HomeMy WebLinkAbout16-17396 /,.
; , CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 _ 396
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 17396 Address: 5642 12TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08400-0130
Improv: Cost: 3,500.00 OWNER INFORMATION
Date Issued: 6/02/2016 Name: GOLDNER DANIEL
Total Fees: 82.50 Address: 5642 12TH ST
Amount Paid: 82.50 ZEPHYRHILLS FL 33542-4106
Date Paid: 6/02/2016 Phone: 813-782-9472
Work Desc: INSTALLATION 10 X 30 SHED
CONTRACTOR S APPLICATION FEES
HOMEOWNER • BUILDING FEE 82.50
�U ^ 1 '
1�
/ l
�
��
Ins ections Re uired
FRAME
SHEATHING
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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
z
�
CON RACTOR SIGNATURE PERMIT bFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
F- �
� • � ��'
��tNix _ �
,��.: - -
ti I
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � 0 e � l.'� ���►g/
� ,
Date Received:
site: � S��d� �,,�-�� /�
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
� �
�� � � �
� �� S��/l �6� �P.�c`��,��,� ��l ca�,o..�
�� �r1 .��� E����� s���� � �� �-. � � r ���������
� V- � �. 9�1 4' '�: ���
This comment sheet shall be kept with the permit an s.
�
� �
Kalvin Swi —P s Examiner Date Contractor and/or omeowner
(Required when comments are present)
r�'����:°;;�,'tr�t��,�;1� �tA t'a�trtac�re�E3�iid��i'rt�tarn
p ; "� 199fl��art�'�.9ertsae�t���
ZJ��J���� ��? �ts.tr,3��
��'(�'������j��� Tayahassee, �it,�a32359•4�12
�itiC�l3fc3�,;G�1 �'h;�naj 950=ii37132,• f�t 850��1�.f34:�& (
��tt�.�W��}Tt:�$GfE��i`Y ��C�t�CO�,Gav�mor
June 27, 2014
doug aliver
Cook Portabie Warehouse
100 Douglas Street
Vatdosta,GA 3150i
RE: Manufacturer Certificatian,ID MFi'-1435; Expiratian Date:June 26,2017
Dear doug oliuer
It is my pleasure to inform you that Cook Portable Warehouse, located at 100 DOUGLAS
STREET,VAI.DOSTA,GA 31601, has been approved under the Manufactured Buildings Program,
as pravided for under ChapYer 553, Part I, Florida Statutes,to manufacture Starage Sheds,
Manufactured Buildings for installatton in Florida.
Construction or modification on a manufacfiured buiiding cannot begin until the Third Party
Agency has approved the plans in accordance with the current Florida Building Gode. Your Third
Party Agency is a contractar far the Department and has statutory authority and responsEbilitles
that must be met to maintain approved status.You may expect and demand quality plans
review and inspections.
Each Code change will make your plans obsolete until they have been reviewed, approved and
indlcated [on the cover page af the plans]for compIiance with the Code by your Third Party
Agency for plans review. Please ensure that your plans are in compliance and are properly
posted on our website.A!{slte-related installation issues are subjecY to the loca!authority
having jurisdictian.
The Department's contractor wlll make unannounced monitoring vPsits at least once each year.
You must grant complete access ta your manufacturing facility and records to remain in
compliance with the rules and regulatians of this program.
Your certification is approved for three years from this date.You will receive a renewal notice by
Email generated by the BCIS(www.ftoridabuilding.orq)for online renewa3.If you have questions
you may contact Robert Lorenzo at$50-717-1835 ar our FAX at 850-414-8436.
Please visit our website at www.floridabui�din4.org to see valuable information on the Fiorida
Manufactured Buildings Program. A copy of this letter must accompany applications for local
build�ng permlts.
' Sincerely,
���',t.���`�� ,
- _ ' Robert�orenzo ' � ' �
Manufactured Buildings Program _
cc:Professionai Service Industries - " ' -
��Infor�ruztion
����
����-�� .
