HomeMy WebLinkAbout05-3954
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3954
Permit Number: 3954 Issued: 3/07/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 110,000.00 Total Fees: 3,291.65
Amount Paid: 3,291.65 Date Paid: 3/07/2005
Name: YMAN CON TRUCTION CO., INC.
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 37422 LAUREL HAMM
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number:
RYMAN C NST.INC
37422 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
BUILDING FEE
'Y
J;ft. 0 ~
~ V '1107
~\ 't~
DUCTS INSTALLED PRE-SLAB CONSTR TION POLE
DUCTS INSULATED LINTEL PRE-METER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC, MISC.
MISC. DRIVEWAY MISC, MISC.
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."
NO OCCUPANCY BEFORE C.O.
~~~&~ATURE -;;;M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.., l'
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
'"~/;;/c .s-
PHONE CONTACT FOR PERMITTING
OWNER'S NAME tt(, ,",^"",,,d-A ~..J-r~t ~ JJ1.<2.- PHONE
JOB ADDRES ~~e.-I cI==l~ ~,
LEGAL DESCRIPTION: LOT (S) 0'-1-1 D BLOCK ~ SUBDIVISION
PARCEL ID #..34-:J.5-~- f)i30-~-04ID
~/3~7'!d-O?~5
o 1:S 0'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION
o SIGN
o ADDITION
o ALTERAT ION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: ~ FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME
~~MMERCIAL o INDUSTRIAL OSWIMMING POOL 0 OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK n €<-0, SI~ f-~~ i't rs0 cP-e...-.."-~
BUILDING SIZE ~ I [fl?)( '-f:3!.? SQ~E~AGE 11 Lf~ 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.
~LDING
~CTRICAL
~MBING
~ANICAL
o GAS ~FING
PERMITS REQUESTED
$ /1 UJ()CYD, W VALUATION OF TOTAL CONSTRUCTION
, .
~~
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
$ 6}; CE:kDU
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: ~LOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES ~O
BUILDER
SIGNATURE
STATE CERT OR REGIST # eJlt!- 035/ L~~
ELECTRICIAN ~<w<w .. ~"W"=:::::::<:E;;::;:J;5~<&o",- .
SIGNATURE ~u ~-- ~ STATE CERT OR REGIST i 2R t:fi)rtf5 9/
PLUMBER ;<<< <<< < <: < < :;< <<< <=<::::::~~<Zt:.\<i ~<l ~~
SIGNATURE~ ~ fd-" · ~ STATE CERT OR REGIST I ~ I .:25"&0
*******************************************
MECHANIC7b~
<:' 0 ^
SIGNATURE ' STATE CERT OR REGIST # lV
"<":H" """<""""<"<""""<"<"<""<"":n<""----<L A. n
OTHER COMPANY ~ ~~ (.\\,0\..
STATE CERT OR REGIST #~. /3::1 S-So5
COM PAN
STATE OF FLORIDA
COUNTY OF
The foregoing ins~ment wa
Befo m, t"his ~ da of
by 0 I e.!.. .::::r--
_ ~e of person acknowledged)
~o is personally known to me, or
A. NOTIGE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" wh1,~h
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.
Appli~ation 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,
Wastewat~r 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 o~ six months after the time the work is corrunenced. One 90 day extension of time
may be a]lowed 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 00 NOT NEED TO RECORD AND POST ~~~MM~"~~
SIGNATURE: CON~
STATE OF FLORIDA'---' n.r:\ _ A r.-..
COUNTY OF ~~
The for,egOing ,i,,~,. .~ me~n1t ~a~c~wledged
~~f~'b~~~ ' 20~
_ ~e of person acknowledged)
~is personally known to me, or
-'
wI edged
, 2 QJ2S
of identification)
take an oath.
Dwho has produced
~e of identification)
~d not take an oath
o who
acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
,'"
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PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919
~~~
~ ~~dr.
~ATER
~
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
OWNERI
RENTER
It~
~S.P1
TAC.
~
MAILING
SERVICE ADDRESS
~ r; 8'(1
SHUT OFF SERVICE
o
TURN ON SERVICE
IZJ./
~
INSTALL METER
READ METER
o
CHECK METER
o
OTHER
o
3/c/,- W:ffir,;;fir
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
o
103110
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~ 1 ~ 00
DATE
Y;~5
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o SEWER
o GARBAGE
[]/;'N CITY
o OUT CITY
f
_ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
ORDER GIVEN BY
3 -7- '!J~ tff-.
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.
- ..
~
lot #41
laurel Hammock Dr.
SQ. FEET PRICE
MAIN OR LIVING: 2,040 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 102,000.00
FEE SHEET $ 486.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 789.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 789.00
ELECTRICAL: $ 105.00
PLUMBING: $ 92.50
MECHANICAL: $ 69.75
SUB-TOTAL $ 1,056.25
RADON: $ 20.40
TOTAL $ 1,076,65
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
PARK IMPACT FEESI $
~ ..-
769.56 IV;-
~/
SUB-TOTAL $
PUBLIC SAFETY IMPACT FEES 55313~
POLICE $ - ~
FIRE $ -
5% $ -
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: $ 8,112.771
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~~'~ C1 OAK RUN SUBDIVISION- PHASE 2
;'\%. . ~ . A SUBDIVISION DF A PDRTION OF THE SDUTH Y, OF SECTIDN 34
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UNE BEARING DISTANCE
L1 H 2Tl~'17' E S6.22'
L2 N 00"02 26" E 30.00'
L:5 S 89'S7'S~" E 42.00'
L~ N 58'~7"2+" W 35.51'
1.5 N 89'S7"Sof."' W 7.88'
L5 S 5-4-'38'00" W 25.00'
L7 S 89'S7'S~' E 20.73'
La - -
L9 H S8'47'2~" W 26.58'
Ll0 H 58'+7'2+- W 5.9J'
Ll1 S 2S'2,2'OO E 17.01'
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TRANSACTION REPORT
FEB/15/2005/TUE 08:16
RECEIVER
817278157000
TYPE/NOTE
OK
Zephyrhills Bldg.
Dept.
Fax
To: Judy
;From: Kitty
'F;ue 727-815-7000
....: '1
'Date: 2/1512005
'....... 813-780-0020
-Re: Address's
'cc:
DUIBent
X'Par.Revlew
o :Pl.... Comment D:"""e Reply D:JIIease'Recycle
".Comments: parcellD# 34-25-21-013Q..O000D-0410 laurel Hammock Dr
34-25-21-013?-?oo00-0450 Laurel Hammock DR
34-2&-21-0130-0000O-O460 Laurel Hammock Dr
34-25-21-0130-00000-0500 laurel Hammock Dr
34-25-21-013D-OOOOO-D530 Laurel Hammock Dr
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.7919
CITY OF ZEPHYRHILLS
ZEPHVRHILLS, FLORIDA
~ 0 crCf r
WATER ACCT. NO,
DATE
3/7/o~
.
OWNERI
RENTER
f31fJ'V""l f~ Pre
5~C~
?7f(;;{~ ~ ~~,~(II
MAILING
SERVICE ADDRESS
SHUT OFF SERVICE 0
TURN ON SERVICE QI
INSTALL METER 01
READ METER 0
CHECK METER 0
OTHER 0
[(;!....wATER
o SEWER
o GARBAGE
~CITY
o OUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
:5" it
_ AMOUNT LAST BILL
~~
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
3-7-tJ5"0-
ORDER GIVEN 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.
~~~~~~~~l~II 1111111I11 1111I/111I1//1111I11/11/111I
Rept: 864503
DS: 0,00
03/15/05
NOTICEOFCOMMffiNCEMffiNT
Ree: 10.00
IT: 0.00
- Dpty Clerk
STATE OF FLORIDA
COUN1Y OF PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statues, the following infonnation is provided in
this Notice of Commencement:
1.
Description of Property:
Parcel No. 34-25-21-0130-00000-0460
37346 Laurel Hammock Dr.
Zephyrhills, FL 33542
(legal description of the property and street address if available)
2,
General Description of Improvement:
Single Family Dwelling
3.
Owner Infonnation: Name: Ryman Construction, Inc.
36413 S.R. 54
Zephyrhills, FL 33541
JED PITTMAN~ PASCO COUNTY CLERK
03/15/05 1", : 33pm 1 of 1
OR BK 6271 PG 1463
Interest in Property:
Name of Fee Simple Tittleholder:
If other than owner: Address:
City
State
Zip Code
4.
Contractor:
Address:
Ryman Construction, Inc.
36413 S.R. 54 West
Zephyrhills, FL 33541
R
5.
Surety: Name
Address
City
Amount of Bond: $
State
Zip Code
6.
Lender: Name
Address
City
Zip Code
State
7, 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:
Name
Address
City
State
Zip Code
8. In addition to himself, Owner designates:
of to receive a copy of the Lienor's Notice as
provided in section 713 .13( 1 ) (b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date is one (1) year from the
date of recording unless a different date is specified.)
Signature OfOwn~r~ _ Printed Name: Kevin L. Ryman
,.~ th
Sworn to and subscribe efore me this 15 day
. .'
. I .
9.
Notary Public: .
March 2005,
!
J,c -___
~" -"---" -_______no.
. .
My Commission Expires:
" I - ,
\. ,
~..' 1.., i .; I I -, I 'II... I I... I -'. I - I .1. 1 I .1. I '': '.,.'
.'....'..1 I!.,... \.,"...1,.' ,I. ",. .,......1 1.1. '"',... n .1. '''( Ii "'( "'r
F'(~f.;CO CUUNT'y" ',' FL.elF~ J D(~l
P{113E :: :l. elF :I.
I!:>BUE OFFICE:: D
RECEIPT NUMBR: 00847721
OFFICE: DADE CI'ry
N T F;~ (;ll:~ T em ~:: <:; ("i <"} <) <y <)
,...11::'" I:~..t "'(')N(:"r'(:"lJ("'j" 'l'f)N
h..... ~YrY'lRh L. ,.) ~.J ""
DR~ 37422 LAUREL HAMMOCK DR
~:rr:: ZEHPYF~HIL.L.S ',I FL.
I::' ..
, ..
.....-.....-' ".._.~..........,....
,""'P[RM I T U ::,!;9~,:i:r"''"'i
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CHECK ** 2666:1.
j"rrR(..iCTOR:: 999999
TOT {IL AMOUNT::
CNT CCH>1PNY ('~CCUUNT CENTEF~
14 B450 - 363000 - 2
:;~:I... /B
(.~j'vjUUNT DI:::~:;CF~IPTION/F:'[RivjT D(~~'r(~~ DR/CI:~
2:1...78 ****** SOLID WAS1'E FEE 60
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