What are the ramifications of not recording a house given to me through a trust.

You should record the deed as soon as possible. This serves as protection for you in the event that someone claims to hold superior title.
Absent someone challenging the validity of your interest or you wishing to sell the home, the deed need not necessarily be recorded, but I would urge you to do so as soon as possible.

Until you record the deed you cannot benefit from the homestead exemption (protecting some of your equity in the house), cannot finance or re-finance the house, or probably get homeowners insurance in your name due to the difference of the title. That's probably just the beginning.

You should record the title immediately. If you do not, another person can claim they have true title to the property.

You should record the deed in your name right away in order to secure your rights.