���.�::���aTo�uilcl. On
�ngineeri►sg o Consulting• Yesting '
June 30, 2015
Mr. Jim Richmond
Florida Department of Business and Professional Regulation
Manufactured Building Program
1940 North Monroe Street
Suite 90A
Taliahassee, Florida 32399-0772
RE; Plan Approvai: Residential Lawn Storage Shed
illlanufacturer: Cook Portable Warehouse
Plan Number: CP-Lofted Barn-14
Dear Mr. Richmond,
Pursuant to the requirements of the Florida Department of Business and Professional
Regulations, the above referenced documents have been reviewed for compliance with:
20'14 FBC, 5t" Edition
2011 NEC _
2014 Florida Fire �'revention Code
These plans comply with Florida Product Approval Rule 61 G20-3.006 (FAC)
A signed and sealed set of plans are maintained on file in the Third Party Agency office
of PSI.
All mandatory comments have been satisfied and plans are approved for construction by a
modular building manufacturer that is currently approved by the Department of Business
and Professionaf Regulations.
If you have any questions or require my assistance in any way, please do not hesitate to
contact me. ,
Respectfully s mitted,
�
r������� � J
��..
William E. Neary, I�t'
Department Manager '
Modular Facilities Division
, Copy to: Doug Oliver, Cook Portable Buildings doliver(cr�,cookstuff.com
Professional Service Induslries,Inc.• 1748 33"'Street•Orlando, FL 32839•Phone 407/304-5560•Fax 407/304-5561
FL Engineering Business 3684
�_-h �� ! � b �� �� ��t ' � _ GRBA FOR APPROYAL STAMPS �
� � �
100 DOUGLAS ST�EtT
`✓,4LDGSTA, 6� �16G1
�
�. l���`��� ���� ���� � ��
� �OR Sa/�li Or
� �HEET LIST t'' ��
r�
�LC�RID?� ,
, � DE51GN CRITERI4 sHEET t�wMBeR SHEET TITLE "� j �j
e r,
� I. WIND VELOGIlY 160 M.P.H. ' r+
c-I covc-R sr�r
_ l
� BUI DING G e - � �
2. L ATE6G�Y I - ---- ` � rA ,
c-� �wmv wnviw �''`
Ldx`- 3 WIND i-JCPOSURE G .,�.,�,,..,oa�. --..:�..�(.:)-��w�rS. .-..--�--�------� � � f I
�e tYJ1E5
, � 4. INT PRESSURE GOEFPIGIEN,- ±0.18 -_--�� 0 ���� C �� �
5. ENGLASURE GLASSIFIGATICN EhGLOSED �
b BASED ON t�IGHT IS FEET � �s �m�iW sc� L, , � i
y 'T. OVERFIANG Np . —�- c-v�---�- iENid�5c�wLE
,.�� 8. FLOOR DESIGN LIVE LOAD 40 FSF A.������jh� �y
FLOGR DE51GN DEP.D LAAD 4 FSP P�_____. �� °'��,.Y„��.:�:�/n mia1u�n �
� 9. ROOF DESIGN LIYE LOAD 20 PSF � 3e �,e '05 h-2 �R�F�+���ls � �
�es '+ ---'-'-'-'--" ����pG""'at.Tt�Buil�l�n i
y ROOF DESIGN DEAD LOAD l FSF :" a ,� ----_--^3 -- ---�'_�WA�rne�.� "�•. . .
�()E RF_YtSVS'
g 10. WALL DESI6N DEAD LDAD 3 P� � � - h�—�~ ` � �Ano�' �� FdFs�r��,���s��:�-�r,:o.:::;�,s
� NG BEVATbtS
ise �-1 h-5 � i .. S::rdS:ran!
