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HomeMy WebLinkAbout07-6871 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6871 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6871 FIRE SPRINKLER SYSTEM FIRE SPRINKLER MEDICAL Address: 37908 DAUGHTE Y ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-001 00-002A 2,300.00 95.00 95.00 7/23/2007 SPRINKLER MONITORING Phone: F FIRE PERMIT FEES QwYY\r~ U(ZO!C7 r~ FIRE SPRINKLER ACCEPTANCE FIRE LINE PRESSURE TEST FIRE DEPT. FINAL REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice 0 commencement." SIGNATURE PERMIT OFFI MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax -813-780-0021 Date Received Owner's Name Owner's Address I ~ 71 7' t'6A-11 Fee Simple Titleholder Name I 0- B,,, d <;;,,,,. Ttltf~ I Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I '37 9'0 ~ "0_ 7 f'" 7' I?-.J PARCEL ID# I JOB ADDRESS LOT# SUBDIVISION WORK PROPOSED B D D I ~It...-- k/...III 1't4,..... I sa FOOTAGE I NEW CONSTR INSTALL SFR B D D ADD/AL T REPAIR (OBTAINED FROM PROPERTY TAX NOnCE) D SIGN D MOVE D DEMOLISH D OTHER I D STEEL D OTHER I PROPOSED USE TYPE OF CONSTRUCTION BLOCK COMM FRAME 10"- ,<<t r I HEIGHT I DESCRIPTION OF WORK BUILDING SIZE 1$ 2 3<:-'0 1$ 1$ 1$ D GAS D ROOFING FINISHED FLOOR ELEVATIONS I D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL I I l I D I AMP SERVICE D PROGRESS ENERGY o WREC VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO COMPANY REGISTERED ~ FEE CURRENT L.ri!:!....J License # COMPANY REGISTERED ~ FEE CURRENT L.ri!:!....J license # COMPANY REGISTERED ~ FEE CURRENT L.ri!:!....J License # COMPANY REGISTERED ~ FEE CURRENT L.ri!:!....J BUILDER SIGNATURE Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Address I~ Y / N License # I LL~ FEE CURRENT L.ri!:!....J License # It::r ~ S4X /' OTHER SIGNATURE RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance Attach (2) sets of Engineered Plans ....PROPERTY SURVEY required for all NEW construction COMMERCIAL SIGN PERMIT Directions: Fill out application completely Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required, (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney {for the owner} would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses, Army Corps of Engineers-Seawalls, Docks, Navigable Waterways, Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks, US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways, I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone 'V' unless expressly permitted, If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida, If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall, If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required, If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction, I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application, A permit issued shall 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 shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes, Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a periOd of six (6) months after the time the work is