HomeMy WebLinkAbout12-12974 CITY OF ZEPHYRHILLS
' 5335-8TH STREET
(813)780-0020 12974
BUILDING PERMIT
Permit Number: 12974 Address: 4630 WISTERIA DR
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: WHISPERING OAKS
Est. Value: Parcel Number: 15-26-21-0160-00000-0330
Improv. Cost: 1,000.00
Date Issued: 4/13/2012 Name: BARNETT, RONALD & FANNIE
Total Fees: 40.00 Address: 4630 WISTERIA DR
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/13/2012 Phone: 813)779-1722
Work Desc: FINISH ENLARGE GARAGE ATTACHMENTS- BP#9713 - SEE NOTES
HOMEOWNER v -P � T�3 �
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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 PO�E 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 f) plans not at job site g)work not aocessible.
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 notioe 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 Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
`���il'1��2C� ��t�'
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT 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
BUII,DING PLAN REVIEW COMIv�NTS
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Con r/-�Iomeown • �
Date Received: /O -�� �f
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Site: �l � � �l�� � f-�
Permit Type: •
Approved w/no comments:❑ Approved w/the below comments: �I Denied w/the below comments: ❑
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This comrnent sh sh be k with the permit and/or plans.
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Kalvin S ' er-Plans ' er Date tractAr and/or Homeawner
(Recluired when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting __
Owner's Name �/� L� �', �' � Owner Phone Number �3` �'�j �%��-
Owner's Address �,3b ZFJ�S�/e�� � Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number � —1
Fee Simple Titleholder Address
JOB ADDRESS rC //'Q LOT# �.5�
SUBDIVISION (,(/��jc}f�/�5 � 1�N� � PARCEL ID# /� /
(OBTAINED FROM PROPERTY T NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONBTRUCTION [� BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK �.—N � ^�e. /�Q F} �
BUILDING SIZE SQ FOOTAGE ,��O HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY L/Z
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Address S � License# �
ELECTRICIAN COMPANY /I/e/L
SIGNATURE �r� �}/Q�J L°�J REGISTERED Y/ N FEE CURRE� Y/N
� i
Address 19 ,CS d�. License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities 8�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 Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over E7500)
'" 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(PIoUSurvey/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 hi�ed 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 taw. 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 wiil 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. tf the project does not involve a cer#ificate 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'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
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 & 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 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welfs, 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 NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or afflrmed)before me this
by bY
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as fdentificaHon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary lyped,printed or stamped Name of Notary typed,printed or stamped
CITY OF.ZEPHYRHILLS
, 5335-61'H S7RE�
• (813)780-0020 9713
BUILDING PERMIT
erm � um r: 3 ddross: A
Permft Type: ADDITIOWALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Tanrnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Sectlon:
Square Feet: Subdivision: WHISPERING OAKS
Eat.Value: Parcel Numbor. 15-26-21-0160-00000-0330
'� �i�i�ed� O!-.04�O�A-�
ame:
Total Fses: ���v Address: 4630 WISTERIA DR
Amount Paid: . �7, sc> ZEPHYRHILLS, FL. 33542
Dabe Paid: Pho • 779-1722
c: 28 - 010
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FOOTER BOND DUCTS INSULATED SEWER M��,
ROUGH ELECTRIC UNTE4� MISC MISC.
1ST ROUGH PLUMB PRE-M R INSULATION WALL MISC.
DUCTS INSTAIIED WATER MlSC DRIVEWAY
PR�-SLAB✓ SHEATHINGi/ MISC. M��,
CONSTRUCTION POLE FRAME MISC. MISC.
RQNSPECTION FEES: rapecHon lbes wlll o�mply witfi Florlda Smtube 558.80(2xc)when extra irupection
trips are naoeaary due bo any ooe of the lbllowin�roasons:a)wr+on�addre�b)aondemned work resultlnp
�'r+om faully oonstructlon c)tepairs or aon�ectlons not msde when inspeclior�called d)work nat ready for
insPectlon when called e)petrnit not Poa'bed on job dbe fl Plans not at fob sibe p)waic nat aooessible.
NOTlCE: In additlon fi�tt�e requir�ements of this permit,there may be additbnal restrictions appiicable bo this property that
may be found in the public reoords of this o�uMy,and there may be additional peimit5 required from other governmental
entlties such as water managemerrt,stabe agendes or federal agendes.
