HomeMy WebLinkAbout05-5077
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5077
Permit #:5077 Issu : 10/28/2005
Permit Type: NEW SINGLE FAMI Y DWELLING
Class of Work: 101-NEW CONST/S R
Proposed Use: SINGLE FAMILY R SIDENTIAL
Sq. Feet: Est. Value:
Cost: 87,000.00 Total Fees: 3,197.52
Amount Paid: 3,197.52 Date Pi': 10/28/200
Address: 38752 FEATHERING WAY LT 15
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number: 14-26-21-0170-00000-0150
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PLUMBING FEE
WATER CONNECTION RESIDENl
BUILDING FEE
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FOOTER BOND FOOTER ROUGH ELECTRIC 1 ST ROUGH PLUMB
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: Reinspection tis will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of",e following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or cprrections not made when inspections called d) work not ready for
inspection when called e) permit not sted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements f this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this <l>unty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be
"Warning to owner: Your failure to
improvements to your property. Ify
before recording your notice of com
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. "
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! PERMIT OFFI
SPECTION - 8 HOUR NOnCE REQUIRED
OTECT CARD FROM WEATHER
IT'
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Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Section:
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDINGI PERMIT SINGLE FAMILY RESIDENTIAL
5077
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PLUMBING FEE
WATER CONNECTION RESIDENl
BUILDING FEE
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DUCTS INSTALLED RE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION ALL MISC MISC.
MISC. INSULATION CI=ILlNG MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTION FE S: When extra in ction trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00 'hall 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 i spection when called
(e) Permit not posted on job site (f) Plan hot at job site (g) Work not accessible
The payment of inspection fees shall be m e before any further permits will be issued to the person owning same
"Warning to owner: Your failure to r rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com e cement."
OCCUPANCY BEFORE C.O.
, ~
PERM IT OFFI
~PECTION - 8 HOUR NOTICE REQUIRED
I)TECT CARD FROM WEATHER
IT'
"
Ryman Constuction
4542 Eagle Ranch
SQ. FEET PRICE
MAIN OR LIVING: 1,740 $ 50.00
OTHER AR.I A UNDER ROOF: $ 50.00
OTHER: $ ..
VALUATION $ 87,000.00
FEE SHEET $ 428.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 702.00
CREDIT: $ -
BUILDiiI iG 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: $ 180.00 I
I IR.F IGATION METER $ - I
SOB-TOTAL $ 3,197.52
I PA ~IK IMPACT FEES $ 769.56 I
PUBL laSAFETYIMPACTFEES }
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
, I
SIF'S: $ 4,314.00
i 100.0% $ 4,314.00
1 1.0% $ 43.14
I TOTAL: $ 4;357.14
I
! T IF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 1~ 122.48 . iDI4<a5.tSI'7
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Ryman Constuction
4542 Eagle Ranch
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: $ -
BUILDlfI G LESS CREDIT: $ 702.00
ELECTRICAL: $ 103.251>
PLUMBING: $ 96.004
MECHANICAL: $ 63.87
SUB-TOTAL $ 965.12
RADON: $ 17.40
TOTAL $ 982.52
SEWER: $ 1,616.00
WATER: $ 419.00
I IRRIGATION: $ -
TOTAL: $ 2,035.00
I WATER METER: $ 180.00
I IRF I( ATION METERI $ .
Sl B-TOTAL $ 3,197.52
I PA U IMPACT FEESI $ 769.56
PUBL Id SAFETY IMPACT FEES
. POLICE $ 254.00 I
FIRE $ 273.00
5% $ 26.3(5 J)~f!
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I SIF'S: $--........ 1,694.0Q..
97.5% $ ~.65
2.5% $ ./ 42.35-
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TI F'S: $ 1,588.00-
I 99% $ 1,572.12'
1% $ 15.88
I TOTAL: $ 7,802.43
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36413 SR 54 · Zephyrhills, Ibrida 33541 . Telephone: 813/782-0825 . Fax 813/788-6773
Email: rymanhomes@aol.com
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CITY d~ ZEPHYRHILLS PERMIT APPLICATION
BUILDIN9DEPARTHENT 5335 am St, Zephyrhills, FL 33542
! 813-780-0020 FAX: 813-780-0021 ~-1-1J6
DATJi~ RECEIVED - -
PHONE CONTACT FOR PERMU'TING
OWNER'S NAME~ '0'~ +-ru......-*' ""'- M\L PHONE f?(2,-??.;) -D?doS
J~IinL[.i.s ~ ~~~k ~a-c:A
LEGAL DESCRIPTION: LOT {S} J ~ 19 BLOCK mz/60 SUBDIVISION o/6U
PARCEL 10 # /'-/ - d- (0 - f/ - 0/0::)- Ci?</cO - t5J <t( (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~ONSTRUqTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL
o SIGN I o MOVE 0 DEMOLISH
USE~AMILY I DMULTI - FAMIL Y 0# OF o MOBILE
PROPOSED dWELLING UNITS HOME
!
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
BUILDING SIZE
i
ESTAURANT & HEALTH DEPARTMENT APPROVAL
I~=-~~ ~ $;d~C!...-e-.
