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Home My WebLink About11-11904 CITY OF ZEPHYRHILLS 5335 - 81'H STREET (sis)�so-oo20 11904 � BUILDING PERMIT Permit Number: 11904 Address: 7839 GALL BLVD Permit 'fype: 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: Parcei Number: 34-25-21-0010-01700-0010 improv. Cost: Date Issued: 5/24/2011 Name: �AICROTEUJAMM HOTELS,LLC Total Fees: 14.00 Address: 7839 GALL BLVD Amount Paid: 14.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/24/2011 Phone: Work Desc: TEMP SALES EVENT INSIDE ONLY 6/20-25/2011 AT MICROTEL 5 DAYS �. V tJ — � ( �7� � �� l REYNSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are neoessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty aonstruction c) repairs or correctlons not made when inspectlons called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) woric 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 o� federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning bo owner: Your failure to record a notice of oommencement may result in your paying twioe for improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney before recordin our notice of wmmencement." V CTOR IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER THR & �1SSOCIATE�, INC. - 67620 5/20/2011 TH748•1P 14.00 0 00 . • 14.00 /�, u �,�;�f? G"'� �C � �' � / �-�- ' � / �,,( / � �,'�"! Check: 067620 5/20/2011 CITY OF ZEPHYRHILLS 14.00 THR & ASSOCIATES, INC 67620 5/20/2011 TH7484P 14.00 0.00 14.00 . c� ��1�� `- - l� --_ �-�— i r � Check: 067620 5/20/2011 CITY OF ZEPHYRHILLS 14.00 . .. . .• .: •. .. JPMOROAN CHASE BANK. NA. THR dc ASSOCIATES, lNC. c►,rcnao. ,u,NO,s 67620 3200 PLEASANT RUN SPRINGFIELD, IL 62711 (21 � 726-7590 o *FOURTEEN AND X�C / 100 oA� AMpUNT � � PAY 5/20/2011 *************14.00* TO THE CITY OF ZEPHYRHILLS O �DER NOF ° 0 �° �""� � L�+�SY11�' ��F.S .NIrY H� � LiJ SECURITY FEATURES INCLUDED. DETAILS ON BACK. L! I ��'0676 20��■ �:07 �0000 i3�: 74786 i367��' From 05/20/2011 12.09 #356 P 001/004 � Temporary Sales Checklist City of Zephyrhills 5335 8"' Street Zephyrhiils, FI. 33542 Phone: 813-780-0020 / Fax: 813-780-0021 REQUIREMENTS ��Detailed Plot Plan showing setup of location. Refer to Ord 1038-09, Sec S 1/ Notarized letter from property owner stating their approval. � A flame retardant certificate is required IF a tent is involved. Inspection requued once tent is erected and arior to opening for business. ..� Approved certified fire extmguishers per NFPA 10. ��No Smoking signs must be placed outside entrances. ��' IF there is a wire fence or chain link fencing must have at least 5 Ft seiback from tent and at least 2 exits. /�.�/¢' 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. FIItEWORK REQUIREMENTS —(In addition to the above) 8 � Proof of State License. ,�' 9 �� Proof of Liability insurance. ,�Jr/�'�"' List of items to be sold at site. + Q U/ � �� Copy of Drivers License and Social Security Number of all personnel aling 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 t/' $ 5.00 — Temporary Sales Fee for 1 S ` 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 during a 12 month period on same property Ord #1038-09, Sec 6 $ 55.00 — Tent Fee (40 OOBD, 15.00*/FD) —( *$15 00 waived for Fireworks) $ 40.00 — Blectrical Fee (if applicable) Property Owner: �l tG r �- � o _ -e..\ T,,. „` ..