HomeMy WebLinkAbout05-5075
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDINq PERMIT SINGLE FAMILY RESIDENTIAL
5075
Permit #: 5075
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Address: 4542 EAGLE RANCH DR
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): 15 Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number: 14-26-21-0170-00000-0190
M
WATER CONNECTION RESIDENl
BUILDING FEE
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATIO MISC MISC.
MISC. INSULATIO MISC, MISC.
MISC. DRIVEWAY , MISC. MISC.
REINSPECTION FEES: Reinspection t1 s will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of t e following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs 0 rrections not made when inspections called d) work not ready for
inspection when called e) permit not osted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements flthis permit, there may be additional restrictions applicable to this property that
may be found in the public records of this c$unty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
e before any further permits will be issued to the person owning same
rd a notice of commencement may result in your paying twice for
intend to obtain financing, consult with your lender or an attorney
cement. "
The payment of inspection fees shall be
"Warning to owner: Your failure to
improvements to your property. If y
before recording your notice of com
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PERMIT OFFI
PECTION - 8 HOUR NOTICE REQUIRED
TECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5075
Permit Number: : 10/28/2005
Permit Type: NEW SINGLE FAMI DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY R SIDENTIAL
Sq. Feet: Est. Value:
Cost: 117,500.00 Total Fees: 3,197.52
Amount Paid: 3,197.52 Date Pi: 10/28/200
Address: 38752 FEATH RING WAY
ZEPHYRHILLS, FL.
Townshie; Range:
Lot{s): If} Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number:
U N
WATER CONNECTION RESIDENl
BUILDING FEE
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DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL
SHEATHING FRAME
MISC INSULATION
MISC. INSULATION
MISC. DRIVEWAY
REINSPECTlON FEES: When extra ins
charge of Thirty-Five Dollal'$'t$35.00
U
CONSTRUCTION POLE 2ND ROUGH PLUMB
PRE-METER WATER
MISC SEWER
MISC MISC.
MISC. MISC.
MISC. MISC.
.on trips are necessary due to anyone of the following reasons, a
hall be made for each trip for each trade:
(a) Wrong address (b) ~6ndemned work E$ulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) ~6rk not ready for in ~ction when called
(e) Permit not post~ on job site (f) Plan riot at job site (g) Work not accessible
The payment of i~ectjOn fees shall be m d before any further permits will be issued to the person owning same
"Warning to owner: Your failure to re rd a notice of commencement may result in your paying twice for
improvements to your property. If yo ntend to obtain financing, consult with your lender or an attorney
before recording your notice of comm cement."
OCCUPANCY BEFORE C.O.
. ~
PERMIT OFF I
PECTION - 8 HOUR NOTICE REQUIRED
TECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDINGiDEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE: RECE IVED
f?-j-tJ5
PHONE CONTACT FOR PERMI~~TING
WORK PROPSED:
JOB ADDRESS
OWNER'S NAME
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PHONE
45L\2 fU<iS'k ~
Fe tA r I p-.;. L Jo:.y lYI.
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PARCEL 10 #
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~FAMILY
o COMMERCIAL
o MOVE
o DEMOLISH
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
& HEALTH DEPARTMENT APPROVAL
~L ~ Ed'e.-f'1-C- ~
SQUARE FOOTAGE ~ 7 LjD/~'-ylL ~r HEIGHT
~/
DESCRIPTION OF WORK
...9-13 U ILD I NG
RESIDENTIAL: ATTACH {2} PL T (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SE S OF ENGINEERED PLANS REQUIRED.,
PROPERTY SURVE REQUIRED FOR AL,L NEW CONSTRUCTION. Ct+~ Ct\J \ f)>-
)~ GA ~ p~".hrlr.- ~lli~(I..
PERMITS REQUESTED '1-~ j?~i1ll"-f~
VALUATION OF TOTAL CONSTRUCTION lr""7rJ,q{.,. f! \..tq-r )
AMP SERVICE ~gress Energy [] W.R.E.C.
$
~LECTRICAL
g--pLUMBING
IiJ.i.1ECHANICAL
$
\ I
O&D.D'~
VALUATION OF MECHANCIAL INSTALLATION
w)'v-1 <)
o GAS
HROOFING
o SPECIAL Y
o OTHER
TYPE OF CONSTRUCTION:~LOC
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE: AREAo YES ~
BUILDER
STATE CERT OR REGIST
******************::::::~~~~~*~,
SIGNATURE
STATE CERT OR REGIST # E'R Qf9t4<;;9 f
**************************************************
PLUMBER
COMPANY U-~ ~.~
STATE CERT OR REGIST # C-~/~ 6 () d-
SIGNATURE
* * * * * * * * * * * * * * * * * * * * * * * * * * ~. * * ~ * *.*
~ COMPANY '-- s:.~
STATE CERT OR REGIST # ~([)1t?l..f9"K
***********************~(*~*******~ -
COM PAN ~ '-'''''--
STATE CERT OR REGIST ~ IS~S'S OS
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 UContractor 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.
