HomeMy WebLinkAbout06-5861
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5861
Permit #:5861 Issued: 9/29/2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 148,896.00 Total Fees: 10,500.47
Amount Paid: 3,785.77 Date Paid: 9/29/2006
Name: RYMAN C N TION INC
Addr: 36413 S. R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813 782-0825 Lie:
Work Desc: SINGLE FAMILY RESIDENCE
Address: 38802 FEATHERING WAY LOT 14
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number: 14-26-21-0170-00000-0140
RYMAN CONSTRU ION INC.
36413 STATE ROAD 54
ZEPHYRHILLS, FL. 33542
IL I
MECHANICAL FEE
WATER CONNECTION RESIDENl
POLICE IMPACT FEE
SCHOOL IMPACT FEE/100%
TRAFFIC IMPACT FEE 1%
65,84 RADON
419,00 WATER METER RES 3/4"
254,00 PUBLIC SAFETY 5%
4,314,00 SCHOOL IMPACT FEE 1%
15,88
16,92 SEWER CONNECTION RESIDENl
180,00 FIRE IMPACT FEE
26,35 PARK FEES SF
43,14 TRAFFIC IMPACT FEE 99%
1,616,00
273,00
769,56
1.572,12
. Jf ~
(/ 0().- (/ ,D x/
Y l ~1J \'Y
:::rn,~j)Je- -!f-
Re!> .
F T 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,
REINSPEcnON 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."
Pi ft!o ~~
CONTRA ORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhill Permit Application
Build II , Jepartment
Fax-813-780-0021
Date Received
q -;;)'l.o-O (P
~'l" H, 'J', <
5~c..-k l~/
Owner's Name '"" ().. '"
Owner's Address I J' Lf I J
Fee Simple Titleholder Name I
~~
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
! 3~ &0 2.. ~(?,f" "<j
~^(h I
1><1 NEW CONSTR E3 ADD/ALT 0
INSTALL REPAIR
PROPOSED USE [lSJ SFR D COMM D
TYPE OF CONSTRUCTION [R] BLOCK D FRAME D
DOSCRlP110N OF WORK Is:, ') I( Fe ~ : l'f r 1.1 ~ ~r, ..... c,
BUILDING SIZE L J SQ FOOTAGE _ , to ~' 2..
JOB ADDRESS
LOT'
I j 'f
~Ju.f I
PARCEL 1011 14. - 2(0 ,,1 \ - 0 II D ,- OOO()O - 6) 1'-1 0
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE D
SUBDIVISION
WORK PROPOSED
DEMOLISH
OTHER
STEEL
I
o
OTHER I
HEIGHT 1_
-
[lJ BUILDING 1$
, ') 0, tJv()
[SZ] ELECTRICAL 1$
GJ PLUMBING 1$
0 MECHANICAL 1$
D GAS (2:1 ROOFING
FINISHED FLOOR ELEVATIONS I
~-
AMP SERVICE ')..Do
VALUATION OF TOTAL CONSTRUCTION
C29
WRE,C.
PROGRESS ENERGY c:J
~../
RoW';
VALUATION OF MECHANICAL INSTALLATION
D SPECIALTY D OTHER
I FLOOD ZONE AREA DYES DNO
BUILDER
SIGNATURE
! 1l4I ~
I/#/~
COMPANY
REGISTERED
COMPANY
REGISTERED
Address
ELECTRICIAN I
SIGNATURE .
Address
~=~RE ! 1M! ~
1JdJ~
,
COMPANY
REGISTERED
Address
MECHANICAL I
SIGNATURE :
Address
~I~~~~URE I. 4lJ) ~
Address .
COMPANY
REGISTERED
COMPANY
REGISTERED
f-v "'" 4. '"
I Y/ N I
61\5'+
FEE CURRENT
Y/N
I
I
I
I
I
I
I
I
I
I
~ Cd+-
I Y/ N I
License' I
PeeS(. a
FEE CURRENT
E /.f(
I Y/N
License ,
Lf.en~'. \
Y/N I
w,' \\; Q..., s
FEE CURRENT I Y / N
License'
So u.\-ltc ~ (:0"" fort-
I Y / N FEE CURRENT I Y / N
License .. I
(l ~,.... Ct "
I / N I
f0" .f".,~
FEE CURRENT
Y/N
License ,
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Fonns,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans,
****PROPERTY SURVEY required for all NEW construction,
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
-- ..