The ent of ins on f�ees shall be made before an furtl�er Rnits will be issued bo the ovmi same
"Warninp b�ovrner: Your failur�e b�roaord s rwtioe of oommenoement may roalt in your PaYln�twioe for
fmprovaments bo 1►oue'Pro1�Y• �1�intend bo obtain flnar�dn�,aa�sult with your lender or an at�orney
ba�a�e r000r+tli r natlae of aommenaeinent°
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CONTRACTOR SIGNATU E PERMIT OFFI R
PERMIT DCPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
' • 5335-8TH STREET
(813)780-0020 9713
BUILDING PERMIT
ermit um r: 9713 Address:463 1 IA
Permit Type: ADDITIOWALTERATION ZEPHYRHILLS, FL.
Class of Work: 434ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WHISPERING OAKS
Est.Value: Pafcel Number: 15-26-21-0160-00000-0330
improv. Cost: 10,500.00
Date Issued: 11/03/2009 ame: ,
Total Fees: 155.00 Address: 4630 WISTERIA DR
Amount Pafd: 155.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/03/2009 Phone: 813 779-1722
Work Desc: 28 X G TH G GE AREA
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUC3H ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATliING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Relnspectlon f�eas will oomply witl�Florida Statube 553.80{2)(c)when extra inspectlon
trips are neaesssry due to amr one af the tollovrin�reatons:a)wrap sddre�b)oondemnad woric rosultln�
from faulty oonstructlon c)ropairs or con�ectlons not made when inspectlons cailed d)�k not resdy for
inspectlon when called e)permtt not posbed on job sibe�plans not at job site Q)wor�k not aooessible.
NOTICE: In addition fio the requiremerrts of this permit,there may be additional restrictlons appticable to this property that
may be found in the pubilc reoords of this o�unty, and there may be additional pertnits required from other govemmental
en�such as water management,stabe agenaes or federal agencies.
The nt of in on fees shall be made before an further rmits will be issued bo the rson owni same
"Warnin�E�owner: Your failure bo rea�rd a notloe of commenoement may result in your payin�lwiae for
improvement��o your property. If y�ou inbend tio obtsin flnandn�,consuR with your lender or an atborner
bebre reaoMi r notioe of aommenoement."
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CONTRACTOR SIGNAT E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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---_______.______ ..._-----_.___..--- - NOTICE OF�GOMII�NCEME_� 20081582�0
Rept: 1271714 Rec: 10.00
�� 0.00 IT: 0.00
PermitNo._���� 11/�/09 -- Dpty Clerk
PRULfi S 0'NEIL, PRSCO GIERK 6 COMPTROLLER
Propert3'Idartifiartion No. /?��b o2/ �/60 DODOD D'3� li/�03BK9 Qi���n 1 PGo��
TT�IJNDERSIGNED hereb � 6
Y 8��informs you ti�t tlie improvement wilt bc mede to cxaiain rcal ProPectY.and'm accordance with
Section 713.13 of the Florida S�s,the�ollowing information is provided m t�NpTI�E OF Cp�N���.
l.neseription f�(tegal d�n:)1�1,:_sae r:�a ls PB/�s �6 f�f /o f 33 or �G.�`lS�
•__�0 3D GY�".��:.r D.-..�ro 7��.�s,{�� .//� F/ .�� �'�
2.QCIIQ'8l dC.4CI1ptlOII af]alpiOVEI�tS ,cs[��Gd'� �Ge ��—�° •.—'�► � P�����
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3.OWIICr��tID�tOII .
a)Name and address:...p.¢d�C�G, dQ✓ir��, 5���ID � .».� ,�r:r� 1�.�� 1� �7, 33S'�L.-Z
b)Name and address of foa s�mpk trtleholder('if other than own�x) ��" 51'`'�„
c).Intar+est m p�operty
d.Co�actc�r Infotmati�
s)Name ana eaaress:_ �ti� C, �.•�► P�'3�G��,..� ' ' s�Z
b)Telephone No.: _�/� 779_�/7 i.2—� • �. r�•�c� Z s�- s �� �.�,SJ
S.Sure�'Iaf�me�on �Fax No.(Opt) .
a)Name and address; �
• b)Amount of Bond; - '
6.i.eadcrc)Telephone No.: ' � Fax No.(Opt.)
