HomeMy WebLinkAbout12-12744 CITY OF ZEPHYRHILLS ,/
5335-8TH STREET
(si3)�so-oozo 12744
BUILDING PERMIT
Permit Number: 12744 Address: 4925 20TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Seation:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-00100-0050
Improv. Cost: 9,232.95
Date Issued: 1/31/2012 Name: BELLGRAPH WILLIAM C TRUST
Total Fees: 127.50 Address: 8550 BRAGG ST
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33540
Date Paid: 1/31/2012 Phone: (813)476-1589
Work Desc: 22 X 28 METAL GARAGE W/ CONCRETE SLAB
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SHEATHING
FINAL `7 - 7 -�
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 properly 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 r�e�rding your notice of commencement."
Complete lans, Specifications Must Acaompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CT R SIGNA RE PERMIT OFFI R
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
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BUILDING PLAN REVIEW COMMENTS
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Date Received: / � /'� � /.�
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Permit Type: � �v �1��/p..� c�-����--
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments:
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This comm t ee all be kept with the permit and/or plans. ,���'��� � ����� ���`����j�'� `,' 1
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Kal n S ' lans Examiner Date Contra r and/or Homeowner
(Required w en comments are present)
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
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Date Received /—�' Phone Contact for P rmlttin 3SZ- �7 _ QO��
Owner's Name L L C• LCG /� ~Owner Phone Number �/,3�' 6'
Owner's Address 7 ZJr 20 tN ��T 2. Owner Phone Number �
Fee Simple Titleholder Name T•.,,. Owner Phone Number C
Fee Simple Titleholder Address � '�.
JOB ADDRESS Z S 2o r'y ST — Z,�/��� L Z LOT# �
SUBDIVISION PARCEL ID# �'J�'2�'z�'GD/�•�'�dd'p6'�o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK GONG/z/=T� SL,/�/,� W/T�7� /�TAL /�/2iqG�
BUIIDiNG SIZE �, 2' SQ OTAGE � �Y HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
23z. 9S
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ '" � ��� `--���
�._.------_....._.—
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ������
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � " I v COMPANY �G����
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License# � —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
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 8�1 dumpster;Site Work PeRnit for subdivisionsllarge 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 appiication completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AlC upgrades over$7500)
** 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(PlobSurvey/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 mo�e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSEp 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 �ic�nsing requirements rnay 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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILlT1ES IMPACT AND RESOURCE RECOVERY FEES: The unders�gned 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 existi�g buildir�gs, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned afso unders'tan�s, 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 Agri�ulture 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 prqmise 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 gove�nment 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 apptication, 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 IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COt�SULT
WtTH YOUR LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. �
FLORIDA JURAT(F.S. 117. ) • �
, �'
OWNER F�GEN CONTRACTOR �
Subscribed aZ�d� r a e Subscribed and swo to(or affirmed)be re me this ��
l / lR by � by �
� �=—,-�� V
Who i lare ersonally kn to me or has/have pro uced Who is/are personally known to me or has/have produced
���'f� ,� , as IdenHficatlon. as identificatfon.
._. �-i
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t ,�� Notary Public
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Com Commission No.
•.�fl:esy�,, .
'�� F= Commission DD 734406
_.. ..- _
Name �p
Name of Notary typed,printed or stamped
',A��,. Thn�Troy F�n�nsurenoe 385-7D79
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT
I, �.�,��r,�r� c. ,ar-��n��°ti have read and fuliy understand and agree to the
provisions of this instrument.
"The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all p�ovisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require coRections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to fina� inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien taws, etc.,where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State faw requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or twafamily residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease,which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibiliry to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your buitding who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE DATE / /� �
ADDRESS �q2.-� O T STR -T z�PHy,�r�s;,�33SyZ.
PHONE • ?G ' /S
WITNESS PERMIT�.3 2
I/MasterFoims/OwnersAffidavit/Nov07
�/�l�asar� � , ��� � � ✓'�P `
NAME �
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ADDRESS
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CITY
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STATE ZIP CODE
TO WHOM IT MAY CONCERN,
PLEASE BE ADVISED THAT:
GARY MARKHAM AND/OR FAITH JORDAN OF OUTDOOR STRUCTURES
OF FLORIDA, LLC HAVE MY PERMISSION UNTIL FURTHER WRITTEN
NOTICE TO ACT AS MY AGENT TO SIGN AND PICK UP PERMITS.
SINCERELY,
././���-1 ir,�G`_-___
�— SIG A URE
�—�i-�_� v- �
DATET
NOTARY:
STATE OF FLORIDA, COUNTY OF PASCO
The oregoing instrument was sworn to and subscribed before me this��day
of _,, i1 � .
