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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 J r.~ 6\ X" f)) \j ~eyl M 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 ~ ...."...'111.....,..111..'-'...,.."'......1111..............111.............11...1............11111.........'11'11.....1111111111...11111111111. 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. 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'suonBln6aJ ^IUnO~ uelll aAIpPISaJ aJOW aq ^BW 40!lIM ..SUolpPlSaJ "paap. 01 pafqns aq ^BW lIwJad SIlIIIB41 SpuBISJapun pau61SJapun a1l1 :SNOIl.~IHl.S3H 0330 .:10 3~Il.ON 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 ?'I' - /<... \ c:... I) ;Z 'Y~~eQu~~POA approval for the following (must include drawing for any <:CQ1}$Jfl!~tign) additions / remodeling / landscaping, etc.). (' - - '_ C L ~) I K. --> c ~. I 0 ,'--> I=O'~ I ,AI0 A \ LA..i . T~ [} J3R'T"~<"0(>~ r:::Jr0 i) SIDIZ v,,\C- C. ~ ao...--., (},c::.C,",i~ , S,-,I"S,Oc:.. (:.0LC~ L.GG'~,-\) ,~ :It I~A 1-) K- ';10 v ~) Lot Owner's Signature !(f,aj ./ Date /;'-/0 rJt, Approved . \ i) Denied Property Evaluation Committee: . ....' /,~~ ~I (i ',i\" ../ 'f',~' I~:/?'Q_(;,-," /' g~(i{' ~""'- 'i)\. .<.Jlt\~ ~'t<..r (~_.r' ! \;1" .. "~J<.-.. "7/( ~-'w:, .- I Date: 1u" 13 jLt(_ .... Boar~~ //- ..t::>~ J) ~ ~ .~ ~ - ,>,' b-.., .' i . .l:Z;u , ,/' / ,'): I' !- Ii L.(4'~ Cio ~ '~ . - '--(./' to';' ) /1 If-/, , L 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 "l>r r :.I " v >O-j -. 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,