HomeMy WebLinkAbout04-3041
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3041
Permit Number: 3041 Issued: 5/04/2004 I
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 103-NEW CONST DUPLEX 2-UNITI
Proposed Use: DUPLEX :
Sq. Feet: Est. Value: I
Cost: 65,000.00 Total Fees: 2,852.75i
Amount Paid: 2,852.75 Date Paid: 5/04/2004
Address: 4909 5TH ST )
ZEPHYRHILLS, FL.
Township,: Range:
Lot(s}: 8" Block:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Section:
Name: ALVIN BACHTEL CONSTRUCTION INC
Addr: 22464 WEEKS BLVD
LAND 0 LAKES, FL. 34639
Phone: Lic:
Work Desc: NEW DUPLEX
JAMESON BACHTEUBACMAR PROP.
4909 5TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
N
MECHANICAL FEE
WATER METER RES 3/4"
f { :"Q-L'-~
/rOt(
\ 0--;2'1
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. . MISC. . FIRE DEPT. 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 fee~~hc:'}IJ:>~.!!l~de 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 twice-for-- ___
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of com_IT!~!'_~~I'!I_~nt." _
NO OCCUPANCY BEFORE C.O.
~
~---
CONTRACTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Alvin Bachtel Canst.
4909 - 5th Street / ~
~Ol
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 $ 180~00 I
IRRIGATION METER $ .
SUB-TOTAL $ 2,852.751
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
'/
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
')
TOTAL: $ 5,162.75 I
396786
--......
..
~
..........
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHfLlS
ZEPHYRHILLS, FLORIDA
l.i .,1 ....,?^
. ~ ---' j '-.)
I
WATER ACCT. NO.
DATE
/' I
"-j' /0</
J, i.f I ' ",
r
OWNERI
RENTER
~/>
.' ,'" ' /\
.-; 1.+ /"
CP'-C. ~lLjl
/f ~
I . ....tY.Xl .
L..tP-1 c.
MAILING
_.~ 2.
(,/ '-I
"I ()~ ,
-/
L 2t_Jp"d--
("!/ J, (p,-
__ ~-t~-----,...
I {'II' JJ
,,~ ((..f.
,'0
J""
.
)
::.f
f.-I
--::::. (.J- / -~ a
..-/ I <.p,../ /
1.--0-(-
'x---
/ iq1 C ~ c(
SERVICE ADDRESS I u r .J' ~ :.- "
SHUT OFF SERVICE 0
TURN ON SERVICE ~
INSTAll METER [Y/
READ METER 0
CHECK METER 0
OTHER 0
[J,.. . WATER
o SEWER
o GARBAGE
G iN CITY
o OUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
"/
.-.,
/
_ DATE
it..
-
"'L17r
-'
iJ c.:L I
; ,
_ MISC. CHARGE
'MJRK COMPLETED BY
& DATE COMPLETED
I
I
I .
~.
j "
\
I . l.,
ORDER TAKEN BY
"5 ~'T' - Cl/ K:r-
ORDER GIVEN BY
Retain white torm '" office at 3.11 rimes.
Send pink ,:l.;eIlow 'orms '0 Water Servicfr
'Nater Service Qept. - o'3ign jellow form J rE
--
. Parcel Information for: 14-26-21-0010-01100-0080 Card: 001
We~olT1J! : Records Search : Parcel Detail
$t;larGh.8gain Show_Map Building Schematic Unavailable CalGlJlate Ta~es
$et;lTaxGollt;lctorl nformatiqn .-GlJrrt;lntl[)t;llinglJt;lntTClXt;l!)
