HomeMy WebLinkAbout15-16369 CITY OF ZEPHYRHILLS
5335-8TH STREET
. (sis)�so-oo20 16369
' - BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16369 Issued: 6/18/2015 Address: 37808 PRAIRIE ROSE LP LT 60
Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
Class of Work: 105-NEW CONST/MULTI 5+ UNIT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 146,226.50 Total Fees: 9,290.00 Subdivision: WALNUT GROVE TOWNHOMES
Amount Paid: 9,290.00 Date Paid: 6/18/2015 Parcel Number: 15-26-21-0210-00000-0600
CONTRACTOR INFORMATION OWNER INFORMATION
Name: BAILEY CONTRACTING LLC Name: BUTTERFIELD MOBILE HOME SVC INC
Addr: 4209 GALL BLVD Address: 4034 GALL BLVD
ZEPHYRHILLS, FL 33542 ZEPHYRHILLS, FL 33542-6219
Phone: (813)377-7395 Lic: Phone: 813-973-5250
Work Desc: CONSTRUCT NEW TOWNHOME 1435 SQ FT
� APPLICATION FEES
BUI DING FEE 721.58 ELECTRICAL FEE 214.43 PLUMBING FEE 94.35
MECHANICAL FEE 66.05 SEWER CONNECTION RESIDEN' 2,010.00 WATER CONNECTION RESIDENI 641.00
WATER METER RES 3/4" 457.18 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00
PUBLIC SAFETY 5% 26.35 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
FIRE PLAN REVIEW FEES 130.50 PARK FEES TOWNHOMES 769.56
/ �����.�-�
� �
��i�-�,� � r �
� �` C `
�� i
`� ,�
1�
Ins ections Re uired
' F OTER 2ND ROUG PLUMB MIS INSULATION CE LI G
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 properly 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 properLy. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Must Accompany Application.All work shall be pertormed in accordance
with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� �
ONTRACT S SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. 37808 Prairie Rose Lp- 1435 sq ft
o umn
SQ. FEET PRICE
MAIN OR LIVING: 1,435 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 146,226.50
FEE SHEET $ 629.00
ADDRESS $ 40.00
DRIVEWAY $ 40.00
BUILDING: $ 721.58
ELECTRICAL: $ 214.43
PLUMBING: $ 94.35
MECHANICAL: $ 66.05
SUB-TOTAL $ 1,096.41
TOTAL $ 1,096.47
SEWER: $ 2,010.00
WATER: $ 641.00
IRRIGATION: $ -
TOTAL: $ 2,651.00
WATER METER: $ 457.18
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 130.50
INSPECTION TOTAL: n/a
PERMIT TOTAL n/a
TOTAL: $ 130.50
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 4,888.44
PARK IMPACT FEES $ 769.56
SIF'S:
100.0% $ -
1.0% $ - �
TOTAL: $ - �
T I F'S: $ 3,632.00 , \�( ��
99% $ 3,595.68 �
1% $ 36.32 �
// °�r'� ��
TOTAL: $ �9,290. �
, ��.��Print�Form N_
' CITY OF ZEPHYRHILLS
UTILI'fIES WORK ORDER
WATER ACCOUNT NO.: DATE: June 17,2015
OWNER/RENTER/BUSINESS:Butterfield MHS Inc CONTACf PERSON: Wayne
MAILING ADDRESS: 4034 Gall Blvd PHONE • 813- 7 -
NUMBER. 9 3 5250
Zephyrhilis,FL 33542 EMAIL ADDRESS:
SERVICE ADDRESS: 37808 Prairie Rose Lp
SHUT OFF SERVICE X❑ OX WATER
TURN ON SERVICE ❑ ❑ SEWER
INSTALL METER X❑ ❑ GARBAGE
READ MEfER ❑ OX IN CITY
CHECK METER ❑ ❑ OUT CITY
OTHER �
DESCRIBE OTHER: 3/4 water
NUMBER OF UNITS
DEPOSIT AMOUNT
AMOUNT LAST BILL
DATE
MISC. CHARGE
MEfER: FULL 3/4
IIRRIGATION I
WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges
COMPLETED
ORDER GIVEN BY: �
Revised 9/2010
►
�` �`��
',�, ',r'� i�-~ r; �
��.. , Y�-���'�.
