HomeMy WebLinkAbout97-6975
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BUILDING PERMIT
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Date
N! - 6975-6
9./7- 97 *
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BUILDING
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P,"perty Owne' '3Jli ~ ~
Job Address: .' <'1"- ( 'A(~ A
Parcell.D. # dJl/ -;210 .- ..:1./- 00 - 00100 - () n {)
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Sewer Conn
Water Conn:
Water Meter: :---
T.I.F.'s: &>/ -'I~',. 1'3 -
Zoning:
Description of Work
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NO OCCUPANCY BEFORE C,O,
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ~ 4l. -c?'
Contract Price "'tr S ~ O. 1/06-
,
Permit Fe~
Signature
Company
Address
Telephone#
City License Registration # 1"1 S:'f
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/oh, /91 c;11
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Ftr.
Pre SLB
Lintel
ME'<Al
Breakers '
Ducts Insl.
Compressor
Final
Driveway
F~ 1I>{11'l{'l'1 8: Il
fc..r~JoJ l:,,-lel ltl'dn t3.'tl
Tp. Servo SLB
Rough In Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter /Z-5--ljJ?~
Final
Pc.r.hc-l ~kc-+r: t. lthfcr 7 fot
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FRM.
Insul. CL
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of T" . ~~~ I...rs ($.....-0) shall be made for each trip for each trade:
.;J....S; t/"D
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d, Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
ZEPHClu:ILLS FIRE DEPARlONT
38410 SIXTH AVE
PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-3293
Business Name d}/~Tr .::s.rlJA.ll5"
,
OwnerlMgr.::I:;- t=c //J~7rDX
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Address :3 '/ Ii 9
(~"')OL'( ,,:l,iJj) .1) {( ,
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Occupancy Load
Bus. Phone '/r? _ I q 7 D Emergency Phone
Date Posted
Contact Person
Alarm Company
Phone #
Type of Inspection Conducted
Annual
Reinspect _ Quarterly _ Final ~ Commercial Check
APPROVED _ NOT APPROVED_
Other
OK NOT OK
~ _ Exit Signs
~~-_ Emergency Lights
Heat Detectors
--
_ _ Sprinkler System
l_,.... Exits
Window Size
Control Valves
_ Water Supply
Duct Detectors
_ Exposures
OK NOT OK
~.-~ Fire Exstiquishers
~~ Smoke Detectors
_ Alarm Systems
_ Hood System
_ Storage
Pressure Test
_ Fire Dampers
Fire Walls
-1..L" _ Address posted
~_ Hydrants
OK NOT OK
HV AC Shutdown
---
Smoke Doors
Elevators
---
~ _ Electrical
_ __ Tamper Switch
_ _Inspectors Test
_ __ Smoke Separation
Extension Cords
---
_ __ Tenant Separation
Smoke Evac.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or
prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be
required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code.
, ,
Comments: .t) E L,J A c\.A I\') {\ 'v 0 IV .5';, tA...T ~ ..5> D>.- (") r
..
Inspection Date J;? ~ :J 7'- c.} / Time o~Inspection I ().? 0 Re-Inspection Date
Inspectors Nam ..) / Fire Department I. D.#S-f~
Owners I Mgr Name C:..", -- Title
This building has been assess]d by the Zephyrhills i / Department, Utilizing the Codes and Standards of, NFPA Minimum
Standards, the State Fire ~jf..shals Uniform Fire Safety Rules and other local fire safety codes, Revised 6\}'6\97
White Copy - File
Yellow Copy - Business
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CITY OF
~EPHYRHILLS
"NOTICE"
'OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
(7 ~ ()), l}. I/v l
ADDRESS PERMIT ."
