HomeMy WebLinkAbout08-5924
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5924
Permit #:592 Issued: 9/11/2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 174,768.00 Total Fees: 3,991.79
Amount Paid: 3,991.79 Date Paid: 9/11/2006
Address: 4925 18TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00300-0050
ALVIN BACHTEL CONSTRUC ION INC
4925 18TH STREET
ZEPHYRHILLS, FL. 33542
MECHANICAL FEE
WATER CONNECTION RESIDENl
FIRE IMPACT FEE
73.77 RADON
419.00 WATER METER RES 3/4"
273.00 PUBLIC SAFETY 5%
SEWER CONNECTION RESIDENl
POLICE IMPACT FEE
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
/)... ~~
S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5924
Permit :5924 Issued:
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 174,768.00 Total Fees: 3,991.79
Amount Paid: Date Paid:
Address: 4925 18TH S EET
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00300-0050
ALVIN BA NS
4925 18TH STREET
ZEPHYRHILLS, FL. 33542
MECHANICAL FEE
WATER CONNECTION RESIDENl
FIRE IMPACT FEE
RADON
WATER METER RES 3/4"
PUBLIC SAFETY 5%
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oC/ JY-/ fj\)Y Ire?'
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION F,!e)LE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER // WATER
SHEATHING FRAME MISC // SEWER
MISC INSULATION WALL MISC ,./' MISC.
MISC. INSULATION CEILING MISC;/ MISC.
MISC. DRIVEWAY M C. MISC.
REINSPECTION FEES: Reinspection fees will comply Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the followin asons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correction~'hot made when inspections called d) work not ready for
inspection when called e) permit not posted QI1/job site f) plans not at job site g) work not accessible.
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NOTICE: In addition to the requirements of tl).iS permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state/agencies or federal agencies.
The payment of inspection fees shpU be made before any further permits will be issued to the person owning same
"Warning to owner: Your fa" re to record a notice of commencement may result in your paying twice for
improvements to your pro)Jf!rty. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
~-~
CONTRACTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED -
PROTECT CARD FROM WEATHER
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
DATE PERMIT ", I
/) ~-Qb J"Ct'd.1
THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job
. will be occepted.
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It is unlawful for any Carpenlar, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM -4:30 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR R~INSPECTION
INSPECTOR / C . ~ I
Dec 07 07 02:13p
Bachtel Construction Inc.
813-949-0550
p,1
Bachtel Construction, Inc.
P. O. Box 1682
Land 0' Lakes, FL 34639
Phone: (813) 949..:5347
Fax; (813) 949-0550
"'\\ow. B<JchLt:lConSlructiOIl.com License # CBC060294 f erc 1427192 info@}BachtcIConstruction.com
December 7, 2007
City of Zephyrhills
Alvin Bachtel Constmction, Inc.
4925 18th Street
Zephyrhills, FL 33542
Permit # 5924
'.
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Re: Permit extension
I am requesting that the permit on the property referenced above, be extended for
an additiona13 months. This request is due to break-ins and vandalism of the home. All
the kitchen cabinets were stolen. For any questions, please contact me at your earliest
convemence.
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PASCO COUNTY, FLORIDA
Permit No. 5927'
Date Permitted 7 -:-11-0 (,
Builder Name/Owner Name 4/ tJ ,h AlJrJ.. -kI Control #
County Parcel No. I Cf- Z6 - Z./~oD I o~ ()Os,()O- ()65(j SubDiv:
Address/Location 4 <1 '2- 5 / [j <a S +reeF
Classifioationrrype of USE;! leJj,~'a.!J 0'tJ k ~ '&
TRANSPORTATION IMPACT FEE. Rate: Sq Ft Unit:
Exempt 0 Yes 0 No How Determined
Impact Fee Amount $ ^ III Zone No.
.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) Collection Fee
Exempt U Yes 0 No' How Determined
Amount $
LjS57.lf
PARKS AND RECREATION FEE'
Land Aocount Land Credit
Land Total
Recreation Account
Recreation Credit Recreation Total
TOTAL AMOUNT $ 7 h 9, sf:,
Zone
Exempt 0 Yes 0 No
How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Exempt 0 Yes 0 No
How Determined
Facility Total
Total Amount ~
,
RESOURCE FEE ERU
TOTAL AMOUNT
Prep"ed By S ~= Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMO~NTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE
RECEIVED BY
RECEIPT NO.
