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Home My WebLink About21-3032City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 BGR-003032-2021 Issue Date: 10/14/2021 "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for accordance wit City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ; -AhV-E T OFFICE PE IT M, :410110,&MPMIL010� ME 1 114 Ma 6 : 1 0 0 0 0 0 2WOO&UT 1 rr City of Zephyrhills 5335 81h St Zephyrhilis Fl. 33542 (813) 780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.. L Y& --a W a licensed under Chapter 468, Florida Statutes as a(n): Contractor V"Erigineer Architect Building Inspector_ License No. On or about did personally inspect the: Check: Roof Deck Nailing VDry in Flashing and Drip edge V111" Check which was used: 30# felt— Peel and Stick vZother (List) Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on Section 553.844, Flea jjda Statutes), M Notary Public State of Florida T-T-TT-T—y T'T'T"T T T Notary Public State of Floid rida Goorgens Eleanor Comte's My Commission HH 13514 Expires W2712025 878O0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin War's:Name• Owner Phone Number t ¢ Owners Addresst y r P LIIIIIIIIIIIIIIIIIIIIIIIIIIJ Fee Simple Titleholder,Name Owner,:Phone:Num r Fee Simple Titiaholdbr`Addre JOB ADDRESS �v SUBDIVISION P CEL ID# (OBTAINED FROM.PROPERTY TAX. NOTICE) WORK WORK PROPOSE NEW,•CONSTR BADD/ALT, SIG CLtSti INSTALL REPAIR PROPOSED USE EJ SFRCOMM TYPE CFCONSTAUCTI N BLOCK < FRAME STEEL ESCRIOI0 0h W ORS ffi ... BUILDING SIDE .� S0 FOOTAGE FIEI�HT"• n EUILOI 1C VALUATION OF TOTAL CONSTRUCTION s ELECTRICAL. ,AMP SERVICE PROGRESS ENERGY WR.EC. PLUMBING $:: MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /( V CAS ROOFING D SPECIALTY OTHER FINISHED'PLOOR'ELEVATIONS`` LIIIIIIIII FLOOD ZONE AREA YES NO t BUILDER COMPANY SIGNATURE _ a : . " 2EGISTEREC Y•t. FEECi�RREt*.. Y/N. wv�,•www�i Addresa Licens® ,•. ELECTRICIAN;M COMPANY SIGNATURE REGI8TErtEs CURREP• Y t,k Address_ License# PLUMBER COMPANY SIGNATURE E�REGiST R E :I ;GU;;E Y/,N: Address License# MECHA NICAL COMPANY MECHANSIGNAtU E REGISTEREaE'C JRRER l`!'N Address License# OTHER' 'COMPANY SIGNATURE REGISTERED Address License 1 I I ..1a,1 [ I,M RESIDENTIAL Attacht(2)Plot Plans;(2} #s of Buding l ns.(1)set of En y Forms RaPermit for taw constructlOn, Minimum tin(10)working ddys aftê8UbmIfal dale ReqüiJ 0 site Constrücl& PIans S(ormwater Plans w//Silt FOhee installed, Sanitary Facilities&9 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 constmction. Minimum ten(10)'working=days°after submittal detgar'�Requir ansitq,Construction PIansSto waterrPlans,w/Silt Fence installed, Sanitary aFacilities r&I dumpster.,.Site Work Permit for all new projects.All commercial requlrements must meet"compliance • SIGN PERMIT Attach(2)Sete of Engineered Plans. °**.PROPEkTY'`.SURVEY required for all NEW construction. Directions: Fill out appli tion completely. Owner&Cdntrr btdr 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 P R I NG (copy of contract required) Re roofs if shingles Sewers Service`UpgradIbs A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE T -I. TI = 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-restfictions UNLICENSEDCONTRACTORS : . T TOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may required=-to be licensed in accordance with,,state and local regulations. *the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under bstate,law. If the owner or intended icontractor-are uncertain as.,to what licensing requirements x.may.,ap ly fori he 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 i a•contractor or contractors,, he is advised to.have the contractor(s) sigh portions of the,"contractor-Block".of this-application,for which they will=.be responsibIe ,,, 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 permittingprivilegesin,Pasqo County. TRANSPORTATION M CT/U` ILI I IMPACT AND RESOURCE RECOVERY FEES: The undersigned under tandss that Transportation Impact Fees and Recourse Recovery very Fees may;apply°to the construction of new r buildings, change of use in existing buildings, or expansion of existing buildings, as.specified in Pasco County Ordinance number 89-07 and 9007, as amended. The undersj 0 I p understands, that such fees, as may be due,will beMidentifieda;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. t If the projectdoes not'1nvblve a certificate of occupancy,or final power release, the feed must be paid prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact fees are due,they must.be xpaid..prior.to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN (Chapter 713, Fliida Statutes,as amended): "If valuation of work is$2,500.Q0 ormoreI certify that 1, the applicant, have been provided:with a copy of the "Florida°-Constructions-Lien Law Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someQfle , other than the"owner, I certify that•I have obtained a copy of the above described docdmeni nd..promise in good faith to deliver the"owner"prior to commencement. C T°.it to T /,t, ,. t A ,F I D A' .1 '. .1Y certi>. that all\the„infor attonr in this appUcstioriiS;4ap rate an that all ork., will be done in compliance with all applicable laws regulating construction, zoning and-landdevelopment. Application is hereby