HomeMy WebLinkAbout04-3035
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3035
Permit Number: 3035 Issued: 5/04/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 103-NEW CONST DUPLEX 2-UNIT[
Proposed Use: DUPLEX I
Sq. Feet: Est. Value: i
Cost: 65,000.00 Total Fees: 2,852.75i
Amount Paid: 2,852.75 Date Paid: 5/04/20041
Name: ALVIN BA HTEL CONSTRUCTION INC
Addr: 22464 WEEKS BLVD
LAND 0 LAKES, FL. 34639
Phone: Lie:
Work Desc: NEW DUPLEX
Address: 4933 5TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
__J
JAMESON BACHTEUBACMAR PROP.
4933 5TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
1, . I
71.50 BUILDING FEE
180.00
PRE-SLAB CONSTRUCTIO"N POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER /11-7 ~ - 0 U w ~ '1 WATER FINAL MECHANICAL
FRAME MISC i SEWER MISC
INSULATION WALL I MISC . MISC. MISC.
INSULATION CEILING i MISC. I MISC. MISC.
DRIVEWAY I MISC. I MISC. I FIRE DEPT. FINAL
I REINSPEcTION FEES: When extra 1I1speaion trips are--necessaly due to anyone of the fOllowing reaSons, a--
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(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_paym~r1!()fJllspection f~s shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying tViice for--
improvements to your property. If you intend to obtain financing, consult with your lender or em attorney
__~f()re reco~ing your notice of commencement."
--...---.-----.-.--...----..---.--.-------.....--
~
NTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
~-
Alvin Bachtel Const.
4~3 - 5th Street
'-f'?"i}
SQ. FEET PRICE
MAIN OR LIVING: 1,000 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: - $ -
VALUATION $ 50,000.00
FEE SHEET $ 280.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 480.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 480.00
ELECTRICAL: $ 88.65
PLUMBING: $ 89.35
MECHANICAL: $ 71.50
RADON: $ r.::::= 10.00 .)
TOTAL $ 739.50
SEWER: $ 1,535.20
WATER: $ 398.05
IRRIGATION: $ -
TOTAL: $ 1,933.25
,
I
WATER METERI $
IRRIGATION METER $
180~00 ,
SUB-TOTAL $
2,852.75 ,
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
~ ../1:
::.. -1.--
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
-,
-rr " A.-
...., '../( '-
TOTAL: $ 5,162.75 (
'-
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEV A liON CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31, 200e
1m ortant: Read the instructions on es 1 .7.
SECTION A. PROPERTY OWNER INFORMATION
Fa-Insurance ~ Use:
Policy Number
Company NAIC Number
CITY STATE
ZEPHRYHILLS FL
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4, Block 11, MOORES ADDITION, P.B. 1, PG. 57
BUILDING USE (e.g., Residential, Non-residentiaJ, Addition, Accessory, etc. Use a Comments area, if neces5aly.)
Residential
LATITUDE/LONGITUDE (OPTIONAL)
( ##0 _ ##' _ ##.##" or ##.#####')
ZIP CODE
33541 .3 '3 :;- "I~
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Other._
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNfTY NAME & COM\1UNfTY NUMBER
CfTY OF ZEPHRYHILLS 120235
B2. COUNlY NAME
PASCO
B3.STATE
FL
84. Ml\P AND PANEL B7. FIRM PANEL 89. BASE FLOOD ELEVATlON(S)
NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTlVEJREVlSED DATE 88. FLOOD ZONE(S) (Zone AO, use dep1h of flooding)
0005 C 12117/91 12/17/91 AE 84.0'
810. Indicate the SQUire of the Base Rood Elevation (BFE) data or ~ flood depth entered in 89.
o FIS Profile l8J FIRM 0 Community Determined 0 Other (Desaibe): _
811. Indicate the elevation datum used for the BFE in 89: l8J NGVD 1929 0 NAVD 1988 0 Other(Desaibe):_
812. Is the building located in a CcmtaI 8errier Resources System (C8RS) area a- OtheIwise Protected Area (OPA)? 0 Yes l8J No Designation DateNA
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: l8J Construction Drawings" 0 Building Under Construction. 0 Finished Construction
. A new Elevation Certificate will be requiraj when construction of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most simila-to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch a- ~ograph.)
