HomeMy WebLinkAbout04-3225
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3225
Permit Number: 3225
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 4839 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
10,000.00
7/12/2004
. 295.85
295.85
7/12/2004
BEDROOM ADDITION
Name: HARRY MILLER
Address: 4839 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
HOMEOWNER
HOMEOWNER
MECHANICAL FEE
35.00 RADON
4.50
F T D
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 fees 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 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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~"~ ~-.
C NTRAC R SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
fr ";lIt';/"
PHONE CONTACT FOR PERMITTING
OWNER'S NAME-1-hvrl1~I[Jr
JOB ADDRESS~~ 0 Of (p -rn s+
'I 'b~ 37;)d.,
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
PROPOSED
Os I GN
USE:~GL FAMILY
o COMMERCIAL
~DITION
o MOVE
!OBTAIN FROM PROPERTY TAX NOTICF,l
WORK PROPSED: (JNEW CONSTRUCTION
o ALTERAT ION
(J DEMOLISH
o REPAIR
(J INSTALL
DWELLING
(JMULTI-FAMILY
(J INDUSTRIAL
(J# OF UNITS
(J SWIMMING POOL
(J MOB I LE HOME
(J OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ C~JYY'\ {jOlL It nJ
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
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 BUILDING
o ELECTRICAL
$
10 000
(
PERMITS REQUESTED
~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
(J FLORIDA
o PLUMBING
o MECHANICAL $
FINISHED FLOOR ELEVATIONS
VALUATION OF MECHANCI
FtociJ ~V:+Ti:::Y{ aJuJr-'lc.y,z-r~
,u;0tF\'I':;'O (lfll~fL {~
(J STEEL ro'ToHER .5t-t~6 ItJ f't:;.rl~/\J
IS PROJECT IN FLOOD ZONE AREAO YES f 0 NO
D Lf I G l:ri..vr+- Ii :IN
C()NTRAC'l'O~.....SECTION
o OTHER
o GAS
(J ROOFING
(J SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
(J FRAME
BUILDER ~
SIGNATURE -.&.. ~~
COMPANyJ ~
~
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
0Uk1-Q(
COMPANY
v WN.AI
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
************************************[S****************
COMPANY c,JfUJ.,V
MECHANICAL
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" ~hich
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 licerlsed 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 contractors, he is advised to have the
contractorls) 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 imJicating that
you, rather than the contractor, are responsible for the work. If the contractor wislles
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 corrunencement.
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,
Application is hereby made to obtain a permit to do work and installation as indicated. .1
certify that no work or installation has corrunenced 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. 1 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 abaten.ent
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 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",
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __day of
by
acknowledged
, 2~
acknowledged
,20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
ltype
and whoO did 0 did not
of identification)
take an oath,
Owho has produced
(type of identification)
and who Odid Qjid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Harry Miller
4839 - 6th St.
SQ. FEET PRICE
MAIN OR LIVING: 450 $ 50,00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 22,500.00
FEE SHEET $ 145.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 217.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 217.50
ELECTRICAL: $ 38.85
PLUMBING: $ -
MECHANICAL: $ 35.00
RADON: $ 4.50
TOTAL $ 295.85
,) 1 t ,3{
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ .
I
I
I
I
I
WATER METER:I $
IRRIGATION METER $
: I
SUB-TOTAL $
295.85 I
8IF'8:1 $
97.5% $
2.5% $
- I
- I
T 1 F '8 :1 $
99% $
1% $
TOTAL: $
295.85 I
Nor :Ag UMlUa I
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NUF ACTURERS TO PROVIDE CERTIFICATION THAT THEIR W'INDoW'S AND I
ST AND THE' FORCE RESU! TlNG FROM THE SPfTIfIED DESIGN C~C "'IND PRESSURE. I
rALLATIoN INFORMATION TO THE BUILDER SUCH THAT W'HEN INSTALLED PER SAID INSTRUCTIONS
PROVIDE THE CERTIFIED PERFORMANCE.
IS TO INSTALL THE W'INDoW'S AND DOORS ACCORDING TO THE SPECIFIC INSTALLATION INSTRUCTIONS
W'INDoW' AND DOOR MANUFACTURER.
