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11-11734
Zephyrhills
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2011
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11-11734
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Last modified
2/8/2012 11:26:56 AM
Creation date
2/8/2012 11:26:53 AM
Metadata
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Building Department
Company Name
ALPHA VILLAGE
Building Department - Doc Type
Permit
Permit #
11-11734
Building Department - Name
HASSEL,JOHN & ANN
Address
7204 LANDOVER DR
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04/65/2�11 10:36 3523656458 MICHAEL C NORVELL PA PAGE 02 <br /> �� C�RTIFICATE 0� LIABILITY INSIlRANCE �"�""�°°"""' <br /> PRpCVCER TFIIS CERTIfICp'1'E �g �SgUEO A3 A AAATTER GF II�ORMATIQN <br /> W$STGATE-JONE3 I1�1S 4F F2,ORIDA�LRA ONLY AND CONFERS Np RIpfITS UpON 7M� CERTIpIC/lTE <br /> 2336 i�T�st Main S}�Ceet AL ER THE CONERAGE D D� E���CIF.�S BELOW, <br /> Laesburq, Ft, 34798 <br /> (352) 787-7548 IN911RER3 AFFORCING COVL°RAG� NAIC# <br /> �N9URE0 � . I . .�i . OF �'�SH�Cs � �xQC . ~ INS�IREq A: S� �js CC . ~ <br /> 1�410 Eneerson S� n+suaFa e: �ari aviZlw =ns Co � � 1 <br /> I+easb�arg, FL 34748 �NSU�RG: S ridq�ield E�3 oy�srs zas Ce '' -"' <br /> (352) 728-�8818 iNSU� o: �.� .,.. <br /> MbUNER E: """ <br /> 60UERA¢�$ <br /> TME POLICIES OF iNSURANCE LIS7'Eb BECpW NAVE BEEN 155UE0 TO THE IN$URED NAMED ABOVE FOR TFF� POLlCY p�R100 WDICqTED. Nq'�w17H37ANOtNG <br /> ANY REQUIREMENT, 'i�RM OR COMOITION OF ANY CONTRAC7 OR OTHER bdCUMENT WITN RESPECT TO whttCH TM15 CSRI7FICA7� MAY 8E ISSUED OR <br /> MAY PERTAIN, TM� tNSURANCE AFFORDED BY THE POLICIES DESCRIBED NER�IN IS SUBJECT Tp ALL TH� 7ERMS. EXCLUSIONS ANp CONDmpNB OF SUCM � <br /> PDLICI�S. A6GREGA7E IIM�TS SMOWN MAY MAVE BEEN REOUCED BM PNO CLAIAA8. <br /> �7� ••--- POLiCY NVM9Ep Y F T N � <br /> LIMfr6 <br /> CaENERAI. LIIIBILITY FACN OCCURRENCE 3 OOO Q_O <br /> X i COMMERCIAL GEN6RAL LU►BIIRT <br /> � CWMSMaOE �I OCCUR PR � � 1�� ,._QQd <br /> MEOEXP(Myen�pOfwn) S �. OQQ <br /> A ,,, SGL3001031 12/10/�0 12/10/11 PERSONq«,ppVIN�URY s 1 0,00 040 <br /> GEN�iiq� AGGREQqTE S Z O , OO Q <br /> 6EN'LAGGR£GATE�IMR�PP�IESPER: PR04UCTS.COM7pipPAGG i'Z O(�O OOO <br /> X POLICY COC � . - ' -, �—i <br /> � AUTOMOBfLE 6V�II,11'1' COMBINED Au�iLE LIMIT <br /> nNYaUYO (EaocUORnp 5 1 � �QO �QQQ <br /> � ai i. qNmEp AUTOS <br /> BOOILY Il�qy s <br /> B� � SCHEDULFDAIJTpS (p�p��� <br /> _ M�Reowt'os SA00000095573H 11/14/1.0 �Z/14/11 P ��� M' �,� 8" "�'" <br /> NDN-0VYNEOAU71�3 <br /> .. -, �Po�r� AMAQE � f _� <br /> GARAGE LIABILITY <br /> �� ONLY. EAA�',IDENI 3 <br /> ANYAUTO <br /> OTNERTMAN E'�'A� � <br /> wr�0l�lr. ,nGC s <br /> I EXCE66NMRp'iCLLA LtA8tL1lY FACH OCCURRENCQ i <br /> �I OCCUR �I C4AIMSMADE AGCREGAI'E s <br /> DEDU("f16�E _ <br /> IiETENTIOw 9 . <br /> 5 <br /> � wOaKERSCanve�tbHnwo <br /> s <br /> EMP�OYERS LNdILI'f7 A �YLMAI'f �R <br /> " � E.l. EI1CN ACC�OEN7 S w V �, O O D O D <br /> ��°�"`�"� 0830-4669i i2/�,0/10 ].2/10/11 e , L.DISEAB�.�EMPtpYE s 100 000 <br /> s�cu� aao�nsioase.� e,� oisenae. roucv �u�n e 50 0 0 4 <br /> , oT►iEa <br /> i <br /> nESCaiW t Ipp OF OPERATIONS f LpCA7Y0MS! �EHIClE3 f EXC�USIQNB ADDED 8V ENOORR�AIr I SPECIAL PROVIg�pNS <br /> Quai��ier Por 8�rue Improv�m��t S�rvicae is 3oseph E, Rayi nicense # Cec058227 <br /> ! S 8 AND PLAiC�S ANY A1dD ALl, =O S ISSUED TIF CA'r g. <br /> CERTIFICATE FIDLDER CANCELIATION <br /> �'r7. t]r of Zeghyrhi l ls SMOULO ANY qF TIE ABOVE DE9CRIBED POLICIEB � CANCELLEO p��ORE THE ExwR�71pN f <br /> 5335 9� �tireet �T�T��REOF, TNE ISSUINQ IWg�RER WIL6 �10EAVOR TO w�n.��0 pprg yyR�N <br /> Zwphyrhills , �x. 33542 ��C� TO 7h� cEiii�FICATE HOLOEA NiuqED TO TM� ��FT, DUT FAILURE TC b0 SQ SMALL <br /> ��: 727 -539-6912 ��SE NO OBLIOAI�OH pq I,y�gILT' OP �roy �ND UPON iNE INSURER, IT$ q��.�7g OR <br /> REPRE9ENTATIVES, r <br /> AUTMpwi�1 REPRESENT W � . J <br /> ••'::�: r•�,. :'..r^ <br /> ACORb25(2007100} ' �`ACORDCORPpRA1'►ONt98g <br />
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