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21-1547
D r`finnir� City Of Zephyrhilis PERMIT NUMBER i 5335 Eighth Street Zephyrhills, FL 33542 BGR-001547-2021 Phone: (813)780-0020 Fax: (813)780-0021 1 Issue Date: 02/24/2021 Permit Type: Building General (Residential) Property Number Street Address 1126 210010 20900 0020 38401 South Avenue Owner Information Permit Information Contractor Information Name: KMS ENTERPRISES LLC Permit Type:Building General(Residential) Contractor: JBC UP INC Class of Work:Reroof Address: 5225 E Pima St Total Valuation:$6,000.00 TUCSON,AZ 85712 Total Fees:$105.00 Phone: (813)412-0194 Amount Paid:$105.00 Date Paid:2/24/2021 4:03:20PM Project Description REROOF SHINGLE/MODIFIED ON FLAT ROOF 7SQ Application Fees Building Plan Review Fee $35.00 Building Permit Fee $70.00 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 subsequent reinspection. 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 permit 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 add fee 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 SIGNATUREZ PE f IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application • Fax-813-780-0021 Building Department s/ ��J,r„•�/��a Date Received Phone Contact for Permitting .I-1T1TT 13 p � C � tI n amass- Owner's Name 1kS ~r`C(- l�5 L�.C Owner Phone Number _ f♦'Z- Owner's Address ZZ •^- rner Phone Number Fee Simple Titleholder Name /'T I Owner Phone Number ,� Fee Simple Titleholder Address 1 JOB ADDRESS p V 1 S Q IIL, LOT# SUBDIVISION PARCEL ID# "'Z - VI V ('9 UV vV (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ALL B REPAIR SIGN = = DEMOLISH INSPROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = 13LO�C�K/� Q FRAME = STEEL = DESCRIPTION OF WORK �- (JIJT. y F 1 3 12-pi-}-(,h + nn BUILDING SIZE SQ FOOTAGE 1 V HEIGHT WN(&P C;L;;;;;'w:;;;l11.111,11L;;7.;i.;;;;R(;;;;;;;;lS;';'C;;l;;;;;;;;;L;;t;t )`V\,ft e'(lay l�I�fWrt UILDING $ VALUATION OF TOTAL CONSTRUCTION J DOc�. FL =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. C.O V-17A r,t f ttJ =PLUMBING $ FL, a s33-fay =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YE l/G''S NO BUILDER COMPANY 5C ro UP SIGNATURE 1 ^� REGISTERED Y/N FEE CURREN Y/N Address I�� 1 (/� �� � License# C(f 13a SFs a ZlI - ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# Ar1TI:&IIaIIt's'sa1&I1.1-11.I.1;II Ila1,1aXXIa as-aaIasaxl'sI1;1.12.11.1:1.1:11aI.1,1l1.1A11.1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. • PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required.(AIC 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(PlottSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW • J 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 Building Department 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"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced.An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING 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%^"in""' CE e%RARR=kfd��Ckl FLORIDA JURAT(F.S.117.03) 01*1 OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribe wor ffi d) o e thi l Z 1 by by r Who is/are personally known to me or has/have produced Who i re personally known to me o s/have produced as identification. as identification. Note / Notary Public Commission No. Commission No. tee,... l�uLvTsa� Name of Notary typed,printed or stamped NtIme of Notary typed,printed or stamped \\`\\\\\*�1111111111teA141"`, Off•• ••pfNCp,�v,.•.i��y m .