HomeMy WebLinkAbout16-17159 CITY OF ZEPHYRHILLS f/'
5335-8TH STREET
� • (813)7so-oozo 171
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17159 Address: 38920 NORTH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04400-0010
Improv. Cost: 1,100.00 OWNER INFORMATION
Date Issued: 3/11/2016 Name: WELLS FARGO BANK NA
Total Fees: 45.00 Address: 1 HOME CAMPUS
Amount Paid: 45.00 DES MOINES IA 50328-0001
Date Paid: 3/11/2016 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
KING ROOFING AND SHEET METAL REROOF RESIDENTIAL 45.00
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� Ins ections Re uired
DR N ROOF INSP
TAPE JOINT OOF I SP- '
FINAL �''�-Z�'��
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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 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 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.
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CO RACTOR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
10ll r7ee: 1.2555.544.�464 (lillVli) VII1Ce: tS13.yLU:/663 (KVVl+') 1+'a%: 1:%L'/.ii56.35Ly
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� � ������ We say what we do and do what we say
License#CBC 1330688
GAF Certified Master Elite Contractor
GAF Low slope Master installer �
Firestone Metal,Modified,and TPO roof Certified Contractor
Johr�s li'panville Certified installer all single ply products ,,
We maintain an"A"rating on Angie's Contractor Referral L'est
Angie's List 2011,2012,and 2014 Super Service Award Winner
Good standing with all State Licensing Boards
Pro osal
• Date:November 17, 2015
Client: DEP Management, LLC BidNumber: SRl�'11-8
Subject: reroof
Building: 1 story
Location: St Pete
Proj ect: 3 8920 N avenue '�
Zephyrhills, Florida 33542 #
Attn: David Lamoureux / 727-470-5909
davidl@depmanagement.com �
Our recommendations and Specifications are based on the information received from your
Engineer/representative and/or our field representative.We will furnish on the above building
all labor,tools,equipment, material,supervision,workers compensation,public liability
insurance and property damage insurances necessary to complete in a thoroughly workman like
manor all the work described below.
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Specification for new 50 year Dimensional roof system
Project Preparation:
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Perform a pre job meeting to deteimine jobsite logistics and safety requirements.
Furnish proposed construction schedule,if needed.
Furnish and install temporary rooftop chute assembly for debris removal,if needed.
Sa e :
Furnish arid utilize all safety equipment in accordance with OSHA's written safety program.
Furnish and install warning lines to identify azea's associated with ground related roofing activiries.
Store all roofing materials in accordance with good roofing practice.Material placement will be distributed
Throughout the entire roof area.
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� �ng: 38920 N avenue Bid Number: SR1511-$
;icrface pt-eparatian:
Tear off existing one layer raof and felt to expose the bare wood deck '
' Sweep,and/or blow raof surface free from a1l loose dirt,dust,and debris
Inspect the existing structural deck for deterioration
Identify and remove all rotted deck not capable of providing an acceptable substra#e for the insuIation of the new roof. i
Furnish and install new plywood at the additional unit cost af$2.50 per square foot and alI planked lurnber at$7.9Q per linear
foat.
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Nail the enrire roof deck to code using 8d ring shank nails;four inches OC at each end and six inches OC in the field (4 x $) �
sheet. ' I
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Underlayment: _� ;
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Furnish and install new SA underIayment over the entire raof surface,this will allow you to qualify for additional benefits i
from your insurance provider far having a secondary water proofing. > �
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System AppCication: . ; �
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Furnish and install new underlaynnent per aption chose. � �
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Furnish and instaIl new weather watch around aIl roof penetrations,if applicable. � �
Furnish and install new drip edge around the perimetex of the roofs edge nailing every 3-4 inches stagger�ed;then instailing a � �I
K starter shingle strip set in a bed of mastic and nailed.Color to be ckosen from a standard color chart. i i
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Furnish and install new ventilation for longevity �
Revamp aIl head walls and side wall details � i
Furnish and install new soil pipe flashing kits � �
Furnish and instail new GRV's throughout �
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Furnish and instal2 new GAF Timberline shingles or equivalent fastened with 1 '/4 ring shank coil nails 6 nails per shzngle ' i
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- ,ing: 38920 N avenue Bid Number: SR1511-8
arran :
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Upon purchase af this roof system,you become entitled to receive the benefits of a Nationat manufachues product i warranty
� and spiritually grounded Company that has mare thaz�26 yaars'exparience in the Canstruction and Roofing indusiry.This warranty
pratects your new raof against defects in rnaterial and workrnanship if your roof leaks at any time during the warranty periad it is
covered at no additional cost to you.
