HomeMy WebLinkAbout13-14015 CITY OF ZEPHYRHILLS
5335-8TH STREET
, � (si3)�so-oo20 14015
FENCE PERMIT
Permit Number: 14015 Address: 38555 38553 SCOTTSDALE CT
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: (� ��cc=n��^ Parcel Number: 02-21-0200-00000-0030
Improv. Cost: 49�60��
Date Issued: 3/25/2013 Name: MILLER TRUST ROY& BARBARA
Total Fees: 50.00 Address: 35132 DOLPHIN LAKE DR
Amount Paid: 50.00 ZEPHYRHILLS, FL 33541-1917
Date Paid: 3/25/2013 Phone: 813-779-3728
Work Desc: INSTALL WOOD PRIVACY FENCE 300 X6' SEE BP#16,18,19,20
OWNER FENCE 50.00
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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)wndemned 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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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
�a-,.�,�-�'�'��'��
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0200-00000-0030 001 � Page 1 of 2
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Data Current as Of: Weekly Archive - Saturday, March 09, 201
Parcel ID 02-26-21-0200-00000-0030 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MILLER TRUST Ag Land �o
MILLER ROY GRANT & BARBARA ANN Land $9,435
CO-TRUSTEES Building $25,32�
35132 DOLPHIN LAKE DR Extra Features �o
ZEPHYRHILLS FL 33541-1917
Phvsical Address - See All 2 addresses (First 7ust Value $35,762
Shown)
38555 SCOTTSDALE CT ASSeSS2Cl (Non-i chool Amendment $35,762
ZEPHYRHILLS FL 33542-6322
Leqal Descriation (First a Lines) Taxable Value $35,�e2
See Plat for this Subdivision
SCOTTSDALE SUBDIVISION
PB 21 PG 21 LOT 3
OR 7045 PG 1005
OR 7045 PG 1098
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
1 0800 MULTI FAMT OOR3 6,048.00 SF $1.56 1.00 $9,435
Additional Land Information
Acres 0.14 Tax Area 30ZH FEMA �Residentia) Code SDLELPI
Code
Buildinq Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
E�cterior Wall i Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
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 � 1,536 $45,711
2 FOP 80 $476
Extra Features (Card: 001 of 002)
Line Description Year Units � Value
No Extra Features
Sales History
Previous Owner MILLER ROY G & BARBARA
Month/Year Book/Page Type DOR Condition Amount
Code
06/2006 7045 / 1098 Warranty� Improved $0
Deed
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CITY OF ZEPHYRHILLS
5335-STH STREET
(si3)�8o-0020 14016
� FENCE PERMIT
Permit Number: 14016 Address: 38535 38537 SCOTTSDALE CT
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: 02-26-21-0200-00000-0060
Improv. Cost:
Date Issued: 3/25/2013 Name: MILLER TRUST ROY& BARBARA
Total Fees: .00 �(��� Address: 35132 DOLPHIN LAKE DR
Amount Paid: 5�00 � ; ZEPHYRHILLS FL 33541-1917
Date Paid: 3/25/2013 �. Phone: 813-779-3728
Work Desc: SEE BP#14015 ,18,19,20
OWNER FENCE 50.00
0
- �
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 acxessible.
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
�
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0200-00000-0060 001 Page 1 of 2
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Data Current as Of: Weekly Archive - Saturday, March 09, 2013
Parcel ID 02-26-21-0200-00000-0060 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MILLER TRUST Ag Land �o
MILLER ROY GRANT & BARBARA ANN Land �io,21z
CO-TRUSTEES Building �26,327
35132 DOLPHIN LAKE DR Extra Features $o
ZEPHYRHILLS FL 33541-1917
Physical Address - See All 2 addresses (First ,7USt VdIUe $36,539
Shown)
38535 SCOTfSDALE CT Assessed (►von jchool Amendment �36,539
ZEPHYRHILLS FL 33542-6341
Le9al Description (First a �ines) Taxable Value $36,539
See Plat for this Subdivision
SCOTTSDALE SUBDIVISION
PB 21 PG 21 LOT 6
OR 7045 PG 1102
OR 7045 PG 1098
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0800 MULTI FAMT OOR3 6,500.00 SF $1.56 1.00 $10,140
2 0800 MULTI FAMT OOR3 402.00 SF $0.18 1.00 $72
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA �Residential Code SDLELPI
Code
Buildinq Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
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 1,536 �—$45,711
2 �– FOP 80 $476
Extra Features (Card: 001 of 002)
Line� Description Year Units Value
No Extra Features
Sales History
Previous Owner MILLER ROY G & BARBARA
Month/Year Book/Page � Type Code Condition Amount
06/2006 7045 / 1102 N/arrantyn Improved $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0200&b... 3/15/2013
Pasco County Property Appraiser- Physical Address List for: 02-26-21-0200-00000-0060 Page 1 of 1
� Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 02-26-21-0200-00000-0060
Displaying 2 records View in groups of: 10 25 50 100 5U0
Street Number Street Name + Unit
38535 SCOTfSDALE CT
38537 SCOTTSDALE CT
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/15/2013 12:05:42 PM
http://apprai ser.pascogov.com/search/physadd.aspx?parce1=2126020200000000060&eas=... 3/15/2013
CITY OF ZEPHYRHILLS
5335-STH STREET
, (813)�so-oo20 14018
FENCE PERMIT
Permit Number: 14018 Address: 38523 38525 SCOTTSDALE CT
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: 02-26-21-0200-00000-0080
Improv. Cost:
Date Issued: 3/25/201 Name: MILLER TRUST ROY 8� BARBARA
Total Fees: '
/���`# �y� � Address: 35132 DOLPHIN LAKE DR
Amount Paid: /�` ZEPHYRHILLS FL 33541-1917
Date Paid: , � Phone: 813-779-3728
Work Desc: SEE #14015,16,19,20
OWNER
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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 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.
