HomeMy WebLinkAbout16-17560,17561,17562,17563,17564,17565,17566,17567,17568,17569,17602 ' - l- - � CITY OF ZEPHYRHILLS
� ' 5335-8th Street -
(813)780-0020 17560
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATIO.N INFORMATION �
Permit#:17560 Issued: 7/13/2016 Address: 38651 TARR DR LT#44
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 29,200.00 Total Fees: 220.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 220.00 Date Paid: 7/13/2016 Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS, FL 34451-1462
Phone: (352)583-5611 Lic: ER-05521 Phone: 352-502-8167
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES (CARD 1 OF 10)
APPLICATION FEES �
ELECTRICAL FEE 110.00 PLUMBING FEE 110.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC •
CONSTRUCTION POLE
PRE-METER �/` �� ' .
FINAL ��,
�� l � n`� � �
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REINSPECTION FEES:(c)With respect to Reinspectio 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 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. ,
"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 and Fee Must Accompany Application. All work shall be perFormed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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State of " �� J�(.�CO
County of � -�_�
THE UNDERSIGNED hereby gives notice thal improvement will be made to ceAafn real property,and in accordanee with Chapfer 7t3,Florida Statutes,
the following fnformation is provided in this Notice of Commen�ceLmenl:
i Descriptfon of Property: Parcef Identification No._,_7 7� oZ� '02� � Q�(B '^ 1��Q� O���'
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3. Owner Infortnation or Lessee iniortnation if tlie Lessee wntraded for ihe improvement: Y�"I � �'t`2� ��(j�
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1. Expiretlon dale o1 Not(ce of Commencement(the expiration date may nol be before lhe camplelion of construction and final payment lo the �3 � � LL �� Z O J
contraclor,bu t w i l l be one year from lhe date ot recording unless a different date is specified): • �«+� � �� (L' � = Q W
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ��„►p � ld- () Q 0} � Z
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN w� � � � � � O
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CAMMENCEMENT MUST BE ���,,,o � � Z O� �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN7END 70 OBTAIN FINANCING,CONSUIT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � IJ� UJ Q � � �
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� ' � CITY OF ZEPHYRHILLS
� ' S335-8th Street
(813)780-0020 17561
ELECTRICAL PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17561 Issued: 7/13/2016 Address: 38651 TARR DR LT#45
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
, Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITE ( CARD 2 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED '
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER ,
FINAL
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 may be additional restrictions applicable to this properly 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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � � CITY OF ZEPHYRHILLS
• ' 5335-8th Street
(813)780-0020 17562
ELECTRICAL PERMIT
PERMIT.INFORMATION LOCATION INFORMATION
Permit#:17562 Issued: 7/13/2016 Address: 38651 TARR DR LT#46
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 RV NEW SITES ( CARD 3 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 may be additional restrictions applicable to this properly 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
n� �
6`-- '
.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� • � CITY OF ZEPHYRHILLS ���
• � 5335-8th Street �
(813)780-0020 17563 I
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17563 Issued: 7/13/2016 Address: 38651 TARR DR LT#47 ,
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. �
Class of Work: PLUMBING/NEW Township: Range: �,
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page: ',
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS ',
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000 ��
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451 I
Phone: (352)583-5611 Lic: ER-05521 Phone: -
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 4 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 may be additional restrictions applicable to this properly 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 and Fee Must Accompany Application. All work shall be perFormed in accordance with City
Codes and Ordinances.
� �
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
� • � CITY OF ZEPHYRHILLS
• • 5335-8th Street
(813)780-0020 17564
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17564 Issued: 7/13/2016 Address: 38651 TARR DR LT#48
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 5 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 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.
"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, Specifcations and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• � CITY OF ZEPHYRHILLS
• � 5335-8th Street
(813)780-0020 17565
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17565 Issued: 7/13/2016 Address: 38651 TARR DR LT#49
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION - OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 6 OF 10)
� APPLICATION FEES ,
INSPECTIONS REQUIRED '
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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 may be additional restrictions applicable fo 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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances. .
,
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO �
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED -
PROTECT CARD FROM WEATHER I
' � CITY OF ZEPHYRHILLS
� ' � 5335-8th Street
(813)780-0020 17566
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17566 Issued: 7/13/2016 Address: 38651 TARR DR LT#50
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. _
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE FATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone: �
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 7 OF 10) I
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 may be additional restrictions applicable to this property that I
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 and Fee Must Accompany Application. All work shall be performed in accordance with City '
Codes and Ordinances.
C NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
� • � CITY OF ZEPHYRHILLS
• � 5335-8th Street
(813)780-0020 17567
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17567 Issued: 7/13/2016 Address: 38651 TARR DR LT#51
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 8 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC �
CONSTRUCTION POLE
PRE-METER �
FINAL ' I
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 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.
"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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� • � CITY OF ZEPHYRHILLS '
� � , 5335-8th Street '
(813)780-0020 17568
ELECTRICAL PERMIT I
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17568 Issued: 7/13/2016 Address: 38651 TARR DR LT#52 �
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range: '
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION. OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC i
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462 !
DADE CITY, FL 33533 INVERNESS FL 34451 �
Phone: (352)583-5611 Lic: ER-05521 Phone: I
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 9 OF 10) '
APPLICATION FEES '
INSPECTIONS REQUIRED !
ROUGH ELECTRIC �
CONSTRUCTION POLE -
PRE-METER
FINAL
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 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.
"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 and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� • � CITY OF ZEPHYRHILLS
� • 5335-8th Street
(813)780-0020 17569
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17569 Issued: 7/13/2016 Address: 38651 TARR DR LT#53
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: INSTALLATION ELECTRICAL AND PLUMB 10 NEW RV SITES ( CARD 10 OF 10)
APPLICATION FEES
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 may be additional restrictions applicable to this property that I
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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
,
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO ,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I
PROTECT CARD FROM WEATHER I
; 813-780-0020 , City of Zephyrhills Permit Application Fax-813-780-0021
I � Building Department
Date Received Phone Contact for Permitting ���Z J�� - (� ���
Owner's Name ���Z �•�Q.�-��%V�����' � Owner Phone Number �Z''���/� ZL 7,t.��
Owner's Address ,o. �D 7� j �'F 2- Owner Phone Number � "�/�^ 2 7 /l�4.�
Fee Simple Titleholder Name Owner Phone Number �.S �'-3/D ^�� �✓'••L�
Fee Simple Titleholder Address
JOB ADDRESS v�'b�� � �'T2✓� L'2i�'� Z�� �7"�''�� � ��� LOT# �7 ���
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ����� � I � ��� ���J ��-S �u%L�(C l}'L �' ��--uM�!�I lT
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
'�vyt,�
�ELECTRICAL $ i y �Q O AMP SERVICEL�/r �. PROGRESS ENERGY Q W.R.E.C.
7v
�PLUMBING $ �, /��O
`7
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l
7���
OGAS Q ROOFING Q SPECIALTY ��" ���
0 OTHER ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO �i-IG �v R. �$•��t �'% Pl�K-'��
pL-2 rn f r
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address , License#
ELECTRICIAN ,�y� � f� COMPANY �d�S ����-G
SIGNATURE " � �r -_� � REGISTERED Y/ N FEE CURRE� Y/N
Address �� `� �` e ¢�� �`�t� License# ����G�� 9
♦ jn�4 1
PLUMBER ^ OMPANY �., y �� K.t"�
SIGNATURE REG STE o Y/ N FEE CURRE� Y/N
Address �� � { License# `
MECHANICAL y�pqNy�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
-- - - = - ------ ---- ---- ----�- ------- � -
address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects I
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,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 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$2500,a Notice of Commencement is required. (A/C upgrades o�ver�$g7500)�y���� K.� �g�
f# A�a'!'R'iN�'u�r['.+�BAYM��'�i'+w"Q'+JS�•',-•�I$Y:'SfPF-+�4Q���
Agent(for the contractor)or Power of Attorney(for the owner)would b someone with notarjzed letter fro[ri;qw�ier•.au�horizing same
:i;ai A�.1�:',A-1 ._,�,,:" i;'-
OVER THE COUNTER PERMInING (copy of wntract required) , �;.E;,L,,:;�,�;: �,��,tr,:;c`,''", ; rs�,.,e� F�.:�
Reroofs if shingles Sewers Service Upgrades A/C Fences(�IoUSurvey/Footage)t;;T;�•o(, � '���.,';a,��.��; �
u ' .. . �. � i....i . ft� � ',�.:�� YI I
Driveways-Not over Counter if on public roadways..needs ROW S ' �� "� � � " � `� �
,.,.�t ._.: _ ..��{�*.,.,- .. .,w:�.�; „ .
