HomeMy WebLinkAbout04-3174
1-
CITY OF ZEPHYRHILLS
5335 - 8TH STREIT
(813)780-0020
BUILDING PERMIT
3174
Permit Number: 3174
Permit Type: DEMOLITION
Class of Work: 636-DEMOLlTION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/18/2004
Total Fees: 75.00
Amount Paid: 75.00
Date Paid: 6/18/2004
---WorkDesc:DEMdLlTION OF GARAGE
Name:
Address:
Address: 5449 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
I
I
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~~.--~.-~~-~-~ ~-- -------~-.-.--~ ------- ---- -'---- ---~------_.____1_____ ________~_ _______.
REINSPECTION 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
J~~_~~y_me~t~f in~~ction fee~~haJIJ:l~maE~e_~elore~_nYflJrther permits will b~issued to the~~rso~ 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 commencement."
------- --------tomP!efe Plans~SpecificatIons and-FeeMust Accompany Application. --- - ---------- -~-
All work shall be performed in accordance with City Codes and Ordinances
-- ~--NOOCCI.lPAN-CY BEFORE C.O-:------------~ ---- ----------
7-J:/-~j.:=-/:~7CfJ----- --- &- - --------
-- -- ---- -----0___--_-._----- _..____....___...___.______.________ ______________
CONTRACTOR SIGNATURE PERMIT OFFI
L1 CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
Wi J JfOjZg)
/(7)/ .J;
LEGAL DESCRIPTION: LOT (8) 9':)l- /0 BLOCK / J ~
r
PARCEL ID # I J I :;.. ~ 1;)-1 / (!) () J 0 I J / r: ~ t) J 0 0 ~ 1J
' "/ . /
WORK PROPSED: DNEW CONSTRUCTION D ADDITION OALTERATION
OSIGN 0 MOVE A DEMOLISH
PROPOSED USE: OSGL FAMII,y DWELLING OMULTI-FAMII,Y 0# OF
OWNER'S NAME
~
..-J~'V ;},/
\1-f '1 ~
PHONE CONTACT FOR PERMITTING
JOB ADDRESS
PHONE? J.-7~ "3 7.J--r:s r9 _
SUBDIVISION
e/ /y
I
(OBTAIN FRQM PROPERTY TAX NOTI~F.)
[) REPAIR
o INSTALL
o COMMERCIAL
UNITS
o MOBILE HOME
o OTHER
o INDUSTRIAL
o SWIMMING POOL
BUILDING SIZE
tx
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
'0 plY) fr,LP-J; 'Wt/ C f- G )9- rZ /f- ~ r5
/ D SQUARE FOOTAGE f 0
HEIGHT
7/
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOBMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
CI W.R.E.C.
o PLUMBING
tJ MECHANICAL
$
VALUATION OF MECHANCIAL INSTALU~TION
o GAS
o ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
[
SIGNATURE
tll '
,:t-hl4^
CONTRACTOR SECTION
COMPANY nw-v\.C!/V
BUILDER
STATE CERT OR REGIST #
********************************************************,,*********
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
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 subject to "deed restrictions" which
may be more restrictive than City regulations. The und~rsigned 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 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 po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as tile 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 indication 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.
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-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 addressi.ng 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 pr?visions 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 for a
period of six months after the time the work is corrunenced. 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".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [kiid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
-A.
.~.. ... -----. - _..__._--'-_._._-_.._------------------,--,_._---_._-~--~.._-- '--'-'-. ------ -- -- "- -- -._- -.--
---'.....
U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
B.
- --- - -._--- - - ----------- --.~-_._._--,- --
TYPE OF LOAN
I I-~'
I 4. VA 5. I_J CONY. INS.
!""6Rle Nu~t;~-----.-.-----'--.7,~~-N~~.-------
040435
18. Mortgage Ins. c,;, No.. ------.-- ---------__~_
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C. NOTE: Thisform isjUrnished /0 give you a statement of actual settlement costs. Amounts paidto and by the seiikmenl--ageiiia;.e~own~/tef11s marked------
(p.o.c.) were paid outside the closing. They are shown herefor informational purposes and are not included in the to/als.
-.-------------------- IvanWishafd . .------______________________
D, Borrower: 5449 10th Street
ZephyrhiIls, Florida 33540
.Mary C. Blankenbaker----------------______________________________
2007 E. Mulberry Drive
Tampa, Florida 33604
-F.Lender:----------------------_ ______________.___ __ _____________________ __.__ ____________.
Masterpiece Title
15302 Casey Road
Tampa, Florida 33624
(813) 264-7333 fax: (813) 264-4322
! L I..] FHA
2. ;-1 FMHA 3.
~_J
--------- "-- ----_._----_.._---~-
CONY. UNINS.
