HomeMy WebLinkAbout17-18391 _ CITY OF ZEPHYRHILLS
T �' S335-8TH STREET
(813)780-0020 18391
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION -
Permit Number: 18391 Address: 5409 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-12200-0010
Improv. Cost: 10,400.00 OWNER INFORMATION
Date Issued: 4/26/2017 Name: ZPH REI LLC
Total Fees: 195.00 Address: 232 PEDRO ST
Amount Paid: 195.00 VENICE, FL. 34285-2322
Date Paid: 4/26/2017 Phone: (941)685-9328
Work Desc: INSTALL WINDOWS, GARAGE DOOR, AC CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
ALL AMERICAN GARAGE DOOR SERVICE BUILDING FEE 135.00
OWNER MECHANICAL FEE 60.00
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION 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
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 vdork shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
/ �
_��" -.
CONTRACT GNATURE PERMIT OFFI R
�EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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~c.i�ir�ANI�AL CODES. —
n N ° �
ODUCT APPROVAL FOR SERIES FG-2000 STOR � ON A.S.D. DESIGN PRESSURE
�� aK o� �
NON IMPACT MONOLI I T PE D G S N a= aa ^� � �
GENERAL NOTES• �
7• SERIES FG-2000 STOREFRONT HICH DESIGN PRESSURE W/ NON IMPqCT MONOLfiHIC 7EMpF1tED GIASS. SHOWN � • ODUCT MqNUF 5�LABEL SHAl1 BE LOCATm ON A RFADILY VISIBLE LOCAT1pN � F � r�
2014 (5�h EDfT10N) OF THE FLORIDA BU�LD(NG CODESTHISp RODUCT MAYRBE�IN ALLED WIi}{I�N HRGHN& NON Ar ACCORDANCE WfTH SEC110N 1710.5 OF THE FLORIDA BUIIDING CO�E.
ONE V+BEL SH,4I1 BE PLACED FOR EVERY OPENING. � 0 � o
HIGH VELOClTY HURRICANE ZONES W/ LIMRATIONS pS PER NOTE 3 BELOW. '` � m �
DESIGN WIND L0.4D5 SHALL BE OEfERMINED AS PER SECTIDNS 7620 (FOR HIGH VELOCIT( HURRICANE ZONES) & ��i W �
7609 (FOR NON HIGH VELOCITY HURR�GINE ZONES) OF THE ABOVE M�NTIONED CODE.
FOR A B4SIC WIND SPEm AS REOUIRED BY iHE JURIS�ICT10N WHERE hIIS PRODUCT WILL BE INSTALLED
U �� � }o�
FOR A DIRECTIONALfTY FACTOR Kd=0.85.USING ASCE 7-10 FOR INSTALLqT10N5 UNDER 2�14 FBC �� � v¢g m �c� f
AND SHALL NOT IXCEEp THE MAXIMUM (0.5.D.) DESIGN PR6SURE RATINGS INDICAiED ON NOTE 2, � 0 � �-�
IN ORDER TO VERIFY THE�180VE CONDfTION, ULTIMATE D61GN WIND LOADS DEfERMINED PER lSCE 7-�0 SHEEf 1: CENERAL NOTES, INDEX AND INSTRUCTIONS. • E
SHALL BE FlRSi REDUCED TO A.S.D. DESIGN WIND LOAD$ BY MULTIPLYING THEM 6Y 0.6 IN ORDER TO SHEE7 2: COMPONENTS FOR SERIES FG-2000 STOREFROM'. a' �� � �$ �
TO COIAPARE THESE W/ Mq)C (A.S,D)DESIGN PRESSURE RATINGS INDICATEp ON NOTE 2. = (It�s�; c
IN ORDER TO VERIFY 1HAT ANCHORS ON THIS P.E.D., AS TESTED, WERE NOT OVERSiRE55ED, A 339, INCREASE IN SHEEf 3: BILL OF MqTER1ALS,lYpICAL GL4ZING DEfA1L& MAXIA/UM AS.D. DESIGN Z �a � �� 3
ALLOWABLE STRE55 FOR WIND LOADS WhS PRESSURE RATING SCHEDULE FOR A GNEN GLASS PANEI.DIMENSIONS. O �� �q
I'IQL USED IN THEIR AW�LySIS. FASTENERS SPACING TO WOOD HAS SH� 4: �y�yqnON FOR SERIES FG-2000 STOREFROM'. � � _ �
BEEN DEiERMINED IN ACCORDANCE WITH N.D.S. 2012 OR�pVaLABL.�7�7 DATA FROM MANUFACTURER.
