HomeMy WebLinkAbout10-11190 CITY OF ZEPHYRHILLS
• 5335 - 8T1-I STREET
(813)780 -0020 11190
BUILDING PERMIT
Permit Number: 11190 Address: 6929 STEPHENS PATH LT 51
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: SILVER OAKS
Est. Value: Parcel Number: 03- 26 -21- 0160 - 00000 -0510
Improv. Cost: 6,395.00
Date Issued: 11/22/2010 Name: MOULTON, CHARLES &NANCY
Total Fees: 70.00 Address: 6929 STEPHENS PATH
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/22/2010 Phone: (813)779 -9513
Work Desc: REROOF TIMBERLINE 30 YR APHALT SHINGLE
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FINAL �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site 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
imp . - ents to your property. If you intend to obtain financing, consult with your lender or an attorney
be . re - - . rding 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
813-780-0020 City of Zephyrhills Permit Application - I Wi `U l Fax -813 - 780 -0021
Budding Department (
Dab Received Phone Contact for Permlttl
Ts v -
Owner's Nave . 1 (► 1 111/• [a.& Owner Phone Number 1 s S • ()♦�
Owner's Address W cl a 9 QQ J -1-..Q ,� Q�-, Pc h 4 �, Owner Phone Number 1
Fee Simple Titleholder Name I l • Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS f � ��m n � ^ m _ S fa. LOT/
SUBDIVISION IS4-,QlA Qn V ( sz ^ , I PARCEL 101Ib7) <96 91 dIIn( crc 05I O
(OBTAINED FROM PROPERTY TAX 140710E)
WORK PROPOSED NEW CONSTR 1 SIGN = = DEMOLISH
INSTALL E REPAIR
PROPOSED USE = SFR = COMM k l OTHER
TYPE OF CONSTRUCTION = BLOCK \ = FRAME � / l STEEL = I II r
DESCRIPTION OF WORK �Q IOVCO d- `Q {(. JIC tC ,Q her\ � j� � F L._01-- A4 t "PS A ,J
')
BUILDING SIZE ISO FOOTAGE ' 73 HEIGHT I 3°Y' 7,,g
nBUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY = W.R.E.C.
E1PLUMBING $
nMECHANICAL 18 I VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY ET OTHER
FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA nYES NO
• •1•111 •111 ••11111111111111111111111111111111 •111•11 ►11•1•1•••11
BUILDER ( L - ) C
J --- * Tom;
SIGNATURE <-^ — COMPANY REGISTERED / N r FE a�R Y/N i
Address I
1 License t I (C( f') ) A S I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I
Address
1 license S I
PLUMBER COMPANY
SIGNATURE
REGISTERED 1 Y/ N 1 FEE kxautEn I Y/ N
Address (
License* 1
MECHANICAL COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURREn 1 Y / N 1
Address
1 license eT I
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I
Address I license #
1111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets or Building Plans; (1) set of Energy Fours; R-O-W Penult for new construction,
Minimum ten (10) wordng days after submittal date. Required make, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Worts PenmN for subdivistonsAarge 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 omits, Constnrabn Plans, Stormwater Plans w/ Snit 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.
DI►ectl 1 1 • 1 • ' 1 111
Fill out application completely.
Owner & Contractor sign balk of application, notarized
If over 82500, a Notice of Commencement Is required. (A/C upgrades over 87500)
" 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 (From of Application Only)
Reroofs N shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways -Not over Counter Non 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 1 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 comrnencing 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 OMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE F• , PROVEMENTS TO YOUR PROPERTY. IF • IN ' ND TO OBTAIN FINANCING, CONSULT
tTH • - , r A • -N - • _ REC•RDIN • - • C. •F • C_ T.
FLORIDA JURAT (F.'.. 117. 0
OWNER OR AGENT ..