Parcel 10
Classification
14-26-21-0010-01100-0080 (Card: 1 of 1)
00 - Vacant Residential
Page 1 of 1
$11,880
$0
$0
$11,880
$0
$11,880
1
Use
0100
Land Detail (Card: 1 of 1)
I Units II Type
16,600.0011 SF
Price
1.80
Cond II Value I
1.00 II $11,8801
IZHLGLP71
Amount
http://appraiser.pascogov.com/search/parcel.asp?sec= 14&twn=26&mg=21 &sbb=OO 1 O&bl... 4/2912004
Mailing Address
HAR1WIG RUBY H EST OF
HAR1WIG W WILlAM JR PER REP
PO BOX 1252
ZEPHYRHILLS, FL 335391252
Physical Address
38319AAVE
ZEPHYRHILLS, FL 33541
MO~~~~:O~~:~ :;~
BLK 11
OR 1135 PG 1570
Assessment (totals)
Ag Land
Land
Building
Extra Features
Total Assessment
Save Our Homes
Taxable Value
Description
SFR
Acres
Res Code
Building Information
Unimproved Parcel 00
Extra Features
No Extra Features
Sales History
Previous Owner
Year I Month
I Book I Page
-- No Sales History -
Searcb}\-9-aln Show M~Q Building Schematic Unavailable Calcuj~t~ Taxes
See_TCl~ CollectoIlDfQrl]1ation - CYm~ntlDelinquentTaxes
I
APR-28-2004 16:40
PASCO COUNTY DEV REVIEW
727 815 7000
P.01/01
5335 alii Street
Zephyrtlill9, Ft. 33542
City of Zephy~hills
Building Dep,1rtment
Fax
rYt'!11 "
~JudY- C~nty AddA9Ssing
xC;
~ Bobbie Swetland
Fa)(: 727.815. 7pOO
,
Pa... Fax cover only
P,bone:
Dete: 04/26/2004
b: ADDRES~ REQUEST
cc:
o U'1JI."t D ~or Revi.- 0 Please Comment XX Please Reply 0 PIeu. Recycle rJJ
Dear Judy,
1 would like to requ;,st addresses for the following DUPLEXES to front s'll1 STREET:
,
PARCEL to #14-2$-21..o010..o1100..Q040 ~ 1 SLOG WITH 2 UNITS
f
PARCEL 10 #14~2B-21-OO10-G1100.0060 - 1 BLOG WITH 2 UNITS
PARCEL 10 #14--~21-o010..o1100~70 - 1 BLDG WITH 2 UNITS
PARCEL 10 #14w26-21..o010..{)11 00..0080 - 1 BLDG WITH 2 UNITS
I
J./CfJJ ,... 1-/ r;JY
~'1d.1 d- 'i9''*3
Jf7J~ <f' 1t1/7
l1.fpf -t" J/r/I
Lo 1 '/
!-{>1-6
L~47
J, :of f
Thanks for}O.lr hf!fp!!!!
y~
J:I3 - rn- 5t:J511
AP~-27-2004 07:45
P.0l
FEDERAL EMERGENCY MANAGEMENT AGENCY
NA ilONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31, 200E
Important: Read the instructions on paaes 1 . 7.
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
ALVIN BACHTEL CONSTRUCTION
BUILDING STREET ADDRESS{lnclu~~/n~ Su~, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
5'" STREET :7- '9 v, ."'! '7 .' /
CITY / STATE
ZEPHRYHILLS ' FL
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number. Legal Description, etc.)
LotS, Block 11, MOORESAODITION, P.B. 1, PG. 57
BUILDING USE {e.g., Residential, Non-residen1ial, Addition, Accessory, etc. Use a Comments area. if necessary.}
Residential
LATITUDE/LONGITUDE (OPTIONAL)
( ##0 _ ##' _ ##.##" or ##.#####')
ZIP CODE
33541
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Otl1er:_
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
CITY OF ZEPHRYHILLS 120235
B2. COUNTY NAME
PASCO
B3.STATE
FL
84. IvlAP AND PANEL B7. RRM PANEL 89. BASE FLOOD ELevATION(S)
NUMBER 85. SUFFIX 86. FIRM INDEX DATE EFFECllVE/REVISED DATE 88. FLOOD ZONE{S} (Zone AG, use depth oi flooding)
0005 C 12/17/91 12/17/91 AE 84.0'
B10. Indicate the source of the Base Rood Bevation (BFE) data or base flood depth entered in 89.
o RS Profile r8J FIRM 0 Community Determined 0 Other (Desaibe):_
B11. Indicate the elevation datum used for the BFE in B9: r8J NGVD 1929 0 NAVD 1988 0 Other(Desaibe}:_
B12. Is the building located in a Coastal Barrier Resources System (CaRS) area or Otherwise Protected Area (OPA)? 0 Yes t81 No Designation OateNA
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: r8J Construction Drawings* 0 Building Under Construction* 0 Finished Construction
* A new Bevation Cartilicate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
CK:CUrateJy represents the building, provide a sketch or pmtograph.)