• �Name and address:
Phona No. �
, � Idenh 8 N��e State of Florida desig�ed b3'owner upon whom notiu:es or other docammeats may be eervsd:
b)Telepha�ne No.: Fax�To.(Opt)
8.In additian to himsel�owaer dasi8nates�the following person to reocive a oopy di the�,itnor's Noac;e es '
713.13(lxb),Flotida S�S: pmvided'm Section .
a}Name and addn;ss; .
•b)Telcphoae No.: " .F�tNo.(OpL) _ •
9.Expiration date of Notiex of Commancemeat(the exPn�tio�date is one year finm tha data of rxording.tmless a di$e�ent ds0e is
���:
. �.
VNARNING TO OWNER ANY�PAYlY�iV'PS MADE BY TSE OqiNERAFrEg Tgg,EI(p1RATION.OF TSE•NOTICE OF
COMII�NCEIVIENT AR�CONSIDFRBD I1VIl�ROPER PAYMB.NI'S UNDER-CHAPTEB 713,PART I,SECITON 713.13,.
Fi.ORIDA STATOTES,AND CAN gESL7I,T IN YOUR P.AYII�fG TWICE FOR III�'RO`�NTS�p YOUR PROPI�RTY.
A NOTICE OF C011A�NCEMENT MIIST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE T�FtRST
INSPECTION. IF YOII IIVTEND T�p OgTAII�i gil'�J,hKCII�IG,CQNSiILT YOII�L LENDEIt OR AN ATTORNEY BEP'OR.�
C011�IIVIEIVCII�TG WORK QR RECORDING YO1JR NOTICE OF COMMLNCEMLNT,
STATE OF FLORIDA ,o�"""'�, k EG 1 NA !30 N f I G 1.10 . .
COtJIVl'YOFPASCp �I�('UA�AIIS�IUroyUI)7033�7� �
'� .I�\IjlKliti lugus!i)R.?Q11 - � .
�'x��� ri N.�a.,D�.awm�ssoc Co � $ Of�NOCl W'QW04�f�
���Mn.n�nn�,• •
a ir.�.� �, .8 rA.e�-
�eat.m� --�
The fi��igoing��a�mowledged� me this �y of .20 �l.C' (I'
�.!Lti11Z es v �t!P/t �' �Y
m f�t)for - of��ity,e,�o ����
�name of party on�eehalf of ���.
PersonaIly Known OR Produced Identificati�-- ,� �
'� Notary Si�at►m
Type of Identificarioa Pro�ced ��' (J'4 ��C' ' ' ' ��
Name(print) � ( ,1
V
the facts stated��to Secti�9 �,,k'�cg' tutes.Undor peaahies of PaJ�Y.I declm+e tha#I have read the foregoing snd that
����1r.��sj��A�tl�edge and belief .
�,. ,-uri,�n;,iu..,�������- .t
���:; r-•;rt�:i� �.�tiu::�u�. •o;�
`���1��1 1. ����n':I���u.�nl A.a.i l�. J
FOHM6MOC.rv�d200) 3 ••� �� ,. .r.�.v«wv��/�/+��" $1Ql�LUfOOfN�hY71PQiOGS�AbOVe
..y,�..w....r.:.,
STATE OF FLORiDA,COUNTY OF PASCO
TN151S TO CERT{FY THA7 THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FfLE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AND ICI SEAL THIS
DAY OF 2
P LA 'NEiL.CL RK COMP
gy PUTY RK
Pasco County Parcel: 15-26-21-0160-00000-0330 001 Page 1 of 2
Search Aqai_n_ M�.R Sxf'neralized Buildirl9 Schematic Frequentiv Asked Ouestions Estimate TaxeS
Other Agency Data: Tax Colleckor School Board s���rvisor of Elections
Data Curront as Of: Weekl Archive - Saturda , Odober 31, 2009
p��� =p 15-26-21-0150-00000-0330 Card: 001 of 001
Classification 01 - Sin ie Famii
Mailin�Address Property Value
BARNETT RONALD C&FANNIE L Ag Land ��
4630 WISTERIA DR Land $23,291
ZEPHYRHILLS, FL 335425648 Building #96,433
Physical Addres� Extra Features $2��0
4630 WISTERIA DR
ZEPHYRfiILLS, FL 33542-5648 Maricet Value ;1ZZ.Z64
Assessed (Save Our Homes) $95,132
J,4�a1 DestNDti011 (First 4 Unes) Homesteed 196.031 -$25,000
Non-School Additional Homestead Exemption - #25,000
�Plat for thi�Subdivision�"
WHISPERING OAKS Non-Sd�ool Tsxable Value ;45,132
PB 14 PGS 86-87 LOT 33 School DisMct Taxable Value �70,132
OR 4395 PG 1106 Warning:A siqnlficaM taxable value Increase may occu�when sold.
