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Home My WebLink About11-12099 CITY OF ZEPHYRHILLS � 5335 - 8TH STREET , , (sis)�so-oozo 12099 BUILDING PERMIT Permit Number: 12099 Address: 5824 16TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-07400-0201 Improv. Cost: 1,400.00 Date Issued: 7/11/2011 Name: CARR, GARLAND & MARILYN Total Fees: 180.00 Address: 222 LAS COLINAS BLVD W STE 1252E Amount Paid: 180.00 IRVING TX 75039 Date Paid: 7/11/2011 Phone: (813)780-7149 Work Desc: MINOR RENOVATIONS CARR'S CONTRACTING SVCS INC PLUMBING FEE 60.00 DOUBLE M ELECTRIC � r � �' .� j'�1�/ I 1 �� ! (7 1 �'� .J � ' r� i FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 � 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 commenceme " �� , CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER A�tr Recurdfng �Nurn to: P�nred aader the sapervbion oF P. T�otiR bs4 L�►'s SP��1V �P. � Biando�, }7ecid► 33S} t 866-755-6300 �� DOC{LLOMtdCY S18ID()S i[G �SCd Otl ttlC � Qf PROPE1tTY TAX ID: i 126Z100I0 0 74 402 0 1 Mai! Taz Sis�eemarts �o: Garlend W. Caa T'�iiyn G[r • SPECIAL WARRANTY DEED This SPECIAL WARRANTY DBED, execubed this � day of , 2(111, by QUADRANF RFSIDEN77AL CAPTTAL III, LLC. a Texas timited ility compnny, with a business addiess of 850 Central Parkway Last, S�ite idQ, Pkno, '�'X 75074, hereinafCar refectnd to as 6RAI�TOR 8►mts aad setl� to GARLAND W. CARR, and MARILYN CARR, hnsband aad wif5 resid'm8 at . horeinafier xefearcd to as GRAN"C1;ES: Wherev�r used hao�a t�e Le�m4 "GRAN'1'OR AND "C3RANT�ES" iacitede a!1 rtu parties to this instzumet+t and the heirs, 1ega1 re�resentatives and assigns of individusis, and the �oc�sois and assigos of corpontions. Wimessed: That GRAN3'OR, for and in considuation of the sum of l iftcen Thousand And OUV10U Dollars ($iS,OW.00) aad otiier valutble considerations, reccipY wheteof is hereby Page I of 3 acknowledged, hereby conveys and confirms nnto the GRANTEES, in fee simple, alI that certain tand, sit�ted in P� County, Ftorids, viz: THS WFST 1/2 OF LOTS 20, 21 ANA ?.2, BLUCK 74, CiTY OF Z�'SYRHfi�IS, {FOItMIGRI.Y TOWN OF Z�P'HYRffiLIS� ACCORDIIVG TO THE PLAT T�OF, RECURDED IN PLAT BOOK 1, PAGE(� 5� OF THR PUBidC RSCORD6 OF PASCU CODI�P!'Y, FLORiAA.. 'rOGET�R Wl7� AN �A�T FOR 1NG8�5S AND E� OVER AND ACROS5 'Y'HE 30CJ'Y'H 3 FE�I' OF1YiE EAST 1!l OF SAID LO'� Z6. SUBJECT TO A.I.L MATF�RS OR �CQTtD. B�CINFG T"� SAM6 PRO�TY A3 COP�VE'YgD TO QIIADRANf R&4IDEPFTIAL CAPYTAL IiI, I.LC BY DBB� RECORbED DECEMBER 14, 20I0 IIV OFFtQAL RLCORDB BOOK 8485, PAGE 616, OF THS PUBLIC R�CO�tIfS OB PA5C0 COYTIVTY, FLORIDA. PROPER�"Y ADDR6S5: 5824 !6"' Sheet, ZephychilL�, Floridn 33542 rns tey+qae�r7p�on+rec ao6tatnaem�m a prevforiaryrecorded i�r�umsnc SUBJECT TO 1'AJ�.S ACCRUING FOR 2011 AND SUBSEQUFNT XEAKS- This deed warr�mts title orrly agairtst claims held 8y, ihrough, or under tlre Graxtor, or agairtst encwnbrnieces a�rde or su,�sred by thc Grmit�, aad it caareot be held to �varrant t�tle 8�++�' �v�st d1P�oxs• Gra»tor does fia7her couennna mad birtd itself, �d its successors mrd assignc, to warranr a,.d� fr�r�svar dg6�d t!