HomeMy WebLinkAbout18-20156 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20156
BUILDING PERMIT
PERMIT-INFORMATION - LOCATION INFORMATION=
Permit Number: 20156 Address: 5928 NEWBERRY CT
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0250
Improv. Cost: 8,942.00 OWNER INFORMATION
Date Issued: 8/24/2018 Name: KEMPEN, ALICE
Total Fees: 127.50 Address: 5928 NEWBERRY CT
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/24/2018 Phone: (813)788-0030
Work Desc: REPAIR CAR DAMAGE TO HOME
CONTRACTORS APPLICATION FEES
W.A. NEUMANN CONSTRUCTION INC BUILDING FEE 127.50
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
rr�a n ron
City OiZephyrhills �
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: .P,U/Y i�7 �r'1 101647»
Date Received:
Site:
Permit Type: �1j®w e—
(f - hZ /%J
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Aj
"Date
earl i3°`n Swe —Pl Examiner Contractor and/or Homeowner
(Required when comments are present)
2018140367
A vrvn RuOaMO—RETURN TO:
Rept:1983480 Ree: 10.00
DS: 0.00 IT: 0.00
08/20/2028 J. R., Dpty Clerk
PERMIT NUMBER:
, NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real Property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement.
I. DESCRIPTION OF PROPERTY(Legal description ofthe property&street address,if available)TAX FOLIO NO.:�0'Z6'Zl-W20-ppppfl•D250
SUBDIVISIONWt i;YA-0�klarwr'P1aea2-Xz BLOCK TRACT LOT BLDG UNIT
2.GENERAL DESCRIPTION OF IMPROVEMENT: n
Raowc`6ltil(:w--4 tlta,Mt wa\\dua\•oyah:cl,-ttnQA
3. OWNER INFORMATION OR LESSEE INFORMATIION IIFTHE LESSEE CONTRACTED FOR THE IMPROVEMENT:"
a.Name and address:Ar`j a ,�Crw r� C 5�28 NLW L,,Ar T ZG'JVLVt'�.1\S Fl 7�S�Z
b.Interestin property: FEE SIMPLE TITLE HOLDER PAULR 5.0'NEIL.Ph.D.PASCO CLERKi& COMPTROLLER
08/20/201�0'9'0"m P� 597
c.Name and addressoCfee simple titleholder(if different from Owner listed above): OR BK I l 4
4, a.CONTRACTOR'S NAME: NEUMANN CONSTRUCTION,LLC.
Contractoisaddress:30427 COMMERCE DR.,SAN ANTONIO,FL 33576 b.Phonenumber.813-782-9080
S. SURETY(ifapplicable,a copy ofthe payment bond is attached):
a.Name and address:
b.Phone number. a Amount of bond:$
6.a.LENDER'S NAME:
Lender's address: b.Phone number.
I
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes: I
a.Name and address:
�1
b.Phone numbers of designated persons: Q Z U lZ' •LU
8.a.In addition to himself or herself Owner designates of J W LLL
L U) W 0,
to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. L5 C7 O
ZC)U)J O �—
b.Phone number of person or entity designated by Owner. - O O Q N fY a
9. C'3p � W F- uJ
9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final LL, W W U) 0
payment to the contractor,but will be I year from the date of recording unless a different date is specified): ,20_ C) �O = Z Q
y LIL O
WARS 1ING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT F- W W V
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART L SECTION 713,13.FLORIDA STATUTES,AND CAN 2 O 0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE _ ~ d W Y
RECORDED AND POSTED ON THE JOB SUE BEFORE THE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING CONSULT 0 Q O W ix
J t
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OFI COMMENCEMENT. = U U Z
I -:Zl I—=r Q U
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to ® } U m 0 LL
the best of my knowledge and belief. u- W =)Z O _I
(Signature of Owner or see,or Owner's or Lessee's (Print Name and Pr de iI Title/Office).. LL O O
Authorized Ofticer/Director/Partner/Manager) O H
U-i[; W U) Q -.1 Q i
State of [I Of.rig z H Q }
County of (OLLsnfl U) t1 tb
The foregoing instrument was acknowledged before me this �rjs day of6 20
by - !�!c„ng(/1 ,as t. ul 1 L T
(name oaf person) (type of authority,...e.g.officer,trustee,attorney in fad) ,0 •
for
(name ofparty on behalf ofwhom instrument was executed)
