HomeMy WebLinkAbout10-10819 CITY OF ZEPHYRHILLS
5335 — 8TH STREET
(813)780 -0020 10819
BUILDING PERMIT
Permit Number: 10819 Address: 5817 12TH ST
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 - 05300 -0011
Improv. Cost: 2,900.00 _ t E'
Date Issued: 8/12/2010 Name: HOPE, MARK & ANTHONY CLARA SUE
Total Fees: 75.00 Address: 37505 ATWATER RD
Amount Paid: 75.00 DADE CITY FL 33523
Date Paid: 8/12/2010 Phone: (352)567 -7402
Work Desc: REMODEL ELECTRIC & PLUMBING
A •— • 7 i- — I L — L 4 .'' 3
FIRST CLASS ELECTRIC INC
SEALANDER CONTRACTOR SERVICES It
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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."
//if i)g..r". TO " IP ' -
CONTRACTOR SIGNATURE PERMIT OFFI tif R
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 Fax -813- 780 -0021
Building Department ,Ji / b (
Date Received •--- L ` Phone Contact for Permitting _ . i -- y��
Owner's Name .�`I, I `r� Owner Phone Number * o , .' r �
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS % \ \ , ' -- 6. 4 + 2 � As .t 3 .-- LOT #
`
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I ] ADD /ALT I SIGN 1 I I I DEMOLISH
INSTALL n REPAIR
PROPOSED USE SFR I COMM I I OTHER I I
TYPE OF CONSTRUCTION BLOCK pi FRAME I 1 STEEL 1 1 1 I
1
DESCRIPTION OF WORK C.... \€c.\ C.r \c- tir-.. pt n , �D _ hige�iL'CY
BUILDING SIZE L SQ FOOTAGE 1 a Q HEIGHT
(BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ILECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C.
a c.,,,,,Nc) i
I " (PLUMBING $ 'j 61/UoC/V
I (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION fA y .4/IP
2) /�
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1 (GAS I 1 ROOFING n SPECIALTY I 1 OTHER ( 6 4/ �' . Gl2 ✓Y1,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO 7 - -
BUILDER COMPANY �� C %� COMT REGISTERED I (�� / N 1 FEE (1',..„1..--7
E CURRE I ' /1 �l >��
SIGNATURE � �\ �e �„ /� RED Y / N � FEF Y / N
Address License #
ELECTRICIAN " �� COMPANY .T' 5 Cf�cC
SIGNATURE ,`-j� : 11■61. REGISTERED ( Y / N 1 FEE CURREN I Y / N 1
Address ` „lw.V„'4 ` C _ / C..1 License # E— - )2-5
isom■•••mmom r7
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PLUMBER
SIGNATURE _ - : -ar REGISTERED I Y / N FEE CURREt' I Y / N I
-....
Address Sgtc�_ License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I
Address License # f
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License #
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 $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 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 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 Tots 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR ' + ���-
Subscribed and sworr to (or affirrtted) b f� ore me th fs — Subscribed and swory to or affi d) be re me this
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Who is /are personally known to me or has /have pro ced Who is /are personally known to me or has/have prod ed
L . c {C*.- as identification. L c -z as identificati. .
