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HomeMy WebLinkAbout10-10641 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10641 BUILDING PERMIT i . `*,"*� A . ".: m , :',747111=:=74,11 . ,., 4`, , r ` $• d " a te . "._ . ... , • a ? �• 4 P a,-/ "` D ffi ti � * a. Permit Number: 10641 Address: 5151 SUMMERHILL DR Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):12 Block: Section: Square Feet: Subdivision: SUMMERHILL Est. Value: Parcel Number: 12- 26 -21- 0100 - 00000 -0230 Improv. Cost: 6,125.0041 ,, Q7s �,:�`�a Date Issued: 7/20/2010 Name: VONA, ROBERT & GARDNER, CHRISTIN Total Fees: 97.50 Address: 390 COUNTY RTE 3 Amount Paid: 97.50 FULTON NY 13069 Date Paid: 7/20/2010 Phone: (315)317 -0504 Work Desc: ENCLOSURE SCRN POOL 22 X 54 W /PAN ROOF WHICH IS 10 X 22 EP • . a ALU G MI" :UIL•IN F 97.50 1 n oc,/ _ q_(0-10 40 e r a 4.... w «... �:: 8 ". 4e& ffi,.,:, .. 3 $•�` >. &..?? ,,-iv4 ,... <,,,. r G_ F• • R 2N R • U GH - LUM: MI IN /LA I•N 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 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." r 662- to -41; '. Al C• T A . O NATURE PERMIT OFFI FR PERM r EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER t -0...str v ...4-7- d City of Zephyrhills BUILDING PLAN REVIEW COMMENTS p Co tolomeowner: _ ! ,/ , /.��2e�!?SQ� «� Date Received: 6-,2,2-/e3 / Site: _ 7 _/ . pie Id i / 0 �, Permit Type: 4 '' ° '' z i / _�' _� Approved w /no comments: ❑ Approved w /the below comments lb Denied w /the below comments: ❑ 0 Sd gets LSTJ ‘10 Ii.e This comment heet s 1 be ept with the permit and/or plans. C' —214 l �,' 1 Kalvin S itzer — P xaminer Date Con ac and/or meowner (Required wh mments are present) Gevity 7/15/2010 5:25 PM PAGE 2/002 Fax Server Certificate of Insurance This certificate Is Issued as a matter of Information only and confers no rights upon the Certificate Hdder. This certificate does not amend, extend, or alter the coverage afforded by the poldes described herein. Named Insured(s): TriNet HR Corporation and all its affiliates & subsidiaries• Stephens and Wood Aluminum Inc (Endorsed as alternate employer) Insurer Affording Coverage COMMERCE AND INDUSTRY INSURANCE COMPANY (A) 9000 Town Center Parkway Bradenton, FL 34202 Coverages: The polides 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 contrad or other document with reaped to which the Certificate may be issued or may pertain, the Insurance afforded by the pdides described herein is subject to all the tens, exclusions and conditions of such pdides. Aggregate ilmits shown may have been reduced by paid daims. Type of Effective Expiration Limits Insurance Insurer Policy Number State Date Date ® WC Statutory Limits A 57057094 FL 07 -01 -2010 07 -01 -2011 Workers' Employers Liability Compensation Bodily Injury By Acddent 52,000,000 Each Acddent Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease 52,000,000 Each Person Others: Client Number 53101 Larry Stephens covered for workers' comp as a leased employee; Steven Green, Qualifier & License SCCC56671 The above referenced workers' compensation pdides provide statutory benefits only to the employees the Named insured(s) on such policies, not to the employees of any other employer. TrINet HR V, Inc TriNet HR Corporation Cancellation: Should any of the above described pdides be cancelled before the expiration date thereof, the Insurer affording coverage will endeavor to mall 30 days written notice to the certificate holder named herein, but failure to mall such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: e Moo City of Zephyrhills Building Department titr/i Sotaem'a.`' AON Risk Services Northeast, Inc. 5335 8th St Authorized Representative of AON Risk Services Zephyrhills, FL 33542 (866)443-8489 07/15/2010 Phone Date issued 1 , ,,, r 1 { 1111111IIIIIIIIIIIIBI11111I1111111111111IIllll1111111111111 r 2010102003 R,, Rcpt 1316011 Roe 10 00 DS 0 00 IT 0 00 07/16/10 L Korb, Doty Clerk NOTICE OF COMMENCEMENT PAULA S O'NEIL,Ph D PASCO CLERK 1 COMPTROLLER 07/16/10 0 1 of 1 "I PunutNo 77 PG 1289 i +j, j Property Identification No Q -6216112/ OR BK 3 i�40 Y7r�.l? • THE UNDERSIGNED hereby gives notice that improvements wI 3 bc made to cohere real property and in accordance with Sccuon L ■ 713 13 of the Fiends Statutes, the following mfom m Oils mtton ns provided us NOl ICE 01 COMMkNCLMENT S r ' 1 i f . , 1 Desena) Street of property ( ) a I /A • ,��77Jt�d�E� ': a)Address i, . ., / t <!r�!7,7 lo'0e 2 General deseripuon of improvements i.,.. =11.4.1-all ileffmi ennere . ' v Jc/142 qn 4 - M , a ll r Information / p �� 3 Owner I, L t� y a) Nana and address &their Ana. 5)51 .Sl�nlmc2 All DR 2 'phdA.fi4 A. 3 aZ w b) Name and address of fee supple u Ida (if other than owner) c) Interest in property ■ t ., ; T. � . 1 7:-L.. 4 Contractor Infotmation � 0, ' t a) Na and adMxs r� � : �_:r,..,.iui.t. - a ..• ... , ; b) Telephone No � 1�� t lT_�;'•�`� F ax N o (Opt ) " L, ' 5 Surety Infomreuon �f. a) Name and address b) Amount of Bad 7,�t ,, 6 Lam `) Telephone No Fax No (Opt ) Y. a) Name and address ,, , Phone No r . ` 7 Identity N within S of Florida designated by owner upon whom notices or other doi uitx rats may bc scrvul t t b) Telephone No Fax No (Opt ) y. I. 8 In addiU receive o' to hnnself owner designates tho following person to rve a copy of the Lienor's Noucc as provided in &coon 3. i • r 713 13(1) (b), Flonda Statutes . . , �; a) NUM and address _ ;,: t i. b) Telephone No fax No (Opt ) ■ • 9 Expiration date of Notice of Commencement (the expiration date is ono year from the date of recordnIriticss a different date is Specified) q WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER TJIE EXPIRATION OF THE NOTIC1. OF COMMENCEMIWNT ARE CONSIDERED IMPROPER PAYMENTS UNDER CIIAPTkR 713, PART 1, SECTION 713 13, ' FLORIDA STATUS AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN 1S TO YOUR PROPSRTY ■ r T'kA NOTICE OF COMMENCkMLNT MUST BE RkCORDLD AND POSTLD ON TUS JOB SI BkNORk '1111. FIRST )'t 1NSPkCTION 11 YOU INTEND TO OBTAIN FINANCING, CON L1 YOUR LLNDkR 0 AN AITORNI.YBkFORIs I t COMMENCING WORK OR RECORDING YOUR NOTICL OF ■ , L , ti1ATLOFFLORIDA ,� COUNTY OF PASCO ((( Z 1 I.' 4 /(/�,w /�Ias�d i !' of �meS•/ /' O s A ( O / / C/ i" � ww/M.n.aw Thee foregerng insl urncnt was acknowledged bef � m�e this a da of `J i,1 I y 20_� by r r C 1� q Q�n ( pC of aulhonly, e g officer, tnislcc, attorney m fact) for .4J (llama of Nolary party S on nature behalf of whom i c as c . -. Pcraonally Known FOR Produced Idcnufrauon ig ' fypc of ldcntdicauon Produced Name , �: LOUIS E PLACE ' ` { 3 , =' 'e MY COMM1ISSIION B D0968663 Y. e Verification pursuant to Section 92 525, Flonda Statidos Under patalu • C • r . ' vc nadlhe ire�gi�ln aixl Ua ` the facts stated in it are tau to the best of my lmowledge and belief t cam /�� - . sota�ioc,..aoor P� , A , STATE ` ` �. t ` `° s,,� '�` OF PASGQ. THIS IS C s t ' ING ISA ' e , .. TR�E G "..... , ' = G :DiCUIVIENi . t ' ' ::- ' 'Cj '''.;- ) 1 '‘, VH 1 S'OFT ICE i ,,, ' , /• PA' 'I e, `- ' t • . Jam, , TR LEER 1 E3Y �% DE UTY CLEfiK STEPHENS & WOOD ALUMINUM, INC. CUSTOM POOL ENCLOSURES & PATIO SCREEN ROOMS 9508 EAST M. L. KING, JR. BLVD. TAMPA, FL 33610 A PHONE (813) 621 -2200 FAX (813) 621 -8300 www.stephensandwood.com RX0029836 - Date ( �; I. Sold to . �-� r / Id, r„,-, Job Number 1 t,. L i Street Municipality .-7., --- 1 ,, 1. City State Zip Instructions �-- { Phone (H) (W) Job Address 5.� 1 ( , (,,, 0\ �1"�(,,/ ) I V � I } r P E'' SR SUN ROOM ❑ ALUMINUM ROOF —CA ❑ INSULATED ROOF y l' {i k �} r'■ r I;:( COLOR FRAME• -- , j 1 r ..(.._') Bronze hite ; i1 1 ( Vt , L a. Y 1 6 A r L ❑ 16" Kickplate 1 ❑ Chair Rail lU ti : � � t...' . ( ,� � , �' j !� , t 1 � '� ' � l NUMBER DOORS: One wo) Three ' , � "\-'1(--'(-= . , ALUMINUM ROO i (.-) X Ft. Color GUTTER: X Ft. Color ROOF TYPE : ❑ HHii Gable ❑ Mansard ❑ Other: OPTIONS: ❑ Concrete ❑ Decking ❑ Windows ❑ Railing V Mast Height: 1 Li Balance due upon completion OWNER'S RESPONSIBILITY: The owner agrees to assume responsibility for job location being TOTAL r (3 within his property lines and not in violation of setbacks or other restrictions. The owner will provide ORDER $ adequate access to job site. Contractor has assumed electric current will be supplied by owner from DOWN existing outlet. MATERIALS: The owners hereby covenant and agree that the title to the materials PAYMENT $ ----- furnished which comprises a part of the subject matter of this contract shall remain in Stephens & Wood Aluminum, Inc., until the contract price and any extras are paid in full. The owners further BALANCE ;2 ''� t covenant and agree that said material shall be deemed to be considered personal property although DUE $ rr the said material may in some manner be affixed or attached to the real property within which the V ;" '� herein said material may be freely severed from the premises as any other personalty by Stephens & Wood Aluminum, Inc., their successors and assigns. DEFAULT: In the event the owner shall fail to make any payment when the same is due, or any part thereof, or fail to perform fully and promptly any covenant or agreement herein set forth, they will pay to Stephens & Wood Aluminum, Inc., its successors or assigns, all costs and expense the said Stephens & Wood Aluminum, Inc., or its successors or assigns may thereby be put to, including a reasonable attorney fee. If the owners shall become bankrupt or be put into receivership, or fail to make any payment when due, or fail to perform any covenant herein contained, all sums then unpaid shall become due and payable immediate without notice. THIS AGREEMENT shall be binding upon the heirs, administrators, executors, successors and assigns of the owners. WARRANTY: Stephens & Wood Aluminum, Inc., warrants that all materials used in completing installation, contracted for herein will be of high quality and new, and that all work will be done in a workmanlike manner. Any breach therein, causing any substantial defects, shall be remedied without charge, providing written notice is given Stephens & Wood Aluminum, Inc., within one year of completion. It is agreed however, that no claim may be filed under this warranty and no obligations to make adjustment thereunder, will accrue until full indebtedness of the owner to Stephens & Wood Aluminum, Inc., is paid. The above shall be null and void unless accepted within thirty days following date submitted. It is agreed by the owner that any claim either under this contract or under the warranty herein above set forth, shall be brought only in the appropriate court in Hillsborough County, Florida. Notice to Buyer: (a) Do not sign this before you read it or if it contains any blank spaces. (b) You are entitled to an exact copy of which was delivered to and receipt is hereby acknowledged by buyer. 7 This / ( ', 1, j t o day of Gl'� G : Accepted by fl 1 L ,, " ` Submitted By \-'' j A ��1 _ ..J L ff , t Owner Approved By 4..2::4,,..,.. Owner ` nn tLt,Y !! 7 ; Stephens & Wood Aluminum, Inc. BBB T 513 - UUZU laity 01 L C NI IyIIIII1a rCtiiiit nNNnt,auvli . .... -.- ....... __ . Building Department Iti � • Date Received > -- — Phone Contact for Permittin • _ -- M Owner's Name l itiTE111 ON ' Owner Phone Number 1111MI 'a ter , Owner's r B , Owner's Address S ` { g(1 YP)tr AI Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address , JOB ADDRESS ,SI Surh r`lid � kA, LOT # SUBDIVISION S 6, r11N /( f;) V i. PARCEL ID# , 40( el( ( 0(00 C/ Z 310 (OBTAINED FRO A PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 I SIGN n MOVE i I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I COMM n OTHER TYPE OF CONSTRUCTION I I BLOCK I FRAME n STEEL 1 1 OTHER 1 A 1 L No n(Ad IM DESCRIPTION OF WORK a skS9 Scrte+1tc1 1 EkaoSu-L /.'.tA fs 10,k2 & f&'\ gait BUILDING SIZE 'a, a k 5 SQ FOOTAGE ` ` 8S HEIGHT 13' �j BUILDING � ) I n . _ VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ r of AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C, ©��,e.■ I I PLUMBING $ g e 2 2,d y I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [] NO BUILDER COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y / N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address � License # l �(� OTHER 1 ( A � _ G, C OMPANY Q,n) I,`.(JL TU 1 � REGISTERED 1 Y N 1 FEE CURRENT 1 Y/ N 1 Address 1 ' 4 W . /1,0,1a , 0 (. %I License # 0 ' , . 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 (PIot/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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 r AN A ORIGIY BEFORE RECORDING YOUR N • ICE 0 C MENCEMENT. FLORIDA JURAT (F.S. 1 1 7.0: Ar OWNER OR AGENT A / r, CO I J. scrib • 1 • swo t• • • "� f't Is, _ ribed •m to o - ' %rmed) fo,4f et s �C 11 t y Oi� y ' o me or has / ave produced o is /are personally known to me or as/have produced ° ers as identification. as identification. Public I Notary Public '4:4/7 '/ (- �1/` Notary V C� Commission No. , Commission No. Name f i' ' fT , 4 th ��' Name ' il 0938184 • y -�W I r . i 84 - `t • Expires November 4, 2013 . Expires November4, 2013 , -�- r Bonded Maim Fain Insurance 800.3867019 ' B o n d e d UWtiinimam 800.3867019 • - , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 4 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 _ s ue ' 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ‘17.,-- (S;44e 7/3 -6 i-,00 GREEN, STEVEN D STEPHENS & WOOD ALUMINUM INC 19218 SEA MIST LN LUTZ FL 33588 c, v# STATE OF FLORIDA i E ra Congratulation& With this license you become one of the nearly one million r AC# .. 7 `, : r t.1 _ , T , Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. SCCO56671 09/09/08 070538131 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 SPECIALTY CONTRACTOR There you can find more information about our divisions and the regulations that GREEN, STEVEN D impact you, subscribe to department newsletters and learn more about the STEPHENS & WOOD ALUMINUM 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 of ch.489 FS Thank you for doing business in Florida, and congratulations on your new license! Expiration data AUG 31, 2010 L08090902442 DETACH HERE AC# ` _ " ; t STATE OF FLORIDA DEPARTMENT OF BJS AND PROFESSIONAL REGULATION C.ONSTRUCT'TOt N DtISTRY LICENSING BOARD SEQ# L08090902442 