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HomeMy WebLinkAbout10-10795 CITY OFZEPHYRHILLS -_ :Z =P -'Y- 5335 - '8TH 'STREET p (813)780 -0020 107957 r _ BUILDING - PERMIT - l= ° ' _ -- Permit Number: 10795 Address: 5246 18TH ST Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE .Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 17700 -0150 Improv. Cost: 4,925.00 r0 M Z ®: , , Date Issued: 8/05/2010 Name: ROS s EMAN, STANLEY Total Fees: 55.00 Address: 5246 18TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/05/2010 Phone: (240)793 -5215 Work Desc: A/C CHANGE OUT PACKAGE UNIT • U H RN • M • - 1 AN • 55.00 n &Q 9 . x -': r. =„ s e M € 31a % i • U ALLED DUCTS INSULAED FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." 17 /' D — af i e:ei 'c(7.eri,*: 2 r 41 1 r. . , CONTRkCTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel:11- 26 -21- 0010- 17700 -0150 001 . _ _ 1 Page 1 of 1 Data Current as Of: II Weekly Archive - Saturday, July31,.2010 I Parcel ID I 11- 26 -21- 0010 - 17700 -0150 (Card: 001 of 001) Classification II 01 - Single Family Mailing Address Property Value ROSEMAN STANLEY Ag Land $0 5246 18TH ST Land $25,081 ZEPHYRHILLS FL 33542 -2160 Building $53,062 Physical Address Extra Features $8,288 5246 18TH ST ZEPHYRHILLS FL 33542 -2171 Market Value $86,431 Legal Description (First 4 Lines) Assessed (Non - School Amendment 1) $86,431 See Plat for this Subdivision .°"' Taxable Value $86,431 CITY OF ZEPHYRHILLS PB 1 PG 54 NORTH 14.00 FT OF LOT 14 & ALL OF LOTS 15 & 16 & SOUTH 11.00 FT OF LOT 17 BLOCK 177 Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning II Units 11 Type II Price II Condition II Value 1 II 0100 II SFR ll 00R2 II 8,400.00 II SF lI $2.84 II 1.00 Q $23,856 2 II 0100 II SFR lI 00R2 0 3,500.00 II SF II $0.35 II 1.00 II $1,225 Additional Land Information Acres 1I 0.27 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1960 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plastered Interior Wall .2 None Flooring 1 Terrazzo Monolithic Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 Line II Description 11 Sq. Feet I I Repl. Cost New I 1 II FOP 11 220 II $2,372 2 D FEP II 114 Q II $4,831 3 BAS II $60,382 4 it UDG II 720 II $9,316 Extra Features (Card: 001 of 001) Line I Description Year II Units I I Value 1 l I CLFENCE 1978 II 1,600 Il $564 2 II POOL -6 1978 II 576 II $6,912 3 II 8CBWS 1983 I 190 II $313 4 II DCFENCE 2002 I 573 II $499 Sales History Previous Owner AURORA LOAN SERVICES LLC Year II Month Book /Page II Type II Amount 2010 I I 06 8370 / 1324 II WD 0 $48,000 2010 I I 06 8357 / 1365 II ST 11 $o 2006 II 06 7026 / 1181 0 WD II $170,000 http: / /www. appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb =00... 8/5/2010 813-780 -0020 City of Zephyrhills Permit Application . .... _._ . -- -- Building Department Date Received Phone Contact for Permittin 352 5(/) _ 62 11 c 1 d Se m Owner Phone Number CI L I 0 - 1q3 -- 50-15 Owner's Name J �' CL(1 `� u a n Owner's Address I 15 9 1 -1 Co ) T 5 T I Owner Phone Number I I Owner Phone Number I Fee Simple Titleholder Namel I Fee Simple Titleholder Address I • JOB ADDRESS 1 5 I C1 I�' 5 ZC ?h , Ai�,i1`S '3'354D-0_11i -11i I LOT # I SUBDIVISION I PARCEL ID# fi _Z4. Z i.. dplp-- 1 -650 I (OBTAINED FROM PROPERTY TAX NOTICE) CONSTR I I ADD /ALT = SIGN Q MOVE = DEMOLISH WORK PROPOSED I I INSTALL I REPAIR r—t SFR ( 1 COMM n OTHER 1 PROPOSED USE f � FRAME n ST EEL n OTHER TYPE OF CONSTRUCTION n BLOCK I I DESCRIPTION OF WORK 1 a h c (:5 e O Lt i'eta a s (14 BUILDING SIZE I SQ FOOTAGE I I HEIGHT I 1 I I BUILDING 18 I VALUATION OF TOTAL CONSTRUCTION 1 ELECTRICAL i$ I AMP SERVICE 1 I PROG S ENERGY 1� I W.R.E.C. 1 1 PLUMBING $ ��7 i I 1 71 MECHANICAL 1$ /4 /, 7 r� 00 I VALUATION OF MECHANICAL INSTALLATIO 1 I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA 1 IVES FIN0 COMPANY 1 I SIGNATURE I Q� 1 11! REGISTERED L Y/ N I FEE CURRENT 1 Y/ N I Address I 1 License # 1 I I ELECTRICIAN 10 1 PC COMPANY 1 I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address I License # I I PLUMBER IV i A I COMPANY 1 SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N