Directions:
Fill out application completely,
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agenl (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
Driveways-Not over Counter if on public roaclways..needs ROW
Fences (Plot/Survey/Footage)
f\~~
0/\
h' \-Q
NonCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restriqions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTlLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the .owner", I certify 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.
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. Application 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction, I also
certify that I understand that the regulations of other govemment 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterIWastewater 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways,
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall,
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction, I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically included in the application, 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 codes, Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced, An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned,
Notary Public
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
~t-'"l .0(1,.
i 'I ;0 '1-
. , . ..
, ~
'It or "",of
Notary Public Slale of I'Iorida
-300b!1l J Knight
My Commission 00416222
Expires 03/31/2008
Notary Public State of I'Iorida-
Bobble J Knight
My Commission DD416222
Expires 03/31/2008
I
~~y p~
~o ~~(,
. "
~. ~;
~ '? or t\o~
ii.581.o\
RYMAN CONSTRUCTION
EAGLE RANCH
38802 Feathering Way (1692)
SQ. FEET PRICE
MAIN OR LIVING: 1,692 $ 88,00
OTHER AREA UNDER ROOF: - $ 88,00
OTHER: - $ -
.
VALUATION $ 148,896,00
FEE SHEET $ 627,00
ADDRESS $ 30,00
DRIVEWAY $ 30,00
BUILDING: $ 699,54
ELECTRICAL: $ 141,08
PLUMBING: $ 94,05
MECHANICAL: $ 65,84
SUB-TOTAL $ 1,000,50
RADON: $ 16,92
TOTAL $ 1,017.42
SEWER: $ 1,616,00
WATER: $ 419,00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER: I $ 180~00 I
IRRIGATION METER $
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254,00
FIRE $ 273,00
5% $ 26,35
TOTAL: $ 553.35
SUB-TOTAL $ 3,785.771
PARK IMPACT FEESI $ 769,56 I
SIF'S: $ 4,314,00
100,0% $ 4,314,00
1,0% $ 43,14
TOTAL: $ 4,357.14
1
1
1
TI F 'S:I $
99%1 $
1%1 $
1,588,00
1.572,12
15,88
TOTAL: $ 10,500.471
R 4.
1111I1111111 1111I11111111111111111111111111111I1111111I11111
2006194903
<l:W>- ... ~
~~:lE a a:
~ZC/) >- ~
zaC/) < (.)
C5t-~ a t- 5
~z_ a:
WW;t :::3Q.
~:lE a W
u...~W, (,,).0
xolt~~3
::~ox~l~
<l:t-~ t- N (J
..-<{O:J:..-r. ...)
OU;:OI-4; 0
;y:: CI) !:: it ~ ~ x
...~~OO-' ffi
00. wua:: <Cl
....J <->t;8 <31" (.)
LLLLaww-(\ Z
LL 0 ~ ~ a: tt:~,..... <( ..I
o>--aS-O """,;:)
C/) u -' a c:::
wJ-z~o~z
J- Za.cc:
~ ::> ::; <L. 0
J- 0 :::)0 z
cnu ~~~
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. ~ - 2 b- 2.. (, D 110 - DODDu ,- 0 It{ 0
2.
(legal description of the property and street address if available)
General Description ofImprovement: rJ~ ~;^,,->l.f ~~; Iy Dwe,( t; .11
3.
Owner Information: Name: JYlh ~'"
Address: ,,~~ l it. -~'. hL r I
City ~h.'I,..~..\tj
Interest in roperty:
Name of Fee Simple Titleholder:
If other than owner: Address:
City
1'.;) <..
re&>.. t(."e,..... '..., ~ L.../(, (
State f" Zip cod
3JS-"l1
~/l ) ~.
silo z..
State Zip Code
Contractor: _CL <f "...,4", 6:,.... 5-t: -r.-..., (..
Address: 36413 S.R. 54 West, Zephyrhills, FL 33541
5.
