HomeMy WebLinkAbout19-21095 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21095
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 21095 Address: 39050 MANOR DR
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: ZEPHYR HEIGHTS
Est.Value: Parcel Number: 12-26-21-0050-00000-0100
Improv. Cost: 2,700.00 OWNER INFORMATION
Date Issued: 4/15/2019 Name: CHENKIN FAMILY TRUST
Total Fees: 82.50 Address: 39050 MANOR DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/15/2019 Phone: (813)782-1984
Work Desc: REPLACE 11 WINDOWS S/S
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MI C INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
-PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received all Phone Contact for,Permitting
Owner's Name �vp P Owner Phone Num
Owner's Address F—a'?05-0 MANOde— DR. Owner Phone Number
Owner Phone Number
JOB ADDRESS T#
LO
SUBDIVISION PARCEL ID#F/ 2- -2 (6-21-oo5o,0000 0 -0/0 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e
ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE F,4Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Fn] BLOCKQ FRAME STEEL
DESCRIPTION OF WORK Z_iq
BUILDING SIZE SO FOOTAGEF/ 7 HEIGHT
®BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY L_
SIGNATURE REGISTERED Y/ N FEE CURREN L_X L N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED L_Y_L N_J FEE CURREN Y/N
Address License#
OTHER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F—
HHH-it
RESIDENTIAL, Attach(2)PIdt-Plans;-(2)sets of Buildlhg Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction-Plans,Stonll_WRt4Ekr Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
.............
------- ----- .....
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFo(5tage)....—..,,..
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may bo more restrictive than County regulations. The undersigned assumes responsibility for comp|ianoa�dhany
applicable deed restrictions. ' .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired e 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 |imynaod as required by /avv. both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain no to what licensing requirements may apply for the
intended work
, they are advised tocontact the Pasco County BuUdinQInspection Div|nioo--Lioanoing SmoUoned727-847-
8009. Furthermore, if the owner has hired o contractor or contractors, he in advised to have the contractor(s) sign
portions of the "contractor Block" of this oppUooUmn for which they will be responsible. If you, as the owner sign as the
contractor, that may beon indication that he is not properly licensed and is not entitled tn 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 bui|d|nQo, or expansion of existing buUdingo, as specified in Pasco County Ordinance number 80-07and
90-07. as amended. The undersigned also undmrotands, that such feeo, as may be due, will be identified mt the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate mf occupancy" or final power release. |f the project doemnotinvo|woacedU5uotmof000upancyor
final power na|eaoo, the fees must be paid prior to permit issuance. Furthermone, if Pasco Counh/VVatmr/Sevver Impact
fees are due,they must bo paid prior bn permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, asmnmended): |f valuation of work ia $2.5DO.ODor more, |
certify that |' the applicant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. h the applicant iosomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the^owner"prior bocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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. | certify that no work or installation has
commenced prior to ioauonma of a permit and that all work will he performed to meet standards of all |mvms regulating
conmtruutimn. County and City codme, zoning regulations, and (and development regulations in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
rny responsibility bo identify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Boyheods, Wetland Areas and Environmentally Sensitive
Lands,VVatec/Weatexms0orTnsatmerd.
- Southwest Florida VVotmr Management Oistriot4Nm||o' Cypress Bayhmadm, VVo{|and Araan, Altering
Watercourses.
- Army Corps ofEnginmero-SeovwaUm' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVaUn, VVoatavvoher Treatment,
Septic Tanks.
- UG Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohty-Runmmya.
| understand that the following restrictions apply to the use mffill: `
- Use nf fill |o not allowed in Flood Zone^V~ unless expressly permitted.
' |f 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 professional engineer
licensed bv the State ofFlorida.
- |f the fill material is to be used Ili Flood Zone 'A" in connection with o permitted building using stem vvoU
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, | certify that use of such fill wilt not adversely ofhaot 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 iorequired.
|f| gmn 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. | understand that a separate permit may be required for electrical vvorh,
plumbing, oigns, vveUs, poo!e, air oond|Uoning, gao, 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
un|mom the work authorized by such permit is commenced within six months of permit ioauanoe, or if work authorized by
the permit in suspended or abandoned for a period ofsix(0)months after the time the work iacommenced. An extension
may be requeoted, in mviUng, from the Building Official for o period not to exceed ninaty (80) days and will demonstrate
justifiable cause for the extension. |f work ceases for ninety(BO)consecutive days, the job io considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IFYOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-YOUR-NOTICE-OF COMMENCEMENT.
OWNER OR AGENT'k; �.C(ONTRACTOR
(or affir
SVI)scribed and swor meda) Zore me hl� bscribed and sworn to(or affirmed)before me this
"Who 1111 has/baw—produrpd Who is/are personally known to me or has/have produced
r _—Notary Public —Notary
a)04 Public
Commission NO. Commission No.
INSTR#2019062158 OR BK 9889 PG 737 Page 1 of 1
04/15/2019 11:15 AM Rcpt:2045780 Rec:10.00 DS:0.00 IT:0.00
Paula S. OWeiC Ph.D., Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No.
Property identificadon No._2-Z fin-21_" 6 0-56— 06000 0100
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property.and in accordance with
Section 713.13 of the Florida Statutes,the following information Is provided in this NO ICE OF COMMENCEMENT.
1.Descriptionofproperty ftaldescrlpRon.9 a--sad th �f on(Z, 7 Gzjk5���d 2-6 e2/f
a)Street Address: {
2.Oeneral description of improvements: l Off+
3.0wner information
a)Name and address: C 1-11IRW 64�- O-d j5a d� ,�� Z 1=_?3512-
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property A jhb7 kRZ
4.Contractor Information
a)Name and address: aA YhE JD S CJ lnJ d✓�'�
b)Telephone No.: Fax No. pt)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
61ender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom polices or other documents may be served: ����� ••
a)Name and address:
b)Telephone No.: Fax No.(Opt.) (ym 6
'.To addition to himselh owner designates the following person to twelve a copy of the Lignoes Notice as provided In Section a y
713.13(Ixb) Florida Statutes: •`
a)Name and address: . I
b)Telephone No.: Fax No.(Opt.) e, t
9.Exphation date of Notice of Commencement(the expiration date is one year from the date of recording unless a dif eient date is ® �o
specified):
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TBE NOTICE OF �.�• a
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 4 Z U w
STATE OF F1,ORMA O tt_ _ U
COUNTY OF PASCO � wfir `C U z O
eeorOwnercrOwmtsAudKdwdOffi=/Dlrtet r/Pab=Um W < — U (n J O F'
GA/L. CHeV1</1v Nov�91� a = Q N a
Neese tL W I— d 0
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Th forego strymant;;yyas eerr�aaowledged before me thi� day of Yr ( 20 9 by t7 11-- 0 Q O
rtCrYl gas
(type of authority.e.g.officer,trustee,attorney W tL it U 0 .
in fact)for (name of party on behalf:24
Instrument coat a: O O �' eti
Personally Known_OR Produced Identification Notary Signature Q aO O O
TM U U
Type of Identification Produced � 1�P.fs�t� Name(prmt) 1tt31tvte �Q(1P� Ct} U m Cl u- U
ttW � Z OJ_
C)� Wtai = QW
Verification pumtsat to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have mad the foregoing and that lei Qw.] O O a O
the facts stated in it at true to the best of my knowledge and belie£ LL O W
0 — ZW ,� �
W �
Shoo ofNa ffa Person S4pft Above Q T W n
,,� "''•s JACQUEUNE BODES ez— z0 \ a m
�?��j Conrniaeton/G(i 21845T
�i=E*rea December 12,2022
P� .••• BondrdTAroVgFilnlowaooaE00+'10�70t!
III`• 'I^ I .
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � }r - 11
Date Received: — -'I
Site: 0 60 Ave or- cbc
Permit Type: j� oYIG .S � � 'a2
Approved w/no comments:El Approved w/the below comments: Denied w/the below comments:
This comment sheet shall be kept with the permit and/or plans.
APR VO 2019
Kalvin Swi —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
DISCLOSURE STATEMENT FOR OWNER
'CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I,
IE L L/10 C H C�IV' JA) have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent. to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one»family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. it is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A.- and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulatio
OWNER'S SIGNATURE DATE
ADDRESS 37V.')Q ftnAlwg Vie, lZergyRal/
PHONE 2$1 1 _,7. q
PERMIT #
WITNESS �p Wvr,�
Do rot remove until final ins actions b code official.
