Loading...
HomeMy WebLinkAbout11-11965 CITY OF ZEPHYRHILLS � 5335 - 8TH STREET (si3)�so-oozo 11965 BUILDING PERMIT Permit Number: 11965 Address: 5914 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-00200-0010 Improv. Cost: 2,200.00 Date Issued: 6/08/2011 Name: THE YOUNG GROUP INC. Total Fees: 315.00 Address: 5914 GALL BLVD Amount Paid: 315.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2011 Phone: Work Desc: INTERIOR REMODEL UPGRADE FOR BATH ADA /ADD OFFICE 2000 SQ FT(RAZZLE) RED CAP PLUMBING PLUMBING FEE 60.00 FIRE PLAN REVIEW FEES 120.00 BATH & KITCHEN GALLERY :� ��-7-< < � ,�P�� � �� � ��y � � � �, � ��� y P r � o �- - �j �' „� S� K �1-b- l tQ� 1� � � �3i12 �f u, m�r-�fl� � a,^c z��p�:�:�tis •blL �-��-f ( � (' � � � ��/ � � � �- 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) worlc not ready for inspection when called e) permit not posted on job site � 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 financing, consult with your lender or an attorney before recording your notice of commencement. O RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER !��fic��-.r:��„�� � l� ; �'�> /1f� . �S�'i�1 � �i ��_-�; - �"�*M'��w. °-. . ����� ' � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS '� > Contractor/Homeowner: 1 � /� �� �� �� y� Date Received: � � � � � � Site: ��� � � � �- � ( /J ( l/ �J Permit Type: 'e ' � GC !'G�G� �' �,� �4��' /����� ��. f— Approved w/no comments: ❑ Approved w/the below comments: ❑ Denied w/the below comments: O ,��} , . „ � ��ta �� �.�� � ,'t� o �� '.� f _ ' � ` � ''� � C` .. u ; � �, This comment sheet shall be kept with the permit and/or plans. � �� � Kalvin witzer — s Examiner Date a r andlor Homeowner e ired when comments aze present} Jacqueline Boges From: Jacqueline Boges Sent: � Friday, July 08, 2011 1:24 PM 2 �/ To: Kerry Barnett � ! Subject: RE: comm chec/inspect 11 THANK YOU FOR THE INFORMATION WILL MAKE NOTATION. From: Kerry Barnett - Sent: Friday, ]uly 08, 2011 11:56 AM To: Jacqueline Boges Subject: RE: comm chec/inspect The commercial check was approved based on approval from zoning (planning dept) and parking (bldg dept). Razzles failed and I will follow up with them later this day. Kerry From: )acqueline Boges Sent: Friday, July 08, 2011 9:44 AM To: Kerry Barnett Subject: comm chec/inspect Hey Kerry, Getting with you on the commercial check done yester day at 585516 st and how did razzles come out? (5914 gall blvd) Did you do a final for the family dollar 6020 gall blvd? Jackie Boges Code Support Specialist ext. 3513 i 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ! i9�Sv Date Received �� Phone Contact for Permittln _ Owner's Idame �-��� /� <<- 4 ner Phone Number � y�" °� f O''� Owner's Address �3 �U L��'NF��" �' ILA-, � Owner Phone Number Fee Simple Titleholder Name � !�' ��w �/C �+ � � ���L%�j�` � W�er Phone Number i y Fee Simple Titleholder Address ���� �,/ l L j3 ��- . JOB ADDRESS ��� � �d1- � L Da C�� I I LOT # �__ J SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR 8 ADD/ALT �T� SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q DESCRIPTION OF WORK u'P +/ �1`�t �1 � �',3 �-t �1 f6 �}. � rt ,�d Q �=�''� � C BUILDING SIZE SQ FOOTAGE �V HEIGHT UILDING $ E'� VALUATION OF TOTAL CONSTRUCTION r c� uc LECTRICAL $ � Q J� MP SERVICE � PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ p� f G�y- �~� io � � ���� v � �j r.F��J [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION� l � ' 1 �'. K-C��Pr r( �-�� U QGAS Q ROOFING Q SPECIALTY � OTHER 3 �— I��� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� r ` / SC�� S GNATURE �, � COMPANY ���J � ������� v � /� � REGISTERED Y/ N FEE CURRE� Y/ N Address �0 � � �OL.I/�e,/' �i�/�� /� CC .3��0 7 �i3C S 1 GI /O � License # L ELECTRICIAN o � COMPANY ��r �"K� .1 l�v�-}'� F �- � c�r c SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N 1R. Address � G„3a �J f p� L„ �.�, � /R! �� 4 �icense # f� 6 e� ;� I F l �� PLUMBER � `� �� COMPANY n� ll m�� c� �� I u"� ch ��"� �� f �` SIGNATURE � REGISTERED N FEE CURRE� N �' Address • � ?C� � �t �o� ��YYL � • 3 9'1 License # 1...