•oOL. a '`lr��0�IIIIO11110 1� INSTR#2021 O23888 OR BK 10273 PG 1055 Pagel of 1 02/04/2021 10:14 AM Rcpt:2257290 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller THIS SPACE FOR CLERK'S RECORDING Permit No. Tax Folio/Parcel ID: Il Q 0 f 0 to qa d aicl NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statues,the following Information is provided in this Notice of Commencement: 1. Description of prop rty:(I ga(�c(escrlption of property,and str�et address if available)�� !© f d , II 2. General description of improvement: 3. Owner Information: ,�j7- `L a. Name and address: C�T�1 15�5 C 2S b. Phone number: "` 0 1Fte,—LLDrjR c. Name and address of fee simple titleholder(if other than owner): e� , 4. Contractor. 11JJ 11y� ✓�, o �°� a. Name and address L b. Phone number:4,131��2— 5. Surety: a. Name and address: b. Amount of bond$ W c. Phone number: U J J 6. lender: ti 0 U LIJ a. Name and address: CO U-0 r � b. Phone number: 0Z O - Q N O W 7. Persons with the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by tF3 0 00 Fy— U) C.) 0 Section 713.13(1)(a)7,Florida Statutes: W W 7 J a. Name and address: U. O F Q U LL b. Phone number: Q W 0 O L- J 8. In addition to himself,Owner designates the following person(s)to receive a copy of the Uenoes Notice as provided in Section �r W O U 713.13(1)(b),Florida Statutes: �O CC O i W a. Name and address: ( Q b. Phone number: m Q O O 9. The expiration date of the notice of commencement is one(1)year from the date of recording unless a different date is specifiede — Mr O_ < 7 00 >- Q W Uj WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARId 0 0 it 5 CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT 1114& G 0 Cn J YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED ANIP �— ul W Q POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDE W ti Z OR AN ATTORNEY BEFORE COMMENCING WORK OR RE DING YOUR 0 E OF COMMENCEMENT. � ZO Z m t�,, O n / nee Authorized Officer/Director/Partner/Manager STATE OF FM"tr sY ! I n emu' Signatory's Title/Office COUNTY OF_V I Akwhoha 1 g tr ment was acknowledged be re this 0 2 day of 4 ,202.) by (name of person)as (type of authority:.e.g.,officer,trustee,attorney-in-fact)for Y (name of party on behalf of whom Instrument was executed),who is oersonallY known to me_or produce as Identificatlo . (Notary Stamp] KRISTA J.MCCLEE Signature of a Public Notary Public-Arizona Pima Co121161Z0Y3 E><plreP INSTR#2021008598 OR BK10258 PG358 Page 1 of 2 01114/2021 10:00 AM Rcpt 2248938 Rec: 18.50 DS:560.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Prepared By and Return To: Tiago National Title,LLC Aft Bill Poirier 204 Crystal Grove Blvd. Lutz,FL 33548 Order No.: FL20-09664 Property Appralser's Parcel I.D.(folio)NUMber. 11-26-21-0010-20900-0020 WARRANTY DEED THIS WARRANTY DEED dated December 30,2020,by Grove Park Rentals Inc., existing under the laws of Florida, and having its principal place of business at 39038 Pretty Pond Road, Zephyrhills, Florida 33540(the"Grantor'),to KMS Enterprises,LLC,an Arizona Limited Liability Company,whose post office address is 5225 East Pima Street,Tucson,Arizona,85712(the"Grantee). (Wherever used herein the terms"Grantor"and"Grantee include all the parties to this instrument and the heirs,legal representatives and assigns of Individuals,and the successors and assigns of corporations) WITNESSETH: That the Grantor, for and in consideration of the sum of Eighty Thousand And No/100 Dollars ($80,000.