CONTRACTOR
Supt bed and s •r ffind) b mme this Sugs and sworn • (•r affirmed) befo e
O
11 pp
by (' U t V by • • le
Who is/are personally known to me or has/haw produced Who Is/are personally known to me or has/have produced
as identification.
as i en 'flcation
Q��II (� l ^p (� 6 .
y 'QVr 9.4ca ' 2 otar y Public 4Q ' 0) . e Notary Public
Commission No . lJ�-J Lo j p a 3 Commission No. 1 J () q (so a
J
Name of Nola typed printed or stamped
Name of Notary typed, printed or stamped
' , �i I ° HEATHER D. H09FELD ,,,,,•1
MY COMMISSION 9 DD 962223 `! .; HEATHER D. HOSFELD
EXPIRES: March 21, 2014 .+= MY COMMISSION i DD 962223
t`' bonded Thru. Notary Public Underwriters EXPIRES: March 21, 2014
_ �+ j ; 1y, ' Bonded Piro Ndary Public Underwriters
Foster's Roofing
MasterCard
rays ; (� P.O. BOX 10553
BROOKSVILLE, FL 34603
DISCOVER V /SA 727- 848 -6600 s )
MEMBER 352 -799- 0045
CCC1327265
Date: f
Name Job Name
Address Job Address
City, State, Zip ,, City, State, Zip
Phone
Phone
50 Yr. Architectural oci a' 3 {- D + @/3 Galvanized Valley
40 Yr. Architectural Angle Flashing
30 Yr. Architectural / Aluminum Drip
25 Yr. Fiber Glass Shingles - ti ` ' Galvanized Drip
30 Lb. Felt
� 'k
Plumbing Boots: 4" 3"
Peel'N'Stick 2" 1 1/2"
90 Lb. Roll Roofing GRV Vent
75 Lb. Base Sheet Range Vent
Mop Down Ridge Vent
Cement/adhesive End Plugs
Plywood: ' ` Per Sheet 2x6 fascia per ft.Truss tails 2x4 per ft.
Re -nail Plywood
Alt wd repair
pair is extra. By signing this proposat you are giving me permission to change and
charge for any bad wood that is required by law. Workmanship is guaranteed for a period
of ,years. Price includes all taxes and permit fees. Prices are subject to change without
notice. Any legal fees pertaining to this contract or for the collection thereof shall be paid in
full by contractee. Homeowner must provide access thru driveway or yard to the roof.
We propose hereby to furnish material and labor - complete in accordance with above specifications,
for the sum of $ . Payment to be made as follows: in full.upon job completion.
A 3% charge will be applied for use of credit card.
All material to be specified. Any alteration or deviation from the above specifications involving extra
costs will be executed only upon written orders, and will become an extra charge over and above
the estimate. All arrangements contingent upon strikes, accidents or delays beyond our control.
Our workers are fully covered by workers compensation insurance.
Note: This proposal may be withdrawn by us
Authorized Signature: .. if not accepted within days.
Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorizing to do the work as specified. Payment will be made as outlined
above.
Signature: Date of Acceptance: ,
• 1 11111111111111111111111111111111111111111111111111111111111
Key No. Permit No. 2010164929
pt:1ec: 10
NOTICE OF COMMENCEMENT ' DS: 0.00 IT: 0.00'
11/16/10 L. Korb, Dpty Clerk
THE UNDERSIGNED hereby gives notice that improvement will be
Made to certain, and in accordance with Chapter 713, Florida State PAULA S. CLERK & COMPTROLLER
Statues, the following information is provided in this Notice of 11/16/10 10:03am 1 of 1
Commencement: OR BK ��� PG 650
1. Description of Property: Parcel No.: G9,9 3-1- p n hA 9 Pal - 2_ e, i /ls Fe
(Legal description of the property and street address if av4lable)
j 2. General Description of Improvement: f1
2 - 3. Owner Information: Name: , , b • L II
Address: • I , 4 i _DIMIPAIIIN City 2 _$ k
Interest in Property: f .j =5
Name and Address of Fee Simple Titleholder (If other than owner) :
4. Contractor: Name: FQS f P r. kph
Address: p , City r..
Phone No. , � State I
5. Surety: Name N � q Fax Fax No ‘ . 2 ),5- a 5 jL/ /(y3 34
Address: J Amount of Bond: $
Phone No. City State
6. Lender: Name: ' P Fax No.
n.)
Address:
City
Phone No. State
Fax No.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)(7) Florida Statutes.