DATE
BY
Alvin Bachtel - Lot 5 - 4925 18th Street
SQ. FEET PRICE
MAIN OR LIVING: 1,986 $ 88.00
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 174,768.00
FEE SHEET $ 804.16
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 880.24
ELECTRICAL: $ 147.07
PLUMBING: $ 102.50
MECHANICAL: $ 73.77
SUB-TOTAL $ 1,203.58
RADON: $ 19.86
TOTAL $ 1,223.44
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: 1$ 553.35
SUB-TOTAL $
3,991.79 I
769.561
PARK IMPACT FEESI $
SIF'S: $ 4,314.00
100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TlF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 10,706.49 I
City of Zephyrhills - Building Dept
Phone: (813)-780-0020
FAX: (813)-780-0021
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I TO: Bachtel Corp FROM: Karen :
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: FAX#: ';<;\3 Jil.\Ct - 6\:::'~v FAX#: 813-780-0021 :
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: DATE: 7-3-06 # OF PAGES: 6 :
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: MESSAGE: :
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: When you gave the plans for the residence on 18th Street in the parking lot I neglected to :
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: inform you that Mr. Rick Moore has required the attached be filled out and submitted for :
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: approval as well on any new commercial or residential property being developed. :
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: Once the plans and the right-of-way permit have been reviewed and approved we will be I
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I able to process the permit. Thank you. I
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhi11s, FL 33542 <2
813-780-0020 FAX: 813-780-0021 k~ 1- 10"11. -I IIP~
DA~E RECEIVED ~
PHONE CONTACT FOR PERMITTING &/1) 9~tf-5LJc
OWNER'S NAMEA/L/I/ll3ochle/ COl'Zf'7'/'Kn-bn ..7/1C, PHONE (Rl;,)9OJK-5tJiT /
JOB ADDRESS L 0 I 5' / If T1t SzL /.~ e/.' (~q a (:~ ')
LEGAL DESCRIPTION: LOT (S) .~ t .fo BLOCK f)tJl ~ SUBDIVISION t-:;Jc:J 3' CJ.,tJ
PARCEL ID t lif-~-d/- tJtJl ~.-07j;J3f),tJ-!JtJs.o (OBTAIN FROM PROPERTYTAX NOTICE}
WORK PROPSED: jlJNEW CONSTRUCTION
D SIGN
PROPOSED US~GL FAMILY DWELLING
o COMMERCIAL
D ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
OMULTI-FAMILY
o INDUSTRIAL
0, OF UNITS
o SWIMMING POOL
o MOBILE HO.
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESClUPTION OF WORK Lf/ ~w If' ~,.i'/ d;c4C C"'"
BUILDING SIZE Yo-?1 31 SQUARE FOOTAGE /? tFC-
HEIGHT /~'
JESIDENTIAL: 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.
PBRMITS RBgUBS'.rBD
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
$6~ t).~O
/5!J
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~- Progress Energy 0
W.R.E.C.
\~O~ _ './
$ ;) ~ tJ f) - ~ VALUATION OF MECHANCIAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME
FINISHED FLOOR ELEVATIONS 511A.~IX}OI
o STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES *NO
SIGNJ\TURE
.~ ~
\-' ~ OMPANyA/wh~~N~/CP.MS'I'-~h .1P
/~
STATE CERT OR REGIST I C'.lJc.tJ6!'.J~ 9 Y \)
BUILDER
******************************************************************
ELECTRIC
COMPANY f<~<: C.("s,...:? E/~c:6;'c.@
s~.~:-:::GI~, Fe ~O.2!>--Fi)
*******************~..r.;':t*~~:******************";** . ~,
411/11'1 qclt k I C "US; /t;:J~ :t: ~ r IS!/"
COMPANY c;:.
PLUMBER
SIGNATURE
t/'
MECHANICAL
STATE CERT OR REGIST I ~1( 3'~ ~
.. L ')=J~" ' , ":----
**************************************~***~*~**~***~~~~ .
<Y.rHli:R
COMPANY
SIGNATURE
STATE CERT OR REGIST t
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions"- 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 ~ay 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 contractors, 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 IHPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that 1, 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 1 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 "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'c
period of six months after the time, the work is cOl8l8nced. 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 si:
month period, or "the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CQMMENCEMENT HAY RESULT IN YOUR
PAYING TWICE 'FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JogS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this -----pay of
by
STATE OF FLORIDA
C,OUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
(name of person acknowledged)
o who is personally known to me, or
o who has produced
(type of identification)
and whoO did Odid not take an oath.