� ..�::.....�.. _ ,��
�.; .-�._ - � � �
�- �
. � .._.. _ � �� .� �
Cit of Ze h rhills � �
Y P Y s(�,
BUILDING PLAN REVIEW CONIlVIENTS (J �
� ��s-(
iJ , �� ��� �.'/
Contractor/Homeowner: /��d-C Ie� ���i�'"4..C'-`fG ,�'/t-s
_� _ � �' '
/ �f�
Date Received: �-1 -- � �
Site: � %� v�T�780�� v�?�i�r��7Bo2" �`"'�"�5��� �'D-s-e�
>
Permit Type: /C,��t.t� e�/k.5�u L� �� �e.,. ���'j�� !
Approved wlna comments:❑ Approved wlthe belavv comments: ❑ Dezued wfthe below comments: ❑
A;
�.
�
E
�
t
1
!
This comment sheet shall be kept with the permit and/or plans,
Kalvin Switzer-Plans Examiner Date Contractar and/or Homeawner
(Required when comments aze present}
� '
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii i�ii �
2015085425
,
NOTICE OF COMMENCEIVIENT Rept:1686148 Rec: 10.00 '
DS: 0.00 IT: 0.00
PermitNo. 05/29/2015 E. M. , Dpty Clerk
Property Identification No. �s'2(o�/ - �o�0 •-' �'j�(,O a - U� �
TI�iJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section ,
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCE1VdENT.
1. Description of property(lega!descri tion:) ! ��6 tl- Z 1- c���d ° a(���1� "U o `'
a) Street Address: �' a � -�37 0 ' �`t��`i � ��G ' �-E ��
2. General description of improvements � ��.v .� � �
��
3. Owner Information r �j
a) Name and address: '��'y��- �cr�//'�"`-�"1�i CJ .���� ��'-�`z-�� �,g''"`�.
b) Name and address of fee simple titleholder(if other than owner) ����f���!�/�_�,S'yc Z
c) Interest in property
4. Contractor Information � � •
a) Name and address: �:'�/��`r �c�lY-�c�9��f)�`�1 ��y_ �s-�-/�� _��v�
b) Telephone No.: �/�.7 6�`�� - 7_3�.� Fax No.(Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender �. -�
a) Name and address: �21�-�'N 1 J�- �' � _ � /'U ��
` ��-
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be serv d;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Secrion
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, ,
, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVElO�ENTS TO YOUR.PROPERTY.A
. NOTICE OF COMM�NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAYN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COIVIMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
��� Signahue OF wner or Owner's Authoriz cer/Director/Parmer/Manager
,�ti�;.`�: H�rH��.r�nn�is ��- � „
:,: ;r MY COMMISSION R FF 050687 ��f�� � � �� �/�,�,f y �l�
= t = EXPIRES:September 2,2017 p�t Name
�':�;RF���`' Bonded Thm Notary Publk UndenaNers
The foregoing ins as ac ow g e ore me is �day of 1�-tLl,tn ,20�by � r G
as (ty_pe of authority,e.g.officer, ee,attorney in fact)for
(name of party on behalf of whom instrument was executed).
Personally Known�OR Produced Idenrification_ Notary Signature ' � -`%/I��-�-'t�f�
Type of Identification Produced Name(print) ��fl�er �. M�t'1/!(,S
Verification pwsuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declaze that I have read the fore ' g-and that the facts stated
in it aze true to the best of my knowledge and belief.
