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HomeMy WebLinkAbout96-6049 BUILDING PERMIT '. ;20 * U-v ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 i20"0~ PLUMBING Permit 6'o9f -.,8 , jIO.C7J ,NG Date K- r20 - 9'.b MECHANICAL Sewer Conn ~opertyOwns" ift~~:# K~ y~~~ Job Address: f - a Parcell.D. # ,/-:J-6.- Qj - U 010 -I r ';7CJ 0 - O/? 0 Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Description of Work ~ I" ~~'.---h f ~./7~ /../-4 ~ .d ..P....1 ~P.47 ~{?~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price I 9; c/79 ~.. 0'-0 Permit Fee / ..3 d, JD Signature --9o-i- - YV, U'~ Company Address :2/7 5~"~if Telsphons# ~ ' 4> A""{JA- /1.( s:2k' ~#~ ~ BUILDING ELECTRICAL City License Registration # PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter F~aL Driveway ~O ~~ ~'1-I1'{, B C).J3 ~$s}"Ls-1~ tri!> Ftr. 9 '..l~'1lo~ Pre SLB<9..;yl- 'i to Lintel SLB ~-~3 -? C, 645 Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL 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. ~\~t:.,~,'ttl,~;;;, ~_ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT Gf~/i' Cfd #5--' OWNER'S NAKE--K y? Lt T ~ !oYl../ OWNER'S ADDRESS $";.. :An J '1 ~ sr . PHONE JOB ADDRESS <;' /J Iv!-\ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' 11-26 -J-/ - oo/tJ,I<J?~().... O/9D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-x'New Construction _Addition --Alteration _Repair _Install _Sign --1Iove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _~ercial _Indust. ~Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Deparbaent Approval rJL {If} '-- :!::::.~ SI2G~/~ t VOG- BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDING $ J tiovv . Valuation of Total Construction _ELECTRICAL AtIP Serv'ice Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJEcr IN FLOOD ZONE AREA? YES NO ****************************************** RUTT.DER S1_ture b- JL CONTRAcrO:r~N mMP~XnnL ~ -_..(q~J(\. ~rJ~ . State Cert. or Regist. · ~ If ~ ~ City License Registration , I ****************************************** :::!J~ COHPANY: S . I State Cert. or Regist. . '/\V\.;U 1./ City License Registration' * ************************************* COMPANY~ State Cert. or Regist. , City License Registration t ****************************************** PLUMBER Signature .,. d-- t 7 , MECHANICAL COMPANY . State Cert. or Regist. . City License Registration , ****************************************** . roHPANY ~4i ~~r State Ceit. or Reg st.' R~Q~~/ City License Registration ....., , ****************************************** Signature MRKR ~ Signat ' APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.' NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this peIlit laY be subject to Ideed restrictionsH wbicb lay be lOre restrictive than City regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake lork, tbey laY 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sectionsl of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of uFlorida's Construction Lien Law - HOII!OlfDer's Protection GuideH prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIeOne other than the "ownerH, I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "ownerl prior to couencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.lent. Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a peIlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to the intended work, and that it is IY responsibjlity to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater !reatlent * Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Kavigable Waterways * Departlent of Health & qebabilitative Services; EnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic ranks * US EnviIODleDtal Protection Agency - Asbestos abat8leDt I also certify that, if fill laterial is to be used in Flood Zone HAl or HA,etc.H, it is understood that a drainage plan addressing a uCOlpensating volDle" lill be snblitted wbich is prepared by a professional engineer registered in the State of Florida prior to peIlit. issuance. A peIlit issued sball 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 sball issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by sucb perlit is cOllenced within sil IOnths of issuance, or if lork authorized by the peIlit is suspended or abandoned for a period of sillOntbs after the tile the work is c-.mced. One 90 day extension of tile, laY be allowed for the peIl~.twith fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each sillOnth period, or the project will be considered abandoned. WARlfIKG TO 0IfHER: YOUR FAILURE TO RECORD A KOTICE OF C<IlHEIICEHEIfT HAY RESULT IN YOUR PAYING !WICE FOR IHPROVEHDl'S TO YOUR PROPERTY. IF YOU IN'lBND !O OB!!IN FINANCING, CONSUL! WITH YOUR LINDER OR AN AftORREY BEFORE RECORDIlfG YOUR NOTICE OF COHMEIfCEHENT. JOBS UNDER .., IK VALUE DO NOT NEED I'O RECORD AND POST A 'NO'rICE OF COHMENCEIIBNt". ~~:y O~F FLO~ r::x:, r The foregOing instrument was acknowledged before me this ~/llo , 19$ by who is p~~;;n~~~~~~ to me or who has produced f. "1:> I L as identification and who did/did not take an oath ,0" ~/.,/) ;;;r /{.:t ..u7Y),~~'fc (Signat e f (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA L}" ' COUNTY OF 12. '-' ( -r The foregoing iD~~iikent was aCknowledged before me this ~ "_, 19~ by ::JDhn (Y) I (/5 who is personally known to me or who has prOduced----- .., --.- as identification and who did/did not take an o*a._t r~ ~ 4.'/'.;(//,1 . ~07( t;'..l/l/dwc (Signatufe (Name Typed, Printed or Stamped) NOTARY PUBLIC ,,"1111, .l~'\if\-:r't:~ SHARON L. BARBER ~*(~1:j MY COMMISSION (J CC443613 EXPIRES ~~.. March i, 1999 " "jff.j\i". BONDED THRU TROY FAIN INSURANCE, INC. .,\~!/'M:J.". SHARON L BARBER ..~r;..~~ . f::lJ:~ MY COMMISSION (J CC443613 EXPIRES ~:.. .:..j Man:h 1,1999 ~f/";~ . BONDED THRU TROY FAIN INSURANCe,INC. f"'" o. . 