Loading...
HomeMy WebLinkAbout17-18042 CITY OF ZEPHYRHILLS " ' S335-8TH STREET (813)78o-oozo 18042 I BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18042 Address: 5904 7TH ST , Permit Type: MECHANICAL ZEPHYRHILLS, FL. ' Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: � Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS � Es�. Value: Parcel Number: 11-26-21-0010-00800-0170 ; Improv. Cost: 5,670.00 OWNER INFORMATION Datellssued: 1/03/2017 Name: MARION SMITH FLORIST Tot�l Fees: 65.00 Address: 5904 7TH ST ' Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/03/2017 Phone: Work Desc: AIRHANDLER & CONDENSER REPLACEMENT � CONTRACTOR S - APPLICATION FEES KINSEY CENTRAL HEATING &A/C MECHANICAL FEE 65.00 , � ',� � �� � � i i I Ins ections Re uired DUCT I STALL D DUCTSINSULATED ' 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 I 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. ' "Wa�ning 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. - � � � .,� w � ' ONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � i j� . ' . , i '� � ' • _.Kinsey Central _ . �- . .; .. , . :... : _ . - --- - - -- - - - - - - ��= - -- - - .- -. .: �f�at��Ai_i�Conditioning,:inc. - • . . ........_. _. . ..__ _. .�__.____._..__.� . �.__. .._ _� � . ` PO:.Boz2209 ..-'" • . � - : � � __ '�''�:-=� Zephyrhiils, Flo�ida.33539-2209 � ` _ �. ; � � , - �"` � (813) 78�2-2300 , , � ;i: . CA C058fi26 . ,,, � - -��,. . �" -��?� .��' � � ��- � .�.. , y , f �� � �, _ �-� .� �': �,� `� � - - . _,,._. _ ��., ._ . _._. .�... ... ___..,__,�..__...__ .___.�.�.. :...._.�{;:: � rf � � �. :. , , . - �, .� ��; - ' �' "e"""'"� , . _ V �;, �`"„-.--_4 � c� '� �"�,,�' - ;ti.: . , .. \�; \; +°� _. . . , _ �- -�� , _. ❑ ESTIMATE . . R'. � .,, -,- -- _ __�,.. _. ._�..__.__.____. _` w�►TuttEo� � ❑ CASH �. �E�b ; J,'� ���: �%�� � REQUEST /�^� U�. I7 CHAR t�.: � - r QUAN. PART NO. DESCRIPTION PRICE' AMOUNT - �; ' -�' " ` wij% �^ �� �LF ��'' ' `'� /.� 4.��� "_ - ` . �� '�t �P` ,✓''� ./�i � � , .. � _ �;� �'" a' �° `� ���� . - J e � �-' ,�.c+,,. >, , r _., ' ; . .� �. - ; � . � . `^� '. = � �=_��T= f;'` ; . . � t ,, ,., ` � . t -� ;' � `�� " f . _ ... _ � `��,,;. _ - 1 � ' .� • � ,� �~_ .. � , , �` ��'- ' _ - ' -� .\N - r�' -. � , ���� f.� , � � `•,;-.� - , - , . � . ..�,.:,. - , ` _ _ _. _.,. .___. ..r SERVICE PERFORMED _ �'�Tu . �'; _ rut� ' , , . �c�� , . �:.;_ s�� _ . � ' �- a8�a3o wLiehi��n.oaml ca6o , Ac�agaaf1.54ewiQUemadeoa�utmpaidb�Lox. day�. Pa0�8° . TAX , � �'� ef 18K sppt[ed b p�+t dm bei�ooes�u Nable for aoy ehmga ioe�med in eollatiq6 thie b�iL . .. , �I�itK�� CASH�,roo�0"••► TOTAL I - , - - . _ .