"----------- -----„ /03 / 1'4 . 1 t i A _------------7.-------7/ 31 >l< If 11 Lit 7 ------*-- 173 ,25- • a' 'A , ' al t ---- 3! 1 _I I -t- 1 - 1 --- , ,41111111111.- a ow != Talq i ( c*A 4 * 4 a / I Jil , if 3) o 6/10 1 o ' 1 4' /0 vit 1 \ 5.2_ / i i . oe r riEry /7 , r 7 3 , 60 ,4 l /90- C At • Am a r, A + m--a b f 2 a ✓ -` G „n 1 Jam/ o na ` a yr O `� / i j I . IL % a o n c 1 ,"4 1 1 O N QA I i ;1 6 - _.. j i .�i nLI F m #� _ 1111 A on D L1 ,--, I f�l m � I 173> ► ,'" f 1 ii 11 Fl 0 F E (4 I 3 -I o 1+ to Io .,b .�--� i C .' Z f X!Z OPi —I 0 0 7 n I O I ng I z a i rt x ao � i 1 li • ° it Ii a " A mv��o.�Yw- 'a.nsK V a..�mn Am II � y 'T''f i '� s N�YJH +iu � a s .� -r�-r� < II i i A 0 ,� 9wRmax>P� / z og��P o_z c �� i {s !� -: (1) °a r A iro� `�o.o yra- .� �fr 4 , 5°.� av }, � r-, i.' _._„1 _ b co r r b v,a D c3no �A N� r'Q A � .7 t• \ N n y �. AO m, / N. A ao nZ nz^ » 'fig«- r a l '�s'��S � ° r2 n n r - , 5 - --< 0 �£ Fizz 'D V.a c 6' ° ., te - �` - in W O� —I l' �KmO ~i hE nn> o is 3 cCi PI o h m ° �' a r m Ti' u Y ,m ,o z Esr'R � . m ` u � e > 6 �^ m _ Vi z ° E ^ n " D = i El 2 , v oa min 0.' O r -r rt 4 � i Z � _ r n, Y r- n I - �,Zr-^ T - O n / 1 (:_, \\ \ FL ' , - ' C '-' \ \ _ \ _--■-----.--47: 1 'N ' 1 r ' [ // , I ( Y' \\ T7 r 0 -:'', 7. \ -''..\ x rn j f�l )P y ' � O n \ CD r r-- \- I Z ,,, 7 \ -- ------ ---- \ O ',:i g, \ ., --, =,-, 7 c' r- H:gin K n ° C) ���� irk 3> F � , r . oA n v =� . I D `ter ° x "n ti , 2 `^ m'' J - _._.. - - T xmN ' i c te n' -< �A'� � Vg /� / 1 G II z n 9nn° n me Fi O _ , J Q Vl - N, it £ � , I ta i ° G �. c mm � i v,n -__ ., -� 7J rip 'A Fn N a ❑ D TI L!::_ x 7 xo r z z y s c / rl y Y rA Z i v 1 n �) _ '. O C C � ~ r ;) : ,), fn �'i 'O mzt A 1 r d J C O ., O r S n c' r', AC# 3376817 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD S #L0 7 0 83 0013 2 0 DATE BATCH NUMBER LICENSE NBR 08/30/200 1 078018978 RX0 052034 The SPECIALTY STRUCTURE CONTRACTOR Under the provisions Ch Named below HAS REGISTERED of Chapter 489 FS. Expiration date: AUG 31, 2009 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAMMOND, CHARLES LELAND INDIVIDUAL 15028 REGINALD LN HUDSON FL 34667 CHARLIE CRIST i ioLL.Y BENSON GOVERNOR SECRETARY DISPLAY AS REQUIRED 1 -; • • Security Aluminum & Screening 0347 Denton Ave. Unit 812 Hudson, FL 34667 To whom it may concem, I charles Hammond owner and president of Security Aluminum give permission to Lisa Reed and or Matthew Asquith to apply for ,sign f r,drop off and pick up building permits on my behalf . Thank -you V ----- ---- -- - -- - -- - - - - -- Charles Hammond Security Aluminum & Screening,lnc. 9347 Denton Ave. Hudson,Florida 34667 727 - 863 -2313 ty Notary --� TONI PERKINS s`c • "' Stats of Raids � ,� Notary Public - 1.' . My Coiwn. Eopitos Jan 4, 2013 sy, Commission #F DO 131113 ";fa ft% loaded Through National Notary Assn. %7e atoffN 'M—Q4-1. a I , a s e ct _. Y '441A 1144 - ' ! a May. 11. NB— ::23PM STAHL Vo, 7195 '. 