HomeMy WebLinkAbout96-6244
c BUILDING PERMIT'No"
<7\2-(~ CITY OF ZEPHYRHILLS Permit.
, ~ 0 -'0 (813) 788-6611
/] 1J1'~""""" -'.t.. 1j; C-V
04 ~ b.- ;J,,' if1' :J
PLUMBING
--62446
Date
1/- /7'-9~
BUILDING
ELECTRICAL
.-
~ ~v
MECHANICAL Sewer Conn t:l ~' ~~
,ICy J J'ater Conn: -S6-V'-
c7f ~....kol.water Meter: /65' CJ.l1-
T.I.F.'s: p..j 1/liP.t/v -3--a-'T7
I .
P<aperty OW"", '?:7t~-IJ;~j! ~iP~fec!ftl
Job Address: to .
Parcel 1.0. # I J../ - tl (p - ;2/ - D () / /) - / DD / /- f) 0 _":LV
FINAL
Zoning:
Description of Work
~ ? Id- 11-9b In IO~ g- )1 IV\.
71?-~A J1AL~A'~~ -.21....P? )J~ 1&- nM
NO OCCUP,(NCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ~ ~ lJ 0
Contract Price 3) !2. 2 ,,-
City License Registration # /1t D
~;fii~. Qu<'
BUlL G ELECTRICAL~-:3
Ftr. / /-15- ()~ fJi LL.. Tp. Servo
P,e SLB Pit/;Jtjfj; - Rough In I Z'Z.t., 'i't,. .&8
Lintel I Z..::..._~'-- _ . _ Meter Can 11- Jtj- 9~
FRM. J2-?D-fi>~ B,ll- Const. Pole I,;)....II-C(~
Insul. CL 75; Pool
WL Jd.- '30-96 U- Pre-Meter .,j.:::t'4, eL!t
It Final
Driveway 2 ;i/9) /fcJ
~ l'Z-ZL.-C((P ~:LL
Address
Telephone' )>g-~ - ~:~'- 4~
CS?hJ1 &)~,:;;;;) ~ (
PLUMBIN MECHANICAL ~
SLB /2- /1-~6 .&0 ('
Tub Set 12,,21o,q~1366
Water
Sewer /- 30-97 &13
,
Final
Breakers
Ducts Insl. I z-zi,-eyr,lfllff
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: , . /J
W~ tL3~--1t:Z~ L-.}faPJL
a. Wrong Address ~ j'3..;)6 -97 fI I J_>Jf -94
b. Condemned work resulting from faulty construction. j9- II
C. Repairs or corrections not made when inspection 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.
~~w-
/~ -/~ -'1 (p
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
..
I
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
. -- 30'- triJ '
rx~ -/1'6
I j} //!J
OWNER'S NAME M ;(,--,h4e// r. q, ReheL-a, L. HowurduoNE
<JWIIER's ADDRBSS ~()D;/L Profi ~{)J.;Vlj hi r d t,~ IPphl.frh:/Ls F/. J3St1(J
JOB ADDRESS ~ 'c2. _ - S ~ . h ( I
LEGAL DESCRlPl'ION: LOT(S):) BLO I SUBDIVISION fYJ () b ie ;)" r; t' cS -I flj j; 1- ; 0 n
PARCEL I.D.' I LJ - ;) ~ - ;) J - DD I!J - / /)() 1/- ()()S ()(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PRoPOsED:lNew Construction _Addition -..Alteration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: lSingle Faaily
_KIF _' of Units _K/H
_~ercial
_Indust. _Swia. Pool _Other
_Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK,: [) /DL-A S i n8/~, rwn: / y r~s {ckh {;q / f}el.n
BUILDING SIZE: &x 3 t, qSt) Square Feet, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
lBUlLDING
LELECl'RICAL
LMECHAlIICAI.
-LPLUKBING
$ 31t ~DO; u7J
(;Jc1) AKP Service
$ 1 (DO. 0 D
Valuation of Total Construction
x
Florida Power Corp.
W.R.E.C.
Valuation of Mechanical Installation
GAS
LB10Ck
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
_Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA? L
YES NO
******************************************
MECHANICAL
COIITRA=~Ectrfu J I !iuMe
State Cert. or Regist. ,
City License Registration ,
~ ***************************~*j*J******~*j* I' -
ELECTRICIAN ~r-- .... -, COMPANY ~J{l n fer I r' (. (i C-
Sj.....ture ":;~~-- ~~~\~::;'e o~e:~:~~~~i:'" ';;'3?
******************~**********************
" {) 11 ',,' II - ,/,\ Il / I'J
PLUMBER .. COMPANY . ) i t' 1/0 0 r I f/ II.I l'1-1 L) . ,1. c
v/?".'l .A / State Cert. or Regist.' - ('-
Signature l(/]1 l( /, 1/UWlX1,,,? City License Registration'
******************************************
"7
/
COMPANY \ U 17 ((1
State Cert. or Reg t. *
City License Registration ,
***********~******************************
pt,'
Blrrl.DER
Signature
Signature
L1
OTRRR COMPANY
State Cert. or Regist. t
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
~
CONDITIONS OF PERMIT AFFIDAVIT
A.' NOT~CE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay be subject to "deed restrictions" which laY be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they laY 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 lilY be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections' of this application for whicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to perJitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If tbe applicant is sOleone other than the
"owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the
"owner" prior to cOllenCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, zoning, and land developtent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a per.it and that all work will be perf OIled to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies lilY apply to the intended wort, and that it is
,y responsibility to identify wbat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to:
* DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* AllY Corps of Kngineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A, etc. ", it is understood that a drainage plan
addressing a 'cOlpensating volute" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to per.it_ issuance.
A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a per.it prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
unless the work authorized by such peIlit is cOllenced within six IOntbs of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntbs after the tile the work is c~ced. One 90 day extension of tile, laY be
allowed for tbe per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb six JOnth period, or the project will be considered abandoned.
WAMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMBK1'S TO YOUR
PROPER'l'Y. IF YOU INTEND TO OBTAIN FIIIAJlCING, CONSULT WITH YOUR LENDER OR All AnOmY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED fO RECORD AND POST A "NOTICE OF COIIMEHCEHENT".
