HomeMy WebLinkAbout13-13930 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(sss)�so-oo20 �13930
MOBILE HOME SET-UP
Permit Number: 13930 Address: 37519 COREY LEWIS AVE LOT 335
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET-UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-3350
Improv. Cost: 4,800.00
Date Issued: 3/05/2013 Name: WILLIAMS, WILLIAM
Total Fees: 7,158.98 Address: 5160 E. MONARCH CIRCLE
Amount Paid: 7,158.98 BELOIT, WIS 5351
Date Paid: 3/05/2013 Phone: (608)751-6695
Work Desc: 32 X 52 NEW MH SET UP
U L I AL 4 . I 1, 5. 0
LILLEY AIR CONDITIONING INC MOBILE HOME SET-UP 60.00 WATER CONNECTION MOBILE HC 320.50
BIG DADDY'S MOBILE HOME SET UP MOBILE HOME MECHANICAL 40.00 MOBILE HOME PLUMBING 40.00
LILLEY AIR CONDITIONING INC TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
WATER METER RES 3J4" 314.20 IRRIGATION CONNECTION 266.00
IRRIGATION METER 314.20 PARK FEES MH 573.73
POLICE IMPACT FEE -254.00 FIRE IMPACT FEE 273.00
PUBLIC SAFETY 5% � � 26.35
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MOBILE HOME PLUMBING��
FINAL "?,--� I��,3
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspection called d)work not ready for
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
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 performed in accordance with City Codes and Ordinances
UI�C/t,
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CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
UTILITIES WORK ORDER
WATER ACCOUNT NO.: DATE: Feb 26,2013
OWNER/RENTER/BUSINESS:William Williams CONTACT PERSON: Big Daddys
MAILING ADDRESS: 37519 Corey Lewis Ave Lot 335 pHONE NUMBER: 863-899-7363
Zephyhrills FI. 33542 EMAIL ADDRESS:
SERVICE ADDRESS: 37519 Corey Lewis Ave Lot#335
SHUT OFF SERVICE ❑X ❑X WATER
TURN ON SERVICE ❑ � SEWER
INSTALL METER ❑X ❑ GARBAGE
READ MEfER ❑ ❑X IN CITY
CHECK METER ❑ ❑ OUT CITY
OTHER ❑
DESCRIBE OTHER: 3/4 irrigation and water
NUMBER OF UNITS
DEPOSIT AMOUNT
AMOUNT LAST BILL
DATE
MISC. CHARGE
METER: FULL 3/4 water
IIRRIGATION 3/4 I
WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges
COMPLEfED
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ORDER GIVEN BY: � �,
Revised 9/2010
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City of Zephyrhills:
Building Department ,�
Phone: (813)-780-0020
Fax: (813)-780-0021
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� TO: Big Daddy FROM: Jackie ;
� FAX#: 863-421-6430 FAX#: 813-780-0021 ;
� DATE: 2/26/13 #OF PAGES including cover sheet 2 ;
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� Showing break down of fee cost. With our TIF have the option of paying 25%up front ;
� w/permit cost and 75% due before permanent power inspection or pay the entire TIF �
� amount due and do not worry about 25 or 75 % . '
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; Let me know which route you will take. '
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.� 7� � 9 �D re �-u,�� S �
1.�� � 3 S
SQ.FEET PRICE
MAiN OR LIVING: -
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ -
FEE SHEET
ADDRESS
DRIVEWAY
BUILDING: $ 60.00
ELECTRICAL: $ 40.00
PLUMBING: $ 40.00
MECHANICAL: $ 40.00
SUB-TOTAL $ 180.00
$ -
TOTAL E 180.00
SEWER: $ 1,005.00
WATER: $ 320.50
IRRIGATION: $ 266.00
TOTAL: S 1,591.50
WATER METER: $ 314.20
IRRIGATION METER $ 314.20
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL.
PERMIT TOTAL
TOTAL: NIA
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: S 553.35
_iLVAI Ilcl
-�Y"AL�L.