__ _.. _ . . . . , I . �, 7ECNNICIAN CUSTOMER'S SIGNATURE IZtQ2118 �11: �8 AM EU7 Johnsto�� 7aapa rag� � or c ���r�� �_ � � J f � i tl �i �;�,���� Quotation � � JOHNSTONESUPPLY 'fQ127120�6 S13?27$6 3650 W Spruce Street '��+` JOHNSTONE SUPPLY � Tampa,FL 33607 -- — 3650 W Spruce Strest � 813�875-4545 Tacnpa,�C 33607 i Fax813-�75�6'36 813-875-4545 1 of 1 ; Fax 813-875-3836 ; QUOT i TO: S}i1P TQ: KIItiSITY CENTRAL HTG&A!C KINSEY CEN7RAL HTG&A1C i P.O.BOX2209 39330 RICHLAND ROAD j ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL 33540 ! E .�;,�-_--- �. - �=M �`� _ 2219 FLORAL C4�LER Lonnie Kinsey �s.._ -�—�..-..-�+�--�._�°� -�=��«����� TON�POLK PICK UP N10TN 12J22I2016 No i ! � =�,_n.n�..: - .�.�:�:r.�—_����.»�-�ma���< "�"—' __ , � , SHIPPING INSTRUCTIONS 20x10x7 FLORAL.COO�ER � 1ea AWA9514ZXNNN/32L3238-2ET1 9-314HP 1725.OQ�lea '[725.00 � � 208-230V/1PH R404A CT COOLER � i CONDENSING UNIT ; 14,700 BTU @ 25/95AMB � ' 'iea 893-992 CWA'i30AC WALK IN UNIT 1400.00Olea '1400.00 ; COOLER 115V ' ' LOW FLOW FLORAL Ct�OLER 1 ea B14-519 068Z3403 TES2 R404A EXT 65.100/ea 65.9 0 EG2llAL(ZED EXPANSION Bt�E7Y 1ea B10-282 068-200600#Q3 DANFOSS 8.610%a 8.61 FLARE EXPANSI4N VALVE ORIFICE ' 1ea 690-1067TXV-KI7 INSTALLA710N KI7 16.07Q/ea 16.07 ; FOR F�AREa VALVES 1/4-318-112 � FLARE T� SWEAT ADAPTORS II I 1ea B'i2-236 2flORB3T3 3/8"SWEAT 43.244/ea 43.24 i � SOLENOID VALVE � NC�T RATED FUF2 R410 � � i` 1ea 812-311 AMG-120 SOLENOID COIL 120V 31.97q/ea 31.97 i � 1ea 810-821 1609-101 CQNTROI. 54.9�Olea 54.93 � i REFRIGERATION � i � - i � � Subtotal 33Q4.92 � This is a Quotation. S8�H Charges 4.0� P Ices are firm for 30 days,subject to change wit�f t no' after 30 ����. ���w' {�'�� Amo #Dus 3344.92 ' A�plicable taxes extra. 6d.� , O`J`�, / J-� a �.y 'r�.Y • �� I �. ' PriMed �GREPOL rn 11/?/201611:73:47 AM � � � 1...�'�... ; , � � , , 813-780.0U20 City of Zephyrhills Permit Application Fax-813-780-0021 , • • Building Departrnent Date Received ' . ::= phone3Cont�cYfor�Permlttin •' ' � . ,. .. . ,. _ / . � Owner's Name �`�Olti ��'Yl i Owrrer Phone Number � ��- f -�� � � S5D . °. $ . ' , , Owner's Address � �Oweer Phone.Numb�r' ; Fee Simple Tit eHolderName • � • Ov+rner Phone Number , Fee Simple TI�eholder Addresa � - I JOB ADDRESS LOT# � , SUBDIVISIOPI� • PARCEL ID# : � I • (OBTAINED FROM PROPERTY,TAX NOTICE) � ' WORK PROP ISED .�:;NEW CONSTR' . ADD/ALT Q� SIGN' 'Q �- Q DEMOLISH j I ,... �:,e� INSTALL � .r: REPAIR PROPOSED=U$E _ . -• :Q SFR� �] COMM . �OTHER'" � - � TYPE OF CONI TRUCTION''<� Q" x•�BLOCK � � FRAAAE ° :Q STEEL' "Q , : :�.. ,�.� / DE3CRIPTIO 'OF WORK' l�`f � �/x'e� .� C�O-� ,.r� � BUI 1 � • ' - . LD NG':SIZ�� . � �'SQ FOOTAGE.�, HEIGHT�.