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 UA" or UA,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 COMMENCEMEN!:.
STATE OF FLORIDA @~
COUNTY OF /
ed The fore. go. ing insg~t wa~dge~.~
200~ ~~forg)eb~~ ~d~ ~ ' 2~
(name of person acknow edged)
-8m0'is personally known to me, or
,,{name of person
~~ho is personally
o who
Owho
----
nowledgement
9; ~ Hekns
,~... . ' .....~:1-":',...~
Name typed, pri Of...;/'yl;=~.l. ..:"",',
of '~iJe on~k~~ acknowledgment
;. . My Commission 00165587
Name typed, ?~ tJd.pl~ffi~~~7
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Ryman Constuction
38752 Feathering Way
SQ. FEET PRICE
MAIN OR LIVING: 1,740 $ 50.00
OTHER AR ::A UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 87,000.00
FEE SHEET $ 428.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 702.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 702.00
· ELECTRICAL: $ 103.25
PLUMBING: $ 96.00
1 MECHANICAL: $ 63.87
SUB-TOTAL $ 965.12
RADON: $ 17.40
TOTAL $ 982.52
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
I WATER METER:I $ 180.00 I
IRF IC ATION METERI $ -
,
S UB-TOTAL $ 3,197.52
i
PA U( IMPACT FEES $ 769.56 I
PUBL ~ SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
.
SIF'S: $ 4,314.00
100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TI F'S: $ 1,588.00
99% $ 1,572.12
, 1% $ 15.88
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TOTAL: $ ru;q.~~.43 r 'O/~ ..~)
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A Division of Ry n Construction, Inc.
License CB C035134
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36413 SR 54 · Zephyrhills Florida 33541 · Telephone: 813/782-0825 . Fax 813/788-6773
Email: rymanhomes@ao1.com
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I Ryman Constuction
38752 Feathering Way
SQ. FEET PRICE
MAIN OR LIVING: 1,740 $ 50.00
OTHER AR =.40. UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 87,000.00
FEE SHEET $ 428.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 702.00
CREDIT: $ -
BUILDIt 1<3 LESS CREDIT: $ 702.00
ELECTRICAL: $ 103.25
PLUMBING: $ 96.00
: MECHANICAL: $ 63.87
SUB-TOTAL $ 965.12
RADON: $ 17.40
TOTAL $ 982.52
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
I WATER METER:I $ 180.00
I IRF I< ATION METERI $ -
S UB- TOTAL $ 3,197.52
I PA l~ IMPACT FEES I $ 769.56 I '/
PUBL Ie SAFETY IMPACT FEES )
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35 (;~
?-I '..{ ,r Ii)
i SIF'S: $
97.5% $ , \
2.5% $ ~
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TI F'S: $ 1,588.00
: 99% $ 1,572.12 ')
, 1% $ 15.88
TOTAL: $ 7,802.43
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
6-G9LfL(
WATER ACCT. NO.
/o/z!/t; S-
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DATE
OWNER/
RENTER
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MAILING
SERVICE ADDRESS
3 g 7S:;l ;:e~T4r,;"y <;J~
l-t547.. ~ ~ ~ER
o t)-<
~ 0 SEWER
~
WI'?
SHUT OFF SERVICE
TURN ON SERVICE
INSTALL METER
o GARBAGE
~;TY
READ METER
o
CHECK METER
o
o OUT CITY
L No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
7/~1'- uJu ~
_ AMOUNT LAST Bill
_DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
fO ~ 28 --0 ~ lcf
Rlltain white form in office at all times.
~nd pink & yellow forms to Water Service Depl.
Water Service Depl. to sign yellow form & return to office.
Df.;:EC
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SCHOOL IMPACT FEE
Account (056) Single-Fa
(057) Mobile Ho e
(058) Other Resi ential
.1:123) ~ction ee
Exempt U Yes ~ No How Determined
Amount $
-!/552 I/(
/
PASICO COUNTY, FLORIDA
I . Pennlt No. $077
I Date Permitted /0 - r?.R-u$
~. Control #
Address/Location
Builder Name/Owner Name
SubDiv: /;~I/L ?M'd
v
ClassificationlType of Us~
TRANSPORTATION IMPACT
Exempt 0 Yes [)(NO
Impact Fee Amount $ /, S- ~
Zone No.
TAZ:
PARKS AND RECREATION F e
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt 0 Yes 0 No
How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 0 Yes 0 No
How Determined
Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF 0 CUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED ~TIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A ENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply apceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on qtice of this assessment and the condltlons of payment for same.
DATE
RECEIPT NO. 00 Q).113j-- ATE
RECEIVED BY
BY