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HomeMy WebLinkAbout06-6164 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 6164 6164 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: 10/17/2006 Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 10/17/2006 Work Desc: MOBILE HOME SET UP Address: 37601 ILL AVE LOT 284 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0170-00000-2840 Name: CITRUS HOMES OF FLORIDA Address: 35162 SR 54 W. ZEPHYRHILLS, FL. 33542 Phone: LILLEY AIR CONDITIONING INC. LILLEY AIR CONDITIONING, INC. PLUMBING FEE 40.00 PARK FEES MH 573.73 FIRE IMPACT FEE 273.00 SEWER CONNECTION MOBILE 808.00 WATER METER RES 3/4" 180.00 IRRIGATION CONNECTION 175.00 TRAFFIC IMPAcrFEE 1% ~ ~~ \ ~~ L MECHANICAL FEE PUBLIC SAFETY 5% POLICE IMPACT FEE WATER CONNECTION MOBILE HC IRRIGATION METER TRAFFIC IMPACT FEE 99% 35.00 26.35 254.00 209.50 180.00 1,572.12 ; ,J/ Y-..t?~.>< 1UlL-:i~ '" JJee. ~ FINAL REINSPEC110N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: 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 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances &~ CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received C-, f-y Owner's Address I 35/ ~'2- .... f'? Fee Simple Titleholder Namel 11I/11 Owner's Name S" ~ tV. Owner Phone Number Owner Phone Number I Owner Phone Number I I I I I ;/..&- if I I Fee Simple Titleholder Address I ,IV' /It? I 3 7 6t> I I ~YIA-~J JOB ADDRESS 2 t-tJhr,/ f.,:( (~f F) LOT # I PARCELlD#1 3'/ - d-~ - a I -0/70 -Ot)Ot'JCl -7..'& t..JO (OBTAINED FROM PROPERTY TAX NOTICE) D ADD/ALT D SIGN 0 MOVE D D REPAIR D COMM D D FRAME D ffi PROPOSED USE ' ~ TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I Jl"v(d,r cloP /-h-uf' <' E 7 - CI,p I I /~ I /'aI6 'I BUILDING SIZE 3 A "f.60 SQ FOOTAGE / 20 HEIGHT L "....11...11...'.....111..11.'11....11...11.......11.11.....11..........11..11.....11........111.........11.1111...11111..........11......1111... SUBDIVISION &//1 ~U& /!oi/c"ZCJrl <; WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK DEMOLISH OTHER STEEL I o OTHER I flII(>hl/~ /-:bINle... ill' BUILDING 1$ 'ISo 0 , CD I VALUATION OF TOTAL CONSTRUCTION 0' ELECTRICAL 1$ o .5 DO J 0 c) I AMP SERVICE 'J.-D 0 [3' PROGRESS ENERGY D W.R.E.C. r-l b C" ( ho. ~i~~~ r;b...-d B PLUMBING 1$ ~DO, 00 I B MECHANICAL 1$ If CJOO , 00 I VALUATION OF MECHANICAL INSTALLATION ~ 1); I L, ~ (lO bV'f- ~-z.,o.~~ D GAS D ROOFING D SPECIALTY D OTHER $le( lR c(.. FINISHED FLOOR ELEVATIONS 36'/ FLOOD ZONE AREA DYES [2jNo BUILDER SIGNATURE ELECTRICIAN SIGfiATURE PLUMBER SIGNATURE MECHANIC SIGNATURE OTHER SIGNATURE License # / ~ " fA..Ie 'j.. 'c 1/1," FEE CURRENT License # License # c#o 18-9/'7 Y/ N Y/N FEE CURRENT License # RESIDENTIAL Attach ( ) Plot Plans; (2 sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Pennit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. II11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW '. i,.~.'~';~J;:, , .,t<i\~\ . "~~:~l,~t:~l :' ~II'" .; ~. ,",;' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 violatioh 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 Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the oWner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned lJnderstands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of neW buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 arid 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportatioh Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify 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. 