C3. Elevations - Zones A 1-A30, AE, AH, A (with 8FE), VE, V1-V30, V (with 8FE), AR, ARiA, ARiAE, ARiA 1-A30, ARiAH, ARiAO
Canplete Items C3.-a-i belcNI a::cording to the building diagram specified in Item C2. Slate the datum used. If the datum is different from the datum used for the 8FE in
Section 8, convert the datum to that used for the 8FE. Show field measurements ald datum conversion calaJlation. Use the spa;e provided or the Canments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comments NA
Elevation reference marl< used Local Does the elevation reference marl< used appea- on the FIRM? 0 Yes l8J No
o a) Top of bottom floor (including basement or enclosure) NA. _ft.(m)
o b) Top of next higher floor NA._ft.(m)
o c) 8oItom ci Icmest horizontal structural member (V zones only) NA . _ft.(m)
o d) AlIa:hed gaage (top of slab) NA. _ft.(m)
o e) Lowest elevation ci mcdlinery a1C1Ior equipment
savicing the building (Desaibe in a Canments area)
o ~ Lowest adjocent (finished) grade (LAG)
o g) Highest adjacent (finished) grade (HAG)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA
o i) Total area of all permanent openings (flood vents) in C3.h t:l8,sq. in. (sq. an)
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME David L. Smith LICENSE NUMBER 5265
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TITLEProfessional SIJ/veyor and Mapper
COMPANY NAME David L. Smith Surveying and Mapping
ADDRESS
1406 W. Unebaugh Ave.
SIGNATURE /) '- 11 _
/ v --( rl.J -
CITY
Tampa
5"'0 f
STATE
FL
TELEPHONE
813-935-1960
ZIP CODE
33612
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A
BUIlDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
5th STREET
For Insurance Company Use:
Policy Number
CITY
ZEPHRYHILLS
STATE ZIP CODE
FL 33541
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner.
COMMENTS
: Company NAIC Number
I
I
o Check here if attachments
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete ttems E1through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Builcing Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the boIIom floor (induding basement or enclosure) of the building is _ ft(m) _in.(an) 0 above or 0 beIC7N (check one) the highest CKljacent grade. (Use
nciura! grCKle, Wavailable).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevcied floor (elevation b) of the building is _ ft(m) _in.( an) above the highest CKlja::ent
grCKle. ~ items C3.h and C3.i on fioot of form.
E4. The top of the p1atfonn of mcd1inery anc)'or equipment servicing the building is _ ft{m) _in.{an) 0 above or 0 below (check one) the highest CKlja::ent grade. (Use
natural grCKle, Wavailable).
E5. For Zone AO only: If no flood depth number is availatXe, is the top of the boIIom floor elevated in axordance with the community's floodplain management ordinance?
o Yes 0 No 0 Unknown. The local official must certify this information in Section G.
SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Saiions A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C. and E are conect to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attadlments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by 1eM' or ordinarlce to CKlminister the community's fIoodplan ma1agement ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable nem(s) and sign beI(M1.
G1. 0 The inforrnatim in Section C W"o:lS iaken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area beI(M1.)
G2. 0 A communiiy official completed Section E for a building located in Zone A (without a FEMA-issued or community~ssued BFE) or Zone AO.
G3. 0 The following information (neme; G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER GS. DATE PERMIT ISSUED GS. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This permtt has been issued for. 0 New Construction 0 Substaltiallmprovement
Ga. Elevation of as-buitt lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._ft.(m)
_._ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
FEMA Form 81-31, January 2003
o Check !lere if attachments
Replaces all previous editions
,96786
~~
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PERFORMANCe BUSINESS ?RDDUCT$. INC. 813-719-800a FAX 813-719-7919
CITY OF ZEPHYRHllLS
ZEPHYRHIUS, FL.ORIDA
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WATER ACCT. NO.