� ; i OBUI DING $ yALUATION�OF.'70TAL.CONSTRUCTION = ' :�,. • , . , .. • •- ., ! Q ELECTRICAL $ " AMP SERVICE. '� �.Q '�PROGRESS ENERGY [� W.R.E.C. QPLU BING - :$ �- ' � , ; - ,, � � ' QME HANIGAL � $- Vi4LUATION OF;MECHANICAL INSTAL`LATION. �"` ' ,SS�� 7�: . . . , . ....J. .. . , c6 ��5 [� ROOFING ,� SPEGIAL7Y �: +OTHER, \ ' �. _.�I , « ,,.. , : FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, � ,QY�S. NO . ... .. .. � _- .., � ... -1,.�; e.• . ., •i rt� - ,i:�- <�^ , BUILDER COMPANY�,:. . . :,�;.�,;_, •<F� , . , . , , � � SIGNATURE REGISTERED Y/ N .'`�'�'�FEE CURREK•�--'' ` Y/'N'= �� . � . .' ",VA s;. °6r , ;:S':' :'��% ..,. � , — ._ ., _. , i AddfeSS �.: , , "t i ., .. �l:icenSB;#; - � � ... .� . "' . ,''l''�� .�. 'ht^. (`� " ... .. . " . . (tl,. - - . : .. .. , - I ELECTRICIAN a , . • � �?C.OMP,ANY _ --- ;':��,.;;-;__�:-: ,. , .. - _ � . . . . SIGNATURE ' 7 REGISTERED 9Y/ N FEE GURRE��'� �`��Y/�:N- `� ' � ,, .: .. _ ., . ; , _ _ ;`:. ::��•: ; � , :.. ;,-.: . ., . �.- ,, , Addreu' . . . , - � �x...:�-Ligenses#: •' I , . _. • . .'; ' r;! Gy�s,... _ PLUMBER ' , , . . . " .COAAPAWY - ~ - r�. '_ � :�.� - ' �. SIGNATURE°�` _ c,` . � � . -�REGISTEREO _ -.Y./,,N:.s f;;FEE�CURrte��� Y�/N,-,:� _ _ _ � Address ` ' ' � � ' � � `�Li,censeu#f ' _� . . , . ', . , � _ _ . � , .. . At.. 15, �.� MECHANICAI: • - , „ � , ' . 'COMPANY `1 /J.S, �;�-�, .� ' SI(3NATURE�, �•� >> _ t;` - � .- tiE�iS7EtiEo_ Y/,N FEEyC,URFtEA.. Y./rN . ,'� .t,. _; ,.r - . . . Addresa��' - - ,. _ . - ;:r-- -_ . �x , . .. : _ :, ... . - ' License#.� _ .�o, .� � ... . ,. ., ,. , .. . . .... . . .._..,_ � .. . .... .....,. . ; ,. ., •. _ y:�-.,. , . � . .. . _ . . , .. -}� - OTHER J�" :., - .. , , •_ . , : � .__,, , :•� . , , ..., ._ _ , • . , ' ; ,COMPANY _ .. , ' � � , SIGNATURE•<�.��� - - - << .. .��'1, :-, ,��- , ,. . .,, .,..r � f., �4:: ,., , , . � REGISTERED!� Y/ N..... aFEE CURRE�'' `Y'/N ���� „ - .. .��: „ _.. . . _, , . _ _ � _. ._ . - .. - � . :. = • Addre� __„�r,,N< - :,s��a�:�:; - ;Y� -�a� „�;,.4 -���: - . : ;.License#�j: • ' , , , - , RESIDENTIAL,�; =�Altach�2 P1otiPla�is` 2� s'ets.'of " ' "`�; •� ""-r,'`.��. ._ '`"°:"°�""`' F � '�i�' `J.,,' �°-•," ..: ::, . , ,. . , , _ . ,( );� ,-( ) 'Ba(Idfng�.Plan"s;(1�)sef'of<Energy`�ortns;�R"-aVll•Permif for new construction,. .,..: S .�-�. ���-�•:, .; � Tr ,. .. , . .. ._ -u �;��Minimumi,t�en,(10)�,worl4ing;d�ys aiter�submlttal�date t:;R,equlred onsite;`ConstFuctlon=P,lans,�§to"miwater=Flans w/SilYFence instelled, Sanitary"Fadlides�8��1�duri�pster�:Site Work Pertnit;tor subif(v(slons/lerge:pro)ects;�.w��:,;; ;,� �;-::,..,;� , , ;:�'� . , •.