HomeMy WebLinkAbout11-12529 ' CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3)�so-oo20 12529
BUILDING PERMIT
Permit Number: 12529 Address: 6901 NORTHLAKE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0180-00000-0710
Improv. Cost: 8,050.00
Date Issued: 11/14/2011 Name: JAMES, DANA H& DEBORAH T
Total Fees: 120.00 Address: 6901 NORTHLAKE DR
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/14/2011 Phone:
Work Desc: A/C CHG OUT CARRIER 25HNA936/FE5ANB004 & RUN 6 WIRE
SENICA AIR CONDITIONING INC
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DUCTSINSULATED
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 resuiting
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 fl 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.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ,Pasco County Parcel: 03-26-21-0180-00000-0710 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, November 12, 2011
Parcel ID 03-26-21-0180-00000-0710 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
JAMES DANA H& DEBORAH T Ag Land $0
6901 NORTHLAKE DR Land $40,059
ZEPHYRHILLS FL 33542-0651 Building $109,867
Physical Address Extra Features $8,917
6901 NORTH LAKE DR
ZEPHYRHILLS FL 33542 Market Value $158,843
Assessed (Save Our Homes) $158,843
Leaal Descriution (First 4 Lines) Homestead 196.031 -$25,000
See Plat for this Subdivision ,�'" Non-School Additional Homestead Exemption -$25,000
STEPHEN'S GLEN AT SILVER OAKS
PHASE THREE Non-School Taxable Value $103,843
PB 32 PGS 54-55 School District Taxable Value ;128,843
LOT 71 H/arning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0140 SFR GOLF OPUD 6,000.00 SF $5.66 1.00 $33,960
�2 0140 SFR GOLF OPUD 5,953.02 SF $1.02 1.00 $6,072
3 0140 SFR GOLF OPUD 2,692.00 � $0.01 1.00 $27
Additional Land Information
Acres 0.33 Tax Area 30ZH FEMA Code � Reside�rtial Code SIVLGPI
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1997 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 FOP 391 $6,255
2 BA�S 1,647 $105,128
3 F R 700 $17,872
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � COOL DK 1997 362 $1,087
2 POOL-6 1997 364 $5,387
�3 � RN-AF 1997 1,496 $1,346
4 DW WC 1997 744 $1,097
Sales History
Previous Owner MALEC MELINDA A&
� Year Month Book/Page Type Amount
C 1999 06 4174 / 1906 W D $146,700
1996 12 3670 / 1517 WD $143,000
1996 O1 � 3520 / 0666 WD $0
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&... 11 / 14/2011
' � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved �� � Phone Contact for Permittin –
Owners Name //�� �/(/CU � Owner Phone Number '���
Owner's Address Q Na� /�GG /e Owner Phone Number
Fee Simple Titleholder Name �— Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O OI� e LOT � /�
SUBDIVISION ���{�/V f�/�/(! PARCEL ID# O�' '� '��O O' OOOOO ' O �O
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /� ��� p?��f/V/Q ,3 F�,�j� /(�J�� UN �� '�
BUILDING SI2E SQ FOOTAGE � HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ � � AMP SERVICE � PROGRESS ENERGY W.R. .
�PLUMBING $ ��1��
�MECHANICAL $ i � VALUATION OF MECHANICAL INSTALLATION �`,�
d0�0
�GAS Q ROOFING Q SPECIALTY � OTHER ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I(J� �
BUILDER COMPANY . �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N
Address License #
ELECTRICIAN COMPANY �e/vlC �Q ��(,� O�/ e
SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N
Address �C�IO ✓ /�.s e/� /���(� License# � �.30 � oZ-
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N
Address License #
MECHANICAL COMPANY C.N�� ��Q N//p�(/� C�
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N
Address / d � � ��,s Q/ �/�� �L License # e � _J
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y/ N
Address License #
11111111111111111111111111111 11111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-p-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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Mirnmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets ofi Engineered Plans.
`***PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . 1 1 L 1 la...
D�rect�ons. •
Fill out application completely
Owner 8 Contractor sign back of application, notarized
If over;2500, a Notice of Commencement Is required. (A/C upgradea over 57500)
'"' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 restri�tions.
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 IMPACT/UTILITIES 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: t 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. I 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, constn.�ction 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 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.
FLORIDA JURAT (F.S. 117.03) � /
OWNER OR AGENT , CONTRACTOR K,
� `� Subscn ed and s rn to ( irme befor is Subscribed and sworn t or aff�j m�e� ) befQr� me�!is
b y • � ''�" 5 — . — � � b y ��LK _ /C/�/3 0�
Wh is/are p ersonally known to me or has/have p d ced o islare personallv known to me or haslhave produced
�
/JiQ/l�CK l/L�eN.SL identification. as identification.