DATE
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SHUT OFF SERVICE 0
TURN ON SERVICE GY
iNSTALL METER W
READ METER 0
CHECK METER 0
OTHER 0
~ WATER
o SEWER
o GARBAGE
~N CITY
o OUT CITY
_ No. OF UNIlS
_ DEPOSIT AMOUNT
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- AMOUNT LAST BILL
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'NORK COMPLETED BY
3. DATE COMPlETED
ORDER TAKEN BY
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ORDER GIVEN BY
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Naler3ePllce :Jept :D ,ign /eilow '"arm & ,ceturn :el office.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
~
PHONE CONTACT
~-C:<3-otJ
DATE RECE IWD L f-
FOR PERMITTING (8IJ) t!.)f - 50g I
OWNER'S NAME ~/11e::~h Ie I (,!OC/?1t2r ~b PHONE (~/3) 1.;Jff- 5'LJf? /
JOB ADDRESS La:!- L7' __@).- l{~ '-) J) 5tff .
LEGAL DESCRIPTION: LOT (S) L.j BLOCK I I SUBDIVISION mL?V'A'E5' 7Yrs,L. Mdt ~/LJ~
PARCEL ID # /~-;;).(;-~/-OOI()-OIIIJO- OOLfO (OR~AIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: )8:NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK A/f>tA/ I?1v/h '-f2u11/,y ~ps/deP'7c e.
\ \
BUILDING SIZE ;)9)( ~ 9 SQUARE FOOTAGE ;;2. 00 I
HEIGHT
J 5'
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o PLUMBING
o MECHANICAL
$ ~ 8-00. Q.2-
VALUATION OF MECHANCIAL
RoaD
hU;VY1TJ ~
CB~~ C2f)Aclt/L
~ \01 Xh-tJ
w. .E'.C./'
fVUO~ -r~~ _
I~~VW(~ OJ
INSTALLATION OJ9 () ,. Ii -
.[ ,V~VI) ,
'x1~
~ AyO .~\{I
0'
o BUILDING II-)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE b( FLORIDA POWER 0
o ELECTRICAL
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK J8( FRAME
IDb &:- \
FINISHED FLOOR ELEVATIONS ~L
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREA)${ YES
o NO
BUILDER
C()~QTO~\.SECTION
COMPANY Alv/~ ~C/Chle I CpI'16/rVC~Oh .Zhc.
STATE CERT OR REGIST # ct3COtPO;)QCf
******************************************************************
ELECTRIC~ 0\
SIGNATURE ~ 11 ~ ~
COMPANy/?Jc.m 5Lpc-/P"'lr T"c-.
STATE CERT OR REGIST # prOooc'? /5''-1
X~~ * * * * * * * * * * * * * * * * * * * * * * 70*1: 7* *f lu*;' * *.* * * * * * * C F; */'1OZI.r (~~
PLUMBER ~ COMPANY' ~
IIGNA~..Jf/;Jj) ;#Yf} STATE CERT OR REGIlT
*******************************************~*********************
MECHANICAL /!J,/f) ____ COMPANY kOA .J::i-~ ~ I-b,,~ 1. ('~It?:p.
SIGNATURE ~ STATE CERT OR REGIST # C~/~/36A:
f/
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be requi~ed
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
City of Zephyrhills Building Department, 813-780-Q020.
Furthermore, if the owner has hired a contractor.or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. CONTRACTOR'S/OWNER'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.