King disclaimer far any and all responsibility for all acts of Gad,unexpected-pop-up showers,covering and protecting building
interiar contents from dust, dirt,falling debris and water intrusion throughout the roofing process and for pre-existing conditions
including,bnt not lirnited to;structural damage or deficiencies,clogged roof drains,mold growth,excessive standing waTer,removal
of hazardous rnaterial or other hidden deficiencies such as;damaged ar leaking skylights,HVAC unitslconduits,electrical or gas Iines.
This proposal does not cover and in no case shall King Enterprises or any of its entities be heid liable far the rernoval of, or damage to
HVAC unidcanduits,gas lines,water Iines,electric lines,weather located above or below,ar in the roof system,lightening protection
systems,landscaping,connmunication cable comrnunication devises,ar other devises,including recalibration o#;;satetlites.It is the
build�ng owner's financial abligation ta grovide corrective measures. �
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All contractual wark must be paid as outiined in the signed contract to receive any warranty from the manufacturer or King. �
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Price includes:A11 required insurances,workers cornpensation,trash haul,and dump fees,manufacturer standard warranty,and King's �
5 year unlimited leak free workmanship warranty. ;
Included;
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Peel and stick underlayment
New 50 year Timberline HD Dimensional shingles
Tarps and ground protection �
Two ply valley detail `
�� Ail new roof penetrations � ;
New roaf ventzlatian throughout I
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Not included: j
Permitting 1 Engineering fees and expenses if required not inaluded. a I
Project rnust be paid in full before warranty will be issued.
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This praject is scheduled for 4 full day's work with around 6 men onsite daily. �
All deck replacement,and/or woad work additional ( i
Removal and reinstallation af solar panels ; �
New skylight's andlor covers - I 4
Remova l an d reinsta l tatian o f lig hming ro ds , ; +
Any gutter removal or replacement ; i
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� ' ' :idin,�: 38920N avenue BidNumber: SR1511-$
` . ;ne scape of work under this contract expressly excludes invesrigation,detectian,replacement,removal or detoxification of any
� � .;hazardous environmental condition."HAZARDOUS ENVIROMENT�IL CONDITION" means any type of faam or asbestos,lead,
` , fungus including mildew,mo1d,rot,rusts,mycotoxins,spores scents or bypraducts produced or released by fungi.
Our quote is based on the fact that this specification meets your insiirance carnpany's approval and local code approval.
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niC, For the surn of-----------------------------------------------$11,220.00
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,, 3-tab shingle oprian ----------$10,920.q0
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Guarantee: Manufacturers system plus material warranty and King Roofing's five(S)year Ieak free workmanship warranty.
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Terms: 10%at signing,balance at campletion
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Respectfully submitted,
�����t���
Stacy Alan Reisinger
King Roofing and Sheet Metal LLC
Residential Division
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Accepted Dat :
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� �--��-��`?¢�1 Manager
Signature Title
we �chase the 3 tab`opt for 10,920.Q0
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� i iiiii���iii iiiii iiiii iiiii iiiii iiiii iiii�iiiii��ii�ii�i i�ii
2016038629
PermH No, Parcet ID No��'o�����-'����— ���-1��'-��'�
' NOTICE OF COMMENC!EM�E_NT
sr�c�a �1�r i d� ca��ry ar t0.5C0
THE UNDEASIGNEO hereby qives notice that improvement uiA be made to cehaln reel property,and In eccordence wlth Chapter 713,Flo+ida S44ites,
lhe folloxing InfmmaUon ia provfdad"m ihis Notice of Commencemerrt:
1. Description of Proparty: Parcel Identificatlon Na� �—a�0—O� �— ��`� —�7����'(l 0��
Saeet Address:3s9 a o n�o�+h , _.��µ���� F����a
2. Oenerel DavixJpilon ot Improvemenl-i C Qf O i'� P,��f.rj �c�ne 1 av.er �o r� � �C.1+, �-�i n�{r��1
n�2v,� .�1� � 3� Sh��nles .
3. Owner Informetlon or Lessee Iniormatlan If the Lessee contracted for che Imprpvemenl•
.i6� �c� ��o�er�� l�c -�"t 3 lS�G �gns a��,t r�� ��{�(l
Name `
Cfe�.�..�.,.l� F
Address Gty State
Ir�tereat in Praparty:
Name of Fee Slmpie Tdieholder.
