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Home My WebLink About10-11214-11217 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11214 BUILDING PERMIT Permit Number: 11214 Address: 4626 BLOSSOM BLVD UNIT B BLDG 1 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15- 26- 21- 017C- 00100 -0080 Improv. Cost: 13,000.00 Date Issued: 11/29/2010 Name: JOINER, ARTHUR JR & ROBERTA Total Fees: 100.00 Address: 4626 BLOSSOM BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/29/2010 Phone: Work Desc: REROOF ORANGE BLOSSOM RANCH CONDO PRMT #11215 -11217 v -.• 1 -11 - 1 I'L 111.1 //I 4C k / 81, -.. i • TAPE JOINTS ROOF INSP FINAL I - REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your . perry. If you intend to obtain financing, consult with your lender or an attorney before recordin . r o no; ce.01"." ., ncement." •may CTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15- 26- 21 -017C- 00100 -00B0 001 Page 1 of 1 It lii l I Data Current as Of: II Weekly Archive - Saturday, November 27, 2010 I I Parcel ID II 15- 26- 21 -017C- 00100 -00B0 (Card: 001 of 001) I Classification 0 04 - Condominium I Mailing Address Property Value JOINER ARTHUR JR & ROBERTA Ag Land $0 4626 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542 -5661 Building $48,849 Physical Address Extra Features $0 4626 BLOSSOM BLVD ZEPHYRHILLS FL 33542 -5661 Market Value $53,583 Assessed (Save Our Homes) $53,583 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision 01" Non - School Additional Homestead Exemption - $3,583 ORANGE BLOSSOM RANCH CONDO 3 PB 21 PG 102 UNIT B BLDG 1 Non - School Taxable Value $25,000 & COMMON ELEMENTS School District Taxable Value $28,583 OR 7885 PG 852 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) Line II Use IIDescriptionl° Zoning II Units II Type II Price 0 Condition 0 Value 1 II 0400 II CONDO II 00R4 II 1.00 II UT II $4,734.00 II 1.00 0 $4,734 Additional Land Information Acres II 0.00 II Tax Area II 30ZH II FEMA Code II X ( °Residential Codell 40BR Building Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall 1 Average 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 II Description II Sq. F Feet II Repl. Cost New 1 II 2 I UEP II $0 3 I FST II 36 II $ Extra Features (Card: 001 of 001) Line I Description Year II Units II Value 1 II UEP 1983 II 108 II $1,371 2 II FST 1983 II 36 II $457 3 II CONDO 1983 II 1 II $46,545 4 0 CARPORT 1983 II 1 II $476 Sales History Previous Owner HARRIS PEGGY Y Year I Month Book /Page II Type II Amount 2008 II 07 7885 / 0852 II WD II $85,000 2006 I 05 6981 / 1179 II WD II $71,000 2003 I 04 5341 / 0237 II WD II $54,000 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 15 &twn= 26 &rng =21 &sbb= 017C... 11/29/2010 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11215 BUILDING PERMIT Permit Number: 11215 Address: 4628 BLOSSOM BLVD UNIT A BLDG 1 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15- 26- 21 -017C- 00100 -00A0 Improv. Cost: Date Issued: 11/29/2010 Name: ERDMANN, BARBARA Total Fees: Address: 4628 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: REROOF ORANGE BLOSSOM CONDO / PRMT # 11214,11216 -11217 NO CHARGE ." L •. • TAPE JOINTS 00 I FINAL -- i REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording you • o . - • com ence ' - • t." CTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15- 26- 21 -017C- 00100 -00A0 001 Page 1 of 1 II 1 Data Current as Of: II Weekly Archive - Saturday, November 27, 2010 Parcel ID II 15- 26- 21 -017C- 00100 -00A0 (Card: 001 of 001) Classification I 04 - Condominium I Mailing Address Property Value ERDMANN BARBARA Ag Land $0 4628 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542 -5661 Building $33,183 Physical Address Extra Features $0 4628 BLOSSOM BLVD ZEPHYRHILLS FL 