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07-7339
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07-7339
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Last modified
3/6/2009 4:31:52 PM
Creation date
1/18/2008 9:54:40 AM
Metadata
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7339
Building Department - Name
ENGEL,HELEN
Address
5740 CRANBROOK ST
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<br />CERTIFICATE OF LIABlUTY INSURANCE <br /> <br />Dl'lIl1MDPYY1 <br />12119/2001 <br /> <br />Serial. 1 <br /> <br />CONDON MEEK <br />1211 COURT STREET <br />ClEARWATER FL 33756 <br /> <br /> <br />cett'rwC.ATE _"'MAIlAtT&RO'= ~TIOfII <br />OM..Y AND ~~ m lIGHTS UPOtI TIlE CER1'IFICATE <br />MOLDIiR. till ~.JrJCATE DOB NOT MIEIm. EJlTI!ND 0It <br />THE COVIiMGE AfFOMED 8'f1ME POUClES BEUM. <br />......~ CCIIlIEJtAGE fiIMCI <br />FfWIK WltoISTON CRUll 1MSUfW<<:E. INC. <br /> <br /> <br />FrankCrum 1-800-271-1620 <br />100 S MISSOURI AVENUE <br />Cl.EARWATER Fl33756 <br /> <br /> 'fie PClUCIH 01' ~ UI'TED IIILOW IIA_1lEEJII1IIUED TO ,..--.,_AIIOllI! fGIl1HE IIIOLICY ....-.cATID.. ~ <br /> AlIIY __~, 'IEIlIIGt COMI...o. OF MYCOIfIItACT OF011tItlllOCUUBJr1Mlt-.;T1O-.cM...... ~TII_Y.lllUEDoa <br /> _'I' PlIIn'Mt, 'ItIlI!........ -,^--1tY lItE IlGIJllII!S _-'lOt...... -..crrTOALL _ -. EJllQ}1IIQIlI AIID ~ 01' IUCIt <br /> JOUCIE8. AGG~:'fE ~ ...-_v HAW.... MDUCED IW PAD CLMa. <br />':.':' 1= lYN Of' IIIIUIIIMCE POUI:Y ..-. ....- . ~ <br /> MYe M'II! <br /> ~.-JWY IIoaI 0CCIIMfNCI . <br /> _L-.rt fIIlIIi_-__ . <br /> - 1.....-- DOCCUR ----- <br /> ,.... - <br /> -.fIIN_ I <br /> -- <br /> n~rt::::rte . CICIIIIMII"_ . <br /> !!! -.&..-nY ......... ~ IJIIIT . <br /> - ~- <br /> - ......~- IOIlII.Y_ , <br /> 11:_- lfW_ <br /> - <br /> tIllED IIU1m =-y~ I <br /> - <br /> f- --- <br /> ;:7'1T :-- , <br /> R=~ IIdID-'Y,Ii/lo- , <br /> IA~ <br /> IUlDCMllLY, - <br /> ~~u.tllJlY OCQJR"__ , <br /> I-" D:a-- _'It , <br /> Sm. . <br /> I <br /> we . 0lI00 CIOOO 1/1flOO8 1/112009 xl::V-:1 l- <br />It ~ <br /> ____~'''M1I8II___ <br /> 0ffQJI' _ ESUlIlI!Ilf ...., IEMlOf I\l:CIDENI' S 1.000,000 <br /> ~--- 1.t..~.EA-- S 1 000 000 <br /> ~.......- <br /> .L lIISfMf - JIIIlUC't UIIII' S 1 000 000 <br /> ~ <br /> Of ONI_'I.IJCA_/\I8IIlll,8'V"'.__'" ".11'" T 1 'aI'II:IM.""""" <br />THIS CERTIFICATE REMAINS IN EFFECT PROVIDED THE CLIENT'S ACCOUNT IS IN GOOD STANDING wmt FfMkCrum. COVERAGE <br />IS NOT PROVIDED FOR N('( EMPLOYeE FOR WHICH THE CLIENT IS NOT RePORTING HOURS TO FIWIkCtum. COVERAGE IS NOT <br /> FOR STATUTORY EMPLOYEES OF 1lIE. CUENT. EFFECTNE 1110112OO!. APPUES TO 100% OF THE EMPLOYeES OF <br /> .- LEA.., lO.....-IIf.a...6-..T & EQt.IIEIIT. -=.. mM...... PESI' ~tAOL <br />352.-583-4482 <br /> HOLDER CMC:IIUA_ <br /> 813-780-0021 IIIOULD_CIF1IlE~ 0IIeCn.Bl___~ l_-"'11l&~?tClJI <br /> DAft 11lEIlEIIF. 1Hl!..-.......... _ TO'" WIlMS.........1IlmCE <br /> TO 1IE C8II1FlOAft IIOlIJB _ TO n. IM'T, -.n...... YOlO uw..a.__ <br /> MOaa.ca...... GIIIIJMLRTOf' Ill<< _UPOIf 1M....... ,,*4lOINN OIl <br /> CIlY OF ZEPHYRHlllS BUILDING DEPT .............. <br /> 53358TH ST ~"'J~T"lM! <br /> ZEPHYttlLLS Fl. 33542 ~ .<<A.-I' <br /> <br />lOOn:OO ~ <br /> <br />.nJ::J <br /> <br />tOLOL8LLlL xy~ eO:9L LOOl/6L/lL <br />
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