THIS PRODUCT'S AOEQUACY FOR WIND RESISTANCE HAS BEEN VERIFlFD IN ACCORDANCE WfTH SECTIONS 1625 �
(IXCEFT�1625.4) & 1710.5.2 OF 7HE ABOVE MEM70NED CODE AS PER PROTOCOL TAS-202 AND ASTM E330, SHEEI' S: MAXIMUM AS.D. DESIGN PRESSURE R4TING FOR MUWONS. � � ; �
PER ARCHfTECTURAL 7}S7�NG, INC. IHBORIUORY REPORT� 99493.01-801-44 AND AS PER STRUCTURqL �-
CALCULAnONS, PERFORMED AS PER SECitONS 1604 & i616 OF THE FLORIDA BUILDING CODE. SHEEf 6: SILL OR HEA� CONNECTIONS OEiA1LS (pLAN y�EWS), 2
2. MAxIM M �� ��SIGN PRESSURE RATINC FOR THIS pRODLrT SkAI i B R ctinuti SH� ��IMUM AS.D. DESIGN PRESSURE RATiNG SCHEDULE FOR MUWONS W/ $
Oh s�c�rc Z t ae i� HEAD/SILL CONNECTIONS. � �a-
3. THIS PRODUCT WILL REOUIRE AN APPROVED HURRICnr.c p O - ��?
RO .T10N D ICF IN ORDER TO ReTF R nc SHEE7 7: My(�MUA1 AS.D. �ESIGN PR6SURE RATING FOR HORIZONTAL. U !`�'
IMPACT RESISiAN7. IF PRODUCT I.s NOT PROTFC7ED WfTH AN APPROVFD HURRIC`AMf PRp7E_CTNE �EVI_� � z��� a^
Tl-I N R HA i BF �NSTALLED OUi OF THF HIGH VEIOCfTY HURR!ceuBUl DIN eC D OF Atdv WIMfI-Rnat�� SHEEf 8: HEAD, HORIZONrAL & SILL CONNECTION DE7NL5 (SIDE VIEW). � _ Q � -am�x
D BRIS REGIONS qc_ DEFlNED ON SFCf10N 18og,a pF TH naine J =�`gtl�T
SHEEf 9: SECTIONS AT JAMBS AND AT MULLIONS. �
4. IHIS PRODUCT IS AP?Rnyrn ma ��+? o.s.f. AIR/WA�TER I�FlLTRATIOh, j � W W�$�$a�
5. TEMPERED GUISS TO COMPLY WI1H SEC110NS 2411 1.3 OF THE F70RIDA BUILDING CODE. SHEt7 70: MA)(IMUM AS.D. DESICN PRESSURE RATING & MAXIAIUM FASTENERS SPACING m m �
SCHEDULE FOR JAIdB CONNECTION AND CORNER DETqIL ¢ ' �� ��
PRODUCT SHALL COMPLY WRH SECiIONS 2406.1, 2411,4.1 AND 2411.4.2 OF THE FLORIDA BUILDING CODE. � u J �+t�� �
F
6. PROVIDE 3/8" MAX. LOAD BEARING SHIM SPACE (iYP.), WHEN ALLOWED BY THIS DRAWING. � �:; �
J k
7. W000 BUCKS Bl'OTHERS, MUST BE ANCHORED PROPEF2LY TO TRANSFER LOAOS TO THE BUII,pING STRUCTURE. � F�¢
WOOD BUCKS MUSi BE SOUTHERN PINE, WITH G � a.ss. iN�ucnoNG•
8. REMNNING COMPONENIS FOR THIS PRODUCT SHALL BE AS INDICATED ON BILL OF MATERIALS, SHEE7 3 OF THIS ��; DEfERMINE A.S.D. DESIGN WIND LOAD REQUIREMENTS BpSED ON WINO VELOCITy. BUILDtNG
DRAWING. HEIGHT, WIND ZONf, USING APPLICqBLE q$CE 7 STqNDARDS.