~~
ATURE: OIOOlR ~NT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA~
COmy OF ..~
The foregoing instrument was acknowledged
before me this j c.:; ,- 5?' , 19 E.k. by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was aCknowledged
before me this , 19_____ by
.--
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who i personally to me or who has
produ
as identification and who did/did not
take an oa~~ 0 JJ.t, . (/
(Signature) 11 (j L1 fl' ~j
,i'L.@. tL c Iv- a . _II Zi V
(Name Typed, printfild or Stamped) /
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)"NOTARY PUBLIC
....~~~:~", Nancy A. MQ(id~.'
lfAJ' -.~~ MY COMMISSION # CCS:h:K.:' .
=*: : : .. "'''.'(';
;"". :J~ February 21, :.".'
;;r,i:'"!i.~''' BONDED THRU TROY FAIN :1':.- -
"Cfr.",
BUILDER: Hal Construction
ADDRESS: 4927 5th street
OWNER:
SQ. FT. PRICE
LIVING OR MAIN AREA: ~ 950 I $ 35.00 t
OTHER AREA UNDER RooF:1 52 ~ $ 11.00 t
OTHER:I 0 t $ 11.00 ~
SQUARE FEET UNDER ROOF: t 1,002 1
VALUATION:I $ 33,822.00 ~
ADDRESS:I $ 20.00 ~
DRIVEWAy:1 $ 20.00 ~
FEES: ~ $ 185,00 1
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:~ $ 287.50 I $ 47,50 1 $ 53.75 ~ $30.00
314" 1" 2"
WATER METER SIZE:I $ X 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I
SEWER WATER METER
CONNECTION FEES:I $ 1,278.00 I $ 350,00 ~ $ 165.00 ~
RADON GAS: 1 $
PERMIT FEES:I $
CONNECTION FEES:J $
WATER METER:J $
10.02 ~
418.75 ~
1,628.00-1
165,00 I
2 "" IT .........
) f"& fI"~
30.00 f
3,701.77 I
~ .~~~ --' -
3,866.77 I
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,480.00
$ 1.465.20
$ 14,80
CREDIT:I $
SUB-TOTAL I $
IRRIGATION METER I $
TOTAL I $
STATE OF FLORIDA
CITY OF ZEPHYRHILLS
TO WHOM IT MAY CONCERN:
PLEASE ALLOW JAMES HALL OR FELICIA HALL TO SIGN FOR RODNEY
E. WILKERSON FOR PLUMBING PERMITS FOR HALL HOME COMPANY,
INC. IN PASCO COUNTY, FLORIDA FOR THE YEAR 1996 AND 1997.
? '
~-~;/) / / /<~A~;")
../ - / ~ /
~Z-.;;k,..:;! _ _ C_ '- -<:::f-::::~~ _ f/
RODN E. WILKERSON
CF C056718
SWORN TO AN SUBSCRIBED BEFORE ME THIS '11/,
1996, IN HILLSBOROUGH COUNTY, FLORIDA.
DAY OF ('tU 1,t: ''---
PERSONALLY KNOWN TO ME
t~ PRODUCED AS IDENTIFICATION
TYPE OF ID: p/ft OJL it: v'l/-;)l:--'IJ6~ '),).,-L(-f3-{' 7JUi"'''Cl-<iZ;l),(!t~zG..-'I:;'
I - lj
NOTARY PUBLIC STATE OF
FLORIDA
MY COMMISSION EXPIRES:
OFFICIAL NOTARY SEAL
MARGARET G CARLISLE
NarARY PUBLIC STATE OF FLORIDA
COMMISSION NO_ CC267742
~~~X<~;9_~~':'.lS::::,!~v'A.r~ ;11\1(17
--
-- - -..... .'Q
--
~ ... )::-
I >--e;
,tpOI (I
l'
..
---'
l~ JJ'-8'~ .
- .
] ~ ell
..,.,
,
'>0
. ,
t +=--,
......
."
:::::
I .
(J"\
~
.~_._-- 2.')-:0"
'2.9:0"
fIT
tf ::.
~ I
CXl
.'
I
I I
I i
I I
I
: I ~
I I ~~
lit,' ,
I ;
'_ I
! -<:
I ' -
N
.. · i' 0
1 t-~.
"111 ; ,
I I
. I
i
I
i ...
i
<Xl
\ .
~
,,::
:1
: lj},
~,it.
-f-
,i_
I.
fo',
,~.I-
g.
~;.~.
.~;~.
'f'
"
m ',~ ltHOl
?.,(
V 1'''(
IZ - b
i
'" At.LEY C 11M IN usr)
'0. 00 (P)
N. 00 O' 2r W. 49.96 (F)
iI:1
"".:
~
~,r- 0
I'I\Qol'l'l
C) ~ (I)
9~_....
'=l"l' ~
<Jt~Ql_
o ,..~
'" ~~
~i;o,o
<Jt _:O!:
1")"'- ..
or-'
I")~~
~:i!2
""1""1'1\
-<~ .
. h'tlh
...~'"
'-' -
g:lo~
-"1---4
I;)
~~~
01;)
~-
I;)~
tii
-----
, , , , '______4
~~ J:-
ii-- ... 6~
, .'
~ \D ~
' ,
r-
rY
--4
~o
~:i!
:loh't
...
ii
~~
"l)N
:lo~
C)~
"'-<
~
c.o:z:
....-
. ,-
r-
~~
:;!:lo
;;;R
",2
<:;:'=1
tJ:I-
:~
C")
~ ~
<lo Q>
fA (0
. ~ .
". ". -
- ~ ~ w
w 0
!'O u ~. t.l ~
.. 0 tx> - ,-
0 0 . (\') . 8 0
""I 0 ~ !'l "'i
Qt ..... ..... ...
-0 - ~ 'v
w .......
"'- - -
. g~o " ,
~ fA
".
...
~
....
~~
i;'
~
... ()
(I
'"
(V
~~
Ii-
~
NOR TH 49. 95 (F)
"'0.00 (P)
N. ~OS'lI/'W. I!oo. I. (#')
tr - -
200. 00 (P)
--(I
p
..
~
,..
