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HomeMy WebLinkAbout08-8044 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8044 BUILDING PERMIT Permit Number: 8044 Address: 38409 SOUTH AVE Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-20900-0010 Im rov. Cost: 30,000.00 s Date Issued: 7/03/2008 Name: JOHN, SAJI & KURIAN JESSYMOL Total Fees: 375.00 Address: 38409 SOUTH AVE Amount Paid: 375.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/03/2008 Phone: (813)788-9802 Work Desc: 187 SQ FT ADDITION FOR KITCHEN ° HOMEOWNER BUILDING FEE 270.00 ELECTRICAL FEE 35.00 PLUMBING FEE 35.00 MECHANICAL FEE 35.00 FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND 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. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one 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." c ) CONT T NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER BUILDER � COMPANY SIGNATURE REGISTERED QN1ECURENT Y/N Address ç1• License# ELECTRICIAN COMPANY W�`''� SIGNATURE REGISTERED Y/ N FEE CURRENT f Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTEREDDY/ NI FEE CURRENT I Y/N Address License# MECHANICAL , COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N License# 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 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 IMPACTIUTILITIES 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, ..i.,...ti;.,,, Minna .NpuQ nnnlc_ air conditionino. aas, or other installations not specifically included in the application. A APPENDIX 13-O FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 800C-04R Residential Limited Applications Proscriptive Method C CENTRAL 456 Small Additions,Renovations&Building stems Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-04 for additions of 600 square feet or less,site-Installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided for additions by use of Form 600B-04 or 600A-04. PROJECT NAME: -J BUILDER: AND ADDRESS: ERMrT1NG C lT`j OF CLIMATE OFFICE: F-f^PF}y Ri- t rte; ZONE: 4® 5 6 OWNER: PERMIT NO.: JURISDICTION NO.: L, I&,IoIc SMALL ADDITIONS TO EXISTING RESIDENCES(600 square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2,and 6C-3 apply only to the components of the addition,not to the existing building.Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing ren- ovations costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS.Comply when complete new system is Installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1.4i /70& 2. Single-family detached or Multiple-family attached iA,( 3. If Multiple-family-No,of units covered by this submission 3' 4. 4. Conditioned floor area(sq.ft.) 5. s 5. Predominant save overhang(ft.) 6. Glass type and area: Single Pane Double Pane a.Clear lass 6a. sq.ft, sq.ft lnt,film or solar screen 6b. sq.ft. sq.ft 7. Percentage of glass to floor area 7. 8. Floor type and Insulation: a. ab-on-grade(R-value) 8a R = bin.ft. Wood,raised(R-value) 8b. R= sq.ft. c.Wood,common(R-value) gc. R= sq.ft. d.Concrete,raised(R-value) 8d. R= sq.ft. e.Concrete,common(R-value) f 8e R sq.ft.9. Wall type and insulation: a. Exterior: 1. Masonry(insulation R-value) 9a-1 R= sq.ft. Wood frame(Insulation R-value) 9a-2 R=// 37ci sq.ft. b. Adjacent: m Masonry(Insulation R-value) 9b-1 R= _sq.ft. 2. Wood frame(insulation R-value) 9b-2 R= sq.ft. c. Marriage Walls of Mul'tale Units (Yes/No) 9c. 10. Ceiling type and insulation: — 10a. R= sq.ft. a.Under attic(Insulation R-value) 10b. R= /(>7 sq.ft ( Single assembly(Insulation R-value) 11. Cooling system' 11. Type: (Types:central,room unit,package terminal A.C.,gas,existing,none) SEER/EER: 2 12. Heating syste 12. Type:eACe• Sri,P (Types eat pump also.strip,natural gas,LP-gas,gas h.p.,room or PTAC, HSPF/COP/AFUE: existing, e 13. Air distribution system' , a.Baddlow damper /single package systems Yes/No) 