MANUFACTURERS SPECIFICATIONS <CUT SHEETS) ON SITE AT THE TIME OF INSPECTION
HE BUILDING INSPECTOR.
CDX SHEATHING NAILED W'/8d RIS NAILS @ 6' D.C. ON EDGES
&c10' O,C. IN FIELD. USE 1/2' PL YCLlPS,
15# FELT AND SPECIFIED SHINGLES APPLIED
PER MFGRS SPECS FOR 110MPH W'IND SPEED ZONE
(4) NAILS MIN PER SHINGLE.
R: UPLIFT)
12
SIMPSON SP2
PER NOTE
PRE ENGINEERED TRUSSES @2' O,C,
47PSF LoADING/SHINGLES/120MPH \tIIND LOAD
CONTRACTOR VERIFY ROOF PITCH
~ 112' CEILING GYPSUM
FASTEN @7' o,C, MAX
SIMPSON SP2
PER NOTE
FLOOR COVERING
PER o\tlNER
~M
Y.)ti}elrCb J>
~~~IN~r1
f~VIP~
(1JJ ~ ~j)JM
F"-l.'VlI'
f?v Cl' rJ p{)I'
'5H~...l'rUJ
J) );.."I~' L.
1/2' GYPSUM
\tIINDoW'S PER SCHEDULE
RATED FOR 110 MPH W'IND SPEED Be
APPLIED PER MFGRS INSTRUCTIONS
MARBLE W'INDOW' SILLS
2x4 STUDS@16' D.C. CONSTRUCTION
\tIOOD BASE TRIM
4' 3000 PSI CONCRETE SLAB
',J 16x6-#10/#10 \oI\oIM DR POLY FIL
OVER 6 MIL POLY FILM \011 EDGES
LAPPED 6' Be TAPED OVER
CLEAN COMPACTED TERMITE
TREATED SOIL r
~
HN~L 1Jl ~ ~
--- 5TJ~ 5~
aft- ftST~)
lJ'l rt T)" {L Brv+ .
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ENGINEER
ICENCE *1053608
D.W.SMITH,P .E.1:I:53608
FLORIDA PROFESSIONAL ENGINEER LICEI(SE NUMBER 53608
Custom Horne Plan Service
9909 WALLASTON DRIVE-DADE CITY,FLORIDA 33525
P!IK'352-52HI16S rAXI3S2-S2HJl67 E-MIll ~. net
PASCO PERMIT SERVICE
SUZANNE BAHR 813-788-5314
TYPICAL SECTION
FRAME ROOM ADDITION
SHEET Of"
1 OF
SCALE DA TE
1 4"=1FT 6 18 04
DESIGN/DRAWN CHECKED
D.W.SMITH,P,E.
PART NO.
~ -'-"IA''-
---
!::NGINEER'S NOTES:
1.BASIC wIND VELOCITY : 110 MPH (30 SEC GUST>
2. IMPORTANCE FACTOR = 1.0
3. EXPOSURE CAT AGORYI B
4. INTERNAL PRESSURE COEFFICIENT = +.18/-.18 ENCLOSED BUILDINGS
5. DESIGN 'WIND PRESSURE FOR C &. C PER 1606.2B:
ROOF: +12/-20 PSF ZONE IB
+12/--38 PSF ZONE 2B
'WALLS: +21/-23 PSF ZONE 4B
+20/-27 PSF ZONE 5B
'WIND[J'W &DOOR I
DOORS 'WILL 'WI"
AND PROVIDE IN
THE 'WINDO'w' 'w'II
THE CONTRACTOF
SUPPLIED BY TI-
BUILDER TO HA\
FOR REFlEW' BY
~TRUCTURAL PANELS
~l W'oOD STRUCTURAL PANELS OF SIDE 'WALLS SHALL
OVERLAP THE TOP MEMBER OF THE
DOUBLE TOP PLATE AND THE BOTTOM PLATE.
A ROY{ OF 1001 NAILS @ 3~ O.C. SHALL BE 1/2~
MINIMUM FROM EDGE OF BOTH TOP PLATES&BoTTOM PLATE.
