HomeMy WebLinkAbout02-1530
1530
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(813) 780-0020
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MECHANICAL
-
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. ,
Zoning:
OescriDtion of Work
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E,n~ Co~e:
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Radon Gas:
[1 f~__, 9 '41"~J1 'lj~;P;j
FINAL
NO OCCUPANCY BEFORE C.O.
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
Valuation or f '7 f-
Contract Price / I fj rt2
Permit Fee
Company
, Address
C:"Tei~p~~~~~~ F; 1:3 - ~~ ~ - 7) ~ c:I.
- . 17:l!7 ~.RfiU/;ttr'~~s~
PLU~ i " '-' MECHANICAL)
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City License Registration # ;3. D t2 f)
State Certified License#
BUILDING ELECTRICAL
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Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 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.
Oct-04-02 10:01A adt data department
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Oct-04-02 10:01A adt data department
813 B06 7194
P.02
MARSH
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CERTIFIC"TF NUMBER
NYC 00154;1l;?!i.7.-01
THI& C(RTIFICATE IS ISSUED All A IIATTER OF INFORIfATlON ONLY "ND CONFERS
NU K'~tn~ UPON T"e' 'Cln'TIP'ICAT~ HOL.Deft OT"E.k "fAN T"O~t r"QVIDI:D IN TII~
POLICY. TIllS CERTIFICATE POES NOT AliENO. ~XUND OR ALTER THE COVERAGE
AFFORDEll8Y THE POLICIES DE'CRIBED HEREIN,
PRODUCER
Mllll!;n USA. Inc.
1166 AYenue of America!;
New York, NY 10036
COMPANIES AFFORDING COVERAGE
,.._,-
58880 -1 YCO-TYCO.02/03
_........
lNlIUReo
l;lJIM...."'Ny
A AMERICAN HOME ASSURANCE CO
ADT SFCURITY SERVICES, INC.
ONE TOWN CENTF.R ROAD
BOCA RATON. FL 33486
CtlMPANY
B INS CO OF THF STATE OF PA
COMPANY
C Illinois Natiol\ill Ins Co,
(;OM"ANY
D AI SOUTH INSURANCE co.
COVE~'es ' .... . '.,,;;:::::,:, ... .,,",:,':.c>::,,::..>..:':.' ".::::..: ,,'
T"il:, IS TO <":I:HII~Y TlIAT POLICIr:::S or INSURANCE DESCRIRFP HF-HI-IN HAY" lililiN ISSUr:::D TO Tl1E INSURen NAMhlJ H..H[.IN FOf< Tl-tr::: r>OUCY f'ERlOn INI)IC:A1Hl
NOTWrrtiSTANOIl'lGANY RF.QlJIRFMFNI, II:HMOM CONOfl1ON OF ANY CONTRACT OR OTHER POC;lJM..NI wITH RESPECT TO WHICH THE CERTIFICA1.. MAY liE, ISSUW OR MAl
~FRTAJN, TIlE INSURANCr::: Arr~OED BY '!liE POLICI!:S 1)"l;(;HIII..U HI:KI.IN I:> ~UllJ~<":1 IU ALL IHI: 11:1'lM:>. \..UNfJln:Jf\lS AND EXCLUSION:S 0" :SUC,", "OLICIl:~ A~"''''"''ArF
,IMIIS SHOWN MAy I,^VE Br:::r:::N Rr:::OUCE:DBYf'AlD CLAMS,
..- .. '
CO TYPE O~ INSuRANCE: ~OLICY NUIIBER POLICY EFFECTIVE POLICY ~X"'RATION LIMITS
LTR DATE IMM/DDIYY) DATE IlIllIrOD/YYI
..~ . ..- .. -,
GENERA~ LIABILITY GENERAl AGGH..,....I.. $ 10,000,000
.. ~,- ...-
A X COMMERCIAL Gr:::NCRAL LlABl.lTY RMGI. 6124879 10101/02 10/01/03 PRODUCTS .~';:OMP/OP A.C".G $ 10,000.000
= ~ CLAJr0,4SMAr.lF rx:J cx:c;lJH Pr:::RSONAL & ADV 1N.Jl!':''!: $ 5,000,000
- ow NER'S & CONm...CTOO'S rROT FACH CX:c;URkENCE $ 5,000,000
~~~ DAMAGE IAnv o<lt fil'Al $ 1,000.000
,MED EXP CA"" OM OAr.",,) $ 10,000
. ,--.
AUTOMOBILE LIABILITY $ o.ouO,OOO
- L:UMtsINLU :jtNl..;,L.t. LIMII
A X ANY l\uTO RMCA5J48T87(TX) 10101/02 10101/0:1
- ~_..... .. -
^ ...- All ClWNHIAIJlClS RMCA 5348788 (A/S) 10101/02 10101/03 IiOI)IL y INJuRY $
A SCi"CDULE:D ...LlTOS RMCA 5348800(VA) 10101/02 10101103 Wnr""",on)
- ...,
X ltlRED AUTOS BODIL y IIoIJURY S
- l ~r a~cldenl)
~ NClN-ClWNHJAlJIOS ~- ,~. ._~, -~.-
PROPERTY DAMAGl: $
- ..... ...-
GARAGE LIABILITY ~y!OONLY - eA AccnFNl S
- AlolY AUK> OTItER THAN AUTO ON~ Y:.
J:.41...... .lu:,...n~NT $
A(iGHI:UA'... $
... EXCESS LIABILITY - ..,_.
