HomeMy WebLinkAbout04-3040
I
"I
I
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3040
Permit Number: 3040 Issued: 5/04/2004
Permit Type: NEW SINGLE FAMILY DWELLING,
Class of Work: 103-NEW CONST DUPLEX 2-UNIT
Proposed Use: DUPLEX
Sq. Feet: Est. Value:
Cost: 65,000.00 Total Fees: 2,852.751
Amount Paid: 2,852.75 Date Paid: 5/04/20041
Address: 4917 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: Lic:
Work Desc: NEW DUPLEX
JAMESON BACHTEUBACMAR PROP.
49175TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
tlf
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER 'I FINAL MECHANICAL
. FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
~~~~:~~N CEILI~G ~~:~~: _ . ~:~~: ___ I ~~~~~~T. FINAL_
REINSPECTION FEES: When extra inspection trips are necessary 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 payment of inspection fees shall be made before any further permits will be issued to the person owning same
-i,,,iarning to owner: Your failure to record a notice of commencement may resulfin your paying twicefo~
improvements to your property. If you intend to obtain financing, consldt with your lender or an attorney
~~c:t_re rec~~~ing your notice of commencement. II
~---
CONTRACT
~<:~--
RS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM W.EATHER
NO OCCUPANCY BEFORE C.O.
~
Alvin Bachtel Canst.
4917 - 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 METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,852.751
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
T IF'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, 20D!:
ELEVATION CERTIFICATE
Important: Read the instructions on pa es 1 . 7.
SECTION A. PROPERTY OWNER INFORMATION
ForlrlSUlaJ1al ComJmY Use:
Policy Number
BUILDING OWNER'S NAME
ALVIN BACHTEL CONSTRUCTION
BUILDING STREET ADDRESS (In<;:luding Apt, U
Sih STREET J.f qr- ./ .;)
CITY
ZEPHRYHILLS FL
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 7, Block 11, MOORES ADDITION, P.B. 1, PG. 57
BUILDING USE (e.g., Residential. Non-residential. Addition, AccessOIy; etc. Use a Comments area, if necessary.)
Residential
LATITUDE/LONGITUDE (OPTIONAL)
(##0 _ ##' _ ##.##' or ##.#####")
Company NAJC Number
ZIP CODE
33541
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (fype):_
o USGS Quad Map
o Other:_
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
CITY OF ZEPHRYHILLS 120235
82 COUNTY NAME
PASCO
B3.STATE
Fl
84. MAP AND PANEL 87. FIRM PANEL 89. BASE flOOD ELEVATION(S)
NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. flOOD ZONE(S} (Zone AO, use depth offloodin;J)
0005 C 12/17191 12/17/91 AE 84.0'
B10. Indicate the source of the Base Rood BevatiOIl (BFE) data or base flood depth entered in B9.
o FIS Profile t'8J RRM o Community Deterrnined 0 Other{Desaibe):_
B11.lndicate the elevation datum used for the BFE in B9: t'8J NGVD 1929 0 NA VD 1988 0 Other (Desaibe): _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area {OPAl? 0 Yes t'8J No Designation Date~
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based 00: I:8l ConstructiOIl Drawings. 0 Building Under ConstructiOIl. 0 Rnished Construction
. A new Bevation Certificate wiD be required when ronstruction of the building is romplete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being rompteted - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photcgraph.)
C3. Bevations - Zones A1-A30, AE, AH. A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO
Complete Items C3.-a-i below according to the building diagram specified in Item C2. Slate the datum used. If the datum is different from the datum used for the BFE in
Section B, ronvert the datum to that used for the BFE. Show field meac;urements and datum conversiOIl calculation. Use the space provided or the Comments area of
Section D or Section G, as appupriate, to document the datum COIlversiOIl.
Datum NGVD 1929 Conversion/Comments NA
Bevatiol1 reference mark used Local Does the elevation reference mark used appear on the FIRM? 0 Yes t'8J No
o a)Topofbottomfloor(induding~torendosure) NA. _ft.(m)
o b) Top of next higher floor NA._ft.{m)
o c) Bottom oflONeSt hOlizonti structural member(VzonesOIlly) NA ._ft.(m)
o d)Allachedgarage(topofslab) NA. _fl.(m)
o e) Lowest elevation of ma:hinely and/or equipment
selVicing the building (Desaibe in a Comments area)
o ~ Lowest adjacent (finished) graje (LAG)
o g) Highest adjacent (finished) grade (HAG)
o h) No. of permanent openings (flood vents) within 1 fl. above adjacent grade NA
o i) T olal area of all permanent openings (flood vents) in C3.h ~ sq. in. (sq. em)
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERT1ACATION
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 2tatement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAME David L Smith UCENSE NUMBER 5265
lii
.,
00
'0
a> a>
~iii
00
.0'0
E<=
WaI
4~~? /
~. '6~ ~
,r~ /- \ok
( , \\\
NA._ft.(m)
8O.~ft.(m)
ill..ift.(m)
~ Ol~
., -
.o:::l
Eiii
:::l<=
z.2'
.,00
en
<=
.,
u
::J
TITLEProfessional Surveyor and Mapper
COMPANY NAME David L Smith Surveying and Mapping
ADDRESS
1406W. UnGbaughAve.
