HomeMy WebLinkAbout10-10652 CITY OF ZEPHYRHILLS
5335 8TH STREET ,
. (813)780 -0020 10652
# y FENCE PERMIT
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Permit Nu mber: 10652 4 Address: 5053 17TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE /NEW 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 - 21300 -0010
Improv. Cost: 3,000.00 q H
Date Issued: 6/28/2010 Name: S INEENEY , S AN D , RA & MICHAEL
Total Fees: 45.00 Address: 5053 17TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/28/2010 Phone: (610)400 -5496
Work Desc: INSTALLATION 263 FT VINYL FENCE 6FT REAR AREA
�>; - o it .:.. - -_• ., .. 0' .b , &., :5C:5''''-45:-:-: ;gill ' $ :; ,T.: Vi a.. } ..awa.a➢.: 5 ;x. I'V ' i 5t
HOMEOWNER FENCE 45.00
f�dYlt 42� � E r.1,- : k � A '�� � d' n �'t"'- :1 ` (set + 4: s c.t I f r.' ._ c)
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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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
"- - -,
,,:/ ./_° . 4 4 <1". ,
CONTRACTOR PERMIT OFF! - -
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED .
PROTECT CARD FROM WEATHER
City Of Zephyrhills
5335 -8TH STREET
Permit Dept. ( 7/12/11)
To Whom It May Concern
My wife has been seriously ill for the past two years. She died as of 5/27/11 and was
buried on 6/27/11 in Pa. The priority was obviously to her in the way of a caregiver
during this period. I'm respectfully requesting an extension on permit # 10652 to
finish my Vinyl Fence Installation. See attach: 1 &2.
Sincerely
*
Michael J. Sween
5053 17 TH Street
Zephyrhills, FL. 33542
f e 3 R t r .4 1
Sandra E. (nee Reilly) Sweeney, 62,
Loving Wife, Mother and Grandmother
Sandra E. (nee Remy) Sweeney, 62, of Zephyrhills,
FL, formerly of Glenolden, PA, passed away on May 27,
2011.
She was born January 11, 1949 in Battle Creek, MI.
She enjoyed arts and crafts and was of the Catholic faith.
Mother of the late Stephen Spangenberg.
Survivors: Husband Michael Sweeney; sons Sean
Sweeney, James Spangenberg, David Spangenberg, 9
grandchildren.
Calling Period Monday 10 AM until her Memorial
Service at 11:30 AM at the Cavanagh Family Funeral
Home, 301 Chester Pike, Norwood.
Burial: Saints Peter & Paul Cemetery, Marple.
Contributions: American Cancer Society, 1615 West
Chester Pike, Suite 102, West Chester, PA 19380.
reVeZ,Fia MO, FAMILY FUNERAL HOME NC.
BART H. CAVANAGH SR. SUPV
� , PRIVATE CREMATORY
www cavanaghfuneralhome. com
. "; -� STATE OF FLORIDA N *... ,.t
4
• - 4
OFFICE of VITAL STATISTICS
~ 5 CERTIFIED COPY
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renew
atANE FLORIDA CERTIFICATE OF DEATH ��
,.(
e LOCAL FILE NO.
1. DECEDENTS NAME (Fist y y e. Lest S4Unq
2 SEX
Sandra E. Sweeney F ema l e
_ 3. DATE OF BIRTH plbeal, Dry y 4a A �r Mann 44 TINDER 1 YF � s k R DAY s 5. DATE OF DEATH (Mont My Y es/ ) ths January 11, 1949 62 May 27, 2011
6. SOCIAL SECURITY NUMBER 7. BIRTHPLACE (Gay end Sae. //Foreign Caa SY) 6. cowry OF DEATH = y .
200-44 -7906 I Battle Creek, Michigan I Pasco
�''° - 9. PLACE OF DEATH -
(Clrack�'one) H OSPITAL � YpWerd _ Errnergerncy RoamlOupeTiae _ Dead On Arrival _
NON- HOSPITAL 7f Hospice Fealty - Nuking Home/Long Ten/ Care Fay - Decedent's Hans _ Oles ISpeo7y)
