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10-11146
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2010
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10-11146
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Last modified
8/16/2011 11:33:33 AM
Creation date
8/16/2011 11:33:32 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11146
Building Department - Name
MINOSKE,KATHRYN
Address
38620 5TH AVE
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11/12/2010 11:54 7278443737 <br /> INSURANCE ONE PAGE 01/01 <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> 1 °MI o°"" <br /> ' SEMINOLE CAS <br /> INSURANCE ONE USA e l. ' / - • • - •, .• <br /> 41 12 US 19 ONLY O N CONFERS TIFIC DOES NOT AMEN. �EX OR • <br /> NEW PORT RICHLY FL 34652 ALTER THE COVERAGE AFFORDED BY THE POuCIES BELOW, <br /> 727 844 3838 FAX 727 844 3737 INSURERS AFFO COVERAGE <br /> ADVANCED AIR. SOLUTIONS, INC. <br /> 5432-C 5432 -C W CRENSHAW ST 11 • S • �� <br /> TAMPA FL 33614 "& <br /> COVERAGES <br /> MY THE ■ ICI S OF ^-rTr • LISTED BELOW HAVE BEEN ISSN TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> MAY PE� N, TH E INSURA COMMON E OF THE POLICES DESCRIBED HEREIN S SUBJECT TO All THE TERMS, EXCLUSIONS AND CO <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAi ij ;, WITH RESPECT WHICH THIS CERTIFICATE MAY SE ISSUED OR <br /> CONDITIONS OF SUCH <br /> [ eNIPAL <br /> Na +uoeNEIdIL I r hI HM WINE IMOE �j OCCUE .INi D�M�eE,M, 01.,x,1 I. I•I SGL - 000305681 I 07/24/10 07124/1 I FMED P(Mywpr�m) I ' 91epN 1L a ADV NLAIRT NE AGGREGATE LENT AFPUTA P RI omits. AppEOATE <br /> poi= III JECT II toe 7 NGOIICT!-COAMiOV A00 ' ' <br /> AIROMOe1Le Lowry <br /> w 1iI <br /> IIII • <br /> ill AM AUTO 'IAM16M'I ( SINGLE & T <br /> AU. OmEDAUTOS MIN <br /> A r 60►1EDNLEDAUTOS 9001LY moor <br /> 1111 MUM AVTOS I�M�oII <br /> NON-OWNED AUTOS <br /> Li I NON TRUCKING pgpreR DAIMII <br /> GARAGE immure Ihr �adoell <br /> ■ ANT AUTO �••''?",7 <br /> MGM LNMUTT A ow T" "ACC AOG <br /> III acCim 0 a.*iu MADE $ <br /> ■ IaLE -- <br /> mil wpm* s <br /> , MINIM <br /> ENILOTERI'uq/Iyn .�.. '� <br /> B WC07077746 <br /> • <br /> 06/19/10 06/19/11 LI R,I,R <br /> 1I <br /> A PHYSICAL DAMAGE QO <br /> I DEO SI 000 <br /> oEeale oN OF wiNAnoteoLpG <br /> TERMS AND CONDITIONS CONTAINED � q p� ��E SCHEDULED THE POLICY <br /> License holder MAREK STROZ License# CAC- 1814928 <br /> • <br /> CERTIFICA E HOLDER W" mum: *sum wink <br /> CITY OF ZEPHYRHILLS CAN ELLATI • N <br /> 5335 8 ST MOULD ANT OF THE Aeon (seam° ROME THE ASPIRATION <br /> ZEPHYRHILLS FL 33542 DATE TeeeoOS THE alYl HI•IIgER wllL HwEAVOR TO MAa 10 OATS ~TEN <br /> MO= To THE CeeTIFICAT'E NDLOER Nora TO THE LEFT, OUT mum TO DO SO SHALL <br /> 813 343 8911 IMPOSE NO aeuRATIOTa ON NA.mun• OF AMT NOM LIMN THE slunk fro AGENTS OA <br /> I i w Iiii • f. ...NIIIII.to s — ---,.., 4 0 a l e 1 ii, <br /> I <br />
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