HomeMy WebLinkAbout17-18095 ' � CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18095
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BUILDING PERMIT
I PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18095 Address: 39343 9TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class �of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
S ua�e Feet: Subdivision: SUNSET ESTATES
pEs�t.Value: Parcel Number: 12-26-21-0300-00000-0100
Improv. Cost: 4,400.00 OWNER INFORMATION
Date� Issued: 2/03/2017 Name: SCOTT ROGER W & NANCY
Tot�al Fees: 90.00 Address: 3135 YODER HILL RD
Amo�unt Paid: 90.00 KEUKA PARK NY 14478-9707
Date Paid: 2/03/2017 Phone: 315-536-8539
Wo,�k Desc: INSTALL SLIDER AND REPLACE 7 WINDOWS S/S
'i CONTRACTOR S � APPLICATION FEES
HOMEOWNER BUILDING FEE 90.00
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�� Ins ections Re uired �
FOOTER II 2ND R UGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH E�LECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRI�CTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
II 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 b'e found in the public records of this county, and there may be additional permits required from other governmental
I 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 properly. 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.
II NO OCCUPANCY BEFORE C.O.
iCONT CTOR SIGNATURE PERMIT OFFI R
i PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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, City of Zephyrhills
' BUILDING PLAN REVIEW COMMENTS
Contractor�/Homeowner: � /�(�� � �j�
Date Recei�ed: ��/%//�
Site: Ljq�jl�� 9�h ���
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Pernut Type: J�/ _ `�(,{�l�
Approved /no comments: `� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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' This comment shee shall be k t with the permit andlor lans.
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', Kalvin S i '' � Examiner Date Contractor andlor Homeowner
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(Required when comments are present)
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� DocunentTitle: Doc No: FRM B1-02
I���� Structural Performance RevNo: '] Pase: � of: �
�EYSTON�, Certif icati on
C EFITIF�CATI ONB.1 NC.
$.�.�..�,.s..l
Authorization Report
�� Required By: PRO B1-03
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CAR & Product ID Number: 190 - 1024.0
Issue Date: 11/10/2014
Revision Date: 11/17/2014
�'� Expiration Date: 10/10/2018
�� Company Code: 190
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This�Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. (KCI) after full validation review,
and is based on a standardized evaluation of the product conducted by an independent accredited laboratory in
accordance with the specified referenced standard. Ach�al fenestration product perFormance may vary based on many
factors, including installation, condition of the wall/roof substrate and the age of the product and installation
com��panents.
This� report indicates the product is eligible for ihe application of Keystone Certification Program certification labels.
Licensee stipulates in affixing certification labels to products, that those products are represenlative of the specimen
evaluated and documented for certification authorization. Only products bearing such a certification label shall be
considered certified. The infi�rmation in this report can be verified atwww.keystonecerts.com.
Licensee Information: Product Information:
PGIT Industries Model: SH5400 View PVC Single H��VJ��
1070 Technology Dr. PO Box 1529 Operator Type: H p �'�� ��T�
df
No omis FL 34274 Config: EM/All ���'�2�phiY�`���
.,�L ��p � . �`//If �'//
Max Width: 52 ..r�E:•�,��R���OLL��MP WfY �� r.�
=r r•�..�.,, p�g �Y H
Max Height: 92 ����.�:•�F+SU!(.DjN-� = =
(I c►TY o rRr � —
Referenced Standard: Product Rating: �L�s gRD�MiqN6E
AAMA 1701.2-12 Wind Zone II & III @ 58 psf, 52x92 ,
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Q�alifying Test Information:
Test Report No: FTL-7958
Test Report Expiration: 10/10/2018
Aulthorized Signature: K
�' Digitally signed by Steven M.Urich eystone Certifications, �t1C.
DN:cn=5teven M.Urich,o=Keystone 564 Old York Road, Suite 5
�� � s�� Certifications,Inc.,ou, Etters, Pennsylvania 17319
=✓r `ema_.il�surich@keystonecerts.com, Phone: 717-932-8500
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�'a` Date:2014.11.17 15:53:06-05�00� Fax: 717-932-8501
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WN(W.KEYSTONECERTS.COM I
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` 2017007730
�' ' Rept:1830814 Rec: 10.00
�I � DS: 0.00 IT: 0.00 Clerk
01/19/2017 K. D. K. , Dpty
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'PqULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
NOTICEOFCOMMENCEMENT 010R BK01�'7'��m PG 26�5
Permit No.
