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Home My WebLink About11-12573 CITY OF ZEPHYRHILLS !' 5335-8th Street �'`�✓� ' � (813)780-0020 12573 ELECTRICAL PERMIT Permit #:12573 Issued: 12/01/2011 Address: 38610 TRELLIS AVE Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 113.00 Total Fees: 60.00 Subdivision: ALPHA VILLAGE Amount Paid: 60.00 Date Paid: 12/01/2011 Parcel Number: 35-25-21-005A-00000-1440 Name: ADT SECURITY SERVICE, INC Name: MOREY JANET Addr: 5471 W. WATERS AVENUE, STE 1000 Address: 38610 TRELLIS AVE TAMPA, FL 33634 ZEPHYRHILLS FL 33540 Phone: (813)806-7000 Lic: Phone: 8137827468 Work Desc: INSTALLATION SECURITY SYSTEM LOW VOLTAGE ELECTRICAL FEE 60.00 � ' ' l / ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER 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 inspection 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. "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 fnancing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Rec�'ved '•- _ Phone Contact for Permittin —� � Owner's Name �' — � � Owner Phone Number �/ �! C7 U Owner's Address (� � j , Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Simple Tftleholder Address JOB ADDRESS � � � � J LOT # � SUBDIVISION V � L PARCEL ID# ,� — (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEw CONS7R 8 ADDlALT 0 SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK .� LC Z 6 J�� `t,J BUILDING SIZE SQ FOOTAGE � HEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ ( ,�" AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUiLDER COMPANY SIGNATURE REGISTERED Y I 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 " , j '-� -- COMPANY �T S �' SIGNATU REGISTERED Y/ N FEE CURRE� Y/ N . Address — Q� , License # � o l.� 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 Pfans, 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 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Enaineered Plans. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersignea 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 finai power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due, they must be paid prior to pe�mit 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 °Flo�ida 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'SlOWNER'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 ce�tify 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 Heatth 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 Iots 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 tN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JU . . 11 .03 .-� '' � OWNEF�-0B.AG6l�4'F-• NTRACTOR g and or aiflrm ) re his t u s bed and s o(or a � ore me this _ � b me has/have duced s/are onall to me or h ve produced o is/ar ersonall identi� on. 1denUfl . Notary Public Notary Public 0 ommissi , � ,, , ommission p . 1 ��'Il �7ll�. �`t , , iit�� . °i��;CIl Name of Notary tyP ,r �nted or sta T' ' ,� Name of ,h!p�� P,, �' • �, 20�2 � � ,' . . , t� „ .;[; ; f,t�v �.�•i.n,� r��: ;.�c.n��.c; co, r:cc t� ,' -----�.�-- Z�� r�'v�s--_-------- � � _ , RESIDENTIAL VIC CONT�,�,R`� IIIIIIIIIIIINIIII�II�IIIIIIIIUII�I�IIIIII � 5104UE12 CONTRACT ' CUSTOMER / JOB � LEAD � DATE ACCOUNT NO NO SOURCE • • • ADT Security Services, Inc (°ADT") �urtomer Name Office Address ('Customer' or'I' or'me" or'my') 7/l �T�esA .sT"�= /�D ��, /� �� Address �L ��/.� �,�, - /,��S�L�-�/ State � ZIp ��/�� Tax Exempt No. / J Protected Premises' /��II� ��f � Telephone �/� Tax Expire.Date m/ I I I� O7raditional Phone c{►Other (Qualified) O Other (Non-Qualified) www.MyADT.com 7.800.ADT.ASAP� Alternate (1.800.238.2727) Telephone 1 O Home Ey Cell O Work IF FAMILIARIZATION PERIOD IS Alternate REIECTED INITIAL HERE Telephone 2 o Home O Cell �work (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Communications Authorization: I authorize ADT to provide me with information and updates about the securiTy system and new ADT and third-party productr and services to the contad information provided by me. I may unsubscribe or opt out by emailing donotcontact�ADT.com or by calling 888.DNC4ADT (888362.4238). Initial