33542 -5661 Market Value $37,917 Legal Description (First 4 Lines) Assessed (Save Our Homes) $37,917 Homestead 196.031 - $25,000 See Plat for this Subdivision Non- School Additional Homestead Exemption - $0 ORANGE BLOSSOM RANCH CONDO 3 PB 21 PG 102 (P) UNIT A BLDG 1 Taxable Value $12,417 & COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold. OR 6868 PG 374 Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) I Line II Use IlDescriptionll Zoning II Units II Type I Price II Condition II Value 1 II 0400 II CONDO U 00R4 II 1.00 0 UT I $4,734.00 II 1.00 II $4,734 Additional Land Information Acres II 0.00 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell 40BR Building Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall 1 Average 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 1.0 I Line II Description II Sq. Feet II Repl. Cost New 1 II BAS 11 648 II $ 2 FST II $ 3 0 51 II 108 II $o Extra Features (Card: 001 of 001) Line II Description 1 Year II Units II Value 1 I FSP I 1983 11 108 II $1,371 2 II FST 1 1983 II 36 II $457 3 I CONDO 1 1983 II 1 II $30,879 4 I CARPORT I 1983 II 1 II $476 Sales History Previous Owner 1 MATHEWS DAWN Year I Month I Book /Page II Type II Amount 2006 II 03 I 6868 / 0374 II WD 11 $48,900 2004 07 I 5969 / 0387 II W II $38,400 2002 II 09 I 5074 / 1466 II WD II $34,000 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 15 &twn= 26 &rng =21 &sbb= 017C... 11/29/2010 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11216 BUILDING PERMIT Permit Number: 11216 Address: 4630 BLOSSOM BLVD UNIT C BLDG 1 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15- 26- 21 -017C- 00100 -0000 Improv. Cost: Date Issued: 11/29/2010 Name: DEVLIN, JOHN Total Fees: Address: 4630 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)783 -7771 Work Desc: REROOF ORANGE BLOSSOM RANCH CONDO- PRMT 11215,11214,11217 -NO CHARGE •.n -•• , fi -7 1 ( C-r 1 TAPE JOINTS ROOF !NSF 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 improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." • C TOR SIGNATURE PERMIT OFFI 4TR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15- 26- 21 -017C- 00100 -0000 001 Page 1 of 1 1 [ Data Current as Of: I Weekly Archive - Saturday, November 27, 2010 I Parcel ID 11 15- 26- 21 -017C- 00100 -0000 (Card: 001 of 001) I Classification 11 04 - Condominium Mailing Address Property Value DEVLIN JOHN F Ag Land $0 4630 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542 -5661 Building $33,731 Physical Address Extra Features $0 4630 BLOSSOM BLVD ZEPHYRHILLS FL 33542 -5661 Market Value $38,465 Legal Descriltion (First 4 Lines) Assessed (Non - School Amendment 1) $38,465 See Plat for this Subdivision 1" Taxable Value $38,465 ORANGE BLOSSOM RANCH CONDO 3 PB 21 PG 102 UNIT C BLDG 1 & COMMON ELEMENTS OR 8324 PG 815 Land Detail (Card: 001 of 001) Line II Use IIDescriptionll Zoning II Units II Type II Price II Condition II Value 1 11 0400 II CONDO II 00R4 II 1.00 II UT I $4,734.00 II 1.00 Il $4,734 I Additional Land Information Acres II 0.00 II Tax Area II 30ZH II FEMA Code II X IlResidential Code!' 40BR Building Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall 1 Average 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 1.0 Line II Description II Sq. Feet II Repl. Cost New 1 II BAS II 648 II $ 2 II FST 36 II $ 3 II FEP II 108 II $0 Extra Features (Card: 001 of 001) Line Description II Year 11 Units II Value 1 I FEP II 1983 II 108 II $1,919 2 II FST II 1983 II 36 II $457 3 II CONDO II 1983 II 1 II $30,879 4 I CARPORT II 1983 II 1 II $476 Sales History Previous Owner 1 RIGALL DAVID ARTHUR & Year I Month II Book /Page II Type II Amount 2010 1 04 II 8324 / 0815 II WD II $38,000 2004 02 II 5759 / 0054 I 1983 II 05 11 1256 / 0406 I I $29,900 