� II LOFT UhiNHA51TABLE LIVE LOAD 20 PSF ' � _t-`�' r=`�I ,� `� - ---- .. o..:t;::�Kanss� I
I�. SNOW LOAD N/A FSF .", n-v iru nnors s::� Y�.�.,-•vvaus„F u�.:r,.r.;
`�J`�� _"�'' 'J q 3:335sQ
� 13. CANS'TRUGTION T'(PE �8 15e '•g �0 �. ' ------A-i � It+� nnois M_,s'oo'asa,u I
' •�' 14. &11LDING OGGUPANGY U - � a-e ��v nons.. ... ..,,c,s,os�^..�is
� I5. FIRE RATINS EXT WALLS N/A 1e `_;<f's_ �- ----.._T-0--- - -�c _ t Ai1 ,
A-10 'S6L ONS
16. ALL01^{ABI.E M1MBEft OF FLOORS I � - '
� I'1. THE GONTRAGTC!z/MAtd1FAGTURER MUST "'a_y.^._.... 1e ' i --- n u -- A� __..._ li
...,. - _.. .
�, CAMPLY WITH THE FOLLOWING GODES AND _._.__A-�`_._.__ A �
,.��.,-..
, �...d�.... � --
�I u : �.�.,.,.r��w�:.�.`.. . ` 16 A-13 AI �
� ALL OF THERE At�NDMENTS/SUPPLEMENTS:
� ys ���'� " _— A-14 0.=TA115 �
i .�.�r i..�.�.... '
: �.w.e,...d..�-.....� '� __. �
�` , -FLORIDA BUILDING GODE-2014 ----�-.--W�+...a- ; , . � ._„_,,,_„ �„__„.,__
' ��! -NATIONAL ELEGTRIG GODE-201I �� �Mr� :�• F-i ����'
�� -NFPA 101 LIFE SAFitY GOD'c-2012 ..�•.......�. """'"` F-� ^ E�w'B'wi�Gi�rirs
»: . __.._------..__.. ..---�----------
� �3� i7e ve F� E%P'G'WIND GFL�R15
' —'_""'
},i ^� F-�__'_ FJ�.8'A'�GFbR CHARTS
.gt� _ F 5 _"_'_ � FXf''G'MGIiOR GFiARTS..
— __.__ 'y"'__'
� � '_F�..__.____1GROU1b7 ANGliOR SGFfEDULE
Tr,� "—'�..�.._.� F-1 lJY.NORIN6 OETAILS
li !
.�� • F-8 � OP�IOW1f.PAD DETAILS
� w�....ae.e.«.ee.ee�c•,..�o�unm�i.wa.ee,wmw��..,..��.e.
.� ��� Ynb�ltRn PAlttMf2cE-n.vpAG
�� ,`,``��PS nuiO��,, REV BY DA'TE DESGRIPTION
� THESE PLANS WERE DESIGNED I�AGGORDANGE WITH THE 2014 FLORIDA BUILDING GODE,BUILDINZ. _ � T . � !bI�L?GUST OF I60 MPH.
�I i�'���� � ����� {�� COOK PORTASLB WAREHOUSES _ _ ,��,3 DATE: b/24/IS SHEET �
LOFTED BARN 5liED
,�'; ALa 30631 F5G 19034 K5K 21198 DIXON ENGINEERIN,I�:G ipp p��q5 5�� : • :Q� DRAWN BY TMM �� �
' I 5Ge 2-1592 NGb 035q65 GAa 0349'11 SiRULiLRA1 B�Glt�itlNS AND I�£?EGiION-!AA BI45 vnL�ra,GA 31601 %'P A�E""C3 F :�U� (,��p BY: TAD
, �'' WVa O11936 TX�105'.�53 MDA 40q05 10410 MAIN STR�T ?HONE,1229-24I-8&JS i�•�.A �,;'��
;J PA�O'19009 VA�045593 THONOTOSA55A,R 33592 � SGALE. A5 NOTED
i S�'•.......••'
�j TNu 1121b1 FLu 94222 VOIGE:013-q82-9885 FAX:813-9H2-2306 GOvER 9HEET ��� ��� {N.O NO: 495-Ob9 I OF 28
`_......._...-- ---
--- -_._-----------..........---
_......_........__.......------
ni�i�� _...—._.__._...__.__-..----.�.---
a a, 81�-780-0020 City of Zephyrhills Permit Applicatian F�c 813-7$0-0�2�
� Building Department
Date Recelxed � .. . . .:; :Rt`tone Coiitac#�for`Psrmttfln'�' 4 � � � `
�Ownar's Name ��f�r� y� Owner Phone Number I s,� `���2 `Y�`"
� -
�,,,Owner'sAddress � .t:,�'� /7, ^ ' OwnerPhons-Nuri�ber C ,.