1/1 D ACORD OP ID DATE (MMIDDIYI'YY) CERTIFICATE OF LIABILITY INSURANCE SECUR -4 05/11/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl & Associates Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oldsmar FL 34677 Phone: 727- 784 -8554 Fax:727- 789 -2823 INSURERS AFFORDING COVERAGE NAIC# INSURED INSUPER A Southern Owners 10190 INSUPER E Bridgefield Casualty Security Aluminum & Screening, wsueERc Debbie Hammond 9347 Denton Ave Unit 8 -12 NEUPER D Hudson FL 34667 INEURER 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. INSK AIML POUCY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POUCY NUMBER DATE (MMJDDIYY) DATE (MMIDDIW) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �AMA KtN A X COMME L R CI AL GENERA_ LIABILIT" 20648191 02/18/09 02/18/10 PREMISE V S (- aoccu $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATE LIMT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 'OLI PEa LOC AUTOMOBILE LIABILITY COIvBINEDSI NGLE_IN11T $ 1,000,000 ANY AUTO (Ea accident; ALL OWNED ALTOS BOD L'r INJURY SCHEDULED AUTOS (Per pe A X - 1IRED AUTOS 20648191 02/28/09 02/28/10 BOD LY INJURY A X VON -OWNED AUTOS 20648191 02/28/09 02/28/10 (Per a"iden.) PROPERTY DAMAGE (Per ac :iden-) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO O-HERTHAN EA.ACC $ AUTO ONLY AG3 $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE $ DEDUC - IBLE $ RETENTION $ WC.SIAIU- UI - I- WORKERS COMPENSATION AND X TORY LIMITS ER 8 EMPLOYERS'LIABLITY 196 -03481 02/01/09 02/01/10 E L E A C H A C C I D E N T $ 100,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE $ 100 , 000 If yes, describe under SPECIAL PROVISIONS below E L. DISEASE - POLICY LIMIT $ 800,000 OTHER DESCRPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhil is NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Building Department IMPOSE NO OBLIGATION OR LIABLrIY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fax 813 - 780 -0021 5335 8th Street REPRESENTATIVES. Zephyrhills FL 33540 A ig.' RE ESE ATIVE ACORD 25 (2001108) © ACORD CORPORATION 198 DEVELOPMENT REVIEW SERVICES DEPT. CONTRACTOR LICENSING OFFICE DISPLAY CARD CERTIFICATE OF COMPETENCY DEVELOPMENT REVIEW SERVICES DEPT. CONTRACTOR LICENSING I.D.# 002620 C.C: LA -05649 CERTIFICATE OF COMPETENCY CHARL I e .,.. SECUR El .t1 NIUM &SCREENING I.D.# 002620 C LA -05649 ALUM Cee7 STRUCTURAL INC Be it known that: C :1 E '►T1' • , i, HAVING MET THE COMPETENCY RE,QUINKEAIT FOR S THE LICENSE TERM EXPIRING. 7 - -w SECURITY � : .._ �►k * NC ., = < e"-� 'I�1 '�`".� DENT ` F�. , i� SIGNATURE HUDSON FL 4.. • ALUM CONTR SP.. T • _ .-4 IT SHALL BE THE RESPONSIBILITY OF THE LICENSEE TO KEEP ALL INSURANCE, BONDS, UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE ADDRESSES AND PHONE NUMBERS CURRENT PROVISIONS FOR A CERTIFICATE OF COMPETENCY 1 ,9 isi BUIL IC- OFFICIAL A DATE PC94074071/C "_�"' r Issuee p ,attar. -. and surd r.. : - zcniRc T, Mike Olson ACCOUNT NO: 001604 R TYPE OF BUSINESS SIC CODE: 1761.03 r ALUMINUM CONTRACTOR � LOCATION ADDRESS: 9347 DENTON AVE UNIT B12 HUDSON SECURITY ALUMINUM & SCREENING 9347 DENTON AVE UNIT B12 HUDSON FL 34667-4394 ` DATE RECEIPT AMOUNT 09/26/08 557479 31.25 L. 11111• I111111i111111. 11111111111111111111111111111111111111 1