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HomeMy WebLinkAbout10-10678 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 , 10678 BUILDING PERMIT x Permit Number: 10678 Address: 5436 TANGERINE DR Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12- 26 -21- 0040 - 00400 -0030 Improv. Cost: 24,807.52 Date Issued: 7/07/2010 Name: WILKINSON, CHRISTINE Total Fees: 302.50 Address: 5436 TANGERINE DR Amount Paid: 302.50 ZEPHYRHILLS, FL. 33542 Date Paid: 7/07/2010 Phone: (813)468 -1020 Work Desc: RENOVATIONS DUE HOME BEING DAMAGED BY A VECHICLE 'A DAV •' I• 1 • =A :UILDIN F 232.50 A 35.00 MIKE CURRIE ELECTRIC, INC. PLUMBING FEE 35.00 ALL SERVICE PLUMBING OF PASCO, I N CI QjlV ACO 6 ‘e l � V No i t s.• 'air rc s.e �..7. si�'� T • • - 2N' R• H PLU = M IS IN ULA I•N EILIN 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." L , ) / 21, CONT CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 KOUR NOTICE REQUIRES) . PROTECT CARD FROM WEATHER y4„11..Z r - City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Alomeowner: _ e Date Received: Site: Permit Type: .0" Approved wino comments: D Approved w/the below comments: '2 Denied w/the below comments: D 6 .e rociered ci f- &s This comment sheet shall be kept with the permit and/or pions. 4. 9 K vin Swi lans Examiner Date • Gantracto and/or Homeowner (Required when comments are present) CITY OF / / , BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT # THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. C (sivi ) cdo (Frei-v(1 'N-, 4c cA) . rnu) C, cci6k LJt // iVo - /'s/ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve 780 -0020 F R E- SPECTION the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR / PRIORITY PERMIT SERVICE DOUG CANCELLARA EXPEDITING IN ALL PHASES OF COMMERCIAL AND RESIDENTIAL PERMITTING LEAVE THE RUNNING TO US! ' 11.1 P.O. Box 1 265 .111 I PORT RICHEY, FL 34673 727 - 243 -6617 813-780 -0020 City of Zephyrhills Permit Application ! Fax -813- 780 -0021 Building Department /QE 1 Date Received ' • j Phone Contact for Permitting ' ., `� r --- /� , i; ) - - V1/411f , 7 L . Owner Phone Number a / 3 v `` i r 6 Owner's Name �� f u k1 4 Owner's Address c/,i� G ' 1 t. ! . Ju. * ctc. Owner Phone Number Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address `r t 1 JOB ADDRESS 21 3 G' ---/ c -�� J z ,:1 ti.yck - - r�_arC -1(7/3 k %z ...1...d/ L 'z LOT # SUBDIVISION PARCEL ID# ! 4' - )<0 - -? : - CCU -/C `' 0 `IC ` ' "" 1.:.0 c (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT iv] SIGN n I I DEMOLISH INSTALL REPAIR PROPOSED USE I 1 SFR n COMM I I OTHER I I TYPE OF CONSTRUCTION I I BLOCK n FRAME 1 1 STEEL n 1 I DESCRIPTION OF WORK F ._. ;,,.,„ _c4, ',, Y> ( - 117,- 1.i - .1,:c, t t._ i,_ YN : y BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING x41/9 , ° - VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C. I�PLUMBING $ 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (GAS 1 1 ROOFING I I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES NO BUILDER ���. n A le O` COMPANY t Fes` z f SIGNATURE ✓ c`-'` ` nt_ 4 ` - . G/+ C REGISTERED 1 Y / N I FEE CURREI I Y / I ., ) I. 7 ) + y / - ? '1' { Address � 0 ` License # {� ELECTRICIAN ■ t / COMPANY /711_,,_ , I i, 4. ,'\,,A.,Ls,? c t. .c ■�.% SIGNATURE C` " ; ,' 0/(f j/ 6 `-L-- REGISTERED 1 Y / N I FEE CURREN I Y / N I Address &u License # , r- , (W., t PLUMBER � t ! COMPANY ti._. L 4: / 4„ r - IAA. c.‹.. I ,.