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification
and who Odid [):lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
JUL-12B-2006 14: 53
PASCO COUNTY DEU REUIEW
727 815 7000
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TO.: K~,.rep FROM: -;{I.JJ}'f ':
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FA'X#: 721-815~7000 FAX#: 813-780-0021 :
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DATE: 7-3,..06 # OF ,PAGES: 3 :
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----~--------~-----~----------------~-~----_.~--------------------.
;Citr .of Zep\yrbills - Btiildmg D,ept
Phone: (813}-780io020
FAX: '(813 )-780..~b21
MESSAGE: Happy July. We ere in need of an address {or the below property" If you
have any problems f')t questions, please CC)ntact me. Thank you.
Street Facing:
Parcel ID:
Lot#:
Type:
~~ Jl92 S-
14-26-21-Q01 O..O{)~OO-0050
5
New Single Famil.y :Residen~e
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f.41i)o~
......, \
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'.-.17 01
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[0 i
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1~:77
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I \Opc.~O
~( i: 'ij
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, ,u.bo
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q, ~~"'57 , ~'f
J
Transportation Impact Fee
J,){)i,~()
Park Impact Fee
7bCJ ,i ~
Public Safety Impact Fee
553 '''?-)
Parcel Information for: 14-26-21-0010-00300-0050 Card: 001
Page 1 of 1
Search Again Show Map Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes
Thl~ online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts
may not reflect current values.
Mailing Address
DAGENHARDT KATHLEEN
1221 THOMAS ST
HOMEWOOD, IL 604304223
Physical Address
14-26-21-0010-00300-0050 (Card: 001 of 001)
00- Vacant Residential
Assessment (totals)
Ag Land
Land
Building
Extra Features
ParcellD
Classification
Legal Description (First 4 Lines)
Taxable Value
$0
$34,452
$0
$0
$34,452
$0
$34,452
Total Assessment
Save Our Homes
Previous Owner
;;;~ I M~~th
2003 I 06
Building Information
Unimproved Parcel 0
Extra Features
No Extra Features
Sales History
BREEN PATRICIA A
Book I Page II Type II
5739/1009 II QC II
5422 /1556 I WD I
Amount
$0
$20,300
Search Again Show Map Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes
http://appraiser.pascogov.comlsearch/offline.asp?sec=14&twn=26&mg=21 &sbb=OOl O&blk... 7/312006
Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida Section 14, Township 26, Range 21, 0.5 miles ESE of ~
When I click on the map:
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http://maps.pascogov.comlmaps/showmap.asp?Name=PascoMap _ N ew&mdi= 150 12218&m... 7/3/2006
THIS INSTRUM~NT PREPARED BY
RECORD AND RETURN TO:
All Real Estate Title Services, Inc.
4032 Land-O-Lakes Blvd.
Land-O-Lakes, Florida 34639
Property Appraisers Parcel Identification
(Folio) Numbers: 14-26-21-0010-00300-0050
Grantee SS #: 593391829
Space Above This Line For Recording Data
.
THIS WARRANTY DEED, made the 28th day of June, 2006 by PATRICIA BREEN, AS TO HER SEPERATE
NON-HOMESTEAD PROPERTY, herein called the grantor, to ALVIN BACHTEL CONSTRUCTION, INC., A
FLOJUDA CORPORATION, whose post office address is 22464 WEEKS BLVD, LAND 0' LAKES, FLORIDA 34639,
hereinafter called the Grantee:
(Wherever used herein the terms "grantor" and "grantee" include all the parties to this instntment and the heirs, legal representatives and
assigns of individuals, and the sllccessors and assigns of corporations)
WIT N E SSE T H: That the grantor, for and in consideration of the sum ofTEN AND 00/1 OD'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 5, LESS THE NORTH 10 FEET AND ALL OF LOT 6, BLOCK 3, MOORE'S FIRST ADDITION TO
THE TOWN OF ZEPHYRHILLS, ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 1,
PAGE 57; OF THE 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 and lawful authority to sell and convey said land, and hereby warrants the title to said land and will
defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except
taxes accruing subsequent to December 31, 2005.
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:
FORM 600A-2004
..
,11"'" .~
l~ .;:--w{.
EnergyGauge@4.0'
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Builder: A.i J (1 ~\-)n:L .!