C3. Bevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARiA, ARiAE, ARiA 1-A30, ARiAH, ARiAO
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, convert the datum to that used for the BFE Show field measurements and datum conversion calcuJation. Use the space provided or the Comments area of
Section D 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 !2] No
o a) Top of bottom floor (induding basement or endosure) NA. _ft(m}
o b}Topofnexthigherfloor NA._ft(m)
o c) Bottom of lowest horizorJtal structural member 01 zones only} NA . _ft(m)
o d} Atta:hed ga-age (top of slab) NA. _ft(m)
o e} ImIest elevation of machinery and/or equipment
servicing the building (Desaibe in a Comments area)
o ~ La.vest OOjacent (finished) grade (LAG)
o g) Highest adjacent (finished) grcxJe (HAG)
o h) No. of permanent of:€flings (flood vents) within 1 ft above adjacent grade NA
o i} Total area of all pennanentopenings (flood vents) in C3.hMsq. in. (sq. an)
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is io be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify tflat 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 UCENSE NUMBER 5265
OJ
<0
m
"C
<D<O
"'-
",<IS
cO
.Q"C
Ec:
W<lS
~ /'
'z...\" I
~~ ~I'"
'( \.J'
n ~ \ \\
I ~.
NA._ft(m)
80 . Q.ft(m}
80. aft(m)
...:oi
<o~
.Q~
Eai
~c:
z.Q>
<om
'"
c:
<D
<.>
::J
TITLEProtessior.al Surveyor and Mapr;er
COMPANY NAME David L Smith Surveying and Mapping
CITY
Tampa
DAJE
511t//)4
STATE
FL
TBEPHONE
813-935-1960
ZIP CODE
33612
ADDRESS
1406 W. Unebaugh Me.
SIGNATURE /] --/ '-/1 ,..---
lei F.___
I
rEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
1esr Ie!! IN~
GEOTECHNICAL & MATERIALS
'ENGINEERING, TESllNG & INSPECllON
P,O, BOX 15732 . TAMPA, FLORIDA 33684 . 813/872-7821
FIELD DENSITY TESTS
(Nuclear Density Gauge Method)
PROJECT:
Backtel Duplex Project
Zephyrhills, Florida
FJ. Eisler Tractor Service
PROJECT NO:
TL-9068
CLIENT:
DATE:
June 22, 2004
TEST LOCATION DEPTH DENSITY MOISTURE COMPACTION COMPACTION REMARKS
NO. WET DRY 0/0 TEST NO. %
(pet) (pet)
Fill Material - 95% Req'd.