PARK IMPACT FEES $ 573.73
SIF'S:
100.0% $ -
1.0% $ -
TOTAi: E -
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T 1 F'S: S 3,632.00 THIS ENTIRE AMOUNT OR 25%$908.00 DUE AT PERMIT �\
99% $ 3,595.68 75%2724.00 DUE BEFORE PERMANENT POWE
1% $ 36.32 �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
� Co�,.,tr�t�f/Homeowner: `�,� ��.:�;��1,� � '�l � �•',��=� � � / �
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Date Received: � �—,� /� ��
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Site: = , � � , �,� c �-- -�
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Pernut Type: ��__��,7 f �� � `�� � "`r ���ry. ,
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Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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K ' S ' lans Examiner Dat� Contractor and/or Homeowner
(Required when comments are present)
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a��-�eaoozo City of Zephyrhills Permit Application F:3x-813-780-0021
, Building Department
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Date Received .. phone Contact for Permittlng � l� - lL��7
r77-�-r 7 �-7 p - 7T
Owners Name �u' / � ( �'11� Owner Phone Number � � � `'�
Owner's Address � L� �. ��aY�`� �� Owner Phone Number ��
Fee Simple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS � ���l � � � LOT# �
SUBDIVISION `L�� PARCELIDN J���'-J �'��IJIV y �V�✓���v
�oerar�o Fxor areorErrrr rax►ance�
WORK PROPOSED e NEw coNS7R 8 ADD/ALT � SIGN Q Q OEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER -�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK l I( U�f'�X SC,1 � �
BUILDING SIZE �� SQ FOOTAGE I�1c'y�' HEIGHT ��
�BUILDING $ •� �' VALUATION OF TOTAL CONSTRUCTION���i `'f��f�l�-'`/ ��L� �r � � ���
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�ELECTRICAL $ � r�/1T� AMPSERVICE 1�L� � PROGRESSENERGY �� W.R.E.C.
uVli 1 „{� ,
�IPLUMBING $ Z , J ^-� �Y����
�.y_� �, {�,x.��
I�IMECHANICAL S /� VALUATI�N�F MECHANICAL INSTALLATIO � �C1�
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QGAS ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO
BUILDER COMPANY �I G� DaC c1��� �
SIGNATURE REGISTERED / N FEfi URRE� Y/N
Address .L `✓� �"�� ��t � � License# r-�
ELECTRICIAN ��I� /����/� ) R OMP RED �,I i��� FeE CURRE� Y!N �
SIGNATURE (, � v
Address �� 1�-l(;�� License# �C� ,��/�' O�
PLUMBER COMPANY (/�G� �I.�C �U�S �
SIGNATURE REGISTERED / N FEE CU en Y/N
Address � Q , � License# �-�
MECHANICAL � I � 11/��r ROMre Eo ��I N�� �FeeCURRE� Y!N �
SIGNATURE '1, LC,
Address 1 ��t-V� i License# YI(�(J�����
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# ��
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster;Sile Wor1c Pertnit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete se[s of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wJ Silt Fence installed,
Sanitary Facililies&1 dumpster Site Work Pertnit for all new projects.All commercial 2quirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directfons:•
Fili out application completely
OHmer&Contractor sign back of application,ratarized
If over:2500,a Notice of Commencement is required. (A/C upgredes over 57500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from o�mer authorizing same
OVER THE COUNTER PERMITTING (front of Application Only)
Reroofs'rf shingles Sewers Service Upgrades A!C Fences(PlotlSurvey/Footage)
Driveways-Not over Counter ff 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 responsibil"ity 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 local regulations. lf the
co�tractor 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 conVactor 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 permittirx,�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 Courriy Ordinance number 8�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. Furtherrnore, 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 certiTy 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'SlOVYNER'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,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wetls, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Rurnvays.
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,1 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 certiTy that use of such fill will not adversety 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 permft issued under the attadied permit application,for lots fess 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 inGuded in the applica6on. 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 pertnit 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,t ' b is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COM CE ENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE T BTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N MENCEMENT.
FL JURAT(F.S.117.03)
' WNE RAGENT l�.{���r/���LY�'�'LLf>X7� CONTRACTOR
Su ed an bsWpr��(q{�Ib�pre,�r��,tF(is � Subscr bed and swo r a d)befo me this
1'� �u litA.r�v ���br z
o is/ar personally known to me or has/have produced i are pe to me or hasRiave praduced
as identifiption. as ideniification.