��a COMMEItCl�411 Attec�(3)-c:omplefe�sets"of'Bu�ldfng Plans"plus a Llfe Sefety Page;(1)set of Energy Fomis.R 0=1N Perm(t for new'construotlon. � Minimum ten(10)wrorking days after submittal date. Requtred onsite,Conswctlon Plans,Stortnwater Plans w/Silt Fence installed, . Sanitary Fadlttles 81 dumpster.Site Wark Permit for all newaprcjects:::All commercial requlrements_must meet compllence' � � ' � _,. _...�_. _.e..�: .._....�....._. ,�_.,....._. _SIGNPERMIT AftaCF1(2)SetSofEr1y11ieflf.BdsP,,leps:i.;,y:t;;°,•a�:,-; _•v.; .:;=.;._. . . -_. ,. --: - . �,� "••PROPERTY SURVEY r ,uired for all_NEW coostrucUon._ . . - � . �._ - - ,Direc�lon�: I :-�-.�r�,,�.::,:� .. ,. ._ .' ` FIII out applicatlon completely. ' � Owner 8 Contractor sign back of appllcatlon,notarized , � If over�500,a Notice of:CommencemenQ ts required. (WC upgeades over 57500) � ..,�,-�,�;:t:��}:,:r;:; s " Agent(fo i the contraictor}or Powe�of%lttortiey(for the ownerj would�be someone with notarized letter from owner authorizing same DVER THE C�UNTER_PERMITTING�••-�:•-(Front•of-AppllceUon•Only) -�-- ' - v ` Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) I -- --...._...._ .__._� __... .._ ._. r._,_.. .. __. _ _.,. , .. .- ,:.;: �� �: ' ,.. ,-.1,;•, Drivewa�va-Not over Counter if an publlc°rbadmiayst:fii��ds'ROiM'"`"" "'`;;"�`""`E+ �,�,U,�„,,,,,, 'i �.�i:.".'��-1��'i7�.%ti'Jwi\:SC�i;a '�•riR,�•., rt . - aa. as'.:r,....a..-•� `�e?• • #' q-e � �1.i��� V 3 £,"•'r,���:`�):)�ar1��1?����,.r�; _ f5�, .0. G .).2�'c�i.Si.s�f1,C.1.3iS�i�?t.7 ,,,�,'.:., ;, , c,.,. n' � , ;i� Pt, c i:bL;�`f sJ71:;:Ut8�iR1!7i�.1:i. " .� + 4�C�.. iiE:{Sti{'� :Yi�.'IQ• �`- i. :. `" •~•'Y t 'c'I:'",.i:3t.+�.0:'a,f,:l.b't:q'9'fi:^.(l't.;tzn'r.. �,T�4��,��^. � � '�.1�%,�7:%Lf�:'?Vnifc�.^,:f'�k.:l`a:tr'��'_n_�,�t�;++� - �y , - ..�.;,., ,; ?ri��:;;of.fil.+:.�.,::�':ir;��; _w?:,!.?.y��^ • . r ..c-..no..e,.na.-�c..ax�'.n•,:rmc.._.,.'�-, F t='� ' ' ��"�.,��.i:+•`•• T _ • •�_ � k�Fs»•Oi�a:%'..�.�p�qi[NtKWE`rtsW�kt94w_•}��f�.KhaJvn.>lw:i. .••,. . ... � � ' � � � .� . .. .... !. ' ' n:��:,, <,,:,:a'� .r_+:;y N9T10E O��D�ED RES:T.RICTIOMS;. The.understgned;under�tandsµ�h�t�thls�.p,��ml�hrr�ay:be.subJec#�to"deed"-;restr"Ic#lons";,:: a� y � .._.�:�4�., _.Rt.F'h,< Y♦ l :t. � - � �tex.'nf 2 4�:.^. ai.u.t3�w '� ' , w.:.: ':� . i.�. ;i.�.. q....:.� rw.,—..i.F,�' . which may�.tie=mo�e?'r.estr(ctlire;t#�a��Gou�i. �}i�egr�latfons�:•��TFie:underslgned assumes-�re�pon9�blltty�{far compilance:with any " appltcs�ble.desd=r+astrlctfans: _.�:�,;,�.�;::;�„�r=,.;:.,.., ' • : - . - ..,_..�... �, .., _� ,_.. ...„ _ _... �- . ... ;� ..�,..�:� �� �...._...,.�,__... .,�...r...._ry_.�.� UNLtCENSED•��CONTRACTORS��AN.D CCINTRACTOR �ESP�N�IB1CiT1�S:��-�ff=t�t'eM�ouvner�`�has"hired a".ct��i#ractdr or contractors.