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HomeMy WebLinkAbout09-9579 CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813)780 -0020 9579 BUILDING PERMIT 21a liE4N$ Wp1 1 C AS ,' i; t. 3 141 v7 e.,, .. u..:.apj <8w % tt.k -T4,', . .ra l � V% R,. K# Permit Number: 9579 Address: 38607 4TH AVE Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT 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 - 16900 -0160 Improv. Cost: 3 ,600.00 1 ", ikP A c7 € " Date Issued: 9/28/2009 Name: FIELDS, ROBERT & EILEEN Total Fees: 50.00 Address: 36753 GRACE AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/28/2009 Phone: (813)610 -0595 Work Desc: REROOF SHINGLE RY AN ■• IN IN - R• • F RESID NTIAL 50.00 '''' ' ' ' ' — P a I ? II ■ -,,,, �a ikog fit?+, .a.:;`"� . �,P ,._,14a € Aiii* r�S = =. —'', _ __II�:,esE lost: �P. b...... ...• e - "- �i �, "'3�? .. v DRY IN ROOF INSP TAPE JOINTS ROOF icor FINAL 10' — u I 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 imp vements to your property. If you intend to obtain financing, consult with your lender or an attorney befo recording your notice of commencement." r 4. G4 ' /1.: ar AI CONTROR SIG ' RE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780 -0020 City of Zephyrhills Permit Application .� C1r < Fax -813- 780 -0021 Building Department [- Date Received L/' v Phone Contact for Permitting -- Owner's Name F)0b(4-� 0 61 tpstyl ( �I t ds Owner Phone Number ) ? 61() o5g5 Owner's Address 36 1 &'o .1 v1 V Q� J7S ( p� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r Odress ,,� ,� r_ JOB ADDRESS .7 L I'`'l a UQ Z-Q p \1478( /-S LOT # SUBDIVISION PARCEL ID# I l —2 -(9 — - -ox to -169c0- O Ir O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I I MOVE n DEMOLISH INSTALL REPAIR ��Y PROPOSED USE I 1 SFR 1 I COMM n OTHER I TYPE OF CONSTRUCTION 11 BLOCK I I FRAME I I STEEL I I OTHER 1 DESCRIPTION OF WORK ` t 4C - -y - OCjf hp t,(Sk (j SY) t Vj OJ BUILDING SIZE SQ FOOTAGE l od HEIGHT BUILDING $ 2 (' JtQV oo VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I W.R.E.0 I I PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 1 GAS ROOFING I I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I�No BUILDER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address 1 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y N I Address License # T MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # .(1 ^�, ^ • COMPANY 1 6 C�`� , i tr $I • 0* — �_ � REGISTERED I G Y / N FEE CURRE I Y / N 1 Address ' 3 -(L S S � ) l A 33Sf) License # GCC l3a S S I 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 w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 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. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (NC 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 A/C 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 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 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 Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the 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 LEN It R OR AN ATTORNEY BEFORE RECORDING Y'L! • NOTICE OF CO MENCEMENT. FLORIDA JURAT (F.S. 7.03) OWN - • - — co � ' � . - ` — ✓� scribed a d sworn to (or affirmedk s ore - Su4�cnl�elj a •m to (or affi e. before ` thi Su LI 26 ' -0 2 by . 