(r <,j k. C(ij >\ j) . ),} q (t:, (-7 to 7l{ ~
THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job
. will be accepted. "'\~'!~'t'
$CJ+A:: \L
If"....V::'IJ.f? c..) I ~/-J
NOT-
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It is unlawful tor any Corpenter, Contractor, Builder, or other persons, to . AFTER CORRECTIONS ARE MADE CALL
cover or couse to be covered, any port ot the work with flooring, loth, earth 788 6611 FOR RE CT
or other material, until the proper inspeclor has hod ample time 10 approve - -I NSPE ION
the installation. '~7
OFFICE HOURS 8 - 5 MON.--,FRI. INSPECTOR DU'ZC7() ":> . . ...... ,
't'".i,iuJJ:''J..~~'.4:},i,,,.1,~/~;fj~~~!~);t-i:'~~:''~~~!~~~LjL~~1:~~~:'{:w_.Ji;i~'J~L~a~Ji.l,.',1l.'~,;\~i~~;...f;;;41~~~~:Jli;IlA!~~~1a~,;ili'~~:~~~~:;I.~\J:..~1~~~~i'j~,j,~-~{~~~~~~
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ZEPH{}uILLS FIRE DEPAR..QNT
38410 SIXTH AVE
PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-3293
Business Name l?'//Jr r ~5 TiJ,Ua
.
Owner/Mgr .:r,::;- ;::: c /)'J /l7 r D X
/ 1
Address 3' ')1/ '1
(>>,{k{ /:l ,;! i) ,j) (\' ,
I
Occupancy Load
Date Posted
Bus. Phone'/~:? _/970 Emergency Phone
Contact Person
Alarm Company
Phone #
Type of Inspection Conducted
Annual
./
Reinspect _ Quarterly _ Final L/' Commercial Check _ Other
APPROVED
NOT APPROVED_
OK NOT OK
"",/ _ Exit Signs
~_' _ Emergency Lights
_ ~ Heat Detectors
_ _ Sprinkler System
f.,...,. Exits
Window Size
Control Valves
_ Water Supply
Duct Detectors
_ Exposures
OK NOT OK
~'_ Fire Exstiquishers
~.~ Smoke Detectors
_ Alarm Systems
_ Hood System
_ Storage
Pressure Test
_ Fire Dampers
Fire Walls
-LL/ _ Address posted
~~ Hydrants
OK NOT OK
HV AC Shutdown
Smoke Doors
Elevators
--
~. Electrical
_ _ Tamper Switch
_ _Inspectors Test
_ _ Smoke Separation
Extension Cords
--
_ _ Tenant Separation
Smoke Evac.
Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or
prevent safe egress during a fire, Your immediate attention to the correction of these violations shall be
required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code.
. ,
Comments: ~) r:; &'..1 A t!A k \' \ l\ I V (),1\1 ._<;-:, ,...... T I-l S- / D>.- ('J /r.
..
Inspection Date /..2 ',:J 9, (, '7 Time of Inspection .I ();.? 0 Re-Inspection Date
Inspectors Namr, p'. ..) ,r Fire Department I. D.#5f~
Owners I Mgr Name C._. . ,. J. Title
This building has been assessld by the Zephyrhills i / Dep;rtment, Utilizing the Codes and Standards of, NFPA Minimum
Standards, the State Fire M.;r..shals Uniform Fire Safety Rules and other local fire safety codes, Revised 6\26\97
..'
White Copy - File
Yellow Copy - Business
- .-.-..- .._-- -~- ._-----.....;
/
CONCRETE STRENGTH REPORT
Florida Testing & Environmental, Inc.
...
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941 )648-4799
COMPRESSIVE STRENGTH OF TEST CYLINDERS
X CONCRETE 0 SOIL CEMENT 0 CUBES
October 24, 1997_
Client
Bollenbach Builders
Date:
Client Address:_3784 Tampa Road
Project No:_97-3002
Project Name: Matt Stone
Location:_Zephyrhills
DESIGN DATA
Supplier:_Ewell_Mix Design:_S092778_Specified Strength:_ 4000_Psi in_28_days
Slump:_6.0_inches Air Content N/A_% Modifications:_#89 CPM 20% FA
FIELD DATA
Location of Pour:_Building Pad
Truck No:_168
Batch Time:_1 :20
No. Of Cyl. Molded:__ 4
Ticket No:_ 417778
Time Sampled:_2:00
Slump:
6
Inches
Size of Load:_10_cu.yd. Concrete Temp.:_90_ OF. Air Content_N/A %
Sampled By:_Chris_._ Air Temperature:_88_ of. Water Added
Date Molded:_9-25-97 _ Weather:_CloudLRain_
on Job, gal.:_none
Date Received:
COMPRESSIVE STRENGTH
SPECIMEN NO. DATE AGE TOTAL LOAD COMPRESSIVE TYPE TESTED REMARKS
TESTED DAYS LBS. STRENGTH PSI FRACTURE BY
2C -1 1 0-02 7 100,000 3540 Shear Chet D.
