HomeMy WebLinkAbout10-11256 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 11256
BUILDING PERMIT
Permit Number: 11256 Address: 37532 LORENA AVE
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34- 25 -21- 0090 - 00000 -1350
Improv. Cost: 3,520.00
Date Issued: 12/06/2010 Name: BURGER, CARLIN R
Total Fees: 55.00 Address: 37532 LORENA AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/06/2010 Phone: (352)650 -4894
Work Desc: RE -ROOF MOBILE HOME WITH SHINGLES
-t• 1 1 - -01 , , I• 55.11
1
a -
TAPE JOINTS ROOF INSP
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."
6 402.-- PO I it,
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CONTRACTOR IGNATURE PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
TRIPLE CROWN ROOFING INC.
37625 STATE ROAD 54
ZEPHYRHILLS, FL. 33542
813 - 833 -7720
STATE LICENSE #CCC049370
SPECIALIZING IN ALL TYPES OF METAL ROOFING
R 1 / l u /P67t ,? ? 5) - 6 5 - 0 y /'9V 0
NAME PHONE DATE
3'75 3 X / 60r >>io 2,, ! , / f 33 s �//
STREET '
/ CITY ST ZIP
L. "G'/7 A/0 a /1
Sales Representative
We hereby submit specifications and work description:
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THE A �O V E _// CRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS,
FOR THE SUM OF ($ 35)0 o 0 )
DOWNPAYMENT OF ($ / /CO. '? -` )
BALANCE OF ($ / ' 2 0 , (O ) DUE UPON COMPLETION.
******ANY ROTTED WOOD DISCOVERED WILL BE CHARGED AT A RATE OF
$65AN PER 1/2" SHEET OF PLYWOOD AND $4.00 PER UNEAL FOOT OF LUMBER.**"*** **
NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED, THIS WRITTEN
CONTRACT IS THE ENTIRE AGREEMENT COVERING ALL THE WORK TO BE
PERFORMED AND/OR MATERIALS TO BE FURNISHED. THE WRITTEN
PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT
OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY
TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE
DATE PURCHASER SIGNED THIS CONTRACT.
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By: Triple Crovm Roofing, Inc. Date Purchaser Date
4 A b o (ti 1 )� 0 r /tort,
813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department
Date Received /‘.2 - / 0 Phone Contact for Permittin, . / 4 33 - 772.e
Owner's Name ,4 7 atioe0e 2 Owner Phone Number 3 - 6 - W
Owner's Address 3'75 3..... Z o/c E, 0 21 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 40 CA" LOT #
SUBDIVISION 6/7 Nve/ ZO4) -S PARCEL ID# 3Y - a S -a/ - 0090 -- GbOcW '1350
_ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR n ADD /ALT 1 1 SIGN 1 n DEMOLISH
INSTALL I I PM
PROPOSED USE PZI SFR I I COMM 1 1 OTHER 1
TYPE OF CONSTRUCTION I I BLOCK fl FRAME 1 1 STEEL n I m 0,5 /C /1 C'M
DESCRIPTION OF WORK / f 0i A 4/O i'e - ROOF *t ea/ C r'_ �/t9 tie RQ " 4 / , ' y e-
� a�,
, �,,
BUILDING SIZE SQ FOOTAGE /4 HEIGHT
I (BUILDING $ 352,0412 VALUATION OF TOTAL CONSTRUCTION
1 (ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 W.R.E.C.
J :
I PLUMBING $
1 ]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION___ __
nGAS 12ga ROOFIN2 n SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1' (YES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I
Address I License # I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1
Address I License # I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N I
Address License # I
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I
Address I License # I I
OTHER 2r://44--64 ic �N 4por COMPANY ���% C% �� / 41 0 /4/6
SIGNATURE {{ /� q / REGISTERED I CA N I FEE CURREN I Y/ N I
Address J 1 2 O $4-aie Kd •5 G-t /h.'`f F1, Sy.Z License # I CC C 0 4/93 76
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 $7500)
** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
- - • • • i • • 1 - , . - e • ic; Upgrades NC Fences (Plot/Survey /Foolgo „,„,...,,,,,..„,,,,,,,,,,, ,
litAlkvelitll$ Ngt,goe(Sgygyinteet- i 1 i. roadways needs ROW ,
&TV.. =" vehi , s= qs.I .. ,o:,) :'.$ J . 1 .4'' .
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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 ATTO EY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT.
FLORIDA JURAT (F.S. 117.0
OWNER 0 ` , CONTRACTO
Subscribed a i to • r affirmed) bef e me this Subscribed an wom to (or affirm d) b fore me this
Z - t0 - I(D by Lt.. e..,. \ t - (e - 10 by L.2Qf1 t2 1\43 LA
Who is /are pe,r,Syna ly k owl► to me or has/have produced Who is /are personally known to me or has/have produced
l _ \3J 0\1 �i C.__ as Identification. `A- OriU Li C as identification.