Permitting Office: L~\-'-1. e:k 2.P-e~ \-I-W:J.:..i~
Permit Number: 5Cf,;2L( i
Jurisdiction Number: w \ \ 0;00 I
Project Name:
Address:
City, State:
Owner:
Climate Zone:
Bachet1412e
t-\'4d5 \~ S\-\'e~\:-
,~')n'in\\ lIS) YL-
Central
'1
,
I. New constmction or existing New
2. Single family or multi-family Single family
:.r Number of units, if multi-family I
4. Number of Bedrooms 3
5. Is this a worst case? No
6. Conditioned floor area (IF) 1412 ft,
7. Glass type I and area: (Label reqd. by 13-104.4.5 ifnot default)
a. U-factor: Description Area
(or Single or Double DEFAULT) 7a(Sngle Default) 117.0 IF
b. SHGC:
(or Clear or Tint DEFAULT)
R. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Frame. Wood. Exterior
b. Frame. Wood. Adjacent
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Attic
b. N/A
7b.
(Clear) 117.0 ft,
12. Cooling systems
a. Central Unit
Cap: 35.6 kBtu/hr
SEER: 13.00
b. N/A
c. NtA
13. Heating systems
a. Electric Heat Pump
Cap: 34.4 kBtu/hr
HSPF: 8.90
R=O.O, 174.0(p) ft
R= 1 1.0, 902.0 ft,
R= 11.0. 331.0 ft2
R=19.0, 1412.0 ft,
Sup. R=6.0. 120.0 ft
b. NtA
c. N/A
14. Hot water systems
a. Electric Resistance
Cap: 50.0 gallons
EF: 0.90
b. NtA
c. Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
(CF-Ceiling fan. CV-Cross ventilation.
HF-Whole house fan.
PT-Programmable Themlostat.
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
[~I~~SIFloor Area 0.08
PASS
j
Total as-built points: 20065
Total base points: 21276
I hereby certify that this building, as designed, is in compliance
with the Florida Energy C
OWNER/AGENT:
DATE:
r----~_.-
I
! I hereby certify that the plans and specifications covered by
this calculation are in compliance with the Florida Energy
Code. ~
PREPARED BY: /l1/4t:.. b<~'1.u 5,~r.....'e- L^&-
DATE: / - 2-4- .2 ()i~(;
Review of the plans and
specifications covered by this
calculation indicates compliance
with the Florida Energy Code.
Before construction is completed
this building will be inspected for
compliance with Section 553.908
Florida Statute '.
BUILDING
DATE:
--,
I
I
,
I
type. For actual glass type and areas, see Summer & Winter Glass output on pages 2&4.
EnergyGauge@ (Version: FLRCSB v4.0)
FORM 600A-2004
EnergyGauge@ 4.0
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
~)DRESS: , , ,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/Se Omt Len Hgt Area X SPM X SOF = Points
.18 1412.0 25.78 6552.2 Single, Clear W 1.0 6.0 15.0 57.68 0.97 838.0
Single, Clear S 1.0 6.0 15.0 48.22 0.94 682.9
Single, Clear W 1.0 6.0 15.0 57.68 0.97 838.0
Single, Clear W 1.0 6.0 15.0 57.68 0.97 838.0
Single, Clear N 1.0 5.0 12.0 30.19 0.96 348.5
Single, Clear N 1.0 6.0 15.0 30.19 0.97 441.2
Single, Clear E 1.0 6.0 30.0 63.97 0.97 1859.3
As-Built Total: 117.0 5845.8
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjace,nt 331.0 0.70 231.7 Frame, Wood, Exterior 11.0 902.0 1.90 1713.8
Exterior 902.0 1.90 1713.8 Frame, Wood, Adjacent 11.0 331.0 0.70 231.7
Base Total: 1233.0 1945.5 As-Built Total: 1233.0 1945.5
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 21.0 1.60 33.6 Exterior Wood 21.0 7.20 151.2
Exterior 21.0 4.80 100.8 Adjacent Wood 21.0 2.40 50.4
Base Total: 42.0 134.4 As-Built Total: 42.0 - 201.6
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under Attic 14120 2.13 3007.6 Under Attic 19.0 1412.0 2.82 X 1.00 3981.8
Base Total: 1412.0 3007.6 As-Built Total: 1412.0 3981.8
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 174.0(p) -31.8 -5533.2 Slab-On-Grade Edge Insulation 0.0 174.0(p -31.90 -5550.6
Raised 0.0 0.00 0.0
Base Total: -5533.2 As-Built Total: 174.0 -5550.6
INFILTRATION Area X BSPM = Points Area X SPM = Points
1412.0 14.31 20205.7 1412.0 14.31 20205.7
EnerqyGauge@ DCA Form 600A-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