1 by Who is /are personal) known to me or has /have produced Who is /are_personally known to me or has /have produced as identification. as identification. tezl i , � c Ct�s , .. �� / Public Notary Public , JACQU PI - • r ' BODES � ,,✓✓ r° .... ;. Commission DD 62 833 � :.Y Commission Dt) �2 Commis�sir r 19 min Commission No. ? ',: Expires December Expires D000rnbe m,9 P 12, 2010 gonn"d Tbru Tmy Fein Insurance 800-385. 8 ,,,..' k„,,, Thor. Troy Fmn Noma 9b0- 388.7019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Mastery VISA ,� A Division of Ryman Construction, Inc. � v , Proposal # 01.7 5 _ INC. 36413 SR 54 • Zephyrhills, Florida 33541 S Estimate # 019 A Phone: 813 - 782 -6094 • Fax: 813 - 788 -6773 '��� License # CCC 1325505 Job # 1-800-800-ROOF Also, Serving the Central and East Coast of Florida (7663) Customer: oloe A C i 0 Cx S Date: — �j t ldc, V Address: SE3697 I-1 'N AVe_.. Cit l , \\$ Zip: Horne #: 8I3 - 619- 05C15" Cell #: Business #: E-mail Address: l�Y �CComplete tear off ki of existing ) / c� r r sb i 1.,� Additional Items: u�� Q ' Po rt\1 -. QooF C Secure all loose roof decking as needed according - . 4..r. .�1 IE... 'i 9 : L to Florida Building Codes 111V1404.1.....77., of dried in with 4 Te...W� nstall new valley metal with galvanized metal / C � s Ai/ 70/241 Do w, Ae Install all new " drip edge color: AJk Install all new lead boots lia'fnstall all new.3['1 year fungus- resistant shingles i hingle brand/color: - TN r \.Cl) 1:4....96c._ S ye.60" LqA.,91- Warranty Package. All roof related debris removed from job site Q ll materials, labor and permits furnished Total bid price $36.60 . 0 CVA Extras Bad plywood replaced at a cost of $ N/,4 per sq. ft in the roof field. All other wood work/additional labor, such as, but not limited to, valley rebuilding, rafter replacement, etc. will be a rate of $ n/ / per man hour plus the cost of materials. THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. • 1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner. 2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work. 3. Labor warranty does not cover damage to roofs caused by lightning, hurricane, tornado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion failure or cracking of roof deck, walls or foundation of a building. 4. Workman's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc., or its subcontractors. 5. RYMAN ROOFING, INC., a Division of Ryman Construction, Inc. is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking or fascia boards, is not included and will be charged as an extra unless otherwise stated herein. 6. This contract is subject to final approval by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc. and is the entire agreement of the parties and no other written or other forms will recognized. 7. A charge of 1.5% will be made on all unpaid balances after 30 days, plus charges incurred for non - payment procedures, plus attorney's fees. 8. A 4% processing fee will be added to all credit card orders. Ryman Roofing, Inc., a Division of Ryman Construction, Inc. will not be responsible for any damage to septic tanks, sod, shrubbery, paint, satellite signal loss, sprinklers, concrete drives or any underground piping. Payment Schedule: QS r• r � d1 Ct iaN P Method: C() k Or (— C. Acceptance of Proposal NTATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 - 71337, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER ". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. I ACCEPT THIS P POSAL AND HE Y CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. Purchaser: �- Date: .7-14#— © 9 • Purchaser: Estimator: r....