� � � °� � .
Notary Public Notary Public
Commission No. Commission No.
: r++.a
<� KAREN SCH
Name of Not d Name of Notary typed printed or stam h- mm�SSIOn # DD 875932
:,� mmission 5932 y; �,�;,` �cpires July 1, 2013
•'aa Expires July 1, 2013 •,�;-,,,:°•� [3aridedThuTmyFalnhrusnoBOp,�85dp19
..?���t,5°�.;' BorMsdThuTmyfanlreurerca8043857018 +�<4ra-.��
.��r��cA �.��. ���c���aa������. ����� HVAC
� '�n�° �`��Y �'�_` ..� SER�JICE ORDER
� �PPIIvG =IL! . F! O'r,!J�, .:^ � ..
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�-,�� _ `��. T-�:�.�- �- 4��! IIYVOICE
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-.�-_. -. __�� _�� =---= -� w.��.- , � �1269z
_ __ ,___. ��_-_.:_ �=�/� -�� 1�,�•
� --- - � �{�.
BILL TO �"
T7iIS WORK IS TO BE
� - ' 'F ❑ C.O.D. ❑ CHARGE ❑ NO CHARGE
�;,.
MAKE MAKE
MODEL MODEL
SER�AL NUMBER SERIAL NUMBER
NAME ' �
s DA ENVIRONMENTAL CHECK LlST WO�iK PERFORMED
� � c� �, �e:-�[ � � f�:.z � � i� �'- i
j i7y �� I � V PROMISED WORK PERFOAMm QTY. 7YPE/DISPQSfiION CONDENSING UNR COND'SATE DRAINS
PHO 1 CALL BErORE � AECOVERED �/E�p CLEANm
❑ A.M. MAIN DRAIN
+'— �� C� +- � 2 ❑ FM. C RECYCLED CIFANED COIL �N DRAIN
r
� ICIAN A HORIZED BY ❑ RECWMED CHECKED CLEANED
CHAHGE PAN DRNN
C RERIRNED REPPJREO REPPJRED
WORK TO BE PEAFORMED I.EAK IN COIL PAN ORPJN
❑ oisaosa.� REPAIRED =URN. OR rAN COIL
LEAK IN COPPER
❑ DISMANTLED z REF AE°IACcD BELT
L7 CHANGED OUT/REPLACED ���"' 5 CiiECKED
_ - MOTOF ��US7ED BEL:
QTY_ MA 5ERV10E5 UNFf PRICE :4MOUNT flESERIPT7Q{Y.OF WQRK PERFORMED CHANGED ; R=°uc=o
- ' MOTOF PULL�1'
REPIACED ' ADJU57ED
RE'rFiIGERANT R- LBS I � %�r� /1 BEL7 pULLEY
/—J ao�us�o c�NEo
• � BELT i BLOWER
'� �.i REPLACED REPL4C=D
S ' � � (� ~ CONTACTOR I BEARINGS
REPL START OILED MG70R
� ' 9ELAY
REPL START OILD BFARINGS I
, ���``` /� GAPACITOR
� � I \� � I �/ j�, fiEPLAC'cD RUN CLJ+NE� I
J [i CAPACifOF HFATIXC4
CLANEDOR RE°�1+C'eD
/^ ^ ,� /� � � I r � �v� � � /, � 1 / !�! � � O /1 , J ADJ CONTACTOR HEAT IXCH I
1 � L-{;1 �y�s �/ � V ftEPAIRED CLEANED OR
^ WIfiING AOJ. PILOT
I ' r I �� /�"'�— Y , REPLACEDFUSc � 7HERMOCOUPLE I
c � I � " F7EPlACED REPAIR'eD
COMPRESSOR ���
REPLACED
/ I EVAPOR,4TOR COIL v.uve
I � ` � 7 Gt,'1 .�` � �1(„rrl�� FE°LACED CLFANED
P VAI.Vc BURNEPS I
I � ADJUSTED DUCT
� REPIT,CE� qcpq�RED I
I CAP 7UBE
:LEARED A0.IUSTED
FILTERS x x � P
{ f REPAIRED THEr2MOSTA7
f> FI LTERS x x I I I COILLEAK
REPAIRED REPLACcD
� r� o
I BELTS RECOMMEl�iDATI�NS CI.EANEDCOIL acuus�o
TOTAL MAT�RIALS L�� / � LEVELDCOII
i I �
I ELECT. HTR. CLG TOWEn
� I-IRS i L�1BOR RATE AMOUNT ��"�o i
I REPIACED LINK
I , .7EPLACED K�IX
I
� ' , RE°41RED WIRE PUMP(S)
! I � aEPIACcD CON7. I GREASED
� ��� REP4IRED I
I r�L,j _}�� '�_� �L:ANEG - Fe�laC'cD
