HomeMy WebLinkAbout11-11727 . CITY OF ZEPHYRHILLS J°
' S335 - STH STREET
(8is)�so-oo20 11727
FENCE PERMIT
Permit Number: 11727 Address: 38521 NAOMI AVE
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: OAK PARK
Est. Value: Parcel Numbe�: 02-26-21-0050-00000-0150
Improv. Cost: 300.00
Date Issued: 4/04/2011 Name: BIRBECK, ALBERT
Total Fees: 40.00 Address: 38521 NAOMI AVE
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/04/2011 Phone: (813)300-3080
Work Desc: INSTALL 40 X 6 WOOD STOCKADE FENCE
HOMEOWNER FENCE 40.00
�
L
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 acxessible.
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
,� �
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��K� A. Settlement Statement (HUD-1) OMBApproval No.2502-0265
�,M.r
B. Type of Loan
1. � FHA 2� RHS 3. � CONV UNINS. s. F�N N""b°r: 7. Wan Number. 8. Mortg�g� Imurancs Cw NumMr.
a. � vq 5. � Corrv iNS. S-28632 0280627845
C. Nots: This form is fumished to give you a slatert�eM of actual seqlemeM eosts. MiouMa paid W and by the settlement agerrt are shown. Items markeU '(p.o.c.)' were paid outside
the cbeing; they are shown here for IMOrmaUonal purposes and are not Inckded in the totals.
D. Nmr L Adtl�as� d Bor/owsr. E. N�m� i MWrsss o} S�Iisr. F Nams i Addrus d Lsndsr.
ALBERT C. BIRBECK, a married man NANCY MOODY WELLS FARGO BANK, N.A.
P.O. Box 359 1 E. 22nd Street, Suite 600
Bingham, Maine 04920-0359 Lombard, Illinois 60148
G. Pmparty Loeatlon: H. S�ttNmsiM ApaM: I. SattNmsrrt Drie:
38521 NAOMI AVE Sunstate Title Agency, Inc. April 1, 2011
2ephyrhills, Florida 33542 13937 7th Street
Section 02, Township 26, Range 21, Lot 15, Dade Ciry, Florida 33525
OAK PARK SUBDIVISION, Book 2, Page 75, 352-587-1141 fax: 352-567-3830
PASCO County, Florida
Pl�c� of SNtls�M:
Sunstate Title Agency, Inc.
73937 7th SVeet
Dade City, Florida 33525
Phone: (352) 567-1141
J. Summary of Borrower's Transactlon K. Summary of Seller's Tronsaction
100. Gross Amount Oue From Borrower: 400. Gross AmouM Due To Seller:
101. CoMract Sales Price 61,000.00 401. Contract Sales Price 61,000.00
102. Personal Pro 402. Personal Pro
103. Settlement Cha es to Borrower line 1400 4,978.17 403.
Ad ustments for kems Paid Seller in Advanee: Ad ustrnerrta for kems Paid Seller In Advance:
106. C/ Town Taxes 406. C' ! Town Taxes
107. Coun / Parish Taxes 407. Coun / Parish 7axes
108. Assessments 408. Assessments
120. Gross Amount Due irom Borrower: 63,978.17 420. Gross Amount Due to Seller: 61,OOp.00
200. Amounts Paid or In Behalf of Borrower: 500. Raducdons in AmouM Due to Selier:
201. De it or Eamest Mon 1,000.00 501. Excess De sit see instructions
202. Princi I Amount of New Loan 40,000.00 502. Settlement Cha es to Seller Line 1400 4,155.00
203. Existin Loan s taken sub ect to 503. Exlstin Loan s taken su 'ect to
204. Dail interest cxedit 504. Pa of First Mo e Loan
205. 505. Pa of Second Mo a e Loan
208 506. Purchase Mone Mo a e
Ad ustmeMs for Itams Un aid b Seller: Ad ustmeMS for Items Un id b Seiler:
210. Ci / Town Taues 510. Ci ! Town Texes
21 � County / Parish Taxes ($861 yr e) Jan 1, 2011 23q,33 571 COUnty / Parish Taxes ($961 yr e) Jan 1, 2011
thru Mar 30 2011 thru Mar 30, 2071 234.33
212. Assessments 512. Assessments
213. selier a' for owner's title ins. 350.75 513. seller 'n for owners title ins. 350.75
214. seller 'n for doc stam on deed 427.00 514. seller ' for doc stam on deed 427.00
220. Total Paid b/ for Bortower: 42,012.08 520. Total ReducHons in Amourn Dua Seller. 5167.08
300. Cash at Seltfement from / to Borrower: 60p. Cash at Settlemerrt to I from Seller:
301. Gross Amount due from Borrower line 120 65 978.17 601. Gross Amount due to Seller line 420 61 000.00
302. Less Amount Paid b/for Borrower line 220 42 012.08 802. Less Reductio� Amount due Seller line 520 5 167.08
303. Cash From Bor►ower: 523,966.09 603. Cash To Seller: 555,832.92
The Public Reporting Burden for fhis collecGon of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data.
This age�cy may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
No confidentlality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information
during the settlement process.
Previous editions are obsolete Page 1 of 4 HUD-1
April 1, 2011 11:27AM
Settlement Date: April 1, 2011 Loan Number• 0280627845 File Number• S-28632
BuyBfs �
LLCtFf I (:. k31Fi6EGK �
Selle►s
NANCY MOODY
P.O. Box 359
Bin ham Maine 04920-0359
Pro Addresses
38521 NAOMI AVE
Ze h ills Florida 33542
1 have carefully reviewed the HUD-1 Settlement Statement, and to the best of my knowledge and belief, it is a true and accurate statement of all
receipts and disbursements made on my account or by me in this transaction. I further certiry that I have received a copy of HUD-1 Settlement
Sfatement.
� 1 �
Borrower �
ALB T C. BIRBECK
Addr s
The HUD-1 Settleme t Statement which I ave repared is a true and accurate account of this hansaction. I have caused or will cause the funds to be
disbursed in accordan 'th this staEeme t. �
SettlementAgent: Date: April 1, 2011
NS TLE
WARNING: It is a crime to knowi ly ma e false s ments to the United States on this or any other similar form. Penalties upon conviction can
include a fine and imprisonment. For details see Title 18 U.S. Code Secti�on 1001 and Section 1010.
Previous ediUons are obsolete Page 4 of 4 HUD-1
March 31, 2011 6:25 PM
a�saso-oo2o City of Zephyrhills Permit Applicatfon raX-n,�-�au-ooz,
Building Department
Date Received phone Contact for Permittin �J dv —� � �v
Owners Name f't � � C_ Owner Phone Number ��
Owner's Address � g °t- ! a- �M l VC Owner Phone Number
Fee Simple Titleholder Name � Owner Phona Numbar
Fee Simple Tltleholder Address � g �� i 1' �l-Dl� � V�
JOB ADDRESS LOT # �
SUBDIVISION � , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
�DESCRIPTION OF WORK �CC� X� J�OL C�CJ '^' �� ��
BUILDING SIZE �— � SQ FOOTAGE� HEIGHT
� QBUILDING � 3 QD _f VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMB�NG $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �� ` COMPANY � �—
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CuRRE� Y/ N
Address License # � �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N �
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �— �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �—
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Perrr►it for new construction,-
Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisfons/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe 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 Facllities 8� 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 construcUon.
Dlrections:
Fill out application completely.
Owner & Confractor sign back of applicaUon, notarized
If over 52500, a Notice of Commencement is required. (A/C upgrades over;7500)
"" Agent (for the contractor) or Power of Attomey (for the owner) wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/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" restriction�"
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 cont�actor are uncertain as to what licensing requirements may apply for the
intended work, they are advlsed to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, ff 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 t� 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. Fu�thermore, if Pasco County WaterlSewer 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 compiiance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Fiorida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental 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 materiai 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 �ne (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.0 � L1 � �_ D�
v�, j�
OWNER OR AGENT CONTRACTOR
S _p d and swo tq or���ed)�ie e` e� is S bscri � d and swom a� fo
f� /� by 6� C �� b �'b���, ��'b� c
Who is/aj personally kno w n t o me or haslhave produced Who is/are personally known to me or has/have produced
��`�,p� as Identlflca8on. /;� C P�Ss�— as IdentificaUon.
�—. �
, �
.,.�.
� � Notary Public � � Notary Public
.,,�, - ES ��
:�` �p��mber 12, 2d , Yj Com mission # EE A
C 'I ' �,. �q ��
=�,� §ATtxu TmY Fe n �,�„�,,. � , ��.P„, � 9adeA 7M� T �
A; � roYFainkq�renpg800�38S701J �
Name of Notary typed, prtnted or stamped Name of Notary typed, p n e o -=
'7d N/OOH2! 0�6£'6Z °� � � � J I � i
� �FZl�L ' /«�S /«bQI ��C�fI G�'.�! ' i � � U i Q i
?.7�f� �/Y.Gta'�ita(/fS.a�/'Y��11� �� i o � cn ' o�
l
I
i
� �- - - - - - - - - - - - - - - - - - - - - {
� � :� � I
� � � '
� a
� 3 �o�
� z�o �dJ ,05� o � m j W ��
z;- (�) ,L8'L5t M a Bf.bF.00 S �` -' • 3 z
�
� �OM . s in v �` W
� o�
� � 91 10� �0 ,6l 'M i �
" ' � -- o'or —� � . _ . -
� ———————--— — ������ �M/a _ �J
L 4 L ' � o�y� �--�--i�- ��NO� ' 04
z -
p � � -� -� � - � -; £"SZ 3 � �
�
O � � � �� � M ao 2 ��.. O
� Z x � �-a O p
� � c" � v �-� v� '� J �" � ° o
_..�.. _ . 2 Q - 0 �
g __ Ja_J � � �
� -J �J.J � r^
) �
� Vl Z
�: --� _ ! _, i �sa_� ! °j- � 5. � ' +�'
3 ° �QM .9 �' � ' � �NO� • . o ^: : ; wi. �
� (.�) .LS'LSl ' ' ; � y
� a � 3„8£', .00' N _ � x
� 4� (d) .o�i � ja � � � � � Q
I O ! �ry � N ��
CL � � I ' � ( z
; � � �� .
. I � � � � � I
� j ; ,
� � � � � �� : ��
{ ' � � �
�. � ��
� �-I o
3 ° �°
00
0
���
Z
I
\ b
�
�
W
Y
K
� y
U �
w a �� Z� o
� M
� z w 4j z
°� � �& w� w o 0o w vi o `"
��z v cri� �a o+., i;...``',� o �� >� ._ ° or��.
• DI5CL05VRE S'r'a'�'��•N'r .FOR OWNER
C=TY OF ZEPFiYRTi�S B��D�G DEPARTMENT
= have read asid fully usderstand and
aqree to the provisions of this i.nstrument•
The undersigned.sta.tes and affirms that he or she is desirous of constructing,
renovating, adding to or seroofing his or hes own domicile that he or she
actually occupies, or wi11 occupy by �_ S�d domic't1e, and same is not for
•rent, lease or sale. That he or she sha11 comply with the following conditions:
1. Tlzat the o�aaer and_he or she alone sha11 act as the bvilder for a11 phases of
construction.
2. That the owner w111 comply with al1 provisions of �the City of Zephyrhills
ordinanees and codes x+*'�'; nesit to the buildinq-
3. That in the avent various phases of construction are sul�contsacted, he will
EIl gage only •properly licesised subcontsactors and will �J�ssonally supervise
such work.
4. T2�at in tiie event the Buildiag Inspector shall rec� * conections to be made,
the owner wi11 assume full responsibility tc iasure•thel' are made, and upon
completion wi11 ca11 for a reinspection before proceediag with the buildYng.
5. That the owner shall assume fu11 respensibi]-itY for the construction aad wi11
not expect_supesvision of his work fro� the CitY of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reiaspe�tion
fees, must be paid in ful1. A written request from this office sha11
constitute an official notice to pay addttioxia]. fees .
7. That the ovmer sha11 comply with a11 City, State and Federal laws in regard to
social security, workman's c�+��^�ation, lien 1aws, eta., where applicable.
B. That the owner sha11 comply with all the sat'ety codes issued by the Florida
Industsial C��ssion.
9. State law rez constructiosi to be done by licensed contractors. You have
applied for a��*+; t urider an exemption to that law. The exemption allows
you, as the owner of yovr property, to act as your own contractor hrith certain
restrictions even though you do not have a license. •Yau must,provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or t�v�-family residence or a farm outbuilding. You may also build
or improve a commercial build.iag, provided your costs do aot exceed $25,000.
The building or resideace must be for your own use or occupancy. It ma.y not
be built or substantially improved for sale or lease. If you sel:l or lease a
building you have built or substaatially improved yourself wit�in 1 year after
the constsuction is complete, the 1aw vTi11 pres�e•that you built or
substantially improved•if for sale or lease, which is a violation of this
EX emption. You may not hire an unlicax�s�d person to act as your contractor or
to supervise people working on your builrling. It is your respoasibili:ty to
make sure that people �ployed by you have lice�ses required by state law and
by county or municipal liceasing ordinances. You may aot delegate the
responsibility for supervisa.ng work to a licensed contractor who is not.
licensed to pesform the �aork being done. Any person svorking on yovs building
who is not licensed must work uatier your direct sttpervision aad must be
P� ployed by you, which meaas that you must deduct F.I.C.A. and v�ithholding taa
and provide workers' compeasation for tlzat employae, a11 as prescribed by law.
Yovr construction must comply with a11 applicable 1aws, ord�siances, building
codes, and zoning regvlations.
OWNER' S S 2 t DATE " �//
ADDRESS �SA� /
PIiONE
WIZ2iESS p'F'•R*�+TT #