HomeMy WebLinkAbout13-14685 CITY OF ZEPHYRHILLS "
� • 5335-8TH STREET
(si3)�so-oozo 14685
BUILDING PERMIT
Permit Number: 14685 Address: 6617 ASPEN CT
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0216-OOA00-0040
Improv. Cost: 3,300.00
Date Issued: 11/08/2013 Name: ROY, KATHLEEN .
Total Fees: 82.50 Address: 6617 APEN CT
Amount Paid: 82.50 ZEPHYRHILLS, FL 33542
Date Paid: 11/08/2013 P one: (863)514-3387
Work Desc: REPLACE SINGLE PANE WINDO
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 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.
"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."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
, �
4
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIR IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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2013191827
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Rcpl:1562205 Rec: 10.00
, NOTICE OF COMMENCEMENT DS: 0.00 IT: 0.00
Permit No.
11/08/13 E. Munguia, Dpty Clerk
Property Identification No. CJ� ' � � oZ� ^tJ� / _(2���d " � � �� � �j9 rZ D ', �D� �� d D��
THE LJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
3
1. Description of property(lega!descripti n:) � /�( /G /y�; � �J0
a) Street Address:
2. G eral description of improvements
����1�r"_r- P1..D tsJi�vn��. c u� � �1�f ti� �i �i��i. �
3. Owner Informahon
, , �� , .
a) Name and address:�_,�Z�,�11� �� ��Y /v�/'� ,�S��rYC.'r z-p�r� I-�� l�s l� 3�S �f.Z
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property
4. Contractor Information /� /' �� ,�.
a) Name and address: /�,a N/=�� rtf-" ( C�VC�p ` f�1l�Il �P�� J�U� /�( !� �S p�NC'/�
b) Telephone No.:_� � - .S�y�- _��s�'J Fax No.(Opt.) �pf/YR�1/�S
5. Surety Information ° ��-ya
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fa�c No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLORIDA � _ .f �
COUNTY OF PASCO �
Signa re OF Owner or Owner's Authorized OfficedDirect er/Maoager
�
Print Name
The foregoing instrument was aclrnowledged before me this o7 day of (�� ✓ ,20�3 ,by m e.l�.,,,, y
� ' 1 l� A �+�.S as 1��� (type of authority,e.g.officer,trustee,attomey in fact)for
�/�4�t�-� � � (name of party on behalf of whom instniment was executed).
Personally Known_OR Produced Identification� Notary Signature �1��� !�L;��'^�
Type of Identification Produced��o. !�•�Cw S Name(print) n'���(q,,,;� •��, G}r,,j
L.,�.c�-c t—
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declaze that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
FORMS/NOC.rvs
N 1'11�ry�4 Ma/WIE WILLIAM� si�auae oi tvatu�'rerson�i
� �ing AGOVe
:.z'-_ MYCOMMISS10Pia'c- _.,._
EXPIRE5.D�en�i�e� � :.;i5
'.���,� Bondad itgu Notary PuUiic Ur!dervaiters Pql1LR 5 0'NE I L,Ph D PRSCO CLERK & COMPTROLLER
110R BK ���� 1PG�'2�6�
813-78o-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received — �_ Sj '7^ _. 3✓� Fj
� Phone Contact for Permittin 3 c3
Owner's Name ` '� G Owner Phone Number 8�.�-S/ - j_j �'�
Owner's Address ��� G �" L�-� �� (',�, � ��,` G pvvner Phone Number /,�' - ��d� � / '7G- �
Fee Simple Titleholder Name /� cjP G � Owner Phone Number
Fee Simple Titleholder Address �5�7� Y�l`�=1' l'A�s (',��� �- ,jG�' Ze / r�.%�s f L 33.5���
JOB ADDRESS �p� _ F N' `� LOT# �
SUBDIVISION ri f�k%ocq� �oti'Clu� EL F/ � J �' �.- —
(OBTAINED FROM PROPERTY TAX NOTICE)
1NORK PROPOSED NEW CONSTR ADD/ALT [� SIGN Q [� DEMOLISH
INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM �] OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �C �/a C'E G'/^� N f�L s�%✓ /� �j�,�lc kJi�,/�1>u��
BUILDING SIZE SQ FOOTAGE�� HEIGNT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
� 3oa . �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [_] W.R.E.C.
`���1� ,�0�
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � J ���
0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILOER ''� -� � � �
� ANY
SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
ELECTRiCiAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address Lfcense#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License# �—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new 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 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 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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs RO +, �
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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 misdem�an�oPyiolation
under state law. If the owner or intended contractor are uncertain as to what iicensing requirements ma a I for the
intended work, they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, 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'S/OWNER'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 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 8� 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 flll 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 uA" in connection with a permitted building using stem watl
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 viotate, 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, ��e ext n�s onm If work'ceases�for�ninety(90)rconsecutive days, the job is�ons de ed balnd nedstrate
justifiable cause for th
WARNING TO OWNER: YOUR FAtLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR �OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM' ENCEMENT.' CONSULT
WITH YOUR LEN�ER �
FLORIDA JURAT(F.S. 117.03}� �.� . �
OWNER OR AGENT �' ��p�� `� �``--`'�ry CONTRACT R
Subscrlbed and swom to(or flinne )before me this Subscrlbed an m to(or a rmed)before me this
by 1 22 1 3• by
o is/a e pe(sonally k own to me o slhave praduc Who is/are personally known to me or haslhave produced
`�o�du u hve✓ �i(Sift`rRas de tlficaBon.
as identification.
� � Notary Public
�(,�YZ,1 � (.l.l.a.�' NotaryPublic
Commission No. E E l�1� �� Commission No.
�c��ndra X C�.�nU�c,ra 1. .,,,,,,,..
e ., ANORA X.�1�tary ped,printed or stamped
Name of Notary typed,printed or stamp ���; Notar v Public-St�te ol florid�
��My Con,,n EapNtt Jan 31.20t7
' „F, ��� Commiss�on/�EE 07018!
�'%.�.���,��•`'�
.
-
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contra or/I�meo .
Date Received: la�� -r� �+�.�
Site:
g
Permit Type: Q • '
C�� /��,��
Approved w/no comments: Appro�d w/the beIe'w comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
,,
C' � �� ��
Kalvin S itz s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN �
SETTLEMENT STATEMENT
Sunstate Title Agency, Inc. � �FHA z. �F�u-�n 3. � CONV UNINS.
13937 7th Street
Dade City,Florida 33525 4• ❑�^ s. ❑corrv nas.
352-567-1141 fax:352-567-3830 6.FileNumber: 7 LoenNumber
5-29656
8.Mongage Ins.Case No.
C.NOTE. This form is furnished to give you a statement of actua!settlement costs.Amounts paid to arrd by the settlement agent are shown.Items marked
(poc)were paid outside the closing. They are shown here for informational purposes and are not included in the tolals
1� t3uyer KATI-II..EEN A. ROY,a sm le erson
MARIA BELBOL,as Ancillary Personal Representative of the Estate of HELEN MARINELLI
E.Seller: 32 Ascot Dr.
Freehold,New Jerse 07728
F.Lender:
6617 Aspen Ct.
G.Property: ZEpHI'RHII-LS,PASCO County,Florida 33542
Section 02,Township 26,Range 21,DRIFTWOOD PHASE II BUII.,DING NO.A,Unit 4,Book 3,Page 44-
46,PASCO Coun ,Florida
H.Settlement Agent: Sunstate Title Agency,Inc.
Place of Settlement: 13937 7th Street,Dade Ci ,Florida 33525 Pasco County
I. Settlement Date: September 30,2013
J. Summary of Buyer's Transaction K Summary of Seller's Transaction
100.Gross Amount Due From Bu er: 400.Gross Amount Due To Seller:
101. Contract Sales Price 44,000.00 401. Contract Sales Price
102. Personal Prope 44,000.00
402. Personal Pro erty
103. Settlement Char es to Buyer(line 1400) 220.00 403.
104. 404.
l O5. 405.
Ad'ustments for Items Paid b Seller in Advance: Ad'ustments for Items Paid b Seller in Advance:
106. Ci /Town Taxes 406. Ci /Town Ta�ces
107. Coun /Parish Taxes 407. Coun /Parish Taxes
]08. Assessments 408. Assessments -
109. assoc dues Se 30,2013 thru Se 30,2013 6.97 409. assoc dues Se 30,2013 thru Se 30,2013
110. 6.97
410.
120. Gross Amount Due from Bu er: 44,226.97 420. Gross Amount Due to Seller:
44,006.97
200. Amounts Paid b or in Behalf of Bu er: 500. Reductions in Amount Due to Seller:
201. Deposit/Earnest Money 1,000.00 501. Excess Deposit(see instructions)
202. Princi al Amount of New Loan 502. Settlement Char es to Seller
203. Existing Loan(s) g (Line 1400) 3,211.00
503. Existin Loan(s)
204. 504. Pa off of First Mort age
205. 505. Pa off of Second Mort age
206. 506. Purchase Money Mortga e
Ad'ustments for Items Un aid b Seller: Ad'ustments for Items Un aid b Seller:
210. City/Town Taxes 510. City/Town Taxes
211. County/Parish Taxes Jan 1,2013 thru Sep County/Parish Taxes Jan 1 2013 thru Se
29,2013 727.32 511. � p �2�32
212. Assessments 29,2013
213. 512. Assessments
214. 513.
514.
220. Total Paid by/for Buyer: 1,727.32 520. Total Reductions in Amount Due
Seller: 3,938.32
300. Cash at Settlement from/to Bu er:
301. Gross Amount due from Bu er ]me 120 600. Cash at Settlement to/from Seller:
Y ( � ) 44,226.97 601. Gross Amount due to Seller(line 420) 44 006.97
302. Less Amount Paid by/for Buyer(line 220) 1,727.32 602. Less Reductions Amount due Seller(line �
520) 3,938.32
303. Cash From Buyer: $42,499.65 603. Cash To Seller:
$40,068.65
DISCLOSURE S'�'n'►'F'*�'•NT .FOR OWt�R
CZTY OF ZEPHYRFi2L7.S SVII�DING DEPARTlV�NT
I, _ . U�� have read and fully vnderstand and
agree to the provisions of �this strument.
The undersigned states and irms that he or she is desirous o£ constructing,
renovating, adding to or raroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by �'/-- �g -/� said domiczle, and same is not for
•rent, lease or sal.e. That he or she shall comply with the followiing condi-tions:
1. That the o�mer and_he or she alone sha11 act as the bvilder for a11 phases of
constsuctian.
2. Ttiat the owner will comply with al:l provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the enent various phases of construction are subcontracted, he wi11
engage only •properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector sha11 re?+��re corrections to be made,
the owner tQill assume full responsibility to insure •they are made, and upon
coiapletion will ca11 for a r��*�-�ctioa be£ore proceeding with the building.
5. That the owner sha11 assume fu11 responsi.bility for the construction and vTi11
not expect_ supervision of his work from the City of Zephyrhills Building
Depar�tent.
6. That prior to final inspection aay additional f'ees, including reinspectioa
fees, must be paid ia ful1. A vPrittan raquest from this office sha11
constitute an official notice -t� pay additional fees.
7. That the owner sha11 comply with a11 Ci.ty, 5tate and Federal laws in regard to
social security, workman's compaasation, liea 1aws, etc. , where applicable.
B. That the owner sha11 comply with al1 the safety codes issued by the Florida
Industrial Comm.i.ssion.
9. State 1aw rea+,;ras construction to be done by liceased contractors. You have
applied for a peT+�+�t under ari �cemptioa to that law. The exemption allows
you, as the owner of your prop22'ty, to act as your own contsactor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the constsuction yourself. You may bvild or improve a
one-family or two-family residaace or a farm outbuilding. You may also build
or improve a commercial �++,;i�;rq, provided your costs do not exceed $25,000.
Z'he building or residaace must be for yovr own use or occupaacy. It may not
be built or substantially improved for sale or lease. If you sel:l or lease a
bwilding you have built or substantially improved yourself within 1 year after
the construction is complete, the law wi11 pres�e •that you .built or
substantialZy i.mproved •if for sale or laase, which is a violation of this
ex�ption. You may not hire an unlicensed person to act as your contsactor or
to supervise people working on your buildiag. It is your responsiUility to
make sure that people P�ployed by you ha.ve licenses rez+,;red by state law and
by county or muui.cipal licensing ordiaances. You may not delegate the
responsibility for supervising work to a licensed contractor vrho is not.
licensed to perform the work beixig doae. Axiy parsoa 9oorking on your building
who is not licensed must work under your direct supexvision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, a11 as prescribed by law.
Your constructi.on must comply with a11 applicable laws, ordinances, building
codes, and zoning regulatio s. �
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