The URL can be used to link to this page

Home My WebLink About11-11875 CITY OF ZEPHYRHILLS .f . • 5335 - 8TH STREET (sis)�so-oozo 11875 PLUMBING PERMIT Permit Number: 11875 Address: 7245 LANDOVER DR Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-0050-00000-0510 Improv. Cost: 610.00 Date Issued: 5/20/2011 Name: MCINTYRE THEODORE & CHRISTINE Total Fees: 60.00 Address: 7245 LANDOVER DR Amount Paid: 60.00 ZEPHYRHILLS, FL. 33540 Date Paid: 5/20/2011 Phone: (813)355-3701 Work Desc: REPLACE WATER HEATER 40 GAL NORTH COUNTY PLUMBING PLUMBING FEE 60.00 .� � - �� I 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL 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 foliowing 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 fl plans not a 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. Th ayment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances / CONTRACTOR PER OFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \;J �`-, T ti � :: sY�:�t7�% , � �>.> ��o ��s ; ��p...> i��,�; City of Zephyrhills BUILDING PLAN REVIEW COMMENTS � 'Y / / Contractor/Homeowner: d � ��j � �l GC�Yj �J` Date Received: S � � Z — / / Site: `7 2 �/ S� ��1�� Permit Type: (° �GZC�� l G.�C( � �:.c �� .%' Approved w/no co Approved w/the below comments: �Denied w/the below comments: ❑ �L � � � This comment sheet shall be kept with the permit and/or plans. }� � � � �� , � Kalvin 'tzer — 1 xaminer Da e Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received , — T _� _� Phone Contact for Permittin Owner's Name 1 1` ` Owner Phone Number �3�• 3 Owner's Address �� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS S Vv� � LOT# S� SUBDIVISION � ( Q C. pARCEL ID# ��S' al' VD�' v � OS I O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK Q vL ,�.Q.L, BUILDING SIZE SQ FOOTAGE HEIGHT �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 �PLUMBING $ p lo r � �� U I �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR E�EVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y! N Address License # ELECTRICIAN COMPANY �— SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address icense # PLUMBER � COMPANY �C U i/yV� Ih' SIGNATURE � REGISTERED Y/ N FEE CURR � Y/ N Address � Q License # M EC HANICAL COM PANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, Minimum ten (10) working days af[er submittal date Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sarntary Facilit�es 8 1 dumpster, Site Work Permd for subdrvisions/large projects COMMERCIAL Attach (3) complete sets of Build�ng 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 Factlities & 1 dumpsler 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, notanzed If over E2500, a Notice of Commencement is required. (A/C upgrades over E7500) " AgeM (for the contractor) or Power of Attomey (for the owner) would be someone vnth notarized letter from owner authonzing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 