HomeMy WebLinkAbout06-6292
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6292
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:
6292
ADDITION/ALTERATION
SCREEN ENCLOSURE
SINGLE FAMILY RESIDENTIAL
Address: 3541 PY ITE DR LOT 311
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: '2..: -2 -?/-o08o-C()()()O-3/IO
17,136.00
12/06/2006
250.00
250.00
12/06/2006
LANAI & SCREEN ROOM
EMERALD POINTE
3541 PYRITE LOT 311
ZEPHYRHILLS, FL. 33542
Phone:
PLUMBING FEE
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X" f)) \j
~eyl
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FOOTER DUCTS INSULATED SEWER MISC,
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC, MISC,
CONSTRUCTION POLE FRAME MISC. MISC,
REINSPECTlON 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 inspections 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
"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."
NO OCCUPANCY BEFORE C.O.
~~
TOR SIGNATURE PERMIT OFFI
CALL FOR INS ECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6292
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:
6292
ADDITION/AL TERATION
SCREEN ENCLOSURE
SINGLE FAMILY RESIDENTIAL
17,136.00
250.00
Address: 3541 PYRITE DR LOT 311
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 2.4-- U-. - 0080- 'DODOO -:5 /lD
E
PLUMBING FEE
35.00
1~~e~ tpJ,~
R
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC, INSULATION CEILING MISC. MISC.
MISC, DRIVEWAY MISC. MISC.
REINSPECTlON 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 inspections 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
"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."
NO OCCUPANCY BEFORE C.O.
~~
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address I Sa",n e.,
I 3~1 ?vri~lk rr.ft4/I~ Pi-- 335'fO I LOT' 1.3//
I ~ lyv./d il2 o PARCEL 10#/ t;lJf-~-dl-t:Jt)%()- tftJ:J1lJ- 3J;0
(OBTAINED FROM PROPERTY TAX NOTICE)
EJ NEW CONSTR rvi @D)ALT D SIGN D MOVE D
INSTALL t=1 REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK I !-()..;ha i r;f.- sC.reen rOOm
SQFOOTAGEI oo~tP
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER
STEEL
I
D
OTHER I
BUILDING SIZE
HEIGHT
~
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BUILDING
I
I
I
D
I
D
J'711~Co V~
PROGRESS ENERGY
~
W,R.E.C.
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
D PLUMBING
D MECHANICAL
D GAS
FINISHED FLOOR ELEVATIONS I
ROOFING
SPECIALTY D OTHER
FLOOD ZONE AREA DYES )z:JNO
.~
VALUATION OF MECHANICAL INSTALLATION
PLUMBER
SIGNATURE
COMPANY
REGISTERED
/I 14f1.~ -=:.~
a./ aJ tle.r OJ.
I Y / N' FEE CURRENT Y / N
License # I
BUILDER
SIGNATURE
Address
I 42 C2/ .~~
'LI) (JP ~ -:7:?l.-'
Y /"N.I FEE CURRENT I Y / N
License # I
n ~ - ~,..
j"" If~/?-rr:E CURRENT"> -- I Y / N
License # I
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111I11
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Penn it for new construction,
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) 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 onsile, 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.
11I111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 (PloUSurvey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
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NOTICE OF COMMENCEMENT
State of RoT" da-. County of FlisUJ
TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
a~d III a~cordance wIth Chapter 713, FlorIda Statutes, the following information is provided in
thIS N otlCe of Commencement:
Cdf! tJ -f :?ft
1. Description of Property: Parcel No.
31:>4/ R ('k ])r/V~
(Eegal description of th
c:?'f-:;2.h - d-I-tJOg'()-oo (JOt) .... 3/10
rht /Is Hi. r 335Z!tJ
erty and street address if available)
Lan aj 1- s C-I7/~ r tJ6YYJ
I'
2. General Description of Improvement
/1111/11111/111//111/111/111/11/1111/1/11/1111/1/1111/111111
2006241712
~g...~ 3
1'1 P. .
OwnerInformation: Name 7A>~ IdS. Fi)~cher
Address :39/1 fJok Dfife- City t7!rh'/&
Interest in Property: {) aJ n er
State r::L 335710
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: Name OaJne..r
SarYJL
Rcpt:1055107 Rec: 10.00
DS: 0.00 IT: 0.00
12/06/06 __ Dpty C l...k
City
State
.