Click h�C4 for details and info.royardinq the postiny of exemptions.
Land D�tail ca�d: ooi o�oai
V� Use pascrl Zonin� Unlb Prioe CondlNw� Vdue
1 0100 SFR OOR2 6,000.00 �F. 3.24 1.00 #19,440
2 0100 SFR OOR2 9,875.00 $E �0.39 1.00 $3,851
Addttional Land I�ormation
Ac1'es 0.36 Tax Aroa �OZti FEMA Code X WLSPLPl
- Use OS - Sin le Family Residential Card: 001 of 001)
Yesr Built 1980 Stories 1.0
Exterior Wsll 1 Concrete or Cinder Block Ext�rlor Wall 2 None
Roof Strueturo Gable or Hip Roof Cover Metal
IMerior Wall i Drywall IMerfor Wal)2 None
FlooHng 1 Cork or Vinyl Tile FlooMny 2 Carpet
p�e� Eledric Heat Forced Air- Ducted
A/C Central ��s 2�0
Une Dascriptlon Sq.Feet Repi.Cost New
1 gg4 1,536 ;105,108
2 �g 240 #6 212
3 �g 400 $30,949
Extr� Featuras Card: 001 of 001
V� pescriptlon Yaar units vslue
1 DW SW C 1980 770 703
Z C�N PTO 1987 396 #564
3 �� 1990 620 558
q UDU-M 1990 1 �715
Sales Misto
Provlous Owner WAUGH ROGER M]R&GLORIA A
Year Month Book/Ps T Amou�
2000 06 4395/ 1106 �(Q $78,500
http://appraiser.pascogov.com/search/parcel.aspx?sec=15&twn=2b&rng=21&sbb=0160&b... 11/2/2009
DISCIASUR� STa'�'��s .FOR �R
CIT]t OF ZEPBYR�+� '�+�� DEBAR'.�N'1'
= r,���C�i have raad snd fully uadorat�ad aad
' avis�.o� of 'ths.s iusrT„�.�t.
agx� to tho P=' -
Tbe undarsigaod .atatos aad affirma that he or ahe is dASiro�at hQOr�� J�
x�aovatiag, addiAS to or saroofiag his or hor oKa do�i.ailo,
aatually ocaupi�s, or wi11 ocauPY b'1' �_— �d dO���, � saao is not for
x�rst, 1�a or sala. That he or sho shsll aomPlY �vith t� fo1lo�.iag aoaditions:
1. That ttio oaanr and. he or nhQ alone shall aat ss �e builclor for all p2sasor of
construction. �3,sionr of th� City of Z4physhills
2. Tlast �h� owaar �vi7.1 co�plY ttith al1 Ps
ordix�a�cos aud aod�s �•.};*••nt to th� bnilding.
3. That ia tti� evoat varioue pha�QS of aoastruatioa are svbcoatraatad, he �ill
ongag� ca1Y 'P=OPor1Y �Q�°d subcontractors a:sd xill possonally sup�rviae
suah Kork. aorz�ctioas to bQ mad�n,
4. That in ttu �t thQ Buildia5 Ia�ator sba7.1 roi,;�e
�tha o�osaar �vill sasvrme full r�sPoasibilitl* to �.nsuz� th�ry are ma.do, aad uPon
co�pl.tian �r3.11 csl'3 for a x'aiasp�cti.on b�for� proo�ding �ith the building.
5. That thQ o�mar sba11 ass�Q full roaPons3.bility for th� coastruction aad .ri1S
aot �xpect suparviaion o£ hi� wosk froa tho City .of Z�physhills 8uilding
����• r�nsn�Ct3.0II
6. That prior to �ina1 iasp�ation say additionsl f�s, inaludi=s3
f�s, must bQ paid in full. A �ax�itta� r�qu�st fro� this of£ioa shsll
constitute aa o£ficial notiae �to psy addi.tioasl f�a.
7. That thQ oxaar shsll oa�ply �ith a11 City, St�to a:sd ��i laWS in s�gard to
socisl soausity, xork-�aa's aamp�s��atioa, lian laws, otc. , �har� applicable.
6. That thQ o�m�r shall aamply Mith s11 tba safoty cvd�s issu�d by tt�a Florida
Industrial Co�i.asion.