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-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. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less thah one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proce~d with the work a~d not as authori~y !o viol~t~, 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 codes. Every permit isslJed shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~ty ~90) dars and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned. WARNING TO OWNER: PAYING TWICE FOIM WITH YOUR LENDE 0 FLORIDA JURAT (F.S. 11 .03 CONTRACTOR Subscribed and s to;Jr affirmed) bef~ m~ this /0--6 -o~ by '6...C.V . ~ -e tE'{'SO v1 Who is/are perso ally known to me or has/have produced ~( ,~~~'ec il&~" Notary Public Notary Public Commission No. D P 0'-1 757 1./3 Commission No. Name of Notflj ry,rlnt ~. . . ExpIIw-. : ~OFf\.~ Bonded lhru (800)4U-42S': i... ...1~'~~'~':. Florida Notary Asan.. tnc I ,.....0.........................1 -~._. ,... UI~ L./Cl"''''Y'' IV' .11 u!:ll-UfJ .:::l8 8638750703 p.1 . 2006-07l1ebUe .o:omeIDstaUer license 8 Ucensee: . Jackie D. .Peterson Il.icense Number. Eff~'t." n.ll IROOOOS37 S!'I'ir4l1al Ddtr 1O-1~ 9-30-07 ~1~~.!!...I'Imft-~~~'!~~_~.~~:~.!~"'~~_. _ .. t!:l))) =~~:,i~~;\;~~~iTl~'::-' C8::~;:;;"' -7:;"i'~: (7i~~i'\) \."" _ -.XI OWNER: JACKIE D f'E:1"EASON \:': ~;~:~':~(/ ._,,_~.?d~~.L.~o~~,~".~,~_=_=.=~~=,=.. -=.._-.~' -'~=='-~--'~o'f'8tr-~'~'Cbiil'fRACi''<:H:rMdBi(:EHbME$ETUF'''.'-~:_'~d' -~:>-~~.'../ ..,. BIG DADDY'S MOBILE HOME SET-UP SERVICE LLC 621 E AVE A WAHNETA WINTER HAVEN, FL 33880-<lOOO LICENSE TYPE: aAse TAX RENEWAl :is.GO Fa: ADl L oees: DATE PAlO; PENAl. TIES: AOOl MIr: TOTAl PAID: 55..00 . ":),-:;;-~::?;::f~\{l~~~~~J~~~i5:~f{Pi~.~:~~;~i~?j~W~~~~1~-is~~~F~ft~~f~~~~~~.~f~:~:::'~-C'~:3::':ESS '_'J~..~.-;)(:: : ;1 PAID-4120S8b.0001-0D02 ~12 10/02/2006 1~O"OO ____ __ _____._ d ---..--... 'Jet U!) 00 0~:3~a Big Daddy's ~v'1.' Se:-up Se 10/e4/208S 13:15 85329205;'] 8638750703 p.2 "'141.:1~ l:J~ GREEN INS SVCS ACORD.. CERTIFICATil:!~ OF LIABILITY INSURANCE DtTl!-:~'; THIS C.:; 'CAT 188 E AS A MA'J"TER OF I FO Jt\ 10 ONLY AND CONfERS NO RIC3HTS uPC>>r THE CERTifiCATE HOLDER. THIS CeRTIFICATE DOES No~r AMEND. EXTEND OR AI.. TeA THE COVERAGE AfFORDED BY THE PO(IClES BELOW PftOOUCE.. e:u/GREI:N IWSUBANCJii liERYICES "GIS lnsuranae Inan 1500 6th S~ree~ HW Ilinmr HaYllllCo n 33881 Phone: 863-29.-.241 Fax;96J-2!1~1-42413 . :Big Dadd:y' II DIgJ:oi~. BOllI I. Set Up Servi.oe, LI.C .1ae.t.ie he'!IJ:soft l!i2J. Avenue .ll S..1:-..bnI~.t;a W.illl~r Ba_n n. 33880 I INSU~Rs AFFORDING COVERAGE lNlMlill A: T.b4II I11Irlin ~on In. Co me INSURe 8~ INllUIU;It C: ~1aI 0: INSUllliltt!: MAle ., rNSUREO COVERAGI!S__ THE POUCIE!5l OF INSllVlNCE lIST&ElIIROW MAV~ I! ANY REQUlRl!MENT, n!RMClFl COIII~tl1CN OF' NfY .'C MAY PE:~TAIN. THe INSuIWC!! AfI'II'ORIlI!D !lY TIot.' I'~ POl"lQEs. MGAEaA.Tt I.MTS SHOWN MAY HAVE 'IE] A T'/'PE OF .1I8UItAM1:1! OEllEMI. ~IA8IUTY X CQfoAS/CIAL BEM!ltAl.. LIIIIIIUT'( 2 G4[dil CU\11lIS MADE [!J OCCUR EEN ISSUED TQ THe INSURED NAMED A8O\Ie FOR Ttoe POLICV ~D INDICATEtI. NOTlNITHSTANDIN13 ~ ~ OTHER OOCI..M:NT WIt" REa"'1!<;T TO WHICH 'THI$ CERTI'ICATE MI\Y Bf IS5UEOOlll ,UClES DhCRIBetJ MIREIN IS $U9JI!CT To ALL ~ TERMS, DCLUSlCNa ~ COl'OTTOtolS Of' SUCt1 ON ~I!OUCED rrv P,fJD ClNG. ~ . ..~ FOI.K;T NUIIIIell DA DCl't'Yl. LNI1 eAcH ClCCUItREIIlCI! 11,OOO~O ~OO21 07/21/06 Q7/21/0i PGlISB'(h-_~ 150,000 tll!DEXP(A..,_...._) I S. 000 l'lOR'ONM. & foDt/lH.JlJII't' 11,00D,00'O 1I&Nl!AAL. Il<<lI'lEGATE s1.,ooa,ooo I l'ItODUCllI. COMPlO\' AGa s 7ftOJ,"lIc:tecl COMMlED SN:JU! UltlT s lEIl ~ IOCl.YINJ~ I (1'-.