HomeMy WebLinkAbout13-14120 . CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 14120
ELECTRICAL PERMIT
Permit#:14120 Issued: 4/25/2013 Address: 5906 12TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 750.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 4/25/2013 Parcel Number: 11-26-21-0010-02100-0110
Name: FIRST CLASS ELECTRIC INC Name: LOTHLORIEN INVESTMENTS LLC
Addr: 7141 BERRY RD. Address: PO BOX 760
ZEPHYRHILLS, FL 33540 CRYSTAL SPRINGS, FL 33524-0760
Phone: (813)782-7861 Lic: Phone:
Work Desc: SERVICE CHANGE TO 200 AMP
ELECTRICAL FEE 40.00
ROUGH ELECTRIC
CONSTRUCTION P --- ---__...
P . TM, i
� � �_�(�: �--�-�...
AL �, �
a
S S
REINSPECTION FEES: Reinspection fees wili 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 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.
"Warning to owner: Your failure to record a notice of commencetl�nt may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
(/ ` �,
CO PER OF I
PERM IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, Building Department
Date Received /
�� /� Phone Contact for Permittin —
Owner's Name �J U�U C���-vl'r`� e Owner Phone Number
Owner's Address ��Q cp � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titlehotder Address
JOB ADDRESS LOT# �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH
B INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK L � �G>
BUILDING SIZE SQ FOOTAG HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
LECTRICAL $ ��O �v� AMP SERVICE � PROGRESS ENER � W.R.E.C.
�ov
�PLUMBING $
J ��� v
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I �
OGAS Q ROOFING Q SPECIALTY � OTHER ..._
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# �
�
ELECTRICIAN COMPANY ���� �G S� �' v��'
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �G"4�o-Z`��C.�
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# i�
RESIDENTIAL Attach(2)Plot Ptans;(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 subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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 construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(for the contractor)or Powe�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 shingies Sewers Service Upgrades A/C Fences(Plot/Survey/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 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 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.certifiicate of occupancy or
�nal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer tmpact
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, 1
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" prio�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 compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fitl 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 fitl 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 a�davit 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 FUR IMPROVEMENTS TO PROPERTY. IF YOU INTEND TO OBTA1 FINANCING, CONSULT
WITH YOUR LE O O EY EFOR RECORDING YO NOT F CO NCE
FLORIDA JURAT(F. 117.03)
OWNER OR AGENT CONTRACTOR �
Subscribed and sworn to(or affirmed)before i Subscribed and swom o(or afflrmed)before e Is
by bY
Who(s/are personally known to me or haslhave ro ed Who is/are personally known to me or has/have produced
as identlficatl n. as identiflcation.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�� 1111111UIIIIIililllillllillllllillllllllllllllllllllllillll
2013071033
Rept,:1515019 Ree: 18.50
DS: 217.00 I7: 0.00 Clerk
Prepared bv and retum to 04�23/13 C. M iner, �P Y
Josephine Lee Larkin
�- Senior Closer pq�q 5 0'NEIL,Ph D PLiSCO CLERK 8 COMPTROLLER
' eridian Title Company,Inc. 04/23/13 04:54 m 1 of 2
7837 Meridian Avenue Suite 100 OR BK 8$�1, P� 3193
Dade City,FL 33525
352-567-1241
File Number: 13-03-73JL
$31,000 00
[Space Above This Line For Recording Data)
Personal Representative's Deed
This Personal Representative's Deed made this ✓/rf�G day of April, 2013, between Eugene A. Payne and
James L.Payne,as Co-Personal Representatives of the Estate of Marie R.Payne,deceased,whose post office address is
222 Glen Road,Berkshire,NY 13736,grantor,and LOTHLORIEN INVESTMENTS,LLC,a Florida Limited Liability
Company,whose post of�ice address�s Post Office Box 760,Crystal Springs,FL 33524-0760,grantee:
(Whenever used herein the terms grantor and grnntee mclude all the parties to Ihis instrument and the heirs,legal representatives,and assigns of inJividuals,
and the successors and assigns of corporations,trusts and trustees)
Wit11e5Seth, that said grantor,for and in consideration of the sum TEN AND NO/100 DOLLARS($10.00)and other good
and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has
granted,bargained,and sold to the said grantee, and grantees heirs and assigns forever,the followmg described land,sihiate,
lying and being in Pasco County,Florida,to-wit:
Lots 11,12 and the South 1/2 of Lot 13,Block 21,A Map of the To�vn of Zephyrhills,according to the
map or plat thereof as recorded in Plat Book 1,Page 54,Public Records of Pasco County,Florida.