Appli~ation 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned fora
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
STATE OF FLORIDA
COUNTY OF
The foregoing inst~ent wa
Before me tflis ~ Ciay of
by ~/- =
~ (name of person a. cknowledged)
~ho is personally known to me, or
jJ AlsC?-A
GNATURE: OWNER OR AGENT
STATE OF FL-I1A
COUNTY OF ~--2
The foregoing instrument wa~s acknowledged
BeforE!J me thi~-?~9ay of ~, 20PC./
by --1~....~tP?' ~c ~ I..e.L
~ (name of person acknowledged)
;1WhO is personally known to me, or
Owho h~$~roduced
'. (type of identification)
Odid ~ take an oath.
o who has produced
.1 . ~-/. ..' (type of identification)
and wh~~aid ~i~not take an oath
. ')
Signature of person taking ackn wledgement
RebeCCa N. SWann ~
Signature of person taking acknow dgment
/
Name
Name
Pft~Ilt~_d,.pb stamped
,. - MD8l3M N, lfi'aBBey
! Commission # CC 947008
s." . s Expires June 19,2004
~..a:'f\l >$ Bonded Thru
1"'11\"\\ AUll!1tic Bonding Co, In.,
1111111111111111111111111111111111111111111111111111111II1II
2004073041
NOTICE OF COMMENCEMENT
,State of ;/or/ d a
County of
fJasco
THB lrnOERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing infor~ation is provided in this Notice of Commencement:
1.
LOI-
(Legal
2.
General Description of Improvement
A/,PL.1/ $t//I/ -/'Sp?N/V /P~sld~~c -r==>
/
Rcpl : 776327 Rec: 6.00
DS: 0.00 IT: 0.00
04/23/04 Dpty Clerk
3. Owner Information: Name &C/ndr jLJrL)j'?erl-~S' fnc: r
Ilddressj.:J5d L/I//YyJI--:JM ~ City '-{/~;:z. State Fc:...
Interest in Property: a//;I/ ~"LoV'UF~~ /P e-S /d'~~Cr='
Name of Fee Simple Titleholder: ~~~2~~~IM'~':~~~C01CO~~TI CLERK
( I f other th~n owner) OR BK 5821 PG 1242
Address
City
State
R4.
Contractor: N.1me Alt/IM'sachkl Ct/)?cr/rvrr/CJP?..Z" #7C,
Address /dS~ .?/I//~-J'.~/LJ~~t/. City L v7-:z. State
5 .
Surety: N':llne
F?:
33559
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or o~her documents may be
7l3.l3(1) (a) (7), r-lorida Statutes:
designated by Owner upon whcm
served as provided by Section
tJ.:;me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of .-1::"
Lienor's Notlce as provlded In Section 713.13(1) (b), Florida Statctc~.
'). ~xp..i..rl'11 .1.')[1 drlte ()1 rlot.lce of Commencement. (t.he expIratiun d.::;.te ls 1 "e.::..:
ir~m the date of recording unless a different date is specified.) J
20" ~
~
SiCJ:1ature of Owner:
~
Sworn to
before me thisc:::'r;:?~,day of
PC93053048/ A
~
, )
Notury Pt,blict ~~
My C:;;r1,;l1 ssion Expires: .
$....".0.;"","'- Rebecca N. SwlUUU~Y
- $. ~Commlssion#ce947068
. \ . i Expires .June 19.2004
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""'" \ AtJllIltic Bonding Co" Inc,
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4
THIS INSTRUMENT PREPARED BY AND RETURN TO:
Rcpt: 775417/ Rec: 6.00
DS: 91.00 A<;1 IT: 0.00
04/21/04 /~~ Dpty Clerk
AI] Rea] Estate Title Services, Inc.
4032 Land-a-Lakes Blvd.
Land-a-Lakes, Florida 34639
Property Appraisers Parcel Identification
(Folio) Numbers: 14-2/i-21-0010-01100-0040
Grantee SS #: and
/3.'tw
JED PITT"A~ PASCO COUNTY CLERk
04/21/04 0:1:53am 1 of 1
OR Bk 5817 PG 110
SPACE ABOVE THIS LINE FOR RECORDING DATA
THIS WARRANTY DEED, made the 20th day of April, 2004 by ROBERT G. HARTWIG and LORI J. (YUSKO)
HARTWIG, BOTH SINGLE PERSONS, herein called the grantors, to BACMAR PROPERTIES, INC., A
FLORIDA CORPORA nON whose post office address is 3633 GREA TWOOD COURT, LAND 0 LAKES,
FLORIDA 34639, hereinafter called the Grantee:
(Wherever used herein rhe terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal
representatives and assigns of individuals, and the successors and assigns of corporations)
.' ~',;,
~~".
