HomeMy WebLinkAbout93-2954
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<? 2954
Date
/ - :2 ;;J - 9..3
,.....---..
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
'~~. a~
operty Owner: j- 0 ( ~_ - .~
Job Address: )( A~.d::b. - - - 4!--
Parcell.D. #
Water Meter:
T.LF,'s:
Zoning:
Description of Work
. A~ergy Code:
{3 A'A~
Radon Gas:
~~ ~-s~/971
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
-9...5
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
~/A-'
/
City License Registration #
State Certified License#
PLUMB
MECHANICAl
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough'n
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
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ALLIED SPECIAL_ TY INSURANCE, INC.
10451 Gulf BOil I.I;;'vanJ Tr'~:HIf:;Ur'f,~ J> 1;:lnd, FI.IP- id:! ;'>'::'.i70(-
To ll. Fr't.H? :l.-"n()()":.:~:J7""~!.:Y~i'.:i iI.OJ( j 0 lid I.
l'800-2B2-~'176 FJoridd
r.~ '.': (' !" I f j c :.j f. ,:':, fllJ/fIt) f:~ r' ~ 90
'J his C;fH- t If' c a IE' Tl t.) I t h (,i')' .0) f f , r' ill..;! t I \JI'.~ I.";, n () r' rl(.;~g.J'! I v f~' I. y 0,; ill '::: n \1;:;. ':::'.l<. t I';~ nd!~ 0 r' .:J I. t I';')-!;;
Ihe C:OV~l-ag~ <3ffurtl(?!.l b}' t,,~? pol.it:V(;/.H;) d(','~~r'l"ib/".\d "r""/:"/In ,',>n'-' i,,: p;'".I.I.(~'d .3!; <:l
iIl.:dtel- of inful'mati(11l ,~J1;J o:::nrll"('~r<;; fin ;.:j(.Jlll",ij::;ojj"fhFo l'IOi.cfc-;'I, '.
The pollcy(If?S) Idf.~ntlfl!?(J I:)~:~I.IH:.I by.:l Po I. I C'l'" nr.!"":....".. ,,; Inforcf:.\ on tlH? date of
cert Iflc:at",? Issl1c;'''c,,'', IlI!:HII";lh/:P Is; ,',lffo)"C/('!!d ollty hllth 1"(;~';;r:H.:(::t III thl/!l;e C:OVf:W-"
',:ll]eS fO'- which i:l SF'I:;>r.:i1"lc !.Imil.' of 1.','1bl I,lty h:I",. 1:'PC'n I;.'n(r'::'icd "Inti i:;;. i:P...bjf?C!' tt,
..:dl 1"el"fIlS of th~ pili. if;:)' tHiVinq r~::'f('."(:!llj:(,~ HH:'>r'o:,~'I:o. t'"thinq IjI.:~n:~jn c()nt..~illed
(:;hall modify <~ny F',"ovlsl 011 (If t:..:1 id pol Ic)', .
1" the f.~ ve fI t () f c: i:\ m:: e. l I. <,It j (~fl (),. I J I \' t' (j I. ! c y . -r- "J '" ("" i'll"' ,:i i1 ~" I:'.; I! I n ~~ !': ;.) I d PilI. I I: y
will mal'le dl.l.n:?,'l!H'llabl.f.? f)/fprl ~~, !'H?Tl'III/dlc/;~ u"f" C<:lIlCt~'.L.I!i~ln to I In;;' cel..ti...
flcate holdel. at the <'lddn?s;:;; ;':"I'I\1.ln hf'i"/,.jl,<. 1111! (h.;'~ c ()Inp.-, I", d,::.<:;II,,,(;),:: no r'(?r:;p"H!:;I-
b i lit If?!,'; f Ill- ..~ fly' III 1!1i t ,;} 1.( e Il I' f i:I j I Ii I' \'. t 0 ~.J j \0 i:.' (:; './.': 'I (, (; t 1<:; f;).
CERTIFICATE OF INSURANCE
Any Insurance m;Hlc~ a pr:\\"t or 'ltH" pot I!::; Incl.l\Ill~'.':::, .J~:: "I PP)';:;')" In;:"\.Irc(~ with
r,~sPect to i.~fl O('~CUI'j'I:;'ilf:'!:~ takin9 P'.dC:f~...t d '::.i':I::':(I..~ th(.~ {,-.ji,..
01" exhlbitloll ',!':;;!:;ocl,JtiI.H1t ~~,r:/"":;/n jl'9 lJi.l;Jdlllz....lliOT] OJ C:1)1f)'flllh"l.~ (2) (IH:'> owno:?r
(ll. l r~t:;!'if:~ e th er t~ () f (;J.\ .;l IIi tl H j f:: i P ,'1 r. i ./. >. <.P",~ n I' I WI ! f! e t.l ::, rlH:.'d 1 n';; u ," /':JI P ".::r- ill I H!5 j () Ii to
opel-ate a(n) t bu.t unl.Y "'~;:. I"I:;:';".PF:C"!::; hodi f.}o' i Ii.i""; I))' pr11pt?i'!-')<' .
dama9f~ c:aused by 0" cOI,tribl!Ii.'H/ tp !:ii" the. W.':..r/.;<:,I:,.,iI"'" /iflhi:' t.',,"It.;-.,d Inf.Hlrf:1(f 'io!hil.e
,'let I nq In 'lhe r.:{1l"-~(.? ,,,no::! ~::.t::()Pr,:; (l.r .ftl(:.oi, f':fIlpl r';'-il"':.:[,I':
NAME & ADDRESS OF INSURED: Ar'r'ITIONAL INSURED:
,",1. I. all C. Hi I. I. E Ill: f.,)I...t :" i TiIlH:.' ni: G () i P ,
VBA GI'('?i:lt '~illi~I"il:"JTl Cil"CI.l~;
:~!4"77 B"l ic:kney Poi fit J:~o:;)(j
Gu i 'h::':; 30'lH t.~ J U D
Sard5nta, FL 34231
NAME ~ ADDRESS OF CERTIFICATE HUL[lER:
DATES: ........f ;:i"
F: fa MA. RY ....C Ov. Eli AU E
EXCESS. COVERAGE
Comp any:
1.I-I.E. In~u)"a"cE
C I) 'liP a n ,~.,
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Po 11 cy Numbel-:
LIABILITY LIMITS
Bod' 1y InJury:
PI-OP erty Damage:
2/' ~~\~ /'9 :~~
=;!/ 26 /'~' 3
-Sidl'I~-JII~~~'-~
PI-opel-ty damage
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Food Products:
Policy Period:
From:
To:
--_!I!l lie .L.uded......_
0/00/';/0
0/00/':;'0
...._. ""_00. .........._......_..... .........
0/00/00
O/OO/f)O
COve'"a9f.? sllu,,,,,,, herfJill app'.i""5 unlv .to -(-hose 11"',r',':;{"IIC~dlJlc',i on or 1'~lld/))"'$ed !Il
the policy. This cel-tificate is not valid unless an original signatul"e appears
below. (Copies Not V~L1d.)
~. ... CI:)tiHJNEl.I G !.ifGI...E LItHT
.)1 I" ~)") 1"':)''''
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D'I f;? 0'" Ctn-t, flea If.-) ,',":;~;u<'ilTlC(?
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I~II tll 0)' i :<: ,;'d Hi fJ il,;; t t! H?
A ALLIED SPECIALTY INSURANCE, INC..
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