HomeMy WebLinkAbout10-11100 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 11100
BUILDING PERMIT
Permit Number: 11100 Address: 7921 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 - 00100 -0010
Improv. Cost:
Date Issued: 11/03/2010 Name: LOWES HOME CENTER
Total Fees: 154.40 Address: 7921 GALL BLVD
Amount Paid: 154.40 ZEPHYRHILLS, FL. 33542
Date Paid: 11/03/2010 Phone:
Work Desc: TEMPORARY SALE- CHRISTMAS TREE- 11 -15 -10 THRU 12 -14 -10 (30 DAYS)
AL -- r e rke 1-•ts 56.06
LIN R ROGERS ELECTRICAL TEMPORARY SALES 1( " Z- '0 5.00 TEMPORARY SALES 28.00
CONTRACTOR CERTIFICATE 30.00
t1
sr,
I
ELECTRICAL FINAL
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."
r 4 1
N 111 OR SIGNATURE PERMIT OFFI 'R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
-/0
I I Temworay Sales Checklist �`` /� V �l
'City of Zephyrhills
5335 8 Street CA 5
2ephyrhills,'Fl. 33542
Phone: 813 -780 -0020 / Fax: 813= 780 -0021 9 -
REQUIREMENTS
��Detailed Plot Plan showing setup of location. Refer to Ord 1038 -09, Sec 5
Notarized letter from property owner stating their approval.
t.� 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. Cj(,�e5
No Smoking signs must be placed outside entrances. to wT---
IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least
2 mss.
IF 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)
4' Proof of State License. 00 ,s Ov�crc
Proof of Liability insurance. Sly'' gS�/ �
4' S !
v 1Rti ' / o � 4i
List of items to be sold at site. S�1 NI `LR �tl. i
Copy of Drivers License and Social Security Nuroileritit all • - on ekr A g
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 l two days
$ 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
S to during a 12 month period on same property Ord #1038 - 09, Sec 6
$ 50.00 - Tent Fee (40.00/BD, 15.00 * /FD) -( *$15.00 w aived for Fireworks)
i a - - -_ i . ___ _ fi t '
$40.00- Elecfncal Fee cif appfica�ble) ) 6 ±
- � ,
Property Owner: _. /5 �IY/�7 5 G /�,�jL
Applicant: ,13. ( C- Url Sr S Zn C 44 fly B r' -1Jt.+.,
Phone Contact: 2' 3- 3'' = ( C4'1-z'/ - D,v
Address Site: l.4I 1 v - ral �- ,
� 2 J �i Y11,r
1 sC(� 3 3sy /
Date(s) of Sale: 1
// -/5- 44 rt/i /Z /J - /
Ordinance No. 1038 -09 (for additional requirements)
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett @fre.zephyrhills.fl.us
Plan Review #: 10 -125
Project: Tent Installation
Number of Pages: Packet
October 25, 2010
I have received and reviewed the packet for the tent installation located at 7921 Gall Blvd
and will allow the project to move forward. Please note that this review does not
eliminate any further requirements as the project continues moving forward. By receiving
permit, contractor acknowledges to comply with the items listed below. Should anyone
have any questions, please do not hesitate to contact the Fire Marshal's office.
1. Please follow the attached tent/vendor guidelines.
2. Prior to opening the tent up to the public an inspection shall be conducted by this
agency.
3. Ensure the flame retardant certification is on the tent and sidewalls.
Inspections Required:
1. Site
KERR `n , FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
ZEPHVRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: /0—/25
Contractor: �'6 -<
Business Name: i-/i5 Billing Address: "792 ,gtti__--
Business Address: 7 92/ ice/
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES _ INSPECTION FEES — PERMIT FEE _ FALSE ALARM FEE
_ Site Plan N/C _ Annual N/C _ Sprinkler $50 —
1st Alarm N/C
_ Multi Family /Commercial .06 sf _ 1st Re- inspection N/C Standpipes $50 _ 2nd Alarm N/C
(Minimum Charge $25.00 — 2nd Re- inspection $100 _` Fire Pump $50 3rd Alarm N/C
0 Plan Revisions DBL _ 3rd Re- inspection $250 _ Hoods $50 4th Alarm $100
_ 4th Re- Inspection $500 _ Fire Alarm $50 — 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 _ 6th Alarm $200
_ 0 - 25 Heads $50 violations corrected) — Natural Gas $50 _ NON COMPLIANCE $150
26 plus Heads $100 — SPRINKLER SYSTEMS _ Fuel Tanks - per tank 550
STANDPIPE SYSTEM _ Hydro Undergrounds $45 _ Sparklers $100
0 Per Riser $50 _ Hydrostatic Test $65 per system, _ Fire Works $500
FIRE PUMP _ Acceptance Test $45 per system _ Camp Fire $25
El Per Pump $100 _ Hydrant Flow $75 Controlled Bum $100
_ FIRE ALARM SYSTEM Hood /Duct $50
0 - 25 Devices $50 _ FIRE ALARM SYSTEM _ Place of Assembly $50 Annual
26 plus Devices $100 _ System Acceptance $50 —
Fire Protection $25
SUPPRESSION SYSTEMS _ Recall Acceptance $50 _ Flammable Application $50 Annual
_ Wet 550 — OTHER _ Waste Tire Storage $50 Annual
_ Dry $50 — Fire Wall/Smoke Wall $15 per wall —
Generator < KW $100
CO2 $50 — LP Gas $25 per tank _ Generator >30 KW 150
_ Other $50 _ Natural Gas $25 per system _ Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
Hood /Ducts $50 ent 10'x10' or greater $15 per tent Torch PotlApplied $50
OTHER Fire Pump $45 ^ Haz. Materials $100 Annual
—
^ LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) $50 _ Exhaust Hood /Duct $30
0 Natural Gas Installation $50 _ Re- inspection DBL
(Per System) (other than annual)
❑ Spray Booth $50 fl Inspection scheduled DBL
and cancelled less than
_ 24 hours
_ Construction Insp. N/C
_ Emergency Vehicle Aa $50 FALSE ALARM
PLANS TOTAL r INSPECTION TOTAL J PERMIT TOTAL I I TOTAL
GRAND TOTAL L
Comments:
Date: fOOkt
Insp red l f �'r, 'rr
L E ll s
September 23, 2010
To Whom It May Concern:
This letter authorized D/Eagle Tent Company to apply for, sign for and pick up permits
for a temporary portable tent on behalf of Lowe's Companies store locations for the
purpose of selling Christmas trees. The location of these tents will be determined by each
store individually. The tents will be set up for the duration of longer than 45 days starting
the month of November and ending in the month of December. D/Eagle Tent Company
will also be authorized to install the tents on the Lowe's location, as specified by each
store. In addition, all customers will have access to the restroom facilities located inside
each Lowe's store location.
Store Number: 1854
Store Location: Lowe's of Zephyrhills
7921 Gall Blvd
Zephyrhills FL33541 -431
County: Pasco
Store Manager: Teri Connolly
Lowe's Companies will assume all payment charges associated with applying for, signed
for, and picked up for permits for temporary tent for Christmas Trees.
Sworn to and subscribed before me thisecray of .
2009 by Mike Hacker.
Personally known or produce - dentification
Type of identification produced t �_
•
otar Si_ nature
Mike Hacker
Regional Sales Director
Lowe's Companies, Inc.
....
r..7.......,-.-.,...
\ 6
b b I
0 0411 AO
RIBENI SLOPE ROAD
...AI I ■ h.:, II ilk
- maw- 1 0 .4 ti
wirimr __._.,___:_=______ ihkx __, - '911•:1 • ,_L. -
I — — —
X7 R kt 4 ki 40 t't -'. *.
11111101diral N WILIk‘WiWIl a b, ** - Nib' NIL t■ Il 8
_ _ 1
_
\ giira RIONI.
im....ttili • ■■■ • ■■■■■■■■■■■■■■•■■1 1 El :101t.
- - - - — i I IIIII b1.111 ` - _ ■1■1111Mbalb •■■■ _
rtz
11 , Ell r i 4 q
W: 14 I 4 It 8 Oc\
! g 1 I WI I ''A"'''..--."'''''''''Ila 11111111111rwisinfl 114114441
MI I. • l■ i k C
1 14.1114 :
wiltimiNIMPIII Illrill, '11111111°14111 (---
,,
_- ,-----: Ikk
'''. _agimin -.....-..;...... /. ..
• - , , ' I 4■ 1
. , .. . , . . Emorogni
II
: .im551.., , . , , i 4 ■ i i .
,
,
- 1 '
I !I ,i
1 1 0 1 11111111111 7 L 0 rinfigv,. i ii 14
f li 1 - _i- ,
4 1 . MOINIIIIIIIII 111•11ENSIO alf illp4414
t
1 4
v kihN)h, .D
, r.... b
I MIN" Pi I I •
‘i g k 41 It 1
AllkAC , 7
f gill ll ---, 2
II ? il l
:1 b:11■14
1 ENE 111 1111? gi.,11 ) .D
:--./
0.1t$ 14 i 1
A Eir-7 I_ `II - RI RI It, g
f ,1 gp
1 111 - 1 k "tiiP '‘IITTLQUIroillf:EiA002.114 = JILIN , 4:: I I I 1 1 (P
IV it Mtl;;:t■L • -- 4 i1Cti 1,,
.,,_L ii :*.4---=.Amiuransimgnsp woulsommu ''''' IM,'
4 a I aa 1 i 1_141 P21 Ig w - „ acs , r i °If*. -,,,, MENki v i
VI - -- ' - , 6.,..alestm-leVk 41,'• 1
, , A r•-, 11!—V 1 3 ": r..4 ',Jr., J r IV-4 11,1 ;
1 1 1
_____3. -11 3 li - - t Eil _ .
_
--- - - ' . -.: 7.F•1 Er I s 2,- i i
._.$141111 . I t- 4
J I': ' iii 144110 VOX*W
' 1113-..:.4 I • '7.1" :18. I T.' ■In tr. y
il 1 iii II II I
.._.,„, _ _ L _ •
- , ik. . 141!rhicl',S411.
1 '0001
/ 1 • i li 11
1 ii LIP =mil 1 IMOD _ IINIMIP OMB _ ., A 1114 .
!!N:1
1 A 1. .i li i qf ' II lilt
1 ,., ttlim..144 8
ill II 11 li /
At 117;:f IOW
; s 3r I t....7 . 11=
1 II I! I I
Ili 14 114 Fig _ ALN141
iptii rii , 191 -
!r;:i• pip : I -,.... __ _6 _....______L.---"L''' , t i lk ii IN'4 1 0 g
V "_ • 1
•' i'•;* I ' - , 1
_ ....
• ! iiii 14 11111111
21 s • —‘ _ 1 A. 4 1 r
'8' iiiit■SigilillEgini _ 41 -4. AVIIIIININnow -x 4. k i
ri
,lisealarissmrim 1 —
' illit Orr 1 _ _____ ___ ?aiiiii....
eigen armr - --f mon - 11."4 MINIM IIIMIEFTIMIgIN
,......=
.---- • - - -
usufaymkwykorgi BI-M) ) 11 4 ..II
--, ,
-. • - z
, I
1 , • di\
(
\ s.
1 I • 11 ,_.__ 1M _
l'opplii
]
. $ A N PASCSRE PLAN
I ..:' or LOWE'S
ENGINEERING AND O ODUNTY , FLORIDA low vat min isuercmo, am
1....., wog avow or ow • meaeo ace. (v) . • (It, MIMM: i: a
= 4 ZEPHYRHILLS CON C /:
4' "4'411' -6t4- 'I 1 ii : Ili
6
,a 3
g .0
a '- Rs : i
o
°1 t. 0
g CI 2 iv
i c CL
C 411
a z ae w
g
Co) v 0
.r E 1 a E E O a) e
_
� a 'a g CD
CO 0 1 4
0 s E" '� . . .. d i a ci1, 4 ,0 03 a . c e O ' vA
r
M a * . z m V H 0 co 8
0 N M c� .i *4 i S
E 116 0 111.4
i CIT$ 0 '1° 0 F. CO ,C 00 a 2 = ` O V
0 V 2 v) 0 r-
a
N PO
14•40-1 M 0 y" .2 v C4 2 0.
i '44 o,, a w c' i vA .a
c°s H a p rn , V
0 • v
i .47,4 , e . .9 ° 8
''- a N I C i
o� H 0
•....
—
O l id p ' 0 C , ,4 a . w
(ti r o A ?b O o) g fin 6
�tA � _ • 'S�fd r 4,,,, = A
tD i
vr 0 ote 44 4 , . i- .. c
cLo p: E a
4 1. 1 s 5 P te" . ' d. 4::: 4tt 1
•
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021
Building Department •
( \ •
Date Received Phone Contact for Permittin
� 11 1 y
Owners Name L C�l ev
v 1� - -L Q Owner Phone Number
Owners Address 11.1w ) y E /v f UJ1 twasbev QC Iv $S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
t ddress {
JOB ADDRESS 1C .1 4 1 Ia{VQ1 ZQPk C M \t5 LOT#
SUBDIVISION PARCEL I13#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR u ADD /ALT 1 1 SIGN 1 1 n DEMOLISH
INSTALL n REPAIR
PROPOSED USE 1 1 SFR 1 1 COMM 1 1 OTHER 1
TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL n 1
DESCRIPTION OF WORK - refine Pow * .r CSok.S4 nNaL3 - 4 4 ste_ 4. Q"4-
BUILDING SIZE SQ FOOTAGE HEIGHT
(BUILDING $ VALUATION OF TOTAL CONSTRUCTION
1 $ aLi G AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C.
1 1PLUMBING $ � � p
1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 1 I ROOFING n SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y / N I FEE CURREN � Y/ Ni
Address dd �j License #
ELECTRICIAN ` COMPANY Lin g • EE C s YY Con tr.
SIGNATURE I /� REGISTERED 1 Y/ N I EE CURREE I 1 N 1 Y/ I N N
Address 2050 Marconi Dr, 3k . too, A/plaan ta. GA 3ool'S License # E C 0CCO7
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
Address
License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
Address
License #
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
** **PROPERTY SURVEY required for all NEW construction.
• 1 1 1 • . . • 1
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500)
** 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways.. needs ROW
LINRROG -01 AUCH
ACORfl CERTIFICATE OF LIABILITY INSURANCE DATE )
10 /8 2010
PRODUCER (404) 633 -4321 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Yates Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4 Executive Park East, NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 200
Atlanta, GA 30329 INSURERS AFFORDING COVERAGE NAIC #
INSURED Lin R. Rogers Electrical Contractors, Inc. INSURERA Charter Oak Fire Insurance Company 25658
Rogers Electric Service Corporation INSURER B Travelers Property Casualty Co of America 25666
2050 Marconi Dr Suite # 200 INSURER C National Union Fire Ins Co Pittsburgh PA 19445
Alpharetta, GA 30005
INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR NSRD TYPE OF INSURANCE DATE IMM/DD/W MI
I DATE 1MDDIYYI
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY VT22KCO5787B539 1/112010 1/1/2011 DAMAGE TO KEN IED
PREMISES (Ea occurence) $ 300,000
CLAIMS MADE X OCCUR MED EXP (Any one person) $ 15,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000
POLICY X x I LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
B X ANY AUTO VTJCAP5787B540 1/112010 1/112011 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON -OWNED AUTOS (Per accident)
X Hired Physical Damage
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 15,000,000
C X OCCUR CLAIMS MADE BE11579455 1/112010 1/112011 AGGREGATE $ 15,000,000
DEDUCTIBLE $
—
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND x WRYTATT- TORY LIMITS ER R
B EMPLOYERS' LIABILITY VTC2HUB8571 C37310 1/1/2010 1/1/2011
ANY PROPRIETOR /PARTNER /EXECUTIVE EL. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? E. L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
SPECIAL PROVISIONS below E . DISEASE - POLICY LIMIT $ 1,000,000
OTHER
B Leased /Rented Equipment QT6600104L715 1/1/2010 1/1/2011 $2,500 Ded. 300,000
B Equipment - Scheduled QT6600104L715 1/112010 1/112011 If Applicable See Below
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
General Liability policy referenced above provides per project aggregate limit as required by written contract.
Workers Compensation includes State of FL In 3A.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
5335 8th Street
Zephyrh i Ils, FL 33542- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE _
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988