USE T'WO STAGGERED RO'WS OF NAILS ON 3: O.C
@BOTToM PLATE &.6~ @VERTICAL EDGES&12~ IN FIELD
USE 801 NAILS @ 6* @ VERT. EDGESSc12* D.C. IN FIELD
SIMPSON HI0 CLIP @ All
TRUSS TO DBL TOP PLA
CONNECTIONS (RATED 90
""
2X4 'WOOD SUB FASCIA ~
&.ALUM DRIP AND FASCIA "
NOTE:
'w'HEREVER THE STRUCTURAL PANELS ARE NOT CONTINUOUS FROM
TOP MEMBEI< OF TOP PLATE TO BOTTOM PLATE AND
'WITHIN 4FT OF EACH CORNER AND ATTACHMENTS TO EXISTING STRUCTURE
USE SIMPSON SP1 OR EQUIVALENT AT STUD TO BOTTOM PLATE CONNECTION &.
USE SIMPSON SP2 OR EQUIVALENT AT STUD TO DBL TOP PLATE CONNECTION
OR EQUIV. APPLIED PER MFG'RS SPECIFICATIONS
VINYL SoFFET MATERIALS ~
DBL 2x4 TOP PLATE~'
DBL 2x-HEADER PER J
PER FBC 2308.5 '" I
(1) LAYER 1/2' oSB OR CD
1/2' CDX OR oSB STRUCTURAL SHEATHING~
FASTEN PER NOTE ............
Rll INS ~
V!Nr.L SIDING ~
PT 2x4 BASE PLATE
FASTEN TO FOUNDATION 'WI
1/2' \lEDGE ANCHORS x4 1/4'
EMEEDMENT LOCATED 'w'ITHIN 8' OF CORNERS
EACH SIDE OF DOORS Sc'WINDo'WS
&. 24' D.C. MAX
3000 PSI CONCRETE ..,
16Hx 12\1 MONOLITHIC FOOTER
'W 1(2) #5 REBAR CON"T'INUoUS
ON CHAIRS SPACED 4' MAX D.C.
/
I hereby certify tho. t I ho. ve perforMed o.nd reviewed this plo.n o.nd found
it to be in cOMplio.nce with design requireMents for 110 Mph wind loo.d
per section 1606 of the Florido. Building Code, 2001 edition.
Do. vid 'vi. SMith,P.E.
L
L
.!!Wi,.~
NfrrlC:E (IF (X)lVIMI~NC~EIVIE.NT
1 I ,
State ({ -----J._(~'j(!.C::?"- .-.-.----.__m__.m___ County of_____~"-(!i? CQ_______._____.__
1'IIE lJNnERSIGNED hereby gives notice that improvement \villlJe made to ce.rta!l! renl 1n:operly,
and in accordance with ClllIpter 71 J, Florida Statutes, the fcdlowing infonllilfloll IS provlClcd III
this Notice of' COllllllencClIlent:
I.. I)cscriptillll or Pmperty: Parcel No. -j--'i-.;;~_a.J_.nt)CD_.~_L~9_.t?Q3Q_.._.____
. . -.--([~eg;,i ~i.(~s~_:l'I~.tl(~,l.~) f.iiJe-r)t:~Jpe-l:ty -;l;urSli~eet-(lJ(~~~c;.~Tr;l~;l[TaT;lcY---. -------.-......
2. (Jcnernllksvriptiun of rmproVeltlcllt ---_2)Q=1:~t.(/ U C~;~~~J_._.____~:~_()t_~;i.__L_}::/I.__....____.
.----.---... ..-.".-- ---. .-.-.-..__. _~_____n_....____ ______._ _..._".
11111111111111111111111111111111111111111111111111111111111I
2004114!549
Rl.
d. .
I i
Addr"s.') ~-~~-~~~.~.~_~___.__ ~ ~~ ___~_~.~_~. City__j:.Jo~d"R.G.~ :;tatc_~~L
C I)) I t ra c I u r: f'~ u III e--,~-=)J~,L2l\Jl,C_____._______._____ ---____h_h_____ _.__ .._ -~.__.__ .0._._
^ddrcss ~~.Ld~<6'~~~.. -Ld!.}_~+_ CitY2epk,\lcl1; i ls~ Slatee!
