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Home My WebLink About12-13669-13672 • ' CITY OF ZEPHYRHILLS / 5335-8TH STREET (si3)�so-oozo 13�69 BUILDING PERMIT Permit Number: 13669 Address: 4616 BLOSSOM BLVD UNIT 2 BLD 2 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017C-00200-OOBO Improv. Cost: 17,902.00 Date Issued: 12/05/2012 Name: SANDERSON, VELDA Total Fees: 125.00 Address: 4616 BLOSSOM BLVD Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/05/2012 Phone: 813-783-9975 Work Desc: REROOF SHINGLE CONDO/ATT W/4618,4620,4622 0�-,� � C� �� -F�� F NALJOINTS ROO��SP3 C - l 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) oondemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "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 Must Accompany Application. All work shall be pertormed in accordance with ' Codes and Ordinances. NO OCCUPANCY BEFO C.O. C TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15-26-21-017C-00200-OOBO 001 Page 1 of 1 � �� Data Current as Of: Weekly Archive - Saturday, December O1, 2012 Parcel iD 15-26-21-017C-00200-0060 (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value SANDERSON VELDA] Ag Land $0 4616 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542-5661 Building $30,795 Physical Address Extra Features $0 4616 BLOSSOM BLVD ZEPHYRHILLS FL 33542-5661 7ust Value �35,529 Leqal Descrintion (First 4 Lines) Assessed (Save Our Homes) $35,529 See Plat for this Subdivision Homestead 196.031 - $25,000 ORANGE BLOSSOM RANCH CONDO 3 Non-School Additional Homestead Exemption - $0 PB 21 PG 102 UNIT B BLDG 2 Taxable Value �10,529 &COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold. OR 3659 PG 1635 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 � 0400 CONDO OOR4 1.00 UT $4,734.00 1.00 $4,734 Additional Land Information Acres 0.00 Tax Area 30ZH FEMA Code �Residential Code 406R Buildinq Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall i Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plywood Panel Interior Wall 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 � Line Description � Sq. Feet Repl. Cost New 1 BAS 864 $0 2 FEP 108 � $0 �— 3 FST 36 $0 Extra Features (Card: 001 of 001) �— Line Description Year Units Value � 1 FEP 1983 � 108 $749 �2—��—FST 1983 36 $434 3 CO N DO 1983 1 $29,160 4 � CARPORT 1983 �� 1� $452 Sales History Previous Owner HOSAFROS MARGIE Month/Year Book/Page Type �ode Condition Amount 11/1996 3659 / ]635 Warranty � Improved $0 Deed 07/1989 1823 / 1913 Warranty I I Improved $41,900 Deed L � 09/1983 1277 / 1552 � Improved �$37,900� http://appraiser.pascogov.com/search/parcel.aspx?sec=15&twn=26&rng=21&sbb=017C&... 12/5/2012 • CITY OF ZEPHYRHILLS 5335-8TH STREET �si3)�so-oozo 13670 BUILDING PERMIT Permit Number: 13670 Address: 4618 BLOSSOM BLVD UNIT A BLVD 2 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017C-00200-OOAO Improv. Cost: Date issued: 12/05/2012 Name: BLUME JACK &ADELAIDE TOKA Total Fees: Address: 4618 BLOSSOM BLVD Amount Paid: ZEPHYRHILLS FL. 33542 Date Paid: Phone: 8134769846 Work Desc: REROOF SHINGLE CONDO/ATT W/4616,4620,4622 L 1 , " ✓, v � � TAPE JOINTS ROOF INSP FINALT/`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 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 Must Acxompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15-26-21-017C-00200-OOAO 001 Page 1 of 1 � � �3�'�U Data Current as Of: Weekly Archive - Saturday, December 01, 2012 Parcel ID 15-26-21-017C-00200-OOAO (Card: 001 of 001) � Classification � 04 - Condominium Mailing Address Property Value BLUME JACK&ADELAIDE TOKA Ag Land $p 4618 BLOSSOM BLVD Land $4,734 ZEPHYRHILLS FL 33542-5661 Building $30,795 Physical Address Extra Features gp 4618 BLOSSOM BLVD ZEPHYRHILLS FL 33542-5661 7ust Value ;35,529 Leqal DeSCription (First 4 Lines) Assessed (Save Our Homes) $35,529 See Plat for this Subdivision Homestead 196.031 - $25,000 ORANGE BLOSSOM RANCH CONDO 3 Non-School Additional Homestead Exemption - $0 PB 21 PG 102 UNIT A BLDG 2 Taxable Value ;10,029 &COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold. OR 8136 PG 274 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 � 0400 CONDO OOR4 1.00 UT $4,734.00 1.00 $4,734 Additional Land Information Acres 0.00 Tax Area 30ZH FEMA Code �Residential Code 40BR Buildina Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall i Average 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 2.0 � Line Description Sq. Feet Repl.Cost New 1 BAS 864 $0 2 FST 36 $0 3 ��— FEP �� 108 �— $0 Extra Features (Card: 001 of 001) Line Description Year �— Units Value 1 � FEP 1983 108 $749 2 FST 1983 36 $434 �_ 3 CONDO 1983 1 $29,160 � 4 CARPORT 1983 1 $452 Sales History Previous Owner THOMAS JAMES DEAN & Month/Year Book/Page Type DOR Code Condition Amount 07/2009 8136 / 0274 Warranty p� Improved $69,900 Deed 04/2008 7802 / 0692 Proba j �� $� � (Civil Im roved 06/1999 4167 / 1100 Warranty � Improved $38 500 Deed � http://appraiser.pascogov.com/search/parcel.aspx?sec=15&twn=26&rng=21&sbb=017C&... 12/5/2012 � CITY OF ZEPHYRHILLS 5335-8TN STREET (si3)�so-oozo 671 BUILDING PERMIT Permit Number: 13671 Address: 4620 BLOSSOM BLVD UNIT C BLDG 2 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017C-00200-OOCO Improv. Cost: Date Issued: 12/05/2012 Name: KELLY, BRENDA ANN Total Fees: Address: P.O. BOX 1313 Amount Paid: ZEPHYRHILLS, FL. 33539 Date Paid: Phone: Work Desc: REROOF SHINGLE CONDO ATT W/4616,4618,4622 L � / TAPE JOINT ROOF INSP 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 foliowing 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 t) 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 Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. �----" — -- R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15-26-21-017C-00200-OOCO 001 Page 1 of 1 �C�� Data Current as of: Weekly Archive - Saturday, December O1, 2012 Parcel ID 15-26-21-017C-00200-OOCO (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value KELLY BRENDA ANN Ag Land �p PO BOX 1313 Land $4,734 ZEPHYRHILLS FL 33539-1313 Building $31,868 Physital Address Extra Features �p 4620 BLOSSOM BLVD ZEPHYRHILLS FL 33542-5661 lust Value �36,602 Leqal Descri�tion (First 4 Lines) Assessed (Save Our Homes) $36,602 See Plat for this Subdivision Homestead 196.031 - $25,000 ORANGE BLOSSOM RANCH CONDO 3 Non-School Additional Homestead Exemption - �p PB 21 PG 102 UNIT C BLDG 2 Taxable Value ;11,602 &COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold. OR 1790 PG 1044 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 �� 0400 CONDO OOR4 1.00 UT $4,734.00 1.00 $4,734 Additional Land Information Acres 0.00 Tax Area 30ZH FEMA Code �Residential Code 40BR Buildin4 Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line -� Description � Sq. Feet Repl. Cost New 1 BAS 864 $0 � 2 FST 36 $0 3 FEP 108 $0 Extra Features (Card: 001 of 001) Line -�� pescription Year Units Value � 1 -� FEP 1983 108 $1,822 I � -� FST 1983 36 $434 3 CO N DO 1983 1 $29,160 4 CARPORT 1983 1 $452 Sales History Previous Owner DUFORT LEONEL J Month/Year Book/Page Type �ode Condition Amount 03/1989 ]790/ 1044 WDeedty C� Improved $38,500 02/1984 1315 / 0523 Warranty �� Deed Improved $39,900 http://appraiser.pascogov.com/search/parcel.aspx?sec=15&twn=26&rng=21&sbb=017C&... 