9. Stata 1aw roquiros construction to b. dono by lia�ssad contractors. You have
ap�pliod for s parmit uadax' mu �x��°n 'tO �t lap. The �c�P'tioa allo�vs
you, as the oKaar of yovr prapo='tY, to act as yovr oKn contractor �vith aertaia
rastriations ovon though you do not havo a ].ic�ase. You mu�t provide diz�et
onsite suporviaioa of thQ oonstructi.� ]'°�s°�. yOU �1' �ld or improve a
�-tamily or tKO-�am�-ly x�sici�z�� or a fasu outbu,ildia4. You may also build
or improve a co�m�rcial build�.siQ. Prov�-d�d Your costs do aot oxowd $25,000.
T�,o ti++,;�di.ng or rasid�aoQ•muat be for yovr o� �� or oceupaacy• It may aot
be built or substsnti.a]:l.y i.a�prowd fo=' s�]-a or loasa. If ]t�n e�.l or loas� a
building you i�ave built or svbstaatiall.y �_'�� YD�s� �rithia 1 ywar aft.ar
tho aonstsuation is cam�aloto, th� la�r xill pr�a�•tt�at you .built or
8�8}�ti,a],ly smpro�vod if for sale or loaso, xhich is s violatiou of this
axa�ption. You may aot hirQ ars 'ualio�ns�d P°ra°n t° act as y°� coatractor or
to suporvisQ poaplo wor�'� oa your building. It is your rsispoas3.b:ility to
makQ :ure that poople a�ployod b'Y You havs liaonsas rai,;rod by state laK aad
by couaty or municipal lic�nsissq ordi^�cas• You �aY aot d,elogate the
r�sponsibility for suporvisisig Kork to s lioons�d aontractor Kho is aot
liaaas�d to parform th� wor]� baiag daao- 7�Y P�=soa Morkiag oa your buildiaQ
�aho is xsot 3iw�nsod must work uadar Your dir�c� s��isioa aad muat b�
/ �mploy�d bj• you, Khich soasia that you aust d�dnct F.I.C.A. aad �.thholdi.ug tsz
l and provide Norkors' caapaasstioa for that �play�n, a11 as prascrib�d by la�o.
Your aoartruction must ca�ply xith :11 applic�hlo laxs, o,-�;r+9noos, building
cocLs, and zonisig r�c�ul ti.ona•
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NOTfCE OF DEED RESTRICTIONB: The undersigned underatands that thia permil may be subJect to'deed"restridfons"
which may be more restrictive than County regulatbns. The undersigned assumes responaibility for compllance with any
eppUceble deed restrictbns.
UNLICENSED CON7RACTOR3 AND CONTRACTOR RE8PONSIBILI'TIES: If the owner has hired e conUector or
wntraMors to undertake work,they may be requlred to be Ilcensed In accordence wlth state end local regulatlona. If the
conlractar is not Ikxnsed as requked by law, boih the ow�er and contractor may be ciled for a mlademea�or vlolauon
und�state law. If the owner or Intended contractor are uncertein as to what pcensing requirements may eppy for the
intended work,they are advised to contect the Pasco County BuMding Inspection DNisio�r—Lk:ensing 5ectlon at 727-847-
8008. Fu�thermore, If the owner has hked e conhactor or contraclors, he Is advieed to have the contrector(s) sfgn
portlons of the'conhactor Blodc"of thla appflcalion for which they wRl be responsible. If you,as the owrter sfgn es the
contractor,that may be an indication thet he is not properly Ilaensed and Is not end8ed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT ANU RESOURCE RECOVERY FEES: The underslgned understends
thal Transportatbn Impeci Fees and Recaxse Recovery Fees may apply to the conshuctlon of new buNdings,change of
use in exisGng buNdings,or expanslon of exfaBng buildings,as speciFled in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned elso understands,that such fees,es may be due,wNl be IdentHied at the Nme of
permriting. It Is further understood that Transpo�tatlon Impact Fees and Resource Recovery Fees must be pald�xior to
recelving a'certiflc:ate of ocxupency"or finel power release. 1i lhe proJect does not Irndve a certiflcate of occupancy or
flnal power release,lhe fees must be peid prfor to permit issuance. Furlhermore, If Pasco County WatedSewer Impact
fees are due,they must be pald prior to pemdt fasuance in aocordance wHh applkk��ble Pasco Coun[y ordinances.
