HomeMy WebLinkAbout03-1873
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1873
-3.'7'. c0)
BUilDING
L( L/, l.{ ~
ELECTRICAL
(813) 780-0020
.,Lt. fYV
PLUMBING MECHANICAL
Date
:2 - 2~-(J 3
Property Owner:
Job Address:
Parcel 1.0. #
;Jllets~ m.~
<:) If 3l( ~'f/.-I .sr.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
'3/ Lf - & "-l YOn rv-.
f
Radon Gas:
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Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
Valuation or
Contract Price
(I ;2.0 C) .
<'YO
,. ~
Permit Fee
J:si9nature
Company
Address
)ielephone# ~/?J 1./' q - 1&-9'0
D Co) yv.,y
/j~
City license Registration #
State Certified license#
f) tAl tU.-y'
v W Y\..t-Y
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
BUilDING
ELECTRICAL
PLUMBING
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction,
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,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRHII~I~S PERMl'f APPI~ICATt:O~ c:J!lt...t! j::/z-2f.,-P3
aUILDING nBJI?ARTMIlJN'f 5335 8th S'fRElBJ'r ZElI?H'iRUrr,I,S, Fl, 33~-------
JilhonElI813-780-0,020 FaxI813-780..0021 .. .., .....,... :/'._ O.~
lJA'rBl RB(1B1IVBln _~--:~~. .n__~
PI,ANS RBlVIIlJW Jl'B1B
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UlmER I 8 llAl'1El
LEH]1\L DIllSt!R I PTIOl1: LOT (8) ___.L~..:-~ L_ BIDCK ____~..._ SUBllIV I S lOll ___.n.__...... _._,... .._"__"
PARCEl, In #--...i~.~.1 OQJQ_Q~Ll? DQlb.l______~~)~TA:~~._~~Rl~!.~~.~~~11.::_.'1~~~ ..~~~~I.=_~~._
HORK PROli'8ElIl f lJNEJW C'ONS'l'RlJCTION [J ADDI'rIdtr ~EJRA'rION LJ RElPAIR LJ INSTA!,!,
[J 8 mil
[] MOVE
o DEJt10l,ISIl
PROP08FJIl USH:: [Jsr]!, FAMILY DWEJLI,I1KI
[h1lJUI'I. FAMIl,Y
[)# ClF maTS
[J MOBII.El llot11ll
[] OTHER
(] Cot'lMElRC! JAr /
LJ INDUS'l'RIA!J
[]SWHIMIHG POUI.1
o R~8'fAURANT & HEAI,TH DEPAR'n1ENT APPROVAL
"aSCRIP'r LON OF WORK --~/=L~ 1hrQOl'>L -h~i 3 fi~___~",~e._",:,,,,.. ~.?_h1:l'___ ____
BtJlr,nINC~ SIZE .______..__.....__.__ SQUARE FOO'I'AtJE ________ IIEl1l1I1'I' ..._Zt;~t.~ Ll
Rl:llS IDElN'I' I 111, I
(~O)\1MERC!IJ\T, I
A'I"rACH (2) PI,O'I' PL,Al1S & (2) SETS OF BUII,DINr~ PI,ANa & (1) BEl'I' EJNElRr~y FORI'18,
A'l"I;ACH (3) SETS OF BUILDING PLANS & (1) SET ENERny FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'I'Irn~.
[] 8\III.JlINr3
IJ Ell,EC'I'RlcAl,
~~Jt1BING
lJ HEI(~HAN WAY,
iERMITS RKOUESTED
L_.J)~90 --.____c VALUATION OF TOTAL CONS'I'ROC;TION
------------- MIlP SERVICE 0 FIlJRIDA POWER [J W. R. 8. n,
[) (3A8
[J ROOFING
,
$.... ......----'------ VAI,UATION OF tIjIlJCHANCIAr, HISTAI,IJATTON
[J BPEC1IAUl'Y [] OTHER
TYPE OP' C;OH8TRUC!TIDN I [J Bl.OCK
[J FRAt;JEl
[] STEElIJ
[J OTHER
FINISHEIJ PI/DOR EI,EVA'rIONS
IS PReXTEJCT IN FLOOD ZONE ARElA [J YElA
o NO
BunnBlR / #.//
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------_..~-
Cotlj PAN Y____.. .__....__.____ _ ___ ___.._.. ... _._... _ ..___.____....__
STATE CHiR'!' OR REGIS'!' # _..______..___...____._. ___'__
CITY PROCESSING #
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COMPANYJ.=:-~~4t ~-~/l-C;-Cl___._
STATE CERT OR REGIS'!' # ____________.__._____....