L/ � ( � / Notary Public
./4t,"% � • _ Notary Public �.� �
: JACQUELI E BQGES
� ' Commisslon 6 b 621833 Commis .n N o. _* zf r *� CommiQSion DD 621833
commis - on ���. • ....: rr
' een4.0 T iu faay Fen mitre ee 9AA M7o1B - e: ti FRS Expires December 12, 2010
R f ''` rie11 d Thfu Tray Fran rfNUa *nre ano q6s 7012
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Pasco County Parcel: 11- 26 -21- 0010- 05300 -0011 001 Page 1 of 2
Data Current as Of: I Weekly Archive - Monday, July 12, 2010 I
Parcel ID 1 11- 26 -21- 0010 - 05300 -0011 (Card: 001 of 001) I
I Classification II 01 - Single Family
Mailing Address Property Value
HOPE MARK & Ag Land $0
ANTHONY CLARA SUE Land $12,590
37505 ATWATER RD Building $32,933
DADE CITY FL 33523 -6934
Physical Address Extra Features $8,358
5817 12TH ST Market Value $53,881
ZEPHYRHILLS FL 33542-3736 Assessed (Non - School Amendment 1) $53,881
Legal Description (First 4 Lines) '
Taxable Value $53,881
See Plat for this Subdivision "
CITY OF ZEPHYRHILLS PB 1 PG 54
EAST 1/2 OF LOTS 1 2 & 3 LESS
SOUTH 3.00 FT OF LOT 3 ALL IN
BLOCK 53 TOGETHER WITH AN
Land Detail (Card: 001 of 001)
Line 11 Use °Descriptionll Zoning II Units I Type Price I Condition II Value
1 II 0100 I SFR II 00R2 II 4,200.00 II SF II $2.84 II 1.00 II $11,928
2 II 0100 II SFR 0 00R2 II 1,890.00 II SF II $0.35 II 1.00 lI $662 I
Additional Land Information
Acres II 0.14 ILTax Area II 3OZH II FEMA Code II X II Code° ZHLHLP2 I
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1949 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 Plastered Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
I Line II Description Sq. Feet I Repl. Cost New
1 II FCA 252 I $2,717
I 2 (I BAS 744 1 $32,089
3 11 FST 120 I $2,588
I 4 11 FSA 276 1 $4,184
1 5 1 FOP 40 I $431
6 I UEP 144 I $3,105
Extra Features (Card: 001 of 001)
Line Description I Year Units II Value
1 COOL DK I 1979 480 II $976
2 CLFENCE I 1979 1,272
( $448
3 DCFENCE I 1979 540 II $202
4 POOL -6 I 1979 512 $6,144
5 DWSWC I 1999 320 II $588
Sales History
Previous Owner 1 JPMORGAN CHASE BANK NA
Year II 1 Month Beek /Page Type Amount
II 11
http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 7/16/2010
STATE QIw. FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A • 1111111111111111111111111111111111
TRUE AND CORRECT COPY OF THE DOCUMENT 2010102145
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE -
WITNESS MY HAND A. OFFICIAL SEAL THIS Rept :1316087 Rec: 10.00
/6' DAY OF ` 2 0,0 DS: 0.00 IT: 0.00
PAULA S. O'NEIL, CL K & OMPTROLLER 07/16/10 S. Hatcher, Dpty Clerk
( P A B ��� DEPUTY CLERK
NOTICE OF COMMENCEMENT
PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLEr
07/16/10 12303 1 cf7
PennitNo. . OR BK 837 7 PG 108
Property Identification No. \ \\ W "-\ \< 300 OO \\
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.
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1.Description of property (legal description:) _. Z. •.,_ ,%
a) Street Address: +. . _, '_ .. ..,
2.General descriVtion of improvements: .0 se\\X \N ,
c % G � '_ C&..c-4.. y1/42 ���
3 .Owner Information
a) Name and address: Z c'►ik 1
• b) Name and address of fee simple titleholder (if' . eer than owner) ♦, `."M�" l.!. «. L 1 ` 70.. ,
c) Interest in property t� nv.t1c�_ �
- 6... 3
4tCo Information •
.tractor 'a) Name and address: - ���,■ � _ . .\ c. Ni�. L _ — _ 4,_ ' b) Telephone No.: _ - , Fax No. (Opt.)
5.Surety Information
a) Name and address: , .
b) Amount of Bond:
c) Telephone No.: 1iax 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.: t-- 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 COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO — • ` \`� .,�•
a " n� �> i ° ' JACQUELINE BOGES Signature of Owner or Owner's Autho ' +cer/Director/Partner/Manager
:. Commission DD 621833
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••� � :A Expires December a 12, 80 2010 t]v
�' ps ��`�� Bonha Thru Troy Fain Insurance 800-386-7019 Print Name \
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The foreg instrument was acknowledged before me this / ‘-0 day of c u (y , 20 / 6 , by ...5 e...., 91r'i'�-uc'rt
(. f, ea as 1 (type of authority, e.g. officer, trustee, attornej
in fact) for (name of party on behalf of s om instrument was a ecuted).
Personally Known OR Produced Identification Notary Signature 4L.d ," t _,
fJ . ; hood— Type of Identification Produced Cif aiN. Name (print) /a c L.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.
' ;%
Signature of Natural Person Signing Above
FORMSINOC,rvsd2007
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