Personally Known_or Produced Identification Type of Identification Produced
CHRISTIE K.MAJOR 'e
'o -fiettary Public-Stale of Florida
•: -Commission#FF B9RM 0
My Comm.Expires Nov 2,2019 (Signature of Notary Public)
,� •• t,Type,or Stamp Commissioned Name of Notary Public)
Rev.10-0I-1 (S.Recording) Bonde6throughNallo(WNotaryAss n T
• I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department �7 Q
Date Received Phone Contact for Permitting (J 1 - TJ 1 7z
Owner's Name Ka M7 e-ll Owner Phone Number
Owner's Address 1Jr'.C.t)6C:f CT' h r OC� Owner Phone Number
Fee Simple Titleholder Name I i Owner Phone Number
Fee Simple Titleholder Address rr
JOB ADDRESS eTtol6e r \ GT L , 3 LOT# ZS
SUBDIVISION1NePAqeAl^)nADOr&n011PARCEL ID# .46'21' + QOU •DZ5L7
13 (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK 119+tP C•C_�
BUILDING SIZE SQ FOOTAGE HEIGHT
jO UnBUILDING $ JAI 2' VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
y
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 60#
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
r
BUILDER COMPANY 11 C /1 6-
SIGNATURE REGISTERED Y/ N FEE CURREN Y/Nam+
Address yj }� G JYM License# C • 0,56 as
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREr Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllltltl
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)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,Stonnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
•• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION 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: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 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"W unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE O COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y U NTE TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR OT C OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO umi
Subscribed and swornto(or affirmed)before me this �jbd,,Ks rn t afrirmed)'be me this U m
U_
YbyWho is/arepersonally known to me or has/have produced nally known to me or has/have produced y p oi
as identification. as identification. m n t^
u
�xo�
S2 lT-CJ
Notary Public Notary Public �P o
Q U
Commission No. Co 'ssian No.
ZP—met!
Name of Notary typed,printed or stamped Name of Notary typed,p ted 6r stamped yr•Yp�
1
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Auto-Owners Insurance Company
INSURANCE '
ure•cone•ut eusinert t
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southem-Owners Insurance Company
Insured: Robert M Humphrey
Property: 13301 Omega Ct
Dade city,FL 33525 ?
Claim Rep.: Shawn Henderson Business: (727)530-5461 x 8453
Position: Field Claims Rep E-mail: clearwater.clm@aoins.com
Company: Auto-Owners Insurance Company
Business: P.O.Box 6480
Clearwater,FL 33758
Claimant: Alice Kempen Home: (813)788-0030
Home: 5928 Newberry Ct
Zephyrhills,FL 33542
Estimator: Shawn Henderson Business: (727)530-5461 x 8453
Position: Field Claims Rep E-mail: clearwater.clm@aoins.com
Company: Auto-Owners Insurance Company
Business: P.O.Box 6480
Clearwater,FL 33758
Claim plumber: 300-174516-2018 ]Policy Number: 48-028072-00 Type of Loss: Property Damage
Date Contacted: 6/18/2018
Date of Loss: 6/15/2018 Date Received: 6/18/2018
Date Inspected: 7/9/2018 Date Entered: 7/9/2018 5:08 PM
Date Est.Completed: 7/11/2018 10:27 AM
Price List: FLWH8X_JUN18
Restoration/Service/Remodel
Estimate: 2018-07-09-1708
NOTICE: This is a repair estimate only and not an offer of settlement. All estimate figures may be subject to additional
company review and approval. This is not an authorization to repair or guarantee of payment. Authorization to repair and/or
guarantee of payment must come from the owner of the property. The insurer assumes no responsibility for the quality nor any
deficiencies in repairs.