Personally Known or Produced Identification ,
NOTARY PLBLIGST.4TE OF FLORIDA
•"""•• Veronica A. Creel
�:Commission#EE099873
'•.,,'�.-'�Expires: JUNE OS,2015
BONDfiD THRL'ATL:+.�T:t.P.O�'DLYG CO.,INC.
. �-�1
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Commissioned Stamp Notary Signature �
and Expiration Date
Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida 0.7 miles ESE of Zephyrhills
Mike Wells `
IJ 24,�'.1 YIVU YVVV4 VV IV
Pasco County Propertv Appraiser `f � .�
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Stee!Structures Division 16fi0 Dixon Airline Road
Bennett Brfilding Systems [tc :Sales O�'der Form A"g"5�'ca.3°�
Tail Free 1-877-830-7086
Fax:1-877-88a-0048
Buyers Name(s�: �: �:_�k_'/��� ___ _
Address: y97.5� _2G�7�STi�',FLr __ Date: �Z ��/�
City: Z� R/�/LC�' _ _^St�te: __/��= Zip: �.�.��Z Retailer.Q'/T,D�iCSTi?tlGJ6I,CES
������N�Day) I Evening)__ _ _/(Cell) �`/_�- i��'fa`/�� Seriai No:
To �d�: $S".5�0 l3irc.',�Ca G�>'TiC,F"ic?� 1C ��9i!✓U /�� 33Sz/o Run:
Inscillation SRe(Ifd'rtferentfrom above)__� �� ,�[4f�
(�rde One} CO�Of
R Frarne Leg E ectr'�c
Type Width Length Length Height Ir�stallation Land i.evel Available Permits Roof Sides Ends Trim
Carport 2,� 2$ Groun� � a.�,own� na�wnme w�u
ara e �� g� �. � �, No No . No �, �r �•�r
Barn � � d'�� llsphalt a� an Tan Tan
RV Cover Other �� �� �� ��
utility uw"°'� `h"°°� `ha`co'� cn.rco.�
Other �o�vm�+) °'�" s.°�' s� e.�
�..�� �..�.. Ristic Rustic Rustic R�tic
. . � � ���OflS • P�OB Hunter Grcm Huritar 6reen Hunta Green Hunm Green
� � 3�Base Price _ . Q Forest Green forest Green F«est Grem Forest Grcen
Certified !v � S y 25 Q b o�o e�: o�+s� ow^� °°�"e'"�
A-Frame c�v sa'° �'N"y ew` ��v en,� c�n«y eti,�
Vertical Roof _ a�`r` e�d� �"k �"k
All Vertical a�Ma sVU s�.,iw�w sbei twNsn.a sl�w�,W�ea s�m
Additionai Leg Height � _ ��•Ob U""5O1 O1nson �""'�°"
� CIOS@ SiC�@S _ ,p p aupe aupe 7aupe aupe
Z, Close Ends _ O.o o Bur¢undy surgundy eurgundy eurgundy
Gabie Ends �v
Frame Outs � � d•00 c,�i� ��a,� Wn�+�� GaM+lume
Header Location �
Window 24;K 36 Standard Location�
! Walk-In Door 36;K 80 Standard Locatior� 04,00
Roll-U Door Size X Locatior�
Wind Anchors
Extra Bracing 24" 36`
40 Yr.Metai u grade
12 Gau e u rade�
Other(Specify)
Other(Specify) Special Features or Options?
NOTICE TO BUYER:This order shall only I�ecome effective upon execution an�i acceptance by �^
Seller-Bennett Buildings Systems at its offices in Augusta,:ieorgia a�d upon ac:eptance by Seller $ �7_��� (�0 Sales Total
shall constitute the contrad betiween Seller and Buyer,su bject to the Terms ar�d Conditions on the Terms of Sale
reverse side hereof. Dealer is an independent contrador,and not the agent ot Seller,except for �
receipt of the deposit described above,and no representz tion of Dealer shall t e binding on Seller $ 3���� Sales Tax Cash ❑
until and except to the etttent accepted in writing by Selle•. This cnntraci inclu�es cost of 4 p` Financed ❑
installation of the Unit at the adcfress of Buyer indicated above upon receipt ot they full purchase $ ��0 p z./�7 Gra nd Total Credit Card ❑
price;provided,however,Buyer shall be responsible for properly preparing thE�site for Debit Card ❑
installation,obtaining any required permits for installation of the Unit and alI c ther terms $ �8,2�2 Q Deposit
contained on the reverse side,which Buyer hereby acknov+ledges by iu signahire bebw to having �
read and understood,including without limitation,arry co�d'Kions af site preparation,permits, �'/� �
warranteesandadditionalcharg�esandresponsibilities. $ .7,� 7�b•7� Balance Due
/� � �
�
Bu / Date
� ��f-�--
iler's D te ACCEPTED by Sennett Building systems LLC. Date
��l7ll/GRET,� ,i7 3/SO.OO
Pasco County Parcel: 14-26-21-0010-OO100-0050 001 hup:J/appraiser.pascogov.com/searcr�parcel.aspx?sec=14&twn=26&rn...
