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Home My WebLink About12-13707 � CITY OF ZEPHYRHiLLS 5335-STH STREET (sis)�so-oo20 �� FENCE PERMIT Permit Number: 13707 Address: 38548 12TH AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05200-0010 Improv. Cost: 650.00 Date Issued: 12/14/2012 Name: WILKES, DENNIS & LISA Total Fees: 45.00 Address: 38548 12TH AVE Amount Paid: 45.00 ZEPHYRHILLS FL 33542 Date Paid: 12/14/2012 Phone: 813-782-7428 Work Desc: INSTALL CHAIN LINK FENCE 4 X 156 HOMEOWNER FENCE 45.00 �� _ ;z v ; T-�- ��. _ � � 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 wnstruction c) repairs or oorrections 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 acaessible. 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shall be ormed in accordance with Ci Codes and Ordinances ��G� CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN SETTLEMENT STATEMENT Sunstste Title Agency,Inc. � ❑FHA z ❑�+HA 3. ❑CONV UNMS. 13937 7th Street Dade City,Florida 33525 a. �va s. �coNV Ms. 352-567-1141 fa�c:352-567-3830 6 F�kNumhc' ��T'�y�' S-29258 8 Mortgage Im.Cau No C NOTE This jorm u furnished to give you a stntement ojac�ua!sett/ement costs.Amourtfs paid�o and by the set[lemen!agent are shown./tems marked (poc)were paid oulside�he closing. They are shown here or inlormationa(purposes and are not included in the totaLs D Buyer ___ DENIVIS W WILKES and LISA K. WILKES,h�s tvife MARY J WHITE,a smgle person and FLORENCE BICHTEMAN,a married woman E.Seller• 5804 State Road 32 Westerio,Nl' 12193 F Lender 38548 12TH AVE. G.Property Zephyrhills,Pasco Counry,Florida 33542 Section I 1,Township 26,Range 21,Lot I,Block 52,TOWN OF ZEPHYRHII,LS,Book 1,Page 54,PASCO County,Florida H.Settlement Agent. Sunstate Trtle Agency,Inc. - Place of Settlement: 13937 7th Street Dade City Florida 33525 Pasco Counry I.Settlement Date. December 3,2012 J. Summary of Buyer's Transaction K. Summary of Seller's Transaction 100.Gross Amount Due From Bu er: 400.Gross Amount Due To Seller: 101 Contract Sales Price 55,000.00 401 Contract Sales Price 55,000.00 102. Personal ProDerty 402. Personal Pro erty ]03 Settlement Charges to Buyer(line 1400) 503.00 403 104 --- 404. 105 405 Adjustments for Items Paid by Seller in Advance: Ad'ustments for Items Paid b Seller in Advance: 106. City/Town Taxes 406. Ciry/Town Taxes �Q� County/Parish Taxes Dec 3,2012 thru Dec County/Parish Taxes Dec 3,2012 thru Dec 31,2012 _ _ 38.30 407 31,2012 3830 ]OS. Assessments _ 408. Assessments -- ]09 -- -- 409 110 410. 120. Gross Amount Due from Bu er: 55 541.30 420. Gross Amount Due to Seller: 55,038.30 200. Amounts Paid bv or in Behalf ot Bu er: 500. Reductions in Amount Due to Seller: 201. De�sit/Earnest Money __ 500.00 501 Excess osit see insuvctions) 202. Princi al Amount of New Loan 502. Settlement Cha es to Seller(Line 1400) 4,944.68 203_ Existing Loan(s) 503 Existin Loan s) 204 ___ _ 504 Pa off of First Mort a e -- _205_ 505. Pa off of Second MoR a e 206. 506. Purchase Mone Mort a e Adjustments for Items Un�aid b Seller: Ad'ustments for Items Un sid b Seller. 210 Ciry/Town Taxes 510. Ci /Town Taxes _211 County/Parish Taxes 511. Coun /Parish Taxes _212. Assessments _ 512. Assessments ----- 213 __ 513 214 514. _220. Tatal Paid by/tor Bu er 500.00 520. Total Reductions in Amount Due Seller. 4,944 68 300. Cash at Settlement from/to Bu er: 600. Cash at Settlement to/from Seller: 301 Gross Amount due from Bu er(line 120) 55,541.30 601 Gross Amount due to Seller(line 420 55,038.30 302. Less Amount Paid by/for Buyer(line 220) 500.00 602. �ss Reductions Amount due Seller(line - - -- -_- 520) 4,944.68 303. Cash From Buyer: $55,041.30 603. Cash To Seller: $50,093.62 HUD-1 May 2007 December 10,2012 3:04 PM OMB No.2502-0265 RESPA handbook 4305.2 ' DISCLOSURE S'�'n'►'�'*�=NT .FOR OWNER CITY OF ZEPHYRH27�LS Bi722,DSNG DEPARTD�NT _, � _ have read and fully understand aad agree •to the provisions of �this instrument. The undersigned .states and affirms that he or she is desirous of constsucting, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or �vi11 occupy by sai.d domicile, and same is not for •rent, lease or sale. That he or she shall comply Frith the followiiag conditioas: 1. That the owner aad_he or she alone sha11 act as the bvil.der for a11 phases of construction. 2. That the owaar wi11 comply with a11 provisions of �the City of Zephyrhills ordinarices and codes pertineat to the builcling. 3. That in the avent various phases of construction are subcontracted, he will engage ori7.y properly licensed subcontractors and will personally supervise such vrork. 4. That in the event the Huilding Inspector shall rsc�';re corrections to be made, the o�vner will assume full responsibility to insure •they are made, and upon cnmpletion wi11 ca11 for a re�*+-�ction before proceeding arith the building. 5. That the owner sha11 assume full responsibility for the constr�.iction aad wi11 not aapect_ supervisiori of his �ork from the City of Zephyrhills Building Depar��t. 6. That prior to final iaspection an.y additional fees, including reiaspection fees, must be paid ia �fu11. A writtan request from this affice sha11 constitute an official notice -to pay additiona3. fees.. 7. That the owner shall comply with a11 City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the own�s sha11 comply wit� al1 the safe.ty codes issuad by the Florida Industrial Commission. 9. State 1aw requires constniction to be doae by licensed contractors. You have applied for a ��;t under an e�cempti.cn to that lam. The exemption allows you, as the ownar of yovr propPSty, to act as your own contractor with cp*-�*=�*+ restrictions ev� though you do not ha.ve a license. You must provide direct onsite supervision of the constructioa yovrself. You may build or �.�prove a one-family or t�vo-family residen,ce or a farm outbuilding, You may also build or improve a commercial buildisig, provided your costs do not exceed $25,000. The l�uildiag or residaace must be for your own use os occupancy. It may not be built or substantially improved for sale or lease. If you se]:1 or lease a bvilding you have built or substantially i�proved yourse7.,f' within 1 year after the constxziction is complete, the 1ap ws.11 pres�e .that you built or substaritially improved �if for sale or lease, which is a violation of this exemption. You may not hire aa unlicansad person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have liceases re�,;red by state law and by county or mun�.cipal liceusing ordinasices. You may not delegate the responsibility f'or supervising work to a liceased contractor who is n�t. licensad to perform the �vork beiag dona. Asiy pe='soa working on your building who is aot liceased must work under your diract supervision and must be P�Ployed by you, which meaas that you must deduct F.I.C.A. and withholding ta,x and provide workers' c�mpensati.on for that e�ployee, a11 as prescri.bed by law. Your constsuction must comply with a11 applicable laws, ordi.nances, building codes, and zoning regulati s � OW1�R'S SIGt1PsTLTF;E ! � DATE � ADDRESS �xorrE wz�ss �x�T # 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin Owner's Name � �' r l L°S Owner Phone Number , �h � �.� Owners Address � /�^T�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ,S�5 S Z� �/�°' � � ,/� � S �Z �OT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT �� SIGN � O DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q DESCRIPTION OF WORK -.