Building No.4 slab area
18 5' W. and 5' N. ofSE corner 0-12" 128.5 115.2 11.5 I 97 Thickness of fill
. approximately 2V,'
19 Center of slab 0-12" 128.9 114.3 12.8 I 96 Thickness offill
approximately 2 y,o
20 5' S. and 10' E. ofNW corner 0-12" 129.2 115.5 11.9 I 97 Thickness of fill
approximately 2\1,
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)
1151018.020 fdt
CITY OF ZEPHYRHILLS' PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
B13-780-0020 FAX:B13-7BO-0021
DATE RECEIVED
Jf -:2~-l)1
PHONE CONTACT FOR PERMITTING (gl:?)9.;2F-50~ I
OWNER'S NAME :lOrn t".5.Pr? &chle~/ .Lbc/J'lOr- /}.'Pe/'7/~r PHONE Ctfl,J) q ~~ - ? 0 R /
JOB ADDRESS Lol- g 4." O~ &' ~ q \ '\ _o-Y!!- (:5-t ,
LEGAL DESCRIPTION: LOT (S) g BLOCK II SUBDIVISION /J1~tJl"~J hrs-l.4dddl{}/--:7
PARCEL ID # /~-~r;,- ()/-/JO IJJ - 0/100 -00 iO (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ///~W /J!V/I-/ I -mPnllw )f~Sr;;e>;2C C
\ l /
BUILDING SIZE ;)q X r; '1 SQUARE FOOTAGE ;:)00 I
HEIGHT
IS'
o BUILDING
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. ,...., . ,,/,\ ).lw ArlvJ
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. r-<-~ j
CYILti h u4-17i
f2-b~'01 Ni-J /)~( ~^-
~ I~~MCJ~
~
o W.R.E.C. 0 t-
P6.flJt.tlt
PERMITS REQUESTED
/' L::'. 000. ?'.2
$ ~v, VALUATION OF TOTAL CONSTRUCTION
;),00
AMP SERVICE
t(
FLORIDA POWER
o ELECTRICAL
o PLUMBING
o MECHANICAL
$ ~K()O, 2.E-
VALUATION OF MECHANCIAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME
C LJ, &;" \
FINISHED FLOOR ELEVATIONS ~7 j
o STEEL 0 OTHER
IS PROJECT IN FLOOD ZONE AREA~ YES 0 NO
cO~g~;R$ECTIQN I
COMPANy~A/I//~.t5t2Ch/e/ (P;y:lrWYuJt? kL
BUILDER
STATE CERT OR REGIST # C ,(Jcor;tJ;;) 9 'f
******************************************************************
ELECTRIC~
SIGNATURE . A
~?{~
COMPANY /?1cr/J'1 F/~cry(;- Ip?c.
.
STATE CERT OR REGIST # cCtl O/{} :5 / ~'f
******************************************************************
PLUMBER COMPANY3:/?, /Jt:Jrfr Pkfflt5lhc) 1~__
IIGNATURE~';/;AL: STATE CERT OR REGIST" C;=;:::a5'7~O_S
******************************************************************
MECHANICAL COMPANY ~ '~.yr~/J' ~ 1- O:elt-.:y
SIGNATURE STATE CERT OR REGIST # <l~- I{j>I77,-
*w***************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsh 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 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 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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contract~rs, 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 indication 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 "An 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 for 'a
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 FLO~
COUNTY OFS"[!J
The foregoing inst~~nt Wa~edged
Before ,me thiS:!, ~ of . ' 2~
by ~A-YnP.5'. . ~I,i~
(name of person acknowledged)
~hO is personally known to me, or
I' ~ who has :Juced
y (type of identification)
and woo id 0 did not an oath.
of person taking acknowled
~ N. SWanne}
Name typed, printed
STATE OF FLORIDA L?_ ,~
COUNTY OF ~<~~~
The foregoing instru~nt was~cknQwledged
Before me ,this ~aX--Qf ~_J J P.--, 20 ~C/
by r-I ~7c:" 5C4P ~.4'c__/jE c......
~. (name of person acknowledged)
~\.o is personally known to me, or
o who has produced
(type of identification)
~id take an oath
Signature of person taking acknowle ment
R8becea N. SWanne)
Name typed,
1111111111111111111111111111111111111111111111111111111II111
2004073044
NOTICE OF COMMENCEMENT
state of Hor'dQ
County of
JOO'sco
THE trnoERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. jij-;)(;, -.;( I -Ol.JiO -()ll00 - 0080
LOI-
(Legal
2.
General Description of Improvement
/l/r:'W' /J1v/l'-/ -m;?u/v A'~.J'/ d(!">;?c:.~
/
Rcpl : 776327 Rec: 6. 00
OS: 0.00 IT: 0.00
04/23/04 Dpty Clerk
3. Owner Information: Name AtJ~ l?1t2r L)r()J')tDyf-I'~r ..:r;1c:..
, ,
l\ddress 1~5d L/L/lvy~.fIJM Ifd City Lviz State FL,
Interest in Property: /JJI//I-/'- roPnI/y /fJ,c::>.5'/d~;?c~
Name of Fee Simple Titleholder: JEO PITTMAN, PASCO COUNTY CLERK
04/23/04 12: 48pm 1 of 1
( I f other th~n owner) OR OK 5821 PG 1245
Address
City
Stute
R
Contractor: N.1me A/t/I}., gOc;l1k-/ C();1.f:lrvc"'-/tt::Jr~ :r/JC.
