HomeMy WebLinkAbout04-2696
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2696
Permit Number: 2696 Issued: 2/02/2004
Permit Type: ELECTRICAL MISC
Class of Work: ELECTRICAL MISC
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: Total Fees:
Amoun Paid: 44.00 Date Paid:
Address: 5616 23RD ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SUNSET ESTATES
Parcel Number:
Name: ATA ELEC. CO.
Addr: 4610 MILE STRECH DR
HOLlDAY,FL. 34690
Phone: Lie: ER0013164
Wonk Desc: POWER SUPPLY FOR CATV
Name: FREDERICK HATFIELD
Address: 5616 23RD ST
ZEPHYRHILLS, FL. 33542
Phone:
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REINsPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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 co~mencement. "__~~__
NO OCCUPANCY BEFORE C.O.
-'fcg~c4~is4NATURE-- ~MITOFF~- -
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
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DATE RECE IVED
/ -;2 7-fji'
PHONE CONTACT FOR
PERMITTING ,~pl(
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PHON0;t7 - ~jf5'- 7c1d
OWNER'S NAME
(;-ed-enu< ~
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JOB ADDRESS
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BLOCK 0
SlJBDIVI S ION 5111'1je+ Ec,:tcd-f'f
LEGAL DESCRIPTION: LOT (S)
PARCEL ID # ()") J:, .- ~/ - OJlfJ - OOOOO-/()6D
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: (JNEW CONSTRUCTION
(JSIGN
PROPOSED USE: ~,L FAMILY DWELLING
(J COMMERC IAL
(JADDITION
(J MOVE
(JALTERATION
o REPAIR
BINS TALL
o DEMOLISH
(JMULTI-FAMILY
(J INDUSTRIAL
0# OF UNITS
(J SWIMMING POOL
(J MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Pkcn-el'lf eJr: Po4J'lj{ ~fJ 1'1 / CPl T()
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
COMMBRCIA1: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
(J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
(] ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
(J PLUMBING
o MECHANICAL
$
VAI,UATION OF MECHANCIAL INSTALI,ATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
(J FRAME
o STEEL
(J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTnICI~--~-::) COMPANY At A Elecfy.;c (jJ.
S lGNATURE ~7\;;' ,4eL k STATE 9"1 OR REGl S T # :;)9 ~ ' ~
* * ***** **** * ********** **** *** ** k******~Z~ *~* *,'A~('iqf* '"i/-O!~ "
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************k***********************************
COMPANY
S I GNNDTJRE
STATE CERT OR REGIST #
**********************************k******************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whi-dl
may be more restrictive than City regulations. The undersigned assumes respo.lsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating ttlat
you, rather than the contractor, are responsible for the work. If ttle contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licellsed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the "owner", I cerify 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.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is
be done in compliance with all applicable laws regulating
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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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-Well,s,
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 drainage plan addressing a "compensating volume" will be submitted whictl
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 techrlical 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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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 FTNANCING, CONSULT
WITH YO LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$ 00 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COlvlMENCEMENT",
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SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA(~
COUNTY OF \ S----d--6eu
----.....--
The f going instrument was cknowledged 1/
Bef e th' sf" , 200
by
accurate and that all vlork will
construction, zoning, and land
SIGNATURE.:
CONTRACTOR
name of person
Owho is personally
STATE OF FLORIDA
COUNTY OF
The foregoing instrwnent was
Before me this _day of
by
a c knovll edged
20
(name of person acknowledged)
C1ho is personally known to me, or
o \"ho has produced (="L TJL /71'/I,-,1()O-b1--,2/7-0
_ ~ype of identification)
anq~h~O d, ig) l71 did(not ff2ij<e,ar,l... oa"t,h .
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Sign-a:Eure of person t king ackno\"led~ment
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgment
.m Bobbie Swetland
Name tL q~ ~Yf1lM~~ry~22C~t~4 l'!ijS
'd. .oSl~ e uary .
-',;r,iff..f-,lf.:" GONDED THRU TROY FAIN INSURANCI; INC
Name typed, printed or stamped
:'vIAIL ,0: " ,,,
f;'ASCOPOUNTY DEVELOPMENT- REVIEW
WEST PA.SCO GQVT. CENTER S-230
7530 UTTLi: ROAD
NEW PORT RICHEY, FL 34654
(727) 847-8142
(352) 521-5144
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RIGHT-Of-WA Y USE PERMITI
PA~CO CQUNTY
- USE PERMIT -
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~Sunshine-One Call"
(800) 432-4770
- 48 hours prior to excavation .