12/5/2012 CITY OF ZEPHYRHILLS 5335-8TH STREET �ai3��so-oo20 13672 BUILDING PERMIT Permit Number: 13672 Address: 4622 BLOSSOM BLVD UNIT D BLDG 2 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-017C-00200-OODO Improv. Cost: Date Issued: 12/05/2012 Name: ANDERSON LORETTA I TRST Total Fees: Address: 3429 RAYMOND AVE Amount Paid: DEARBORN MI 48124 Date Paid: Phone: Work Desc: REROOF SHINGLE CONDO ATT/W 4616,4618,4620 ��, � ' �� --/--_ � TAPE JOINTS ROOF INS� 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 inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this counry, 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 Must Accompany Application.All work shall be pertormed in accoMance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. C RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 15-26-21-017C-00200-OODO 001 Page 1 of 1 � � � � � Data Current as Of:� Weekly Archive - Saturday, December O1, 2012 Parcel ID 15-26-21-017C-00200-OODO (Card: 001 of 001) Classification 04 - Condominium Mailing Address Property Value ANDERSON LORETTA I TRUST Ag Land �p ANDERSON LORETTA I TRUSTEE Land $4,734 3429 RAYMOND AVE Building $31,868 DEARBORN MI 48124-4246 Physical Address Extra Features �p 4622 BLOSSOM BLVD lust Value $36,602 ZEPHYRHILLS FL 33542-5661 Assessed (Non-School Amendment 1) $36 602 Leqal Descri�tion (First 4 Lines) I See Plat for this Subdivision Taxable Value ;36,602 ORANGE BLOSSOM RANCH CONDO 3 PB 21 PG 102 UNIT D BLDG 2 &COMMON ELEMENTS OR 4745 PG 781 Land Detail (Card: 001 of 001) Line Use Description 2oning Units Type Price Condition Value �� 0400 CONDO OOR4 1.00 UT $4,734.00 1.00 $4,734 Additional Land Information Acres 0.00 Tax Area 30ZH FEMA Code �Residential Code 406R Buildin4 Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1983 Stories 1.0 Exterior Wall i Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 BAS 864 $0 2 -� FEP 108 $0 � 3 FST 36 $0 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 � FEP 1983 108 $1,822 � 2 FST 1983 36 $434 r- 3 � CONDO 1983 1 $29,160 4 CARPORT 1983 1 $452 Sales History Previous Owner ANDERSON LORETTA I Month/Year Book/Page Type �ode Condition Amount 08/2001 4745 / 0781 WDeedtY � Improved $0 09/1983 1281 / 0989 �� Improved $37 900 , http://appraiser.pascogov.com/search/parcel.aspx?sec=15&twn=26&rng=21&sbb=017C&... 12/5/2012 � � iiiiiiiiiiiii�iiiiiiiiii�iiiiiuiiiiiiiiiiiiiiiiiiiiiiiiiiii 2012206855 Rept:1479938 Rec: 10.00 � D5: 0.00 IT: 0.00 12/05/12 C. Miner, Dpty Clerk PRULR 5 0'NEIL,Ph D PHSCO CLERK 4 COMPTROLLE� 12oR6gK 8793 P�o 3779 NOTICE OF COMMENCEMENT - Permit No Proper�yldenufieationi�o.�'��' ��•b��u �b�Q� T'HE LR�DERSIGNED hereby give infoims you that the improvoment will be made to certain real property,and in accordance with Section 713 ]3 of the Florida Stamtes,the following information is provided in this NOTICE OF COMMENCEMENT 1 llescnption of property(legal description:) � 'i� (�6/k-h/LOYI i a)Street Address: ?General descnption of improvements: P� — 3 nwner lnformation / 335'f� a)�ameandaddress: ,)�l�r,. .S�r�s�ar� �11P/[Q l�OS46M ��JC�' 2� j�S�F_1.�_ b?Name and address of fee simple ntleholder(if other than owner) J __.. c)Interest ui property_��°�Q._ — - a t: �larormauon �� 3�jo3/ Name and address� �.S Telephone No. - Fax No.( pt.) - - D � S.Sun�ty Information ` � � al Name and address: �� — bl Amouat of Bond� -�� -- c)Tetephone No. __ Fax No.(Opt.) _ _ 6 Lender —� al Name and address: Phone No. ? ldennty of�parson w�ttun the State of Florida d�ignated by owner upon whom notices or other documents may be served. a)Name and address:__�_ — b)Telephone No. Fax No.(Opt.)_ ___ R.ln addroon to himself,owner destgnates the folluwing person to receive a copy of the Lienor's Notice as provided in Section 713 13(i)(b),Florida Statutes: �� a)Name and address: — � � bl"I'elephone No. Fax No.(Opt.)