+' L. � � o� � � (%� MECHANICAL COMPANY ��� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N 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. Requfred onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, Sanitary Facilities 8� 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 FaciliBes & 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. rl 1 IT 1 1 1 1'1 1 1 r e 1 1 r1 1 � 1 �.�aaa 1 aiiuJll I.LJ1 I 1 1 LLLL1 1 Directions. Fill out application completely. Owner 8 Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades ovar;7500) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing 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 rest�ictive 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 regtilations. ' 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 IiGensed 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 appiy 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 invoive 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 Ptorida 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'8 A�i�IDAVIT: 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 faws 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 nok to exceed ninety (90) days and will demonstrate justi�able 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT " CONTRACTOR,_,i" Y�/�� Subscribed and swom t r rmed) b�gfore me this Subscribed and swom (or rrqed) before me this b �p-.✓ / v a G'/t r� by .sC/a'/!'clti ,.�'1 C�•c� Who is/are personally known t me or has/ha produced Who is/are personally known to me or ha� s/ produced as identlflcation. as identificatlon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped The � � Bath �' Kitchen Gall�r�y I Joe Ferrantegennaro, President of Bath & kitchen Gallery authorize Randy McCray to pick up pe mits i� Zephyrhills. Signed Date � f� Notary Public Date 3�/ ;�`"�. s R aAwi�v "° '': MY COMMISSION # EE047556 �. .• EXPIRES December 08, 2014 ( 1306-0193 FloridaNW� geryip.com 6406 E. Fowler Avenue • Tampa, Florida 33617 (813)985-0892 . Fax (813)985-9260 ., I` , 2a10-2011 HILLSBOROUGH COUNTY BUStNESS TAX RECEIPT EXPIRES 9-30-2011 Fouo No. STAMPS FACIU7¢S OR MACHINES ROONS SEqTS EMPLOYEES 0 0 0 1 RENEWAL 224375.0000 OCC CODE BUSINESS TYPE H WASTE rnx SURCHARGE 090.004 BUILDING CONTRACTOR 40.00 18.00 � BUSINESS �� E FOWLER AVE LOCATION TAMPA 33617 NAME FERRANTE GENNAROJOSEPH MAILING BATH & KITCHEN GALLERY INC ADDRESS 6406 E FOWLER AVE TAMPA FL 33617 B U S i I� E S S TAX R E C E I PT DOUG BEIDEN, TAX COLLECTOt2 PAID - 25311 - 85 HAS HEREBY PAIO A PRIViLEGE TA7( TO ENGAGE 813-635-52t38 � � Q��� 58.00 iN eusiNess. PROr�ssroN, oR occuPnTiow saECiciE� Her�wa. THIS BECOMES A TAX RECEfPT WHEN VAtiDATED. . � _�. .� F� STATE OF FLORfDA _ AC# - ' ' = ' ,.. _ - - - ' _ . AR�T -Qi� BUSII�E AND PR(�FBSSIOi�� _=_32LGtff��Tt3� - - _ IiEP � 5���:�o6a�ofss_z � _ : C•C7NSTRtT�TIOi� __ . _ tJST�tY _LICEN3IN�=. ��� _ =--- _ :-- _ - ' LICE'�S�s NB�t -- - . - _- _ _. - _= - - O.fi 03�2010- fl9fl4617 = C��057.��.�'. _ . - - - - z The �T7ILI3II�T� CE?N'FRACTOR_ - _ - � 1+Famed _.below �S CERTIF�ED ITnder = the pro;ri.sions of: Chap�er 489 FS . Expiration date: AUG 31, 2012 _ - FERRAI3'TSGE�NN1�It�, . JQSEPH = - $�1TI� S� _I�I'EeHSN GALL INC - _ T�_� EA�T FQWLER ��L g3617 _ . _ C�AR���- `�I�f = C�ARL3E CRI�T - _ _ �RT$1tIM =SIsCRLTAR - ��v��� DISPLAY AS REQUIREQ BY LA1At = _ - �� OP ID: JM A�RD CERTIFICATE OF LIABILITY INSURANCE DATE�MMIDD/YYYY) 06/02J11 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 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hoider is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and co�ditions of the policy, certain policies may require an endorsement A statemerrt on this certificate does not confer rights to the certificate holder in lieu of such endorsemeM(s). PRODUCER 727-376-0030 �NTACT NAME: Greg Roe Insurance, Inc. �2�-3�6_2262 PHONE Fax 9851 State Road 54 LAIC No, �ct): �NC, No): New Port Richey, FL 34655 E J Persichilli-Mansur A205025 A ��' — PRODUCER gATHKIT CUSTOMER ID #: _ _ INSURER�S) AFFORDING COVERAGE NAIC # INSURED The Bath 8 Kitchen Gailery INSURERA:SOU OWfl @r3 II1 SU1'i1�1C @ CO. � 0�90 Joe Ferrantegennaro ,N B: Michi Commercial Insurance �10998 6406 E Fowler Ave - y Tampa,FL33617 iNSUReRC• _ _ __ 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 POLI