HomeMy WebLinkAbout08-7615
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7615
5,200.00
3/12/2008
60.00
60.00
3/12/2008
REROOF 30YR GAF TIMBERLINE
Address: 39216 11TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0260-02000-1200
Name: GREEN, BRIAN
Address: 39216 11TH AVE
ZEPHYRHILLS, FL. 33542
Phone: 813714-8196
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:
7615
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
0-nJ
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION 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."
,$f~
/ CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
';e~~
eee 0$7957
PROPOSAL SUBMITIED TO
r (QjY\ Gy-t ~,~
.
Se6tt ~~ 1!:(J~IUuJ, 1#te.
P.O. Box 1188
33010 SR 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
,,4te...~efl,
'B..-eIl.
'J...1Jefl
Date
II 1. '1/o~
/ '
WORKED TO BE PERFORMED AT
~ame
Street
>treet 39 21 V II ~ Av {
~ityz.eP /,vy r hi) Y
>tate r I
)hone Number
Fax
City
State
Owner of Property
Phone Number
Zip
Fax
Ve hereby propose to furnish all ~he materials and perform CJ!Uhe labor necessary for the completion of:
~ve existing shingle roof 6'f:ieplace bad fascia boards at $ 3--- (J t.? per foot
:I Remove existing built-up roof ~tall b 0 feet of ridge vents
a15fY-in with 0 151b. ~b. ThPIr .,k..~s cr 0 Install modified bitimen (granulated) torch down roofing
-~- f l '1""; 00';
:nnstall new galvanized valley metal black, white or other color
~f1 new lead boots 25 yr. fungus resistant 3-tab shingles
] Install new exhaust vents Install 30 yr. fungus resistant dimensional shingles
:rrn;tall new drip edge, r;;-, ',1. ,dh /11' color 0 Shingle manufacturer color
) Install new flashing as needed 0 Install TPO, white rubberized roofing membrane
~(ace plywood at $ J../O" 0 0 per sheet I:) Other: T hI h, II S s h~e''' tP -/' I' & WIi> beL@ >> 0
~pair rotten trusses at $ 3," LJ per foot 1.Jt. ~ cl-ut. y,L- ,
, fj
Woodwork is an additional charge, see pricing above 12 L.p I (f {( ex t_ j h.:::J IC:t ~ i/ ~ /l. -I- t..h "'\. 1:2
JI'1I/ f{'J'''/vo/ tlY\ c/~ Clthr/-t-rJ 1./~j/1f-JVY~ sA.r"rJl.t /)u~1/ r'9 L/jo,j
~II material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
ions submitted for above work and completed in a substantial workmanlike manner for the sum of $ ~ -j'{) -0.1 r:rB ~.lOO" (
vith payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You,
Credit cards accepted, additional 2.8% charge.
,ny alteration or deviation from above specifications Involving extra costs will
e executed only upon written orders, and will become an extra charge over and
bove the estimate. All agreements contingent upon strikes, accidents or dalays
eyond our control. Owner to carry fire, tomado and other necessary insurance
pon above work. Workers' Compensation and Public liability Insurance an above
'or!< to be taken out by Roofing Contractor.
~'~/
".,.
Officer/Agent Scott Blackman Roofing
Note: This ,osal may be withdrawn by us if not acceptec
within days.
;lient gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined a1tr- 91
Accepted '-[::> I 2JYD." tfV Signature ~ ~,/::.fc Il "" _
Date Signature
Se6tt "8~ '7<~, 1He.
P.O. Box 1188
33010 SA 52
San Antonio, FL 33576
(352) 588-ROOF (7663) · (813) 782-1330
Fax (352) 588-9763
email: blackmanroofing@aol.com
.4le......It,
...ult &
'1....",..It
Date II ~ <1/0 t?