9• ALL ALUMINUM EXTRUSIONS IN CONTACT WITH STEEL, CONCREfE AND WOOD SHALf_ COMPLY WfTH SECTIONS
2003.8.4.2, 2003.8.4.4, 2003.8.5 AND 2003.8.6 OF THE FLORIDA BUILDING CODE, RESPECTIVELY �3 GO TO SCHEDUIE ON SHEEf 3 TO DEfEf2MINE MA)fIMUM AS.D. DESIGN PRESSURE RATING
10. SHOP DRAWINGS PREPARED BASF� ON THIS APPROVAL AN�TAKING INTO ACCOUNi THE SPECIFlC JOB �Psf) CAPACRY OF DESIRED GLASS SIZE BASEp ON GLASS PANEL DIMENSIONS.
CONORIONS, SHALL BE SUBMIFTED TO iHE BUIIDING OFFICIAL AS PARi OF THE PERMfT DOCUMENiS. -� 3� DEfEF2MINE Ma7CIMUM MUWON SPAN 'L'(Ff) FOR A GNEN MUWON EFFECTNE
SPACING b", ON SCHEOULE ON SHEEf 5, AND SELECT ANCHOR OPTION W/A.S.O. � lillNl�y�����'� Q
11. STRUCTURAL SUBSTRATES NOTED ON THIS �RAWING AS IXIS�ING STEE1 By OTHERS, POURED CONCREfE, HOLLOW DESIGN PRESSURE RATING EOUAL OR GREATER hbW q,S.D. DESIGN WIND LOAD ��, R. �i� p
BLOCK AND WOOD MUST WfTFi$TqND THE LOADS IMPOSED BY THIS PRODUCT. SPECIFlED IN �P 1 USING SCHEDULE ON SHEEf 6A. '���� � " ,.��is w
12. (a) THIS P.E.D. PREPARED 61'THIS ENGINEER IS GENERIC AND DOES NOT PROVIDE INFORMATION FOR A SITE � 4• DEfERMINE MAXIMUM ANCHOR SPACING AT JAMB FOR A CNEN MAXIMUN � �' ' �
SPECIFIC PRQIECT; i.e. WHERE THE SRE CONDITIONS DEVIATE.FROM THE P.E.D. AS.D. DESICN PRESSURE RqTING AND MAXIMUM MUWON SPACING, ON SHE� 10 ^ ;�� �� • ��;w �
I (b) CONTR4CTOR TO BE RESPONSIBLE FOR THE SEI'ECTION, PURCHASE AND INSTALLA710N INCLUDING LIFE SAFEfY � '�0 USE SCHEDULE ON SHEE�7,TO VERIFY MA)(IMUM A.S.D. DESIGN PRESSURE RATING�. � v ` �
OF itilS PRODUCT, BASED ON lHIS P.ED. PROVIDED HE/SHE DOES NOT DEVIATE FROM THE CONDITIONS OF HORIZONTALS (IF USED) FOR A GNEN HORIZONTAL EFF�CTIVE 'D.LO.'. C� P Q•� �\
DETAILED ON THIS DOCUMENT. CONSiRUCT10N SAFEfI'AT SRE IS THE CONTRACTOR�S RESPONSIBILfTY. � .�'. ��� �
-- e:7HE LOWFST VALUE OF AS.D. 061GN PRESSURE R4TING R6ULi1NG Fl20M STEPS 2,3 �
(c) THIS P.ED. WILL BE CONSIDERED INVl�l1D IF ALTERED BY ANY MEANS. �0 5���PLY 70 THE ENTiRE SYSfEM. �., �`` N
� 'o p ,��R` W
(d) SITE SPECIFlC PROJECTS SHAL1 BE PREPARED BY A FLORID,4 REGISlERED ENGINEER OR ARCHfTECT WHICH ��0e���.' E ��� �
WILL BECOME THE ENGINEER OF RECORD (E.O.R.) FOR THE PRQIECT AND WHO WILL BE RESPONSIBLE FOR �^�5;1�
THE PROPER USE OF THE P.E.D. ENGINEER OF RECORD, ACTING AS A DELEGATED ENGINEER TO THE P.E.D. THIS DRAWING SHALL ONLY BE USED TO
ENGINEER, SHALL SUBMfi TO i}{IS LATfER iHE SRE SPECIFlC �RAWINGS FOR REVIElN. OBTAIN PERMITS IN THE S7ATE OF FLORIDA
(e) ORIGINAL P.E.D. SFIALL BEAR THE DATE AND ORIGINAL SEAL AND SIGNANRE OF hIE PROFESSIONAL ENGINEER
OF RECORD THAT PREPARED IT.
sts-�so-oo2o City of Zephyrhills Permit App(ication FaX-s�aasaao2�
• Building Department
"� e
Date Recelved Phone�Cotztact for Permitting '� --
Owner's Name �(f' i �C.-�' Owner Phane Number
Owner's Address Owner Phone Number �— �
Fee Simple Titleholder Name ��� ���9�.�?�iG. Owner Phane Number ��! "'O���-��r.� t
Fee Simple Titleholder Address
JOB ADDRESS ��� C.J—ibt� iv 1—G°' �'�� LOT# [�
SUSpIVIS1QN �� � PARCEl.ID#
(OBTAINED FROM PROPERTY TAX NOTIC6) �
WORK PROPQSED e .. MEW.CONSTR 8 ADDIA�.T � SIGN Q Q DEMO�ISH
INSTALL 'REPAIR
PROPC}SED USE Q - SFR Q COtviM �C� OTNER
TYPE�:dF CqN$TRl1CTION Q BLOCK • � FRAME �. STEEI. .Q
DESGRIPTIQN OF WORK ^ �- ^` �� /� '�- � �� -7�U
BUIL�IING;SIZE � T��� � SQ FOQ'PAGE C�������T�, �
OBUIl.DING $ `
��('j(j � VALUATION°OF TOTAL CONSTRUCTION
�J
.-QELECTt21CAL � � AMP SERVICE Q PFt4GRES8 ENEF2GY Q W.R.E.C.
r
QP�UM8ING �— �
QMECNANICAL $ � � � � VAlUAT10N OF�11ECHANICAL{NSTALLA'fiON �L��
� �
Q,GAS Q FtOQF11VG Q SPECIAGTY � OTHER'
FINISHED FLOOR ELEVATIQNS FLOOD 20NE AREA �YES NO ����
•.BUtLDER ��� .--- CC3MPANY �r
SIGNATUR� REGISTEREp Y/ N FEE CURRE� Y%N
Address �Liaense# � �
,..,ELECTRtC1AN ,: COlNPANY
... SIGNi�17URE REGISTEREp Y/ N ' FEE CURRE� Y/N. '
� 'Address� � - License# � � I
F.LUMBER.;: . COMP,4Mfi
'SIGNAT.URE 'REGISTERED , Y�/'.N, . FEE CURRE� Y I N
� Address Licerise#�•�— �
; .,;, � ��-�
NIEC�1��11NICAL•", ,� , —''"� COMPANY t-� � Z
`' 'SIGNATURE'" ' ' ' � REGISTERED � Y/ N_ •� , FEE GURRE� . Y I N
Add'ress� '� - License.# � �
;
�;ir.t.,� � . , . .
