HomeMy WebLinkAbout04-2697
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2697
Permit Number: 2697 Issued: 2/02/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: Total Fees:
Amount Paid: 44.00 Date Paid:
Address: 5427 16TH ST
ZEPHYRHILLS, FL
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: ATA ELEC. Co.
Addr: 4610 MILE STRECH DR
HOLlDAY,FL. 34690
Phone: Lie: ER0013164
Work Desc: POWER SUPPLY FOR CATV
DONALD KINGERY
5427 16TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER Mise
I INSULATION WALL I MISC r MISC, MISC,
INSULATION CEILING I MISC, I MISC, MISC,
_~RIVEWAY MISC, _ ~ISC, . FIRE DEPT, FINAL
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
1.~The Bayment of inspection fees shall be made before any furt~er 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
_b~re ~ording YOlJ_~ noti.ce of comm~ncement."_____._..__..__
NO OCCUPANCY BEFORE C.O.
--_7)-ljixJfc~--=- -- . .~-
'f ;~CTORS SIGNATURE PERM~
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
DATE RECEIVED
/-? 7'~1
OWNER'S NAME VO()o\'~l.( I~ bEV'~
JOB ADDRESS :J'Id-. '1 (~ r-h S t,
LEGAL DESCRIPTION: LOT(S) ~O BLOCK lyE
PARCEL ID # " -~b-,~I- DolO -)t{SOO ,- b~30
! B{'/~t, t !olne
PHONE
7a-7 - Cf3g -1;M.'/ ,
PNY/If OR-- II ~])1
f - 7 ~ ~ L/
PHONE CONTACT FOR PERMITTING
SUBDIVISION
Z€.\Ohtt('h; 11\
(QBTl\IN FROM PROpERTY :I'AX NOT.I..C.E.L-
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
EfiNSTALL
Os I GN
PROPOSED USE: U?SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOl,ISH
OMULT I - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SW IMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK -11<<( '€vn-et1 t D F POl.U~ ra, ~tt~'9l~ ,-CAT lJ
BUILDING SIZE
SQUARE FOOTAGE
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.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[] BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o EI,ECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PRO,JECT IN FLOOD ZONE AREAO YES 0 NO
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BUILDER
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COMPANY , T:
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SIGNATURE
STATE CERT OR REGIST #
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ELECTRI~ ^- L COMPANY At~ {;/-ec_tn'c (CM~~
SIGNATURE-1S1M 41j~ ST~TEflRT OR REGIST # 8~93
.................................... .':t/~~~.7/: .;.20~
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be
may be more restrictive than City regulations. The
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 lal'J. I f 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 that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed 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", T 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 accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
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 actioI1S 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-Wells,
Wastewater Treatment, Septic Tanks
*U.8. 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 which
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 technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter reqlliring 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
~~: NO'1' NEED TO RECORIl AND POST A "NOTICE Of' COMMENCEMENT".
SIGNATURE: OW,N;~ENT
STATE OF FLORLDA (__)
COUNTY OF (,___ ~ (1/5 e.(/
The fO, regoing instrument wa~s cknowledged,t/
BefoI(~ this Q2Ld8;)i of ~ ' 20..Q.
by --.42-,U>>.< 12-../i-A a.t::P T --
(name of person acknowledged)
Dwho is personally known to me, or
subject to "deed restricti
undersigned assumes respoL
which
ity for
SIGNATURE:
CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowleLlged
, 20
(name of person acknowledged)
o.,ho is personally known t.o me, or
\~hO has produced F/. YL.Jl flV~~6~-d/t-o
/''--'- (type of ipentification)
and whoD di~did not tae ~n oa!,h. ../">
- 'U C('
Dwho has produced
(type of identification)
and who Ddid O:iid not take an oath
Signature of person taking acknowledgement
""IlA~r*,,,. Bobbie Swetland
f:'f .~*~ MY COMMISSION # CC693160 EXPIRES
Name to' .,,".,f printF~lJ'u~21s~fuped
"" 0,';\;,."- ~ONDWTHRUTROYFAININSURANC~ INC.
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Signature of person taking acknowledgment
Name typed, printed or st.amped
:\lAIL,O:, "
-:~SCOCOUNn,DEVElOPMENT' REVIEW
WEST PAS:O GOVT. CENTER 5-230
7530 LITTLE ROAD
NEW PORT RICHEY, Fl 34654
(727) 847-8142
(352) 521-514,4
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.... RIGHT-OF-WAY USE PERMIT' ,),/
PA~CO CQUNTY -~---r:-;f[l::S-
- USE PERMIT - "Sunshine-One Call"
(800) 432-4770
- 48 hours prior to excavation -
GENERAL INSTRUCTIONS
....,.....,
No c0nstrucllon, under ground or above ground, bf any facility, shall be accomplished on any County Rights of Way without written appro~alfrom
'the County, Any application for approval of construction operallons on any County owned Rights of Way shall furnish a detailed drawing showing the
complete scope of the proposed work in quadruplicate to the County for review and approval prior to the commencement of any work, A copy 0' this
permit muat:be kept readily avajJable at the alte of the work at all tlmea,
Sec. No. T ... R County Road ' ,/ ,,: ,.1,..