Surety: Name
Address
City
Amount of Bond: $
State
Zip Code
6.
Lender: Name
Address
City
State
Zip Code
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~ Printed Name_kei, .^ f.y,...,o.. "
Notary Public:
200~
Sworn to and subscribe fore me thi~~y
My Commission Expires:
i,sf "j\
,~;
OF..fS'"
Notary Public Slale of l=Iorida
Bobbie J Knight
My Commission 00416222
Expires 03/31/2008
(9 0:;0
(0 cnn
...... ., '0
N ...
U1!9 .,
......(91oA
(9(9(9
G) to.)
CJl
CXl
N
N
:;0
...."
~n
0(9 loA
"tl. CSI
....(9.
'< (9 (9
o (9
-
~
,
:0<'
(9t..o
o (01'T1
:;0 ......0
I>> ~""D
'" ..........
(9~
~ IG)~
-"(9~
.....:1:".
U)~""D
......'01)
"-3cn
o
o
""DloAo
C'I 0
c:
~~
0)-<
or?
......~
'"
Fee Sheet
3 ~~v 2- #a1f 'ijtu~ iJJ~
f'l~ c~~'(
Comm
Res
Square Feet 1 b11'~
Dollar Amount
1;1." v~
Valuation
JLfEdI1'1~
.
(Use System for calculation of fees)
Radon
I b .'11.-
Connection Fees
Sewer
Lbl\o~b~
it q. ,.-~
Water
41'\ .,....'U
W. Meter 1 ()c .
(All Residentials - % ")
% (180.00) /'
1 (250.00) _
1.5 (650.00) _
2 (875.00)_
3 & 4 (Contact Louie) _
lIT. Meter
lIT. Conn
Impact Fees
School
~ 357/-+
,
Transportation
"
it i'6~. ',h
651.':)
Park
......
7bq, '~b
Public Safety
Date: q - 'dta -0 (0
Address:
Type:
Review.Comments By: B. Burgess
, '\
S 'X)<:o ~ ~ ~QJ\J..JY",~ (LJ~
~vC.
pv0lAc ~)
yZ ~ LJ 0)"f;- f Ff2-w\)l 1 ~
~ LL~~,;:J ~
{1 1 ~(..
t?2
G? I,
~Ofp
CITY OF ZEPIIYRIULLS - BUILDING DEPARTMENT
JUGllT-OF-WAY USE PERMIT
PERMITN
DATE:
. No condruetlon under grounll or abon IIll'Ound or an}' fRelllly ,"all be lI<<ompll.hed on lUI" CII" RighI. of W.y ....lIhout ....rltten .pproval from the
Clly Dulldlnlll D..partment, Any appll..atlon f..r IIppr..VltI ..r con.tru",lon ..peratlon. "" any Clly o....ned Rlgh" or Way.haD turnl.h . det.lled dra....lnl.howlnl
the compl..te ,c"pe or I.... propo.ed work In 'rlplleate t.. the ornce or Ihe Dulldlnlll Ornclal for appro,,",1 prior to lhe commencement or any work. A copy or thl.
permll .. to be kepi readily available at the .lIe or Ihe ....ork lit all lime..
PARCEL I.D. N
1'1~1~-11_ 0(70- 00000 -OflfO CITYROAD s~g()7.,
LOCATION (Legal De.crlpllon):
k~/.p fCA.}~,^ S'~h c/.'v,'S,'OA
Pj - FJ"t~
Lo-l- I
or (, 't.<{o P(;. 04;;1
TAC.
FRc..+l, I!r .' ^ S
l..Jo.t
DATE s/~01()r,.
Permission Is herel,y granled to
for the construction Md malntemmee 0
Z~f1 L.y i~;Llr
subject '0 the following eondlllons:
l. The eon.lrucllon and InalntemUlce or luch uflllly ,"all nollnlerrere wllh Ihe property lUId rlgh.. of a prior occupant.
2. All ....ork ."~II bc done In kceplng wllh Ihe Ifamhuds of IIle Clly Streels Deparhbent and under Ihe lu,ervlslon of Ihe Clly Building Omclal, "ho
,"'Ill be notlned allead one day prior to eommeneement of con.trucllon.