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants,bargains,sells,aliens,remises,releases,conveys,and confirms unto the Grantee,all that certain land situated in County of Pasco,State of Florida,viz: THAT PORTION OF BLOCK 209,CITY OF ZEPHYRHILLS(FORMERLY TOWN OF ZEPHYRHILLS),As PER PLAT THEREOF RECORDED IN PLAT BOOK 1,PAGE 54,PUBLIC RECORDS OF PASCO COUNTY,FLORIDA BEING LOCATED IN SECTION 11,TOWNSHIP 26 SOUTH,RANGE 21 EAST, AND THAT PORTION OF VACATED 2ND AVENUE,LYING NORTH OF AND ADJACENT TO SAID BLOCK 209,AND LYING BETWEEN 6TH STREET AND THE EAST SIDE OF A 20 FOOT ALLEY, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEASTERLY CORNER OF BLOCK 209 CITY OF ZEPHYRHILLS (FORMERLY TOWN OF ZEPHYRHILLS),AS PER PLAT THEREOF RECORDED IN PLAT BOOK 1, PAGE 54,PUBLIC RECORDS OF PASCO COUNTY,FLORIDA,RUN WEST 77.5 FEET ALONG THE NORTH LINE OF SOUTH AVENUE FOR A POINT OF BEGINNING,THENCE CONTINUE WEST 77.5 FEET ALONG THE NORTH LINE OF SOUTH AVENUE TO THE SOUTHERLY EXTENSION OF THE EAST LINE OF A 20 FOOT ALLEY,SAID ALLEY BEING LOCATED IN BLOCK 190,THENCE NORTHWESTERLY 50.9 FEET ALONG THE SOUTHERLY EXTENSION OF THE SAID 20 FOOT ALLEY,TO THE NORTH LINE OF 2ND AVENUE,THENCE NORTHEASTERLY 70.0 FEET ALONG THE NORTH LINE OF 2ND AVENUE,THENCE SOUTHEASTERLY 84.22 FEET TO THE POINT OF BEGINNING.ALSO DESCRIBED AS: COMMENCE AT THE SE CORNER OF BLOCK 209,TOWN OF ZEPHYRHILLS,IN SECTION 11, TOWNSHIP 26 SOUTH,RANGE 21 EAST,AS RECORDED IN PLAT BOOK 1,PAGE 64,PUBLIC RECORDS OF PASCO COUNTY,FLORIDA;AND RUN WEST ALONG THE NORTH R/W LINE OF SOUTH AVENUE,AND ALONG THE SOUTH BOUNDARY OF SAID BLOCK 209,77.50 FEET FOR A POINT OF BEGINNING,THENCE CONTINUE ALONG SAID LINE 77.50 FEET TO THE SOUTHERLY EXTENSION OF THE EASTERLY RAN LINE OF AN ALLEY IN BLOCK Igo OF SAID SUBDIVISION; THENCE RUN N 25'54'28"W.,ALONG SAID EXTENSION 50.90 FEET TO THE NORTH RIW LINE OF SECOND AVENUE;THENCE RUN N 64*32'09'E.,ALONG SAID NORTH RAN LINE 70.00 FEET; THENCE$25-06'30"E.,84.22 FEET TO THE POINT OF BEGINNING. OR BK10258PG359 Page 2 of 2 -Subject to easements,restrictions,reservations and limitations of record,if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in FEE SIMPLE forever. AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever, and that said land is free of all encumbrances, except taxes accruing subsequent to: 12131/2020. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered In preseqceof. Grove k Be s c V Witnq$s Signature BYV"75� ('VI Michael J 9116 President Print A- n 1,11411ME."71, !71111e�- ut eorlv I Grantor Address: Witness Signature 39038 Pretty Pond Road ray?'I' Zephyrhills,FL 33540 Printed Name of Second Witness STATE OF Florida -CIC County OF em a Notary Public for the County of and State of V, — Florida,do hereby certify that Michael J Fike,as President of Grove Park Rentals Inc.personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal the 30th of December,2020. V Notary Public 4&41,PvV_- '0Z My Commission Expires: (SEAL) HEATHER K.LENTZ'e 0 71 Notary Public State of Florida CommissionGG 909555 G my Comm.Expires Sep Z,2023 Sanded throuoh National DNotary Assn. i i • j City ofZephyrhills I 5335 8�St Zephyrhills Fl-33542 (813)7W:10020 ``- - ?z i ROOFING INSPECTION AFFIDAVIT Permit No.: 'v I, licensed under Chapter 468, Florida Statutes as a(n) i Contractor✓ Engineer_Architect_Building Inspector_ 2, c� , License No. CC C J ri� 7 a 4 ,I . ;I On or about / did personally inspect the: Check: Roof Deck Nailing ✓ Dry in V Flashing and Drip edge Check which was used: 30#felt_Peel and Stic _Other(List) At the following �q O I �0 lf� address: (/ —ZV eh i 1 33 S Lt2 o Z2 tot) Based upon that examination, I have determined the installation was doe according to the Hurricane Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes). zialSignature: STATE OF FLORIDA j I COUNTY OF PASCO =tor bed before this day `tt.���;�u�a�llHy�// Notary Public Sta Florida\ :. i��RUS1 'r�� p o *GG 97494 '• t•rd ��?\�� j