Fee Simpla TltleholderNam�� ��� •`�.�, - '�'��.� . �J' Owner phone Number" " f
- ' .:,"�i'ti•. � ; - ' � .�
Fee 3tmple Titleholder Addresa •- - �� ��. �
x JOB ADDRESS �/l.! � �! / �� . 1 J���Iz�r�d `�W G�� (,"✓/'=1� LOl'# ��,
SUBDIVISION � ��,� ^ �,,� PARCEL ID# ' ' - . � . - .
, , . , � ' ' (08TAIHED'FRORI=PROPERiY TAX NOTICE) _ - „
WORK PRCIPOSED NEW CONS7R ^-' :� ADD/ALT [� �SIGN `Q � � Q'^` DEMOLISH ,•
. e . .'INS.TALL', , ,8.�r � :REFAIR' ' .. - ' .`
PROPQSED•ttSS -� °SFR ' [� COMM�` :� OT'FiER:
TYPE OF CONSTRUCTION�,�` �Q", °BLOCK ' "Q" .` FRAME, L"� STEHL. Q-. ::� � _
DESCRIPTION OF WORK�' � s� ��I �'r .
BUtLD1NG51ZE'.F�����'gQ:FppTAGE . -- ;.HEIGHT`�^���� , ' .
QSUILQitVG ($' •� � "��;�:_��.. � . :s�;,,t.. _--• '. _. . . . : '
- �I ,>� �� •VA4:UATION`��TtJTAL CQNSTRl1CTION `
L�.�,L.. �
Q�LECTRICAI $ AMP SERVIGE Q' - PROGRESS ENERGY; Q, W.R.E.C.
r � : ., � - ` � � -
� [�PI:UMBiNG L... ,,, ,,, . � • ., � '
�,,
- . .: _ � ��,�
QMECHANIGAL ' $ ; .'1IAL.Ui4T10i�f�.OF.MECHANlGAE.,iNSTALlATiON ��' � r ,
QGAS , ,Q. ;- ROOFiNG.:.,,.,C] . SPECIA�TY-� -��.'.� OTMER` „ . -
FINISHED F1.00R ELEVATIONS FLOOD ZONE AREA �YES. _iV0 -
� � - , ,. - . , • � _
BUtLpER � � � COMPANY ' _ .
31GNATURE / REGISTERED / N.. FEE CURREh' .' '`.Y l N .-, ,: ,
, Addreas � , l:icense# 1 ' ` � I
_ - 7..,:
ELECTR1CiAHi�:;.:' ;; • � „ ` . COMPANY� . � � . . . _ - ,
SIGNATURE M RE�,ISTERED Y/ N FEe CURi��; 'Y°!N : _ �
�Addre$s . . , , .,#, , . �:. -.Ucense#��I °= ' '� �
, „ < : . .
�, .
PlUMBER - , COMPANY` ; . . .
SIGNATUR� '. - - ' ' � :REf31STEREp . , -�Y'/:•rN:-' EEE.CURRE�a �� Y hN r -
liddress , • , . . .Llcense#r l' - '�'��r--�
MEGHANICAl:�;:- � � �- - • � f ,� . -..,C,OMPqNY:•. s:. �:° .:•,^.. � , -
SIGNATUR� - h � " ... ` _ ReGisrEti�n.:� � :Y.:/ N: . ,,�Cuw�n� .Y/�N�'� -
Addras�a'� ` , . ., ., ' . ,�.. . ;, ..?... , . . . . ,.. s_ _Llcens.e,#,� • . . -�
o�r� .. , ��, . � .: = . .. � . coi�gi�x::, � ` ::;... .. ' . ., �__- ... ; � .,
SIGNATURE�� •- - '` . . �" ` � ` � _ � �ReGIST�D... ,; :Y/ N. ��e:CUR�n - �,Y:!•N:<.
