HomeMy WebLinkAbout06-5516
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5516
Permit :5516 Issued:
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 1 03-NEW CONST DUPLEX 2-UNIT
Proposed Use: DUPLEX
Sq. Feet: Est. Value:
Cost: 42,900.00 Total Fees: 3,382.16
Amount Paid: 3,382.16 Date Paid: 3/30/2006
Address: 5854 8TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-01400-0210
RYMAN, KEVIN
5854 8TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 782-0825
MECHANICAL FEE
WATER CONNECTION RESIDENl
FIRE INSPECTION FEES
PUBLIC SAFETY 5%
T
82.00 RADON
398.05 WATER METER RES 3/4"
3.75 FIRE IMPACT FEE
26.35
8.58 SEWER CONNECTION RESIDENl
180.00 FIRE PLAN REVIEW FEES
273.00 POLICE IMPACT FEE
.0
1,535.20
16.78
254.00
I 01 ;S /
~w~ ~ =2
yee-
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: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, 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 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."
1i41A~ ~.
CONTRJ)tTORS S NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
~UILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 . I f
6Sllf DATE RECEIVED -1J \'\_6"
PHONE CONTACT FOR PERMITTING
OWNER'S NAME Ke.-.J"I'L ~
JOB ADDRESS_f)'6~R--cit s:+.
PHONE gr3 - 7?.;t-O<P~
..) .:...
. .
LEGAL DESCRI PTION: LOT (S) O...:l.J' D BLOCK tO/L/'oO
PARCEL ID # II -::L0 ~ - BCYO -Ole/OJ. ().;;;1/f)
SUBDIVISION
c-o / C>
(OBTAIN FROM PROPERTY TAX NOTICEl
. WORK PROPSED: 1d1:iEw CONSTRUCTIO~
o SIGN
o ADDITION
DALTERATION
o REPAIR
o INSTALL
PROPOSED USE: DSGL FAMILY DWELLING
o MOVE 0 DEMOLISH
BMU~~~ 0# 'OF UNITS
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK h ~ D~~ .
BUILDING SIZE 3D)C &'cf.1 P tl' SQUARE FOOTAGE I~ 7'9'
HEIGHT
~
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL:. A.TTACH (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. ~
. ~J~ QyL ~ ~ /(P79~<f~?
PERMITS REQUESTED
IIYBUILDING
~ECTRICAL
~UMBING
~CHANICAL
o GAS ~FING
$ I r~c>~ VALUATION OF TOTAL CONSTRUCTION'
c;;<~ . AMP SERVICE 0 Progress Energy 0 W.R.E.C.
$ &,/OeD..-OD VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION~LOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~
BUILDER
SIGNAT~E
STATE CERT OR REGIST # (!...g~ asS-Is sP
,
********************************************************
:::::::~cfr :::::N:::::::: . r~co /3<P!S
******************************************************************
PLUMBER
COMPANy.0~ W~
STATE CERT OR REGIST # c.....~ 'IL/Q. S" toO ::>-
SIGNATUR.E
MECJlANICAL ~6U J :- \.-P ~ A/
SIGNATURE(--7~t7~ j~r r STATE CERT OR
* ~ *.* * ~ ~ * * *.* *.* * * *~ * * * * * ** * * * * ** * ** * ** ~-* *:..n***;..~* * ** *D.... * ~ * ....
OTHER--R~"~~PAN~
SIGNATURE iJ-b--t.-"' '. STATE CERT ;~ ~~GIST'~ ~ ~ /6;1.5 S't)~
. COMPANY
A.. NOTICE OF DEED RESTRICTION~
The. undersigned understands that this permit may be sub.ject to "deed restrictions" which
may be more restrictive than city regulations. The unde!signed assumes responsibility for
compliance with any applicab~e deed re'strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR R~SPONSIBILITIES
If the owner has hired a contractor or co~tractors to undertake wo~k, they may be required
to be licensed in accordance with ~tat~. 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 int~nded work, they are ~dvised 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 (5) sign pOftions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs qS the contractor, ~ou are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you 't:o sign as contractor that may be an ~ndica~ion that he is not properly licensed and is
not entitled to permitting privileges ~n the City of Zephyrhills.
