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HomeMy WebLinkAbout10-10006 . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10006 BUILDING PERMIT Permit Number: 10006 Address: 6816 GALL BLVD SEE NOTES Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 02400 -0020 Improv. Cost: 41,870.00 °� ah �u' �� 7 s m �� �.77: 7 7 Date Issued: Name: PIN CHASERS BOWLING Total Fees: 240.00 Address: 6816 GALL BLVD Amount Paid: 240.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/19/2010 Phone: (813)782 -5511 Work ° gg Desc: A/C CHANGE OUT 2.15 TON g UNI • A - •NDTI•NI A IN C CHAN •U gar .. _�.. ;, .,. .<. __ n .. •.o r zs. ,.:;:,. -,c. , .�.r. . ....' :°;.....an,:�^:z .. 71 DU TS IN ALL D PUTS ULATE 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 ou intend to obtain financing, consult with your lender or an attorney before recordin our notice of 4 encement." r 44 - r TRACTOR SIGNATURE PERMIT OFFI 'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 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 Phone Contact for Permitting — Owner's Name _RN C h 1 p S e its — 4 ST PAS CO ..: ,, _ Owner Phone Number A i " ' SS l / Owners Address l BY7 Ai, Atom) (cc A ve /tN�� 3 Phone Number 1 I Fee Simple Titleholder Memel I 1 Owner Phone Number I I Fee Simple Titleholder Address J j_ �/ JOB ADDRESS 1 6/3110 6A /I 81 Jo/ zephyrh{' //s 33S (Z LOT0 I I SUBDIVISION I 1 PARCEL 1011 ea — 26 t Z /. oDio r Dzyoo r au 6 I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED t . NEW CONSTR ADD /ALT 1 SIGN = MOVE E DEMOLISH INSTALL �� REPAIR PROPOSED USE Q SFR COMM Q OTHER 1 TYPE OF CONSTRUCTION 0 BLOCK E FRAME STEEL Q OTHER 1 I DESCRIPTION OF WORK R e-p I ftc e 2- / /S-7^Q' A/C 6y S/eM S I BUILDING SIZE 1 1 SCI FOOTAGE I 1 HEIGHT I Q BUILDING $ I VALUATION OF TOTAL CONSTRUCTION E ELECTRICAL $ AMP SERVICE E PROGRESS ENERGY Q W.R.E.C. E PLUMBING $ p g MECHANICAL $ .5// 70, ef o I VALUATION OF MECHANICAL INSTALLATION Q GAS Q ( ROOFING I I SPECIALTY OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA EYES ENO BUILDER COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address I 1 License # I I ELECTRICIAN COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 I License # PLUMBER COMPANY I I SIGNATURE REGISTERED I Y / N 1 FEE CURRENT 1 Y/ N 1 Address -IIIIIIIIIIIIIIIIWAFAIIra— License # I MECHANICAL / e COMPANY 1 L M ;I i d ill . it. CO /U d I )[ lf0N 1' ,t/ !Jf 1 SIGNATURE r .Li�.�riLi[ '������� rt! �� 1♦ � REGISTERED 1 Y/ N 1 FEE CURRENT J Y/ N 1 V Address r "!17 3 773 License # I CA C 2 23 Slv OTHER COMPANY 1 SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y / N 1 Address ( I I 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, Stonnwater 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 81 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: D: Fill out application completely. Owner & Contractor sign bads of application, notarized If over $2500. a Notice of Commencement is required. (A/C upgrades over $3000) " 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 -No( 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', 1 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. 1 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 govemment 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, Welland 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, 1 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 induded 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 WITti YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR • Subscribed end swum to (or affirmed) before me this Subscribed a swom to (or affirmed) before me this by by I tw is/are personally known to me or has/have produced V■ho is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped • 1111111 11111 1111111111 11111 11111 1111111111 11111 11111 11111111 2010007036 NOTICE OF COMMENCEMENT Rept:1283216 Rec: 10.00 DS: 0.00 IT: 0.00 Permit No. 01/19/10 Dpty Clerk P r o p e r t y I d e n t i f i c a t i o n No. 0 Z " Z t ' U - ® 0 0 ' 1 0- (2 2O o' 0 oz. C. THE UNDERSI hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Fonda Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. ZEPHYRHILLS COLONY COMPANY LANDS SUB PE r PG 55 S3/5 OF TR24 LYING E OF IJS HWY NO 301 R/W EXC S 15 FT TBEREOF SUBJECT TO AN EASEMENT OVERNORTH 1.00 FT 1. 