commenced, An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND OBTAIN FINANC G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO F CO MEN T, FLORIDA JURAT (F.S 117.03) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by V\lho is/are personally known to me or has/have produced as identification. ?j...'e Notary Public cTc:~ ~~~ NotaryPublic Commission No Commission No Name of Notary typed, printed or stamped "'''',,1. K NameOfNotarytyped.r~i~ &~m.ll.e~ilIren .L. Miller ~~ j-: 1I0mmlsslon #. DD609664 ~~(i;.~~ Expires October 29,2010 "'"' Bondld TIOy FOIn .,"""....., I"" -'-7018 Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 Occupancy No,; "'J' Plan No.: (/ Business Name: /' ;', ,-' '/11'.,,,/ / BusinessAddress: ~>7 /i'3' Business Phone No,: " Business Fax No,: Contact: FIRE SERVICE U1>f.M~LS //;7' ~/' , ~ ill; , Billing Address: - 12::\ ;:?:') L~"tcl t?/ ~ ~p /~ , r.:/,c~ ( ~ (' L~ n- ~__r 9'7/-''; 'I'L~,4 I' PLAN REVIEW FEES N/C H Site Plan . Building Plans , Revision .04 sf .06 sf STANDPIPE SYSTEM D Per Riser $25 SPRINKLER SYSTEMS no, 25 Heads $30 D 26 plus Heads $60 FIRE PUMP D Per Pump $100 , FIRE ALARM SYSTEM Iff 0 - 25 Devices $30 /tJ 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION D HoodlDucts $35 PLANS TOTAL [ y) 1- Comments: INSPECTION FEES Annual N/C 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 Billing Phone No,: Billing Fax No.: Contact: ~/ -, 7-/ /C' "t.., ;J - ~> - c-' T .-' SPRINKLER SYSTEMS R Hydro Undergrounds $45 Hydrostatic System $45 R Wet Acceptance $30 H Dry AccGptance $45 W Hydrant Flow $25 H Hood / Booth $30 Grease Duct $15 . FIRE ALARM SYSTEM JXf System Acceptance $50 o Recall Acceptance $50 OTHER R Fire Wall/Smoke Wall H H H i I l--.J $15 $25 $25 $25 $15 PERMIT FEE FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 [ Non Compliance $150 "Affidavit of Service/Repair" LP Gas Natural Gas Fuel Tanks Tent ...- INSPECTION TOTALi~t::) ! GRAND TOTAL SPRINKLER SYSTEMS D Automatic $15 FIRE PUMP D Fire Pump $15 , FIRE ALARM SYSTEM ~ Detection $15 OTHER n LP Gas $45 H Natural Gas $45 Fire Works $25 b Fuel Tanks $45 GREASENENTILATION D Hood/Ducts $15 D Kitchen Suppression $15 ...--- -- FALSE ALARM I PERMIT TOTAd! c., I TOTAL 95 --{I I / Date: Inspector: '1/~/;17 ,t(; 'r i/ I ,/1 4</1/ t:ii~~~ ZephyrhiUs Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813) 780-0041 Fax (813) 780-0044 July 20, 2007 I have reviewed and approved the plans for a fire alarm system located at 37900 - 37914 Daughtery Rd (3 units). I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780.0041. Inspections Required 1. Acceptance test. 911 &>>.~ ~~.....~~ ~~.:# L)'r ~ ~ ~"Y ~ ~ ~~~ ".~ 0 ~o..;; _.& ~~. #' .~ $ FROM :VARI CONSTRUCTION SERVICES FAX NO. :8139915128 Jul. 16 2007 04:29PM P 'VARI Construction Services, . 23110 State Road 54 PMS'106 Lutz,Florida 33549 Office: 813-973-2657 Fax: 813-991-5128 To: City of Zephyr hills (Karen Miller) From: Varl Construction Services This is to inform you of a subcontractor that we will be using on the Zephyrhills Professional Center (Daughtery Rd. HTS, LLC win beinstaHing the alarm system OTJ this job. Should you have any questions, please don't hesitate to call me. 813-973-2657 Thank you J:i- FRDM :VARI CONSTRUCTION SERVICES FAX NO. :8139915128 VAllI 0 ~""",,,,~JIIc,. 