� Addrass .F', a.�;:�:,�:,;.: -- - . -, - ..- .. .r. : - ' � ., �-":Liciense#���� I
,.�.. ..� : ,- :_ : :,. : ...� ,:;.,..._:�,.. .{`,-'. i�'�,. •.,;..::�.. ,t..', . , : ,._ . . s. .
RESIDENTtlii:: ._�:=Attach�;(2).P._..lo#?Rians;(2)'sefs=ot>Building"Ptans";`(i}setiof.�Ener+gy�Forriis;`'R-0��W°Perrnit:for*newrconstr'uction,j- .
��Mlnlmumr.ten;(�1Q),�icorkingiday,spatte�;..submittal;ifate:r=Required'a,'nsite;%ConsUucNon'Plans StormwaterPlansw/'SIIfFence�ln`stalled,- �
... ::Santfiaiy'FacE1l�,as�c�hl,;c�u�pste�r;`Site>Vitork�Per.mlt.#or.,sutidfvislonsilarge`pnolects'_-,.:='::�.�'�:r�.": • _._ :. . . _ _ - -
COMNfERCiAL Attach(8��e6mpiete'sets bf Bu1liding`Flans plus'a Llfa Safety Page;(1)se4 of Energy Forms.R-O-W Permit for neW constniction.
Mlnimum ten(14)working days'after submittal date. Requ(red,onsite,,ConstrucUon Plans,Starmwater.Plans w/Sllt Fence installed,
Sanitary,Fac�li�e�.8.l.dumpster.,Site WarkePermlt,far-�ilmnew�projects:All`ccmmerclal:cequlremen#s�must meet comp!lance _
SIGN:PERMIT Attacti'(2)""set"s of'Eng"i�iee�ed?Pla[is:�.�;�ir��=�-,�.;=��:..:,' . . .�. � °„ . : ,
"""PROPERTY�SURV�Y reguired�for:all NEVN;constructlon.:... -: ' - . �- , � �
--,,--,.. _ .
'Directlons: :��<<<�f4=:� , , > ....._..._ _ , ,.. .._ . , ,
FIII out applicadon completely. �
trinrner&Contractor stgn bacic:af appltc^atEan,notarized , _
(f over�2500,1a;Notice.af..CoMmencemen!is required. (AIC upgrades over 37500). �r� , � ,
.�:,: a;�v:,'..r.1'.n'�`�:,v:.........a:.-.-...-_,.,,-.w ...-._..�. ..�....... .. -
.�-��..r�'11T�>.};:'.r y . ,.-.. .. . ....�.. . . .-,. . ._ _ .�. I
" Agent(fur the contractdr)4i'�Power of'leit#oine'y.(fot#he.owner)would'be someone with natacized letker from awner authodzing.same,_. _ ,
DVER THE COUN.T.E�t`:PERMIITINKi:=.:�=,,:�(FronE.:of;ApPllcation Qnly)`�.rv: � : •� ��~ . ,
Reroafs If shingles Searars 5, Seryice Upgrades AIG Fences,(Plot/Sunrey/Footage) ' � ' * �
�. �-... ��:'--- :<-:�",. ,.- - .tx,�.;r''�:;;t:'�f-:��.-�:;;��- c� _. ,. ' � {--` . _ . _ . , �
Driveways-Wot.�,ver Counter if�on_pyblic roadways..needs ROW ' � '
• , ` �
�.::,,=r,-'
� •
ti
. _ __ _ ,._ _. _
' '._�.— _ .Y A. "�q�I' ' _ '
NOTICE OF DEED:RE$TRICTIONS:•.The:undecslgned�;undergt�nds-itF�t-this7;. ,{�rm[�,;.mayry be.�s bJect.to,;:,de..e,d;�;resalctions m,
� u
4� 2 r-, i r r.x' G4.•..•J<..,. .,, a,yn y�.. 'a" a�. -. �.