0\:..". ...... 0;:~1:r'I:, !~~:~i',. ~~~~~ ',., c.~'~(I..",..."." :'o:;;;:~h.}:~'<:. ;I~! ..'),;":;';il;;.;);.~..-.:. 1'. . ':;]/f.:n~'~/ .' 0 .::..~.:~.' ., . . , . !: ~'7~':. '" :';:i!~:i:~:;:<.: . ~~~~~!~1i'~;~;"..NAMB: JlI5J../ my /...oe. ;:::;'~%:~?~~~. :. : .:::.:~>;",;:AD~RE~S: S 202-0 It THO' S4-: ;0 "0 CITY' . '. , 00 a~ H Y. ((.1-1 (US '. .. . . ;....... .: ,0 :~~~h:~~~~t~ : .' THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US I3Y THE POOL CONTRACTOR. ... f . / THE POOL PROP~SED FOR CONSTRUCTION AT THE ABO~E ADDRESS DOES CONFLICT WITH V O/H UIG FACILITIES OF FLORIDA POWER CORPORATION. :~\':i.i::1};;.:t: ': .'.- .. --.At.. ~~RRANOEMENTS HA VE BEEN MADE WITH US FOR RELOCATION OF TH~ FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE AITACHED SITE PLAN. .. ..... .... 0': '.'- i.; ..'.~: .;: .. . FLORIDA POWER CORPORA nON ~L<I~ ~~C; s~~; F. BUNNER DISTRIBUTION ENGINEERING ':. ;';'::~? . ZEPHYRHILLS OPERATION CENTER: 36453 OOlgor ROI<l 'Zophvrhill" Floflde JH4\ '/813) 78J.eSH A florid. ProgffU Comp.ny k~L( /tJy loR. I r} #I 6 Tu ~_-€_-r- .(,,- In l"'b s,,L 5;;";;'0 -, - I 2- H j\\ S ~I ../, \ .~------'-------'---- f..)~ lOC,4n~ -~ !) " . . ~O 1-(0 ~f\\ --{,-t; h h j,h \ , I ;1 ~ (, ~-P 'v r:.. C' b a " / f-/6tn'.e. J 6 wv\) ~oLs cr(!) ~ V0 \f\r\ \ (\ \, 7 g) - \} 0 ., '1 (.', . l I - - ~ - j C "'J.. ..,...0.... .... """ ...",.". Hometown Pools, Inc. 37008 Price Dr. Zephyrhills, FL 33541 813-782-70n fANOARO RESIOENnAL MMING POOL CONTRACT Ft. iAMFA SAY CHAFicM This contract made as 01 the date 01 written accegtance by the member bUilder listed aCOv" nereinatter termed -Contractor'" and the party named belOw. herematter lermed .Purcnaser:'" PURCHASE~ MAILING ADDRESS 5220 17TH S'T' KEN TAYLOR Ph. HeM!; 782 2858 ZEPHYRHILLS Ph. BUS ZIP 33540 ContnlC:tor aQl'_a to COftlltNCt a swimmino pooIlII1d lICIDUI1_nees Ih~.,o a, ""efnafter grOVIOed by Ine Olal'S. sOKllicalians a"d lerms ollne eo",ract al: INSTAL1.AnON AOOFtESS same LEGAL oesc:.. POOL SHAPt; P:RIMETE~ custom 96 MAX wtOTH IIf Dl::~' 3 , n ft. to IIf MAX LENGi"H .;n 8 lIt WATeR AFlEA 410 _ _ft. NS?f TYpe: A slf ft. to . fiber optic 11. Und_aler "qn""., _..8" I 2. Main dra,,, , 11 OK" a CV r Ii c Sa. ft. are--.5.. 76 . 1 . / I.e. Oeex ~ina9. 'ii 1 n. p f t I 5. l..adCler IGlae"'l" r t d steps 16. SleoslHancsra" XXXXXX 17. Oi"'"9 9d. & star,,1 1 a. :..0. XXXXXXXXXX 21. Ti",er 4-1 22- Tesl kit yes 23. VacU'Vm head 24. Srusn 1 !SClIU /Ill owner Filler ~~ - 6 5 Puma & malOf' , ~ np XXXX1VlCGKXaAVYYVVV I.eat ne' 1 ""efftoel 01 Cll'OI'IMliol1t . Surf.ei>s~.t s.c:Xwastl discosa' yes sch 40 pvc Pltlino & inter!l vision "diuslaOle oole 1 ZS. z~. 27. 4 weeks Slar1wtf'Cl1iem.c:U!l XXXXXXXXXXXXXXXXXX Healer 3TU_ TYDe_ ..:......::0:.::::: :lu.,.~~b a r r a C.ll.9..a T~.:.,,) ;..;. 2 ~;;. Tl(jrY h Color. . Inlenar "",SIt mar c i t e 19. ~nlil.Yer/col:ll"9lti" h r; ("' k- 29. 