� �G�� * � 9 Expuauon date of Not�ce of Commencement(the expiration date is one year from the date of recording unless a different date is r �• � specitied) __ _ �~ ' ,Q. I � � I � �.. �� :' VVAF2NING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TFIE EXPIRATION OF THE NOTICE OF � COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTIOIV 713.13, g + � � FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMEIVTS TO YOUR PROPERTY. G � ��•. � � A NOTICE OF COMMErCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE SEFORE THE FLRST 7�� ; � INSYF.CTION IF YOU INTEND TO OBTAI'1 FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE y � �� COMMENCING WORK OR RECORDING 7'OUR NOTICE OF COMMENCEMENT. .��. � � � STATE OF FLORIDA ✓ � � � ��L� � '* * COUKTY(1F PASCO /� Sigiamrc of`wner or wn r's Authorized Ofticer/Diraror/Parm anaga /, � Q � W Y � Z U � � Print ame -�� Q � � � = r1 W U /' � U � O v � The fore omg ins ment was acknowled ed before me this�4 day of � • ,20J_,by N Z U c,!) F" � � � as (type of authority,e.g.officer,m�stee,attorney a � O = Q {,Y a m Cact)for � _ (name ofp on e ]f of hom instrument was executed. � � W z � �" � — � � � — �� Pcrsonall own OR Produced IdenaBcation Notary Signature __ � p _ Q Ww � U�U ��'t;� ,aro+c.voweu z = o o � �y i �,. :� Mvca�wss�ar►ooen2u --- � t-- �.- U � Typc of ldennfication Produced Name(print) � :. �� t�� U� a � O'' � � O U z J Venfication pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that j } �,� � U the Cacu stated m it are true to the best of my lrnowledge and belief. ,� � � a Z O J �/�� — — � � � t� 2 Q W �( C� ��-(. � UOOO }, nz /`Sig�a reofNamr trsonSigningAbove �' � � FORMS/NOC��,.o07 0 � � o �,( I WtAQ JWL H — W — zT J � � 4 � = � Z }�� cn f- i-- O S� a m � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittln _ Owner's Name ` AJ �Q p � o�/ /� � ,v pS prvner Phone Number bl f�7��` �� s� Owners Address ��J� p� / d Owner Phone Number �— Fee Simple Titleholder Name �—�� Owner Phone Number � Fee Simple Titleholder Address ��l JOB ADDRESS �( r%, �� ,� ��OfS D /n �/�l a OT# � SUBDIVISION PARCEL ID#/ a ��y� E��j�2 OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONS7R� ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK /L�G � �'� O D /`' !�' S�-�/ /� � BUILDING SIZE SQ FOOTAGE �i0� HEIGHT OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION /� aa QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( �� QGAS [�] ROOFING Q SPECIALTY �� OTNER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ 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 I N Address License# OTHER � �.^'— COMPANY W�G � � �O � ^� �6 � SIGNATURE -''� � REGISTERED Y/ N FEE CURRE� Y/N Address p�� 0�� i"� �i'.�.�� /� /1 0 �y�f y' 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 Permit for subdivlsions/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. Requi�ed 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 consUuction. Directions: Fill out application completely Owner 8 Contractor sign back of application,notarized If over a2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front nf Applic�tion OMy) 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 hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and locai regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. if you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 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, Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the°owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to - Department of 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, 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 vf 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 O�cial 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 jvb 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 MMENCEMENT� ._ FLORIDA JURAT(F.S.117.03) `' OWNER OR AGENT CONTRACTOR Subscribed b l �r affi�ed)p�fore me th�/ Subscribed and swom to(or afflrmed)before me this Y a N y.��v.