which may;be�i�ore:re.st�icfiVe��th��r�Gountjr�reg�latfor�s.;The�:Unde'signed��a�sume�respon"�ibiliiy tor compliarice"with'any-'S~
applicable,�deed`resMctlo�s. � ' � --�;,�;;Y:.�,.,;.Y;.�.; • - � -- - . -
�,:: ,.:>:.,,,�;�,..._ , , : . .. _.. =-- ..,w,...�.,.;n.,.�.;:.,.,,, -�"
UNLICENS�D::=CONTR�4C7'OR3�-.�►P1D.�CONTRACTOR•RESPONS��ILITi�S:��°`!#��he��oiivnec�t%as`��htred:"�i�°'i:o►tiMactor or
contractors to undertake work.tfie �.me ::;tie:;re�`��Ired::tq;;�ie:Ilcensed,Imacco�dance,with:state;and�loEal,�ragulafi�ans:°;:Fif,�athe-�; � .-
� Y. , Y ..,,4 . _ . ._ _. .. : - f ., ,
�ontractor:`.Is�iiot:licensed�as,�requlred�tiy Iaw;.:tiotla�tMe'ovmer.a'nd=contractorxrnay be�cit�i! for°armfsdetneanof violation
under state Iaw. .If the owner.or.Intendecl>�contra�.tor��arevunce�aih.as.to what-.Ilc:ensing.requlremenfs��may=�apply�;�fo�:tiie�:�rr�-�;�-��~'�
� i.� r .,.,�..,,.:...m x.._�,: , ,
'ntended�work,-tfiey are advised'rto_contact the�Pasco County.Bu^flding;Inspection pi'_vlslon�-Licensing:Section at 727=847-
3009. Furthertnore;�tf the-.owner Mas'hlred�a�contracto�-or''contractors�`he ls advfsed to have;.tfte contracfior(s);sign„.,, . •, I
�ortlons of'the_"contractor Block" of thls,appi�Catlor�.for�whlch;they.wilL.be:;re.sponsihle..,-,if,you;-,as':fhe'`ouvne�'stgn��a`s'"tfi�- •� -�'���
�ontracto�; tliat:friay'be�an indicatlon�fhet fie�is nof'.properly=llcensed and�ls not'entlNed�to�;peririftting'p�lulleges tn Pasco
�ounty. ' � �-�- ` . _ . '. _ _ .:: ,� ._� ..�_;�. ,. ..,. � . . � . .
�RANSPORTATION:IMPACT/UTILITi�$�IMRAC'I�ANb�I�ES0�11tCE RECOVERY-�FEE3:�'Th�under�lgned�understands ' I
;hat Transportatfon Impact Fees:and.Recourse Recove.ry.�ees may;�epply��.ta;the constructlon.:,of new:bulldings;.:change•�of'"' �`' f✓" '
�se In existing bulldings;:���:expanstb=�r;r.:of�}exlsN���biiiliNngs;,as'speclfled.In Pasco County Ordlnance number 89-07 and I�
�0-07, as amende.d.,,,,,Th�.underslgned alsa_.urtdersta�ds, mg�:=such fees;;:_as�ma�r46�,•.due�;�wlp'�be lden�tfied at the�'time`�of�'� �:�•�' �'� ,
�ermltting. It Is furtfier understood that Tra�i�portatlon.Imp�'ct`Fees and�,Resource'Recovery�=�Fees:;mu:sf be pald prlor to
•ecelving,a_"certHicate:=of.occupancy"�orflnal=p,awer=release.,:If�the.proJbcf:does:riot�-lnvolve:a-.certificate of occupancy:or.�'��i �°�" ' '
9nal powerTrelease;�the�;fees'-mu�t�,be�pald�:p�lor fo p�rmlt Is�uance. :Ft��thermore;;�l€:Pasco,�County;WaterlS.ewer.,�lmpact� ,.- .
`ees are due,.tMey_:must be,pald_prlor ta:permlt'�Iss4ance,ln accordanr.e,wlth;appllc�tite.Pasco'County:oidtnances. ,
CONSTRUCTION`L"IEMLAW�(Chapter 713, Florlda`Statutes,a����nded� �f vatuatlon of work ls$2�500.00�or.moce;.,l.• � -
:ertify that I,.�he_:appllcant;�,haxe:-..been�-praoulded:;.wlth�-a-�copy,-.�o.f�_th�:�"Fiorlda•��Conshuatlon�=Llen�-Lau�Homeow�ner's I
�rotectlon Guide" prepared by�:tFie'Flo�lda Depe,rt:meAt�of Agrlc.ult�re and Consumer;Rtfalrs: If the appllcant Is sohieone- . ;�. ;��.