.._-~~---_.__.-
E. Seller:
--~--------544910th Street ------------------------___ __ _ ________ __________________
G. Property: Zephyrhills, Pasco County, Florida 33540
Lot 9 & 10, Block 119, City of Zephyr hills, Book 1, Page 54 Pasco County. Florida
f:C-Settlement Agent:------Masterpiece Title . _________
- ,P'= of Settle men,,_ , _'~302C",eJ_Ro"', T;on"" Florida 33624 HHI,oorongh County __ _ _ _, _ _ __ _ _ _ _ __
L,,~ttl""'entD~tec ____ _May 13" 2004 __ __,_ _ _ __ _ __ _ _ __ _ ___ _
.1.
Summary of Borrower's Transaction
Summary of Seller's Transaction
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iK.
I
-.-------------- ------------
100. Gross Amount Due From Borrower: 400. Gross Amount Due To Seller:
-lOr- Conle"", s,~" Pri",- - --- - 52,00,l()0 40 r Cantmct Sa'", Price _~:- ___ ~_ -:_~:::: 52,06",,0
-I02~-Pe;'sonal Property--- ------ -------.L 402. Personal Property
-' 03, ~;c"'''''''''' Ci..;g,,t. B",;;,w", (Iinel400) 15 roo: 403, '_ _ _ _ _ _, ~:: =='~=
j <i6At;';"f.,~ ~";~:'.,, Paldby Se~eo:'o Ad~:ne:__ __: I 406A"l~;';";a~i?~2e",'~~d bY~e1lerlo::~d",,:oee' ~_~::
107. County / Parish Ta.xes I 407. County / Parish Taxes
-108~;t\:"lgh~^:"m:tMay r 3, 20~4 thru&:30,~ ~~;;:;~Fo~;~:,~t A,:~m': MaY_If, 2~4i:~ep]O'~-=_-';-3~
120. __G_"",- A..o~~,t Doe r",w _110,,,,..,,,,_ _, _ _ _ 5~,t73.34 I ~20~5r"'~,,..o~0'J>oetn5~ler', " ____, _ _ 52,022.34
200. Am,,;';'.. ".,dl>Y "rlnBehaif ofBorrowe",- ::-::-:: =::r2tH1. Reduetioo, 10 Amooo' Due to Selle" -='~:::_ :-:=~::
- i~~ :?';~~;;::: %;;;:r~i?~7w 1.0';; , -, - -- - - -- , - '-+ig," ~~~;i;;:';~:~: t~~'::;::'~~ 140<))- - - - - "4,21800
203 ",,~,;.;g i:.cmifu::::: -=-= ~:: _____ :::::~_ ::_ _ 'l5tff:' ExI~i"gl~( ,) ,. ___:--=- ',__ __ ::::___::-= :--=-~__::
204. I 504. Payoff of First Mortgage to
ig~_-------=:::-- -:: ,:_:n ~,' - '-- -~~:-~:= .. i ig~ ::::::~o',;';;;' .7::=~o- _ _~:=n=--=::~
----A~.i!I_~!Jne~J~r Itel!!s_~d_'!tl~I~!: I Adjustments fo.!.[temslLl!Paid by Seller:
_21 O. _City / T()~n T~~_____________~_ I 5 I O. City / Town Taxes
.)1 I County / Parish Taxes 1an 1,2004 thru May 12, 39709151 I County / Parish Ta.'{es 1an 1,2004 thru May 12,
- . 2004 . . 2004
----------------------- -- . -------------------
212, ""e"m"'~,____,__ - -___ __ ____ _ _ ,,_'-'12, "'"",,weo', ._, nn, -__n__ _ _____
,220~l'oEtI PaId blCUo ,-Bo ""we" ___ _ _ U _ 'n ~27.091 520,_ T "",I ~...ue.oo';o Amonn! Doe 8elle,,_ _, _ 4,'75.09_
I
--------..- -'-.--,..-.--.-- ----------.-.- ---.------t-------- --- -----.--______.____..
.~()-()~9t.~'!..l!!Se~I~lI!e~t!!.~f!1i.t~ Bor~wer:_________L__.600. ~ash at S~~e~ent to / from Seller:
JQI~G"",_Amo"or "u~ fro", Borm_we'llioe 120)_, _ _ _ ~2,17~34 I 60 r G"", Amoooldoe to "'n~ (1100 420) '___ _ _ -'2,0223~,
10~. - """_,,"",uot~aid by/'",Bo""wcr (lin, 220L ___,. _1""09 i 6{)2, . Lc"j<c"ue"o~ ~"",uo,-du" Scn~(lioe "OL .. _ _, 4"67~09
I
$51,776.25/ 603. Cash To Seller:
-- -------------------------- ------ ----.-------- --___L._______.__________._______ _ _____ _ __.__ _____.____._.__
397.09
303. Cash From Borrower:
$47,347.25