13a. (�"'"!b.Ducts on marriage irãIfs a equa e y sea a o) 13b. j) /e1 14. Hot water ay 14. Type: / <L; (Types el ,natural gas,other,existing,none) EF: Pertains to manufactured homes with she-Installed components. I hereby certify that the p a Acabona covered by the calulaaon are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Ronda the Ronda Energy Co Energy Code.Sabre construction' build will be inspected for compliance in with Section 553.908, PREPARm 0Y: DATE.. ' hers cu EuitDINO 000FFFppp OWNER AGENT u8di mpNance ttroR Cod�:��, l._ /1•� C�2 DATE r FLORIDA BUILDING CODE—BUILDING 13-D.35R 13-D.36R FLORIDA BUILDING CODE—tsuiwmau ' II City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor omeown Date Received: ' ,2 ' - 9 Site: - 9109 r-a12 Permit Type: 5 Bum Approved w/no comments:O Approved w/the below comments: Denied w/the below comments: t' L6/2 V ocbec' 1 CsAd! GFCT, VH1 pro �s-e 7 e This comment sheet shT7bet w hepermit and/or plans. Kal witzer-Plan er Date actor and/or om caner (Required when comments are present) Pasco County Parcel: 11-26-21-0010-20900-0010 001 Page 1 oft Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, May 17, 2008 Parcel:ID 11--26=21-0010 20900-0010 (Card: 001 of 001) P ' 1 Classification 12 - Stores, Office, SFR Mailing Address Assessment (totals) JOHN SAJI & Ag Land $0 KURIAN JESSYMOL Land $28,879 38409 SOUTH AVE Building $76,920 ZEPHYRHILLS, FL 335425756 Extra Features $316 Physical Address 38409 SOUTH AVE Total Assessment $106,115 ZEPHYRHILLS, FL 33542-5756 Save Our Homes $0 Legal Description (First 4 Lines) Homestead Exemption - $25,000 TOWN OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $81,115 COM AT SELY COR OF BLOCK 209 FOR POB TH WEST 77.50 FT ALG NORTH LINE OF SOUTH AVE TH Land Detail-(Card: 001 of 001) Line Use NDescription Zoning Units Type Price Condition Value 1 1200 STORE 000P 7,000.00 $4.12 1.00 $28,840 COMB 2 1200 STORE 000P 60.00 SF $0.65 1.00 $39 COMB Additional Land Information Acres 0.16 II Tax Area 30ZH II FEMA Code H NCommerlcal Codefi MSTH7AA Building Information - Use 12 - Stores/ Office SFR (Card: 001 of 001) Year Built 1973 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None 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 1.0 Line Description H Sq. Feet Repl.Cost New 1 BAS 1,506 $98,718 2 II Q II 64 H $1,049 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWC 1974 222 $83 2 CLFENCE 1978 300 $106 3 UTILITY 1978 II 1 $127 Sales History Previous Owner JENSEN RICHARD L Year Month Book/Page Type Amount 2002 08 5067/ 0267 W_ $55,000 2002 07 5067/0265 QC $0 1996 12 3679/0383 FJ $0 httn://annraiser.Dasco 2ov.com/searcb/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 5/21/2008 BOUNDARY SURVEY ADDRESS: 38409 SOUTH AVENUE ZEPHYRHILLS, FLORIDA. ;CALE: 1 = 20' NORTH LINE OF 60'VACATED 2ND AVENUE 70.00'(L) N.6424'51 E 70.70'(M) 0.4'ON 4CLF - - - METAL FIR 1/2" FIR 1/2" SUED p0RTI0N CONC BLOCK 209(\r U o 24.4' STORY oNE Ges N RE#38409E m �, 16.9' v CO X11.9' - -- ^ (3 '-'V1 `° 1.6" FIR 112" ryry � v I 4�0 N0 004,0P 0 FIR 1/2 I �p�ry J LEGAL DESCRIPTION \ THAT PORTION OF BLOCK 209, CITY OF ZEPHYRHILLS, AS RECORDED IN PLAT BOOK 1, PAGE 54, PUBLIC RECORDS OF PASCO COUNTY FLORIDA, BEING LOCATED IN SECTION 11, TOWNSHIP 26 SOUTH, RANGE 21 EAST, IN PASCO COUNTY, FLORIDA, AND 7HAT POR77ON OF VACATED 2ND A VENUE, L 17NG NORTH OF AND ADJACENT TO SAID BLOCK \ I 209, AND LYING BETWEEN 6TH STREET AND 771E EAST SIDE OF A 20 FOOT ALLEY, BEING FURTHER DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEASTERLY CORNER OF BLOCK 209, CITY OF ZEPHYRHILLS, AS RECORDED IN PLAT BOOK 1, PAGE 54, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA, AS A POINT OF BEGINNING, RUN ",Sr 77.50 FEET ALONG THE NORTH LINE OF SOUTH AVENUE, THENCE NORTHWESTERLY 84.22 FEET. PARALLEL TO THE WEST LINE OF 6TH STREET TO THE NORTH LINE OF 2ND AVENUE, THENCE NORTHEASTERLY 