coniractor, 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 ceRify 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 ail 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-Seawalis, Docks, Navigable Waterways. - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I unaerstand 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 Bwlding O�cial from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit i�sued shall become invaltc� 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 COMMENCEMEN MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE F ME T. FLORIDA JURAT (F S. 117.03 OWNER OR AGENT /� CONTRACTO cribe and sw,orr�t�(or rmedZ _e ore me t i �� S �gd nd s to (or umed) f ine is bY w._��.e 1`lf\� �• bY SO� Who is/ar,�pC rson me or has/have produced Whp_is/are oersonally nown to m o s/ha produced F' as identification. as identification. ` ` i!7�vN/�otary Public /vS��-ii-v � 1 Notary Public Ca �r� sion No Co 'ssion No. �/ �� S� �C U ame of Notary t ed rin d sta pe `'pmpi•. �Cl� �' �r �oNc - �an a porw. ,��,�� MELANIE JONNSON • • My► CopMn. Eqira� APr Z0, Z64! Notuy Public - St�te of f1orW Conwnhtb� � EE 745�7 • My Comm. Expins Apt 20, Z015 /oeMO TMwyl� IaYo�M MM. Canmistbn IF EE 74567 lond�d TM�M II�Moe�l q1�lryYry IIIN�. . . . Mr�.��.aw..�» �:�.�- ; tRC3z�+�+�. �►n+��P, ..�..,, Y?k'i`bF'"/, ! : A i , ..� ..., 6$t1�fd ,S" 41fi� : ?fi!?^,i`= Y �s� ��fr �r"� ' iM ' * 1��'�� ff', y'i ��l , tT�}d.VxiQ��1�.� �"aili��,.`r. r+. rr�ili .. .. ':ii�:: . s 1 " �' "! ♦�,# ��'! � 9. !i1HZ�f'Y+i Y.y� ,�: }a +fe:� �? ��Ci,• .. �,, /�. ,P� , � 11�� 1i��!!!Y�Gt� e N=f�1 ��Sf6f$ �CnW1iY1 ��., � ' hi` sVy ' +.ac'.'°'�, . � Phone (561) 625-9414 Licensed & Bonded Fax (561) 625-871' Lic. # CFCO26530 � 1-800-323-0263 -.�� 1� Celi (561) 644-0199 �� v`� o �� v U.�� _ �� P�.tJMBI G � �� ANTHONY AGRUSA JR. 9056 North MilitaryTrail, Suite I �� [ a� � Partner Palm Beach Gardens, FL 33410 � v � � �\ p �(� /�XJ`.' V �� J�� '�'t'I' WORK SHALL COMP �� P�E�AILAIG CODES, FLp� THAI,L CODE, NATIpIVqj, B��iG C1TY OF ZEp ELECT�C �RHILLS OR.DIN D A�ND Kt V1E� pATE CITY OF ZEP — �Ng E� �� r W�t r1 P m C) rl �-y �— � � � "7 2 � �an�'vv�r ��, � fc�,w� 1� : S—�g _ i 1 ��P��rrl�� I ls d �� 33SyO � ��1,.�_., .�� ._ Phone (561) 625-9414 Licensed � Bonded � Fax (561) 625-8717 Lic. # CFCO26530 -�� 1-800-323-0263 Cell (561) 644-0199 � �� " V� �C��' � �� , � � �,UMBI G , � ��d� - �O N rth Militar Trail Suite I � ' ' ANTHONY AGRUSA JR. 9056 o y �� \` Partner Palm Beach Gardens, FL 33410 I � , � � ; ` J � '��! ' ' � V� I � � -- � �T' I �/,� v ' � ' �'/� - ��F� c��'�� , �� ; ' ��, � � �� ;t , � � � - � , i �� ,� � � � ; , �� _ � _ . _ �� _� _ _ ; ,_, ;�,_ ,; _ . � -' � _ az,L wo�uc sx�t,L co LY ' ' � _ ' PREVAI�IN� ' �AI'L - ; ' , ; ' ' CODE, NATIONAL ELE � � BIIILDING � CITY OF Z,E]P��yRHILL ORDINANCES� ; ., . , �. � , �EVI,�tN � , C�� OF ,�'�PH � -Z � �`.