SIGNAT~ .' 11.
/ (]-fY"fJ ~
CITY
Tampa
D1TE
.5//I/tJ4
STATE
FL
TELEPHONE
813-935-1960
ZlP CODE
33612
FEMA Form B 1-31 , January 2003
See reverse side for continuation.
Replaces all previous editions
~~""d
LU
PERFORMANCE BUSINESS PRODUCTS. INC. 813-71!l-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
~ ,: ~\ .'_' t"" ,r;
'J! " ~ ~ '6'--f"
\
WATER ,ACCT. NO.
DATE
,,--//.' ./ . /
.:/ '7/((/
,- ,,( ..
OWNER/
RENTER
,-, ,--
I-I( ~i; '/;\
"
'J:;;--r i
I ' '/~ I , /1'
'...-! ~, '-" l .~'
/) _~ -I!- -;- , ~
Lnt..-:K . .../- ,/11....
MAIUNG
/"2 Lfl Y tC ~:~-.J
~~t/?l C-'/ ~cf':'-J
S-;-.c.
cti;"/7 ST.
'"J
~/t/ Ct'.
? c/t< -<t
_/ ,. 160- __.-' /
//
SERVICE ADDRESS
/ -
/\u ~.,/ '7
SHUT OFF SERVICE
o
~
IIY/
~ATER
o SEWER
TURN ON SERVICE
o GARBAGE
INSTALL METER
READ METER
o
CYiN CITY
CHECK METER
o
o OUT CITY
!
-1- No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
....,
..,
_ AMOUNT LAST Bill
'-
(
c.. I.,..
_J!i(
,'"',1 '. (./.I>Y
/''-''-'-''
_ DATE
_ MISC. CHARGE
NORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
I s~ -;/ - {(/ /Cr---.
I ~\.;~y~~:E;:~
~ta," white form moffice at El.1! rimes.. /' .
:send pink &jellow 'orms :0 Nater ServIc~pt.
Water Service Depl. :0 3ign yellow form 8{~m to office.
'--'
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ~I .I) ,.. ,} J
DATE RECE IVED "r' ~ -.:5 . t/7
PHONE CONTACT FOR PERMITTING &/]-9d,f- 5"tJ8/
JOB ADDRESS
PHONE ~ /j '102 ,f - 5"tJ 8"'/
LEGAL DESCRIPTION: LOT(S) II
PARCEL ID # Itj-~r;, -- ,;2/- OIJI tJ -Oil ()() - OrJ 70
SUBDIVISION mtJl//'~5' h/'.r/- Addlho/-?
.
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: }'S'NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL
OS IGN o MOVE 0 DEMOLISH
PROPOSED USE: 0 SGL FAMILY DWELLING '91MULT I - FAMIL Y 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK /i/~IA/ /JJv'II;:/ '- /-;7/71'1'7 /PeSld C't'?C-- C~
BUILDING SIZE .J 1 x f?' '} SQUARE FOOTAGE ,;2 () () l
HEIGHT
IS'
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 BUILDING
o ELECTRICAL
PERMITS REQUESTED
$ G 5,000 , -~ VALUATION OF TOTAL CONSTRUCTION
lOOt' ~
~ - -- AMP SERVICE .~ FLORIDA POWER
& (1) SET ENERGY FORMS.
FORMS.
1111'\\) j;l11tfl,Y1e1f"
(' J ~[)-l i \.', (,4l j} .....
(ll~I\.) j }U~)t) f"rti \w1
f \. f .. ,', \ \ )'1<\" ( I,
\ .
j 1,~\lJ.\" Ii
(" I
o
W.R.E.C.
o PLUMBING
o MECHANICAL
~. ~/,)("l'?J2.___.
$/(:)."~'-
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
pst FRAME
o STEEL
o OTHER
FINI SHED FLOOR ELEVAT IONS 8' 'i. S' \
IS PROJECT IN FLOOD ZONE AREA~ YES ~NO
SIGNATURE .~1?1t/;J.fiC~.-/ ~~Ac<:/
/":/
I ******************************************************************
C()NTRAC~RSEC'rION I
COMPANY A/v'/I? 6()lj11c~/ COI'lS'iii/c.-/iOHfl-:1
BUILDER
STATE CERT OR REGIST # C6L Oft;!) ';;>"9'/
ELECTRICIAN
Ji l:'/ll(' 1
SIGNATURE . ,)....../. t.L~ A.
. .
COMPANY {Y\_(,~fll . C (",ci/, ,_C\ <:.
STATE CERT OR REGIST # FL."" 0 t,1 3 I J '(
******************************************************************
PlUlB''') . I COMPANY, <;'0 /1J(1;:.(Yr/ t7z6/1;j The
I IGNATlJRF, .~/;;/.~, -.fk- i STATE CERT OR REGIlT # {:t-?:JJ,,- t- '{;lO 5-
**~*****************************************<*****************~**7
MECHANICl\L ~/11~-- COMPANY { ,on rrcndf ~~'r"'.~ f 07.1 n.j
SIGNATURE +!.,r STATE CERT OR REGIST # i\L iJ'fJ61,{,
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
Builder Name/Owner Name
(;(lllllly PArcel /'10.