OTH�;t��.,.., � , „ ` ' COMPAi�tY
`�SIGNATURE���'��s� ' ' ' REGISTERED Y/�.N FEE CURREK , Y/N
Address�.-,. - - _.<< . . x Cicen`se# � �
,s,
1.�, , . . �,.:� -
:,:::=;== •.:. . . .. , .., _. _; ..� •;.:,; ,. :- .
,.;� � ,�, � , � ,,,{..,�,,.
*;,-.RESIpENTiAl:`;,�:: ;Attacfii::;(2);Plot';Plans;::'(2�}:sets=�of�Buildirig�Flans,`(1•}°set of�Energy�Forms;R=O-�I.Perri��it,for new,constiuctian,
� :s . :•.-�,Minimum ten.(;1p,,),inwo,.rkiitg:days�after'su�"riiittal�tlate.���Required'onsite;-Gon`struc#ion'Plans,`.Starrnwater�Plans w/Silt Fence installed,
i. 3,a..,:', 'x.M --ry, • • • v. .. . .,
= ��".' .' Sanita,.ry.;Faci#ities.F&�:1_�dumpske.r•,.Site<,W.,.ork.Pe�rtiitfor•:subiiivisionsllarge`proJects � '=` � , , '� �
��COMMERCii�AL Atfach(2)'coriiplefe'setr of'Builtling Plan's plus a,L'ife Safety Page;{i}se#of Energy Farms.R-0=W Permit fbr new canstruction.
� Minim�m ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w!Silt Fence installed,
;�,;'•� Sanitaryr Eacilitles S�s1 dumpster.,Si#e Work PermftfoF�all-new ptojects,Aii commerciai requ9rements must meet compiiance
�:'::SIGN't'ERMIT `Atfach�2"sets=of,Engineer'ed_Flans.��� ,�;- • ' `
� ) -_�_,
_- «...PROPERTY Sl'JR\/EY requlred_for,.aII,NEW construction.- .
:-Dir'.ectlons: ;,•;. �.. .� ...,, �. _
'� `Fill,out:application completely.
�` - Owner&Contractar s9gn back af�application,notarized
3:":.:
If over;$2500;�a Notice:of:Commencement-ls required. (A/C upgrades over$75p0) _.
:;��:,:. ,w..-:.,.-< ��.�,,y
, AgenY{f6t ttie=ciintractbr)�ar°Powarof Attomey(for'ttie ovunecj would tie sameone with notarized letter from owner authorizing same
'��:OYER�:7HE COUNTER;PERM_I,TTING, (copy_af contract.required) � '� "� '� -
t;:Reroofs if sliingles, Sewers Servlce Upgrades A/C Fences(PlotlSurvey/Footage) _
' ,.:�, ... ., -
�. Driveways-Not over3Caunter if on:public roadways..neeils ROW
z�.
f ' ,. , _._.._ :"'c"s^�*"—'�'.,k.=;`tY�'�'.�'3
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Nt3TiCE OF DEED RESTRiCTICiNS: The undersigned understands,that#his;permit may-be subject,to".deed"restrictions�;�';,,;
which�may.be mare:cestrictive,than°County regulatians.•�The�undersigned�assumes-°responsiti�i�ty fiof�corripliance=wiffi an.y:
applicable deed restrictions. . � • ' = . , .�,_. � .-_`'<�-',-;
�;s�>:,;�.: � ...�,�.�•f.