CITY PROCESSING #
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.-..---.-....-- --------~-----_._..~--------~..~
........_._-_..~-----~---.._-,.--.-.._---.....-----,...._---_.-
cOHPANY__..______.__..
STATE CERT OR REGIST #
CITY PRUCESS!NO #
----~.._---_._-.- "'-'-'-'_._--'-~~- ----.--
8 Ir.3NATlJRE
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OTHER
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COt.1PANY
S1'!\TE CBlRT OR-REGIST -tr--~---'-------'----- "'-~'---'_."._--,--
CI'rY PROCESS ING # -----------.------.---------__.
--_.~_...".._--~---~-----------------
SWIIA'l'lJREl
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CONDITIONS OF PERl'Hrr AFIl'IDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands th,t this p~rmit may be subject to "deed restriotionsH Wllicb
m~y be more restrictive than City regulations. Tile undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED (;ONTRACTORS AND CONTRACTOR RESPONSIBIJ,I'I'IES
If the OHller has hired a contractor Dr contractors to undertake work, they may be required
to be li CEHlsed in accordance with state and local reglllatlons. If the contri;:lcLor is nut
11 censed as requ.i.red by 101\.." both the ovmer ~nd contraotor Hlay be c1 Led fox: i;:l misdellleallor
violation under state lOll,. If tht:: O\><Iner or intended contractor aLe uncertain as to y/hat
Ii cE:nsing requirement::! may apply for the intended wCHk, they are advised to contact the
City of Zephyrhills Building Department, B13-7B8-6611.
Ifurthermol:e, 1 f the Oyiller has hired a contractor or contractors, he is advlsed to have the
contractor (s) sign portions of the "Contractor Sections" of this application for Hili eh they
will be responsible. If you, as the owner signs as the contractor, YQY are indicating that
you, rather than the contractor, are responsible for the work, If the contractor wishes
you to sign a~ contractor that may be an indication that he is not properly licensed arid is
not entitled to permitting privll~ges in the City of Zephyrhills.
C. 'I'RANSI?OR'l'A'l'ION IMPAC'l' FEES AND U'I'ILI'l'Y CONNECTION FEES
D. CON S'l'R\lC'l'U ION Ll EN LAW (CliAP'l'ER 713, FLORI DA STA'l'UTES, AS AMENDED)
I certify that I, tile applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affalrs. If the applicant is someone other that the "owner", I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
j t to the "oHner" pri.or to corrunencement.
El. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application i.s hereby made to obtain a permi t to do Hork and installation as indicated, 1
certify that no Iwrk or installation has conunenced prior to issuance of a permit and that
all work will be perfonned to meet standards of all laws regulating c6nstruction, City
codes, zoning regulations, and land development regulations in the juri::!dlction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended Hork, and that it is my responsibility to identify what aotions I mLlst Lake to
be in compliauce. Such agencies include but are not limited to; *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensi.tive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
;.Army Corps of Engineers--Seawalls, Docks, Navigable Waten/BYs
*iJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wel.ls,
Wastewater Treatment, Septic Tanks
*u.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc,", it is
understood that a drai.nage plan addressing a "compensating volume" 'Hill be submitted Yihich
is prepared by a pr'ofessional engineer registered in thE! State of jj'lorida pdor to permi t
issuance.
A permit: issued shall be construed to be a license to proceed with the work ;:Ind not as
authority to v.i.olate, 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, oon~truction, or violations of any code, Every permit
isaued ahall become invalid unless the Hark authorized by auch permit is cOllunenced Hithin
si.x months of issuance, or if work authorized by the permi.t 16 suspended or abandoqed for a
period of shl months after the time the work .i.s commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
ill \'Iri ting to the Buildi.ng Official, An approved inspection must be logged during each si.x
month period, or the project Hill be considered abandoned,
WARNING '1'0 OWNER; YOUR FAILURE TO RECORD A NOTICE OJ!' COMMENCEMENT MAY RESUW' IN YOUR
PAYING TWICE 'fi'OR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN nNANGlNq, ~qN~UI/I'
WITH YOUR LENDER OR AN A'rTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l', . JOBS UNDER
$~, 500 IN VALlJ&: DO NOT NEED '1'0 RECORD AND POS'l' A "NO/nCE OF COMMENCEMEN'I"'.