CAei'! OCCURRENCE. S ~"--
F R.1JM!lKCLLA ~okM <I' AGGRr:::GATE $
ODlE R 1HAN lIMflRf./ I A FQRM /I' .'" $
A WORKeRS COIIPENSA TION AND SFF PAGE TWO 10101/02 '{ 0... 10/01~_ I WC ST...'l\J- T TOTH
EIIPLOYEIU' LIAllILITY X TORY LIMITS FR
B SE.E PAGE lWO 10101/02 10'01/03 H b'ACH At;CIOENT $ 1 ,oob1)cjej
c TI-lC "ROr"i~IETOPJ R'NL'" ~cc rAce TWO 10101/02 10/01/03 I:L OIOI:A!:Jc.rCIlIr,:v liMIT S 1,000,000
n P...RTNr:::RS/r:::Xr:::CUTlVC SEE PAGE 1WO 10/01/03 $ 1.000,000
OrrlCr:::RS ARr:::, FXI::I 10101/02 r:::L DISEASE-EACH EMPI OYFF
OTHER - .
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OESCRIPTION OF OPERATION&ILOCATlONSIYEHICLE&'&PECIAL ITEIIS
CERTIFICATE HO,I:iDER
...'. . :~~~,~Tto.tt ,
SPECIMEN
6HOUl.D ANY OF lHe POlICIES OESCRI8ED HEREIN BE Cl\NCCt.Ll'P RI'lf1I.ll 1111 I X".llotArk)N I.IAII 1I111./:t!l1
THE INSUREFl N'F'Of'~ C('1Vl""RM~"" WI I I"". Avm~ m MAli
30 UAY~ INKII reN NUlIC:t- Il.' ,...t
CERlFICATE HOLDER. ~ED HEREIN. BUT FAILUFlr T'Q fllAll. !'Om:1I NUI'I:! ~illA.ll NI'()~" NIJ DUllt:A1 utI :~~
II.&AII fTVN:.NV I(ltllr\IIPnN11041= tIJ~IIIiII:'R ^1:j:nRnl~ ....nvrRA(';1 II!'O ...{.:ol NI~; (')II'/: 1>11 I'IU ~a NIAI1"t~; uu tilt
1~5UI ~~ (.11 1t1I~ cfRTlF'CATf
IIARSH USA INC.
BY: Katherine 5, O'Leary
, .:MIIiI(:3l02}::: '
t---) &.4-,..
VAliD AS OF: 1001102
fct~04_02
f:qCD
Fire &
Security
ADT
Date
Company
Attention
FCJX No.
From
Subject
No. of pages
(!'II~/lidmg /Ius Uf!(!)
10:01A adt data department
813 806 7194
P.01
ADT Securiry Services
5471 West WaW'~
Suire 7000
I ampa, I L :"'id634
Office 813-806. 7044
Watts 8(X.>-44 ?-.'?:m 7
Fax 8 13 806-71.9 1
T.,.,.. TN...,i..ion
TI us f8<:,~lrrnIe I!<Jfr:;rt I/,~,~/()n muyc(lfI(l:tin r:nnfrdMuiJl iJ, id/,,/' "ttorney/ ulw, If {11'ft/Hr:[Jed mli.., I f I<Jt/C"ln helongllIY W tl "-~ ,'oi!ndp.r,
Thm mtormWiQfl m illtp.nded WIly {Qr Thi! use of the itldivK/rJa!Of cfllIiy f~~nlt'ld on this If,''J:,'n''',~,''lon sheet,/( 1")1' Iit'P. .'70//he
IntenC!c,'(f f'(".4(":lpienr, 01 ,,~. (J"I/.IIt'Jyt:'t:' UJ rJ!:I"'''( ,~.'.p.'noSlblc; tQ (h(: ,,'tr.ndcd rCJ<.YP/()fI~. ~'m.J ~hould ft..IIl,," f,', .~'lrltlAr In'If"I ,'(!I.'llt!ly
Y"l', ilfP. hereby f,,_J[lf~d that anyd~do":IJfP., copymy, di<;rrihlJTIOfl or UK.! /I:tking of any iJC(I()(/ if! fl!lIimce on /fie ""WI,,!m,,, of
thIS /eff.'cufJit'!d mforma/Jofl is smdlv prohibiwd
10104/02
M)T S~curity
To Whom It May Concern
R t 3 780-00? 1
Jo1m Golden
Insurance Coverllge
4
Oct-04-02 10:01A adt data department
ADD" ""'T'" :1"iO":~.,::A,;:":":I'7.N"F'" ,ft:m.:A;~'I;:~~N" :<:i!:::"r:?:::':: ..",
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to'fcuDuCCf\
Marsh USA. Int;,
1166 Avenue 01 A.msric;a&
New Yorll, NY 10036
~8880 TYCQ-lYCQ-02/03
INSURED
ADT SECURITY SERVICES
ONE TOWN CENTER ROA.D
BOCA RATON. FL 33486
TEXT
WORKERS COMPENSATION POLICIES
10101/02-10/01/03
IA) AMERICAN HOME ASSURANCE
KMVVC ..l..l~41!:J
(A) AMERICAN HOME ASSURANCE
RMWC 337:14'0
(U) INS CO OF PE:NI~S'r'LV^NII\
KMWC 33224<!1
(C) ILLINOIS NATIONAL INS, CO
RMWC ~J22422
(e) ILLINOIS N^ TIONAL INS CO
f"{MWCC 3322423
(0) AI sou I H INSUI-lANCb CO
RMWC 3322424
(A) AME:RICAN HOMC ASSURANCC CO
RMWC 3322425
CERTIFICATE HOLDER
STATE
CiA
NV.OR
^R, FL, MA, TN, VA
IL. LA
NV,WI
GA
ALL OTHER STA rES
S'PEC"!"M"EN
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COMPANY
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Systems Sales & Engmeenng 318-806-7000
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