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 15 &twn= 26 &rng =21 &sbb=0 1 7C... 11 /29/2010 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11217 BUILDING PERMIT Permit Number: 11217 Address: 4632 BLOSSOM BLVD UNIT D BLDG 1 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: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15- 26- 21 -017C- 00100 -00D0 Improv. Cost: Date Issued: 11/29/2010 Name: HEIN , DOROTHY Total Fees: Address: 4632 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: REROOF ORANGE BLOSSOM RANCH CONDO- PRMT #11214- 11216- NO CHARGE , -.•• -.. 1 4, n i r -'.•_.. - TAPE JOINTS ROOF INSP FINAL / - 3/- 1 I REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your n . " of commencement." fi • /!_t, • �: 'r'CTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15- 26- 21 -017C- 00100 -00D0 001 Page 1 of 1 JI Data Current as Of: II Weekly Archive - Saturday, November 27, 2010 I Parcel ID 1 15- 26- 21 -017C- 00100 -00D0 (Card: 001 of 001) I Classification I 04 - Condominium Mailing Address Property Value HEIN DOROTHY Ag Land $0 4632 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542 -5661 Building $48,849 Physical Address Extra Features $0 4632 BLOSSOM BLVD ZEPHYRHILLS FL 33542 -5661 Market Value $53,583 Assessed (Save Our Homes) $53,583 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision ,1"' Non - School Additional Homestead Exemption - $3,583 ORANGE BLOSSOM RANCH CONDO 3 PB 21 PG 102 UNIT D BLDG 1 Non - School Taxable Value $24,500 & COMMON ELEMENTS School District Taxable Value $28,083 OR 6976 PG 1135 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 IlDescriptionll Zoning II Units II Type I Price II Condition II Value 1 11 0400 11 CONDO 11 00R4 II 1.00 11 UT II $4,734.00 II 1.00 11 $4,734 1 Additional Land Information I Acres II 0.00 11 Tax Area II 30ZH II FEMA Code II X IlResidential Codell 40BR I Building Information - Use 04 - Condominium (Card: 001 of 001) I Year Built 1983 Stories 1.0 Exterior Wall 1 Average 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 11 Description II Sq. Feet I 1 Repl. Cost New ( 1 11 BAS 11 864 I I $0 1 2 11 UEP 11 108 ll $o 1 3 1 fI 11 36 11 $ 1 Extra Features (Card: 001 of 001) I Line II Description I Year II Units 11 Value 1 1 11 UEP 1 1983 1 108 11 $1,371 1 2 11 FST 1 1983 I 36 11 $457 1 3 11 CONDO 1 1983 11 1 11 $46,545 1 4 11 CARPORT 1 1983 11 1 11 $476 Sales History Previous Owner 1 RHODES DOROTHY L Year 1 Month I Book /Page II Type II Amount 2006 11 05 1 6976 / 1135 11 WD 11 $70,000 2006 11 02 1 6865 / 0289 11 WD 11 $ 2001 11 11 1 4768 / 0392, 11 11 $ http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 15 &twn= 26 &rng =21 &sbb= 017C... 11/29/2010 iIIjjiII11111111111111111111111111111111111111 Rept:1337990 Rec: 10.00 DS: 0.00 IT: 0.00 11/29/10 S. Burns, Dpty Clerk PAULA S.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER 11/29/10 12:57 m 1 of 1 NOTICE OF COMMENCEMENT OR BK 8474 PG 231 Permit No. Property Identification ITlo. /5^07b'o? /`OI 74. - 0010:9 — bOQO 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. 1 .Description of property (legal description:) C6lassd41 ed+otCh C O. Jai (Jv (-Z Qviteli 1 a) Street Address: 1642/7 /$ /oJSoen / /1/CQ. ? fr ' 335 ` 2.General description of improvements: /: '/- 2C -<// 1 •G'e0604 3.Owner Information a) Name and address: / ^ _ _ (At- - 5 - 8 I N t!/C L6a to oict.c.s04. a p` , i 3 i - R b) Name and address of fee situp tleholder (if other than owner) c) Interest in property [t0 7o •.Contractor Information rr 4 / e a) Name and address: A t 15 �dTtw 6, . old c -ipott 2 L 61_ l C.