., .
�ther than th� owner", I certlfy;th�t.F:hav,e-.obfalnedga°copyrof.the:above:.des.crlbed�fbctyment;and`:p.ro,mtse�:in;good�#aith,�to: _ .:_
ieliver tt to:the�'ownei�.prio���... :... . .. .:.:.....�:,-... �: . ..�. :,.:. : ,._�- ._ _ _: . . _ .�,:���.-.'.� =.•.__._.__ �
to�commencemerit:���. : , -= : - � ,�•.� .:.: �>� _ � � • ,., , .
CONTRACTOR'S/OWNER'S AFFID'AVIT: 1.ce�tffy�:t�i�t:all,�the-:Inf.ormatlqn�.lnr.thl.s;appllcatlon i� accurat�:and that all�work '
nrill'be done in compllance wlth all.appllcable�laws�regulatlng constructlon� zoning and`land�development. Appl(catlon Is
�ereby made to. obtain ,a:permit.,Co:.;do�:w�tk.;and:'-lf�stellatlon as Indlcated:�;:��1.-certffy`tfiat no work=;or Installatlon'tias�
�ommenced p�lo� to�Issuance of�a �perr�ItJand thaf.all'work will be performed�to meet-,standards:of_all laws regulating-
�onstruction, County and City codes, zoning.regulatlans, and land development°cegulatlons=ln��tFieyju�lsdlctlon. �h�al'so
;ertlfy that I u�derstand that the regulattons of othe�government agencles may��pply;to the„Intended.:work� and that It is
ny responstb(lity to Identify�what.actlons I.must:take:to be�ln:.compllance,;Such;_agencles lncl�ide�but-are:not Ifmlted:to: �,
- Depa�trtienf of Erlvlronmental'�Pro�tec�bn=�j�press.'BeyFiead�;yWetlarid rAreas and E�vlronmentally Sensltive
Lands,WaterMlastewater Treatment. -` ' � - �
- Southwest Florlda Water Managert�eri��::l�istrlct-Wells, ��Cypress.��.Bay�i�ads; �Wetland �Areas, Altering '
Watercourses. - ,. _. •- _ �
- Army Corps of Engtneers�-Seawalls;�Docks, Navlgatile Waterways.
- D�partment,of.Health;8r Rehabllltative,ServtceslErnitonmental,.Health Untt:Well.s; :Waste.water+Treatrrient, '
Se�tic Tanks� `� � -- ' ` " • � . ... : � -
- US Envlronmental Protectlon Agency-A�bestos abatem�nt.
- Federal Avlatlon.-AutM��ly=Rur9ways: �:�,, , - , . .