Addres s idS;). L /1/1V73X70n RtI City L 1/72
,/
State ;=-L
3'3559
5 .
Surety: N.:lrne
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcrn
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), [lorida Statutes:
tJc;mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy 0': ,- ~,::
Lienor's Notlce as provided ln Sectlon 713.13(1) (b), Florida Statute~.
C). f"xp.irftt .1',n dt'lte of UCJt..i.c,e of Commencem~nt' (t.he explrati0n date is 1 ye.:il:
ir~m the d~te of recordlng unless a dlfferent date is specified.)
S ig~a t ure of Owner:
8 ~..34f. - 4f .:J~- '7 6'~
q-O
Sworn to
this ~
day of APn/(..,
20 0'1
Notury Publ ic:
;-;~~"'~""'c"'___--.---...-.._~__________............-....._...."...~
? 1l~,l t!;Y~~~;~~I,~'~:8!~;\~,~"';::~'s,~';~~~"7
Ot f'\,. .::XPiRES: OCt H..I .' ""'l, [
1 NOTARY FL No,,"" .., .. . '''.
'------~:~:::".:'::::.~~.....
My C::::iI,;1.1 ssion Expires:
PC93G53048/ A
I '
\/
.~'~
j
THIS INSTRUMENT PREPARED BY:
RECORD AND RETURN TO:
1111111111111111I1111I111111111I111111111111111111I1111I111I
2004070856
All Real Estate Title Services, Inc.
4032 Land-O-Lakes Blvd,
Land-O-Lakes, Florida 34639
Property Appraisers Parcel Identification
(Folio) Numbers: 1426210010011000080&0060
Grantte SS #:
Rcpt: 7754~,7 '.---J~ec: 6.00
DS: 91.00 I J~IT: 0.00
04/21/04 Dpty Cle..k
JED PITTMAN PASCO COUNTY, C1ERK
04/21/04 09:53am 1 1012
OR BK 5817 PG
/'3 0lJV
)
Space Above This Line For Recording Data
THIS WARRANTY DEED, made the 20th day of April, 2004 by WILLIAM W. HARTWIG, JR., PERSONAL
REPRESENTATIVE FOR THE ESTATE OF RUBY H. HARTWIG, herein called the grantor, to BACMAR
PROPERTIES, INC., A FLORIDA CORPORATION, whose post office address is 3633 GREATWOOD COURT,
LAND 0 LAKES, FLORIDA 34639, hereinafter called the Grantee:
(Wherever used herein the 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)
WIT N E SSE T H: That the grantor, for and in consideration of the sum ofTEN 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 8, BLOCK 11, MOORE'S FIRST ADDITION, as recorded in Plat Book 1, page 57, 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 grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has s good right [md lawful authority to sell [UId convey said land, and hereby warrants the title to said land and will
defend the same against tlle lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except
taxes accruing subsequent (0 December 31, 2004.
IN WITNESS WHEREOF, the said grantor has s signed and sealed these presents the day and year first above written.
Signed, sealed and delivered in the presence of:
WILLIAM W. HARTWIG, JR.,
PERSONAL REPRESENTATIVE,
FOR THE ESTATE OF RUBY H. HARTWIG
ty~[~.,- Ihflf-U,-al,:,'
Witness #1 Signature
WilliB~~Q~~~;~~ ('I
. ,f / . \../ I::)::/~K.=-j! ~L .~.
Wttmrf;#2 Slgnaturr / \
~.~I~~ElE /. BOVQ;
Witness #2 Printe Name !
. I~ r II
(.V~! v ' P R...
BY: WILLIAM W. HARTWIG, JR. , P.R.