FORM 600A-2004
EnergyGauge@4.0
SUMMER CALCULATIONS
Resipential Whole Building Performance Method A - Details
I ADDRESS: , · ·
PERMIT #:
BASE AS-BUILT
Summer Base Points: 26312.2 Summer As-Built Points: 26629.8
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(System - Points) (OM x OSM x AHU)
(sys 1: Central Unit 35600 btuh .SEER/EFF(130) Ducts:Unc(S).Unc(R),Alt(AH).R6.0(lNS)
26630 1.00 (1.09 x 1.150 x 1.1 0) 0.262 1.000 9605.1
26312.2 0,4266 11224.8 26629.8 1.00 1.375 0.262 1.000 9605.1
EnergyGauge ™ DCA Form 600A-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
FORM 600A-2004
EnergyGauge@ 4.0
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , I I
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point
.18 1412.0 5.86 1489.4 Single, Clear W 1.0 6.0 15.0 13.25 1.00 199.2
Single, Clear S 1.0 6.0 15.0 9.90 1.01 149.7
Single, Clear W 1.0 6.0 15.0 13.25 1.00 199.2
Single, Clear W 1.0 6.0 15.0 13.25 1.00 199.2
Single, Clear N 1.0 5.0 12.0 15.07 1.00 180.3
Single, Clear N 1.0 6.0 15.0 15.07 1.00 225.5
Single, Clear E 1.0 6.0 30.0 12.37 1.01 374.4
As-Built Total: 117.0 1527.6
WALL. TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adjacent 331.0 1.80 595.8 Frame, Wood, Exterior 11.0 902.0 2.00 1804.0
Exterior 902.0 2.00 1804.0 Frame, Wood, Adjacent 11.0 331.0 1.80 595.8
Base Total: 1233.0 2399.8 As-Built Total: 1233.0 2399.8
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 21.0 4.00 84.0 Exterior Wood 21.0 7.60 159.6
Exterior 21.0 5.10 107.1 Adjacent Wood 21.0 5.90 123.9
Base Total: 42.0 191.1 As-Built Total: 42.0 -- 283.5
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points
Under j\,ttic 1412.0 0.64 903.7 Under Attic 19.0 1412.0 0.87 X 1.00 1228.4
Base Total: 1412.0 903.7 As-Built Total: 1412.0 1228.4
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 174.0(p) -1.9 -330.6 Slab-On-Grade Edge Insulation 0.0 174.0(p 2.50 4350
Raised 00 0.00 0.0
Base Total: -330.6 As-Built Total: 174.0 435.0
INFIL TRA TION Area X BWPM = Points Area X WPM = Points
1412.0 -0.28 -395.4 1412.0 -0.28 -395.4
EnergyGauge@ DCA Form GOOA-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
FORM 600A-2004
EnergyGauge@4.0
WINTER CALCULATIONS
,Residential Whole Building Performance Method A - Details
~)DRESS: , , ,
PERMIT #:
BASE AS-BUILT
Winter Base Points: 4258.0 Winter As-Built Points: 5479.0
T atal Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(System - Points) (OM x OSM x AHU)
(sys 1: Electric Heat Pump 34400 btuh ,EFF(8.9) Oucts:Unc(S).Unc(R),Att(AH),R6.0
5479.0 1.000 (1.078x1.160x1.11) 0.383 1.000 2916.4
4258.0 0.6274 2671.5 5479.0 1.00 1.388 0.383 1.000 2916.4
EnergyGauge ™ DCA Form 600A-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
FORM 600A-2004
EnergyGauge@ 4.0
WATER HEATING & CODE COMPLIANCE STATUS
.Residential Whole Building Performance Method A - Details
~)DRESS: , , ,
PERMIT #:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
3 2460.00 7380.0 50.0 0.90 3 1.00 2514.67 1.00 7544.0
As-Built Total: 7544.0
CODE COMPLIANCE STATUS
BASE AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
11225 2671 7380 21276 9605 2916 7544 20065
I
PASS
I
EnergyGauge ™ DCA Form 600A-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
FORM 600A-2004
EnergyGauge@4.0
Code Compliance Checklist
.Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
6A-2:1 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS
Exterior Windows & Ooors
Exterior & Adjacent Walls
SECTION
606.1.ABC.1.1
606.1.ABC.1.2.1
Floors
606.1.ABC.1.2.2
Ceilin!~s
606.1.ABC.1.2.3
Recessed Lighting Fixtures
606.1.ABC.1.2.4
Multi-story Houses
Additional Infiltration reqts
606.1.ABC.1.2.5
606.1.ABC.1.3
PERMIT #:
REQUIREMENTS FOR EACH PRACTICE CHECK
Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area.
Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility
penetrations; between wall panels & toplbottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends
from, and is sealed to, the foundation to the top plate.
Penetrations/openings >1/8" sealed unless backed by truss or joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed
to the perimeter, penetrations and seams.
Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases,
soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate;
attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that is sealed at the perimeter, at penetrations and seams.
Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a
sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from
conditioned space, tested.
Air barrier on perimeter of floor cavity between floors.
Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA,
have combustion air.
COMPONENTS
Water Heaters
SECTION
612.1
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
Swimming Pools & Spas
612.1
Shower heads
Air Distribution Systems
612.1
610.1
HVAC Controls
Insulation
607.1
604.1,602.1
REQUIREMENTS CHECK
Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir
breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap required.
Spas & heated pools must have covers (except solar heated). Non-commercial pools
must have a pump timer. Gas spa & pool heaters must have a minimum thermal
efficiency of 78%.
Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG.
All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically
attached, sealed, insulated, and installed in accordance with the criteria of Section 610.
Ducts in unconditioned attics: R-6 min. insulation.
Separate readily accessible manual or automatic thermostat for each system.
Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides.
Common ceiling & floors R-11.
EnergyGauge ™ DCA Form 600A-2004
EnergyGauge@/FlaRES'2004 FLRCSB v4.0
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE* = 84.5
The higher the score, the more efficient the home.
I. New construction or existing New
~ Single tinnily or multi-family Single family
3. Number of units. if multi-family I
4. Number of Bedrooms 3
5. (s this a worst case? No
6. Conditioned \loor area (IF) 1412 ft2
7. Glass type 1 and area: (Label reqd. by 13-104.4.5 ifnot default)
a. U..factor: Description Area
(or Single or Double DEFAULT) 7a(Sngle Default) 117.0 fF
b. SHGC:
(or Clear or Tint DEFAULT)
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Frame, Wood, Exterior
b. Frame. Wood, Adjacent
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
II. Ducts
a. Sup: lInc. ReI: lInc. AH: Attic
b. N/A
7b.
(Clear) 117.0 ft2
12. Cooling systems
a. Central Unit
Cap: 35.6 kBtu/hr
SEER: 13.00
R=O.O, I 74.0(p) ft
R= 11.0, 902.0 ft2
R=I 1.0, 331.0 ft2
R=19.0, 1412.0 ft2
Sup. R=6.0, 120.0 ft
b. N/A
c. N/A
13. Heating systems
a. Electric Heat Pump
Cap: 34.4 kBtu/hr
HSPF: 8.90
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
Cap: 50.0 gallons
EF: 0.90
b. N/A
c. Conservation credits
(HR.Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
(CF-Ceiling fan, CV-Cross ventilation,
HF- Whole house fan,
PT -Programmable Thermostat,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
I certif;{ that this home has complied with the Florida Energy Efficiency Code For Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection. OtheIWise, a new EPL Display Card will be completed
based on installed C e compliant featur
Builder Signature: Date: Lt9 -tJ 6'
Address of Home:L'p/ S Itf/4 S./. City/FLZiP:..77~""~//b ,rL ~G'ODWF.~~~
, .3.75Y,;J
*NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program.
This is ~'1Ot a Building Energy Rating. If your score is 80 or greater (or 86 for a us EP A/DOE EnergyStarTN~esignation),
your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at wwwftec.uc;fedufor
information and a list afcertified Raters. For information about Florida's Energy Efficiency Code For Building
Construction, contact the Department of Community Affairs at 850/487-1824.
I Predominant glass type For actual glass type and areas..... see Summer & Winter Glass output on"'p'ages 2&4.