- .- .~--------
Address/Location -_L1 C.U_~___._S!~__~
Classificalhlll/lype of lJse])~;:~~l~Y--,-_.__._____._.______
TRANSPClFHATION IMPACT FEE F~ale:
.------'-~._--_.__._.~ "'- -----------.------
Sq Fl Unit
F.:X8l11pl I.J Yes '--J No
---. -. '-.- ---~~_.~-.-
Ilow IJetennlned
... _. - -- ____. --~- '--'----""
--_.-._--.~---- _.,- .----
Impact r=ee All1ount.l.._lt'- S_~.~__._._
Zone No. TA7:
--._-_._---~-_.._-.---- -----,._,~.. ~~----'----.._._-
~~.~~~~[jM(~~~T "!i~~:~'~~)::G1;:~;~::"-"~:::,~" '~-'-"-]R7;~-.-;;;,-~-
(057) Mobile '-Iome h___.__.__......
(U50) Otiler Residential _. ...___.... ,__... . .._.___...
.1'123) Collection Fee
Exelllpt '-J Yes [I No /-low IJetenninerl -..---.---......-.h._..n..._______.
PARi<s7\~m' R EC REATiorJ FE'i~--' -...".~....._,.~.,,---~._--~..------...'"-....--. ~._~.... ____"._.... ._,..,,___ "_~._....
Lalld ACCOUlll La11l.1 Credit Land Total
r~ecleatioll Accuullt necreatioll ere!. . r'{ecreatiol! TotAl
"". - --.----..-. ..------. ...- -------. ---.. ...--.-----...,....-.-,---
Z(lIle
" . _.b_. "_'n.. _"_ '_ _.. '_'_ 'm _"'m___.. -""
TOTAL AMCH.1I'Jl
ji._ ___..
(mjl\Jo
Iluw Uetennillscj
.i'.iBR;;j~V FEE...........
I.alld /\(:COIIIII
. --. -..---- ...____..._n_
. .... .. .....,..._.,... '..,. .....,_..u.. ...._...._.'''..." ,"", ''',.,,,_.,,,,,,.... .... ,. ...'^.....~.."_......_._.~._._...._...__._".....,,.... ........
1.811<.1 Cledit --~I Tolal
___ .-....-.--n,_....m ____ __..
Facility ACCOlltll
-.- ,_. '----,--"- ._'.- ----'----'----
facility Credit _______.__..._.._ Facility Total
[J r'~o
...---.-~.---- .___.u____~..
.-.,..........-.- .;....~."..- ..~....~_._--..,. . , '.."
RESOURCE FE~
TOTAL AMUUr{J'
How Uelellllinsd TotRI Amoullt
- -- ..------. .---....---..-. ----.--..-.--.-
....-...... "1" ...--..._.."m..... -, ........-....--. ~."..._-,-~~... ~........._....ER[ j"..--.--..".....-------.. ..---......-...
--.--_~ L..[~_ .______.--.....------.--.-n.---
Pr81lared By - ..______._._.... .___._..__._____ Checked By
. .. ~......."....'..... ...~..._..-.-..-."'....~......-....--._-"...-.-......... .."..... "---- , ...........~.....-'..._m..._...-. ......,....."..._...__._~...___.._..._.
.-----.. ._-.. ---'-'---.0_..- ..__.__.___..
NO CElnlFIGATE Or: OCCUPANCY WII..I.. BE ISSUED on FINAL INSPECnON
I'Eru=OHIVIEU UNTIL '1 lIE TOTAL AMOUNTS I.ISTED I lAVE::
I3EF-N PAIIl ^"'n
\""
~P11
)
'E&r Ie!! IN!:
GEOTECHNICAl!. & MATERIALS
ENGINEERING, TESTING & INSPECllON
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 22, 2004
TEST LOCATION DEPTH DENSITY MOISTURE COMPACTION COMPACTION REMARKS
NO. WET DRY .x. TEST NO. IYtI
(pet) (pet)
Fill Material - 95 'v" Rcq'd.
Building No.3 slab area
12 5' S. and 15' W. of NE comer 0-12" 127.4 114.1 11.7 1 96 Thickness of till
approximately 2Y:i
13 Center of slab 0-12" 127.7 113.6 12.4 1 95 Thickness of till
approximately 2Y,'
14 5' N. and 15' E. ofSW comer 0-12" 128.7 114.4 12.5 I 96 Thickness of till
approximately 2Y,'
DATE SAMPLED:
06/17/04
COMPACTION MAXIMUM DRY OPTIMUM
TEST NO. DENSITY (pet) MOISTURE
(~)
I 119.3 13.5
REPORTS TO:
F.J. Eisler Tractor Service
Attn: Mr. Fred Eisler (2)
IIs1012-014fdt
~
'TEST LAB, INC;~ ~"