PO BOX 1252 ,ZEPHYRHILLS, FLORIDA 33539
ST A TE OF FLORIDA
COllNTY OF PASCO
The foregoing instrument was acknowledged before me this 20th day of April, 2004 by WILLIAM W. HARfWly, JR.,
PERSONAL REPRESENTATIVE, OF THE ESTATE OF RUBY H, HARTWIG who is personally known ti. me Or has s
produced ORr '~S l as identificatiqn.. /.:"--, j ~ 1 r \
Ven ICE"SE ' 1.__-4. /;;)/' ,~I / "
SEAL V 1/ " t./ ___ I
./
;~c"'''''~~''~~~c,..~.__ Not! rv Public I "
.,', ", ..~' _. ,~:. ..'--",i OJ f
MJCHEl'E A. BOYD
Printed Notary Name
. ,.J 75
".'''.'J5
I
!
File # 04261
STATE 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 A OFF I AL SEAl2TH~ DAY OF
JED PI M~ OF CIRCUIT COURT
BY :..-.... ~ DEPUTY CLERK
/
;g; ~.r:1 c:::'I. .=JI _ Surv~yor $ Notes: _
lie ;~I c..",,,,,,", ~r;-.. If;r''''''tl' ~wn /t-.n...... '0 to. lo.:tI't-.l Jtt r~ Zen. II,!_ P4' r..1,~i.M v.. Izc2.JO Oottld. 1Ilis
_.r .......'{ r~ ; ~ .1 :De-~ ..,.~ nNriht hO ,.,.,.,.,... .. t. tN 04fu1.,/ ., ".. ..... "',,""0"", 1.<<>>1 ~.LAI,A.. o"",t .~ ..
PftC :,.,.,..... c......... I ~"'l"" -:-..-, twIfItoc,.t/ lot ~'1Cft.
pee ."'" f:4"'1'f111GJJd ~~ I '(f; ~=-- 1) N. WJ~" u,,,,.... un""lWId ~t.t fit' ~~ ~"*". ..,.. ",..,.l.I"WI or ~",.. ..
r;i :~ : ..~ucfM ~ I..c. ~--- c.".., ~r;":- ~7::: :::c~ =~ :' .:~~:~~ W::::~1:;-;I~:', 7~tor, Ut~ '"~1 ~ .','w
$.t~. 's.t em"" 1fG/I 1M4 1/28 II s.c. ;s,,~ ....".".t.. ri5JfI' ~I WlJIII. ,.,lkci'1l /hI1, Of/'IMt.... 1.1, ,....,~UtOn... ,...,~(it:iotI. Of 01"" ~ ,"o!l... ". '
',C).ft. '1~ c.u..~ ~ 1i()CI '~. :.=.- ~=::,.;:.:.. -'"::,,,,"=~,r4ta ..., ~ ~W I. 1M' ..... n..- ~""'--'"
'.1 If. .,...".. ...... /#ttd (;"-"tr.'t'M (J) "_u_ .1 :/t" AU",. _ /1IVp.... "Chw UlClJ'l tel "'M ~..... ,t __ li'tfllll"l.. ., ",Utlklf ....,fI.,.. __Jt'..n.~
'J.P, :fPtlfW,1ITfNt p;.. ~ 1Itir CoIttlII~ .. N ~ Iti. ,.......... ....,.,.. .. with,." ,..Ii'1' If:' t-.. """"'19'. ~.~. ~ .,.. k (i4ll&lrwd hI .
f.P.I.~. :l"UfId'i~ "0It ~ I O/A.~ Oft,. ,":'-'f. ", ...",. '0 -)'M* .lIt... 1ft... "..." Hrl.~.'C1.
'.~It/. ;/"""",I~~. ~f C4K. .~4It. "-'~iTH
s.c.... ,~ C:!:':. ....._, A".Gl. ,... I'orl Of ~ DA VID L. SMITH
f.'C, J::';I':-~""':-<<_ - ';~ SURYEI'lNG mp MAPPINC, tPe.
~~; $pJ<:;'~-t.,~ ~~ :v.'~ 14(W to: I.IM,_"~ ,_ FI. J,HI;
P._.... ..........' --- - .....s "-J' ..rv...,d~':> _v (111.1) IJS-IHO (PI (81Ji 1).1-11'.'
a,1lI .........~' Po_ l.... firS :R_.. ~""-
1t/Wf <II"'" ftq P.8. ;""', B_ ~ . .