COMSTRUCTION L1EN LAW{Chapt�r i13,Florida Statutes,as amanded�: H valuatlon of work Is;2,500.00 or more,I
certHy that 1, the appflcant, have been provided wflh a copy of the 'Floride ConsWction 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 ebove desc�lbed document and promise in good faith io
deliver it to the bwner'prlor to commencement.
CONTRACTOR'SIOUYNER'S AFF�AVIT: I certify that all the tnformaUon In ihis appl�ation Is acc:urete and that ali work
will be done in compllence with aN appiksble laws regulating construction,zonfng end land development. Applk�tion is
hereby made to obtain a pertnR lo do work and InstallaUon as Indicated. I certNy that no work or instellatbn has
commerx:ed prlor to issuance of a permft and that all work wNl be pertormed to meet stendards oT all laws regulating
conshuctbn, Counly and City codes, zoning regulsUons, and land development reguiaHons in the jurisdiction. I also
certify that I understand that the regulatbns of olher govemment agencies may apply to the intended work,and that it is
my responsibilHy to identify what actlons 1 musi take to be In compilanoe. Such agenctes Indude but are not Rmited to:
- Department of Environmental Protectbn-Cypress Bayheads, WeUand Areas and Environmentelly 5ensitive
l.ands,Water/Wasteweter Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineera-Seawalls,Docks,�lavigeble Waterways.
- Department of Heaith 8 RehabllHetive ServiceslEnvkonmentel Nealth Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Envlronmental Prolection Agency-Asbestos abetement.
- Federai Avlation Authorfty-Runways.
1 understand that the followfng reatrlctbns apply to the use of fNl:
- Uae of flll fs noi allowed in Flood Zone"V'unless expressly permitted.
- If the fill materlal Is io be used in Flood Zone 'A', il Is understood that a drainege Qlan addressing a
•compensating vdume"will be submitted at time of permilting wh�h ls prepared by e profeasional engi�eer
Ilcensed by the State of Florlda.
- If the flll maierial is to be used fn Flood Zone'A" in connectlon with a permkted bu0ding using stem wall
constructlon,I certffy that flA wIN be used only to fAI the area within the stem wall.
- If ftli materfal is to be used in any aree, I certiFy that use of such flil will not adversely affect adja�ent
properties. If use of flll Is faund to adversely eflect adJaoent propertfes,the owner may be cited for violatlng
lhe conditions of the buNding permlt Issued under ihe altached permk applfcatio�,for lots less than one(1)
acre which ere elevated by flll,an engineered drainege plan Is requlred.
If I am the AGEMT FOR THE OVYNER,1 promise in good faith to Inform the owner of the permitting condiGona set forth in
thfs affidenrit prior to commencing cwiaWcNon. I undarstand that a separate permR may be required for electrical work,
plumbing, signs, wells, pools, air condNbning, gas, or other instaNaUons not spedfically induded in lhe appilcalion. A
pem►It Issued shall be construed to be a I�ense to proceed with the work and not as authorily to videle,cancel,alter,or
set aside any provisions of the technkk:al codes,nor ahall fssuance of a permit prevent the BuNding OffMial from thereafler
requMng a coRecdon of errors in plans,consUucHon or violatbns of any codes. Every pemiit Issued shafl become invalid
untess the work euthorized by such permft is oammenced+�th�n six months of permit issuance,or if work authorized by
the permil fs suspended or abendoned for a period af six(6)manlhs after the time tha wor(is�co�enced. An extension
may be requested,in writing,from the Bulldfig Otficfal for e period not to exceed nine 90 d and will demonstrate
just�iable ceuse for the extenslon. H work ceases tor ninety(90)consecutive deys,the job Is consldered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
PA� O R'LENDER'OR Ah ATTORNEY BEFORE RE ORDING YOUR NOETICE QF COMMENCEMF�T.�CONSULT
F1.ORIOA JURAT(F.S.117.0 �
'� OYYlIE OENT �� CONTRACTOR
»albed a�d ewom 10(or e1lNmed)befo�e me tlde Subsdibed erd�lo(or afirmed)bdoro me this
�_— bY
Who Isle►e Pen naly known to ma or heslhave pradc�ced " VMho lelera pereorrelly known lo me or hesRreve produt�d
as IdenUflwtlon. as identlflcatlon.
i �J _Notary PubNc
E ��� Commisslon No.
Commi �i . ifplallf —
� E�in�F�bnrrY 22�2012 —
Neme . Narne of Notary bP�,P��or stemped
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