--.) 100ll,Y l~utrI S (Pw_.",,~ '''- ""'CPI!!ItTY OAl.WlE I (I'M aOCldwll) - .wroOIiLY' ~ "=It1l!NT I 0TMiR THAN !jlACC S "lITO OllL VI - - I\GG S &loCH OCCURltl!!\ICII . IIOGRIEG^"I'I! . "- s '- s .-- ,. I~ . ,,~:;- !i.L !AOIACClDINT S 1.1.. D1~. EAEMPIDYCI s ..- .. t:l. DlSEASe.POLICY lJU/T ~ i ';ICII$ ADOED DYl!I'IDdb!o", IlII'lIC~fiROVI5IONS IlEQ 8EDUC1m B1' PUI) CLArHS. @! IH 0000537 .- CANCELLATION PAsCO-2 Ilt4CUlo.D AN\' ~ 1)\. AIlM! !IC8Clt1lllll "QUOD IIlI CANCiI, ~Bl BImlRE 1'HI!! I!JCPrRA'no 0I.Y1l TIlIIIlac.. TIll! IISIIINrlIINSUIlIR-'&"I!Nll_ TO _IlL 14 ClATIl WIlrrT'lGtl NOTIC! To TloIE CElml"lCAlIHClI.D8IIW1iD TO tM; LEFr,llll' FAl-;;;'RI DO SO-'.L -sa He CIIl.lcMT_ Oil UAl!lll1'Y IlF Aff'( InIID UPClN 1tl& INllUfIElI, ml ADEll's OR QIltt~"ftVEs. ~ u GARAGI UAIIlLITY "'NY ALI'm ~I!LLA LIABlUn OCCUR 0 ClAIMS I\IAOE lll:OuCTl!IlE ~E1t;NT10N S WClt~RS caMPt!NSATION AND _lO....f:IUr LIM!lUTY NoIV PROl'lllII!roR.~~lleV'WIf ~ElIDcLUIlliO? ~Cr~~~~=&_I"" cmt ClESCl'llPTIOfI g,i~A'IONlI ~DCATlClNllI YEMICU!.s , ElIC I: ~ ACJGltZt';U\R LlmTS SHOWN M7aY aVII Je.c:lkie Pet:ezso~ Inl!lt:alle~ LicerI.. CERnFICATE: HOLDER Paaoo OOWlty 14236 &t:h S~:r_-e nade City FL 33525 ACORD 25 (2001108) Oct 05 06 09:38a Big Daddy's M .11 Set-up Se 8638750703 p.1 ACORD", CERTIFICA1'E:: OF LIABILITY INSURANCE I OI:I'E(WIillllM'VV} YQD6UYK1 10/0~/~D06 THIS CERTIFICATE IS ISSUED AS A MAn1!llI OF INFORMATION CNLY AHD CONFERS NO RtGHiS UPONTHE CERTIFICATE HOLDER. THIS CERTIFlCATE DOES NaT AMEND, EXTEND OR .LTER THECOVEFUllGE AFFORDED BY Ttm POLICIES BELOW. PRODUCER ~i&k TXanster Holdin.~ JOl e. pine S~~eet Suite :JSO Orl^ndo, PL 32S01 INSURERS AFFORDING COVERAGE NAte" I NSU~ED Omega Busine6S Solutionsr Inc. 22~ 1'\Venu"" tC se Win~er Maven, rL 33880 lNSUAEFiA:.rl~5t. COIfmercla.l [n&urance: Company INSURER 8: INSURE ~ C; INSUAE~ 0: lNSUREP E: ..- ..- COVERAGES. THEPOLIClE5 OF iNSURAI'iCE LISTED6ELCWH'~ /IN'/' RECUIREMENT, TERMOR CONDITION OF Aid' MAV PER11\IN, THE INSLJRA."llCE AFFORDED BYTI~ POUCIES.AG~GATE LMTS SHOWN aMV HAil I: lH FI.&O - DEDUCTtBlE RE1ENTION S A WOllKI:FlB ~oUPE~nONMD BotIPLO'tEIlS' lJAlllLITY MlV PROPR1EiOIV""f\TNEMXECUTIVE OFF;CEA""EMBI:R EXCLUDED? ~r~I~t""ribo Vis~ be l:m<ER 165' ;: ,:,j, BEEN ISSUED TO THE INSU~ NAMEP ABOVE FOR THE POLICY PERIOD IIIDIt:ATEO. N01WlTHS11\NOING I CONTRACT OR OTKER aOCUMENTWlTH RESPECT TC WHICH THIS CERTIFICATI, MAY BE ISSUED OF! I: POLICIES DESCRIBED HEREIN IS SUBJecT TO AIJ. THETE;R1I.tS, EXCLUSlONS AND OONDITIONS OF SUCH ElEEN FlEDUCEO BY PAID CLAIMS. POUev_R "DCill'< IEI'FI: VE PDUC'I _'''''~ LJIiI1'S .- EACH OCCUflR ENCf $ -- PREMISES lEa DC"'.'''''' $ "ED !;J(P (My en. III ram) S --'~~-- PERSONAl&"CN lIIJUAV S GE/>IERAlAGGAEGfTE S PRODUCTS COMP/lPAGG S ...- ,. COMBINED SINGLE I.IIUT S (&. .ccidenll BOOllY INJUfW S (Pel pe"",.. ..-- BODILY INJURY $ (Pa, .""idonq ..- PROPrniY llf,W\Q1 S. .Pe,,,,,,,-.q '0 AUTO ONI.'Y . EA AC< ;(OEI<1 $ OTf! OR THAN EA AtCC. S Al./TO ONLY. NX; S .. ..- EA::HOCCURRENC= $ IlGGRf.GATE S 1\ $ ..- - ~I s ..- ..3 01/01;:<006 01/0l/2DOI IO,W E.L. EJOCH ACC1Ol:Nr $ 1,0:10,000 E.L DISEASE.. EA E04PLOVEE ..--'--- $ 1,0 lID, 000 .. E.L. DISEASE. - POU:V lIMIl $ 1,OllO,CJOO .lSlQI\ISACOI!D BY UtDO~SI!"'~N1' ISI'~PRllVISIONS loy...." of ..1 ~erna t<l elllplDyor j Flori.d.. operati.ons Only.: Hiq Daddy's Mobile Home t.ive 6.08.2.00Sl ,~nc:e does not consr.lt.ut.e d contract between th.. issui.nQ .I.nJ>urer(sl, aut.hor1z..d ~tlfi&ate holder, 11010 does i~ 4ffirmotively or negDti',.ly "'Jnend. ext.end or icles H.st.ed t.hereon.. CANCELLATION SflCUlDANVClFTHE A&ClVE!D!.ICRl8l!DPCIIJQI!