here Confirmation of Appointmentr: I authorize ADT to call me using an automated calling device to deliver a pre-recorded message to seUconfirm appointmenu and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: OCustomer-Owned OADT-Owned 1 ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT; I HAVE READ, UNDERSTAND AND AGREE TO EACH AND EVERY TERM OF THIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF THE TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT IS NOT A SECURITY CONSULTANT AND CANNOT ADDRESS ALL OF MY POTENTIAL. SECURITY NEEDS. ADT HAS EXPLAINED TO ME THE FULi RANGE OF EQUIPMENT AND SERVItES THAT ADT CAN PROVIDE ME. ADDITIONAL EQUIPMENT AND SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT ARE AVAILABLE AND MAY BE PURCHASED FROM ADT AT AN ADDITIONAL COST TO ME.1 HAVE SELERED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN THIS CONTRACT. (D) NO ALARM SYSTEM CAN PROVIDE COMPLETE PROTECTION OR GUARANTEE PREVENTION OF LO55 OR INJURY. FIRES, FLOODS, BURGLARIES, ROBBERIES, MEDICAL PROBLEMS AND OTHER INCIDENTS ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVENTED BY AN ALARM SYSTEM. HUMAN ERROR IS ALWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CAWNG 1.800.ADT.ASAP OR BY LOGGING IN TO WWW.MYADT.COM. (F) THIS CONTRAR REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICES, AND IF APPROVAL IS DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBIJGATION WILL BE TO NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. ADT Repr ntative Na � _�/ � Rep. License No. Rep. ��/Y � �� (If Required) ID No. '�Z � Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) �� I, THE CUSTOMER, MAY CANCEt THIS TRA�ISA'CTION AT ANY TIME OR TO MIDNIGf9T OF� THE THIRD BU�INE55 DAY �} AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. • • •- • • •-• F NCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE R COST OF CREDIT (0°/, APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF ' 9 � PAYMENTS FOR THE g, pMOUNT OF EACH PAYMENT IS ��+ •� TOTAL OF PAYMENTS FOR THE INITIAL TERM IS �� T INITIAL TERM IS 36. (70TAL MONTHLY SERVI�E CHARGE FROM BELOW) �A• TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, fINES AND RATE INCREASES) LATE CNARGE - PAYMENT IS DUE PURSUANT TO MY SELERED BILLING I —'-- -- FREQUENGY, PRIOR TO THE START OF SERVICE. MY FIRST BILUCHARGE WILL PREPAYMENT - IF I PREWAY THE SEE SECTIONS 2, 7, 15 AND BE SENT/MADE SHORTLY AFfER MY SERVICE BEGINS. ADT MAY IMPOSE A TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRAR FOR ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) THE END OF THE INITIAL TERM ADDITIONAL INFORMATION DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN OF THIS CONTRACT, THERE.IS NO ABOUT NONPAYMENT, DEFAULT NO EVENT WILL THIS AMOUNT EXCEED 55.00. PENALTY OR REFUND. AND ACCELERATION. � . � .. � , . � RESIDENTIAL SERVICES CONT�� IIIIIIIIIIIIIIIIIIIIII�IIiIIIIINIIIIIIINIiIIII 5104UE12 CONTRACT � � /�/, CUSTOMER / JOB �/� LEAD .•,I DATE � IL.�LI� V J� I q��OUNTNO NO ��J SOURCE��J • • •' � • •'• • '• Monthly Service Charge O InitiaVMnual Recurring Municipal Fee billed separetely Initial/Mnual Fee 8 Standard Monthly Service, Burglary (subject to change based on local law) Service indudes: Customer Monitoring Center Signal O Customer to obtain and pay for initiaUannual municipal Rxeiving and Not�cation Service for Burglary, alarm use permit Failure to obtain and provide ADT with Manual fire and Manual Police Emergency �33a q� the municipal alartn use permit registration number could / resuh in no municipal firelpolice response to an alarm from the premises andlor a fine. O Standard Ma�fily Service, Fre/Smoke Detection Service indudes: Customer Monhoring Center S"gnal � Municipal Eledrical Permit Fee �,, n lteceiving and Notification Service for Fire, Manual Fre O Customer to obiain electrical rmit �� and Manual Police Emergency , O Carbon Monoxide O Flood O Low Temp � Installation Price � e� O Medical Alert � Taxable Amount �� , O Safewatch Cellguard' � Non-Taxable Amount � �SecurityLink' � f�G ConneRion Fee � � Extended Limited Wartanty/Qualiry Service