, - (It dittetent tram oxne�pst¢d above}
Addres's .. ,_._'� .. .. .: .....__.... ..1...._.__._... C�� , Stata
Comredor. � e.l- C
a Lar,e 3Y��o ��r�r�4 �;14 �L
Addrese 2 ' �" � State
ConVacrors TelepTrone No.:��:)"�a� ���p�Q�
6. Surery:
Name
Address City State
, Amounl of Bond: S Telephona No.:
6, Lender.
Neme
Address Clty Steta
Lenders Telephane No.:
7. Persons Nilhin the Sfata oi Fbrida designated by the owner upon wham notfcea or otl�er documents may be served az provlded by
Sedion 713.13(i)(a)(7),Florida StaWtes:
Franklin De La Cruz
Name
JBF Real Property Inc. 13156 Long Pine Trail Clermont, FL 34711
AddR66 773-671-5593 01y . " s'�``
Telephone Number ot Designated Person:
8. ineddltlontohimself,ihernvnerdesignates Franklin De La cruz or
JBF Real Properiy Inc. 13156 Long Pine j��r���e4Z�ors NoGce as provided in Section 713.13(t)(b),FloAda Statutes.
Telephone Number cf Perzon or Entity Designated by Owner. 773-671-5593 fax 708-570-1100
9. E�katton dale n�Nollee ot Comrnencnment(the expiraHon dale may nat be befae the completlon of consV/u7,cllonJ nd M�p ent to the
oontrsam,hut w51 Da one year from the date of recrrding unkss a dlftere�rt dete is spe�ified): V�/ �S/ `�
WARNING TO OWNER ANY PAYMEtJTS MA�E BY THE OWNER ER E EXPIRATION OF THE NOTICE OF COMMEtiCEMEN7
ARE CaNSIDERED IMPROPER PAYMEN7S UNDER CF{APT 13, P T 1, SE�CTION 713.13, FLORIDA STATUTES, AND CAN
RESULT fN YOUR PAYINa TWtCE FOR IMPqOVEMENTS YOUR P OPERTY. A PIOTTCE OF COMMENCEMENT MUST BE
RECORDED AND P0.STED ON THE JOB SITE BEFORE Tti IRS7 INSPE TION. IF YpU INTEND TO 09TAIN FINANCIN[3,CONSULT
WITH YOUR LENOER OR AN ATTORNEY BEFORE COMM CING WO R RECORDINO YOUR N�TIC£OF COMMENCEMENT,
Undar penalty of par)ury,1 declare that 1 have read Iha lore ' B noUoe oI rnmenoement and facts sfeted thereln era true to the best
of my knawledge and belle(.
STATE OF FLORIpA
� COUNTY OFPASCO
" S�gnatu er or Lessee, era or Leasee'a 'zed
oRce i for artnedMana
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Signat itlelOftice
The foregoing InsUument was acknowledged before me Ihis�day af ���2�l�6y '`h ,.�Q b CI�1� _
ae �.�1 (t af euffiorfty,e.g.,office,Wst ettomeyln fect)'for
��t�G Q�Y� � .(nam of i�on bel�al of wham�instnan�t vrav�exea�ted).
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Persmialiy Knvrm�Qj Produced Identifintion❑ Notary Slgnature � � ���
Type of IdenUticatlon.Ptoducad Name(Piint) % - �S�� '
Rept:1754676 Rec: 10.00 �+� �u41L Y�9ARRIS01�➢ . ,�"
DS: 0.00 IT: 0.00 , ;CommEssion Number 196416 '
03/li/2016 J. R. , Dpt,y Clerk �Y�m����
�y 1�,2016 - . - -
PRULA S 0'NEIL,Ph.D.PA5C0 CLERK 8� COMPTROLLER �
030R16K01�336�m PG 212� - -
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J�'���j�
�1'A�`�G�F Fl.4RtDA COUN7Y OF.PA3C0 S � t° C'G
fiF�i�f�T�3 C�RTIFY THAT THE FC?REGOING lS A �`� � w ,�.�► .
TRU�AN��ORREC7 GOPY OF THE DOCUMEhiT �� . �
�i��Ik.��R C1F PUBLIC RECORD IN THIS OF�{CE .
