HomeMy WebLinkAbout05-3964
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3964
Permit N",mber: 3964 Issued: 3/09/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 115,000.00 Total Fees: 3,282.69
Amount Paid: 3,282.69 Date Paid: 3/09/2005
Name: RYMAN ONST UCTION CO., INC.
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 37352 LAUR L HAMMOCK DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number:
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
419.00
180.00
71.92
19.42
768.00
F R C U
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: 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.
cONo:ic~iK3fr~ - PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
...
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
.2/;1/ ..
PHONE CONTACT FOR PERMITTING
OWNER'S NAME~~..t-r~I~ .1h<L. PHONE tI3..:.7'S,;;-O?~6
JOB ADDRESS 31.3 ~ ~ ~e-I41~ ~,
LEGAL DESCRIPTION: LOT (S) () %" (:) BLOCK([i]l;(:X:) SUBDIVISION () Iso
PARCEL ID #E~5-d.-/- Ol~O~-fYI5'() (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~L FAMILY DWELLING
~DCOMMERCIAL
'~
(f)...r... ~ D
DESCRIPTION OF WORK
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
RESTAURANT
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
I /5; (f)OQ, 0 c) VALUATION OF TOTAL CONSTRUCTION
cs<Q!)
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
$ '--~~ DODD VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: rB"'BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~
BUILDER
SIGNATURE
STATE CERT OR REGIST # ~~ ()35/ ~c...f
ELECTRICI~"'HH* H ;;*HH"=:::::::~*f;5*;;;:;;;;t!~o~
SIGNATURE ~u ~-- - - STATE CERT OR REGIST * 2R tfi)rtfs 9/
PL~R ;***~*;*:**:;:*~~*=*::::::~*Z~\*i~*\~~
SIGNATUREr.::/:2~ " STATE CERT I :l6&O
*******************************************
MECHANIC~~
<:' 0 ^
SIGNATUR ' STATE CERT OR REGIST # lV
OTHER *****:*H* - *HHHH"'HH*"':::::;:*~*~~~cl
STATE CERT OR REGIST #~. /g:;. b"SCJS'
COMPAN
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 require~
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 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.
Appliqation 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 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 YO NOTICE OF COMMENCEMENT. JOBS UNDER
$2, 0 IN VALUE DO NO NEED TO RECORD AND POST A" ICE OF COMMENCEMENT".
COUNTY OF A P@~~
The foregoing ins~ent wa ckn wledged
Bef e \Re this ~ y of , 20n5
b 0 j e.- ..!..../
_ ~e of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
not take an oath.
Dwho has produced
~e of identification)
~d not take an oath
acknowledgement ~-
(
acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Ryman Canst.
lot 45 laurel Hammock
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: $ 105.35
PLUMBING: $ 103.00
MECHANICAL: $ 71.92
SUB-TOTAL $ 1,048.27
RADON: $ 19.42
TOTAL $ 1,067,69
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
SAFETY FEE $
SUB-TOTAL $
180~00 I
769.56 ,
553.35
4,605.60 I
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: $
7,887.60 I
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.:. <" C1 OAK RUN SUBDIVISION_ PHASE 2
;',>- . ~ . A SUBDIVISION OF A POR:ION OF THE SOUTIl Y, OF SECTION 34,
i -\' . .~\-. - - :;: - - -- '- OJ; '-. TOWNSHIP 2) SOUTH, RANGE 21 EAST
( \. ~,... /':/ - l:f~ ""-. \ PASCO COUNTY, ZEPHYRHILLS, FLORIDA
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UNE BEARING DISTANCE
Ll H 271 +'17" E 56.22'
L2 H 00'02 26" E 30.00'
L3 S 811"57'54" E +2.00'
L+ H 511'47"2"'" W 35.51'
L5 H 811"57'5-4-" W 7.BlI'
L6 S 64'38'00" W 25.00'
L7 S 89'57'54- E 20.73'
LB - -
L9 H 511'+7'2+" W 28.58'
LID H 51\''''72'''- W 6.93'
Ll1 S 25'22'00" E 17.01'
: LENGTl1
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
5_ , 60 ~
WATER ACCT. NO.
DATE
3/1/05
-' f
OWNER/
RENTER
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~~ ('~
3/3S~ ~~ ~~c4.
~ER
1.- /Il( .
MAILING
SERVICE ADDRESS
/-f
'1<
SHUT OFF SERVICE
o
TURN ON SERVICE
~
oY
o SEWER
READ METER
o
o GARBAGE
~ITY
INSTAll METER
CHECK METER
o
o OUT ciTY
~ No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
3~1(
0~~
_ DATE
-
_ 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 & retum to office.
3~1-05 (Cr-
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