I '
PROPOSAL SUBMITTED TO
~ame 't~ y t t'\ V'\ G v- (, e: '"
>treet 3 -, 2 III I {t'''''' Av <-
~ity z-ep "vy ( J... i /0
,tate EL
WORKED TO BE PERFORMED AT
Street
'hone Number
Fax
City
State
Owner of Property
Phone Number
Zip
Fax
'Ve he~eby propose to furnish all ,the materials and perform ~e labor necessary for the completion of:
~ove existing shingle roof eJ"fleplace bad fascia boards at $ 3" C rJ per foot
l Remove existing bUilt-up roof ~tall b 0 feet of ridge vents
a1JrY-in with 0 15 lb. Eno'-'b. Thp6 kA n-tS (>;: 0 Install modified bitimen (granulated) torch down roofing
-........-. flf1v./voel.
:1 Install new galvanized valley metal black, whtte or other color
~;'II new lead boots 0 In~ 25 yr. fungus resisfant 3.tab shingles
llnstall new exhaust vents ~stall 30 yr. fungus resistant dimensional shingles
~tall new drip edge, C-, ,'t vJh (~ color 0 Shingle manufacturer color
llnstall new flashing as needed 0 Install TPO, white rubberized roofing membrane
~Iace plywood at $ LjO.;';'1 D per sheet 0 Other: II'1 I A /1 S s A ~e'.t' ~ I'"' jJ I~ tV/j ~,,~ @ "v 0
,/
~~pair rotten trusses at $ 3,e i.J per foot Ix fy~ eft", y.,L ,
" ~
Woodwork is an additional charge, see pricing above )Z e-p I q {( t X t J h:.:; f!, ~ t/ ~A f M 4- 12
J t:u I fl'J '''/''-'0'/ t' n C / <'t c~ #1. rftrJ 1/~J'1 f-..sVY~ s;A (u I.t /J LI" y' r, Pf/ L/ jO,I
~II material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
Ions submitted for above work and completed in a substantial workmanlike mannerforthe sum of $ S~ ~ 50.. ~ ~'2C:(); (
vith payments to be made as follows. Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 2.8% charge
ny alteration or deviation from above specifications involving extra costs will
e executed only upon written orders, and will become an extra charge over and
bove the estimate, All agreements contingent upon strikes, accidents or delays
eyond our control. Owner to carry fire, tornado and other necessary insurance
pon above work. Workers' Compensation and Public Liability insurance an above
'ork to be taken out by Roofing Contractor,
~~".~
,,'-
Officer/Agent Scott Blackman Roofing
Note: This ,osal may be withdrawn by us if not acceptec
within days.
~lient gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The abovt3 prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37. Payment will be made as
outlined ale. ..,~) --"' 'l " ' C\}
, fL.) ,V '..",
Accepted i',~ L.u , 0 Signature --1>' L~L,-.-. , /~:1.f ~';I') __
Date Signature
813-780-0020
City of Zephyrhills Permit Application
Building Department
-7 ~ /5
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Nuniber I
Owner's Name (,,",\I" G ~!..V'
Owner'sAddress I 342./ L, II+~ f1v<
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
1312-1 Co {/ f-t-t
I
IJ-v<.
?-h,'1fJ
~I
"33S-Y7-.
LOTti
I
D NEW CONSTR El ADD/ALT D
D INSTALL REPAIR
PROPOSED USE D SFR D - COMM D OTHER I ' I
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I I
DESCRIPTION OF WORK I R--e vb v ..(.- v:J/ (JA 3 0 '7f- 'l " G Ii- r: 7J ~ U v 7 I ~ I
~~~~?'~.~.~~~~" . ,,1. . . . . . . . ". . . ,. . . , . , , , . !. . .. ,~~ ~~~~~~! . ~.? . . .~t.., . . . . .1, . . . .~~'~~ ,i. . . . . . , . . . . . ., , . . . . . "I,. ....,. ... . . . , , , . . . , . .
o BUILDING 1$) z-,c:n) . c) a I VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY
D PLUMBING 1$ I
D MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION
o GAS ~ ROOFING D SPECIALTY D OTHER ,
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
,.",.."111'.."11'.".'1111'.111'....,'..".11.'.'"111"'11':""""1"11111"""1'1"""'1'1"""'"".1"1111""1'111'1.",111'111111"1'
PARCEL 10#1
SUBDIVISION '
/1--2- r.,-2{- b,2-(Pc) -02..0(,'0 -~ I LDO
(OBTAINED FROM PROPERTY TAX NOTICEI
SIGN 0 MOVE 0
DEMOLISH
WORK PROPOSED
D
W.R.E.C,
I
I
I
I
I
I
I
I
I
COMPANY
~EGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED I Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License # ' I
COMPANY qwfl-j] k <-k ~V\. foo,t; j1 ..
