HomeMy WebLinkAbout05-4206
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4206
Permit Number: 4206
Permit Type: MULTI-FAMILY RESIDENCE
Class of Work: 1 04-NEW CONST TRI 3/4 UNIT
Proposed Use: DUPLEX
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6761 DAIRY RD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: oa.a<o -~I-CO\O~02~OO-
62,450.00
5/13/2005
3,024.41
3,024.41
5/13/2005
NEW QUAD PLEX UNIT SLDG A-2
Name: KEVIN RYMAN
Address: 6761 DAIRY RD
ZEPHYRHILLS, FL. 33542
Phone:
A N
MARTIN ELECTRIC
WILLIAMS (INDIVIDUAL)
SOUTHERN COMFORT ENT. INC.
M E
WATER METER RES 3/4"
SEWER CONNECTION RESIDENTI
PLUMBING FEE
180.00 WATER CONNECTION RESIDENTI
1,616.00 BUILDING FEE
92.50 RADON
419,00
558.00
12.49
~rY
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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. n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~
TOR S NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
OWNER'S NAME <~~~ ,
JOB ADDRESS. ~ L \- L1J~.
LEGAL DESCRIPTION: LOT(S) BLOCK
D:J.. - ~b - 02/ - (YD/U ,,_D~ hOD VO~O
PARCEL ID # C..,...;t - & b -~ - ~IO - Od.~~..>C> - OO~LJ
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
PHONE 'g> /3 -7 &..< -- 0 c:Po(;.S
WORK PROPSED~CONSTRUCTION
o ADDITION
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
DALTERATION
o REPAIR
o INSTALL
o SIGN 0 MOVE 0 DEMOLISH ~
PROPOSED USE: DSGL FAMILY DWELLING ~I-FAMILY ~OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~ ~dL.(J j 4 ~ I ~ -R- · -;(,
BUILDING SIZE J II X c.?1 SQUARE FOOTAGE, S-O/(O HEIGHT (P /
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.
PERMITS REQUESTED
~LDING
.ffEi:'ECTRICAL
$cXS-t1 [)ZX:>~
j([)O
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
W.R.E.C.
~~BING
~~ANICAL $ 7~D'D, ~
o GAS ~OFING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~OCK
o
o
Progress Energy
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o FRAME
FINISHED FLOOR ELEVATIONS
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
~O
BUILDER
STATE CERT OR REGIST # ~- ~ r sf
****************************************************
COMPANY~~
'~C=CUN~
SIGNATURE ' STATE CERT OR REGIST # E ~B(X)~ ~
************ ****************************************************
PLUMBER
SIGNATURE
COMPAN~/LJ~~
STATE CERT OR REGIST # 0-~ I'-I~ &:>Oc::r-
MECHANICAL
**********************************~********~
COMPANY ~~ t:
STATE CERT OR REGIST ~ A2. B ",&S 7 7'
SIGNATURE j
* ***************************************************
O'rHER ~ COMPANY...f?l~~~~'t-..~*,~
SIGNATURE. ' ~ STATE CERT OR REGIST # ~ jSC!;:( SSOS
A. NOTI~E 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 iaw. 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 "Cohtractor 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 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 issuahce 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 N VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEM
/J'
A~
SIGNATURE:
TOR
po~
cknowledged
20QS""
acknowledged)
known to me, or
o who
~~---~--'
--
o who has produced ..------ .. -
(type of i
~ot ta e a
erson ta 'ng acknowledgement
I":' 3\. Angela Helma .
, ~ MvCom~0D1855117
Name typed, printed ~uary03,2007
Name
Ryman Construction
6761 Dairy Rd.
SQ. FEET PRICE
MAIN OR LIVING: 1,249 $ 50.00
OTHER AREA UNDER ROOF: $ 50,00
OTHER: $ -
VALUATION $ 62,450.00
FEE SHEET $ 332.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 558.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 558.00
ELECTRICAL: $ 86.65
PLUMBING: $ 92.50
MECHANICAL: $ 59.77
SUB-TOTAL $ 796.92
RADON: $ 12.49
TOTAL $ 809.41
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
180~00 I
jr-o
663.061 ?
SUB-TOTAL $ 3,687.47 ,
7 J00
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
TI F'S: $ 1,204.00
99% $ 1,191.96
1% $ 12.04
-) J- CJD
TOTAL: $ 5,613.471
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Valuation
Building
, .
Electric
Plumbing q2.,50
Mechanical Sq,77
Radon 12., L/q
Connection Fees:
Sewer
Water 'i p- ")
Meter
121 ""-M (~Jf'1 ~ :
l?V) \4)' ~ b llP i-
~1LP / Jt}) 11-") rZfJ
Square Feet
1241
School Impact Fee: ~ .
7l2.~c
Transportation Impact Fee:-!) . ~ I 1) (>
Ij20.., .
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Dollar Amount
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LAND USE TABLE
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