�"'s �,�r�c�� r ��i ne_ (�C. ) �'l �-y (�.�. . �°� � z � `�n�� , � ��,Wn �, ; � � � ��p �y r 1� � � ls �� 3 3 � y � � `�� — � �.�,$-�o,�Y ��s� Pasco County Parcel: 35-25-21-0050-00000-0510 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, May 14, 2011 Parcel ID 35-25-21-0050-00000-0510 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value MCINTYRE THEODORE & CHRISTINE Ag Land $0 7245 LANDOVER DR Land $19,923 ZEPHYRHILLS FL 33540-1040 Building $58,022 Physical Address Extra Features $10,332 7245 LANDOVER DR ZEPHYRHILLS FL 33540-1040 Market Value ¢88,277 Assessed (Save Our Homes) $86,585 Leaal Descriution (First a Lines) Homestead 196.031 -$25,000 Non-School Additional Homestead Exemption -$25 000 See Plat for this Subdivision �"' ' ALPHA VILLAGE ESTS PHASE 1 PB Non-School Taxable Value �36,585 19 PG 69 LOT 51 School District Taxable Value $61,585 OR 3864 PG 1590 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �1 0100 SFR OOR2 7,350.00 SF $2.70 1.00 $19,845 2 0100 SFR OOR2 7,832.00 SF $0.01 1.00 $78 Additional Land Information Acres 0.35 Tax Area ZH FEMA Code � Residential Code ALFAWPI Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1984 Stories 1.0 Exterior Wall 1 Concrete Block Stucco E�cterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wail 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 Line Description Sq. Feet Repl. Cost New 1 FGR � 338 $7,763 � 2 �— BAS 1,092 � $62,790 3 FSA 144 � $2,875 4 FOP �— 80 $1,150 Extra Features (Card: 001 of 001) �ine Description Year , Units Value �—� DWC 1984 480 � $594 2 POOL-6 2000 � 336 �— $6,787 3 � COOL DK 2000 � $1,218 � � 4 CLFENCE 2000 640 $466 5 UDU-M 200 1 $370 6 DCFENCE 2006 � 720 $897 Sales History Previous Owner TAAVOLA FAMILY TRUST Year Month Book/Page Type � Amount i99� � 12 � 3864 / 1590 WD $60,000� �� http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21 &sbb=0050&b... 5/17/2011 0 P�.u�Bl c Lisc. # CFCO26530 9456 North Military Trail — Suite I Palm Beach Gardens, FL 33410 561-625-9414 — 800-323-0263 — Fax — 561-625-8717 WWW. NorthCountyPlumbing.Org Tuesday, May 10, 2011 Attention: City of Zephyrhills Community Development Department-Building Division I, Anthony Agrusa, do hereby authorize Scott Schneider to sign for and/or pick up, drop off any permits for The City of Zephyrhills. Thank you, � Anthony Agrusa President � ��Pr P ��iy ��i � Signed this � day of �� Q� 2011 ¢= Nauy v�ue • sa�. a�a , • Mh► con�n. e,p�.. � �o. zo�s c� r � �� No Public �►.�d►�MAww�.ar► +�?�'N�[m ts� n +��A ,� �k'J�Ftt� tiYr s�s ?r' �� 4 , t„ A, � `� „ >> . ' +G : � f i i ,�r�lt r.;'� �� a.jM�._: >lil , � tci ' ry 1 �' ♦ ' ��' ��'�� '�C"fFD.'tiSi.1'o � ��t��a. .(� �� HM#Iw� . �� ' � �, LOCA�L ��.1l5�I.T�� T�:�( R�CEIPT �'�(P�IR��S; ��T�f��f� - �{� - 2011 NORTH COUNTY PLUMBING TNC LOCATED AT CNTY 27 50 AGRUSA ANTHONY FRA�JK 4441 N�R'fHL/�KE BLVD PALM B�EA�hI GARDENS FL 33410-6255 T��AI ?.? �n �r IY��. r.a,.r.