;~l~
WIT N E SSE T H: That the grantors, for and in consideration of the sum of TEN AND 00/100'S ($10.00)
Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys and confirms unto the grantee all that certain land situate in PASCO County, State
of Florida, viz.:
LOT 4, BLOCK 11, MOORE'S FIRST ADDITION AS RECORDED IN PLAT BOOK 1, PAGE 57,
IN THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND, the grantors hereby covenant with said grantee that the grantors are lawfully seized of said land in fee simple;
that the grantors has ve good right and lawful authority to sell and convey said land, and hereby warrant the title to
said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of
all encumbrances, except taxes accruing subsequent to December 31,2004.
IN WITNESS WHEREOF, the said grantors have signed and sealed these presents the day and year first above
written.
Signed, sealed and delivered in the presence of:
r:' ,<'
i 'J,"~~-(..f,-
Witness #1 Signature
2'120'9
," "c"
~I!!~HE~E A. BOYD
0?~
~ERT G. HARTWIG
39031i' 9MAvel1//e.
Ze. ltrh,-(!s' FL.. 33J~~
/~
Witness #2 Printed Name
J., LI r-z
ST A TE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 20th day of April, 2004 by ROBERT G. HARTWIG
R~l(~,...I.,.Q~ n Jn~5i~ HART.""ro... w~o are personaEy known to me or has ve produced
o i V eN:,::) L.u\",t:I''I as IdenhhcatlOll.
SEAL
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File No, :04263
LE '. BOYD
Printed Not~liE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND D OFFI IAL SEAL THIS..2:L DAY OF
2 Al2!/
M~..AN RK OF CIRCUIT COURT
uA.-'~ DEPUTY CLERK
.OI7:lW:DA.RF .U.RV.IIF
Sr:CnON 1.... TOWNSHIP 215 SOUTH. RANGE 21 EAST
~ ,.A.8CO COUNTY. I'LORIDA.
LEGAL DE.sc T'KJN:
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. Parcel Information for: 14-26-21-0010-01100-0040 Card: 001
Page 1 of 1
",,~Is:ome : B~cords ~earc:/1 : Parcel Detail
S~_C3rchj~gg1ir1 Stl~II'IMC3P Building Schematic Unavailable Calculate TC3X~~
$c:eT CixCollc:ctorlnformation .:::ClJrrer1t1Pc:linqlJc:ntTc'l'x:e!S
ParcellD 14-26-21-0010-01100-0040 (Card: 1 of 1)
Classification 00 - Vacant Residential
Mailing Address Assessment (totals)
HARTWIG ROBERT G & LORI J Ag Land --
39039 9TH AVE Land $11,880
ZEPHYRHILLS, FL 335424417 Building $0
Physical Address Extra Features $0
4933 5 TH ST
ZEPHYRHILLS, FL 33541 Total Assessment $11,880
LegalPescripliol1 (First ~ Save Our Homes $0
MOORES ADD MB 1 PG 5 LOT 4 $11,880
BLK 11 Taxable Value
OR 1135 PG 1562
Land Detail (Card: 1 of 1)
Line I Use II Description I Znl'ti.a Units Type Price Cond Value
01 I 0100 II 5ER 00R3 ~,600.00 SF 1.80 1.00 $11,880
Additiolr.ltLand Informatior '?--- ~
I Acres II 0.15 II Tax Area " 30ZH I Fema CodelJl A~ II ) Res Code IIZH L.GL.P7
Building Information -
I Unimproved Parcel 00 I
Extra Features
No Extra Features
Sales History
I Previous Owner II -- I
Year II Month /I Book I Page II Type II Amount I
-- No Sales History -
searcl}AgaLn ShoW M~ Building Schematic Unavailable Calculate Taxes
See Tax. Collector Information - CurrenUDelinquent Taxes
http://appraiser. pascogov .comlsearch/parcel.asp?sec= 14&twn=26&mg=21 &sbb=OO 1 O&bl... 4/29/2004
'E&r Ie!! IN~
GEOTECHNICAL & MATERIALS
ENGINEERING, TESTING & INSPECTION
P.O. BOX 15732. TAMPA, FLORIDA 33684. 813/872-7821
FIELD DENSITY TESTS
(Nuclear Density Gauge Method)
PROJECT:
Backtel Duplex Project
Zephyrhills, Florida
F.J. Eisler Tractor Service
PROJECT NO:
TL-9068
CLIENT:
DATE:
June 9, 2004
TEST LOCATION DEPTH DENSITY MOISTURE COMPACTION COMPACTION REMARKS
NO. WET DRY (Yo TEST NO. ~)
(pel) (pel)
Fill Material - 9S'X. Req'd.
