HomeMy WebLinkAbout19-22111 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22111
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22111 Address: 39118 5TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00300-0080
Improv. Cost: 11,000.00 OWNER INFORMATION
Date Issued: 12/02/2019 Name: BEST RESULT OF FLORIDA INC
Total Fees: 142.50 Address: 6224 ORAN ST
Amount Paid: 142.50 TAMPA, FL 33610
Date Paid: 12/02/2019 Phone:
Work Desc: REMODEL W/WINDOW REPLACEMENT
CONTRACTORS APPLICATION FEES
ELITE HOMES & REMODELING INC BUILDING FEE 142.50
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Ins ections Required
F OTER 2ND ROUGH PLUMB Misc I NSULATION CEILIN
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 work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Q TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2019210144 OR BK 1 0020 PG 1749 Page 1 of 1
12/11/2019 10:15 AM Rcpt:2116108 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk lt,Comptroller
NOTICE OF CO;iIIVIENCEIViENT
Permit No.
PropettyldentificationNo. /2"j fr :2 9 t�_�p 0 Fj,_3 o v 0 o g
THE UNDERSIGNED hereby give informs you that the improvement will be made to oectem real property,and in accordance with
Section 713.13 of the Florida Stawtes the following information is provided in this NOTICE OF COMMENCEMENT.
I.Description of property ftarda tlon
a)Sheet Address:
2.0enerel description of improvements:
3.Owner Wonadion ,
a)Name and address:
c) ead�address of fact simple tttlaltohter(if other thetl o �3.v�
property
4.ConhacWr Information
a)Name and address: —T-4.i P 44 /� 'U d5/
b)Telephone No.: Fax No.(Opt)
S.Su raty Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt)
61ander
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other doratmetaa may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
8.1n addition to himselt;owner designates the following person to twelve a copy of the Lienor's Notice as provided in Section
713.13(lxb),Florida Statutes:
a)Name and address:
b)Telephone No.: I .FAX No.(Opt)
9.Expimdon date ofNotie of Commencement(the expiration date Is one year from the date of recording unless a ditf tent date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED O JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YO NDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO
6TRTE OF FLO
cotiKlvoF! '""� Timoth�-
YCOMMISSION#00146%•McKema sw tws orowmesAulhwimd�ae.ger
M EXPI p, N
The foregoing instrument was acknowledged before me this f' day of Reel h 6&W-_ 20 I9�by �Q r on n-l.
as (type of authority.e.g.officer,trustee,attorney
in fact for me Y (na of party on behalf of I� executed).
Personally Known_OR Produced Identification 1 Notary SwaRae
Type of Identification Produced F L Name(print) r�KVL n L 4%u Y A C'k•e n IS
M 5 Z- S40'$0" Z .i
Verification pursuant W Section 92-M.Florida Statutes.Under peaeltia of perjury,I declare that I have read the foregoing and that
the faeti stated in it are tyre to the hest of my knowledge and belieE
.. .Sl�mae ofriwN Panora Stydes Above
Feateme0cA1d=
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STATE OF FLORIDA, COUNTY OF PASCO '�
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WIT F�V MY HAND AN FFICIAL SrAL THiS
1 o T,a C cdYJe Trust o
L
F �✓ 2 �, 4'
LE !C&COMPTROLLER
BY DEPUTY CLERK ' � 4
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ii�I i � �'l 2 P fM
Date Received:
Site:
PermitAType: Tin I f v► - C
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
5;�,e
I-en4le li,7C4 (x-) e.11
Gl O P
This comment she t s ali"be kept with the permit and/or plans.