«�{rk A� '�errtlav aa111o�I �eron Rhr Ak++�r,r� #:enlF �c, Re,r �la� ,.�a �"„p beginning on !he flrst dmiy of Octeber and ending on the thirt�etk� T HI fl� d`�� 9� i�� q;�, If� �I ii li �`•ii " day of 3eptember to engage in the business, profession or -------' — ; occupation of: pLUMBINO CONtRACTaR PAID. PBC TAX COLLECTOR CFCO26530 27.50 BTR 049 01710672 08/25/2010 ANNE M. GANNON 7HIS DOCUMENT IS VALID ONLY WHEN RECEIPTED TAX COLLECTOR, PALM BEACH COUNTY BY TAX COLLECTOR 2�� -09338 STATE OF FLORI�DA oC-o32 PALM BEi4CW COWNTY c�assiFicarioN L4CAL BU�IN:E�� TAX REC�IPT EXPlRES: SEPT�"�f��l� - 30 - 201 � NORTH COUNTY PLUMBING INC LOCAFED �'f CNTY 59,50 AGRUSA ANTHONY FRANK NORTH COUNTY PLUMBING INC 9056 N M1L��AR�� TR�L STE I WEST PALM B�A�H FL 33410-5900 TOTAL 59 50 This rer.eipt Is hereby vaiid Mr the abova address for the perlod THIS I� NOT A BILL - DO NOT PAY + � beginning on the 8rs{ day of October and ending on the fhirtieth � �� — —� day of September to engage Ih fMe bustness,..profession or —"-- occupation of: PLUMBING CONTRACTOR PAID, PBC TAX COLLECTOR 59.50 BTR 049 01710671 08/25/2010 CFCO26530 / QB25046 ANNE M. GANNON THIS DOCUMENT IS VALID ONLY WHEN RECEIPTED -�• ^^� � ��T�o n�1 II11 R�Af'N C_QII.I��TY BY TAX COLLECTOR '��-O�O�Z STAT��. Q�f �'L�.� CW-004 P�i4LM B`��i��i �'.U.N�'Y LOC.AtL f��U�l�,�� 'q,X �E�CE:IPT ��ASS�F��AT�°N Ex�►�t�s. ��.�fi�� - 3� - Zo�a NORTH CQUNTY PLUMBI�FG INC AGRUSA ANTHONY FRANK LOCATED A.T C/WIDE 264 60 44W1. Pb RTMLAKE BLVU P�k�M BE�CM Gi4RD�N:S FL 33410-6255 TOTAL 264.60 THis recelpt is h.ereby vell.ii./or the.above,eddress.f�r.lAe periad be.gtntaing on tlte �Irat ¢�y ot.paEober and eniling on the'thirtleth T�FfI� IS NOT A BILL - DO NOT PAY dqy:e�f�September t prbfesslor� or --- oo�yp�t�bn of: PLUM�LN6. CO.N:�R.ACTOR PAID. P8C TAX COLLECTOR � CFCO26530 264.60 BTR 049 01710673 0 8/25/2010 I � ANNE M. GA�J.NON � TAX COk,L�CTOR, PAI.M gEACH COUNTY THIS DOCU.MENT IS VALID ONLY WHEN RECEIPTED BY TAX GOI.I_t�C;TcJR Q Pti.tlMBt G Lisc. # CFCO26530 9056 North Military Trail - Suite I Palm Beach Gardens, FL 33410 561-625-9414 — 800-323-0263 — Fax — 561-625-8717 NorthCountyPlumbing@Hotmail.Com ��l�s a�l � r s �- ►� n � c� � h� r� � From'Whitney Atheras Fa�ID'Celedinas Insurance Page 2 of 2 Date:S/3l2011 10:51 AM Page2 of 2 '�� OP ID: WA ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/03/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATiVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIpES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CER7IFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL iNSURED, the policy(ies) must be endorsed. 