. .tnergyGauge@ (Version: FLRCsB v4.0)
I
. Elite Software Develo:a~~;t'1 ~1~i I
__________~~___________.._._._.____==__~_::.::.=~=~ggftJ-: I
i I
..._~____~ I
;~:~_ L~~_;__ G~~ _~_~;~ ____~1o;~ll
60 2,440 0 3,698 3,698
I Rhvac - Residential & Light Commercial HVAC Loads
HVAC Design Service Inc.
iI?l1lfla,!"L 336.?i.._____.._...~_____
:tgl~TETL;H0_'2_g Summary Loads
Component
,[)~scripti()n_ UH _______________
1 A-em-a: Glazing-Single pane, operable window, clear,
metal frame no break, outdoor insect screen with
50% coverage, light color drapes with medium weave
I with 25% coverage, u-value 1.27
i 1A-cm-o Glazing-Single pane, operable window, clear,
I metal frame no break, u-value 1.27
I 11 D: Door-Solid Core
12B-Osw: Wall-Frame, R-11 insulation in 2 x 4 stud
cavity, no board insulation, siding finish, wood studs
, 12B-Osw: Part-Frame, R-11 insulation in 2 x 4 stud cavity,
no board insulation, siding finish, wood studs
16B-19: Roof/Ceiling-Under attic or knee wall, Vented
Attic, No Radiant Barrier, Dark Asphalt Shingles or
Dark Metal, Tar and Gravel or Membrane, R-19
insulation
22A-prn-c: Floor-Slab on grade, No edge insulation, no
insulation below floor, carpet covering, passive,
heavy dry or light wet soil
Subtotals for structure:
People:
Equipment:
Lighting:
Ductwork:
Infiltration: Winter CFM: 85, Summer CFM: 43
Ventilation: Winter CFM: 0, Summer CFM: 0
AED Excursion:
Total Building Load Totals:
57
2,317
42
902
508
2,801
331
962
1412
2,214
174
6,569
17,811
o
920
220
4
o
4,510
2,980
o
o
25,301
826
805
o
o
2,771
I Chec_~.E~gures
Total Building Supply CFM:
Square ft. of Room Area:
Volume (W) of Condo Space:
: ~~lclif}g_~()51.c:l~_
Total Heating Required With Outside Air:
Total Sensible Gain:
Total Latent Gain:
Total Cooling Required With Outside Air:
o
4,034
4,034
418
2,547
642
3,805
o
o
o
o
418
2,547
15,144
2,120
1,720
o
5,876
1,758
o
495
27,113
1,200
1,412
11,296
o
642
CFM Per Square ft.: 0.850
Square ft. Per Ton: 508
Air Turnover Rate (per hour): .. 6.4 I
I
-~-----~---- --~~----~-
25,301
24,342
2,771
27,113
Btuh
Btuh
Btuh
Btuh
25.301
90
10
2.26
2.78
MBH
%
%
Tons (Based On Sensible + Latent)
Tons (Based On 73% Sensible Capacity)
o
3,805
I
I
I
I
I
I
II
--~_._----~~--~-_.j i
I
I
I
I
I
r~ote_~ __________..____
Calculations are based on 8th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
o
15,144
1,200
1,500
o
5,050
953
o
495
24,342
i
--.I
Rhvac - Residential & Light Commercial HVAC Loads .
HVAC Design Service Inc.
. IClfIlfJ.a,X,=-~~2_'L.._________
L~stelJ7 1,Rpom Load Summary
--
Htg
Room Area Sens
No Name SF Btuh
, --_._-------_._.__._-_.._-_._.._-_._-_.._-------_._~_...-----
---Zon e 1---
1 Mst Bd
2 Mst Wic
3 Mst Bth
4 Bd 2
5 Laundry Rm
68th
7 Bd 3
8 IKitchen
9 Living Rm
AED Excursion
Duct Loads
System 1 total
---
~~Iing System Summary
r
Net RE~quired:
Recommended:
255
56
64
156
129
40
154
121
437
1,412
Cooling
Tons
2.26
2.78
4,264
1,260
588
1,834
202
368
2,942
1,581
7,752
4,510
25,301
Htg
Nom
CFM
97
29
13
42
5
8
67
36
176
473
Sensible/Latent
Split
90% /10%
73% / 27%
Run
Duct
Size
1-8
1-4
1-4
1-6
1-4
1-4
1-7
1-8
2-9
Run
Duct
Vel
566
377
217
591
328
136
526
460
558
Sehsible
Btuh
24,342
24,342
--'I
Elite Software Development, Inc. i i
Bachet 1412 ! I
------------- Page 2 ; I
Ii
Clg Clg Clg Air I
Sans Lat Nom Sys i
Btuh Btuh__Q.f_~_~FM f
3,097
515
296
1,817
448
186
2,200
2,515
7,723
495
5,050
24,342
198
50
60
74
o
60
155
168
1 180
826
2,771
Latent
__~______~Huh_
2,771
9,003
182 198
30 33
17 19
107 116
26 29
11- 12
130 140
148 161
455 493
1,107 1,200
Tota~ I
_Btuh I
27,113
33,345
, · 14-26-21-0010-00500-0000
t
90'
Alvin 13ac hte I Con5i:ruc-tion, Inc.