17escri tiQJl @f OF SOUTH 16.06 FT THEREOF & SUBJECT TO & TOGETHER WITH EASEMENTS PER OR 3771 PG 1003 & SUBJECT TO p prope ( (p t d�vCt troll : J IN S EASEMENT PER OR 7976 PG 752 & TOG WITH IN SIEGRESS F.ASF.MENT PER OR 7976 PG 754 OR 1563 PG 113 a) Street Address: 613 I op 6 /f t _ t vet • t?.. a .. 5 ..s 542-2.572_ 2. General description of Improvements: ir r° c 1, 3. Owner Information yee. y7 / v. A n t ., ,,- it 1t T1 a) Name and address: d G hits erg -- " S f fly Ct? J NC • % f?i°1 p,q F'L 3 34,0 3 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 0 LALYV & 4. -- — o v 4. Contractor Information l5 /.3"' ' , f„�E'l4P ' 'i,e j rt. , 33 7 7 3 a) Name and address: Lila i r /t x L. el!v t it'-t e,") , A' c? 4' t'1 eri 'r',ue .2 ( o �haD D b) Telephone No.: _ �Z "7w- $ 3 / C y 9to F No. (Opt.) J ' 7 2 7- 5 3 $ - ' €1 .. W c 5. Surety Information 'i . , 0 a) Name and address: z b) Amount of Bond: _ w p c) Telephone No Fax No (Opt N� 6. Lender () ( $ a) Nam and address: o Phone No I- 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents maybe served: cii 7 a) Name and address: o 9. b) Telephone No Fax No t 1 — v 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section ISO ~ 713.13(1) (b), Florida Statutes: ( o a) Name and address: r b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Nat�onnnencement (the expiration date is one year from the date of recording unless a different date is Specified): 21' ! 30 2 co / b WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER -THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, P • ''T I, SECTION 71333, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEME . TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS D ON THE JOB S • BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSU YOUR LENDER OR ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO 1 ' NCEMENT. STATE OF FLORIDA 'ill COUNTY OF PASCO X Signature of Owner or Owner's Authorized • ' cer/plreetor/pu xr/Manager Lk), tA( t.M F YYldrri S Print Name The foregoing instrument was acknowledged before me this 12` day of 'A rtc c.(1.4 2010 . by l,J). \It � V. IMn(r1 as P(cstde ni- (type of author, in fact) for Di � S S ® qt Pa cc , (name of authority, e.g officer, trustee, attorney d party on behalf of whom instrument was executed . / Personally Known )C OR Produced Identification — Notary Signature k.,./ 1 / . L .—MIL i 1 ' A ; SHERI L GHT 794420 w -- ` Expires August 27, 2012 ' Bordsd TFnn troy Fain Insurance 1306385-7019 Type of Identification Produced Name (print) e ■ L LAO (1 -{'- Verification pursuant to Section 92.525, Florida Statutes. Under penalties of pttry, l declare that I have read the orego' • .and that the facts stated in it are true to the best of my knowledge and belief. FORmS/NOC,rose2007 Signature of Natural Person Signing Above STATE OF FLORIDA; :COUNTY OF PASCO THIS IS TO CERTIFY7.HAT THE.FOREG®ING IS A_ TRUE AND CORREQT COPY-OF THE-DOCUMENT ON FILE OR OF PUBj1CRECORD IIV�VH�S OFFICE 1.NITNf6kS MY HAND 4.O�'OFFICIALSEAL THIS `` DAY OF t J 0/6.2 PAULA S ' EIL, 'i ERK & •IMPTROLLER DEPLtTY CLERK unirea 4%;z:.... United Air Conditioning and Heating Inc. 13150 South Belcher Road Established Since 1961 Phone: (727) 531 -0496 Lareo, Florida 33773 Lic. # CACO27356 Fax: (727) 535 -9189 January 13, 2010 City Manager City of Zephyrhills 5335 8 Street Zephyrhills, FL 33452 Dear Sir /Madam; I Gerald K Hardy do hereby authorize Virgil Webber to sign, apply for and purchase permits and /or licenses for United Air Conditioning & Heating, Inc. with the City of Zephyrhills. Sincere ; Gerald K Hardy President License # CACO27356 Notary