SIGNA'l'URE: OWNER OR AGENT
SIGNA/I'URE: CONTAAC'l'OR
S'fAT!!: OF FLORI DA
COUNTY OF
The foregoing instrument was
Before me this ___ day of
by.
acknowledged
, 19_
STA'I'E OF' FLORIDA
COtJN'l'Y OF _____
The foregoing instrument HaS aoknowledged
Before me this .-------JJay of------, 19
by _..__
(name of person acknowledged)
Qho :is pell::sona11y known to me, or
(name of person acknowl~dged)
Dwho is personally known to me, or
o Hho has produced_.
(type of identification)
and who[] did LJdld not take an oath.
o who has produced__ _____
(type of identificaUDll)
and Hho Ddid []Jid not take all oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
--_......- ..._.._...~..~_._----~----._-
Name typed, rrinted or stamped
Name Lyped, printed or stamped
Legal Description
Lots 18 through 21, Block 91, TOWN OF
. ZEPHYRHILLS, according to the Plat thereof, as
recorded in Plat Book 1, Page 54, of the Public
Records of Pasco County, Florida.
Community Number: 120235 Panel: 0005
SuffIX: C F.LR.M. Date: 12/17/1991 Flood Zone: X
Field Work: 12/31/2002 Completed: 1/2/2002
Certified To:
Varkey T. Mathew; Aleyamma T. Mathew; Aneesh T.
Mathew; Nancy T. Mathew; Sunstate Title Agency, Inc.;
Principal Residential Mortgage, Inc., its successors
and/or assigns.
Property Address:
54345th Street
Zephyrhills, Florida 33541
Survey Number: 0-106561
Notes:
Accepted By:
lJ1
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LOT 24. BLOQ( 91
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9078'02" M.
89'59'24" M.
BLOCK 91
21 f(;
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BLOCK 91
22
140.00' D.
94.!56'
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BLOCK 91
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89'59'09' M.
140.00' D. ~ ,1.1.
BLOCK 91
17
SET 1/2'
IR /6387
Parcel Information for: 11-26-21-0010-09100-0161 Card: 001
Page 1 of2
Welcome: Record Search : Parcel detail
--
Search Again Sho.'!o'MaR Gener~U~ed BuildinQ Sch~matic Calculate Taxes
See Tax (;Qllector ..lnforrnati()nm~(;urr~ntlD~linqu~ntTaxes
I ParcellD 1/ 11-26-21-0010-09100-0161 (Card: 1 of 1) I
I Classification II 01 - Single Family I
Mailing Address Assessment (totals)
SIMMONS K D&HALL B R&TEZTJ D M Ag Land -
&REMINGTON D P & HUSSEY L J & Land $40,950
GIESLER J C & SIMMONS R T Building $39,333
5434 5TH ST -
ZEPHYRHILLS, FL 335423944 Extra Features $262
Physical Address Total Assessment $80,545
Save Our Homes $0
l~9ill pe!icripti9n (First 4 Lines) Taxable Value $80,545
TOWN OF ZEPHYRHILLS PB 1 PG 54
LOTS 16 THRU 21 INCL BLOCK 91
OR 4206 PG 1062
land Detail (Card: 1 of 1)
used ... cription I Zoning II Units II Type 1/ Price II Cond II Value I
01 0100 SFR I 00R3 1/21,000.0011 SF II 1.95 II 1.00 II $40,9501
Additional land Information
Acres I Tax Area II 30ZH 1/ Fema Code [::::J1 Res Code II;Z:HLHl.,P21
BlJildinglnf9nniltion - Year Built 1967 USE 01 - Single Family Residential (Card: 1 of 1)
Ext Wall 1 Concrete Block Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Wall Board or Wood Wall Int Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
Line Description Sq. Feet Repl. Cost New
1 I UCP I 444 $1,476
2 BAS 1,296 $43,468
3 FOP 40 $268
I 4 I lJPU 582 $5,870
Extra Features (Card: 1 of 1)
Line pesc~~on YeaH Unfts Value
1 UDU-M 198 2 $262
I Sales History I
Previous Owner II SIMMONS VERGIE I
I Year II Month II Book / Page I Type 1/ Amount
1999 I 08 II 4206 /1062 lEt -
1999 I 04 1/ 4127/1425 I -
Search Again ShowMap G~neralized!3uildingSchematic Calculate Taxes
http://appraiser.pascogov.comlsearchlparce1.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=OO 1 0&... 2/19/2003
. PrepareD liyand Return to:
SUNST ATE TITLE
Sunstate TItle Agency, Inc.