Ill' ASPHALT
'''' PLATTeD R/fI
eqt,: 1" = ZD'~. .
- p-.., '
~ N"rllt
5TH STREET
9 ! :- flli !:n~il!0 i(f6 ~'~In~~ 6 m ~
a r> ~~ ~ po :" ,. JO P l" l" :'-(1) ?i
~ 9)1 ;-~=; it..!i .. 8 Ilii:IUi ~ i t~i tp !lJi Jl~ llf r ~,~i
1i cuz-r ~ i ~
~ \\ I ~ lHil ~ :., ~ i In :tj I,Ji fa rll 111~ ~
~ ~..~ .-r:h.=i ~ I~ I-In~ 1"'0
lit, :...~... z. 0 , t ~ II ~ , 111 ~ ~
:..i't=.tn .. " ~~~~Uf ~ lr Is! ift i..h all .1 :f0
40. ~, . ;"f! 'I!.~~!!~ ~&'~r!'~ i i!i Ifllin ;tl j:1 t l~ ~
. I ~ ~~. ~ Il..e P1! ~ -.~ ... ~
i I~ . r;!l:i:~Q) f;t (11ll1 i 1'1 li~ (lit i ..t !ti'" i~ g ~J ~
...'., ~ ~ I t e.~ i~ ~ ~
I '. ;";' - .._-~~ I I 'i
~ ~ :.. a::o ~' ! illl' I!a- ~it... i l. :"1 I; ~ <:
. :j' (II ..i:;: ,~ ~ ~ :i" ~ I " .
I" tt ~, ~~h .....0..;; fJ. t-j .. ~! lIi 1.1 ~~( ~: .J.
~ U) \" !i: P~:.:~i iiJ ~ to N/ Ill\. ! ijIiiii ~ii I if d. illi It! fat U)
~ ' ~~~.~ ~I:~.;... n' I ~ .. [I c:
. _t.......... ;r
;l .':I~i'; r(~_ J ill S ~ f .. j .. 3'
~ ........~~~ i'roo .. i ...... lt~ ii !"I '- ::0
... "0 ~ ~ 'h."c' " .; · l iI~ ~(a -if :..:. .., ~
" --"" l;) ~2I/o:. ~ .... ;:: .. !lor- l '" !~ "f !~
~-~~ Uti ta='~~H o! ~ =-} II G ra; fi i.: it J' ! i
. ,;: G)~ "~If h H, a 1 I r . i "J~!!: It;'Z ~. It
ii r t.r~l;: ~ r
'~'!C:: ":.." .' ra _ 'tip~:o 2 r i!~ ~!"U .li~ C\ i ~
~;I. at fg ~.. r It a ,,, r~M
!;l <t t Iii Iltl i Jf fa JJ ~ "f.. ~'l
II ~ . .~ ~ ;~. II~ -.. It. () ('b CI) :D . ii' g 'II ~ r"l
1i I' .. .... 0 S" !oI 1:'" r sl! ..~; H I"
-." to'll If1i II
, . . H If :.~ .1
~; J~ S 1.:1- 2 =Sill". ~!;'! ".. t a t-! it r S!
'- ~~r f ifil~~~ I t. a ..f ;,~ aoti f
'\) I ! (,oJ I~ ~.
~ ~ /1) ... t- .. i: I1!' it ~ . ~ ~
..:.. ' S! t..I Q n~)I; r f ". Il. '"
..... ~ "401 ~ /1) "'..... .. If IIII i a. ... i ~
~ . o~ s g ca '"
-.. ...- .- f ~ ,. ,
o III
.
-\(\
-:-
Q;
o
c:)
I .
~
C'l)
-~
r<)
,
,
::-
cl.
.....
C")
> f
::- ~I
:- /
-'
~
~
-~
"
("0
.
J.60
\:
II FIRST
NATIONAL
BANK ~ASCO
IIIII 13315 Highway 301
Dade City, Florida 33525-5435
(904) 521-0141 .LENDER"
1IIIIIIIIIInl111 1111111111 111111111111111 11111111
96082255
Rcpt: 93584 Rec: 10.50
DS: 0.00 IT: 0.00
08/08/96 Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
08/08/96 10:43al 1 of 2
OR BK 36. 12 PB 714
cj
.s
~ I./)
c C\.I
CiI I.)
q.,.. ;,.}
,;.1. ~~j --j
r~~ 'J;~ r:~
~r~~;
c -~. .J
::3 15::. c.~
(J) ~.u'
BORROWER
MICHAEL E BOWARD
REBECCA L BOWARD
40018 PROUD MOCKINGBIRD RD
ZEPBYRBILLS, FL 33540
NOTICE OF
COMMENCEMENT
0(-,
Telephone Number
ADDRESS OF REAL PROPERTY:
5TH STREET
ZEPBYRBILLS FL
OFFICER INmALS INTEREST RATE
33540
PRINCIPAL AMOUNT I
CREDIT UMIT
FUNDlNGI
AGREEMENT DATE
MATURITY DATE
CU8TOMER NUMBER
LOAN NUMBER
RWC
Permit No.
Tax Folio No.
State of Florida
County of PASCO
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.
,. Description of property:
Street address (if available):
5TB STREET
ZEPBYRBILLS, FL 33540
Legal description of property:
LOT 5, BLOCK 11, MOORE'S FIRST ADDITION, AS RECORDED IN PLAT BOOK 1, PAGE
57, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
2. General description of improvement:
3~;~ Borrower information:
/; III a. Name and address:
MICBABL B BOWARD
REBECCA L BOWARD
40018 PROUD MOCKINGBIRD RD
ZBPBYRBILLS, FL 33540
Interest in property:
Name and address of fee simple titleholder (if other than Borrower):
,. . ~.l :..
"1" ""\
LP'1'L408 CflFormAtlon Technologies, Inc. (7/24/94) tBOOl 937.37PQ
..
OR BK 36 12 P6
12: of 2
715
4. Contractor: HALL HOMB COMPANY, INC.
713-A N. PARK ROAD
PLANT CITY, FL 33566
5. Surety:
a. Name and address
b. Amount of bond: $
n/e
6.