10. FACILITY NAME DI not insilWion, gem sheaf address) 11e. CRY, TOWN, OR LOCATION OF DEATH 11b. INSIDE CITY LIMITS?
° Gulfside Center for Hospice Care I Zephyrhills _Y X No
w 12. MARITAL STATUS (Specify) 13. SURVNNG SPOUSES NAME (role, 9.. swab. rams)
- O MMbtl - termed, but see.... - Wi0owed - DNad _H 'threw Michael Sweeney ,: Y
Q 14e. RESIDENCE - STATE 140. COUNTY 14c CITY, TOWN, OR LOCATION
W Florida Pasco Zephyrhills
- D 14d STREET AND NUMBER . ZIP CODE 14g. INSIDE C TY mars? -
5053 17th Street I 14e. APT. NO. 14
33542 I X Y.s _N,
:::".";('' ' EII
15e. DECEDENTS USUAL OCCUPATION Mora. type of *Mr drane during most of noting Yk) 1 1510. KIND OF SSI91OUSTRY
D Oe° t eae Own H ome
W Hom emaker
J 16. DECEDENT'S RACE (Specify Ills race/races il
a c e s d r a l e war dsoeda t considered hiaeemtwaw to be. Moe t ram an one ra may be swiftest)
& X Whet _ Black or African American _ Amnon Inten or Alaskan /NAM (Spay bee)
- = OU - Anew Indian Chase F;*io _Japanese _ Korean _ Viealmness _ Otter Asian (Specify)
m Neeve Hawaean _ Guerorien a Chemono _Samoan - Other Paci is Id (Speak) _ Omar (Sperry) {'�`
° 17. DECEDENT OF HISPANIC/HAITIAN ORIGIN? _Ye Yes, X No _ Yesic0n _ PkrM Rican _Cobs. - CerrairSWAMrrinn
,
I- Ma* /decedent was aItaspanicorHaaen Origin.) Y1 -
Z - Oar/ ilrpa0C (Sway) -Halton 2 18 DECEDENTS EDUCATION (Specify is MacleaY highest dogma at level dWgo ksnpleled at erne d derh. ) 1A WAS DECEDENT EVER N '....!..s
_ tfm er Ina Wpm a(dk/r Wi no dpbrea X Feyk 0010 I diderna a GED U.S. ARMED FORCES? `.
o - Oa■9s 10w m deQee Cortege dpree (Spar): Assocae _ BaalNOfs _ Maslefs _ Doelarae vas x No
Z 20. FATHERS NAME (Fir/. M/dde, Last. SW16q 21. M ONERS NA (Pit. M41lR Heid Sranarr _
-. _ Walter M. Reilly Mary Ruth Martin
d 22a INFORMAN NAME 2210. RELATIONSHIP TO DECEDENT 23a. INFORMANTS MAIUNG - STATE
Michael Sweeney Husband Florida
° 236. CITY OR TOWN 23o STREET ADDRESS 23d. ZIP CODE
. .:; w Zephyrhills I 5053 17th Street 33542 s 7
24. PLACE OF DISPOSITION (Name ofcem. ak; oemalory, or Lew plra) 25a LOCATION - STATE 2510. LOCATION - CITY OR TOWN
w Palm State Crematory Florida Clearwater 0
(1) 26a METHOD OF DSPOSMON - B„ fr .. 1 Emanrnasnt X Crrnwan _ DrsnaTirn _ Removal F Stale _ 061 Or (speryy,
Q 2610. IF CREMATION. DONATION OR BURIAL AT SEA, 27a LICENSE NUMBER (atLiceneas) 276. SIGMA SERVICE LICENSEE OR PERSON ACTING AS SUCH
-
W
APPROVAL ALG GRANT TE ED ? 2.C.,,. Yes _ No F0462O1 I ► ,
20. NAME OF FUNERAL FACILITY
o Whitfield Funeral Home Florida -srATE .