� rrtls to tles p�+opsrcy to dx scad Ca�aeas ag+aned thc bawjml cla'vns of aU persorrs clarming by thraugh or �arder tf� graxtor but na furthu or otherwise. Togadier with dl the tonemeata. hecedi�ts and appucaaances therdo belongimg or in anywise appeelsiniag. TO HAVE AND TO HOLD, t6e sun� in fee simple foc+ever. The undersigned persoas t2cecuting this Deed on be�alf of said G[antor oorporaticu�lgovt,mment �tiiy r�preseut aud cuHfy tbat they are duly decte� officer or other oaporaoe offic'ta! of said entity aad have betn ful�y empow�sd by proper resoludon to ex�utc and deiivea this dead; that the C�rsntor has fufl corporau capacity to convay the reat estacc desczibed haroin� and t(�t a!I r�ecessary coiporaDe ar�iion for the mx�ng af such conveyanec has bxn ia�ccn sod daae. Page 2 of 3 IN WITTiESS 1�fiIIt�AF, C�Can�r tias ixrauito set a hand and seal the day and year first written above. 3ignod, sesied aad deiivaed in our paesenc.�e: QUADRAI'11' RESID�'i'IAL CAMTAL 2II, Recording s�ate requires fwo ienofficial LLC witness BY Wifaess RAidDALi, RLEES lMember ��"'�� '�� Printed Name Wi ess i • :��5�,$�0� Pr�x Na� $TATL OF ��,_„_,,,,,�,_} CO[TNTY OR �,� ACKNOVVi '�DC'iED AND ffi�CUTBD BEFORE M�S. on this � dAy of �, 201 i, the igned nuthotit9, P��IY aPP� who is the of QUADRAIVT RTt�4ID CAPTFAL III, LLC, appepcing oa be of ssid corparatioa, with full sutho�ity Lo �ct foar said co�wradion m this �on, who is known eo ma ar bas shown � iden ' ' who af�er being by m rst swom, deposes snd R�fAfT�. ��y to sign this deod on behalf of the aforemcntioned � � '�" -- ' Pubiic, Stats af Tsxas My ��tnissio� F.xpirrs Notary Public My commie�ou eacpi�: '�l//,+�� f Ro Htle tairek Im Lan pa�r�aad b� tlro pa�xer. 2'Ae pes�ev esprema no apinbn u ta 1Me Nlle ths Cnwm(8 wW recavra The proprerMs�nthtloyce�etwilABroCh�a(a)mrQmoa(s)Awan. �typladvicawagivenmao�paqhmeo�. 6domn6oaaowined wWisiroe+�eo�reispsoridedeop�apererbyanagenttaaridar�nmraodFxCanOro. NoWbseaneh�xapufotmedmXieabl�P�Y�' 16is pqirrr. 1Ua pe�p�[�[ KMrt drd wre�t ao taperrt�so� aa eec as �oaw ef tlr abr. Pope�pr as� aW��t ��t � deaa�dpeope�qrineiseariqi�{ar�re�ler�t drwliripraE�►lbsatMiitin�aet NoLor�irraneyvwt�atM�tlr� aC� oowaywce. P�Pi1HSR 1S Mdf RE8�0lIBta1.E MiR C1.OB�li'w Ae aH�Wa Naac o�r �c � Kddt �u�K Preparer n�t er.tporGbie �r yped �r ��ad wdW� � �aadc a tAis iaqtuuat:Oter its preparat7eo. Page 3 of 3 - __ \ . �,, �' � 03-30-2011 �•,,`°r .E.�`� . JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW ** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 03l30/2011 EXPIRATION DATE: 03/29/2013 PERSON: CARR DAVID FEIN: 203645197 BUSINESS NAME AND ADDRESS: CARR CONTRACTING SERVICES INC 3310 DRUM ROAD ZEPHYRHILLS FL 33541 SCOPES OF BUSINESS OR TRADE: t- CERTIFIED PLUNIBING CQHTRACTOR 2- CERTIFIED ROOFING CONTRACTOR 3- CERTIFIED GENERAL CONTRACTOR - IMPORTANT: Pursu�nt to Chapter 440 . 05114l, i.S., an officer ol e corpora[ion who elects exemption from this chapler by filiag a certificete of electian under this section may not recover benefits or campensation under this chapter Pursuanl ta Chapter 440.05112►, f.S., Certificates a( election to be exempt... apply only within the scope of the 6usiness ar traAe listed on tqe notice of election to be exempt. Parseant ta Ckapter 440.05(t31, F.S., Notices of eleclion ta be exempt and certilicales ol election to 6e exemp� shall be subject to revocatioa if, at any time after the filing of tAe no�ice or tAe issuance of �he certiticate, the person nsmed oa the notice or certificate no longer meets tbe requiremeats of this section for issusece of a certificate. The department shall revoke a certilicate at any time for failure of the person named on the certiticate to meet the requiremen�s of this sectiao. QUESTIONS? 18501 413-1fi09 DWC-252 CERTIFtCATE OF ELECTION TO BE EY.EMrT REVISED Ot-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF RNANCIAL SERVICES DNISION OF WORKERS' COMPENSATION F Pursuant to Chapter 440.05114y, F.S., � officer of a cofporation who CONSTRIlCTION INDUSTRY � elects exemptian from this chapter by filing a certificate of election CERTIFlCATE OF ELECTION TO BE EXEMPT FROM FLORIDA �- under this Section may not recover benefits or compensation under this VYORKERS' COMPENSATION LAW D chapter. EFFECTIVE: 03/30/2011 EXPIRATION DATE: 03/28/2013 pursuant to Chapter 440.05112), F.S., Certificates of election to be PERSON: DAVID CARR H exempt.. �ply only within the scope of the business or trade listed an FEIN: 203645187 R the notice of election ta be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 44Q051131, F.S., Notices of election to be exempt CARR CONTRACTING SERVICES iNC m�d certificates of election to be exempt shall be subject to revocation 3370 DRUM ROAD if, at any time after the tiling of the notice or the issuance of the ZEPHVRHILIS, FL 33541 certificate, the person named OII thB notice Of certificate f10 longer meets the requirements af this section for issuance of a certificate. The deparunent shall revoke a certificate at ar�y time for failure of the SCOPE OF BUSINESS OR TRADE: person named on U►e certificate to meet ihe requirements of this 1- CERTIFIED PLUMBING CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR section. 3- CERTIFIED GENERAL CONTRACTOR QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ,�--"'�' ----�--- Date Received � �� Phone Contact for Permittin 8!3 6 z q_ y6 Owner's Name �7'c7l^ K / �G1Y' � ` Owner Phone Num�ber � � / Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS S�� ,� '( `6 '%`" �S� , Z � �i /�,` �J.1 LOT # � SUBDIVISION PARCEL ID# rI �� 6- •- F 7 � D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � 9 S�^1 � 1 `— � J D G' � U�- (� BUILDING SIZE SQ FOOTAGE � HEIGHT �BUILDING $ 1 �j�c�LUATION OF TOTAL CONSTRUCTION 00-�� ELECTRICAL $� O` � ��P SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ �� ` � / 2O I ! l OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS � ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER _' "[/ COMPANY L'r ' �'�/II «'� -t"Z � SIGNATURE REGISTERED / N FEE CURRE� / N Address � � d �v M (� , 2Q � �11{ S _ 33 S ( License # � �� .�. P c1 S GNAT R1EN ti� ��ICQ� COMPANY ��U� I�`�� / rr 1�'e � REGISTERED Y/ N FEE CURRE� Y/ N Address �� vl e l- (�' ,3 � License # � � f �� 1 � � 0 b � PLUMBER � COMPANY � ct � �� u- � � SE'�I'l�l C � -r�.0 � SIGNATURE «�'� � REGISTERED Y/ N FEE CURRE� Y/ N Address I..Ji(✓y1A , � � ,�S License# C �C � �p � 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 Permit for new construction, Minimum ten (10) wo�lcing 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 wJ 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 requlred for all NEW construction. Di�ections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over 37500) *' Agent (for the contractor) or Power of Rttomey (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/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be requi�ed 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 speci�ed 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 Envi�onmental 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 tots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If 1 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 TICE OF COMMENCEMENT. FLORIDA JURAT (F.S 117.03) ;' , / / / OWNER OR AGENT �-�h��-�� G�/� L.L'�.�✓1-- CONTRACTOR Subscribed and swom (or afflrmed) before me thls S� sclib ��and b to (or affirmed) before me this by (0 Who islare personally known to me or has/have produced Who islare personal�lY k_novm to me or has/have produced as identlflcatlon. as identification. Notary Public - � � Notary Public Commi No. = ,"�,~�'�'� J Comr��i° n# 2014 Commission No. :,,: . �.�. :4.; 'O` ��utrovF'i�`�" Name of Notary iyped, printed or stamped Name of Notary ryp ped . v 0 _ _ _ _ Generalized Building Schematic 11-26-21-0010-07400-0201 Card: 001 11 z � 5 7 FSf 5 SU� 5 11 5 24 6 6 10 10 11 BikS 14 14 Il� 14 16 10 11 34 2 10 4 Fl�' 4 10 Pasco County Property Appraiser Page �ayout Modified: 10/4/2010 3:18:46 PM The Local Time Is: 7/S/2011 4:26:50 PM �,�, � �:�..�- 7 - � � RE'�IEW � - C1TY �F ZEPHYkH�� ;_`�� PLAN g EXp,MINE�. .__�� - CON�PLYDAB 1 D � G ALLV�IORK SKALL �LORI PRE�A�'ING COD��, � �O�E AI�� CODE� NATIO YR[�I �� CITY OF ZEPK http://appraiser.pascogov.com/search/traverse/traverse.aspx?sec=11 &twn=26&rng=21 &sbb... 7/5/2011 Pasco County Parcel: 11-26-21-0010-07400-0201 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, July 02, 2011 Parcel ID —� 11-26-21-0010-07400-0201 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value QUADRANT RESIDENTIAL CAPITAL Ag Land $0 III LLC Land $8,001 222 LAS COLINAS BLVD W STE Building $9,897 STE 1252E IRVING TX 75039-5421 Extra Features $1,142 Physical Address 5824 16TH ST Market Value $19,040 ZEPHYRHILLS FL 33542-3762 Assessed (Non-School Amendment 1) $19,040 Leqal Descriution (First a �ines) Taxable Value �19,040 See Plat for this Subdivision �"' CITY OF ZEPHYRHILLS PB 1 PG 54 WEST 1/2 OF LOTS 20 21 & 22 BLOCK 74 TOGETHER WITH AN EASEMENT FOR INGRESS & EGRESS Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 0100 SFR OOR2 6,300.00 �F $1.27 1.00 $8,001 Additional Land Information Acres 0.14 Tax Area ZH FEMA Code � Residential Code ZHLHLPi Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1900 Stories 1.0 Exterior Wall i Asbestos Shingle Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Plywood Panel Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 Carpet Fuel Gas Heat Convection A/C Window Unit Baths 1.0 r Line � Description Sq. Feet Repl. Cost New 1 BAS 828 $26,662 Z UOP 25 $129 3 � �T_ 77 $1,256 4 � FQP 40 $322 5 l,�P 154 $741 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 UDU-M 1988 � 1 $262 � 2 � LFEN E 2002 960 $880 Sales History Previous Owner WALTER THOMAS L Year Month Book/Page Type Amount� 2010 � 12 8485/0616 � �p � 2006 07 7111 / 0380 C�C $p 1996 � � �529 / 0729 F� $p http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&bl... 7/7/2011 �`i i iZ7 �� ._i7�/;?. i3�, -� 1 ,.�s "�"�a �E��, u��w , �� ;. :: �. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: C,�!' %- �� o' C�/ " Date Received: �'la �l� site: `�� L T /(�.� � �� Permit Type: /Pc o �fP ( .✓t�i o Y� I�i` �P,�l�' , Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: O This comment sheet shall be kept with the permit and/or plans. � �� lvin w' z— Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) FROM : LGE INS FAX N0. : 3525679359 Jul. 11 2011 08:41AM P1 �� QP ID: MC ' CERT�FICATE OF LIA�ILITY INSURANCE �'TE(MMIDD/YYYY) o7r��l�+ THIS CER'�I�ICATE iS ISSUEO AS A MATTER 0� INFORMA710N ONLY AND CONFEl25 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICA7E DOES NOT AFFIRMATIVELY O�t NEGATIV�LY AMEND, EXTENO OR ALT�R THE COVERAGE AFFORDED BY THE POLICtES SELOW. THIS CERTIFICATE OF INSUItANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZ�D REPRESENTATIVE OR PRO�UCER, AND THE C�RTIFICATE HOLDER. (MPORTAMT: If the CeltiflCate ho{def is an ADDITIONAL INSURED, the policy(ies) must be endorLed. If SUBROGATION iS WAIV�D, Subject to the terms and conditions of the policy, certaln policies may require an endorsement. A statement on this certificate does not co�fer rights to the certificate holder in fieu of such endorsemer�s . pRODUCER 352-567-6751 CO A� Kat�en Surratt L.G. Edwe►ds Insur�nce Age�cy 352-567-6766 �" �,�,: 35Z-567-6759 we►: 352-567-6766 , P.O. BoX 1548 ' � Dade City, FL 33526-i548 k ar9nSU1Ti 1 mpa .y rr.COr� . � � *, dAV21�1 _ . , INSU 8) AFFQRONI6 C OVERAGE , , � � iNSUxeo .1av 2 Inc �ys a: N ation$1 Gro (ns C o . Double M Electric dba MSURER B ; . _ Jim Mace INSU .. . � �0410 River Rd �NSURER D: . pade City, FL 33525 „�uRea E� .,_. . I SU RF: COVERAGES CERTIFICATE NUMSER: REVI810N NUMRER: TH�S 1S 70 CERTIFY THAT THE POL[CIES OF INSURANCE LISTEO BELOW HAVE BEEN ESSUEO TO TNE 1NSURED PIAAMED ASOVE FOR 7HE POLICY PERfOD INDICATED. NOTWITHSTANDING ANY REQUIRENIENT, T�R�ut OR COND�TION OF ANY CONTRACT OR dTHER OOCUMENT WITH RE3PECT TO WHICH TMIS CERTIF(CA7E MAY SE ISSUED �R MAY P6RTAIN, THE 1NSURANCE AF�ORDED BY THE POLICIES DESCRIBED NEREIN IS SUBJECT TO ALL THE 7ERMS, �XCLUSIONS ANfl C OND(TIONS OF SUCH POLICIES. LIMlTS 8 HOWN MAY HAVE B EEN REDUCED BY PAID CI�UMS. . , r�r,�,�sr—• �p�€' ucYEX uenrs R SYpH OF 1NSURANCE �� t �� POLICY NUMBER MWDDIYY QEN�RAL WI1BIUn, EACH pCCURRENCF, 5 'I �OOO�OO v7►o�� 07l01/12 � � �� oo,o A co�nurRCUOt GeN�Rn� �weiur 08L000001604 p �$ES (Ca occu . S CW�.+"-1�IAOE �X,� OCCUR MED EXP (Ar�y on a rson) i, b,OO PERS ONAL R AD INJURY a 1,OU0,00 — G6W ERALAGCR E GA7E S 2•OQO�O GEN'L AGGREGATE LIfA1T APPLIES �: PROOUCTS - COI�/OP AGG S ��OOO�OO X LICY � LpC AUTOMOBIIE LUB�UT1' COMBINED SINGIE I,IMIT s (Ee acci ANY AUTO BOOIIY I WU RY (PYr peroan) S ALl OWNE� ��1'�OS BOO� INJURY (Par aa�tleM) t $CHEDULEO AUTOS PROP�TY DAI�MGH : (Pot SoCiAlM} riIREG AUTOS S NON-OWNEQ AU70S f �� E ACN OCCU , S �� CuIMS-MApE A G6REG�T E L „ • a oeoucne�e - : R anoN s wc srATU- on+- WORK6RS COM?�NSATION AND SMP[AYERS' W►s1UT1' E,I.. pqCH ACClDE1J�? S ANY PROpRIETORlPARTNERIE7CECIfiVE Y � � 1 A - OrfICERlIAEMBER EXCLUDED'! E.L. DISEAS� • EA tMPlO�'E 5 (M■nenory Io NX) Mya6, dltp5b6 UIId6� �L. O15EA$E • POLICY LIMIT E D�SCRIPTION OF OPERATtONS Dalow DESCRIPTION OF OPERATWN� J LOCA710N5 I VEMICLES (Atlteh ACORD 101, AdA160n71 R�onfKi Sd�eAYl0. (f inere epicc fs �9a4hcd) Eleatrical within buildings CERTIFlCATH FIOLDER CANCELUITION CITY Z� SliOULC ANN CF THE ABOVE DESCWBEO POUCIES BE CANCELLEQ BEPOR£ TNE EXP�ItAT10N DA7E 7HEREOF, NO'i10E YVILL 9E DPLNERED IN CITY OF ZEPNYRH (LLS ACCO1tDl►Nt:� wIT'►t TNE POtdCY PROV1310NS. BUILDING pEPARTMEtVT 5335 STH STREET aun�o o neartESSNrarnr� ZEPHYRHILLS, FL 33540 J�� 1988-2009 ACORD CORPORATI ts res�rved• aeo�tD 25 t2oo9JO9) Thp ACORD neme and logo are registered marks of ACORD