FORMSMOC.rvsd2007 � �
Sig�aMeofNanua] anSigningAbove
PAl1LR S 0'NEIL:Ph D PASCO CLERK $ COMPTROLLER'
e ' 050R9BK01919�m PG 2��3
_ � , . - �
� ZEPHYRHlLL� FQ�E �7�PAI�Tf+�E�T
' 6907 Dairy Raad,Zephyrhilis, FL 33542
F1i�E SERVICE USER FEES
Occupanay No.:
Plan No.: Contractor:
Business Name: Billing Address:
Business Address: I
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.: ,
Contact: Contact:
P REYlEW FEES IAfSRECTiQN FEES PERM17 FEE FALSE ALARNf FEE
ite Pla� N!G Annua! N!C Sprinkler $54 'Ist Atarm t�IC j
MuIG-Family/Commercial .06 sf 1st Re-inspection N/C Slandpipes $5Q 2nd A}arm N!C �
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N!C �
�Plan Revisions DBL 3rd Re-inspection $250 Noods $SO 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRtNKLER SYSTEMS {Business ctosed until LP Gas $50 6th Alarm $200
0-25 Neads $50 viotations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Neads $100 SPRiNKLER SYS'fEMS Fuet Tanks- per eank $50
STANQPIPE SYST�M Hydro Undergraunds $45 Sparklers $100
�Per Riser $5Q tiydrostatic Test $65 Aer system F3re Works $500
FIRE PUMP Acceptance Test $45 per system Camp Fire $25
�Per Pump $100 Hydrant Flow $75 Canlrolled Bum $144
FIRE ALARM SYS7EN0 Haod/Duct $50
8 0-25 Devices $50 FIRE ALARfN SYS7EM Place af Assembly $5Q annuai I
28 ptus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSItaN SYSTEMS 8 Recatt Acceptance $50 Flammable Application $50 Mnual
Wet $50 OTHER Waste 7'ire Storage $50 Mnual
'� Dry $54 Fire WalUSmoke WaN $15 perwatt Generator<KW $100
, CO2 $5Q LP G8s $25 pertank Generator>30 KW 150
Qther $5Q Natural Gas $25 persystero B9o-Hazard Waste $140 Mnuat
KITCHEN EXHAUST Furnigation Tenting $5Q
�Hood/Ducts $50 Tent 10k10'or greater $15 per ten� Torch PoUApplied $5Q
OTMER Fire Pump $45 Haz.Materials $100 Mnual
LP Instailation per tank $50 Fire Suppression $30
�uel Tank Instaliatian $50 System Acceptance
(Per Tank} $5o E�fiaust Hood/Duct $30
�Na#ural Gas lnshaiiaUon $54 Re-inSpection DBL
{Per System} {other than annual)
�Spray Booth $5Q � Inspeation scheduted DB� 8
� and canceHed(ess than
24 hours
Construction Insp. N/G
' Emergency Vehicle A� $50 FALSE ALARM
PLANSTOTAL� IN$PECTIONTOTAL�u PERMITTOTAL� TOTAL�
�
GRAFID TOTAL o �
������������ .
Comments:
Date:
Inspector:
� flth
� 1� � '
1 1�I
;' �� , � � ��A��+� �t��1NTY, �L�I�IDA
� , ; . .
� ;x _ . � , / �� .
� .• _� � . Permit No.
Date Permi�ted � �
Buiider Name/Owner Nam�e S(..JG�i�
, �-�� .��. Gontro!# '
Count Parcef No. ��-?-�--2f-6Zf Q—C7�GY�^ �pC1'L SubDlv: Lt�G�[�.����E?
v . .
)'`irCcJ`rt i-C'.. �-� � �'Q
Addressii�acatiori �7�0� _____�'� �`d
ClassificationfFype of Use �^��'l ��'��-. ~ - _ _ :'� . . .
_,._.._ t__= _._.
TRANSPORTATt01� lMPA�T FEE , Rate: � Sq Ft Unit; f���
Exempt � [] Yes [] No NoW Determined �
' impact Fee Amaunt � ��i �Z� � Zone Na. T��
SCHOt3L iMPACT�EE � .
Account (056) Single-Family Qetached House AmQUnt $ , J��
� ' (057) Mobile Hame , . .
, (058) Other Residentiai � , .