Lender:
FIRST NATIONAL BANlt OF PASCO and PASCO COUNTY BOARD OF COUNTY
13315 US HIGHWAY 301 COMMISSIONERS (COMMUNITY DEV. DIVISION)
DADE CITY, FL 33525 38053 Live Oak Ave, Dade City, FL 33523-3894
Persons within the State of Florida designated by Borrower upon whom notices or other documents may be served as provided by
Section 713.13(1) (a) 7., Florida Statutes:
7.
8.
In addition to Borrower, Borrower designates FIRST NATIONAL B~ OF PASCO
of 13315 US HIGHWAY 301. DADE CITY. PL 33525
to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
9.
Expiration date of Notice of Commencement (the expiration date Is one (1) year from the date of recording unless a different date is
specified): AUGUST 2, 1997
:iilMt~{ itt f7 ,
y.~~
Title:
Borrower: REBBCCA L HOWARD
By:~~i'o<' ~ --fb~'-'O~d
REBBCC L HO
Title:
Borrower:
Borrower:
By:
By:
Title:
Title:
STATE OF -8D((,'l&'c.....
PA<>W
COUNTY OF
The foreQoing in8Jqlment was acknowled ed befprp me this ~ d.., l q 9LQ by (Y\ ~ ~b -e \ E, t-lo l..LO. d , '3'"~
Ok1'\(\ t\ ~ b ~c::..<:.A. M 0 v...)o...~ .
who Is personally known to me or who has produced <<.: '-
take an oath.
SSA K WORA~I,L
MELLI II s'teto...l F1~oIda
Pub c, 03,\4.08
My 0 m. Exp. 3S5Ul
Comm. No. CC
Tn., or Rank:
Serial Number, If any:
STATE OF
COUNTY OF
nlln 01, """loIIwar\'il
81\'. t '1~~~,.'.~~:n~llAj ..',.
'P"';~~J:OM .,. vttl11lW
The foregoing Instrument was acknowledged before me this
by
of
a
He/She is personally known to me or has produced
take an oath.
I on behalf of the
as Jdentlficetlon and
Tille or Rank:
8erlal Number, If MY:
STATE OF FLORIDA
COUl'fry 0:; PASCO 8'::--
T1-::5 ::; Tn C[;(;!fY :;';.'-;- T'~~ r,;~tG0:NG IS A
TRU~ t,,:c, C\);,;~ECT COPY Uf TH: T eN Fit[
Ofl OF i:'~j: [;:co:w F~ THIS OfF/C:_ ViiTN::SS m
~A:'Jt ~;J C~;,.L ;:;i::t'L ;~'_ [;,',y Of
J~D ;'1 I T;'-;.:;i',:, lERK CF CIRCUiT C .\T
~ ~'- 1\7:.-:-
LP-FL408 <!l FormAtion Technologies. Inc. 17/24/94) 1800) 937.3799 8 W
D.C.
FEDERAL EMERGENCY MANAGEMENT AGENCY See The Attached a.M_B_ No_ 30670264
STANDARD FLOOD HAZARD DETERMINATION Instructions Expires April 30, 1998
SECTION I . LOAN INFORMATION
1. LENDER NAME AND ADDRESS 2. COLLATERAL IBuilding/Mobile Home/Personal Property! PROPERTY ADDRESS
ILegal Description may be attached!
FIRST NA T BANI< OF PASCO 5TH STREET, ZEPHYRHILLS, FL
13315 HIGHWAY 301 ZEPHYRHILLS
FL 33540
DADE CITY FL 33525
PARCEL 10 : 21.26.14.001.0-011.00-005.0
3. LENDER ID. NO. 4. LOAN IDENTIFIER 5. AMOUNT OF FLOOD INSURANCE REQUIRED
$
SECTION II
A. NATIONAL FLOOD INSURANCE PROGRAM (NFIPl COMMUNITY JURISDICTION
NFIP Community County(iesl State NFIP Community
Name Number
ZEPHYRHILLS, CITY OF PASCO FL 120235
B. NATIONAL FLOOD INSURANCE PROGRAM (NFIP) DATA AFFECTING BUILDING/MOBILE HOME
NFIP Map Number or Community-Panel Number NFIP Map Panel Effective/ No NFIP
(Community name, if not the same as "A "I Revised Date LOMA/LOMR Flood Zone Map
120235 0005 C 1211 7/91 - -- AE
Yes Date
C. FEDERAL FLOOD INSURANCE AVAILABILITY ICheck all that apply!
[8] Federal Flood insurance is available Icommunity participates in NFIPI. [8]Regular Program DEmergency Program of NFIP
D Federal Flood insurance is not available because community is not participating in the NFIP
D Building/Mobile Home is in a Coastal Barrier Resources Area (CBRAI. Federal Flood insurance may not be available.
CBRA designation date:
D. DETERMINATION
IS BUILDING/MOBILE HOME IN SPECIAL FLOOD HAZARD AREA
(ZONED BEGINNING WITH LETTERS "A" OR "V")? [KJ YES 10 NO
If yes, flood insurance is required by the Flood Disaster Protection Act of 1973.
If no, flood insurance is not required by the Flood Disaster Protection Act of 1973.
E. COMMENTS IOptionall: Note: Any Data preceeded by @ has been modified from your original request_ LIFE OF LOAN CERTIFICATION
Certify To : FIRST NAT BANK OF PASCO TRANSFERABLE
Attention : SUZIE HAMMAN Subdivision Name:
Department: / Condo Unit Number:
Floor: Filed Plat Number: 1/57
Borrowers Name: HOWARD, MICHAEL & REBECCA Section: Ward:
File Reference: HOWARD - JMH Block: 11
Census Tract: FIPS ST:12 CNTY:101 MSA:8280 CEN: Lot : 5
Township: Range: Section:
Loan Comments: Tract:
Property Comments:
This determination is based on examining the NFIP map, any Federal Emergency Management Agency revisions to it, and any other
information needed to locate the building/mobile home on the NFIP map.
F. PREPARER'S INFORMATION
NAME, ADDRESS, TELEPHONE NUMBER lif other than Lenderl DATE OF DETERMINATION
Transamerica Flood Hazard Certification 07/30/96
P.O. Box 607 TFHC CUSTOMER ID
13680
E1mwood Park, NJ 07407-0607 TFHC CERTIFICATION NUMBER
Customer Service: (800)247-3384, FloodFax : (800)553-3424 19960730SE5319
FEMA Form 81-93, JUN 95
9 t>
~ ~
~, ()
~ '-I
!I: '"
to P
!' ..