-.-.__.1
Surely: r\~ :llllC ,._". ._ hh_ .______ hq___... h__ ._Uh _ ..__.._.______.. __.____._ .__
s.
1\( Idle~,,(~
-~---- ----------- ---.- --.
City
,Sf :lIe
1\ III< lIllll (If" UOIHI: $__._.--..:.._________._.____________
Rcpt.: 792321
DS: 0.00
06/18/04
Rec: 10.00
IT: 0.00
Dpty Clerk
6. L,eIHlcr: f\lalllc
"......-._--- ..--. --------.--.-- ..--..------ ---- ----.---------.-- -----.---.---.. .-...--------------.----- ,.,,-
i\1.ldress
... ...--.---.--...-..-..--.--.---.-------------. _. .-----.--- .--
C'j ty __.._.___.___ _._ _ _.h_.h ..,
,';,tnlc
'/. Persuus within the Slate (If Florida designated by OWller UPOII WhOlll l1olin~s 01 uther
CIOCIlItlCIlU; may be served as provided by Sectioll '/13, U ( I) (a) (J), Flmida St:llutes:
Nail It' ~~- ..~. ~-- ~.---___.._ __ ~. .______.__~ ~:~~~JE;o !:UN4~rK
Addrc~;s ---...-... ---._... _.____.______.__....._________ City_____ _._.. ___________.__..._ Stalc.._.__________..____
8. III adcliliull fo ItilllselL OVv'ller designates --.--.-----------h__._____n. ._____________... ____m_..._.._.
uf - ....-.--... -c-. --...-------_.____._____._______... to receive H CUPY' (If Ilw 1 ,iellur's Nutice n:,
pruvided ill SecticlIl '113.[3 (I) (h), l'Iur1da Statlltes.
q ExpilHlioll date of Nu/ice or COIIIllIClh:Clllcllt (tile ex.piratioll dale is veal' frolll tile c1c1tc
of recording ullless a dilTerent dale is specifiec.l.)
,/'....~. .
- -,---- -------. - .--
.. 0.0_.. __________~.__~.______
Sigllnl.II" orUwller: ~~ GU~ '''_ ~')1; )., f" 'tb. ~ ,-w.." ,-y,-..
~c- .. t;~h- -"-,-'- -. --.Y_..___ .--- ...__.le_.__..__,_...____
Swom tu and iluh:;{lfibed b,('fOlf? nle this /E:' del\! uf ~'-"~
Nornr)' I'll hi ~--~~~~:;;=-=:.==-~__=-M .~ _=-_-=-. ..~
'. .., .0UI '6u!puog 'S' "'"
rvI C' ." ,-' . .^"'S NelON 101 A!iV1ON'l:'-OOO-
r~~30:~~~:~~" \(JI, ox 11IIes'-'._.__'"!~~~?~.(~ ... ~~ ~. .... ~'_ _ .
. 20_~'~/.
~
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires July 31, 2002
1m ortant: Read the instructions on a es 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
For Insurance Company Use:
Policy Number
Company NAtC Number
ZIP CODE
LATITUDE/LONGITUDE (OPTIONAL)
( ##0 _ ##' _ ##.##" or ##.#####0)
HORIZONTAL DATUM:
LI NAD 1927 LI NAD 1983
SOURCE: I_I GPS (Type):
LI USGS Quad Map I_I Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B2. COUNTY NAME
84. MAP AND PANEL B5. SUFFIX B8. FLOOD
NUMBER G EFFECT~R~VISE DATE ZO~)
B 10. Indicate the source of ~ Base Flood Elevation (BF ) data or base flood Ciepth entered in B9.
I_I FIS Profile I,LI'FIRM I_I Community Determined 1-1 Other (Describe):
B 11. Indicate the elevation datum used for the BFE in B9: I~ NGVD 1929 I_I NA VD 1988 I_I Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date:
'Il6CtJ
B3. STATE
C-
B9. BASE FLOOD ELEVATION(S)
(Zone AO, us de ~ of flooding)
'_I Yes
~NO
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: LIConstruction Drawings. '_I Building Under Construction* Finished Construction
.A new Elevation Certificate will be required when construction of the building is complete.