Affidavit: State of Florida Pinellas County Sworn to and subscribed before me this 13 day of January 2010 By Gerald K Hardy who is personally known to me. e ,o,. Notary Signatu o s`iKr:ii ;: : , , BRITA E. ommission DD LEW 7679 -4^- = Expires March 12, 2012 ••• •,%,,, Bonded pro Troy Fain kreararka 803,105.7016 r ,__ w. STATE OF FLORIDA �' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Fi � , 1-- CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 a 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 HARDY, GERALD KENNETH UNITED A/C & HEATING CO INC 13150 S BELCHER RD LARGO FL 33773 STATE OF FLORIDA AG# 3 88 Congratulations! With this license you become one of the nearly one million ' ` > DEPARTMENT ay BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. " '' Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL RIItT,dN boxers to barbeque restaurants, and they keep Florida's economy strong. CACO27356 04/02/08 080030299 '! Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED AIR COND , CNTR There you can find more information about our divisions and the regulations that H GERALD RENNET impact you, subscribe to department newsletters and learn more about the UNITED A/C & HEATING CO INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We - onstantly strive to serve you better so that you can serve your customers. IS CERTIFIED wader the lank you for doing business in Florida, and congratulations on your new license! prcvs.ioas of cis.489 FS Expiration date: AUG .31, 2$10 L38 0 8 020 0 4{T0 DETACH HERE AC# 3 8 8 8 5 2 R STATE OF FLORIDA DEPARTMENT OF yy S A PROFESSIONAL REGULATION CONSTRUC OI S INDUSTRY LICENSING BOARD $EQ# L08D8 ©Z0040 p .A1 r. e4-cc v. NI 0M'BE • ICEN AsTER �, 209 CAc022156fi N , 08�,�a2 /20 � � t The C:AS5 A .ZR , DTI -1r C.R, Named below' '19 , CEO IF , 1' 'antler the pt_'O�Pie!« one of Cha>, _t Expiration_ date : AUG 31, 240 tr .. HARDY, GELD IXE m- . 13159 S B LCNER Rr� CO, ;;� f' `; LARGO FL - :' � CHM L q'R1,9,T = CHAR EE W. DRAGO T t EC A t t LA IUt EC) BY LAW BUSINESS TAX RECEIPT City of Largo • • 2009 — 2010 FILE # 2010002241 DEA: UNITED A/C & HTG CO INC Business Name Mailing Address Physical Address, Owner, Phone UNITED A/C & HTG CO INC GERALD K. HARDY 13150 BELCHER RD S 13150 BELCHER RD S LARGO, FL 33773 -1645 LARGO, FL 33773 -1645 GERALD KENNETH HARDY 727 -531 -1485 A/C CONTR. CLASS A Classification NAICS No. Qty. Amount Plumbing, Heating, Air - conditioning Col 1711 100 $100.00 PCCLB: REG 9/30/2009 STATE: CACO27356 8/31/2010 Certificate Number: 34670 Engaging in any business occupation is subject to zoning restrictions. The collection of this Business Tax/Administrative Service Charge does not authorize thv holder to operate in violation of any City ordinance, law or regulation. Each holder is solely responsible for notifying the Community Development Department, in writing, of any change in status, location or ownership. Renewal notices will be sent to the last known address and owner of record. Issuance is in no way intended as an approval or disapproval of the holders competence or skill. This Business Tax Receipt expires 30 September 2010. Penalties are provided by F.S. 205 if not renewed before 1 October 2010. Additional penalites of up to $250 may apply if not renewed by 31 December 2010. THIS IS NOT A BILL NO REFUNDS POST IN A CONSPICUOUS PLACE CDPR3026. RPT Jan. 12. 