Address'
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
JED PITTMAN, PASCO COUNTY CLERK
12/06/06 10: 22am 1 ~f01.
OR BK 7297 PG I a
6. Lender: Name
Address
City
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. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: ~/ /L
Sworn to and subscribed fore me this
PC93053048/ A
/ 7~ day of ;Jov'(?u-vbeT
~ NOT.~Y PUBUC.STATE OF FLORIDA
~a~\ uzanne a r
~.~}Con:nussion #DD601110
. .'"..... Ellp1fe3: NO\.: 15 2010
BOSDm THRU ATlJ\....nc liONDt.'\G CO.. :::;c.
,20~.
Notary Public:
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Do ~Ja!5 hrsc.he.r have read and fully understand and
to th rOV1S1ons of th1s 1nstrument.
I,
agree
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where appliCable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided. your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
.. building you have built or substantially improved yourself within I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with~ll applicable laws, ordinances, building
codes, and zoning regulatio?T~ /~
OWNER'S SIGNATURE ,/ ~ DATE /1-17-0(;
ADDRES S 36,-/ , Pi
PHONE , -J ....5
WITNESS
PERMIT #
[)tI~ b~ hr.,cher
Name .
3 1-/1 Pvri Ie- 7)nv~
Addr~ 'II
l'fjvh I ") Ii-- 33WO
To Whom It May Concern,
Please be advised that:
Stacie Cross, & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
l2 :;7Z
Sign:7~re
11-17-ot.
date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn ~? and
subscribed before me this ~ day of lltNeIY-her , t~
Personally known
.JTARY PUBUC-STATE OF FLORIDA
~~~ Suzanne Bahr
{, ~ }Coll!-mission # DD601110
'.",,,..... Expires: NOV. 15, 2010
ij0:\Dffi THRU ATLA.'mc BO:-;DING co" I!,;C
or Produced identification v~
N6d~~
Commissioned Stamp
and Expiration Date
Page 1
/'
, '-,
.,l
LOT IMPROVEMENT REQUEST
To EPPOA Property Evaluation Committee & Board of Directors:
From Dc'ju (- -\:,600(;. L
I (j1;.,-,,(I,r,)~:,Z
Lot# / Address L C)J '" :?) i i
3.5-11
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'Y~~eQu~~POA approval for the following (must include drawing for any
<:CQ1}$Jfl!~tign) additions / remodeling / landscaping, etc.).
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Lot Owner's Signature !(f,aj
./
Date /;'-/0
rJt,
Approved . \ i)
Denied
Property Evaluation Committee: .
....' /,~~ ~I (i ',i\"
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Date: 1u" 13 jLt(_ ....
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Date:
/ ',.J
Remarks:
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS .n I DATE PERMIT # ]
?,)'-1/ r~(, t' Dr. /-:{ - 0 J Co.lq ~
THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections shall be made before the jab
will be accepted.
Ai ;~~~
~ ..,' Jy f(f:,r )';0- 5
AJl(' f./ j:,~~c 1"0<1
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It is unlawful for any Carpenler, Contractor, Builder, or other persons, 10
cover or cause 10 be covered, any part of the worx with llooring, lath, earth
or other material, until the proper inspector has had ample time 10 approve
the instaRation.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
OFFICE HOURS 7:30AM -4:30 PM MON,-FRL
INSPECTOR
L)
I
OMB NO. 2502-0265 qr
A, B. TYPE OF LOAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.DFmHA 3,DcONv, UNINS, 4,DVA 5,DcONv, INS,
6. FILE NUMBER: T7, LOAN NUMBER:
SETTLEMENT STATEMENT LL060501
S. MORTGAGE INS CASE NUMBER:
C, NOTE: This form is furnished to give you a statement of actual settlement costs, Amounts paid to and by the settlement agent are shown.