N aA��o ary Public '�� E ���� _NOtary Public
Commis 1 � L J����C' Commissio I
A ��
Name of N Pri Name of Nota
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�R""'�''"'"�� 02/21/13 C. Mliner, Dpty Clerk
NOTICE OF COMMENCEMENT
'Ihe undersigned hereby g�ven notia that improvement will be made to certain real properry,and in accordance with Chsipter 713,
Florida Sqd�es the following infonnatioe is Provtdod in U�e Notice of Commencemrnt
1. DFSCRIPrION OP PAOPER7'X(Le�l d�se�
�dt address.if available)TAX FOLIO NO.:`� ��u D 1l�V L�-�-ti-t����
SIIBDMSIO�'�r�,d �v��S � T��—�!.G.LBLDC UN11T
2.GENERAL D � ��. �., _.�__.^
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3. owneR�r+ow►ser� : d� � 1
WI�/��� ' � �.,��,o� (�WI �,�
b.Addrw ` ' �
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d.Name md add�rsa of fae s+mDk titl (if Wlri thm Owucr). '��'I�
4. CONT(tACTOR'8 NAME.ADDAESS AND PHONE Ntll►� ' (i n U � �'
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$. SURETY'S NAI►�.ADDRESS AND PfIONB NUMBER AND BOND AAtOUNT: —
(, LENDERS NAMF ADDRffiS AIYD PA�f'1���ER'
7 Persons within the State of Florida designated by Owncr 47 nn whom noricas or otlrer documa�ts may be served as pravidzd by
Section 713.13(l)(a)7.,Florida Statutes:
NAM6.ADDRFSS AND P90NE NITII�EA:
8. In addidon W hin�setf or herself,Owner desig�tes the Co11a ann�K io reoeive a copy of the Lienor's Notice as provided in Section
7!3.13(1)(b�Pbrida Strtutes:
NAME.ADDRESS AND PAONE NUMBER%
9 Expiretioo date af nolice of commencement(the exP�►at�rn�us.te is 1 year from the dae of recording unless a diffarent date is
specified): _� .20_,
,�...�nwnrFR AFfER THE IRAT[ON OF T�NO'ITCE OF�MME'NCII�IENT
ING TO Q�2 Y �numa STATC�S��N
��.ti-���.ID���muAOGRPA� �*''�Uh'�Exc,ttA��rK�13 PARTI SEC[ION713.13_.
�--�„R��At,ip ppS7'Ep ON'17�JOB SI'I'E B6�ORE F rT INSPE�TQN IF n IilvII^-�?JR NOTSCE OF CO NMMEN cNCHI�NT LT
WITI�i YQU?t LENDER OR A1`�ATfOR1�3Y BEFOR�C�'P�C Nl�lS�ORK OR l�
. ', !
'/,�,��-.���r��. ���� /�� t�v�//�a�f �l�
Slgnature ot Owner or Priot ame and Provide Sigostory's TitldOtRee
Owoer's Aut6orized(7fTicer/Dinetor/Partnee/Ntan�gt�
Srate of F:orida
County of Pj}SC�p ` ��
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'Ilie forogoing insttumer�t was acknowledga!bcfore r�e this �Y af�
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By (name of pelson) . (lype uf auttmritY>...e.g offwer,trustoo,cttom�Y
For
e af party en 1xhalf of whom instrucneart was°�e�) ,�ti�� KERRI ANId FUTRELL
-•: �'" Y COMM 81 !3 E 9204
Personnlly lrnown or produced the following lypt:uf identification: = 1 b
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(Signatut�of Notary Public)
Under Penalties of prrJmY,I dalare that 1}rrve mad thr.fcrt,�gning an�d that the facts in it are tme to thc bc�of my imowledge acr.i
belief(Section 92525.F►onda Ste�).
Signam►s(s?of Owner{s)cr Owon{a)'Aathnriud Ciflic�rf Di�acmr!PnrmcrlMa�e�who�s�bova
� -----�---�----- -- BY__ —
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Rev.08-G?U7(S.Ra+ordin� pqULq S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEk
�l2/21/13 ���� iPG°2558
OR BK
STATE OF FLORIDA, COUNTY OF PASCO JV • : .C4R
THIS IS TO CERTlFY THAT THE FOREGOING IS A �C� � C�
TRUE AND CORRECT COPY OF THE DOCUMEN � .��►
ON FILE OR OF PUBLIC RECORD IN THIS OFFI E� �
�JJ' E�SS MY HAND A D FFICIAL SEAL THIS * • fn yo��yYe q�st ,' *
J� DAY OF_��� 2 1' 'A�`�
PAULA S O'NEIL, CLERK&COM TROL ER � • U . �
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Pasco County Parcel: 34-25-21-0180-00000-3350 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, February 16, 2013
Parcel ID 34-25-21-0180-00000-3350 (Card: 001 of 001)
Classification 00 - Vacant Residential
Mailing Address Property Value
GRAND HORIZON HOMES LLC Ag Land �o
4025 MORRIS BRIDGE RD Land �22,991
ZEPHYRHILLS FL 33543-5056 Building �o
Physical Address Extra Features $o
37519 COREY LEWIS AVE
ZEPHYRHILLS FL 33541-7742 Just Value �z2,991
�e�al Description (First 4 Lines) ASSeSS2CI (Non-School Amendment 1) $22,991
See Plat for this Subdivision
GRAND HORIZONS - PHASE FOUR Taxable Value $22,991
PB 61 PG 023
LOT 335
OR 7446 PG 1045
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0200 MSUBM OOM1 6,000.00 SF $3.75 1.00 $22,500
� 0200 M SUB M OOM1 893.00 SF $0.55 1.00 $491
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA __ Residential Code GDHZLPI
Code
Building Information (Card: 001 of 001)
Unimproved Parcel 00 - Unimproved
Extra Features Card: 001 of 001)