_ Nov
Date Contractor and/or Homeowner
(Rewired when comments are present)
P I y
PLY GEM WINDOWS 471214812 SINGLE-HUNG (NON-IMPACT) T
433 N.MAiN ST.,PO BOX
NOTES: ROCKY MOUNT.VA 24151
1. THIS INSTALLATIO.WHAS BEEN EVALUATED FOR USE IN LOCATIONS ADHERING TO THE SIZE CHART PH:540-404-6348
FLORIDA BUILDING CODE OUTSIDE THE HVHZ, AND WHERE PRESSURE REQUIREMENTS AS OVERALL SIZE Fk 540-484-6683
DETERMINED BY ASCE 7 MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER PRODUCT MAX. DESIGN
STRUCTURES 00 NOT EXCEED THE DESIGN PRESSURE RATINGS HEREIN. PRODUCT —;WH7 HEIGHT RATING PRESSURE o: C; C;
2. WHEN USED IN AREAS REQUIRING IMPACT PROTECTION, THIS PRODUCT REQUIRES THE USE
OF APPROVED IMPACT PROTECTIVE DEVICES(SHUTTERS). 4712FL 48' 83.93" H-LC50 +50f-60 PSF
3. ANCHOR TYPE, SIZE, SPACING, EMBEDMENT, AND EDGE DISTANCE SHALL BE AS SPECIFIED 53, 72' H-R50 +50/-60 PSF
IN THESE DRAWINGS. USE APPROPRIATE ANCHORAGE FROM TABLE I ACCORDING TO
SUBSTRATE TYPE. A MINIMUM CENTER-TO-CENTER SPACING OF 3" SHALL BE MAINTAINED 53' 72" H-RSO +50/-60 PSF
4712F
BETWEEN ALL INSTALLATION FASTENERS IN ANY DIRECTION. 48' 83.93' H-LC50 +50/-60 PSF z z
z 0
4. ANCHOR EMBEDMENT TO SUBSTRATE SHALL BE BEYOND WALL DRESSING OR STUCCO. FOR 2 P:
MASONRY OPENINGS WITH WOOD SUCKS LESS THAN 1-1/2' THICK, EMBEDMENT SHALL BE 4812F 48' 84' H-LC50 +50/-60 PSF ti 2:
BEYOND WOOD SUCKS, IF USED, AND INTO MASONRY SUBSTRATE. WOOD SUCKS WITH 48, 96' H-LC30 +30t-30 PSF
MASONRY ARE OPTIONAL. Uj
5. WOOD, METAL, OR MASONRY OPENINGS, BUCKS, AND BUCK FASTENERS, BY OTHERS, SHALL =2
0
w< Z
BE PROPERLY DESIGNED AND INSTALLED BY OTHERS TO TRANSFER SUPERIMPOSED LOADS �d T 2 -J
TABLE OF CONTENTS >- t Q
TO THE STRUCTURE. ADEQUACY OF THE STRUCTURE TO RECEIVED THESE LOADS SHALL
BE VERIFIED BY THE CONTRACTOR OR AUTHORITY HAVING JURISDICTION(AHJ). SHEET SHEET DESCRIPTION
Uj
6. IT IS THE RESPONSIBILITY OF THE ARCHITECT OR ENGINEER OF RECORD OR AS APPROVED Lucas
I GENERAL&INSTALLATION NOTES LL
BY THE AHJ TO SELECT PLY GEM PRODUCTS TO MEET ALL APPLICABLE LOCAL LAWS, Tumer
2 ELEVATIONS&ANCHOR LAYOUTS
BUILDING CODES, ORDINANCES, OR OTHER SAFETY REQUIREMENTS FOR EACH 2019-05-21
3 4712FL VERTICAL 8 HORIZONTAL SECTIONS 16:57+19:0 r z
INSTALLATION. 4 4-712F VERTICAL&HORIZONTAL SECTIONS 0
7. SHIMS ARE REQUIRED WHERE GAPS OF GREATER THAN 1/16' EXIST BETWEEN OPENING AND
FRAME. MAX. SHIM STACK IS 1/4'. SHIMS SHALL BE LOAD-BEARING AND CAPABLE OF .0
1 5 14812F VERTICAL,HORIZONTAL SECTIONS a GLAZING DETAILS
TRANSFERRING LOADS TO THE SUBSTRATE. TABLE 1:INSTALLATION FASTENERS TABLE
8. SEALING AND FLASHING STRATEGIES FOR OVERALL WATER INFILTRATION RESISTANCE OF 0 xAOREw
IDTSUBSTRATE TYPE ANCHOR TYPE MIN.EMBED. MIN.EDGE
THE INSTALLED PRODUCT SHALL BE THE RESPONSIBILITY OF OTHERS USING ASTM E 2112 DISTANCE
AND IS NOT ADDRESSED BY THIS DOCUMENT. FIN INSTALLATION
N. 58201 tA
9. INSTALLED GLAZING SHALL COMPLY WITH ASTM E 1300. A ZX MIN.SOUTHERN PINE WOOD 8D COMMON NAIL(0.131'MIN.) 2-1/21 3/8' A
(G=0.55) OR 0.131*MIN.ROOFING NAIL
:a
10. ALL FASTENERS PENETRATING INTO PRESSURE TREATED WOOD SHALL BE CAPABLE OF 2X MIN.SPRUCE-PINE-FIR WOOD Z�0% STATE OF *.4U
B (G=0.55) #8 WOOD SCREW 1-5/8' .318" .-Aw
PREVENTING CORROSION DUE TO REACTION WITH PRESSURE TREATMENT CHEMICALS. I v'+-
16 GAUGE(0.060")STEEL 36 KSI MIN.1#10-16 SELF-DRILLING SCREW FULL,PLUS 3 ll"A'%4.0 R.%0* N
ANY DISSIMILAR MATERIALS THAT COME INTO CONTACT SHALL BE PROTECTED TO C HELD OR-1/8'ALUM.6063-TB MIN. I(TEKSiDRIL-FLEX/KWIK-FLEX) THREADS MIN. 3/8"
PREVENT REACTIONS IN ACCORDANCE WITH CODE REQUIREMENTS. FRAME INSTALLATION
11. A WIND LOAD DURATION FACTOR CD = 1.6 WAS USED FOR THE ANALYSIS OF WOOD SCREWS D CONCRETE(Z KSI MIN.) 3/16'ITW TAPCON 1-118*
12. PRODUCTS SHALL BE CONSTRUCTED AS SPECIFIED IN TEST REPORTS NATIONAL CERTIFIED HOLLOW OR GROUT-FILLED CMU 5/21/2019
E (117 PCF MIN.) 3/16"ITW TAPCON 21 LUCAS A, TURNER, P.
TESTING LABORATORIES 110-13259-1, 110-13262-1, 110-13264-1 8. 110-13431-1. FL PE # 58201
13. DESIGNATION "X" IS FOR OPERABLE PANEL AND '0' IS FOR FIXED PANEL. F 2X MIN.SOUTHERN PINE WOOD 3/16"ITW TAPCON 1-5/8, 7/8* TURNER ENGINEERING
(G=0.55) CONSULTING. INC.
14. USE 100% PURE SILICONE CAULK COMPLIANT WITH AAMA 800 SECTION I -SEALANT G 2X MIN.SOUTHERN PINE WOOD #10 WOOD SCREW 1-3/8, 718* (COA# 29779)
SPECIFICATIONS FOR'USE WITH ARCHITECTURAL FENESTRATION PRODUCTS, (G=0.55) 2428 OLD NATCHEZ TF
GAUGE(l,?11')ITEE.L!l IM:"IN.I#IEKSl'DSR'LF-DRI L"'SCREW STRAIL,.CA?ADEN. 1 38
L.0 1/ ALUM.6 Tr I THREADS LLMIN.
PH 941-380-157-
15. USE A BACKER ROD ON ALL JOINTS >3/4' DEEP AND/OR WIDER THAN 1/4'. FINISHED I' YIEL 16 D R ) N. (T L_FLE)L�1KftlSFL i.)