$ BE CMj';I!LUD Ul'Dllel11~ EXPlllATlOIi tJ"TI!TI4SlEClF, ~I""ING INSURER WILl,. liND~RlO'WI,.311 DAYBWRlTI'lNNCmICI!TC THI! CamI'lCATI! I1O~D!R NAMEOTO'IIII! l.UT, lIUT I"AIWlII!M DO SO IHALL IMPOSl; 'liD OIUQATlON llA UAIlIUTI 01' AHlIGNO UP<lfI"ll11! INllURIF\ I~ AOI!NTII 011 Re:PAESI!NTA:nWe:5. ! GI!NEIUl.L I,.IAII UTI COllllllEACIAL GENERAL UlIBIUTY CLAIMS WIDE 0 OCCUR ANY AUTO ALL OWN!;!) AlJTOS SC~EDULE!)AVTOS ~IRF.O A1.rTOS NON.OWNEO IWTOO GARAGE: L!A&IUl'Y ANY AUTO EX~~REL~ LJA8IUT'r OCCUR 0 C....WlS MADE OUCAIPTlCN Of' opeRATION:! r LOCATIONS 'Va1lCLfS; ~ cij Coverage ;'5 ext.endod t.o t.he leased e',p Set-up Srevi.ces. ['LC_ .0101209 (Eff'~c DIS~Ll\lI1ER: This Cert.ificat.e of Lt,.""" rapresQntat1ve or ?roducac, and the I;U alt.er the CQVe>:,e.ge afforded. by the F,'l CERTlACATE HOLOER Pasco County 14~:36 6th Stre..t Odd... City. F~ 33525 USA ACORD 25 (2001/08) AUTHO~ZI!OR!PRl!StNT<<nVE PA9~ 1 of 1 ~~. o AC:ORD CORPORATION 1988 ~p 14 OS 03:01p II H Con!:1~rution f ~~B A.,OZ ~;r:t o r.-.7- (JOa ~~Ct; ~~O ~~~ z i. ..' ::r: ,-:"..~ ~ Ct -d.: ~~.. ~-~f ;:-' --l fLl !.., I - '" "" 1"' if) (/ Jfb ,. . 3\ I -----41+ I/-' ~ i'.~.' ,,', . 'J"jJ)~, f71t:OIl..rf J/D;JIIC --I J(;(~ 'J"IICd /If ,-t . 1;1 i / '11 yW'r1 __ ,I; .-' fit 56 1M 19,) ( \t; C -Z-_ 'III" .;.a' 813715S581!:h p.2 .' ''''':::.. hl'lLDTNG SHALL COMPLY WITH A;_J.ci)t'UCA..i3l_E BUILDING ELSe'! RlCA-t.. PLUMBING ANn MEC.H,,i.l..;r:Al. CODES. 1 1 , I 37 . ' /rJlC> ~ " . .() ~ 11Itr" P.l1t 'Y - ...... ~' :;14 5F Qfe Jt/ I "-1~ ~~-J- .S'3 ' ~I L~'T t1 f '7 3?Go/ 6~ t~,.~~c::"" G~A.uc( .~;f!l('.u/ ((;;',d,~/ IJAUIS) .r .v,{Jl1fl'dv"l.! C 7 ',.1 I I li(" O~I lOO 619 l~l I ~I V to: It 9 0 0 l '8 I'd e S .o-15~Z006 11 :03u FrOll-)AC(eSEfi SALES t-------I V VI ~ ~ '1 V .f.. T-.v I ~ ' . .., !: &- ~ . J~I :s c' z. ;;:; l;' ..i . 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LO T"' 1i CD U; "3 1: et: CD U) = E "l... 0 CI) "3 ::I: ... ::l ~ "0 (j CD ~ C U) m ::::l "C C .... ~ m 8 ::E 0 CD m J:: .5 - 0 ~ - "0 ~ 1i CD ! Ui E U) .5 I- 0 .5 .!!! W ::I: CD 1O W ~ E E 0 0 ~ Z :::I: :::I: tn ~ a:: 0 3: I- :i a:: w a.. ; ! : ':,1,_:'", -1---\- i i ! l j ! 1 j \ i it I ! ~H : I f j ~ NO. 393 p, 1 J'I ' '~3 I....... '-' . .. .r........ Pr~red Qy and ra~ t,. ,: Shlu'on B. Sumner ": ~ J ,r& 1111I111111111I1111111 11111 ifill fllllllllllffllllllll/llllfI 21l1l80$a41'l$ R , Premium TItle, lac. 141SO Sinh Street DadG City, FL 33525 352.567-5658 File Numbor: 06-044 WlII Call No.: Rqpt: 98162A8fr Ree: 18.BCJJ I)lj: 192.50 IT. 0,00 03/23/08 ... Opty CIO"!l .rED PITTMAN, PASCO COUNTY CLERK 03/23/06 10:30Jr 1 Jlf 1. OR BK 689tl PO J~ 917 .JSpaoe Above Thla Line Pot Recordill& Dole] -- Warranty Deed Thl.s Warranty Dee I nlade this 20tll day ofM8rch, 2006 between I..oml L. UUlotoD, Jr. and Kathleen L. Littleton, hiB wit. whose post ofll!'Q 1:ddre!l8la 941/2 !ut AVlnuo, #5, Wellsboro, fA 1(;901, grantor, and CITRUS HOMES OF FLORIDA, INC. whose r'?,Bt offioe address is 3516:1 54 Wut, Zepbyrbills, FL 33541, grantee: (Whenever uIlId Mia lile 10! ", "grllltor' and 'srlllllCO" ill~ude alllhe parties to lbfllnllrumant IIlld Ibe helts, legal rcpl'C8cntativCB, ard IlIslW of indivIduals, oud !he sucemcn .011 esrltpls of eOI)JDrallons, U'II8U Il1Id trllllat) Witnellleth, that said i:r'ul1or, ror and in considoration of the sum of TEN AND NO/IOO DOLLARS ($10,00) and other good and valuable collsld'~'allol18 to said grantor in hand paid by said grantee, tl1e receipt whel:oof is hetoby ackmwlC(jged, has granted, blll'gained, a IU' .old to the said grantee, and grantee's heirs and usigo. forever, the foUowing dese: lbed land, situate, lying and beIng in PSICO COIlDly, Florida to-wit: LOI284, GRAN I) HORIZONS, PHASE THREE, as per plat thereof recorded in Plat Book 53, Pagel 120 ll.rough 12, . i?llblie Record. ofPalleo COllllty, Florida. Parcel IdentlflCj tion Numbn: 34.25.21.0170.