HomeMy WebLinkAbout09-9686 CITY OF ZEPHYRHILLS
5335 8TH STREET
(813)780 -0020 9686
BUILDING PERMIT
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Permit Number: 9686 Address: 5121 19TH 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 - 20100 -0060
Improv. Cost: 49,000.00 zg,S,x,r:;; _ ,E m
Date issued: 10/27/2009 Name: BACK, WILLIAM & DINA
Total Fees: 552.00 Address: 5121 19TH ST
Amount Paid: 552.00 ZEPHYRHILLS, FL. 33542
Date Paid: .. ,-10127/20 Phone: (813)355 -1195
Work Desc: 304 SQ FT ADDITION/ 835 SQ. FT PORCH & GARAGE ADDITION
4 ; a @a ''"'.: .t & a 6� Za ia' '`a 4 a H e d I I u3 e\� :n i ', o r' g , a , ,.
HO R BUILDIN EE 447.00 E TRI AL FEE 35.00
PLUMBING FLEE t�35,.00 ( MECHANICAL FEE 35.00
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• • E / 2 - - • 2ND - 0U H PLUMB MSC INSULA I•N ILIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB i2 -16 - 0C) PRE -METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE -SLAB (2 - 1 it - 09 SHEATHING MISC. Ilk 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 ecording your notice of commencement."
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CONTRACTOR SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
O6/16,'2C1O ��25 4X
Total� 6G.0O
Cash� O.00
Chec1 6O,OO 7j
Other; 6O.00
Ch: 5,JD
Custoner #� OOOOOC
Cashier: bobbie
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City of Zephyrhills Building Department 06 -15 -2010
5335 8th Street
Zephyrhills, FL 33542
813- 780 -0020
Attn: Mr. Bill Burgess
Re: Addition / Alteration Permit #9686
5121 19 St.
Zephyrhills, FL 33542
Mr. Burgess,
Please acknowledge this correspondence as a formal request for a (3 mo h) time
extension of the above referenced building permit. I have full intention of comp ing the
project, however due to the current economic recession, the reduced amount of work for
my profession, challenges associated with bank financing and the fact that my wife and I
have not been able to sell her home; these factors have created several unforeseen delays
resulting in significant hardship for us.
I would appreciate your understanding with is matter and subsequent approval
of my request.
Professionally yours,
L/L1 ( 4*
illiam D. Back (Homeowner)
813- 780 -0020 City of Zephyrhills Permit Application 4 96% Fax -813- 780 -0021
Building Department
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Date Received Phone Contact for Permitting I // 3;"? /3 -- 8 / 5
I I I I I I I I t I I I I t I L Q,�
Owner's Name t /U� - hi/v4 r d CA Owner Phone Number e/3- 355 - -/ 175
Owner's Address `5 /2 / / / / Z S/ , -/ (z-0/11.,$) Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �^
JOB ADDRESS 5/2/ 1 917 Sy7Q.E ZL ,� ia , / 0 LOT #
SUBDIVISION : PARCEL ID# 1/ 26 -21-00/0 - 2t' /ao -0060
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n SIGN I 1 MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 1 1 COMM pi OTHER I
TYPE OF CONSTRUCTION BLOCK 1 1 FRAME I 1 STEEL I 1 OTHER I I
DESCRIPTION OF WORK 1M7MfJ� ,4j7704/ i ,P 0 64 Cr' /94-4
8`A La, 1Z' X12 3Off f1 Li b'itIG /
BUILDING SIZE f 18 X, y SQ FOOTAGE t HEIGHT 4661 /
1 VI BUILDING $ vp
'/ 000 — VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C.