:::::..=' .'We;:: ;"'; (W"fw) ~:~. I C.rtificat. ~~~;rl;;::;'~A':'S. 6g~2
~o... :~Cllli'I' o'~/rln~ It/W 'Rlfltt Sf"Y' }"""~",,,,,,,,,,,,,,,""f."""''''''''''''''''''''''''''''fI'''o.._.ItJ'.t....,.,_
~~.c :=t :' CC:::""~Mt ~.; rJll'IHI ::=':'.: .:::7,:.,.,::~~ :--"..:..~: :::.....:..-;: ::'':w,,:::;nf.,
P.I ;'-' "".pm..., S/W :.Sk'1I..... "..,.... ""'~.
, E_t ; ..--....1 DI\ VlD L. SlJI TH ." .J D.,., Of/lIl,ItH
~" ~ ~............. !tfQlltJtu"._ /if --< 'r~ -:-- QQr:,oJr .JtI>>
~~ m
OrT.arDAar .uav.I7r
SfCTlON 14, TOWNSHIP 25
t~r~ ':;~;. ~~o"'n FWtST...-~ ::-:: ~N7Y,
Ztl"HrrfHiLLS Acet::JIfI>>Ia TO ~ IttIAP OR PC.Ar THEMCF ,1.$
IfCCOIf()Cf> ......., llCi(;1( I, P"IX $7, _.; IftCOlltl.S tJ'
PASCO C Yo f(,~ .
i
SOUTH,
F'LOIfIDA
RANGE 21
~AST
SCALI 1 w ..
~
0' 10' 80'
I
LOT 10 I
---"j
t..Qr 1
5.S9"57'4,9'"C
1Jt.60'(F)
'.1> ().;J'(P)
nR I/:/"
, .
" CY
("'I"SC)
ci
k'
~
~~ S.I,A.
,.. 1/1"
LeT' .
LOT 8
BLOCK 11
~ ~.
~~
~k'
g~
...:"i
400~
V A C A
N T
F.C"',
."X4+
!
~
Be..-a BAS/S-
A SSJMClJ'
e.
ftR 1/:- i
pN !
EAST 1J2.00'(F)
,.L....oo'(f1')
"/0' lJNI:
"'"
SeT "M.
CSJDCo
OF p,. . ~
c..-..J.IO' ~~
"'1
I
....
-iD<< f)r p*
1
I
~--,_.._.- i -.
I
I
I
I
A. A VCNUE
- i5' AS;;;<-
COIr,Flfl' 7'Q,-
1'1': ~d
Hi r ~ loJ I/\\:IG
'31'Ht:E6E I8
0v:~1 p00llCl/vr
tuD4-2'"
;,'IJ'
.,
30'
ij
~
~,
4::-
::-:.
~
c::)
II')
ii
..
!$
g !
......1
~I
e:, ~
Vll~
~
....
It)1
2'.0'
2U;'
-,
'50,0'
b'
.t,.,)
.~
o
..
I
II':. ;)9.0'
- -- - -- - "r- -.-
"
.0 -
W
)J
~
~,
,
.;;:)
..
IlJ
~..'
o
0:.
,15ft; STRFET
Boc 1YIt1Y" f>r()l'erf/~.5 rile.
J'I-;l~-;JI '""()()/O'OI/()~~I)~f(O
'5'0,0'
D'
'QQ
,,-
o
..
Boc IY!t1Y" fJrop~r11(P$ rile.
/'/-;1{, -,;lI-.{)()ljOIIJ~, ()~ ~~
- -.. -... -- -
l
II" ;J9.0'___.
- - --- ..,r--- -. _.
~
..0 -
W
<::>
.,
LJ
.t..,
I
'I:)
":.
~.L __ __
.i~ .,.n _)"j R F E7
~
CUIIIlty 1"J8I(;811'lo.
~')etllllt Nt), . ----3f_<fL
Date Pennltted
~~~ -n (}--t- () Control if.