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Canada ER/RE13
energystargaca
COMM
U.S./U. ®.corm aarunuia
unergystergov
ALL WORK I HALL COO CODE-O PREVAILING
JV� Am�e� rican CODES FLOROA BUILDINCi
NFRC Crattsmlari NATIONAL ELECTRIC CODE,
►>yAndersen wi.00w.•e000. ApfDTHE CtTYOFZEPHYMILLS
1&;A ORDINANCES
NalbnelFnnesimlon CPD# SIL-�I-3-01802-00001
RdN Councilo 2127 Single Hung Vinyl Dual Glazed
`03SKI' Sun Ar-gon fill
ENERGY PERFORMANCE RATINGS
U—Factor Sglar Heat Gain CoefficieniREVIE 11 PATS APR' 0-2019-
0 . 30 1 . 70 0 . 23
(U•5JI-P) (Meiric/SI)
e:vrY�-
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
0 . 44
M;lnufach rer stipulates that these ratings conform to applicable NFRC procedures for determining whole
prlduct performarce. NFRC ratings are determined for a foxed set of environmental conditions and a
specific product size. NFRC does not recommend any product and does notwarrant the suitability of any
poduct for arty specific use.Consult manutcturer's iterature for other product performance information.
www.rtfrc.org
�- WINDOW&DOOR Licensee 440-H-022
MANt-FACTURERSASSOCIATION
II■ WD M2127 A Silver Line Windows
Single Hung Vinyl Dual Glazed
/ Sun Arson Fill
Hallmark Certified Manufacturer Stipulates Certification to the
following standards
www.wdma.com
_ SIrAI'J0Al2D
Close.R-P.G60Sioi�--�ge!'e'd 52 x 61 in-
AAMf/11DMA/CSA L01/I.S.2/A440-11DP„t60i=60_fasf
TRS 202 - HVH2 �.DP .62.0/-65 Psf
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0001 ®..
FL/14911
.0 mm Dou a Sir AN Outer/
.02. D RN Inner
Complies With HUD UM Bulletin III
\_ IGCCo/IGMA0 11-18
lb go 5 24857546.1.32
MeetE or exceeds CEC & IECC Air Infiltration Requirements of 0.1 CFM/sq.ft.
or lcwer. WDMA Hallmark Certification Program
DURABLE POWER OF ATTORNEY
FOR ASSET MANAGEMENT
0 VERVIEW OF PERTINENT INFORMA TION
AGENT APPOINTED FOR ELVIRA J. CHENKIN
1. Initial Attorney-in-Fact: ALAN 1. CHENKIN DFC64 SCD 56 P rCM R- 7
11. Alternate Agent(s):
If above Agent is unable or refuses to serve for any reason whatsoever,the below named
individuals are nominated to serve as alternate agents, as specified in the document:
JAMES M. CHENKIN j96C6A,56j)1* )4o6.(1sr
GAIL M. NOVAK
7-10
,/,..qN WITNESS WHEREOF, the principal has signed this durable power of attorney on
ELVIRA J. CHENKIN
ACCEPTANCE BY ATTORNEY IN FACT
1
Dated: ZZ
ALAN I. CHENKIN
�1
7-17
SIGNED, SEALED, AND DELIVERED
IN THE PRESENCE OF:
Print Witness Name
Address, including county r
Witness
Print Witness Name �cn a M. EclrnofjSon
Address, including county (o-7.So - .2 C.-hen I--, r, ko( .
Z,p 6-1 lls, 1. .5.3!5q 0 Row
Witness
7-18
STATE OF FLORIDA
COUNTY OF &ea
The f regoi g instrument was acknowledged before me this p z by
ILz � , who idejutified this instrument as her Durable Vower"of Attorney
and signed the instrument willing Nz 4 aq, is personally known
to me or has produced z/Pr , „1,�,� as identification.
"'�4e
otary Publi , State of Florida
Personally Known
OR
Produced Identification
Type of Identification Produced
n
7-19