1 PLUMBING $
)1 A) 02, i _.,)
1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION P
I GAS I I ROOFING 1 1 SPECIALTY I 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I] NO
BUILDER REGISTERED , COMPANY
SIGNATURE [' � ✓° .. /�/ 4� REGISTERED /k/i4
/ N I FEE CURRENT I Y / N I
Address 5/2 / / g . rn S1?'C ,— Z ft 3,31 51 License #
ELECTRICIAN gem., e �°� � `' o ` '',e-� AIS SIGNATURE COMPANY
�9� 4 J, REGISTERED I Y/ N j FEE CURRENT I Y/ N 1
Address ( /
//,�� License #
PLUMBER H . epjfi . {
�� e /� 1 COMPANY
SIGNATURE t[ t 6 t,(,�,- REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address i License # i Ate
MECHANICAL COMPANY
SIGNATURE � _ �� REGISTERED I Y / N I FEE CURRENT 1 Y / N I
Address el.5( License #
OTHER et r a IA.) Ai
SIGNATURE 4 1� �� X tAe COMPANY OAP--
REGISTERED I Y/ N . 1 FEE CURRENT I Y/ N I
/
Address `— License # F
RES IDENTIAL 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 - WeIIs, 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 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 sworn 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.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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SURVEY OF: Lots 6, 7, anr? f3, Block 201, CITY OF ZEPHYRHILL$, as
per plat thereof recorded in llat Book 1, Page 54, Public Reaorde
of Pasco County, Florida.
Tun, ceriitie.s..-- :that.. we made the survey am shown hereon, that .the____ ..... __
survey is correct to the best cf. our knowledge and belief and
that this plat 18 a true representation thereof.
MULLINS AND SHOUN
Herbert Shoun, Florida T 8urveyc .
Registration No. 5 51
FOR Francis H. Charlton
ORDER NC. 1439
January 27, 1965
•
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, Id/G&4---m, A. 4 t9c-(4- 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 $25,000.
The building or residence must be for your own use or occupancy. It 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 ations.
OWNER'S SIGNATURE DATE ` — 2 — O
ADDRESS 512./ 2r-Ni/ s
PHONE 0 /
WITNESS PERMIT #
Prepared by and Return to::
Joseph V. Morrow
Morrow Business Solutions, Inc.
5536 6TH Street, Zephyrhills, Florida 33542
File Number: MBS2008086
Warranty Deed
Made this 19th day of June, 2008 A.D. By EMANUEL B. BACK and wife LULA J. BACK, hereinafter called the grantor,
to WILLIAM D. BACK and DINA BACK, his wife, whose post office address is: 5121 19th St. Zephyrhills, FL 33542,
hereinafter called the grantee:
(Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of
individuals, and the successors and assigns of corporations)
Witnesseth, that the grantor, for and in consideration of the sum of * ** NO CONSIDERATION * ** and other valuable
considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
unto the grantee, all that certain land situate in Pasco County, Florida, viz:
Lots 6, 7 and 8, Block 201, City of Zephyrhills as per plat of the Town of Zephyrhills
recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida.
This instrument was prepared by Morrow Business Solutions, Inc., 5536 6TH Street, Zephyrhills, FL 33542, who certifies that
they prepared the same from information given to him by the parties, and neither the marketabilty of title nor accuracy of legal
description is hereby guaranteed.
Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither
Grantor(s) or any members of the household of Grantor(s) reside thereon, nor is it contiguous thereto.
Parcel ID Number: 11- 26- 21- 0010- 20100 -0060
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will
defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing
subsequent to December 31, 2007.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Signed, sealed and delivered in our presence:
(Seal)
EMANUEL B. BACK
Witness Printed Name (2 L '3 ° M.4 Y ebb) Address: 39038 Citadel Cir, Zephyrhills, FL 33542
Y t At,t4} (Seal)
Lb A J. BACK
Witness Prin Name 0 Lp 1- Al d W Address: 39038 Citadel Cir, Zephyrhills, FL 33542
TWO DIFFERENT WITNESSES
State of Florida
to WILLIAM D. BACK and DINA BACK, his wife, whose post office address is: 5121 19th St, Zephyrhills, FL 33542,
hereinafter called the grantee:
(Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of
individuals, and the successors and assigns of corporations)
Witnesseth, that the grantor, for and in consideration of the sum of * ** NO CONSIDERATION * ** and other valuable
considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
unto the grantee, all that certain land situate in Pasco County, Florida, viz:
Lots 6, 7 and 8, Block 201, City of Zephyrhills as per plat of the Town of Zephyrhills
recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida.
