HomeMy WebLinkAbout09-9713 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9713
BUILDING PERMIT
Permit Number: 9713 Address: 4630 WISTERIA DR
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: WHISPERING OAKS
Est. Value: Parcel Number: 15- 26 -21- 0160 - 00000 -0330
Improv. Cost: 10,500.00 ? a, tR, , .,eiC ` - =, NA -, , ,, . ®.,
Date Issued: 11/03/2009 Name: BARNETT, ROLD & FANNIE
Total Fees: 155.00 Address: 4630 WISTERIA DR
Amount Paid: 155.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/03/2009 Phone: (813)779 -1722
Work Desc: 28 X 20 ENLARGE THE GARAGE AREA
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HIM •■ - BUILDIN FEE 120.00 ELL TRI AL 35.00
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Os - 2N* RSU - LUM: MI W IN ULATIIN CEILI
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."
i
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CONTRACTOR SIGNAT RE PERMIT OFFI "R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1110101 I 0111111 1111111111l111111111111111III 1 Till IIII
- - - - . -. - - ,. 2009158290
• NOTICE OFCOIIINIENCEMENT
Rept:1271714 Rec: 10.00
DS: 0. IT: 0.00
Permit No. r/ 1/03/09 - - - -- - Dpty Clerk
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
Property Identification No. /5 Ab / V/60 DOPoO D33P 11/03/09 8 1POo r
OR BK
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.
1.Description of property (legal description:) a24, .sp€ ring , Q, k P,8/ y 7P4 5 86-87 / .33 or (3`T5�
a) Street Address: ff(3D (1) ;.c f' /'L D. -;.• ✓✓ Z •e"0.4.:.4, //-r,, //, 3 3 A"--2- p 7/P6
2.0eneral description of improvements: ` i. p e Q,,,�9 `L
3.Owner Information
a) Name and address: 'RoAdei. 6 ectvih j )4 3D (.D;574, 4ride Z'i1/.•4; , 1 ,Z 335%.2.
b) Name and address of fee. simple titleholder (if other than owner) f
Fill c) Interest in property
4.Contractor Information e- /,
/
a) Name and address: X9,14/ [ p C, l�.C✓f1 f 319 S i ct i t),- //e. Ze',ele", -. ,5 i 33.3.5-5,2_ b) Telephone No.: 4/ 3 - 779 / 7 ....A..2_ ` Fax No. (Opt.)
5.Surety Information
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): .
5 .
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 ,o" ' hi (jIN? E$ O N f'I 6 1 1C
COUNTY OF PASCO 4to Nn c itsivBS YOd !, un70 - 1 I / Zei...1,
<, , , >' < Simire of Owner or Owner's Authorized Officer/D r/Partner/Manager
h „ , n, unAS.o 1 !
Print Name
The for oing instrument was acknowledged before me this day of , 20 , by �1,) 4../0/
45 ffic
co-Aie _ as . 0..t)it/ Q/1 of authority, e.g. oer, trustee, attorney
in fact) for . (name of party on behalf of . ho instrument was executed) /
f
A T t
Personally Known OR Produced Identification ' ` Notary Signature , , ANA j , 1
r, - 'r
Type of Identification Produced _I i CA . • I e
Name (print) a , _ r
Verification pursuant to Section 92.
v
the facts stated in e ,,� Under penalties of perjury, I declare that I have read the foregoing and that
rC t #� at Of r.lbib edge and belief. . 5
°t -4M L u t o, a
FORMSMOC.rvsd2007 x . ,. - � , .� ere'a,^�'.s+.rd'v`' Signature ofNatural Person Signing Above
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AND F ICI SEAL THIS
DAY OF 2 (
PA L ��' NEIL, CL RK - COMP . FFF444
BY /__ / _ . ,I PUTY' ERK
Or
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contract 1 omeowne • i.. �, 441(
Date Received: /D ^ cZ2 .07
Site: i / , f . _ y i -
•
Permit Type: , - <_, 1 ', / ice
Approved w /no comments: ❑ Approved w /the below comments: ign Denied w /the below comments: ❑
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This comment shee shal be k- . with the permit and/or plans. 7, .ge -* // e __6 e ,( 11__
Kalvin S ' er — Plans . er Date Contractor and/or Homeowner
(Required when comments are present)
813 - 780 -0020 City of Zephyrhills Permit Application i { ,. ) I 3 Fax -813- 780 -0021
Building Department
Date Received /0 ""g(' _! Phone Contact for Permitting -- d ✓
Owner's Name A D nail C, , l.t#'71 z Owner Phone Number �/ .3 " 7 7 / — / 7O? '�
Owner's Address )' C 3e. &;s 4-e r /a Pr/ ve- Owner (tone Number
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address I
JOB ADDRESS 1 V.L eD 62:54er1 a- Pr /G'e.— I LOT # 35
//)) LL ' �a�/S PARCEL ID# :b6 °Z/ P/ ODDaO 0330 I
SUBDIVISION N//[/ S�YI il9 I '5 (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I)(I NEW CONSTR I X I ADD /ALT 1 1 SIGN 1 ( MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I ( SFR 1 1 COMM 1 ( OTHER
TYPE OF CONSTRUCTION I XI BLOCK 1 1 FRAME 1 1 STEEL 1 1 OTHER 1 I
DESCRIPTION OF WORK 1 n IAr� - 70-v,Q-3P/ s
BUILDING SIZE oZ / X c20 / SQ FOOTAGE -. 4O HEIGHT I p / I
1 ) (I BUILDING $
/0 / coo* 00 VALUATION OF TOTAL CONSTRUCTION
1 x I ELECTRICAL $
50D: 00 AMP SERVICE 1 1 PROGRESS ENERGY ( I W.R.E.C.