. '!23) Go!lectio� �ee
Exempt [� Yes [� No How t�etermined
PARKS AND RECR�ATIdN FEE � � _.•
Land Accaunt � Land C�edit Land Tatai _ ,_ _
Recreation Account � Recreatlon Gredit Rect-eatl�n Total
Zone � ' TOTAL AMOUNT $ 7��° ��
Exempt ❑ Yes ❑ N� How Determined
�,1BRARY F�E � � � �
�.and Account I�and Credlt Land Totat
Faciiity Account Faciljty Credlt Facility Total .
Exempt ❑ Yes ❑ Na How Determined • Totat Amount �
RESOURCE FEE � ERU ` �
TOTAl�AMOUNT �
Prepared 8y � Checked Ry
NO CERTIPlCATE OF OGCUPANCY tNILl. BE iSSUED �R FiNAL INSPECTiQN
PERfinRMED UNTIi,THE TOTAL AMOUNTS LISTED HAVE
, BEEN PAID A�lR
REG�lPTED FOR BY A CENTRAL PERMITTING OFFICE.UF PASCO COUNTY
Acknowledgement belaw doas not imply accaptance of concurrenca,but simply recelpt of a copy of thls form,piacln�
the bu!!ding permlt ownac on nat4ce af thfs assessmen#and th�cond(tians pf pa�rment for same.
. ,
pATE R�CEIVER BY
RECElPT NO. DATE 8Y
_._ .__ ___.. t..+cy vr Lepnym�ns rerm�t p►ppi�cation F2x-813-780-0021
Bu{Iding Departme�t
�tate Reaeiveci �j__ - � '.J'"� phone Contact for Petmltting � j�'°3" "`-�'z`'S'�C�
� f�� �'i��.e-=�c�� Owner Phone Number ^� �. `� � �'�-�O
Dwners Name ct-.� � �
Owner's Address �`' �.-/`�� �v � '"Z � CMmer Phane Number �
Fee Simple Titlehatdsr Name ( � � Own�r Phone Mumber _„_„_„_._._
Fee Simpie Tltiehofder Address
l^3`��- (�'�`�
JOB ADDRESS 0 - �'�7$�.� - �G c -� .� ?8'�""� �►'`1 t r�,t -� LOT# 4��-�
LaG
StlBDNISIDN �.sA-�iu�.•."I 2�cs U-�-� PARCEI.ti3# -^� �"'� -- G o�a � � d C, G cs�
(OBTAtNED FROM1i PROPERTY 7AX NOTiCH)
W(!RK PROPOSED NEW CONSTA ADD/Al.'C �� SlGN [� Q DEMQlISH
IMSTAI.I. 8 REPAIR
PROPOSEU USE C] SFR Q COMM [_] OTHER
TYPE OF CONSTltUC'iION ��gLOCK [� FRAME � STEEF. [�
DESGRIPTION OR W R L�Lr�1 � � �
BUllOINt3 SlZE 0�"Il � SQ FOOTAGE�� HEIGHT ���
QBUtLDING � �_,.,-- �-� VALUATiON OF fiOTA�CONSTRUC7iON
7�
'I �]ELECTRICAI. $ � AMP SERVICE � PROGRESS ENERGY ��R.E.C.
,�.�-� .
I QPLUMBtNG $ � �T��S��r ,�Jr�
�, � Z�°��°����� � -��
�]MECHANICAL $ VALUATION OF MECHANiCAI INSTALLATION �5 3(o-'u''t+f
C]GAS Q ROOFING [� SPECiALTY � OTNER (�
=1NISHED FLOOR ELEVATIONS FLOOQ ZQNE AREA QYES NO ��
�..,_�
�
e
3UIl.dER �~t �/'' ��/ r COMPANY `' ., �
51GNATURE !�- `��y�/3�`�"`��/^'� REGISTERED Y/ N FEE CURRE� N
Address � `�"�r�•..�f�-� �tc�nsa# � � �
?LEGTR1CiAN Jy� COMPANY /I �l�Gi c.-
�tGNATURE /�' REGISTERED Y! N FEE CURRE� Y/N
Address �lt�nse# �a 7 '�.- �
i ��unna�az .� ����� � conn�ANV �, � �- �
�tGT�ATURE `�'�"�`''�^��ti i\:1" " �''�.� � REGISTERED Y/ N E8 CURREh Y/N
Address �� � � � •• � Uaense# ���,�,���tZ�,�}�
AECNANICAL ��� � COMPANY �AHR$ �,Co .v G .�r,rt„f'2/G .Ti�'C.