Items marked 'TPOC)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1,0 3198 (LL060501,PFDlLL060501117)
D. NAME AND ADDRESS OF BUYER: E, NAME AND ADDRESS OF SELLER: F, NAME AND ADDRESS OF LENDER:
Douglas Forschner Richard Lydecker
Roberta Forschner Mary J, Lydecker
441 Summer Hill Drive 344S Peridot Lane
Somerset, KY 42503 Zephyrhills, FL 33540
G, PROPERTY LOCATION: H, SETTLEMENT AGENT: 59-3545240 L SETTLEMENT DATE:
3541 Pyrite Street American Home Title of Land 0' Lakes, Inc.
Zephyrhills, FL 33540 November 16, 2006
Pasco County, Florida PLACE OF SETTLEMENT
Lot 311, 2047 Osprey Lane Suite A
EMERALD POINTE RV RESORT
PHASE SIX Lutz, Florida 33549
J. SUMMARY OF BUYER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BUYER: 400. GROSS AMOUNT DUE TO SELLER:
101, Contract Sales Price 36,000,00 401, Contract Sales Price 36,000.00
102, Personal Procertv 402. Personal Prooertv
103. Settlement Charaes to Buver(Line 1400) 11S,50 403,
104, 404,
105. 405.
Adjustments For Items Paid Bv Seller in advance AiifUstments For Items Paid Bv Seller in advance
106, Citvrrown Taxes to 406, Cityrrown Taxes to
107, County Taxes 11/16/06 to 01/01107 52.96 407, County Taxes 11/16/06 to 01/01/07 52.96
10S, Assessments to 40S. Assessments to
109. HOA DUES (4th QTR) 11/16/06 to 01/01/07 75.00 409, HOA DUES (4th QTR) 11/16/06 to 01/01/07 75.00
110, 410,
111, 411-
112. 412,
120, GROSS AMOUNT DUE FROM BUYER 36,246.46 420, GROSS AMOUNT DUE TO SELLER 36,127,96
200. AMOUNTS PAID BY OR IN BEHALF OF BUYER: SOO. REDUCTIONS IN AMOUNT DUE TO SELLER:
201, DeDosit or earnest monev 4 600.00 501. Excess DeDosit (See Instructions)
202, Princioal Amount of New Loar1(Sf 502, Settlement Charaes to Seller (Line 1400) 1,033,74
203, Existina loan(s) taken subiect to 503. Existina loan(s) taken subiect to
204, 504. Payoff of first Mortgage to N/A
205, 505, Payoff of second Mortgaae to N/A
206, 506, DeDosit retained bv seller 4,600,00
207, 507,
20S, 50S,
209, 509,
Adjustments For Items UiiiiBid Bv Seller AdTustments For Items Unoaid Bv Seller
210, Cityrrown Taxes to 510, Cityrrown Taxes to
211, County Taxes to 511. County Taxes to
212, Assessments to 512. Assessments to
213, 513.
214, 514.
215, 515,
216, 516.
217, 517,
21S, 51S,
219, 519,
220, TOTAL PAID BY/FOR BUYER 4,600.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 5,633,74
300. CASH AT SETTLEMENT FROMITO BUYER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301, Gross Amount Due From Buver lLine 120) 36,246,46 601, Gross Amount Due To Seller (Line 420) 36,127,96
302, Less Amount Paid Bv/For Buver (Line 220) ( 4,600,00) 602, Less Reductions Due Seller (Line 520) ( 5,633,74
303, CASH ( X FROM) ( TO) BUYER 31,646.46 603, CASH ( X TO) ( FROM) SELLER 30,494,22
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein,
I HAVE CAREFULLY REVIEWED THE HU~-1 SE LEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STATEMENT OF ALL RECEIPTS DISBURSEMENTS MADE ON MY ACCOUNT OR HIS RANS ION I FU HER CERTIF
THAT I HAVE RECEIVEp'"9'E SETTLEMENT STATEMENT.
Buyer ,. . Seller
1Z 0BCh,., L)
,~~~
R b a Forschner Ma . Ly c
TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARE I ;4. TRUE ND ACCURATE ACCOUNT OF TH
FUNDS WHICH WE E VE A D HA E BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION,
n
S Ie
WARNING: IT IS A CRI 0 KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM, PENALTIES UPO
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT, FOR DETAILS SEE: TITLE 18 U,S, CODE SECTION 1001 & SECTION 1010,