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Home My WebLink About15-16060 CITY OF ZEPHYRHILLS 5335-8TH STREET �si3)�8o-oozo 060 ` , BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16060 Address: 4536 BLOSSOM BLVD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017E-00600-OOCO �, Improv. Cost: 15,685.00 OWNER INFORMATION Date Issued: 3/04/2015 Name: ROSSO, ELGER PAT & JANICE M Total Fees: 115.00 Address: 4536 BLOSSOM BLVD Amount Paid: 115.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/04/2015 Phone: Work Desc: REROOF SHINGLE (1 OF 4) SEE BP#61-BP#63 CONTRACTOR S APPLICATION FEES YOWELL'S RO FING REROOF RESIDENT AL 115.00 � �,;�,�,�� G��.- �� Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP 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� 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 performed in accordance with ' City Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Page 1 of 1 �� : � , Mike Wells Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, February 28, 2015 Parcel ID 15-26-21-017E-00600-OOCO (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value ROSSO ELGER PAT&]ANICE M Ag Land $0 31140 CLARK ST Land $4,734 NEW HAVEN MI 48048-1901 Physical Address Building $31,951 4536 BLOSSOM BLVD Extra Features $0 ZEPHYRHILLS FL 33542-5668 Leqal Descriation (First 4 Lines) ]ust Value $36,685 ORANGE BLOSSOM RANCH CONDO 5 ASSessed Non-School Amendment 1 CB 1 PGS 26-27 BLDG 6 UNIT C & ( ) $36,685 COMMON ELEMENTS OR 4813 PG 1483 Jurisdiction Taxable Value $36,685 CitY of Zephvrhills Land Detail (Card_ 001 of 001) -------- ------ -- �--------— ------ _ ____ ___.---------•-- - _ __Line _;____Use_,_�Descriptionl_Zoning _f ,Units_ ` Type__ '_,_Price iCondition� Value 1 i 0400 � CONDO j OOR4 j 1.00 ; UT ;$4,734.00; 1.00 ; $4,734 Additional Land Information -'--_. �'-- �------�-�----r' --r---- -�-------------'-----r�-----�--------- ' �----------- Acres I 0.00 ; Tax Area i 30ZH i C de 4 X �Residential Code 40BR I Buildina Information - Use 04- Condominium (Card: 001 of 001) Year Built 1984 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line � Description i S Feet ; Repl. Cost New -------._�__ --i--- -------i__----.— _ BAS �----------I-------___Q864 ^-------__ --- -____-^�._^.--_.. - -- - - ---- ------ — � $0 - -- - �- -- ----------------- -- - --------------- =- --- -- ---------- - - --- _.____ _3_.__- -------I--------FEP _____.�.--�----------108 ----------'------- -��--------- 2 � FST ; 36 � $0 _ ____ _ ___ __u __ Extra Features (Card: 001 of 001) __.__ �___..__----- ---._ ._.�_--�-----____---------.._.._------- -- -__-----____ � . �__.__ .._ .__ ._______.._-_--- ____Line _ ____� _ Description__ _; _ _ _Year____� + Units _ ___ ; Value - .1.... _ _ _ _ _ ' ' '__'_-�_"___.__ - --- —1------ ___-I---__. ----FEP _._�.--- -- �------. ._1984----__�,---- 108_____ �_ ._.___$1,725 _ _ - ----- 2 � FST I 1984 ; 36 ; $411 - ---- ____-- -- ----- ----------_------------;-- - ---- - ----- --- --- ----------- - - -----____ 3-- - ---� --- ._CONDO - --=-� --- --_ 1984--- -- {- - 1 ___---- '- -----�29,387 ----- 4 � CARPORT i 1984 � 1 j $428 Sales Historv-See All 5 sales Previous Owner: TREIBER ELINOR R EST OF ----- -�__ ------------- -- - --- ----- - --- -- --- --- ----------------- --- --------- ----- -- - --- Month/Year I Book/Page ! Type � DOR �Condition' Amount ---- - -- - --- --- �...._- -- --------- - ----------'-----__ -;__Cod e-'-- ' --T___---�-----_ . ! QU�t ' ! j �_ 12/2001 � 4813 / 1483 � Claim ` 'Improved� $0 � ; , , Deed ; - - - - -. __ _. � � ----- - ----- ------- -�--- _-------- ---,...-- ;------------- - --- - ------ 03/1998 ! 3898 / 0799 i Warranty i ! Improved� $46 000 � Deed , , � ___. _ __ __�� ___ - -- ---- - -_- --- -- . _- '- - - -- - ---- ---- - -- - - - -- -- 03/1992 ! 3009 / 1843 �Warranty: � � � Deed ; j Improved� $37,000 http://appraiser.pascogov.com/search/parcel.aspx?parce1=212615017E0060000C0 3/4/2015 �,�-��-vutu Gity of Zephyrhiils Permit Application Fax 813-780-0421 8u3tding Department tte Rec�lved 3"— � / -`j Phone Gontact for Permitting � 1 - L�� nrner's Name J'A�✓ 2. U/o„S�'��j'7 Q!�/C� flwne�Phon�Numbar � ^�..s�� nrner's Address ��w � /Q SS�� v ' Owner Phone Number „ �e Simpte TltMehotder Name � i� � Owner Phone Number i �e Simple Titlehalder Address � )S ADDRESS /JL��Y t// �s"�'S�� j l6� 1.OT# C_� 1BDIVISION � � PARCEL iD# �iS'�1G`�� ""fl�f ��' DO�DD"O 0 CO � (OBTAINEp FROM PROPERTY TAX NOTICE) " ORK PROPOSEf1 NEw CONS7R ADD%ALT � SIGN � Q DEMOLISH e 1NSTALL 8 REPAIR • tOPQSED USE Q SFR � CQMM C� OTHER � (PE OF CONSTRUCTION � BLOCK Q FRAME � STEEL [� °_SCRiP'YION OF WORK � Q �2° f�f��- ��! t t.� '�- �l�a JILQING 5#ZE [S C�O� � i SQ FOOT�AGE 3 0 0 NEIGHT �� QBUILDING $ )/"" f �.�; � iVA1.UATiON CiF TOTA�GONSTRllCT{ON ' �� Q i QELECTRICAL $ !AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I i QPLUMBINC3 ($r „—� � QMECHAN(CAL �� (VALUA710N OF MECHANICAL INSTALLATION QGAS Q ROOFiNG [� SPECIALTY � OTHER NISHED FLOOR ELEVATIONS �� FLOOD ZQNE AREA QYES NO JILDER GOMpA[�!Y GNATURE REGISTERED Y/ N FEE CURRE� Y/(�I Address �icense# �— i .ECTRICIAN � COMPANY � C+NA7URE REGISTERED Y/ N FEE CURRE� Y/N Address i.icanse# � � — � ; .UMBER COMPANY �I GNATURE REGISTERED Y/ N FEE CURREP Y/N _ � Address �lcertse# � ' ECHANtCAL COMPANY �NATURE REGISTERED Y/ N FEE CURRE� Y/N Address l.icense# �� I'HER ��°�� COMPANY �G��°/ � O� �� NATURE REGtSTEf2ED Y J IV FEE CURRE� Y/N Address /7r'�a�� l � r'� �S ��Z•e�i / � . l.icense# �-S�1�.�� eSlDEN'iIAL Atkach(2)P1ot Plans;(2)sets of Building Pians;(1)set of Enetgy Forms;R-O-W Permit for new construction, Mit�fmum ten(14)workfng days after submfttal date. Ftequired onsite,Conshvc8on Pians,3tortnwater Ptans w/Sit#Fence instatled, Sanitary Facilities&1 dumpster;Site Work Pertntt for subdlvislonsAarge proJeGts �MMERCIAL Attach(3)compiete sets af Butlding Plans plus a Life Safety page;(1)set of Energy Forrns.R-Q-W Permit for new construcNon, Minfmum ten(10}woticing days atter submittal date. Required onsita,Ganstruction Plans,S#ormwater Pians w/Sllt Fence fnstailed, Sanitary Facilities 8 1 dumpster.$ite Wodc Permit for all new proJeats.Aik cammerciai requirements must meet compfiance 3N PERMi7 Attach(2)sets of Engineered Plans. "**PROPERTY SURVEY required for all NEW constructlon. rections: Fitl aut app!