HomeMy WebLinkAbout10-10395 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10395
DRIVEWAY PERMIT
Permit Number: 10395 Address: 6642 NORTH LAKE DR
Permit Type: DRIVEWAY ZEPHYRHILLS, FL.
Class of Work: DRIVEWAY /REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03- 26 -21- 0150 - 00000 -0200
Improv. Cost: 3,500.00 ,.,, 2 7 777:717
Date Issued: 4/26/2010 Name: RUBIN, HARVEY & JUDITH
Total Fees: 75.00 Address: 6642 NORTH LAKE DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/26/2010 Phone: (813)862 -3522
Work Desc: REPLACE 512 SQ FT OF DRIVE WAY
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B & H CONSTRUCTION OF CENTRA (813)782 -106 DRIVEWAY 75.00
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FINAL
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 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."
Zdi __/ .'* .P�Ff P_ - - 1,
CONTRACTOR PERMIT OFFI •-
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO •
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
III 131IIIIIIIIIIIIIIIIIIIIIIIIIIIIlI1111111111111111111
NOTICE OF COMMENCEMENT 2010056118
Rcpt:1301168 Rec: 10.00
DS: 0.00 IT: 0.00
T ax F No. • 04/22/10 A Giard Doty Clerk
Tax Folio No. 03 b15 DDt� OaQU - p y
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following infortnation is provided in this NOTICE OF COMMENCEMENT.
51 !..0 G len a* S.luec Opks 1 ,4.5ct . pe, 3 t
I .Description of property (legal descr�i� don) 1 4-3 Lo? ao Dr usci 3 hall
a) Street (job) Address: � Nor LAA r 716y h i !(S P7 3354t
2.General description of improvements: re.mour. eXIS►Tinyl >rwitoal/ 1 re eicb r. __
3.Ownerinformation • PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
a) Name and address: I I A}01 JI(OLIa AWN 1 -4 1 e Z . 4, IIS 04/22/10 2 :16 1 of 1
b) Name and address of fee simple titleholder (if other than owner) OR BK O PG 11 5
•
r ,, • c) Interest in property
ontractor Information
''! a) Name and addressT J4 torKiruk fan o-I C'u.4r.Jfl 1 .' Das IYlortricendir2c) Zr ly1rk HS F/ 935-0
b) Telephone No.:' Fax No. (Opt.) Fr13'71SLS
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 Licnor'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 d.t e
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,
FLORIDASTATUTES,AND'CAN RESULT IN YOUR PAYING' TWICE FOR ,IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMVMENCEMENf.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 COMMENC .
. STATE OF FLORIDA _ A) •
otary Public State of Florida X 10..
BfuCo A Ait1el S ignature f Zig er or �j ner's Authorized Officer/Director/Partner/Manager
M y Commission DD566784 r�V C y fJ V e1► /�
` N
v ier Expires 0612212010 Print Name
• The foregoing instrument was acknowledged before me this J aL.. day of t' • , 20 , by )111.0)ti/
1h as (type of authority, e.g. officer, trustee,
attorney in fact) for / (name of party o If of whom instrument was executed).
Personally Known OR Pioduced Signature . .,,
✓ P � du d Identi cation Notary Si •• e % g e
�
Type of Identification Produced • • Name (print) .(��7 R✓Gt: /� I
• /9
. • : 1aP t .
Verification pursuant to Section 92.525, Florida Statutes, Undei 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. •
.. .
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eoru+srt+ocr�oor ...
PIC13111 Public State of Florida Signature o Natural Person Signing (in line N 10.) Above
t Bruce: A Asbei
Mfr Catmussion DD566784 •
N'or Or Ex 06122/2010
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 2' FICIAL SEAL THIS
c�d DAY OF 1,4 �- 2 O/ U
PAULA - O'N IL, C & CO .' - IRO! .L.' R
/
BY / !� �scii _ r ,
/ Or
813- 780 -0020 C ;ity of Zephyrhills Permit Application Fax- 813 -780 -0021 4(0013 Building Department
Date Recelved Phone Contact for Permlttln • s 1 3 7 – d�
Owner's Name I +Art/ • • s Owner Phone Number _
Owner's Address - . ►t s C, Z 1,l 15 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS &GO Neat. I.aka'c• Z- O-As P1 33 4 a. LOT *I
SUBDIVISION G1 l,eC OAK S PARCEL ION o 'd(,".lt - fo ►So - G Dopo caoo
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN = MOVE n DEMOLISH
INSTALL I REPAIR
PROPOSED USE n SFR I COMM = OTHER
TYPE OF CONSTRUCTION [ 1 BLOCK I FRAME n STEEL n OTHER
DESCRIPTION OF WORK t 'emWL`��t. laar-
BUILDING SIZE SO FOOTAGE 5 HEIGHT
BUILDING $ 3SI:4) • Di) VALUATION OF TOTAL CONSTRUCTION
n ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W.R E C
I I PLUMBING $
F MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
In GAS n ROOFING I SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER nn COMPANY
�'q.04/5 a,�
SIGNATURE REGISTERED ' `.w.+ V u � B I Y/ N I FEE CURRE T ,�,s�, I � V / N I
Address YI2 / / /opus B!2/j I 7/ / 1 License # I(,(J 77
ELECTRICIAN COMPANY 1
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I YIN I
Address 1 License it I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License # I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I V/ N I
Address License # 1
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N
Address License # I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Permit for new cons8uction,
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 Lite 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 wl Silt Fence installed,
Sanitary Fatalities & 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 F. Contractor sign back of application, notarized
If over 82500, a Notice of Commencement Is required. (A/C upgrades over 85000)
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 NC 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 govemment 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.