------.----'� i gl� ASPHALT SHINGLES 2007 FBC PRODUCT APPROVALS MANUFACTURER PRODUCT TESTS PASSED MIAMI -DADE FL # LESS THAN 110 MPH 110 MPH AND HIGHER ASTM ASTM TAS ASTM ASTM TAS 03161 07158 107 D3161 07158 107 CLASS D CLASS G CLASS F CLASS G CERTAINTEED CLASSIC HORIZEN X • 5444.1 CARRIAGE HOUSE X 5444.1 CENTENNIAL SLATE X 5444.1 GRAND MANOR X 5444.1 LANDMARK X 5444.1 LANDMARK PLUS X 5444.1 LANDMARK PREMIUM X 5444.1 LANDMARK TL X 5444.1 PRESIDENTIAL SHAKE X 5444.1 PRESIDENTIAL SHAKE TL X 5444.1 HATTERAS X 5444.1 PATRIOT X 5444.1 GAF -ELK ROYAL SOVEREIGN X • - 10124.1 CAMELOT '' X 10124.1 CAPSTONE X 10124.1 COUNTRY MANSION X 10124.1 GRAND CANYON X • 10124.1 GRAND SEQUOIA X 10124.1 GRAND SLATE X 10124.1 GRAND TIMBERLINE X 10124.1 TIMBERLINE ARMORSHIELD it X 10124.1 TIMBERLINE PRESTIQUE GRANDE X 10124.1 TIMBERLINE PRESTIQUE 30 X 10124.1 TIMBERLINE 30 X 10124.1 TIMBERLINE PRESTIQUE 40 X 10124.1 TIMBERLINE 40 X 10124.1 TIMBERLINE PRESTIQUE LIFETIME X 10124.1 TIMBERLINE ULTRA X 10124.1 SLATELINE X 10124.1 OWENS CORNING OAKRIDGE PRO 30 X 10674.1 OAKRIDGE PRO 30 AR X 10674.1 OAKRIDGE PRO 40 X 10674.1 OAKRIDGE PRO 40 AR X 10674.1 OAKRIDE PRO 50 X 10674.1 OAKRIDGE PRO 50 AR X 10674.1 DURATION X 10674.1 DURATION PREMIUM X 10674.1 CLASSIC X 10674.1 CLASSIC AR X 10674.1 SUPREME X 10674.1 SUPREME AR X 10674.1 PROMINENCE X 10674.1 PROMINENCE AR X 10674.1 BERKSHIRE X 10674.1 WEATHER GUARD HP X 10674.1 TAMKO GLASS SEAL AR X 1956.2 ELITE GLASS SEAL AR X 1956.1 HERITAGE 30 X 1956.3 HERITAGE XL X 1956.5 HERITAGE 50 X 1956.4 HERITAGE VINTAGE AR X 7154.1 111111111111 11111111111111111111 11111!1!ll 111111!!u iii! 1111 2009138253 Rcpt:1265546 Rec: 10.00 DS: 0.00 .IT: 0.00 09/28/09 . - - -- _ Dpty Clerk NOTICE OF COMMENCEMENT PAULA S. O'NEIL, � 1 P CLERK &COMPTROLLER 09/28 81 ( PG' 16 48 Permit No. Property Identification No. II - 2-G - 7A - 0010- /6q00 -- 0 ( 6a THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and m accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. \` i 1.Descr i o CCit Z rh i►IS t I I PE $ t FT L.O S $'S. GO OF Ss: OO S p propert (l e�al description :) 1. [[ • I.° 6 : :1 . l& 7S a) Street Address ' O 4 /141 a U R_ 2-..t - \ -h iI . .tea 2.Gen 1 descriptionRRf improvements: t 3.Owner Information a) Name and addressc : 4) 4, N 1- cft (.2 C rt tpIclS 3 ;6•?s3 G GA_ G `o—h 1E15 b) Name and address of fee simple titleholder (if other than owner) 5S (o. c) Interest in property 4.Contractor Information � t a) Name and address:F1Ivt ( K�Sv - Tye 364t3 5 f . S `i 'J IS 33S b) Telephone No.: 11 g �� 5.Surety Information Fax No. (Opt.) a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender 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 WO ; 0 ! ; ,r - CORDING YOUR NOTICE OF COMMENCEMENT. w STATE OF FL01�11 : � 1 � 1 ` , , COU OF P 9+ w . *Y' ,. / ' ` i , e ke ` ' nblic State of Florida � 1 AM • —4 ' Adill 4 .- Z v. ; ' Ryman ature of Owner o O er's Authorized Officer/Director/Partner/Manager Q... 4 '4 a .mmiasion DD751610 e e �� 7' r. 4+a •ices 01/24/2012 /` / AT � l� n : il • Qr y��}� Print Name The fogoi �� r - e • n' n t watrack�ta�A+led day f, ,,,,4 — , 2001 , by ilk Ob /Y f"1 p► , ,, � . � ` �o�� .me thiso�� da o : a§ �'``� (type of authority, in fact) for (hP ty, e•g, officer, trustee, attorney ., , . • (name of party on behalf of whom • ment was _executed). Personally Known IVOR Produced Identification Notary Signature Type of Identification Produced Name (print) r-I3A jct., • 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. 