-�- � �-�, -� Applicant: �c � � �� . s o �.s Phone Contact: (a r7 � 7� 4 � � s�t O x( L� a Address Site: 14"3 � <'YQ i � �/✓ d ��,� FL ,� 3 s�/ Date(s) of Sale: Le ia o % 1� — �/�s Ordinance No 1038-09 (for additional requirements) 5/20j2011 Zephyrhills_FL_(State_Lic (. .. ----..._.........._._.....__.._..._.... ..._.._ - ! • � Certificate of Reg+stration for ( oR-�rs R. 10/10 Secondhand Deaisrs or Secondaty Metais Recyciers � `f L• -- _ . . ._— --_ ... ..................._ __ ..._ �" N°s'��'�' Issued Pursuant to Chapler 538, florida Stahrtes n r.: v.r - Hn ANLI ASii��ATES I^iC 3260 �LeAS4�' �UN S��NCifle_D k: c... -t�ia3 riere is your Certificate of Reg+stration, issued pursuant to Chapter 538, Florida Statutes. This authorizes the certif cate holder to engage in the business activities of a secondhand dealer This certificate: • tvlust be conspicuousiy dispiayed at your business location. • is valid oniy through the expiration date listed. • is vaiid oNy for the persanfbusiness and location named and cannot be transferred or assigned to another entdy, person. or business location. • Cannat be used for muitipie locations. If you are operating at another location, you must camplete a saparate Registratron Appticatian for Secandhand DeaJers and/or Secondary Mefal RecycFers {DR-1 S). You must notify the Department of Revenue �nrfienever there is a change of owmership, corporate afficer, generai partner, or stockhaider!director with a controlling interest. If you need more information, caii 800-352-3671. --._ _ __ �a-y�s Certificate ot Registratian for fl. �� ; Secondhand Dealers or Secandary Metals Recyciers � 1! - . . ...... _. _......._.. �=p��-�+� �+' Issued Pursuant to Chapter 535, Florida SWtutes i�Ffi'etE4l.( _ "__ __"___ Ttiis certificate is for a sec�pdharid 6ealer ---� �- Certificate4� 57-80'S34U2b6�5 � ` EffectiveDaie. '1"22riU / � FElht: 60-022?69« `xpvation date: 09;30ii' V ; n� nrio ASSCGATeS �NC C_ • This businass has complied with the reqwred 32C'� �'-EASANT RUh &:R�'�cFie.o i! a7" -63o' provisionsofChapter538,FioridaStatutes,and is authorized to enyage in approved tiusiness 3CY�YIt1@S. Location address • This c¢rt"rficate is ..n.ot transferab4e. �t�3:� GAt t AL JD � k must be posted in a conspicuous place. ZE?HV�}+t.LS F;. 335�=7 ., � ...mlfuture.com/.../Ze�phyrhills_FL_(State_... 1�2 oa (Policy Pravisions: %`�� o 00 0o A} 42 Rx INFORMATION PAGE `�`'=� 1NORKERS COMPE ATiON AND EMPLOYERS LI LITY POLICY INSURER SEE AITACHE ENDORSEPd�N^_ NCCI Company Number: 1497� �HE Company Code: 5 TWIN CZTY FIRE INSIIRANCE COMPANY IS R£QIIIR�D I�ARTFORD BY LAW TO PROVIDE ITS POLICYHOLDBRS WITH CERTAIN ACCIDE�PT PREVENTION SERVICES AT NO P_DDITIONAL COST AS REQiTIRED BY ARR. CODE ANN. ' 11-9-409 {D} p.ND RUI,E 32. IF YOII WOUI,D LIKB MORB INE'ORMI�TION, CALL � THE HAf2TFORD, LOSS CONTROL DEPARTMhiVT, HARTFORD PLAZA, CALD-2-45, E3ARTFORD, ° CT 06115, 1-860-547-7761. IF YOII BAVE ANY QIIBSTIONS ABOUT THIS REQUIRE- ..