-2 10-23 28 155,000 5480 Shear Chet D.
-3 10-23 28 155,500 5500 Shear Chet D.
-4 H
REMARKS:
REPORTS: 1: Addressee
1: Matt Stone
1: Ewell Industries
1: Pasco Co, Inspections
~
CONCRETE STRENGTH REPORT
Florida Testing & Environmental, Inc.
....
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941 )648-4799
COMPRESSIVE STRENGTH OF TEST CYLINDERS
X CONCRETE 0 SOIL CEMENT 0 CUBES
Client
Bollenbach Builders
Date:
October 22, 1997_
Client Address:_3784 Tampa Road
Project No:_97-3002
Project Name: Matt Stone
Location:_Zephyrhills
DESIGN DATA
Supplier:_Ewell_Mix Design:_S092778_Specified Strength:_ 4000_Psi in_28_days
Slump:_6.0_inches Air Content N/A_% Modifications:_#89 CPM 20% FA
FIELD DATA
Location of Pour:_Floor of Machine Pit
Truck No:_342
Batch Time:_1:55
No. Of Cyl. Molded:_ 4
Ticket No:_ 417686
Time Sampled:_2:20
Slump:_7.5
Inches
Size of Load:_7 _cu.yd. Concrete Temp.:_90_ OF. Air Content_n/a. %
Sampled By:_Chad M._ Air Temperature:_92_ of. Water Added
Date Molded:_9-17-97_ Weather:_Partly Cloudy_
on Job, gal.:_none
Date Received:
COMPRESSIVE STRENGTH
SPECIMEN NO. DATE AGE TOTAL LOAD COMPRESSIVE TYPE TESTED REMARKS
TESTED DAYS LBS. STRENGTH PSI FRACTURE BY
1 C -1 9-24 7 98,000 3470 Shear Chris S.
-2 10-15 28 125,000 4420 Shear Chet D.
-3 10-15 28 126,000 4460
-4 H
REMARKS:
REPORTS: 1: Addressee
1: Matt Stone
1: Ewell Industries
1: Pasco Co, Inspections
..
SOIL TESTING
----
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941 )648-4799
Project:
Matt Stone
Chancey Road, ZephfFhilJs
3,4"1 ~~ DL.
Date:
9-19-97
Lab No: 1 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97-3002
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 9-12-97 TI
H N
Ie
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
s
Footers & Column Pads - Fine SAND
1 30'S Of N End Of E Footing 2.8 108.0 112.0 97* 98 -
2 70'S Of N End Of E Footing 3.0 104.7 112.0 93* 98 -
*FAILED
The Percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests As Follows:
LAB NO: 1 P
MAXIMUM DRY DENSITY: 112.0 Pcf OPTIMUM MOISTURE CONTENT: 10.0 %
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
1: Ewell Industries-Concrete Only
<is I ~ ~ ~ ~ - dlo S~
d'4 - ~ ~ - .:l \.... \ ... 39- ()
...
f /; 71:;;/; .
~..