(1000(1-2840 Subject to CO~.Mt8 and Restrictions filed In Official Record Book 3753, Page 965; ameIl1ded in Official Record Book 46i !, l'age 825, Public Reoo:rdB ofPll8llo County, Florida, Subject to easem'nW, restrictions and reservations shown onPlat Book 53, Pages 120 through 123, PDbli, Records of Pasco County, Florida, Together with all the tee l\nenla, hereditaments ancl appurtenances thereto belonging or In lII1j'Wise appel'llllnlng. To Have and to Hold, 1:38 same in t'ee Simple forever. And !be grantor hereby CI)'\111lanla wIth said arantee tbat tho Ilrantor it lawiWly seized of said land in fee simple that the grantor has good right and lawful authority to aeI/and convey said land; that the grantor hereby fully w8l'l'allts the tit<e to Said land Rnd will defend 1M l:i me agalast the lawfill o]alms of all persons WhoIll806V~; lIIld that said land i. ftne of all enoumbrllllcu, except taxlll hOoruin,g subsequeot to Decem.ber 31, 2005, In Witness Whereof, I 'r,ultor haa hereunto set grantor's hand and seal the day and year first above writton. ~~ ren L. L ttl on, r, ~ ,~;~ It:l #. ~r.;,.J I; ,".. -.'.." '.'~"', ~" . ~ SEP. 12.2006 11: 23AM NO. 297 P'l'" )' , , Residential Sale and Purchase Contract FLO~IDA ASSOCIATION OF ~EAL TORS@ 1" 2" 3 "'" S" eo 7" II 9 10' 11" 12' ~~:.. The following attlll;hed Items Ire excluded from the purohase: . ~ '"'' ... ._: _.._...._,__.:-...__; 15 The rea' and I'..rsonel prop.rty deaoribed above as Inoluded In the purOh811e ,.. referred 10 8S Ihe "Property." rer~;;;;rPrOf;;;;ty lI.teet:. fa In this Contr;ot is inoluded In the purohase prloe, hu no contributory value and is being left f~r Seiler'S oonvenienoe. l 17 I'R1CEAND FINANCINC3 16" 2. PURCHASE PRICE: S 2. 'f', '1fJO, IJ 0 payable by Buyer in U.S. cllrrency n fallowa: 19" (Il) $ ->>0", 4) D Deposft reCeived (ohecks lire subject fa clearanoe) . 20' . forC'EecrowAgent") f'l1'l4tuu ~ s' 21 . Sll1llltu" Nsm. of Oomp.ey 22* (b) S AddRlonal deposilto be made by .23' (e) Total Financing (see Paragraph 3 blIOW)'{expret;s .. a dollar amount or ptIroentilge) 24' (d) S Other: . 25" (e) $~, 1;1)11. 012 Balance to close (not inchJdlng Buyer's cl08lng cOllts, p(epald llama Bnd proralhlll$). All lunda 26 ' pald Bt clOSing must be paid by locally drawn oashler's chooK or offlolal benk check or wlred 27 fUnde. 'lcP': :, 28 3. FINANCING: (Check .s IIppl/oable) c"".(B) 8uyer wlll pay calh ror the Property with no financing. eontingenoy. 0 (b) Thill. 29* Conlulct Is oontingent on BuyerqullllfYlIIg and obtellllllg (1) and lor (2)beiow(the"Flnanclng")by_.__ _ __._._--" 30' (if left bllUlk lhen Cle,'ng Dete or wlthln 30 clIlye trom Effective Date, 'IIof1iohllll.r OCCUI's flrst) t'Flnanolng Period"): t 31" 0 (1) A commllrnent fO/' newO oonvenllonal 0 FHA.O VA financing tors or _ % ofthe purllhase prIce (plu~ 32 any appUcQblePMI, M1P, VA funding f..) at Ihe prevailing interest nde IInd loan .tIoste (If FHA or VA, see attaohed addendum) 33" 0 (2) Approval for SelJer flnancillg or IlSslJmption of morlO.ge (sell attached addendum). 