Line �Description Year Units Value
No Extra Features
Sales Histo
Previous Owner GRAND HORIZONS INC
Month/Year Book/Page T'yPe C de Condition Amount
03/2007 7446 / 1045 Warranty Vacant Multi-Parcel Sale
Deed
12/1995 3508 / 0207 Warranty Vacant Multi-Parcel Sale
Deed ��
10/1993 3214 / 1147 Warranty Vacant $0
Deed
http://appraiser.pascogov.com/searcl�/parcel.aspx?sec=34&twn=25&rng=21&sbb=1�180&b... 2/20/2013
? PA�CO COUNTY, FLORIDA
' � Permit No. �:3���C
Date Permitted 2_-z „ -�
8uilder Name/Owner Name �i q ��CC((�/ �� � Conirol#
Counly Pa�cel No. .��f-Z,S-Z� - _� 1 �c, -OGuDG-,3;Sc._ SUbDiv: �> � Cz�iC�r 7tz�r�2.c1,S
Address/Location .`�'��5 j 9 �G r e c/ ��v r,S 7`1��e. �-t+ _�'�5
--T
Classification/Type of Use ���'J ��D�� �� �'�� �+ ���
TRANSPORTATION(MPACT FEE . Rate: Sq Ft Unit; f ��
Exempt ��'es � No How De.termined
Impact Fee Amount $ 3 �,�j� �b Zone No. _ TAZ:
SCHOOL IMPACT FEE
Account (056) Stngle-Family Detached House Amount � /����
(057) Mobile Home
(058) other Residential
123) Collection Fee
Exempt a Yes �] No How petermined
PARKS AND RECR�ATION FEE
Land Accoun,t Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ `] ��. '��'
Exempt � Yes � No How Determined
LIBRARY FEE
l.and Account Land Credit Land Total
Facility Account Faciljty Credit Facility Total
Exempt � Yes ❑ No How Determined Total Amount _ /L���I--
RESOURCE FEE ERU
TOTALAMOUNT
Prepared ey � ( u'�
Checked Sy
NO CERTIFICA7E OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but slmply recelpl of a copy of this form,placing
the building permit owner on notice of thls assessment and th�condidons af paymenl for same.
QATE R�CEIVEp BY
RECEIPT NO DATE gY
Pre.pared by and return to
Sharon B.Sumner
Premium Title, Inc.
14150 Sixth Street
Dade City,FL 33525
352-Sb7-5658
File Number: 13-015
Wiil Call No.
[Space Above This Line For Recording Data]
Warranty Deed
This Warranty Deed made this 15th day of February, 2013 between Grand Horizon Homes, LLC, a Florida
corporation whose post offtce address is 4025 Morris Bridge Rd, Zephyrhills, FL 33543, grantor, and William H.
Williams, Jr. and Jo Ann Wiltiams, his wife whose post o�ce address is 5160 E. Monarch Circle, Beloit, WI 53511,
grantee
(Whenever used herein the terms "grantor" and "grantee" incfude all the parties to this instrument and the heirs, legal representatives, and aesigns of
individuals,and the successors and assigns of corporations,trusts and trustees)
WitneSSeth, that said grantor, for and in consideration of the sum of TEN AND NO/I00 DOLLARS ($10 00) and other
good and valuable considerations to said grantor in hand paid by said �antee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and gcantee's heirs and assigns forever, tfie fol�owing described land,
situate, lying and bemg in Pasco County,Florida to-wit:
Lot 335, Grand Horizons Phase Four, as per plat thereof as recorded in Plat Book 61, Pages 23-26,
Fublic Records of Pasco County,Florida.
Parcel Identification Number: 34-25-21-0180-00040-3350
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple forever
AIId the grantor hereby covenants with said grantee that the grantor is lawfufly seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said iand; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of al) persons whomsoever; and that said land is free of all
encumbrances, except taxes and special assessments accruing subsequent to December 31, 2012, zoning and/or restrictions
imposed by governmental authority, and easements, restrictions, and reservations of record, if any, hc�wever, this reference
shall not serve to reimpose the same..
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above u✓ritten.
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Signed,sealed and delivered in our presence.
Grand Hor' on Homes,LLC,a Florida corporation
By:
Wirness Name: �� /Nnl(/� ane Beebe,Managing Member
(Corporate Seal)
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Wimess ame: r� ��
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this 15th day of February,2013 by Diane Beebe, Managing Member
of Grand Horizon Homes, LLC, a Florida corporation, on behalf of the corporation. She [Xj is personally known to me or
L]has produced as identification.
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[Notary Seal] N Pu�lic --�
Sharon 8.Sumner Printed Name:
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Cprurission#DD 98213?
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Warranry Deed-Page 2 DoubleTime