J. All malerlal. and ellulpment shall be .ubJeet to In.peetlon by Ihe Clly Bulldlnl Omclal
4. Durl"g con.tmetlon 1111 sAfety re~laflon. of the Department of Trllnsportllllon Ihall be observed and the City Ihall be relieved of all
rc.ponllblllly from damage of any nature arl.lng from thl. permll. Subject 10 .he lame 'erm. and eondlllon., Ihe permit holder may take lueh larefy meuurel,
Including placing ami cUsplay ..f eallflon .Ign., al II may deem necenary In conduct of construction and malntenllnce work hercunder. It h the felpon.lblllCy or
the permlffee '0 place, mal,,'aln, and .upervl.e all traffic conlrol and device..
5. All prlvAle and 1111 Clly properly .hAII be re.tored 10 lis originAl condition liS fAr as practical In the opinion or .he Clly Building Official
6. All underground crolllng In.,htllatlo... .hall be lAid at such deplh a. mAY be .peclned by the City Building Official
~. ' The .ketch coverlnR Ihe detail. of Ihl. In.lallal"III .hAII be made a part of 'hls pennlf. This permit Is Rranted wllh 'he unden'lUIdlng .h.t the
al'pllcanl ha. no'lned all other u'lIIty ulen In 'he llrea conred by .he permU and takel full re'ronllblllty for any damage IMurred by prior In.tallatlonl al .
re.ul' of his operAtions In order 'hA' 'hey nlay .afe goud 'helr Interes...
8. III. npre..ly 'lIpula'ed Iha' Ihl. permU I. IIl1ee...e for perml.dve u.e only IInd thll' the placing of fadlltles upon public property punuant '0 Chi.
permll Ihall nol opemle to erellte or to vesl any property rlghl In Inld holder.
9. Whenenr Ihe City decide. to furlher C1lllloU Ihe CU)' RighI. of WilY, any or all laid poles, wire., plpel, cllblel, or olher fllellUlel and
appurtenAncel aulhorlzed hereunder, .halllle Immedlalely removed from laid Rlpl. or Wa)', or re.et or reloca.ed 'hereon.1 required by the cui Bulldln,
Official lit Ihe ellpense of Ihe holder of Ihls permll.
10. The hohler shall .al'e and keep (he Clly hamde.. frlllll IIny IInd all damllge., claim I, or lnJurlel that may occur by realon or the comtruetlon,
mA'lnlellAnce, IUId operaflo" of .ald faclllly.
II. The holder IhAII complete the reque8led work wllhl.. days or thl. pennU Ihllll become nuU IIIId void. In the event the work requeltecl
I. not completed upon Ihe n"lratlcn1 da'e of 'hls permit, the Clly shall have Ihe rlgh' to comple'e .uch work and to chllrge .he holder of the permit for aU COlta
Incurred In complellng laid lvork.
12. T"e holder shllll "ost a calh or .urety bond Trllh file Clly ManARer In 'he IU ors O..~ . ran'ee performlUlee orebe obllpflom
herein, IInd ... ~AnUllee malntenRnce or the rlfthf-of-"'.y de.erlbed herein f..r II period 0 yellr followlnl comple' "" 0 the requelled !nllall.don. In the
event.. ."rety bond I. "",'ell, Ihe .uret" b.....1 .hllll be mllde "lIyable I.. the Clly IInd .hall oblllllll.e y hRrmle.. In the event the holder of
Ihl. I,ermlt .h.."ltl rail I.. lIIeet any or I.. ..bIlIllRII..n. hereunller. The "..nd .hall RI... Indemnlf" the CIty for all eourt cost. IInd reas..nable IIffomey'. fee. In the
evenlleglllllcfl.." I. required t.. e..lleet on SAid b..nd.
13. The l'erllllUee .hall have a14 hour emergency conlad nAme and number 1I..ed below,
SUDMrnED BY:
(P.~I"~, gY'"'(fJi-Qn S ~ ~(.
Signature & Tille ~ U
Addre.. 3" <. 4 , 1 S t-. ~ lJ . ~ <-{
Phone C~(1)7 bl. ~ O'tLr;-
APPROVED BY:
CITY OF ZEPBYRlI
1.