3lGNATURE REGISTERED Y/ N FEE CURRE� Y/
Address y 1�i�L✓ I� /�i. ' .f" Ucense# �Gd `1-��Y 8 �
)THER COMPANY
�IGNATURE REGlSTERED ' Y/ N FfE fit1RREM1 Y J N
Address Ltcense# �— ��
tESIDENTIAL Attach{2)Plot Plans;{2)sets of Buildtng Plans;(1)set of Energy Fotms;R-O-W Psrmif for new constructlon,
Mlnimum ten(10).working days after submltta!_date. Requlred onslte,ConstrucUon Plans,Stormuvater Ptans wt Slft Fence instatled,
Sanitary Facllitles&1 dumpster,Sfte Work Permlt ior subdlvisfanstlarge proJects
:OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Pertnit for new construction.
Minlmum ten(10)working days aftsr submitta!date. Raqulred onsfte,Constructfon Pians,Starmwater Plans w/SiIC Fence installed,
Sanitary Fac(lities&1 dumpster.Slte Work Permit far ail new praJecEs.Ait c�mmercEalrequirements must meet compliance
�IGN PERMIT Attach(2)sets of Englneered Plans.
••"•PROPERTY SURVEY requlred for al!NEW construcUon.
iirectlons:
Fill out appltcation complstely.
Ovmer 8�Contractor sign back of appllcaUon,nota�ized
, !�over�,7.5�0.a NoUce ot Commencsment ts requlred« (AtC upgrades over S750Q) t�
' Agent(for the contractor)or Pawer of Attomey(for the owner)wouid be someone wrlth notarized letter frnm owne�authodxing same
lVER THE COUNTER P�RMIT[ING {Front,of Appllca�on Onty) . - -. . _
teroofs Ii shingles Sewers Servfce Upgiades A!C Fenaes{Ptot/SurveyJFoatage) �
Driveways-Not aver Caunter if on pubitc roadways.:needs ROW • ' ,
. � � /
NC?TICE OF DEED RESTRICTIONS: The undersigned understands that this permit.may be sub)ect to"deeci"restrictions° :
�rhich may:be.more rest�ictive than County regulatlons. The�underslgned assumes:responsibillty_for compfiance with any
appifcable deed restrlcttans.
UNLICENSED CONTRACTORS AND CONTRACYOR RESPONSIBILITIES: If�the owner has hired a contractor or
contractars to undertake work, fhey may be requ(red to be ifcensed in accordance with s#ate and tocai regutatlans. if fhe
contractar is rtat licensed as required by 1aw, both the owner and contractor may be alted for a mtsdemeanar viotation
under state law. if the awner or intended contractor are uncertaEn as to what IEcensing requfrements may appiy, for the
intended wark,th�y are advls�d to cantact the Pasco County Bullding Inspectlon Divtslan—Licensing Section at 727-847-
80Q9. Fu�thermore, if the owner has �hlred a co�Uac#or or contractars, he is�advised•to have the cantractor(s) sign
portions af the °contractor Block° of this appllcatbn for which they wili be respansible. if you, as #he owner sign as the
contractor, that may be an indication�-that he is�not�properiy licensed�and is no4 entitled to permitting priviieges,in Pasca
County. '
TRANSPt�RTATit7N lMPACTtUTIlITiES IMPACT AND RESK�UR�E RECOY�RY FEES: The undecsigned understands
that Transportatior� Impack Fees a�d Recourse Recovery Fees may apply.to the construation of new buildings, change of
use in exlsting buildings, o� expanslan of existing buildings, as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended. -The undersigned afso understands, fhaf such fees, as may be due, wiil be iden#ified at the#ime of
permi#ting. It is further understood fhat Transportation Impact fees and.Resmurce Recovery Fees must be paid priar to
receiving a "certi�cate of occupancy" or flnal-power.release. If the project does not involue a certi�cate of occupancy or
ifinai pawer reiease� the fees must be pald prlor ta permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees afe due,they must be pald prlor to permlt lssuance in accocdance with applicable Pasco'County ordlnances.