I
� a �.,..... _ -- . ,.�
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subjec#to"deed" restrictions"
which may be more restrictive than County reguEations. The tandersigned assumes responsibility for compliance with any
applicable deed restrictions. � . ,
IJNLtCENSED CQIdTRACTORS AND COldTRAGTOR RESpONSlBILITIES: !f the owner has hired •a contractar ar
contrac#ors to undertake work, they may be required ta be licensed in accardance with state and lacal regulatians. If#he
contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended con#ractar are uncertain as to what (icensing requirements may apply for fhe
intended-work, they are advised to contact the Pasco Caunty Building Inspection Division—L.icensing Section at 727-$47-
8049. Furthermare, if the owner has hired a cantractor or contractors, he is adviseci to have the contractar{s) sign
portians of the "cantractar Block" of this applicatian for which they will be responsible. If yau, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting priviteges in Pasco
Counfy. t_� . '
�TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Trartspartatian Impact Fees and Recourse Recover}r Fees may apply to the construc#ian of new buildings, change of
use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The unde�signed also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpor#ation Impac# Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate of occupancy" or final pow�r release. !f the project does not involve a certi�cate of occupancy or
final power release, the fees must be paid prior ta permit issuance. Furthermore, i� Pasca County Water/Sewrer impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
GONSTRUCTlON lIEN �AW{Chapter 713, Florida Statutes, as amencted): If valuation af work is$2,500.00 ar mare, 1
certify that� I, the applicant, have been p'rovided with a capy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departrnent of Agriculture and Consumer RfFairs. !f 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 fai#h to '
deliver it to the"owner" prior ta commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: 1 ce�tify that all the information in this applicatian is accurate and that all wark
will be done in compliance with all,applicable laws regulating construction, zoning and land develapment. Application is
hereby made to obtain a permit Eo do worEc and ins#allatian as indicated. t certify that no wo�k ar installation has
commenced prior to issuance of a permit and that all work will be performed #o meet standards of all laws regulating
cons#ruction, County and City codes, zoning regulatians, and land development regulations in the jurisdiction. I also
certify fhat 1 uncierstand that the regulations of other govemment agencies may app(y to the intended work, and that it is
my responsibility ta identify what ac#ions I must take to be in compliance. Such agencies include but are nat limited to:
- Department of Enviranmental Protectian-Cypress Bayheads, Wetland Areas artd Environmentally Sensit9ve
� Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
' Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�kment of Health & Rehabi]itative ServiceslEnvirortmental Health Unit Vltells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federai Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zane"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
"compensatirtg volume" will be�submitted,at time af permitting which is prepared by a professional engineer
licensed by#he State of�Florida. '
- If the fil! material is to be used in Flood Zone "A" in cannectian with a permitted build9ng using stem walf
construction, I certify that fiil will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I cerkify that use of such fill will nat adversely affect adjacent
prape�ties. if use of fi11 is found ta adversely affec#adjacent properties, the awner may be cited #ar vialating
� 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.
