HomeMy WebLinkAbout04-3038
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3038
Permit Number: 3038 Issued: 5/04/2004
Permit Type: NEW SINGLE FAMILY DWELLING,
Class of Work: 103-NEW CONST DUPLEX 2-UNITI
Proposed Use: DUPLEX
Sq. Feet: Est. Value: .1
Cost: 65,000.00 Total Fees: 2,852.75
Amount Paid: 2,852.75 Date Paid: 5/04/2004 i
Address: 4923 5TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: ALVIN BACHTEL CONSTRUCTION INC
Addr: 22464 WEEKS BLVD
LAND 0 LAKES, FL. 34639
Phone: Lie:
Work Cesc: NEW DUPLEX
JAMESON BACHTEUBACMAR PROP.
4923 5TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
398.05 ! MECHANICAL FEE
10.00' WATER METER RES 3/4"
R H
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL I PRE-METER WATER FINAL MECHANICAL
FRAME : MISC SEWER MISC
INSULATION WALL I MISC MISC. MISC.
INSULATION CEILING I MISC. MISC. MISC.
DRIVEWAY I MISC. i MISC. FIRE DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are-necessary due to any one 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
I (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be mad_~~~ore any fuF!~E:!!:J~_~rmits will be issued to the person owning same
"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 financin~, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~
..~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Alvin Bachtel Canst.
4923 - 5th Street
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: $ 10.00
TOTAL $ 739.50
SEWER: $ 1,535.20
WATER: $ 398.05
IRRIGATION: $ -
TOTAL: $ 1,933.25
WATER METERI $
IRRIGATION METER $
180~00 I
I
I
SUB-TOTAL $
2,852.75 I
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
] C:;
"1J
Co
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 5,162.751
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
a.M.B. No. 3067-0077
Expires December 31, 200E
ELEVATION CERTIFICATE
Important: Read the insbuctions on pa es 1 . 7.
SECTION A - PROPERTY OWNER INFORMATION
For Insuranre Company Use:
Policy Number
BUILDING OWNER'S NAME
ALVIN BACHTEL CONSTRUCTION
BUILDING STREET ADDRESS Jlncluding p.pf Unit,.Syite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
5th STREET ..a. l" -4: (..o;'~
CITY STATE
ZEPHRYHILLS FL
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 6, Block 11, MOORES ADDmON, P.B. 1, PG. '5l
BUILDING USE (e.g., Residential, Non-residenlial, Addition, Aa:essory, etc. Use a Comments area, if necessary.)
Residential .
LATITUDE/LONGITUDE (OPTlONAW
( ##0. ##' . ##.##" or ##.#####)
Company NAIC Number
ZIP CODE
33541
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 COMMUNITY NAME & COMMUNITY NUMBER
CITY OF ZEPHRYHILLS 120235
82. COUNTY NAME
PASCO
B3.STATE
FL
B4. M6.P AND PANEL B7. FIRM PANEL I B9. BASE FLOOD ELEVATION(S)
NUMBER 85. SUFRX 86. ARM INDEX DATE EFFECTlVElREVlSED DATE 88. FLOO~ZONE(S) I (Zone AD, use depth of lkJoding)
0005 C 1211781 1211781 84.0'
B10. Indicate the source of the Base Rood Bevation (BFE) data or base flood depth entered in B9.
o FIS Profile (gj FIRM 0 Community DeIennined 0 Other (Describe): _
B11. tndicatetheelevation datum used for the BFE in B9: (gj NGVD 1929 0 NAVD 1988 0 Other(Describe):_
B12. Is the building located in a CoastaJ Barier Resources System (CBRS) <rea or Otherwise Protected Area (OPA)? 0 Yes (gj No Designation DateNA
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: t8] Constructioo Drawings- 0 Building Under Construction* 0 Rnished Construction
* A new Bevation Certificate will be required when CXlIlstructioo of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building forwhich this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Bevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, APJA, ARJAE, ARJA 1-A30, ARJAH, ARJAO
Complete Items C3.-a-i belO\1V according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section 0 or Section G, as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comments NA
Bevation reference mark used Local Does the elevation reference mark used appear on the FIRM? 0 Yes [8] No
o a) Top of bottom floor (induding basement or endosure) NA. _ ft.(m)
o b) Top of next higher floor NA._ft.(m)
o c) Bottom of lowest horizontal structural member 01 zones only) NA . _ft.(m)
o d) Attached garage (top of slab) NA. _ft.(m)
o e) l..c7Nest elevatioo of machinery and/or equq:xnent
servicing the building (Desaibe in a Comments area)
o f) Lowest adja::ent (finished) grcde (LAG)
o g) Highest adjacent (finished) grcde (HAG)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacen1 grade NA
o i) T olal area of all permanent openings (flood vents) in C3.h ~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, B, 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 UCENSE NUMBER 5265
NA._ft.(m)
82.Q.ft.(m)
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TITLEProfessianal Surveyo~ and Mapper
COMPANY NAME David L Smith Surveying and Mapping
ADOR.ESS
1406 W. Linebaugh Ave.
S!G~JATURE ,IJ ,-{ j.-- ~ -s--
CITY
Tampa
OAT'"
5111104
STATE
FL
TELEPHONE
813-935-1960
ZIP CODE
33612
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
CITY OF ZEPHYR HILLS
ZEPHYRHILLS, FlORIDA
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Retain wnite form in otfice 3t all times.
Send pink .& yellow corms '0 Water Service 00gr.
Water ServICe Oept.:03ign 'fellow form & r~n cO office.
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: · DATE RECEIVED
- u' PHONE CONTACT FOR PERMITTING (D.J) 9 ;28- ~',;::?cf /
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LF~GAL DESCRIPTION: LOT (S) BLOCK 1/ SUBDIVISION JJh.aI'C"J' 1-;;rK.'r A'tf~-rI'~;'7
PARCr::t ID # /q--d0 -:)) - 00' 0 - 0 / II) ()- 006t?rOBTAIN FROM PROPERTY TAX NOTICE)
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
WORK PRbpsr::D: ~EW CONSTRUCTION
OS IGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION DALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
ftrMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME
o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK /j/'(?t/' /~/h ~ N/'~I'l;7' J?c"'J'ldC""'/.?C('
BUILDING SIZE d f.J l X (p'? l SQUARE FOOTAGE (~OO I
IS'
HEIGHT
o BUILDING
o ELECTRICAL
PERMITS REQUESTED
$ (9 ~~ .O'~,'? ~~- VALUATION OF
~O
AMP SERVICE
}(
& (1) SET ENERGY FORMS.
FO~S. I
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FLORIDA POWER
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o PLUMBING
o MECHANICAL
$
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VALUATION OF MECHANCIAL INSTALLATION
o CAS 0 ROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK tz(FRAME
FINISHED FLOOR ELEVATIONS <;{'i, $' ,
o STEEL 0 OTHER
IS PROJECT IN FLOOD ZONE AREAM: YES 0 NO
SIGNATURE
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CONTRAC'1'OR .', SECTION
COMPANy//Iv;h L3ac'/i/z-/ C;?w's/rC/c/~d'7 ~M{
BUILDER
STATE CERT OR REGIST # c6'C{),.,l]~ 9 i
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SIGNATURE
COMPANY I?Ju/Jl b-'LrCT~r'C Z'P?C
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STATE CERT OR REGIST # 1:;,:'CO/;'>{;)3/5 (I
PLUMBER
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STATE CERT OR REGIST # CIC:rOtj-'7 d/J,,-'-
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MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST #
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