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BUILDING PE.RMIT 7596,8
CITY OF ZEPHYRHILLS Permit -----; IJ --/
(813)78&-6611 DOl. 3-19-W f_.
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BUILDING /
Property Owner:
Job Address:
Parcell.D. #
p~ ~L
f5/bif Jt::~~~~.
..3 -2~-~ 1- D/~D-OOax>- (')/(rJoR
E~~eJ .. Radon Gas:
~~LO . i2/y\.fi'_/ .()6.h ~ iL-/
~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
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
Contract Price
F- c:2. ~OO' ~
.
Signatur
Company (/
Address
Telephone#
City License Registration # ~~-19A~,;z,
State Certified License# LID & 9 g3_3
M
Ftr.
Pre SLB
Lintel
FRM. r htJ fq ~ KtJO
Insul. CL 3/3/ J 1 ~ 13,' K-
WL I I
Tp. Servo
Rough In "1 Ilo/~'i {oR
Meter Can
Const. Pole
Pool
Pre-Meter ~ql ~.~
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($ 'Ht.'06') shall be made for each trip for each trade:
~~':.(J?)
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
,r'
BAY VILLAGE BUILDERS
6406 LAURELWOOD
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF 149 $ 20.00
OTHER - $ 0.85
VALUATION $ 2,980.00
FEE SHEET $ 35.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 52.50
ELECTRICAL: $ 27.00
PLUMBING: $
MECHANICAL: $ -KI 25.00 .AI
RADON: $ .
CREDIT:
TOTAL $ 104.50
(t
I
SEWER'I $
WATER: $
TOTAL: $
- I
I
3/4" WATER METER:~ $
- ~
I
TIF -:1 :
- I
TOTAL: $
'--
104.50
cfl,j'. - .:.
---".~
19$D
APPLICATION FOR PERKIT
CITY OF ZEPIIIlUIILLS
BUILDING DEPARTHENT
/'. b./ (/~
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99/-/3"
_'S_~ ~~ AJk
OIiIIER'S ADJlR~ "{0~ ' eo.. -A~
JOB AIlIlllllSS Blob ~
LEGAL DBSCllIPrIOR. I.OT(S) Z/ ~ I? 8LOCl< SUBD1VISXOR J{k /),1/ !;c
PARCEL I.D.' .f-d/'-.:I/ - CJ/07() - ClOOO6 -Otla1tf(OBTAIN FROM PROPERTY T~ NOTICE)
WORK PROPOSED: .>( New Construction ---..Addition ~teration --...Repair _Install
PHONE
_Sign
-.JIove
~lish
PROPOSED USE: XSiDgle Faaily
-.JI/F _' of Units -Jl/B
_~ercial
_Indust. _Swia. Pool _Other
--...Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: ~ ~ ~ h 7?6
BUILDING SIZE:
x
Square Feet,
Height
RESIDEHTIAL: ATlACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
COMMERCIAL: ATlACB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
RT.RCTlUCAL
PERMITS REQUESTED
$. c-J5 CJ 0 Valuation of Total Construction
AKP Service X,l.Orida Power Corp.
. d>
$. 5~ Val.uation of Mechanical Installation
"t' ,
--BUILDING
W.R.E.C.
-1IEClWlICAL
--.:PLUHBING
GAS
RooPING
~Fraae _Steel
Other
SPECIALTY
TYPE OF COBSTRUcnON: ---..Block
FIBISBED FLOOR ELEVAnOBS:
Fl.
IS PROJECl IN FLOOD ZONE AREA!
..........................................
YES NO
RT.RCTRICIAR
S:lrmJlture"p~#'/~
BIJTU1ER _ COHPABY
~"?u ~ State Cert. r IleRist .
Signature City License Registration ,
' ..........................................
. I
COMPANY 51- ~ ~ec~/C
e State Cert. or Regist. I. CJ!5/,3(;
~ . City License Registration', ~
........................................
PLUHBER COMPANY
er .
Sigoat City License Registration ,
...................................
flECllANICAL g:;~ COMPANY ARc A (~
~ f/./.I~ State Cert. or Regist. I. C"'TC032.l.f-((7
Signatur~ -e~ v~ City License Registration, d9r~
..........................................
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration ,
..........................................
Signature
APPLlCAnON APPROVED BY i
P ~.
