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Home My WebLink About01-0450 BUILDING PERMITN~ 0450 CITY OF ZEPHYRHILLS (813) 788~6611 N~ F~ ~ BUilDING ELECT~AL '" ' Property Owner: ~.-k Job Address: 70/ h \j ,I" I Parcel I. D. # Permit Date '7!2~/cJL Pl ~G ~kvf7' . MECH~NICA: ~"clb411) Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work NO OCCUPANCY BEFORE C.O. J bo FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price City License Registration # State Certified License# ~feve 's rile; be, I Is BUILDING ELEC Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway DATE Inspector Permit Fee~ {J Fe < D ( JC Signature. ~ 0.' v~ Company Address 1- Telephone# 3~ - ~~ 7 - 3> 17 k C~ If ~/3 1'17 S"' g';).. ~~ PlUMBI Breakers Ducts Insl. Compressor Final MECHA SlB Tub Set Water Sewer Final \ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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. June 12, 2001 STEVE'S SNOBALLS 40251 SUNBURST DRIVE DADE CITY, FL 33525 Subject: STEVE'S SNOBALLS REG.ISTRA TION NUMBER: G01162900252 This will acknowledge the filing of the above fictitious name registration which was registered on June 11, 2001. This registration gives no rights to ownership of the name. Each fictitious name registration must be renewed every five years between January 1 and December 31 of the expiration year to maintain registration. Three months prior to the expiration date a statement of renewal will be mailed. IT IS THE RESPONSIBILITY OF THE BUSINESS TO NOTIFY THIS OFFICE IN WRITING IF THEIR MAILING ADDRESS CHANGES. Whenever corresponding please provide assigned Registration Number. Should you have any questions regarding this matter you may contact our office at (850) 488-9000. /vs Division of Corporations Letter No. i 01 A00035892 Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314 ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYV) 07/10/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BAUER & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14427 7th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DADE CITY FL 33523 INSURERS AFFORDING COVERAGE (352) 567-3702 INSURED STEPHEN NORWOOD dba INSURERABURLINGTON INSURANCE CO. STEVE'S SNOBALLS INSURER B: 40251 SUNBURST DRIVE INSURER c: DADE CITY, FL 33525 INSURER D: I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l'r1: TYPE OF INSURANCE POUCY NUMBER ~~CY EFFECTIVE '1:~~Y EXPIRATION UMITS GENERAL UABIUTY EACH OCCURRENCE $500,000 r:- 50,000 X COMMERCIAL GENERAL UABIUTY FIRE DAMAGE (Anyone fire) $ I CLAIMS MADE [K] OCCUR MED EXP (Anyone person) $ 1,000 A E69786 7/11/01 7/11/02 PERSONAL & ADV INJURY $500 000 - $500 000 GENERAL AGGREGATE r--- $500,000 GEN'L AGGRnTE UMIT APlS PER: PRODUCTS, COMP/OP AGG Il POUCY ~~g. LaC AUTOMOBILE UABIUTY COMBINED SINGLE UMIT - $ ANY AUTO I (Ea accident) - ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (per accident) - r--- PROPERTY DAMAGE $ (Per accident) GARAGE UABIUTY AUTO ONLY, EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS UABIUTY EACH OCCURRENCE $ =:J OCCUR 0 CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WCSTATU- I IO~- EMPLOYERS' UABIUTY TORY UMITS E.L EACH ACCIDENT $ E.L DISEASE, EA EMPLOYEE $ E.L DISEASE, POUCY UMIT $ OTHER 'DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SNOBALLS CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1.Q DAYS WRITTEN CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY HALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ZEPHYRHILLS FL REPRESENTATIVE~ ~ AUTHe:::;EP7;A~ &. 7/1/ )0/ I 'Jj 11 ~ 1 ACORD 25-S (7/97) @ACORD CORPORATION 1988 LICENSE YEAR: ACCOUNT NUMBER: SIC CODE: OUR FILES CURRENTLY REFLECT THE FOLLOWING INFORMATION RELATING TO THE BUSINESS IDENTIFIED BELOW. PLEASE CHANGE INCORRECT INFORMATION. . Business Name Or Fictitious Name: If Fictitious Name, Registration Number: Expires: . Corporate Name (If Different From Above): . Owner/Manager's Name: Home Phone: . Date Business Opened In Pasco County: . Physical Location Of Business: . Mailing Address: · Federal Employer ID Or Social Security Number: . Sales Tax Registration Number: . State Or County Regulatory License Number: . Property Parcel Number: Business Phone: . Fees: License $ . Number Of Penalty $ Expires: Tangible Tax Account Number: Other $ *SQG $ (*Small Quantity Generator of Hazardous Materials) If "Number Of' Changed, See Fee Schedule Below: A IT ACH COPIES OF: RETURN THIS FORM INTACT WITH APPROPRIATE FEE AND COPIES OF ABOVE DESCRIBED DOCUMENTS. OCCUPATIONAL LICENSES EXPIRE SEPTEMBER 30TH. OCTOBER THROUGH JANUARY AMOUNTS INCLUDE A LATE RENEWAL PENALTY. DO NOT DETACH w RETURN ENTIRE FORM INTACT fF J? L:J(.)iTC ," ,/ Food Permit Application Chapter 500. F.S. In accordance with Chapter 500, F.S. The Department of Agriculture and Consumer Services is the exclusive regulatory and permitting authority for any person, business or corporation engaged in manufacturing, processing, packing, holding, or preparing food or selling food at v.tIolesale or retail. For purposes of this application, food is considered to include, but is not limited to, all prepac/(aged grocery items, prepared foods, packaged ice, bottled or vended water, candy and other snack foods, soda, infant formula, vitamin and mineral dietary supplements. Florida Department of Agriculture and Consumer Services BOB CRAWFORD, Commissioner Bureau of Food and Meat Inspection Division of Food.Safety 3125 Conner Boulevard . Tallahassee, Fl32399-1650 (850)488-3951 Firm # 9495276876782 INFORMATION ABOUT THE LOCATION TO BE PERMITTED Territory # 450 Rrm Permit Type/Description 164/MOBILE VEHICLE ( ) Renewal ()( New Business ( ) Change of Owner ( ) Other: Name of Business County STEVE'S SNOBALLS PASa7 Business Location Address Business Location Town Zip 4()251 SUNBURST DRIVE DADE CITY 33525 Do you manufacture and package ice or bottle water for sale? ( ) Yes <X) No. If Yes: the following information must be submitted with the application: 1. Indicate source(s) of water used. 2. Indicate any treatment provided to the ice prior to packaging. INFORMATION ABOUT THE OWNER Check one ('>( Sole Proprietor ( ) Partnership ( ) Corporation ( ) Other: Legal Name of Owner Phone # Ext. STEPHEN W NORWOOD (352)567-3176 Business Mailing Address 4()251 SUNBURST DRIVE Business City Business State Zip DADE CITY FL 33525 Federal Employers Identification (FEIN) Number or Sales Tax # Owner's Social Security Number 212-40-8083 This application must be signed by the applicant, owner or chief executive of the applicant, without the need for witnesses. If a corporation is in the hands of a receiver or trustee, this application shall be executed on behalf of the corporation by the receiver or trustee. I certify that I am empowered to execute this application as required by Chapter 500 F.S. Print Name of Applicant Ii\\. vII' LU OOc..~ TiDe \:""l t- ()1 Pt~;Nt~ ,~ e. r :\. e. ''\. W. Si~re ." . (', Date \ . j 7- I :3 - c~) I .<S jo .~t_____ LU ,rU iY~V7..--~~ DACS-1403-06 (1~3) Rev. 10/96 FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES FOOD SAFETY INSPECTION REPORT F.S. chapter 500 (850) 488-3951 Firm Number: Firm Name: Date of Visit 9495276876782 STEVE'S SNOBALLS July 13, 2001 Firm Location Address: 40251 SUNBURST ORNE DADE CITY, FL 33525 Firm Mailing Address: 40251 SUNBURST DRIVE DADE CITY, FL 33525 Firm Type/Description: 164 / MOBILE VEHICLE Firm Owner: STEPHEN W. NORWOOD OVERALL RATING - Print Date: Owner Code: GOOD July 13, 2001 On July 13, 2001, STEVE'S SNOBALLS was inspected by RAY GILBERT, a representative oflhe Ronda Department of Agriculture and Consumer Services and the Overall Sanitation Rating was GOOD. PERMIT APPLICATION INFORMATION Permit application was found to contain information \\tIich was deemed to be incorrect or incomplete by lhe inspector or the person in charge. A Permit Application was left so lhat management could verify lhe existing information, sign and resubmit. Send completed and/or corrected Permit Application to: Florida Department of Agriculture and Consumer ,Services Atten: Records Section 3125 Conner Boulevard #C-26 Tallahassee, A 32399-1650 FIELD TESTS The following field tests Were conducted wilh the resultS as indicated: #Tests Illegal 1 0 1 0 1 0 1 0 CERTIFIED FOOD MANAGER LABELING LOTS EXAMINED FOR INFESTATION TEMPERATURE - COLD ACKNOWLEDGEMENT '" '~~~L~ / - (Signature of Person in charge) ~+ -:.::> ~ f k e "'" . /zJ tn<N~ Lu. NOf'UG'PPC~. (Signature of a CO~y of" . ocument. ~/~ . v-?~ epresentative) RAY GILBERT, SANITATION AND SAFETY SPECIALIST DACS 3205 Rev" 9/96 , 1 (Please Print Name & Title)