GENERAL INSTRUCTIONS
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No conslruction, under ground or above ground, bf any laclllty, shall be accomplished on any County Rlghls of Way without wollen approval from
Ihe County, Any application for approval of construction operallons on any County owned Rights of Way shall furnish a detailed draWing showing the
com pie Ie scope of the proposed work in quadrupllcale to the County for review and approval prior to the commencement of any work, A copy of this
permit must 'be kept r.adlly avaUable at the alte of the work at all tlm.s.,
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T"" R County Road . ?' "I,; ",' /:J'" 'I Date /0 ,3/ (,/,3
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See, No.
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Permit For
(Project Name)
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LOCATION (Legal Description)
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(Address of Permittee)
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(Name of Permittee)
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Permission is hereby granted 10 <'~ ; "(/I ,// 7~
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for the construction and maintenance 01
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(Descriptipn of Work)
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subject to Ihe following condilions:
1. The construction and maintenance of such utility shall not inlerfere with the property and rights of a prior occupant.
2, All work shall be done in keeping with the standards of Pasco County and atlhe satisfaction of Pasco County, who will be nolified at leasl
one day prior to commencement of conslruction,
3, All malerials and equipmenl shall be subject to inspection by Pasco County,
'.' 1- During construction all safely regulalions of the Florida Department of Transportation shall be observed; and Pasco County shall be relieved
of all responsibilily from damage of any nalure arising from this permit. Subjecllo the same lerms and conditions, the permil holder may take such
safely measures, including placing and display of caution signs, as it may deem necessary'.n conduct of construclion and mainlenance work hereunder.
5,. All private and all Pasco Counly property shall be reslored to ils original condition as far as practical, in the opinion of Pasco County,
6, All underground crossing installations shall be laid al such depth as may be speCified by Pasco County, unless otherwise authorized, Installa-
tion of utllltl.. under County road. shall be by lacking and boring only,
7, The sketch (four copies) covering the details of this inslallation shall be made a part of their permil. This permit is granted wilh the understanding
Ihal the ap'plicant has notified all other ulllily users In Ihe area covered by the permit and lakes full respollsibllity for any damage incurred by prior
installiillions 86 a result 01 his operations, He also takes full responsiQility lor notifying any and all utility or underground users of his proposed operations
in order that Ihey may safeguard Iheir inlerests,
8:'ltis e/(pressly slipulated thaI this permit is a license for permissive use only and Ihal Ihe placing of facilities upon public property pursuant
10 Ihis permilshall not operate to creale or to vest any property righl in said holder.
9, Whenever Pasco Counly decides 10 further exploit the County Righls of Way, any or all of said poles, wires, pipes, cables or olher facilities
and appurtenances authorized hereunder, shall be immedlalely removed from said Rights 01 Way, or reset or relocaled thereon as required by Pasco
CountV at Ihlt expense of Ihe holder of this permit.
10, The holder shall save and keep Pasco Counly harmless from any and all damages, claims, or injuries that may occur by reason of Ihe cons,lruc,
tion, mainlenance and operation of said facility, '
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11, The holder shall complete Ihe requesled work Wilhil'l"30i60/90~1r this permil shall become null and void, In Ihe event Ihe work re-
quested is no4 completed upon the expiration dale of this perffiil7"PI!ctr'County shall have the right to com pie Ie such work and 10 charge Ihe holder
of the permil for all cosls incurred In completing said work,
" ' 12, )he permillee shall post a cash or surety performance guarantee with the Counly Clerk, Based on a cosleslimate prepared by Ihe permillee's
l engineer and llpploved by the County, The amounl of the guarantee is to be an amount equal 10 125% of the cost to construcllhe permilled improvements,
~l',nhe event a surely bond is posted, Ihe said surety bond shall be made payable 10 Pasco County and shall obligale Ihe surely 10 hold Ihe County
('harmless in IRe eventlhe holder of Ihis permit should fail to meet any of ils obligations, hereunder, The bond shall also indemnify Pasco County for
all court costs and reasonable allorneys fees in Ihe event legal action is required to collect or said bond,
I 13, The Iilermillee shall pOSI a cash or surety maintenance guarantee with the County Clerk based on a cosl estimate prepared by the permillee's
I engineer and approved by Ihe Counly, The amoung of the guaranlee is to be an amounl equal 10 15%<>1 the,c;ostlo conslructthe permilled improvements,
\In the event $ surety bond is pol;iled it ,shall meel aU the criteria stated in No, 1~ above, .I. ; , i '.. ',!, ,... '7_; 1': '", i
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14, SPEOIAL CONDITIONS ..(", ,~., ,,/ ,f./, / ,(fl' (.'{'''/:::''/A,,f''~:, ' ,,'-,f',.,-I, h" J-< h', .."