34" BuyerWlII apply for Fina(iolngwllhln _ days from Effective Dala(8 days If left blank) and will tImely provIde any and all ored 36 employment, finanolal and other infor matlon required by the lender. Ell her party may oancel RIle Contract if (I) Buy.r, after usin 36 diligence and good faith, cannot obltl," the Flnllnclng, (inclUding meeting the l"ms of Ihe commltmelrt), Dr (II) the Flnaneln 37 II .d~nl~d because the Property appraius below the purchase price and either Buyer Illel1ts not to prooeed Dr the ~rt!es ar 36 unable 10 renegotiate the purohllse price. Upon oanc"lIlltion, Buyer will return all Sallar-prDlltded !llIe evldence, eurveys IIn ~ 39 ' allllopialion dOcljm~nts and aUyer" dllposit(S) 'MIl be retutnlld efter Escrow Agent rOl:elVllII proper authorization ttom al 40 inferested partlee. . 1. SALE AND PURCH aod agree to ull and bu Addres.: . <II. ~ condition, epeolfied below the property desorlbed tlll: I County: , Legal Description: HIe ).~N.J' ---. ---!iJ . Tax 10 No: ~ - - --~::'l22.m-. together with all Irnprovem.nts lI/ltl attaohed /leme. Inolu<llng fbcturea, buill-In fUTJlfehlnge, bUilt-In appliances, oelllng fill1$' light fbctur8ll, attached Wlll-tO-wllll carpetfng, rodll, draperies Ilnd othBf window coverings, The only other items lnoluded~ In the purchase are: . ,-.__ ------1 . . ("sllller"l . -.--_._.. ("Buyer" r 41 - . CLOSING! 42" 4. CLOSING OME; OCCUPANCY: Thle Contrsotwlll l:le closed enelthe deed and pOSlle8alon delivered on ~ .2 _ 0 ./ 43 ("Closing Date"), unless extende'd by other provlelons ofthle Contract. The Properly will buwept Olea" and SeUar'. pereonal flem 44 remolled on or b.fore Closing Dete.lf on Closing OllIe InBur"nce Underwriting Is IUspended.auYllr may pClItpone oloslng upto Bd8Y;' 4:1 5. CLOSING PROCEDURE; COSTS: ClOSing \Wl1 take plece Intl1e county Vr1ler\! tha Property Is looated. If title Insuranc' 48. insures Buyer for title defects arising belW6en tne title blnder effective dille and recording of auyer's deed, closing egenf WI! 47 dr.bur.a at clQ$lng the net sllle proceeds to Selle( and brokerage fees to Broker as por Paragraph 19. In addition to oln 4a expenses p(ovlded in thle Contract, Seller and Buyer Will pay the costs indlclfed below, .\ 49 {a)SctUer Cc>$ts: SellerVo111 pay tllll;es and.urtaxes onthed..cl aM recording fees for doouments needed 10 cur a tltle; c:ertlfle<! 50 confirmed and ratlfh,d speolal as&..sment liens and, if an Improvement Ie tUbstantllllly complellld as of Effectlv" Date,.: 51* amount equal to ths Jast eallmah. of the .Ieesement; up to _ % (1.5% If left blank) .of the purohan price for repaIrs f 62" warram6d Ileme ("Rep.ir Umlt"): IInd up to _ % (1.5% If left blank) 01 the purohase' p(fcefor'Mlod-deatroylng crganle 53" trealm\!nt and replllrs ("termite Repair. Limit"); Other: " 64 (b) Buyer Coats: Bu~rwlll pay taxes and recortllng feea on notes and morlgasres; rllOordlng feO$ cn the deed en 5S fln!lnoin9 etatemen1&; IOlU1 expenees; pRnding speofal aSlIll"ment lien.; lender's title polley; Inspeotlons; SurveYi l1c 56" Ill!! uranoe: other: . . 57 (oJ Title Evidencll and Insurance: Check (1) or (2): . 'I 58" 0 (1) S~"er will proVf~ a Parllgr~h 1 0(a)(1) owner'll tJtle Insurances ocmm~ment III tltfe $VldenolJ. M Sell.r 0 Buyer WI 69' eeleolttte tlllll agenl, JII s.Uer 0 Bllyer will pay for the owner's title policy, searoh, examination lIInd rol.ted chtrge . 60 Blah party will pey Its own clOSing fee.. . 81" 0 (2J Seller Will provide tllle evldenoe as lpecmlld in Pllragrapo 10(a)(2). 