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HomeMy WebLinkAbout04-3039 ,~ I " I i CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL I I 3039 Permit Number: 3039 Issued: 5/04/2004 I Permit Type: NEW SINGLE FAMILY DWELLING I I Class of Work: 103-NEW CONST DUPLEX 2-UNIT Proposed Use: DUPLEX Sq. Feet: Est. Value: Cost: 65,000.00 Total Fees: Amount Paid: 2,852.75 Date Paid: Address: 4915 5TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ALVIN BACHTEL CONSTRUCTION INC Addr: 22464 WEEKS BLVD LAND 0 LAKES, FL. 34639 Phone: Lie: Work Desc: NEW DUPLEX I --~ JAMESON BACHTEUBA 4915 5TH ST ZEPHYRHILLS, FL. 33542 Phone: WATER CONNECTION RESIDENl BUILDING FEE NNE 398.05 I MECHANICAL FEE 480.00 I WATER METER RES 3/4" FOOTER 1 R PRE-SLAB 2ND ROUGH PLUMB DUCTS INSULATED LINTEL WATER FINAL MECHANICAL FRAME SEWER MISC INSULATION WALL I MISC. MISC. INSULATION CEILING MISC. MISC. DRIVEWAY , MISC. I MISC. FIRE DEPT. FINAL I _. _ _ _ i --~REINsPECn:ON 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 ofcommencementl11ay result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _~!~e r~ording your no~ice _of commencement. n____ _________ NO OCCUPANCY BEFORE C.O. --~~~~-~-- ~--- -- &R- CONTRACT~--g~~- PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM,WEATHER Alvin Bachtel Canst. 4915 - 5th Street SQ. FEET PRICE MAIN OR LIVING: 1,000 $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: - $ - V ALUA TION $ 50,000.00 FEE SHEET $ 280.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 480.00 CREDIT: $ - BUILDING LESS CREDIT: $ 480.00 ELECTRICAL: $ 88.65 PLUMBING: $ 89.35 MECHANICAL: $ 71.50 RADON: $ 10.00 TOTAL $ 739.50 SEWER: $ 1,535.20 WATER: $ 398.05 IRRIGATION: $ - TOTAL: $ 1,933.25 I 1 WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 2,852.75 1 SIF'S: $ 722.00 97.5% $ 703.95 2.5% $ 18.05 TI F'S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 TOTAL: $ 5,162.751 ~ ~j!tq PERFORMANCE BUSINESS PRODUCTS; INC; ,313-719-8008 FAX 813-719-7919 ,...., :.... 2 ., ~,-...J CITY OF ZEPHYRHILLS ZEPHYRHfUS, FLORIDA ~1 --.. ~ =3 ~s ~ WATER ACCT. NO. DATE . i' /1 - 5/f;' ~'7 / OWNER/ RENTER .) /. ,~IIl-/. )-1 Q - If /" L..X:,( /1 / <-t' C'" ~-;r:; 'e?1,iJ-t. +- /1 ( MAILING 22 Lift; !.~ -z~/.-:i ~ jJ It-it' . ~/A_i'~ ~') -~L 5, '11/ 'i ,..-</--" .......' /- ./ /-/ - /"(' ') , .3 C;(:; "3 f SERVICE ADDRESS i 7- -Z-a ( /I / SHUT OFF SERVICE o ~R TURN ON SERVICE / Q...-/ o SEWER INSTAll METER iW/ o GARBAGE READ METER o O--/iN CITY CHECK METER o o OUT CITY OTHER o _ No. OF UNITS _ DEPOSIT AMOUNT ~ / -; /l /,/ / ,-;/ I, , I - AMOUNT LAST BILL , I.>\..- ., - -+- ---r. ---- i'I, ,. V4A/ .. < I(. '?/' / y--w.;- '--"'" r c..- _ DATE _ MISC. CHARGE NORK COMPLETED BY & DATE COMPLETED ORDER 1Jl.KEN BY .S'-y-rJlt./ ~r:- ORDER GIVEN BY /1 =1elain 'Nnlle'orm ,n office al 3U times. Send oInk & iellowcorms to Water Servicpt. Water ServICe Oepl. '0 3ign yellow form &i ~urn ~o office. .:::r;? FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM .4 ELEVATION CERTIFICATE O.M.B. No. 3067-0077 Expires December 31, 200e 1m rtant: Read the instructions on es 1 .7. SECTION A. PROPERTY OWNER INFORMATION For IIISlJIaIlre CoIll>any Use: Policy Number BUILDING OWNER'S NAME ALVIN BACHTEL CONSTRUCTION BUILDING STREET ADDRESS (In luding Apt., U . ,S " or Bldg. No.) OR P.O. ROUTE AND BOX NO. 5th STREET CITY STATE ZEPHRYHILLS FL PROPERTY DESCRIPTION (lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7, Block 11, MOORES ADDITION, P.B. 1, PG. 57 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##0 _ ##' _ ##.