HomeMy WebLinkAbout04-3042
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3042
Permit Number: 3042 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:
Amount Paid: 2,852.75 Date Paid:
I
2,852.751
5/04/2004 I
Address: 4911 5TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): <6 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
Name: JAMESON BACHTEUBACMAR PROP.
Address: 4911 5TH ST
ZEPHYRHILLS, FL. 33542
Phone:
PL M IN
WATER CONNECTION RESIDENl
RADON
f''^-~ \O'2"-0'-{
I
el'Lllt9l/
10
.\1~1~
PRE-SLAB ~ND ROUGH PLUMB I DUCTS INSULATED
LINTEL WATER I FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL j MISC MISC. I' MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY __~"SC. __ _. '. MISC. ___. i 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 fees shall be made before ~lly!u.'!~E!r_l?~!!!1!~~i!L~E!_~~~ed to jhe person owning sam~__ _ __J
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for 1
_:;..~.::;;':.:: .=.~~~~~rn:'::. obtain finandng, consult Withyour':d:or..:n attome~
-- ~O OCCUPANCY BEFORE C.~tii---. ..J
ONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
IMPORT ANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use:
BUILDING STREET ADDRESS (Induding Apt, Un~ Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
5th STREET
CITY STATE ZIP CODE Company NAIC Number
ZEPHRYHILLS FL 33541
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVc:ompany, and (3) building owner.
COMMENTS
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 E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagrcm 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 bottom floor Oncluding basement or enclosure) of the building is _ ft.(m) _in,(an) 0 above or 0 bela.Y (check one) the highest CKljocent grade. (Use
natural grOOe, if avalable).
E3. For Building Diagams &a with openings (see page 7), the next higherfloor or aElVlied floor (elevation b) of the building is _ ft.(m) _in.(an) above the highest adjocent
grOOe. Complete items C3.h and C3.i on front of form.
E4. The top of the platform ct mcd1ineIY cn:IIor equipment servicing the building is _ ft.(m) _in.(an) 0 above or 0 below (check one) the highest adjocent grade. (Use
natural grade, if avalable).
E5. For Zone AO only: If no fIcxxl depIh number is availctJle, is the top of the bottom floor elevated in ac:cordaral 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 0Nl1ef" or C7M1eI's authorized representative who compIeles Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, 8, G and E are coned 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 attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floOOplcin management ordinanc:e ca1 complete Sections A, B, C (or E), and G of this Elevation
Certificate. eompete the appIiccilIe ilem(s) and sign below.
G1. 0 The infoonation in Section C was taken from other doo.Jmentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authoozed by state
or Ioca: law to certify elevation information. (Indicate the source and date of the elevciion data in the Comments area below.)
G2. D A community official completed Section E for a building located in Zone A (without a FEMA-issued or c:ommunity-issued BFE) or Zone AG.
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMrr NUMBER G5. DATE PERMrr ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This pemlit has been issued for. 0 New Construction 0 Substaltiallmprovement
G8. Elevation of as-buitt Iowesl floor (including basement) of the building is:
G9. BFE or (in Zone AO) depIh of flooding at the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._fl.(m)
_._ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
FEMA Form 81-31, January 2003
o Check here if attachments
Replaces all previous editions
CITY OF ZEPHYRHLLLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
1(-:23 cl)ij
PHONE CONTACT FOR PERMITTING (f/IJ')9;2?-5'Oti /
OWNER'S NAME JalJ1C'.3-.p;7&~chlc~/L:bCJ110Y'~11:9>>e/'l'a;r PHONE (;;/J)q;L~-5-{);;1
JOB ADDRESS L.'ol g )"qO(,~' ),\{~ \ \ . ~)-- '[;'I (~--i .
LEGAL DESCRIPTION: LOT (S) g BLOCK // SUBDIVISION /J1tJtJ,e'J 17r~'I dd,l"fIP'1/7
PARCEL ID # /'Y -/Jr; ,(9- / - IJ 0/ f) - 0/ j 00 ,,00 gO (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS o MOB ILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK /Z/C'W $1//1-/' -;:::01/'1'111'1' /ft"':J'(:dC"/?L (~
l I
BUILDING SIZE ,')1} \?<; C; '1 SQUARE FOOTAGE /~OO /
HEIGHT
f' ,
I,~
o BUtLDING
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. J (" lJ) \; l i"J OJ /".;\{
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '. ,
rl I) i JI f cfJ 11)
1) ,ill( ,)(\
{JJ;(('II r\\~'
[i., r:, \\ l~"tfl j
o W.R.E.C. ( ,I
Ill} ,Ill d i .
PERMITS REQUESTED
$ C;; b~ OO{). ?!,.,2-. VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
;)00
AMP SERVICE
~
FLORIDA POWER
o PLUMBING
o MECHANICAL
$
L/ g () O. ,2.2---
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
iX FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS 80/', ~- \
IS PROJECT IN FLOOD ZONE AREA~YES 0 NO
CONTRACTO:R ,', SECTION
BUILDER COMPANY6A/,/li1,rsaL.11k! (-bltflr~'/~dt? 2.
SIGNATURE r~t ~/U;/ . STATE CERT OR REGIST # C.tJcO'itJ;;l 9 't
,,/--
,~,/ ******************************************************************
ELECTRIC~'
SIGNATURE ~; \
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COMPANY J?J6-/}1 C/c'-"C't'Y,f' .7nc..
STATE CERT OR REGIST # L~(:"v 003/ S" c.;
******************************************************************
PLUMBER
SIGNATURE ~;2c1) >l3:(:/:
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STATE CERT OR REGIST # c."Pe:... () 5 7 dO:';
SIGNATURE
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COMPANY r~l".j' .j}C/1"l'/1 t-I.-.-'tlv:J' '1' (h..II'::5
STATE CERT OR REGIST # <-"lk. /.W j-' /'t.,
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MECHANICAL
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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