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. PRODUCER 561-622-2550 CONTACT Celedinas Insurance Grou PBG NAME. 4283 Northlake Blvd. P 561-721-0540 A�c o Ext : A/C No : Palm Beach Gardens, FL 33410 E�AAIL William Hamilton ADDRESS: PRODUCER NORTH-1 CUSTOMER ID #. INSURER(S) AFFORDING COVERAGE NAIC # INSURED North County Plumbing Inc 8. INSURERA.AIIIeCI P Sa C II1SU�1�1C@ 42579 Agrusa 8� Sons Contracting Inc INSURERB Nationwide Mutual Fire Ins Co 23779 9056 N Military Trl, Ste I INSURERC Palm Beach Gardens, FL 33410 INSURER D INSURER E INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' THIS IS TO CERTIFY THAT 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 LIMffS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR �� TYPE OF INSURANCE POLICY NUMBER MM/DD YY MMI�D�D� LIMITS GENERALLIABILITY EACHOCCURRENCE $ 'I,OOO�OO A X COMMERCIALGENERALLIABIUTY CP5904564855 07101/10 �7��/�� pREMISES Eaoccurrence $ 1 ��,�� CLAIMS-MADE � OCCUR MED EXP (My one person) $ ��OOO PERSONALBADVINJURV $ 'I�OOO�OOO GENERALAGGREGATE $ Z�OOO�OOO GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000�000 POLICY P LOC $ AUTOMOBILELIABILITY COMBINEDSINGLELIMIT $ ��OOO�OOO A X,4��v AuTO CP5904564855 07/01/10 07/01/11 (Ea acadent) BODILY INJURY (Perperson) $ ALL OWNEDAUTOS BODILY IN,AJRY (Per accident) $ >CHED� iLED 41 iTOS PkOFERTYDAMAGE HIREGHUTG= (Paracadent� � NON-OWNED AUTO: $ $ UMBREL�A LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MP,DE AGGREGATE $ DEDUCTIELE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY �, � N TORV LIMITS ER ANY PkOFRIETOk/PARTNE=R/EXECUTNE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'> ❑ N � �+ (Mandatory In NH) E L DISEASE - EA EMPLOVEE $ If yes, describe untler DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ B ontents 77PR7283333003 07/01/10 07/01/11 1000AOP/ 200,00 5% Wind DESCRIPTION OF OPERATIONS ; LOCATIONS / VEHICLES (Akach ACORD 101, AddiUonal R�marks Seh�dul�, If mon epac� Is r�qulnd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrills Building ACCORDANCE WITH THE POLICY PROVISIONS. Department 5335 Sth St AUTHORIZED REPRESENTATIVE Zephyrhills, FL 33542 � O 1988-2009 ACORD CORPORATION. All rlghts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 05/03/2011 13:?4 FA1 9 PES-PEO 1�002/002 �'� °� CERTIFICATE OF LIABILITY INSURANCE DAT!(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RKiHTS UPON THE CERTIFlCATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMAI7VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TNE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEIWEEN THE fSSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMP�RTAN7: If the ce�t111cate holder is an ADDITIONAL INSURED, U►� policy(fes) must be endorsed. If SUBRO�iATION IS WAIVED, subJ�ct to th� terms and tondidona of the polky, cortafn poUci�s may nquim sn �ndorsement. A statement on this cerdflcata doas not conhr riyhts to thQ cort�cabe holder in liau ot such end a. PRODUCER Alliance Insurance Solutions LLC r,r� T PO BOX � 777 pHpME 7-4 7-1 47 A/C No : 727-4 7-12 St Petersburg, FL 33731 L A DRE IN6URE S AFFORdNG COVERAGE NAIC N INSURER A: SU fl '� 2 INSURED Progresslve Employer