CIES. LIMITS SHO MAY HAVE BEEN REDUCED BY PAID CL INSR' �ADDL�3U�RI - ' POLICYEFF POLICYEXP - �7R '� TYPE OF INSURANCE � ppL1CY NUMBER � M MMID LIMRS �' GENERAL LIA&LITY i � EACH OCCURRENCE '', S "I,OOO,OO A X ii COMMERCIALGENERALLIABILITY ZOI2�BI.3 O7/ZZHO ''�, O7/YYI'I'I DANTAZ�i�f6�EN7E6 l PREMISES {Ea occurtence) � 3 3 ���� 0 , � � CLAIMS-MADE X OCCUR � MED EXP (Any one person) $ � O,OO r - �, , � PERSO & ADV INJURY a 1 ,000�00 , __ �'�� 'GENERALAGGREGATE $ Z,OOO,OO , GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS - COMPlOP AGG 3 Z�OOO�OO �' , POLICY P E � LOC $ i AUTOMOBILE LIABILITY �� COMBINED SWGLE LIMIT (Ea acadent) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNE� AUTOS - BODILY INJURY (Per acddent) , $ , SCHEDULEDAUTOS -� - ' � PROPERTY DAMAGE $ ' HIREDAUTOS (Peraceident) i NON-OWNEDAUTOS $ ;$ �,UMBRELLALWB � OCCUR EACH OCCURRENCE $ � �. EXCESS LIAB I CLAIMS-MADE AGGREGATE $ ' DEDUCTIBIE $ RETENTION $ $ WORKERS COMPENSATION �� WC STATU- , OTH- I AND EMPLOYERS' LIABILITY Y � N � ' __ TORY LIMI_TS X i ER _ _____ B I, ANYPROPRIETOR/PARTNER/EXECUTIVE !WC1000014251 0��0�/1� 01/01N2 E.L EACHACCIDENT a 1 ������� OFFICER/MEMBER EXCLUDED� � N � A � - _ _ _ _— _ - �, (Mandatory in NH) � E L. DISEASE - EA EMPLOYEE�: $ 'I,OOO,OO ��, If yes, desaibe under ' ', -_ DESCRIPTION OF OPERATIONS below � E.L DISEASE - POLICY LIMIT $ 'I,OOO,OO DESCRIPTION OF OPERATiONS / LOCATIONS / VEHICLES Attach ACORD 701, Addkional RemaAcs Schetlule, if more space is required) WORKERS COMP APPLIES TO FLORIDA �PERATIONS ONLY. CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF ZEPHYRHILLS T�'�E �P�R�T�ON DATE THEREOF, NOTICE WILL BE DELIVERED IN FAX# 813-780-0021 ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8TH STREET ZEPHYRHILLS, FL 33543 AUTHORQED REPRESENTATIVE � � O 1988-2009 ACORD CORPORATION. Ail rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD JUN-07-2011 11:27 From:CENTRAL STATE 8139491556 To:7800021 P.4�4 CEN'�'1tA� ��i�CTI��� c, fNC. 1903t1 1 sC Stre�x N.E. �utz. A 33549 MN (s1�'Ni.fi�i f� (�i� �.lif� ALL INFORMA7'14N tS Td BE TYPED OF� LEGlBLY PRIN7'Ep I, Nelson Morrnw, 00 1.,,. hereby authorize for the fallowing to act as my agent(s} in obtaining permits in Hillsborough County, Florida. Name of A��nt Driver's LicenSa Number 1 ] Louise Morrow M600-522-48-623-U 2] Lind� Tomlin�on T34G 3) ri n pfro.w M600-622-G�-248-0 �i] James MorrOw M600-�1•55-41-091-0 5 Yhls Letter supercedes any previously submitted ietter(s) of authori�ation. This letter must c�nta�n only people you wlll want la pull permits in your name. To m�ke changers to this Ictt�r, you miast submit a new letter, This letter wiN delete and rpplar,e any prdvious authorization letter and ttie information contained thereon. 7hi$ authorization is to remain in effect, unless cancelled in writing, be the underslgned. ,__,_ . State af Florida . �''� � County of Millsborough Swam Ia (a gffirmwf) and subscribed pefpre mc this ,� day of JuoE 6 7m 1 Fiy NQl�qn Morrow (I'tlMed er Typed Nam� at I.i w�v�r M��I�� Makin� S�aromont NOT�q►RY PU961C ,�.�, _ � � 19D�7�i619 ._ _ �.:..� �`�"' �' � .� 5 � ��' .r'' � �� � . � �'"�` ,.._ " IXPIAES: Da¢Nllber 17, 2011 �� � . ����; � ���, Lmda Tomlinsan .. ,., (Nanw �I Nuuuy TyNn��. P,mu�,f nr r;enmpocq My Commission c�cpires. 12l17/1U11 F'CI'S0�?Ily KnOWl1 � OR PrOduCbd IdMndifa:;�ti�n (TyFw uf I�emiOu;rtum Vrnrlurtqn) JUN-07�-2011�,1 i�2:�v i•nn'CENTRAa�S�ATE 8139491586 To:7800021 P.3/4 � VV.qL 111J �7t'LV111L1010 1p�11U1iUUl ACd�Q„, �ERTlFICATE OF LIABILITY INSURANCE �"�`"� 6/�r/zoii '�OW��^ 7MIS CERTIFICATE 18 188UED AS A MATTE1i OP INFORMAI'ION C�mm�rcial I�s . BpeCinlieta � =ac . CNLY ANO CONFERS NO R{GN7'8 uPON Tk� CER7IFICATE HpLD�R. TM15 CERriPICA't'E DOES NOT AMEND, EXTEND OR p,Q. SOX 17738 ALTER TFIE COVERAGE AFFdRD�D BY 7NE POLICIE8 BELOW. Tampa, r'1. 33Q82 813-949-09$1 INSURERS AFFORDING COVBRAG� Nac� WS��o r�rrsoN z. r��xovo � IN3URER n At r,�o-o �s =NS . co .,.� . CEN�RAL STATE ELBCTRY C, INC . IN6UIiEH d: F . C. C.