CAULK JOINT SHOULD BE A MINIMUM OF 3/8" DEEP. NOTE: ALL SCREWS AND TAPCONS SHALL HAVE MOD.TRUSS,PAN,OR HEX WASHER HEAD,0.42, DWG
MIN.HEAD OR WASHER DIAMETER FOR FIN ANCHORS,0.355'MIN.HEAD OR WASHER DIAMETER
FOR FRAME ANCHORS. ALL NAILS SHALL HAVE FULL ROUND HEAD(OR USE CAPS/WASHERS),0.42- PGW02(
RK SHALL COMPLY WITH PREVAILING MIN.HEAD OR WASHER DIAMETER.
FL 14039 ALL WO SHEET:
OF
R Em V 11"m qvmvP
NATIONAL ELECTRIC CODE, CITY OF ZEPH. 1019
YR
AND THE CITY OF ZEPHYRHILLS
ORDINANCES PLAN EXAMINM�
Plan Review
Windows & Doors
1) Need manufacturing installation specifications:
2) Must meet sections R308 and R612 of the 2017 F.B.(.
3) If windows are to be installed inside the historical district,.they will need to be approved
by the historical committee.
4) No other work shall be permitted (framing, plumbing,and mechanical) unless otherwise
specified.
5:) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass,then additional information is required.
6:) All windows.to wall connections shall be left visible for inspection.
7) All labeling and stickers shall remain on windows until final inspection.
8) No work shall start without permit first.
i'.
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,i :J
lk �•
PERMIT AGENT AUTHORIZATION LETTER
ALL INFORMATION IS T.0 BE TYPED OR LEGIBLY PRINTED
1,2473wla ;E0D,RlfvFz lJ�1�33� , hereby
(Contra or name) (Contractor license no.)
authorize the foVoing to act as y gent(s) in obtairriog permits in Plant City,
Florida for , G (Company name)
:Name of Arit_,
� ::� Drivers
INITIAL YOUR CHOICE:
This authorization expires one year from date of authorization
This authorization will remain in effect unless revoked by the undersigned
in writing
This letter must contain only the people you want to pull permits in your name.
To make changes, a new letter must be submitted. This letter will delete and
replace any previous authorizations and the information contained therein.
STATE OF j���(J�
COUNTY OF � � bpk
Sworn to/affirmed and subscribed before me this day of Dow&
, 20_
Personally o R produced identification U /�
ont tor's signature Notary Si EM. ODgiSdEZ
Commission#FF 236803
June 3,2019
(Notary Seal) My commission expire o;� E icesB0048VW
�,'r'''�+ ...,,••' a �r
November 18, 2019
ELITE HOMES REMODELING INC.
General Contractor
Antonio Rodriguez
P.0 Box 152758
Tampa FI, 33684
To whom may concern:
I Antonio Rodriguez Lic#CGC1512335 owner of the company ELITE HOMES REMODELING INC.
am writing this letter to indicate that I authorize Marlon Mendez to act on my behalf to put
permits for the property listed below 39118 5 ave zephryhillsfl,33542. If you have any
questions don't hesitate to contact me at (813) 453- 1033.
Sincerely,
Antonio Ro gue
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department 3
Date Received
rT= 1.L.L.L.L1_Lj_LL I -Phone Contact for Permitting rTT..........
_L1 I I rT71"rrrrT71!rT77r C=03=03=31133=933= ........
664 P I^— _a
"
Owner's Name C I Owner Phone Number f-1_5 2- jg
Owner's Address.[ o Owner Phone Number
Owner Phone Number F
JOB ADDRESS LOT#
SUBDI%nSION PARCEL ID# J/,C? -,;a (Do 3�00
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK E—] FRAME STEEL
DESCRIPTION OF WORK 1114 qt.4 L-ezc_z� ge W-U44ar-4251
BUILDING SIZE F_ SQ FOOTAGE
............. 1 14
-----
T7�Z2BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE Q DUKE ENERGY W.R.E.C.
=PLUMBING 1$ _71 VA�`[
=MECHANICAL, 1$ 7 VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER $
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
7 a AA-1
BUILDER Lt COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address' led/?Iel, 457,> eXII& Ale ' 0!9-.t �r��03 License# JC6C /-,5/02- 33-57
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F_
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LLLN_j
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED L_y LNJ FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License# I
H_f+ I I I I I I I I I I I I I I I I I m I I ffi I I I I I I m I i I HHHHHH!11111 HH H!!I
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,
siriifwry 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. Required onsite,Construction Plans,Stormwater Plans wl 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.