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
"
SOIL TESTING
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
9-19-97
Lab No: 2 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97-3002
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 9-15-97 T I
H N
IC
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Footinas & Machine Pits - Fine SAND
Perimeter Footer
1 50'S Of N End Of E Footing 4.0 107.7 112.0 96* 98 -
2 100'S Of N End Of E Footing 5.1 102.1 112.0 91* 98 -
Machine Pit
3 SW Corner Of Pit 12.4 109.7 112.0 98 98 -
4 Center Of Pit 14.8 109.5 112.0 98 98 -
5 NE Corner Of Pit 9.6 112.8 112.0 100.7 98 -
*FAILED
The Percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests As Follows:
LAB NO: 1 P MAXIMUM DRY DENSITY: 112.0 Pef OPTIMUM MOISTURE CONTENT: 10.0 %
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
1: Ewell Industries-Concrete Only
~-~
SOIL TESTING
~
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
9-19-97
Lab No:
3 D (Page 1)
97-3002
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 9-16-97 T I
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Footers - Fine SAND
1 1st Pad S. Of N. End E. Footer 6.5 110.2 112.0 98 95 -
2 2nd Pad S. Of N. End E. Footer 6.2 106.5 112.0 95 95 -
3 3rd Pad S. Of N. End E. Footer 5.5 107.6 112.0 96 95 -
4 4th Pad S. Of N. End E. Footer 6.5 109.3 112.0 98 95 -
5 5th Pad S. Of N. End E. Footer 5.0 108.7 112.0 97 95 -
6 6th Pad S. Of N. End E. Footer 7.1 110.5 112.0 99 95 -
7 7th Pad S. Of N. End E. Footer 8.8 110.0 112.0 98 95 -
8 1st Pad W. Of E. End S. Footer 9.3 107.2 112.0 96 95 -
9 2nd W. Of E. End S. Footer 10.2 108.9 112.0 97 95 -
10 3rd W. Of E. End S. Footer 8.2 109.1 112.0 97 95 -
11 151 Pad N. Of S. End W. Footer 7.5 106.9 112.0 95 95 -
12 2nd N. Of S. End W. Footer 6.0 108.8 112.0 97 95 -
The Percentage of compaction for the in-place density tests are based on laboratory Mo' elations Tests As Follows:
LAB NO: 1 P MAXIMUM DRY DENSITY: 112.0 Pef OPT M MOISTURE CO
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
1: Ewell Industries -Concrete Only
SOIL TESTING
~
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
9-19-97
Lab No:
3 D (Page 2)
97-3002
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 9-16-97 TI
H N
IC
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Footers - Fine SAND
13 3rd Pad N. Of S. End W. Footer 6.9 108.5 112.0 97 95 -
14 4th Pad N. Of S. End W. Footer 6.5 106.1 112.0 95 95 -
15 5th Pad N. Of S. End W. Footer 5.6 107.5 112.0 96 95 -
16 6th Pad N. Of S. End W. Footer 5.4 111.4 112.0 100 95 -
17 7th Pad N. Of S. End W. Footer 7.1 110.2 112.0 98 95 -
18 1st Pad E. Of W. End N. Footer 6.5 107.5 112.0 96 95 -
19 2nd Pad E. Of W. End N. Footer 5.4 108.3 112.0 97 95 -
20 3rd Pad E. OfW. End N. Footer 8.3 109.9 112.0 98 95 -
21 4th Pad E. Of W. End N. Footer 7.1 106.8 112.0 95 95 -
The Percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests As Follows:
LAB NO: 1 P MAXIMUM DRY DENSITY: 112.0 Pcf OPTIMUM MOISTURE CONTENT: 10.0 %
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
1: Ewell Industries -Concrete Only
SOIL TESTING
~
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
9-19-97
Lab No: 4 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97 -3002
Technician:
Chet Deimling
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 9-18-97 T I
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Footers & Column Pads - Fine SAND
Perimeter Footer
1 Eastside 30'S - 30' W From NE Corner 3.6 108.5 112.0 97 95 -
2 Eastside 60'S - 30' W From NE Corner 4.4 108.2 112.0 97 95 -
3 Eastside 90'S - 30' W From NE Corner 3.6 112.0 112.0 100 95 -
4 Eastside 11 O'S -30' W From NE Corner 6.9 108.8 112.0 97 95 -
5 Northwest Corner 30'S - 11 O'W From 4.0 109.7 112.0 98 95 -
NE Corner
The Percentage of compaction for the in-place density tests are based on laboratory Moistu ions Tests As Follows:
LAB NO: 1 P MAXIMUM DRY DENSITY: 112.0 Pcf OPTIMU OISTURE CON
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
1: Ewell Industries-Concrete Only
SOIL TESTING
----
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P.O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
10-15-97
Lab No: 5 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97-3002
Technician:
Chet Deimling
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 10-09-97 T I
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Pad Densities - Silo Foundation
