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12-12731
Zephyrhills
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2012
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12-12731
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Last modified
1/25/2013 1:09:51 PM
Creation date
1/25/2013 1:09:51 PM
Metadata
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Building Department
Company Name
SILVER OAKS VILLAGE
Building Department - Doc Type
Permit
Permit #
12-12731
Building Department - Name
SMITH CATTLE & GROVES INC
Address
6272 ABBOTT STATION DR
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'�O°� CERTIFICATE OF LtABILITY INSURANCE °"'�'"�°"""' <br /> `,,� o,rrtn2 <br /> THIS CERTIFICATE�ISSUED AS A MATTER OF M�FORINATION C�M.Y AAD CONFERS NO RKiHTB tJPON TFE CERT�ICATE NOL.DER THIS <br /> CER7I�ICATE L�DE8 NOT AFFIRMATNELY OR NEQ�ATNELY AM�ID.EXTE�D OR ALTEit TME CONERA�OE AFFORDED BY TNE POLIqE8 <br /> BELOW. TH18 C�RT�ICATE OF INSt1RANCE DOE8 NOT CONBTITIJTE A CONT'RACT BETVYEEM THE�IG��AUT!lORIZED <br /> REPRESENTATNE OR PRODUCER AND T1E CERI'�ICATE NOLDER. <br /> a�ouvwr: K n�e aruneaie hoa.r r an�oaT�a+�r.�.a�.no��tw�)mwc a aworsaa. r ai�oonrow a w�.�t ee <br /> the le�ms and oorrdltlo�a of 1M PoMe7.oarfaln PoNeks fp�r nqwre an�ndo�aw�N.A stab�ent on tlrs aNtlfiale do�s nd ooehr Aplks�o tM <br /> oartlfitatt hoNl�t In N�u af a11eh andnnunrws} <br /> pRpp� 811lIDftA 6/4JER <br /> Btuer 8 A� �� 73702 <br /> 12210 US Hf�tlway 301 ���'0Om <br /> Oads CMy,FL 335?S ��� �� <br /> PFwns �702 Faot �: AUTO�OWt�ER8NiSlJRANCECaNPANY <br /> IfIwRED IqEU 6: <br /> VILLAGE SQUARE BUiLDER3INC/LANCE SMITH rau�ec: _ <br /> PO BOX 1536 � �o: <br /> 2EPHYRHILLS,FL 83536�1536 (813)788-8257 ' <br /> u�suieee s: <br /> CO�YERl4<3E8 CERTIFICATE NUM� ���� <br /> TMIS IS TO CERTiFY ThY1T THE POLK�ES OF NIBtJRN�iCE llST�lEICW HAVE BEEN�SI�D TO THE NIStJRED NAMED ABONE POR TFE POLICY PERIOD <br /> IPIDICATED. PlCT1MTNSTAI�Q+Ki MIY REQU�NT�7EfiYi OR�ITION OF MIY t)ONTRACT OR OTMER DOGI��I'T 1MTH IiE3PECT TO11MF#GI�THIB <br /> CERTiFK'J1TE MAY BE IS�JED OR W1Y PERTAW,TFE II�StJRAtdL'E AFFORDED$Y 71iE POUCES DE9f�ED Fi6i6N IS 8UdJEC'T TO ALL TME 7EIiM6, <br /> DCCUJSIOfr6 AND OOI�TIONB CF 8tJCFi POtJC1E8.1/YMTS BFIOYYN IMAY HAVE BE�i�IJCED 8Y PAID qJIMA6. <br /> � TYPC CF Nla!lRAUCE POL,ICY ��s <br /> OlN�IA.LIA�ITY EACH 0� S 300.�0.00 <br /> � 001AMERCNL GEN�AL LN8Lt1Y i SO,OOO.00 <br /> A ❑ ❑ � � �R 2086671�r11 08J031T011 08P03I2012 AA�ExP ar asen S S�OOd.00 <br /> � �.a�ov a+�ner s 300.000.00 <br /> p cae��.�c�►� s 300.000.00 <br /> ��,,,E�,��: wwoucTS-ca��� : aoo,aoo.00 <br /> 0 Pa� ❑ ❑ �oc � <br /> µnoriosn.e u�eKrrv ��r <br /> � ANY AUTO BOOM.Y NIJURY(�P��) t <br /> ❑ t�� ❑ A�� BOdLY M�NJRY(�aedd�nq f <br /> � HR�AIR�OS � N�ON�OINIJ� S <br /> f <br /> � urs�wu�e [�� c-�a+occ.�� s <br /> access w�e �.� �c�oaea�� s <br /> � s <br /> WORK6li OOIMBlMTION 1NC 3lAlU- dTl+ <br /> AND EIAPIOYiRi'L1AlR1TN Y f N <br /> � N/A E.L EACH ACCDBQT S <br /> �����? � EL 018EASE-EA�LOYE S <br /> DEBCRIPitON OPBIAli0N8 6Maw E.l DIBEABE-POI.II.Y UINf S <br /> � DFSdtlPT10N OP CPEIIATION61 LDCAl10Nf/V�ls(AIbCb/1CORD lOt.AOOINaiW It�tts tM�A�Nq M�n��p�e�M nquY�d) <br /> GENERALCONTRACTOR <br /> CER7'IFICATE FIOIDER C/I�ICELJ.ATION <br /> t110tlLD At11f OF TNE A�ON!DpCItlMO rOL1C1ls�E CADIC6L.LlD l�OAE <br /> CITY OF ZEPHYRHILLS THE lXPM1A11oN d►Tt Ti�lllOF,M0710E MIN.L d!0lUNl9l�Ni <br /> $UILDING DEPARTMENT ACOOIID�IINCE1NRq 11iElOLICY�IIOVq10Ni. <br /> Si35 8TH STREET nunio�o�r�n� <br /> ZEPHYRHILLS,FL 336�C `�7�� <br /> G 1lp�91. CORPORATION. AN rigl�ls nt�vrd. <br /> ACORD ZE�2010106�0F The ACOItD and lopo an aytarrd narks of ACORD <br />
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