REGISTERED 'YI N I FEE CURRENT I Y/N
...........! License # CCC 0
BUILDER
SIGNATURE
Addres,s
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL I
SIGNATURE ,
Address I '
~~::tURE I ~ ' w---
Address 13) Q ~ 0 .syL S- L t D 6 b^ I U%"
RESIDENTIAL Attach (2) 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 wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlslonsnarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) sel of Energy Forms. R-O-W Permit for new construction.
Minimum.ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI 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.
1111111111111111111111111111111111111 I 11111111111111111111111111111111111111111111111 111111 11111111 III 1111111111111111111 i 111III I II i i II i III1 i 11111
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 cQntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner auihorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 complianQe 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 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 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 understands
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 number 89-07 and
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 Transportation 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 than 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 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 codes. Every permit issued 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) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~,Job IS 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.
FlOR'DAJURAT(F.S.117.0~ /7),,.f~
OWNER OR AGENT ~~ CONTRACTOR
Subscribed and sw to (or affirmed) before me this Subscribed an sworn to (or affirmed) before me this
~ ~
Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced
as identification. as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
1111111 "'" 1111I'"" 1111I11I11 1111I11111 "11""" """'1
2008038161
eOlONY HEIG'f~NGR~: ~~!' k~ci ~~ ':,~co~ :e~L~2e1~~ ~~
OF SeC 12 TH DO""'" "".... UTH 70 0 FTTH S890EG 36'15"E
SOUTH 759,21 FT FOR POg:~'f~~ET TH NoooEG 14'41"E 70.0 FT TH
135.20 FTTO WE&1T35B50DYFT TO POB AND N112 LOT 119 DESC AS COM AT
N89DEG 36'15"W . " G NlY BOY OF SEC 121180,OFT
WI COR OF SEe 12 TH S890EG 36'15 ,;,."ioUTH 35 0 FT TH 889DEG 38' 15"E
TH SOUTH 829,21 FT FyOORFP023BROTH8~EET TH NoooEG 14'41''E 35,0 FT TH N89DE
135 05 FTTO WLYBO
3ll'15"W135.2O FTTOPOB OR 5302PG 1780
Rcpt : 1166899 Rec: 10. 00
DS: 0.00 IT: 0.00
03/12/08 Dpty Clerk
JED PITT1,.~ASCO COUNTl CLERK
03712708 . lif 1 Of:1855
OR BK ~ PG
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. t 2- -2../,p -2/ -01- (., 0 -0 Lao (J - J 2.. 00
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of property (legal description:)
a) Street Address: 3 v r
2.General description of improvements:
3.0wner Information
a) Name and address: 73r,''\. n G r-ee....V\ 3 q 21lc JJ 1-'-'
. b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property () v.J -. ,-,'V"""
4. Contractor Information
a) Name and address: 5(...0 1+ ~lt....,- k M~....
b) Telephone No.: .5k"tf - 7&(, '3
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
Av(
2.."f- f ~\l1.,-h ,1/1 j:./ 3 3 > Y L
f2.o 'lit ~ .r V\ ( 3 ~ 0 I 0 S (Z.!;7.... po IJ o.{ II tr < r J'l W /fh11 1'/
Fax No. (Opt.) ( t- 1"'- 9 7/P 3- 3 ~~7 (p
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
~~--
r Signature of Owner or Owner's Authorized OfficerlDirector/Partner/Manager
.J~~ ~4cL;..,<~
Print Name
.~/!~ day of ~(:A ,20~by cPccttb~G~
(type of authority, e.g. officer, trustee, attorney
(name ofpm1y on behalfJ'rhon;> ~ '(!!eeenred),
_ Notary SignaturLlrU- 0f/VrJ'L. ~
Name (print) {J)J'!' an 'rl k~Oi.-1 r ft
u
The foregoing instrument was acknowled
as
Type of Identification Produced
V erification pw:su~nt to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated m It are true to the best of my knowledge and belief.
