HomeMy WebLinkAbout18-19207 C[TY OF ZEPHYRHILLS I
� ., 5335-8TH STREET ',
(813)780-0020 9207
BUILDING PERMIT
- - PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 19207 Address: 5447 11TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-13700-0010
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 1/25/2018 Name: CHENKIN, RICHARD W & PAULA K
Total Fees: 82.50 Address: 5447 11 TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
� Date Paid: 1/25/2018 Phone: (813)782-1583
Work Desc: INSTALL 5 WINDOWS & DOOR
CONTRACTOR S APPLICATION FEES
WOZNIAK BUILDERS INC BUILDING FEE 82.50
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Ins ections Re u t�ed
FOOTER 2ND ROUGH P UMB MISC ' INSULATION CEILING II
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. i
� DUCTS INSTALLED WATER MISC DRIVEWAY i
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC. �
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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. j
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for �
i improvements to your property. If you intend to obtain financing,consult with your lender or an attorney �
before recording your notice of commencement." j
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ;
NO OCCUPANCY BEFORE C.O. ;
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CONTRACT R SIGNATURE PERMIT OFFI R
, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-rao-oozo City of Zephyrhills Permit Application Fax-813-780-p021
' � Building Department �_� w� ��
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` Date Received r ��' Phone Contact far Permitting '�:1�� ��� — ����
��7'1'�TC" �n /r�
Owner's Name ev�I��h Owner Phone Number `��pr{"' �t0"1�
Owner's Address ��t�� c 1� 5�-.� Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titieholder Address
JOBADDRESS � � �--� �^ rVli1�S F4. �CYT# ��
suso�v�s�oH � � PARCE�ID# !l•a!o'�1�O o t O- 3`7 Q- 00 td
(08TASNED Ef20M FROAERTY TAX NOTtCE)
W012K PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH
St15TALl. REPAIR
PROPOSED USE � SFR Q CdMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q
_ _ '
DESCRIPTION OF WORK S
6UtI,DING S12E SQ F04TAGE HEtGHT ��
QBUIL.DING $ �J��•G� VALUATION QFTOTA�CONSTRUCTION
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QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �� � �""� "
QMECHAt�iGRt� $ VA�URTION OF MECHANjCAL tNSTALLATION � � � l
t
QGAS Q ROOFING Q SPECIALTY � 07HER
FINISHED FLOOR ELEVATSdNS �� FLOOD ZdNE AREA QYES NO
SIGNATURE (/�'�T� �1'I id�..� - COMPANY W ChZ'[�\Q.� �t i\��GYS ��Y1C-�
REGISTERED Y/ N FEE CURREA Y/N
Address �{�}�D�C .7 cl+�� lJA.�.��t��4^- J p���� License# �� t 5 C.l.�! T,S t
El.ECTRtC1AN COMPANY
SIGNATURE REGIS7E32ED Y I SV FEE CUftFYEh Yi 1 N
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Address � License#
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PLUMBER GOMPANY _ �
SIGNATURE REfiISTERED _,Y/ N FEECURRE�
Address �--_ __ . . _ �icense# } _ �
MECHANICAl. COMPANY � �
StGNATURE ftEGis'rE�D Y t �e CURrzEE Y!N
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Address License#
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OTHER � �COMPANY� Y/ N FEE CURRE� Y/N �
SIGNATURE
Address �icense# � �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
RESIDENTIAL Attach{2}Ptpt Pians;{2)sets of 8uiiding Pians;{1)set of Energy Forms;R-O-W Permit far new construction,
Minimum ten(10}working days after submittal date. Required pnsite,Gonstruction Plans,Stormwater Plans wi Sitt Fence installed,
Sanitary Facilities 81 dumpster,Site Work Permit for subdivisians/large prpjects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set pf Energy Forms.R-O-W Permit for new oonstruction. '
Minimum ten(10}wosking days after submittal date. Required onsite,Constnsctian Plans,Sformwater Plans w!Sitt Fence instalted,
Sanitary Facilities 8�1 dumpster Site Work Permit for all new projects.AiI commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""AROPER'fY SURVEY required for all NEW construction. ��
Directions:•
Fill out application completely.