Plan (QSP) � �/ � Admin Fee � O Guard Response Service � Sales Tax on Installation*� � '� a $ �� " Deposit Received � �y�r Q R� Total Monthly Service Charge ��,,3� 9 Balance oue upon Installation* �/�� *tf app�icable sales tax not shown, it will be added to the first invoice. d � �� i • • • • •' '• COfltfO� /y/� ��l �SO�` � dj e\\� z 6°� �c �\ �� y.a� � �� Panel �{' Qa al� Se �S� os �Se c p��/ e � ¢ a o S tc °w e `' �`� `' �� a Fc� \S ev` Lo�es `s `� �Q�e� �c'S c ` �a o a° s 5 �eO d`' �Zo°c �¢�� L 1Q r�` t C��o°:�Q°O"°° Q� Q '�° �j/� V�a�/ � C,a O C,� P V P� t;�/p� � Comments Pca eya� GfI [,�' I Indudes: � � � ' 'l � K Foyer -� / '� ,�� J �� l/ Living Room � Family Room I �� Office Dining Room .�.� �� • a ��f//,� Kitchen �i � � Laundry Room Hallway 0 Master Bedroom � Master Batl1 Bedroom 2 . a y � � ,.A Bedroom 3 n V 0 l� 1 Bath 2 I Basement / � Garage � � = - -- ` I l - �'� � ! --- ;�-�� _ --- Totals L " r '� - , �i�i - — P �" :: �- . �J� , Estimated Installation Start Date° INSTALLER NOTES � � ,� s � � � i � � '7,�'� - � - ,�s_ �e � . �� a� gi.� �69-0.��'• �..� z�:��?,� 2 Of 6 rta�m t nnr eu .;,.�.,� ..,�,.,....� ..,..,.. � . , RESIDENTIAL SERVI�ES CONT�� InIIIIIIIIIIIIIIIINIIIIIUIIInI�i�I�IIIiNI 5104UE12 CONTRACT��j CUSTOMER JOB /��/ LEAD� DATE � IC�,CJ� l�J ACCOUNT NO NO �J/J SOURCE • � • O Check received for. O Installation: Check N Amount � O Annual Service Charges Collected: Check # Amount � I authorize ADT O To withdraw all Service Chargesfrom my bank accou�rt O To charge my aeditldebit card for. O Annually O Semi-Annually O Quarterty O Monthly O Installation O 3 monthly aediVdebit card paymenu of equal amounts Ghoose one: O Checking O Savings (available only for telephone orders with an installation price Name of BanWCredit Union over 5400 or field sales with an installation price over 51,500) O All/Recurring Service Charges O Annually O Semi-Annually O Quarterly O Monthly � ABA Routing Nurr�er Bank Account Number O VISA O MasterCard O Discover O AMEX CrediVDebit Card Number Expiration Date Recurcing Service Charge Amou�t � M M Y Y Name as it appean on bank account Recurring Service Charge Amount � Cardholder's Name � I authorize ADT`�o debit my bank account for tfie amouM of all Recurring Service Charges H I am using a debit catd, I authorize ADT to debh my bank account for the amount of indicated abave. I may revoke this authorization only by notifying ADT and my bank in all Recurring Servite Charges indicated above. I may revoke this authorization only by writing atJeast 10 business days before the scheduled debit noti(ying ADT and my bank in writing at least 10 business days before Me scheduled debit. If no oval is filled above, service charges wili be withdrawn monthly. If rro oval is filled above, my credit/debit card will be charged monthly. I aut}wrize ADT to withdraw the amounu in this section from my bank account or aedit card through an Automated Clearing House ('ACH'). These paymentr are for the equipment and services desaibed in this Contract This authorizatlon will remain in effect until ihe terminatian date of ihis Contract or until I oncel it in writing, whichever aars first I also agree to notify ADT in writing of arry changes in my account infortnation at leart 15 days prior to the next billing date. If a payment date falls on a weekend or holiday, payment may be executed on the next busineu day. Because this is an electronic traraaction, these funds may be withdrawn from my account each rtwnth as early as the transaction date. If ihe date or amouM ot the withdrawal changes, ADT wili notify me at least 10 days prior to the payment being collected. If an ACH transaction is rejected for non-suffident funds (NS�, ADT may attempt to process the diarge again within 30 days, and an NSF diarge may apply. The originaeon of ACH transactions to my account must cnmply with the provisions of U.S. law. l am an authorized user of this aedit card or bank account, and I will not dispute the paymerrt with my cmdit card company or bank, so long az the amount corresponds to the 4erms indicated in this Contract C� To send me a