111 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S 111/j.03)
OWNER OR AGENT p /Q,LL CONTRACTOR WOO ((�Q
y ub scribed and swoon to (o roved) before me this Subscribed and swo t affirmed) before me this
a/ •'O by swoon c.s r Jt -)O by t1rr.�
Who is /are personally , L
to me or has/have produced W ho is /are personaillyk� to me or has/have produced
as identification as identification
- U ,t \ Notary Public - Notary Public
-
Commission No. Commis on No
[1 uct
ame of Notary typed, printed or stamped Name of Notary typed, printed or stamped
x nmission DD566784 00566784
.1'a:F�° lApiree06 / 22/201Q °. xo:,�<,U6/22/2010
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ;67W CA `S /7 tCC .
Date Received: / (Z 2-7 /o
Site: O61` 2 doe k6 4--
Permit Type: f ifAi ` GC)- 512 SC 1.-
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Approved wino comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comma nt sheet hall be kept with the permit and/or plans.
/ 1—()
, A.. , 1 3
Kalvin .witz- ' . Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Pasco County Parcel: 03- 26 -21- 0150- 00000 -0200 001 Page 1 of 2
Data Current as Of: II Weekly Archive - Saturday, April 24, 2010
Parcel ID 1 03- 26 -21- 0150 - 00000 -0200 (Card: 001 of 001)
Classification 11 01 - Single Family
Mailing Address Final 2009 Value
RUBIN HARVEY N &JUDITH 3 Ag Land $0
6642 NORTHLAKE DR Land $39,916
ZEPHYRHILLS FL 33542 -0642 Building $131,591
Physical Address Extra Features $6,810
6642 NORTH LAKE DR
ZEPHYRHILLS FL 33542 -0642 Market Value $178,317
Assessed (Save Our Homes) $178,317
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision 1 Non - School Additional Homestead Exemption - $25,000
STEPHEN'S GLEN AT SILVER OAKS
PHASE ONE Non - School Taxable Value $128,317
PB 31 PGS 19-20 School District Taxable Value $153,317
LOT 20 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)
r Line _II Use °Description) Zoning I Units II Type II Price II Condition H Value
I 1 II 0100 II SFR II OPUD II 6,000.00 II SF II $6.33 II 1.00 II $37,980
I 2 11 0100 II SFR II OPUD II 1,500.16 II SF II $1.27 II 1.00 II $1,905
I 3 II 0100 II SFR 11 OPUD II 3,054.37 0 SF II $0.01 II 1.00 II $
I Additional Land Information Show Mineral Rights - 5
I Acres II 0.24 II Tax Area II 30ZH II FEMA Code II X IIResidential Code SIVLLP1
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1995 Stories 1.0
Exterior Wall 1 Concrete Block Stucco 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 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Neat Forced Air - Ducted
A/C Central Baths 2.0
I Line I Description II Sq. Feet II Repl. Cost New
I 1 I BAS I 2,253 I $137,320
I 2 I FGR II 512 ll $12,495
I 3 I=(�P II 329 II $4,998
I Extra Features (Card: 001 of 001) -------1
I Line II Description Year II Units II Value
1 I I DWSWC
1 1 1 1 1995 II 664 II $979
I 2 POOL -6 1995 II 234 II $3,463
I- 3 COOL DK I 1995 II 433 1 $1,300
4 SCRN -AF 1995 I 1,187 $1,068
Sales History
I Previous Owner 0 BROWN CAROL M
Year II Month I Book /Page I Type I Amount
I 2005 II 09 I 6593 / 0215 I WD I $285,000
1994 II 07 I 3317 / 1199 I WD I $20,000
I 1994 II 05 I 3301 / 0705 QC SO
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