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 pertormed in accordance with City Codes and Ordinances
� /Y12� , �;
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0200-00000-0080 001 Page 1 of 2
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Data Current as Of: Weekly Archive - Saturday, March 09, 2013
� Parcel ID 02-26-21-0200-00000-0080 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MILLER TRUST Ag Land �0
MILLER ROY GRANT & BARBARA ANN Land $io,115
CO-TRUSTEES Building �zi,769
35132 DOLPHIN LAKE DR Extra Features �o
ZEPHYRHILLS FL 33541-1917
Phvsical Address - See All 2 addresses (First �ust Value ;31,884
Shown)
38523 SCOTTSDALE CT Assessed (Non-jchool Amendment $31,884
ZEPHYRHILLS FL 33542-6341
Leclal Description (First 4 Lines) Taxable Value $31,884
See Plat for this Subdivision
SCOTTSDALE SUBDIVISION
PB 21 PG 21 LOT 8
OR 7045 PG 1100
OR 7045 PG 1098
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0800 MULTI FAMT OOR3 6,484.00 SF $1.56 1.00 $10,115
Additional Land Information
Acres 0.15 Tax Area 30ZH FEMA �Residential Code SDLELPI
Code
Buildinq Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
E�cterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
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 1,200 $37,200
2 FOP 160 $992
Extra Features (Card: 001 of 002)
Line � Description Year Units Value
No Extra Features
Sales History
Previous Owner MILLER ROY G & BARBARA
Month/Year Book/Page Type C de Condition Amount
06/2006 7045 / 1100 Warranty� Improved $0
Deed
���
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0200&b... 3/15/2013
Pasco County Property Appraiser- Physical Address List for: 02-26-21-0200-00000-0080 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 02-26-21-0200-00000-0080
Displaying 2 records View in groups of: 10 25 50 100 500
Street Number Street Name + Unit
38523 SCOTTSDALE CT
38525 SCOTTSDALE CT
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/15/2013 12:05:00 PM
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CITY OF ZEPHYRHILLS
, 5335-8TH STREET
(sia)�so-oozo 14019
FENCE PERMIT
Permit Number: 14019 Address: 38549 38547 SCOTTSDALE CT
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: 02-26-21-0200-00000-0040
Improv. Cost:
Date Issued: 3/25/2013 Name: MILLER TRUST ROY& BARBARA
Total Fees: ��Q Address: 35132 DOLPHIN LAKE DR
Amount Paid: ZEPHYRHILLS FL 33541-1917
Date Paid: � Phone: 813-779-3728
Work Desc: SEE BP#14015,16,18,20
OWNER
��
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- �
;
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 wnstruction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site fl 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 Ordi�ances
.
� ����
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0200-00000-0040 001 Page 1 of 2
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�
Data Current as Of: Weekly Archive - Saturday, March 09, 2013
Parcel ID —� 02-26-21-0200-00000-0040 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MILLER TRUST Ag Land �o
MILLER ROY GRANT & BARBARA ANN Land �9,435
CO-TRUSTEES Building �25,32�
35132 DOLPHIN LAKE DR Extra Features �o
ZEPHYRHILLS FL 33541-1917
Phvsical Address - See All 2 addresses (First ]ust Value ;35,762
Shown)
38549 SCOTTSDALE CT Assessed (Non-jchool Amendment $35,762
ZEPHYRHILLS FL 33542-6322
Leqal Description (First 4 Lines) Taxable Value �35,762
See Plat for this Subdivision
SCOTTSDALE SUBDIVISION
PB 21 PG 21 LOT 4
OR 7045 PG 1096
OR 7045 PG 1098
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0800 MULTI FAMT OOR3 6,048.00 SF $1.56 1.00 $9,435
Additional Land Information
Acres 0.14 Tax Area 30ZH FEMA �Residential Code SDLELPI
Code
Buildinq Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
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 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,536 $45,711
� 2 FOP 80 $476
Extra Features (Card: 001 of 002)
Line �Description Year Units Value
No Extra Features
Sales History
Previous Owner MILLER ROY G & BARBARA
Month/Year Book/Page � Type C de Condition Amount
06/2006 7045 / 1098 Warranty� Improved $0
Deed
���
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0200&b... 3/15/2013
Pasco County Property Appraiser- Physical Address List for: 02-26-21-0200-00000-0040 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 02-26-21-0200-00000-0040
Displaying 2 records View in groups of: 10 25 50 100 500
Street Number Street Name + Unit
38547 SCOTTSDALE CT
38549 SCOTTSDALE CT
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/15/2013 12:06:25 PM
http://apprai ser.pascogov.com/search/physadd.aspx?parce1=2126020200000000040&eas=... 3/15/2013
CITY OF ZEPHYRHILLS
5335-8T11 STREET
• � (si3)�so-oo20 14020
FENCE PERMIT
Permit Number: 14020 Address: 38541 38543 SCOTTSDALE CT
Permit Type: FENCE ZEPHYRHILLS, FL.