--'---.....- .__._-----~_.. -. .---.---.------ ....------
._---. ------ --------.--.,-- ..~-_.._....~-....__._,.._----- .... '.--- ----------------
SubDiv:
Li r ----{-4
Address/Location _ --7-- ...-O-~--_~------=___._'2L'~_"___________"______________n._
.--------.-..---..-- U --__""L__.___. .____.
Classificath ll1/1ype of Use .--~0-+J'21~.._-_..__ .._n___,__._......____._.__ __ ____________.. ___.._
TRAN8POR l'AlION IMPACT FEE Hale: ___._________ Sq Ft Unit: ______ _____________
. --.---.--.------.----...- ._-
Exeltlpt [I Yes I~o
Ilow Determined
------..--- _._.~..- --.- -- -- _... -~-- - ,- ----_......
.---. ".-.-.__.. .--. ,- .----
Ilnpact Fee Amount -l....._L,~t~____..____
Zone No. TAZ:
._~._----~-----_..._, ---.,...--.. . ..----...--. .-. -~-
scfi6-6L-j'M p ACT'r: E'i~"-."'-'-''<='-''''~''''''-~'''"-'''''--'''--'-' -"-""- ...~._..~.._-,,- '._-~..."~_.,-.~....,,. _.......,.___"..... ..~~ '" ..._.'"~
ACC;ullIlt (056) Sill~lle-Farnlly Detached Ilollse AI110unt $ ----..h'.J?~.:...___________h
(05'1) Mobile Home ___.____..___ --...---...___.h______..__
(U5n) Otl1er Residential _______._________.__ _..____..
.tI23) C9J!;.eilon Fee .
Exempt [_I Yes LfNo How Determined _______.__..___..______..__._____.___________.
p ARR!fA~j5' HECREATIOiJ FEE ~_.".._._._--..--..---------~~.~-.~.--~.---.-_..___.__,
Land Account L.and Credit Lam ..
......, - '---'--- ---~-- ",--~
---.---... ____. '-0". _.__~ _'~'__ ....___.
Heclealiun ACCOllltt
ZOlle
-.-- -~--~_.~- ~--_.-.....-...-..__...-
I~ecleatlon Total
Exempt
TOTAL AMOLJNT..!1i_______________ ___
[OJ No
How Determined
I..iSRA'Ry'FFE ..........
Land ACCulII1t
. "---- ----...-.-.--- .-. .- ._~- - - "--. - ----- - ". ,__ _'_~'__n_ _._ __" .. ~_
,-, '-~'" -,- '-. ....."........""""'.,... '-" 1 .,.,,-.....--~....-.~...,~'....-. .... '. """""""".-".',,-, ....,.,..~......~..., ~,...... ",... -_~'-'2"...,_\.""..~.-... ~"""'. _..,...".'....._. _."._...._
.. "---.....,......'.......-,.~...._,~_<r_~_'u. .................
Facility Accmlllt _______________ Facility Credit __n______________ Facility Total
Land Total
-- '--.---.- -.--.--..-----....
Exempt
[..I No
--.----.- ------4_._..4
How Determined Total AlllOlIllt
-.---.---.-----..-.---- ..'---.- - --_.._._._. n.
RES b tJRCEFE'j~..~-...-~---1....----." i',_ --..-...-..-.----~----.----"~R tj".--"--..---.-----....-......-,...~-~
TOTAL AMOUNT .__.___ __'- Jl.'f._____________ _u______________________..,,_
-.--.-- ...----......" _..~......_..._......- ...----.-, ... .,~..-- ...... ....-.-....--".-. _.._....."'..._.....--""-.....~, ...-.-, '-".,,---.- .."--_."......,,,". - "-- .-...- --....
Prepared By __ .__._"__________________.._____ Checl<ed By
__n. ,_ '_'___. __ ..'__.___._
.. -..,,- -.--.__.~._4__._ __ ._....._.__
NO CEHTIFIGA'TE OF OCCUPANCY WILL BE ISSUEn <'H~ FINAL INSPECnON
PEHFORMEU UNTIL TI.IE: TOTAL AMOUNTS LISTED I-lAVE:
BEEN PAID ANn
~1