Building No.2 slab area
Retest of Test No.4
9 6' S. and 10' E. of NW comer 0-12" 127.0 1 ]3.3 12.] I 95 Thickness of fj 11
of building approximately I y,'
Retest of Test No.5
10 Center of building 0-12" 127.2 113.5 12.1 I 95 Thickness of till
approximately I Yz'
Retest of Test No.6
II 6' N. and (,' W. of SE comer 0-12" 126.6 116.5 8.7 J 98 Thickness of till
of building approximately I Y,'
DATE SAMPLED:
6/08/04
COMPACTION MAXIMUM DRY OPTIMUM
TEST NO. DENSITY (pel) MOISTURE
(~.
I 119.3 13.5
REPORTS TO:
F.J. Eisler Tractor Service
Attn: Mr. Fred Eisler (2)
d,1I004-006 I'd..
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TE~." LAB, INC."4~;p
1E&r Ia! INC
.GEOTECHNICAL & MAlERIALS
ENGINEERING, lESTlNG & INSPECTlON
P.O. BOX 15732' TAMPA. FLORIDA 33684. 813/872.7821
PROJECT:
Backtel Duplex Project
Zephyrhills, Florida
CLIENT:
FJ. Eisler Tractor Service
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TEST METHOD:
ASTM D 1557
SOIL DESCRIPTION:
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Fill Material)
COMI'ACTION TEST NO:
MAXIMlIM DRY DENSITY:
119.3 reF
OPTlMlIM MOISTlIRE CONTENT:
13.5 %
LOCATION:
6' N. and 6' W. of SE corner of Lot No.2
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COMPACTION TEST
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DATE RECEIVED:
DATE TESTED:
REPORTS TO:
F.J. Eisler Tractor Service
AUn: Mr. Fred Eisler
TL-9068
June 8, 2004
:so
5/28/04
6/04/04
(2)
'esr Ia! INe:
. GEOTECHNICAL & MATERIALS
ENGINEERING, TESllNG & INSPECllON
PROJECT:
P.O. BOX 15732' TAMPA, FLORIDA 33684. 813/872-7821
CLIENT:
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(Fill Material)
COMPACTION TEST NO:
MAXIMUM DRY DENSITY:
122.2 peF
OPTIMUM MOISTURE CONTENT:
2
12.6 %
LOCATION:
dtl/comp.2
NE corner of Building No.1
COMP ACTION TEST
PROJECT NO:
TL-9068
DATE:
June 8, 2004
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DATE RECEIVED:
6/04/04
DA TE TESTED:
6/07/04
REPORTS TO:
F.J. Eisler Tractor Service
AUn: Mr. Fred Eisler
(2)
,AJ!J~~
TEST LAB, 1Ne. ~/.;2' ~~
PASCO COUNTY, FLORIDA
---_.,...""._..._--~,,'""~,,.'",,_.....,_.~.--~_.._,-.,- ,-_.~,. -~._..,.....".".,_."_..-._,....._------".._.~_.",, ....~._-
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Ilate Pellnllled
Builder Name/Owner Name S0!f!l.~.Q~.___ _ Control #
--,,~~-._----
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County Pateel ",10,....._ .___._.........____.__________.________ SubDlv: __._.__._____.____.