Property Idelrtification No._ �Z'��i�— Z�—U�(�'�b(��O^p�D� I
TF�UNDERSIGNED hereby give informs you that the miproy�men!will be mede to ceNain real pmperty,end'm accordence with
Section 713.13 of the Floride 5tetrrtes,the following informetlon is providsd in tids NOTTCE OF COMIVIENCEN�NT',
l.Descri on of o e / � J��Cr 2�O c��C.W �I�>1C�,,Z� '�GL�S�
Ph. Fr P rt3'�� escrlptlon: 'W-SSeS��e(/� ��1 . �
-- a)Street Address: �.3 � ,,s 0
— 2.deneral desctiption ofimprovemeets:
3.Owner Infopna6on �L , / ��
;�a)Name�d addcess: �
b)Neme and a8dtess of fee s' le titleholder �f other owner) �
c)7ntenst m property � ,
� 4.Conhactorinformabna /� n � {�� _ A � •
' a)Nameand addiess:.�U(?lh�i�n Q�.�.t�.„.,.i,.��ryy�. ,�, (� ���`�l-' "y/ ' �1 ,C�
b)Telcphone No.:�/. --n ST� ^ _ I R�;J„ in.,r� ��•��xL� l� �
I5.5UtetyIn�'olNStiOII s-- cr�� ^��-r�i ���1,/
a)Neme end edd�ss. /�
b)Amompt of Bond:
c)Telephone No.• • ' Eax No.(Opk)
6.I.ender
a)Neme and eddress•
Phoae No.
7.Identiry ofperson within the State ofFlorida deslg�ed by owner opo�whom notices o�other documents may be served: �
� e)Name and address:
b)Tele�phone No.: Fax No.(Opt.)
B.In addition to himvel�ownet�desigaaoes the followiti�g person to receiyo a copy of the�,ienor's Notice as provided'm Section
713.13(I)(b�Florida StaUrtes:
a)Name ead address: '
b)Telephone No.: { Fax No.(Opt)
9.Expusfioa date of Noace of Commencemsrit(the expiretion date iv one year frbm the date of record'mg imless a diffe'rmt date is
, specified):
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'WARNIIVG TO OWNER: ANY PA7CN�NTS 14fADE BY THE OWNER AFTER T��SpIRATiON OF TSE 1�iOTICE OF
COMMENCEMENT A�tE CONSID�RED 1NIPItOPER PAYM�NTS UNDER CHApTEg 713,pA,gT I,SECriON 713.13,
� Nf:ORIDA STA'1'UTES;AND CA1V RLSULT 3N YOUR PAICIIVG TWICE FOR IIVdPROV�MENT51`O YOYJR PYtOPERTY.
A NOTICE QF C011�NCEMENT MUST BE RECORDED AND p05TED ON THE JOB S1TE BEF08E THE FIRST
� INSPEC'�ON. II{YOU IlVTENA TO OBTAI�V FINANCING,CONSIILT YOUR LENDER OR AN ATTORNEY HEFOI;E
GOMMENCIIYG WOBK OR RECORDWG YOUR 1�OTICE OF CO2VQY�NCEMENT.
STATE OH FLOAIDA -
COUMY OFPASCO
, 57 fOwavotOwner'eAuthoriudO�eer/plreUm/Pufna/Mmogc
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�nfo o � nt wav a owledged heforo me this�day of��� � ,2pJ2.by
'`�������� (type of euthority,e.g.officer,trustee,at[omay
��)�r (aeme o f party on behalf of whom iastrumeat was executed).
Pe�soaelty Known_OR Produced Identi5cetion Not�y Signafure �r� .0 1J � �
Typo ofIdeatification Produced Name(prmt) ���1. ����� /�-�/��l—
VerlScaHon pursuent to Section 92525,Florida Stawtes.Under pmalties of perjury,I declare that I have read the foregoing end tLat
the facts stated in it aze�ue to the best of my Imowledge eod belie£
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s;gnauuc orNmuil re�oa si�ing above..
I�FOfUASR10C,mN➢W
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j �:, •:y�,;DEBRAELAINE RUFFELl.
I • ;: ;,;Commission#GG 045343
. =r; �o�:Expires November 7,2020
� "��„";t4g`�� BoadedTlwTroyFainlrouror�ce800.385�7019
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; 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' � � � • Building Department
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Date Received
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• Phone Contactfor Permitting J — J� _
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' 'Owner's Nal e � Owner Phone Number -
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� Owner's Address �� � I �. Owner Phone Number
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� Fee Simple�Titleholder Name Owner Phone Number
� Fee Simple Titleholder Address
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Z JOB ADDRii SS 1O LOT# �
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SUBDIVISION PARCEL ID#
� (OBTAINED FROM PROPERTY TAX NOTICE)
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WORK PROPOSED . NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
I B INSTALL B REPAIR
PROP.O.SEID USE �] SFR Q COMM Q OTHER :
TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME 0. STEEL Q
.. - 5 4
DESCRIPTION"OF WORK /S/��V � !�(/�� 4�-S � �Ce
BUIL"DING�SIZE SQ FOOTAGE� HEIGHT •
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BUILDING �/ $ ;j, / � VALUATIOIV'OF'TOTAL CONSTRIJCTION
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�LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $ /�/OG
I � II ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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Q,II AS Q ROOFING Q SPECIALTY Q OTHER ' J,, '�
FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �r
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BUILDER I, n( � ��OMPANY t'1��
SIGR1ATURE V� REGISTERED Y'/ N FEE CURRE� Y%N
Address License#
ELECTRICIAN ; - COMPANY
.. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
PCUMBE�.,: COMPANY�
SIGNA7'URE ���sTERe� Y/ N` Fee cuRrten " Y/N
, Addrelss License#
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I MECHANICAC' � COMPANY
� SIGNATURE'' � REGISTERED Y/ N FEE CURRE� .. . Y/N
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� Addte'ss4` License.#
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i :. OTHER=�. ��"� �: � ' , ' ' COMPANY
� `SIGNATURE3= .;_ .•- � , - REGIBTERED Y/.N FEE CURREK Y/N
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4 ''r?'r"T�� : "� -- - - '. ' '_ � � . - '
� Addr'ess:•- License#
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"�RESIDEN.TIAI.>�;;. ';Attacfi;(2):PlotyP,lans;'(2)"set's'�of Buildirig=Plans;(1�)°set of�Ene�gy,Portris;R=.O-W Perm`it:for new.construotion, ,
�. °��x•-:::�.:.:.--:-,;.Minimum;ten�(;1Q);worlcing,cJays�aftersubmittal�iJate."Required'onsite;`Constru'ction Plans;Stormwater Plans w/Silt Fence installed,
h.�+:.�i.:�zi..,:� ..�...,.,:..., . , . . � t- y .
;� ,._ , Sanifary4Facilities;&�,1=:dumpster•;;SIte;WorkReFmitforsubdivisions/large.projects'- � �
- �:�COMMERCIAL Attach''(2)�complete'sets'of'Building Plans plus a L'ife Safety Page;(1)setof Energy Fortns.R-O-W Permitfor new construction.
�I Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans�w/Silt Eence.installed,
" ;i Sanitary FaclliUes&1 dumpster._Site Work Permiffo�all-new projects.All commercial requirements must meet compliance
�r�='SIGN:PERMIT "Attach"(2)`sets,of:,Engineered,Plans:�r. .t: •
f I """PROPERTY SURVEY required for aII.NEW construction:_
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; ��;:Dl�ectloris: s•,.i�.*A'� . -
" Flll-out application completely. ,
� - • Owner 8�Contractorsign back of.application,notarized