---� - U , u -) t C - - / k .'ac . SIGNATURE L y REGISTERED I Y (0 )I FEE CURREN I Y/ N 1 ; ` J v Address License # ( I A C3 C 41 `3 ` TCC.) MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREIN 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: FiII out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) ** 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 if shingles Sewers Service Upgrades NC 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 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0$) OWNER OR AGENT C • t r { . CONTRACTOR Subscribed and sworn to (or affirmed $fore me this Subscribed and sworn to (or affinNelfbefore me tb,s by by Who is/are personally known to me or has/have produced Who is /are personally known to me or ha&ave 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 111111 11111 11111 11111 11111 11111 11111 11111 11111 111111111 1111 2010092910 • Rcpt:1312936 Rec: 10.00 DS: 0.00 IT 0.00 06/29/10 C. Farrington, Doty Clerk • PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 06/29/10 11:08am 1 of OR BK 8364 PG 1 NOTICE OF COMMENCEMENT Permit No. • Property Identification No. THE UNDERSIGNED hereby give informs you that the improvement will be mad to ceitain'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 (legal descri tton _x ` " ` • -( ` — t. , ' a) Street Address: " '" s G / c.. 11.6 Z< 1/ L;,. L 31_, -'-iL ' ,, I r C 3 s_ ,> 2.General description of improvements: +C A ?. G t -t•- : t <; ,, _x. C1 _ N., .2 (....` V-� tt "z — 3.Owner Information _ = . • ) b ' 1 -2.r. ,-- ' � ti. Lc J, - ' ; 7 -- '..; L J _ (c / , ): ; l cM . _ IL.. -ie �l�i L.::...✓ a) Name and address: b) Name and address of fee simple titleholder (if other than owner) • `'? -x 57 4 ' c) Interest in property - -` "' Z" '` - ' ' 4.Contractor Information 2._ 1 r • ) . ', - 7 G , - �, -- a) Name and address: / L. .4---(- . (. .. ,: {, x 1 . 1" C•- L -a v� ,' / u e- ■! - ; L x > 3 b) Telephone No.: Fax No. (Opt.) 5.Surety Information . a) Name and address: • 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 served: 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: • b) 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 COMMENCIN c "t' VIYUlla TICE OF COMMENCEMENT. • '''V''•• DEBORAH -ANN MEREDITH STATE OF FLOR ' ?` et% 't NOt Public - Buts of Ronde . ; . COUNTY OF PAS i • I fy my Comm. Expires Oct 12.2019 • t.• ©• \�' ,� - c\ .,-' -, : • Commission # OD 92 Signature of Owner or Owner's Authorized Officer /Director/Partner/Manager Bonded Through Miaow! Nobly Assn. 0 ,h,r ■ a r c. ®• ■• kV- i c‘. U M tint Name to foregoing instrument was ackno before me this Z m) day o w , 20/ U , by a s (type of authority, officer, trustee, ....„... as (� tY g stee, attorney in fact) for (name of party on behp e • • om instrument was executed). •4 0 Personally Known OR Produced Identification (..------- Notaiy Signa - 4i - � ', L _a", G� ) r . Type of Identification Produced �r .v -.)r \ {t-., � V f .,c, , Name (print) /) /1 4 1 /�t' d r 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. , f • U,.}C \ J S ) 5 01 . ., . WIC. -(4- - ram gn&re of Natural. Person Signing Above FORMS /NOC,rved2007 • • tin STATE OF'F) " fASCO • THIS IS TO C Ei T# - F p ° ;,NG IS A TRUE ANDCORRE y� � FTHE DOCUMENT ON FILE OR O ':��Ir . o IN THIS OFFICE WITNE Jr' E'A O ;tIAL L Th C� 4 2 `, ► ,. s PAULA S. ►° �' R.. &.CONJPTROLLER BY L , ;, DEPUTY CLERK gip 6/23/2010 PAUL DAVIS Estimate 7077 - P01 R E S T O R A T 1, O N Mrs. Christine Wilkinson 5436 Tangerine Drive Zephyrhills, FL 33542 RE: 5436 Tangerine Drive Mrs. Christine Wilkinson Zephyrhills, FL 33542 5436 Tangerine Drive Loss Date: 6/7/2010 Zephyrhills, FL 33542 Claim Number: 2800063800 Home: (813) 468 -1020 Relative: (813) 956 -5855 Amand Policy Number: NA The following is a recap of the totals for the above referenced claim. Thank you for allowing us to serve you. Total Estimated Cost O &P 20,672.94 Overhead & Profit @ 20% 4,134.59 Estimate Total 24,807.52 Sincerely Howard Wall (Pasco) Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 6/23/2010 DT PAUL DAVIS Estimate 7077 - P01 R E S T O R A T I O N Mrs. Christine Wilkinson 5436 Tangerine Drive Zephyrhills, FL 33542 RE: 5436 Tangerine Drive Mrs. Christine Wilkinson Zephyrhills, FL 33542 5436 Tangerine Drive Loss Date: 6/7/2010 Zephyrhills, FL 33542 Claim Number: 2800063800 Home: (813) 468 -1020 Relative: (813) 956 -5855 Amand Policy Number: NA Front Elevation Main: Task Quantity Unit Price Sub Totals 1. Light fixture - Detach & reset 1 EA 45.89 45.89 2. Masonry acid wash 278.39 SF 0.35 97.83 3. Mask and prep for paint - tape only (per LF) 43.6 LF 0.34 14.97 4. Exterior - seal or prime then paint with two finish coats 278.39 SF 0.96 267.34 5. Shutters - Detach & reset 4 EA 18.09 72.36 Total for Front Elevation: 498.38 Right Elevation Main: Task Quantity Unit Price Sub Totals 6. Remove Steel rebar - #5 (5/8 ") 48 LF 1.26 60.48 7. Steel rebar - #5 (5/8 ") 48 LF 1.02 48.75 8. Masonry acid wash 309.59 SF 0.35 108.79 9. Remove Block - 12" x 8" x 16" - in place 247.67 SF 2.40 594.41 10. Block - 12" x 8" x 16" - in place 247.67 SF 10.71 2,653.54 11. Mason - Brick / Stone - (Down Pours) 6 EA 250.00 1,500.00 12. Mask and prep for paint - tape only (per LF) 33.9 LF 0.34 11.65 13. Exterior - seal or prime then paint with two finish coats 309.59 SF 0.96 297.30 14. Metal lath & stucco 309.59 SF 3.96 1,227.34 15. Additional charge for a retrofit window, 3 -11 sf 2 EA 30.34 60.67 16. Additional charge for a retrofit window, 12 -23 sf 1 EA 45.07 45.07 17. Remove Aluminum window, single hung 9 -12 sf 2 EA 19.57 39.14 18. Aluminum window, single hung 9 -12 sf 2 EA 144.02 288.04 19. Remove Aluminum window, single hung 4 -8 sf 1 EA 19.57 19.57 20. Aluminum window, single hung 4 -8 sf 1 EA 109.70 109.70 21. Remove Aluminum window, single hung 13 -19 sf 1 EA 19.57 19.57 22. Aluminum window, single hung 13 -19 sf 1 EA 180.68 180.68 Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 1 • 6/23/2010 ; PAUL DAVIS Estimate 7077 -P01 R E S T O R A T.I O N Total for Right Elevation: 7,264.69 Master Bedroom Main: Task Quantity Unit Price Sub Totals 23. Clean floor 205.69 SF 0.22 45.25 24. Contents - move out then reset - Large room 1 EA 49.38 49.38 25. Remove Interior door - Colonist - pre -hung unit 1 EA 16.31 16.31 26. Interior door - Colonist - pre -hung unit 1 EA 148.52 148.52 27. Remove 1/2" drywall - hung, taped, floated, ready for paint (1 -wall) 175.47 SF 0.41 71.94 28. 1/2" drywall - hung, taped, floated, ready for paint (1 -wall) 175.47 SF 1.38 241.31 29. Remove Acoustic ceiling (popcorn) texture 205.69 SF 0.42 86.39 30. Acoustic ceiling (popcorn) texture 205.69 SF 0.67 137.77 31. Texture drywall - light hand texture (2- walls) 321.69 SF 0.40 130.03 32. Remove Baseboard - 3 1/4" (2- walls) 36.56 LF 0.43 15.72 33. Baseboard - 3 1/4" (2- walls) 36.56 LF 2.46 89.90 34. Door lockset - Detach & reset 1 EA 17.79 17.79 35. Remove Furring strip - 1" x 2" - applied to concrete (1 -wall) 175.47 SF 0.46 80.72 36. Furring strip - 1" x 2" - applied to concrete (1 -wall) 175.47 SF 1.08 189.81 37. Remove Reflective multi -layer foil insulation R -7+ ( 1 -wall) 175.47 SF 0.17 29.83 38. Reflective multi -layer foil insulation R -7+ ( 1 -wall) 175.47 SF 0.80 141.01 39. Ceiling fan - Detach & reset 1 EA 144.59 144.59 40. Remove Sill - cultured marble on 2" x 6" wall 6 LF 0.54 3.24 41. Sill - cultured marble on 2" x 6" wall 6 LF 7.82 46.91 42. Paint baseboard - two coats 73.11 LF 0.86 62.60 43. Paint door slab only - 2 coats (per side) 1 EA 18.41 18.41 44. Paint door /window trim & jamb - 2 coats (per side) 1 EA 18.40 18.40 45. Mask and prep for paint - tape only (per LF) 73.11 LF 0.34 25.11 46. Seal then paint the walls and ceiling (2 coats) 790.58 SF 0.55 434.11 47. Window blind - horizontal or vertical - Detach & reset 2 EA 26.68 53.36 Total for Master Bedroom: 2,298.40 Master Bath Main: Task Quantity Unit Price Sub Totals 48. Remove Cabinetry - full height unit 1.83 LF 7.81 14.29 49. Cabinetry - full height unit 1.83 LF 264.64 484.29 50. Remove Cabinetry - lower (base) units 4.08 LF 6.94 28.32 51. Cabinetry - lower (base) units 4.08 LF 158.25 645.65 52. Remove Medicine cabinet 1 EA 15.61 15.61 53. Medicine cabinet Medicine cabinet matches base and full height 1 EA 156.73 156.73 cabinets \OA 54. Clean floor 40.91 SF 0.22 9.00 55. Remove 1/2" drywall - hung, taped, floated, ready for paint (2 -wall) 127.19 SF 0.41 52.15 56. 