HomeMy WebLinkAbout13-14112 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 141
FENCE PERMIT
Permit Number: 14112 Address: 38122 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: 11-26-21-0010-05800-0210
Improv. Cost: 6,000.00
Date Issued: 4/22/2013 Name: SOUTHERN WATER SOLUTIONS INC
Total Fees: 45.00 Address: 38122 12TH AVE
Amount Paid: 45.00 ZEPHYRHILLS FL 33542
Date Paid: 4/22/2013 Phone: 813-785-0500
Work Desc: INSTALLATION 200 X 8FT VINYAL FENCE
OWNER FENCE 45.00
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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)oondemned work resulting
from faulty construction c) repairs or wrrections 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 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 Ci Codes and Ordinances
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CO CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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FROI+TT PROPERTY LINE
— — — STREET — — — — — — — — — — —
(NOTE EXAMPLES 1&2)..
Example 1. 5etbacks for R1 &R2 Zoning Example 2. Setbacks for R3 Zoning
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P E
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0 I 10, EXISTlNG 10,
P S
10 � T la 140'
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PROPOSED
20' 20'-SINGLE FM�,Y! 3D'DUPLEX
FRC»N1'PROPERTY LIHE lRONT PkOPCRTY LlliE
- - - STREET - - - - - - - - - - - - -- SfREET -- - - - - - - - - -
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received C' a ,,3 Phone Contact for Permittin � �_ Q�
Owner's Name S �' Q� Owner Phone Number � Q
Owner's Address � tf' Owner Phone Number
Fee Simple Titleholder Name Q Owner Phone Number �—
Fee Simple Titleholder Address d' �' 3
JOB ADDRESS �6� I�� � � LOT# C�
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 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 ��sfalla�i�� o��r�c� vf/l �OU �C, � " �j �
/�L ��
BUILDING SIZE SQ FOOTAGE D t 7 HEIGHT
OBUILDING / � VA UATION OF TOTAL CONSTRUCTION
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�]ELECTRICAL ______.._—— � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER `` f� . ���/� COMPANY �GG���
SIGNATURE � � r � 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 REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bufiding 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 subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out applicatlon completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgrades over aT500)
"' 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 of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Oriveways-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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buiidings, 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 prio� 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 Ag�iculture 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: 1 certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws �egulating 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
ce�tify 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 prope�ties, 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 cor�ection 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 pe�mit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117 03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or afflrmed)before me this Subscrlbed and swom to(or affirmed)before me this
by by
Who islare personally known to me or has/have produced Who islare personally known to me or has/h identlfication.
as Identlfication.
Notary Public
Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I� OMB Approval No. 2502-0265
�'I�IIIIII'- A. Settlement Statement (HUD-1)
B. Type of Loan
1 [� FHA 2.� RHS 3 � CONV UNINS. 6.File Number: 7 �oan Number: 8.Mortgage Insunnce Case Number•
4 � VA 5.� CONV INS. 13-02-26
C.Note:This form is furnished to give you a statement of adual settlement costs.Amounts paid to and by ihe serilement agent are shown.Nems marked"(p.o c.)"were paid outside
the closing;ihey are shown here tor iniormational purposes and are not inGuded in tha totals.
D.Name 8,Address ot Borrower• E.Name 8 Addreas of Seller: F.Name 8 Address of lender:
Southern Water Solutions, Inc. Robert V Womack,Trustee of the Robert V Regions Bank
3433 Lithia Pinecrest Road##352 Womack Trust, utd 4/1/1991 Business Banking
Valrico, FL 33596 39740 Pretty Pond Road 250 Rivercase Pkwy E,ALBH30101 B
Zephyrhills, FL 33540 �Birmingham,Alabama 35244
G.Property Locatlon: H.Settlamant AQent: I.Settlemant Date:
38122 12th Avenue Magnolia Title Agency, LLC March 14,2013
Zephyrhills, Florida 33542-3468 38008 Live Oak Avenue !