' CONSTRUCTlON LIEN 1.AW(Chapter 713, Florida Statutes,as amended). If valuatfon of work is$2;500.00 or more, I
certify that I, the applicant, have been provlded with a copy of the "Flo�ida Construction Lien Law—Homeowner`s
Protect(on Guide° prepared by-the Ftorida Department of Agricultu�e and Cansumer Affairs. If the applicant !s someone
� other than the°owne�', 1 certify that i have obtained a copy of the abave described document and pramfse�n good#aith to
deliver it tv�the°aWner"Prior to comrr�encement.
i Ct3NTRAG70R'S/OWNER`S AFFIDAYIT: I certlfy tha#a!!the information !n�this application is accurate and that all work
wil!�be done in complianae with-all applicable laws regulating construction, zpning and land development. Applicatian is
i hereby made to obtain a permit to do. work and installation as indicated. t certify that no work o� installation has
, commenced prior to issuance of a permit end that a11 work wifl be performed ta meet standards of al! iaws regutating
' co�nstruction, Counfy and City codes, zaning regu4atlons, and i�nd develapment regulatians in-the jurisdlctton. I also
certify that 1 understand that the�egulations af ottier government agencles m�y apply to #he intended work, and that it is
my responsibifity to identifjr what actions I must take ko be!n compliance. Such agencies include but are not limited to:
- Qepartment of Envlronmenta! Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwes� Flarida Vllater Management -District-Wel}s,. Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Qepa�kment af Health 8� Rehabl{ttattve Services/Environmental Health Unit-Welis, Waskewater Treatmen#,
Septic Tanks.
- US Environmental Protectfon Agency-Asbesfos abatement.
- Federal Aviation Authori#y.-Runways.
I unders#and that fhe foilowing restriations apply to the use of fi{l:�
- Use of flit is not ailowed in�Ftaad Zone"V"uNess expcessly permittad.
- if the fltl materlal is to be used in Flaod Zone "A", (t is understood that a drainage plan addressing a
"campensating valume" will be submitted at time of permitting whiah is prepared by a professional engineer
Iicensed by the State of Florida. �
- If the fill materiat is #o be used in Fload Zone "A" in c�nnectlon with a permitted building using stem wa!!
� construcfion, i certify that-fill will be used vnly to fili the area with(n Qhe stem wall.
- If fifi mateciai is ta be used tn any area, 1 cer#ify that use of�such fill wlll not adversely affect adjacent
properties. if use af fil! is found to adversely affect adjacent properties, the owner may be ctted fo�viotating
the condltions of the building permit issued under the attacfied p�rmit appiication, for iots.iess than one (1}
aare whfah are elevated,by flll, an engineered drainage plan is required.
If I am the AGENT ROR,THE OWN�R,-I promise in good.faith ta inform the o�nrner af the permltting conditions set forth in
this affidavi# prfor�to'corriinencing ec►nstruct�qn::'�F understanc! that a:separate permik may be required for elect�ical work,
plumbing, signs, weils, poots, sir conditianing, gas, or other Installations not specifically included_in,the apptication. A
permlt issued shal! be;construed to b�a llcense to proceed with the work and not as authority to.viotata, cancel, atfer, ar
set aside any provisions of'ttie�ecfi'nical cades, nor shall Issuance.cifi'a perenit•preven�fhe Btalidirig.O�fficial from ttierea#ter
requiring a�correction of errors in pians, construction or viatations of any cades. Every permit issued shali become.Invalid
unless the work authorized by such permit is cammenced w€thin=six months:of permft Issuance, or if work authorized by
the pe�mit is suspended oc abandoned for a per�ad.of s{x{6}months after the�ime the work is commenced. An extensian
may be requested, ln writing, from the Building,C?ffialal for a period not to exceed ninety (90) days and will demonstrate
justtfiable cause for the extension. !f work ceases far ninety(90)consecu#ive.days,.th�job is cansidered abandoned.