~ ~
:>
~
...,
'" '"
[ ~
'-
o
-
--
-;;;
P P_4
"""
P::!
16' ALLEY (NOT IN USE) "":
~O.OO (P) ~
N. 00./0' 27"W. 49.96 (F)
~::: ~~
2;" a:::::Q)r- 02-
hr-O .'
~ C')O--f ~
C")
h~01
<::
-
-I
-
~ ~
O:l O:l
10 10
. .
~ ~
(,oJ O!, O!, (,oJ
~ 01 Vol ~
r- q r-
0 0 . 0 0
-I 0 ...... :" 0 -I
Ol --. --. ....
"tI w w "tI
'- :- '-
"l 10
10 ~
." ."
'-
';",;:,.
o.
2;"
~
NORTH 49. 9~ (F)
v.......o;I........,,..~O. 00 (P)
...
p
...
~
~
.
..
p
'"
~
N. OO"03'lI/.W. ~OO.I" (F)
-t
200. 00 (P)
"b
i->
~!~ ~
~ ~ U)~
-,,4~~
~; ~~"
~g~~
~ ~:V>
I~~~-
"b-S:
:I:;;!h
;;; ... "tI
t:;--Ut"
i :: ~ ~J
~ ~ G)~
~~ ~"
~fl S:
,,(,oJ
"'w
::j0l
4
(I)
5TH
STREET
12/' ASPHALT
~ ~I~ :;~.:f;I..tI) ~f I i!J
~ 2 e: ~;;!~!:.~ :t g:t 8
ii'~ <1l H'!;:=ri; ~:IitO
t:a~ ~';::~t:-< Cl.."''''N
il~ :;:::~:,:~ -f~~~
~ Il>..~...:r!.: - 9.1<!rF11
~. ";;.~!!tI;fJ) .--'
~.- ~ C:~t:~~= C") ~~ po: r) f~
~,~ ".~::::~:S:~~g.I~~
t>!-u P::h;S~ rt-Q % U~
9 r- ,~~".-:. - Z--f-'.:t~
.. tI) "~;:;::; ~ ~ ~ :?1"lJ :b.
:;~:::=;~ bO ~ ~ i ~..
I~::;:;: . ~ rt ~ ~ ~
~..;-i:;:: f-J ~ ~ i :
:-..;;::~~ to Ct> ()~; ..
r i :;ftI~~~ g;~. OJ a
;:8~:1: ~();:r: ~
i::-'~~:~ 0 ~ ~ e~
."::~.'; H, OJ ~y
3.._"'_. H t; ~:J.
::;:~: ~~.~ ie
::- !: ~ ~(j)~ ;!!f
i~ 0 H 5 ~ i ~
~~~..:~
(U(D~g-
;:1 t-1 )I !
Ct> .... \) -
rt
Of-'
oct>
:'1
!'>
~
~
"b
'P
C-
o
.,.
..
~
~
~
",;>~~
~~e~
g ~~r-
.. ~".
~!~
~. 5-
~p~
<:> !;: lrl
o
~
60' PLATTED R;W
~ni~~~~ ~ m
(I~i;(n m ~
I.in~
t ~ Ii ~
~SI1~~i;;: ~
, , . '"Ii 0
i I'U!'I i ~
( r I ~ s~
I l ft.
!! "n~~~ a I
t J'IJ'!filll:
~ ! I!i L
f l II ~
, '~~r.n'
i Jijijii!i
l ~f s. Ila
f hii~~~-,
If Is II f
" L
:b -I r- \:)
"'00 IT)
.... -I U)
g:i!u. C)
0",' ::lJ
U) _
oE~-u
"'''0 -f
0_
"0""' 0
~"'-~
....,,- "
or-'
g~~
~:i!~
~~"!
- ", U)
o
...."...
r-- _
g:bi::
t;U)-I
:b:b:b
. ",I:l
00
g-
I:l:::!
~~
~ti
"-1
r-:J:
:b",
-I
-I
~~
~
o
:-...
'"
"",
:b"
I;):J:
"'~
0l:J:
....,-
- r-
r-
OU)
....
....:b
:J:O
",....
"g
<::I:l
ltJ_
r-~
-I;)
o
-€I
.nU:l"~ ~
~ ~Nurllf
po =" P> I"
~ I~i l[i' ~is~
.. ~a ig" 9-. ..
Ii ~qlr ...,," iiii!5
~ Q1~ .. i "all ~
'< SQ..:l~ i{~ '-c
i;" .g!i9= ::,~:- o~~~
i .....~ ft fJ :)= ~..
~ a~i ;f[ ~;'!3::
~ itQ.G. Q. ::J "Q~::J
if Q.:ict cte~ sitT~
g. ~ 0 ce-!l
!i j1if~ ~!l-" .' o.
- iI 0 Itr ......lCl.
: ;:f "I; . ~~~
a- !llQ. ,,_:
f ~:f ()~ti ~es
s a!!:g g ;;: 3 s
!. ,~!~: ~~:.
1( ~~ ~~~ 2~~
~ "E; "if- i"""
Q !;~, Q. ...~-
::, 0'< a 5" .. i ~
i E.3 i.: ~ ! 0 Q
:: :: ~ ~ ilI~
~ ij~ i~ ~~~
CIl :-:- :g ~::!1
Ii tI Co" if.
S S=t ::: - Q 0
~ 3;; !ts ~~::-
.- :l~ ~~I 5.~~
f.n ~~ ~ g ~;
:_ i- 9 ~
~- ! ~ ~
g ~ ,.
,.
~!l ;;t
zo..ii"
. .....
~ili
9._l
o ...
"s-
e.; I
1\""
o~g
hl!-
o"~
li:'
~Q~
;,.;~
g 3- iI
~."
!'-~~
~~ ~
~!i.
~~~
0_0
"Ii",
ai;"O
'..c
-"
on!}
~g~
..0<0
~;i
~......
