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HomeMy WebLinkAbout07-6872 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6872 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: 6872 FIRE SPRINKLER SYSTEM FIRE SPRINKLER MEDICAL Address: 37914 DAUG TERY RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-00100-0030 2,300.00 95.00 95.00 7/23/2007 SPRINKLER MONITORING Phone: lk~r~ n(W(07 (~ 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 of com encement." CONTRACTOR NATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6872 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: 6872 FIRE SPRINKLER SYSTEM FIRE SPRINKLER MEDICAL Address: 37914 DAUGH RY ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 03-26-21-0010-00100-0030 2,300.00 95.00 Name: DAUGHTERY ROAD PROFESSIONAL CN I Address: 6719 GALL BLVD STE 106 ZEPHYRHILLS, FL. 33542 Phone: 813973-2657 SPRINKLER MONITORING FIRE PERMIT FEES 15,00 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 of commencement. n CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Fee Simple Titleholder Address 1 I :.'3/7 C{ ) '-\ 1 813-780-0020 Date Received Owner's Name Owner's Address Fee Simple Titleholder Name I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner Phone Number C1" Owner Phone Number I Owner Phone Number I LOT# NEW CONSTR INSTALL SFR I B D D PARCEL 10# I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH B D D 19 p,z ,"'I:::'/~ /'}to",,- I ~">'L' ....... r 1 sa FOOTAGE 1 D D D ADD/AL T REPAIR COMM OTHER I STEEL D BLOCK FRAME OTHER I HEIGHT I VALUATION OF TOTAL CONSTRUCTION D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL D GAS 1$ Z :Y;,D 1$ 1$ 1$ D ROOFING FINISHED FLOOR ELEVATIONS I 1 I I 1 D I WRE.C D D AMP SERVICE PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO COMPANY REGISTERED ~ FEE CURRENT ~ License # COMPANY REGISTERED ~ FEE CURRENT ~ License # COMPANY REGISTERED ~ FEE CURRENT ~ License # COMPANY REGISTERED ~ FEE CURRENT ~ BUILDER SIGNATURE Address ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE Address I MECHANICAL I SIGNATURE . Address OTHER SIGNATURE License # I I~I~T~ License # IEI',9a::>>o ~'f""- I Address RESIDENTIAL COMMERCIAL SIGN PERMIT 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 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 Ale Driveways-Not over Counter if on public roadways"needs ROW Fences (Plot/Survey/Footage) 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 government 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 offill is not allowed in Flood Zone 'Y' 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 0 OBTAIN FIN NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO OF C ENT, FLORIDA JURAT (FS 117.03) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me thiS by Who is/are personally known to me or has/have produced as identification. Notary Public ~':>o ~____ :--J)~~ Notary Public Commission No Commission No Name of Notary typed, printed or stamped _ffn October 29, 2010 IllliiIIII fIllY '1In .Ins..__, In. 1lO()..38>7019 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 alanu 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. ~ ~~ ~ .~ q:- .t;y ? ~ ,-\Y >>.~ ~~.....~ rS' ~.J' J:)' ~ ~ ~"r F ~ ~~~ \-.~ .~ ~-.;; .s;; ~.~ "<:) 0 .;$' ~ Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 Occupancy No.: Plan No.: ~"'7_ ("/'~(/) Business Name: BusinessAddress: Business Phone No,: Business Fax No.: Contact: PLAN REVIEW FEES ~. Site Plan N/C Building Plans .04 sf Revision 06 sf FIRE SERVICE U~RJ/~ / ~: ~, <-<~- - - Billing Address: .-J.:-..2,(-____ u../,///JLfi~ j ~t:J L~-r7-:- n-.:r.,?')