231l1..Jh-1.54_~ . 'lUll.. :...' ,'. pO ~p_... .~ -. ..... ... .-' .. .. Fai {)o er Sheet - . . . . " .." I " .~---. 1. 1 -~:;4"r:; I~ .......ll -. r...~- IE: -. cc:: _ 11 ..- ~. 4. 0# .' - dl--IIIIIII: ~ ~ rlM ~ '- 5,):.. .... -'0- . ~ ~: .... ....... , am: ........ III1r: Jul. 16 2007 04:29PM Pi ~:. ~ - -- '.. . . '::'a". :.. ~ "-!::' ... "... . ::... ....of.__ ,. ." ~: .. .- .~. ...: ~"'i ..~ -- ..~ -{f "'":: .; To: City of 2ephyrhills From: Amanda Phone: m 7-17-07 7:59am p. 2 of 2 SUNZ Insurance Company PO Box 1777 St Petersburg 727-497-1247 www.sunzinsurance.com DlIte (mmlddlyy) 7/1712007 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 POLICIES BELOW, FL 33731 INSURER SUNZ Insurance Company INSURER Insured TXRECO, Inc, d/b/a Pinnacle Employee Leasing Suite 121 115 West Olympia Ave Punta Gorda INSURER INSURER INSURER NSR LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY COMMEROAl GEIlERAl UAB CLAIMS MADE DOCCUR s s s s s s s COMBI\IED SINGlE UMIT s BODILY INJURY (Per person) BODILY INJURY (Per accidenl) PROPERTY DAMAGE (Per 8Cl:ldenl) S AUTO DNl Y - EA ACODENT S OlliER THAN EA A S AUTO ONLY: AGG S EADi OCCURRENCE S AGGREGATE S S S S S S A WCPE0000000802 6/1512007 6/15/2008 STATUTORY LIMIT EL EADi ACCDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POlICY UMIT Coverage provided for all leased employees but not subcontractors of: HTS, LLC, Client Effective Date: 0110112007 State of Florida Coverage Only City of Zephyrhills Fax 813-780-0021 Phone 813-780-0020 5335 8th st Zephyrhills FL 33542 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCEllED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WLl ENDEAVOR TO MAil ~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 KINO UPON THE COMPANY, ITS AGENTS OR REPRE- SENT A TIVES, . 10 Days for Non-Payment of Premium AUTHORIZED REPRESENTATIVE a-td!!tl/.L To: City of 2ephyrhills from: Amanda Phone: 941 7-17-07 7:59am p. 1 of 2 !From: ! SUNZ Insurance Company j ! PO Box 1777 j St Petersburg FL 33731 I Phone: 727-497-1247 I Fax: 727-497-1280 I www.sunzinsurance.com ! ec'..~"""'" ..' '...,'"...' . ,.' II" '., " . ." . .... '. . . -~'" ."... .. , . . . .:." ".,,"; ... "::.. : -", , .. .. . .' . . .. . . '.: . '.'.::".,,:.::'~,:.,.'.,':,. ""..nl'n.. :~~:of:~~~:cw.~rty" , From: Subject: Amanda Phone: 941-833-2065 ITo:" i II City of Zephyrhills Fax 813-780-0021 ! Phone 813-780-0020 15335 8th St I Zephyrhills ; I Certification of Insurance TXRECO, Inc, d/b/a Pinnacle FL 33542 Date: Delivery Via: No. of Pages: 7/17/2007 FAJ< 18137800021 2 Attached please find your requested Certificate of Liability Insurance issued by SUNZ Insurance Company, THIS NESSAGE IS 1NTEIlDEO FOR THE USE OF THE 1l1lMllUAl. lR ENTlTIV TO WHICH rr IS ADDRESSED Nt1J !MY COHTMllNfllRlMnON THAT IS PRM.EGED. CONFIlENTII\l AHIl EllEIFT FROM DlSClOSlJlE UNDER APPlCABlE LAW, IF THE READER OF THE MESSAGE IS NOT THE ~IIOEO