{callon compteteiy. Owner&Contractor sign back of apptication,notarfzed If over 52500,a Notice of Commencement is required. (AIC upgrades avor 57500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ►ER THE COUNTER PERMITTIN�3 (Front of Appllcation Only) roofs if shingtes Sewers Service Upgrades A/C Fences(PiotJSurvey/Footage} D�iveways-Not over Counter if on public roadways..needs ROW NC3TICE OF D�ED RESTRiCT10NS: The ur►derslgned understands that fhis 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 restrict'sans. UNLICENSED CONTRACTORS AND CONTRAGTOR RESP�NSIBILiTiES: If the owner has hired a conkractor or cantractors ta,undertake work, #hey may be required to be Itcensed in accordance with state and•(ocal reguiatlons. tf the contractor is not licensed as required by law, both #he awner and confrac#ar may be cited for a misdemeanor viotation under state law. If the owner ar intended contractor are uncertain as to what licensing requlrements may apply for the intended work, they are advlsed ta contact the Pasco County Bullding tnspectlan Dlv�slon—Licensing Section at 727-847- 8009. Furthermore, if the owner fias hired a cantractor or contrackors, he is advised to have the contractor(s) sign partions of the "contracto� Block" of this applfcation for which they will be responslbte. If you, as the owner sign as the contrac#or, that may be an indicatian that he is nat properiy licensed and is not entitied to permitting priviieges in Pasco Caunty, TR�►NSPORTATION lMPAGTlUTI�ITIES IMPACT AND RESOURCE RECt)YERY FEES: The undetsigned unders#ands that Transporkation Impact Fees and Recourse Recavery Fees may apply ta the construction af new buildings, change af use in existing buildi�gsT or expansEon of existing buildings, as specifled in Pasco Gounty Ordinance number 89-07 and 90-07. as amended. The undersigned also understands, that such fees, as may be due, wi11 be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recavery Fees must bs paid grior to receiv�ng a "certi#icate of occupancy° or final pawer release. .If fhe projec#does nat involve a certificafe of occupancy or final power release, the fees must be paid prior ta permit issuance. Furthermore, if.Pasco County Water/Sewer Impact fees are due, they rnust be pald pciar to pe�mlt issuance In accordance wtth appllcable Pasco County ordlnances. CONSTRUCTiON LIEN LAW(Chapter 713, Florida Statutes� as amended): If valuatian of wark is$2,500.00 or more, I certify that I, the applicant, have been prov[ded wikh a copy of the "Florida Constructlon Lien law—Hameowner's � Protectian Guide" pfepared by the F{orlda Department af Agriculture and Consumer Affairs. If the applicant is someone I other than the"owner", I certify#hat I have obtained a copy,of the above desoribed document and promise in good fa�th to deliver it to the"awner"prfor to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In this application is accurate and thak all wark will�be done in compliance with al! applicable laws regulating construction, zaning and land develapment. Applicatian ts hereby made to obtain .a pertrtit to da work and instaliation as indicated. 1 certify that no work or installation has commenced p�ior to issuance of a permit and that all work will be pertormed #o meet skandards af a!l laws regulating construction, Caunty and City codes, zoning regulat�ons, and land development regulations in the jurisdiction. t a1'so certify khat I understand that the regulations of other government agencies may apply ko the intended work, and that it is �, my respansibility#o identify what actions i must take to be En compilance. Such agertcles include but ace not liinited to: '� - Department af Environmental Pratectian-Cypress Bayheads, Wetland Areas and Environmentally 5ensitive ' Lands,Water/Wastewater T�eatment. - Southwest Florida Water Management .�istr�ct WelEs, Cypress Bayheads, Wetland Areas, Attering Watercourses. , - Army Corps of Eng€neersweawalls, Docics, Navigable Waterways. - Department of Health $ Rehabifltative Services/Environmental Heal#h Unit-Wells, Wastewater Treatment, ', Se}�tic Tanks. - US Enviranmentai Protectian Agency-Asbestos abatement. - Federal Aviation Authority-i�unways. 1 ur�derstand that the#ollawing restrlctions apply to the use of fill.� , - Use of fiil is not allowed in Flood Zone°V"unless expressly permitted. - !f khe fiil materiai Is to be used in Flood Zar�e °A", it is understood that a drainage plan add�essing a , "compensating votume" wiil be submitted at time of permitting which is prepared by a professional engineer lice�sed by the State of Florida. - If the fill material is to be used in Flaod Zane "A" in cannectian wi#h a permitted building using stem wail canstruction, I certify that fill will be used only to.flll the area within the stem wall. - !f fill material is to be ttsed In any area, 1 certifyr that use af such fill will nat adversely affect adjacent properties. If use of fill is found to adversely affect adjacent propertiss, the owner may be cited for violating the conditions of the buifdtng permit issued under the attached permit applloatEon, for lots less than one (1) acre which are elevated by fili, 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!n this af€idavit prior to commencing consttuction. 1 understand that a separate permEt may be required for elec#rical wark, plumbing, signs, wells, paols, afr conditioning,.gas, or ather installations nat specifically included in the application. .A permit issued shali be cons#rued to be a license to praceed with the work and not as author�ty to.violate, cance{, alfer, ar set aside any provisions af the technicai codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violattons of any codes. Everyr perm(t issued shall become invalid unless the wark au#horized by such perrr►it is commenced within siu months of permft Issuance, or if work autharized by the pe�mit is suspended o�abandoned for a period of six(6)manths after the time the work is commenced. An extension may be requesEed, in writing, f�om the Building.Offcial for a period°not to exceeci nlnety {90) days ancf witl demonstrate justifiable cause for#he extension. If work ceases for ni�ety(9p)consecutive days,.the job is cansidered