-v;;'- , STANDPIPE SYSTEM o Per Riser $25 SPRINKLER SYSTEMS D 0 - 25 Heads $30 o 26 plus Heads $60 FIRE PUMP o Per Pump $100 FIRE ALARM SYSTEM IxI 0 - 25 Devices $30 026 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION o Hood/Ducts $35 PLANS TOTAL I ---- )2) I 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 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM ~system Acceptance $50 o Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 /. ~ INSPECTION TOTA~ GRAND TOTAL }" /..;) -?'77 - /C' _~.) Billing Phone No,: Billing Fax No,: Contact: PERMIT FEE SPRINKLER SYSTEMS o Automatic $15 FIRE PUMP o Fire Pump $15 . FIRE ALARM SYSTEM /~ Detection $15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 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" FALSE ALARM I TOTAL GREASENENTILATION D Hood/Ducts $15 D Kitchen Suppression $15 ~ PERMIT TOTAL! /) I . ./-.-t~ ?j I Date: ?f;~)/ , j/,///,-/ 4~~ ///,/'~ /-:;:;'1 /. / Inspector: FROM ":VARI CONSTRUCTION SERVICES FAX NO. :8139915128 Jul. 16 2007 04:29PM P2 VARI Construction servIC~:, .~ 23110 State Road 54 PMB #106 LUlz. Florida 33549 Office: 813-973-2657 Fax: 813-991-5128 To: City of Zephyr hills (Karen Miller) From: Vari Construction Services 'Ibis is to infonn you of a suhcontractor that we will he using on the Zephyr hills Professional Center ( Daughtery Rd. HTS, LLC will be installing the alarm system on this job. Should you have any questions, please don't hesitate to call me. 813-973-2657 Thank you Xi- FRDM :VARI CONSTRUCTION SERVICES FAX NO. :8139915128 FaX t10 er Sheet - - ..' .~\ '1' I . ~ .-:r_" It ..~- ;!' r~ I~ VARIO ~--~"""'."'~~JDc. 231lD.........-54-~ . lUB.. .... ,'~_ ." ~JlJ.IllI;''' 33Se '- ." .-' ... . ,.. 1MIIQ n u ..........- lIE: cc: _ IT · II .6. ~ r.....' - Jl......-..: ~' Mfl .rr1r~ 'S):.. '!'o" ~ r-'I8!. M1r: .-- IllS': Jul. 16 2007 04:29PM Pi ~ :. .. '. ....., .. :.,... . "-:" ~.... . ,. ... ....; ...- ~. .'. ~:. ~~ - - . .. .... ow: - ~~ ...~ ...- ..~ ~ .7P/J GUL( ..~ ........ - . ;. 10.., , =-,-- L - - ,; ..... , . c' I I . . ' . - - .. . . i ! . - . To: City of 2ephyrhills From: Amanda Phone: 941 7-17-07 7:59am p. 2 of 2 SUNZ Insurance Company PO Box 1777 St Petersburg 727-497 -1247 www.sunzinsurance.com Dlte (nmldcVyy) 7/17/2007 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 FL 33950 NSR LTR TYPE Of INSURANCE POLICY NUMBER LIMITS S S S S S S S GENERAL LIABILITY COMMEROAl GENERAl UAB !\1l' CLAIMS MADE o OCCUR lOC COMBINED SINGLE UMIT s BODilY INJURY (Per person) BODilY INJURY (Per llCCidenl) PROPERTY DAMAGE (Per accidenl) s s DEDUCTIBLE RETENTION S A WORKERS' COMPENSATION & EMPlOYERS' LIABILITY S AUTO ONLY. EA ACODENT S OTHER THAN EA AC S AUTO ONLY: AGG S EACH OCCURRENCE S AGGREGATE S S S S WCPE0000000802 6/15/2007 6/15/2008 STATUTORY lIMIT El EACH ACCIDENT El DISEASE. EA EMPLOYEE El DISEASE. POliCY UMIT Cover~e provided for all leased employees but not subcontractors of: HTS, LLC. Client Effective Date: 01101/2007 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 POLICIES BE CANCELLED BEfORE THE EXPIRA TlON DATE THEREOF, THE ISSUING COMPANY WLl ENDEAVOR TO MAil ~Q__~_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 COMPANY, ITS AGENTS OR REPRE. SENT A TIVES, . 10 Days for Non-Paymenl of Premium AUTHORIZED REPRESENTATIVE a..ctdW~ Douglas Ulak To: City of 2ephyrhills From: Amanda Phone: 941 7-17-07 7:59am p. 1 of 2 [From :--- - - - ----- ----------------- ! SUNZ Insurance Company i PO Box 1777 ! St Petersburg i Phone: 727-497-1247 i Fax: 727-497-1280 FL 33731 ~J1!l!!e www.sunzinsurance.com L..,....",.._~"',.."'_''''',......,_,...."..,,...-,........~..................,................."........,.._..,......=-__....-.~_.J From: Amanda Phone 941-833-2065 Subject: Certification of Insurance TXRECO, Inc, d/b/a Pinnacle City of ZephyrhilIs Fax 813-780-0021 Phone 813-780-0020 5335 8th St Zephyrhills FL 33542 Date: Delivery Via: No. of Pages: 7/17/2007 FAX 18137800021 2 ..'