##" or ##.#####') Company NAlC Number ZIP CODE 33541 HORIZONTAL DATUM: o NAD 1927 0 NAD 1983 SOURCE: 0 GPS (Type):_ o USGS Quad Map o Other:_ SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER CITY OF ZEPHRYHILLS 120235 82. COUNTY NAME PASCO 83. STATE FL 84. MAP AND PANEL 87. FIRM PANEL B9. BASE FLOOD ELEVATlON(S) NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTlVEiREVlSED DATE 88. FLOOD ZONE(S) (ZoneAO, usedepthofftoodilg) 0005 C 12117/91 12117/91 AE 84.0' 810. Indicate the source of the Base Rood Bevation (8FE) data or base flood depth entered in 89. o FIS Profile 181 FIRM 0 Community Determined 0 Other (Desaibe): _ 811. Indicate the elevation datum used for the 8FE in 89: 181 NGVD 1929 0 NAVD 1988 0 Other(Desaibe):_ 812. Is the building located in a Coastal Barrier Resources System (C8RS) area ar OtherNise Protected Area (OPA)? 0 Yes 181 No Designation DateNA SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 181 Construction Drawings" 0 Building Under Construction" 0 Rnished Construclion "A new Bevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 arld 7. If no diagram accurately represents the building, provide a sketch ar photograph.) C3. Bevations - Zones A l-A30, AE, AH, A (with 8FE), VE, Vl-V30, V (with 8FE), AR, ARJA, ARJAE, ARJA l-A30, ARJAH, ARJAO Complete Items C3.-a-l below occording to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used far the 8FE in Section 8, convert the datum to that used for the 8FE. ShaN field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments NA Elevation reference marl< used Local Does the elevation reference mark used appear on the FIRM? 0 Yes C8J No o a) Top of bottoo1 floor (including basement or endosure) NA. _ft.(m) o b)Topofnexthigherfloor NA._ft.(m) o c) Bottom of la.vest horizontal structural member (V zones only) NA . _ft.(m) o d) Attached garage (top of slab) NA. _ft.(m) o e) lDNest elevation of machinery arldIar equipment 5elVidng the building (Desaibe in a Comments aea) o ~ Lowest OOjacent (finished) gra:1e (lAG) o g) Highest oojacent (finished) gra:1e (HAG) o h) No. of permanent openings (flood vents) within 1 ft. above oojacent grade NA o i) Total area ofa/I permanent openings (flood vents) in C3.hMsq. in. (sq. an) SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME David L. Smitrl UCENSE NUMBER 5265 'iU Q) (/) " Q)Q) liP; 00 .0" Eco Wtll Il,~~ / ~~ V' ,-t~ r ,\\1\ ok NA._ft.(m) 80 . !i,ft.(m) M.~ft.(m)m ..: OJ~ Q)~ .0::> Eiii ::>co Z.!2' "'(/) (I) co '" u :::; TITLEProfessional Surveyor and Mapper COMPANY NAME David L. Smith Surveying and Mapping ADDRESS 1406 W. Unsbaugh Ave. SIGNA;? --t I--;J .