1 Center, 10' from South Edge 16.5 106.5 112.1 95 98 -
2 Center, 20' from South Edge 13.4 112.2 112.1 100+ 98 -
3 Center, 30' from South Edge 12.2 112.2 112.1 100+ 98 -
4 Center, 10' from South Edge (RETEST) 17.9 111.9 112.1 100 98
8" Slab -
5 Southeast Corner 9.5 108.9 112.1 97 95 -
6 Southwest Corner 10.2 107.6 112.1 98 95
LAB NO: 5 P
MAXIMUM DRY DENSITY: 112.1 Pcf
The Percentage of compaction for the in-place density tests are based on laboratory
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
"
SOIL TESTING
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P.O. BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
10-20-97
Lab No: 6 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97-3002
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 10-16-97 TI
H N
IC
Test In-Situ In-Pia Lab Compaction c H
K E
No, Location of Test Moisture Dry Max. Percent N S
Percent Density Density E
PCF PCF Attained Required S
S
Bottom Of Aaareaate Pit - Fine Sand
1 North End Of Pit 12.2 110.8 112.1 99 98 -
2 South End Of Pit 16.3 109.3 112.1 98 98 -
The Percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests As Follows:
LAB NO: 5 P
MAXIMUM DRY DENSITY: 112.1 Pct OPTIMUM MOISTURE CONTENT: 11.9 %
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
SOIL TESTING
~
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O. BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
10-20-97
Lab No: 7 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97-3002
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 10-20-97 T I
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Pad Densities - Silo Foundation
Steouo Footer at Conveyer Pit
1 Bottom Step Of N. Footer 10.1 110.5 112.1 99 98
2 Top Step Of N. Footer 9.5 111.2 112.1 99 98
3 Top Step Of S. Footer 9.2 110.7 112.1 99 98
4 Bottom Step Of S. Footer 10.7 110.8 112.1 99 98
Sand Tank Columns
5 SW Column Pad 6.0 105.5 112.1 94* 98
6 NE Column Pad 68 100.7 112.1 90* 98
* FAILED
The Percentage of compaction for the in-place density tests are based on laboratory Moisture ions Tests As Follows:
LAB NO: 5P MAXIMUM DRY DENSITY: 112.1 Pcf OPTIMU ISTURE CON
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
SOIL TESTING
.-..
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941 )648-4799
Project:
Matt Stone
Chancey Road, Zephyrhills
Date:
10-23-97
Lab No: 8 D
Client:
Bollenback Builders
3784 Tampa Road
Oldsmar, Florida 34677
Job No:
97 -3002
Technician:
Chad Mountcastle
Contractor:
Bollenback Builders
Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 10-21-97 T I
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Column Pads
1 Railing Footing from Machinery, East Side 10.7 94.8 112.1 85* 98
2 Railing Footing from Machinery, East Side 10.2 109.3 112.1 98 98
3 Railing Footing from Machinery, West Side 12.6 109.5 112.1 98 98
AQQreQate Convevor Support Foundations
4 NE Column Pad (Retest) 8.1 105.3 107.3 98 98
5 NW Column Pad 9.5 106.9 107.3 100 98
6 SW Column Pad (Retest) 9.7 105.3 107.3 98 98
7 SE Column Pad 9.1 105.5 107.3 98 98
8 East End, 10X21 , Next to Outside Pit 6.7 106.3 107.3 99 98
9 West End, 1 OX21, Next to Outside Pit 7.2 105.8 107.3 99 98
The Percentage of compaction for the in-place density tests are based on laborato
LAB NO: 5P MAXIMUM DRY DENSITY: 112.1 Pcf
6P 107.3 Pcf
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection .~
1: Matt Stone
SOIL TESTING
....
FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
Florida Testing & Environmental, Inc.
P,O, BOX 5603 Lakeland, Florida 33807 . Telephone (941)648-1000
. Fax (941)648-4799
Project: Matt Stone
Chancey Road, Zephyrhills Date: 10-27 -97
Lab No: 9D
Client: Bollenback Builders
3784 Tampa Road Job No: 97 -3002
Oldsmar, Florida 34677
Technician: Chet Deimling
Contractor: Bollenback Builders Weather Conditions: Partly Cloudy
ASTM - D 2922 IN PLACE FIELD DENSITIES - DATE MADE 10-27-97 TJ
H N
I C
Test In-Situ In-Pia Lab Compaction Percent C H
K E
No. Location of Test Moisture Dry Max. N S
Percent Density Density E
PCF PCF Attained Required S
S
Silo Footings - Fine SAND
1 Center South 7.4 106.5 107.3 99 98 -
2 Center North 7.0 106.3 107.3 99 98 -
The Percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests As Follows:
LAB NO: 6 P
MAXIMUM DRY DENSITY: 107.3 Pcf OPTIMUM MOISTURE CONTENT: 12.7 %
REPORT DISTRIBUTION: 1: Addressee
1: Pasco County Inspection
1: Matt Stone
(~L-
~
Florida Testing & Environmental, Inc.