Ciass 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: 02-26-21-0200-00000-0050
Improv. Cost:
Date Issued: 3/25/20 3 Name: MILLER TRUST ROY& BARBARA
Total Fees: , ;''��e�,( Address: 35132 DOLPHIN LAKE DR
Amount Paid: ZEPHYRHILLS FL 33541-1917
Date Paid: Phone: 813-779-3728
Work Desc: SEE BP#14015,16,18,19
OWNER
-,
( , �
�- �`
�
�
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 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.
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
�
�
�l /�/� (/'�o�i4—1
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0200-00000-0050 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, March 23, 2013
Parcel ID 02-26-21-0200-00000-0050 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MILLER TRUST Ag Land $o
MILLER ROY GRANT & BARBARA ANN Land $9,435
CO-TRUSTEES Building �26,s2�
35132 DOLPHIN LAKE DR
ZEPHYRHILLS FL 33541-1917 Extra Features �o
Phvsical Address - See All 2 addresses (First )uSt Vdlue ;35,762
Shown)
38541 SCOTTSDALE CT ASS2SSed (Non-School Amendment $35,762
ZEPHYRHILLS FL 33542-6341 i�
Leqal Description (First 4 Lines) Taxable Value �35,762
See Plat for this Subdivision
SCOTTSDALE SUBDIVISION
PB 21 PG 21 LOT 5
OR 7045 PG 1109
OR 7045 PG 1098
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
1 0800 MULTI FAMT OOR3 6,048.00 SF $1.56 1.00 $9,435
Additional Land Information
Acres 0.14 Tax Area 30ZH FEMA X Residential Code SDLELPI
Code �
��
Buildina Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i 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 1,536 $45,711
2 FOP 80 �— $476
Extra Features (Card: 001 of 002)
Line Description Year Units Value
No Extra Features
Sales History
Previous Owner MILLER ROY G & BARBARA
Month/Year Book/Page Type DOR Condition Amount
Code
06/2006 7045 / 1109 Warranty Improved $0
Deed ���
���
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0200&b... 3/25/2013
Pasco County Property Appraiser- Physical Address List for: 02-26-21-0200-00000-0050 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 02-26-21-0200-00000-0050
Displaying 2 records View in groups of: 10 25 50 100 500
Street Number Street Name + Unit
38541 SCOTTSDALE CT
38543 SCOTTSDALE CT
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 3/25/2013 11:15:06 AM
http://appraiser.pascogov.com/search/physadd.aspx?parce1=2126020200000000050&eas=... 3/25/2013
s�a-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received '
Phone Contact for Permittin _
Owner's Name 1 � t �A � Owner Pho�e Number �3 � 7 1 r J 7 Z
� �l3 � -� - % � �
Owner's Address � S �3 c�- � Lct �� ^ ' l, Owner Phone Number J �
y S 4f
Fee Simpie Titlehoide�Name Owner Phone Number
Fee Simple Titleholder Address ��D�3� 3�'��y i ��j�t/ � 3,�j��S`�j
JOB ADDRESS "" 3�'��� , � � ,�� ��/� I�, LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEw CoNSTR B ADD/ALT �� SIGN [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK - � y�i '� 31��l� l./yt P �q,,�-- Q `
BUILDING SIZE SQ FOOTAGE 7 O���(�' ����HEIGHT �iy /
OBUILDING $ VALUATION OF TOTAL CONSTRl1CTION � `>� �•� ,'
\ / .
QELECTRICAL $ AMP SERVICE �_ P�RE�S ENERGY [� W.R.E.0
OPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
� t ,� -'
BUILDER COMPANY
SIGNATURE J`,� � i1 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/N
Address License#
OTHER COMPANY
SIGNATURE REGISTEREO Y J 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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsionsAarge 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 constructian.
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 requ(red for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,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 hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what 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, 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'S10WNER'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 ce�tify that no work or installation has
commenced p�ior 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 a�e 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 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 �OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT.' CONSUL7
WITH YOUR LEN�ER
FLORIDA JURAT(F.S.117 03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
b bY
y Who islare personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
asidentificaUon.
Notary Public
Notary Public
Commission No
Commission No
Name of Notary lyped,printed or stamped
Name of Notary typed,printed or stamped
Map - Pasco County Property Appraiser Page 1 of 1
.
Pasco County, Florida Section 02, Township 26, Range 21, 1.1 miles ENE of Zephyrhills
Mike Wells � + �
Pasco Countv Pro�ertv Ao�raiser ��
.
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