abandoned. WARNING TQ OWNER: YOUR FAILURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT iN YOUR PAYINC TWICE FOR IMPROVEfNENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 1NITH YQUR�.EMDER OR AN ATTQRNEY BE�ORE RECORDING YQUR NOTICE_OF COMMEI�GEIVttE�1': --- - - -- ____ ,c�CrZIGr1�:iGRi�i(P:S:t`ii:03j - ________________ _ _. CIWNER OR AGENT CONTE2ACTOR Subscribed and swom to(or afflrmed)befa�e me this Subscrlbed and swom ko(or afflrmed)before me this by by Wha islare personally knrnm to me ar hasthave produaed Who tslare personaily known tc►me ar has/have produced as Identlficatlon. as idendficatian. Notary Publlc Notary Publ[c Cammisslan No. Commission No, Name of Notary typed,printed or stamped Name of Notary lyped,printed ar stamped CITY OF ZEPHYRHILLS � 5335-8TH STREET �I (sispso-oozo 061 ' � ' BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16061 Address: 4538 BLOSSOM BLVD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017E-00600-00B0 Improv. Cost: OWNER INFORMATION Date Issued: 3/04/2015 Name: BUTLER, LORETTA Total Fees: Address: 4538 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL 33542-5668 Date Paid: Phone: Work Desc: REROOF SHINGLE ( SEE BP#60-BP#63) CONTRACTOR S APPLICATION FEES WELL'S ROOF Ins ections Re uired DR IN ROOF INSP TAPE JOINTS ROOF INSP 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� 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 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 City Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER � Page 1 of 1 � �� ' , • Mike Wells Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, February 28, 2015 ' Parcel ID 15-26-21-017E-00600-0060 (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value BUTLER LORETTA Ag Land $0 4538 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542-5668 Physical Address Building $31,942 4538 BLOSSOM BLVD Extra Features $0 ZEPHYRHILLS FL 33542-5668 I Leaal Descriotion (First 4 Lines) ,7ust Value $36,676 �I ORANGE BLOSSOM RANCH CONDO 5 CB 1 PGS 26-27 BLDG 6 UNIT B & Assessed (Save Our Homes) $35,140 COMMON ELEMENTS Homestead 196.031 - $25,000 OR 8917 PG 1380 Non-School Additional Homestead Exemption - $0 Jurisdiction Citv of Zephvrhills Taxable Value $10,140 Warning: 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 _�Descriptionj__Zoning_I_Units___'___Type__!_ Price iCondition! Value 1 � 0400 ; CONDO j OOR4 � 1.00 � UT !$4,734.00� 1.00`�� $4,734 Additional Land Information - --- - _--- - - -- ---�-- -----------_-___ - -----_ _ __ __ __ . ...-,.--.�______ _� __�-;-- --- Acres ", 0.00 ; Tax Area 30ZH � FEMA ! X (Ftesidential Code�, 40BR i ; i Code Buildin4 Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1985 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line � Description _ _ _� ___ _Sq. Feet ___ _!___�Repl. Cost_New___ _ '_'_' ".� ,__'" _"_"i'`.�_�___'... I _'_"-__ _"_ 1 ! BAS � 864 i $0 '� - - ---- ---- - -- - -- -�--____ _---------- -!------- ----- ------- ; - - ---_--- -- --- -- 2 { FST ; 36 $0 --- ----- ------ - ---_---------------- -- --.�.--- ------- _----,- ------- ----- __------ 3 � UEP � 108 $0 Extra Features (Card: 001 of 001) -- — -- __ -----.------ -------i---- ----------- - -------------- — - -- - -..___-- ---- , _ Line �' Description _ � Year � Units i Value - -_ ._. _.._._...------------, .__..__.___-___, !_ ,---_--------,- _ _-_.._----____�---- 1_.. _._ __------ -_�_ _ ---- - 1 � UEP � 1985 ; 108 - -'-,__--_$1,267---y _-, �� - --- --- ----- -- -- - ---_- __- _,_____.-___ —-- - -,-- ------- --- - 2 � FST ! 1985 1 36 � $422 - --- ------- -----_----- - - '--- - - -- --- --- -i------- -I--- �29,813 - - ------:- ---------- -._- --3-- I -- - CONDO ---- '--------1985 -----� -' - --------_____ _ ----- - --__-------------- --- -- 4 ---. - j _ CARPORT j 1985 j 1 ' $440 Sales Historv - See All 8 sales Previous Owner: PREBBLE KELLY BRUCE & _ _ _. _.. __ ._ ._..._.._-I-�- -- ---._._... ---------� __- __- , --- __...___ - ---- ---- ------ ------- ;- - ------ - --_-_�-_____ g Type � �Condition� Amount Month/Year I Book/Pa e � C de i , I -- - -- --- -- -- -------- ---- -- --- _ - --- �- - - - ---- -- -----.��.--- - �-------_- ----- ' 08/2013 I 8917 / 1380 'Warranty, 01 i Improved; � ; Deed ; $42,000 , --- -- - -- -- - � -- - - - - ---__ - -- - . --- -� - - - - ------- -- � j � Quit- � , - ---- - - --- 08/2013 i 8917 / 1378 j Claim � 11 I Improved' $0 � Deed � � � . . _ - -- -----_.; --- --- -- -- - i ---- - - - -- - - - -- - - - - -- - - p �- �35,000 . i ; Contract ; 'I 05/2013 8917 / 1371 j for Deed i O1 : Im roved , , � htt ://a raiser. asco ov.com/search/ arcel.as x? arce1=212615017E0060000B0 3/4/2015 r rr r � r r r I s�saso-oazo � City of Zephyrhills Permit Application Fax-813-780•ooz� Building Department pate Received Phone Contact far Permitting . , Owner's Name ��'Q'� ��.�Jr �l U�1�tl�� Owner Phone Nurrtber ".•�-��'S' �f,��-��j ��6,,,rs' �� Owner Phone Number 4wner's Acldress — — Fee Simple 7itleholder Name � � � � Owner Phone Number _ I �� _ . . 'I Fee Simple Titleholder Address � I JOB ADDRESS �� vl LOT# [� ' SUBDIVtS10F! �� PARCEL ID# 1 i • (OB7AINEp FROM PRQPERTY TAX MOTIGE) '� WQRK PROPOSEO e NEW CONSTR 8 ADDtA�7 [� SIGN [�] Q DEMOLtSH INSTALL REPAIR IPROPOSED USE [� SFR [� COMM. � 07HER 7YPE OF CONBTRUCTION° [� BLOCK Q FRAME � S7EEL Q i� DESCRIPTtOTi OF WdRK � i ; BUILDING SIZE � � SQ FOOTAGE�� HEfGHT � � t QBUlLDkNG � VALUATION OF TOTAL CC}NSTRUCTtON QELECTRlCAL �^� AMP SERVICE Q PR�GRESS ENERGY Q W.i2.E.C. QPLUMBING $ _ , QMECHi4NICAL ri � VAI.UATION OF MECHANICAL INSTALLATION � � OGAS Q ROOFING Q SPECIALTY � OTHER . FINISHED FLOOR ELEVATIONS ,� � FLOOD ZONE AREA �,�,JYES NQ BUlLDER CQMPANY SIGNATURE REGISTERED Y P N FEE CURRE� Y!N Address License# � �—�� ELEGTRICIAN CQMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Addzes� - License# �— � � PLUMBER � COMPANY S1GNA7URE REGISTERED Y/ N FEE CURRE� Y/N Address license# �— � MECHANICAL COMPANY SIGNA7URE RE�isreR�� Y/ N FEE CURRE� Y/N Address �—...�—... l.icense# � � OTHER .�--'°'�� COMPANY .fn�� v p{^ 51GNA7URE � REGI57ERED Y/ N FEE CURRE� Y/N Address t License# �r�r,�� -��!�.� � RESIDEIdT1AL 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,Con'struction Plans,Starmwater Plans w!Sitt Fence insta�led, Sanitary Faciltties&1 dumpster;Site Work Permit for subdivisiansAarge projects COMMERCIAL. Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consbuction. � Minimum ten{1d)working days�after submittat date. Required onsite,Construc8on Plans,Stormwater Plans w!SIIt Fence(nstalled, Sanitary Facilitles&1 dumpster.Slte Wartc Petmit for aii�ew pro)ects.Aii commercial requlrements must meet compifance 51GN PERMIT Attach(2)sets of Engineered Plans. '�'*PR4PERTY SURVEY required for ali NEW constructtan. Directlans: Fill ouk appllcation completefy. � Owner&Contractor sign back af application,natarfzed � lf ovAr 52500.a Notice of CammenaemeM is reqwlred. (A!C upgrades over�75Q4j '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with na'ta�ized letter�rom awner auEharizfng same OVER 7HE COUNTER PERMITTING (Front af Application Only) 4eroofs tf shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivewayrs-Not over Counter If on public madways..needs ROW . , NOTICE OF DEED RESTRICTIOfVS: The underslgned understands that tHis.permit may be subject to"deed"restrictians" ; which may be more restrictive than Counf},r regula#lons. The undersigned assumes responsibility for compliance with any applicable deed restrictions. " UNLlCENSED GQNTRACTQRS AAID Ct?NTRAGTt?R f3ESPQNSiB1LlTIES: If the awner has h�red a cantractor or contractors #o unde�take work, they may be required ta be licensed in accordance with.state.and�local regulations. If the contractor is not licensed as requlred by law, both the owner and contractor may be cited for a misdemeanor violation under state law. 3f the owner or intended contractor are uncertain as ta what licensing.requirements may appEy far the intended wark, they are advised to cantact the�Pasco County Building Inspection Divislon—Licensing Section a#727-847- 8009. Fu�thermore, if the owner has hired a contractc�r ar contcac#ors, he �s advised to have the contractor{s} sign portions of the "contractar Black" of this applica#ion for which they wiil be,responsible. If yau, as the owner sign as the contractor, khat may be an indication that he is not properly licensed and is no# entitled to permit#ing privileges in Pasco County. TRANSPORTATI�N IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY F�ES: The undersigned understands that Transportation Impact Fees.and Recourse Recove.ry F�es maY aPp1y to the construction of new buildings, change of use in existing buildings, or expansian of existing`buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned alsa understarids, that such fees, as may be due, wIl1 6e identified at the time of permitting. 1# is further understood #hat Transpartation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or fina! power release. !f the project does not involve a csrtificate af occupancy or final pawer release, the fees must be paid prior to permit issuance, Furthermore, if Pasco Caunty Vllater/Sewer Impact fees are due, they must be paid priar to.permit issuance in accordance with applicable F'asco Couniy ordinances. GONSTRUGTION �1EN LAW{Chapter 793, Florlda Statates,as arnended}: !f valuation of work 1s$2}500.00 or mare, 1 certify that I, the applicant, have been provided wi#h a copy of the °Florida Constructian l:ien Law—Homeowner's Protection Guide" prepared by ths Florida Depattment o#Agriculture and Gonsumer Affairs. 4f the applicant �s someone other than#he"ourner", I certify thaf I have_abtained a capy of the above described document and promise in gaod faith to deliver it to the"owner"prior to commencement. CQNTRACTOR'Sl+DWNER'S AFfIDAV1T: 1 certify that ail the fnfarmation in this application is accurate and that ali wark will be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is hereby made to obtain .a permit to do werk and instal}a#ion as ind9cafed, i cer�Efy that no work or Installation has cammenced prioc to issuance of a permit and that all work wiil be performed to meet standards of ail laws regulating- construction, County �and City codes, zoning reyulatians, and land development regulatians in the jurisdiction. I also cectify tha# ( understand that the regulations af othet governrnent agencies may apply ta the intended wark, and that +t is my responsibility to iden#ify what.actions I must take to be,ln.compliance.. Such agencies include but are.not limited#a: - Depactment of Env4ranmentaf Pratection-Cypress Sayheads, Wetland Areas and Env�rortmentally Sensitive l.ands,Water/Was#ewater Treatment. - Sauthwest Florida WaEer Management Disttiet Welfs, Cypress. 8ayheads, Wetiand Areas, Aitering Watercourses. - - Army Corps of Engine�rs-Seawalls, Docks, Navigable Waterways. - Department of Health & Retiabilitative SetviceslEnviconmental Hea1tE� Unit Vttells, Wasfewater Treatment, Septic Tanks. - US Environmentai Protection Agency-AsbesEos abatement. - Federal Aviation Authority-Runways. . I understand that khe following restrictions apply to the use of ffA:� - Use af�I!is not allowed in Fiood Zone°V"unEess expressly permitEed. - If the fill material is to be used in Flood Zone ."A", it. is understood that a drainage plan addressing a "compensating valume" wil! be submltEed a#time of perm�ttirtg which is prepared by a professional engineer licensed by khe S#ate of Florida. - if the fill material is to be used in Flood Zone "A" in connectian wlth.a perrr�itted buitding using stem �raf! construction, i cerfify thak fill will be used only#o fill the area wikhin the stem wail. - If fill material is to be used in any area, I _certify that use of suah fill will not-adversely affect adjacent properties. f#use of fill is found to adversely�.affect ad�acenf properties, the awner may be cited for vioiating ihe conditions of the building permi# issued under the attached permit applica#ian, for lots less than one (1) acre which are eEevated by flll,an engineered dra3nage ptan ls required.. If I am the AGENT FOR THE OVIINER, I,�promise in gaad faltb to infarm the orivner of the permitting conditions set forth in this afficlavit prior to commencing construction. I understand that a�separate permit may be requtred for etectricai work,, plumbing, signs, wells, poals, air�eanditianing, gas, or other installations nat specificatly inciuded in the applicatior�. A permit issued shall be construed to be a license to praceed with the work and not as authority to.violate, cancel, alter, or set as3de a'ny provisions af the technlcal codes, nar shalE issuance of a permit preve�tt#h�Buitdirig Of�icial from therea#ter requiring a correction of errors in plans, construction or violations of any codes. Every permi# issued shall became invalid un4ess the w�rk au#harized by such permit��s commenced within six months af permit issuance, or if work authorized by the permit is suspended or abandoned for a periad of six(6)months after the time the wrork is commenced. An extensio� may be requested, in writing, from the Building.O�cial for a perfod not#o exceed ninety {90) days and will demonstrate justi�able cause for the extension. If wark ceases 1`ar ninety{90�consecutive,�days,.the job is considered abandoned. 1NARNING TO C}WNfR: YUUR �FAILURE TU RECURD A NOTICE OF CQMNIENCEMENT NIAY RESULT IN Yt?UR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND�TO OBTAIN FINANCENG� CONSULT WITH YOUR lENQER OR AN ATTORNEY BEFURE RECORDlNG YOUR NOTICE OF COMMENCENlENT: . FLORtDRJURPIT(F.S.1f7.03} '_ -_ _ .- -- - - ---- - ----__ __ .__�_._____,__._ __ _ QWNER�R At3ENT CONTEtAC7C?R 8ubscrtbed and sw4m to(ar afR�med}befare me this Subscribed and swom#o(or affirmed)befare me this bY �bY Who is/are personally known to me or has/have produced Who Islare persanally known td me or haslhave produced as IdentlticaUon. as IdenHfication. Notary Public Notary Public i Commission No. Commtssion.Na. Name ot tVatary typed,printed ar stamped Rlame af Notary fyped,p�inted or stamped CITY OF ZEPHYRHILLS 5335-8TH STREET �sis)�so-oozo 1606 � ` " BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16062 Address: 4542 BLOSSOM BLVD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017E-00600-OOAO Improv. Cost: OWNER INFORMATION Date Issued: 3/04/2015 Name: SWEENEY, EMILY Total Fees: Address: 5020 GRENADIER AVE N Amount Paid: OAKDALE MN 55128-2654 Date Paid: Phone: Work Desc: REROOF SHINGLE ( SEE BP#60-BP#63) CONTRACTOR S APPLICATION FEES YOWELL' ROOFING Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP 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 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 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 City Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE � PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Page 1 of 1 � � Z ', �� Mike Wells Pasco County Property Appraiser , Data Current as Of: Weekly Archive - Saturday, February 28, 2015 Parcel ID 15-26-21-017E-00600-OOAO (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value SWEENEY EMILY Ag Land $0 5020 GRENADIER AVE N Land $4,734 OAKDALE MN 55128-2654 Physical Address Building $31,942 4542 BLOSSOM BLVD Extra Features $0 ZEPHYRHILLS FL 33542-5668 Leqal Description (First 4 Lines) Just Value $36,676 ORANGE BLOSSOM RANCH CONDO 5 CB 1 PGS 26-27 BLDG 6 UNIT A& Assessed (Non-School Amendment 1) $36,676 ' COMMON ELEMENTS I OR 9123 PG 1803 I 7urisdiction Taxable Value $36,676 �� City of Zephvrhills Land Detail (Card: 001 of 001) ---------- r-- -----__._.__,—__________.�._____--- ---,----__._------�----�-----,----., __------ --- - __ Line ! Use ��Description;_ Zoning C _Units __; _Type_ � _ Pr�ce ;Condition; Value 1 1 �0400 i CONDO ; OOR4 � 1.00 j UT ;$4,734.00� 1.00 ' $4,734 Additional Land Information , --- ----- -,--- — ----,---- ___-----------------___.._------------- ----- ----- - --------_ ; ; i Acres i 0.00 j Tax Area i 30ZH C de � -- 4�esidential Code� 40BR Buildinca Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1985 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 - - --------Line- ---__--J-------.._Description____._�!------Sq. Feet- ------ -"-- _Repl. Cost New --- 1 � BAS 864 ! $0 - �----- ----------- - --_ - - ---_- -- -__—'- ----- ---- - __ --- - - -__ __.,.---- � I ! -----—._ --�----._.__._..-� --- ----- FSP---------=------ 108 �� ------- - 3 i FST � 36 --- - -- -� --------�� - Extra Features (Card: 001 of 001) - --- ----- ----------- ------- -----------,-------------� � . -- ---------•------------------- ' Descri tion ' Year � Units ' Value Line � ; � p____. --;------------------ --.._.. _ ----- -- --�------ ____�.______------___._---- --- -.._._..--------..__,_.._... --------- 1 i FSP I 1985 �-- --_---108 _ - ----;--- -, $1,267_ -- --- ----- - --- ------�----------_---------I------------ -----, 2 : FST �_- ----- 1985----- '------36---�-----�- - ---$422--- ------------- ---------_---- ---- , -- 3 j_ __ CONDO � 1985 � 1 i $29,813 --- ._._.._. .------ ---3 ---- __.----i---- ----------- !------ —--------I---_ _ $ 4 � CARPORT � 1985 '; 1 440 Sales Historv- See All 9 sales Previous Owner: CHOUINARD LEOPOLD TRUST ----- -- -------.I__---------------- -- -- ----•--- Month/Year Book/Page ; Type � C de ;Condition; Amount ---- ___--- ---- ---------- --------- - --- �---- ---,-------__ ,----� ----•------- --------- - li/2014 � 9123 / 1803 �Warranty� 01 �Im roved' 44,500 i ; Deed � � p � - --- -- ------ -�---- ------ ----- ---- --------- --- ----- -- --- -- -- - - -- ----------— ' Quit ' i} ' 09/2014 ( 9123 / 1801 ; Claim 11 ! Improved! $6,100 � Deed � � - - - ----- - ---- - -; - - - -- - - - ' � -- -- ' - - --- -- - - - ----.._ ._ .._,_-------- - - --- 10/2013 ' 8953 / 3456 i Warranty� 01 � Improved� $38,500 ! � Deed ! , http://appraiser.pascogov.com/search/parcel.aspx?parce1=212615017E0060000A0 3/4/2015 s�aasa-oo2o City of Zephyrhills Permit Applicatian �ax s�a-�so-oa2� Building Department Date Recaived Phone.Contact for Permitting ' — Owner's Mame � �}�/ �'' J�.S'�5d�'1 �^�'' � Owner Phone Number Owner's Address G/,� ..7 LP %�C7.3 S 4'Il�l /� Owner Phone Number �— � Fee Simple Titleholder Name �— � Owner Phone Number � � Fee Simple Titleholder Address JOB ADDRESS "( � L/ � ��"�� fv I.OT# �_____� SUSDtVISIt}N �^ � PARCEL Id# (48TAINED FROM PROPERTY TAX NO710E) WORK PRQPQSED e NEW CONSTR 8 ADDtALT � SIGN Q Q DEMOLISli . INSTALL REPAIR PRQPOSED USE Q SPR Q COMM 0 O"tHER 7YPE OF CONSTRUCTION Q BLOCK Q FRAME , � STEEL Q � �.