bill: O Mnually c�SSemi-Annually O Quarterty O Other DOA Approvaf If no oval is filled, ADT will send hill quarterl ^ Authorized Account Signature: ` � • • • �. Name CS # Address City State� ZIP 't3�! Cross St. Premises' Phone #1 J Phone Yk2 Q/Cell Only Municipality Municipality Police Name Fire Name Municipality Patrol Name Medical Number & Number � Job Type �New Sale Change O�ver Upgrade Control Type O HW � RF Affiliation ,�a�� Member# ��7 ��,� /��'J� Permit � Number Burglar Alarm: �1Yes O No Fire / Smoke: O Yes c� No Two-Way Voite: �Yes O No Cellular Model: O Parallel O Sundard I � �'P"r`o'file ��`�' � �,�7 = ''- Pfeferred Monitorin` Communicatiom Aecount Manag'pment COdES: Ownership i n� System � Service Ll1�l Services � Method � Services � � Guard Market Resale-Former ELW/QSP. Service � Group� Acct # Former CS # • • • • This password must be issued to all users of the alarm rystem, including all people lis[ed in Section 7 An optional, secondary password for service individuals, housekeepers, tenanu, etc. is available upon request. A password must be no less than three (3) and no more than five (5) characters in length and may not contain any punauation or spaces, otfensive language or non-s[andard spelling. Customer may change passwords and cuntac[s by going to www.MyADT.com or by calling ADT toll-free a[ 1.SOO.ADT.ASAP • •' • These are the individuals who may be called in the event of an alarm. Because they may need to meet the auihorities in response to an alarm, I will provide them access to my premises, the password, and the keypad code. By seleRing ihe "Yes" designation on the rigAt I am identifying which of.tliesS� dj�i �II Q�� cation of�e authoriti� Customer/Emergency Contact #7 `� y� II /I�� - �� Q Pnnt FirsULast Name �� l Phone Home Cell Work Yes No �/�. � — f�8 8 O O C�J O Phonew i � Home Cell Work Yes No CustomerlEmergency Contact #2 /� �-7 �"� /1� �' O O O CaJ Print FirsUlast Name � �j Phone �/ � ry Home Cell Work Yes No o � o o � Phon �� Home Cell Work Yes No AltematelEmergency Only ContaR "" � O O O O O Print FirsULast Name Phone' Home Cell Work Yes No � O O O O O Phone Home Cell Work Yes No Pasco County Parcel: 35-25-21-OOSA-00000-1440 001 Page 1 of 1 Data Current as of: Weekly Archive - Saturday, November 12, 2011 Parcel ID 35-25-21-005A-00000-1440 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value MOREY ]ANET F Ag Land $0 38610 TRELLIS AVE Land $19,089 ZEPHYRHILLS FL 33540-1045 Building $56,769 Physical Address Extra Features $1,941 38610 TRELLIS AVE ZEPHYRHILLS FL 33540-1045 Market Value $77,799 Assessed (Save Our Homes) $77,799 Legal Description (First 4 Lines) Homestead 196.031 -$25,000 See Plat for this Su �L' Non-School Additional Homestead Exemption -$25,000 ALPHA VILLAGE ESTATES PHASE 2 PB 23 PGS 8-9 Non-School Taxable Value $27,299 LOT 144 School District Taxable Value $52,299 OR 6170 PG 1924 Warning: A significant taxable value increase may occur when sotd. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 1 0100 SFR OOR2 7,600.00 SF $2.49 1.00 $18,924 0100 SFR OOR2 500.00 SF $0.33 1.00 $165 Additional Land Information Acres 0.19 Tax Area 30ZH FEMA Code � Residential Code ALFALPI Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1984 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.5 Line Description Sq. Feet Repl. Cost New 1 BAS 1,096 $63,020 2 FGR 420 $9,660 3 FOP 20 $288 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWC � 1984 � 420 $520 2 CON PTO �r 1984 � 192 $238 3 UDU-M 1999 1 $984 4 r 2003 � 160 � $199 Sales History Previous Owner DENMAN ROBERT H& VIRGINIA E Year Month Book/Page Type Amount 2004 12 61701_1924 W D $119,900 1997 03 3708 / 1267 WD $59,700 1984 11 1375 / 1364 WD $44,200 http://www. appraiser.pascogov.com/search/parcel. aspx?sec=35&twn=25&rng=21 &sbb=... 11/17/2011 �� :�. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � � (�' v Date Received: �� Site: 3�� `� � /'C� �� S �L`�- Permit Type: (. (i �.t� V� l�� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. �� Ka n S itz — Plans Examiner Date Contractor and/or Homeowner (Required when comments are present)