C. ~~RANSPORTATION IMPACT ~EES AND UTILITY CONNECTION FEES .
D.' CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, ~ave been provided with a copy of "Florid~'s Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applica~t is ~o~eone other that.the "pwner"j I cerify that I
have obtained a copy of the above qescribed document and promise in good faith to deliver
_it to the "owner" prior to conunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and tha~'all work will
be lione in compl~ance with all applicable laws r,gulating 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 install~tion has conunenced 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 th~t th~ regulations of other governmental agencies may apply .to
the intended work, and that it is my rasponsioility to identify what actions I must take'to
be in compliance. Such agencies include but are not. limited to: *Department ~f
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Sout:hwest Florida Water Management District-Wells, CYP!ess Bayhea~s, Wetlapd Areas,
Altering Watercourses
*Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treat~ent, Septic Tanks
*U.8.. Environmenta~ Protection Agency-Asbestos abatement
I also certif~ 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 engine.er, r\3gistered in the state of Florida prior to permit
issuance. "
A permit issued shall be construed t~ be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any proyisions of'the technical codes,
nor Shrll issuance of a permit prev~nt the Building Officia~ from thereafter requiring a
correc ion of errors in plans, constru9tion, 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 la
period of six months after the t~me the work is commenced. On~ 90 day extension o,f time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building ~fficial. An approved inspection must be logged d4ring each six
month period, or.the project will be consid~red abandoned. .
WARNING TO OWNER: YOUR FAILURE' TO RE~ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR'
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YQU INTEND TO OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR ~N ATTORNEY.BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2, 5 Of 0 . IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". _/-- .
~ ~1-~'.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foregoin~ in.~nt~cknowledged The foregoing in...t~wa acknowledged
~;f~p~:;..~~~ ' 2~ ~;for me t is ~~y of 200r-
_ ~ of pe~son pcknowledged) (name of person ac nowl~dged)
~IO is personally known to me, or ~~rsonally known to me, or
.--
of identification)
ta e an oath.
o wl10 'has produced
(type ot identification)
~ not ake an oath
.----
O"Who has produced
(type
and ~d not
o person f king acknowledgement
~~.,.~'
· .' My CommIulon DD188M7
Name typed, print ~03.2007
s
Name typed,
Ryman Construction
5854 - 8th Street
SQ. FEET PRICE
MAIN OR LIVING: 858 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 42,900.00
FEE SHEET $ 245.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 427.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 427.50
ELECTRICAL: $ 78.95
PLUMBING: $ 98.00
MECHANICAL: $ 82.00
SUB-TOTAL $ 686.45
RADON: $ 8.58
TOTAL $ 695.03
SEWER: $ 1,535.20
WATER: $ 398.05
IRRIGATION: $ -
TOTAL: $ 1,933.25
WATER METER:I $
IRRIGATION METER $
180~00 I
FIRE DEPARTMENT FEES
PLANS TOATl: $ 16.78
INSPECTION TOTAL: $ 3.75
PERMIT TOTAL
TOTAL: $ 20.53
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
3,382.16 I
769.561
SUB-TOTAL $
PARK IMPACT FEES I $
SIF'S: $ 1,659.00
100.0% $ 1,659.00
1.0% $ 16.59
TOTAL: $ 1,675.59
TlF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
7,415.31 ~
TOTAL: $
5510
------. --
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Dollar Amount 5\::) c ~0
Valuatie>>n 4Z;qo~ .
Building 4-2;7. s".:>
Electrical ~' q'8..~~
Plumbing
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Connection Fees
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Water
Meter
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School Impact Fee -1/ &/)7, C U +- I b I s4 == ) I k, 7 )-. -:;-- ~
Transportation Impact Fee
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Park Impact'Fee
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Public Safety Impact Fee
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NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statues, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. 11-26-21-0010-01400-0210
5852 8th Street, Zephyrhills, FL
5854 8th Street, Zephyrhills, FL
2.
General Description of Improvement: New Duplex
111'"' "'" 1111I11"""" 1111I11'" 1111I11"""11'11I1111
2006070066
3.
Owner Information:
Address:
Name: Kevin L. and Tammy L. Ryman
5612 Beech Street Rcpt: 986250 Rec: 10.00
Zephyrhills, FL 33540 D054/: 006./0006 IT: 0.00
Dpty Clerk
~~90;~~~"Art : rr:~o fOUNT:, ClERk
OR Bk 6924 PG 900
Interest in Property:
Name of Fee Simple Titleholder:
If other than owner: Address:
City
State
Zip Code
R
Contractor:
Address:
Ryman Construction, Inc.
36413 S.R. 54 West
Zephyrhills, FL 33541
5.