Data Current as Of: � Weekly Archive - Saturday, January 07, 2012 I
� Parcel ID r 14-26-21-0010-00100-0050 (Card: 001 of 001) ;
�—Ciassification I 01 - Single Family �
—_- -- = ------- �
�
Mailing Address Property Value !
BELLGRAPH WILLIAM CTRUST Ag Land $0 I
BEILGRAPH WILLIAM C TRUSTEE Land $22,440 i
8550 BRAGG ST Building $28,266 I
ZEPHYRHILLS FL 33540-5419
Physicat Address Extra Features $1,208
4925 20TH ST )ust Value $51,914 ;
ZEPHYRHILLS FL 33542-5221 Assessed (Non-School Amendment 1) $51,914 I
L_eqa_(Description �First a unes)
MOORES FIRST ADDITION Taxable Value ;51,914
PB 1 PG 57 LOTS 5 & 6 BLOCK 1 I
OR 8530 PG 718 i
! Land Detail (Card: 001 of 001) I
Line ; U�se Description Zoning Units Type �Price Condition Value I
� 1 � 0100 SFR OOR3 13,200.00 SF $1J0 �1.00 $22,440 �
�— Additional Land Information i
Acres r 0.30 Tax Area ��.Q� FEMA Code � Residential Code ZHLGLP7 �
Building Information - Use O1 - Single Family Residential (Card: 001 of 001) i
Year Budt 1968 Stories lA j
Exterior Wall i Concrete or Cinder Block Exterior WaN 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingie �
Interbr Wap 1 Drywall Interior Wall 2 None �
Fbor�g 1 Terrazzo Monolithic Fboring 2 None ;
Fuel Electric Heat Fo�ed Air- Ducted
A/C None Baths 1.5
L'me Descriptlon Sq. Feet �epl.Cost New
� 1 BA� 817 � $30,556
� 2 UST 70 � $1,047
3 � 180
�— $1,683 I
� 4 �— FCP 198 �— $1,870 �
� 5 1� 440 �— $4,937 j
Extra Features (Card: 001 of 001) �
�
� Line �—Descriptbn � Year Units � Value I
� 1 2W� 1974 � 100 � $83
2 � UDU-M �— 1987 1 � $1,125 I
� Sales History
�— Previous Owner j HAVEMAN GEORGE F& LOIS D TR ;
� Year Month Book/Page ,�� Amount �
2011 03 8530/ 0718 W�L � $50,000 �
�— 1992 � 01 �� 3002 / 1539 W D � $0
� 1989 � 05 ----� 1888/ 0355 � �— $0 -
1 of 1 1/13/2012 7:46 AM
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City of Zephyrhills
BUILDING PLAN REVIEW COMIV�NTS
Contra or/I�omeow�,r� . �. ;
�.__._
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Date Received: _�J -- y�/�
Slte.. � / �� ����� '�CJ(� .
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Permit Type: ,� ���, ���
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Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments:
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This comm t ee all be kept with the permit and/or plans. � ` f��� � " �`�� d`�` �''�' �--� 4' `
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(Required when comments are present)
sco County Property Appraiser-Legal Description for: 14-26-21-00... http://appraiser.pascogov.com/search/legal.aspx?parce1=21261400100...
Welcom� : R�corci� S�.�r�h : P��I Details : Legal Description
Legal Description
14-26-21-0010-00100-0050
Assessed in Section 14 , Township 26 South, Range 21 East
of Pasco County, Florida
MOORES FIRST ADDITION PB 1 PG 57 LOTS 5 &6 BLOCK 1 OR 8530 PG 718
Please be advised that our lega/descriptrons are for assessment purposes
only, and are not intended for use in legal conveyances.