� � bY Who islare personally known to me or haslhave produced Who islare personally known to me or has/have produced as idendfication. as identlficadon. � / -� Notary Public Notary Public Com is on N •��°�» Commisslon Na ' ;#� �pn#EE040520 -a. � Name of Notary typed,printed or stamped Name of Notary ��'7010 � P Proposal � -=�- � _ �t_ � Pages � CommSr�e9t464ef�ence yowell�$ R0011/�� CJ �� 2220 OfG Cypress Creek Road �anci C' t.a�rs F . - i {813)949-4561 Fax(8i's, S48-c,;!_ � .� r1r; ^C-0057952 ! Prpposal S�trmdted to ---- ,vn��r- - - -- - - --- - .--. ' ORANGE BLOSSOM RANCH CONDOS ASS. � AUG/17/2012 � � 'Street ` -----— ' i —f-5_c; , - - - - 4615 BLOSSOM BLVD ' 4616,18,20,22 BLOSSOM BLVD j. ` � C�iy Statz:Z.�F C�e _. _ _ , - - -- - �a��..-�- � ZEPHYRHILLS FL.33542 �-----—---- �We hereby submii specifications and estirr�aies for: 4 µ e _X_ Tear oft c;d ��c' _ 1 � _layers � = X Rotten !u��!:�r ndd�t+onz'. Timr and Materaat � Rate of S 4Q.00 per man �-,our plus matenals plus 35 __ � $100 �t!�,x�c� � : � 3 X Dry m roct w�tn 1 _ ply 15UL RATED D226 � ' � 4 X Rep!ace ab ieaci boots S:ze #12-2" #4-3" � 5 X . Repiace 4 vent S�Ze 10" ^ 6 X Replace 6 m Ea��e metal Color . �� ' 7 X Replace va�!ey Meta� --- -- - WITH 6 o p/C ✓�•� �� 8 X_ instatf -Q6S�b Type Class A f�bergiass fungus resistant s�,n�y��.� . , BEACHWOOD SAND; 9 X �,,t Ho�e and �nstaN 110 ft. of Owens Corrnng ,,��.:�� - . _., 7 I � --- "ia: �r lcwsiope roof area r r:at Va(;ey i ''1 D'y �n wrt". b8sc st�@et s, ; � �.�, , , �L .ApP�y' � P�Y 'nnd�fied roo`�� _;olor i '� '��p'�cF' �r� ea.e metai Goior --- ',a X •i,rd 5 3.00 _,to S 12.00 per foot for reqwre : f;,,�� r � .. �5 y�ti � :o Ury n r_.of with seff adhering under;=;:��: ; "6 X pWENS CORNING SYSTEM ADVANTAGE WARRANTY INCLUDED IN PRICE ' ,; X - ----- - - �- -— I �_ .— , 'n X C1ear up ard �?aui away alti trash .--__. ____ _ -- _-- � '9 X _ Pu,l ^��gne� a��und�ob to p�cK up any loose nai�s ur stap ��- ��,145.00 ' 20 X_ Jurnp f2e ar� p�rm�t in�iude�; in pr�Ce �� - L�� I 3 5 `�— 21 X 5 year workmansh,p �varranty from date of com��-� - , ��, �p� r �`,,,�� ues�gner We propose hereby to furr+sh materials ar��fabor-complete in acccrda•�ce ,ti � q �k , . , . �.r r,-�, ;�;�:; �` __,_' .__ - d��a($�� `_�7��J.VV —//' /D/�� _ ` , ..,3__..Cr,��a 1 Paymen� to oe made as�o�lows Qe�os�t of$ 500.00 _____ g�,.,�;�,� ,.;; f X _ � - _ .. ..^�,�i?npn I { e vu7nq the ce�r;c,of Cng roofing work,ine customer aryrees:o hcin harmiess YOwe'!s ROO�- -- � `, ' ` �'•`-._____ rapf s•s:em�nc:uo:n out not 6mir - :�:��`• _�'c,tzriais:n:ne Y 9 ea to aU costs of ht�oa�,on and attpmey fees Ycweu's Rx` - �,_.�,, �-;,•ng�r 3fte , 'o��NUrh rt arl:7�ne Cusicr�Er ay'rees:o prawde aA'rGUate roof acCess(or trucks equ�pme , - � _, , �. ,,, . �,•�I(rt-,ryad f0 � cos�p�ete ttfe.o� YoaeC'S r.p;�t L� ,�,i:nol be rald r�;pp�sible(a damage or crachs un�r •�, �-,r ' � of ths Cr,ntr��r i�?pre.a�l•r �„ ,� .� •;�:on a� r.;�,,� +�;iany shait be eMa,,,d co�ecover at!cos6,�ndudmg reasan��,:- :.• ,r .� , _ _ - , ..� �. -,w,��e s�b- �ea�� ^e��hceea perren;t?8`m�APR on unpa�c batan=e compounaeC dady A11 mate�,�i e :,,, �,,c,-. , . „ ' � manner a:..�udmg to stanciarG prar�t�ces Any a��er�uor pr dev�aGOn from the abooe s '~ � ��rt�,�,�~ ` pec�f•�-.: , .,,t,�,.,,.;e�c .:r,w�l � Ge�Or��n.�� ,3�;,rye ovrr a�d abo�x tne. dsa Au agreements are ccnti�,gen!u�r ; �..� � � � __... � , ,• .. �� ,2rr. .,�3 tOm2tlO d��,/7��i;�rr ne.essar/insur3nt rxerz�are NHy� yer�by yVo �.,i;,,, ; w:f,•5�R_�1L ___ddy5 2;7Q�5 YO �' 8f 3i 71@ G' " , ..i � ,J,_�F,u.3� • _ ,u+a�ol.dr� �gned � � " / � i At;(hor;_��: �,y�� - � AUG /17 2012 ! --- -- -- I � __�._.. -- ..,. _.. � Accepta e of Proposa!-rhe atio�.+e p�res,spec�fications ano contldipns are s�cs',_;nn, +' - �.o�ne wr.r.as ' Isp�.fec �r;^�en�w,�i be matle as ouUrtzetla�r,ve E��acceptmg Ih�s praposal a uecomes ' f I � � ! 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