Surety: Name
Address
City
Amount of Bond: $
Zip Code
State
6.
Lender: Name
Address
City
n/a
Zip Code
State
7. Persons within the State of Florida designated by owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
Zip Code
8. In addition to himself, Owner designates:
of to receive a copy of the Lienor's Notice as
provided in section 713.13(1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the
date of recording unless a different date is specified.)
Signature of Own . Printed Name: Kevin L. Ryman
Notary Public: .. ~
My Commission Expires:
"". ."",.
:i ,~'~
. Ii,. .
~ .. 3
~1~ QF ~....:i~
Notary Public Slate of 1'lorida
800ble J KnlQhl
Mv Commission 00416222
E.plres 03/3112008
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-70111
C CI C' C'i 0 0 ~ 0
'j
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
6 -e.5 ~~
WATER ACCT. NO.
DATE ~ - ~-C:X.p
OWNER/
RENTER
Ru(Y)~
.
c.un ~-tt-ud-t ~
MAILING
~"----
SERVICE ADDRESS !=\'tS-t:i4 ~ S"'\.. - LD\ .;tl
0 [Y.--WATER
SHUT OFF SERVICE
Q-"" 0 SEWER
TURN ON SERVICE
~ 0 GARBAGE
INSTALl METER
0 [iJ/lN CITY
READ METER
0 0 OUT CITY
CHECK METER
--1..- No. OF UNITS
OTHER 0
- DEPOSIT AMOUNT
3/4 II Wocb.-L ~
~~- 551("p
- AMOUNT lAST Bill
_DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
ORDER GIVEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service pt.
Water Service Dept. to sign yellow form & return to office.
PERMIT APPLICATION
.5~~ t; XL~
r-~ tJ -D4.($~j
I ;I/Oi'''''-'' :Yeryn'r\- _
5510
550<:1
5~\3
56\5
55\(0
56\1-\
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY
All information must be filled-in completely
City of Zephyrhills
5335 8th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
Date of application:
DCopyto Building Department
Processed By:
(gray area for staff use only)
Permit #:
DCopy to Public Works
Address: t;S'/
Unit #:
Parcel Identification Number:
CONTRACTOR:
E-Mail:
Fax:
ARCHITECT I ENGINEER:
rJ~
Firm Name:
City:
Phone:
State:
Cell:
Zip:
Fax:
Name:
Address:
State License #:
TYP OF DRIVEWAY
:......RESIDENTIAL DRIVEWAY
__COMMEROAL DRIVEWAY
__PUBLIC ACCESS DRIVEWAY
DescriDtion of Proiect
~ LENGTH OF DRIVEWAY
~WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
~DEPTH _LINEAR FEET
CONSTRUCTION MATERIAL
__ASPHALT
+CONCRETE
HEADWALL REOUIRED? _YES
CURB CUT REOUIRED
_YES -j-NO
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( ) CORRUGATED MATERIAL
( ) BOX CULVERT
( ) OTHER (EXPLAIN)
$.-NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
PERMIT APPUCATION
UTIUTIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
s ~..c.e
A -tt ~ ekeJ
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes, I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Uen Law
req., F.S. 713.
,
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
AU work shall comply with the current Florida Building Code, Public Works, Design Manual and FDOT Design
Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.fI.us/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBUC.
NOTE: The City of Zephyrhillsis not responsible for maintenance or repairs of driveways. Driveways shall not alter /
interfere with existing stormwater treatment and / or conveyance.
By signing this application: I certify that I have read and understand the owner/builder disclosure
IPleasein~:aht ~ ([#& y /W(P ~
bs (' \ ~ A Icant Signature Date
L 9 - ..2. 0 - O!p
.(or) Notary Signature Date
Applicant is ( ) personally known to me or produced
as identification.
(type of identification)
Page 2. of 3:
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PERMIT APPUCATION
OFFICE USE ONLY
PUBLIC WORKS USE ONLY
Concrete (min. 61/) y N
Asphalt Base (min. 61/) y N
Asphalt (min. 1 W') y N
Length (min. 19') y N
Width (10' min - 20' max) y N
Existing sidewalk. y N
New sidewalk. y N
ADA compliant. y N
Expansion material required. y N
Contiguous parking pad. y N
Triangular flare (3'W x 7'L) y N
Visibility triangle o.k.? y N
Side set back (3' min. R.O.W.) y N
Plan Review Fee
tion of work as defined b Public Works Director and or desi nee:
,,,
Date:
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