M< <aiA�saueoaMn� se Tn iqL L.^,30R �i LIfWITED V1�RRRAhETY' All maten315, par[s
� CONTINUED ON OTMER SIO� i �
and equipment are warranted by the TGTAL SUMMARY
; / � manufacturers or supoliers written warraniy
' J,( ��C�� /�� Q � oNy All labor performed by the above named TOTA� I� •-� � �_
j <�'� ��JL � company is warranted for 30 davs or as MAT�RIA.LS ; L �
; otherwise indicated in writing. The above named TvTAL _ �
company makes nc other warranties, express IABOR.',
� or implied. and its agents or technicians are �_ /)
� nave authonh� [o order the work �utlined above wnich nas been sahsfactoriry� completetl I aaree !hae nOt author¢ed t0 fT72�(2 any SUCh Wa(f3flti°S 1,��� ^
; Seller retains ntle to equipmenVmatenals mmished until finai oayment is made If oayment is not made
' as agreed, Seller can remove saia �quipmenVmatenals at Sallers expense. Any Oamaoe resulllnc rrom on benalf of above named COf71Pflf1y j TRA\/EL '
� saic removal shall not be ;he resoonsibilih of Seller CHARGE
, = REGUL4F = WARRAN�`!
- ` SERVICE CONTRACT � �P" I
r
:�S;oMERS���Ar�AE ��,� 1� � � �= ToT�� �I i, ..�-
-t �� � _ �'�-�
i �aiii iiiii iiiii iiiii iiai iiiii iiiii ii�ii i��ii iii�i u�i iiii
201 1176526
Permit No. Raroel ID No v- � � cf (P ���� CJI �Q • DOOOD � �/ �V
NOTICE OF COMMENCEMENT
��x�o,e��� �,�,� PFlseo
7HE UNDERSIGNED herel�► gives notio� tl�at inpovane�t will be made to � r�l prpperty, and 'n aocordance wilh Chapter 713. Flo�ida Stalutes,
ihe following ir�formabon is prorided 'n Urs Nafice of Cammenoe�r�ent
9 ���� ���«��.�3-�6•a2/- oi�o • o0000 - o��o
st�eet address: l OiQTis/ L(,t,[� �iQ lcpt :1398824 Rec : 10 . 00
� S: 0. 00 I T: 0. 00
2 • ���"����n ��y ll/14/11 L. Sagaslume, Dpt,v C�e..L
�RULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
��� 11/14/11 �1�?�a� 1 �
a. owner Int«malion or �essee inramaeion ifine �essee ooniraded torme' OR BK L (� 'T
.��i�►�s 7�� f� � .1>e�Bo�eAy T
690/ .lJo r.y L r /�r2 .Z�a�,� �i. //s �
��
i�rte.�t �� P�ny: dLtJ�l1�°i2 � state
Name of Fee Sinple Tdleholder.
(ff dil�erent irom Owr�r isted above)
Add�ess
CarMadar �/ � /Z / / O �1/ �� State
/G6 �,�o"'�� � .�// � �S i.v i/ �G
�
�r.� p �
Contrad�s Telepho�e No.: ,�� .5 �' C���O
5, Sixety:
Narne
Add�ess CRy S'tate
Amarrt of Bond: S Telephone No.:
6. Lender:
Name
Address
Lender's Telephone No.: � State
7. Peisons wiUNn the Sfa�e of Fbrida designated bY 1he owner upon wfwm ratioes or othe.r docurnerds may be served as provided by
Sedion 713.13(1)(a)(7). Florida �:
Name
Add�ress
Telephone Nun(� of � ��
Designa�d Persan:
8. In add'ih'on to hinself, the owner designa�s
of
to reoeive a copy offhe Lienor's Notioe as proyidc, in Se�on 713.13(txb), Flaida 8tadites.