-' ✓'/C3't b) Telephone No.: S 1 3 9y,�, - 45S1 F Fax No. (Op) 813 ^e1 12 -1, I G _ 5 ure Information a) Name and address: , A b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) A- 6.Lender a) Name and address: A./4 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: Nq b) Telephone No.: • Fax No. (Opt.) _ 8.1n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) — 9.Expiration date of Notice 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 CO MENCEMENT. STATE OF FLORIDA `.�/ ! � t - � COUNTY OF PASCO ° ∎a - if 41' �> / � Signature of Owner or 41 e, s Auth.• ' -d Officer /Diri tor/Partner/Manager ifg4 5 % A� 1-/9 ioz. Print Name • The foregoing instrument was acknowled� d before me this pc, day of A)01/3 , 2O/0 , by ( ?-y l e 4 as / PCS , (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrum ecuted). Personally Known OR Produced Identification Notary Signature Type of Identification Produced Name (print) V !/ qN C te // Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perj 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. (: 2 -1) a l Signature of Natural Person Signing A ov FORMS/NOC,rvsd2007 " ,. JOWl C. VOWEL : r " ) MY COMMISSION 7 �,?�� EXPIRES: July . qtr"..` ; C siZ v Noa y PuMk undeiw! e S 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 WIT'J S MY HAND ' D OFFIC AL SEAL THIS ry DAY OF l •i 'Ali ! 'I ZOl C) PAU • O'NEIL, CLERK & COMP ROLLER BY 0 1 3uw_ -B€P TY CLERK 813 - 780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 Building Department Date Received / 70 Phone Contact for Permittln. - Owner's Name 0 YANq.e r) 41 'it/e- (nK/ Owner Phone Number ^ 0 1 Owner's Address 7 4k1 5/0 sg p y, /3/{/�1 Owner Phone Number Fee Simple Titleholder Name 6Q Owner Phone Number Fee Simple Titleholder Address f �4 JOB ADDRESS y60? ( r, 3 0 3.2 BJo sscmi gfre LOT # SUBDIVISION Or4.' Q ij Ofi en 1.90/CA 3 PARCEL ID# /u ' o - / - 0 / 7( - OW00 - (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR i ADD /ALT I 1 SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM I 1 OTHER I TYPE OF CONSTRUCTION n BLOCK n FRAME l I I STEEL n i DESCRIPTION OF WORK /O d- 1 jl /9C c $ t -. / e ho BUILDING SIZE SQ FOOTAGE , t 000 SII HEIGHT 0 r []BUILDING $ oOD O VALUATION OF TOTAL CONSTRUCTION 1 (ELECTRICAL $ AMP SERVICE [] PROGRESS ENERGY n W.R.E.C. I (PLUMBING $ r (/J 1 (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION G� []GAS n ROOFING J SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I 1 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I Address I 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N 1 Address I I License # I OTHER COMPANY / �' L lr J npoe, SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N I AP Address l /fd? 0 e2//( /r� SJ 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 A/C Fences (Plot/Sunvey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with ,any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) y �- OWNER OR AGENT CONTRAC Subscribed and swo 4 3 before me this Subscrib.c:. • :! ^^ ' or affirmed) before me this by N , by Who is /are pers known to me or has/have produced Who is /are personally known to me or has/have produced as identification. as identification. ' Notary Public I': "Q. Wirb Notary Public Co mi sion No. Con(rmi .ion r0.' JACQUl�BOGtS )°,,,g �� Name of Notary typed, printed or stamped Name of Notary type r i :" a : 1 N ' E . np 83 miler ce B00-385- nlnsu�an ca . "q;..: gondedmioro,Fai STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROF SSIONAL REGULATION CONSTRUCTION INDUSTRY LINSING BOARD SEQ# L1008250156 DATE BATCH NUMBER ' LICENS'E NSR * f 08/25/2010 140087735 CCCO57952 The ROOFING CONTRACTOR '' * Named below IS CERTIFIED Al6 Under the provisions of Chapter.' Expiration date: AUG 31, 2012 YOWELL, JOHN CARLTON " " �` '� YOWELL' S ROOFING CO � Z -* 2220 OLD CYPRESS CREEK ROAD � LAND 0 LAKES FL 34639 `ff'� CHARLIE CRIST CHARLIE LIEN GOVERNOR SECRETARY DISPLAY AS REQUIRED BY