. ;"' g
~~~
'<~
e.
l"'
i3f
~~!i
:;fo'-
."'3
:!5!j
g....
Q,.~s
~;s~
c:s.
~~t-
:J:fi
!l..t
oQQ
::"Q~
;~!i
P-o'"
" ~.
" ~"
:- ,,9
:..~ a
~ 3
. .
....."
". ~
:~:
.. :;
;-s.
~3Q
~~
:~
..
i
"
..
~
\q
l" :-tI)
... -,,;;t!5
i~""
'" if" F11
'lil ",0 ~
~9.W~
tr~~CI)
e .. Q.
:t Q,~ ~
r- <00
! !~ ~
(fI ~ (I)
"..g ~ 3
l~
. 0
i:J"
a:!
~1
... "
t' ,,"
~ . 11 [
<- :l ~
}l
{i
:~!
OJ
a
c:
<
~
::0
-<
(f)
c:
::0
~
.
J..
I -
Client J-{ r; ( l IItJJ'>'t>' S
Project <19 7 'l ,-) 71,5 -I >J.- /.;? ~ <J;J
Technician ('- S,....., ;, )';'I/~
...
. .
Law Engineering
Field Oenllty Worklheet
'-.f
Date / 2 '- ,...L .. '7 6
I.. or. ",-,..- VI'." --~v/ Job/Lab No. ~ ,-,/ /LI . .;,
Method 01556 0 02937 0 D2922 1YI
Wet Density
S.C. Vol. Hole
A. Initial Wt Jar and Sand
B. Wt Jar and Sand Retained
C. Wt Sand Used (A-B)
D. Wt Sand in Cone and Plate
E. Sand in Hole (C-D)
F. Wt SandlC.U. ft
G. Vol. Hole (E+F)
S.C. and S:r.
H. Wt Wet soli and cont.
I. Wt container
J, Wet Wt Soil (H-I)
Nuclear
Probe Depth
K. Daily Dens. Count
L. Field Dens. Count (2401)
M. Dens. Ratio (2401) (UK)
S.C. and S.T. and Nuclear
N. Wet Density (JIG), (Jx30), (From chart)
O.
p.
a.
S.C. and S.T.
Wet Wt Soil
Dry Wt Soil
Wt Water (O-P)
Nuclear
--
Daily Mois. Count
Field Mois. Count (2401)
Mois. Ratio (2401) (SIR)
S.C, and S.T. and Nuclear
% Mois. Content ((QIP) x 100), (From Chart)
R.
S.
T.
u.
V. Dry Density (N/(l+U)
Proctor Number
,
o,i) Proctor, ((VIW) x 100)
% Required
Proc. No. .,'" f> 1> ~
Proc. No. ,.....1 tl f) 'I
Proc. No.
Proc. No.
NO
//.:))
I-I
I~
If ' , '---.-. ---. '- --- ..--....---,... _. ~.. --.-._-- - n..'" ..._..-.....~ ..,~-...,...,,-,~ --- --,--;>>-
-
i ...1 t ~ 'i ._.-'---- '.-,.. --, ....'.-.......'" -- -.-- - -~. . -- .~-,.~_... ~.-.' ... .. .. -. '- ---~.,-->
/ ~, /1 J {/ 7'1 ::! 5 10 .=J :3 :, (;.. ~4~)'i'
J
II i ? .l) 1/ i 5" ~l I) il~: 'I 1.1 ".;'0/ ~dl
Moisture Content
, I
IIII B II
I~,;J P~Tg~I~~~~.~~-'.-l--~~1
I 11,,( I i r;', 7 I 0, (,) I.f .t:.; U::=D
1. J(~ -/.~ 5 I 'VI? r ,'('j .f .'-
I-,IJ S I, .....,....;..,
2. l ,:1- '. t',~ I
-"
3. I J1 r:;
4. t.t 1'1 I
5. tI I,S'
6
7. \J \ " \V
FORM #104
NOTE: Th... ........ ...Iaaued for information only and al8 subject to change after engineering review.
ELEVATION CERTIFICATE CfM~i~/tJa~OJr.-?f:J
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form is used only to
'ie e,levation Information necessary to ensure compliance with applicable community floodplain management ordinances, to
mine the proper inslirance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LO~A or LOMR).
Instructions for completing this form can be found on the foJ/owlng pages.
-
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME . li-~~~il-J -./7? kc<'\ )~'\-~-~ ~(; POLICY NUMBER
STREET AD;'RESS (Including API.,~uile-d'dg, Number) OR P,O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
--____rr2 /' - '. <) ~-t, , /,
OTHER DESCRIPTION (Lol and Block Numbers, elc_)
/' 1. ~2h- ~/ - () 0 I 0 - / (,7 (J/ {
CITY J'l0 ^L4
- 0 o--s,U
Provide the following from the proper FIRM (See Instructions):
\ -//TATE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
J-S..i:,,-Y 0
1. COMMUNITY NUMBER 2. PANEL NUMBER 3, SUFFIX 4, DATE OF FIRM INDEX 5, FIRM ZONE 6. BASE FLOOD ELEVATION
F- (In AO Zone., u.. depth)
/ .2 [1 ;).....:~_S- 606 -~ L 1~1 -.;2 7- 'II A 8:.s -- /
-r-
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0 NGVD '29 0 Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: L I I 181;i.U feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1, Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
rl~scribes the subject building's reference level -L .
:IRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an olevatlon
of I I I I 8 9.1JJ feet NGVO (or other FIRM datum-see Section B, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE), The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I I,U feet NGVO (or other FIRM datum-see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W.U feet above 0 or
below 0 (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used aS'the reference level from the selected diagram is W.U feet above 0 or below 0 (check
one) the highest grade adjacent to the building, If no flood depth number Is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No [] Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: []I NGVO '29 0 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section 8, /tem 7/, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: 0 Yes [j No (See Instructions on Page 4)
5. The reference level elevation is based on: [jj actual construction 0 conslruction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for tile building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6, The elevation of the lowest grade immediately adjacent to the building is: I 18121.lj feet NGVO (or olher FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. " lhe community olllclal responsible for verifying building elevations specifies that the reference level Indicated In Section C, Item 1
It Ihe "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
huor" as defined by the ordinance is: I I I I I '.U feet NGVO (or other FIRM datum-see Section B, Item 7),
2. Date of the start of construction or substantial Improvement
FEMA Form 81-31, MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
informalion when the elevation information for Zones A1-A30, AE, AH. A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management informalion, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-II the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equlpment, area use, wall openings, or unfinished area Feature(s). then list the Feature(s) not
included in the certification under Cormnents below. The diagr am number, Section C, lIem 1, must still be entered.