1..0". seal y P ~ 20. elec:tncai hoolWO ve s GF1~ 30. SWlnooul.. ve s Sene" vvvv ClIlIOI'Ial ProviSion" screen /2/ doors alarm on door / TERMS 1_ soectally agreed and sel lonn "erein. Purcnassr "ef.under ao;~ 10 ~. p"OQress gayments based on Ihe lOlal onc. sel lonh in Inis conlracl. 10 the ntractat. as lollows: ' CONTRACT' F'RICc.! 1 9000 . 0 C s 10.. Cawn oeyment so.... When rO,UQn snell is in Olace ~ When Plumbing ,. comalel- S.... Wh.", CIOdI is como..ted. r.ady far inlerior "nisn ,9500.00 471')0 nn 4750.00 ConSfl\lctlon orOQreu ma,. oe arresled betwe.n C1,lIinQ and rece,ot ell 08V""1enl .ar eaCh onase 01 eonstl\lct,on. NOTice TO PURCHASER 00 NOT SIGN 'no41S CONTRACT BEFORE YOU REAO IT OR IF F'ERTlNENT INFORMATION IS MISSING FROM BUNK SPACES. S IS a name safiellalion sal.. II yOu dO nol_nll"e OOOOS or senic:es conftactlld lor. YO\I may caneel trllS aoreement cr, ",adino a nOlle. 10 Ine seller. Th.s nonce ",us, 1Ca.. Ilia. you do not want In. goOdS and se"',ce. and ",us, tie CIOs.ma",ec1 ~ Ift,Clntont tn. In'rd, day aner yoU signed lne ao,eement. '. c""".c: $It." b. d..mfH1 .", 0"'''' to ,,,. C""".r::t:" 4"tJ $"."'" "ull ."ff .ind ""'.$$ 4CCltlll.d 0",. dul., .ul"on,." o";r:,rof "'. C'o"r'.t:ro, .....,,,.,, ""..,. till"'. II' tlttl Gill. · "..'nOl.fI "Co., ,It. Pv'~n.$."'J $'tJ".,tw.S. 1'11, $.'tlsm." It.. "a .UI""""" '0 o".~ ,,,~ CII",,..cro, All ~9'..,"."r'""fI Ult".'SI."fl,fitV$ .,. e"'''.'''~fI'" "", CD"".n .rt" , If/Itv'tf:.'~' ....".",. ,ft., ,It.,. .,. "'0 .V'frr,","."" D' u"""",.,.",nv, o,,.~,. f"'~".'" ..t 10"1t ,ft ,,,'. t:,,~:.J'""'" AeC.DI."r:'~' '''' 'r""$ tlI """1 eOt'f,ract .ov '11"".~III"S '0 CII"',"U",~~,.tI '0 tn. Pv~ft..., Oy "an",."n",'1 _ C::JDt' '" lit'. :a"'''cr t" :-rm SIt0"""'''9 <6t:cw",."c. OY tit. ..11." 0" :". ~..CU"O" 0/., f#1I1..,.utno",." ",t,C.' .1 lit. "".~t_ 0' 0" CO,"M""C"'P cOlt.,rue"ott. :l.Tl; mu.t SII;n. 1. P'&CiES OF THIS AGREEMeNT EVEN PURCHASE PURCHAS Date &",-1- 'i~ OWNE II curcn.se~ are nUSDllnd and Wile. botn mUSI s..;n, II owner IS dlfte RCl-t"'SERI51. BY SIGNING ABOVE. ~CXNOWU:;!JGi:S "NO &G"eE5 iO &Ll. THE TEFlMS ,& O~CH SP"CE \"IMITAT10NSREOUIRe THAT SOME ~AE ~QINT;O :N SMA!.",:;:! T'Y"~ I JBM,rrEO BY :CEFTEO BY ~--- ~ -~~-~-=~- LIMITED WARRANTY ~ COOIT"IA:-:-OR _,......,~ _. IC C. __,_ _..,..... __ _ _......._.0 ~- ....IMCt_.. ,"". -- 01..... .- ..... ......__...,.... '... ...-.....,,_ ._~ __..0..----....-- _..-..--~ ......'o_PVl'tCMASI. ~ _~ :w-=".... .... _CIIO..c ... '.... ..._ .... ,_. 01 ..._ .... _ ~ Of .... _---= __JPC)4ASL IIr'5 ,.-'" '0 - - CIO"-'. '0 coor~~::-o" tlCC>><".-;'; ,Oo. u:o-.c- ._ _.... ....,~ ..... _t!'W. _~.., Pur::roe- 01 ..~...- 1CoC_-.- ---, -.-- ..... co-.,,-=',...., .........elv..... _........ lOne CONTD.Ac:':iA _,_, ......"... 0I0'-''''''_..r.:2\ _- - 01....- d __M"l_' _...._... ,"0 ""''''''''0 0' _",..:..__' :>,...c.. ........ .,.._ ~ ,:""...,..,'7" "- ....,...C ~_ ....... "" _c .........ea_......"'" QoaI8C1lI 01 ..