RECIPIENT, lR THE EMPlOYEE OR AGENT IlESPClN5IBlE FlR DELIVERING THE NESSAGE TO THE 1NTEIIOED RECIPENT. YOU ARE HEREBY NOTIfIED THAT MY DISSEIIIlATlON. DISTRIBUTION lR ClPYlNG OF TlIS C~CATlON 15 STIlICTI. Y PROlIlITED, F YOU HAVE RECEIVED nus C~TlOII II ERROR, I'I.EASE IIOTIFY us ....EOlATf:L Y BY TELEPHONE. AND RETURN THE OIllGlNAl. NESSAGE TO us AT THE ABOVE ADllRESS 1M REGULAR POSTAl. SERlllCE, www.eCertsOnune.com Cl2002 Insurance Visions. inc. JUL-17-2007 TUE 10:24 AM FEDERATED MAIL AND FAX FAX NO. 5074558883 p, 02/02 s:~..... . ... . . ..... . ,. . ~~ .A CORDfM ~~~~-3.~"(~>>X(o . PRODUCEFl ................... ..............-;...,... FEDERATED MUTUAL INSURANCE COMPANY Home Office: P.O. Box 328 Owatonna, MN55060 Phone:1-B88-333.4949 bATE IUU/DeIIVVl 07/17/07 THIS CERllFICATE 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 POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY INSURED HTS LLC 2020 LAND 0 LAKES BLVD STE '10 &'1 LUTZ FL 33549 320-649.7 COMPANY B COMPANY C, . ~'" "': ~~:,..,,, , ,,:' : ~'''''''' " - Tti,S IS TO' CERTIFY' THAT THE POLicIES OF INSURANCE LISTIP BELOW HAVE BIEN ISSUED TO THE INSURED NAMED A80VE FOR THE POL.ICY PERIOD INDIC~TED, NOiWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY !!IE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED E1V THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN MEDUCED BY PAID CLAIMS. CO LTR TYPE OF ,"SURANCI'l POUcy IllUUBEIl POUCY EFFIlCTIVE POUCY ExPIRATION DATE IMMIDDJYV' DATE IUWDDIYVI LlMrrs IIENERAI. UABIUTY X COMMERCIAL GENERAL LIABMl'Y A trt CLAIMS MAO~ 00 OCCUR OWNER'S " CONTRACTOR'S PROT 9296693 04/12107 04/12/08 llENERAL AGGREGATE PRODUCTS. COMPIOP AGG P~RSONAL lla AOV INJURY eACH OCCURReNce FIRE DAMAGE IlIny ,,"0 fin) MED E)(p CAn~ ...... /IOfIonl o 2 000 000 . 2 000 000 . 1,000,000 , 1 000 000 100,000 AIlrOUOIIL/l UABIUTY X ANY AUTO ALL OWNED AUTOS A SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS CDM81/1lEO 51NGLE LIMIT , 1,000,000 9296693 04/12107 04/12108 1I0PIL Y IN.JURV lplr p.'.o"' 80DIL V INJURY (P... ocolclomJ PROPERTY DAMAGE GARAGE UAllIUTV ANV AUTO AUTO ONLY - EP. ACCIDENT . OTHER THAN AUTO ONI-V: ~~~~~~!~?~~j~~~~~~;;~~~:~~i~~;~f:~\1~~~!~~ EACH ACCIDENT "GGIIEGATE EACH OCCURRENCE AGGREGATE I!l(CESS LIAIlIL/TY UMIIRELLA FORM OTHER THAN UMBRELLA FORM WOftICERS COMP~T10N AND iM"WYERS' UAIIUTV WC STATU. OT.... .~~~*~~~i!~1~~~i~.~~;.~;~~&:~;~~~1~1~~.~~~i.~t~~ THE PflO,"IIIETORI PARTNERsmxEcUT,ve OFFICERS AR~: OTHEIl INeL EXCL EL EACH ACCIDENT EL DlSEA6E - POLICY LIMIT EL DISEASE - IlA SMPLOYEE OESCI\/PTlClN OF OPl'RATlONS/LOCATlONSIVEHlCLIG/8I'B:lAL ITEMS :.. . . . _487''': .." ,'."."', CITY OF ZEPHYR HILLS 5335 8TH STREET ZEPHYR HILLS FL 33542 73 StfDULIl ANY OF THE ABOVE DESCRlBI!rI POUCIES IE CANCEUal BfFOIIE THE lilCPlllATION DATE THEREOF. THE ISSUING COMPANY WILl ENDMVOR TO MAIL ...uL DAVIi WRI'ITEN NOTICI! TO THE CERTIfiCATE HOLDER NAIlIEb TO THE LIFT, BUT FAlWIlE TO MAIL SUCH NOTICE SHAu. "1'0" NO OBLJGA'nON OR LlAllIUTV OF ANV KIND UPON THE COUI\ S 011 lI_aon-ATlVES. AUTltOIll2EP REPIlE8n'ATIV ,J,.. ... .... ....-..