HomeMy WebLinkAbout04-3363
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3363
Permit Number: 3363 Issued: 9/14/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 108,050.00 Total Fees: 3,340.68
Amount Paid: 3,340.68 Date Paid: 9/14/2004
Name: RYMAN C NSTRUCTI N C
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 37340 LAUREL HAMM
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number:
RYMAN CONST.,IN
37340 LAUREL HAMMOCK DR.
ZEPHYRHILLS, FL. 33542
Phone:
L
WATER CONNECTION RESIDENl
RADON
419.00 MECHANICAL FEE
21.61 WATER METER RES 3/4"
.0
72.42 BUILDING FEE
180.00
820.50
.1\'~
T E P
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.
REINSPEcnON 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. It
/
NO OCCUPANCY BEFORE C.O.
SIGNATURE PER~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Ryman Construction
37340 Laurael Hammock Dr.
SQ. FEET PRICE
MAIN OR LIVING: 2,161 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 108,050.00
FEE SHEET $ 507.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 820.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 820.50
ELECTRICAL: $ 111.65
PLUMBING: $ 99.50
MECHANICAL: $ ..l2...42
SUB-TOTAL $ C.1 104.07
RADON: $ \..--'21.61
TOTAL $ 1,125.68
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ "
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
(180:0~P
,
I
SUB-TOT At; ____~I,340~68j:0
J
J
cff C~
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
dc..o
TOTAL: $ 6,622.68 I
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHIUS, FLORIDA
L{-L(l'fl
WATER ACCl. NO.
DATE
q!,y (0<(
.
OWNER/
RENTER
~~ ~'I we
S~ ~~
MAILING
SERVICE ADDRESS
37f"yt7 ~~ /~dr,
0/ WATER
hr
'/7
SHUT OFF SERVICE
o
~
o SEWER
TURN ON SERVICE
INSTALL METER
[jJ./'
o GARBAGE
READ METER
o
~N CITY
CHECK METER
o
o OUT CITY
---1- No. OF UNITS
OTHER
o
- DEPOSIT AMOUNT
8/ II
14 -
w$r~
-- AMOUNT lAST BILL
-_ DATE
-- MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
9-li-01
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,
ORDER GIVEN BY
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
q/~/of
gf3-7(f~-o~4S
PHONE CONTACT FOR PERMITTING
OWNER'S NAM~~cl-t~~ T~ .
JOB ADDRESS ~I Lf'r P--'<- ~ ~--A..., ~'~ 373t.fo
LEGAL DESCRIPTION: LOT(S) (:)1-70 , BLOCK ~ SUBDIVISION
PARCEL ID # 31-c::<.5' -d-I- 0/30 - O~ - O(~~~ FROM PROPERTY TAX NOTICE)
PHONE
1 f' co2 -- 0 d'..lS
~ f-{~
O/l5. 0'
WORK PROPSED: ~ CONSTRUCTION
o SIGN
PROPOSED USE:~FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK n ,. c .c Icle...tIC '\'::-
BUILDING SI ZE S-=-/ / g:>tt X SQUARE II? 1 e-!Q.{! HEIGHT /0 pQ Ut;
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.
~LDING
$
PERMITS REQUESTED
. D
/ 53. O<D~ e
.
c3\Q~
VALUATION OF TOTAL CONSTRUCTION
~CTRICAL
t:J--1siUMBING
~MECHANICAL
AMP SERVICE
~ogress Energy
o
W.R.E.C.
o OTHER
~
/hlQ
'~')
$
<:;")~ DD E:) 2>
--<~ r VALUATION OF MECHANCIAL INSTALLATION
o GAS
~FING
o SPECIALTY
x
TYPE OF CONSTRUCTION: ~OCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE .A.READ YES err:rc)
SIGNATURE
'~~HH:~~~~'~~~~'~~'~~~~:~':'~~~ 13 ~~
COMPANYC;;: q~ .,- ~Q4~ ~--fJe-c.- ,k\
STATE CERT OR REGIST # E-R. ($)1459 / I)~
BUILDER
SIGNATURE
* *****************************************************
COMPANY ~ ~~ Jp.-
STATE CERT OR REGIST # e~ J i.(.:J..S to O~
HH......H~~~;~~~.~;:.\?~ "I ~
STATE CERT OR REGIST * CAl.t: o <B49'g ~~~
PLUMBER
MECHANICAL
SIGNATURE
OTHER -R .HHH:H HH':"'HHHHHH':::::N~@;;;t;;~ ,_-<b~
SIGNATURE~~STATE CERT OR REGIST *~ t:3.;l.f:SCf5
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 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 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.
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 "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"
edged f
' 2QtL
--P~
wedged
, 20~
(name of person acknowledged)
~ personally known to me, or
of identification)
take an oath.
o who has produced -"
(type of identification)
~d not take an oath
Dwho has produced
(type
~d not
--..----~..... ,"..
~gna of pers n taking acknowledgement
:~i}~=:~amped
Name
---
State of
NOTICE OF COMMENCEMENT
~ ~1c.L. '- County of ~ ~~
TH~ UNDERSIGN~D 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. Descri pt:on of Property: Parcel NOJ..f -..<5'-.;l/ - 0/30 - ~o - 0 'f71O
L J tj 1 J ~ --4'~ e.-!'CL-rrv~.tL ~
. (Legal description of the property and street address if available)
2. General Description of Improvement n~} -S l (l ~ 1'fL ,~~ k1 r e ~ OJ cle....u::..,~
1111111111111111I111111111111111111111111111111111111111 I1II
2004172394
3. Owner Information: Nam~ /(Y'{lO.-'"-L ~+r ~~, ~~
Address3h'fl3,- 5-R~f CityZe-pI1Ctt' It! cl~ Stat~ c:5?:'~<l1
Interest in Property: ~ ^- 'J'y-) ~
(11.
~
Name of Fee Simple Titleholder:
(If other than owner)
Address City
C) tU{ A' ~
Contract~r: ~ame ~J1-rV\O-r'-.~1~~rl~ \JY'-"~~e_
Address 304t-s S-RGf CityZ.~h(cl-s:
Rc:pt: 815606
DS: 0. 00
09/14/04
Rec: 10.00
IT: 0.00
Dpty Clerk
State
Stat~. ',3Sr#
Address
~[~
5. Surety: Name
City
State
Amount of Bond: $
~~91~~uMAri : fC:~O fOUNToYf C1ERt<
OR Bt< 6026 PG 118
6. Lender: Name
Address
City
State
7.
Name
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:
~\~~
, \ l
Address
City
State
8. In addition\~o\h'mself, Owner designates
, \ \
of \ ~ to receive a copy of the Lienor's Notice as
provided in'Se t n :713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
\ \\
\~\\~-
day OfSep+
, 20 () +.
Signature of Owne
Sworn to andsubsc .
Notary Public:
My CQlJlmission Expires:
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