� �.S�' j� { ��,,L L�-,a f� �,�� ,� l�`/ � b BUILDING SIZE SQ FOOTAGE U HEIGHT �BUILDING $�S� ,�u �"'VALUATION OF TOTAL CONSTRUCTI C�S�- � M�{��_ QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. QPLUMBING (g � � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�� " � � QGAS Q ROOFING Q SPECIALN 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO BUILDER COMPANY /YC�J�i'�, �%�iU/U�'� SIGNATURE ! �-�� REGISTERED Y/ N FEE CURRE� Y/N Address License# r- � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � OTHER 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 Pennit 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 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 consUuction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilit(es&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance 31GN PERMIT Attach(2)sets of Engineered Plans. ""'PROPERTY SURVEY required for all NEW construction. )irections: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over a2500,a Notice of Commencement(s required. (A/C upgrades over s7500) ` Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same 1VER THE COUNTER PERMITTING (Front of Application Only) ;eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRI eTtON C unty r gulat'�ions. The undersigned alssumes resp ns b Ity for c mpl a„nce tw'th any which may be more rest 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 local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemyanpopyiolation under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 RECOV�ER onstruation of nedw b 9de gsnchange of that Transportation Impact Fees and Recourse Recovery Fees may app y 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 fu�ther understood that Transpo�tation 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 Depa�tment 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in comptiance 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 regulas�I must take to be in compliance! S ch agencyes nclude but are not I'mi ed {o �t is my responsibility to identify what action - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering - Southwest Florida Water Management District-Wells, Cyp Y 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 e submitted at i me of permitting wh ch is prepared rby a9professionalr eng neer "compensating volume" will b licensed by the State of Florida. If the �II material is to be used in Flood Zone "A" in connection with a permitted building using stem wa construction, I certify that fill will be us a�rea,I I tcertify that use't olf such tfilrl willllnot adversely affect adjacent If fill material is to be used in any properties. If use of fill is foun e�m tassued under the,attached per�mit application, oa lots less thanvonlet'( ) the conditions of the building p acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promis��understanld thatna�separat permit may be req u ed for�electr c I work, this a ffi davi t pri o r t o c o m m e n c i n g c o n s t r u c t i o n l i c a t i on. A plumbing, signs, wells, pools, air conditiocense t S oceed with the work and ot as cauthor ty to violate ecancel, alter, or perm i t issu e d s h a l l b e c o n s t r u e d t o b e a I P set aside any provisions of the technical codes, �on oalvi lat ons of any codes P r Every tperm t iss ed shall become invalid requiring a correction of errors in plans, construct unless the work authorized by such permit is co�o s�X 6Wmhonths a er the t mpe thetwo kas ommenced. An extension the permit is suspended or abandoned for a perio � ) may be requested, in writing, from the Building Officininet a90 rcon ecutive days,the job is�cons de ed b�a donedstrate justifiable cause for the extension. If work ceases for Y( ) WARNING TO OWNER: YOUR FAILURE TO RECORPE TM T�F YOU NTOENDETO BTA N FANANCSNGTCONSULT PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F COMMENCEMENT. FLORIDA JURAT(F.S. 117•03) � �J /I_��/�- .�� r��.,t CONTRACTOR�< < OWNER OR AGHNT before me this_ Subscribed and swo to(or ed)befpre me is • �. Subscribed and swom � �� J Z�_ [_�-/Z bY � Z-/ '�by � ' Who i are person nown to me or ha asadentlfication. Who.l�lare personally known to me or aslhave produced �.,��S fC.2�yc �Y�l• _ ( ,� ,•w�� as iden8flca8on. 'J� � Notary Public � �r,� Notary Public + .�ti JA ? 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