P .0. 130x. 1682
L-and 0'L-ake5, fL- 54659
(815) 949-0547
fax.( 815) 949-0000
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BUlL IN SHALL COMPLY wrm
ALL PPL CABLE CITY OF
ZEPl 1.8 ORDINANCE.
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1111111111111111I 11111 111111111111111 11111 11111 11111111I 1111
2006183317
PERMIT NUMBER:
. .,
TAX FOLIO NUMBER: 14-26-21-0010-00300-0050
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes the following information is
provided in this Notice of Commencement:
1. Description of property: Lot 5, LESS the North 10 feet thereof and all of Lot 6,
Block 3, MOORE'S FIRST ADDITION TO THE TOWN OF ZEPHYRHILLS, according to the
map or plat thereof as recorded in Plat Book 1, Page 57, Public Records of Pasco County, Florida
2.
Address of the property:
4925 18th Street, Zephyrhills, FL 33542
3. General description of improvements: construct single family home
4.
Owner Information:
A. Name and Address:
Alvin Bachtel Construction, Inc.
3633 Greatwood Court Rcpt: 1030953 Rec: 10.00
Land O'Lakes, FL 34639 DS: 0.00 IT: 0.00
09/07/06_______ ..opty Clerk
B. Interest in Property: Fee Simple
C. Name and Address of fee simple title holder:
JED PITTMAN PASCO COUNTY CLERK
N/ A 09/07/06 03: 41lm 1 of 1
OR BK 717tl PG 1468
5. Contractor name and address: Alvin Bachtel Construction, Inc.
3633 Greatwood Court R'
Land O'Lakes, FL 34639 ..:
6. Surety name and address: NONE
7. Lender name and address: First Citrus Bank
10824 N. Dale Mabry Highway
Tampa, FL 33618
8. Persons within the State of Florida designated by.Owner upon whom notices or other
documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes:
NONE
9. In addition to himself, Owner designates NONE to receive a copy of the Lienor's Notice
as provided in Section 713. 13(a)(b), Florida Statutes.
10. Expiration date of the Notice of Commencement: (one year from the date of recording,
unless a different date is specified)
E OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before ~this 30th day of August, 2006
by Jeffrey Bachtel ( ) who is personally known to me or ~as provided a Florida Driver
License as identification and who did not take an at .
I.fIMR MrJ\(tOlUe5
Nolay PubIc. StcD Of Flaftdo
No. DD-S5333O
. Commission Expl"~d'" 19, 2010
NOT AR PUBLIC, State 0
My Commission Expires:
Printed Name:
r, (
,""....,.i ___
.._~
r~'
''''-..'
o
o
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-71G-8008 FAX 813-710-71110
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
~-'O~ }S
WATER ACCT. NO.
DATE q - \ (;) - 0(.:.
OWNER!
RENTER
A,'\J\V\ ~n C h~
?6,60; Ita 8~
k?\.K"\ cl a 1.-oJ~
C r fY")....,+ru ch C/YJ
MAIUNG
A 34(" 39
SERVICE ADDRESS 4Cfa5 \g+h 5+.
SHUT OFF SERVICE 0
TURN ON SERVICE u:v
. " "'<'~ ~
INSTALL METER [i]/
READ METER 0
"',--
CHECK METER 0
OTHER 0
3/41j W~ ~
WORK COMPLETED BY
& DATE COMPLETED
Ln+ 5
~
SqdY
~WATER
o SEWER
o GARBAGE
[i}-JN CITY
o OUT CITY
--t-- No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT lAST Bill
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
, .I, '
f,.WZJ)J- r)
/" #f,~O>f
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(;(
Jyl 03 06 03:55p BACHAR
JlJL/03/2006/MON 02: 45 PM ZEPHYRHILLS BUILDING
8oc.h/e/
FAX No. 8\3-780-002\
(813) 949-0550
P.002
p. 1
P~n:;~
crrY OJ! :u.PHY~BJl;U - BUaLD~G DEPA,RTMJ:NT
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(813) 949-0550
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