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11-12514
Zephyrhills
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2011
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11-12514
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Last modified
6/18/2012 2:58:39 PM
Creation date
6/18/2012 2:58:31 PM
Metadata
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Building Department
Company Name
HR BLOCK
Building Department - Doc Type
Permit
Permit #
11-12514
Building Department - Name
SF ZEPHYR COMMONS LP
Address
7860 7856 GALL BLVD
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NOV-O6-2011 19:30 P.02 <br /> ��� � <br /> '�� °� C�RTIFICATE �F LIABfLITY INSURANCE g�i2�2" oi"i"" <br /> THIB CERTIFICATE ta 13SUED A8 A MATTER OF tNFORMATION ONLY AND CONFER3 NO RIGHTS U�ON THE CERTFICATE HOLOER. TH18 <br /> CER'RFICAI'� DOFS MOT AFFlRMATIV�LY OR NE6ATIVELY AMEND, EXTEND OR ALTER TME COV�RAGE ARl��RDED BY THE pOLIC1ES <br /> BELOW. TFflB CERTIRICATE OF INSURANCE DOES NOT CON3TI7U'1'E A CON7RACT BE7WEEN tHE Igg�IN6 INSUREIqS), AUTHORIZED <br /> REPRESENTATNB OR PRODUCtR, AND TN@ CERTiFICATE NOLDGR. <br /> INAPORTANT: N th� oertili�te holder is ao ADDI110NAI.INSURED, the polia�r(ies) must be endorsed. M BUBROGATION IS WANED, sub�act to <br /> the tanna and eondkions of th� poliey, o�rmin pol�OS n�ay r.quke se onnorsomant A sta�ant,rt on this certific�fe does nat confar rlghfs to the <br /> cenifcate holder M Iku of such endasemen s� <br /> �RODUOER <br /> Mil^y Ratit <br /> Alaa 1�illsams a As�aoc =ns Agency =aa c2ss) ais-iloo .�:�e�.s.-��e. <br /> 137D0-1 Sen C. Pratt/ .mretisQr►1�xillia�es.noe <br /> 3ix Mile G�iprsss Pk�ry <br /> wuc r <br /> Ft.�4yers SL 33912 � 4hio Caaualt Insurano� 7074 <br /> iNsunev <br /> ��o: <br /> Tri-Area Electrical Constructi.on, Inc. <br /> 1110 Pin� Island Road NE <br /> Unib 38 ��, <br /> Ca Coral �. 33909 F: <br /> COVERAGRS CERTIFICAYE NUIMBER:il-12 Ga/!1�/tbeb REVISION NtlA18�R: <br /> THIS IS TO CERTiFY TFIAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE IN$VREp NAI�AED ABOVE FQR TNE POLICY PERIOD <br /> INQICATED. NOTW[THSTANDIN(i ANY REQUIREMENT, TERM OR CQNDIT1pN OF ANY CpNTRAQT OR QTHER ppCUMEN'f yy�7M RE3PBCT TO VNi1CN THIS <br /> CERTIFICA7E MAY BE ISSUED OR MAY PERTAIN, THE q�t.4URANCE AFFORDED BY TNE PQUCIES DESCRIBED HEREIN 13 SUBJECT TO ALL TIiE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF 8UCH POLICIEB. tIMIT6 SHOWN MAY HAVE BEEN REDUC� BY PAID CLAIMS. <br /> � TYPE OF u1iYRANOE NU LMT8 <br /> GBNERAL UAOILJTY <br /> �CM«' � t�NCE 5 1,000,000 <br /> X COMMERGAC GEriERn� lu►9�urr S 100 , 000 <br /> +�+ Cw�►oE D pcxUR 5366985� /�/2011 /'f/20i2 M �� � w � = 10,00G <br /> X[+a dea $500 PERSOnv,�d�ovleut�tY f 1,000,000 <br /> as�r���Gn� s 2,000,000 <br /> G�KL noOREC�u►Te UMrr arPUeS PER. aRaoucrs . c�w�op,►�3 = 2, OOO , OOO <br /> rou x PR � s <br /> Au �� �� M � S 0 000 <br /> x ,�wr r�uro <br /> A ALl OWNED SCFIEOULED 536698s� /7/201i 7 2012 �Y tM�IRY (P�r pN�On) s <br /> AUTOS A � � 600wYlN�uRY(Peraa�d� � <br /> X Hi�o �uros X M� � <br /> X u�w► we '"""�' ; 5 0 <br /> OCCUR M R�CE i i3OOO,OOO <br /> A 00 ��� 4 B cuuMS'�r'o� nc�eieec,�,rE f 1,000,000 <br /> x Tt 805366p95a /7/201i /7/2012 p s 1,000,000 <br /> ��� ���� A I,l. 7N. <br /> AND 6YPI.OY6Ri' 11A61L17y <br /> ANY A11QPptETpItIPARTNERJ�7�C�T1lE Y/N E.L ACdOENT S <br /> �FICERIMEMYER 4xCWpffp7 � N � A <br /> (WIM�olyln tlM) F.L DIS�ASE _ FA GI�AP60Ni E <br /> It dettarbe u�der <br /> SCRI?TION � OPERATION� btlow E.L. q3EA8E • POUCY LJMIT S <br /> OFSCItlPT10N OF OP@RATIONB ! LOCATIDNS l V6MIq.ES �Akseh ACORD 101, AddMionY Rmwla Sahcdde, M more �aee {s requYaf) <br /> ao: tPSllfa� T. r.ocne <br /> CERTIFICATE Ha�DER CANCELLATION <br /> (813� 780-�0021 SNOULD ANY Oi TME AtOVE OE9C1l19ED POLICIB$ oE CANCELLEO OEFORE <br /> THE EXPNtAT10N OATE TkEREOF, N0710E w11.L BE DELNERED tN <br /> Z@phy'r I3ills 8uildit�g Depelrtmel�t A ���'�E �TM TME POLICY PR0IASIONB. <br /> 5335 8th 3t�aet <br /> Zephyr Hills, FL 33542 . j <br /> BSttaer MadduxlCLll �'"� — . _ �---��.� <br /> ACORD ZS (Z010105) � 198&2070 AOpRD CQRPQRATION. All ligh�5 reserved. <br /> �N8025 �20�°°61•0� The ACORD narr� and logo are �ste�ed rnarks of ACORD <br />
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