HomeMy WebLinkAbout10-10830 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10830
BUILDING PERMIT
Permit Number: 10830 Address: 7839 GALL BLVD
Permit Type: TEMPORARY SALES ZEPHYRHILLS, FL.
Class of Work: SPECIAL EVENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0010-01700-0010
Improv. Cost : . s ° 2 ' ' „. .„,.` _ ._. .x.. ; 4 . :
Date Issued: 8/16/2010 Name: MICROTEUJAMM HOTELS,LLC
Total Fees: 8.00 Address: 7839 GALL BLVD
Amount Paid: 8.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/16/2010 Phone:
Work Desc: TEMPORARY SALES TREASURE HUNTER ROAD SHOW SEPT. 9- 11 2010 (3 DAYS
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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."
CONTRA OR SIGNATURE PERMIT OFFI !FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
AUG/06/2009/7H 10:50 AM ZEPHYRHILLS BUILDING FAX No, 810 -722 -0221 F. 002
/Of33o
Temporary 'Sales:Checklist •
G lty of Zephyrhills
•5335 8 Street
• Zephyrhills,•F1.33542
• Phone: 813- 780 -0020 / Fax: 813 -780 -0021
EEEQUIREMENf S
•
Detailed Plot Plan showing setup of location. Refer to Ord 1038 -09, Sec 5
•
Notarized letter from property owner stating their approval.
A flame retardant certificate is required IF a tent is involved. Inspection required once tent
is erected and prior to opening for business. •
Approved certified fire extinguishers per NFPA 10.
No Smoking tigns must be placed outside entrances.
IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least
2 exits.
lF tent has sides, the sides shall be in the up position unless there is inclement weather,
then 2 sides must be in the up position.
•
FIREWORK REQUIREMENTS — (In addition to the above)
Proof of State License. •
•ro• 'ability insurance.
List of items to be so • • •
Cop • ' a s icense and Social Secun •• • er of all personnel dealing
• with the sale of fireworks at the tent location.
FEEs
$ 30.00 — City Registration (If Regulated by DBPR — Fee is Waived)
$500.00 - Fireworks fee - Fire Department fee
$ 5.00 — Temporary Sales Fee for 1" two days
Thc' $ 1.00 -- Temporary Sales Fee per day for each consecutive day thereafter, not to
exceed duration of 7 consecutive days and no more than two occurrences
during a 12 month period on same property Ord #1038 -09, Sec 6
$ 50.00 Tent Fee (35.00/BD, 15.00*/FD) — (*$15.00 waived for Fireworks)
"ti $ 35.00 — Electrical Fee (if applicable)
•
•
Property Owner:
Applicant: —� 1.• S
• Phone Contact: Y ; ..1L 7490 e �
Address Site: 7 ZCPiy ill) , I
Date(s) of Sale:
0Q/07/10 - tom 0q/11/10 •
Ordinance No. 1038 -09 (for additional requirements) •
ISSUING COMPANY
ACE PROPERTY & CASUALTY INSURANCE Workers' Compensation
- woo/c^Rn�RCODE |
and Employers Liability
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Insurance PoK^c�
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Item1�_
Named � &ASS]CIATES CORPORATION |n»enlntrastatNo.: e ID No.: 913193822
Insured 3200 PLEASANT RUN
SPRINGFIELD IL 62711 Federal EmployerlD No.: 800222606
mamn�
Address
L Employer's ID No.:
PIIC CODE: 5399
For other named insured see Extens of Intormatiori Page-Scnedule of Named Insured, WC 99 99 99 A
For other wor plmmeeeeE*onaionof|nfonnadonPaga-SokedulecdOtherVYorkplacea YYC90g9AQ
Item 2. Policy period: From 03-31-2010 To 03-31-2011 12:01 A.M. standard time ar the named inoured's mailing address.
Item 3A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed here:
AL.AZ.DE.FL.GA.|L.|N.KY.KN.K8N.KJ0.MS.N[WlNY.PA.TN.TX
Item 3B. Employers Liabiiity Insurance: Part Two of the policy applies to work in each state hsted in Item 3A.
Tne Hmits of our Iiabihty under Pal Two are: BodHy Injury by Accident $ 1,000 000 each accident
Bodily Injury UyDisease $ 1 000.000 policy limit
Bodily Injury byDisease $ 1 each employee
item 3C. Other states Insurance: Part Three of the polcy applies to the states, 1 any. isted riere:
-L STATES EXCEPT
NO.OH.YV&VYY.
AND STATES DESIGNATED IN ITEM 3.A
Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. Ail information
required below io subject tuvahfioetiun and change byaudit.
SEE EXTENS)ON OF INFORMATION PAGE -CLASSIFICATIONS
If indicated here, interim adjustments of premium will be made: Minimum premium collected in IL $ 1000.
Sern|'Annua|ly ___:Ouartor|y _]Monthly Total Estimated Premiurn $ 86097.
Deposit Premium �
This poUcy ncludes these endorsements and schedu!es:
SEE SCHEDULE OF FORMS AND ENDORSEMENTS WC999999D
PRODUCER NAME AND MAftING ADDRESS
ARLINGTON/ROE & CO INC
PO BOX 8O8O3
INDIANAPOLIS IN 46280
PRODUCER CODE: 228532 351150545 SML
wxRxEnwso=p/cs: ACE COMPLETE
ISSUE DATE: 03/31/2010
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<A il^rize« Schramm
mKCOUUOO1A (06/03) Copyright 1eur National Council o" Compensation insurance
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INSURED
August 9, 2010
Dear Sirs:
We have approved the Treasure Hunters Road Show the use of our meeting room from
September 7 , 2010 until September 11, 2010.
If I can be any further assistance please feel free to contact me.
Sincer -ly,
j
Georgia Downey
General Managers
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Room Locator
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Entry ilk: st Floor
Housekeeping
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Elev
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Stairs
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204 206 208 210 212 214 216 218 2 20 222 224 226
2nd Floor
Housekeeping 317 319 321 323 325 327
301 303 305 307 309 311 _� vending
Elev
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Stairs
Stairs
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3rd Floor
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