0 m 200. CITY OR TOWN 29c. ESS 2a a. zip C ODE
STREET ADDR I § Zephyrhills 5008 Gall Boulevard 33542 ■
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30. CERTIFIER: X
V.I W Certifying g Physician - To The beer o my knowledge, 0eelh marred at me line. Ore en0 piece, aand due b hie cause(s) and manner manner slae0
J is LL (Mock era) _ Medical Examiner On the bests a aaniatim, and// invesageeat in my opiate, deem axlmed at me Time, dale and
F. 91a w b tea ausa(s) and manner staled. •
� 314 DATE ■
� U • , vvyy�� peatldryyy 32. TIME OF DEATH (24 Pr) 33. MEDICAL EXAMMERS C ASE NUMBER
e M t I Ci131 lib' I 2245 ■
_, 34a LICENSE NUMBER for/ Caeia) 344 CERTIFIERS NAME 35. NAME OF ATTENDING PHYSICIAN (V other ban Oatler) -
At el ' I� Chris Nussbaum, M.D. .
O b 36e. CERTIFIERS - STATE 3 64 CITY OR TOW" 36c. STREET ADDRESS 360_ ZIP CODE
> w Florida Zephyrhills 5760 Dean Dairy Road 33542
37. SUBREGiSfRAR - Arson and Date 38.4. 'jG /� /� / REGISTRAR I / g - Le` A, 386. DATE FILED BY
r: -
i5 o'<
Y " Y.
i
C '.
CHIE c i /41 Y
oF �HESr� TF JUN 8 2011
av
FLORIDA , ORIDA DFPARIh4M OF
Y THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH A WATERMARK OF THE GREAT TNT7�.�� AL ,T
a. _ WARNING' SEAL OF THE STATE OF FLORIDA. DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK. 11L j
• ,✓P`
='°" >" o THE DOCUMENT FACE CONTAINS A MULTI-COLORED BACKGROUND AND GOLD EMBOSSED -SEAL THE _BACK
CONTAINS SPECIAL LINES WITH EXT T AND SEALS IN THERMOCHROMIC INK. -
DH FORM 1947 (08104) ...A.:\
: , 3 7 1 8 8 4 0 1 CE RTIFICATION OF VITAL RECORD .; l
* 3 7 7 8 8 4 0 1*
•
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10652
FENCE PERMIT
Permit Number: 10652 Address: 5053 17TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE /NEW 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 - 21300 -0010
Improv. Cost: 3,000.00 a;® z s.;
Date Issued: 6/28/2010 Name: SWEENEY, SANDRA -& MICHAEL
Total Fees: 45.00 Address: 5053 17TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/28/2010 Phone: (610)400 -5496
Work Desc: INSTALLATION 263 FT VINYL FENCE 6FT REAR AREA
E;S a: °l r 7771777.,S
HOMEOWNER FENCE 45.00
Ofr
F NAL . F
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
Complete Plans, Specifications and Fee Must Accompany Application.
A r ork shall be performed in accordance with City Codes and Ordinances
,e,"/ 66g--- II 44 IP' '-
�41\IT;.' " • ; PERMIT OFFI v
P • • M XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSURE STATEMENT '.FOR OWNER
CITY OF.ZEPHYRHILLS:— .BUILDING DEPARTMENT
I, ✓ , 7 ,e /7. L 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 $75,000. The
building or residence must be for your own use or occupancy. • It may not be 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 worker's 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 "� / //' �- DATE 6-.7
ADDRESS ✓ • OS3
PHONE . �'( 6: Sl 7O or (. -,
WITNESS • PERMIT
I/ Masterforms /OwnersAffidavit/Nov07
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Pasco County Property Appraiser - Legal Description for: .11 -26 2.1- 0010 - 21300 -0010 Page 1 of 1
Welcome : Records Search : Parcel Details : Legal Description
Legal Description
11 26 - 21 - 0010 - 21300 -0010
Assessed in Section 11 , Township 26 South, Range 21 East
of Pasco County, Florida
ZH MB 1 PG 54 L1, 2 BLK 213 OR 7332 PG 1673 & OR 8078 PG 442
Please be advised that our legal descriptions are for assessment
purposes only, and are not intended for use in legal conveyances.
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 11:49:04 AM
The Local Time Is: 6/28/2010 3:36:30 PM
http: / /appraiser.pascogov. com/search/legal. aspx ?parcel= 2126110010213 000010 &cache =F... 6/28/2010
813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department ,i/'� f O4 2
Date Received ��-� 1
Phone Contact for Permittin s --
Owner's Name / 77/e-,44.0L S ' e t ee-A4
Owner Phone Number O W - 70 � = 5 `/p , 60
Owner's Address 6 V /7 rit 'S / Owner Phone Number
Fee Simple Titleholder Name \ __.. - -- Owner Phone Number
Fee Simple Titleholder ress
JOB ADDRESS f LOT#
SUBDIVISION PARCEL ‘# 26. / - / 1 - v010 l 3 0o D i 0 6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN n I I DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 I SFR n COMM ( 1 OTHER
TYPE OF CONSTRUCTION I 1 BLOCK n FRAME ( 1 STEEL n I
DESCRIPTION OF WORK //2/5"7::1X I/ 44, U( Oil -- �,.,, e 6 3 /' T CK e.D
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $5 O 0. Gc(:) VALUATION OF TOTAL CONSTRUCTION
1 (ELECTRICAL
$ AMP SERVICE I 1 PROGRESS ENERGY 1 1 W.R.E.C.
1 (PLUMBING $
1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1 IGAS 1 1 ROOFING n SPECIALTY ( 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO
BUILDER !` COMPANY 1/ f�' 4 7.(00`( L•2_
SIGNATURE j REGISTERED 1 Y/ N i FEE CURREN I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y / N 1 FEE CURREN 1 Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y / N I FEE CURREN 1 Y/ N 1
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address I License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N I
Address License # I
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 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 LE R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
WITH YOUR UR LENDER FINANCING, CONSULT
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT/��jj CONTRACTOR
41....A, Subscribed and swo • (or a ii'Ted) b ore , t
Subscribed and sworn • or affir • befo : e this
VC by ' ` t _40
Who is /are,ersona '7 known t me or ha Produce% Who is /are personally known to o me or has/ ave pr. • uced
as identi Ica Ion. as • - tification.
/ .„ �
Aid Notary Public the
Notary Public
.rAg+ra�..... ° �1117�,,�'y��.. .�• .� ` :��' ►y'% JACQUELINE
Commission x,01.21833 BCGES
�� + i Com i .ion NQ *� Commission DD E218z3
Commi oI .:: ,: 12,2010
"�,.a„ I MIN ne„ Fon lnw rmos �' g
: ►`- `Expires C�ecembe � 1 ? X010
l,..f. /it pnnAtlt lnkFMRl lnw.titi.. ; ;.: ;;p5 -707
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Pasco County Parcel: 1 1- 26 -21- 0010- 21300 -0010 001 Page 1 of 1
I Data Current as Of: II Weekly Archive - Saturday, June 26, 2010
Parcel ID I 11- 2 6 - 21- 0010 -21300 -0010 (Card: 001 of 001) I
Classification I 01 - Single Family
Mailing Address Final 2009 Value
SWEENEY SANDRA E & MICHAEL 3 Ag Land $0
5053 17TH ST Land
ZEPHYRHILLS FL 33542 -2147 $25,704
Physical Address Building $23,1$0
Extra Features
5053 17TH ST $0
ZEPHYRHILLS FL 33542 -2148 Market Value
$48,854
Legal Description (First 4 Lines) Assessed (Non School Amendment 1) $48,854
See Plat for this Subdivision Taxable Value
ZH MB 1 PG 54 Ll, 2 BLK $48,854
213
OR 7332 PG 1673 &
OR 8078 PG 442
-
Land Detail (Card: 001 of 001)
Line H Use IlDescriptionI Zoning II Units II Type II Price 0 Condition II Value