70.0 FEET ALONG THE NORTH LINE OF 2ND AVENUE TO INE WEST LINE OF 67H STREET, THENCE SOUTHEASTERLY 117.50 FEET ALONG THE WEST LINE OF 61H STREET TO THE POINT OF BEGINNING. Thte survey was conducted without A = ARC DE - DRAINAGE EASEMENT MH - MANHOLE BM - BENCH MARK EDP - EDGE OF PAVEMENT OHP - OVERHEAD POWER LINE the benefit of an abstract of title, BRG - BEARING EOW = EDGE OF WATER P = PLAT therefore, there ma be c - CURVE FCC = FOUND CROSS CUT PC - POINT OF CURVATURE y other Z CALL = CALCULATED FCM - FDUND iMFNTONCRETE PCP = PERMANENT CONTROL POINT easements, right—of—Way, W CO = CATCH BASIN MOUNU P1 - POINT OF INTERSECTION setback lines, agreements, CHB - CHORD BEARING FH - FIRE HYDRANT PP - POWER POLE CH - CHORD PIP - FOUND IRON PIPE reservations, restrictions or CLF = CHAIN LINK FENCE FIR - FOUND IRON ROD R IP SET IRON PIPE other similar matters or public IJ.i CONC. - CONCRETE FN - FOUND NAIL SIR - SET IRON ROD WITH CAP 4495 record, not depicted on this surve . —I CSW - CONCRETE SIDEWAU< FPP -- FOUND PINCH PIPE UE - UTILITY EASEMENT Y D - DEED M - MEASUREMENI WO - WATER BOX .OOD INFORMATION: LEGAL: SECTION: 11 TOWNSHIP: 26S RANGE: 21 E CERTIFIED T O : NE: AE (EL= ) MBER: 120235-0005C SAJI JOHN & JESSYMOL KURIAN SEE ABOVE FIRST CITY MORTGAGE TE: 12-17-91 SUNSTATE TITLE AGENCY INC. FIRTS AMERICAN TITLE INSURANCE COMPANY hhhh FLORIDA BENCHMARK , INC . IH CERTIFICATION :THIS AITION : NVEY WAS MADE UNDER MY RESPONSIBLE CHARGE AND D PROFESSIONAL SURVEYOR MEETS THE MINIMUM TECHNICAL STANDARDS AS 1298 Lnl<FVIEW RD. PH. (727) 298-0286 SET FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6 OF CLEARWATER, FL. 33765 FAX# (727) 461-0696 THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO 472.027 OF THE FLORIDA STATUTES. AUTHORI7_AT'fON NO. LB 6947 NOT VALID NWITHOUT SIGNATURE AND EMBOSSED WITH SURVEYOR SEAL. =LD WORK BY: JJ REVISION DATE: ' D R DATE: 08-21-D2 1: PAGE ZAWN BY: BW DATE: O8-21-02 3: JOB # 02-3562 2 G M. G. M YER LS # 448 0ATE NOTICE OF-CO1 T1'1ENCEMENT II I I 1 1 I II tI i!I I1 fiii 72 ermitNo. Rcpt.: 1183938 Elea: 18.50 DS: 0.00 IT: 0.00 Property Identification No. ø6/ 2,c)8 OF,t 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 COM1Vl'ENCEMENT. I1 2E, . 21_ c�©gip `?o l.Description of property(1e)al description:) A. a)Street Address: - — cj C) 2.General description of improvements: 3.Owner Information a)Name and address: ' ç \ `C b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information a)Name and address: _¶(si''.S — c .N.c\Q: [ b)Telephone No.: Fax No.(Opt.)_ JED PI T7t1AN, PASCO COUNTY CLERK 5.Surety Information 06/02/08 @1:01 m 1 a)Name and address: OR SK 7Q..J' ESC • b)Amount of Bond: c)Telephone No.: Fax No. 6.Lender (Opt.) a)Name and address: 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 CO MENT. STATE OF FLORIDA COUNTY OF PASCO t'" LESLIE DIXON MY COMMISSION#DD17338G Si thorized Officerirector/Partner/Managr EXPIRES:July 12.2010 °iFl• Fl.Na Dism Assoc.Co. 1-xIM1•)•NOTARY ar3' t ame . The foregoing instrument was acknowledged before me thi l f day of C A4..U2._ 2p "5 KC j'� G'I".1 Or p-- 1 a� 0 in fact)for . (type authority, '.g. fficer,trustee,attorney (name of party on behalf of who exit as ecuted). Personally Known OR Produced Identification Signature Type of Identification Produced S Name(print) , 6 C Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC,rvsd2oo7 Signature of Natural Person Signing Above DATE: 06/02/08 PASCO COUNTY PROPERTY APPRAISER 12 :53 : 57 O N - L I N E PARCEL PRINTOUT PARCEL-ID: 11 26 21 0010 20900 0010 TYPE : STATUS : A DLA: 041608 SC TP RG SUB BLOCK LOT TRACK: 033004 PARENT: DATE-SPLIT: 000000/FIB CLASS : 12 NOTES : DEED STATES H/W LETTER CD- OWNER CHG- NAME: JOHN SAJI & 38409 SOUTH AVE /ADDR KURIAN JESSYMOL FS119 CODE : ZEPHYRHILLS FL 335425756 PREV OWNER: JENSEN RICHARD L STREET ADDRESS : 38409 SOUTH AVE ZEPHYRHILLS F ** ADDR UPDATED BY TAX COLLECTOR ** VALUE & TAX INFO: EXEMPTION I N F O: SOH HX APP LAND AG: NUM CD H W D V T PCT HX-OVRD YEAR DATE S YR DVDo -MRKT: 28879 001 1 0 0 0 0 2009 040308 BLDG: 76920 XFOB : 316 OR BK 7850 PG 357 ------------------- APPR: 106115 2 of 2 SOH: QUALIFIER NOTE DATE RPG: JOHN SAJI H 040308 EXEM: 25000 KURIAN JESSYMOL H 040308 B TXBL: 81115 S DVD: S TXBL: 81115 AREA: 30ZH X ACRES : . 