Qwner&Contractor s�gn hack of appiication,noterized
tf over$2506,a Nvtice of Gammenoement is requEred. (A!C upgrades over$750Q}
'* Agent(fpr the contractor)or Power of Attorney(for the owner)would be someone with naterized letter from owner authorizing same
OVER THE COUN7ER PERMIITtNG {copy of contract required)
Reroofs if shingles Sewers Service Upgrades AtG Fence&(PIoVSutveytFootage}
Driveways-Not over Counter if on public roadways..needs ROW
i
, � ` NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" i
• 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 IMPACT/UTILITIES 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—Homeowners
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 government 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,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.
- 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �
PAYING TWICE FOR IMPROVE T `�O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR OTICE O� COMMENCEMENT. '
FLORIDA JURAT(F.S.117.03) ^ '
OWNER OR GENT \ CONTRACTOR ���� `�'~'� `�
�b c'bed an s t or a i d) ' \ Subscri ed and sworn to(or ffirmed)be�ore m�e this \
� by _ 1��\ � �� 1�—1 — by�l \C..r��C" \.l�7�Z?i�t a 1�.
Who is/are p,e�rsonally known to me or has/have produced Who is/are personaliv known t�me or has/have produced
— as identification. ` as identification.
" Notary Pubiic t�J �L.JL.k.�l Notary Public
Commission Na. Commission No.
f o t ed,printed or stamped Name of Notary typed,printed or stamped
c`��tpRYqsso� NOR�S RY P BLeIC �oj�yA Denise J.Steele
g aQ � NOTARY PUBLIC
al �, o ST A T E O F F L O R I D A -�S T A T E O F F L O R I D A
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F GENERAI.NOTES � � � X ol � ��
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� 1. Thls product has been ewluated and is tn comptlance with the 6tti Edition(2017)Flarida � a a
� BuHding Code(FBC)shuctural requ6emenh exclud�ng the"Hfgh Velocity+Hurricane Zone � ��m
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� 2. Product anchors shall be as Ifsted ond spaced as shovm on detaDs.Anchor embedment io � � � ��
Q base mote�tal sholl be Beyond wall dressing w3tucco. � $ /�/ �p
� 3.. When used in�requ�ing wirxi bome debr's Fxotecffon tha praduct 5 requeed to be � �� o
� protected wiih an impact resistant covering that complies wifh FBC Secfions 1609.1.2& �� �n
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� 4. For Dc siud frarning consfiucfron,anchoring of ihese unth shall be the same as that shown for W�
� Dc buck masonry construction.
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� by a Gcensed er�ir�er or registered architect. � W ;
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City of Zephyrhills 1
BUILDING PLAN REVIEW COMMENTS �
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Contractor/Homeowner: (�(J �C ;
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Date Received: �
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Site: ��L�L,L� /��- �C� ' I
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Pexmit Type: �� I
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Approved w/no comments:0 Approved w/the below comments: �' Denied w/the below comments: ❑ �
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This comment sheet shall be kept with the permit and/or plans.
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, .-�' � G�-,--�J�' !
Kalvin Sw' —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present) ; .
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Plan Review ;
Windows & Doors ��
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1) Need manufacturing installation specifications. ;
2) Must meet sections R308 and R612 of the 5th Edition F.B.C. ',
3) If windows are to be installed inside the historical district,they will need to be approved '
by the historical committee. :
4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified.
5) This is for replacement (glass for glas's) only. If you wish to change from screen or vinyl
windows to glass, then additional information is required.
6) All windows to wall connections shall be left visible for inspection. '
7) All labeling and stickers shall remain on windows until final inspection. '
8) No work shall start without permit first. �
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�i�{.Zi��fi Ys Wozniak Builders,Inc. OfFice.S13.377.4944 i
P.O.Box 326 Fax.813.377.4945
Dade City,F�33526 vvtivw.wozniakbuilders.com
Building Better Lives CGC 1505145 �
Zephyrhills Building Department i
5335 8�' Street �
Zephyrhills, FL 33542
January 12, 2018 'i
To whom it may concern,
This letter serves to authorize the following individuals to sign and/or pick up permits
from the City of Zephyrhills Building Department.
• Bethany Abrahams �I
• Denise Steele
• Ann Wozniak� I
• Michael Wozniak
If there are any questions or concerns,please don't hesitate to contact me.
Sincerely,
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' v��tor wo�� �
���y DeniseJ.Steele
Q NOTARY PUBLIC
� -+STATE OF FLORIDA
i Corrxrr#GG056532
�� E 19�e Expires 12/2 /2020
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