, If over$2500;a Notice�of Commencement ls requlred. (AIC upgrades over$7500) _
,'"'` Agent(for'tliesscont�actor)'or°Rower of Attomey(for tFie owner)would�tie someone with notarized letter from owner authorizing same
�;�OVER.THE COUNTER�PERMI7'TING> .�. (copy,of,contract-required) ` " ��' � � -
� ;::;Reroofs if'shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Foohage)
; - �� _ . _..._.__.,..._,._._.__... ., .., . -
_ D�lveways-Not over Coun;e[if on public,�oadway§:.needs ROW s , . _ .�.._�r.•a�.�,s;r,:.:,x�_r.r._.�„ ,._ ,.,
�. _,,.. . :-:,... -. . :, . ..:� ,_-x..� ,,
'° �.1_�,1�U:��, „.!?,"�;;<-..: . " ; 5:,:,•�„_:,;�����',i��; .,�; ,�
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� Nt�TICE QF DEEDRESTRiCTtONS: The undersigned understands.that;this;permit may,be�subject.to"deed"._restcict�on's"�_,;;
• r nr�,��.:..,_;;. .��.;,�.,;, 1� _.� s °� � � �' .:
which�may:be more:r;estrictive than,.County regulations: 'Therundersigned��a`s'sumes��responsibility`forYcompliance"wltli`�any :
� appiicabie deed restrictions. �' : . , , , ry� -��°-y���y=�'�:4`�`-`:
UNLICE�lSED CONTRAGTQRS AND C�ONTRACTQR RESR.CINSIBILlTIES:� ff�tfie-�ownerµhas-=tiii�ed'j�a��contr.actor .or ,
contractors to undertake work, they;may.;be�required�to be licensed in accordance with state:,and 1oca1 reguiations:rv.=lf�tfie-����
contractor is nat ticensed.as:r�quiretl by;tavii,�6oth the oV►rner`�and'�cont�acto�=may=�be��c'ited fo�>,a misdemeanor violation� r��i
under state�law.` If the owner or intende,d;,contractac are uncertain as ta what.licensing requir.emerits:,may�.apply'�f.or;tli,e.�,;�;
. ..,�y.ti_fn�..♦ ,� 't' ^4,..:. .... _ �
in#ended work,.they.are-advised to contact t#�e�Pasco Caurity Builtling Inspecf'ron'D'iv'is�on�icensing Section af.727�847=' ::;
8009. Fur-therrnore, if the awner has�hiredMa coritractor or confractors, he is advised to�have the,contractor(s).,,sign,F.,.,;
.,. . . ..�„�:�7.�:o: r.=. r. ,;, .
portions of the "contractar Btack°.of this applicafion.,for which.they-wi(I be responsible:-:lf:you,_as,'the"=own`er'sign.as��#lie�- ',
confractoc, that may be an indication ttiaf'he is`nat prope�ly�licensed anil"is not enti#!ec! to�permi#ing privilegeskin;�Pasco:. v;r,
Caunty. � � ,,: �.,;c,.�:;.:,�.�;.;
TRANSP�RTATlON INIPACT/.U7fUT1ES�IMPACT AND RESOURCE RECt3VERY"FEES: Tiie undersigned understantls� ::��
"y':r i �,y+.�
that Transportation impaat Fees and Recourse;Recovery Fees�;may.zappty to th� construction a.f.,new,..b.uildings,.�ctiange�`of���'`;
use in existing buildings, or�expansion of:existing buildings, as specified in Pasco County Ordinance number 89�Q7=and'`�• �
, _ ,.,,,.,. ,.
90-07, as amended. The•underslgned also uc;iderstands, that such:.fees,�as�,may,�:be.due, wiH be,identified��atFther�time-�of,�•1�-�`�
permittPng. �!t is further understood that°Transportation impact Fees and ResourceFRecavery.Fees must be.paid_prior to„ ;'
receiving a "certificate of occupancy" or final.,power reiease. If#he project does not invo(ve:a cerkificate of occupancy:o��:���:!
final pow�r release, the fees.must be,paid prio'r to permit issuance,_,Furtfiermore, if Pasco�Coanty Water/Sewer,lmpact:;�?.;
fees are due,they must be paid prior to.permit issuance in�accordance with:appiicabfe Pasco�County ordinances. � .:'
CCINSTRUCTIDN LIEN�L-i4W(Chapter 713,"Ftorida Statutes,as amended}: If valuafion of wor,k is$2,50Q.00.o�.more;wl;,.,:�;;
certify that i, the applicant, have been-,provided with a copy._of.,the "Florida Construetion. Lien-.Law=-Homeowner's� -
Pratection Guide" prepared�by tfie Florida Department of Agriculture and Consume�Affairs. !f the applicant;is..s.omeon.e�a;,�-�:.