�. IN$ . Cd . � 19030 - 1 ST 8'rRLLT N, 8 iN6lflER G• 9OVTR�AZ1 INS . CO LLiTZ, FL 3354 9 IN$IJ U ^ 813- 948-1341 ,rr;��n �: � CQVERAGES TfIC P061C1CS OP INSUMNCE L15TC0 9EC4w WAVE BEEN 188UE0 TO 7ME INgURED NAMEn A0.0VK GQR TNE POLICY PERI00 INDICATE4. NQT�MTHSTANUING AMY REOUIqE1�NT, TERM QR CON�ITION CF ANY CONTRAC7 OR OTMER DOCUMENT WITH RESPECT Tp yVh�1CN TryIS CER'CIFICNI7F W1Y BH L4SUED OR MAY PERTAIN, TI�IC INSUMNCE AfFpRpEp dY TME P�LICIES OtSCRI��q MFREIN IS SU6JECT'1'O ALL THE TERMS, FJ(CLUS�ONS ANO CONDITIpN£i OF SUCH PpLICIES. AGG�tEG�rE I�AAITtf 9MOWN MI1Y HAVE B EEN REOUC DY PAIDCWM5. �r� Ne�o � POuCY NV►AOER DATC � M � f1N �� ' dhlVkfN� �UWILI�Y FJ1CM OCCURRENGE 3 1 OOO O�O X CnMMF..R�IAI. (;FNFRN. LU1BILt1Y PRFM IBES r a�arw�ce� � 5 D, 0 0 0 i cu�cNV,ac �� oxua , �tu�wc�r•r an�o.r�en; a 5 �DO C � 874612 207170Z2 07-05-10 0.7-0-5-'11 oatsonu�ann����rRr s 1 _p00 , _ C;EptiWqL ACi(iF�GATf, i 2, 000 , 000 GcN�� ,w�rte �! �IM�T MPi,�Ep r�rt ., 6Y100UCT6 • COMPIDPAiCC f 000 000 POLICY X P � I,OC +�urOMoe��e�u�ei�rrr Y caMea�siae�euMat s 1, 400 � OOQ X ti►nnur� (E+ac�wl�n1 AtLOWNCDAUTGS BC/DI.YINJUkY ....._ s•_... 6GM�ULEn alrcps !�r verao�) A X H�RCniun�P 95-426-202-00 07-05-x0 07-Q$-11 pQa��YINJURT T � X NOn.�l4vrCOWTUL lF'w�ala�Mi t --.. PaOPEaTr OMM.GE a (P�raepp�nel C.ARAGF I.IARII.ITV A{►TOONLY.E4AGG�OE►rt S 4 ANYAI,ITO g • �A� � '" +.� AUTOON .. ACG b CXL`ES�IUMBIttILA LIABILITY rar.M q�x :uaenee s 5, 000 , D00 x( occuR �� cun+�wuoE nu�ra:r,�,TC s 5 000, 000 95-426-202-02 07-05-30 07-OS-11 s C vtuuc:nu�t • � _ a�tari e _ .. j WOW(EqJCC7MYCNSAl10NANU x TOI1Y,�� R FNPIpViRk �4wn��•�v 041-9�C�,OA-a2070 07-05-10 07 05-11 EIEAtiHAL'CIpENf s n �wr i���riEr�'KMMrNEIYERECAI�K ^ � ��Q v00 g � y ��� ` ��� ��� F � pI�A$F . EA EMPI.QYF a Z 000 � OO G �� �'���� LL O�SEASE s 1,000 000 PEGIN. PROVIRICfMR 6eln�w on �Ca ' OE6GRPTiON fls (mFnar�c�NR r�OC�TIONB /VEhICL[S � EXCLV810Ai AODE� 9Y fAlO0R5E14�IfT 7 SPGCIAL►ROVISWNS NELSG!N L. M'ORRO�v L�C� Ee00p2561 CERTI�IGA7E HQLDER CANClLLA'1'ION R�UCR nNY pF rHE �,BOVE p[�tiBEU 1'uIICIL-� DE CANGCUCD OEFORE Ti1E EXPIIeAT10N CITY Qr' ZEPHYRHYLLS O�TE TiEREOF 7HE W,i�ING IN;�R�R yylk [NOUVpR Tp MAII "�O � DAY� WRI1T[N $vI�.DIR�i D�+� � NOT�yC 7p TMR f.R11TIFIC,ATF MAIOCR PiAMED TO'TME LEFT BIJr FAILIlRE TO OU 5U yNALL 5335 8TH S� . �MPCXiC h0 GuuG���ON OR IWBWTY O� ANY KINO UPON s�iE INSUpER �r6 AGF.NTS Oq ZEPHYliHILL9, FL. 33540 R[PRCSENTATNES. RUTMO/U'L!0 R�P�Fti6N i nt nrh FAX 813 780-0005 � ��, ACORQ26(200i/G8) mqCORD CORPORATI4N 1968 JUN-07-z011 11:27 From:CENTRAL STATE 8139491586 To:7800021 P.2�4 xf.r. � ,.. ... � x .. �M{r7�:. •��, �i,�' ,�+. • .r �'J � ' ir* � . : I ' 9•.•• J iF,� '+,� a. , ,='wy�. . :r'. : .., • - � ;'�: �'� �,y . � ,� ��f '� �� / �M'' ��1 ` � $�.� j • ��.1t. ' R �� 1•Y9_" i�,`:.+ � ,(` �! , - i`,S � " '!� ` ;ti ����*�:�'r - :�` ;.�.;�� h � ���� K, 7 � i4 �Yi� �� ' �� �I, r� ' ti� �� •Ct � i'� �Y� . . � E'� =: ':"•, i , ' . �.: '� � '`i !�_� .6',,._�, :: ' : r ` 1 .' .�IC� , r +� �.,•': ' � y . , �� o- x, ", r •, :y: ; i ' 3: : - � � ''z�.�:i,;'l. t";,:•�.!.�;'fA", `i• A +�t �::� I j �S�'i�:. ��• +' l � :q�►,i"���t. .�:. • �. .e•r o ;.F'r.. :_,y: +�;- 1 l �:h' ' a i ��✓ *�l <:, •�._q;. •;;., %'s ,��:Y�N �' . �• :�+.' r° *• ;r - ' . : ' Y 1 � y ,,.�':�r� �' �1�' ,} . � �,`' . ' " 1 1�. r1L'.� • �; ,ti, ; ;t �+",/i{R '�l ;�:^i �5,�' 1"� '�t � !h y�f � c ::w, :�:1'�,��.'w. �} � � �;,�': �� .�. ��'.. ) ;�t �z �� 7 .. A. .;;. '.�� . , � , '�. ��" '� '�.�, .` `fi,,`�.�,F,�. ; �;.,�i`��a-i`;�'s� r.. . , .:r� ..., � .. •r,'� •� •�y►�e. , � _ ..,. .:.�:.:;,. ,.:.._: ,.,, .� ,. � ; rr,h�ti.�; ,w +a _, . • , . • . • , . r .. : , a o t�� , �, . . .., ,,..,. . ��6'. L � �• . � - - I�`•�A`�, ;�+-.: _; ...� :.��.,; r ; :L .A .'�M . �i, f� : ' � .. � I � r y ' �• � ? � 1:'�.'f, = s j�,,?,,..o- .i ._. . ,,;�;L. � �,.�.. .;. 1 t • '�j ' ��+., G a,••' . . � .�.bBi• � _ � � , � •� r A � i .j�4� 1'<<I"i'C���� �!' �. � .. M� �. 5. `� , ' _ � ,���t 01�.,.�..�: "�4,^",�: � `� � °"' � r ',w' 1 ,) ; •'"_. 'Y. � ' '.''3�+ • •)�•.yr'�t ;�1i; :�. ;� � �$� � - = _ - °"` '� ` ' '{ . � �, �,. g , r r�. < _..3. '� ._. ,�. � �`•. �,,� '��'�7*�r:��?. rsr "'i: �. _ - _ �=nir�! ,yy.�:,,kw�� { ti � ..f�'ir���.W'�}1,c+f4.":klj'�4'r� ' � ����w �, k. 'i � ,,,�,� . �`y . •'M 1�' t .1,. ' 4 '.:' J � _ M , ,�yG,� ` i` 4 tta:tii � �..• � � '� '"i ,�`.'S•..� ..� ` �k�;: �:��- . t.,'�:^t,:,;',,,;-'�' •. , � �"la5 �_ .:''� . „ a �� P . irV..