--:-- CITY Tampa D~TE sl1/7 ()4 STATE FL TELEPHONE 813-935-1960 ZIP CODE 33612 FEMA Form 81-31 , January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS (Induding Apt, Unit Suite, andlorBklg. No.) OR P.O. ROUTE AND BOX NO. 5th STREET For Insurance Company Use: Policy Number CITY ZEPHRYHILlS STATE FL ZIP CODE 33541 : Company NAIC Number SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevafion Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. COMMENTS o Check here if attachments SECTION E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, SecIicr1 C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bolIan floor (inducting basement or enclosure) ci the building is _ ft.(m) _in.(em) 0 above or 0 bebN (check one) the highest aija::ent grade. (Use natural grade, ~ avalctlle). E3. For Building Diagrans 6-8 with openings (see paJe 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.( em) above the highest aija::ent !,TcIde. CoolJIete items C3.h and C3.i on front of form. E4. The top of the platform of mochinery and/or equipment servidng the building is _ ft.(m) _in.(em) 0 above or 0 below (chEd< one) the highest aijCOlllt grade. (Use natural grade, ~ available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in cmxtlance with the community's floodplain management ordinance? Dyes 0 No 0 Unknown. The local olfK:ial must catify this infotmation in Section G. SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes SectiorIs A, B, C (Kerns C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or community- issued BFE) or Zone AO must sign here. The statements in Sections A B, C, and E are conect to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS o Check here if attachments , SECTION G. COMMUNITY INFORMATION (OPTIONAL) The local offidal who is authorized by law or ordinance to aiminister the community's floodplain management ordinance can complete Sections A. S, C (or E), and G of this Elevafion Certificate. Complete the applicable item{s) and sign bebN. G1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to catify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A co..nmunity official completed Section E for a building located in Zone A (without a FEMA~ssued or community~ssued BFE) or Zone AO. G3. 0 The following !rifoonatlon (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUWBER GS. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement GB. 8evation of as-buiit lONest floor Qncluding basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS _._ft.(m) _._ft.(m) Datum: Datum: TITLE TELEPHONE DATE FEMA Form 81-31, January 2003 o Cleek here if attachments . Replaces all previous editions Parcel Information for: 14-26-21-0010-01100-0070 Card: 001 Page 1 of 1 Welcom~ : Records Search : Parcel Detail ;;E:C3rgl1~9-C3iJ1 ;;h_owMcm Building Schematic Unavailable Calgulat~Ta2<.E:_~ $eE:...Tc:lx...Co IIE:ctQr...lnfQrmC3tiQn.