Name:
Address: City
Phone No. State
8. In addition to hirp4elf or herself, Owner designates Fax No.
of
To receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year 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 1, SEC 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 WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Owner's Authorized Officer /Director /Partner /Manager
"' Signature Required by same below by 'X" mark '•' Signatory's Title /Office
State of _ I (L 1 / f nand()
County of
The forgoing instrument was acknowledged before me this f l day of NOV , 20 IO by
+f�1M(2)0 CC �iP d 1 t> � I
as r nt name of f person acknowledging)
for
(Ty•e of authority e.g., office, trustee, attorney in fact)
(Name of party on behalf of who instrument was executed)
1110_ 1/11111..: `` L . i A
Notary Signature of Nory Print \ 1 _
Personally known OR Produced Identification ✓ Type or Stamp Name of Notary
Type of Identification Produced: tY
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.
x • �/ _/ ' : 4�Y rig HEADER 0. HOSFELD
Signature of Natural Person Signing Above +; !!!, :+r YCOMMION 22
�'� ; r ' Ht M �dedT t vu Nde y ISS Public U11denniNft
#DD962 3
0C08.doc Rev -2008
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAI" THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND KND OFFICIAL SEAL THIS
�
(� I DAY OF 0v 2 o !
PAULA S. O'NEIL, CLERK & COMPTROLLER
BY ZL �� __ DEPUTY CLERK
u 1 STATE OF FLORIDA •
o � \ w , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
��'
' R ` { CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
'' } � 1940 NORTH MONROE STREET
� TALLAHASSEE FL 32399 -0783
,p0Ovk /0553
FOSTER, . DAVID FREDRICK U f 0CV4.5 V l k fi /"`
FOSTER'S ROOFING INC
<BROOKSVtINLLEINE GROVE FL 3463-3812' � sa-- - 29 i - to Y5
r 352 -- .5 c( It -
Congratulations! With this license you become one of the nearly one million , ; , 7 r' �� , 7 3 ,:{
Floridians licensed by the Department of Business and Professional Regulation. t ,::"..-4,:.r,, . ` t � '' ' ° . I
Our professionals and businesses range from architects to yacht brokers, from 1 %;V4a CA ;;. )' F � '
boxers to barbeque restaurants, and they keep Florida's economy strong. g' 4:1 ? iN t i 1 O. '°r ' - N
Every day we work to improve the way we do business in order to serve you better D � `., u'a ' 4 � ° ( . ,
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For information about our services, please log onto www.myfloridalicense.com. ,, _ tea , ` C� 7,'��''
There you can find more information about our divisions and the regulations tha f 4. ; ,'1 ! ' , '11.,._ r . '`; r t rr , A- { i �' ;
impact you, subscribe to department newsletters and learn more about the a „..n �r ' A , • '*7 ": ` '�`^� '
Department's initiatives. )�. j d .K ., -4 1 ,4(i'",'
Our mission at the Department is: License Efficiently, Regulate Fairly. We t ),A Cd '',�i ' 6 : ' ;) S i I ),
constantly strive to serve you better so that you can serve your customers. 000.° '
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Thank you for doing business in Florida, and congratulations on your new license! ' ' '` , . ,. �• , ?' l
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11i1b/MM 4:30 PM (GNU Fra: Killilgsworth Agency, Inc. 352 -199 -5986 To: 13525441983 Page 3 of 3
A R CERTIFICATE OF LIABILITY INSURANCE 11 / 1M1D 0
2
PRODUCER (3 52) 796 -1451 FAX (3 S2) 799 -5986 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1
Kil l ingsworth Agency, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
19259 Cortez Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 1750
Brooksville, FL 34605-1750 INSURERS AFFORDING COVERAGE NAIL #
INSURED Foster's Roofing Inc INSURER A: Steadfast Insurance Company
Dl Roofing Enterprises Inc. INSURER e: Allstate Insurance Co.
PO Box 643 INSURER C: Bridgefield
Brooksville, FL 34605 INSURER 0:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS.
INSR WA EFF NE POLICY EXPM�ATION.