lA1ARNING TO OWNER: YOUR.FAILURE TO RECfJRD'A Nt?TtCE C1F CAMMENCEMENT MAY RESULT IN Y(?UR
PAYING TIfVIGE FOR IMPROVEM�NTS TO YOUR PROPERTY.`.IF YQU lNTEND.TQ 09TAlN FINANClNG,CQNSULT
WITN YUU�t I.EMDER t3R AN ATTC)RNEY BEFO�E REC4RDING YOUR N�TICE OF COMMENCEMENT.
FLORIQA J[IRAT{F.S.91 TA3j �
OYYNER OR AGENT :r�Ga ,�..� � i ---COPITRAGTO 1-�-� --�-- - - - - - - - - I
Su scrlb�SaC��swc+�r►ta(or a rmed)before khls Sut�s b d and swom ta( r afftrmed, efo[e me s
h I
Who is/are p ona t ty kno me o r h a s l h a v e p ro d u c e d Who istare pe sonally kn ' to me or haslh den�fica8on. i
as IdenflflcaUon.
�
�
°�� �
"` F � Notary Publlc G�. Nakary-Publtc
Co ssi ,,,�,,,.,.
Comta lon �
`�20.,...s;s�c, E$OGE$
�k: Commission#FF 150422 :.: ;.: Commission#FF 1
'`�. "`� ' Name of Nota "t tti� dq�e�Uer 12,2018
Nameaft�! '�'d�pi�F�BL��or�bcttpe�k�soaaas•�a�e .�,pir{i.``� 8endsdThruiroyFalnlnsutancs800-385.70l9
i-
I , �
, �,�, �f��G�G71�V�-
r"��
o umn
SQ. FEET PRICE
MAIN OR LIVING: 1,435 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 146,226.50
FEE SHEET $ 626.00
ADDRESS $ 30 00
DRIVEWAY $ 30.00
BUILDING: $ 698.52
ELECTRICAL: $ 140.85
PLUMBING: $ 93.90
MECHANICAL: $ 65.73
SUB-TOTAL $ 999.00
TOTAL $ 999.00
SEWER: $ 1,909.50
WATER: $ 608.95
IRRIGATION: $ -
TOTAL: $ 2,518.45
WATER METER: $ 457.18
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 4,527.98
PARK IMPACT FEES $ 769.56
SIF'S:
100.0% $ -
1.0% $ -
TOTAL:
T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 8,929.54
Page 1 of 1
.
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, ]une 13, 2015
Parcel ID 15-26-21-0210-00000-0600 (Card: 001 of 001)
Classification 00 - Vacant Residential
Mailing Address Property Value
BUTTERFIELD MOBILE HOME Ag Land $0
SERVICE INC Land
4034 GALL BLVD $4,429
ZEPHYRHILLS FL 33542-6219 Building $0
Physical Address Extra Features $0
37808 PRAIRIE ROSE LP
ZEPHYRHILLS FL 33542
Le4al Description (First 4 Lines) 7ust Value $4,429
See Plat for this Subdivision ASS2SSed (Non-School Amendment 1) $4,429
WALNUT GROVE TOWNHOUSES
PB 69 PG 054 Taxable Value
LOT 60 $4,429
OR 6544 PG 1916
7urisdiction
City of Zephvrhills
Land Detail (Card_001 of 001)
------___._....-------- - ----- --- -- -
----,----------.------�______
_Line Use _Descr�ption Zoning Un�ts Type l Price Condition j Value
--�- ��_ . �- -_�__---_ ____. �`
___ 1 � `� _0100 � SFR � � MPUD_ ! 2,750.00 i SF � $1.56 _ 1.00� $4 290
--�-_.--_----- '
2 j 0 1 0 0 � S F R � M P U D ; 2,7 7 6.0 0 � S F j $0.0 5 � 1.0 0 �^ $1 3 9