WITNESS��Y HANQ AND FFIClAL SEAL THiS �,,yod�e'�,�a$` •
,_„--�t.,,L DAY OF '(C�h 2 (�` � � � °; ��
. � .
PAULA S.O'NEtL,C ERK&COMPTROLLER �c `�`% �*
` 18�7
8����� �..� dEPUTY CLERK "� Sr�, • ���,�4'Q`
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- $�aaaaoozo City of Zephyrhills Permit Application Fax 813-780-0021
f Building Department .
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ate Recelved � p� �� ((o � Phone-Contact for Permtttin ��3 �Z - ,��L �
Owner's Name � � '� �ner Phone Number �7'� � ��( - �5���
Owner's Addre �Gti2 - ef we Owrner Phone Number
p � �-tGv�,�. �L�'91'►'1�GGS l� a,���-�`� J'�3z-�
Fee Sim le Titleholder Name ner Phone Number
Fee Simple Titleholder Address a
JOB ADDRESS �� �� �1 UV P� ��o (� II I . rJ 3S L LOT# �
^-•
SUBDIVISION PARCEL ID# G��Z 6"Z� -oo(a 'O�`(O U -O D /Co
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �New cONSrR ADD/ALT 0 SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED;USE � Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION .. Q BLOCK , Q FRAME Q STEEL Q � �
_ e
DESCRIPTION OF WORK' '� ���
BUILDING SIZE ��� �d SQ F007'AGE 3�a�� HEIGHT . � S���
QBUILDING $ /� `�`�"" =`-`=�-
� 0 p Q VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
. � � ��s�9
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING • SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � ,A �E���, COMPANY Z��L ��>� � �e"�I
SIGNATURE �) REGISTERED Y/ N FEE CURRE� ,Y/N �
Address �15�5�37 �� �caJ f� �I � 3��0�� Ltcense# �C- �7 �3�Ogl�
ELECTRICIAN ti COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Addresa LlcenSe#
PLUMBER - COMPANY
SIGNATURE REGISTERED Y'I N FEE CURRE� Y/N
Address .License#
MECHANICAL COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURRE�- ' Y/N' �.
Address+� � � Lfcense#
OTHER COMPANY --
SIGNATURE REGISTERED Y/ N. . FEE CURRE� , ;' Y/N
Address License#
RESIDENTIAL Attach(2).Plot Plans;.(2)set§of:Building'Plans;(1)sef of Energy�Forms;R-O-W Pertnit fo�new�construction, ,
,.,,
. Minimum;ten;(4.0).working`d"ays;after„submittal`date. Required onsite,Canstiuction•Plans;°Stortnwater'Plans vir/Silt Fence installed,
= Sanitary Facilft�es:&�=1,dumpste,r.,�Slte Work�RErmit for subdivi'sions/iarge projects : ;�� " ` � - -
COMMERCIAL Attach(3)complete sets`of Builclirig`Plans plus a Life Safety Page;(1)set of Energy Forms.R O-W Permitfor new construcUon.
Minimum ten(10)working days aiter submittal date. Required onsite,ConsUuctlon Plans,Stormwater Plans w/Silt Fence fnstalled,
Sanitary FaciliHes&1 dumpster.Site Work Parmit for all new project's.All commercial.requlrements must meet compllance
SIGN PERMIT Attaoh'(2)�sets of Engfneered•Flans:��•�',;�-` � _
•`••PROPERIY SURVEY reyuired for all NEW constructlon. ,
Directlons:
Fill out applicadon completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement i�required. (A!C upgrades over s7500)
" Agent(far ttie contractor)or Power of Attomey(for_the:owner)wo�ld"be.som�eone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITTING (Front of ApplicaGon Only) . , ' � '
Reroofs if shingles Sewrers Service Upg�des'pdC. �� Fences�(Plot/Suivey/Footage)
Driveways-Not over Counter if on public roadways..needs.ROW ' "` ��
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NOTiC�OF DEED RESTRICTiONS: The undersigned.under�tands°:,that thi�.�pQrmit<may be.subJect to."a�ea"restrictfons°�
which may--be�:more�restrictive-�than Countyiregulations.�Tlie�undersigned�assur`ries`respunsibili#y�far'complianca'with any
applicabte deed=rest�ictfons. � .. . : - , � -
UNLlCENSED_:.CCINTRACTORS AND CCINTRACTOR RESE�UNSlBILITIES: --If the owner-ha� hlred a contractor or