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APPROVED s':.t. ..J q iJ,j ic' ,\",.1"
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Utilities Servi<i~~' " , oJ r
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Permits & Inspection:.' ,
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SUBMITIED BY: r ~ \ "',AI i._..."
Signature
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Public Works:
Guarantee Esitimate Review:
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Development Review Approved: (it J),
Print Name and Title
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Mailing Address (Slreet, Cil.y, State) " ..
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Talephone Number (Include Area Code)
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BRIGHT HOUSE NETWORKS
GENERAL RlGHT OF WAY PERMIT
EXHIBIT" A "
Bright house Networks daily activities that do not require a specific right of way utilization pennit
when working within the boundaries of Pasco County right of way
New Customer Service
1. Installation of service drops from serving location.
2. Installation of new aerial distribution cable from existing poles.
3. Installation of a second aerial distribution cable from existing poles,
4, Extension of existing aerial distribution cable from existing poles,
5, Installation of anew bw-ied distribution cable that does not oross or begin in the pavcement.
6, Extension of an existing buried distribution cable that does not cross or begin in the pavement.
7, Installation of two way four inch conduit system that does not cross or begin in the pavement.
8, Extension of a two way four inch conduit systam that does not cross or begin in the pavement.
9. Installation of a new pole line.
10. Extension of existing pole line providing it does not encroach into an underground utility area,
11, Adding of new equiptment to existing cable.
12, Pulling in new underground feeder cables in an existing pennitted manhole and conduit system.
13, Digging of a splice hole to splice a new cable or changing equiptment.
14, Digging of a splice hole for cable acceptance testing for quality,
15, Digging of a splice hole to change the size of a cable leg for new service,
Mqintenance of ];:xistine CATV Facilities
1. Replacement of existing service drops.
2, Replacement! repair of an existing aerial cable providing other aerial utility service still exist.
3. Replacement of existing poles providing other aerial utility service still exist.
4, Replacement! repair of existing equiptment.
5, Replacement! repair of an existing underground feeder cable in an existing pennitted manhole
and conduit sy:;tem,
6. Pumping water out of a manhole to maintain undergroWld cables in conduit system.
7, Digging of splice holes to locate and repair damaged cables.
8, Digging of a splice hole to change the size of the cable.
9, Digging of a splice hole to add a side leg off feeder cable,
10, Digging of Ii hole to repair broken conduits,
11. Digging of a splice hole for cable acceptance testing for quality,
12. Digging of a splice hole to repair damaged cable.
13. !Digging of a hole to verify the location of buried facilities.
14. Removal of facilities no longer needed for service,
15, Tree trimming to clear aerial facilities,
16. Adjust aerial facilities to accommodate other users of pole line and! or to meet National Electri
Safety Code,
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BRIGHT HOUSE NETWORKS
GENERAL RIGHT OF WAY PERMIT
EX1DBIT .. B ..
A GENERAL RlGH OF WAY PERMIT (GRP) - is given for certain routine repetitive work not requiring
a specific permit defined on Exhibit" A " that is 5 feet or greater from back of curb (DOC) or edge of
pavement (EP).
No roadway will be open cut or directional drilled with this permit.
Upon completion of work the Pasco County Inspector shall be notified for a final inspection of the
project.
Best Management Pracuces (BMP) will be observed at all times.
NotifY SW1Shine State One Call of Florida at 1-800-432-4770 not less than 48 hours or more than
5 days prior to construction,and all other requirements of Florida Statute 556 will be observed at
all times,
MAINTENANCE OF TRAFFIC
· All activities in accordance with this agreement will require confonnance to the "MaruJal of
Traffic Control and Safe Practices for Street and Highway Construcion, Maintenance and
Utility Operations." (Chapter 316, Florida Statues)
· Pedestrian, bicycle and handicap traffic must be safely maintained and must not be redirected
into the roadway or into ditches, Use of sidewalks may not be impaired or closed for greater
that 60 minutes. When a sidewalk is to be removed means of rerouting pedestrians, bicyclists
and handicapped people must be constructed prior to sidewalk removal per Florida
Department of Transportation (FOOn, Manual on Uniform Traffic Control Revises MUTCD
and American Disabilities Act (ADA),
· No street shall be closed without the prior written permission of Pasco COl.U1ty Inspector, At
least 2 normal working days (Monday thru Friday) advance notice is required. All
maintenance of traffic plans are to be submitted to the Pasco Comty Inspector for approval
prior to commencement of construction, Appropriate worjc zone safety is to be followed at all
times,
· All construction activities shall include traffic control through the work zone in accordance
with FDOT" Roadway and Traffic Design Standards" Indexes 600 Series titled" Traffic
Control Through Work Zones."
