HomeMy WebLinkAbout04-3708
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3708
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3708
DEMOLITION
636-DEMOLlTION
SINGLE FAMILY RESIDENTIAL
Address: 5651 8TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):6 & 7 Block: 57 Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05700-0060
12/28/2004
75.00
75.00
12/27/2004 Phone:
DEMOLITION OF FRAME SINGLE FAMILY DWELLING
Name: BUTTERFI LD M BILE HOME SVC IN
Address: 5651 8TH ST
ZEPHYRHILLS, FL. 33542
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
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 commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
V'v->~~ ~.
CONTRAC R SIGNATURE PERMIT OFFI
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 RECE IVED
1~-2-7-0f/
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 8CA..,7/~.f' 0 ~,-J MobIl,
7h ~
JOB ADDRESS Sl,s, g .s/Yl..<e..~ T
..... -
.., ...-U I <:. -'<. J./l <-
I, I c.;>f!.,-- PHONE
-J Cj..-r <co.. ,
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # tl-;J...~_:;"'J -00/0 -<:3570\] - O(j~O
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: oNEW CONSTRUCTION
o ADDITION
DALTERATION
~OLISH
o REPAIR
o INSTALL
oSIGN
o MOVE
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~<,."c. /I-S '? 5' F:l)
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
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.
$
VALUATION OF
& (1) SET ENERGY FORMS.
FO~~
(ql~
TOTAL CONSTRUCTION~
~, BUILDING
o ELECTRICAL
PERMITS REQUESTED
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES 0 NO
BUILDER
SIGNATURE Wc..:r-,t? -:J~A/
COMPANY
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ndeed 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 required
to be licensed in accordance with state and local regulations. If the contractor is not
l~pensed 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 nContractor 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 ~he 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 Zephyrhi1ls.
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 nA" or "A, etc.", it is
understood that a drainage plan addressing a ncompensating 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 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A nNOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 211-
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)
C1ho is personally known to me, or
owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
owho has produced
(type of identification)
and who odid Giid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
This instrument prepared by:
Sherry M. Newgent
Linsky & Reiber Real Estate & Title Services
26650 Wesley Chapel Blvd., Ste D
Lutz FI 33559
Tel: 813-907-7749
TITLE AFFIDAVIT
File No. 04-1905P
BEFORE ME, the undersigned authority, personally appeared Wesley F. Browning and Brenda S. Browning, husband
and wife, Sellers (hereinafter called "Sellers" or "Affiants") and Butterfield Mobile Home Service, Inc., a Florida
Corporation, Buyer (hereinafter called the "Buyers", "Borrowers" or "Affiants"), who upon first being duly sworn by me,
deposed and stated as follows:
1. That the Sellers are the true owners of the following described property:
Lots 6 and 7, Block 57, CITY OF ZEPHYRIllLLS (formerly Town of Zephyrhills), according to the map or
plat thereof, as the same is recorded in Plat Book 1, Page 54, of the Public Records of Pasco County, Florida.
2. That Sellers/ Affiants have been in. full, continuous, open, exclusive, peaceable and undisputed possession of said
property since the time of investing of title to said property in Affiants, that there are no parties who may have any
interest or right to claim an interest in said property other than Affiants, and that there are no facts known to Affiants
which could give rise to a claim being asserted against said property, except: NONE
3. That except in connection with the sale and purchase of the real property described above and the subject of this
Affidavit, Affiants have not entered into any Agreement, Contract, Conunitment or Option which otherwise affects
said property, except: NONE
4. That there are no taxes, liens or assessments which are due or about to become due or which have attached or could
attach to said property except as shown on the Settlement Statement.
5. That Affiants are oflegal age, under no legal disabilities and have never been known by any other name than as shown
above.
6. That the marital status of Affiants are exactly as shown on the d,ocuments to be recorded in connection with this
transaction (especially the Deeds and the Mortgages).