UNLICENSED:�CONTRACTORS AND CONTRACTOR RESP.ONSIBlL!'TlES: !f�tlie=owner rthas��taired Wa���contractor or r'
_.: -. � - �
contractors to undertake work;they maypbe.regu,ired'to be�liaensed in accordance with.state antl�;local�egulations:'ti_If�the�.-�'��.�-.�_�,
contractor is not.licensed-as required�`by �aw, botFi the owner:and'contractor�may<-be-cited�for a misdemeanorviolation• �;,
under s#ate taw. �tf the owner or;intended contractoc are.uncerkain as to what licensing requir.ements:,may;�apply:fior�;tli;e.:�-Y=�`�.
. i,:,,., �i�;.,4 . ......._�: . y,. :�
intended wor:k,they-are-advised to contact tlie'Pasca Courity Buitding Inspecfion`Division-Licensing�Se�tion at'727-847=
8009. Furtherrnore; if the awner-has�liired`�a corittactar or contractors, he is ativised to;��have #he. contr•actor(s};.sign,,��.,;�,;,;
Y 71 ' �� �'\.' :r�..:r�if.it..:..:.i.,_����t� Y �
portions of the contractor Black of this applicat'son,:for,which.ihey-wi!! be responsible:--!f y_ou,_,as�',tiie;ovurieir"sign:as:tkie=""���;�
cantractoc, that may be an indication that�he is not properly licensed'and"is not entitled�to permitking�privileges,in,^:PascoX,;�;:.;;
County. ' � � � _ _ .. , - ._. �.:_ =:�s,<-�_:=u�;:�.�..
.. . ,..•: . _ ,.
TRANSPORTATtON--IMPACTI.UTtLiTtES IMPACT AND RESOURCE RECOVERIf FEES: The'undersigned under.stands _..;:';,,
that Trans ortatian fmpact Fees and Recaurse Recr�ve Fees�ma .,a f to,the,construction.af new_b,ui.i,ilin s,�chan'�e�o.f,=°`'�;,;_
P !Y. Y PP Y . 9 9 . ' ;,
use in existing bu(Idings, or-:eicpansion�af.,:existing buildings, as specified in Pasca County 4rdinance number 89=07�,antl, •�;�
90-07, as amended. The•undersigned also undgrstancls,--that such.,f.ees, as�:rnay.�be:due, wi!l�be.identlfied�at'.tf�e�:time��ofS`���`";�_,
permitting. -1t is further�understood that Transportation Impact Fees��and Resource�Reeovery Fees must be paid prior_ta
receiving a °certificate of-occupancy."or•-final,;power release. lf the project.does not inv.olve.,'a�certificate of accupancy:or:�;�,-. ,��.
finai pawer r,elease,�_wthe:fees�must�be:;paid prior,to permit issuance. Furtfier.mare,.if.Pasco,County Wa#eclS;ewer,�lmpac#':Y;;��� ;�:,
fees are due,they must.be.�paid priar�to:-permif'issuan'ee in'accardance with'applica�le_Pasco County ordinances. �� �-
GONSTRUCTION=LIEN~LAW(Chapter 713;Ftai�ida Statu#es,as amended): If valuation of�work is$2,5QO.00.or.more,;;i�;,a i'
t........... ..
certify that`I, the applicant,. have been- provided with a copy,,of #he "Florida �Cons#ruction°�Lien .Lairv:Homeowner''s =
Protectian Cuide"�prepared'by the �lorida Department of Agriculture and ConsumerAffairs. !f the applicant is.sameone:,, .