1/2" drywall - hung, taped, floated, ready for paint (2 -wall) 127.19 SF 1.38 174.91 57. Remove Acoustic ceiling (popcorn) texture 40.91 SF 0.42 17.18 Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 2 6/23/2610 � ® PAUL DAVIS Estimate 7077 - P01 R E S T O R A T. 1 O N Master Bath continued... 58. Acoustic ceiling (popcorn) texture 40.91 SF 0.67 27.40 59. Texture drywall - light hand texture (walls) 211.99 SF 0.40 85.69 60. Remove Baseboard - 3 1/4" (2- walls) 15.9 LF 0.43 6.84 61. Baseboard - 3 1/4" (2- walls) 15.9 LF 2.46 39.10 62. Remove Furring strip - 1" x 2" - applied to concrete (1 -wall) 63.6 SF 0.46 29.26 63. Furring strip - 1" x 2" - applied to concrete (1 -wall) 63.6 SF 1.08 68.79 64. Carpenter - General Framer - per hour Above charge is for re- framing 12 HR 53.55 642.60 interior walls (2x4x8 studs) that were damaged during impact. 2 -guys 6 -hours each. Charge includes material \OA 65. Remove Reflective multi -layer foil insulation R -7+ ( 1 -wall) 63.6 SF 0.17 10.81 66. Reflective multi -layer foil insulation R -7+ ( 1 -wall) 63.6 SF 0.80 51.11 67. Countertop - cultured marble - Detach & reset 12 SF 5.70 68.40 68. Sink faucet - Detach & reset 1 EA 58.69 58.69 69. Plumber - per hour Above charge covers plumber for 2 trips for a rough 16 HR 65.17 1,042.72 and final. 2 -guys 4 -hours first trip / 2 -guys 4 -hours 2nd trip. \OA 70. Toilet - Detach & reset 1 EA 120.69 120.69 71. Paint baseboard - two coats 15.9 LF 0.86 13.62 72. Paint door slab only - 2 coats (per side) 1 EA 18.41 18.41 73. Paint door /window trim & jamb - 2 coats (per side) 1 EA 18.40 18.40 74. Mask and prep for paint - tape only (per LF) 26.5 LF 0.34 9.10 75. Seal then paint the walls and ceiling (2 coats) 252.9 SF 0.55 138.87 Total for Master Bath: 4,048.63 Master shower Main: Task Quantity Unit Price Sub Totals 76. Shower curtain rod - Detach & reset 1 EA 12.45 12.45 77. Remove Fiberglass shower unit 1 EA 65.00 65.00 78. Fiberglass shower unit 1 EA 604.24 604.24 79. Tub /shower faucet - Detach & reset 1 EA 101.72 101.72 80. Remove Ceramic tile 38.16 SF 1.69 64.49 81. Ceramic tile 38.16 SF 10.78 411.18 82. Remove 1/2" Cement board 38.16 SF 0.73 27.86 83. 1/2" Cement board 38.16 SF 2.89 110.27 Total for Master shower: 1,397.21 Back Bedroom Main: Task Quantity Unit Price Sub Totals 84. Clean floor 138.97 SF 0.22 30.57 85. Contents - move out then reset - Large room 1 EA 49.38 49.38 86. Remove 1/2" drywall - hung, taped, floated, ready for paint (2- walls) 271.87 SF 0.41 111.47 87. 1/2" drywall - hung, taped, floated, ready for paint (2- walls) 271.87 SF 1.38 373.88 Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 3 6/23/2610 PAUL DAVIS Estimate 7077 -P01 R E S T P R A T I O N Back Bedroom continued... 88. Remove Acoustic ceiling (popcorn) texture 138.97 SF 0.42 58.37 89. Acoustic ceiling (popcorn) texture 138.97 SF 0.67 93.08 90. Texture drywall - light hand texture (2- walls) 271.87 SF 0.40 109.89 91. Remove Baseboard - 3 1/4" (2- walls) 30.89 LF 0.43 13.28 92. Baseboard - 3 1/4" (2- walls) 30.89 LF 2.46 75.96 93. Remove Furring strip - 1" x 2" - applied to concrete (1 -wall) 148.29 SF 0.46 68.21 94. Furring strip - 1" x 2" - applied to concrete (1 -wall) 148.29 SF 1.08 160.41 95. Remove Reflective multi -layer foil insulation R -7+ ( 1 -wall) 148.29 SF 0.17 25.21 96. Reflective multi -layer foil insulation R -7+ ( 1 -wall) 148.29 SF 0.80 119.17 97. Ceiling fan - Detach & reset 1 EA 144.59 144.59 98. Remove Sill - cultured marble on 2" x 6" wall 2 LF 0.54 1.08 99. Sill - cultured marble on 2" x 6" wall 2 LF 7.82 15.64 100. Paint baseboard - two coats 61.79 LF 0.86 52.91 101. Paint door slab only - 2 coats (per side) 1 EA 18.41 18.41 102. Paint door /window trim & jamb - 2 coats (per side) 1 EA 18.40 18.40 103. Mask and prep for paint - tape only (per LF) 61.79 LF 0.34 21.23 104. Seal then paint the walls (2 coats) 494.31 SF 0.55 271.43 105. Window blind - horizontal or vertical - Detach & reset 2 EA 26.68 53.36 Total for Back Bedroom: 1,885.91 General Main: Task Quantity Unit Price Sub Totals 106. Cleaning Technician - per hour Above charge is for a post construction 16 HR 24.82 397.12 clean up \OA 107. Remove Dumpster load - Approx. 