-.GlJrr~n.tj[)elinqlJE:nt.Ta)(E:s I ParcellD II 14-26-21-0010-01100-0070 (Card: 1 of 1) I Classification II 00 - Vacant Residential I Mailing Address Assessment (totals) RODGERS CHARLES R & JANET H Ag Land - 37225 LEMON AVE Land $11,880 ZEPHYRHILLS, FL 335411246 Building $0 Physical Address Extra Features $0 49155 TH ST ZEPHYRHILLS, FL 33541 Total Assessment $11,880 LO!L.IJ)~"'~riJ>li". (F;,", 4 e Save Our Homes $0 MOORES ADD MB 1 PG 57 LOT 7 $11,880 BLK 11 Taxable Value OR 1135 PG 1566 Line ==r land Detail (Card: 1 of 1) Use I Description I - Units Type I Price II Cond ~ Value I 01 II 0100 1/ SFR ~ 00R3 ) 6,600.00 SF 1/ 1.80 1/ 1.00 II $11,8801 Additional land Information ~ I Acres II 0.15 II Tax Area I 3Q2H 1/ Fema COde(lIAI;I/) Res Code 112H~G~P71 Building Information Unimproved Parcel 00 Extra Features No Extra Features Sales History Previous Owner -- Year II Month Book I Page I Type II Amount I -- No Sales History - Search Aqain ShoW MC3.Q Building Schematic Unavailable Calculate_Tax~~ See J~)( Collector InformatiolJ - CurrenUDelinguent Taxes http://appraiser. pascogov.comlsearch/parcel.asp?sec= 14&twn=26&mg=21 &sbb=OO 1 O&bl... 4/29/2004 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECE IVED ~-~3-of PHONE CONTACT FOR PERMITTING fj / .1--9 (}C- 5"' IJ t- / OWNER'I NAME ';;;'I"? {'(2 /7 _~,r h ~:map'" ~f'rl?J' PHONE &-/.,l 'l,;J,f- 5'<>8'1 JOB ADDRESS _ 7 Jt ~~__cL 'L _ __ TJ./ __~ LEGAL DESCRIPTION: LOT(S);7 BLOCK /1 PARCEL ID # / ~- d r; - :) I - () () I tJ - 0 I / 0 tJ - 0 tJ 70 SUBDIVISION mlJ/J/'~f h/'5/- Atld,hO& . (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: ~EW CONSTRUCTION OSIGN o ADDITION o MOVE OALTERATION o DEMOLISH o REPAIR o INSTALL PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY o COMMERCIAL 0 INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK /J/t>1A/ mV/r/ '- m/'n/7 /?eSI.cIr'p?c ~ BUILDING SIZE :J 9 x-~ 0/ SQUARE FOOTAGE :1 0 (> / HEIGHT IS' RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. fLv0)) j;uiJ}A-17 ~ CJ;tLll Hu4ljz... PERMITS REQUESTED ~~ i JU:,I) pru .~r1 /'5 O()() o.a ~ ,~s. v.YN\l(JL-. $ U/ I . . - VALUATION OF TOTAL CONSTRUCTION -''':? {).. A ,_ 61- J-1uurV\ I dO 0 AMP SERVICE )sr; FLORIDA POWER 0 W.R.E.C. o BUILDING o ELECTRICAL o PLUMBING o MECHANICAL $ 9,f-~CJ ~O VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING 0 SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK Pi FRAME FINISHED FLOOR ELEVATIONS 80/,5' o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAJx( YES Jt!O CQNTR1t.G!T!OR.iSEC'1'ION I COMPANY A/vln t5ot"I'1Ic/ COYJ.slrt/ctloHJhr. BUILDER STATE CERT OR REGIST # C6c O(p~;;;J.9'-1 ****************************************************************** ELECTRICIAN SIGNATURE X~ ;1'VttL~L. ~'- COMPANY fY\-G-Ih - E kd/,-.... TI"\ '-. STATE CERT OR REGIST # F c:..O 0 0 3 IS Y PLUMBER A' STATE CERT OR REGIST SIGNATURE. * *****************************************~********************* MECHANICAL -A COMPANY { le>n Itrnds tW'1l -I CO.J ':C~ 1/ .... . SIGNATURE ;' ~. STATE CERT OR REGIST # _ CfjC-i<!IJ671, ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility 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 requiredJ 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 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", 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 accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Appli~ation 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-Wells, 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 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 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 fora 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". (L,~ ??