Auto-Owners Insurance Company
INSURANCE
"tt•Non[•ctz•eusmesf
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southern-Owners Insurance Company
2018-07-09-1708
Miscellaneous
DESCRIPTION QTY UNIT PRICE TOTAL
1. Haul debris-per pickup truck load-including dump fees 1.00 EA @ 136.30= 136.30
2. Engineering fees(Bid Item) 1.00 EA @ 600.00= 600.00
3. Taxes,insurance,permits&fees(Bid Item) 1,00 EA @ 180.00= 180.00
4. Siding-Labor Minimum 1.00 EA @ 195.95= 195.95
5. Screen(Bid Item) 1.00 EA @ 1,400.00.= 1,400.00
Main Level
Main Level
DESCRIPTION QTY UNIT PRICE TOTAL
6. Fascia-metal/vinyl-Detach&reset 20.00 LF @ 2.20= 44.00
7. Soffit-metal/vinyl-Detach&reset 20.00 SF @ 1.95= 39.00
8.; R&R Brick veneer 85.00 SF @ 13.25= 1,126.25
' 9. Mason-Brick/Stone-per hour 16.00 HR @ 47.52= 760.32
10. R&R Sheathing-plywood.-1/2"CDX 32.00 SF @ 2.19= 70.08
11. R&R Siding trim- 1"x 8"_PVC trim board 8.00 LF @ 5.82= 46.56
12.:R&R House wrap(air/moisture barrier) 32.00 SF @ 0.31= 9.92
13. Carpenter-General Framer-per hour .12.00 HR @ 64.59= 775.08
Garage height:81
Missing Wall.-,Goes to Floor 9'X 71 Opens into Exterior
DESCRIPTION QTY UNIT PRICE TOTAL
14. Contents-'move out then reset Extra large room l'00 EA @ 126.86= .126.86
15. Window blind-horizontal or vertical-Detach&reset 1.00 EA @ 28.33= 28.33. .
16. Shelving-wire(vinyl coated)-Detach&reset 13.00 LF @ 9.60= . 124.80
17. R&RBaseboard_3 1/4" 5.00 LF @ 3.58= 17.90
18. Washing machine-Remove&reset 1.00 EA @ 25.49= 25.49.
19. Dryer-Remove&reset 1.00 EA @ 22.95= 22.95
20. Overhead door weather stop 9.00 LF @ 2.94= 26.46
21. Overhead door-Detach&reset-Large 1.00 EA @ 366.65= 36K.65
22. 2"x 6"x 10"#2 treated pine(material.only) 3.00 EA @ 9.53= 28.59,
23. 2"x 4"x'8'#2 treated pine.(material only) 5.00 EA @ 5.53= 27.65
24. Carpenter-General Framer-per hour 10.00 HR @ 64.59= 645.90
2018-07-09-1708 7/11/2018 Page:2
Auto-Owners Insurance Company
INSURANCE
UI!•NOx!•CA]•lYSiNG3l
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southern-Owners Insurance Company
CONTINUED-Garage
(DESCRIPTION QTY UNIT PRICE TOTAL.
25. Drywall Repair-Minimum Charge-Labor and Material . 1.00 EA @ 324.09= 324.09
26. Texture drywall-light hand texture 32.00 SF @ 0.48= 15.36
27. Paint the walls and ceiling-two coats 845.00 SF @ 0.76= 642.20
28. Paint baseboard--two coats 63.67 LF @ 1.11= 70.67
Grand Total Areas:
518.33- SF Walls 326.67 SF Ceiling 845.00 SF Walls and Ceiling
.318.67 SF Floor 35.41 SY Flooring 63.67 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 72.67 LF Ceil.Perimeter.
318.67 Floor Area 354.50 Total Area 518.33 Interior Wall Area
-618.02 Exterior Wall Area 75.67 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
2018-07-09-1708 7/11/2018 Page:3
a t
r
Autoi-Owners Insurance Company
INSURANCE
l. •NOnY•CAS•lYSin;11
Home-Owners Insurance Company
Owners Insurance Company
Properly-Owners Insurance Company
Southern-Owners Insurance Company
Summary for DweHinng
Line Item Total 7,877.36
Overhead 569.78
Profit 569.78
Material Sales Tax 46.96
Replacement Cost Value Less Non-recoverable Non-recoverable Depreciation <'121.06>
Actual Cash Value $8,942.82
Net Claim $8,942.82
Shawn Henderson
Field Claims Rep
2018-07-09-1708 7/11/2018 Page:4
Auto-Owners Hnsurance Company
INSURANCE
u.e•xoMe•u memne
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southern-Owners Insurance Company
Recap of Taxes,Overhead and Profit
Overhead(10%) ]Profit(10%) Material Sales Tax Laundering Tax(2%) M[anuf.Home Tax Storage Rental Tax
(7%) (6%) (7%)
Line Items
569.78 569.78 46.96 0.00 0.00 0.00
Total
569.78 569.78 46.96 0.00 0.00 0.00
2018-07-09-1708 7/11/2018 Page:5
Auto-Owners Insurance Company
INSURANCE
tYC NOnfr•U3•.YSWl63