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Permit For
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(Project Name)
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LOCATION (Legal Description)
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Permission is hereby granted to ,J_':o:;'/(, ;//7-' -II,:.!, )'>1:.. /(/ ;'/J'-'~-v!:.',;k.,.:s.
(Name of Permittee)
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of ~((>~/'~ ~'.~' .,") ,.,~'::I'~ ,t'woJ
(Address of Permittee)
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for the construcllon and maintenance of
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(Description of Work)
subject to the following conditions:
1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant.
2, All work shall be done in keeping with the standards of Pasco County and at the satisfaction of Pasco County, who will be notified al least
one day prior to commencement of construction,
3, All materials and equipment shall be subject to inspection by Pasco County,
" 1- During construction all safety regulations of the Florida Department of Transportation shall be observed; and Pasco County shall be relieved..
of all responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such
safety measures, including placing and display of caution signs, as it may deem necessary'.n conduct of construction and maintenance work hereunder.
5" All private and all Pasco County property shall be restored to its original condition as far as practical, in the opinion of Pasco County,
6, All underground crossing installations shall be laid at such depth as may be specified by Pasco County, unless otherwise authorized, In8talla-
Ilem 0' utllltlea under County roada ahall be by lacking and boring onty.
7, The sketch ('our copies) covering the details of this installation shall be made a part of their permit. This permit is granted with the understanding
that the applicant has notifted all other utility users in the area covered by the permit and takes full responsibility for any damaga incurred by prior
installations as a result of his operations, He also takes lull responsibility for notifying any and all utility or underground users of his proposed operalions
in order that they may safeguard their interests,
8,lt.is e/lpressly stipulated Ihat this permit is a license for permissive use only and that the placing of facilities upon public property pursuant
10 this permit shall not operate \0 create or to vest any property right in said holder,
9, Whenever Pasco County decides to further exploit Ihe County Rights of Way, any or all of said poles, wires, pipes, cables or olher facilities
and appurtenllnces authorized hereunder, shall be immediately removed from said Rights of Way, or resat or relocated thereon as required by Pasco
Count~ at the expense 0' Ihe holder of this permit.
10, The holder shall save and keep Pasco County harmless from any and all damages, claims, or injuries that may occur by reason of the construc-
tion, maintenance and operation of said facility, .
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11. The holder shall complete the requesled work withi~6i60/90J.l~~r this permit shall become null and void. In the event the work reo
quested is nO( compleled upon the expiration date of this pe'rmn7"PI!rctr'County shall have the right to complete such work and 10 charge the holder
of the permit lor all costs incurred in completing said work.
" 12. )rhe permittee shall post a cash or surety performance guarantee with the County Clerk, Based on a cost estimate prepared by the permittee's
t qngineer and approved by the County, The amount of the guarantee islo be an amount equal to 125010 of the cost to construct the permitted improvemenls.
)rflhe evenl a surety bond is posted, the said surety bond shall be made payable to Pasco County and shalf obligale the surety to hold the County
('harmless in the event the holder of this permit should fail to meet any of its obligations, hereunder, The bond shall also indemnify Pasco coun,ty for
all court costs and reasonable attorneys fees in the event legal action is required to collect or said bond,
I 13, The permittee shall post a cash or surety maintenance guarantee with the County Clerk based on a cost estimate prepared by the permittee's
I engineer and approved by the County, The amoung 01 the guarantee is to be an amounl equal to 15%.of the,cosl to construct the permitted Improvements,
\In the event a surety bond is posted it "Shall m, eet all the criteria state, d i,n No, 12, above, I " i ," 'I, ,... '1-1/" ~, " :
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. 14, SPECIAL CONDFTlONS '" :' 0 /<~./ "l/. /'; i ,"1" r:.(,- /;{..1./A,yt'4 ':...'. : ,', "'l I, ." , . .... )., f'. I. · - "
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Permits & Inspection:.' '
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SUBMITTED BY: K ",t.~/._,_~
Signature
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Guarantee Estimate Review: ,.
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Development Review Approved: cl~,j'
Print Name and Title
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Mailing Address (Street. Ci~, Slale)
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Telephone Number (Include Area Codlj)
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BRIGHT HOUSE NETWORKS
GENERAL RIGHT OF WAY PERMIT
EXHIBIT" A "
Bright house Networks daily activities that do not require a specific right of way utilization permit
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 a new buried distribution cable that does not (X'oss 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 lUlderground utility area.
11, Adding of new equiptment to existing cable,
12, Pulling in new underground feeder cables in an existing permitted manhole and conduit system,
13, Digging of a splice hole to splice a new cable or changing equiptrnent.
