HomeMy WebLinkAbout10-10533 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10533
BUILDING PERMIT
wmf. +���zc;., €$,,,.. 3 Via" �� i a t,xg "� ��__
Permit Number: ry 10533 Address: 5353 23RD ST
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: .ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12- 26 -21- 0030 - 00600 -0190
Improv. Cost: 5,600.00
Date Issued: 6/01/2010 Name: HENZY, SUSAN & BOWKER, STEVEN
Total Fees: 60.00 Address: 5353 23RD ST
Amount Paid: 60.00 ZEPHYRHILLS FL 33542 -4648
Date Paid: 6/01/2010 Phone:
Work Desc: REROOF SHINGLE
,,,a1.1,12,,,,Ii{1'71- `7. 112' OragratkEir7r.M4
AVIN - •• - R•• I• N IAL 60.00
D` INR•• IN
TAPE JOINTS RIOOF INSP
FINAL —? — (4-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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
CONTRACTOR SIGNATURE PERMIT OFFI �R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED /
PROTECT CARD FROM WEATHER
P ropfAat Page No. of Pages
Gavin Roofing
Quality Roofing Since 1984 N 1191
P.O. Box 1364
Dade City, FL 33526
352- 567 -5034
Lic # RC 0046241 2 Year Leak Warranty
PROPOSAL SUBMITTED TO PHONE DATE //
•
-SW5iiA )446":41/•V/ X /5 /t
STREET NAME
S' S "3 - 5 7
CITY, STATE and ZIP CODE JOB LOCATION
zc 6/� — */2- 45 7 Z .
ARCHITECT / . DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for
7 /4--/ r -1- - 4' cc'-' ee.%= i-/ /9 32 ) 2//� A/I& t= 1.7'SJ
S/7i /Itic.L C N x6L / : 0 � 0/ 1 ' d )
LL /C-0 0 6.-c %-A- - ) i vo oil t' /t'if' 7- jE G/' l-
/1/1-=-&:4W ._ T ill 7 Y /� /1,4 �l :
IN r � p moor hereby to furnish material and labor — complete in accordance with above specifications,, for e the sum of:
7 S /]� Al t!A/,��� %J dollars $ oeJ
Payme o be made as follows:
i- ex- trGc ,= 170.6
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Note: This proposal may be
\ Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. ,.
I' Arrrptanre of Proposal — The above prices, specifications \
and conditions are satisfactory and are hereby accepted. You are authorized Signature `d ,4 J -
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature
Pasco County Parcel: 12- 26 -21- 0030 - 00600 -0190 001 Page 1 of 1
Data Current as Of: I Weekly Archive - Saturday, May 29, 2010
I Parcel ID 12- 26 -21- 0030 - 00600 -0190 (Card: 001 of 001)
I Classification II 01 Single Family
'Mailing Address Final 2009 Value
HENZY SUSAN C & Ag Land $0
BOWKER STEVEN D Land $16,968
5353 23RD ST Building $72,596
ZEPHYRHILLS FL 33542 -4648 Extra Features $581
Physical Address
5353 23RD ST Market Value $90,145
ZEPHYRHILLS FL 33542 -4648 Assessed (Non - School Amendment 1) $90,145
Legal Description (First 4 Lines)
Taxable Value $90,145
See Plat for this Subdivision .1'"
ZEPHYR HEIGHTS ADDITION
PB 5 PG 50 LOT 19 BLOCK 6
OR 8307 PG 1479
Land Detail (Card: 001 of 001)
Line II Use ODescriptionll Zoning II Units II Type II Price II Condition II Value
1 II 0100 II SFR II 00R1 II 7,000.00 0 SF II $2.39 II 1.00 0 $16,730
2 II 0100 II SFR II 00R1 II 700.00 II SF II $0.34 II 1.00 II $238
Additional Land Information
Acres I 0.18 Tax Area I 30ZH I FEMA Code I X I Residential Code I ZHLGLP3
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1975 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 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.5
Line II Description II Sq. Feet II Repl. Cost New
1
II BAS II 1,232 11 $81,472
2 UOA II 42 I $397
3 11 UEA II 192 II $6,348
4 FCP 352 $5,819
Extra Features (Card: 001 of 001)
Line II Description II Year II Units I Value
1 II DWSWC II 1976 II 444 I $450
_
I_ _11___ 2 _JI_ UDU -M __11 1986 I I 1 IL $131 I
Sales History
Previous Owner II FEDERAL NAT'L MTG ASSOC
Year II Month II Book /Page II Type II Amount
2010 II 03 11 8307 / 1478 11 2 II $
2010 II 03 II 8307 / 1479 II WD II $62,500
2010 0 02 II 8273 / 0676 II CT II $
http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 12 &twn= 26 &rng=21 &sbb= 003 0 &bl... 6/1/2010
813- 780 -0020 City of Zephyrhills Permit Application ( � Fax- 813 -780 -0021
Building Department •'
•
Date Received Phone Contact for Permitting ( ) --
Owner's Name .S W , 5 /! AJ LV tit/2_ Owner Phone Number
Owner Phone Number
Owner's Address
Fee Simple Titleholder Name
I Owner Phone Number 1
Fee Simple Titleholder Address
I
1 53 S -_3 ST 1 Lo-r# I /1
JOB ADDRESS J
SUBDIVISION I Z id/ 'I 1 ALE/ (d r ( PARCELID #I /l. - , 2 + -2/^ed Ja" , - O/`o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I 1 I DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 I SFR I I COMM 1 1 OTHER I
TYPE OF CONSTRUCTION I q." BLOCK I I FRAME I I STEEL I I
DESCRIPTION OF WORK I l /L0 ~ I
BUILDING SIZE SQ FOOTAGE I I HEIGHT
'BUILDING $
..574() ) ,---
,r0 C//) `� VALUATION OF TOTAL CONSTRUCTION
(ELECTRICAL $ / , AMP SERVICE 1 I PROGRESS ENERGY ( I W.R.E.C.