16 ADD EX: 25000 CHG: C DVD: DENIAL TYPE : LF AUTOMATIC RECEIPT DATE : C TXBL: 56115 PRIOR YR VALUE : 114925 PRIOR YEAR MKT: 114925 HX VAL: 106115 NON-HX: 0 MKT DIFFERENCE : 0 MKT CHG HX: 8810- NON-HX: 0 PRIOR HX VALUE: 0 MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT: PHYS HX: 114925 NON-HX: 114925- PRIOR NON HX: 114925 S A L E S : YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI 1989 12 1869 0054 42500 WD I 1993 09 3198 0327 69500 WD I M 1996 12 3679 0383 FJ I 2002 07 5067 0265 QC 1 DC I N 2002 08 5067 0267 55000 WD I M LEGAL DESCRIPTION: ( ASSESSED IN SECTION 11, TOWNSHIP 26 OUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA) TOWN OF ZEPHYRHILLS PB 1 PG 54 COM AT SELY COR OF BLOCK 209 FOR POB TH WEST 77 . 50 FT ALG NORTH LINE OF SOUTH AVE TH NWLY 84 . 22 FT PARALLEL TO WEST LINE OF 6TH ST TO NORTH LINE OF 2ND AVE TH NELY 70 FT ALG NORTH LINE OF 2ND AVE TO WEST LINE OF 6TH ST TH SELY 117 . 50 FT ALG WEST LINE OF 6TH ST TO POB OR 5067 PG 267 STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOI?1G IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE,W►T_NbSS MY HAND AtJ&OFFICIAL SEAL THIS'" DAY OF 2 JED PI CLERK OF CIRCUIT COURT • BY DEPUTY CLERK DISCLOSURE STATEMENT FOROWNER CITY OFZEPHYRHILLS-BUILDING DEPARTMENT Cc `A C\J have read and -Fully understand and ..agree to' the provisions of this instrument. - The undersigned states and affirms that he or she is desirous of constructing,renovating, adding tp or reroofing his or her own domicile,-that he or she,actually occupies, or will occupy by e,5- 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 builderfor 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 $75,000. The building or residence -must.be for your own 'use or occupancy.' It may not be 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-worker's compensation for that employee, all as prescribed,by law.*'Your'construction must comply with all applicable laws, ordinances, building codes, and zoning-regulations.. . OWNER'S SIGNATURE DATE, y�� ADDRESS PHONE. r % 4 WITNES PERMIT IfMastcrforms/OwncrsAffidavit/Nov07 TRANSACTION REPORT P . O1 /O1 DEC/ 12/2007/WED 03 : 46 PM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 DEC/12 03:45PM 97884901 0:01:07 1 OK ECM 7975 CITY OF-ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8044 BUILDING°PERMIT "Permit Number: 8044 Address:38409 SOUTH-AVE :Permit Type: ADDITION/ALTERATION S ZEPHYRHILLS, FL. Class of.Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE :Lot(s): Block: Section: Square Feet: Subdivision: CITY OF.ZEPHYRHILLS Est. Value: :Parcel"Number: 11-26-21-0010-20900-0010 Improv. Cost: 30,000.00 Ft Date!Issued: 7/03/2008 Name: JOHN, SAJI & KURIAN JESSYMOL Total Fees; 375.00 •Address: 38409 SOUTH AVE Amount Paid: 375.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/03/2008 Phone: (813)788-9802 Work Desc: 187 SQ FT ADDITION FOR KITCHEN HOMEOWNER BUILDING FEE 270.00 ETiCTRICAL FEE 36.00 PLUMBING FEE 35.00 MECHANICAL FEE 35.00 . I S FOOTER________________ 2ND ROUGH PLUMB_________ C INSULATION CEILING FOOTER BOND 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. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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 inspectl;lon 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 finandng,consult with your lender or an attorney before recording our notice of commencement." CONT T ATURE PERMIT OFFI R nOn�.T7' CvnTn1Mc+ T., At 168^RMUC %aiTTUA11T ADDDA\/Crf TNCDRt rTANI