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,
M~intenance of Existine CATV Facilities
1. Replacement of existing service drops.
2. ReplacementJ 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 exi:;ting permitted manhole
and conduit system,
6. Pumping water out of a manhole to maintain underground 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 a hole to repair broken conduits,
11. Pigging 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 lint: and! or to meet National Electri
Safety Code,
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BRIGHT HOUSE NETWORKS
GENERAL RIGIIT OF WAY PERMIT
EXlDBIT " B "
A GENERAL RIGH 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 (BOC) or edge of
pavement (EP).
No roadway will be open cut or directional drilled with this permit.
Upon completion of work the Pasco COW'lty 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 "Manual 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 pe~ Florida
Department of Transportation (FDOT), Manual on Uniform Traffic Control Revises MUTCD
and American Disabilities Act (ADA),
· No street shall be closed without the prior written permission of Pasco COW'lty 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 County Inspector for approval
prior to commencement of construction, Appropriate worlc 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 pennit will be required, i.e" during excavation existing facilities
become less that 5 feet from BOClEP,
1) . The Construction Supervisor will notify the Bright house Networks Engineer that a project
Carmot be completed under the GRP,
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EXIllBIT .. B .. continued
2) The Bright house Networks Engineer will notify the Pasco County 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) The Bright house Networks Engineer will be responsible for notification all appropriate
personnel of the time and location of the field meeting.
4) A mutual understanding of the scope of work required to <6omplete the project will be achieved
at the field meeting.
5) At the Pasco County 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 site specific Permit inclusive of all
details as agreed upon at the field meeting. (If a V erbal4pproval was granted, the site specific
shall be submitted as an" After -the-Fact" application.)
7) Upon completion of the work, the Pasco County Inspector shall be notified for a final
inspection oithe project.
--RIGHT OF WAY RESTORATION
· All disturbed areas in the right of way will be sodded unless oth.eIWise directed by Pasco
COWlty Inspector. Sod must be maintained until it roots, a minimum water of2 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 permittee.
· The permittee shall be responsible for handling all complaints regarding the construction
project.
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VVelcomll . Rf!C(xds Search. Parcel Detail
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See Tax Collector Information - CurrenUDelinquent Taxes
Parcel 10 11-26-21-0010-14800-0030 (Card: 1 of 1)
Classification 01 - Single Family
Mailing Address Assessment (totals)
KINGERY DONALD & Ag Land --
KINGERY MARY Land $8,103
5427 16TH ST Building $34,143
ZEPHYRHILLS, FL 335424308 Extra Features $2,006
Physical Address
5427 16TH ST Total Assessment $44,252
ZEPHYRHILLS, FL 33540 Save Our Homes $42,344
Legal Description (First 4 Lines) Homestead - $25,000
TOWN OF ZEPHYRHILLS PB 1 PG 54
N1/2 BLOCK 148 LESS NORTH 50 Taxable Value $21,989
FT DESC AS COM AT NW COR OF Warning: A significant taxable value increase
BLOCK 148 TH SLY ALG WEST SIDE may occur when sold. Click here for details,
Land Detail (Card: 1 of 1) cond:
Line " Use Description Zoning I Units Type Price Value
01:! 0100 SFR 00R2 I 4,200.00 t SF 1.95 0.70 $5,733
02 VIVO SFR 00R2 5,209.60 SF ,65 0.70 $2,370
Additional Land Information
cres " 0.22 II Tax Area 30ZH " Fema Code II X " Res Code " ZHLHLP2
Building Information - Year Built 1952 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 Drywall 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 FST 308 $7,568
2 BAS 896 $44,029
3 UOA 80 $590
4 FSP 180 $4,423
5 UOP 42 $295
Extra Features (Card: 1 of 1 )
Line Description Year Units Value
1 DWC 1996 432 $950
2 UDU-M 1996 1 $1,056
Sales History
Previous Owner CASKEY BESSIE F
Year Month Book I Page Type Amount
1993 02 3116/0920 WD $33,500
1990 11 1965 1 0583 " WD $27,~
1984 08 1359 1 0733 " WD $31,00
http://appraiser.pascogov.com/searchlparcel.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=OO 1 O&Blk= 14800&L... 1/22/2004
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Privacy Polley & Legal Notices @ 2004 MapQuest.com, Inc. All rights reserved.
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ATA ELECTRIC COMPANY, INC.
Residential * Commercial * Industrial
Licensed & Insured #ER 0013164
4610 Mile Stretch Dr., Holiday, FL 34690
PHONE (727) 938-7224 FAX (727) 939-4286
January 26, 2004
City of Zephyhills
5335 8th Street
Zephyr hills, FL 33540
To Whom It May Concern:
I, Tony Kallivrousis, authorize Mary Alberti or Ronald Alberti, to fill-out, pick
up, and pay electrical permits on my behalf,
ATA ELECTRIC COMPANY
Tony Kallivrousis, President
Atv'
Signed and sealed before me this ~ Day of
Notary Public U R7
~
, 2004.
My assignment expires:
",r;r.II'/.I11,~~ V ASIUKI BlKAKlS
t.'f~~~ MY COMMISSION # DD 145551
~ !"...,i EXPIRES: Augus127, 2006
~j;;'~ Bonded Thru NOIlI'Y Public Underwriters
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