LIMITS
t iR TYPE OF INSURANCE POLICY NUMBER POLICY HATE YN
GENERAL LIABILITY GL0599261400 08/01/2010 08/ 01/2011 EACH OciaMRENCE f 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED f 10000C
CLAMS MAOE I X l OCCUR / PRFMrSFC (ra /rruarre) ,
A ,�` ne MED EXP (Any O Person) $ 5,000
—
. / PERSONAL & AIYU INJURY $ 1,000,000
\\ ' � GENERAL AGGRE3A7E f 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f
I PO n Tai n LOC 2,000,000
AUTOMOBILE LIABILITY 048966586 06/21/2010 06/21/2011
COMB accident)
GLE LIMT f
ANY AUTO accident)
ALL OWNED AUTOS 300,00
BODILY INJURY
B X SCHEDULED AUTOS ((P S
X HIRED AUTOS
BODILY INJURY f
X NON -OWNED AUTOS (Pp, accident)
PROPERTY DAMAGE f _
(Per axiden0
GARAGE LIABILITY
ANY AUTO AUTO ONLY - EA - S -
OTHER THAN EA ACC f
AUTO ONLY: AGG f
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE S
OCCUR n CLAIMS MADE AGGREGATE f
S
DEDUCTIBLE
RETENTION S - 5 -
_R S
WORKERS COMPENSATION AND 83030622 12/01/2010 2/01/2011 X 1 T ORY I t WC ST U ' I oTN ER -
EMPLOYERS LIABILITY
C ANY PROPRIETOR/PARTNER/EXECUTIYE E.L. EACH ACCIDENT $ 100,000 EMBE IIy e. dThc ER/M ba und beund EXCLUDED
Byes. o, , \\✓- // E . DISEASE - EA EMPLOYEE S 100,000
SPECIAL PROVISIONS below
EL DISEASE - POLICY LIMIT 5 500,000
OTHER
DESCRIPTIO OF OPERATIONS / OCATIOIIS / VEHIQI ES 1 EXCLUS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Limits shown are t in effect at policy inception da te.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
\ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Zeph ryh i l i s - Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
5335 8th Street oc ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES .
Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE
Danielle Heal is /CLARE SN'""2& ,e( /4e4-
ACORD 25 (2001/08)
®ACORD CORPORATION 1988
Pasco County Parcel: 03- 26 -21- 0160 - 00000 -0450 001 Page 1 of 1
Data Current as Of: I Weekly Archive - Saturday, November 20, 2010 I
Parcel ID II 03- 26 -21- 0160 - 00000 -0450 (Card: 001 of 001)
I Classification II 01 - Single Family I
Mailing Address Property Value
BOWEN TREVA L Ag Land $0
6928 STEPHENS PATH Land $32,820
ZEPHYRHILLS FL 33542 -0659 Building $104,000
Physical Address Extra Features $994
6928 STEPHENS PATH
ZEPHYRHILLS FL 33542 Market Value $137,814
Assessed (Save Our Homes) $117,387
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision ,A Non - School Additional Homestead Exemption - $25,000
STEPHEN'S GLEN AT SILVER OAKS
PHASE TWO Non - School Taxable Value $67,387
PB 31 PGS 150 School District Taxable Value $92,387
LOT 45 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001) I
Line II Use IlDescriptionII Zoning II Units II Type II Price 0 Condition II Value
I 1 II 0100 II SFR II OPUD II 6,000.00 11 SF II $5.06 II 1.00 11 $30,360 I
I 2 II 0100 0 SFR 0 OPUD II 2,412.00 U 2 II $ 11 1.00 II $2,460 I
Additional Land Information Show Mineral Rights - 5 I
I Acres II 0.19 II Tax Area II 30ZH II FEMA Code U X IlResidential Codell SIVLLP1
I Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1995 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line 1 Description II Sq. Feet I Repl. Cost New
I 1 I BAS II 1,478 I $101,140
I $3,148
I 3 I FEA II 140
$6,706
I 4 1 FOP 11 58 I $1,026
I 5 I fa II 420 I $11,496 I
Extra Features (Card: 001 of 001)
Line I Description II Year II Units II Value
1 II DWSWC II 1995 II 691 II $994
Sales History
Previous Owner II PHILLIPS JANET E
Year 0 Month II Book /Page II Type II Amount
2001 II 08 II 4685 / 1169 0 WD II $
1998 II II W
09 II 4010 / 0978 D II $99,500
1995 II 05 II 3434 / 1755 II WD 0 $91,500
http: // appraiser. pascogov .com /search/parcel.aspx ?sec =03 &twn= 26 &rng =21 &sbb= 0160 &... 11/22/2010