FORMSINOC,I\Isd2007
~'~---,
Signature of Natural Person Signing Above
CORI ANN KEOUGH
NotIry PubIc . StIlI d FbIda
CormlIIIIanExphaAug 17.2010
CommIIIIoI. . DO 5lI8503
Bonded By N8IIanII ~
Pasco County Parcel: 12-26-21-0260-02000-1200001
Page 1 of2
Sear'th' Again Show Map Generalized Buildina Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, March 08, 2008 I
ParcelID I 12-26-21-0260-02000-1200 (Card: 001 of 001) I
Classification 01 - Single Family
Mailing Address Assessment (totals)
GREEN BRIAN A Ag Land $0
39216 11 TH AV Land $32,426
ZEPHYRHILLS, FL 335424445 Building $126,467
Physical Address Extra Features $5,703
39216 11TH AVE
ZEPHYRHILLS, FL 33542-4415 Total Assessment $164,596
Save Our Homes $125,059
Legal Description (First 4 Lines) Homestead Exemption - $25,000
COLONY HEIGHTS UNREC SUB
LOT 120 DESC AS FOLL COM NW Taxable Value $100,059
COR OF SEC 12 TH S89DEG 36' Warning: A significant taxable value increase
15"E ALG NL Y BOY OF SEC 12 may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line II Use jDe.crlption[I Zoning ~ I Type , Price Condition Value
1 II 0100 I SFR =={~R4 0.00 I SF I $3.58 1.00 $30'E
I 2 1/ 0100 'SFR R4 . 8 I SF I $0.35 1.00 $1,99
Additional Land Information
II 0.33 II Tax Area II 30FZ " FEMA Code II X IIResidential Code II ZHLALP4 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1974 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 3.0
I Line I Description I Sq. Feet II Repl. Cost New I
1 BAS 1,720 $138,460
2 FOP 128 $2,576
3 FOA 192 $3,864
4 I FEP I 192 $10,787
5 I FDU I 252 $8,131
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1976 432 $454
2 CLFENCE; 1976 1,200 $423
3 POOL-6 1983 240 $2,880
4 SCRN-AF 1983 1,200 $1,080
5 COOL OK 1983 320 I $760 I
I 6 I 8CBW 1984 72 I $106 I
.
I Sales History I
II I
http://appraiser.pascogov.comlsearchlparcel.aspx?sec= 12&twn=26&mg=21 &sbb=0260&b... 3/12/2008
7 '-v'- (.)0 '7-1
City of Zephyrhills
BUILDING DEPARTMENT
RE: Permit # 7 '" /5 9/17/07
Inspection Affidavit
I S c{) It A /4. rl M~ h
(please print name Iftd ciJcle Lic. Type:)
,licensed as a(n)~tracto~ngineerl Architect,
4b~ uiIding Inspector*
License #. (( CbS- ") ~ ~ 1
,
On or about 3/111 D ~ 2: 0 t.i f M , I did personally inspect the roof
. ,<Date & time:)
and/or seconda water barrier ork at 3 9 "2 I " {/111 J1v~
(Job Site Address)
'2e.f~{~,"/Jj F/ "3)C)t!L.-
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
~,/~ .~
Signature
--
STATE OF FLORIDA
COUNTY OF t -DJ .h
Sworn to and subscribed before me this ~~y of tl Y'(
'\ ' .
.200~
By
~-~~.
n;:nc, Sta~fF1 .
(print, type or stamp name)
Personally known ~
Produced Identification_
Type of identification produced_
Commission No.:
.. General, Building, Residential, or RoofiDg ConlX1lctor or any individual certified under 468 F.B. to make such an
inspection. Include photographs of each plane of the roof with the permit #- or address # clearly shown marked on the
deck for each inspection.