HomeMy WebLinkAbout04-3043
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3043
Permit Number: 3043 u' Issued: 5/04/2004 i
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 101-NEW CONST/SFR '
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value: I'
Cost: 97,100.00 Total Fees: 3,282.34
Amount Paid: 3,282.34 Date Paid: 5/04/2004
Address: 37337 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number:
Name: RYMAN CONSTRUCTION CO., INC.
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: (813)782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Name: RYMAN CaNST
Address: 37337 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
1 . E
419.00 MECHANICAL FEE
19.42 WATER METER RES 3/4"
1,
71.92 I BUILDING FEE
180.00 i
1 .
768.00
{OLI
LE
PRE-SLAB CONSTRUCTION POLE DUCTS INSULATED
LINTEL PRE-METER FINAL MECHANICAL
FRAME MISC I SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY . MISC. , MISC. , FIRE DEPT. FINAL
-------.--------L--------.--._~'____._.________=____1~_______________
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
NO OCCUPANCY BEFORE C.O.
-.------ ----- --- -- --~--- .. -- --
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DA~ RECEIVED f-.!JD -D1
PLANS REVIEW FEE
OWNER'S NAME K eU I V) ~ '(trio. t'\ J ~,~ Q""..H/I--,,", <MONE ;?l ~
JOB ADDRESS L 0 q Le..\Jf'l.\ H ~ ~ ac Ie: dt i v
LEGAL DESCRIPTION: LOT (S) L.J q BLOCK SUBDIVISION
PARCEL ID # 3L-t - ;:). 5 - a r - 0 100 ~ 00000 - OL-l9010RTATN FROM PROPERTY TAX NOTTCF.1
-... --.. ...~...'"'"'... ... ""'.u-..)
BUl~rNG DEPARTMENT
WORK PROPSED: ~EW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
~
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE 5"5
&,~ IJ ~QW
· 8"
x: l-/ q-
S;"'(1\Q ta...,; 17 Ho~~
SQUARE FOOTAGE J q 1./ :J
HEIGHT
8'-OtJcd&
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
$ 2)1000
;)ntJ
PERMITS REQUESTED
'7l~ #~
rkBUILDING
R ELECTRICAL
n.,PLUMBING
J2g:...MECHANI CAL
o GAS ~ROOFING
<..
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~ FLORIDA POWER 0
W.R.E.C.
$
~~
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o SPECIALTY
TYPE OF CONSTRUCTION: 1)1 BLOCK 0 FRAME 0 STEEL 0 OTHER
FINI SHED FLOOR ELEVATIONS $" .Io.,..dl:u... ; .~. IS PROJECT IN FLOOD ZONE AHEAD YES ~ NO
BUILDER COMPANYRYMA}T eON5TRUCTIO}T, nTe
~ STATE CERT OR REGIST # ('~C-035134
SIGNA: .J ------ CITY PROCESSING # 274
-*** -- -- *********~************************************************
ELECTRICIAN
SIGNATURE q~~ ~~
COMPANY. EAST PASCO ELECTRIC
STATE CERT OR REGIST # ER-0014591
CITY PROCESSING #
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PLUMBER
SIGNATURE
8~J~
COMPANY DENNI5 WILI.L~_W5
STATE CERT OR REGIST # RF-05260
CITY PROCESSING #
1dB~ ':)
SIGNATURE .' _ p~~
***********.*******************************************************
COMPANY ~n~~s GnS ~WD ~/c
STATE CERT OR REGIST # CAC-043498
CITY PROCESSING #
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OTHER COMPANY RYMAN CONSTRTlCTTON. TNC.
\ STATE CERT OR REGIST # RC-0061.648
SIGNATU~ '~ ~ __ CITY PROCESSING #
*****************************************************************
,"-U1HJ.LLLVN;) VI: t't.Klv!.Ll AJ:J:.J..JJAV.J..T
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" whtch
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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions 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.
Application 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 ~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 PO~T ~NOTICE OF COMMENCEMENT".
~UR~ER U AGENT CONTRACTOR
STATE OF FLORIDA ~ STATE OF FLORIDA P ~
COUNTY OF COUNTY OF
The foregoin i t~ent w~~ acknowledg~,t The foregoing inst~nt w~ aC~anowle~e?~
:;f~. me t . s V day of ~ ~--+ :;fore~ ~ ~ of ",.-- ~ ,~ ~
In~me of person ackno ledged) _~me of person acknowledged)
--#EtWho is personally known to me, or. ~ho is personally known to me, or
o who
o who
of identification)
take an oath.
of P s taking acknowledgment
.~ Bobbie J. Burtle '
\., '.': Mv CornmisIlon D028770CS
... .
Name typed, p'~~31sM1ped
of~perso
~,.. Bobbie J_ Bultce
, My Commilllon DD2I7708
Name typed,e~dEXltDs~~
Ryman Canst.
37337 Laurel Hammock Dr.
SQ. FEET PRICE
MAIN OR LIVING: 1,942 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 97,100.00
FEE SHEET $ 472.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 768.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 768.00
ELECTRICAL: $ 105.00
PLUMBING: $ 103.00
MECHANICAL: $ 71.92
RADON: $ 19.42
TOTAL $ 1,067.34
.- / OLI7 ~ I ~
I
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
I
J
WATER METER:I $
IRRIGATION METER $
180~00 ,
SUB-TOTAL $
3,282.34 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
T IF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
I
TOTAL: $
6,564.34 I
VI"."". "VV" '"'vVr~1 viII VI LLrllllllllLLv
ciTY OF Z.KPUr.RHILLS BUILOLNG DBPARTHBHT
OWNER k <<.. \.J\ '1\ Q'1 h'\ t<-- \1\
JOB, LOCATION L of- L.j Cf I Lo.v'~ L H"'.....ock {)"-ve, 2efh7~k{/5
34 - J 5 - ~ ( - 0/00- oOOGO - t>Li q 0
PARCEL I.D.' ff
/lV'LVIV
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SUO" ALl. EXISTING & f'ROFOSED STRUCTURES GIVlNG DIH8HSIONS & SETBACKS.
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(,J~=* bur '1 JI.
10'
I
115
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR- ~---
MATION. FRONT
(NOTE EXAMPLES 1 S( 2) S'I'REE'r
1. SETBACKS FOR Rl, R2 ZONING
60'
,. 10'
,.
P E
R ~
0 I
10' p s 10'
0. 'l' 1 0'
S I
E N
D G
2. SETBACKS FOR R3 ZONING
60'
la'
10'
EXISTING
10'
1 0'
PROPOSED
'20'
20'SGL FAM
30 'DUPLEX
FRONr PROPERTY LINE
FRONT PROPERTY LIRE
L... n~\! " .a 2.YC.
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PERFORMANCE 9USINESS PRODUCTS. iNC. .313-719'-8008 FAX 813-719-7919
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS,. FLORIDA
WATER ACCT. NO.
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DATE
OWNER/
RENTER
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MAIUNG
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SERVICE ADDRESS
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~..---WATER
SHUT OFF SERVICE
o
TURN ON SERVICE
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o SEWER
INSTALL METER
o GARBAGE
READ METER
o
@/IN CITY
CHECK METER
o
o OUT CITY
OTHER
o
I
---1-- No. OF UNITS
_ DEPOSIT AMOUNT
--
,/
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-- / //'
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- AMOUNT lAST BILL
j}LlL/
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L. L '-'\....LL.....
'''-1
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
,IC~
RetaIn 'lIIhite iorm n office at all times.
Send pink &jeJlow 'arms to Water Service Dept.
Nater ServICe DeDt. :0 sign ,Jetlow form &. return to offICe.
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