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Home My WebLink About19-21818 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21818 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21818 Address: 5423 8TH ST HISTORIC Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-12100-0070 Improv. Cost: 8, 00 OWNER INFORMATION Date Issued: 9/27/ Name: GRIFFIS, RICHARD D TRUSTEE inn i Total Fees: 100.00 z Address: 5423 8TH ST -HISTORIC Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phon!;.:, Work Desc: DEMOLITION CONTRACTOR(S) APPLICATION FEES CROSS ENVIRONMENTAL SERVICES INC DEMOLITION 100.00 o_f FINAL Ins pectio s Required 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRA TOR SIGNATURE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — _F_" TIr II Owner's Name G V_i - iChCc� c� hU Q Owner Phone Number N lT Owner's Address Z''j Qi Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address f,� a JOB ADDRESS 5 g 2 3 �V 1 r C� LOT# — SUBDIVISION PARCEL ID# ' Z 2-1 °0010 12-1 b 0 " b 07 D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION Q(_ BLOCK = FRAME = STEEL = DESCRIPTION OF WORK U I l e j e m Q I l I op S F e_ J - BUILDING SIZE L _ SQ FOOTAGE HEIGHT =BUILDING $ ny'� ' VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ V V AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address ( License# /� OTHER j � (/ , y COMPANY SJ 1 )Vi 66tl 11UAV a, SIGNATURE REGISTERED Y/ N FEE CURREN Y/N p�y Address I� t"1 Is �?JS License# 1111111111111111111111111 11111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■_■ ■ ■_■ ■_._u ■ ■J_- Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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 FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this S cribed swor t ( r armed)befo e t 's by by C A . Who is/are personally known to me or has/have produced Wh is/ar Personally knokvn to me or has/have produced as identification. as identification. Notary Public kaq Ugc6Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped MELODY K.MORTON NOTARY PUBLIC STATE OF FLORIDA Comm#GG324062 1'r� Expires 5/5/2023 Parcel ID 11-26-21-0010-12100-0070 (Card: 1 of 1) Classification 01200-Store/Off/Res Mailing Address Property Value GRIFFIS RICHARD D & LINDA Ag Land $0 5423 8TH ST Land $18,200 ZEPHYRHILLS, FL 33542-4233 Building $9,826 Extra Features $0 Physical Address 5423 8TH STREET, Just Value $28,026 ZEPHYRHILLS, FL 33542 Assessed (Non-School Amendment 1) $28,026 Legal Description (First 200 characters) Homestead -$25,000 See Plat for this Subdivision Additional Homestead -$0 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 7-10 INCL BLOCK 121 OR 1975 PG 851 Non-School Taxable Value $3,026 OR 6351 PG 740 School District Taxable Value $3,026 Jurisdiction CITY OF ZEPHYRHILLS Land Detail (Card: 1 of 1) Line Use Code Description Zoning Units Type ,Price Condition :Value 1 120OR 9AA-2 Store Combination TMUH 7,000.00 SF $2.20 1.00 $15,400 2 1200C 9AA-4 Store Combination TMUH 7,000.00 SF $0.40 1.00 $2,800 Additional Land Information Acres I Tax Area FEMA Code Res Code Com Code Condo Code -- ........_ ..-. ....... _...._... _.. .. .... .. ... , ..... ..._..... -._...._... ............. .. _..._ ....._.. 0.32 30ZC -- M8ST M8ST M8ST View Sketch Building Information - Use 1200-Stores/ Office SFR (Card: 1 of 1) Year Built 1922 Stories 1.0 Exterior Wall 1 Minimum Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection /C Window Unit Baths 1.0 Line Code Description Sq. Feet Value 1 , BAS01 LIVING AREA 1,086 $8,496 2 UEP01 UNFINISHED ENCL PORCH 176 $688 3 FSP01 FINISHED SCREENED PORCH 200 $548 _...... ..4 ...._._.. UOP01 UNFINISHED OPEN PORCH - 80 $94 Extra Features (Card: 1 of 1) Line Code Description Year Units Value No Extra Features Sales History Previous Owner: GRIFFIS RICHARD D TR Month/Year Book/Page Type DOR Code Condi tion Amount _._.._. _.:..._..... ............. ........................ .... _ - 04/2005 6351 / 0740 Quit Claim Deed Improved $0 ................ ...... . 12/1990 1975 / 0851 Agreement For Deed Improved $43,000 05/1989 1819 / 0824 Warranty Deed Improved $43 000 02/1986 1487 / 1580 Quit Claim Deed Improved $0 03/1982 1177 / 0519 Improved $0 Generalized Building Schematic Uopol 1_S 22 12 UEPOI 22 22 36 BAS01 35 25 2 P, Fspol 9 25 � � � 2 (� � � . n i CEB..3 ENVIRONMENTAL S DEMOLITION SERVICES September 5,2019 City of Zephyrhills Attn: Gene Brown Zephyrhills,FL Email: gbrown@ci.zephyrhills.fl.us RE: CES Proposal No: P19-0544 Residence 5423 8th St. Zephyrhills,FL 33542 Dear Gene Brown, Cross Environmental Services, Inc. (CES) is pleased to submit our proposal for the demolition and disposal of the house,shed,2 vehicles, 1 camper, fencing and all debris at the above referenced project. TotalPrice...........................................................................................$8,900.00 We appreciate the opportunity to provide you with this proposal and we look forward to working with you in the near future. If you find this proposal acceptable, please sign and scan y senv.com) or fax(813-788-9114) to our office. th t ACCEPTANCE OF PROPOSAL-The above prices, specifications, and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. C7 b. 9 Date of Acceptance Signature P.O.Box 1299 - Crystal Springs, FL 33524 - (813)783-1688 - Fax(813)788-9114 E-Mail: ces@crossenv.com - www.crossonv.com i CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 818 Aj BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21818 Address: 5423 8TH ST HISTORIC Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-12100-0070 Improv. Cost: 2,500.00 OWNER INFORMATION Date Issued: 11/12/2019 Name: TROYER, DARVIN TRST &TRSTEE Total Fees: 100.00 Address: 5423 8TH ST -HISTORIC Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/12/2019 Phone: Work Desc: DEMOLITION - 1,542 SQ FT CONTRACTORS APPLICATION FEES KERNS FAMILY CONSTRUCTION CO DE OLITION 100.00 FINAL Ins ections Required' 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. N P OCCUPANCY BEFORE C.O. CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Ate Received Phone Contact for Permitting .....I......... * ............... ................ Owner's Name Q l(VI V) Vy r-\�o WA/ Owner Phone Number -Owners Address Owner Phone Number Owner Phone Number JOB ADDRESS LOT# SUBDIVISION I "C_ lik PARCELID#1 12-100- 00-70 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME' Q STEEL DESCRIPTION OF WORK BUILDING SIZE F _1SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION [ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY W.R.E.C. =PLUMBING $ -� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION [ GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO HHHHH.I III!mll 1!211*111�iIIIIAllitit REGISTERED Y/ N FEd CURREN BUILDER COMPANY VNS-Tom, SIGNATURE _YIN J Address*' R�scoiyaju, ew -31610 License# Fe7w ELECTRICIAN. COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN LXLN_J Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN LIL N J. Address License# M 'HANICAL EC, COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Ly NJ. _-7 Address License# F OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN J Address Licensd# F— RESIDENTIAL Attach(2j Ptot'PlaiiS;(2),iei&of 9 days- Building Plans;,(1)set;.of.-Enqrgy Forms;R-O-W Permit for new construction, Minimurn'ten(10),' riin� is after s I ubmittal.date.'RdquIrdd onsite,Construction Plans,Stormwater Plans wl Slit Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum,ten(10)working days after submittal date.-..Requked onsite,Construction Plans,StormWater Plans wl Silt Fence installed Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor-sign back of application.notarized If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy-of contract required) Reroofs if shingles Sewers Service'Up grades"-A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that.this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for complianc%-,#'1 ny applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local:regulations, If the contractor is not licensed as required by law, both the-owner-and contractor may be cited for a misdemeanor violation understate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building lnspection Division-=Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions•of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT•AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction-of new buildings, change of use in-existing buildings, or expansion.of existing buildings, as specified in.Pasco County Ordinance number 89-07 and 90-07,'as amended. The undersigned also understands, that-such fees, as may be due, will-be identified at the time of permitting. A is further understood that Transportation Impact Fees and Resource Recovery.Fees must-be paid.prior to receiving a "certificate..of.occupancy" or final power releaser if the project.does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore;.if Pasco County Water/Sewer Impact fees are due,they must be paid-prior to permit issuance in accordance with.applicablePasco County.ordinances. CONSTRUCTION LiEN LAW-(Chapte'r 713,' Florida Statutes,as.amended): If valuation,of work is$2,500:00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida..Construction. Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer-Affairs. If the applicant is.someone other than the`owner", I certify that.I.have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"priorto'commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the informatiori-in.this,application.is.accurate:and.that,all work will be done in compliance with all°applicable laws regulating construction,zoning and land--development. Application is hereby made to obtain a permit to do work and installation..as• indicated. I certify that no .work or installation has commenced prior to issuance of a-permit and that all work will be performed to meet standards of all laws regulating construction, County and .City.codes,, zoning regulations, and land development regulations in the jurisdiction. i also certify that i understand that•the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify.what actions I must take to be in compliance. Such agencies include but are not limited to:. - Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive Lands,WaterMastewater Treatment, - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental 'Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US;Environmental Protection Agency-Asbestos abatement: - _Federal Aviation Authority-Runways. I understand that*the,following restrictions apply to the use of fill:., Use•of.fill is:not allowed in Flood Zone W"unless expressly Use If the fill material is to be used in Flood Zone--"A", it-is understood that a drainage plan addressing a "compensating volume"will be submitted at time of.permitting which-is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only tafill the area within the stem wall. if fill material is to be used in any area, i certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be citedJor violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill,-an engineered drainage plan is required. If I am the AGENT.FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work, plumbing, signs,-wells, pools, air conditioning, gas, or other,installations not specifically included in the.application. A permit issued shall be.construed to be a license to proceed with.the work and not as authority to violate;cancel,.alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued Shall become invalid unless the work authorized by such permit is commenced within,six months of permit issuance, or if work authorized.by the permit is suspended or.abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not'to exceed ninety(90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the.job is considered abandoned. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ENT MAY RESULT, YOU PAYING IMPROVEMENTS TO YOUR.PROPERTY 1F Y INTEND'- BTAIN FIN NG, CONSU TWITH YOUR.LENDER OR AN ATTORNEY BEFORE RECORDI Y UR OTI F M C L FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTO Jvk Subscribed and sworn to(or affirmed)before me this Subscribed a sworn to( We e me this by Who is/are personally known to me or has/have produced Who is/are personalty known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped