HomeMy WebLinkAbout04-3412
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3412
Permit Number: 3412 Issued: 9/29/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:-__
Cost: 110,200.00 Total Fees:
Amount Paid: 3,339.39 Date Paid:
Address: 37434 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number:
Name: RYMAN NSTRUCTI
Addr: 37325 SR 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
RYMAN NSTRUCTION INC
37434 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
C
419.00 MECHANICAL FEE
22.04 WATER METER RES 3/4"
69.40 BUILDING FEE
180.00
829.50
~Io, .0/~
ER
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.
REINSPECTlON 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""
NO OCCUPANCY BEFORE CoO"
Jl-~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHVRHILLS, FLORIDA
t;{ -.56 bJ
WATER ACCT. NO.
DATE
Cj -2.1-CY
OWNER/
RENTER
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SHUT OFF SERVICE
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SERVICE ADDRESS . J 7 7"3'5/ ,,(~ ~ ok.
[] WATER
:/
MAILING
4r
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[] SEWER
TURN ON SERVICE
READ METER
[]
[] GARBAGE
diN CITY
INSTALL METER
CHECK METER
[]
[] OUT CITY
-L No. OF UNIlS
OTHER
[]
_ DEPOSIT AMOUNT
_ AMOUNT LAST Bill
_ DATE
}11I
(L/ -'
wJir ~
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
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.
:3 4/?--
Ryman Const.
Lot #39
SQ. FEET PRICE
MAIN OR LIVING: 2,204 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 110,200.00
FEE SHEET $ 513.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 829.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 829.50
ELECTRICAL: $ 110.95
PLUMBING: $ 92.50
MECHANICAL: $ 69.40
SUB-TOTAL $ 1 1 5
RADON: $ t? '" -.."
TOTAL $ 1;1" .9
SEWER: $ 1 ,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $ 180_.00 I
IRRIGATION METER $
SUB-TOTAL '--3.33i39 P
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
TOTAL: $ 6,621"39 ,
CITY OF ZEPBYRBILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
9j5!p;/
PHONE CONTACT FOR PERMITTING /fl.3 -7 J7.:J-ofO).S
OWNER'S NAMEJt2''^-~~~~/J~<L- PHONE ~=<_OJ>~
JOB ADDRESS~~ ~~~-Bt;;~~ 3'7f ~(k..trd.c?
LEGAL DESCRIPTION: LOT (S) O.s9 D BLOCK ~ SUBDIVISION (() (?Yfy
PARCEL ID # 3+~ -d-i -D/<;) -~-()3,91(J (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE:~FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLI SH
DMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK O~ .sf h~ l'€....~,.l l, re~{de..vlc....<=-
BUILDING SIZE b};;/8R)( ~9' ,/4' SQUARE FOOTAGE~..:tD4 ~.t~/ HEIGHT g-
/ C"i)'f-
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. ~\~ C
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~O ~
.~ '? c.,\ l rJ-
~LDING
~~RICAL
~~BING
bJ..11ECHANICAL
o GAS ktROOFING
PERMITS REQUESTED
$ I ~'~ f)E() ~ VALUATION OF TOTAL CONSTRUCTION
&t:J-D AMP SERVICE ~ogress Energy 0
W.R.E.C.
$ ~c::; oe-GO VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION:t?1[LOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 81fc)
BUILDER
SIGNATURE
STATE CERT OR REGIST # ~ CJ:?;:;' eLj-
PLUMBER
*******************************************************
ELECTRICIAN ,/l lU2C.~ COMPANYCCC~ 1- j:t, -t e..;:, CI~,
SIGNATURE --D~ STATE CERT OR REGIST * _[;;J?CJtJIt/69 J
******************************************************************
COMPAN~'W~~
STATE CERT OR REGIST # {\~ FC'-..' /9...25" b Q.;L
SIGNATURE
MECHANICALCh*~******* * ******** ***** *********~~~;:~;*~'1*~**** * ~~
\ ~~
SIGNATURE STATE CERT OR REGIST #C.flC,.- V:-S ~
******** *****************************************************
, COMPAN~~C~~
STATE CERT OR REGIST # ~-/.,5;? $~OS
OTHER
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 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 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 som~one 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. I
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. 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 corrunenced 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 corrunenced. 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 NE TO RECORD AND POST A "NO ICE OF COMMENCEMENT".
STATE OF FLORIDA
COUNTY OF
The foregoing inllt,,~w~OWledged
Before me this~day of - , 2oD~
by
~e of person acknowledged)
~o is personally known to me, or
acknowledged)
known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
~t take an oath
Owho has produced
(type
..edid nOt
~~ma~aking acknowledgement
. " My CommissiOn 00127426
".,.,'J EXDire6 June 20. 2006
Name typed, printed or stamped
Name
------
NOTICE OF COMMENCEMENT
State of ~ Io-r- t C/1c, " Coun ty of ~ S "'--<:>
TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
an.d In a.ccordance wIth Chapter 713, Flonda Statutes, the following information is provided in
thIS NotIce of Commencement:
1. Description of Property: Parcel No. 5...p-~~.:~ -0/3'0 -[Yi) D'CYD - 037''0
W ..51 ~ (~~a-"l''--w~~..~ ~
(Legal description of the property and street address if available)
2. General Description of Improvement n ~ ..s [t~ l' I'e.- ,~~ It r~.s:'tCP~<!!-~
111111111111111111111111111111111111111111111111111111111III
2004172395
3, Owner Information: Name~~c..c<l~~~+-r~~""-- iJ:;"'-.., -
Address, :sroc/-{~ S R C~ CitYZ~f'ILtcds. Star;j). ~Y!/
Interest in Property: C[)-f ~ ~
Name of Fee Simple Titleholder:
(If other than owner)
Rcpl: 815606
os: 0.00
09/14/04
Rec: 10.00
IT: 0.00
Dpty Clerk
City
State
JEO PITTMAN PASCO COUNTY CLERK
09/14/04 li:40am 1 of 1
OR BK 6026 PG 119
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other L
documents\~ar be~served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name ~\ /
Address City State
8. In additio\to hi
of to receive a copy of the Lienor's Notice as
provided in'Se ti 713.13 (1) (b), Florida Statutes.
9. Expiration t.!ate of Notice of Commencement (the expiration date is 1 year from the date
of recordin~ un' es a different date is specified.)
~
Signature of Owner:~.
S wor",t6,a~6crib~dry b:fore me this
Notary Pu )1).
,
My Commission Expires: -""':""'-"
PC93053048/ A
t;t:::.. "
"(() day of S "-ecP+r
, 20Qj:
(if:' Bobble J Rurtra
. . My CommIsaIon 00287708
'\: ,.:.1 Expires Marcil 31 , 2008
Sep 03 04 11:14a
R~man Homes
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36413 SR54 . Zephyrhills, Plorida33541-2275 . Telephone: 813n82-0825 . Fax: 813n88-6773
Email: rymanhomes@aoLcom
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHVRHILLS, FLORIDA
S- I~~ C)
DATE
i~(os
OWNER/ Y ('l--fT--
RENTER ~ \M..~ ~ I
MAILING ~p--", ~~'
SERVICE ADDRESS
SHUT OFF SERVICE
TURN ON SERVICE
INSTAlL METER
READ METER
CHECK METER
OTHER
3fv II
WORK COMPLETED BY
& DATE COMPLETED
:3 7<13<1 /~ j1~M.A1clc dr. ~~
G--vvATER
o
o
a/
~
o SEWER
o GARBAGE
CJ...1N CITY
o
o OUT CITY
L No. OF UNITS
o
_ DEPOSIT AMOUNT
_ AMOUNT LAST Bill
~Y/~ +/o'n
~
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
""ORDER GIVEN BY
Retain white form in office at all limes.
Send pink & yellow forms to Waler Service Depl.
Water Service Dept. to sign yellow form & return to office.
..,;,...
:It.(-;;" loA- 31
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
~37
3r/~
9-;JJj~f
Builder Name/Owner Name ~ ~
County Parcel No.
~, AAC.
,
Control #
SubDiv:
Classificationffype of Use
3 1l.{3Y ~ /~w..ck. ~,
.5(~ (~/7 d~~
Sq Ft Unit:
Address/Location
TRANSPORTATION IMPACT FEE
Rate:
Exempt D Yes ~
Impact Fee Amount $
How Determined
Ifftl
I -
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:l23) C~egiert Fee
Exempt U Yes [d1'Jo How Determined
Amount $
/1 fe(
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recr
Recreation Total
TOTAL AMOUNT $
How Determined
IBRARY FEE
Land Account
Land Total
Facility Credit
Facility Total
Exemp-
D No
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS 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 tha conditions of payll}8f1tforsame.
DATE
RECEIPT NO.
RECEIVED BY
? . .C:
<;S{i~ZDATE :3 UC'&~"BY F