C2. Building 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.)
C3. Elevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO
Complete Items C3a-i below 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
calcula#~Us~~space provided or the Comments area.of Section D or Section G, as appropriate, to document the datum conversion.
Datum 'IJ , Conversion/Comments
Elevation reference mark used Does the elevation referez mark used appear on the FIRM? I_I Yes I_I No
~) Top of bottom floor (including basement or enclosure) R .2. ft.(m) ~
o b) Top of next higher floor . _ ft.(m) ~
o c) Bottom of lowest horizontal structural member 01 zones only) . ft.(m) ~ ~
- 00
o d) Attached garage (top of slab) . _ ft.(m) ~-g
o e) Lowest elevation of machinery and/or equipment ~ ~
servicing the building . _ ft.(m) ~ ~
~ Lowest adjacent grade (LAG) R'6"" 0 ft.(m) :i ~
) Highest adjacent grade (HAG) ~S ~ ft.(m) ~
h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~
o i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. em)
SECTION 0 - 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 stat ment may be unishabl by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAME ' LICENSE NUMBER
TITLE
Page 1 Qf 3 I . IDate: February 14,2001 I Case No.: 01-04-1934A I LOMA-OAS
--
~M,t~ Federal Emerg~ncy Management Agency
C~~
Washington, D.C. 20472
-
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (OUT AS SHOWN)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
CITY OF ZEPHYRHILLS, PASCO COUNTY, Lots 3, 4, and 5, Block 15, Moore's FirSt Addition, as described in Warranty
FLORIDA Deed, Document No. 2000142573, recorded in Official Record Book 4480,
COMMUNITY Page 5~3; filed on November 'j 3, 2000, by the Deputy Clerk of Pasco County,
COMMUNITY NO.: 120235 Florida
NUMBER: 1202350005C
AFFECTED NAME: CITY OF ZEPHYRHLLS, PASCO
MAP PANEL COUNTY, FLORIDA
DATE: 12/17/1991
FLOODING SOURCE: ZEPHYR CREEK APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 28228, -82.181
SOURCE OF LAT & LONG: PRECISION MAPPING STREETS 4.0 DATUM: NAD83
DETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWEST LOWEST
WHAT IS CHANCE ADJACENT FLOOR LOT
LOT BLOCK! SUBDIVISION STREET OUTSIDE OF FLOOD FLOOD GRADE ELEVATION ELEV A TI ON
SECTION THE SFHA ZONE ELEVATION ELEVATION
(NGVD29) (NGVD29) (NGVD29) (NGVD29)
5 Moore's First 4835 6th Street Property X (shaded) 84.4 feet 85.1 feet 85.9 feet
15 Addition -
Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent dlance of being equaled
or exceeded in any given year (base flood).
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property
described above~ the information subm}tted and the effective National Flood Insurance Program (NFIP) map. we have' determined that the
pmpertyl'e,} 'oJa "at oate,H" 1he SFHA, ao arna '""""ated b, the 1Io0d he.", a 1-oo<eoot "'am'e of bel", eo"eled " e"eeded '" ao, ,I~" "'., j
(base flood). The s ct property is cQrr~1y shown outside the SFHA located on the effective NFIP map; therefore, the Federal mandatnN flood insurance
requirement does not apply. If the policy has been written uSing an Incorrect zone, n can De enaorsel:rto correct the zone for the current policy year and
one prior policy term. Please contact the insurance agent or company involved to request endorsement of the policy. However, the lender has the option to;
oo""""e the flood I","~"", rnq"'rn~ot to p,ateet Its fi,,"dal ,,' 00 the loa". A Prnfe_ Rj" Polio, IPRP)', a~lIable to, b"'ldl".' looated o""lde Ihel
SFHA. Information about the PRP and how one can apply is enclosed,
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If I
you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter
addressed to the Federal Emergency Management Agency, P.O. Box 2210, Merrifield, VA 22116-2210. Additional information about the NFIP is available
on our web site at http://www.fema.gov/nfip/. I
j
,
j
'\~~- '\~ I
l
Matthew B. Miller, P.E., Chief
Hazards Study Branch MX173010003G1813LOMAG1813SPF1 i
Mitigation Directorate Version 1.3.3
,.page 2 pf 3 I TOate: February 14,2001 I Case No.: 01-04-1934A I LOMA
-
,.