#o undertake work; tttey.mayibs�r�qu'Ir,ed.�taa�b�s�llcensed��ltt;;acc'airdance.with�„state�:andalacall`,r_egul�tia'�s��If�the'=-���'���n���� con#ractar=is`-riot�llicenseif=�as�irequii�ffid by liaiw, tioUr�#he�bwner arzd-cxiiattactor��r'riay�tie�cltedsfor a�ml�ifemeanor vlolatton under state law. If the awner.ar Intended`:c�onha�3tor��ar,'e,;�unce�,ain as:to what Itcensing�requlreRnent9�;may�appij'r..��fiir�tFie'��:,�w,rs��,=��� w ...-.. ..,. ,. ,�, .. �.�v.x< _ : _ ,._,.,:-..:a � . . _ . �.,.;._.. _ . .. Y Intended woi;k�_tfiey are:;advfset!_`to,coiitactpthe�P��`co�:County:.Bulldittg�inspectiori,�.Qfvlslon.k-!l,icens[ng Section at.727-847- 8009. Fur#ftermare, it tttYe o�ivrier tias hiri�d a cohtracfor or coiitractors� he Ts advised to have,;the cantractor(s)�sign4.,,+„�� ::.�,�. � portlans of.th.e.�"contcectar_Bloak'_of�.this�.appllcatlon fo�rtwhlch,:they, will,b.emresponslble.4.��lf��y_ou,-�as,s#he_6wne'�_ai��as�"t�he ry contrac#or;tFiat�may�be an Ini3ic�tiori that'ii+a�-ts noE:properiy#Icensed antl�lsiiot"enE�ed ta permltting pri�lleges In Pasco Counly. ^ :. • ; �t,;�:.�,w�..-,��<,� TR�NSPORTATIt?N=lMPAGT/UTI1:lTNES�I�E�AC'�'��►�ib°ItE�0U1tCE REGQVERY�EES:"'f�te�untle�si��ie�understands ihatTranspor#etion Impact Fe�asyand.,Reco.urse.Recarrery.Fee�rriay:apply�hitfie`�consbuction:of.nsw.b.uil.dings,�chan�er'of�N}t'`,`�=�•';' use in exisNng buildings,'�or-,eii�par�sl��r�of=�eSriati��:,buildings, as specifled.In Pasc;o County Or'dinanee number 89-07 and s+^r-• Yf'.?i>."<<:�, 90-07, as amende,d,i:;;,Ttte undersigned also;understands; ttiat"such fees;;ass�maj�;b�zd�te,,��nrifl;=be.ider,ytl�Eed at the�time�of"•.: �u-r-:, ` .h....,,.-..-•, permitting. It Is further understood that Tnansp�ortatlon Impacf'Fees an���Resourae.�Recoverya`Fees�,m.ust be paid priar to fecef�ing.a"cecf�flcatero#-�occupa�cy".ar�flnal�powa,r��elease:"':i��the.pro�e�t,�loes�not lnvolvera�cettlt�cate af occupani�ytor�����s°����' flnai pawer-relesse;;ihe��fees-�mus�k•�tie patd;p�ior#o;permit isstta�ce. F��Qrmare��1f�Fascc�,�Gounty�;lNaterJSewer=:Impact��;��:5�w:� .�.�. �, • :..rt . C... . , r. ,t . . i fees�re due;..they:must:be��peld:prtor.to,.petmit�rlssyance�:ln.accorilance:wit�i:appllca�te�Pasco=Gaunty:anllnances. • CONS�TRUG'flON"L"IEN�I�A'�[YV{Cliept�r 713� Fl�r�da Statutes,as am�ndsiif�: if vaiva�on of work is�2,50Q.00=ort more;�;l� �> :-��,r CePtlfy fti8t ,Ir the..�.appllcant;:=hav.e..�been provlded wlth��.a.=ccaPY°;.of�4Me��"Flo�lda°�Consti�c.tton-'Llen�":'Law -Homeowner's Proteatton Qutcle"prepared by;:#lie'F1oi��a Depaftme�t:of Agrlcul�re and Consum�r�-kt�ai�s. If the applicant Is someot�e:.,.. -{..�.-.