made to obtain a permit to do work and 9installatibh as indicated. li certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standard'of all laws regulating construction, County and l y 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 iare not iimitedtto: ® Department of Environmental Protection-Cypress ayheads, Wetland,.Areas...and__ nvironmentally Sensitive Lands,Water astewaternTreatmenta - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses, - Army Corps ofEngineers-Seawalls,docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental ,Health Unit-Wells, Wastewater .Treatment,; Septic Tanks. - us Environmental rot tion9AgencypAsbestosabotement Federal Aviation AuthorityRuflWays. i understand that-the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone-"'1"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 d.by.a professional engineer licensed by-the State of Florida. m If the fill material is to be se .ir Flood Zone "A" in connection with a permitted building using stern wall constru tion,kI certify that fill will be used only to fill-the'area within the ester ll. If fill material is to be ,s.d in any area, i certify that use of such fill will not adversely affect adjacent properties .If use of fulls found to adversely affect adjacent properties s the,owner•maybe cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre-which'ar elevated,, yt(Illy an epgiraeered drainage; an is required. If I arn-the AGENT FOR'TH OWNER, I promise in good faith to inform the owner of the permitting conditionsaet 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 notspecificalIY 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°implans, construction or violations of any codes.-,Evèrypermitw ssued�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 aperiod-of six'(6)months afterthe time the rk~is'c mences Art extension may be requested- :in writing,from the Building.Officiel for awperiod not to exceed ninety (90) days and will demonstrate . justifiable cause forthe,extension. If work cease ,for,ninety(90)`consecutive..days,the job is considered abandoned. WARNING,,TO OWNER: ,YOUR-<FAIL: R TO RECORD A NOTICE OF...COMMENCEMENT MAY..,R TIN YOUR.. PAYING I FOR IMPROVEMENTS TO YOURPROPERTY,PE IF YOU INTEND TO OBTAIN FINA CI ,,CON ULT ubsbed`artd swo °toy _� Subscrlbed and sworn tb(or: ffl medyb6for0,Me1hls Eby --—by Who Is/are personally known o me pr' av produo ed Who is/are personally known to me or has/have produced as idoni flcstIon. as identification. Notary public Notary public commission No. commission No. Name of Notary typed,printed or stamped Marne of Notary. ><,Printed drsts pad American Land Title Association Final ALTXSettlement StatemerA-Caah Adopted 05-01-2015 Hillsborough Title III, LUC ALTAUniversal ID: Lit') �J �\ 183U2H|ghx�oudaPreserve pkvvy \ Suib*11O | Tampa, FL33Q47 File No./Esu/owNo.: NTL21-100823 Print Date 8Time: September 30.2021 11:28AM Officer: JennoMonnie Settlement Location: 183U2HighwoodsPreserve Pkwy'Suite 110 Tampa, FL33G47 Property Address: 38S0GPiedmont Avenue ZephyMhiUo.FL33640 Buyer Marilyn Fernandez 30U481U1hAve ZephyrhiUa'FL33542 Seller: James FBrinkley, III 38GUSPiedmont Avenue ZephynhiUs.FL3354O Lender: Settlement Date : September 3O.3O21 Disbursement Date September 30.2O21 Seller Description Buyer �it Credit Debit Credit Financial 215,000.00 Sale Price of Property 215,000.00 20A3 Solid Waste 20.13 09/30/21-12/31/21 639.73 County Taxes 639.73 01/01/21-09/30/21 Title Charges & Escrow/Settlment Charges Closing Fee (Buyer) to Hillsbol-OLIgh Title 111, 275.00 LLC 395.00 Closing Fee (Seller) to Hillsborough Title III, LLC 150.00 Title Search Fee to Network Transaction Solutions 1,150.001 Owner's Title Insurance to HI'llsborough Title 111, Copyright 2015American Land Title Association File #NTL21-Nos23/9a Seller Description Bu er Debit Credit Debit Credit Title Charges & Escrow/Settlment Charges (continued) LLC Coverage: $215,000.00 Premium: $1,150.00 Commissions 5,375.00 Listing Agent's Commission to Keller Williams Realty New Tampa 5,375.00 Selling Agent's Commission to Dade City Realty Government Recording & Transfer Charges Recording Fees to NTS Recording Account 35.50 31.50 NOT One And The Same to NTS Recording Account 1,505,00 Doc Stamps to NTS Recording Account 31.50 Affdavit to NTS Recording Account Miscellaneous E-Recording Fee (Buyer) to NTS Recording Account 3.50 137.50 Lien Search Fee to Network Transaction Solutions 22.50 F- Tech Fee (Secure Portal/Digital File Storage) fie Premier Data Services 22,50 Seller Buyer Debit --- Credit — Debit Credit 14,812.73 215,020.13 Subtotals 215,356.63 1,639.73 — Due from Buyer 213,716.90 200,207.40 Due to Seller 215,020.13 215,020.13 Totals 215,356.63 215,3�5663 ')Olr A-i- I -A T41. A--;,+;-, Acknowledgement VVe/|have carefully reviewed the ALTASettlement Statement and find |ttobeatrue and accurate statement ofall receipts and disbursements made onmyaccount urbymeinthis transaction and further certify that | have received acopy ofthe ALTA Settlement Statement. We/I authorize Hillsborough Title 111, LLC to cause the funds to be disbursed in accordance with this Buyer Marilyn Fernandez Seller James F. Brinkley, III JennaK4onnie Escrow Officer ��m201mAmerican Land Title Association File #NTL21-100923/98