HomeMy WebLinkAbout01-0466
BUILDING PERMIT~~
0466
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CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
7/~llo,
BUILDING ELE~RICAL PLU~ING
Property Owner: 'S'err M "\er fr.er,.
Job Address: '3 a Y J 0 ~ ,
Sewer Conn
Water Meter:
PareelJ.D. #
Zoning: Energy Code:
DescriPtion of Work ~. (' c...(~
.fer
Radon GIs:
60 Clety ~.
NO OCCUPANCY BEFORE c.o.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee
t Signature
Company
Address
~ Telephone# t' s - 7 i l - .::, ~ 5 7
Valuation or
Contract Price
BUILDING
ELEC ICAL
PLUMBING
MECH NICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 001100 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.
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"MERICAN INDEMNITY COMPANY
po BOX.73909, CEDAR RAPIDS, IA52407
ACCOUNT NUMBER:
POLICY NUMBER: 88-055 073
'I
(2)
PREMISES COMMERCIAL UNI.SAVER COVERAGE PART
DIRECT BILL -
ISSUEDATE 12-19-2000 LS6 REPLACEMENT OF NEW
NAMED MILLERS LEAP OF FAITH
INSURED MIL L E R J ERR Y & SUE L Y N N DBA
AND
MAILING 3 84 3 0 5 T H A V E
ADDRESS ZEPHYRHI LLS
POLICY 12:01 A.M. Standard time
PERIOD:
DECLARATIONS
AGENCY & CODE
75-4281
FL 33540-4329
FROM: 12-01-2000
C & N INSURANCE AGENCY,
38434 FIFTH AVENUE
ZEPHYRHILLS FL
12-01-2001
33540
TO:
And for successive Policy Periods as stated below.
We will Provide the. insurance described in tt)/.s Policy in. return for the Premium and. comPliance with <ill aPPlicable Policy provisions,
If we elect to continue this Insurance, we WI I renew this policy If You pay the required renewal premium for each successive PolICY
Period subject to our premiums, rules and forms then in effect You must pay us prror to the end of the current policy Penod or else
this olic will terminate after an statutorily re uired notices aremailedtoou.Aninsufficient funds check is not considered payment.
FORM OF BUSINESS: .x Individual _ Joint Venture _ Partnership _ CorPoration _ Other
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:;::~:pREMj;~:~; :~~:~~::i~;~~~:~!~!:tiMlt;~;iOf;;:;;::::i;:;i~i:
"EllDG.i.INSURANCE)
01 0 38430 5TH AVE
ZEPHYRHILLS FL 33540
JOISTED MASONRY
BOOK OR MAGAZINE STORES
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YOUR BUSINESS PERSONAL PROPERTY
Special Causes of Loss
Replacement Cost
60,00
1.693
1,016
ADDITIONAL INTEREST - Loss Payable
FIRST NATIONAL BANK OF PASCO
)ROPERTY DEDUCTIBLE $ 5 0 0 GLASS DEDUCTIBLE (Included in Property Unless Specified) $
>ERSONAL PROPERTY INFLATION GUARD % "Ii
~BBREVIA TIONS: BLDG = BUILDING OED = DEDUCTIBLE PREM = PREMISES MC = MERIT CREDIT INCL = INCLUDED
:OMMERCIAL GENERAL LIABILITY LIMITS OF INSURANCE
GENERAL AGGREGATE LIMIT PRODUCTS-COMPLETED PERSONAL AND EACH
lther than Products-Completed Operations) OPERATIONS AGGREGATE ADVERTISING INJURY OCCURRENCE
CRIME DEDUCTIBLE $ 2 5 0
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13315 US HIGHWAY 301
DADE CITY FL 33525-5435
600,000
Premium Charge Forms
$
FIRE DAMAGE
(Any One Fire)
(Any One Person)
600,000 $
Advance Premium
300,000 $ 300,000 $
Premium Charge Forms
100,000 $ 5,000
Advance Premium
)ther Forms
SEE UW7002
\/lEND REASON:
IEMIUM FOR THIS COVERAGE PART $ 1,016 + 4.00 EMP&A TRUST FUND SURCHARGE = 1,020.00
Endorsement Adjustment Premium $
is Declarations Page sUPersedes and replaces any preceding X
claratlons Page bearing the same policy number for this Policy
nod. (COUNTERSIGNED BY AUTHORIZED REPRESENT A TIVEJ
: 70 01 12 92
*05004961*
III"" ""I "'" """"" '1"'11"""" 111111'1
~HR5021'022(Rev.2J99) V'IN, #C64EJB ~~ . "'"":::..:;;':'''
03155.0 STATE OF FLORIDA ,... .."......
DEPARTMENT OF BUSINESS AND PROFESSIONAlREGtJt:p,.
DIVISION OF HOTELS AND RESTAURANTS 1940 NOrth Mpnroe Street. SUite 60
TALLAHASSEE. FLORIDA32399-10.15. ',0 (8~)922"5335
:C~':\;"ldCEN$ENUMBEA
6.1" 50456R-4
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ro:
'.lILLER GERALD _
JERRYSDOG HOUSE
38430'5 AVE
ZEPHYRHILLS FL 33540
I'.,,,,C' ....E. "N' SE
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,ILED
ro:
t1 ILLER GER,4LD J
JERRYS DOG HOUSE
38430 5 AVE
ZEPHYRHILLS
DISPLAY IN COI\JSPICUOUS PLACE LICENSE IS NOT TRANSFERABLE
JCENSEE fiESPONSIBLE FOR RENEWAL OF LICENSE PRIOR TO EXPIRATION DATE
AUDIT CONTROL NO. 0 6 0 1 8 4