� l,�. :�'S3' 7GF�'k _ , � r.. ���'� AM•� f�Y�.�' ?„ , �,r F ,,`�, - . - � ' i' �, Y_• f '' �'.:•, \. . .. x r� ',, �� x� . �.�',�:•7�{.�F ...'�'� r ^y� � � � . , t ! l� r i .. �=:i: _ � jti� Y� .ltii!j°�0 i �. i+ '�,. i''�•,;.. ;'3' �{:i 'r:;�.;;'+p�„�#ti�.�Y. �.�,r���f�.! %ti,:�M,� , L Cf � .: � •I ��i�°v � ""_' ' � , � i �. e:f��.��:.� ..,[,y: . _ ,�?`" ."� ' ' �� -'' . �qr ���; _ l!Y'!n• r' i t R � ''�''" r '' � � r -.�,-�. a - ._ `.. i�.� 1Mt��.2� � �.,� ' r , � '•���,''�; �'+.!; :�,'� �� �'f�,=:. �,; ' ' ' '� �� * ' .�'i � I�`.� �±' �° ,.�� -'� . ;:y-",; � : : ~ `.'p. '�':��i:'a.�n' , ` ' '� .; ,',, _ • ,;;�,;:� + .•a .�°. 1�`�i.irr.�•'�,�.a�� y=:; .,. �. ,:�.. ,e ) � '�... �' . ♦ ( �. . ,y T".k • ,�� i r<' _;:.-'� ~ . � ..,,,hy,' 1 ' \, "i F ,�y . �. i �I ', 'l�Gt' ✓ ��� � �. .K�':' �"►�,���- . k� � {.j:' rt:f ��•��• •G"=";�. .�e �� t \�! } ►. /� A� � :�l ,� �y ., .�p ,' ��¢il Sv:` •�,,. h y i'. ,. +!ti+w�(r k ,����, _r. '._.���` "lJ t■rC �7F� ,�..r .1 .� �•r i y�" < ;ig,=;'�::, , " �'Y{:ror d.'' •�;'�+ � . �j' r'h� i ^ �. �: '1;�54•_)..'t'•+ "ti+�G. e• ' k` �9;. , �! '', ...�; i 'I� .,�' � +� rL Tr �".?G�`',;�.J�...:'•�:.;5, _ . . .7�'. ' �^� ',h- � '!'' 1 `` �.}�' ' � . : f w 4� ' 'r ��' , �i• � • + C` .�° � ! �rr Pi i'e� +!4 �e;kR' y} ' . - •� `JC!:��'r�i�4j ;��''Y �' � �.. i'�,� y '.�: �'�'ifA ).' ..�iv?'� J•�� . :. y � - i- �� , v •' '�i -,��. _ . �" ��:. ��-. .�3�., , ±: r. .y •�; �iti:� � ` r ;j �"'.•,. : � F ';:o,�,,� i�.i�•� 'r•. � � � � Sy ' s +�"' �•. �.� �: w . �.-, I :ti�•p,;•�;. ,.,�rl�, • , •�'i)�i� , 7�I�G � �'� �} :t �� '+t �s 1[, f �� � , '•.,,'�'t�,�a1 ,��1�'4'�k q� r ',� � �.• - ..v" : .'��'l., { , . . _ ., v,w �f � �T ' • ` i' I � + � �t•. ,'� 'h�'ijy� l.. h, X�j'�N','. �ew %y'% r � iL„ti�! �. �;�„ L � �.�� :¢:�. ,y�A!.; ilr ',.. , ,. .i , iF�i�•' ,a-�Cj,y,,'S� . � ;?.,, ., • � y �'!, , � Ar ,j� r +,;,,' �'�'' � �„ � ��.y �r .w 'x�i • � �s.� '-:. c l _ 1F� i . J� fi�� SO �SLSI ��r!`/ �� � !'S 7,•,x , ' • � � �: ' ' t 1 I ' • ��.Yr ! . .� � y Y:'la:��Y•�,�"`' . ��g �q' _ /�1 •,�� a • . $� • Y^ '��."� � 17' 1�:...7 ��tP� 4 .� � � 1. N . t ��•�..I "�1::� 4: � r1 1 '1 � , i:' "r:. = i'.� C;�': .. . . ��' �' k� ti �•, ,.1. �;x � „ �..,=�,r : ^,x��: - __. :,.��:. ,� .. ........ .. ... ...... ( CERTSFSGT� OP COMPETENCX � .. ... . �. .. , I axs.,:sBOROVCx cc�r, szukxva � � ��e:c�:rlr�i�u RT.R,^',['R.Tf_'AL �mazmbc°ivx � � Nc) PF.RMIT UNTII, �'ATE [tEG15;TRRED, Tg , qFpLic'ABLL+ � � $C000`aLtil 10/31/7,A±2 � i Certifi r.aL •r_ Nc,. RxpiratiGa� Date � ZDaUP.CI TV C I I a�D�ow H�s,scN � I I Dua:c�rw►r„ sTnxx �r.r�c�rtuc xxc � � Flutkcr�'Cortlp: 4)7/OS/2011 � ti � ��-- � � ___ 7o�uin� OkYicer � -------•------.. � ---------- l ' C�.aGo # C�0 Z.0 3�+ 2010-2011 HILLS6012pUGH COUNTY BUSINESS TAX RECEIPT - ����• � ,, ExPIRES 8-30-2011 FOLIOIVO � � 0 9 RENEw,a� 92710�00 _] OCC. CODE BU$INESS TYPE � .�� 090.008 CON7RAC'I'pR . @��CTRICIAN s��►+�:►+,�,��[ 18. n0 " _�._ ' . e�BiNESS � 9030 NE 1 ST ST LOCATIpN LUTZ 33549 w+ME M4RROW NE�SON Vpg,q/CEN7WqL STATE ELECTRIC INC M/+ILING 194:i01ST 8T NE AD�RESS LUTZ FI. �3549-42�4 ' � B U S I N E SS TAX RE� �! PT �pUG BELDEN, TAX C�LLECTOIt PAID -17387 - 85 M�41 RJiG�Y PAIO A PRIVILEGF TNt 10 CNy,W 8f 3-fi36-52pp 08/03/2010 '�''• 18.0p IN {y�INlSS, PROF��qry. p�,t p�CUpAT�(1��G�F q'A tCqlON sM19 9ECOMlS A TAX REQF.IPY w„ZN VALIDATEb. JUN-07-2011 11:2� From:CENTRAL STATE 8139491586 To:7800021 P.1�4 C E NTRAL STA'T� E LECYRIC, I N C, 1903Q 1st STREE� N.E. �uTZ FL 33549 PHONIE (893� l48-1341 �Ax �afs� ��� FA�C TRANSMIZ?AL SM�ET Date: �� � ?' / r ro: ' � C � ` Campany: 1 i ��� Subject: ' ' �— � From: � , Number of pages to fallow _., a Remarks: THANK YOU [if caRed number of pages arB nqt rec�hred pl�as� �� ;mmediately) For: City of Zephyrhills Building Department 5335 — 8`�' Street, Zephyrhills, FL 33542 Date: June 7, 2011 Property Address: 5914 Gall Blvd., Zephyrhills, FL 33542 Property Owner's Name: Linda Young Reffit d/b/a The Young Group, Inc To Whom It May Concern: This letter is confirmation that Randolf `Randy' McCray owner of Razzel's Cafe, Inc. and his appointed contractor have permission to renovate the premises located at the above address. --, , �. __. -�� � 7 /� Owner's Sig t e FL � �(� 13C�3� 518�V1.o(7 Date Print Name �,�r„py� y��` �` � F �' � / � w�ddl��/ 1 �(�1 � itn ss � Print Name �(► C � ( � I�1/L � ( l2 � � ? ,,� Witness Print Name � rG.h � � �twle,l l , ���� Pasco County Notary Public Signature State of Florida PrintName: ���(��i2 �e/�(,�S My commission Expires: ��(� � m� r o� �� av I 1 � �IIN �r+'�tsr ti"�', NATALIE PEPPERS e•: +r_ MY COMMISSION # DD 744578 ° •�iL� EXPIRES: December 27, 2011 '�� Bonded Thru Notary PubFC UndenvMers � STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET .�`''��� 'TALLAHASSEE FL 32399-0783 , FERRANTE GENNARO, JOHN EMILE � `. RED CAP PLUMBING ���^^^ P.O. BOX 341467 f > TAMPA FL 33694 U Congratulations! With this license you become one of the nearly one million �TA'� ��"'� µ � y � ���+ 9�9 Floridians licensed by the Department of Business and Professional Regulation. � � Our professionals and businesses range from architects to yacht brokers, from ' 41f boxers to barbeque restaurants, and they keep Florida's economy strong. " d��' � �'��',� CB�:,�,�Ji,:t�rSS�}.`� ; 098�.75l.6Z 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. '�' There you can find more information about our divisions and the regulations that " ,�� impact you, subscribe to department newsletters and leam more about the � ,„ ' DepartmenYs initiatives. �. .` �' �, Our mission at the Department is: License Efficiently, Regulate Fairly. We "! ' ti-' constantly sVive to serve you better so that you can serve your customers. "�'% �` �°� Thank you for doing business in Florida, and congratulations on your new license! Z� ��� ���*t� ot a�.s�9 s� a9Pi:atias d�ia�� �2I1'i 'Sl.. 21`F�.'d' L1t'f062.?°OC$03 DETACH HERE ;� �'��'����'� ��'�'�:a�;����► - __ _ ��� � � � acza�r - � ���i+�c�sa�aoao� . � � ��-��� �- �'� �`;�� �F� �4�� ` �, _ ,;� �r, � k'�t�� � . : . , ' • . . ` ,. 1 � �. . X . � . �. . '�?�'�� �+�' ' �:��� "�'� � '' .�,,. a �� �� h . � � � �'. i �' � $�,� .... M�C��� �� �+`!*i�� �L ��' � s �� , � I m ! x. . v� �yy�,, t'iY -, " ,�.wM1�` ' i t5 t + 7t � , �iaom , JQ�t �[�� � �,�_ .„�.. � ',.�` ��� °, ,�� `.�, . . w R I�L 33�3.8 rN< ; "�,x:� �, �it�.t►,S� :�tZ�T ' �'� �2�1T � � � �� --- Ql�aRL4Y AS F�EGll3tR�C� B'Y �:�AW �� CERTIFICATE OF LIABILITY INSURANCE OPID $jf DATE�MMlDDrfYYY) 06 2b' 10 THIS CERTIF'„�r^ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN� CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEIY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES B�' OW. THIS CCRTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED t :ESENTATII�E OR PRODUCER, AND THE CERTIFICATE HpLDER. - I� . e cert cate o er s an , t e po icy ea must en orse . , su ect to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ceKificate does not confer rights to the certificate holder in Ifeu of such endorsement(s). PRODUCER NAME: MORROW IN3URANCE3 GROUP LBNORA C. OLNBY/A196064 ac No ex�: _ �ac,No�: _ 16606 NORTH DALE MABRY HIGHWAY �ooRESs CARROLLWOOD FL 33618 Cus� oM�i�a: RSDCA ------- ------- --- --- -- - — -- Phone : 813 - 9 6 3-16 6 9 Fax : 813 - 9 61- 3 7 4 3 IN SURER�S) AFFORDING COVERAGE N,vc x INSURED IN SURERA: piM$RIC� FI� & '�SUa�� PLUNiBING SOLUTIONS OF TAMPA INSURERB: AM$RICAN STATL+S INS CO 19704 BAY, INC . -- - -- --- DBA RBD CAP PLLlMBING INSURERC: AssocxArzox :NSmuwca co�uax 11240 P O BOX 341467 ---- — - -- - TAMPA FL 33694 INSURERD: INSURER E INSURER F -- --- - -------- --- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH�S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEIOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA7E0 !lO1yVITHSTANDING ANY REQUIRF.MENT, TFRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF ICATE !dAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIONS P.YD COt�DIT10NS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR�' --- ---- -- LTR '�l'PE Of INSURANCE INSR VW POUCY NUMBER (MM/DO/YYYV) (MMlDD/YYYY) IIMITS GENERALLIABILITV EACHOCCURRENCE $ ZOOOOOO A; X i COMMERCIAL GENERALLIABILITY I BRW (11) 54479859 0�/03/i0 07/03/11 PREMISES( S ZOOOOO � r--- — - CLAIMS-11AD[ .