7 7 c FORMS /NOC,rvsd2007 Sign ure of Natural Person Si g Above eritzty e_-‘,/ • STATE OF FLORIDA, COI TY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING ISA TRUE AND CORRECT COPY QF THE DOCUMENT ON FILE OR OF PUBLIC RE RD IN -THIS OFFICE WITN MY HAND AND FFI iAL SE L'THIS a� DAY OF PAULA S. O' c &'CO . DOLL R BY ,rei.> DEPUTY CLERK Pasco County Parcel: 11- 26 -21- 0010 -16900 -0160 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, September 26, 2009 Parcel ID 11- 26 -21- 0010 - 16900 -0160 (Card: 001 of 001) Classification 19 - Professional Service Building Mailing Address Property Value FIELDS ROBERT N & EILEEN C Ag Land $0 36753 GRACE AVE Land $8,613 ZEPHYRHILLS, FL 335423024 Building $32,542 Physical Address Extra Features $336 38607 4TH AVE ZEPHYRHILLS, FL 33542 -5011 Market Value $41,491 Assessed (Save Our Homes) $35,400 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision .c Non - School Additional Homestead Exemption - $0 CITY OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $10,400 S 55.00 OF E 55.00 FT LOTS School District Taxable Value $10,400 16 & 17 BLOCK 169 Warning: A significant taxable value increase OR 8142 PG 1375 may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use I °Description' Zoning II Units Type I Price I Condition II Value 1 1200 STORE 000P 3,300.00 SF $2.61 1.00 $8,613 COMB Add' = "'T = Information I Acres 0.08 II 0=4 30ZH r MA Code 1 X IlCommerical Codell M4AV7AA Building Information - Use 12 - Stores / Office SFR (Card: 001 of 001) Year Built 1950 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 II Description Sq. Feet I Repl. Cost New I I 1 BAS 793 $42,862 I 2 II FSP 175 $3,297 I Extra Features (Card: 001 of 001) Line I Description I Year I Units 11 Value I 1 I PAV CON II 1982 I 500 II $188 I 2 I CLFENCE I 1994 1 252 11 $148 Sales History Previous Owner 1 HENDERSON-SMITH TERRIE L Year 11 Month I I Book /Page I Type Amount I 2009 I 08 I I 8142 / 1375 I CT II $0 I 2008 11 10 II 7960 / 0583 I gc $0 I 1998 I 04 II 3910 / 1505 I WD 1 $34,000 http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 9/28/2009 Pasco County Parcel: 11 -26 -21 -0010- 16900 -0160 001 Page 2 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 9/28/2009 City • of Zepliyr'hills BUILDING DEPARTMENT RE: Permit # 9S75 9/17/07 Inspection Affidavit I /A) lam` I9'4) ,licensed as a(n) Contractor* /Engineer /Architect, (please print name and circle L(c. Type) FS 468 Building Inspector* License #; e C e- /3 2,5--s--o 5 On or about Y/Z7/4 , I did personally inspect the roof ate me deck nailing and /or secondary water barrier work at , (circle one) y ob Site Address) 3 x6 , 07 4 Li // , 4 33 Based upon that examination I have determined the installation was done according to the Hurrico, itigation : -trofit Manual (Based on 553.844 F.S.) �I Si E OF FLORIDA OUNTY OF Sworn to and subscribed before me this zf day of 47t,e,c . 200/ By . Notary Public, State of Florida c---- (Print, type or stamp name) / ...!.... ANNA MARIE LYNCH -TERRY / CO .MOlMY Public - State of FIn, 4 Personally known ( or .41'.'21i4 •21 elon Ems« Apr 4, 2012 4 Commission • DD 740168 Produced Identification : d . loaded Through Wong Nary Assn Type of identification produced. — — — * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. 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.