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southern-Owners Insurance Company
Recap by Room
Estimate:2018-07-69-1708
Miscellaneous 2,512.25 31.89%
Area:Main Level _ 2,871.21 36.45%
Garage 2,493.90 31.66%
Area Subtotal: Main Level 5,365.11 68.11%
Subtotal of Areas 7,877.36 100.00%
Total 7,877.36 100.00%
2018-07-09-1708 7/11/2018 Page:6
Auto-Owners Insurance Company
INSURANCE
t•XOMF•CAt•tUSM333
Home-Owners Insurance Company
Owners Insurance Company
Property-Owners Insurance Company
Southern-Owners Insurance Company
Recap by Category with Depreciati®n
O&F Items RCV Deprec. ACV
APPLIANCES 48.44 48.44
CONTENT MANIPULATION 126.86 126.86
GENERAL(DEMOLITION 354.03 354.03
(DOORS 393.11 393.11
(DRYWALL 339.45 . 339.45
]FINISH CARPENTRY I Tl[1I1%IWORK 140.40 140.40
FIREPLACES 760.32 760.32
FRAMING&ROUGH CARPENTRY 1,529.38 1,529.38
MASONRY 933.30 28.00 905.30
PAINTING 712.87 71.29 641.58
SIDING 247X7 247.87
SOFFIT,FASCIA,&GUTTED 83.00 83.00
WINDOW TREATMENT 28.33 28.33
O&P Items Subtotal 5,697.36 99.29 5,598.07
Non-O&F Items RCV Deprec. ACV
(DOORS 1,400.00 1,400.00
PERMITS AND FEES 780.00 780.00
Non-O&P Items Subtotal 2,180.00 0.00 2,180.00
O&P Items Subtotal 5,697.36 99.29 5,598.01
Overhead 569.78 9.93 559.85
]Profit 569.78 9.93 - 559.85
Material Sales Tax 46.96 1.91 45.05
Total - 9,063.88- 121.06 8,942.82
NOTICE: This is an estimate for repairs and a copy of this document does not constitute settlement of claim. The above
figures may be subject to additional company review and approval. Your loss will be settled on an actual cash value basis and
your policy may contain a replacement cost provision.If it contains such a provision,full cost of replacement can be considered'
if the property is actually replaced.You have the right to make further claim under this provision within 180 days after the loss.
All policy terms and conditions apply to this claim.
20i8=07-09-1708 7/11/2018 1'age:7
8117/2018 10-26-21-0120-00000-0250 1 Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, August 11, 2018
Parcel ID 10-26-21-0120-00000-0250 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
KEMPEN ALICE F Ag Land $0
5928 NEWBERRY CT Land $16,763
ZEPHYRHILLS FL 33542-7935 Building $97,165
Physical Address Extra Features $399
5928 NEWBERRY COURT
ZEPHYRHILLS, FL 33542
.lust Value $114,327
Legal Description (First 4 Lines) Assessed (Save Our Homes) $77,196
See Plat for this Subdivision Homestead 196.031 - $25,000
WEDGEWOOD MANOR PHASE I &II Non-School Additional Homestead Exemption - $25,000
PB 27 PG 11-14
LOT 25 Non-School Taxable Value $27,196
OR 3412 PG 858 School District Taxable Value $52,196
jurisdiction Warning: A significant taxable value increase may occur when
ON of ZeDhvrhills sold.
Click here for details and info. regarding the posting of
exemptions.
Land Detail (Card: 001 of 001)
ji I_._ .___.______1 _-__-_________.,__-_-._I--- -
Line _
Use ;Description Zoning S Type Price Condition Value 1 010
0 SFR i 0 4,500.00 SF $4.65 0 $16,740
SFR 00R4 97.00 1 SF 0.80 1 $23
Additional Land Information
Acres 1 0.11 20ZH FEMA Tax Area I X Residential Code WDGWLP1
Code
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1989 Stories 1.0
Exterior Wall 1 Above 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 �'Repll. Cost New
1,434 $114,003
2 FOP 20 $398
3 340 i $10,812
Extra Features (Card: 001 of 001)
Year ,Units Value
1 DWSWC 1989 260 $399
Sales History - See All 5 sales
Previous Owner: HUMBLE PAULETTE A
Month/Year-------_Book/Page jType Code Condition'n mount
0613 Quit C 01/2001 lairn Deed Improved $0
Improved $65,000
04/1995 3412 / 0858 Warranty Deed
03/1994 32745527 Warranty Deed Improved 1 $63,900
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