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Home My WebLink About12-13054 CITY OF ZEPHYRHILLS � 5335-8TH STREET r (si3)�so-oo20 13054 BUILDING PERMIT Permit Number: 13054 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: Date Issued: 5/22/2012 Name: MICROTEUJAMM HOTELS,LLC Total Fees: 8.00 Address: 7839 GALL BLVD Amount Paid: 8.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/07/2012 Phone: Work Desc: TEMPORARY EVENT GOLD PURCHASE MAY 22, 2012 THRU MAY 26, 2012 (5 � ` ��-- �_�, � 2 �_�� 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. "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." Complete PI ns,Specifications Must Accompany Application.All work shall be pertormed in accordance with C' odes nd Ordinances. NO OCCUPANCY BEFO C.O. Q�a CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , ' �_ _> N W J m H � U N � C� O O � N U C � L^, �� n � � � � U N � v � � � � c c N O U � � W J m H ..ca_�, �c.:t�., _L Certificate af Registratian for °�-�1� �l 1! Sscondhand Ltealers or Se�cundary Metals Recyclers �.�tu�o ��j�,"�f issued P�uant to Ct�p#er 538,�lorida Statutcs TNR A(d0 ASSQCIATES iNC 3204 PLEASAfVT RUN SPRI1VtafiflD IL 527 1 t-6303 Nere is your Gertifica#e of Registration, issu�d pursuant to Chapter 538, Florida Statutes. This authorizes the certificate hoider ta engage in the busi�ess activities o#a secondhand dealer. This csrtificate: * M�ast be consp}cuously ciisplayed a# yaur business lacation. • Is ua{id csnly through#he sxpiration date 3isted. • is valid oniy ft�r the persantbusiness and location namer! and cannot t�#ransferred or assigned to another entity, persan, or business loeation. • Cannrrt be used for muftiple focations. if yc�u ar'e operating at another locatiorr, you must complete a separate Registrafian Apptica�ion for Secandhand t�ealers and/c�r Secondary Metat Recyclers {DR-1 Sj. You rnusi notify the Qepartment of Revenue whenever there is a change of c�wnership, ccyrporate officer, gene�al partne�, or stackholdeNdirectar wi#h a cor�tralling interest. !f you need mt�re in#orrt�ation, eali 840-352-3671. Ce�tificate of Registratian for c�-��s .� � Secondhand Gealers ar Secandary Metals Recyclers �"�� `c.'�u�eve�v"E issued Pt�suant to Cha p�'53t3,Florida Statu#es This certificate is for a secondhand deal�r. C�tific�te#: 61-80i5340256-5 Effective Date: 49102f11 FElN: 8t1-022�&9S Expiratian Oate: 48f30112 TMR AND ASSflCIATE5 1MC 32t�b PIEASANT auta • This business has complied with the requirsd SPR�hfGFtEI.D 1L 62'7 i t-S3Ct3 pfOVtSiqT150#Ch�?#8r538,FlOtid�3$t�2iJt@3,atld is authorized to engage in�proved bu�ness activities. tocation ad�ess: • This cet�#ica�e is rt�transferable. 7 8 3 9 GA t L B l V D • 1#T11U5#ES@(3QSt8d�tt 1 COt'1Sp�ClKtttS p18i�. 2EPHYRHILLB FL 3354 1-43 1 7 . �� `{Policy Pravislans; wc oa o 0 0 o A) � 42 Rx INFORMATION PAGE wE WORKERS COMPENSATION AND EMPLOYERS LIABIL.lTY POLICY � I INSURER: SEE AT°PACHED EP7DORSEMEN`I' NCCI Company Number: 14974 THE Company Code; 9 TWTN CITY E'II2E INSUItAl�f� COMPANY T5 REQIIIRSD HARTF(JRD BY LAVP TO PROVIDB ITS POLICY80LDER3 WTTI3 CERTAIIY ACCIDBNT PREVEN'PION 3ERVICES AT NO ADDTTIONAL CO3T AS REQIIIRBD 8Y ARK. CODB ' ANN. `11-9-409(D) Ai�ID ROLE 32. Ili' YOV WOIILD LTKE MQRE TNFORIKATION, CALL m 'THE HAR'I'&'ORI?, L033 CONTROL DEPARTM�'NT� BARTFORD BLAZAr CALD-2-4S, gARTFORD, � CT 06115, 1-B60-547-7767.. IE YOV fiAVE ANY QVESTI0133 A80iTT 7.'HIS RSQaIRB- , N MENT, ('�LL T� HEALTH AND BAFETY DIVISION, A,RR.AN9.A,5 WORKBR3 COIdPBNSATION Cb3�i2S3TbN AT 1-800-622-44T2. S��.