-�i MENT, CALL THE HEALTS P.ND S�FETY DIVISION, ARXANSAS WORKERS COMPENSATION CO_MMISSION AT 1-800-622-4472. Suffix � LARS RENEWAL � POLICY NllMBER: �3 �aF Rx�2oa o0 � Previous Policy Number: �;�tiv ° HC�Us21�;G CGDE : �•H �i � 1. Named Insured and Mailing Address THR � yssoc_r^ts CGRPOP�i:TI0�1 � (Na , Street, Tawn, State, Zip Code) m � c c s2G�J PL3:SAtiT RJV N FEIN Number: � '�'�� 22 s 95 S?RI�;GF2EL�•, =L 62 ; 11 � State ldentification Number(s): '= t•lI. R=�K =�• t�'O: 210000G00 The Named Insured is: S'��H-'D'=� �^�RP = Business of Named Insured: s^oRES - v o c- tio Foc�n o� DR .. � Otherworkplaces not shown above: �Er, ='i°I' ='�x��• s�x��•JLEs 2. PolicyPeriod: From �''i-�'=/ To �';=s = 12 01 a.m,, Standard time at the insured's mailing address. = Producer's Name: "J '-`i � ��h[��;�� FO B��X 130?3 S?RI�GFI�LD, =L 52?9= — Producer's Code: �5a591 "' Issuing Qffice: ='x� H-�z='FC�r�� 8711 Lr1=tiERS=TY E:.ST DRIVE - CHr.RLOT^� VC G�L1� � �+. ��s77j 853-2582 Total Estimated Annual Premium: `? 2 Q, 5�� — Deposit Premium: `�'� — Policy Minimum Premlum: S1 , =50 IL ( I�;CL�.JI'iES =PvCR�-:S�D L=PdIT `�t_T�i . PRENI .; - Audit Period: ��J� Instaliment Term: — The policy is nat binding unless countersigned by aur autharized representative. -' Countersigned by Authorized Representative Date Form WC 00 40 01 A {1} Printed in U S A. Page 1(Continued an next page) Process Date: �'s % 3 0 �? „ � , -. Policy Expiration Date: i � - � - �.r�r �oDY INFORMATION PAGE {Continued) Poliry Number fi3 �� Rx��os 3. A. Workers Compensation Insurance: Part one of the palicy applies to the Workers Campensation Law of the states listed here AL, AZ, AR, CA, CO, DE, FL, GA, IL, IN, �CY, LP., MD, :�] �, h9N, MS, '•10, bt_ SEE EIQD: B. Employers Liability Insurance: Part Twa of the policy appiies to work in each state listed in Item 3.A. The limits of our liabiliry under Part Two are� Bodlly injury byAccident 5� , 000, o0o each accident Bodily lnJury by Dlsease S� , 000, o0o policy limit Bodlly inJury by Disease S� , 000, o0o each employee � C. Other States Insurance: Part Three af the policy applies ta the states, if any , listed here. 0 M � -� P.LL S1:1TES EXCEPT ND, GH, r±A, :�iD oTA13S DEj=GNATED I_V IiE_+1 3.A. QF TH� =?�FOP,h?1iT10:d ?AG�. � � D. This policy includes these endorsements and schedule: :-1 � {r]C 99 00 05 WC 00 04 05 :�IC OG 04 05A 41C GO 04 G6 �rIC 00 03 =1� ° j"� ��'= �� 4. The premium for this policy will be determined by our F�anuals of Rules, Classifications, Rates and Rating � Plans. Ali lnformation required below is subject to verification and change by audit. c � Premium Basis ° Classifications Total Estimated Rates Per Estimated � Code Number and Annual $100 of Annual _ Description Remuneration Remuneration Premium � (SE� A.^.^.^�.^HED S�.FiEDUL?Sj _ =�CREri�=D L=!�II^S P�.RT ^L'd�� ( 3312 i 2, 648 � C� ^_ER&.ITORI�.L DIFFER3��1=� PRELIIU 9694 (0.950) -?Og �- ^_G^_P.L PP.=41IJ`�l SLBJ3�_^ ^O ?X?�RIE��CE bIOD=F-CA_^IQ�1 _p� , ;6? � - _ PREMIL761 ^�A7USTED bY A?_LICATIOTv OF ?X=?RI?ti�.: �IODIF_C�i2QPi 98, ,__ � S�"H��7L? _'11Q��=FI`A1 � ON 1z, 77g � ='Oi::L =Si=bt4^�D �iv�J�Z STn'�i�•�RL• PR�'�IIJi•] '_22, 8�0 � PR'?t'•tIUi•] D=SCOiJ�; = -� , S �� EX2�?SS� CO?�S^P�d^_ (0300;� G�G � ^vTP.L = ST=Ni�^_ ED �! A^_ � SiTFcCHAR�?� _ , ? r i � '='ERRGR � S:�I ( 9 i'_ 0) 5, 83 3 � =�RRGR�S:�I ly?4p) ?3R C-�I^_:s � = CF.T�r`.STRC=H3 (a74_? _ " 2,i88 � CATASTRC�?H? {9741; ?cR C4?=T� � � iOT:.L -S'_'=hLyTED .'v?�Z�Jr.L PR3P•lIUi•1 _29, 564 � � . — Total Estimated Annual Premium: s� z�, Fb� — �eposit Premium: �!-_ � Palicy Minimum Premium: $1, i5o IL ,_VCLUDES I��cR�'� LIti[=T ��_v. _R��t. ) Interstatellntrastate Identification Number: 9 '="-9?a22 % li:.ICS: �53995 Labor Contractors Policy Number: SIC: s��9 Form WC 00 00 01 A (1) Printed in U S.A. Page 2 Process Date: �?