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HomeMy WebLinkAbout09-9457 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9457 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit #:9457 Issued: 8/28/2009 Address: 39450 SOUTH AVE Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Proposed Use: COMMERCIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 8,995.00 Total Fees: Subdivision: CITY OF ZEPHYRHILLS Amount Paid: Date Paid: Parcel Number: 13- 26 -21- 0000- 00100 -0000 Name: ALL STEEL BLDGS & COMP & TUBULAR [ Name: CITY OF ZEPHYRHILLS Addr: 7526 MALLARD STREET Address: 3940 SOUTH AVE NEW PORT RICHEY, FL 34654 ZEPHYRHILLS, FL. 33542 Phone: (813)671 -8044 Lic: Phone: Work Desc: REPAIR EXISTING SHADE HANGAR AT AIRPORT- FEE WAIVED 4 t L. E �.e � .c. a I P eel (rAIA/5/ 0 ' kh .. • • - 2 • R•U H PLUMB MI V IN ULA I.■ ILIN 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 . er: Your fai - to record a notice of commencement may result in your paying twice for improvem = is t. yo pro . rty. If you intend to obtain financing, consult with your lender or an attorney before re.. rdin . yo . r no ' • - of commencement." ' AillP // A ...4.4 ,ad ° e-1— lor 4 1 it, , C • NTRA Te RS SIGNATURE PERMIT OFFI' - - 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 • d-12_4-- ... Date Received �� // .. _a/ � 2 P hone Contact for Permitting g23 -- Q $ cU�i Itiillllttttlll Owner's Name Crry U r ���.4fpr /,(f 0 _ lo� i 'tei" Owner's Address s3 GP.t-Z j .7',2r✓t-- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address + JOB ADDRESS .. 2 5 /4//4l /3 LOT # SUBDIVISION PARCEL ID# 4 . 2 ,• 2 /' QD 50 - ODODd ' CO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I 1 OTHER I I DESCRIPTION OF WORK eioAZ - 1 P' S14 o /7,4 Al 6-4 ✓L \ r / BUILDING SIZE SQ FOOTAGE HEIGHT '� /t 9 Pill BUILDING $5 ff5:GV VALUATION OF TOTAL CONSTRUC ON ' it I I ELECTRICAL $ AMP SERV MI - - :: - ERGY I 1 W.R.E.C. I 1 PLUMBING $ 1 1 MECHANICAL $ , :LUATIO • • _ • • - INSTALLATION 4 ( , id P • C- I I GAS 1 I ROOFING SPECIALTY OTHER " W ? • FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 INO , �Qf�' 69 ' Ain P f )/' 1 r.r / BUILDER T � : COMPANY (/ 1-e-- S AZT VAGi SIGNATURE _ !/ � �� . REGISTERED ( Y / N I FEE CURRENT 1 Y / N I Address License # ELECTRICIAN / / 1 / COMPANY 1—)44t'0 1 a-L CT'1 C Co, .gyvC, SIGNATURE -,41 ,41 _`d REGISTERED I Y / N _I FEE CURRENT I Y 1 N 1 4N Address I CO 1S l D f"c-6tAi FL, 3S 57.5 / -7 •5 License # I pa i3©01 so PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT I Y/ N I 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 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 IM' " • VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE' • R A ■ ATT EY BEFORE RECORDING YOUR OTICE OF • ME - ENT. FLORIDA JURAT (F.S. 7.03) , fe OWNER 0 • ' GENT . CONTRACTOR ,4__ Subscribed . Oki .affn-t 99 (or affirmed) t& re me this Subscribed and sworn r affirmed) before this l' 0 ., 9 by i9 V/ /7 1 ) 7d i r'l� i-9/-02 b .9 0' r / ��,� Who is /a a personally known to me or has/have produced Who is /are personally known to me or has /have produced r ,( '7j, ,L , as identification. f1 L.