20 yards, 4 tons of debris 1 EA 506.27 506.27 108. Electrician - per hour Above charge covers electricians for 2 trips for a 12 HR 81.36 976.32 rough and final. 2 -guys 3 -hours first trip / 2 -guys 3 -hours 2nd trip. \OA 109. Permits & Engineering (Bid item) 1 EA 1,400.00 1,400.00 Total for General: 3,279.71 Total Estimated Cost O &P 20,672.94 Overhead & Profit @ 20% 4,134.59 Estimate Total 24,807.52 Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 4 .6/23/2010 "`G J ® PAUL DAVIS Estimate 7077 -P01 114 R E S T O R A T I O N Paul Davis Restoration, Inc. of Pasco and Hernando FI. License CBCO51266 7944 Rutilio Court, New Port Richey, FI. 34653 888 -PDR -FIRE 5 • • MIAMH 4DE COUNTY MIAMI -DADE COUNTY, FLORIDA BUILDING CODE COMPLIANCE OFFICE CCO METRO -DADE FLAGLER BUILDING PRODUCT CONTROL DIVISION ) 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 NOTICE OF ACCEPTANCE (NOA) ww (305) 375 -2901 FAX (305) 372 -6339 w.miamidade.gov /buildingcode Lawson Industries, Inc. 8501 N. W. 90 Street Medley, FL 33166 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "SH- 7500" Aluminum Single Hung Window (Flange- mounted) — N.I. APPROVAL DOCUMENT: Drawing No. L7500 -0401, titled "Series SH -7500 Single Hung Flange Window ", dated 09/20/2004 with revision "C" dated 07/07/2009, sheets 1 through 5 of 5, prepared by Lawson Industries, Inc., signed and sealed by Thomas J. Sotos, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 07- 0925.11 and consists of this page 1 and evidence pages E -1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Fitz A. Harris, P.E. MI/►MI•OU►DE COUNTY ' NOA No.: 09- 0720.05 APPROVED Expiration Date: September 01, 2010 Approval Date: October 28, 2009 Page 1 All Service Plumbing of Pasco, Inc. • • P.O. Box 1784 New Port Richey, FL 34656 Phone 727- 843 -9272 or Fax 727 - 264 -6821 Letter of Authorization City of Zephyrhills — Building Dept 5335 8 St Zephyrhills, FL 33542 Phone: 813 - 780 -0020 All Service Plumbing of Pasco, Inc. hereby authorizes Doug Cancellara, to sign and /or pick up permits on it's behalf. Dated this 1 1-1— ‘ day of , ZD I O . All Service Plumbing of Pasco, Inc. Company Name di , Owner /Representative Notary Affidavit State of Florida County of ,O,}-•SC Personally appeared before me this '77 day of .1 , 0)O /0 .Being duly sworn on oath says that he /she is A . R 1= PRE-.5 Exv719- -rve of /9Zz. s,Eep.rc E Pi ai n6.:C/4 and the hereby acknowledges the execution of the foregoing instrument for and on behalf of said corporation. _ Notary Public � 1 i My Commission Expires: / / 2- NOTARY PUBLIC - '•1•A7 E OF FLORIDA ' Diane L. Smith -: Commission # DD823751 �' Expires: SEP. 17, 2012 omen TBB.0 ATLANTIC BONDING CO., INC. i N CO H 0 O 0 O O os a A � L 0 • CJ • a 3 E M 0 W 3H �o a co w com Z VI g n. o ° N En f. F. H a W o N C.) N oc 0- .r >,-6." W et l.0 W o H M KC r� zF o 0 o+ h a U 4. ° v 0 0 o° in =0 4F� W a' f h — TT I ° c'n co F H a p ° q F�"1 aw 1....z OE o O ' \ H H C W • 1: 40 �/ a WE pa < 0H .. M zz c.5 0_O UI-� 0 \ 01-1 Si � >,., -J °moo_ o� HV] m� F o_ _j .1 N WU Q m P `' cn- MZ a wH CO c a o a o Ce a °a 4 m 5 o • a mo o v O �/ g N I' Ui (\,U W L O J AH a' > o ® J • H LLJ rp 0 a F .- x e { l G W V]H r., z U °-z j v w z z Q v L ''Ar3d� F-- W of U H H to . &, < H O CO H Q c v r a O Tr a 0 rn. O O J o ti ( u� O N z U r I ►7H Z H a �s �H W to (1) V 0:10 o 4 v 0 E N 0r _ W P 'a N uriUU a th P..° E < = 0 0 4 --i OH Z ko rtfoaP4 W a -60 — H ° w�N 0 �' ' ° ZO H w x •a O 0 7- , o ` c M Z _ U a x xWyaH�,U z �{ °� NO N M 0 ( H OHOc� H I � o° .a E a m T' UH cAC7W ° E+W C ' v o M n LL. = m as w m Z co PKw o 4 Z A xa (1) c 0� W es = _ 7. A = za4 ..Ei owaz H o 0 OooC.) o oEn-� a�maxw uo �o z•• ��� ._ F °D C.) 4 » p a UUHa �� � F a� LO m 0 IM 1 HHHH W O 0 0 = 0 N O2 H o a �az w o ao U °N u u � = CO o li I-1 a) O W x M H z 4 O (fl a N o_ z LO o X NA.r off x W N ,p 11 .0 H W H 1-31-1 P4' 0 a fa H a taina a LO a p Ln a r0 $4 $4 q H H En 4 r-1 En ,‹zi. N W ' d a Ot 0 o r: cti 0 ?C H W CD o Hz�W� -P4 0 i r: x 111:1 . -1,. .JL.