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10-11156
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2010
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10-11156
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Last modified
8/16/2011 11:40:55 AM
Creation date
8/16/2011 11:40:53 AM
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Building Department
Company Name
EMERALD POINTE RV RESORT
Building Department - Doc Type
Permit
Permit #
10-11156
Building Department - Name
MANLEY,EMMA
Address
39601 QUARTZ DR
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From: JM Edens Irsurerce Melbourne To:18137801806 11/23/2010 08:63 0683 P.004/004 <br /> ACORD„ CERTIFICATE OF LIABILITY INSURANCE OPID °" i 1 z i o <br /> TRW CERTIFICATE E8 ISSUED AS A MATTER OF MFORMATED$ <br /> 3.11. Ideas * Company ONLY AND CONFER" NO RIOATS UPON THE CERTIFICATE • <br /> Commercial of Brevard, Inc HOL DER. Tin= CERTIRCATE DOES NOT AMd1D, EXTEND OR <br /> 325 Pi tb Avenue, Butte 106 Nam TIC COVERAGE *Fromm BY THE POLICES BELOW. <br /> • <br /> Zadis►a.aatic FL 32803 <br /> Phone: 321- 725 -7000 Pax:321- 725 -7E56 POURERS A14AORDENG COVERAGE NMC * <br /> MaSIED INSURER A: Bes,dlw. aAawl*.o. ei P RIP <br /> MAUR ft <br /> A Bartlett Rooting of Ce*atxal <br /> l.iiE1A1 i� C <br /> � <br /> $ s.."11 FL 9542 MEURER Ck <br /> COAa'EUIGES <br /> DIE mums Off Y+SURANCELIIT mow NAVE maw =MD To THE swop LINED ADOVEP ORTHEPOLICYPFRIQD .NOTaRTHBTANDINCI <br /> ANY wzausgmemt TE( IIMORctl. c( nowOFANYCONTRACT OR 0nimbocuieTrWITHRDSPECTTOWHICHTpm10ERTIFICATEANN /OEISS% OR <br /> A N 1 Y PERtAMI, THE INSURANCE WORDED wY THE POLICIES Oessoso A Knots SF sum= TO ALL THE TERMS, Ems' .U$IoN$ No GO/CITgNS Of SUCH <br /> 1 0. A sGORO2ATE I.MT SHOWN MAY NAVE Yom) OM= WY PAD CUBA. <br /> LTR TYPE OPMURANO POLICYNUEIDEI i ��� i' N� oars <br /> ossos L LOWRY EACH OCCUPPENCE s 300, 000 <br /> A z tosasERdM. oosasw. IMAM HGL54930810 11/21/10 11/21/11 "' " "" N1O1 _ <br /> PIIEA�I9eite s 5 0, 000 <br /> - ] C L A I M S NAM Q OCCUR M E D Exr (my ow swan) f 1, 000 <br /> pooloN4LRADVEwURY 1300,000 <br /> Gereku AOGRmAT! s 600,000 —, <br /> GENT. AGGREGATE .MT APPLIES PER PRODUCTS - =MOP AQG = 600,000 <br /> ri n LOD <br /> ADTONpmLE WIMPY <br /> cOMBOINO <br /> ANY AUTO I, ANY <br /> — <br /> Au. *maw AUTOS <br /> --- ED (Pawnor) <br /> tt <br /> s = <br /> - NBIz0MITO6 - - <br /> - NONOMIao Arms mo "• _ <br /> FIRDIFOPY DAM= <br /> MOSSISO <br /> • <br /> s — <br /> GARAGE LMALITY AUTO ONLY • SA ACCIDef $ <br /> ANY AUTO oesu THAN "ACC $ <br /> 11 AUTO ONLY: A01 <br /> oommaammoluAtJAMLITY EACH OCCURRENCE S <br /> OCCUR J CIASEfw AGORE0A1T ---- - - <br /> DEDUCTIBLE ` f <br /> RETENTION TION S 1 = <br /> I N� IP A"° GOUTY I ( l l I <br /> ggic =1 UD M EL. EACH ACCDIM S <br /> L. DOME -EA <br /> i s IS"�ssnow CASEASE POMY $ <br /> OTHER <br /> 1 • <br /> onoorools or oPBNAtons 1 uiCA1IO S memos mow WW ARDW ev amomt gor i snow_ mamma <br /> CERTIFICATE NULM CANCELLATION <br /> ciwrzIP BNouLO ANT OV THE ADM SWAN= POUT= M CANCEL MORE THE KAMA • <br /> DATE TIMIQpf, TEE SUMO SOME WILL ENDEAVOR To MAIL 30 DAYS memo <br /> City of SepkyrbL 11fl NOTICE TO TIN CMT1MCATe MUM MASSED TO THE LEPT, MIT FAILURE TO DO BO *GALL <br /> Buuil gDepar� t <br /> 'SPODE No OBLIGATION OR UABLYAY O ANY POD UPON The MISUNBt.,rs MOOS OR <br /> LophYrhills YD 33542 REPRINENTATIVIEL <br /> - ATTYE f <br /> • rasa . O' Brien . . , <br /> ACORD Yd (3001/08) = AC=RD CORPORATION !!06 <br />
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