Addles slLoca lion .... ':i 'l2~..<;-r~.sI.~ _.__.. .... . .~~_..___.._.... ._._.. __. ._
',~'
ClassiflcaUolllrype of Use --~:~.LpJ-~_'_____~__.__m_____..__.______. ..-----_.u____
TRANSPOFHATION IMPAGT FEE Hate:,_____..______.. Sq Ft Unlt_._._._..__...____
._._----_._~_.._._----_._~
Exempt [J Yes IzrNo
How [)eter/Illned
Impact Fee Amount .-~--.--.L;i€.._~~___..__.___
.
--'~--...._, ~ -.-.----..-- -- ._._----~.. --- _..~-----.
.--.....-___..__ _..u_. _____
Zone No,
.
~~~~I:1~~~~T ~9~~I:~F~~~;;~;:CII~;J~~:se---.__:~,::,;-....;_==;7~~?~~' ~~~.
(057) Mobile Horne ____._____ ._______..._______._.
(USI3) (Olliler Residential ___________________.._______ _______
j '12:3) CQ1!eyffoll Fe.e
Exempt I J Ves 11..I-No How Determined ~~~.~_.__~.,~.._._...~_.__ .__.._.~ .
----.-----.-
TAZ:
---- . _........ .. ._----.__.~ - --"-'-
PARKS'A~r5' RECREAOONFEE---'--'--"------
Lanu Account Land Creui
---.,.".,.-~-~_......._"--_.._---_.,..-
---'-- -,--...... -.~-_.-.
Land Total
Recreation ACCUl lilt
---.". ~--. --------.,~._...nM__.
Zone
I'\ecrealion Credit r~ecreation Tolal
---_..n______.. ____ '_'_'_ _________ ......_._
npl L:..J Yes !] No
..
flow Determined
TO'I AL ^MOUNl_~____.._._.._________._.____
---..- -_._-.~------_.- -
L IB'R'A'RY"Fe E~'''''-'~'''''''' ...,-_.__..~ ,......~.._.........-_.._-.-,~~"'"'......-~--.-,.".u_,~.._.~..._.._________._.._._.."
Land ACCount Land Credit Land Total
-..-.-----.------- -..----.--- -----------.----,,<-------..----.----..-
.------------. -----------
Facility Accoullt
'"-- ..---_,..~'_~__h__~___..
\'
- .--------.__________ Facility Total
[] No
How Determined Total AI'IlOllllt
.--_._---,-----,~
---.--.--.-."-~.......,,~-.,..._.....---,..-.>-"-- - ~ ~---'--_a_ '__~_'___
RESOURCE FEE 1 g ~ ERLJ ._______________._
TOTAL AMOUNT I
--.-------.-.-- ----------
-.-.--.--.--....---- -.----.--- .....----.
----'--'_._.._."_.."-_._,._..._._-_..._."'_._~--,._,~..~.-_._'->--->-~.,_...",.""-----~-_..-
Prepared By .....__.___._________________... Checked By
- .'---- -- ------ - -.'-.-. -., ._-- ._----_.~--- -'--'---
NO CEHTIFIGATE Or: OCCUPANCY WILL BE ISSUED Of~ FINAL INSPECTION
"Eru=ORMElJ UNTIL THE TOTAL AMOUNTS LISTED 1.1~r; .1t-
B~~N PAID ANI') . ..)>~..".....'y;..:'
. J:.:r.:. ~~4c.;.;~1{~7::..;,...4"'.. ';'" 4
RIiCEIPTl:D FOR BY /.\ CI=NT~^1 OI::OIlllI'Y"'r..", ".__...<-
.
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