� � IJaRS RENEWAL � POLICY NUINBER: s3 w� Rx4zoa o1 � Prevlous Pollcy Number: s3 wE itx4zoa HUUSINC; C.Ull"': L}H � , � 1. Nam�d Insured and MallingAddress: T� & �ssoczATES CaRPa�TZON Irrc. � (Na,, Street, Town, State, ZI p Code) (SEE ENDT) � 0 a 3 2 U 0 PLEASANT RL7N N FEIN Number: 8oa2z2695 SPRINGFIELI}, IL 62711 * State Identifieation Number{s}: ME NoT �pL � � MI, RISK ID NO: 210000000 The Named insured is: stlsc�pTER S CORP — Business of iVamed Insured: STOr�s - N o c - No �ooD oR DR = Other workplaces not shown abov�: sEE ATTACHED SCHEDi3LES ; � � 2. Policy Period: From �-�13i112 To 03/31/13 w = 12;0� a.m., Standard tfine at the insurecl's mailing address. _ Produeer"s Name: T�T z�2cot7L� & CONIPANY � ,_„ �o Box i3a�a � � — SPRTNGFIELD, IL 62791 , ' Produ�er's Cotle: 850591 � IS&LII11� OfFICB: THE HARTFY]RI} � $711 UNIVERSITX EAST T7R2VE .� �■ CT�ARLOTTE NC 28213 �"� (877) 853-2582 Tofial Estimated Annual Premlum: $269,415 — Deposit Rrernlum: Palicy Minimum Premlum:�1, 150 IL (INCLLJDES INCRE:�SEL1 T�IMIT MIN. PREM.) � Audi#Period: �U� Installment Term: � � The pnlicy Is not binding unless countersigned by aur autharized representative. � � Countersigned by � Autharized Representative Date , Form WC DO Ob 01 A (1� Printed In U,S,A, Page 1 (Cantinued on next page) � Pracess Qate: o3/zo/i2 Policy Explratlon Date: a�/31/13 uw CQPY ' 'I ; INFORIU�ATION PAGE �Gontinued) Policy Numher: a3 wE Rx42oa � 3.A, Workers Compensation Insurance: Part ane af the pallcy applfes to the WorEcers Compensatian Law of the ; , states Ilsted here:AL, AZ, �1R, CA, CO, DE, FL, GA, IT., 2N, IA, KS, IfY, LA, ME, MD, MA, MZ SEE END'I' B. Employ�rs Llability Insurance: Part Two af the policy applies to wark in each state listed in Item 3,A, 7he limits �f aur I(ability tander Part Two are; Bodlly InJury hyAccldent S1, 000, o0o each accldent Bodlly Injury by Dlsease $�, oao,o0o po��y ��mp� Bodily Injury by Dlseas� $1, 000,o0o each employee � C. Other States Insurance: Part T�ree of the policy applies ta the states, if any, Iisted here; � � �i AI.L S'E'ATES EXCEPT ND, OH, WA, AND STATES DESIGIVA'I`ED IN IT�M 3.A. OF THE TNF�ORMATION PAGE. o D. This policy Includes these endarsements and schedule: � � WC 99 00 05 WC 00 04 06 WC 00 04 06A WC 00 04 06 F1C 18 06 07A iJL` 'L` J".aJ.VL1 nl . � � 4. 7he premium for thls policy wlll be determined by qur Manuals of Rules, Classlficatlons, Rates and Ra#ing � Plans. All lnformation requlred below Is subjeet to verification and change by audit. 0 � Premium Bas1s ° Classlflcatlons Total Estimated Rates Per Estimated * Code Number and Annual $1fl0 of Annual � Descrip#ion Remuneration Remuneration Premium ' � (��EE A'I'I'ACHEI} SCHELIULES) � INCREASED LIMTT'S PART TWO (9812} 3,606 = CA TERRI�'QRIAL DIFFERENTIAL PREMTUM 9694 (0.950) -26� � TOTAL PREMIUM SUBJECT TO EXPER2ENCE MODIFICATTQN 141,257 � PREMIUM ADJUSTED BY APPLICATION OF EXPER2ENCE MODIFTCATIbN 219,295 � SCHEDULE MOD2FICATIdN 35,254 i ' I , � SCHEDULE OF OPERATIONS � � This Schedufe of Operatlons farms a part af the policy efFective on the inceptian date of the policy unlsss another date is I indicated belaw: � 1N5URER: TWIN CITY FIRE INST3RANCE COMPANY Company Gode: '� � Policy Number: $3 wE RX4208 5chedule Number: oi-oi-o1 . � Effective Date: 03/31/12 Effeetive haur is the same as stated an the Information Page of the palicy � Named Insured and Locafiion Address of operations covered by thls schedule: ! N THR & AS50CIATES CQRPORATZOIV INC. Nd SPECIFIC LOCATTON ,� IN STATE OF AL 0 � NAICS: 453998 w° FEIN: 8002Z2695 L7IN: SIC: 5999 N0. OF EMPL: 000002 N . � 4. The �remium for this pallcy w11! be determined by our Manuafs af Rui�s, Glassiflcatlons, Rates and Rating � � Plans. All Informatlon requlred below is subject to variflcatl�n and change by audi� o Premium Basls q Classi'fications Total Estimated Rates F'er Estimated ry Code Number and Annual $100 of Annual � Descrlptlon Remuneratlan Remuneration Premfum �8742 IF ANX .86 �SAI�ESPERSONS OR COI�LECTORS - OUTSIDE ..