-. as identification. C Notary Public ` _ ,,A... h iic X151 i- > ✓ t P �� ry Commis ' • . BOBBIE S. SWFTI AND Commission pi .: Commission DD 734406 :. > BOBBIE S. SWETLAND ' Exlliras Fehniary 77 9n t 9 .r«. "'Y'= ` imisa + DD 734106 Name ` y peeiportMedr stassP 7o1a Name of Nob M B , ' , 2012 - , „, ' Bon* lluu Troy Fain InNaarre 900.3957019 winuniamon 08 312009 15:39 7278417863 OFFICE DEPOT PAGE 02/02 - i 11111111111111111111111111111111111111111111111111111111111 2009120516 Rept:1260891 Rec:18.50 • DS: 0.00 IT: 0.00 • 08/28/09 Dpty Clerk • NOTICE OF CQMMENCEM ;INI Permit No, __.^ 9 A/s Property Idgati.gication No. _Li - 260 -2 - - Q - i9Q't' _ 0000 THE L hereby gives notice that improvements will bo made to certain real. property, and in ItGOOrdanoc with section 713.13 of the Florida •Stetut a, the following Information is provided to this NOTICP F CO 1. Dcscri an of r +NC>1LMENT. p operty (let .e.� 'on :IN-,. � s � % g�� v mock L L. 4-f-D 5 e RAW a) Street Address: "e.. �Q 2. General description, of improvements: '"' —'~ ��� 3 3. Owner In mutton -_-- • A a) Name and address r l Co _ I h af 4 b ) Name and address of fee sim older Cif* • - ' ple titl 1 o - n Owner - -� Contractor e I nm � ati pe ny 0 w n Name and address: V%b 3 5-it Z • a) b) Name Tolopitone and No.: • _' l V its . • Fax No. f : L' F i a b 1 ,a.p es : V'ri.' t is/ Aar- • �wf S. Surety Information .v.'S (Opt.) 6 a) Name and address: - Arr b) Atnou:tt of Bond: • e) Telephone No.: 6. Lander i - -- FAX No. (Opt.) _ a) Name and address: __ _ � • 7. Identity Of persdr {vithitl the 3tate.of lrlOrida designated �� 001 e NO. ' —' a) Name and address: by owner upon whom notices s or other documents may be serval; b) Telephone No.: �-- 8. In addition to himself, Owner dosarcs � No- (O.) ¢ OWltl& pion to a Copy Of the Lioaor's Notice a4 p •OV Ocd bt Section 713.13(1) (b); Florida Statutes: ' a) Name and address: b) Telephone No.: _ 9. Expiration dato of Commencement (thc expiration date is onto year Pax No. frog, the (Opt.) of recording unles di f&rent date is 8pcei�.ad): • WARN/NG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 113, PART 11, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOVR•PAYIN G TWICE FOR YMI'ROVEMENT3 TO YOUR PROPERTY. A nZOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TILE JOB SITE BEFORE THE FIRST INSPECTION. 17 YOU INTEND TO OBTAIN FINANCING. CONSULT YOUR !,ENDER AR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 5TA7'T OP FLORIDA COUNTY OP PASCO 6-2J S enoturc n4 efOwner or ONee wners /+utherised lceNhinet elermisnager or , ar � � :S T' WI) 0o gr naerne 5,oi fl` The foregoing instrument was ack towiedged before me this 2(• th a ;la) for r as `P ar f /�IFiy)O `IN day Of `1._______, 20j22„.• cbY . t r ic e , C�>>r' o e _ (n me of (type of authority, e.g. ofijc ttlnste6, attorney c pant o behalf o f. whom instrument was '- •uted). a I'ersa Known / OR. produoed Jdentilleation u, l- `a3 = Notary Signature �� m L ' • ype Of ldcntif cation Produced _, y • k ,, = L L )l� 1. Name (print) &1)( fly /7 j . RT: Verification pursuant to Section 92.323. Florida Statutes. Under penalties of. ' 7 Satz that 1 have rend the Ears r g � the acts $sawed in it are true to the best of my .knowledge and belief. peU oing and that • RORmpMocovumea • n rein s o hr. ,rm Porsun 5 M q Above �" PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER • 08/28/09 02: lam 1 0 2 OR BK 81 PG 5O8 • • RECEIVED 25- 08 -'09 15:35 FROM- 7278417863 TO- Zephyrhills Airport P002/002 Pasco County Property Appraiser - Legal Description for: 13- 26 -21- 0000 - 00100 -0000 Page 1 of 1 Welcome : Records Search : Parcel Details : Legal Description