HomeMy WebLinkAbout92-2816
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<1 2816
1/ - ;l-!:' -- 9 .2
Date
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
pmp'nYowne'~tLf~~~mA-
Job Address; J tJ....J- ~
Parcell.D. #
Water Conn:
Water Meter:
T.I.F.'s:
Zoning; L Energ~;
Description of Work 62 .A-.t;/~~
~. Radon Gas:
.;~ -dJ ~A
J1~rv d7 - f}~-- ~'/
/?y~
NO OCCUPANCY BEFORE C.O.
FINAL 'I -3'0 -- '7 ::L
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee ~
SignatVfe ~ . ~L--fr....~~
Company a
Address
Telephone#
Valuation or
Contract Price
E
TRICAL ME
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
I A4~.tlll.~
\\. ,.., . ... .,...., -....., . .. . .
-_. .
CERT FICA TE OF INSURANCE
ISSUE DATE (MM/DD/YY)
11-19-92
PRODUCER
Insurande Mart
37806 C.R. 54 West
Zephyrhills, Florida 33541
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
f~T~~NY A
American Southern Insurance Company
CODE
SUB,CODE
INSURED
f~T~~NY B
Douglas Battey
35805 Chancey Road
Zephyrhills, Fl 33541
f~~~~NY C
f~T~~~NY D
f~T~~NY E
.COVERAGES-".". .,.'-, ~_. .... . "'.., ~.-.... ._".,. ...-....---'-..--...- .. ,.
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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIOD/YY) DATE (MMIDD/YY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
11 - 2 2 - 9 2 11- 2 2 - 9 3 GENERAL AGGREGATE
$ 100
AX
COMMERCIAL GENERAL LIABILITY G L A 5065 1
OWNER'S & CONTRACTOR'S PROT,
Christmas Tree Lot
N/W Corner ~f U.8.301
Zephyrhills, Fl 33541
PRODUCTS.COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE
CLAIMS MADE
OCCUR,
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person) $
COMBINED
SINGLE
LIMIT
BODIL Y
INJURY
(Per person)
$
BODIL Y
INJURY
(Per accident)
$
PROPERTY
DAMAGE
$
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
AND
$
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE
EMPLOYERS' LIABILITY
.. $
$
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/RESTRICTIDNS/SPECIAL ITEMS
. CER'rIF'ICATE HOLDER
CANCELLATION
Concire Centers,Inc.
Townview Square
7252 Gall Blvd. #2.
Zephyrhills, Florida 33541
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL Lt r,- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AYTHORIZED RE~RESENTATIV~
\ ') \ ''\."...... '.' . ..' c.
.._~,X~...;O-> \,..... t. .,. ,
"
Ll.,
I
I
I
I
: '1'l "-, I
bACORD CORPORATIOr:-' 1988/
ACORD 25.8 (3/88)
C()~CIIQIE
CWE~TEI?S!>
I~C(f)
Shopping Center Developers
November 16, 1992
R E C E I P T
From Doug Battey for security deposit ($250) and rent ($400) for
portion of outparcel "A" to sell Christmas Trees.
,
Pam Dierickx
Concire Centers, Inc.
..
TO\Nnvle\N Square. 7252 Gall Blvd. - # 2 . Zephyrhllls. Florida 33541
813-783-8490. FAX 813-783-8489