i Address I I License # 1 L.zize,,,„,,, I COMPANY IS UTI4 1Z� 0-0 ���_�� MECHANICAL REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I SIGNATURE /� - q Address 44� 1 /� K651." Co IL 657g41-- rI. r 33 lI License # IC. RFC- tie 1 3 .S 7 1 OTHER It/ A- I COMPANY 1 SIGNATURE I / REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or . final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the, applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TWICE FOR IMPRO OWNER: YO VE R M F NTS TO OUR PROPERTY. T IF YOU INTEND ND TO OBTAIN FINANCING, CONSULT PAYING TWIC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this b by Subscribed and swum to (or affirmed) before me this y Who is/are ersonally known to me or has /have produced Who is /are personally known to me or has/have p as identification. as identification. Notary Public Notary Public Commission No. Commission No. typed, printed or stamped Name of Notary typed, printed or stamped Name of Notary typ p SOUTHERN COMFORT ENTERPRISES, INC. 4109 CR 656 P. O. BOX 486 WEBSTER, FL. 33597 DADE CITY, FL. 33526 352- 793 -5501 352 -567 -6111 CAC1813579 DATE: 8 -6- )Q C- et/NTY /CITY OF: Z tP\- S (}� 1� TO WHOM IT MAY CONCERN: I, Thomas Lachance, license holder of Southem Comfort Enterprises, Inc. authorize T)A v ► to sign for release of Mechanical Permit on my behalf for the Annkii( ROSE).man 69 iLo Name of Job Location of Job /% / ,-•� Thomas Lachance STATE OF FLORIDA COUNTY OF SLm ( I HEREBY CERTIFYthat on this day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take acknowledgements, appeared before me Thomas Lachance, personally known to me, who executed the foregoing instrument and they acknowledge before me that the executed same. l - L WITNESS my hand and official seal in the County and State las aforesaid this & ' day of Qu i , 2010. Notary ub c Signature and Seal NOTARY PUBLIC-STATE OF FLORIDA Darlene Ford „',r ` - C ommission #DD905245 '• Expires: AUG. 07 2013 BONGED THRC ATLAYCIC BOYDING CO., !NC. RO® CERTIFICATE OF LIABILITY INSURANCE OPtD CL DATE(MM /DD/YYYY) SOUTH08 07/06/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Headock Insurance - Lakeland HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeland FL 33802 Phone: 863- 683 -2228 Fax: 863- 683 -3309 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nationwide Insurance INSURER B: Guarantee Insurance Company Southern Comfort Enterprises Thomas Lachance INSURER C: 4109 County Road 656 INSURER D: Webster FL 33597 — I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSW UD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YYYY) DATE (MM /DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE I O H N I Eu PREMISES (Ea occurence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ — 7 POLICY PRO- - JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300000 A X ANY AUTO ACPBAPD5904194228 11/12/09 11/12/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR I I CLAIMS MADE AGGREGATE $ DEDUCTIBLE • $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER B OFFICER/MEMBER PROPRIOR /PAR NER /E ECUTIVI 605500251110 07/01/10 07/01/11 E.L. EACH ACCIDENT $ 100, 000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500 , 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYZEP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE it DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND L' JN YHE INSURER, ITS AGENTS OR City of Zephyrhills REPRESENTATIVES. 5335 8th St. A 1 SENTATIVE Zephyrhills FL 33540 ACORD 25 (2009101) ©1988 - 2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 06/03/2010 PRODUCER Phone: (352) 796 -3594 Fax: 352- 796 -0354 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SNOW & BELL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 24 N. BROAD STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR BROOKSVILLE FL 34601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. • INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: State Auto Insurance Co. SOUTHERN COMFORT ENTERPRISES, INC. INSURER B: 4109 CR 656 ti INSURER C: WEBSTER FL 33597 