HomeMy WebLinkAbout97-7236
BUILDING PERMIT .7236
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
E
Date
/1-.10 --77
~ ELECTRICAL PLUMBING MECHANICAL
",opertyOwne, ~~ !J1d;~ ~
Job Address: 9t?~ _ _
Parcell.D. #
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work'-'
9l'
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
City License Registration #
~[3
- _~__ rJ- AJFPIi /120
Signatur
Company
Address
Telephone#
Valuation or
Contract Price
(~/k
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
fi;f~
j;Jl
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone 0 e following reasons, a
charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip for each trade:
;;L!)~ QV
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
William Dukes and Company
400 Montgomery Street
Suite 500
San Francisco, CA 94104
ISSUE DATE (MMlDDIYYJ
11/06197
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
POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
f~~~NY A
Nobel Insurance Company
VS
INSURED
f~~NY B
Great Show Fireworks, Inc.
Great Show, Inc.
P.O. Box 1736
Oldsmar, FL 34677
f~~~~NY C
f~~~NY D
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
i POLICY EFFECTIVE 'POLICY EXPIRATION
. DATE (MMlDDIYY) I DATE (MMlDDIYY)
UMrrs
A
I GENERAL UABILITY ,
X i COMMERCIAL GENERAL LIABILITY 1
I , CLAIMS MADEl X I OCCUR. I,
'I ,
i OWNER'S & CONTRACTOR'S PROTi
I
3601EXFL000422
11/15/97
11/15/98
! ::2~f~~:~~:~ul: _~t::; ....
__1__ n}'~,(!OO
EACH OCCURRENCE n j! 1,~,~_
I FIRE DAMAGE (Anyone fire) I $ 5f)-'.()()()__
MED. EXPENSE (Anyone personf$ 5,000
r COMBINED SINGLE
. LIMIT
1$
, AUTOMOBILE UABIUTY
I
i
ANY AUTO
ALL OWNED AUTOS
1 SCHEDULED AUTOS
I HIRED AUTOS
NON-OWNED AUTOS
i GARAGE LIABILITY
I
I
I EXCESS L1ABIUTY
i BODILY INJURY
. (Per person)
I
BODILY INJURY
I (Per accident)
_n I
1$
$
I PROPERTY DAMAGE
,$
WORKER'S COMPENSATION
AND
EMPLOYERS' UABIUTY
DISEASE-POLICY LIMIT
DISEASE-EACH EMPLOYEE
EACH OCCURRENCE
I
OTHER THAN UMBRELLA FORM
OTHER
DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLEs/sPECIAL rrEMS
Additional Insureds: City of Zephyr Hills, FL.
Zephyr Hills Fire Dept.
An additional S onsors
East Pasco Medical Center
7050 Gall Blvd.
Zephyr Hills, Fl. 33541
(813) 783-6192
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ENDEAVOR TO
MAil 30 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 C~~ANY, ITS AGENTS OR REPRESENTATIVES.
AlITHORlZED REPRES A .
....'.........
-""'--"""""""
East^
PascoY
Medical
Center
November 21, 1997
William A. Burgess
Certified Building Official
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33540
Dear Mr. Burgess:
This letter is written to you to acknowledge that East Pasco Medical Center
grants permission to Great Show Fireworks, Inc., 324 Tavernier Dr.,
Oldsmar, FL 34677 telephone (813) 814- 9494 to provide a 2-4 minute
fireworks display on the grounds of EPMC during the final ceremonies of
the 13th Annual Christmas Tree Lighting Ceremony.
Our contact person is Marty Paulen, Director of Operations at Great Show
Fireworks, Inc. It is our understanding that Mr. Paulen has contacted the
Zephyrhills Fire Department to inform them of the fireworks therefore
appropriate fire equipment will be in readiness.
Thank you for permitting this event and hope you, your family and City of
Zephyrhills staff will be on hand the afternoon and evening of December 7 to
enjoy the activities and program. The Tree Decorating begins at 12:00noon
and the evening program begins at 5:00pm with the lighting of trees,
building and fireworks approximately 6:35pm.
Sincerely,
Jerry L. Sterner, Director,
Public Relations/Marketing
s
An Adventist Health System / Sun belt Facility
7050 Gall Boulevard · Zephyrhills, Florida 33541-1399 · (813) 788-0411 . Fax (813) 783-6] 9~:
TOD - Telecommunication Device For The Deaf (813) 783-1242