- CII"..c:"'9 c:tOiW'lOVl ",..t."I~""'. O. ~~I....... ~ ...oe...: 01 ...~ .: "'-'QC......sC:r$ ..~ ~. ~.... 'lff'\.lCt.;. .......... -:._.... . lpA .10. .... .................... II ."._ GlI""'7'P.'" ......-=f~." OU~""'iO""" ,.... Tl"l" ...-.:"Ity o.c~n ~ .....'" Of"llOtne. aul'C'"'...... ..... 01 ...... O..::rO-C crc::l)el"f', AN" ,..~ .IEO WA""".,!"t' AR!!!j'..G B'" oPE'UTlO" 0' !TATE 1........ IS 1.."":TEO r:: ~"'E OUAATlOOo 0' n<E o,..e ~ WAAAAwrlES ..~El" C:O"~ ~...(O ! i 1 ) ( A "001"'" ....,"'_... _..............: ,... _ ..... ~.c ..- 1ft.. =_"11I:1 _., 000 c:or~'" to ,_ ,.,...,_. .- " ..... De .......- · -' <II - - --,. DEFIN!TIONS n." _ "1\1::1 V'" ....... ~ca...tO.....,," .DE~~O"'~ s,r.rISFAcrOAII. y- '" DOI'STJlUC":\JAAl..l.. Y SCUNO. ...Iono ..".._d_--"'-.'-''''''''-''- ..,.ca'I"O" ot , '... Ie '3 'Ill- Dr' ClaYI . POO\. S"ELL 0' oo::Y.l~ ST"'UC1\J~E .. lite .....c"".. ...",......cn .""'M' .... __ ,-"0","0 l:lers ,...- h""- - .- ca" 01 ....- POOl t'O...O"'.... _tC'" :Itr"OI'm.'''' lu..c:...." '01' _oett.. _u 001.00- ."-" DOl cons.."'" to ."'ER"':''''''' SATIS~..crOfl'\" T. .OEO< .1..,0 PATIO w~t(. ......,De 0..-..0 '0"'_" .. c:onc...... 11'. .",,_~......_.nCllCl"".c"o"-" .__o.c>oa-..c:n..,.....- ,........ftQ....I...~""". to""" - ..C M.'er'~'" ....~'....,.. __ us_.. ,.... wMrT"E rNTl:""O'" I'1NISH ....11 ~ II _..vow <II _It. c:em.... ..." o"ou.... rn.rt:>Oe _" ............,....- -,,_."" _lItoe IT__ ..." "..... A90'eqll'. '-."!>e ',v" o' ,".. ov.....,- _,,, . e>t............,. .mounl of ....-"t". -'.......no.... __ -..,-... _DOI..- 10 ........e. "'a::coan......oo \000" ,ft. 8",0"''''' 0' C:o-"f .... 1""- aog..t"QlII. \Aecs LIMITATIONS Me _,.,...,., .111"_' 10 .,.., 010" '0 ,... oe>>l, eov.om_ 01 _,,_....... _ I.....'. '" .,.,ect .. c:a_ ~ ...... d ttw - CGftdIt- '" _a: AI>.._. __ <II ...-_ car., .- of ....,......,. _.m....ne.. .......-. .......1ClIr. ---, ..... <II Gee: .-- - - .-. , .....1""0 ~ ....,., ..n unctrcu...,ea 1ft OiU'"tMftQ 'n.ea. un..... Duft"C&. 1wtuf'W. 01 QII'ftef' eau~"t. $.,1I...,Ul"," /1lOY........., 01 """"l,O". of ....._ ""! ono......., ...._ ...." ............. .....~eG ~ .... Cortt"""or _tCft IftIOftl - ''"'' ~ '" - d ... - R....... or .....co 01 .... _ 01 ""u,_", I)y v............&IMS lOAr1_ _ocn ,...Itll .. __ .. .. fa"'" d ... __I. w.... It..... ..,...-, ..,.,..... .... _'"9 -"'" moql'tl _0- 1ft. _.... ......or. CI.::'''''O. CIt<<:IU...;. __It"'Q. _'.'tOn. ....."'". I>'m"O. ",_a:........ _ .....W'tQ aI"" __,.."..,. ca_ ~... '" -- __..In - c:MaIWfOO d "'-_. $.,11'........... CI towr1_ ,,",-,e" ~ l7'f ........._ _,.. ,..,... ..... 01 ....V... .....- ............ .".,... .. -- - ...... or -=- -- -...."0 ", ....". "" _ .. . ....." d ".. Qt"''' d n.. ,oom "" ...... OUlsoOe ,~ l:le'-''' - .I'\ICI.... Or....."., 01.... oaol.... ,_.. or .......,......... _1tOUl _ _''''II........ _.... ~nc -.., Po-oer ."roe- 10 ...cIrca' eQUIOft"M'I .rorn t,.."