Additional Land Information
------__,.__7____.__.�._ FEMA — ----, ----
i------�--------�
Acres i 0.13 Tax Area i 30ZH � Code ( X Residential Code� WGTHLPI
Building Information - Use 00 - Unimproved (Card: 001 of 001)
Unim roved Parcel 00 - Unim roved
__..___ Extra Features (Card: 001 of 001)
� _._.�------.-- -------___________
�-- ------_
---------__,_--------___—..---------
----._ Line __,_______Description --�---____Year --____.._.i---,----Un�ts ----�----Value _ __.`�
No Extra Features
Sales Historv
Previous Owner: N/A
— �._,
__ Month/Year_� _Book/Page � Type � j DOR Code ; Condition+ Amount _
08/2005 I 6544 / 1916 , � Warranty DeedY � _ _ I' Vacant I $600,000
—— — ---i------
11/1981 1157 / 1702 ( � I Vacant j $130,000
- ----�--- ---�--------- --- ---- � —
O1/1973 I 0707/ 0675 � j � � Vacant � $0
http://appraiser.pascogov.com/search/parcel.aspx?parce1=2126150210000000600 6/16/2015
. .- ` � �
`��'. =, .., I
�
�
�
�I
II
�I
�I
�I
� I��
II
I
I
J
......................_................._......._.�..........................._.............� .�...��..._.....,................ ,.;:i i:r.�:sn:�:::;::�:::�tiz l
� � �
C�
. �_ ... ... r.��.. S. ...�. �., L' ' ... .� �:i��• �.
il) .C}..:�..: ::f.�..•:::t•'tY2 [.�. i�.�c:> •�;.:i:•YC••'s?•fii3 �.Ir�' �F7 r:. •° ��f}��}'�:,, .... Cl�:y f�'.Y �;,
.: � ' . _ ... .. . _. : • �• �• I
�::f;:�.'�::it:1 t—r'_�..�..�,?: .i.ttit::I::iL;.,,:i�ii:?:i:..'t,.{:i:?:I::'!�::�:ii'L .1.�lE"�(:1l�l;�! ?:l:::i..l.i��?'::!'::� .?.i`-it"li"i:`1"3;;' .••..(�l�.:(>��!(".',;:3 .�.i�1;:?::7�:' 1
��:)°?'; �.�.;�d�..it 1�==�9' ._!','.i.f:J.l.
<:�c;��t:+a�ar'?e�� ::il"'fa.'.:lF:��::i.R i'�<(,E;.J
5i E•r% S•��� YY '�M1.�.�r����.s �i L��.l..�
�`...`...f.�i"1:f. ::5�_� %w i..�...� ; .�.�:5,j,„�
:,.1..:1:'.:i :�4�;�':���; �;;::I'.:�:f:.::i.::iF::I �)t;' �:I'"f :�9;::s.:y�:! ;::i:�:�i:f:';r�:i•::l <:'i)�:;�-��: :;�.•�f.f.�..4�:�3
it;,+�•'r�('t':�'Gi1 "�:I,::t��.i��t�•.� .1.>:i:E::�!':::::1:�:1 {g...i:"i:� ..s•,.i:�:i..l..!i'1rJ :ii.!).';)C�'0 =�:::13x+'..'�!
. •�•� ,r. � �:.
. �� '
. .. .... { ;. ,'�, r. ;��::� ::3(:1.L:.az:•j,�:1.t i'�rC:4;:�
C( ��:::I:�i.1..::1.::i�_k ._St"1:-..r.f. ..��.: ,�..�.•�.; ,�
'I: .::1!':.t '�: ��:::1!::�t..a,::l ;;"Cx:l:::iE:;...l.::l r:'...l.i•,tI'1l::t;:� i7;'.;o::S�"'�::I
.... .,... ,. .. .
..i,, ' �,.` r,.',;�r .... �� .: a.r ;,j•,� •�•�,�s -�.. 1 ,t•::�.
..
� { ••. f
5::1��re , . "...f'....1. ...f •: ..�. . . ......4 .. •.� .�.. ..�...f. K�..�.:.�i:l J'.��.:I.1..� .. •..1