'PLUMBING $
'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
'GAS 1I� ROOFING I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURREN I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N 1
Address License #
OTHER ` COMPANY ��4 P w ie �7Ale.} I
/`-^� ./
SIGNATURE C REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address f D OX ).2k3 I2, r nry License # & 00 5/ 21 y,)
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 requ (A/C upgrades over $7500)
** 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 if shingles 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 LENDER OR ORNEY BEFORE RECORDING YOUR T CE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) 2 4 .
OWNER OR AGENT ✓ "`--- CONTRACTOR
Subscribed and sworn to ( affirm d) 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. •
Notary Public f Notary Public
Commission No. Commi •n No '.W`P"', 1 • , -
IA Commission DD 621833
>t -L ." Expirt Dec 12, 2010
EsrP�
Name of Notary typed, printed or stamped Name of Notary typ tedaea astaw►�e� Insu,,,,Ce eou.3es7o19
1 111111 11111 111111111111111111111111111111111111111111111111
2010066848
12 -26 -21 -0030- 00600 -0190
• Assessed in Section 12 , Township 26 South, Range 21 East
of Pasco County, Florida
ZEPHYR HEIGHTS ADDITION PB 5 PG 50 LOT 19 BLOCK 6 OR 8308 PG 1479
Rcpt:1304836 Rec: 10.00
NOTICE OF COMMENCEMENT DS: 0.00 IT: 0.00
05/12/10 K. Garcia, Dpty Clerk
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
Permit No. 05/12/10 01:51 pm 1 of 1
Property Identification No. OR BK 8330 PG 151 1
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 information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (leaf description :) G t 60 J6
a) Street Address: S 3 2.. '' Si -M '114-5 �G-
2. General description of improvements: ' E — / R o ,v, A 1 K• �,
3. Owner Information
a) Name and address: S u 9a" N evvy-1 10 4 4 = 7 sQ j� r S C' r. 14 •v r, C 33574
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4. Contractor Information
a) Name and address: gif d (n) go D f /A) 6- Po /O X l3 63 PH-,06 9/ fit- 3 35 R.
b) Telephone No.: '3 5 2- sd 7- _S 3 Y Fax No. (Opt.} Siff/ .
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 o C mmencement (the expiration date is one year from the date of recording unless a different date is
Specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE F L R A (
CoUNV oi< LAURA KELDtE b
otP �'s� 's i ure of Owner or Owner's Authorized e r /
; _ Director/Partner /Manager
4 + � x � ; Notary Public - State of Florida ' ,
• :.My Commission Expires Aug 1, 2010 < Sq h r\-2_ t %;;)� 4 oa Comm # DD 580326 Print Name
,, ,, Bonded By National Notary Assn.
The foregoing instrument wa a n w e e e re me this ay of , )`` < , 20 \C21 , by x ` a c - \
,n"7 as t, o (type of authority, e.g. officer, trustee, attorney
in fact) for z -i5kEtte of party on behalf of whom instr ent was ex uted
Personally Known )o OR Produced Identification Notary Signature ,Jk,
Type of Identification Produced Name (print) (.- a4ij ire e
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.
S : re o Natural Person Signing Above
FORMS /NCC, rvsd2007 ,
GU
SUIT OF P L OR3bA; COUNTY OF F ASCO
THIS IS 1'0 CERTIFY THAT THE FOREGOING IS A
TRUE AND COIECT COY OF THE,DOCUMENT
ON FILE OR OF OIECORD IN TNiS OFFIOE
WITNESS MY HAND D'OF itIAL SLAT, THIS
/ 0 2 DA F _r. Q/ CY
PAULA S •' Efk, CLERK & G"OM'TROLLR
BY
CLERk