(C~ Federal Emergency Management Agency
Washington, D.C. 20472
-
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
CITY OF ZEPHYRHILLS, PASCO COUNTY, Lots 3, 4, and 5, Block 15, Moore's First Addition, as described in Warranty
FLORIDA Deed, Document No. 2000142573, recorded in Official Record Book 4480,
COMMUNITY Page 593, filed on November 13, 2000, by the Deputy Clerk of Pasco County,
COMMUNITY NO,: 120235 Florida
NUMBER: 1202350005C
AFFECTED NAME: CITY OF ZEPHYRHLLS, PASCO
MAP PANEL COUNTY, FLORIDA ,
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DATE: 12/17/1991
FLOODING SOURCE: ZEPHYR CREEK APPROXIMATE LAl1TUDE & LONGITUDE OF PROPERTY: 28.228, -82.181
SOURCE OF LAT & LONG: PRECISION MAPPING STREETS 4.0 DATUM: NAD83
DETERMINATION
OUTCOME 1% ANNUAL LOWEST LOWEST LOWEST
BLOCK! WHAT IS CHANCE ADJACENT FLOOR LOT
LOT SUBDIVISION STREET REMOVED FLOOD FLOOD GRADE ELEVATION ELEVA110N
SECTION FROM THE ZONE ELEVATION ELEVATION
SFHA (NGVD29) (NGVD29) (NGVD29) (NGVD29)
3 Moore's First 4845 6th Street Structure
15 Addition X (shaded) 84.4 feet 84.4 feet 85.0 feet -
Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1-percent chance of being equaled
or exceeded in any given year (base flood).
ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.)
DETffiMNATlON TABLE (CONTINUED)
PORTIONS REMAIN IN THE SFHA
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property
described above. Using the info~submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the
structure(s) on the property(ies) isla not cated in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in
any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP
map; therefore, the Federal mandatory flood insurance reauirement does notapplv. However, the lender has the option to continue the flood insurance
requirement to pratect its financial risk on the loan. A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA. Information about
the PRP and how one can apply is enclosed.
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If
you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter
addressed to the Federal Emergency Management Agency, P.O. Box 2210, Merrifield, VA 22116-2210. A,dditional information about the NFIP is available
on our web site at http://www.fema.gov/nfip/.
'\~~- ~.~
Matthew B. Miller, P.E., Chief
Hazards Stuny Branch
Mitigation Directorate Version 1.3.3 MX173010003G1813LOMAG1813SPF1
.~age,3 of 3
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IDate: Februarv 14, 2001 I Case No,: 01-04.1934A
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LOMA
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Federal Emergency Management Agency
Washington, D.C. 20472
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
DETERMINATION TABLE (CONTINUED)
OUTCOME 1% ANNUAL LOWEST LOWEST LOWES I
WHAT IS CHANCE ADJACENT FLOOR LOT
BLOCK! REMOVED FLOOD FLOOD GRADE ELEVATION ELEVAllON
LOT SUBDIVISION STREET FROM THE ZONE ELEVATION ELEVATION
SECTION (NGVD29) (NGVD29)
SFHA (NGVD29) (NGVD29)
4 15 Moore's First 4839 6th Street Residential
Addition Structure X (shaded) 84.4 feet 85.0 feet 86.7 feet -
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the preceding 2
Properties.)
This Determination Document has removed the subject of the determination from the Special Flood Hazard Area (SFHA).
However, portions of the property may remain in the SFHA. Therefore, any future construction or substantial improvement
on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management.
This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map
Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, P.O. Box 2210,
Merrifield, VA 22116-2210. Additional information about the NFIP is available on our web site at http://www-fema.gov/nfipl.
'\~~. '\.~
Matthew B_ Miller, P.E., Chief
Hazards Study Branch
Mitigation Directorate Version 1.3.3
MX173010003G 1813LOMAG1813SPF1