Pasco County Property Appraiser ALI,�'vv.�SHt'1LI C�?i�1pLY j�;l j�j ALi
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Rcpt:1412473 Rec: 10.00
DS: 0.00 IT: 0.00
01/31/12 C. Cook, Dpty Clerk
NOTICE OF COMII�NCEMENT PpULq S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
01/31/12 12:36 m 1 of 1
rermitrto. OR BK g��1 PG 1159
PropertyIdmtificationNo.�'7�^�p�2�"��/Q"'QO�00-C•1C�.S�
Tf�UNDERSIGNED hereby giva informs you that the improvement will be made tn certain real pro�,and'm accordance with
Section 713.13 of the Florida Statutes,the follo information is provided in this NOTICE OF COMMENCEMEIVT.
i�2G-2�.00io-ooioa•�xsso :s�.s'sES.s�p xas�"cr�o,�ly Ta�rs✓��i�zCSouTi,Y�sraG�Z/E�sr
I.Description of property(lega[descrlptlon:�oFPAs�s co ualx.FLo,e/Df!/r.a�R�-,s F/RSr�iO,G+�T.b�v PB/!�S'7�on.S�6 BIo�K/O�t�"30 �7/�
a)Sheet Address� '
2.C3eneral description of imvrovements• Ca'.�I� SLA� !✓/11'r'/�'lETiqL A �.E
wner Information
a�x���a�aa�:�//L!,/H�C./d�El1G✓t/�P�'!Tip�sT �9as 2o T�'sr zEPflyRi�i�cS,�'L 33.5`/Z
b)Name and address of fee simple tideholder(if other than owner)
c)7nterest m property /G�O�v
4.Contractor Information /1
a)Name and address: Q�dJ/1//c/�-
b)Telephone No.: Fax No.(Opt.)
S.Surcty Informatioa
a)Name and address:
b)Amount ofBond:
c)Telephone No.: Fax No.(Opt)
6.Lender
+ a)Name end address: r. u� x
Phone No. `L � �� �
7.Identity of person within the State of Florida designated by owner upon whom notices or other doc�ents may be served: � �� �- cn� t1J 11%
� � � iL = � ,J r_:
a)Name and addcess: U � � O � � J ,-
b)Telephone No.: Fax No.(Opt) � -- U cA � O ` -
8.In addirion to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided'm Section � �n �' Z ? `� �- t?
C� '_. u� k- �,�
713.13(lxb),Florida Statutes: e.. �.� �, k
�...�.._I � �'� p-
s)Name ead address: *-� �'3. -- --� � '
b)Telephoae No.: �- Fax No.(Opt) "?-� �L �"�' � '� � � �
9.Expiration date of Notice of Commencement(the expuarion date is one year finm the date of rewrd'wg unless a diffeieat date is , �u.t �j Q� � ' �`� �
specified): . � � � �- CJ u- �
Q � fl � � -y� .
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFI'ER THE ERPIRATION ON THE NOTICE OR, - . � L� U � � ~
� H- _�
COMMENCEMENT ARE CONSIDERED IIriPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECl'ION 713.13, � - L"1 � w � p O J,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIIVG TWICE FOR IIVIPROVEMENTS TO YOUR PROPERTY:" t)! F. � p_ Q } —
A NOTICE OF COMA�NCEMENT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE THE F1RST . � � � O y � Z
INSPECfION. IF YOU IIVTEND TO OBTAIN FIlVANCII�IG,CONSULT YOUR LENpER OR AN ATTORNEY BEFORE O
COMIVIENCIlY6 WORK OR RECORDING YOUR NOTICE OF CO NCE � a� � �
Q H- -� � u).-..�o�
STATE OF FLORIDA � �1 � � �'�'y fF'�,_
COUNIY OF PASCO ,� U _�.I.t_ � �i�
gnehve Offiev/Di /Mwger !— 2 � Z i-- I� }
u� �- F-- o � a m
Neme
The fore oing inshumcnt was aclmowledged before me this � day of ^ 20�,by �,?_�____
1��q as � ( e of authority,e. -!S hv3tee,attbrney
in fact)for U e of party on behalf o who tte . \\``�0`4{H II d 13��s�f�
Personally Known OR Produced Ide�ification_ Notsry Si�at�e `\�����0 GVRTI$�9/�f f�jr
�V'�P��2.���3 opi9F.� �°._
�1 C�1Q�C �5 � .o a � �'t '•
Type of Identification Produced N�e(print) � ' _�:i o `' .� "':
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B B i � N�0��,9�i .m.' Q�'.
V erification pursuant to Section 92.525,Florida Statutes.Under penalties of ,I de have nad the fore oia and that Z •
the facts stated in it are true to the best ofmy l�owledge and belief. �'�b�,99'�b�•8°'���+p;�'�
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