Telepfione Nunber of Petson or Enlily Desi9nated bY Owner:
9. E�irapon date af Nodoe of Comme�oernerrt (Ihe e�iraiion date may not be befae 1he oomple4o� of constnidion and Tmal
PaYme� to U�e
contrador, bu[ will be ooe yEar from the da�e of �eoorWng unless a d'd6ererrt dabe is spec�fied):
WARNING TO OWf�R ANY PAYMENTS MADE BY Tt� OWNER AFTER THE D�IRATION OF TF� NOTICE OF (�IIAMENCEMENT
ARE Cl7NSIDERED IMPROPER PAYM�ITS UNpER CHqpTER 713, PART 1, SECTION 713.13, FLa21DA STATU7ES, AND CAN
RESUIT IN YOUR PAYING TWI(� FOR IMPROVEMENTS TO YOUR PROpERT1r, A NOTI(� OF CpIMN1ENCEMENT MIJST gE
�ECORDED AND POSTE� ON THE JOB SfTE BEFORE TFE FIRST INSPECTION, IF YOU INTENp TO OBTAIN FINNNCING, CONSULT
WRH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING V4�DRIC OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� P�KY � P�+Y, I d�e lhat 1 have read 1he fanegoing nodoe a� oortaneno�t and tl�at the fads stated U�ei� a�e true to ihe best
of mY Imowled9e and befief.
STATE OF FLORIOA — "
COUNTY OF PASCO '
�hse of Owner ar l.esse�, or 's Aulhorized
OlfiaerlD�edodPartr�erillAanager
�9�aY's T�IeIOIRce
rn� +we�o�y :��c,�s �o� �ro� �e n,�s �aay of Il�O,/ . zo (S.. er _ J�,v� f7'
� ��S
ch7� or a�o�itr, e.9., oficer, wstee, ana„ey m rad� ror
� of parly on M af errt vuas exeaRe�.
Personally Known Q� Pno� �der�6ificaUo [� Nota�Y Signahae
Trne � �a�ur�uoo �oa�a �(/L,Q L/C'C�tJS� N� �) '
�', ,��,• KAREN SCHOOLEY
:�
=•d � �ommission # DD 875932
STi�T� C�Y�° � �i��1N7Y 0� F' s � r�res July 1, 2013
TH�S fS � 0(:���i fi�Y �'H,�,T i�1E FOREGO NG ISAN, �°"aan.�no�F.ni,,,,..,,��o�.��o
`fRUE fih�G ! i'?E��:'�� 7 CUpY ��F THE f�GCIINiENT
OtV �iL� Gsy �. �;-,�.;J� I� RECOf�D I�I 1�f-i�� UFFICE
� WITNES�' �.� r�. ,:. �� V.. C1F�IC! ' SE�,L THIS
-- _ -H`r , - Z n [ i . � i
; " � LA 5 C� ��lFt�_ �, COMPTROLLER
,
;;
-- —_- , DEPUTY CLERK
�+ .
I'ASCO COTJI�TTY �T7SIl�T�SS T�X I�C�IP'I' �O]ll-1�
Issued pursuant and subject to Statutes and Pasco County Ordinances. Issuance does not certify compliance with -
zoning or other laws. This receipt must be posted conspicuously in place of business. Expires September 30
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ACCOUNT NO � 042346 T�X COLL�CTOR 7YPE OF BUSIN�SS �
SIC CODE � 7389 .89 p�SCO COL'NTY FLORIDA WA�EHOUSINGFIELD
.•'o � LOCATIDN ADDRESS�
SENICA AIR CONDITIONING INC :��' ��.��'• 16G40 SHADY HILLS RD
16640 SHADY HILLS RD ;�, '�� SPRING HILL
SPi2ING HILL FL 34610-6822 :�� _ b:
�'•. �� DATE RECEIPT AMOUNT
.... 08/24i11 610680 93.75
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DEVELOPMENT REVIEW SERVICES DEPT. 5 W OFFICE DISPLAY CARD f ;
CONTRACTOR LICENSING
CERTIFiCATE OF COMPEfENCY S DEVELOPMENT REVIEW SERVICES DEPT. �.'
� CONTRACTOR LICENSING �I
I.D.# �; i�.;.-� C.C. � CERTIFICATE OF COMPETENCY ��
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s? �.v?`i=: i���.--=-�;��f°;T^.=:C"�'3�fi. � Be it known that:� �/ -;:;. ��, ;`j
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HAVING MET THE COMPETENCY REQUIREMENT FOR � _, C.., ,..'� , �r '-- ti� ��'
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THE LICENSE TERM EXPIRING. -•--� -'- -� -�� I { r`I
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SIGNATURE ---------------- � �:. ... - _; : � _ �= _ - �� � ...: :?' �`5:,,�:: z :�.-, _ ...._ �
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IT SHALL BE THE RESPONSIBILITY OF THE 5� `I
�' UNDER SEC. 18 PASCO COUNTY CODE HAS MET THE rv�
LICENSEE TO KEEP ALL INSURANCE, BONDS, �'
ADDRESSES AND PHONE NUMBERS CURRENT `'� PB��«�4N5 A CERTtFiCATE,�F COMPETENCY �=�
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