Where it is discovered that a site specific permit will be required, i,e" during excavation existing facilities
become less that 5 feet from BOC/EP.
1) The Construction Supexvisor will notify the Bright house Networks Engineer that a project
Cannot be completed under the GRP,
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EXIllBIT .. B .. continued
2) The Bright house Networks Engineer will notifY the Pasco COWlty Inspector of the situation
and schedule a field meeting, (Every effort will be made to arrange the field meeting within
a time frame that will not require the Construction Crew to leave the site and reshedule the
work.)
3) Th.e Bright house Networks Engineer will be responsible tor notification all appropriate
personnel of the time and location of the field meeting,
4) A mutual understanding of the scope of work required to 'iomplete the project will be achieved
at the field meeting,
5) At the Pasco C01111ty Inspector's discretion, a verbal approval of the work may be issued
allowing work to resume,
6) The Bright house Networks Engineer shall apply for a $ite spt:cific Permit inclusive of all
details as agreed upon at the field meeting. (If a Verbal.A\;pproval was granted, the site specific
shall be submitted as an" After -the-Fact" application,)
1) Upon completion of the work, the Pasco COWlty Inspector shall be notified for a final
inspection of the project.
--'RIGHT OF WAY RESTORATION
· All disturbed areas in the right of way will be sodded unless otherwise directed by Pasco
COlUlty Inspector, Sod must be maintained Wltil it roots, a minimwn water 01'2 weeks,
· Vegetation, other than sod, will be restored to its pre-construcion condition.
· Prior to disturbing sprinkler systems, plants and mailboxes that may be disturbed during
construction, notify property owners, Replace those items that are damaged by pennittee,
· The permittee shall be responsible for handling all complaints regarding the construction
project.
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Page 1 of 1
\ Ve1corne . 1~E',;,)rds ""~3r',I1' ,'",'ree! Detail
~)earch Agarn Show Map Generalized Building Schematic Calculate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
[====== ParcellD 12-26-21-0310-00000-1000 (Card: 1 of 1)
[====" -
__ Classification 01 - Single Family
:=;;~~--
Mailing Address Assessment (totals)
HATFIELD FREDERICK R Ag Land --
5616 23RD ST Land $10,805
ZEPHYRHILLS, FL 335426813 Building $57,160
Physical Address Extra Features $536
5616 23RD ST
ZEPHYR HILLS, FL 33540 Total Assessment $68,501
legal Description (First 4 Lines) Save Our Homes $51,842
SUNSET ESTATES PB 16 PGS 3 & 4 Homestead - $25,000
S 65 FT OF LOT 100 Taxable Value $26,842
OR 1219 PG 989 Warning: A significant taxable value increase
OR 5542 PG 339 may occur when sold. Click here for details.
land Detail (Card: 1 of 1)
line Use Description I Zoning I Units Type Price Cond Value
01 0100 SFR 00R2 6,800,00 SF 1,40 1,00 $9,520
02 0100 SFR 00R2 2,623,00 SF .49 1,00 $1,285
Additional land Information
Acres II 0.22 Tax Area ~ Fema Code II X II Res Code IIZHLGLP4
Building Information - Year Built 1982 USE 01 - Single Family Residential (Card: 1 of 1)
Ext Wall 1 Concrete Block Stucco Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 2.00
line Description Sq. Feet Rept. Cost New
1 BAS 1,176 $58,330
2 FSA 120 $2,976
3 FOP 52 $496
4 FGR 420 $8,333
Extra Features (Card: 1 of 1)
line , Description Year Units Value
1 DWC 1982 320 $536
Sales History
Previous Owner --
Year Month Book I Page Type Amount
2003 09 5542 / 0339 WD --
1982 11 1219/0989 -- $57,700
Search Again Show Map Generalized Building Schematic Calculate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
http://appraiscr.pascogov.com/searChlParCeLaSP?SeC=12&Twn=26&Rng=21&Sbb=0310&Blk=00000&L...1/22/2004