(f I am the AGENT FOR THE OWNER, I promise in goad faith to infarm the owner of the permitting condi#ions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica! work,
plumbing, signs, wells, poals, air conditioning, gas, or other installations not specifcally included in the appiication. A
permit issued shall be construed to be a license ta proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisians of the technical co.des,.nor�l�atC.issuanc�af_a.permit-preven#-#he-Buildin�-J�cia�-#r�m-there�fte�_rt._ _
- � -w�requiring a carrectian of errors in plans, constructian or violations of any cades. Every permit issued shall become invalid
un(ess the work authorized by such permi# is commenced within six months of permit issuartce, or if work authorized by
the permit is suspended or abandaned for a periad 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 (94) days and will demonstrate
j�stifable cause for the ex#ension. If work ceases far ninety{90}consecutive days, the job is cansiclered abandoned.
WARNING TQ OWNER: YOUR FAIl.URE TD REGCIRD A NOTICE OF C4MMi ENCEl11EENT MAY RESULT tN YCfUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WlTH YOUR LENDER OR AN ATT4RNEY BEFORE REGORQING YOUR NOTICE OF COMMENCEMENT.
" FLOR[DAJURAT{F:S.117:43)�-_.� �. —_ __ _ __ -. .-------- -- _ -- _ -
� OWNER OR AGENT �ot2A��'-��2t�-...�� CONTRACTOR
� �ub�rib, d�warn to(or affi`7 e/�#or��this Subscribed and bwom to{ar affiinned}before me this
� � ' � Y
W�A is/are personally known to me o haslhav produced Who is/are personally known to me or haslhave produced
1'� �I as identifzcatian. as idenfification.
' ���1lPY Fl���ii ..
Notary Public
r issian No. :�° °�.: �PAMEIA t.GlCtammissi No.
»�; o ary ubllc-Stat�of Florida
� Commisslon�f�
Narne af ofar}r typed,printed or s m�J ,,;,,..�`, MY Catnm.Expires Na��!'�Q� atary typed,printed or stamped
l �
� Physical Addr�sses � 35-25-21-0010-11500-0000 � Pasco County Properiy Appraiser Page 1 of 1
Mike Wells PascoCountvProoertvAooraiser
Physical Address List for Parcel: 35-25-21-0010-11500-0000
Displaying 5 records View in groups of: 10 25 50 100 500
Street Number Street Name i� Unit
38621 TARR DR
38625 TARR DR
38631 TARR DR
38635 TARR DR
38651 TARR DR
I
� — �
http://appraiser.pascogov.com/search/parcel-physadd.aspx.parcel-2125350010115000000... 7/12/2016
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City of Zephyrhills: ���4 ��� _ • . . ,
-- -- t �� _
Building Department -� _ _� - - - - �- --_ - --= =- �
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Phone: (813)-780-0020 �+�=�--
! -
Fax: (813)-780-0021 '� -
-----------------------------------------------�----------------
� TO: Duke Energy Fax results FROM: Jackie � '
� FAX: 1-800-679-8004 , FAX#: 813-780-0021 �
� DATE: 8/30/16 #OF PAGES: 1 of 1 �
� Received by: Time: �` ����-' �
� �
� �
� MESSAGE: Hello my name is Jackie and I need to have pre-meter's released for permanent �
� power. ***Could I please receive confirmation by your signature and time signed above �
� this will go in the file showing that this was called into your office for release, so we may �
; give to contractor.************ Thank you �
�
� �
� �
� �
; The addresses are listed below: ;
� � I
� �
� �
; 38651 Tarr Dr—lot#44 bp#17560 ;
; 38651 Tarr Dr—lot#51 bp#17567 ;
; 38651 Tarr Dr-lot#45 bp#17561 ;
; 3865I Tarr Dr—lot#46 bp#17562 ;
� 38651 Tarr Dr—lot#47 bp#17563 ;
� 38651 Tarr Dr—lot#48 bp#17564 ;
� 38651 Tarr Dr—lot#49 bp#17565 ;
� 38651 Tarr Dr-lot#50 bp#17566 ;
�
� �
� �
� �
� �
� , ,
�
� Thank you �
� Jackie �
�
� �
� �
'-------------------------------------------------------------------�
• � CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 �� 2
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17602 Issued: 7/25/2016 Address: 38651 TARR DR LT#47
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 7/25/2016 Parcel Number: 35-25-21-0010-11500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
Addr: 33184 PORTAGE PATH Address: P.O. BOX 1462
DADE CITY, FL 33533 INVERNESS FL 34451
Phone: (352)583-5611 Lic: ER-05521 Phone:
Work Desc: ADD MASTER METER FOR NEW EXISTING SERVICE/47 & 48 LOTS
APPLICATION FEES -
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
F I NAL
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 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.