Dulldlng Official
Dale:
Utllllle. Supervisor
Dale:
City MlII1ager
Dille:
? ~( VI.{ O<?'~ e
(p' I ~ 0(",
'~-Iz-<Ii1 ofr~
Public Work.
Date:
05/25/2006 11:17
813---'1-2054
RYMAN HOMES
PAGE 02/02
.'''-
/' /'PZ"'jt;:; ,
~/;:'~
-+ !/""'l.
~~- (').~ of /~." .~"
'-, ~'~k - "((j
~~. il;,-1r'
'" ,~~~
~~
A Division of Rymat, Construction, hu:.
Lio:nsc: # CB C035134
.
'SCALE y+- ,~~ 'S. C A??~e:K,
D/;VCl.c..1Q..1
-~
'\~ '\"'\ ,
\,
\"
\ -,.,.--....",
'\ (L~~ "
BUILDING HALL C~Y WITH\~ /4 /
ALL APPLIC LE B ING,
ELECTRICAL, UMBIN AND -
"
'\
'\ ~'~,
'\~
"'~\. '- : I
'\ ""\ lfbCl.C.~~ " I
BUILDING SHALL COMPLY WITH !
ALL APPLlCABLE CITY OF \ I " I'
ZEPHYRHILLSORDINANCE. . \"" J_ ',I:
11 '.~~'
, /......OT ~ 5
S'l'dwOclk Sl wole, ltl(~\\!e\'JI1':( \,. /'
'-I " -t l. <.l vJ ,-It. r",~o r~T 0A 0 e.le ~ '. ['-i" --7 ~Xj?~ ""'--
'1,,[ _ J . - 1.. II _':J~
'~; \
1"'c1'."'~& wt>.l \ (I g.<-
, ~"211 ---7 \ 7lctClt'
U{Jirfs
!1f~
L.
. ..._~.
i
I
1'5 '5e::r13ACK
'.._--,.
f
4-
I
.
f./I AC\ ~o~
w
,
1,1
I
i
11
'I
I
,
-
c.~
~
( LoT '\
\l3/
-
3880 ^
v',
~
.:..,;
c;:!
.:::.
\\
l\
<^
Pow
(, (I (/".. de.. W. .\Lt ~[)o v PST
eonue.J.e C{~ <'0 Kb )( 10 ~)t.J l"'-
t,"
l-l/~'
! 36413 sa 54. Zcphphilb, Florida 33541. Telepbonm 8131782-"825' Po. 8131188-6773
www.rymanhomes.com
.,.y,,: ~
"'......
o
o
-==
(1
PERFORMANCE BUSINESS PRODUCTS, (NC, 813-711l-8OO8 FAX 813-7111-711111
WATER ACCT. NO.
r,
, l
(""l
()
o
o
('\
(i
CITY OF ZEPHVRHILLS
ZEPHYRHILLS, FLORIDA
DATE
q /R~ !01p
.
OWNER/
RENTER
Q ''-If'Y"Y)lVY! 0 CIY"'l-::rtv-u dt U"y)
I
"?lCo4' ~ s<< sy.
-6Pfh..ttr-hr ItS) H_ 33'542.
SERVICEADDRESS 3%'R-oa FP~~ (")9 /J..)()u (- l-oTIY-_
Q/' WATER
MAIUNG
SHUT OFF SERVICE
TURN ON SERVICE
INSTAll. METER
READ METER
CHECK METER
OTHER
o
u;v'
[g/'
o
o
o
o SEWER
o GARBAGE
[Y..--fN CITY
o OUT CITY
~ No, OF UNITS
_ DEPOSIT AMOUNT
3(y W~~
r~- 5~(o I
WORK COMPlETED BY
& DATE COMPlETED
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
4ft!
Retain white form in office at atl times,
Send pink & yeUow forms to Water Service Oept,
Water Service Oept, to sign yellow form & return to office,
J
(~'::'MTF'I\.'
~ i
1 j"'.'
f i i
j ~. I ,
- -.....-_..- -._.~----- --------.---
r.:lf~"e.~.-4'''' ""''''''"''_ ,....