2010 5:04PM STAHL & ASSOCIATES No. 6574 P. 1/1 A ° RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/12/2010 PRODUCER (727) 391 -9791 FAX: (727) 393 -5623 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Stahl &Associates Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 110 Carillon Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Petersburg FL 33716 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Amerisure Mutual Ins Co United Air Conditioning and Heating Inc. INSURER B Amerisure Insurance Co 13150 South Belcher Rd INSURER C INSURER D Largo FL 33773 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION YY LTR NSRD TYPE OF INSURANCE DATE (MMIDDIYY) DATE (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000 000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 50 000 A CLAIMS MADE X OCCUR GL2040578 11/1/2009 11/1/2010 MED EXP Any one person) $ 10, 000 X Blkt Waiver of Subro PERSONAL & ADV INJURY $ 1,000,000 X Blkt Add. Insured GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO CO accident) $ A ALL OWNED AUTOS CA2040576 11/1/2009 11/1/2010 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 EA ACC $ OTHER THAN AUTO ONLY. AGG $ EXCESS! UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR p1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/N X TORY IIMITS FR ANY PROPRIETOR /PARTNER/EXECUTIVE E . EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WC2041764 1/1/2010 1/1/2011 E . DISEASE - EA EMPLOYEE $ 500,000 If 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 (813)780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Zephryhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Zephryhills, FL 33540 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kelly Petzold /GREEN �%— ACORD 25 (2008101) ©1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (200501) The ACORD name and logo are registered marks of ACORD . u v i 0 Air 0 a + Qn � x d't10 United Air Conditioning and Heating Inc. ; , ,r�oA 13 I South Belcher Road Established 1961 Phone: (727) 531 -0496 Laf : ... :.� Florida 33773 Lie. # CACO27356 Fax: (727) 535 -9189 December 14, 2009 PINCHASERS 6816 Gall Blvd. Phone: (813) 782 -5511 Zephyrhills, FL. 33542 Attn: Bill Morris SCOPE OF WORK • Replace 2 split systems consisting of 2 Trane 15 ton air handlers M# TWE180E300A and 4 Trane 7.5 ton condensing units M# TTA090D300A. Air handlers will be installed on raised iron stands in same location as existing. Provide ductwork as needed to connect to existing duct systems. Condensers will be raised 16" and secured to hurricane rated pads. Install new copper lines for each system to be installed above the drop ceiling and down the outside wall with a sheet metal cover. Connect to existing electrical service. Install 2 new return grilles for each 15 ton air handler one above the mechanical closet and one in a new 36" door provided by others. Install a fresh air make up grille through the outside wall for air handler #3. • Raise the existing Rheem 7.5 ton condensing unit 16" and secure to a hurricane rated pad. Reconnect to existing copper lines and electrical service. Modify ductwork for lanes 1 -8 to deliver more supply air to the concourse area. • Install new control circuits and thermostats for the 5 main air conditioning systems. Each , system will consist of a Trane touch screen digital thermostat M# TCONT802AS32DA installed in place of the existing toggle switches. Thermostats have the capability to be fully or partially locked. A remote temperature sensor will be installed in the areas controlled by each system. • Install a visual and audible alarm with a reset for the existing smoke detectors servicing the two new air handlers. • WARRANTY: 1 year parts and labor 5 years on compressor parts only. • EXCLUSIONS: Existing electrical service, drain lines under slab, ductwork. New 36" door on the end of each mechanical closet. Relocation of trophy case. We propose hereby to furnish material and labor- complete in accordance with above specifications, for the sum of: Forty One Thousand Eight Hundred Seventy & 00 /100 DOLLARS ($41,870.00) Payment to be made as follows: 50% on acceptance balance on completion ACCEPTANCE OF PROPOSAL I have authority to order tbt work as outlined above. The above prices, specifications and conditions are and are hereby accepted. You 9ti authorized to do tie wprk as specified. / Signature: r_.._ Date: , ,J C Pri me: �� t ';Q E l ' e;2.C& az zi Q John Webber Vice President This proposal may be withdrawn by us if not accepted within 30 days.