This instrument was prepared by Morrow Business Solutions, Inc., 5536 6TH Street, Zephyrhills, FL 33542, who certifies that
they prepared the same from information given to him by the parties, and neither the marketabilty of title nor accuracy of legal
description is hereby guaranteed.
Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither
Grantor(s) or any members of the household of Grantor(s) reside thereon, nor is it contiguous thereto.
Parcel ID Number: 11 -26-21 -0010- 20100 -0060
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will
defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing
subsequent to December 31, 2007.
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Signed, sealed and delivered in our presence:
__���4,,,,,,.,u � �ctc eci (Seal)
t EMANUEL B. BACK
Witness Printed Name 60 ( .e. L 0 ` ! - 4 Y ylt) Address: 39038 Citadel Cir, Zephyrhills, FL 33542
M (Seal) /dit'Cli
L U A J. B.<&. Witness Prin Name U Al d �_ Address: 39038 Citadel Cir, Zephyrhills, FL 33542
TWO DIFFERENT WITNESSES p /--
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this 19th day of June, 2008, by EMANUEL B. BACK and wife LULA J. BACK,
who is/are personally known to me or who has produced driver's license as identification who did/did not take an oath.
I t.r___.At /110.4A.,0,.-
i
"u ,iOSEPH VTROW /ry Pub
MY COMMISSION ICOR # DD632177 MOR t Nam
• 4 0;tir EXPIRES April OT. 2011 My Commission Expires:
(407)394-0153 FlorId.NOtrrySerwOS.aom
(Notary Seal)
DEED Individual Warranty Deed With Non - Homestead -Legal on Face
Pasco County Parcel: 11- 26 -21- 0010- 20100 -0060 001 Page 1 of 1
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Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekl Archive - Saturda , October 17, 2009
t-- Parcel ID — — 1 - .- -e s 6 - a e ' - s s ar. I s o s e 1
Classification 01 - Sin • le Family
Mailing Address 1 Property Value
BACK EMANUEL B & LULA J Ag Land $0
39038 CITADEL CIR Land $27,300
ZEPHYRHILLS, FL 335422718
Building $56,769
Physical Address
Extra Features $175
5121 19TH ST
ZEPHYRHILLS, FL 33542 -2168 Market Value $84,244
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision."' Taxable Value $84,244
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 6 7 & 8 BLOCK 201
OR 1542 PG 969
Land Detail Card: 001 of 001
Line
-_..- - T —
e Use Deacri • on T
Units Price Condition Value
1 0100 I SFR 1 00R2 1 8,400 00 1 SF $3.06 1.00 I $25,
T t
2 0100 SFR 00R2 4 200 00 1 SF 1 $0.38 1.00 1 $1 596
I
1 � n
i i Additional Land Information
C T Residential i
Ac res 0. 29 Tax Area 30tH FEMA Code X Coded ZHLHLP2
BuildingInformation - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1964 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 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description . Feet Re .1. Cost New
1 BAS 1,688 $69,883
f $4,513
2 � UGR 364
3 j FOP 72 $745
4 -- - UDG - 432 T $5 382 -
Extra Features Card: 001 of 001)
Line i Description , Year Units Value
1 I DWSWC 1 1964 1 311 $175
Sales History
Previous Owner BACK NORA J
Year Month Book /Page, Amount
1986 09 1542 L0969_ 1 FS 1 $0
1985 01 i 1391[ 0007 FS
$0
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Other Agency Data: Tax Collector School Board Supervisor of Elections
http: // appraiser .pascogov.com /searchlparcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &... 10/22/2009
Pasco County Parcel: 11- 26 -21- 0010- 20100 -0060 001 Page 1 of 1
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: II Weekly Archive - Saturday, October 24, 2009
Parcel ID II 11- 26 -21- 0010 -20100 -0060 (Card: 001 of 001)
Classification 1 01 - Single Family
Mailing Address Property Value
BACK EMANUEL B & LULA 3 Ag Land $0
39038 CITADEL CIR Land $27,300