Notary Public _ _ A Notary Public
Commission No. • 050'3 S'R IC. ) Co mission N. 7 $ Sq I6
Name of Notary pec!, ti� 1 °L 'd or stannplkIFER L. GREEN i Name of Notary typed, printed or stampd
°Q JENNIFER L. GREEN
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=i + A Notary Public - State of Florida s tit Notary Public - State of Florida
• •‘ a My Comm. Expires May 5, 2013 ` t t• • My Comm. Expires May 5, 2013
( % " `' Commission #r OD 859162 :, -..� Commission # OD 859162
' %° k Bonded Through National Notary Assn. 0 ( ' nt :P' Bonded Through National Notary Assn. 0
Pasco County Parcel: 34- 25 -21- 0090 - 00000 -1350 001 Page 1 of 1
Data Current as Of: I Weekly Archive - Saturday, December 04, 2010 I
I Parcel ID II 34- 25 -21- 0090 - 00000 -1350 (Card: 001 of 001) I
I Classification 11 02 - Mobile Homes
Mailing Address Property Value
BURGER CARLIN R & Ag Land $0
WHEELER JEANNE M & ET AL Land $26,410
37532 LORENA AVE Building $67,791
ZEPHYRHILLS FL 33541 -9312
Physical Address Extra Features $888
37532 LORENA AVE Market Value $95,089
ZEPHYRHILLS FL 33541 -9312 Assessed (Save Our Homes) $95,089
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision" Non- School Additional Homestead Exemption - $25,000
GRAND HORIZONS -PHASE ONE Non - School Taxable Value $45,089
PB 34 PGS 99 -102 School District Taxable Value $70,089
LOT 135 Warning: A significant taxable value increase may occur when sold.
OR 6705 PG 1253 Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value
1 II 0100 II SFR II 00M1 II 6,000.00 II SF II $4.31 II 1.00 II $25,860
2 II 0100 II SFR II OOM1 II 1,000.00 II SF II $0.55 II 1.00 II $550
Additional Land Information
Acres II 0.16 II Tax Area 11 3OZH II FEMA Code 11 X IlResidential CodeII GDHZLP1
Building Information - Use 02 - Mobile Home (Card: 001 of 001) I
Year Built 1998 Stories 1.0
Exterior Wall 1 Above 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 Sheet Vinyl Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C None Baths 2.0
Line I Description Sq. Feet Repl. Cost New
1 I BAS 1,485 $76,745
2 I FCA 480 $4,961
3 I FOA 100 $1,292
4 I UEA 168 $6,098
5 I LE, 56 $1,292
Extra Features (Card: 001 of 001)
Line II Description Year 11 Units
111 Value
1 1 CAC -4 1997 I 1 $420
2 I DWC 2002 ( 240 $468
Sales History
Previous Owner SCHUITEMA JIMMY D & REBECCA L
Year II Month Book /Page II Type II Amount
2005 II 11 6705 / 1253 II WD 0 $143,000
2002 II 07 5029 / 0674 II WD 0 $22,900
1996 II 03 3557 / 0946 II 2 0 $
http: / /www. appraiser. pascogov. com / search /parcel.aspx ?sec= 34 &twn= 25 &rng =21 &sbb =0... 12/6/2010
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20 10172372
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Rcpt:1339068 Rec: 10.00
DS: 0.00 T: 000
1 2/06/10 K. Gar
, Dpty Clerk
PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
12/06/10 08:34am 1 of
OR BK 8479 PG 3J
NOTICE OF COMMENCEMENT
Permit No.
Property Identification No. -5V PAS oq / 6090 -D�i'00 -/350
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 :) 6e44- /‘i'Z9A1S 4s C ®.UC' PB 35/ 94 • /p,,Z air/35 l0 7QS
a) Street Address: 3 753.2 i& eri ec P4
2.General description of improvements: 7 - w ,.- /...e ,'ooh' /76.S,Gr✓litc -c .
3.0wner Information lJ�y `�
a) Name and address: / y 8u�t?C,�2 3°75 .�- p�-�a � // /�.' S /2 . 335.V1
b) Name and address of fee simple titleholder (if other than owner) ,t/ /4-
c) Interest in property )4 A// ' `
4.Contractor Information 3769S St ->- led -CY
a) Name and address: / �' f � 000'') e0.9 -ie !ti' 6 - 2 /75 f ' - 33Sy -
b) Telephone No.: R73 - 8"3 3 - 77 20 Fax No. (Opt r
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: /I/ /�
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: r
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 COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO )( ' 13_..% •
Si �efrner • Is"! er's Authorized Officer/Director/Partner/Manager
Print Name
Pot( 1-ctiq
The foregoing instrument was acknowledged before me this `, day of 0 0 y 20 /6 , by J
.
as l(7 Lill N EA (type o ' authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom in, ' ent was exe • uted).
Personally Known OR Produced Identification V Notary Signature r
n ,;S ,FY ENITA B. IMPERATO
Type of Identification Produced
F� -IiL _`16 3g-1.27 - cI (print) i ame ; a �� Notary Public - State of Florida
_ • ,.�
X
';9 � a:= Commission # DD 626667
` Bonded Through National Notary Assn.
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, . ec -' r . r - _ d that
the facts stated in it are true to the best of my knowledge and belief. -�
X Si a e of a1 P�(son Si g Above
FORMS /NOC,rvsd2007 /
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