I certify tllat tile information in Sections Band C on tllis certificate represents my best efforts to intelprettlle data availabfe.
f understand tl1at any false statement may be punisll8ble by fine or imprisonment under 18 U.S. Code, Section 1001.
CERrIFIER'S NAME
LICENSE NUMBER (or Affix Seal)
fP<1:ig__E_-"__JgI)kin~__~_________________ ___ _ __~~_13l:t______~_______
TITLE COMPANY NAME
--
_ _ fl_,!._ Reg... Surveyor. ,
ADDRESS
Jenkins & Smith Surveying and Mapping
CIfY STATE
SIGNATURE
DATE
12 4 96
PHONE
Fl
948 2666
ZIP
3354g
Copies sh
lut2:_~____~__~_
Is Cerllficate for: 1) comrnunlly olliclal, 2) Insurance agent/company, and 3) building owner.
COMMENTS: _________-/___________________________
-----------_.~_._~~-~._---_._--_._~--_._----
ON
SLAB
.:.'\:
WIT II
BASEMEtH
ON PILES,
PIERS, OR COLUMNS
A
ZONES
V
ZONES
n":~~~~~Cf
--^- ...". ,,,,-. .....,.,..;" .,~.
l-^-tJ.-vv.,'!.,~I_:i' .J:",.::
~~.....
f1^5F.
rlOOD
~
BASE
FLOOD
~
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevalions for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
~-,~.- ,- ---.,_. - ----:--...-J..;--..-..---.-".~;...----,.- -__ _"_ _, ____. ____....~ "'_~_:'---_"___'~"'_
l.:."i,"-,l"'rl F:(:;C, T elf::': .It:
j'l(d'IE; ;j(\;,J_ j--lOI"jF CUi'H 11i'i\/ i. !':!,~
(~Cj I) 1...' ~ /~;} '-:--'? ~:i r ~..; ::::;"1
C E N T R ALP E R M I T TIN G
}""'i:':\~::::L-:.~f C~fJ!JI\~T'Y", r:-!._(JF' J f){.:l
Utile: (i:3/:ZC/'~-'7
('(::ut: : 1 UF 1.
r... :_:~; 'T' : :~_~ E:: ~.., ;-1'/ f~~ :"! J L_ L. ':';
I':!3I.JC OFFICE:. D
F~ECE, I F'T rJL!!'IBh: ~ ,:I'_U:t /:,:,::~~':"i
OFFICE: DADE CITY
F I!;:(: C!-IEU:: tt C:I-;:~;I--j
~\r:_:;:UUP(:L FEL !)N ::'LT:t'l.l1 6::,>1-/18 lL:::'HtF\lilLL::::
I en t:L t:l'1(J!!j-.rJ:
'~.::r;) OIl -l- {"
i"~ i_ !.:~'r'q r
c CWI/'rh ,il::I.:(.Jur~ r
c, z:: r'-i r f~ F,
(iI'1UUI'j f
DF::.l_HLF" r ICil'~/F';::'F;:I'l'i ur,'f,:":] Ol'\/Ch'
.; '"
-I."'}'
J.:.::i(. ~:::f()
:::: (;. :.?:() (~(1-'
.~~)~'jt. ~*.~**.~. ~~('1l. II~ W~";S-fE~ r:'[E::
/w,(i
:-J
. ~ ;. : r:.
,----')'->-"y----
Ie ~ '1'1-/3
. ~ Date Permitted ..1 - rVo -7 '7
Builder NamelOwner Nam~ 222l.L ()~~ ·
County Parcel No. /1-;~-~/-- ;~/f)-/~ Ii -(/tJ~
Location ~9~ 7 -,;)~ ~.
ClassificationlType of Use LY?..........- ~
PASCO COUNTY, FLORIDA
Permit No.
Subd.
EXEMPT D
Zone No. ___---------
pre~
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
-------
Sq. Ft.lU nit _______
Imp~
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
,
Gross Sq, Ft. (GSF)
RatelERU - 52.00/Year
or $0.142/Day
ERU Assign No,
Assessment - (No. Units) x ($0.142)
x ~. ~s~ 'I lP
TOTAL FEE $ ~ I I
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No, 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
-------------------------------------------------------------------------------------------------------------------.--------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.-
RESOURCE RECOVERY REC. NO,3\1,3a ~
DATE ~ l
DATE .;1.\0 Q'l
~--
~~
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A
DESCRIPTION:
LOT 5, BLOCK II. MOORE'S FIRST ADDITION TO THE TOWN OF ZEPHYRHILLS. ACCORDING
TO THE MAP OR PLAT THEREOF. AS RECORDED IN PLAT BOOK I. PAGE 57. OF THE PUBLIC
RECORDS OF PASCO COUNTY. FLORIDA.
... F. I. R. 11'2"
t ~6L~/TY NO 10~
......
L LI.. LOT 5
-.-
<D BL OCK I I
0)
- oi V A C A N T
L "'" a.. 'it'
Iy -
II) ~
;:) 8
~ .
r-..
. C\l
t-- 0
I L 0 lO b
~
....
>- .;, .7'
I.l,j 8
~
-.J
~
L iD <:
F. I. R. 1-'2.
NO 10.
L
LOT 4
132. 00 (P)
S. 89'46' /"E. /3/.94 (F)
~i
311,0 -
"1'It: ,(7vll dl1.-/l"/1
.
Ii
"
#4'M?
3'.0 '
N.
89'46' BOrrE. /3/.79 (F)
I 32. 00 (P)
lOT 6
III
<'Ii
...
~
~
N
ill
'Ii
...