OR BK 15 P6 909 Legal Description 2 of 2 13 26 - 21- 0000 - 00100 -0000 Assessed in Section 13 , Township 26 South, Range 21 East of Pasco County, Florida NE1 /4 OF NE1 /4 & ALL OF BLK C ZEPHYR PINES UNIT 2 PB 4 PG 27 & ALL OF BLKS A & D ZEPHYR PINES UNIT 1 PB 4 PG 27 EXC POR LEASED TO EVANS PROPERTIES INC DATED 3/9/82 & OAKLEY BROS INC DATED 1/12/76 & SEANA INC PER 3986/1617 (6/1/98) & D L DEAL MD (12/10/79) ZEPHYRHILLS GOLF ASSOC DATED 3/12/90 & LOTS 1 4 5 & 8 BLK A ZEPHYR PINES UNIT 2 PB 4 PG 27 & TRS 69 70 75 76 85 & 86 ZHILLS COLONY COMPANY PB 1 PG 55 & BLK 5 ZEPHYR PINES UNIT 3 PG 4 PG 27 EXC PARTS LEASE TO ROBERT PORTER 6/26/85 & PASCO COUNTY COUNCIL ON AGING DATED 7/31/80 & W1/2 OF NW1 /4 OF NE 1/4 & NE1 /4 OF NW1 /4 EXC PARTS LEASED TO ROBERT PORTER DATED 6/26/85 & D A SULLIVAN DATED 9/7/73 & EXC POR PER 710/87 & EXC LEASED PER 1657/731 & EXC A &B LEASE TO AIRPAM & EXC LEASE PER 3489/561 & EXC LEASE PER 3645/384 & EXC POR IN 0 -49 -9 & EXC POR OF PCL D LYING IN SEC 13 DB 139 PG 137 Please be advised that our legal descriptions are for assessment purposes only, and are not intended for use in legal conveyances. Pasco County Property Appraiser Page Layout Modified: 2/17/2009 11:49:04 AM The Local Time Is: 8/26/2009 10:50:14 AM http: // appraiser. pascogov .com /search/legal.aspx ?parcel= 2126130000001000000 &cache =F... 8/26/2009 • t • - To: F Fax number: 813 671 - 8602 From: Ann Conley Zephyrhills Municipal Airport Fax number: 8 C80-0032 _..� 39450 South Ave _____ Zephyrhills, Fl 33542 813 780 -0030 Date: 8/17/2009 Regarding: Shade Hangar Repair Phone number for follow -up: 813 780 -0030 ) Comments: Let me know if you need anything else. 69T -d E00 /T00d 609 -J. 380008Li;L8 110dITV sTTru.zA4d -WOH3 LS :ZZ 60, -80 -LT Mitchell Iron Works & Mobile Welding, Inc 548 Flamingo Drive Apollo Beach, Fl 33572 813.404.0794 MMitche1133572@aol.com August 9, 2009 Attn: Zephyrhills Municipal Airport RE: Shade Hangar Roof Repairs Electrical: Remove and replace: 2 - 4' 2 bulb fluorescent lighting fixtures 1 - Receptacle 50' new standard conduit Roofing: Remove and replace: 1440 so ft galvanized PBR Panels 12 Perlins 2 - 25' eave struts 10 Diaform ridge caps All screws, bolts, sealants, and necessary fasteners for repair of metal and electrical included. WE PROPOSE TO FURNISH MATERIAL AND LABOR WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF: $8990.00 Michael Mitchell Mitchell Iron Works & Mobile Welding ACCEPTED: Signature Auqu51 Si J g Date • 69T -d 800/800d 609 -J, 880008L €T8 1.10dITV sTTrgi gda2 -WOdd LS:ZT 60, -80 -LT 17 -03 -' 09 1'::, 57 FHUM - Leph rhills Airport '137800032 T -609 P003/003 F - 169 0 1 t 1 1 1 l i i i i( 1 Ill il: L I 1 i i).1 4 I 1 1 1 1 � _ i\I E [, 1 1 i[ [ 1 1 1NV111111f111 r1 ill 1 i 1,111111111! 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CODE BUSINESS TYPE SURCHARGE 090.008 CONTRACTOR- FJ,ECTRICAL 18.00 BUSINESS 110 W SHELL POINT RD LOCATION RUSKIN 33570 NAME FOUTS, CHARLES S MAI'JNG F & L ELECTRIC COMPANY INC ADDRESS PO BOX 1957 RUSKIN FL 33570.1957 ►BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR PAID -11093 ;80 HAS MANN AND A PRIVILEGE TM TO ENGAGE ATAXR RECEIPT AN WOMB, OR ORATION IED I OM THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 4106 00131100000 000018002 000000000 SEP -2 -2009 02:50P FROM:F AND L ELECTRIC CO 8136455795 TO:7800021 P.1 F & L Electric Co., Inc. P.O. Box 1957 Ruskin, Florida 33575 Date: 09 -2 -09 To: City of Zephryhills Att. Permitting Dept. From: F & L Electric Att. Kim Fouts Regarding: Bus. Tax Receipt. Please call me @813- 645 -4106 or 813- 758 -3503 if you have any questions. Thanks, Kim Pages including fax cover sheet: 2 (8313) 645 -4106 • (813) 645 -3191 • (813) 645 -5795 Fax • FandLElectrlc@verizon.net E -Mail To avoid additional late fees invoice must be paid within 30 days of involve date, otherwise a late fee will be added automatically. 