�. � �, � =INTERSTA2`E EXPERIENCE �IODIFICATION 913193822 1.560 �TERF20RISM (9740) 0 .020 p �CATASTROPHE (974"�.; 0 .02 D p �. � � � � � � � , � ' �. � ..... �� ..� � � � � � _ , � , Countersfgned by � Authorized Representatfve • Forrn WC 99 00 05 {1j Printed in U,S.A. Pracess Date: 03/2o/xa Policy Explratlon Date: 03/31J13 � ?d�P/22/2012/THU 02:35 P� THE FE� Ido, ZI7.72G7950 F 002 � � SSOCIATES The Treasure Hunters Roadshow will be using the meeting room at the Microtel Inn &Suites: Zephyrhills, FL from 5l22/12-5/26/12, 8 am--8 �m. Gt�e will �e setting up the conference room the night of 5l21I12;free of charge as a courtesy o3 the hote! �� if the space is not booked for that evening �a,. �a�,��:,�a� Ple�b��-HQPl�ro4rn under the rtame Jeff Parsons. �heck in 5/21/12 . � Ghe�ic out 5/26/'2 �'1 '( _'The to�al amo�ar�ti due for the meetir�g space and sieeping rooms (incGuding tax) 1 � (-. � /\ tyn � � n�r ��D ��1�7y liVlflO Cv $ t?�3 �� R� UIREMEfVTS !hlTERNAi IGN;+L vuvrace-curaR •At least 350 sq ft of spaee CO�LECTORS ASSOCIATION . d-6 tables in a E1-Shape, 10 chafrs • lntern=t mciuded • S�ace musi be on main levet � • Company check wili be sen{aut 2 weeks prior 1 1 \ IIN!AtT�'OU(CSOli.::oo�.:,a.� � N�n-�ompete#orm must be signsd �nd reiumed as soon as�ossible • Gompli�nentary parking C�`�7� =X Kat�ie J�'ii DATE 3 �� Treas r Nunters Roadsho ' � \ DATE 2 zoi z— e�e M lager �i �.� �.V �J pR��,�� T�R,ASSOCYATES . COM 3200 F'leasant Run � Spring£�Id, Illinois 62711 ( P 217.726.7�9(� � F 217 72G.7950 �� Lstate J3uyers EOOiZ00 d cSbb� �310a�IW 99ZcE8LElS 9c 9L ZIOZ/cc/EO Temporary Sales Checklist City of Zephyrhills 5335 8`h Street Zephyrhills,Fl.33�42 Phone:813-780-0020/Fax:813-780-0021 REQUIREMENTS X Detailed Plot Plan showing setup of location. Refer to Ord 1038-09, Sec 5 � Notarized letter from property owner stating their approval. N A A flame retardant certificate is required 1F a tent is involved. Inspection required once tent is erected and rior to opening for business. N/A Approved certified fire extinguishers per NFPA 10. N/A No Smoking signs must be placed outside entrances. N/A IF there is a wire fence ar chain link fencing must have at least 5 Ft setback from tent and at least 2 exits. N/A 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) �_ Proof of State License. X Proof of Liability insurance. N/A List of items to be sold at site. N/A Copy of Drivers License and Social Security Number of all personnel dealing �vith 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 X $ 5.00-Temporary Sales Fee for 151 two days . �3_ $ 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(40.00/BD, 15.00*/FD)-{*$15.00 waived for Fireworks) $40.00-Electrical Fee(if applicable} Property Owner: Microtel Inn & Suites Applicant: THR&ASSOCIATES INC. (DBA Treasure Huntersl Phone Contact: Steven Poe - 217-726-7590 x134 Address Site: �ffi9 C'Tall Blvd. 7.P�y�� FT. "�"�541 Date(s)of Sale: OS/22/12 to OS/26/12 Ordinance No. 1038-09 (for additional requirements)