1 II 0100 II SFR II 00R2 II 8,400.00 II SF II $3.06 II 1.00 II $25,704
Additional Land Information
Acres II 0.19 II Tax Area II 30ZH II FEMA Code 0 X IiResidential Code I ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1954 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 Plastered Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Window Unit Baths 1.0
I Line II Description U Sq. Feet II Repl. Cost New
Q BAS II 1,050
I 2 USP II 240 I) $38,042
II $609
3
II UST II 48 0 $688
Extra Features (Card: 001 of 001)
Line D I Year II Units II Value
No Extra Features
Sales History
Previous Owner 11
Year p SWEENEY SANDRA E
2009 I I Month 0 Book /Page II Type 0 Amount
05 II 8078 / 0442
2006 I 12 II 7332 / 1673 II p 11 $ 0
1967 1I 10 I I 0376 / 0143
II WI 11 $0 1
http ://appraiser.pascogov. corn/search/parcel. aspx?sec=11 &twn= 26 &rng=21 &sbb= 0010 &b... 6/28/2010
PASCO COUNTY TAX COLLECTOR IIIIIIIIIIIIIIIIIIIIIIIII
LEGAL DESCRIPTION IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
ACTION: DISPLAY 2010096215
PARCEL: 1 11 26 21 0010 21300 0010
YEAR: 2009
Rcpt:1314223 Rec: 10.00
OWNER OF RECORD: SWEENEY SANDRA E & MICHAEL J DS: 0.0 IT: 0.00
ZH MB 1 PG 54 L1, 2 BLK 07/06/10 K. Garcia, Dpty Clerk
213
OR 7332 PG 1673 & PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
OR 8078 PG 442 0 7/06/10 01:48 m 1 of 1
OR 6K 837 0 P G 237
NOTICE OF COMMENCEMENT
Permit No. 7
Property Identification No. //-_,...26, U 2/ - DO /e �?3o6 -00/0
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.
,5c /PSUVG 11
C�escription of property (legal description:) ,¢ CSSrd / u ,ec d /� .; j6 Sow �A i f ,,./.. , / t.i¢S T'
a) Street Address: X053 j7 77 .ST,e -u % -t- / s . e. i 35-1412--
6General description of improvements: be./sTq.,t et 4, ! A,,� )t4 ,c-„icc r,¢E, y et
6 Owner Information a) Name and address: ffiz,4- c.- a --- _ � ,..0_573 � � f , . g7 4 i j „ - L S FL g5i -
b) Name and address of fee simple titleholder (if other than o er) 7
c) Interest in property
4.Contractor Information
•
a) Name and address: 5,,l7re 4-S ex..,z -c,e '
b) Telephone No.: 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.:. c- 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 i�""• PY?; JACQUELINE BOGES K / � _ / /
°�: "l :* Commission DD 621
: %• 7 1 Expires December 128 2010 �/ /, � / off , - ,? wn cr' Auth d a .: . 'e' . ctor/P edManager
$/',b Gonad Thns Troy Fain Immo, 200.3070 /'a � C- /4 — v fi t/ -- '1`c/ C
Print Name '
Th f reg°ing s ent was acknowledged before me this 2 e day of J C.t n Q. , 20 ) (b, as
tC:GKd�! C'2 �J
I (type of authority, e.g. officer, trustee, attorney
in act) for (name of party on behalf ' om instrument was e; uted).
Personally Knownfj OR Produced Identification Notary Signature 411,4gre ' / I !4 • w '
/ '
Type of Identification Produced Name (print ac_! i ne . kg
Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofperj declareth have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
)- +
FARMS /NOC,rvad2007 Si:. ofNa. . al : rso. i g Above --
•
S`(Al t u L attiDM, ,lN OY PAaCO
THIS IS TO C,ERTIFY 749 AtTHE FOREGCSifGC' 1S A.
TRUE AND CORRECSCOPY OF THE DOCUMENT-.'
ON FILE OR OF PUi:.JC IN THIS OFFICE
VVITX4,S MY HAND — AND OFICIAL AC• ; THIS
( DAY dt- •: /.>"'
. �''2� /U - ..
PAULA S. 0) I _!' 'Kttle \111 E?QL ER