SQUARE FOOTAGE .I 7 t/b L~'\~ HEIGHT ~ ".
DESCRIPTION OF WORK
~ILDING
~ECTRICAL
~MBING
~CHANICAL $
o GAS ~FING
$
T PLANS & {2} SETS OF BUILDING PLANS & {l} SET ENERGY FORMS.
S OF BUILDING PLANS & (l) SET ENERGY FOPMS.
TS OF ENGINEERED PLANS REQUIRED. L )'~)[UL u~.nTl~
Y REQUIRED FOR ALL NEW CONSTRUCTION. T
-::> ~ CD-7L ~ ~1 LvwN IrJ 6 f Jl! ~I\-
PERMITS REQUESTED '-l(u? ~kA l-rT7I'J"-.
e ~rD c-O VALUATION OF TOTAL CONSTRUCTION f7 ~ A' L p:ll'31 J
AMP SERVICE g-progress Energy [J .R.E.C.
RESIDENTIAL: ATTACH {2} PL
COMMERCIAL: ATTACH (3) SE
IF SIGN PERMIT ONLY (2) S
PROPERTY SURV
TYPE OF
o FRAME
o STEEL
o OTHE
VALUATION OF
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD
~
COMPANY
STATE CERT OR REGIST #CO~ {)~c>)t?~
************************************~***********
--. COMPANY ~~ C~ ~
STATE CERT OR REGIST ~ ~ WttjJS ~ I
PLUMBER
* * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * 'k * ~* * '\* * * * *
-- COMPAN~_ W,~~
STATE CERT OR REGIST # ~~ /00(.5 to D.;L/
****** *******************~*~***~*
--. COMPANY\.., \So ~ ~
STATE CERT OR REGIST -#~....- CtBt..f q?
* ***********************~********~********
COMPAN~ ~
STATE CERT OR REGIS! #(l ~- /~.5"s;. oS-
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to udeed 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 "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.
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 "A" 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
$2,50 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~
STATE OF FLORIDA ~ -
COUNTY OF ~~
The foregoing inst~t w ackno ledged___
Befor me t is i::!-.!--da f -', 2(j.'l.!.
by ~ - ,
(name of person ackn wledged)
~personally known to me, or
STATE OF FLO ~
COUNTY OF
The fO,r. eg.oing in~ W~Wledged
~~~t~ ~f "\ ' 2~
. ~me of person acknowledged)
~o is personally known to me, or
Owho has produced
(type of identification)
and take an oath
I \
.t-
p~o~king acknowledgment
. t/rf commission 00165581
or 'stamped
o who has produced ,-------'- '
~ of identification}
and 0 d1Cf not take an oath.
person taking acknowledgement
~ Angela Helms
. . My Commllllon 001 A"AA7
Name typed, print '" rElftitBaill!!l~03,2007
Name
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PERFORMANC;E BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
.5-G~l{(
WATER ACCl. NO.
DATE /O-;2P-DS
OWNER/ ~ /J) ~ f
RENTER '.f2!-bAt c: t3?J.!2. u t QAt- <-- .
MAJUNG . ~~3 S K ~1 c.J.u."b
Z'11>> :J' 3 ~1/ I
SERVICE ADDRESS 1/5" 11- ~d- -::t~ G. ). /)7 I~
3<6'15~ ~cl-\-nedn9 lf7( WATER
o ~ '"
~ 0 SEWER
~
o
SHUT OFF SERVICE
TURN ON SERVICE
INSTALL METER
o GARBAGE
READ METER
\P
IN CITY
CHECK METER
o
o OUT CITY
/
_ No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
-1p W. /m~
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
!tain white form in office at all times.
nd pink & yellow forms to Water Service Depl.
ter Service Depl. to sign yellow form & return to office.
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PAS1.O COUNTY, FLORIDA
Permit No.
Date Permitted
.So "75-
/f'-2tf-o.s
Builder Name/Owner Name
f/)VvY) ~ ]:;1 C . Control #
County Parcel No.
Address/Location
SubDiv:
ClassificationlType of Us~
TRANSPORTATION IMPA, FE, Rate:
Exempt DYes G:}No ow Determined
Impact Fee Amount $ I") <r Zone No.
SCHOOL IMPACT FEE
Account (056) Single-Famil !Detached House
(057) Mobile Hom
(058) Other Resld tial
.J.:123) C2!!~n Fe
Exempt U Yes L:1 No ow Determined
P RKS AND RECREATION FE
Lan~ Account
\
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Recre~on Account
Zone \\
Exempt ~Yes 0 No
"-
LIBRARY FEE "'"
Land Account "'-
"
Facility Account
TAZ:
Amount $
13,) 7.1 L/
Land Total
Recreation Credit Recreation Total
TOTAL AMOUNT $
Land Total
Facility Total
Exempt DYes D No
RESOURCE FEE qt
TOTAL AMOUNT.PI
Total Amount
ERU
Prepared By ""'~eCked By
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NO CERTIFICATE OF OC UPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED U tlL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A C NTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply cpeptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on n tlce of this assessment and th~ conditions of payment for same.
DATE
RECEIPT NO. () 0 (,1'd1IV ~TE
RECEIVED BY
BY
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