$� OCCUR MEDEXP(Myoneperson) � S ZOOOO `_ X CONTRACTLTAL LIAB : PERSONALBADVINJURY $ lOOOOOQ 4 - � - - - ------- --- � � --- _ , __ _ _ __ _ _ GENERALAGGREGATE S Z OOOOOO "FN'LAGGREGATELIMITAPPUESPER PRODUCTS-COMPlOPAGG SZOOOOOO � POUCV — PRO- � LOC --- 3 ---- JECT �� AUTOMOESILE LIAI3ILITV COMBINED SINGLE LIMIT $ S O O O O O (Ea acc�dent) B X ANYAUTO OlCl22463120 �07/03/10 0�/o3/ii yODILYINJURY(Perperso�) $ ' ALl 6WNED 4UTOS I — ------ -- - ----- - ^ y SCHEUULED AUTOS � � BODILV INJURY (Per accidenq $ ___ PROPERTY DAMAGE $ ' HIRED AUTOS � (Per acadenq $ � X I NON-OWNEDAUTOS -- -----------------�- -$ --�------- --- - � ----' $ -- -- i UMBRELLA LIAB � OCCUR EACH OCCURRENCE S . -i --- - - - � EXCESS LWB ' � CLAIMS-MADE AG � DEDUCTBLE g �—" — — RETENTION $ g (,` ; WORKERSCOMPENSATION , WCV l� O2 07/01/10 07/03/11 X " ' ' AND EMFIU'fERS' ltAt3l:.iTl' _ 70RY LIMITS ER Y/NI I -- --- - ----- ANYPROPRIETOR/pARTNER/EXECUTIV� � EL EACHACCIDENT S SOOOOO _ OFFICER/MEMBEREXCWOED� ��A - — (Mandatory in NH) E L. DISEASE - EA E MPLOYEE S S O O O O O If yes. desa�be under � ----- DESCRIPTION OF nPERATIONS below ' E L. DISEASE - POIICY LIMIT $ S OOOOO � DESCRIPTiON OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, ii moro apace is required) CERTIFICATE HOLDER CANCELLATION SMOULD ANY OF THE ABOVE DESCRIBED POLIC�ES BE CANCELLED BEFORE DISPLAY THE EXPIRATION DATE THEREOF, NOTICE WI�L BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PLUMBING SOLIJTIONS OF TI�NiPA BAY, INC . DBA RED CAP PLUMBING AUTHORIZED REPRESENTATNE PROOF OF IN3URANCE - DISPLAY PO BOX 341467 � � / TAMPA FL 33694 ✓��� O 1988-200 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Pasco County Parcel: 11-26-21-0010-00200-0010 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, May 21, 2011 � Parcel ID 11-26-21-0010-00200-0010 (Card: 001 of 002) Classification 11 - Retail Stores, One Story, All Types Mailing Address Property Value YOUNG GROUP INC THE Ag Land $0 PO BOX 578 Land $168,386 ZEPHYRHILLS FL 33539-0578 Building $81,993 Phvsical Address - See All 5 addresses (First Extra Features $2,002 Shown) 5917 FORT KING RD Market Value $252,381 ZEPHYRHILLS FL 33542-7403 Assessed (Non-School Amendment 1 � $252, 381 Leaal Descriution (First 4 Lines) See Plat for this Subdivision �" Taxable Value $252,381 TOWN OF ZEPHYRHILLS PB 1 PG 54 LOTS12347817&17A BLOCK 2 EXC EAST 20 Ff OF SAID LOTS 7& 8, TOGETHER WITH THAT Land Detail (Card: 001 of 002) Line Use Description Zoning Units Type Price Condition Value � 1100 STORE 1FLR OOC2 7,000.00 � $7.00 1.25 $61,250 � 1100 STORE 1FLR OOC2 30,675.00 SF $2.70 1.25 $103,528 � 1100 STORE 1FLR OOC2 1.00 1�T $3,608.00 1.00 $3,608 Additional Land Information Acres 0.86 A 3 ZH � � Residential Code BB512 Commerical Code M3012DR Buildina Information - Use 11 - Retail Stores (One Story) (Card: 001 of 002) Year Built 1955 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel Interior Wall i Drywall Interior Wall 2 None Flooring i Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 3.0 Line � Description Sq. Feet �� Cost New 1 � SDA 1,514 $112,642 2 FST 532 $19,790 3 CAN 186 � $4,166 Extra Features (Card: 001 of 002) Line Description Year Units � Value 1 �— PAV ASP 1955 7,000 $1,418 2 DCFENCE � 1996 48 $179 3 UDU-M 1998 � 1 � $405 Sales History Previous Owner YOUNG ARTHUR O REVOC TRUST & Year Month Book/Page Type Amount 1997 06 3773 / 0446 (�C � $250,000 �— 1993 09 3213 / 1010 C,�C $p 1993 09 3213/ 0998 � �— �p — 1 http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 5/26/2011 Pasco County Property Appraiser - Physical Address List for: 11-26-21-0010-00200-0010 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 11-26-21-0010-00200-0010 Displaying 5 records View in groups of: 10 25 50 100 500 Street Number Street Name • Unit 5917 FORT KING RD 5 D � GALL BLVD 14 GALL BLVD �92� GALL BLVD 5922 GALL BLVD Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 5/26/2011 3:59:08 PM http://appraiser.pascogov.com/search/physadd.aspx?parce1=2126110010002000010 5/26/2011 Zephy�°hills Fire l�escue ti�)U7 t�airy Rc�ad, /ephyrhills. I�I_. >37�2 I ire Marshal I_3us (813} 78U-O()41 Kcrry 13ari�ctt Faa (SI ;) 780-OU4� [�-mail: f<barnett(�r;.tire.ie�hyrhills.fl.us w _. _ _._. .�._� _.. .._ . . __. _. ._ _ _ __. _... _ __ _.___ ._._. __�.._... __ ..__�__.