"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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
ONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOit INSPECTION - 8 HOUR NOTICE REQUIRED ,
PROTECT CARD FROM WEATHER '�
$��-78�-�d2� , City of Zephyrhills Permit Appiicatian Fax-813-�8d-0021
' Building Department
Date Received Phone Contact for Permitting --
Owner's Name v R Owner Phone Number ,,a c.^��2 � 2 {�.�
Qwner's Address r l � Owner Phone Number 1J ��Z� `'( ��� l''I`����,.-e
Fee Simpte Titlehotder Name � � Owner Phone Number SZ. ��0� 5�(p � ��'v"�
Fee Simple Titlehotder Address
JOB ADDRESS � S �� ! � S �-� LdT# j �
SUBdtVIS10N �- � PARCEIID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPQSED e r�Fw carasrR 8 ADDlAIT [� SIGN � 0 t3EMOUSH
INSTALL REPAIR
PRQPOSEQ USE 0 SFR Q CC}MIM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WQRK � P � r l �UO Y }
BUtIDING SIZE SQ POOTAGE� NE[GNT �.. �
��������� � � VA�UATION OF TOTAL CONSTRUCTION
G-_ ��.�
���ECTRIGA� $ �^",,�c�� AtuIP SEFtVICE��y � PROGRESS ENERGY � W.R.E.C.
�� Z� --�
�PLUMBING �s �
OMECHANICA�. �^� VALUATIQN QF MECNANIGAI.INSTA�lATION I j jn� �
t�r �
OGAS � ROQFING Q SPECIALTY � OTHER �
FINISHED FLOdR ELEVATIONS FLOOD ZONE AREA DYES NQ ��
BUIIDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
„_,,......,,_,,._„
Address License# � ��
E�ECTRiC1AN �" COMPAPtY Q 4r I �..
SIGNATURE ,��` REGISTERED Y/ N FEE CURRE� Y/N
Address ��1� � License# �� 2�Z � �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� i�
... ......
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �- �
OTNER � � COMPANY
SIGMATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address ticense# � �
RESIDENTIAL Atfach{2}PEat Plans;{2)sets of BuiEding Plans;{1}set of Enerc7Y Forms;R-Q-W Permit for new cor�sfruction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/5ilt Fence installed,
Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCtAL Attach(2}complete sets of Bui(ding Plans plus a�ife 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 FaciGfies&1 dumpster.Slte Work Permit for ai!new profects.Atl commereiai requIrements must meet comptiance
StGtd PERMtT Atfach{2}sets of Engineered Plans.
'"•*PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of appl'scation,notarized
tf aver$2500,a Natice of Commencement is required. (AIC upgrades over$7500)
'* Agent{for the contracior)or Power of Attorney(for the owner}wou(d be someone with natarized letter from owner authorizing same
OVER THE COUNTER PERMtTTiNG (capy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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 be more restrictive than Caunty regulations. The undersigned assumes respansibility for compliance with any
applicable deed restrictions. ,'
UNLICENSED CONTRACTORS ANQ CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
cantractors ta undertake work, they may be required to be (icensed in accardance with state and (ocai regulatians. if the
contractor is not licensed as required by law, both the awner and contractor may be cited for a misdemeanor violation
under state Eaw. If the owner or intended cantractor are uncertain as to what licensing requirements may apply#or the
intended wark, they are advised to contact the Pasco County Building Inspection Division—Liaensing Section a# 727-847-
8409. Furthermore, if the owner has hired a cantractar or contractars, he is advised ta have the contrac#or(s} sign
portians of the "cantractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indicatian that he is not properly licensed and is not entitled to pecmitting privifeges in Pasco
Gounty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESCIURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recavery Fees may apply ta the construction of new buildings, change of
use in exis#ing buildings, or expansian of existing buildings, as specified in Pasco County Qrdinance number 89-07 and
9Q-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. {t is further understood that Transpor#ation Impact Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate of occupancy" or final power release. !f the project does not involve a certi�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Fur#hermore, if Pasca County WaterJSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTtON ZIEN �AW(Chapter 713, F[orida Statutes,as amertded}: If valuatiort af work is$2,500.0�ar rr�ore, t
certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departrr�ent af Agriculture and Consumer Affairs. !f the applicant is someone
other than the"awner", I certify that 1 have obtained a copy af the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SlOWNER°S AF�IDAVIT: 1 certify that a11 the informatian in this application is accurate and that all work
will be done in compliance wi#h all applicable laws regulating construction, zoning and land development. Application is
hereby made ta obtain a permit to da work and installation as irtdicated. I certify that no work or installatian has
commenced prior to issuance of a permit and that all work wi(I be perfarmed to meet standards of all (aws regulating
construction, County and City codes, zoning regulatians, and land develapment regulations in the jurisdiction. I also
ce�tify that E understand that the regula#ians of other government agencies may apply ta the intended work, and that it is
my responsibility ta identify what actians I must take to be in compliance. 5uch agencies include but are not limited to:
- Depa�tment of Enviranmental Pratsctian-Cypress Bayheads, Wetland Areas artd Enviranmentally 5ensitive •
l.ands,WateNWastewater Treatmen#.
- Southwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & RehabiEitative ServiceslEnviranmental Health Unit INells, Wastewaier Treatment,
Septic Tanks.
- US Enviranmental Rrotection Agency-Asbestos abatement.
- Federa(Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allawed in Ftoad 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 voiume" will be submitted at time af permitting wh9ch is prepared by a professional engineer
licensed by the State of Florida. �
- If the �l! material is to be used in Flood Zor�e "A" in connection with a permitted building using stem wall
construction, i certify that fill wil( be used on{y to fill fhe area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will nat aduersely affect adjacent
properties. If use af fll is faund to adversely affect adjacen# properties, #he owner may be cited far violating
the conditions of the building permit issued under the attached permit application, foc lots less than one (1)
acre which are elevated by fil}, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting conditions set forth in
this a�davit prior to commencing construction. I understand that a separate permit may be required far electrical work,
plumbing, signs, wells, paols, air conditioning, gas, ar ather instal(atians not specifica(ly included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authori#y to violate, cancel, alter, or
set aside any provisions of the technicaE codes, nor shall issuance of a permit prevent the Building O�cial frarrt thereafter
requiring a correc#ion 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 wark authorized by
the permit is suspended or abandoned for a periad of six(6} months after#he 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 wil! demonstrate
justifiable cause for the extension. If work ceases far ninety{90}consecutive days,the job is considered abandaned.
WARNING TO OWNER: YOUR FAILUR� TO RECORD A N�TIGE OF GOMMENCEMENT MAY RESULT iN YClUR
PAYtNG TWICE FOR IMPROVEMENTS TQ YOUR PROPERTY. IF YOU INTEND TO OBTAM FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OE COMMENCEMENT.
, FLdR10A JURA'i`{�.S 17. } _,
� QWNER OR AGEN CONTRACTOR
I Subscsibed and swam to(ar affiirmed}before me this Subscribed and swom fo{or af8rmed}before me this
by by
Who is/are personally known to me or has/have produced Who is/are persanally know�to me or haslhave produced
as identificatian. as iden6fication.
Notary Public Notary Public
( Commission No. Cammission No.
, Name of Notary fyped,printed or stamped Name of Notary typed,printed ar stamped �
I '