� ather than the`owrier", 1 certffy�thgt-l:=tiave:obta�ined"a}�t`�ipy,of:the�above:��des,erl�ed�ilocuri�,ent�-antl;pr.o�ils�„In�,goad;:falth:.to .. . . ,:a deliver(t`to:.ttie t"ownei"�`p%ioT`ta�co�rite�cem�int."::.. � . , �, .., . .. . .. , . M_ : .. -- . . , - CONTRACTAR'SIGWNER'S AFFIDAViT: I.cert�fy,�:ttia#=:a1{,Tthe:�l��rmation�;l�-tht�appltaatlon ts accurat�.and that alt wark w(II'b� done in compllance wlth all.appllcable'law� regulating constructlon, zoning and;��land`�developm�nt,, App![catlon.!s hereby made=:.#a�obtaici�a.per,mi#��ta,:�do�wt���;attd�=1�isteN$tlon as irid��efei�:�{1� certity #hat no work jor tns�attation ti�is" - commenced�p�lo� to Issuance of'�.a permiCai�nd that'.all�work.wrlll be perta�rmed�to meet=standards�of:all I�ws regula�ing- ^ consMsctton, Co�nty and CI#y codes, zoning.regutatta!ns, and land deveCopmettt regttla�ons�1n-#�ie:Ju�isdfcfioti:k�°°1=Yal'sb.: ce�lty that i u�der�tand that the rogulatlons of ather�government agencles may�apply:�ta.the.>Intended:work� and that tt Is ' my responslbl8ty#o Iden#ity�whe�E.acttans l,must-take.;#o.be,.tln<a�t�tpllatace�;,;Su�h;{agencles�lnclude'but�are:natllmlled to:... - Depar#ment af E�vironmental}Riotection=Gypress"�Bayhead�� tlVefiand Areas and Envtronmentally Sensittve Lands�WaterMlasteweter Tr�alment. ._ ' "'' �. � - �authl�uvest Flarida Water MaRagerlteRt=:�?Is#�ct-Welts;''`Gypress:�Bay#�eait�;-'�Wetland= Areas, Aitertng Watercourses. , _�a ..;,,����:,s� � � .. ... , ,, - Army Carps af Englnee�s�Seaw�!!s.'.Dacks,M�vlga�le Waterways. ` - Depar�tment.,:of.,Health,��.,�Ret�abliitaflv±��;Seriice.slEnvitonmental�.F#ealth�Uintt Wetts;:�Wastev�tatec�Tre�tment; � � Septtc�Tanks.:__. .. � ,.. - ' -�-' � .. - �-� � - US Env�ronmental Proteatlon Agency_Asbestos abateme.nt: - Federal A�lallon.Autho.Mty�f,tunways:` � ' I understand.that�the.:hilloinring:,i�estr#�tlons appty`fa ttie use af fl{1.• - �Use of`fill is not aHowed inaFtood�Zone"V"unless expr.essly pennitted. - If the-zfill�mate�fal"Is��to'be �used;�`In.:Flood�2one. "A", tt Is underetoad that=a dratnage plan address(�g a "compe�sating votume",will be su�mttted a##tme of�permitting whlch i� prep�red by a professionai engineer�� � Ilcenseid tiy�thie:State�'of'F�oi�da: . � -•; °:� , , - If�fh�•flfl�.material�Y.l's=to be,used tn FRood Zone 'A° In4 conn�tlon�vtr�th�a��ermltted bt�ltdtng ustng stem walt,. � . can�tructlon, I certify.ti�:at till:�vall.b:e;used only.to flll the area�wltMn�the�stem=wall: � , - If fl!1 rrieteMaf:ls�to !ie usea�lrt any .anea; I �ce�tlt�r.lhat .use af�such�f111 witl r�at adversely afFect adjacent ., propertles.,...lf use.of.fill is faqnd�:to-advetsety;,�fiect a�ja�er�t��prc�pertles�.the owner�may be cited tor viora#ing, - the condl#lons::of�the:bullding�;pernitt•(s�ued�under tlie.