7. That there are no actions or proceedings now pending in State or Federal Court to which the Affiants are a party
including, but not limited to, proceedings in Bankruptcy, Receivership or Insolvency, except: NONE
8. That there are no judgments, mortgages, encumbrances or liens of any nature affecting said property, except: NONE
9. That there have been no improvements, repairs, additions or alterations performed upon said property within the past
90 days. That Affiants have not entered into any agreement or contract with any party for the furnishing of any labor,
services or material in connection with any improvements, repairs, additions or alterations to said property. (Excluding
current repairs which sellers are paying for).
10. That Affiants know of no unpaid utilities with respect to the aforesaid property, and hereby agree to hold Linsky &
Reiber Real Estate & Title Services harmless for same and indemnify Linsky & Reiber Real Estate & Title
Services in the event any such utilities may be outstanding, to the extent the same prove to be the responsibility of
either Affiants.
11. To the extent the closing agent/title agent chooses to use an interest bearing account in connection with the collection
and/or disbursement of proceeds in'connection with the purchase/sale or refinance of the property described. Affiants
waive any claim to said interest, absent a specific written agreement with the closing agent/title agent to the contrary.
12. The undersigned parties acknowledge that the closing Agent and/or Lender have prepared documentation for the above
closing based on figures and information given to said Closing Agent and/or Lender and said documentation could'
contain clerical errors, omissions or mistakes.
13. In the event that any such error, omission or mistake requires the payment of monies, the undersigned parties hereby
agree to pay the amount due within three days of receiving notice thereof, and the undersigned agree t9 indemnify and
hold the Closing Agent and/or Lender harmless from all liability in acting as the escrow agent hereunder. In the event
Closing Agent and/or Lender is required to hire an attorney to enforce the provisions of this Agreement, the
undersigned agree to pay all costs of collection, including reasonable attorneys fees, costs, whether or not suit is
brought.
j ~ ;
File No.: 04-1905P
14. The undersigned parties for and in consideration of the above referenced Lender this date funding the closing of said
loan, agrees, if requested by Lender or Closing Agent for Lender to fully cooperate and adjust for any clerical errors,
omissions, mistakes or corrections required on any or all closing documentation if deemed necessary or desirable in the
reasonable discretion of Lender or Lender's attorneys, title insurers or closing agent to enable Lender to sell, convey,
guaranty or market said loan to any entity, including but not limited to the Federal National Mortgage Association,
Federal Home Loan Mortgage Corporation, Federal Housing Administration, or any other investor. The undersigned
borrower does hereby so agree and covenant in order to assure that the loan documentation executed this date will
conform and be acceptable in the market place in the instance of transfer, sale or conveyance by Lender of its interest
in and to said loan.
15. Affiants hereby agree to reprorate real estate taxes for the current year, upon receipt of the actual bill therefore (if
applicable). The parties acknowledge that Linsky & Reiber Real Estate & Title Services prorated the taxes on the
Settlement Statement (if applicable) based on last year's tax bill, and Linsky & Reiber Real Estate & Title Services
is held harmless for any change in proration upon receipt of the actual bill for this year's taxes.
16. ThatAffiants have executed no document and will execute no document which could rise to a lien, encumbrance, or
otherwise attach in any manner to the property Qr affect the title to said property between the date of the title
conunitment issued in connection with this transaction and the ultimate recording of the documents (Deeds and
Mortgages) which are contemplated by this transaction.
17. There are no mortgages encumbering the property, recorded or unrecorded, other than those shown on the Settlement
Statement.
18. If the subject property is any part of a Condominium Association or Homeowner's Association, Affiants represent that
all regular and special assessments therefore are current, without any delinquencies, except as shown on the Settlement
Statement.
FURTHER AFFIANTS SA YETH NAUGHT
BUYERS
SELLERS
GeoY9~ Co,
STATE OF FLO.RID}.. //Di(f2/.,----.
COUNTYOF'~# ~TZl"
SELLER NOTARY
The foregoing instrument was acknowledged before me on this 17th day of December,
Brenda S. Browning; they are personally known to me or have produceif<
identification and did take an oath.
lIiiS'EAL
004 by Wesley F. Browning and
:> /7 OL
~. - as
7
...
or-q
Notary Public'
-. [)'vt/~/~t: 6- -I-/47k:~~
rioted Notary Name
; 1;
File No.: 04-1905P