~,'~"~a:i'
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that tbis perlit lay be subject to 'deed restrictions' which lilY be lOre restrictive than City
regulations. fbe undersigned asSUles responsibility for COIpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe owner has hired a contractor or contractors to undertake wort, tbey laY be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be
cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to whit licensing
requir8lents lilY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe
'Contractor Sections' of tbis application for wbich tbey will be responsible. If you, as tbe DIRer sign as tbe contractor,
yOU are indicating that you, ratber tban tbe contractor, are responsible for tbe 1fOrk. If tbe contractor wishes you to sign
as contractor tbat lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the'
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - lIaIeoImer's Protection
Guide" prepared by tbe Florida Deparllent of Agriculture and ConsUl8l' Affairs. If tbe applicant is soaeone otber than tbe
"mmer', I certify tbat I have obtained a copy of tbe above described dOCUll!llt and prOlise in good faitb to deliver it to tbe
"owner' prior to COllBDCelefit.
E. CONTRACTOR'S/OWERtS AFFIDAVIT
I certify that all the inforJation in tbis application is accurate and that all work will be done in COIPliance with all
applicable laws regulating construction, loning, and land developElt.
Application is hereby Jade to obtain a peIlit ~o do work and installation as indicated. I certify that no vork or
i~WlatiOD baa CDleDced prior to issuance of a perJit and that alllfOrl will be perforJed to Met ataDc1ards of all1all8
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify tbat I understand that the regulations of otber goverDlental agencies lily apply to tbe intended work, and that it is
IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liJited to:
. DepartJent of EnviroDlental Regulation - Cypress BBybeads, Wetland Areas and Environaentally Sensitive Lands,
WaterfVastewater freatlent
. Southwest Plorida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
. AllY Corps of Enqineers - Seawalls, Docls, Havigable Waterways
. DepartJent of Healtb & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'freatlent, Septic 'fants
. US Environaental ProtectiOn Agency - Asbestos abatelefit
I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.', it is understoodtbat a drainage plan
addressing a 'cOlpensating volUJe' will be subaitted wbich is prepared by a professional engineer registered in tbe State of
Florida prior to per.it issuance.
A perait issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall be~ invalid
unless tbe work authorized by such perlit is cOllenced within sillOntbs of issuance, or if worl authorized by the perlit is
suspended or abandoned for a period of sillOntbs after the tile the vorl is cOllel1ced. One 90 day utension of tile, lilY be
al101led for the Perlit with fee charge of $15.00. fhe utension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
WARHIHG TO OVHBR: YOUR FAILURE 'f0 RECORD A HOIICH OF COIlMBICEllEHI HAY RESUL'f IH YOUR PAYIHG 'fIIICH FOR IHPROVEIIm'S 'f0 YOUR
PROPERlY. IF YOU IHlBIID fO OB'fAIH FINANCIIG, COISUL! WITH YOUR LBllDER OR AI AnOIlUY BEFORE RECORDIMG YOUR MorICE OF
COHHEIICEHIlI'f. JOBS UHDER $2,500 II VALUB DO Nor NBRD TO RECORD AND POS'f A "HO'rICH OF COHHEHCBKm'.
---
~~/
~GUfURE:~ .
S'fA. 'fE OF FLOijDA
coum OF ~CD
The foregoing instrument was acknowledged
before me this ~lij.l b , 19.1,iL by
-ro+-lM ~f-.-V-1
who is personally krlOWD to me or who has
produced
as identification and who did/did not
take 'JfJ ~~ ~(/}?ct-
(Sig~ture) Lf ~
(Name Typed, Printed or Stamped)
NOTARY
-4:1Vfi1.1jt
{-8IGlAtuRB: OIOIIR
SfAfl OF FLOR~
coum OF 1:;<2:0
The foregoing instrument was acknowledged
before me this'iAUfl b , 191K- by .
~ofirJ I-{. k~L-L~
who is personally kn wn to jIIe or who has
produced
as identification and who did/did not
~ath.~
( ~ mot
(Signature '
(Name ~ed, Printed or Stamped)
NOTARY PUBLIC
DAVID RotO\
Ii1'AT8f111...... _
COM __ ....If.