Management Company If1C. INSURERB. Progressive Employer Management Company II, Inc. „�,�,Renc: 6407 Parkland Dr Sarasota FL 34243 ��+ o • ir�suRea e : IN$URER F : COVERAGES CERTIFlCATE NUMBER: 10111385 REVISION NlIMBER: THIS IS TO CERI'IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUm TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REpUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOYVN MAY HAVE BEEN REDUCED BY P/UD CWMS. �� TYPE OF INSURANCE POLICY NUM R P r EFF I Y E7� LIMfTS GEkERAL LIADILITY D EaCH OCCURREMCE S COMMERCIAL GENERAL LU161LITY PR S Ea ota�w�rence S CWMS-MADE � OCCUR MEDEXP M one S PERSONAL d ADV INJURY S GENERALAGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER: PRO�UC7S -COMP/OP AGG S POLICV � �pC s AU70MOaLE LWILtTY S .wr nuro BODILY 1NJURY (Per parson) s ALL OWNEO SCHEDULED AU70S AUTOS BODILV IWLIHV (Var acOaant) f HIRED AUTOS NON-0WNED Q �p r „ t � S AUTOS aopden S S UNBRELLA LlAB pCCUR EACH OCCURRENCE s EXCE55 LIAB CW�_u�E AaQRE6ATE S DED RETENTION$ E S S q wo�ascarre�row WCPE0000005401 11H/2010 11/1/2011 �STATU• H AND EMPLOI/!RS' LIA6ILITY V/ N RY M �R � OFF�CEWMEMBE ��NE�ECtlrIVE� N/A E.LEACHACCIDENT j �� N � ) E.L OI6EASE - EA EMPLOYEE $ If ygs, dapaipp unEqr DESCRIPTION OF OPERATIONS below E-L DISEASE - POLICY LIMIT S 1 OOO OOO DESCRWTION Oi 07ERATION3 ! LOCATIONS ! VlHC�ES (Atlaeh ACORD 701, AddlNOnd RNnri�s SchWul�, if mor� �p�e� Is r�q��lnd) Cover�ge Provided for aq leased empbyees but not subcontractors ofi NORTH COUNTY PLUMBING, INC. Client Effective: 11/1/2010 64B4 AN ELLATI N SHOULD ANY OF TNE ABOVE DESCRIBED POLIC�S BE CANCELLED BEFORE City Of Zephyrhills Building Department THE EJ(PIRATIpN DATE TIiEREOF, NOTICE WILL BE DELIYERED IN 5335 8th Strret ACCORDANGE WITH THE POLICY PROVISIONS. Zephyfiilis FL 33542 AUTHORIgD REPRE$ENTATNE ��/�� ^ � ` f► Glen J Dbtsfano � 198Q ACORD CORPORATION. All riybts reserved. ACORD 25 (2010/05) The ACORD name and logo aro rvgistorod marks of ACORD CERT NO 30111365 (.T,IENP CODE. pEMCp NiCk CiCCiie110 5/3/3011 10:09�45 AM Pege 1 of 1 �� t+ � � vr r�uKIUA . DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD '' � � - LICENSE NBR SEQ�$L09081802308 08 18 2009 090086639 B25046 '" The BU32NESS ORGADiIZAT�ON � � "' � ��..� ° Named below IS QUALIFIED TTr�.d.er th.e pra�risic�n� �,f r'ha�+*ar 4a� �c ��r�,i R`�* : �n �1a�a A'r�. �; , , (THIS IS NUT A LICENSE TO�P�RFORM WORK. THT. COMPANY TO DO BUSINESS ONLY IF IT H�A� A Q�,�,��w� THE NORTH COUNTY PLUMBING INC � 4441 NORTH LAKE BLVD PALM BEACH �ARDENS FL 33410 CHARLIE CRIST GOVERNOR CHARLES W. DRAGO -- DISPLAY AS REQUIRED BY LAW SECRETARY I 1. :STp ' ::J: .i3: . y �,.. H. ` i � ��' ~•/ , ' ��.,^r„ ��,�K �Yrr�.' 1�./. r.�� j. l :, C.' 1 �a%f'� �` � Y. } „� . '1. fYC• � t� � .i , ; . �J {;c;�';� �``•• 5.�.,�; `� �' � � .�1� c � � �, a� �in �, ,' � . , n \..! �� `;�T�'.-� n \±�ri�` �,,�i �'�,�a� �� r^ },�� _�q, �, �� ?