13937 7th Street
Dade City, Florida 33525
File Number: S-21449
Warranty Deed
Made this February 18,2003 A.D. By KELLlCE D. SIMMONS, BARBARA R. HALL, DORIS P. REMINGTON, LINDA J,
HUSSEY, JACQUELEj\JE C. GIESLER, DEBORAH M, TEZYK and REX T. SIMMONS, hereinafter called the grantor, to
' A~EESH T. MA THE\V,jY1lOse post office address is: 5434 Fifth Street, Zephyrhills, Florida 33542, hereinafter called the grantee:
,---,--..-.~:: ._..~.......,......,._"=~.._----
<-
Witnesseth, that the grantor, for and in consideration of the sum ofTen Dollars, ($10.00) and other valuable considerations,
receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee,
all that certain land situate in Pasco County, Florida, viz:
(Whenever used herein the term "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)
Lots 16, 17, 18, 19,20 and 21, Block 91, CITY OF ZEPHYRHILLS (formerly Town of ZephyrhiIls) as per map or plat
thereof recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida,
This property is not the homestead of said grantors.
Parcel ID Number: 11 2621 0010 09100 0190
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 December 31,2002.
Signed, sealed and delivered
in our preselii:e:
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
(I i' r~
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KELLlCE D, SIMMONS '
Address: 11730 Meigs Lane, Dade City, FI 33525
(Seal
(Seal
Wltfle~!i Prinled Nume
State of FLORIDA
County of PASCO
'j,
The foregoing instrument was acknowledged before me this 18th day of February, 2003, by KELLICE D. SIMMONS, who islare
personally known to me or who has produced DRIVERS LICENSE as identification.
Notary PubIlc
Print Name:
My Commlsslon Expires:
DEED Indivltlual Warranty Deed - Legal on Face
Closers' Choice
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ALl WORK SHALL COWLY WITH ALL
PREY' AlLING' CODES, FLORIDA BUILDING
CODE, NATIONAL ELECTRIC CODEAND
CITY OF ZEPHYRHILLS ORDINANCES
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210.8(A):
210.11 (C)(3):
210.52(A)(I):
Electrical Notes
2002 Electrical Code
Aneesh Mathew
5434 - 5th Street
All 125-volt, single-phase, 15- and 20-ampere receptacles installed in the locations
specified in (I) through (8) shall have ground-fault circuit-interrupter protection for
personnel.
( I ) Bathrooms
In addition to the number of branch circuits required by other parts of this section, at least
one 20-ampere branch circuit shall be provided to supply the bathroom receptacle
outlet(s). Such circuits shall have no other outlets.
Exception: Where the 20-ampere circuit supplies a single bathroom, outlets for other
equipment within the same bathroom shall be permitted to be supplied in accordance
with 210. 23 (A).
Receptacles shall be installed so that no point measured horizontally along the floor line
in any wall space is more than 1.8 m (6 ft) from a receptacle outlet.
02/25/03
3:11 PM
Aneesh Mathew
5434 - 5th Street
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 1,200.00
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 35.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 35.00
ELECTRICAL: $ 44.45
PLUMBING: $ 54.00
MECHANICAL: $ -
RADON: $ -
TOTAL $ 133.45
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
I
I
I
l
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
133.45 ,
SIF'S;I $
97.5% $
2.5% $
- I
- I
TIF'S;r
99% $
1% $
TOTAL: $
133.45 I