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HomeMy WebLinkAbout92-2817 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N? 2817 Date 1/ - ,;2..s -7' ~ BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmp,ny own'~ -::t- Job Address;._____ __. __ ~ .ll ~ O.A/t', Parcell.D. # Water Meter: T.I.F.'s: Zoning; /1// E~erg~d~; A Description of Work ~~ h/o - R:o;L '7!('TV ~7- .&L-L ;Z~ iff.! NO OCCUPANCY BEFORE C.O. FINAL C.O. Q 0 .- Y::J.... DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee .~~ zrD . Signatul~ ::L... ..r-~~~~ Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# PL HANICAl Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. - B&B Cash Grocery Stores, Inc. CORPORATE OFFICES AND DISTRIBUTION CENTER 9330 ADAMO DRIVE (HIGHWAY 60) · TAMPA, FLORIDA 33619-2693 MAILING ADDRESS; POST OFFICE BOX 1808 · TAMPA, FLORIDA 33601-1808 October 26, l~E; (813) 621-6411 Mr. Doug Battey 35805 Chancey Road Zephyrhills, Florida 33541 Re: Christmas Tree Lot - Zephyrhills I N V 0 ICE Rent: $ 700.00 Sales Tax: 42.00 Total: $ 742.00 DUE UPON EXECUTION OF AGREEMENT ~ B&B Cash Grocery St~res, Inc. CORPORATE OFFICES AND DISTRIBUTION CENTER 9330 ADAMO DRIVE (HIGHWAY 60) · TAMPA, FLORIDA 33619-2693 MAILING ADDRESS; POST OFFICE BOX 1808 . TAMPA, FLORIDA 33601-1808 PHONE: (813) 621-6411 October 26, 1992 Mr. Doug Battey 35805 Chancey Road Zephyrhills, Florida 33541 Re: Christmas Tree Lot - Zephyrhills Dear Mr. Battey: Per your request, we agree to lease a space to you in our parking lot at U-Save #42 in Zephyrhills on the following terms and conditions: 1. Rental for the period from November 23, 1992, through December 24, 1992, will be $700.00 plus applicable sales taxes, due upon execution of this agreement; 2. All utility hook-ups will be provided at your expense using power supplied by us from the pole signs; 3. You will need to furnish us with a certificate of the liability insurance policy you purchase for this location; 4. You agree to clean up the lot prior to vacating the premises, including removal of all trash and debris. The space you will be occupying will be located in the grassy area on the southwest corner of the property. You agree to furnish us with cer- tificates for five free trees, also ~ue upon execution of this agreement. Yours very truly, GROCERY STORES, INC. ~ J. Andrew Bever Executive Vice President ACCEPTED AND AGREED TO this ~[) day of October, 1992 By .f) ~ ~g Battey ~ - A.~..III.e CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YYI 11-2!;-9;~ 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 PRODUCER Insurance Mart 37806 C.R. 54 West Zephyrhills, Florida 33541 COMPANIES AFFORDING COVERAGE ~~i'i~~NY A American Southern Insurance Co. CODE SUB-CODE ~~i'i~~NY B INSURED Douglas Battey 3!;805 Chancey Road Zephyrhills, Fl 33541 ~~T~~~NY C ~~T~~~~JY 0 ~~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 (MMIDD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROTo GENERAL AGGREGATE $ 100 100 GLA5 06 51 11-22-92 11-22-93 for Chris~mas Tree Lot. P19~U8TS.~crt'OPS 64J'm=~'H~ $ PERSONR & ADvJmslNG INJUii'y $ EACH OCCURRENCE FIRE DAMAGE (Anyone fire) $ MEDICAL EXPENSE (Anyone person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODIL Y INJURY (Per accident) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY $ $ $ (EACH ACCIDENT) (DISEASE-POLICY LIMIT) (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONSIVEHICLES/RESTRICTlONS/SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ 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. - ."---~-------_...., I I I I C I l.J~iRD__~c:lR~O!l~~~!:I.: 9881 CERTlFICA TEHCjI'DE'R--- .,-. ------.CANCELLATloN' - ~ORIZED REPRESENTATIVE .~ ~GVy~ ACORD 25-S (3/88)