Parcel Identification Number: I1-26-21-0010-02100-0110
THE PROP�RTY BEING CONVEYED HEREIN DOES NOT CONSTITUTE ANY PORTION OF THE
HOMESTEAD PROPERTY OF MARIE R.PAYNE,EUGENE A.PAYNE AND JAMES L.PAYNE.
MARIE R. PAYNE ESTATE IS FILED 1N THE PROBATE COURT OF PASCO COUNTY, FLORIDA
UNDER CASE NUMBER 512013CP000032XXXXES.
Togethel'with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same�n fee simpie forever
And the grantor hereby covenants �vith said grantee that ti�e grantor has good right and lawful authority to sell and convey
said land; that the grantor�varrants the title to said land for any acts of Grantor and will defend the title against the lawful
claims of all persons ciaiming by,tluough,or under Grantor
DoubleTime�
OR BK gg61 2 3194
In Witness Whereof,Grantor has hereunto set Grantor's hand and seal the day and year first above written.
Signed,sealed and delivered in our presence: (k J <� ��� � �,p.,__ n n ���� �
v' G. v _ rv�•�a�•w��K91 �
�����-����� £�����R P��
Witness Name: ✓,S �p t1.1 FI � Eugene A.Payne,as Co-Personal Representative of the �
C� ` 1 ��� .�s te ofMarifjR Payne,decease��R
� �i��,l.�.l Cl :1 � �l��t l�,te.,t� D(7� X. a,.t.��..r,.C..e► c�
Wimess Name: �5�����c. :� ►�l r���-�S �"a- '�- �• 1
(Witnesses as to both grantors herein) James L.Payne,as Co-Personal Representative of the
Estate of Marie R.Payne,deceased
State of New York
Countyof '�'i�p�,:�
� � "�
The foregoing instrument was aclrnowledged before me this /�h day of �-{,��� � , 2013 by Eugene A.
Payne and James L.Payne,as Co-Personal Representarives of the Estate of Marie R.Payne,deceased,on behalf of the estate.
He/she/they L]are personally lrnown or(X]have produced their drivers'licenses as idenrification:
� � !l���ix�,' � �' ,
[Notary Seal] Notary Public ` �L�
Printed Name: ��[/,(j•�f�.L ��• C7pYS�i�L1�
My Commission Expires: '�,=�.,�.-�y { I(� -
4 �!-7 l�i
�1A.GORSIItJE
�'PuibG�:,sUrte d+�Mw Yark
Reg.No.OtGp8057327
�+ �in Tipga Carn(Y
�kssior�c�res qpnj 1A. �t.c�t�
Personn!Represenlntive's Dee�1-Page 2 DoubleTimeo
Pasco County Parcel: 11-26-21-0010-02100-0110 001 Page 1 of 2
Data Current as Of: Weekly Archive - Thursday, April 25, 2013
Parcel ID 11-26-21-0010-02100-0110 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
PAYNE MARIE R EST OF Ag Land �o
12500 STATE ROUTE 38 Land $i5,855
BERKSHIRE NY 13736-1905 Building �i�,i6�
Physical Address Extra Features $1,768
5906 12TH ST
ZEPHYRHILLS FL 33542-3738 7ust Value ;34,790
L@�lal D@SCI'IDt10�1 (First 4 Lines) ASS2SS2CI (Non-School Amendment 1) $34,790
S�e Plat for this Subdivision
TOWN OF ZEPHYRHILLS PB 1 PG 54 Taxable Value #34,790
LOTS 11 & 12 & SOUTH 1/2 OF
LOT 13 BLOCK 21
OR 3164 PG 738
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120
2 0100 SFR OOR2 2,100.00 SF $0.35 1.00 $735
Additional Land Information
Acres 0.24 Tax Area 30ZH FEMA X Residential Code ZHLHLP2
Code ��
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1946 Stories 1.0
Euterior Wall i Aluminum Siding Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Pine or SoR Wood Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.5
Line Description Sq. Feet Repl. Cost New
1 BAS 1,156 $38,148
Extra Features (Card: 001 of 001)
Line Description Year Units � Value
1 CLFENCE 1974 800 $282
2 FIRE PL 1974 1 $208
3 UDU-M 1974 1 $48 -1
4 UDA 2001 1 $1,230
Sales History
Previous Owner FNB PROPERTIES INC
Month/Year Book/Page Type Code Condition Amount
�
06/1993 3164 / 0738 Warranty � Improved $25,000
Deed
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0... 4/25/2013