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)
RerootsifshirIgles. -._,Sewers-,... _.—Service.Upgrades A/C Fences(Plot/Survey/Footage)
DriveWays-Not over.9p4qtgF if o9,pub .,lic roadways ROW
_, , ,
'
NOTICE OF DEED RESTRICTIONS: The undersignedunderstands that this permit may be subject to"deed" '
which may bmmore restrictive than County reoulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
uonbaobornhoundodahexvorh' thaymoybmnaquinadtobm |ioenaedina000nd 'ncewithabybaand |ocaineQu|aUono. If the
contractor is not licensed as required by law, both the owner and contractor maybe cited fora 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. Furtharmora, if the owner has hired a contractor orcontractors, he is advised to have the contractor(s) sign
portions of the "contractor B/ooh^ of this application for which they will be responsible. If you, as the owner sign as the
contnactor, that may bman indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION I0yPAC77UTILVTUESUA0PACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply ho the construction of new buUdinga, change of
use in existing buildings,.or expansion of existing buUdings, as specified in Pasco County,Ordinance number 80-07 and
90-07. as amended. The undersigned also undmrabanda, that such fees, as may bmdue, will be identified mt 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 Coonh/ VVobsr/Sevver 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): |f valuation of work |a $2.5OO.00ormore, |
certify that |, the app|icont, have been provided with o 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", | certify that | have obtained a copy of the above daoohbod document and promise in good faith to
deliver it to-the^ovvner"prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating oonohuntion, zoning and land development. Application is
hereby mode to obtain o permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |amm regulating
construction, County and City codes, zoning rmQu|odnno, and land development regulations in the jurisdiction. | also
certify that I understand that the regulations of other goZirnment agencies may apply to the intended work, and that it is
mny responsibility to identify.what actions | must take tobmincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheodo, Wetland Anaoo and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVahar Management Oistr|ct-WmUo, Cypress Boyhmadn, Wetland Aneao, Altering
Watercourses.
- Army Corps ofEnQineeno-8eawoUm' Docks, Navigable Waterways.
- Department of Health @ Rehabilitative. Services/Environmental Health UniyWeUo, VVoetavvater Treatment.
Septic Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
| understand that the following restrictions apply to the use offill: '
- Use nf fill is not allowed in Flood Zone^V^unless expressly permitted.
- |fthn ,fiU material is to be used in Flood Zone ^A"' it is understood that p drainage plan addressing o
''compennsdinQ'vo|ume^ vviU be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- |f the fill material is to be used in Flood Zone ^A" in connection with o permitted building using abam vvaU
construction, |certify that fill will be used only to fill the area within the stem wall.
- If OU material is to be used in any area, I certify that use of such fi|| will not adversely affect adieoerd
properties. If use of fill is found to adversely affect adjacent pnopodiea, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots /mmn than one /11
acre which are elevated by fill, on engineered drainage plan inrequired.
|f| emthe 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. | understand that a separate permit may be required for electrical vvork,
plumbing, signs, vveUs, poo|a, air conditioning, gao, or other installations not specifically included in the application. /\
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 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 in commenced within mix months of permit ioeuonce, 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 raqueobad, in vvrit|ng, from the Building Official for a period not to exceed ninmty (8O) 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 N6tiCEOF COMMENCEMENT.
FLORIDA `. ~. .....` -' -
OWNER OR AGENT
Subscribed and sworn to(or affirmed)before me this S e emis
by to
Who isiare—personally known4o me or has/have produced Vrho-is(a
,ftersonalirr to.me or has/have produced
as identification. as identification.
'Notary Public
Notary Public
Commission No.Name of Notary typed,printed or stamped NameofNotaryty d,phnWLgQ—t-qr4nP
Expires June 18,2023