Suite 4 '
Dade City, Florida 33523 �'
352-437-4875 fax:352-437-4880
Place oT Settlement:
Magnolia Title Agency, LLC
38008 Live Oak Avenue,Suite 4
Dade City, Florida 33523 ,
Phone (352)437-4875 '
---- �
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100.Gross Amount Oue From Borrower: 400.Gross Amount Due To Seller:
101. Contract Sales Price 77,000 00 401 Contract Sales Pnce 77,000.00
102 Personal Property 402. Personal Pro erty —
103 Settlement Char es to Borrower line 1400 2,424 68 403
Adjustments for Items Paid b Seller in Advance: Ad'ustments for Items Paid by Seller in Advance:
106 Ci /Town Taxes 406. Ci /Town Taxes
107 Coun /Parish Taxes 407 Coun /Parish Taxes
�O$ Assessments/Solid Waste Mar 14,2013 thru Dec qg 77 408 Assessments/Solid Waste Mar 14,2013 thru Dec
31, 2013 31,2013 49��
720. Gross Amount Due from Borrower: 79,474.45 420. Gross Amount Due to Seller: 77,049.77
200. Amounts Paid b or in Behalf of Borrower: 500. Reductions in Amount Due to Seller:
201 Deposit or Earnest Mone 1,000.00 501 Excess De osit(see instructions) 1 000 00
202. Princi al Amount of New Loan 65,450.00 502. Settlement Charges to Seller(Line 1400) 864 00
203 Existin Loan s taken sub ect to 503. Existin Loan s)taken subject to �
204 _ _ ___ 504. Pa off of First Mortgage Loan —
205 __ 505 Pa off of Second.Mortgage Loan � -- --
206 - ------------ -- ---
506. Purchase Money Mortgage
Ad'ustments for Items Un aid b Seller: Ad ustments for Items Unpaid by Seller:
210 Cit /Town Taxes 510 Ci /Town Taxes - --
21� County/Parish Taxes Jan 1,2013 thru Mar 13, 310 38 511 County/Parish Taxes Jan 1, 2013 thru Mar 13,
2013 2D13 310 38
212. Assessments 512. Assessments
213. 513
220. Total Paid b /for Borrower: 66,760.38 520. Total Reductions in Amount Due Seller: 2,174.38
300. Cash at Settlement from/to Borrower: 800. Cash at Settlement to/from Seller:
301 Gross Amount due from Borrower line 120 79,474.45 601. Gross Amount due to Seller line 420 77,049.77
302. Less Amount Paid by/for Borrower line 220 66,760.38 602. Less Reductions Amount due Seller(line 520) 2,174 38
303. Cash From Borrower: $12,714.07 603. Cash To Seller: $74,875.39
The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting,reviewing,and reporting the data.
This agency may not collect this information,and you are not required to complete this form, unless it displays a currently valid OMB control number
No confidentiality is assured; this disclosure is mandatory This is designed to provide the parties to a RESPA covered transaction with information
during the settlement process
Previous editions are obsolete Page 1 of 4 HUD-1
March 14,2013 2:49 PM
Settlerr.ent Date March 14,2013 File Number 13-02-26
�• Settlement Charges Paid from Paid from
700. Total Sales/Broker's Commission: Borrower's Seller's
Division of Commission(Ifne 700)as follows Funds at Funds at
701
- -- Settlement Settlement
702.