-,�- DESCRIPTiBN OF WOR1C /� � BUILDING StZE �� SQ Ft74TAGE�___� NEIGHT �`� �BUILDING �i ~---�_� VALt7ATtON OF TOTAL CONSTRUCTION DELECTRtCA� �6__--'_� AMP SERVICE � PROGRESS ENERGY CJ W.R.E.C. QPLUMBING �'> � QMECHANICA{. ri ^� VALUATION 4F MECHANICAL lNSTAf.tAT10lV . L �GAS Q ROOFING Q SPECIALTY � C?TNER FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO BUILDEFt CQMPANY i, SIGNATURE __ ReGis7EReo Y/ N FEE CURRE� Y/N ( Address License# �� _� i — , � I! EI.EC7RtC1AN COMPANY I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Add�ess License# �_ � � ' PI.UMBER COlUtPANY SIGNATURE ,,,,_,"_„_,,^,_.,, REGISTERED Y/ N FEE CURR6� Y/N � Address license# � `� MECHANICAL � COMPANY 51GNATURE REGISTERED Y I N FEE CURRE� Y/N Add�ess '--—_ license# �� ,,.�r-""�.Z C3TNER CONtPANY � � r �p �I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address r�� ( �7'�f�z"�'l t license# �`�� ,. � RESiDENTlAL Attach(2}Piot Pians;(2}sets of Buitding Pians;(1}set af Ener�y Forms;R-O-W Pem�it for new construction, Minimum ten(10)working days after submitta►date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisionsAarge proj�cts ;.OMMERCIAL Attach(3}complete sets of Buliding P1ans plus a life Safety Page;{1}se#of Energy Forms.F2-O-W Permit for new constrerotton. ,_. .. Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllities&1 dumpster.Site Work Permit for all new proJects.All cammereial requicements must meet compliance SlGN PERMtT Attach{2}sefs of Engineered Plans. ""PROPER7Y SURVEY required far all NEW construction. �I�actians: Fill aut application completely. i Owner&Cantractor sign back of application,notarized If over�25d0,a Natice of Commencament is required. (A/C npgrades over�7508) '" Agent(for the contractor)or Power of Attomey(for#he owner)would be someone with nota�ized letter from owner authorizing same �VER TNE COUN7ER PERMI'F'1'iNG {Front of Application Only} - ' �eroofs if&hingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs F20W NOTICE O� DEED RE�TRlCTIONS: The undersigned understands that�his permit may be subject to"deed"restric�io�s" � vuhich may be more restric#1ve than County regulations. The underslgned assumes responsibility for cotttplianae witFt any applicable deed restrictians. UN�ICENSED Ct'}NTRACTGRS ANQ Ct?NTRACTOR RESPQNSlBI�tT1ES: tf the owrter has hired a cantractar or contractors to undertake work, they may be required to be licensed in accordance with sta#e and�local regulakions. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state iaw. #f the owner or intendad contractor are,uncertain as ta what licensing requirements may appiy far the intended wark, they are advised to contack the Pasco County Building Inspection Divislon—Licensing Section at 727-847- �� 8009. Furthecmore, if fhe awner has h�red a contractar or contractors, he Es adv9sed to have the contractar{s) sign portions of the "contrackor Black" of this applica#ion for which they will be responsible. If yau, as the owner sign as the contractor, that rnay be an indication that he is not properly licensed and is nok entitled to permitting privileges fn Pasco Counfy. TRANSPORTATION IMPAC77UTIL.ITIES IMPACT AND RESOURGE RECOVERY FEES: The undersigned understands that Tcansportation Impact Fees and Recourse Recovery Fees may apply ta the constructian of�tew buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be identi�ied at the time of permitting. lt is further understood that Transportation lmpacf Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final pawer release. !f the project does not involve a certificate of occupancy ot final power release, fhe fees must be paid prior fo permit issuance. Furthermare, if Pasco County Vltater/Sewer impact ' fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances. CONSTRUCTiON LIEN LAW(Chapter T13, Floricfa Statate��as amended): If valtaatlon ot work is$2,500.00 or more, 1 certify that I, the applicant, have been provided wi#h a copy of the "Florida Construction Lien Law—Hameowner's �, ProtectRon Guide° prepared by the Florida Department of Agrieulture snd Consumer Affairs. If the appiicant is someone other than#he"awner�, I certify that I have obtained a copy of the above descrlbed document and promise in good faith to deliver it to the"owner"prior to commencement. CUNTRACTOR'SIOWNER'S AFFIDAVIT; 1 cert�fy tha#all the Information in thEs appllcatlon is accurate and #hat all work will'be done in campliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to abtain .a permat ta da work and inskailation as indicated. i certify that no work ar instalEation has cammenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating constructian Count and Cit codes zonin re ulations and land develo m , y y , g g , p ent regulafions �n the }urisdictic�n. ( aisa cer#ify that 1 understand thaf�he regulatians of other government agencies may apply Eo the intended work, and that it is my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited ta: - Depa�tment afi Etiv�ronmental Protection-Cypress Bayheads, Wettand Areas and Enviranmentaily Sensifive Lands,Waker/Wastewrater Treatment. - Sauthwest Florida Water Management District We!!s, Cypress Bayheads, Wetland Areasf Aitering � Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays. - Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wel{s, Wasteuvater Treatment, Septic Tanks. , - US Environmental Frotec#ion Agency-Asbestos abatement. - Federal Aviation Authorlty-Runways. I understand that the fallowing restrictions apply to the use of fiU:� - llse of fill is not allowed in Ftood Zvne"V"unl�ss expressly permitted. - If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a "compensating voiume" will be submttted at time of permitting which is prepared by a professianal englneer licensed by the State of Florida. ' - !f the flll material Is ta be used in Flood Zone "A" in connection with.a permitted building using stem wal! � construction, I certify that fi8 wiil be used only to fil(the area within the stem wall. ' - If fill makerial is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fiN is found #o adversely affect adJacent pr.aperties, the awnet may be c3teci for violating the canditions of the building permi# issued under the attached permit application, for lots less than one (1) acre which are efevated by fifl,an ertgineered dralnage plan is requlted. If I am the AGENT FOR THE OWNER, i,promise in good faith to inform the owner of#he permitting conditions set farth in this affidavit prior to cammencing construction. I understand that a separate permit may be required for eleckrical work, plurnbing, signs, wells, pools, air concfitioning, gas, or other instaltatians not specificaily inciuded in tMe applicatian. 