#-r-Acd ~ATURE: OWNER OR AGENT STATE OF FLO- -.L] , COUNTY OF ~5~O The foregoing instrument was ckno~ledged Befor me this ~ day of , 20~ by .<:J I "~ M _, (name of person acknowledged) ~o is personally known to me, or /', o WhO/has) produced /' (type of identification) ! ot take an oath. stampe~,,"\\'r"'I~ Hebeee& N. ~e typed, rirr~cN. $W8ftpe} $ 'tCommllllontlCC94'J008 ,,~ ; . . = 1l.....t- JulIe 1~ 2004 .... ""'-iiaw'l'1lN ~ , AtIaalic BoadiIIs Co.. IDa. Signature of person taking ackno edgement RMJ8CCt8~.~g~~ or .a~~ %~4~/ ~GNATURE' CONTRACT~ STATE OF FLORIDA ",~ COUNTY OF . 8~ The foregoing ins~ument Wa~CknQWledged Before ~ this --'A?day of 4 . e.. , 2()C1~ by 4d1;~ -) (name of person acknowledged) ~pe,)nallY known to .0, or o who has pjoduced " (typ DUd no 111111111111111111111111111111111111111111111111111111III111 2004073043 State of F/orlaa NOTICE OF COMMENCEMENT County of Pasco THR tmoERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. /~-dc;,-;)/-Ot)I,J-OI/~(J-tJ()7~ (Legal descr~pt1on 2 . General Description of Improvement A/~w /?lv//-/'- Fb~//v IP t!"51d ~P7C e: / Rapt: 776327 Ree: 6.00 os: 0. 00 IT: 0. 00 04/23/04 Dpty Clerk 3. OVJncr Information: Name fi/'7r/nL2F' ~/'t)l:JerT/e.sZ/7C.r ,. l\ddress/.,.2~,;2 L/VJhJA"f_?,n /Ifl::I City Interest in Property: 411/11/ '-/"o~//t/ / Name of Fee Simple Titleholder: (If other th~n owner) Lulz lPes/d~~cr> JED PITTMAN, PASCO COUNTY CLERK 04/23/04 12: 48pm 1 of 1 OR BK 5821 PG 1244 State p~, Address City St<lte R4. Contractor: N.:lme .Alvln /30Ch:le/ C.oJ?J"/rvc~.Q~ Jfd City Lt/lz Sta te FZ. 33 S5<7 Address /;;.y;2 L"'V/i-'ljf:/on Surety: N.:lme 5 . Address City State Amount of Bond: S 6. Lender: Name Address City State 7 . Persons within the State of Florida notices or o~her documents may be 713.1J(1)(a)(7), [-'lorida Statutes: designated by Owner upon whom served as provided by Section tJc:mc Address City State 8. In addition to himself, Owner designates of to receive a copy of __._:: Lienor's Not1ce as provided 1n Section 713.13(1) (b), Florida Statutes. <). r-xp.i.rI'11 .1.')11 dnte of tlCJtice of Commencement (the explrati0n date is 1 yect.: fr~m the d.:lte of recording unless a different date is specified.) Sig:latureofOwner: ~ Sworn to and sUbs~e before me 20 iY q ~~/ {cwn.e..r j this~A.r-/ day of 4~'~ Notury Publ ic: My C:::::n,;li s s ion Expires: G;,-/ PC93053048/A THIS INSTRUMENT PREPARED BY: RECORD AND RETURN TO: 1111111111111111111111111111111111111111111111111111111I111I 2004070853 All Real Estate Title Services, Inc. 4032 Land-a-Lakes Blvd. Land-a-Lakes, Florida 34639 Property Appraisers Parcel Identitication (Folio) Numbers: 14-26-21-0010-01100-0070 Grantee SS #: Rcpt: 775417 Rec: 6.00 DS: 91.00 ~;1IT: 0.00 04/21/04 ~ _____ Dpty Clerk i~92~~~~MANft.l3ASCO 1COUNTY CLERK 0~.w am of 1 OR BK 5817 PG 109 I 3 crou J Space