�'s�tt�ctied:�ecmlt�applioatlon,°for�:lots��.less�:than:one (1� acre wtilati are elevatect��tiy flll,a�.englne�r�ed dralnage plan Is roquired. �- .. If I�m the A13ENT�OR•TM�OYMNER;;I�.promlae In�goo,d,falth#a�Infortr�•�the�awner of��the permitt(ng candltlons set forth In thts affidavtt`prior fo"`comme�acing constrvctfon. �1 un.derstand tttet.e separate'permlt may be tequfred for etectrRcal'wotk, . .. ptumbtng,.signs� weits,..poatsr-alr.condifianing;-.gas,�:or.a.,#Me� instalt�t�ins na1�spec�ficalty included�in.the•appiicatton. .A permlt Issued shall be coiristrued to'be a`Ilcense^��to�piroceed wlkh'`fNe�.wo�k and.:not-as:�authoMty�b:vlblate;��cancel� alter, or set aslde�i�y�provlslons oF�t�ie:technlcal c�ades;;nor sha11 tssuance�bf a.permit.pcevent th�e 8ulld#rig{3�lt�ati'rom theceafter � requlring a coITectlon af;err;ors In:plans;.coni�tructlon..or vlolatlons of-any�codes:-.�very�p'ermtt�l.ssued��shalf tiecome�-lnvalid unless the work au'thortzed_by such perrtaft:�ls.commenE+ad withlrt_s_t�c.,tttor�ths of�petmlt lssuance, ar Cf work autitarized by � �r the pennit is suspended�or;abaradoned.�for�.e;period�of::six��)�mnntiis�:.aRer`the time.the�wot�)r�ts commen�ed.. An eactenslan �... may be requested,.ln.,wdting�.f�om tFie;Bullding,�ffl+�lal for a perlod:�not.to.exceed'�ntriet�r=(90)�day§ a�id�vuill"demanstrate �as#IFiable c�use�or�#he exfenstor� I�work ceas.�s.for nit�e#y.�90}con��cutive�day.s�..th�Job�1s consldered aba�adoned: .. . , WARI�ING TO O1N�tER; YOUI�.;EAIL.t�tRE>:TC��.R�ECLlRQ;A}MQTtGE�.QF.�Cf�MME�tC�ME#1';IM�AYSRESULT IN��YQUR � < PAYtNG TWICE;FOR��iMP�tO�/EM�MI'�,T;O��C�iUR�PR4�?ER�TY:�;�1�=:YO.U{i�l'€E�ID:TG��IHTAIN�FiNi�►pE1NG;.'CON3ULT WIT D �O. A[V� O 0'. t. .�j �.. .,� . � � - - , . _ -- -- ,. �.. ;._, , . ., � M- FCo�it�Fi.9l1FtA'i'���:S:='!1 . _ ,, . . - - .. - .. _ „ _ . ., OWNER C1R AaBNT •. - -• . CON1'RACTO ° E 8ub cr1 ed artd swom ttt �d)b me fhts Su s �tf atsd' t'af�I �tora me lti1�. by / ,,by...,. ,/ - Who I are persanell _ .me. ,, o.(sh�e p. onal me: • _. asl�ediJ8ca3lpri:�' " as tdentiftcatian. _ � r . �����������, Notery Pubitc . ������ � Natary Publfc commtsst�n t�o: 5 �amn�tsaton.t�a,_ �=C�7"Ql�S� . ��aP! F_'/../�/�/� �l��E�L. �,P.� �'.�i.NF ,k.'cJ�',�'.c.L. Name oi Nolary typed�prtnted or atamped Name o1 �"'"'"'+�,, pEBRA EIAINE�RUF ELL.- . ���'1�r�,��'�_Commssionl#GG 045343 *�1�v�=Cammisston#GCa 4,45343 :,;�Q Fxpires Navember 7.2020 � � s���o#E�cpiresNavembet7,2020 , �•''F°�f��4•� BondedTtwTroyFeinliuuranceBOD�385�7019 ' • i ..� '�?or �:� BondediAruTroyFalnln�ura�60o-3�7Hs � ��tio��