�... Plan Review #: 1 1-071 Project: Building Rehab (Renovation) Number of Pages: 6 May31,2011 I have received and reviewed the plans for the building rehab (renovation) located at 5914 Gall Blvd and will allow this project to move forward. Paying for permit, contractor acknowledges to the comments listed below. Should anyone have any questions, please do not hesitate to contact the Fire Macshal's office. 1. Ensure safe practices are used during the construction process in accordance to NFPA 1. 2. Separate plans shall be submitted by installing contractor for hood suppression, natural gas, and hood duct to obtain permit to conduct work. Ensure all supporting documents are submitted with the plans. NFPA 1 3. Occupant load requires a 2 exit. Egress cannot be through a storage re(ated room or multiple rooms. A 2" exit shall be installed in the dining area. Exit lighting will be required over door. Insta(I hotel latch style hardware — no deadbolts. Panic hardware may also be used. NFPA 101 7.4.1.1 4. Ensure there is adequate emergency lighting (egress areas, dining and restrooms). NFPA 101 Chapter 7 5. Obtain new assembly permit from Building Dept at City Hall prior to building final. Cost of permit is $50. Inspection Required: 1. Final KERRY BAR TT, FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. it is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non-compliance, it shall be the contractor's sole responsibility, at their sole expense to bring tliose areas in compliance The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. ZE:���i�l�hil�L� FIRE C3��ARTENEt�� 690�r �airy Road, Zephyrhills, FL 33542 Fere Chf�t Keitih WiHi�ms Bus (813)780-OU41 F�x (813)"18�-OUdd FIRE SERVICE USER FEES Occupancy No.: _ '�� /,�� j'�� Plan No.: � -% Contractor: , r�� �9� Business Name � S Billing Address: Business Address ' �� Bus�ness Phone No Billing Phone No.: Business Fax No � Billing Fax No.. Contact Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Srte Plan N/C Annual N/C Sprinkler $50 tst Alarm N/C Mult�-Fam�lylCommeraal 06 sf tst Re-inspection N/C Standpipes $50 2nd Alarm N!C (Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection $250 Hoods $SO 4th Alarm $100 ���ay 4th Re-Inspection $500 Fire Alarm $50 5th Ala�m 5150 SPRINKLER SYSTEMS (Bus�ness closed until LP Gds $50 6th Alarm $200 a 0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pe� r��k $Sp STANDPIPE SYSTEM Hydro Undergrounds 345 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 �� Sys+eR, Fire Works $500 FtRE PUMP Acceptance Test S45 �, 5y5ee,�, Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $SO Annual 26 plus Oevices $100 System Acceptance a50 Fire Protection $25 SUPPRESSION SYSTEMS ReCall ACCeptanCe $50 Flammable Application $50 nnnuai Wet $SO OTHER Waste Tire Storage $50 Annual Dry $50 Fire WalUSmoke Wall $15 perwa�� GEne�Btof < KW $100 CO2 $50 LP Gas $25 Per cank Generator >30 KW 150 Other $50 Natural Gas $25 per system Bio-Hazard Waste �100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hoai/Ducts $50 Tent 10'x10' or greater $15 Per tent Torch PoUApplied $50 OTHER Fire Pump E45 Haz. Materials $100 Annual 8 LP Installation per tank $50 Fire Suppre55i0f1 S30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 a Exhaust Hood/Duct $30 Natural Gas Inslallation $50 Re DBL ( Per System ) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp N/C Emergency Vehicle Ac� $50 FALSE ALARM PLANSTOTAL � INSPECTIONTOTAL� PERMITTOTAL�_� TOTALI_ � GRAND TOTAL � Comments Date � � � Insq��ctor ' � , � L 2G10-2019 HILLSBOROUGH� U TY BUSINESS TAX RECEIPT EXPIRES 9-30-2011 FO110 NO fA ILI IE MA HIN A S M � v RENEWAL 114131.0000 0 0 0 � � H WASTE TAX OCC. CODE BUSINESS TYPE SURCHARGE 090 020 PLUMBING CONTRACTOR 40 00 18.00 - �. ,�, . � � �; � • vW..� � . . � . .y�w ,» .,. susiNess 905 E 128TH AVE LOCATION TAMPA 33612 NAME FERRANTE GENNARO JOHN EMILE MAILING PLUMBING SOLUTIONS OF TAMPA BAY INC ADDRESS P O BOX 341467 TAMPA FL 33694-1467 B U S I N E S S TAX R E C E I PT DOUG BELDEN, TAX COILECTOR PAID - 22035 - 85 HAS HEREBV PAID A PRIVILEGE TAX TO ENGAGE 813-635-5200 08/19/2010 "' S8 00 �N BUSINESS PROFESSION, OR OCCUPATION SPECIFIEO HEREON THIS BECOMES A TAX RECEIPT WHEN VALIOATED