Above This Line For Recording Data THIS WARRANTY DEED, made the 20th day of April, 2004 by CHARLES R. RODGERS and JANET H. RODGERS, husband and wife, herein called the grantors, to BACMAR PROPERTIES, INC., A FLORIDA CORPORATION, whose post oHice address is 3633 GREATWOOD COURT, LAND 0 LAKES, FLORIDA 34639, hereinafter called the Grantee: (Wherever used herein the terms "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) 1J;.R~' ~,~~iP , .,. '" ". i~~ WIT N E SSE T H: That the grantors, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars 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, State of Florida, viz.: LOT 7, BLOCK 11, MOORE'S FIRST ADDITION, AS RECOEDED IN PLAT BOOK 1, PAGE 57, IN THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO'~OLD, the same in fee simple forever. AND, the grantors hereby (;Qvenant with said grantee that the grantors are lawfully seized of said land in fee simple; that the grantor s has ve good right and lawful authority to sell and convey said land, and hereby warrant 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, 2004. IN WITNESS WHEREOF, the said grantor s has ve signed and sealed these presents the day and year first above written. Signed, sealed and delivered in the presence of: ~L /1- ~7~ CHARLESR.RODGERS 37225 LEMON AVENUE, ZEPHYRHIll.S, FLORIDA 33541 H. RODGERS MON AVENUE, ZEPHYRHIll.S, FLORIDA 33541 Witness #2 Printed Name STATE OF FLORIDA COUNTY OF PASCO " ,-,::-~~:.- " ........ ...~. , ,-,. '" .~...:.. .. -...- . .~ot~ry Public J ,5 <\ If) ~ The foregoing instrument was acknowledged before me this 20th day 0 H. RODGERS who are personally known to me or has ve pr,duced SEAL ,.... ,i.. .'> : : ~', ",,-.-;;- , ...-- File # 04262 Printed Notary NamSTATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT O~iILE OR OF PUBLIC RECORD. IN THIS ?i!'TNESS MY HAND A OFFIC L SEAL THIS DAYQF 2 JED PI MAFRC IT COURT BY DEPUTY CLERK i .OUNDASr .ullv..,r ~E'CT10N 1Jf.. TOWNSHIP 2t1 SOUTH. RANGe 21 CAST : ,.,1>..:::0 COUNTY. 1'L000tD,I>. t.Lc.I4.OE["ON,' LClT 7, 8L /1, ~'s IlJfsr ADDI1IaN 10 _ /I)", 0' zr.PHYIIH/U. .~ 10 IHC """J.'" ''lAr _CIF AS I/{COIIC€O ~H 0100o' t, PArJ( !7, I'VIILIC .cr;Qll)S Of ~ASCO "'~TY. ll~/t)A. _ I ~: I ~!L. ~ ..", 1/2' I AU r (iN 00) I ! $c.<<8 J' . 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P"'K NoliI .. 01_ rJIM; rll"nlD~ ~ . f~ s,.. !:;:t;..::.:':'~ ...:= SURYEYlNC .4ND MAPPING. INC. If.CJ. ~ ~~" .w cov: tc.;,.....- It? 1~(W ..: 1.AilEiJALt(;H A~ '1Imp<J. ". J.J6I, ~:;.". :o.-;:::':'"Utw -.. ".s. ,.,-; U'U'i'~<:~' p,,- (6'J) AJ,S-'HO r". (6.'J) fM-II"1f VW....' I'" ..... '11 ':~-...: =.:..:..=::: (:,.",,;:ICVJ ~~'~ __ P.c.a, :-If" 01 fJo-gMlt>; 11/"1 '/NfI'o""t "'...., ~~", ~~~:f ,r:::""um.' ~: 'ytlHMI J'C ,,..,,,, (qu/pM'" .vw ,SIdo_ I c"",. :c.."",.,t I'C ~ I'CC PI (1)) S.ul, C.rl,"iC'Qt. of ,ll.,4Jthcdzotlo", "t...S. ,4g6,2'" r ~~_~~W~~ ~ J ~, .,., __ JIM ""-1 ,.,...".W -..... .....,. .. """"""'!'w tI ~,. .,~-.. ,........ A.........,'_ ... ,.",.,.".f .. ~,.. ..;tI.421 ., ... ___ j'fwfll~" uow.. ~. .... .....tww __ lIU .......,.,.. ... _ INt ~ ...... .....,., __ "'__. UJ. ~... ..,,,,, ,., ., """IllI \' "" ,..,.,.,......