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC DATE(MMIDDIYY) DATE IMM/DD/YY) GENERAL LIABILITY ' PBP2053679 05/22/10 05/22/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 PREMISES (Ee occurence) I CLAIMS MADE © OCCUR MED. EXP (Any one person) $ 5,000 A PERSONAL .3 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG. $ 2,000,000 7 POLICY Ii JE0 I � LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ , AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ $ WC STATU WORKERS COMPENSATION AND I TORY LIMITS 1 I OTHER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER: DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEN RE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAI!CG TO THE LEFT, BUT FAILURE CITY OF ZEPHYRHILLS BUILDING DEPT TO DO SO SHALL IMPOSE•NO OBLIGATION OR LI ',BILITY OF ANY KIND UPON THE INSURER, 5335 8TH STREET IT'S AGENTS OR REPRESENTATIVES. ZEPHYRHILLS, FL 33540 AUTHORIZED REPRESENTATIVE Attention: FAX: 813 - 780 -0021 I W'�B} ACORD 25 (2001/08) Certificate # 42693 C> ACORD CORPORATION 1988 o vi„, 4; STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 • , 1940 NORTH MONROE STREET • coo Wit TALLAHASSEE FL 32399 -0783 LACHANCE, THOMAS JAY SOUTHERN COMFORT ENTERPRISES INC 4109 CR. 656 WEBSTER FL 33597 STATE OF FLORIDA AC# 4976107 Congratulations! With this license you become one of the nearly one million 'R r DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation.4� PROFESSIONAL :REGULATION Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strcng. CAC1813579 ``0.5i ;7/10 098166397 Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. CERTIFIED- AIR COND , CONTR There you can find more information about our divisions and the regul 3tions that LACHANCE, °'THOMAS - ` ` :, t impact you, subscribe to department newsletters and learn more about the SQUTBERN - COMFORT ; ENTERPRISES INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. IS CERTIFIED under the provisions of cn.48 Fs, Thank you for doing business in Florida, and congratulations on your new license! sate; AUG 31, 20'2 Lloo DETACI- HERE f AC# 4 9 7 610 7 STATE OF '= LORIDA DEPARTMENT OF BUSINESS AI•ID PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L10052700934 DATE BATCH NUMBER LICENSE NBR 05/27/2010 0981.66397 CAC1813579 The CLASS B AIR CONDITIONING CONTRACTOR' _, Named below IS CERTIFIED Under the provisions of Chapter 489 FS Expiration date: AUG 31, 2012` LACHANCE, THOMAS JAY SOUTHERN COMFORT ENTERPRISES � 4109 CR'. 656 WEBSTER FL 33597 CHARLIE CRIST CHARLIE LIEM GOVERNOR INTERIM SECRETARY DISPLAY AS RECiUIRED BY LAW CRDINE OF S!.;HTEP COW, FLDR R="PCALII 71-47. • MTER. CO1NTY CCCUATICNAL AS SET FO:TH ST.CTTON *H1-16; OF THE SCMTE.R CC r CCr)F.: PRC'.V1Dfl A;1 DATC.• 1`.19C rROvl.r.11N: P SLVEr.:;‘BILTTs: CLALE WEERzAs, Doard of Courty Commis2ioners .c± Sumter Cur: Pocupatic:rtal lioehsc tax as et as 1972 by orcianca h:rr r i was estatli5hed whi:h followed the oxigin:71 mpoF.ilL)on of ta> ty chapter General Laws of Fjoric.!a later Cod)fied ir Chapter 205 of the Eiid. tscues, &.rc.; "pNEREAS Lh3.7 15 pursly a rPlian..ie i. S.s ;.Lch no reaulatory J!spr:.ots and the revenuF2 created dc .e5 ncl offset the cost of arlministerjnc the tax nor result ih aryy other benefit to the ond WIlERaAS. 1 7. Board h tr:oir ht it is rot An the • public intent:5f to continue to leVy LhiS tax, NcYri, THE:FEFORE, be it ordained by the Board c County Cor cf ‘Somter Ccry, Florla, as follows. • 1. The St:rater County Occupational License Tax as levied arcii se'..7 forth in Section :4-16 cf the Sumter County Code is hereby repealed. 2. This orCinahce shal take effect on J1,I1y 31, 2007• . 3. If any phrase or portj.on of this Ordinance is held .r.valid or uncorsticutlonal by 3hy CC.;2t OE cOMpetent 1 poron shall be daemed a separate, c:J•tv'.:inct, and independent ; and such hplding sall not efZecr the validi.r.7 of the remaining pr.,rtich. ci-fh DOVE kND ORDAINED th2s :W.17, E" S!..1Tter Ce) 71or:Ada. 11r7Z.ST GLORIA, HAYWARD 50 Dr COUNTY COMNISSTONEPS Cler of Circuit Co OF SUMTER CCUNTA, FLOIDA s ) . i A n• e. • r L f Frarcis, Chair