.........""''''.......-...--................-.......---...-.........-.............-.......................--... ,.._........'-_..._---,-~--,----,_.._--- Attached please find your requested Certificate of Liability Insurance issued by SUNZ Insurance Company, THIS MESSAGE IS IIlTENOEO FOR THE USE OF THE 1N0MOUAl. OR ENTlTIY TO WHICH II IS ADDRESSED AND MAY CONTAIN INFlJRMI\nON THAT IS PRM.EGEO, ClIlFDENTIIlL AND EXEIFT FROM DISCLOSURE UNDER APPlCABlE lAW, IF THE READER OF TIlE MESSAGE IS NOT THE ~IlOEO RECIPIENT, OR THE EMPlOYEE OR AGENT RESPONSIllE FOR OEllVERIlG THE MESSAGE TO THE IIlTENDEO RECIPENT. YOU ARf HEREBY NOnAEO THAT MY OISSEIlNATION. DISTRIBUTION OR CCPYING OF THIS C~ICATION IS STRICTlY PROHIIlIlID, F YOU HAVE RECEIVED THIS C~CAnON IN ERROR. PlEASE NOTIfY US _EOIATEl Y BY TElEPIlDNE,ANQ RETURN THE ORIGiNAl MESSAGE TO USAT THE ABOVE AOORESS VIA REGULAR POSTAl. SERVICE, -------.--..-..-..------.--.--.-..--,....,............... www.eCertsOnline.com ~ 2002 Insurance Visions, inc, JUL-17-2007 TUE 10:24 AM FEDERATED MAIL AND FAX FAX NO. 5074558883 P. 02/02 ~[~~~~~~~' PRODUCER ,...........~ ,.,,, . . . . ...~."f'.....',,, FEDERATED MUTUAL INSURANCE COMPANY Home Office: P.O. Box 328 Owatonna. MN 55060 Phone: '-888-333-4949 bATE IUMIDDIYYI 07/17/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL V AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY FEDERATED MUTUAL INSURANCE COMPANV OR A FEDERATED SERVICE INSURANCE COMPANY INSURED HTS LLC 2020 LAND 0 LAKES BLVD STE '0 & 11 LUTZ FL 33549 320-649.7 COMPANY B COMPANY C, U.L;~t.tj~*tC~i.f.liJ~w.; "" TI1IS IS TO CERTIFY THAT THE POLICIES OF INSURAI\ICE LISTED BELOW HAVE BI:EN ISSUED TO THE INSURED NAMED AIIOVE FOR THE POLICY PERIOD 'NDICArED, IIIOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT'"' RESPECT TO WHICH THIS CERTIFICATE MAY De ISSUED OR MAY PERtAIN, THe INSURANCE AFFORDED BY THE POLICIES DESCFlIBED HEREIN IS SUBJECT TO All. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUC,", POLICIES. LIMITS SHOWN MAY HAve BEEN ReDUCED BV PAID CLAIMS. CO LTIl TYPE OF lMSURANCE POUcY NUUIISl POUCY EfFI!CTJVEi POUCY EiXPlRA TlON DATE IUM/DDJYV, DATE IUM/PDml UMrrs GENEIlAa. UABIUTV COMMERCIAL GENERAL LIAIiILI'l'Y A CLAIMS MAO~ 00 OCCUR OWNER'S'& CON'l'RACTOR'6 PROT 9296693 04/12107 04112/08 ClENERA~ AGGREGATE PRODUCTS. COMI"IOP AGG P~R&ONAL & AOV INJURY EACH OCCURRENCE FIRE OAMI'.GE IAny ana flr., MEO El(p IAn~ ..,. porIOn) 2 000 000 2 000 000 '.000.000 . 1 000 000 100,000 A AUTOMOHILI! UABIUTV ANY AUTO ALL OWNED AlITOS SCHEDULEO Al1TOS HIRED AlITOS NON-OWNED AUTOS CDMIIINED SINGLE LIMIT e 1,000,000 9296693 04/12107 04112108 ROCIL Y INJURY IPlr P'/IIDnl 1I00lL Y INJURY (Pill' DCDklamJ GARAGE UAIlILITV ANY AlITO PFlOPEA'TY DAMAGE .EXCESS LIAIIILITY UMSRELLA FORM OTHER THAN UMBRELLA FORM WORKERS CCMPB/SAnON AND EMIILoYERS' UAIILITV AUTO ONLY - ~ ACCIDENT . O'l'HER THAN AUTO ONLY: EACH ACCIDENT AGGREG^TE EACH OCCURRENCE AGGREGATE WC STATU. THE PROf'RIETORI PARTNERSlEl(ECUTIVE OFFICERS AR', OlliS! 'NeL EXCL EL EACH ACCIDENT EL DISEASE. POLICY LIMIT EL DISEASE. eA EMPLOYEE DESCRIPT10N OF OPQlATlONSILOCATlONSIVEHlCU!ll/8PECIAL ITEMS ,. '^3_~9i'-:~ ", .,'~~ CITY OF ZEPHYR HILLS 5335 8TH STREET ZEPHYR HILLS FL 33542 ',. 73 liHOULD ANY OF THE ABOVE PIiliCIIlIIED POUCIES IE CANCI!U..Ila IfFOllE 'THE ElCPlRATION PATE THS!EOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAll -UL DAYli WIll'I'TEN NOTICE TO THE CElmFlCATE HOLOS! NAIIIED TO THE LifT, BUT fAlLUIlE TO MAl&. SUCH NOTICE SHALl. ..JIOSE NO 08uGATlON OR LlA8IUTY OF ANY KIND UPON THE COU~ ,rrs AU S OR REPIlESI!HrATlVES. AUTHORlZIP REPIlESl!NTATIV .,'~':,',',:,'r,'. .' }.,.... . .-!".. '. ",..~..,,~.....c-\ . . .... .'~ - - . :'.