+ `i�l�y, }{, � r_„� ` ��:� .� t� Di's, „i. "�`�� f� ` � , " '�'��'' ' ,�!�# �l�`� �t'- b:�•.. „�t��,k� ' ,� � 4, �� ; ;;j �� ;'" � r�'"''' � *�,;." Y r° ' 7 �i� �'�s=�� ( I=�''c �'�': � ��` );;"�1 �',.-..�� .�''�� (�r�'� `� .�k r. � ` � � ,�,� � )'%r ..,,.. f ,��" , ;�- ��: �.�... ,,4 �, '��'�`�� i. � ��. . � , � ^ ��r�x �.`-`,�"i, }.,; � !�(� '"""' 3 i �!±�"" �:.��•� � A � " 7i' YC � v . �. i , � $ C' ' � E ' ...,, � �rf � � � �yt '�{;�,t ,� *� � ,r , --�; , � ��ar . a. •�`'•'"r�*f t :�� m � � . rr " .^,�,.^.��•,. .� ,�, � ... �i �:��=` i %�! i� ,� a � /"` -,� � ` �c y � . t,,, � : ,'s' ,� �}?��, ; '�y'� /y ' ,t � ,,/r1 � t + � w. � � , R *�,q... � �� 'i; � � r'J,ly, ;; ,;��,'�� t' . ?� ��Y-',T,it,� .� �� ,.� r ".Y .�C ;:9: ::.:� ��a:'�„��t•;::�+,k.�*`Ii:�?�,,,�'ij;��;: � _ �— � �� µ � ^ �{, � ,µ, .:,� `•' t•'rJ�,��`.__,�; •F�.'�.F ._i;t "�^�I �� / .�.i.p�� 'fY�•}j`�7C �' •Y:^ �� J�. 4, i,.t.� n ''.',.: ` -'". . '�'� . �SJ� f ( _ �' _ � � i'1'l�M' �� *5, �� " � e Fb :`1 j 3' � " � I},. �� i.,' � � � �}'" rf� �,'.�'{� 6 ii�� . `;`�" � - b.�.:,.. �. y - _ _ ' _ . ' r '� � y f 1 f ? ;k� �,�� ;::�., � (z. '� �k �°,,�, s�-m �t. '� - _ _ � '��.'� , ��- � ` _�: ,�a ��:,��, ��-� � � V r �{1 / \ � _ �, v � "Tl" � +t,F�y.�,��r'."Vy�� 1'�f��4�'7}`R',A1..,��;r�:. r^�� ,�'';� :3��; � / l /� r �� ! �� y �� #� �-C ,, j;;,,....y�,ny,,,'' ,.,� �,.. �� ' �, , , • ,- '�� , � "�� 'V..:"✓'yJ ? J � w' „ � ` � � _ � � `�-�� '' � :�: � :�x. ;�; ��, �'�� ;��-��,�; �' �'� ��`°' ��'=�� • ' = : � , � �-�� ;;..; � `� � �� ,� � � � ��:.�� ., �,�� C � F- x ` b � ,} ,+�y �� ,�_ �"'` '�`'� � `� 4 L^J 14��'�Kf I�Y7 +.�•• � ,,/d,, �,,.. ,y � .�r ,,,,,,y f..,,.,•s ~� • � ' i�� 14 ��% � �''1{' g (• ��A 4.; � �r .� . `�y � :;�: ,� ' j , �... �:�', �"�).��'��?�'��.��t �.�-�.�,�; �;.,, � �a = �� ; �" ��'ie�; �� ',�.��.,`'R�r��"�� qx�,3�',��,�,�;:�;��'Yfi ��`�,� •� �'� _ � - ,.,�,1��:; � , ,,�, 4�; �� l ;.. � (�tri , � ��..4..',r'c�,��.�.�%�-+:�e,�,�1"',4F� '`�`� �c: ;ia: :i3: .-Q� (�'�` � ,.. x G tJ ► j) � T�"_ '� � �� '��'�` r*k'.�'�E''�''�`�k.�k'.� �� , ��'�.=�"i�i ,"�i^'�,�•' -�� ' { �} _ 4# �'� ] ` .s�. r � ;c�'s:: ,; .u:: �^±� �e ,.,,,.-,,�,,^�,,�� r:, �..) ,:� � (�}/;::� � � ,� x ./ �''i,";; 1'{�..1 �."��.r�f �ftl�'k�� *hl..l �^ '�!. �� /�. �� / � a � ^ - F� ti.-../ r�,7�J� � � . �' �,��,� � T �'°"� �lN �(> � � '�`."' Y�"✓�'�ch-.rw.%'�i.7iX��,'. +,� '• �yr�� ^ � i�"'/��._}.�i t •+�', �� ..'`F� , i •' '. ,�{?d.:! � . ;G' i •,' �� '� 3".��`,'��',�� 3"�� "n � �'`� �„ , Y + �, - C;�' � ( ':i � � (^�kl r ,� . ` �;� � �: ➢' :` `7';'k T' �'�� ' }� 3f�?�'{ � , �:.�� ;i, �,,;;', :.�, � � �, r . � '�� - � ��;;�. �1��ar 1 � / f �,_.. ,)�+.`' � �' '{a� �,��j�?ii+`� � �, 4 * �"'�' �:>::� �� / �Ur,�"7/,�l�c�� ' �., �,. }� � ' �, .} � , :,,. 4 �"� .y ' �.d•ta�7��;�( , ��1�.`�'"�� .. ' t � �`,ii�';„;na;: �,�':,, .-. ' „h�t"; �.; ;� �" ,. w>' ..�-�y�----�-�.�;��,r.r' ;1; ' , , � , '"' ` ._.,...,.:=�.._:�:._j_..l