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 techn�cal codes, nor shall issuance of a permit prevent the 8uilding fl�clal fram thereafter requiring a correctio� af errors in plans, construction or violations af any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six mon#hs of permit issuance. or if work authorized by the permit is suspended or a6andoned for a period of six(6) months after the time the work is cornmenced. An extension may be requested, in writing, from the Building l7fficial for a period not ta exceed ninety (90) days and will demonstrate justifiable cause for#1ie extensian. If work ceases far nl�ety(90)consecutive days,the�job is considered a6andoned. WARNlNG TO QWNER; YCtUR FAlLURE TU RECQRQ A NQTI+CE Ct� COMMENGEM�NT MAY RESURT IN Y�UR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T(J OBTAIN �INANCING� CONSULT WIT'H YUUR lENDER�?R AN ATTtJRNEY BEFORE RECQRDlNG YOUR NQTIGE OF COMMENCEMENT. FLOf2lDA JtJRAT_(F.S.19.7.q3} — - --- - -— - ; -- OWtdER OR AGENT CONTRACTOR Sut�scfibed and swom ta(ar affirmedj befare me thls Subscribed and swom to{or affirmed}befare me this by by ' VYho islare personaUy known ko me or has/haue produced Who Is/are personaAy known to me or has/have praduced as idenUficatlon. • as iden�ficatian. Notary Public Notary Pu61ic Commisslon Na. Commisslon Na. Name of Notaty typed,printed o�stamped Name of Notary iyped,printed or stamped �IIIIIIIIIiiIIIiiIIII4I111111�111111111111�IlIl�IIIllllllllll a¢�i��2z9 `___----------- � 9 �' 1653429 �eC: 1�.� Rcpi.� iT: 0.00 D5: 0.00 , DP{,y �lerk - 0111312015 C. F.______—._--- PAULA 5.0`NEIL�Ph D PRSCO G1ERKpf G1PIPTROI-LER 01/�R a 01� i�"t� P� ��_— NCD�'ICE �D�'Cd.�11i�MEN�CEIV�ENT Pern�i�Na._..._ Property identificatton No. i5-26-21-d17E-00600-QOCO THE�FNI3ERSTGNED hereby give inforrns you that the impravement will be made to certain,rea]property,and w accordance with Sectio�723 13 of the F�orida Statutes,the fallowing infarmatian is pravided in this N6)TICE O�'C(�MMEN�CElWIENT. I 1.Des�ription ofpropercy{legal descr.rptior:;) ORAI'1GE BLOSSOM RANCH CONDO 5 CB 1 PGS 26-27 BLDG 6 iTNIT C&COMMON a),Stceet Address: 4536 BLOSSOM BLVD,ZEPHYR.HILLS,FL 33542 2.Gen`rat descnption of improvennent�s: REMOVE AND REPLACE SHIN � 3 Owner In�armation � IS-26-2I-01'7E-00600-OOCO j r a�ti"ame ai�d address �r�'�y,� �/�s S a n'1 �R�v� � (�o rrC�� b)Narz�e and address of fee simple titleholder(if other than qwner) 4536 BLOSSOM BLVl�,ZEPIIY1tIITLLS,PI,3�5�_ c}Interest in property 100°l0 4 Can actar Information a�Name and address• YQWELL'S ROOFING COMPANY,222Q ULD GY�RESS CREEK RD,LOL,FL 34639 b)Telephone No : g 13_944-4561 Fax No. {4pt.) 813-948-6102 . S.Sure y Tnforn�ation a}Name and address: ��' � bl Amount of Bond: c)Telephone NQ.� _ �ax No. {Opt.}� - - b�.en er � a)Name and address: i�i� Phane No, 7. Iden ity c�f persan wit}un the State c+f Florida designated by owner upon whom notices or other documents may be served: a)�fame and address• GAIL BACKMAN-37724 ALISSA DR,ZEPHYRHILLS,FL 33542 � b)Telephone I'1o.: cs I 3 -�7 �S�'s'� 3 5��` Fax No.(QpC.� -- S.ln addition to himself,owner designates the following person to receive a copy of the Lienox's Notice as provided in Section 7I3 13�(1){b},Flozida Statutes. a)Name and address: �(�J�- b)Telepl�one Na.. Fax No.{Opt.) � _ 9.Exp' atinn date of Notice of Coznme;ncement(the expizarion date is one year from the date of recordmg unless a different date is specifi d)� ._ WARNING TO QWNER: ANY PP,YMEI+tTS MADE BY T�fE 4W�IEFB A.F'TER TFIE E�KPIRA.TION 6�F'I'I3.�E Nt?`I'ICE�3F COIYII�Y]ENCEMENT AI2E COI�TSII"JER]ED YIVipR07PE7Et PAYM�NTS UNDER CIiAPT7ER.713,P�.RT I,SE�CT'ION 713.x3, FLORrI)A STATUTES,AND CAN]RESULT IN YC9UR P.�YIN�TWICE FC�R 1MPRC9`�EI�Y�NTS TU YOUR PR�3P�RT'Y'. . A 1'�d'�'TCE O c� COMlYi[�T3CEMENT MUST BE REC0�3I1ED_A1�tD POSTED ON THE J�OB SI'd'E BEF(�RE THE FIRST INSP��TI{?N. 1F YOU II�TEND TO+�BTAIN FINANCIN�,C+tJNSULT Yt�UR LIEN93EI2 OR AN ATTOP.1�tEX BEFOR� COMMEN�II�G WflRK OR RECO�tDING�QUR lYt}TICE OF C{�MMENCEMENT. sT.aTE I F FLCIRIDA CC3Ull'T� t7F PASCO �• � ��"'� Si ature of Orvner ar O er's Authorized Officerll3ireclorlPartnerlManager Jt ��4G L... L � �f—l-GK.r�N,�-r� __ Pnnt Name The foregoing instrument was acknowledged before me this t9 T� day af J�'I�� ,20�''��b ° L.. ��C�f�.r'�11.1 � as (type of authanty,e.g,af cer,trustee,a rney � in fact)for (name of party on behalf af whozn instrument was executed �!�C�t"��'R��"' Pe son�llv linown OR Praduced Idenhfication Nota Si nature —�'�"��.� z , �, zY g _ i �'" - Type o�Identificatton Produced Name(print) __ _ ,��----� ,. ..�,. . M'r��'' J4HN G.YQ , :+� � MY C MISSION�SR. Venfication ursuant to Section 92.525 Florida Statutes.Undet enalties of er �i-e th��l�:e��2�f8�or oitio ancl that � � � � � � i�,•••.. • 6anded Thrv Nolary PuWic UndanvriEcts the facts stated in it are hue to the best ofmy lrnawledge and belief. 'Rf��'� � � _=.�:�_��_ _ --___ Sign ure oFNaiural Pcrsan Signing f�bove FORMSlNOC,rv5d2007 1 I.8 �{2��'l��11f1d3C1 ' ` • _ 2��11�?�1dW0��;i��1��O�t.4JO c=t/1(ldd Z SIHI�H�S 1d1�1��0 �Nd�J[�ldH�l�N SS�N111�1� ��I��O SIHl M a�10��8i ld�'G��J �71�� 1N��rV(1�04 3Nl�U�1d0�-L�'��u�''d��1 �/SI JNIOJ��O��Hl 1`dHl�l�ai I��J 01_Sf SIHl �� o A�.�n��`t/��c�� .�.�s �-��;�� m� �� ?�r'�� '~=�:y��_a a�� '�'� �x�'��.,� .�.,�� ' ��.� �S>' ��`,"'�.`-� �d �S' � ° .� �� .. r��;��=t: � �� 4'ni ''�:Y1;=a'� '?;`�:� a°9 �1 �.s�;�� r_ �E�>�Z�,. '`'4� „"�� a`•� ,A`.�.r:" � �J _, :.ti,,?b;�.�F$, ` +� '��.�c �� ._*f.�.�,e,�rE�� T�i°�C�C' �LQF21'Ja�, �€��.I�!T1'C3�=��C� THIS IS TO�FF i iFY TNAT Th� FOP,EGOING IS A TRUE P,.NC� CORRECT COPY 0�T�I�DOCUPJ(ENT ON FIL�UR OF PL'S' . .CGRD I THIS OFFICE WITN Y HhN AN�U -�IC A S��1L TNIS ---�� ` G 2��L�� PAUL/�S O' EIL, CONfP I ROLLER BY DEPUTY CLERK CITY OF ZEPHYRHILLS 5335-8TH STREET �ais��so-oozo 1606 • � BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16063 Address: 4540 BLOSSOM BLVD Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH � Est. Value: Parcel Number: -15-26-21-017E-00600-OODO ' Improv. Cost: OWNER INFORMATION � Date Issued: 3/04/2015 Name: RINEY, BETTY 'i Total Fees: Address: 4540 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL 33542 � Date Paid: Phone: Work Desc: REROOF SHINGLE - SEE (BP#60-BP#63) CONTRACTOR S APPLICATION FEES YOWELL' ROOFING � Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL REINSPECTlON 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� 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." i Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with ! Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Page 1 of 1 ��3 , � Mike Wells Pasco County Property Appraiser Data Current as Of: Weekly Archive- Saturday, February 28, 2015 Parcel ID 15-26-21-017E-00600-OODO (Card: 001 of 001) Classification 04- Condominium Mailing Address Property Value RINEY BETTY J Ag Land $0 4540 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542-5668 Physical Address Building $32,449 4540 BLOSSOM BLVD Extra Features $0 ZEPHYRHILLS FL 33542-5668 Leaal Description (First 4 Lines) 7ust Value $37,183 ORANGE BLOSSOM RANCH CONDO 5 CB 1 PGS 26-27 BLDG 6 UNIT D & Assessed (Save Our Homes) $35,664 COMMON ELEMENTS Homestead 196.031 - $25,000 oR 5181 PG 217 Non-School Additional Homestead Exemption - $0 Jurisdiction Citv of Zephvrhills Taxable Value $10,664 VUarning: 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) ---r-- ----- Line i T Use (Description� Zoning j__Units ;� Type___�__Price _�Cond--i-ti-o-n-�' Value � 1 � j 0400 j- CONDO�� OOR4 � 1.00 j UT �$4,734.00� 1.00 I $4,734 Additional Land Information ----_____ _.---�-- ----;------- ____--__-_.__._----�--------- Acres � 0.00 � Tax Area i 30ZH j C de � X �Residential Code� 40BR � Buildina Information - Use 04- Condominium (Card: 001 of 001) Year Built 1985 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 _____ _ __ Line Description Sq. Feet _ _1, ___ Repl. Cost New ---------. 1 —__-__- � - ��`--BAS _---T- -�---- 864_-_ _ i _ _-$0 _.__ _� ------- 2 FST � 36 ��--------� --�------- 3-----__�__�_____..�FEP_---_-__--�--------108---- , �O Extra Features(Card: 001 of 001)� -----�----- ------ --- - -- - - -- - --- -- --- - - - -- - Line Description_� Year � Units � Value -----..._..----------- ----____�_._.. ,--__---_-_—__-____ --------..�_._.----------___--------_�._ 1 � FEP � 1985 � 108 �__ $1,774 -_----._...�_-------- _- ------- �. 2 FST � 1985 ��-� -V-- 36 ---�-�1 $422�----'�_ --- ' -!--------- --- 3------�--CONDO , i_------1985�- 1 i_,_�29,813---- ----------- 1 __--�-------__------� ------ 4 I CARPORT j 1985 ; 1 ; $440 Sales Historv -See All 5 sales Previous Owner: CIOFFI]AMES A - --___.__.___---- _.�._._---�..---- -_.�_---.�.______._____---_.__._._-----.-'-- DOR T�---�__^_.-�---._—__ Month/Year I Book/Page � Type i Code (Conditioni Amount ___`__._�,___'__4_.__"_""__"__��°A'_ _'__"__'"�____.__..____-�-"__�`_T ,�._�___"_'"S'_'�_",_-��"__'.____.�_____'-____'_.�..""_"_ 12/2002 ' S181 / 0217 �Warranty� �Improved; $49,800 i Deed i � , , -------------- --- ------------------------�-------;----- ------,-------,--------------- Quit , 10/1999 5074 / 0411 Claim { � Improved� $0 � Deed ' i ---- -- --------- ------------------------ �-------- � 1 Warranty; ��-----.-------------_ _— 07/1985 I 1447 / 1535 � � i Improved i $41,000 i Deed http://appraiser.pascogov.com/search/paxcel.aspx?parce1=212615017E0060000D0 3/4/2015 s�s-�so-oo2o City of Zephyrhills Permit Application Fax 813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name �/�•/�' '� 0 sS0,o1 /�A/C{C Owner Phone Number Owner's Address ,�(P !7/°,f s d /Y Owner Phone Number Fee Simple Tttleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � �� /Gfs D"1 �C LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �� BUILDING SIZE SQ FOOTAGE� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address License# MECHANICAL COMPANY 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# DTHER COMPANY �"U° � �� 51GNATURE REGISTERED Y I N FEE CURRE� Y/N Address ��0��l` �"L��/Y'�� License# 2%r��5,�.s�� 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 ;.OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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 commerciai requirements must meet compliance 51GN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructlon. �irections: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement ts required. (AIC upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �VER THE COUNTER PERMITTING (Front of Application Only) �eroofs 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" resfirictions° which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTR14CTORS la►ND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance v+rith state and local regulations. If the j contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation I under state law. If the owner or intended contractor are ancertain 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. TR�►NSPORTATION IMPACTIUTILITIES IMPAC'T AYVD RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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. COIVSTRUCTION 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 ConstFUCtion 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. CONTFt�►CTOR'S/OWNEFt'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work wrill 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" wrill 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 Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If 1 am the�►GENT FOR THE OINNER, 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 Buildirig 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 i justifiable cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned. WIARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT IIAAY RESULT IN YOUR P/4YING TWICE FOlZ IflAPROVEI1flENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IAIITH YOUR LENDEIZ OR AN�►7TORNEY BEFORE RECORDING YOUR fVOTICE OF CO�IAMENCEMENT. FLORIDA JURAT(F.S.117.03) ' ' � ' � � � � � OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me thls Subscrlbed and swom to(or affirmed)before me this by bY Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as IdenUfication. as identification. Notary Public Notary Public ICommisslon No. Commission No. Name oF Notary typed,prfnted or stamped Name of Notary typed,printed or stamped -- �