P.O. BOX 5603
TELEPHONE (941) 648-1000
FAX (941) 648-4799
geotechnical engineering/materials testing/special inspections
LAKELAND, FLORIDA 33807
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
ASTM 1557 METHOD-1L-
CLIENT Bo11enback Builders
DATE:
9-22-97
PROJECT: Chancey Road-Matt Stone
Zephyrhills
PROJECT NO.: 97-.3002
LAB NO. 5P
114.0
~
::i 113.0
<..>
......
en Max. Dry Density 112.1 pet
.D
-
>- 112.0
!:: v Optimum Moisture 11.9 %
en
Z
w
0 111.0
>-
a:
0
110.0
8
9
10
11
12
13
14
MOISTURE (%)
DATE SAMPLED 09-15-97
SAMPLED BY: Chad Mountc;:astle
LOCATION SAMPLED Footer
VISUAL CLASSIFICATION Grey, Fine SAND
REPORT DISTRIBUTION:
1: Addressee
1: Pasco County Inspections
1: Matt Stone
Maar. PrInCeJs. (813) 665-9153
...
Florida Testing & Environmental, Inc.
P.O. BOX 5603
TELEPHONE (941) 648-1000
FAX (941) 648-4799
geotechnical engineering/materials testing/special inspections
LAKELAND. FLORIDA 33807
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
ASTM 698 METHOD~
CLIENT
Bollenbach Builders
DATE:
October 22, 1997
PROJECT:
Matt Stone
Chancey Rd.,Zephyrhills
PROJECT NO,:
97-3002
LAB NO.
6 P
~
:J
o
......
en
.0
Max. Dry Density
107.3
pcf
>-
I-
(J')
Z
W
Cl
>-
a:
Cl
107.0
Optimum Moisture
12.7
%
10
11
12 13 14
MOISTURE (%)
15
DATE SAMPLED
October 21, 1997
SAMPLED BY:
Chad Mountcastle
LOCATION SAMPLED
Column Pad
VISUAL CLASSIFICATION
Light Grey, Fine SAND
REPORT DISTRIBUTION:
1: Addressee
1: Pasco Co. Inspection
1: Matt Stone
TESTE
Mcrafl PrlnlelS' (813) 665-9153
PERMIT NR
I 'Hili "'" 11111111111111 111111111111I1111111111 .
NOTICE OF COMMENCEMENT 97095131
PARCEL ID NR2'1-Zb-2/fItJ-o<<J()-()()/t)()-
Sf,,", OF Fl.ORIOA
The UNDERSIGNED hereby givee notice 'hat lmpr~ wit be m8de 10 ctIl'lain real property and In ec:ccIRt8IIce wI1h CHAPTEA 713.
FLORIDA S'mTUTeS, the fot!OWlng information i, provided In tills NolIce of eommenc:emef't. Rcpt: 176938 Rec:
~ . DS: 0.00 IT:
LEGAl DI!SCRIP11ON OF PfIIIOPEm'V 08/25/97
(Street 8ddnIa U pel....)
3749 Copeland Drive - A tract of land lying in the N.W'. 1/4 of Section 24, Township
2b south, Range ;ll~, l'asco county, t .Londa and contaJihng a poruon ot .l.rac~s .3g
~nd 42 as ~r plat. th~P-Of, r@C.omed in Plat Book 1. P82e 55. Public Recoxds
Pasco County, Florida JED PITTMAN, PASCO COUNTY CLERK
08/25/97 03:16p. 1 of 1
OWNER IWCNIATlON OR BK 3793 PG 1 '909
NAME Matt Stone, Inc- AODRESS 3749 Copeland Drive, Zeplyrhl.l.l.S.