/3o/1i Policy Expiration Date: '�?!3� /12 �� ASSQCIATES THR & Associates 3200 Pleasant Run Springfield, IL 62711 217-726-7590 ext. 162 fax: 217-726-7950 Bill.schlichl@thrassociates.com Bobbie, enclosed is the check and all the paperwork you asked for. If you need any additional information please give me a call. Thanks for all of your help �, �ohio valley 40Lb$SJLV6d A6CIN2#Y � � �� TREASUREHUNTERSROADSHOW.COM 32Gt� PLEASF,P•�T r�UN SPRENGF[EL�'J, �L b271 I P 217 726.759� F 2 7 J26 ?950 1�4F.i'/1•i/2011/�'tTE 02:36 FM FkX �10, 217726?950 P, OU2/003 A S S O C I A T E S Tf�e Intemafional Coin Collectors Association wiii b� using fhe conference room at Nticrotel Inn $� Suites from 6120/2011-6/2512�11, 8 am-8 pm. We wi(I be settfng up '� the conference room the night of 6/19/2011; free of charge as a courfesy of the hotei if the space is not book�d for thaf evening. �� Please reserve 3 DQNS raoms undet the name Jen Parso€�s. �o�� o•� iTOR: ASSOCi4T10• Check in 6/1�/� 1 Check flut 6/25/11 �� a h�o val l ey Total o# event (ir�cluding tax) $�. $� COLB&SLLYP& HSFIIdEAY REG1UlRERI�ENTS • 1,000+ sq ft of space IVTERNATIOf�iAL �4 EC ORS '$-10 ta�les in a U-Shape, 24 cftairs and liner� incEuded at no charge ASSOCt�nON • Internet ir�cluded � Access fo rrreeting space ti�e evgning before fhe event for setup—if • Meeting space will need to be on a 24 hour hold--no other group may • Meeting space must be on main l�vel �� Company ct�ecic will be mailed 2 weeks prior ►IN! ARTGO(1CC70t1 �SSOC1�T10N •�fnn-compete forrn must be signed and retu�ed as saan as possl6le • Meet�ng space must be a locking room • Comp(imentary parking �� y��,� � �� R TQ�LS X � Mi e� DATE� S/17/2OZ2 , Inte a�ional Coin !1 tors Associafion /' � �`�� _ DATE � Zb l Venue Marj.ager OFFICIAL SEAL DEBORAH L DfLLON NOTARY PUBLIC - STATE OF ��INOIS ` ��\\ ( I . p � � � I � �, � T H A ��"��Sal�� ,/�\ � V'��l l�� „ 3260 Plcasanc Run � Sprin�field, IIl"zno�s 62711 � P 217.726.7590 � F � 17.726.1950 � p� GL I� �I �,sta t yers b00/b00 d Eb6Zw 1310a:)7W 997.7ER1FLR 7.L 9L L107,/ll/CO M 02:37 Ft�f F.�� No.21?7267950 P. 003/003 A S S O C I AT E S To Whom it May Concern, THR & Associatss, fnc., d/bIa �he Tr�asure Hunters Roadshow holds ev�nts a(I over the United Sta�es ior the purpose of purchasing, including but not limited to, antiq�aes, collecfibles, precious mefais {go�d, silver, platinum) cvins, toys, comic booics, military items a�d g�itars. W� ask fhat your estabfishmenf not rent fo, fease or aliow any busin�ss that would be deemed a cornp�titor (per Ehe above dascriptiori) during the e�tire time that THR has rented space fln your premises to hoid our event. By signing th'ss, you agree that this is a non-compete ag�e�me�t and that you wili abide by the cor�ditions set-forth above. Should you have ar�y questions, please don't hesifate to cor►tact me at 2i7,726.7590. Pfease sign and fax to 217.72 50. � / 1 X � � J Authorized Ven� epresentaiive DATES O� EVENT ro/2p/11—�o/25/ZZ CITY AND STATE_ Ze�l�v'c�l�if js. F� THRASSOCIATES.COM 3200 Pleasant Run 1 Spring�ield, Yllinois 62711 ( P 217.726_7590 � x 2t7_726.7950 b00/c00 d Eb6c« 1310��IW 99ZZE8LEl8 ZL 9l IIOZ/Ll/SO c � c � 3 a> � � �c� c� � +-' U II II . O E- � O ¢ J W U ¢ d � J Q U � } � H � 0 0 � U � - l� C - Q N � (n i � � � �.0 U �N � .� p � U � _ � � � � N " � �