COM"__
"
~f.
j..........,
DAVID RONDA
&fATE aF FlOlUDA
COM IIllPIN!8: MMCH 71, 2OlIO
COM tcC IlIIG2
NOTICE OF COMMENCEMENT
11111111111111111111111111111111111111111111111111
r.n129649
Rcpt: 195682 Rec:
00: .... IT:
11/17/r.n
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. .' . TICO TITLE, INC.
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\ 5269 Village Market
~ WESLEY CHAPEL, FL 33543
15."
....
DDtv ClerJr
STATE OF FLORIDA
COUNTY OF PASCO
JED PITTIIAR, PASCO COURTY CLERK
11/17/97 1.:.7a. 1 of 3
OR BI: 3837 PG.1 9(2)
The undersigned hereby gives notice that improvement will be .madeto
certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in the Notice of Commencement.
1. Description of Property:
XXXX Laurelwood Drive
Zephyrhills Florida
Laurelwood, Lot 4 B
2. General Description of improvement:
SEE EXHIBIT "A" ATTACHED HERETO AND
INCORPORATED HEREIN FOR LEGAL DESC.
SINGLE FAMILY DWELLING
3. OWner Information:
(a)
Bay Village Builders, Inc.
18505 Putters Place
~ampa, FL 33647
(b) Interest in Property: FEE SIMPLE
(c) Name and address of fee simple titleholder (if other than OWner):
4. Contractor:
Bay Village Builders, Inc.
18505 Putters Place
~ampa, FL 33647
STA TE OF FlORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY lllAT THE FOREGOING IS A
TRUE foNO COrmF.CT COpy OF TH:: DOCIlMENT ON FILE
(1:\ OF PU811C RECCRO IN THIS OFFIC~r..'1!J1IESS MY
Hr.i:llJb4~em~>f.Al THIS ..J.:.E...~AY Of
"'- 19 g:z
,f':.:D PITTMAN, CLERK OF CIRCUIT COURT
B'/~ f)rn.LU D.C.
5. Surety:
(a) Name and address:
(b) Amount of bond: $
6. Lender:
ONE MOR~GAGE CORPORA~IOH
3922 COCONUT PALM DRIVE, SUI~E 105
~AMPA, FL 33619
7. Persons within the State of Florida dsignated by OWner upon whom
notices or other documents may be served as provided by Section 713.13
(1) (a)7, Florida Statutes:
8. In addition to himself, OWner designates:
ONE MOR~GAGE CORPORA~IOH
3922 COCONUT PALM DRIVE, SUI~E 105
~AMPA, FL 33619
to recieve a copy of Lienor's Notice as provided in Section 713.13
(1) (b), Florida statutes.
OR SIC 3837
2 of 3
PG
~9~
9. Expiration date of notice of commencement (the expiration date
is one year form the date of recording unless a different date is
specified.
My commission expires:
SHERRY M. NEWGENT
~ state of F10rtda
. 'J: r. ComExpoct27.1-
Com # CC4~2
PtRSONALLY KNOWN BY ME
o PROOUCEDI.D
Bay Village Builders, Inc.
JOHN M. KELLY,
this November 14, 1997
t;J 1:
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.N1E: BV/OMC
FILE # 97-1105
EXHIBIT" A" -
OR BK 3837
3 of 3
PG 1. 92
_ot 4B: That part of Lot 4 of LAUREL WOOD AT SILVER OAKS, according to the map or plat thereof, as the same
is recorded in Plat Book 32, Pages 110 and Ill, ofthe Public Records of Pasco County, Florida, described as follows:
For a POINT OF BEGINNING, commence at the Southeasterly comer of said Lot 4; run thence North 10026'42" West,
along the Easterly boundary line of said Lot 4, a distance of90.21 feet; thence North 11009'05" West, along the
Easterly boundary line of said Lot 4, a distance of 40.00 feet to the Northeasterly comer of said Lot 4, said point being
on a curve concave Northeasterly having a radius of50.00 feet and a delta of24001'13"; thence Northwesterly along the
arc of said curve, an arc distance of20.96 feet (chord bearing of North 89008'28" West, chord distance of20.81 feet) to
the end of said curve; thence South 24024'21" West, a distance of51.78 feet; thence South 19047'34" East, a distance of
93.03 feet to the Southerly boundary line of said Lot 4; thence North 79033'18" East, along said Southerly boundary
line of Lot 4, a distance of35.38 feet to the POINT OF BEGINNING.