_.�.�..�:
other than the"`owner�, I<eertify that.l_ha�e obtained a capy of the above d'e'scribed"document-and pr.omise;in,good`;fai�li'to::,;,,
deliver.it,to.the�"owner"'prior-to:.�eommencement:�� "
C4NTRACTOit'SIOWNER'S A�FiDAV1T::�;(;certify tha�.ali�the information in this appiication is accurate and�thaf ail"work
wi8 be dane in compliance vui#h al! appiicable laws regulating construction, zoning�and land-develapment. Applicatian.is
hereby made ta obtain;.a,,permit..#o do...work�and installation_as�-indicated. ! certify that na=work or .ir�sta8ation�has
commenced prior to issuarice of a p.ermit and-�that all work will be performed to meet s#andards of af! laws regulating
construction, County and City cades, zoning regulations, and land development�regulations-in':the jurisdiction: �!;also '
certify that i understand that the regu(ations of other government agencies may apply to the intended work, and that it is ��
my responsibility to iden#ify what actians I must take to be in compliance. Such,agencies include.bu#are not.limited.,to:
- ,Department af Ernironmental.Rrofection-Cypress Bayfieads, Wetland Areas and Environmentaliy Sensitive
Lands,Water/Wastewater Treatment. � °
- Sauthwest Flarida Water Management� District-Wells, Cypress �Bayheads, Wetland Areas, Altering �
Watercourses. �
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways. :
- Department of Health R Rehabilitative Services/Enviranmentai Heatth Unit Wells, Wastewatec_Treatment, ,
SePtie�Tanks. �
- US Environmental Protec#ion Agency-Asbestas abatement. . ..
- Federa!Aviation Authority-Runways.
I understand that�.the:following restricfions apply ta the use af�Il:
- Use of fill is no�a(�awed in Flood Zone°V" unless expressly permitted.
- If the fiii materiat �is to be used in Flaod Zane °A", it is understaod that a drainage ptan addressing a
"compensating volume°will be submitted at#ime af permitting wFrich is prepared by a professional engineer °�
licensed by the State af Florida.
- If #he fil! material is to be used in Flood Zone "A" in connection with a permi#ted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- lf �II material is�to .be used in any area, t certify that use of such-fill will not adversely affect adjacent
properties. lf use af fiit is found to adversely affect adjacent properties, the owner may be cited for viola#ing
the co�ditions of._the build'mg permit issued under the attached permit.application, for iots tess than one (1)
acre which are elevated by fill,an.engsneered drainage plan is requited �
!f I am the AGENT FQR THE QWNER;-I�promise in good faith to inform the owner af.the permitting condi#ions set forth in
this affidauit prior to commencing construction. I understand that a separate permit may be required for elec#rical work, `
plumbing, signs, wel(s, poals, air conditioning, gas, o� othe� installations no# specifically included in the application, A.,, _ .
permit issued shait`be construed to�be a iicense to proceed wifF�the wark�and nat as authority.to vialate, cancel, alter, or
set aside any provisions of the"fechnical codes, nor shall issuance o#a permit prevent#he Bui(ding Official from #hereafter
requiring a correctian of errors in plans,�.canstruct�an oc violations•of�any codes. Every permiE Essued shalE become invalid
unless the work authorized by such permit is commenced within six months of permii issuance, Qr if wark authorized by :
the permft is suspended or abandaned for a period=.of six(6� months after#he time the work i's cammenced. An extension :
may 6e requested, in writing, frorn the Building Officia( for a period:not to"exceed ninety (90) days and will demonstrate
justifiabfe cause fior the extension. tf work�eases for ninety(90}consecutive days,the job is considered abandoned:
I WARNlNG TO OWNER: YOUR FAILURE:T!� REC,ORD;;A N�TlCE QE CQMMENCEMENT M�►Y RESULT IN'YOUR
PAYING TWICE'F;OR lMPROVEMENTS.TO YOUR.RROPERTY.; IF Y4U�,INTEND�TO,OBTAlN��FINANClNG, CQNSULT
Vi�iTH YOUR`LENDER�OR Ai�i�ATTORNEY BEFORE RECORDING YOUR°NQTICE O��COMMENCEMENT.
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s--_- _.. __ �.. _ _- __ - -- --._ __
OWNER OR AGENT CONTRACTOR
Subscribed and swam to(or afflrmed)befare me thts Subsoribed and swom to(or affirtned}before�me thls ,
by by
Who is/are personally known to me or has/have produced � Wha is/are personally known to me or haslhave produced
as identiBcation. as identificaUon.
Notary Publia Notary Publta
Commisston No. Commission Flo.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stemped