contracto�s to undertake work, they may be.:re.quire.d::tQ be,li�ens�d !n a�c�c�rd�soa�.walth skate.and�l�e�l_r��ulations., :lf-the
contractar,�is:�°not:.i(cens'ed as�requlced�tiy law, bath the owner.and contractor-may be�cited for�a=misdemeanor violattan
under state iaw. If the owner or intended°�.contractor;�re,,wncertain as to wt�at Itcensing.requirements'may�appty-��for-•tt;ie
intended work,,they are advfsed to coritact t�ie Rasco Courity Buitding Inspectlon Division-Ltcensing�Sectian a#727-847-
� � _ .__. . . -. ...., , n.,}, sign ,
portians of the contractare8lo k�of thi application for�whtch they wql be espotasbie�If yau$as,.#he oirvriesigri a'�'`�
8009. Furthermore,
s the ;
contractar, #tiat may be�an indica#lon fhat he-Is not.properiy Ilcensed and is not entitled to permltting privileges in Pasco '•
Caunty. " � ;
TRANSPORTATI�NFtMPACTiUTitiiT1ES 1MRAG'�'�ANb-RESOU�tCE RECOdERY�FEES:The�under�igned understands �
that TransporEatto�lmpact Fees and.Recourse.Recovery.Fees may-�pply�#o�the consttvction af new_bulidings�_�change~cif =� �'
use in e�isting buildings;°or;;expa�isi�n_of-�exls#i��et�alldings, as speclfled !n Pasco�Gounty Otdlnanae number 89-07 and i
90-07� as amend�d.,.,The.undersigned alsa understands, thait�such fees,�.as�may:be:•due;,>wllt:tbe Ideritified at the-time�of' E
permitting. It is furttier understood that Transporkatlan.Impact Fees and�Resource Reco�tery�Fees.must be paid priar to ;
receFving a°cerEifrcate.�of occupancy" or flnal�powec,retease. :If�#he.project,:does.not irnoive.a=.certificate af occupancy or » !
finai pawer re(ease;;#he:feas must�be patd prbr ta permit issuance. Ft��thermore;�if:Pasco.C.ounty�lNater/Sewer-.lmpact �
fees are due,_they:must_be.paid:.pNor to permit�lssuance�in accordance wt#i�appllcabte Pasco,County o�dinances, ;
CONSTRUCTION LlEN 1:AW"�C#i�pter 713�EIOtIdB►$t8ttlf$Si 8!8 8Ctt811d8d}: If valuatlon of work is$2,500.00.or mare, 1 , ,
certify that.I, �he applicant,: have-bsen provided with a capy of the "Florida~Constructlan.Lieri .Lau�r�—Momeawner's .
Protectian Guide" prepared by the Fiorlda Departmenf of Agric.ulture and Consumer Affairs. If the appl(cant Is sameone , ;
other than the"awner", #certify.that i h�ve.obtained•a copy;of the.above-.descritied document�and:promise�in,goad faith•to
deliver it ta the:°.owner"prior:-�tv>commencemerit: ' � � � "` ` �
CflNTRACTOR'S/QYYNER'S AEFIDAYIT: 1.ceitify#hat e!1_the:inEormatton{��this appiicatla�is accuraEe and that atl wbrk
will'be done in compliance with al! appl(aable laws regulating constructlon� zoning and-land�development. Appllc�Eian is
hereby rnade to abtatn .a.permit to do.,work,and installatlon as Indi�ated;,:.! cert4fy' tfiat no work�o� installatfon has
cammenced prfar to Issuance of'a permit and that.all work wiD be pertormed to meet standards of ail laws regulaxing-
canstructfon, County and Ciry codes, zaning regulations, and land devetopment r,egutations-in the jurisdlctlon. I also .
cer�fy that I ur�derstand.that the fegulattons of other government agencies may apply�#a#he intended work, and that it is 4
my responslb!lity to Identl�t�whataations!must take:to bedn:-cotr�pllar�ce: Such agenctes inctude bu#-are..not limited to:
- Depattmen# of Environmental Protect9on=Cypress.Bayheads, We�and Areas and Envtranmentaily Sensitive ,
l.ands,Water/Wastewater Treatment. � - �
- Southwest Fiorida Water Managerr�ent .District WeUs, Cypress. Bay.heads;� Wetland Areas� Altering `
Watercoursas. ��
- Army Corps af Engineers-Seawalis, Dacks�Navigable Waterways: ,
- Depa�tment of Health� & Ret�abtlltativ.e Senrlces/Enviranmen#al Neat#h Ui�it Wells, Wastevstater�Treatment, �
Septic Tanks: � ,
- US Ernironmental Protectlon Agency-Asbestos abatement, � ;.