........cn &in.. 01 Iqftt......o. CONDITIONS Th. ~."" _.......... ....., ~ _.... .......... .- '.......OI.m....... """ oo.u,acI." ~_m ,..,...........- _oed tty,...~.-t_ aQ"-'- EXCLUSIONS _ 01 eQu_ wfYG' '_V". ..0.....".....,.......'1.-0 II.... 10 ".... -" _1'9'" 1)'-. _ QIUI..... ""'"'" _. - - ..c.._...... ..............-.. '"",""',",,, _r"'~. ~,_ ...._.-0....... oecoos """ _"" ..._..._ t...... d.v,"", ......"0. .......__ or 0...... __ unl- """'" ~ '" alI_-:l ---". ---- -. _,_In ~ .......",.. POCIlI !........... _ DuC*......a bot "... H...OtWI See end POO' tn..N'" ~ ........ Ot_'-.IIII'-....V. ""'"'"9 or.,.c1rno__oo:curtO ,......._fl,.,.<IItrWpa06-.. 11I'_ -_.__~..,....-._I"'" ...~.....,\; _..,oaI or _ _..... tJof - c-tnCSOt. ' 0--. _''''0. _,.."'". ....",ftQ. ~......on. .......fIQ. _rno '" _lrtQ d _ __ - _ocn -- otJ'1l::R THE. POCX. IS nt..r.m wrrH WAn:.A - Co _........ lIeO,,", _. _ ... -.- _ _ecl_ --""",DOl ___ _ _...., .. - c:orm-:oor. _.. _..........-=--..... .......'" _ ........., I)....... C_c:lOl "'0< _,..attlIcal-' "., ,_ Pun::"'-- _. .. -.. ...._.....dthlc.:.r-ecs.... _fir..............' De _ .. .....W'tQ ..... __ '" __'0 ,_ c-u_. .....,..,..... ___'" __ -- 81 - II:lD <II '"- · 01 trt-...."....a.. C~IM PROCEDURE ~,-~ DATE' 8-1 -1(. L ~ SIGNATURE OF CONTRACTOR OR CONTRACTOR'S AGENT ~' PUflCHASER , ./~- -- , ~SER Reply to: ~ ADMINISTRATION P. o. Box 20959 Tallahassee. FL 32316-0959 Toll Free (800) 232-5777 (904) 656-7867 Toll Free Fax (800) 315-0124 Fax (904) 878-2451 CERTIFICATE OF INSURANCE o CLAIMS P. O. Box 2155 Tallahassee. FL 32316-2155 Toll Free (800) 399-3822 (904) 671-2800 Toll Free Fax (800) 717-7727 Fax (904) 671-2561 ISSUED TO: CITY OF A ZEPHYRHILLS, FL BUILDING DEPT. This is to certify that HOME TOWN POOLS INC being subject to the provisions of the Florida Workers/ Compensation Act/ has secured as of the date set forth below workers/ compensation by insuring their risk with the FTBA-Fund. Policy Number: 890-00001167 Effective Date: 01/01/96 Statutory-State of Florida Employers Liability Expiration Date: 01/01/97 $ 100/000 (Each Accident) $ 500/000 (Disease-Policy Limit) $ 100/000 (Disease-Each Employee) This certificate is issued as a matter of information only and is not a policy affording any insurance. Nothing contained in this certificate shall extend/ amend or alter the coverage afforded by the policy shown above or afford insurance to any insured not named above. The insurance afforded by the policy described herein is subject to all terms/ exclusions and conditions of such policy. Should the above policy be cancelled before the referenced expiration date, the certificate holder will not be notified of cancellation. ~'t +~. Dennis E. Nye/ Administrator FTBA-Fund December 6/ 1995 l ~\- - . -~ J ~- w ~ K ~ .'] I T I 1 I - I - 'I 1--'. .... --IV Tf:'~ ... i <, l-oJ,.!.=~=J= ~:=L,~..l ~! 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