ZEPHYRHILLS, FL 335422718 Building $56,769
Physical Address Extra Features $175
5121 19TH ST
ZEPHYRHILLS, FL 33542 -2168 Market Value $84,244
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision Taxable Value $84,244
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 6 7 & 8 BLOCK 201
OR 1542 PG 969
Land Detail (Card: 001 of 001)
Line II IIDestionll Zoning II I Type II e $3'06 I Condition II Value
1
II 0100 SFR 00R2 II 11 I I 8 ,40 00 I I I II $25,704
2 II 0100 II SFR II 00R2 I I 4,200.00 II SF II $0.38 II 1.00 II $1,596
I Additional Land Information
I Acres II 0.29 II Tax Area I 3OZH II FEMA Code II X IlResidential Codell ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1964 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 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line II Description I I Sq. Feet I I Repl. Cost New
1 lI BAS II 1,688 II $69,883
2 II UGR II 364 II $4,513
3 II FOP I I 72 I I $745
4 II UDG
III 432 II $5,382
Extra Features (Card: 001 of 001)
Line II Description 0 Year Il Units II Value
1 II DWSWC II 1964 II 311
II $175
I Sales History
I Previous Owner I BACK NORA 3
I Year II Month I B ook /Page II Type II Amount
1986 II 09 II I 1542 / 0969 II ES II $
I 1985 01 II 1391 / 0007 II FS 0 $0
Search Again 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 &... 10/26/2009
� v -. iii
1
. .
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor /Homeowner: 8; 1 1 - e %
Date Received: 10 — 2 2 -09
Site: 5( 7- I 1 ' e.Ca
Permit Type: dUI! 'I 6Y-, R ? . 0 / (2 ic f 2 o f 8 X Z
Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet shall be kept with the permit and /or plans.
/P .- C,
Kalv' Swit er 'aans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
NOTICE OF COMMENCEMENT 111111111111 IIIII 1111111111 11111 1111111111 11111 11111111
2009154159
Rcpt :1270599 Rec: 10.00
Permit No.1, B« �. DS ; 0. /T: 0.00
Tax Folio No. l/ - 2C - 4,- 6o /O'-20 /DO - O 10/27/09 Dpty Clerk
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 (legal description): L.07,,S j 7 8 / & 'Ck ZD / G' /1 r O/C ZEIV y,P /t $
a) Street (job) Address: 5/2 / /9711 . Sr. ZEp// y.2J/ -iZL 1° f ft. 33 6 2.
2.General description of improvements: ! , „ , ,
3.Owner Information
a) Name and address: A//LL/4 41e , 614/4 Aga Ck 5/2/ 19m Z.s,ev Y.Q rnYS �L
R b) Name and address of fee simple titleholder (if other than owner) /1 g ,
c) Interest in property
4.Contractor Information
a) Name and address: Home 014)4/4e /
b) Telephone No.: g/3 — 7/ 5-6)S0 Fax No. (Opt.) fiZ
5.Surety Information
a) Name and address: ,/e,
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.) , PAULA S. 0' NEIL , PRSCO CLERK 8 COMPTROLLER
6.Lender 10/27/09 OR BK Q ler 1 PG a) Name and address: ��• y 33
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: /, 09. (0/0/1/46 ,04/2-
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: /+� , 9 ,
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 WORK OR RECORDING YOUR NOTICE OF MMENCEMENT.
STATE OF FLORIDA ,/2
COUNTY OF �S f S (. 10
Signature of Owner or Owner's A Officer/Director /Partner/Manager
W/I1 ,o, BA
Name ,\
AtZrL
The foregoing instrument was acknowledged before me this or day of ^t,[&Q,k. , 2009 by 1W
as 1 lr (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification t/ Notary Signature
rr . & Type of Identification Produced \Z /t1n,�P.v� �cD (print) �-�t��.� � e , t , t
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
FORMS/NOC,rvsd2007 Of /i Notary Public Stets of Fl%IMa
Rnxdy Signature of Natural Person Signing (in line # 10.) Above
N,1 DD554049
o, n xpirec ;)EVI5/2010
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 HA 0' Fl IAL SE_
DAY • c • ! 1 ___
U•' , RK & COMPTROLLER
B i ,� PUTY CLERK