- -
703 Commission Paid at Settlement - ------- --------------
800. Items Payable in Connection with Loan• - ------------
801 Our ongmaUon charge (from GFE#1) --- ----- --
- Loan Origination Fee to Reqions Bank $654.50
802 Your credit or char e $654 50
g (points)for the specific mterest rate chosen (from GFE#2) -
803 Your ad�usted oriqination charqes $0 00 _ __ ___
804. Appraisal Fee - (from GFE#A 654 50
805 Credit Report 65 00
806 Tax Service ________
807 Flood Certification
to Regions Bank 7 50
_ 808 �Tax Trackin Fee _ 85 00
809 Loan Doc ___
to Regions Bank 175 Qo
900. Items Required by Lender to be Paid in Advance:
901 Daily interest charqe from Mar 14 2013 {from GFE#10
902. Mortgage Insurance Premium (from GFE#3
903 Homeowner's Insurance (from GFE#11 — --
1000. Reserves Deposited with Lender -----
1001 Initial deposit for your escrow account (from GFE#9 ------ -- ----
1002 Homeowner's Insurance - __—_
1003 Mortgage Insurance —
1004 Property Taxes -
1100.Title Charges. -
1101 Title services and lenders title msurance (from GFE#4 546.78
1102 Settlement or Ciosing Fee - _
to Magnolia Title Aqency LLC $450 00 250 00
1103 Owners Title Insurance(Old Republic National Title Insurance Company) (from GFE#5) ---
to Magnolia Title A ency LLC 442.75
1104 Lender's Title Insurance(Old Republic NaUonal Title Insurance Company) ----------
to Magnolia Title Agency, LLC
- Lender's Premium $25 00
- Endorsement 8 1 $25 00
- Endorsement FL Form 9 $46 78
1105 Lender's Title Policy Limit$65,450 00 ----------
1106 Owner's Title Policv Limit$77 000 00 ---- ----------.
1107 Agent s Portion of the Total Title Insurance Premium $377.67 - —
1108 Underwnters Portion of the Total Title Insurance Premium $161.86 ---
1109 Search Fee -- -_- ________.__.
to Old Republic National Title Insurance Company 75.00
1200.Government Recordin and Transfer Charpes• -
1201 Government Recording Charges (from GFE#7 88 00
1202. Deed$18 50 Mortgage$69 50 Releases$0 00 -------------
1203 Transfer Taxes from GFE#8 360 15
1204 Ci�/County taxlstamps Deed$0 00 Mort aqe$0 UO -
1205_ State tax/stamps Deed$539 00 Mortqaqe$229.25 539 00
1206 Intangible Tax _ ____.
to Clerk of the Circuit Court $130.90
1207 Other Tax 2 -
1300.Additional Settlement Char es• ----- -----
1301 Re uired services that you can shop for (from GFE#6 ---- - --
1302 Su�_ - ------
1303 Pest Inspection -
1304 2012 Taxes Paid 11/28/2012
to Tax Collector(poc$1 635 43 by Seller)
1400. Total Settlement Charges(Enter on line 103,Section J and line 502,Section K) $2,424.68 $864.00
Previous editions are obsolete Page 2 of 4 HUD-1
March 14,2013 2:49 PM
Settlement Date March 14, 2013 File Number 13-02-26
Comparis�on of Good Faith Estimate(GFE)and HUD Charges - ------------
Charges That Cannot Increase HUD Line No. Good Faith HUD
Estimate
Uur origination charge #801 0 00 654 50
Your credit or char e oints for the s ecific interest rate chosen #802 0 00 0 00
Your ad'usted ori ination char es #803 0.00 654 50
Transfer taxes #1203 0 00 360 15
Charges That in Total Cannot Increase More Than 10% HUD Line No. Good Faith HUD
__ Estimate
Government Recording Charges #1201 0 00 88 00
— Total 88.00
Increase between GFE and HUD Char es 88.00 100.00%
Charges That Can Change HUD Line No. Good Faith HUD
Estimate
Initial deeosit for your escrow account #1001 0 00 0.00
Daily interest charge from Mar 14 2013 #901 0 00 0 00
Loan Terms
Your initial loan amount is $65,450 00
Your loan term is 0 ears
Your initial interest rate is p% -------
Your initial monthly amount owed for principal, interest,and $includes — -
any mortgage insurance is [X]Principal
(X J Interest
Mort a e Insurance
Can your interest rate risel [X J No [ )Yes, it can rise to a maximum of % The first change will be on
and can change again every after Every
change date,your interest rate can increase or decrease by % Over the life of
the loan,your interest rate is guaranteed to never be LOWER than °/a or
HIGHER than %
Even if you make payme�ts on time,can your loan balance (X]No [ ]Yes, it can rise to a maximum of$ —
rise?
Even if you make payments on time,can your monthly [X j No. [ ]Yes,the first increase can be on and the monthly amount
amount owed for principal, interest,and mortgage owed can rise to$
insurance rise? The maximum it can ever rise to is$
Does our loan have a re a ment enal ? [X j No [ ]Yes, our maximum prepayment penalty is$ �
Does your loan have a balloon payment? [X]No [ ]Yes,you have a balloon payment of$ due in years
on
Total monthly amount owed includ(ng escrow account [X]You do not have a monthly escrow payment for items,such as property taxes
payments and homeowner's insurance.You must pay these items directly yourself
[ J You have an additional monthly escrow payment of$ that results in
a total initial monthly amount owed of$ This includes principal,interest,
any mortgage insurance and any items checked below�
[ J Property taxes [ ]
[ ]Flood insurance [ ]
Homeowner's insurance [ ]
Note. If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender
Previous editions are obsolete Page 3 of 4 HUD-1
March 14,2013 2:49 PM
Settleme�t Date. March 14,2013 File Number 13-02-26
Bu ers � '
Southern Water Solutions, Inc, —
3433 Lithia Pinecrest Road##352
Valrico, FL 33596
Sellers -
Robert V Womack, Trustee of the Robert V
Womack Trust, utd 4/1/1991
39740 Pretty Pond Road
�hyrhills, FL 33540
Pro ertY Addresses ---
38122 12th Avenue -
Ze h rhills, Florida 33542-3468
I have carefully reviewed the HUD-1 Settlement Statement,and to the best of my knowledge and belief, it is a true and accurate statement of all
receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD-1 Settlement
Statement
Southern Water So�ons, I c. �/ � /, �i��
����'�-- ��� -�
Borrower Seller ' _.
Gregory voy Mayfield, Pre t Robert V Womack,Trustee of the Robert V Womack Trust, utd
Address 4/1/1991
Address
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be
disbursed in accordance with the instructions of the parties hereto
Settlement Agent: , Date March 14, 2013
Mary G Castro
WARNING• It is a crime to knowingly make false statements to the United States on this or any other similar form Penalties upon conviction can
include a fine and imprisonment. For details see Title 18 U S Code Section 1001 and Section 1010
Previous editions are obsolete Page 4 of 4 HUD-1
March 14,2013 2:49 PM