HomeMy WebLinkAbout05-5148
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
{813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5148
Permit Number: 5148 Issued: 11/17 2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 130,000.00 Total Fees: 3,178.72
Amount Paid: 3,178.72 Date Paid: 11/17/200
Name: RYMAN C N TRUCTION CO., INC.
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 4619 EAGLE RANCH DR
ZEPHYRHILLS, FL.
Township: Range:
Lot{s}: Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number: 4 - ~ (p - 0 f 0 'O(jDOO - Ob '
RYMAN CONS RUCTION INC
4619 EAGLE RANCH DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
MECHANICAL FEE
RADON
66.35
15.97
0P~
6 \ID i ·
" of.9
~: 5r::1ol/
\~
N R
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) Repa~' or cor.~. ions n~ lade wbl!!n
inspection called (d) Work not ready for inspection when called ,/ I I).l,,'t..~. L . d<Jt('
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible L-? ',/;, 9--'-
~tJ(j" .;)
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.
~~
S SI ATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUI;LDING DEPARTMENT 5335 arK St, Zephyrhills, FI. 33542
I 813-780-0020 FAX: 813-780-0021 II - 1(, , oS'
DATE RECEIVED
PHONE CONTACT FOR PERMITTING g/3- ?a:'.;(-O?c>t~
OWNER'S NAME ~.L'0""o,-A.~~ ~~ PHONE ((1-3 - 7f ..1-0c?4S
JOB ADDRESS~_ Lf>u /q .,2f~ ,~t:A :, ~_'
LEGAL DESCRIPTION: LOT(S) Q)Do<Vc 1- BLOCK D.3~00 SUBDIVISION or~
PARCEL 10 # I t..f-d-..(o ~ .tOlill 'O.SS'c.O - ~o'C.) (OBTAIN FROM PROPERTY TAX NOTICE)
, \
WORK PROPSED: ~ CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
OSIGN
PROPOSED USE: ~L FAMILY DWELLING
o MOVE
o DEMOLISH
DMULTI-FAMILY
0# OF UNI'fS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WOR!( :.} ~ ie..,~. ~~
BUILDING SIZE 3'7f.;tf /\/::;'D",[;>I( SQUARE FOOTAGE 957'7 (Cf.A-L EIGHT g
iJ'"BUILDING
RESIDENTIAL: . ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
P/~s e---nfiJ-e.. -. .:r-~~
PERMITS REQUESTED
, f:)6>
$ /30,00D
~DO
& (1) SET ENERGY FORMS.
FORMS.
VALUATION OF TOTAL CONSTRUCTION
D"ELECTRICAL
~UMBING
~ECHANICAL
o GAS ~FING
AMP SERVICE
~Progress Energy
o
W.R.E.C.
$
'2 .c,C!:>
..:::/j ~ c.€.>
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o SPECIALTY
TYPE OF CONSTRUCTION: ~OCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 43'4i1o
BUILDER
~ COMPANY
:h ' '. ~ '.c'V STATE CERT OR REGIS'- ~ ~IY-- 035'/3<1.
, 0
**********~ ********;*********************************************
~~ () '"' ~~d~
COMPANY c: ~~ ~~
STATE CERT OR REGIST # Cr<.. f9t)rt.( 59/
SIGNATURE
ELECTRICIAN ,~, ~~~
SIGNATURE 'l)ol-lL-{" j' .6'
'- ( (
\..
******************************************************************
SIGNATURE
t:.
COMPANY ~I ,1J.)~
STATE CERT OR REGIST # c...~- /t..f;).5 &O~
PLUMBER
MECHANICAL ./
SIGNATURE niL~
r
********************"1*******"'~'*~.****** l, ~.
/ COMPAN~~ ' .~
r' -~;" I.-/r STATE CERT OR REGIST * ~ S>/~S7.~
*********'~**
'" .-
OTHER ~o~
SIGNATURE ,~', ,:. .' ~
,
*******~******************************************
COMPANy-Rq---m~~ <-\L.,~
STATE CERT OR REGIST # C~ ),3.;!55 as
A. NOTICE OF DEED RESTRICTIONS
Tl1.e 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 contr~ctors 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 indication 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.
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 qf 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 m~nths 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 snaIl 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 COMMENCEMENT".
;/1
Si on taking acknowledgement
n Ryman
. My Commission 00127426
Name ty ~, }5~~2@>~tamped
STATE OF FLORID
COUNTY OF
The foregoing in~tr nt wal'j,. ac~knowledged _'
Before me ::his 5 ay of ~ to , 2005
by ~l ~
(name of person acknowledged)
~ is personally known to me, or
o who has produced f.f I ~
(type of identification)
~id not take an oath
taking acknowledgment
0012742t1
Name typed, printed or stamped
, ,
, .
R'i W\t4A1 C~r~" t.
L=>"f Lt ~ '" lP- ~ u\
Square -Feet
)$01
.....-..
,Dollar Amount 5 \) ....... ~
Valuation 71, i ')~. ~h
,Building to 7 \) l ~ C
\..
Electrical J J~ . '-f ~
v
c
Plumbing '110 ~~ u
v/
Mechanical lolQ ."J~i""
(.}..ADo~ } 5",1"'
Connection Fees
V"
Sewer
Water
Meter
I '(ojb j'"">
I "fl i I ~ ..
, ~~
ll$D -
1/
l
1/'
School. Impact Fee
~
4) ~ J :-j. .:J. oj r 43. Ii.I -= 'tj"3 57,; Lj
cr, _ ~'T~
Transportation Impact Fee _1 i 5'6i. ~~ LX'
Park Impact ,Fee
7 bC,.)\c. ;<'
Public Safety Impact Fee S~-" ~s vX
...
~;~
~"
~ ~tUHU
A Division of Ryman Construction, Inc.
License # CB C035134
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ALL \\J :Z" ~ 2-. iALL COWL Y WIlli ALL
PREV AlLING CODES. FLORIDA BUIWINC
CODE. NATIONAL ELECTRlC CODE ANi.
CITY OF ZEPHYRHILLS ORDINANCI:S
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36413 SR 54 . Zephyrhills, Florida 33541 · Telephone: 813/782-0825 · Fax 813/788-6773
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TRANSACTION REPORT
NOV/30/2005/WED 05:06 PM
P.Ol/Ol
RECEIVER
918006798004
TYPE/NOTE
OK
SG3
5335 - 8'" St.
Zephyrhllls, FL 33542
City of Zephyrhills
Building Department
Fax
To:
PROGRESS ENERGY'S
From: Kitty
Fax: '1-800-679-8004
Pages: 1
'Phone:
Date: 1113012005
Rr.
POWER RELEASES
cc:
o U....nt x Far RevIew
D ....... Comment Pi.... Reply
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