- Federai Aviation Authar�ty-#tunways. ,
1 understand that the fallawing�restrictions apply to the use af flll:� , , :
- Use of fill!s not a(Iowed�ir�FEaod Zone°V"untess expressly perrtiitted.
- If the flU materlal is-to �e used�!n_ Flood Zone "A", (t. Is understood #hat�a dtafnage plar� addressing a
"`compensating�volume" will be submitted at time of permifting which Is prepared by a professiona! englneer
Ilcense d=by-:#he-State-of�Florida.
- If the flll materlal-�is:�_to,.be used in Fiaod Zone °A° in�connec�ion with.a permitted bullding using stem wall "
� canstnactian, l certify that fill.w�li-b.e�used onty.#o fil)the area within the�ste�rr�wail. ,
- If fi#! mater4a! is to'=tie�used tn any area, i aertify that use. of=sucti-fltl wi11 not adversely affect adjacent {
,propertles. If use af fll! Is faund to adversely=�f�ect adJacent_properties,.the owner may be cited for vtolating :
the conditions of tFie b�i4lding,permit issued�under th�a attached�permit-applicatton, for:lots less than one (1} �
acre which are elevated by�.flll;an engineered dralnag�plan is required. k�
tf t am the AGENT FC1R THE OWNER,.I;�pramise in good faith to tryform#he owner af•the:permitting conditlons set forth in �
this affidavlt'prior to commencing constructlon: 1"understand that a-separa#e permit may be required for electrical wark, ��
� �---� i�
plumbing,.signs, we!!s+ paols; air condltioning,.ga�s� o�`o#hec Installattons nat.speai�cally inciuded�in.the application. .A #,
permit Issued shall be conshued ta be°a�license to pr"oceed with the�work�nd not as:authori#y to,violate� cance#, alter, or
set aside any provisions of the technical.codes, nor shall Issuance�of a.pertnit.pcevent the Bulidlrig O#ilcta!from thereafter {'
requiring a cor�ection of errors in-ptans�, constnactian ar vlolatlons of any codes.. Every permlt Issued shall become invalid ;�
unless the work autho�ized.by such permit��is.commenced�within si�t,months af permit issuanoe� or if work aufhorized by i
khe permit is suspendedor.abaadoned far a petlod;of s#�c{�)montFis,:after the ti�e the�wartk is commenced..An exfension '�
may ba requested� in writing, from the Building.Of�clal for a period.:not to.e�ceed-ntnety(90) da�ys a�d wiif�demonstrate ;;
(ustifiable cause for.the extensiar�, If work ceases:for ninety(90)cans.ecutive•days...th`�ab is considered aba�doned.� �`
. �
iNARNtNG TO OWNER; YOUR FAILURE•TQ.,:RECORD,A.NOTiGE OF.�C�IMMENCEMEMT NFAY RESUI:T IN YOUR
PAYING 7WICE-Ft'�R IMPROVEMENTS�TO YOUR.,P..ROPERTY.;,IF°YO.t3-t��'E�D'T8°t)B�AIN���II�tA1!1EING;'CC3NSULT �
W!T �UR D Q AAt AT1'Q t� �� A. �_ - �4�6t� �= �}!J :�� .S3�F'�. : ,. � ��:� I�P"T� - — -— °-
FLORID�dURA'�(F.S.1.17A3) - - . ,,�
DWNER OFt At3Et+l1" COAtTRAGT
Subscribed and swom M(or afflrmed)before me this � Subscribed an m-t�spr flirmed� �tot@ me'tli("
by. 3—!/—f,b �by_�S�4ci/ ��v�S`r 2�
IYho islare personally known to.me or haslhave produced Whci:islare�petspnaAylcno� me.or-tiasfia •produced• �
as Identlflcatlon. _ �L R L-�iGr'�-�-5 C,f Cv�.Ss2 as Identl8ca8an.
Notaty Publtc l� Notary Publtc
;ommission No. ' Com. las ',�"'.:e"�
:A, :.: Commission#FF 15p422 ,
Vame of Notary typed,prtnted or stamped Name of N ta -,}j�jp�d,p �„pf,� �
�aoa3s�-m�s