1 PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
E GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD,NE AREA 1 1YES QNO
BUILDER V �/�
SIGNATURE Cj I REGISTERED j Y/ N I FEE CURRENT 1 Y/ N
Address f�3/J Win! 1)i^/�4� �J � License #
ELECTRICIAN COMPANY 0
SIGNATURE 10/ G , REGISTERED I Y/ N I FEE C ENT I Y/ N 1
Address 7-6 3o -lei-1,z_ !//"%12e_ License # I
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N
Address License # F
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. (A /C 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 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.
FLORIDA JURAT (F.S. 117.0
OWNE AGENT / - C / . /• CONTRACTOR
Su scribed and swo to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
__.. by by
Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced
' : ,( as identification. as identification.
,
ilt, ; . _, , .., r, r Notary Public
'�`�
.�••••••, BOBBIE . SWETLAND
' Commission No.
Commi • :.`.s = .., is '8.I O 1 __t.
: ; 4 - - g Expires February 22, 2012
Name • • - • • • - • • Name of Notary typed, printed or stamped
Pasco County Parcel: 15- 26 -21- 0160 - 00000 -0330 001 Page 1 of 2
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: 11 Weekly Archive - Saturday, October 31, 2009
Parcel ID I 15- 26 -21- 0160 - 00000 -0330 (Card: 001 of 001)
Classification 11 01 - Single Family
Mailing Address Property Value
BARNETT RONALD C & FANNIE L Ag Land $
4630 WISTERIA DR Land $23,291
ZEPHYRHILLS, FL 335425648 Building $96,433
Physical Address Extra Features $2,540
4630 WISTERIA DR
ZEPHYRHILLS, FL 33542 -5648 Market Value $122,264
Assessed (Save Our Homes) $95,132
Legal Description (First 4 Lines) Homestead 196.031 $25,000
Non - School Additional Homestead Exemption - $25,000
See Plat for this Subdivision .'•
WHISPERING OAKS Non - School Taxable Value $45,132
PB 14 PGS 86 -87 LOT 33 School District Taxable Value $70,132
OR 4395 PG 1106 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001) I
Line II Use IlDescriptionll Zoning Il Units II Type II Price II Condition II Value I
1 II 0100 II SFR II 00R2 Il 6,000.00 Il SF Q $3.24 Il 1.00 II $19,440 I
2 I 0100 1 SFR Il 00R2 Il 9,875.00 0 SF I $0.39 lI 1.00 II $3,851
Additional Land Information l
Acres II 0.36 II Tax Area II 30ZH I FEMA Code II X IlResidential Coder WISPLP1 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I
Year Built 1980 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Metal
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line 11 Description 1 Sq. Feet I Repl. Cost New
1 II BAS I 1,536 II $105,108
2 II UEA II 240 II $8,212
3 II FGR II 400 I $10,949
Extra Features (Card: 001 of 001)
Line II Description II Year Il Units II Value
1 II DWSWC II 1980 lI 770 II $703
2 II CON PTO II 1987 Il 396 II $564
3 II SCRN -AF II 1990 II 620 II $558
4 II UDU -M II 1990 II 1 U $715
Sales History
Previous Owner II WAUGH ROGER M JR & GLORIA A
Year II Month II Book /Page II Type II Amount
2000 II 06 II 4395 / 1106 Il WD I $78,500
II II II h
http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 15 &twn= 26 &rng=21 &sbb= 0160 &b... 11/2/2009
DISCLOSURE STATEMENT FOR OWNER
/ CITY OF.ZEPHYRHILLS BUILDING DEPARTMENT
I Z," l.�7�( `„ 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 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
The building or residence must be for your own use or occupancy. 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 1 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 all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATURE /
4- , DATE / /..3D �
ADDRESS d0 w r,a_ 1Z- vG 24-A ` r / ri/ s
PHONE '1 /
PERMIT #
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