INTEREST IN PROPeRTY As Lessee under Lease with Fee Simple Title holder
JeffreyA. Mattox, or successor,
6.00
0.00
Dpty Clerk
NAME & ADDRESS OF FEE StMPl.E T1TLEHO\.DER (If Clltler lIran owner)
as trustee of Jeff~e A. Mattox Revoca
as amend. P.O. Box I q aq 2e. '" rk; Ih FL 3'3 S 3CJ
GENERAL ~IOM OF IMPROVEMENT
Construe.tion of a manufacturing facility addition consisting' of approximately
dated November 23 1988
~.~.''''''
20.400 square feet.
square feet manufae
Addition to b@ att"Ar.hPd to South of ~'lCist:;~ 37,600
facilit
CC)N1'IW:rOR
Bollenback Builders, Inc..
ADDRESS
3784 Taupa Road, Oldsmar, FL 346 7
NAME
BOND AMOUNTS
rJlA
NAME & ADDRESS o~ SURElY
/VIA
LENDING OAGANIZRlON:
rv/P't
.
(..... and Addren)
Persons within Ihe Staae of Aorida. designeled by owner IJClOft wM notices or other documents may be 88MId as ptOVlded by SECTION
713.13 (1) (a) (7). FLORIDA STATUTES.
NAME '"'J'e.~{. b4.~,v ADDRESS r.o I \hx 1'1 i}..q 2epk'frk: lis. f L. 3 3S J<j
In addition 10 hlmself, owner designates Bollenpack Builders. Inc. of 3784 Tanpa R(')ad, 01d~al", EL
(N..... (AddreISl 34677
10 receiw a copy of Lienor's Notice a. provided in secTION 713.13 (1) (b) FLORIDA STATUTES.
EXPtRATlON DATE Nan~E OF COMME~
Signature of Owne~ . ~<T A fL1cv ' -
Print8cl Name _ J't: r... 7. A JI\,... ttt'X
(One ~ar from date of recordIrJt. uNIisa ...,ecIIed)
CIiRTlRCATlON
STATE OF Flo< ~ o\.<.\ ____-___ COUNTYOF ~~( 0
The foregoing instrument _ e.-=~ed ~ mC' lhi. 'J. S,!:, dey of A"9 ,,<, t 1...2 byJ4'k.fr";r i~J\1'3fc.,+
who is personally known to me or hal l'redlleed ...........ld.."'~. MId who (~ (4Ict-not) teke an oelh.
~~~~~=--_ CommiQion Nr
MATT STONE
ADDITION
3749 COPELAND DR,
SQ, FEET PRICE
MAIN OR LIVING AREA 20,400 $ 26.00
OTHER AREA UNDER ROOF - $ 15.00
OTHER $ -
VALUATION $ 530,400.00
FEE SHEET $ 1,432.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 2,088.00
ELECTRICAL: $ 251,04
PLUMBING: $ -
MECHANICAL: $ -
RADON: $ 204.00
CREDIT: $ 60.00
TOTAL $ 2,543,04
SEWER:I $
WATER: $
TOTAL: $
- I
WATER METER:t $
- I
T IF'S: $ 6,446.40
99% $ 6,381.94
1% $ 64.46
TOTAL: $
IRRIGATION METER: $
TOTAL: $
8,989.44
8,989.44
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
/~~JL ~'~/~q~
V;;) r71Z r
/pO I
788"/970
OWNER'S NAHILl!tiArr S~JJe MIrNrJFIr""'PJIJ~ - mM1t1ro)< PHONE
OWNER'S ADDRESS ,1749 CoPaA~D DRIVeS
JOB ADDRESS 374t:J ~~hItAJD Dt</V'/5
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL LD.' 2.t~2(,.21"ot?o- 00/00,.. 000 (OBTAIN FROM PROPERTY TAX. NOTICE)
WORK PROPOSED:_New Construction -X..Addition ---..Al.teration ---llepair _Install
_Sign
_Hove
_Deaolish
PROPOSED~E: _SiqleF~iq
_ec:-ercial
_H/F _' of Units _H/H
X-Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: /2O'x 170' ME/'1tt!Ju/I.J)/1JG 1Joo/1101J w/l'lASf.JIJrt'(
.