�VI!. -- , p, +J±PYJ , i ,E1101Q1G1Q mJ(.fl141111 JlG_1_JR1Q, 7 2 l2.L , ,'_.: !' '-:1 OFFICE DISPLAY CARD DEVELOPMENT REVIEW SERVICES DEPT. "! CONTRACTOR LICENSING ,,,, IA CERTIFICATE OF COMPETENCY • F. I.D.# - v r : : - e . 2 -� Be it known theti t_ 8M'' . 1 I.. ._ f L; , ma S.? M1f tl ; t MAT. �i 1..'R X YE / i t - ».» _ -. ' {. G :. 'I UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE PROVISI • , : • • I. CE TIFICATE OF COMPETENCY ' BUILDING OFFICIAL DATE ■• , - ... RRRR%- RR . 9 .Rrt1zR . . . Rte 1 R. J af&G)FICIFJfA &L�[GZ1:TL(I 61�1 .. . ._ /✓tom MAILING ADDRESS: ALL SERVICE PLUMBING OF PASCO, INC. P.O. BOX 1784 NEW PORT RICHEY, FL 34656 PHYSICAL ADDRESS: ALL SERVICE PLUMBING OF PASCO, INC. 4117 GRAND BLVD NEW PORT RICHEY, FL 34652 PHONE NUMBERS: PHONE: (727) 843 -9272 FAX: (727) 264 -6821 EMAIL ADDRESS: ALL.SERVICE.PLUMBING @LIVE.COM Jul 06 2818 12:56:43 Via Fax -> 7272646821 The Hartford Fax Page 803 Of 004 NORTHEAST AGENCIES INC /PHS 301 WOODS PARK DRIVE CLINTON NY, 13323 City of Zephyrhills 5335 8th St. Zephyrhills, FL 33542 AT- ' ach y - ACORD 26 -S (7/97) 0 ACORD CORPORATION 1968 Jul 86 2818 12:56:46 Via Fax -> 7272646821 The Hartford Fax Page 084 Of 804 ACORD CERTIFICATE OF LIABILITY INSURANCE DA 71 07 - 06 - 2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTHEAST AGENCIES INC /PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT 210519 P: (866) 467 -8730 F: (800) 308 -5459 ALTER THE COVERAGE AFFORDED BY THE POLI BELOW, 301 WOODS PARK DRIVE CLINTON NY 13323 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Casualty Ins Co MICHAEL E. SMITH & ALL SERVICE INSURER B: PLUMBING OF PA$CO, INC INSURER CI PO BOX 1784 INSURER D: NEW PORT RICHEY FL 34656 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP INSURANCE POLICY MP41& AM 1IB/YY1 Ri PTY) LIMITS UAINUTY EACH OCCURRENCE $1,000,000 A COMMERCIAL GENERAL LIABILITY 01 SBM KS 8 8 6 6 10/10/09 10/10/10 FIRE DAMAGE (Any one Mil 03 0 0, 0 0 0 CLAIMS MADE X OCCUR MED EXP (Any one person) .10 , 0 0 0 X General L i ab PERSONAL & ADV INJURY 0 1,000,000 — GENERAL AGGREGATE 02,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO *2 , 0 0 0 , 0 0 0 POLICY X FRO LOC JECT AMMONIA, VANITY COMBINED SINGLE LIMIT ANY AUTO (El eNCIdeNS) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY • NON -OWNED AUTOS (Per /OCIdant) PROPERTY DAMAGE 0 (Pa accident) OAl1A0ELd111VTY AUTO ONLY • EA ACCIDENT 0 ANY AUTO EA ACC • OTHER THAN AUTO ONLY: AGO 0 EXCISSLLlfB ?Y EACH OCCURRENCE 0 OCCUR j CLAIMS MADE AOOREGATE 0 • DEDUCTIBLE • RETENTION 0 e WORKERS COMPYASA WC STATU- 07N- IMPLOYER8'114IL1TY TORY IACTS FR E.L. EACH ACCIDENT e E.L. DISEASE • EA EMPLOYEE 0 OTHER E.L. DISEASE - POLICY LIMIT 0 DEWRIPTION OF OPERA77QNWLOC47TWt54 MCLEL'EXGLLMlO,YB ADM EYEADORIEMEM /aPf0141, PROVNION8 Those usual to the Insured's Operations. CERTIFICATE HOLDER X ADDITIONAL E1CMO; INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE City of Zephyrhi lls HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 5335 8th St . OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 7er�1- ,.svY� i 1 l a L'T. 07/06/2010 TUE 11:53 FAX 863 293 5862 CertiSure, Inc. 0001 /001 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYYY) 07/06/2010 PRODUCER (863) 293 -4653 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 All Service Plumbing of Pasco, Inc. INSURER A. Business First Insurance Co 15101 Mattoon Drive INSURER B. Springhill, FL 34610 INSURER Michael Smith 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 POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DDIYYYY) DATE (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ POLICY l I PRO- JECT LOG 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 / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION 5 $ WORKERS COMPENSATION WC STATU X OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER A OFFICER/MEMBER PROPRIET ER EXCLUDEDXECUTIVE' f N 0196 -05788 12/18/2009 12/18/2010 E . EACH ACCIDENT $ 500,000 (Mandatory In NH) E L DISEASE - EA EMPLOYEE $ 500, 000 If yes, describe under SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $ 500,000 OTHER INCREASED E.L. DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES 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, BUT FAILURE TO DO SO SHALL City of Zephyrh i 11 s IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATTN: Building Department REPRESENTATIVES. 5335 8th Street AUTHORIZED REPRESENTATIVE Zephyrhil l s, FL 33542 _,lames Knight /ROBYNE ACORD 25 (2009101) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD :ST E QF FL ORIDA iR'�IFi � � i t I DA - - ON IL REGTJL ION T €3RS ... EN SIN BQARI • - _ $EQ# L08 072301438 0 -- DATE BATCH NUMB LICEi E D JE 0 ?8 088013924 _ E = 3 0` � N � do l $usine 0 al • f ic - The ELE CO _ { N----- the below IS CERTIF Under the prov%sions o C hap ter. S Expira date: AUG 31, 201 = , ,,,, ;. - 4, I=.' k fi=x RE .HAE T :C T - CT RXC N ; 6 0 6 R of " D RIE I NEW PORT RICHEY FL 3 .4_, S CHAR CRIST _ GO V r E cR - CHUCK �RAGO R INT S ECRETAR Y � I�E�#JfRED B'Y,LAW � - - mike Currie Electric, Inc. • . . Commercial • Residential • Service • St. Lic. # EC- 13003201 July 7, 2010 City of Zephyrhills 5335 8 St. Zephyrhills, FL 33542 To Whom It May Concern: I, Michael Currie, President of Mike Currie Electric, Inc. authorize Doug Cancellara to pull permits on behalf of Mike Currie Electric, Inc. (State License # EC 13003201) Pasco ID# 015743 for all Paul Davis Systems, Inc. of Pasco. Sincerely, / j I.e...." /..1 Michael Currie, Pre • dent State of Florida County of Pasco SUBSCRIBED AND SWORN before me by 1 1 1 CAA i( ; ,e(._ C44.166, personally known to me, on this '7 day of fti (' , 2010. 0. `:.!'!. 1 :`:. 84 , , KATHRYN A. LUZON * , * MY COMMISSION J DD 891144 ''-(4.-- N otary Public � j �t '' j Bonded p S'JJune 12,2013 FOF Ft� V Notary Services PHONE: 727 - 842 -5723 • FAX: 727 - 846 -7195 4311 Grand Boulevard • New Port Richey, Florida 34652 • www.mikecurrieelectric.com Date CERTIFICATE OF LIABILITY INSURANCE I 1/28/2010 Producer: Lion Insurance Company This Certificate is issued as a matter of information only and milers no 2739 U.S. Highway 19 N. ts the Cefi. Tha or righ alter upon the coverage rti a cate fforded Holder by the policies is Certific belte ow. does not amend, extend Holiday, FL 34691 • Insurers Affording Coverage ' NAIC # I. ad: South East Personnel Leasing, Inc. Insurer A: Uon Insurance Company 11075 2739 U.S. Highway 19:N.. .. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages ' fhe 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 vith 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 imits shown may have been reduced by paid daims. NSR ADDL Policy Effective Policy Expiration LTR INSRD Type of Insurance Policy Number Date Date Limits (MM /DD/YY) (MM /DD/YY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premises (EA Claims Made 0 Occur occurrence) $ 4 ' Med Exp $ Personal Adv Injury $ • General aggregate limit applies per: . _ . D Policy El Project CI LOC - General Aggregate $ Products - comp/Op Agg $ AUTOMOBILE LIABILITY r. Combined Single Limit Any Auto (EA Accident) $ All Owned Autos Bodily Injury NOM Scheduled Autos iiem (Per Person) $ 'Hired Autos Bodily Injury MINN Non -Owned Autos (Per Accident) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims. Made Aggregate _ • Deductible A Workers Compensation and WC 71949 01/01/2010 01/01/2011 x I WC Statu I I OTH- Employers' Liability tory Limits ER Any proprietor/partner /executive officer /member E.L. Each Accident $1 000,000 excluded? E.L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /LocationsNehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 