~f;14I,...,,"',...,roIN. I 0;\1110 L. 51.11."., A 4/2.0/0,\- ~, ""/1-/11- 1 ~ l.Me tIJIIC"fIt ".... ~-I1JIt... ~ -t ~ _,....-- _ Oot. I~I""'" (H(H-27~ ~ -... ... """ '3': 39\1d H LI IolS "'KI If. I1(J '3l>t>6EE6ET8 0P:DT Dee~!el!p0 . ASCO COUNTY, FLORIDA -...........,--.......,."......,..,....--......~.'.r.....,.",t,,,...................,~'"'~..........-..-_....~......_""'~'" -----."".,-...,.'.."'''''''.;....._,......~....._,.''"..___......,..._....".,..~........''"''""~_..,'''',.-" -'''..U'.''_ F'etlllit N\). .__._..:_$_~_? 9' -___h' nate Psnnltled Builder Hame/Owller l\jame :S0J}:~:J .(1l.\3~_::,~_~;1l2.t_ ---...-....--.------.-.. ( ;olltrol # p-, -_.._-._._---_.,.~~--.._.._-~- COlltlty F'arcsl no._____ ._______._____.._______________________ SubDlv: _h____~_... _____.._.__.. Addrsss/Locatlon ..--_!i 1/.5 ___S~ L~.~ l~____________.___.__.._______. ____________.__ Classiflcati< lIl/ type of Use .__ L2.\:l._~L~__h_ ._.. _'.. ______.. _...______.._._. ___. _"_'. __._ TRANSPOHTATION IMPACT FEE f-{ate: - - ---'-'--._~n_~. _ ...._ Sq Ft Unit: Exelllpt [.1 Yes IJ No How Determined ------,._---...._-----,.._.__._.~---.- -.'------..-. ,...-- .---...-----.--..-. "'-- Impact Fee Amount -1--..J-l5 is _8:".______ Zone No, TAZ: --------- ______.._.c____.__ ._~_ SCITO'5[JMP A~E----"._..,---~-~-._~"'---."...---~-,--.~""..-~-..."..--__..._,_...~.._.___ Accuunt (056) Single-Family Uetacl1ed Ilouse AlI10unt $ ---._._.J..g a__'~_~_____. (057) Mobile 1-loll1e (utjO) CHileI' Residential J123) CgJlectioll Fee Exempt 1.1 Yes 1_.1 No How IJetennlned _._.___________..____.___.____.__________ .~-- ".--..--.." ----..-----,.. - .-~_..._-~-..-..-~--- --.-.---....---...---. -..--..--.- -"._--~-- PARKS-AND" RECREATIONFEE -.----... Land Account L.and Credit Recrsallon Account Hecreatioll (' - .' Recreation Total --~.._--,_. ".---"---. ----- ------------.------- Land Total Zot 18 TOTAL AMoUr\JT'~__'_'__T"__'___' _'_"''''__ -_.. -'-~___'_"_ n____._.._ __'__ ..__ ____ "_..__ '__'__"__'_~'___ How Determined '--:"S'RARYFEE .."'....,._.._............_--~ ..-....-..-..~.~-_...._...--~...~-~.-.~~.~....-.....~__ .,~.___~~_._._...".__ Land Account l.and ' Land 'rotal -.._----_._._~-_._-_.. ..._-~-.. --" -'.-'-' ------------.---.-------.--..- .--. '--'-. - -.-----....____ '_n _______ -----._---------~ ~-, ---.---- ..---- ---.,----- Facility Credit ..-.-------.___n___ Facility Total 1.1 Yes [J No ----_.._---_._-----_.~~ How Deterlllined Tolal AlllOllllt ---- --.~-___'_n'_____.~__ __.~ ._...._ RES61jRC'E.FE'E-..-..,.--~.1-"..gl-:-~..'~.."'..-~----.~m~-~_... _....-~ER I.T'-=~-_"=~,,=~===~.== TOT A l. A IV1 0 lJ N l _. __ ...... L -'-Y----_._.____.__ ---..-- ..._.._._....__....~.__.~...._-~_._.._...._.__....._._._---_.__....._"-_._._."-_.._~."._-"..,,......._._--~-- Prepared By _. .u.______..___._______________._____ Checked By _.._._n._..._______.._. _ '___'_~_' Nt) CEHTIFIGAlE OF OCCUPANr:y WILL BE ISSUED OH FINAL INSPl:GlION PErWOJ~ME[J UNTIL TilE TOTAL AMOUNTS I..ISTED IIAVE BEEN PAID AND mEGI=IPTf:D FOR BY 1\ CENTRAL PEHMITTIN(-; OFPICE OF PASCO COUNTY , I ~e . ~