BUILDING SIZE: 120' X /70~. 2./),400 Square Feet. ~..2. Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UlLDING
V ELECTRICAL
$
/ (POD
$
AMP Service
Florida Power Corp.
W.R.E.C.
Valuation of Total Construction
--"ECllARICAL
Valuation of Hechanical Installation
_PLUMBING GAS
TYPE OF CONSTRUCTION: ~BIOCk
FllfISHED FLOOR ELEVAnONS: 11./,7 FT.
ROOFING
SPECIALTY
_Fr~e _Steel
Other
******************************************
YES
-X
NO
IS PROJECT IN FLOOD ZONE AREA 7
CONTRACTOR SECTION
BUILDER . GOMPANY~\i~ ~lL.O as, I I...,) (..
~ /I /J State Cert. or Regist. .
Signatur ~- City License Registration' 14~
******************************************
~ & ~ COHPAIIY ~C;,"4 tt'LrCl:7:0( /.,,,,,,-p
/ (/f ' , State Cert. or Regist.' e.fLoOI1SrD
- --. e ~ ; t City Liceose Registration' /.50 ':(
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
HEGBAHIGAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
******************************************
OTHER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
. A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CQNTRAC'l'OR R.E;BPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 liar be
cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
reguirelents lay apply for the intended work, they are advised to contact tbe City of Zephyrhills Building Departlent, (813)
188-6611,
Furtherlore, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
IIContractor Sectionsll of this application for whicb they will be-responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber than tlte contractor, are responsible for the wort. If tbe contractor wisbes you to sign
as contractor that lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ~ ~
D. CONSTRUCTION LIEN LftW (ClrnPTER 713, FLORIDA STATUTES I AS AMENDED)
I certify tbat I, the applicant, bave been provided with a copy of IIFlorida's Construction Lien Law - HOIeOIDer's Protection
Guidell prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs, If the applicant is sOleODe other than the
lIowner", I certify that I have obtained a copy of the above described dOCUlent and prolise in good faith to deliver it to the
"owner" prior to couenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in ,tbis applitation.is accurate' and that all wort will be done in cOlpliance with all
applicable laws regulating construction, loning, and ~and deve~oplent,
Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no worl or
installation bas cOllenced prior to issuance of a perlit and that all wort will be perfolled to Jest standards of all laws
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that tbe regulations of otber governlentaI agencies laY apply to tbe intended worl, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t Departlent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
t Soutbwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arl' Corps of Engineers - Seawalts, Docks, Navigable Waterways
t Departlent of Healtb i Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic lanls
t US EnviroDJeDtal Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone -A" or -A,etc.-, it is understood that a drainage plan
addressing a "cOlpensating vol ute II will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical' codes, nor shall is~u~nce of a perlit prevent the Building Official lrUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Iver, perait issued shall beCOJe iovalid
unless the wort authorized by such perlit is cOIIenced witbin sil IOnths of issuance, or if worl autboriled by the perJit is
suspended or abandoned for a period of sil IOnths after the tile the wort is cOlleDced. One 90 dal 81tension of tile, III be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO OWNIR: YOUR FAILURE TO RECORD A NOTICE OF COHKENCEHENT HAY RESULT IN YOUR PAYING TIIICE FOR IHPROVIIIBIrS TO YOUR
PROPERTY. IF "YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORMBY BEFORE RECORDIHG YOUR HOIICH OF
COHHENCEHENT. JOBS ONDER $2,500 IN VALUR DO NOT NEID TO RICaRD AND POST A -NOTICE OF COHKENCBIIEHTI. .
~~
" t t. /
SIGHATUR : R A~T
. I
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF r ,;... ~ (... ()
The foregoing instrument was acknowledged
before me this A")~A.{ ~\ , 19~ by
'J'-B'f,( i\'~ ~.><
who is personally known to me or who has
produced
as identification and who did/did not
take~~~
(Sig ture) 1\'
'C) e -f-tr", (' fV\. ll&\.,.v
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
A JEFFREY M. DE ~N ,
Notary Public. State of Florida
"'~~"~... i,.
Bonded Tlru tlflid.l)(~,.. ,,,It<
1. 800 721-0121, f,
STATB OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19 by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC