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Home My WebLink About11-11775 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oo20 11775 ' FENCE PERMIT Permit Number: 11775 Address: 6205 17TH ST Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: PARK HILL Est. Value: Parcel Number: 02-26-21-0180-00000-0180 Improv. Cost: 2,251.00 Date Issued: 4/14/2011 Name: RIVERA, RENE Total Fees: 45.00 Address: 6205 17TH ST Amount Paid: 45.00 ZEPHYRHILLS FL 33542 Date Paid: 4/14/2011 Phone: (813)779-0930 Work Desc: INSTALL 116 FT CHAIN LINK & 28.5 WOOD PRIVACY BIG DOG FENCE INC (813)907-9877 FENCE 45.00 ; � �,+�� 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 � 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances � O TRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER si�-�eo-ooso City of Zephyrhills Permit Application F�-8��a°�°°2' Building Department Date Received Phone ConWCt for Permittin �r p Owners Name , �° I�Lt Ownx Phone Number � ' 0/.�a Ownels Address /� �� 5� Owner Fhone Number Fee Simple TitlehoWer Neme Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS U v � LOT # � sueav�saN �GrL N � (I � PARCELIDM OZ - 2!� O1�0- DOOOO -0��0 (OHfAIlED FROM PROPERiY TAX NOTCE) WORK PROPOSED e NEw CONSiR 8 ADD/ALT Q SIGN Q Q DEMOLISH {P{STAII REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �wN� �� f � [�Y C Iw ' LF�S 4J1 p� Q riJ� BUILDING SIZE S� FOOTAGE �� HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL 3 AMP SERVtCE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING ; QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /�� QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY plS t1Qy �LItL �f _ � SIGNATURE REGISTEREO Y/ FEE CURRE� Y/ N Addreas .J/// P�oI � � License N ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE cu�aEn Y/ N Addross License # PLUMBER COMPANY SIGNATURE r�cishr�D Y/ N �E CuRREn Y/ N Addross License # MECHAMICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Addnss License # OTHER COMPANY � SIGNATURE �cISTERED Y/ N FEE CuwxEn Y/ N Address License # � IIIIIIIIIIIIIIIIIIIi1111111111111111111111111111111111111111111111i RESIDENTiAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit fw new construction, Minimum [en (10) worlcing deys after submittal dffie. Required onsite, Constructian Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Faalities & 7 dumpster; Site Wak Permit for subdivisions/large projects COMMERCIAL Attach (3) complete s�s d Building Plans plus a Life Saf�y Pape; (1) set d Energy Fortns. R-0.W PermK for new canstrudion. Minimum ten (10) working days after submktal date. Required onsite, Constnx.tion Pl�s, Stortnwater Plans w/ Silt Fence instaHed, Sanitary Fadlities & 1 dumpster Site Wak Pertnit for all naw projeds. All oommeicial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""'PROPERTY SURVEY required tor atl NEW construction. Directions: • Fill out application completey Owner & Contrada sign badc of application, ratarizad If over 5��, a NoUcs of CommencamsM is required. (AJC upprades over 57500) " Apent (for the corrtractor) or Power of Attomey (for ttie owner) woufd be someone with notarized letter from owner authoraing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs 'rf shingles Sewers Service Upgrades A/C F�ces (PIoUSurvey/Footape) Driveways-Not over Counter'rf on pubNc roedways..needs ROW NOTICE OF OEED RESTRICTIONS: The undersigned urxlerstands 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 resVictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIB�LITIES: 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, "rf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contrador Blodc" of this application for which they will be responsible. If you, as the owner sign as the contrador, that may be an indiqtion that he is not properly licensed and is not entkled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEE3: 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 pertnftting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�l' or final power release. If the project does not involve a certficate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact fees are due, they must be paid p�or to permit issuance in accorclance 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 P�qriculture and Consumer Affairs. If the applicant is someone other than the "owne�', I certiiy that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owne�' prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certity that all the infortnafion 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 govemmeM agencies may apply to the intended work, and that it is my responsibility to identity what actions I must take to be in compliance. Such agencies inGude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaly Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, YVetland Areas, Attering Watercourses. - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. - Department of Heatth 8 Rehabilitative Services/Environmental Heatth Unit-Welis, Wastewater Treatmerrt, Septic Tanks. - US Environmerrtal 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 '1/° unless expressly permitted. - If the fitl 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 ticensed by the State of Florida. - If the fiil 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 commenci�g construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificalty induded in the application. A pertnit issued shall be construed to be a license to prooeed 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 preveM the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every pertnR issued shall become invalid unless the wortc authorized by such permft is commenced within six months of permit issuance, or ff work authorized by the permft 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 Offiaal 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 COMMENCE MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN D T AIN FINANCING, CONSULT WITH YOUR LEN ER R AN ATTORNEY BE ORE RECORDING YO R MMENCEMENT. FLORIDA JURAT (F.S. 717.03) OWNER OR AGENT CONTRACTOR � Subscxibed and swom to (or affirmed) before me this S scri swarn to,�Pr afi ) befo'�!� is by + l w� � bv,� /TWi ► DH �f/L/ �CGCKC.... Who is/are personaly know� M me or has/have produced Who is/are pe known ro me or has/tiave produced as iderfifintion. Q as identification. � ,.- tie.,a..r •�.«�+'e�;�, JACQU �IE BGGE Notary Public - N ry Pudic `� - � r xpires December 12, 2014 Commission No. Commi ' Name of Notary typed, printed or stemped Name of Notary typed, ' or stamped � BIG DOG FENCE 1NC. �ate: .: ��2'i. �// . . 31'!1b ELOlAN DRNE WESLEY CHAPEL, Fl 41ome Phone: 33545 ��- ��= i�i�e Phone: b'! 3-7� 9- Q93o Tel. (813} 907-9877 Fax. Nwnber: Fax. (813) 994-7827 EmaiL R.� n� ma2; e 97 '� (� 3@-VP,.�r`z.v.✓..v� Frr�ait: serviceCbigdogfence.com NaJCut #: O�J/0 �5�9 PROPt15A� AND CONTRACT CUSTOMER: Re-n e. (Z.i v 2..z.G� Subdivi5iort: ADDRESS: (� �.DS 17 f -�' Sf: � city Ze�� t/,.%/s. �/. zipcode 335Ya- JOB S�TE: St`L � a — Gity Zip Code i� 81 '' S f �-a:�:_ UANTITY \' p� z� � [.� , }w �'',�n`vj' b'H c/t:.,x i— low.--� n r �rRP.e. r o � pp° DR.vt ✓� � N 5 GL � � . Cra`F�- y.� ao �_ �"c �O . � � ro r �I O � LQC S�`I'o � 'F�.�� z -�, G� +�' �' f p ... =aS`1�.11 e. �� s _ Jv '�c. ` C G D o I e D R, �� ya''c.� X�`r-1 c L Q s;� L d �� i o/ s fo� L.�►' �� F/oU�Se / J�.6? Total tleight 4' �6' J6' _ �Voad Pr�e Treoted �� `�e„^�' Post Spaced 6' u �8� c�'�� y� Board on Board W/Lat ✓C_ c�in L'ndc / = �hadow Box W/Lat q� CdOr. Gaiv Bm BUc. G� Stodcade _Cnv�c Concave � Fabric .�Aesh x �._ �ga. _Pldcet �paced qE _PT Temion V�ire _14ga �[ 9ga No Runners �1-1 /4 ±/ 2xa ` 61Wire 3J�rr¢ _15.5g,a _iZ5ga Plcts DE 1l2�4 518z 4 6 �_ n .�y, 5 � . _� Top Rail a�1-3/8 —�1-5/8 J� a. line Po6t ��/4�c4 !b�6 � Line Post 1-5/8 �2 .L�v,a. Gate Post 4x4 4xb 6x6 End Post �2-3/8 �-7/8 �ga. Deco Post Gothic _ Miter Corrstruction Notes: VPost �-3I8 �-7/8 �o a V'anrt white _tan Sgl/G Post �2-3l8 �-7/8 �a Styte Bottom of Fer�e _fo[low grade string straight w/grade _tevel w/grade Dr/G Post �� 3/8 �-718 L q4. Style Post tied to corKnete w/9ga gatv. wire °prevents sinid�" Gate Frames '� 1-3/8 _1-5/8 L� 13�e Post 4°Pkt - 5"Pciv - 5"Rt � Gats Post Set ia C.atcseLe t00 Ux bell stwQed at bott�om Walk Gate Onen3nQ Er�d Post 4"Pkt - 5°Priv - 5°Rl 1 Gate tHr�ge Post {P1/C# _ Heavy Wali _I-Beam Atum. insert 36"w 42"w .��.L] C/Past 4"Pkt - 5"Priv - 5"Rl �/ Line Post set in 50 tbs concrete 48"w G/Post 4°Pkt - 5°Priv - 5"Rt _ Hardware SS {PVCf white _ btacic 60"w At�irKm _Gm _Bmz _ Hardware Steet {Wood} btack painted 72"w _Wht _81k _Brn Tan Co�s 6othic _New Eng _Bal! Drive Gate Onen3n� Siyte �xt _tnt _Sotar Line Post _2° _2-1 /2" Cross StreeG Nt�ni Jrivt Single Swing /_h.x—w. End Post _2" _2-1 /2" SEC TW RNG Lot # �Double Drive�/ �O h.x /0' w. C- Post �" _2-1 /2" THIS PROPOSAL MAY BE WITHDRAWN BY BIG DOG FENCE INC. IF NOT Rotl _/ fi.x w. S/Gate Post _2" _2-1 f2" _3" ACCEPTED WITHIN 30 DAYS. THIS PROPOSAL SHALL BECOME A Cantilever _/�x dr/Gate Post � Z"2-1 /2" 3" Blt�lt� CONTRACT UPON ACCEPTANCE. Permii inct�ed: Yes �NO SEE REVERSE SIDE FOR TERMS OF CONIRACT. _ Not Required CONTRA.CT AGREEMENT made this �`f day of �ct2�6� , 2011, by and between BIG DOG FENCE INC. hereinafter referred to as "BDF" and, hereinafter referred to as "Customer." In consideration of the mutval covenants contained herein and the consideration to be paid by Customer to Big Dog Fence Inc., it is agreed as follows: l. Customer shall pay to Big Dog Fence Inc. the sum of $ o� a�/ °O for the work described herein. Payment shall be made to BDF by the Customer upon completion, unless otherwise specified. 2. BDF agrees to famish all necsssary labor and materials to construct the improvements described herein as per the specifications and drawings, if any, shown on the reverse side. BDF further warrants all materials will be as specified and that all work will be campleted in a workmanlike manner according to standard practices. 3. If this is a residential }ob, Customer represents and warrants that helshe is t3�e owner of the property descn'bed hereiu. If this is a commercial job, G�stomer represents that helshe is the owner of the groperty described herein, or an Agent, Board Member, representing CDD/HOA Organization/Compairy, , or a contractor who has a contract to improve property owned by and that part of the improvements contract� for by the owner include the work described herein. - 4. Customer agre�s to locate, relocate, stake and cleaz fence lines, and assumes full responsibility for same. Customer agrees to indemnify and hold BDF harmiess for any liability or damages that may result fram Customer's failure to properly locate, srtalce and clear fence lines. Customer fiuther agrees to advise BDF of any deed, subdivision, or other restrictions which may affect const�uction of the fence or other improvements to be constructed by BDF, and agrees to indemnify and hold BDF harmless from any liabili#y or damages that may result because of the failure to comply with deed, subdivisian, or other restrictions. 5. BDF will catl the local UtiIity Locating Service. BDF does not assume any responsibility or liability for any damage of any nature to undergound obstructions. G�stomer agrees to clearly "mark" any underground obstructions �in the area of the fence line or the improvements to be constructed by BDF. Customer assumes responsibility for any damage to underground obstructions caused by Custamer's faili�re to Iocate and mark accurately with paint or flags, their existence. For putposes of this Agreement, underground obstructions include but are not Iimited to all impmvements constivcted underground including utility P�, SP�� P�, c�bles, wires, foundations, and the like. 6. It is agreed by and between the parties, that any alteration or deviation from the above specifications im�olving extra cost is to be perfarmed by BDF and will became an extra charge over and abave the price stated herein. 7. Customer agrees to pay in full the price statied herein upon completion of work. Any failure to pay within three (3) days after completion of work, excluding Sundays and Holidays shall be considered a default and BDF shall be entitled to recover the full amount of the invoice plus interest (finance charge) at the rate of 1 1/2% per month (18% per �num) until the contract price is paid in fiill. In the event it becomes necessaiy for BDF to take collection action, Customer agrees to pay all costs of collections i�luding reasonable attomey's fees and costs. —� 8. It is agre�d beiween the paities that BDF will retain $125.OQ from deposit if said contcact is cancelled by customer and customer further agrees to a 25% restocking fee plus return freight cost for all special orders. No return for custom orders. 9. It is further agreed between the pazties #hat the fencing materials shall remain personal property until the contract price is paid in full. Tn the event the Customer fails to pay the contract price, BDF shall have the right to peaceably repossess and remove ati materials installed by it on the premises. Customer fiuther agrees tl�at BDF shall have aIl of the rights of a secured party, as the same is defined under the Florida Uniform Commercial Code, and that said rights shall be cumulafive and in addition to any other rights which BDF inay have in accordance with Florida Law. 10. If Credit Cards are used ta pay totat, or any amount toward total, the amount charged through terminai wilt be assessed an extra 3.5% processing fee. Cre+dit card checks will no# be sssessed the extra 3.5%. 11. BDF is not responsible for warping or cracking of wood products. 12. BDF will waaanty labor for installation of residentiaUcommercial for a period of 1 yeaz. 13. BDF will warranty labor for installation, (residentisUcommercial gate operator) for p�iod of 90 days. 14. This agreement is �e entire agc+�ement of the parties and c�nnot be changed except in writing signed by both parties. There are no warranties or representations eaccept as are expressed herein, BDF specificalty disclaims all EXPRESS and IMPLIED WARRAN'i�S, including any WARRANTY OF MERCHANT ABILITY rnr FITNESS FOR A PARTICULAR PURPOSE. IN WITNESS WHEREOF the perties have hereunto signed their names on the day and year first above written. AdditionallnformationFP�.u.�.: t ?"��d� ) BIG DOG FENCE INC., Alan Lanier, Mrg. � L By: �.��, t'��.�.e� . -� ' aY /( 3-ZY Down Payment 50'�0:$ '�� ° /zOO- °° c�c(� Cvstomer: X�„� ,_. cl�� Balance Due upon Complebion: $'�'�`�� I4$/. °" Print: � Title: APR, 13. 2011 5.43PM A. KILBRIDE INSURANCE, INC, N0 9333 'P� „ 1�/ 2 ��' ��(�r/�� ERTIFICAT� OF �IAts«-� � Y INSURAIVC� C�R71F1CATE HOLDER• THIS THIS CER'n�«A�� S IS5U�D AS A MAY1'ER OF (NFORMA710N ON6Y AND ON7�CT TWEEN H� ISSUING INSURER(Sl� AUTHORiZEO CERYIFI �AT� DGES NOT AFFIRMATNELY OR NEGATN��Y A ST T p�CD OR ALTER THE COVERAGE AFFORDED BY THE PO�ICI�S BELOW. THIS CERTIFICA �� AND THE CER��CATE HOLDER. �pR�S�NTAT�� OR PRODUCER, ' es md repuire an endorsament. A Statere►eM on thls certifiCete d0es not confer rights to the (MPCRTANT: If �e CertiFi�ate holder is dn AGDIYIONAL INSURED, the poliCy(ie5) must be endOrsed• If SUBROGATION IS WAIV�p, sub ec �e terms and aond'+tions of tfie policy, certain poliCi Y cel�yfcAEe fiolder in lieu of Such EndorSemeM(s)• aT """E' FP '" No : 13- 32- 336 PROOUCEn PHONE , $13-931-7487 „ p. KILBRIDE INSURANCE ►NC. �.�� ,�, �ao1 W. Busch eWd. ��'—'� c�°,staa�i�iox119248 ^'—' Tampa, FI 33612 �a � �13 .931.746 7 Phone _ _ INSU ERI�I A��RQ�NG �vEw►oE .�.— — 9�a.832.783sFax �„�.��—�� INSURERA :Bankers Zn,surance C,om�an ^,._„ .— IN6URED �NSUftER B : , _,— -- ^' "— � gig pog Fenc;e lnc INSURER C� —. --� �—' 31196 Eioian Drive — � �^- Wesley Chapel, FL 335453908 INbuREf� o,: _. _..--�---'—' —' � INSUR� E,�_ --- ^—" iNSUaex F : R�rySION NUM�ER: COV�RE►GES CERTIFI'CATE wUMB�R: REMENT TERM OR CONDt710N OF ANY CONTRACT O OE CR BED�NE E�N S SU9dEC7 TO A6L� 7H THIS 1S TO CERTIFY TNAT 7HE POIICIE �QV INSURANCE LISTED BELOW HAVE BEEN iS5UED ; S�E 1NSUREO NAMED ABOVE FOR THE PGLICY P 1ND�CATEO. N071MTHSTAMD�NG ANY R � CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TH� I N S U R A N C E A F F O R D E Q B Y T W E P O L I —^� _ — YMI F MM� Y UMITS 10a,000 �XCLUSIONS ANO CONDInONS OF SUCH AOLIClE3 LiMITS ShOWN �nAY HAVE BEEN RBDUCEP BY PAID CLAInn . � pOUCY NUMBER pp,�H OCCU�,�_ s 7yPE Of IaSUR�►CE � 6ENERAL 1�l►SI�' ��Fs eccu ncel S COMMERCwL GENERA�. LIAB0.1Tf MED ExP (My � Pa�1 s 3/ts/�1 o3/z6/lz . 100,000 ��p,�ppg.�,�p,nE � OCCIfR pg0005345081 PER30NAt &�� RY s 2QO,OQO A GENERA� AGGREGA7E i 100,000 Paoou - coMp roP �c s_„ ' �—_ — s GEN'L AGGREGATE LIM17 APPtIES PER rqnnelN�o SINC�E uMIT f POuCY PR � �OC {Ea a�asnQ ._�-- AuTOMOBII.E �u►B�u7Y � BODILY INJURY (Per pason) S _. �y p�p I I gODILY INJURY (Po� eccdlfu) $ q�L OVMNED AU�B PROPERTY DAM+�i� S SCHEDU�ED AuTOS (Pcr ecciden� 6 ��_. HIRfD A�5 •--'�^" S NoN-01M�1ED A�S EACH OCCURRENCE s UMeREUAUA OCCUR p,GGaEGA7E � i EXCESS W►s ' C�MS�t+1ADE � , � _ �—�—' � s UEOUCi�eLE TA7U• �' RE7HNTlON WpRxERg cspMPENSAT10N E � EqCM ACCIbEt�r s AND F�PLiOYERS' wsl� Y! N E L P'�FASE - EA' F�PLOY£ S M � AtrY PROPRIETOR��kE��C� � N I A OFPICER1MEMeER 6xCLUDEO� E.L, DISE�E - PoLIC`r LIMIT S (Maeneuary M NH) Ifyoa d�� u� DES6RIPTION 0� OP��TION6 betov+ DESCRIPTION Of OPERAT�ONS ! LOCATIONg f V�NiC1.F-S (ARiCh ACORA 101 Aatllp�� R�m��a $chcdulo, N morc space ie rcqulrcd) fence installation CANCELLATION C�R'TIFICATE NOLp�R SHOULD ANY OF THE A80VE DESCRIBED POLIGIES BE CANC�LLED 8EF0 Ct7Y OF �E� HYRHI�LS THE EXPlRN71�N DA7E 7HEREOF, NOTICE WILI- 9E DELIV�RED IN 5335 8TH S ACCORDANCH W�TH SHE POWC�' PROV1310NS. ZEPHYRNI�LS, F� 33542 AUTHONZEDREPtiESENTAm1E 813-780-002 � 4� 1888-2009 ACORD C�RPORP`�10N. All rights reserved� ACORD 25 {x069109) The ACORQ name a�d logo are registered maPks of ACORD CITY OF / / / / BUILDIN� ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION �'��_,, „ � �'/r�� • • • ADDRESS DATE PERMIT �, � Z�,�' /�- Sf � 22- I j l7 �:� THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the iob will be accepted. � � �"�✓1G� � �i4� t�'� D/1 �i2�� 0! ��i- C7/! �`� . I c -�Cl'''l� l'[ s . c� �� % = �j l' �-`� /"5Q.C1'�- � c�1-� ��f C � �� t is unlawFul for any Carpenter, Contractor, eui�der, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with Flooring, lath, earth 78� F� RE-I SP (�N or other material, until the proper inspector has had ample time to approve the installation. � OFFICE HOURS 7.30 AM - 5 PM MON.-FRI INSPECTOR t w �r^ ��asb��°5t?;.,, ... .. :�k w a . ��.r, - , � .:d' xf'� � %� „ CITY OF / / / / BUILDIN� ZEPHYRHILLS DEPARTMENT .� OF ADDITION OR CORRECTION �• • - • ADDRE55 DATE PERMIT f � 1 i� THIS JOB HAS NOT BEEN COMPLETED. The foliowing additions or corrections shall be made before the job wili be accepted. � / �,�,, � �� ; -- e� ��,� >>�� -��-- �� .� � � r �t� ,�, � � � d - r, ,, - a r�� ,' �n,y e_ • ._ / �!� ` �. , / � � � , ! �) 1 � _ _ It is unlawful tor any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780-0020 FOR RE-INSPECTION or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7•30 AM - 5 PM MON.-FRI INSPECTOR