DATE BATCH NUMBER LICENSE NBR 09/09/2008 07053.8131 SCCO56671 The SPECIALTY STRUCTURE CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2010 GREEN, STEVEN D �/ STEPHENS & WOOD ALUMINUM INC 19218 SEA MIST LN LUTZ FL 33588 CHARLIE CRIST CHARLES W. DRAGO GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW • ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PS DATE (MNVDO YYYY) STEPWOO 03/02/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Port Richey FL 34655 Phone: 727- 376 -0030 Fax: 727- 376 -2262 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A'. State Auto Mutual Ins. Co. 25135 Stephens & Wood Aluminum,Inc.& Design Aluminum Exchange, Inc. INSURER B, Owners Insurance Company 32700 and S &W LLC Design Aluminum Exchange Inc, INSURER 9718 E US Hwy 92 INSURER D Tampa FL 33610 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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 I5 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 EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIW) DATE (MNVDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY PBP1O13733 02/28/10 02/28/11, PREMISES (Ea occurence) $ 100,000 CLAIMS MADE X OCCUR / MED EXP (Any one Person) $ 5,000 •E PERSONALB ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $300,000 B X ANY AUTO 4747950600 11/26/09 11/26/10 (Ea accident) ALL ONMED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accdent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS(UMBREILA LIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR CLAIMS MADE PBP1013733 02/28/10 02/28/11 AGGREGATE $ $ DEDUCTIBLE $ X RETENTION $ 0 $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED, E.L. DISEASE - EA EMPLOYEE $ II yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 DAYS NOTICE OF CANCELLATION EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR NON - PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF 1118 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE CITY OF ZEPHYRHILLS DALE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO M IL * DAYS WRITTEN CITY HALL, BLDG DEPT. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FAX# 813- 780 -0021 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 EIGHTH STREET ZEPHYRHILLS FL 33542 REPRESENTATIVES. AUTN 1 PRESENTA 1 d i ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001!08) o ° z o ° • 0 r ° M M 0 10 j a. In o V O w O 0 v) ( a.. r N a O mx MI N 3 = L `m 0 = N Bus Tex TRNS Fee - *PAID* U) = m e4 Does B dear Hillsborough C:ounta Tax Coll Z °_' °� w Batch vas 32321 012 brc.wnb O m w 5 w IL Trans w ' a � �:e eint r: 00S,,68 o g - 2 OC Z Acct: "' p Code: 4.,.06 U Z 3 x a Q i_i2 /lS/ ll1i 8821 2010 36.00 . ca W i_ Chapter 322, Florida Statutes? rE�auires the department to collect social I- °' v CO i° securiis numbers for the issuance of Z L C O Business Tax receipts. CD — J o w R = o 0361 Trans Fees �b3.00 ° o.. 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PLANS & SEALS ENGINEERING SERVICE, INC. I HEREBY CERTIFY THAT I HAVE PERFORMED AND REVIEWED THIS THOMAS L. HANSON, PE PLAN AND FOUND IT TO BE IN COMPLIANCE WITH ASCE 7 AND P.E. #38654 FLORIDA BUILDING CODE, 2007 EDITION, AND ALL UPDATES AND & I� i l lO 38351 COUNTY RD. 54 REVISIONS THROUGH THE 2009 SUPPLEMENTS. ZEPHYRHILLS. FL. 93542 TOLL FREE/ FAX 1(888)824 -7894 T.L. HANSON, PE # 38654 CONTRACTOR: STEPHENS & WOOD ALUMINUM, INC. JOB DESCRIPTION: SCREEN ENCLOSURE WIND ZONE IN 120 MPH NAME /ADDRESS: EXP. B 9718 E. US HWY 92 5151 SUMMER HILLS DR. DWG. PG. 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