,..,.�.,,r.:. ,
other than the°owner�, ! cerkify that I.have o6tairied a copy-of the abaue descritied'documen#and:promise-in goo.d`faith:rto _ ,,•�
deliver:it.to.the,';owne�'_:priar..'#o:commeneement.�' � � -` �
CCINTRA�TQR'S/aWNER'S AFFtDAVIT:.,I.certify.that alt the infor:rnation in this applicatian is accurate and'tliat a!I"inrork �
will be dane in compliance with aA applicable laws regulating construction, zaning and land deveivpment. Appiication�is �
hereby made to obtain a pecmit ta�.do,..work-and instaliatian as�indicated. t certify that no work or_instailation-�has :
cammencetl prior#o issiaance of a permit and�that atl work will be pertormed to meet�standards of ail laws regulating
canstruction, County and City codes, zoning regulations, and land development regulations"in�.the jurisdPatian. I:also
certify that I understand that the regulations�of other government agencies may appfy to the irttended work, and that it is ;
my responsibility#o identify what acEions i mus#take to be in compiiance. Sucit agencies inctude but are not iimited,.to: '
- „Department of Environmental Rro#ection-Cypress Bayheads, Wefland Areas and Environmentally Sensitive-�
Lands,Wafer/Wastewater Treatment: �';
- Southwest Florida Water Management District WeOs, Cypress Bayheads, Wetfand Areas, Aftering s
Watercourses. �, ;
- Army Carps of Engineers-Seawalls, Docks, Navigable Wa#erways. �
�
- Department�of�Hea(th & Rehabilitative ServiceslEnvironmental Health Unit We!!s, W.astewater Treatment, �� ';,
Septic.Tanks: � ' � � �
� U5 Environmerita!Pratection Agency-Asbestas abatement. � - `
- Federai Aviatian Authority-Runways. '� ° .
i understand that•the fotlowing restric#ions apply to�the use of fill: ,
- Use of fil!is not allowed in Flood Zane:"V"unless expressly permitted.
- If the fill materiaF is to be used� �n Flood 2one "A", it is understaod that a drainage pian addressing a
"campensating volume" wiN be submitted at time of permitting which is prepared by a professiona! engineer "
licensed by the State of Florida. '
- I�f the fill materia! is to be used in Flaod Zone °A° in connec#ion with a permitted buiiding using stem waii _
construction, 1 certify that fiA wiil be used onfy ta fiii the area within the.stem wail.
- I� �N,materiai is ta -be used in any area, t certify that use of such��fi11 wiil not adversely affect adjacent �
properties. If use of fili is found to adversely affect adjacent proper#ies, the owner may be clted far violating
the conditions of the building permit issusd under the attached permit applicatian, far lats�less than ane (1.) �
acre which,are elevated by fii, an engineered drainage pian is requi�ed. :.
If!am the A�ENT FOR THE OWNER,.i pramise in good faith to inform the owner of.the permitting conditions set farth in ��
this affidavit.prior#o commencing construction: ! understand that a separate permit may be �equired for electrical wark, , •;.
plumbing, signs, wells, pools, air conditioning; gas, ar ottie�'installations not specifically inciuded in the appiica#ion: A •,
permit issued shall'be construed to�be a license�to.proceed with the wark and not as authority.to violate, cancel, alter, or
set aside any provisions af the fechnical codes; nor,shati issuance of a permit prevent the Building Official from thereafter
requ'rring a correction of errors in plans, construcfion or violations of any codes. Every permat lssued shall become invalid
unless the work authorized by such permit is commenced wi#hin six months of permJt issuance, or i#work autharized by ,;.,
the permit is suspended or abandoned for a periad..of.six(6)manths after the time the work is'cammenced. An ex#ension `
may be requested, in writing, from the Buifding t}fficial for a period.not to exceed ninety(90) days and will demonstrate
}ustifiabte cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. :
WARNlNG T(J QWNER: YOUR.FAILURE TQ RECORD.rA NOTICE OF C.UMMENCEMENT MAY RESUL-T tN YOUR
PAYlNG TWICE E4R lMPROVEMENTS.TC?YOUR..PROPERTY.�-iF YQU=,iNTEND�TO.OBTAIN FINANCING;C4NSULT �
WITH YCiUR"L'ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�COMMENCEMENT._ ___ -- -- --
FLORIDA dtlRAT(F.S.117.03 / � '
OWNER OR AGENT ��J,����ti�2�-�' CONTRACTOR,Z;�GL �,_, "���
Su scribed and swom to r a ed}before e th Subscri ed and sw m t r fft�ed)baf ra� e this
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