0 Stlter 0 Buyer will pay for the owner', tnf 62 polley and select Ill. title agent. Seller win pay fees for tille ,sarche. prior 10 cloSIng, Inoluding tax search and ria 63 searllh f\lea, and Buyer will pay fees. for tille searches after closinll (If arty), tltlll examination feet ancl olO8lng fee 64 (d) Prora.llons: The followlng Items will tle mad. current pf applicable).,and prorated ftS 01the day before Closing Date: r 65 estat. taxea, Intereat, bond., aueaamenla, 119$oolatlon 1e", Insunmoe. rents and other ourrent expen,.. and revenue8 66 tile Prof)erty. It taxae SlId anessmenb for the ourr.nt year cannQt be determined, the prBYlous Y'.r'$ ralflWwilJ be used 87 adjustment for exemptions and Improvements. BUyer Is responsibfe for property tllX Increaees dUll to change In OWIlers 68 (II) Tax Withholding: Buyer and SeUer will oomply with the foreign Investment in Re81 Pr,!pertyTax Aot, whloh nwy rsq El9 Seller 10 provide addltfonal ouh allll08i~ If Seller ill a "foreign perl on" lIS defined by federal.law. : 70. (f) Harne Warranty: 0 BUYlItD SallerU N/Awllt pay for a home warranty planlllsued by _ at 71" o08tnottoexo.ed$ . Ahomewarrlll1lyplanprolllcl.sforrepair or replacement of many of a home'. meohanlc 72 systems and major bullt""n applian~es 'n the event of breakdown dlle to normal wear and tear during the llgre8ment perlo 73 PROPeRTY CONDITION 74" 6, INSPECTION f>ERIOOS: Buyer WIll complBt~ ths Inspeotlons referenoed In P*,agraphe 7andO{a)(2) by 75. (wlthin 10 day. from Effootlve Oate If left blank) ("Inspection Period"), the WOod-d8lltroying organIsm Inapeclion 78' (prior to 01051ng If left blank), and the walJv.through Inspaallon on the day before Closing D 77 or any other time agreNble to fhe partl.. 70* allyer L.....-lL--Jand Sl;lller~~aoknOW!edge rllCelpl 01 a copy ofthle page. Which III FAR-5 Rey, 1lWS 1lI1ggj I'lorlda A..oolatlon Of ReaIlOl'c4D All Rlghle Ro.erv8d , TllI.lonn i& IIgen~ed ro'....e ...11" FarTOUI'lto.... Fonno Soltwar. by leG MoA!IIs.\o, PUbllshing,lnc, 800..a:lll-l0:l7 'C ,16['CII I D:: r ; (q : I~ l. '11 Page' of 4 Pllg~ ; ~ ';:1.. ;1"[ , t ;: :1;1 ,. I; :!! i . oJ &: a~., Vi~g [I. I I Parcel Information for: 34-25-21-0170-00000-2840 Card: 001 Page 1 of2 $E:larc;Il8gC!in ShQw M~Q Building Schematic Unavailable J;stimat~_Ia2<es See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions I ParcellD I 34-25-21-0170-00000-2840 (Card: 001 of 001) I Classification I 00 - Vacant Residential Mailing Address Assessment (totals) CITRUS HOMES OF FLORIDA INC Ag Land $0 35162 STATE ROAD 54 W Land $23,299 ZEPHYRHILLS, FL 335412152 Building $0 Physical Address Extra F eatu res $0 37601 GILL AVE ZEPHYRHILLS, FL 33541-7706 Total Assessment $23,299 LggalDes~riptiQn (First 4 Lines) Save Our Homes $0 GRAND HORIZONS - PHASE THREE Taxable Value $23,299 PB 53 PG 120 LOT 284 OR 6899 PG 1977 Land Detail (Card: 001 of 001) Line Use liscriPtion Zoning Un~~Type I Price I Cond Value 1 0100 SFR 00M1 6,000.00 SF 3_88 I 1_00 ~3,280 ? 0100 I SFR I ooM11r 35.00 I ~~ . vv II 1.00 $19 Additional Land Information I Acres B Tax Area ~OZH Fema tJ Res CQd~ ~GI;lHZLP 11 Code Building Information Unimproved Parcel 0 Extra Features (Card: 001 of 001) Line I Description II Year II Units I Value Sales History Previous Owner LITTLETON LOREN L JR & Year Month Book I Page Type Amount 2006 03 6899 /1977 WD $27,500 2005 06 6465 / 0844 WD $28,000 1995 12 3508 / 0207 I WD I $0 http://appraiser.pascogov.com/searchloffline _ tca.asp?sec=34&twn=25&mg=21 &sbb=O 170&blk=00000&... 9/18/2006 1111111111111111111I111111111111111111111I111111111I1111111I 2006199428 State of NOTICE OF, COMMENCEMENT Hvr.. J~ County. of O/T5.CQ } THE; UNDERSIGN~D hereby gives notice that improvemen.t will ~e m?d.e to ce~ai~ real pr.opert,Y. and In accordance wIth Chapter 713, Florida Statutes. the tolloWIng information IS provIded In this Notice of Commencement: 1. Description of Property: Parcei No. 3 y'- t1-S - 2/- t>170-0 ODCJO - ;LJ-'1o ~I G.'// AVe:- 2e ~ J/.t,' Ij. L 3JS-V / (Legal description of t e property and street address if available) .., General Description of Improvement A1ch,!e /hPHe S'e 1- u;1. Rcpl: 1037672 Rec: 10.00 DS: 0.00 IT: 0.00 10/02/06 _u Dpty Clerk 3. Owner Information: Name -LI J-v1..l5 l-kvUl!' 5 .-\ddress 3S/{.z.. J:~ 5'1- tV. Citv '27'~i./;r~:1 ~ #- State FL 3:15'11 Interest in Property: ()WA!,6-j( Name of Fee Simple Titieholder: /11/14. . (If other than owner) JED PITTMAN, PASCO COUNTY CLERK 10/02/06 12:15~m 1 ~f6~ OR BK 7204 PG I ~ Address Citv State R 4_ Contractor: Name If'} !24J~ S d4L,;{;k.,f:- ');.;'-- f,.'/ Add~ess ;21 Gi Avo A-. City 4,/~;A.jv J!d-ueYl 5. Surety: Name 11)/11- ~ Stare t~ 1"3~5-d Address City State Amount of Bond: $ 6. Lender: Name /11/,4- Address Citv State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. . In addition to himself, Owner designates of. . .' . . to receive a copy of the Lienor's Notice as provIded In SectIon 713.13 (1) (b), Florida Statutes. 9. Expiratio~ date of Noti.ce of Commencement (the expiration date is 1 year from the date of recordmg unless a dIfferent date i~ specified.) Signatureofowner:)~rkt~ n~ryV)er Sworn to anti subscribed be 0 me this day of )..e/le~ , 20 tJ {, Notary Public: - My Commission Expires: -%f~/tJ 7 PC93053048/A '\ '_~:'r.i.~..~;"_~;''. I, I, 'I;" I; , " \ i' \ {, \. i },\ ''-.,/ i it , ',,/j i Ii \i ", r- 1,j . -... ;j ~: ~, I . !" .'j: ~ I ,; ,:'-1 :,.' PASCO COUNT'f, FLOR~D~ ~uilder Name/Owner Name permit No. (0 (. (Q4 Date Permitted J . 0. - 17- D b . Rtnt{control # SubDiv: Gt'~ri2.p{"\ . County Parce.l No. Address/Location Classiflcationrrype of Us~ MDl1~ Ie... 'Kcv"'-€ TRANSPORTATION IMPACT FEE, Rate: ~xempt DYes IX! No How p~termlnecl Impact Fee Amou.nt --LJ I 5~B.()O Zone o. Sq Ft Unit: TAZ: 'RESOURCEFEE' TOTAL AMOUNT Amount $ i I """l '. I . I I PARKS' ANO' f{ECREA TION FEE, I l-and Aocount ' Land Credit L~nd Total Recreation Account Recreation credlf " " Recrebtion Tolal Zone TjlALAMOUNT ,$1 . I Exempt DYes 0 No HowPetermlneq. . I . I I' "" Land T1181 Facility Total Total taunt I . ERU I ,.. I I' . I ' I I I SOHOOLIMPAGTFI;I: ' Account (056) Single-Family Detached HQuse . (057) Mobile Home (058) Other Reslclentlal . . _~23) Collection Fee ' Exempt 1p Yel:! 0 No How Petermln~d LIBRARY FEJ: Land Account Land Credit Facility Account Facility Credit t:xempt DYes . 0 No How Determined i I /1 , . ~ 15 ~_(q-J .~ prepared By I cheJ~ed By . ' i NO GERTIFICATE Of OCCUPANGYWILL B ISSUED OR FINAL INSPECTION pERFORMJ:O UNTI~ THE TOTA'- . OlfNTS LISTED mAVE ,BEEN PAlO A Q I Rf:CEIPTEP FOR BY A CENTRAl- PJ:RII,'IITT NG OffiCE. OF P A!SCO OOUNTY ACknoWledgement' below do.. not Imply ec~p!al>'" of concwen eo bulslmply ,e...lpI of l coPy of 1l11. fonn. pi olng thl3 building p!'irmlt owner on notice of this assessment al'!d thQ conditions of payment for same. 'tll'tS-o~ " " . ~r::' " PATE . "x!) RECEIVED~ RECEIPT NO_ qlf45(~TE fD~lS--o i BY o' :""".. I I , I i . .. . II , " ---:>) ( "\ ~ () JJ Z --t (f) (J) ~ :JJO ~ "'" t-,""-" .:::::::::- :I: m (f) c: :I: m )> m:E :I: m )> JJ c: m () 0 ~ Z --t :JJ r= Zz ~ go~ r' JJ ^ l:: F 0 0 < Z -1m m I" "' l:: m l:: z "T1 CS G) m:D :D OJJ m iil (f) "T1 m :JJ ...... ~ v' m ~^ --t --t m (f) ~, m JJ m ~ m )> m() JJ ~ 0 J () ()o 4' JJ ol:: '") () () 0 "I .i :-l l::" ""'l m m :JJ -1 Z ,,~ \ ~~ m (2! 0 r---t (' (J) rt mm r....."J S "').! 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