TASK: BOUNDARY -SURVEY
rjJ ....,,><.4-
~ ,,-'\,
, ruCl' ID-
SURV,YOR'S NOT,S
I. This 'S a Boundory Survey, mode on the I)round undtr Ih. 3up,rvl3/0n 01 a
Florida Regl.tered Land Surveyor. Fjeld survey was completed on ~.t~'~b
Z. B,arlnl)3 ar, ba"d on h& wt~+- ttjlV ",,:"""e ,,~ S-l-J,. S-+.
as N.(lr-!-\-. .....sSC1I'Y>"U.
3. No underground Ut//ltIIlS, ~nderground encroachmenls or bulld/nl) folJl'ldatlon3
were measured or lacaled os 0 port of this survey, unless otherwise
shown. r"u and 3hrub3 not 10cat,eL un/'33 olh"w/" 3hown.
4. Thl3 survey was conduct,d for the purpose of 0 Boundary Survey only,
and 13' not Int,nded to denn,al. the "gulatery }urI3d)ctlon 01 any f,d"a)
stal., "glonal or local ag'MY, board, comm/33lon or othtr 31m1lar ,ntlty
So Thl3 surv.y wa3 conducl,d wllhoul th, b,n,flt of an ab,troct 01 tltl"
therefore, there may be other easements, rights-of-way, setback nnes,
agrumenrs, r.servatlon" r"'rlel/on,, or olher similar motler, 01 public "co~d.
nol depleted on Ihls surv.y.
6. flood lon' determination based upon 0 scaled In'erp,,'allon of th, Flood
Insurance Rote Mop os shown hereon, prior to C"onstn/cl)on Bulldlng D,par1rne "It
shou)d be contacted for vert1kotlon flood lone.
7. Attention Is directed to m. fact fhat this survey mqy how betn reduced
or enlarged In flze due to reproductfon. This snould be taken into C"onsJ~ra110n
when obtaitr/ng sC"aled dotd.
8. ThIs survey Is not valid unless imprinted with an embossed Surveyor's S,al
"" ...... .
t.., 0.. ...
....1-.- ..
..,. i
~ g
ci to
o..t
<:>
~I(\j
H
:i
F.I.R. 11"2.
NO 1011
LEGEND M.S.- ,at rt wt/1lM1,
AND ABBREVAT10NS: "" .t;)wll w.c.inIllW M,C,. ,~;;;~~u Con><<
,.~. lOlItld roa '" F.F.~' fl:llJa FIt.. O. ieIlG ,.,8. - ,Jal wot lI1lI.' VlIt!1
FJ.P.- 1tI.tl4 tlD ~ Clt~ 1).8,. ;..d b~ Pt.- 1>4,. ua',. ..nlWll~
Fnd.' 1tI.tl4 ,""c- ... t'OII4ItIohW (f). fIaId _inCnUt R' rodllu H.G.V.D,- ~I.nd;
SolA,,,' roa '" 5/'- CJl,- chOrd .."" (,.).,J.t 1I*l6..--11t R/I'. r11N rt.,'1 ~ wt""1I
ll$t65" ~ C/l,- d>Of'd ~_ ~ T)p.- /nit'" dal...
s'pJ(.. nt nd a ".. CA.. ct"*' .. Ros.- ru~. 11/.;1'- Wod IaIln c.-t,'chaIn bW 101\"
~".~~CDItc.- 4'OIIct'" IIId,.. '1/1"', A.\An' ;,.,mllt/ P/A- '101 p...., ..~M
" .worbH4.- (D)'OH4 yW..JdntAlr (CJ-c~ Ako6...-..r>W
30,0'
20.2 ,.
J-- ,
a:
lJJ Q
~
"'" t--
Lu <(
-.- ~
- 0.
10 a.. a:: 0
0) - J-- <Q
.
0) 0
~ 0 (J)
~ .
0
~ lO
\ ~ t--
!\ -J
~ ~
0.
" II)
l() <(
f :..
20.4 (\j
FLOOD ZONE CERT/FICAJ?/ ThIs Is to certify that th, prop,,'Y shown
ht"on 101/3 within Flood Zon. C as per 11'1. Flood
Insuranc-e Rate Map, Community Panel NumberJ1otJS' ooasc.. ,dat,d /&-11-':)/
Cenff1ed To: l1ichael & Rebecca Howard; Sunstate Title
Agency/First "~erican Title Insurance Co.
First National Bank of Pasco
SURVEYOR'S CERTIFICATE:
r." u,""" ,.er . u,v., I' 'hi ,,.,,,,, 4..",hd bor.n "01
IlIlld. u4er IIW ru,,,v,.lOn GIld tha' 'h. ..'V" ...". thl IIlnl",...
tullft ,.. , ,'"nd.,d, ..t to"a ., 'b. FI" Id. ,..'4 .,
"""rt'.n.1 lu4 h,uI'" I. Cha,'" IIGI7~. Flit Id.
Apl.rrlllllvl c.~., ,u/ruu' to Sull" "7t..ot7, FlorlG.
S/llUlu. An~, t~1I Ih~' tch htl... I' . tlWI .n4 .HU'''.
,.,,.nn:)',.. Ih,.., I~ ..., " "" tnt"l.d,. '1\4 hll.,.
1u.1' J' HI.. an . III U ,hewn hlt..n.
. ~ .
30.J'
F.I.R. 11'2"
;10 10.
DavId L. Smith PLS
PRQfUJICl'IJt. $V"'~ . lIW'PU
ftOADA Fl!GI3TRAT'ION ~~
R6VI$lonJ Do16
Eddie P.~ ..Mnklns PLS
p~ SU~ . lIW'PU
ftORDA FI!~T7lAT/CIi ~
R6VI$lonJ Dat6
K>vf\J...h ">'\ /'e-::If") /2. '! - ~b
Jenkins & Smith
SURVEYING AND MAPPING
J 900 HVIY. 4/ NORTHJ SUITE I J I J L UTZJ FL 33549
LOCATED IN LAX! FRANCISCO PUlA - PH (8/3) 948-2666 FAX 949-58/7
p.e. G. C. F.B. ~f.., P'J. Job t:t "~7-/1!
-
I
Sta.t:t 3 I
Droit C .:r Sec. I
,
Check ,E. :r. Mis c. '3,,(.) "J~ r Sheet . / of /