09/02/2009 WED 13:53 FAX 863 293 5862 Insure America Group j001/001 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMJDD/YYYY) TP 09/02/2009 PRODUCER FAX (863)293 -5862 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CertiSure, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1801 Hobbs Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Auburndale, FL 33823 INSURERS AFFORDING COVERAGE NAIC # INSURED F &L Electric Company, Inc. INSURER A: Bridgefield Employers Ins Co PO Box 1957 INSURER B: Ruskin, FL 33575 INSURER C: INSURER D: 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. INSR AMYL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDJYYYY) DATE (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY 1 PRO- OLICY LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY'. AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE • AGGREGATE $ $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION WC STATU- O7H- AND EMPLOYERS' LIABILITY X TORY LIMITS ER A AN P O MEM ER EXCLUDEE I ECUTIVE J N 0830 -08834 04/01/2009 04/01/2010 E.L. EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100, 000 yes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 5O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Zephyrh i 11 s REPRESENTATIVES. 5335 8th Street AUTHORIZED REPRESENTATIVE X1 Zephyr hills, FL 33542 James Knight /ROBYNE ACORD 25 (2009101) FAX: 813. 780.0021 ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 9/2/2009 3:19 PM Odiorne Insurance 97800021 002 CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DDlYYYY) 09/02/2009 PRODUCER (813)685-7731 FAX (813)685 -1823 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Odiorne Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 830 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brandon, FL 33509 INSURERS AFFORDING COVERAGE NAIC # INSURED F & L Electric Co Inc INSURER A: Old Dominion Ins. Co. 40231 P 0 Box 1957 INSURER AMERICAN FIRE & CASUALTY 24066 Ruskin, FL 33575 INSURER C' INSURER D' 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE (MMIDDIYY) DATE (MMIDO(YYI LIMITS GENERAL LIABILITY MPG46667 06/19/2009 06/19/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMISFS (FA on mem $ 500, 000 CLAIMS MADE I X OCCUR MED EXP (Any one person) $ 10 , 000 A X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 7 POLICY n P E ^ LOC — AUTOMOBILE LIABILITY BAA53518610 06/19/2009 06/19/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 500,000 ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) — X HIRED AUTOS — BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ 7 ANY AUTO EA ACC $ OTHER THAN AUTO ONLY AGG $ — EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ - 7 OCCUR n CLAIMS MADE AGGREGATE $ -$ DEDUCTIBLE — $ RETENTION $ $ — WORKERS COMPENSATION AND I TORY LIM ( IT I OE EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? H s. describe under Et. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER - DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS City of Zephryhills is named as Additional Insured regarding General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Zeph ryh i 11 s BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5335 8th st reet OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephrhills, FL 33542 AUTHORIZED REPRESENTATIVE George Odiorne, Ext 3702/R: 15 ACORD 25 (2001/08) FAX : (813) 780 -0021 © ACORD CORPORATION 1988 • . • rt, Pasco County Property Appraiser Windows Internet I xplorer 1. ,! 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X 13- 26- 21-00S0- 001300-0070 CITY OF ZEP1-1YRHIU-S 39450 SOUTH AVE (A) „., X 23 CITY OF ZEPHYRHILLS 39450 SOUTH AVE (B) x 13 CITY OF ZEPHYRHILLS 39450 SOUTH AVE (C) V, elcome 1 Records search I A,Doraisalq I Exemptions i Dates 1 Information I Contact -,, I f" , This document failed to print Document name: Ittp://www.aPPraiset,Pasootio,..1 Printer name: "kk2EXCHSYRIImagistics im3510-Build ' Time sent: 11:55:10RM 1/24/2009 dick here to open the print queue, and then for assistance, 1 — - - ------- -- ' 11- ckkTroulieshooter on the Help menu. — ....,,.... start . tc 4.. Pasco County Parcel: 13- 26 -21- 0050 -00B00 -0080 001 Page 1 of 1 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, August 15, 2009 Parcel ID II 13- 26 -21- 0050 -00800 -0080 (Card: 001 of 001) Classification I 82 - Forests, Parks, etc. Mailing Address Property Value CITY OF ZEPHYRHILLS Ag Land $0 5335 8TH ST Land $17,424 ZEPHYRHILLS, FL 335424312 Building $4,039 Physical Address Extra Features $0 39450 SOUTH AVEB ZEPHYRHILLS, FL 33542 -5241 Market Value $21,463 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 ZEPHYR PINES PB 4 PG 27 POR OF W1 /2 OF LOT 8 BLOCK B & LOT 1 Taxable Value $21,463 BOCK A FURTHER DESC AS:COM AT SE COR OF SEC TH NOODEG 13' Land Detail (Card: 001 of 001) Line I se IIDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 2000 II AIRPORT II OAP2 11 43,560.00 0 SF II $0.40 II 1.00 II $17,424 I I Additional Land Information I Acres II 1.00 II Tax Area II 30ZH II FEMA Code II X IlCommerical Code I IZAP6CA I I Building Information - Use 25 - Service Shops (Card: 001 of 001) Year Built 1955 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Wood Truss Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Masonary or Minimum Interior Wall 2 None Flooring 1 Finished Concrete Flooring 2 None Fuel None Heat None A/C None Baths 0.0 Line 11 Description I Sq. Feet II Repl. Cost New I 1 II BAS JI 2,080 II $20,197 _I I Extra Features (Card: 001 of 001) Line II Description I Year (I Units II Value I I No Extra Features I Sales History I Previous Owner II N/A I Year II Month II Book /Page II Type II Amount -- No Sales History -- Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: / /www. appraiser.pascogov. com/ search /parcel. aspx ?sec =13 &twn =26 &rng=21 &sbb =0... 8/24/2009 P.01 /01 TRANSACTION REPORT • AUG /26/2008/TUE 01:09 PM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 AUG /26 01:09PM 97800032 0:00:20 1 OK SG3 9213 HIV • • I tap_flor awatser pesmeov.cem/ 1 . � w I ma � ¢ . y .r i M Z S !i ' r r { u� ~ 1T • krz. Mike Wells .I.w ,..• - . - . • • wwr.* Welcome Pa+roMs rir.rrti i Address Sesrch • � 1ti Address Search Results for 39450 SOUTH AVS W iceeee ;e'c: Hem search Again _ i . 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