30 - 27 - 284 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company ": Mike Currie Electric, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: FAX: 727 - 846 -7195 / ISSUE 12 -09 -08 (SD) / REISSUE 12 -23 -08 (SD) / REISSUE 11 -16 -09 (SD) / RENEWAL 12 -17 -09 (SH) / REISSUE 01 -28 -10 (SD) Begin Date: 4/10/2006 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 5335 8th STREET ZEPHYRHILLS, FL 33542 e ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SG DATE(MM/DD/YYYY) PRODUCER MIKEC -1 03/22/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Stahl & Associates Ins. , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 939 Tampa Road • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ismer FL 34677 .none : 813 -818 -5300 Fax :813- 818 -5396 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Trust Insurance Co. INSURER B: FCCI Commercial Ins . Co . Mike Currie Electric, Inc. INSURER C: 4311 Port 34652 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. INSH - RDD"L LTR INSRC TYPE OF INSURANCE POLICY NUMBER PO EFFECTIVE - POLI E DATE (MMUD DATE CY (MMID D XPIRATION /YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY GL0006922 03/25/10 03/25/11 P R R EEMMISES ( Ea t oc cure nce) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5 , 0 0 0 4 • PERSONAL & ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2 , 000 , 000 • GEN'L AGGREGATE LIMIT APPLIES PER: AGG n CT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 - AUTOMOBILE LIABILITY A X ANY AUTO CAOO 0287 (EaMaBINED SINGLE LIMIT $ 1,000,000 )� 03/25/10 03/25/11 ALL OWNED AUTOS , SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON OWNED AUTOS BODILY INJURY $ (Per accident) (Per PRO PERTY DAMAGE $ • GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 B X I OCCUR CLAIMS MADE t1M60006385 03/25/10 03/25/11 AGGREGATE 5 1,000,000 • $ DEDUCTIBLE $ X RETENTION $10,000 — $ WORKERS COMPENSATION AND (TORY 4/Wag— i I ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Byes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Mike Currie - State License # EC13003201 CERTIFICATE HOLDER CANCELLATION CITYZEP 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 Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Building Department Fax#: 813-780-0005 IMPOSE NO OBLIGATION-OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th Street REPRESENTATNES. Zephyrhills FL 33542 AUTH E N ACORD 25 (2001/08) © ACORD CORPORATION 1988 PASCO COUNTY B TAX RECEIPT 2009-10 issued pursuant and subject to Fkproa S jter E nv Ordinances. issuance does not certify compliance with zoning or other iaws This rece43; s. s'ouusly in place of business. Expires September 30. • Mike Olson ACCOUNT NO: 065441 TXLTLLECTOR TYPE OF BUSINESS: SIC CODE: 1731.02 ELECTRICAL CONTRACTOR P :CITNTY FLORIDA r ••• LOCATION ADDRESS: cl• 4311 GRAND BLVD t4EW PRT RCHY MIKE CURRIE ELETRIC INC ;fiat& ••• ° • 6006 REDHANK DRIVE NEW PRT RCHY FL 34655-1144 DATE RECEIPT AMOUNT 07/28/09 570451 53.75 1 .1 11 .1.1Huddulik.A.H.1.1.hdH. • HI • N W J� o P L v J�e a� Py y � U (�` v J� �� P � i , $ .-de f-- I ` g R BF 6`8 6�Z R '4- 5'4 R� F XC-F RC -F Fs�F `z 3 j2 C F S CC) C-C `Fq E- LC- VAT Saw cut into concrete masonry unit cell Drill 3/4" by 6" deep into existing foundation and tie beam Remove dust from holes with oil free compressed air Clean holes with nylon brush and blow out remaining dust Install one #5 rebar using Simpson SET epoxy or e4ual in accordance with manufacturer's recommendations Lap all splices 25 inches minimum Pour solid with 3000 p.s.i. concrete 51x ?"C E5 V�2T(CAL STEEL ro 7, m o - - rH,? Lt 20"C. 1 i yp/c19L. ; =IUG �'cRcES t C-N e c ITG✓L1 �C- fL t b I3 v (c_ D I ov G f3"(C L.) r our� 5REEz> I (C, pu CAI f N a I Nit P U )t -:-rrq U cc- Fr,,c -r U r- (.0 W rND �x P o T� €N CL r; ; , ca R - a 0F o tiG l lo,0 /-1 Z !o•o / -z9• - (F3 • 5/ 3 Sac -7usf' eo C- FF + o. (,q REVIEW DASE -7 - 1 - it' -- CITY OF ZEPHYRHILLS PLANS EXAMINF_R_ _____. g