'� understand that the.followang-re_st�tctlons apply to�the-t�se of flIL••
- Use of fill is not allowed in_Flood��one"V"unless expr,essly permltted. _
' - If-the_ flll�-mate�lal:ls�=�fo;<be��used:�ln��Flood-.Zone. "A", tt"Is understood that a dralnage-�plan addres"stng a
"com ensatln volume"wlll-be submltted at�lm� of: ermittt.. w Ich t
P g ,p , .ng h, s prep�red by a professional en Ineer '
, 9
Ilcensed by�the��tate�ofa�Florlda: - � � - ,
- If th� fill mate�lar;i��to-:be-used�In �lood Zone 'A" tns connectton•wlth�'a���ermitted bullding ustng stem wall
constrvctton.,_I certifjr that fill:�virJll:b.e used only.to.i111 the.area.wlthln;the stetn��wall. . �
- �If�flll mate�al='ls��to��'be�•used�In �any�area;=`I��certlfp lhat .use. of sucfi�"fllf wlll not adversely affect adjacenQ
propertles. If use_of flll,ls found�to adversely,�ffect�adJaEerit��praiper�ies,,the owner may be'clted for vlolating
the condlllons�`of tNe.�b�illding�;pernitE Issued=under the�at�acfied,.permit._�ppllcatlon� for�:lots less�than.�one (1)
acrs vvhlch aneaelevaferl�tiy�iJlt;�Renglneersd dralnage pl�n ls requlred: �
f I am the AGENT:FOR:THE:O.YVNER;a,l,�iroml'se'In,good falth to lnform the-ov+mer_of:the;permltting condftlons set forth In `
�is aifidavlt`prlor to commencing��constr`u6tliin. "I'under�tand"that a�aeparate�p�tTnft may be requlred for electrlcal work, '"��'
. -_�.�
�lumbing, signs, wells,.:pvols;.,alr.cond(tloning,;gas.;,or.otk�er.Inst�;aHons�not�speciilcally Included�in.the applfcatlon: .A '
�enrtlt Issued�shall be�eonshued�to`tie���'llcense;b;:proceed wlth"'tFie��viiork and no.t:�as_authoNtyFto._vlolate;�cancel,�alter, o� � �:;
et aslde any provislons-of`ttie�teolinlcal:.codes;�nor shall Issuance�of a.permft.prevent the Bulldlrig Oiflclal from thereafter � ��
equlring a correctton..ai errors�in,;plens:;;�conshuctlon,or vlolattons�of�any�codes:�.;�very-p'ermlt lssued:�hall become fnvalld � �
nless the work authorized:by�sucli"permlt:�ls-co�riienced�wifliln sfx.,months:of�pennit Issuance� or tf work authorized by �,
ie pe�mlt I's suspended,or•..abandoned:fo�:.a_:�er,tod,;of�,slx�t8):months;.aRe�the tlrne the�work��ls commenced. An extenslon
iay be requested, In wrlting;:�from:the�B�fllding;Offfclal:for a pe�tod•,nof�to.�exceed°ntnet"y{90)•,�ays a�id�wllf demonstrate ; �`
istlfi�ble cause tor.the extenslon,-If work ceas.es�for ntnety(90)cons.ecuttve:day.s.•.the)ob�ls.consldered abandoned.
° ,.: ... :_:�.-: .
� .. � �_ : . , ;,..: .r�,.-.... :,
F�!
VARNING TO OY61NERc�YOUR:FAIUJRE'TC1.'�REC`ORQ�:A:�I�OTl.GE�QF�-COMMEMCEMENT�I�fAY-RESULT IN�YOUR
'AYING TWICE,FOR:IMPRQI/.�IUEN.�'9;Tfl`-YO�UI.t;:PROPEI�TY:.:�IF°:YO.tl�1�iF'.iEKID:'TA:�iB�TA1N��FINANEING;�.ONSULT �
�IT OU -�O. A 7T N 0R :�. < ', ;C .��r- �_,
_ORIDA JURAT _.S._- T.03}� ` .,. .._. ' .• ;. _ , : . � ., :.,:,_.. _ - - - - - - - - - - -
- --- - — - --- -- ---- --___� ' -_ - -==- -
_ _
WNER OR AOENT ' � . CONTRACTO
�bscxlbed and sHrom to(or afflrmed)b'eforo me thla Sutisciibed'and'swom-to(ot'aflirmedrbefore:me tl�l� � .
fio Is/a ersonally . to.me or�healhave praduced Who:ls/are,p. . .nal : , o ta,me:or haelhave-prodiiced •
� �as IdenBflcetlpn: - � � as Id'.entlficatlon. '
`' •. r:�
_ . �_.V`
Notary Publlc . � Notary Publlc
�mmis No:' Gbmnfllas ' .Ido.
;o:�:�'^�a�. JACQUELINE BOGES ;���' YA�'• BOGES '
=_.� :�= =•: `��` Commission#FF 150422
irtie ot Notery ' . d,o;d�� mber 12,2018 Name of Notary lyp ; � pY� eoember 12,2018
�':y�pF fl°0.�� Bondad Thru Troy Fein Insurance 800-365•7018 �:'qf i�0.�, B0^�T�Troy Fain Insuranca 800.385-7019
m���•