HomeMy WebLinkAbout12-12675 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 12675
ELECTRICAL PERMIT
Permit #:12675 Issued: 1/04/2012 Address: 5239 11TH ST
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: 1,500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: �0.00 Date Paid: 1/04/2012 Parcel Number: 11-26-21-0010-18100-0070
Name: JACKMAN, MARSHALL SCOTT Name: R.D.P.D. LLC
Addr: 7124 REMINGTON OAKS LOOP �'�F�� Address: 5239 11TH ST
LAKELAND, FL 33810 ZEPHYRHILLS, FL. 33542
Phone: Lic: ER13014414 Phone: (813)325-8413
Work Desc: METER CHANGE, GFI & SMOKE DETECTORS
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER 2. .
FINAL '-�"I -(Z n
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
inspecfion 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 financing, 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 perFormed in accordance with City
Codes and Ordinances.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Date Received "� � Phone Contact for Permittin C� � —
,
Ov��r's Name <� Owner Phone Number
L � � �+ .
Ownsf's Address ��3� 1 L $� . Owner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
L JO�-AtSDRESS t ��� S�� LOT # �
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SUBDIVISION �qRGEt"16#
��� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDlALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK r" G�G� tl �. j,� S � G F�. d S� h c� S
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL �ONSTRUCTIO
�ELECTRICAL $ OG � AMP SERVICE � P OGRESS ENERGY Q W.R.E.C.
,�� ; I 5cao � ,� �
, /J �
�P�UMBING ` $ -- � � � � � � ��� — 7 ( � � ?� I / /
MECHANICAL � �+ -�'� �
0 $ VALU TIO C L WSTALLATIO ���d.l�-� ��
� � ������� ����
�GAS � ROOFING Q SPECIALTY 0 OTHER ��� v U�5
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO _� ���_
l` " ry ^
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN �O1RP�iNY CC SS ,� I� C i L--C Cr
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 J 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 Bullding 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 submlttal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary FaciliGes 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 construcGon.
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 s7500)
"' Agent (for the contractor) or Power of Attomey (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 required to be licensed in accordance with state and Iocal regulations. If the
contractor is nvt 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 pvwer 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 1 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 ce�tify 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 S Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the f�llowing 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 �II 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 a�davit 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 wo�k 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 NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S 117.03) �,�_.-�_'
OWNER OR AGENT CONTRACTnQ �
Subscribed and sworn to (or affirmed) before me this Su rib an' b m to (o� ed) � re this �/ /, �
b ��h����� Y �!_l�Z�a� xG245
Who is/are personally known to me or has/have produced (I o i are personall� own to me or has/have produced
as IdenUficallon. �� _y( p� as identification.
_ ._� ' � ,,
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Notary Public f Notary Public
Commission No. Commission
,�;;R•.iy,�. BOB ' 734406
•° __ Commission DD
Name of Notary typed, printed or stamped Name of Nota .' � 1@�ppeo�64�1'y �� 2�12
���'� Rj �. `��, Banded Thru Troy Fain Insurance BOo-385�7018
Pasco County Parcel: 11-26-21-0010-18100-0070 001 Page 1 of 1
�Data Current as of: Weekly Archive - Saturday, December 31, 2011
Parcel ID 11-26-21-0010-18100-0070 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
WELLS FARGO BANK Ag Land $0
C/O AMERICAN HOME MORTGAGE Land $22,848
3 ADA Buiiding $15,582
IRVINE CA 92618-2322
Physical Address Extra Features $187
5239 11TH ST 7ust Value ;38,617
ZEPHYRHILLS FL 33542-5029 Assessed (Non-School Amendment 1) $38,617
Leaal Descri�tion (First a ��nes)
Taxable Value �38,617
See Plat for this Subdivision ,1'"
CITY OF ZEPHYRHILLS
PB 1 PG 54
LOTS 7-8 BLOCK 181
OR 8628 PG 571
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 0100 SFR OOR4 8,400.00 SF $2.72 1.00 $22,848
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1925 Stories 1.0
E�cterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Wall Board or Wood Wall Interior Wall 2 None
Flooring i Pine or Soft Wood Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
�— Line Description Sq. Feet Repl. Cost New
1 � B� 939 $30,236
�— 2 � FSP 132 � $1,481
3 FEP 96 $2,157
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � 2000 —��_ 500 $187
Sales History
Previous Owner MALNAR JOANNA & JAMES
Year Month Book/Page Type Amount
r r il 8628/0571 � �p
1999 07 4195 / 1671 WD $49,000 �
1994 05 3293 / 1558 WD $30,000
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=00... 1 /4/2012