HomeMy WebLinkAbout98-8021
/'
BUILDING PERMIT
(laiC. ~j),
51!
BUILDING
Property Owner:
Job Address:
Parcell.D, #
Zoning:
Description of Work
/' l'
iO:>' ----
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
5D
PLUMBING
...
./
"
I {6
MECHANICAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or _4. C ct0
Contract Price '-"F- 7 :=3, 2f 00
BUILDING
Ftr.
Pre SLB
Lintel
Permit
8021 #
/o~ 9 -'l~
Date
()
Sewer Conn ;; 9/7 ~,
.. D oJ
Water Conn: $;1.5
Water Meter: jEX/~T .
T,I.F.'s:
FINAL
C.O.
~ '1
DATE
DATE
~
BING IS"""
Tp. serv'-ill
Rough In ~ ( ~ i ~b
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~60v(L u:,; Il~
SLB
Tub Set
Water
Sewer
Final
FRM.
Insul. CL
WL
1/ Ih hi &alo
It {~{l1t BoL
Driveway
1'/4/q1 Kob
~7119z-
~
Breakers
Ducts Insl. -p/t j 191 io~
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Whole Building Performance Method for Commercial Buildings
Form 400A-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
PROJECT NAME Second Floor Buildout~OFFICES
ADDRESS: = ~'1EO G/JU- ~~VD.
- PalL 1_ .Ly
OWNER: Comm.Nat. Bank of Polk County
AGENT: - ,sTUHL- ~NhINQet<IN6
BUILDING TYPE: _Business (Office)
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Finished Building
CONDITIONED FLOOR AREA: _2998
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: ____
COMPLIANCE CALCULATION:
PERMITTING OFFICE:dITr p~
.WUI lllllllln :z: E' 1'1R1t'N." U
CLIMATE ZONE: ~ ~
PERMIT NO: ~ 0 I
JURISDICTION NO:_631000
NUMBER OF ZONES: 2
METHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. SEER
2. SEER
HEATING EQUIPMENT
1. Et
2. Et
AIR DISTRIBUTION SYSTEM INSULATION
1. Ventilated
2. Ventilated
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
PIPING INSULATION REQUIREMENTS
4
DESIGN
CRITERIA
RESULT
82.21
100.00
PASSES
PASSES
10.50
10.00
10.00
10.00
PASSES
PASSES
20.00
20.00
REQUIREMENTS
6.00
6.00
N/A
N/A
6.00
6.00
PASSES
PASSES
COMPLIANCE CERTIFICATION:
----------------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Ener E~fici~n Code.
PREPARED B : ~-1~ H'KC'A!"~
DATE:
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code. .vI 4 .-.
OWNER/AGENT: . /\1'. ~
/0- 5""-'1<?'
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in acco da ce with
Section 553.908, Fl r'tla S utes.
BUILDIN FICIA
DATE:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
----------------------------------------------------------------------------
----------------------------------------------------------------------------
401.------GLAZING--ZONE
Elevation Type
BUILDING ENVELOPE SYSTEMS COMPLIANCE
CHECK
1------------------------------------------------v-
U SC VLT Shading Area(Sqft)
--------- ---------------
North
East
Commercial
Commercial
-------------- ----------
1.31 .86 .95 None 60
1.31 .86 .95 None 30
Total Glass Area in Zone 1 = 90
2------------------------------------------------v-
U SC VLT Shading Area(Sqft)
401.------GLAZING--ZONE
Elevation Type
--------- ---------------
East
South
South
Commercial
Commercial
Commercial
402.------WALLS--ZONE
Elevation Type
-------------- ----------
1.31 .86 .95 Continuous Ove 66
1.31 .86 .95 None 90
1.31 .86 .95 None 48
Total Glass Area in Zone 2 = 204
Total Glass Area = 294
1------------------------________________________
U Insul R Gross(Sqft)
--------- -------------------------------- ----- ------- -----------
North 4"Brick/8"CMU/3/4"ISO Btwn 24"oc 0.142 4 207
East 4"Brick/8"CMU/3/4"ISO Btwn 24"oc 0.142 4 117
Total Wall Area in Zone 1 = 324
402.------WALLS--ZONE 2---------------------___________________________
Elevation Type U Insul R Gross(Sqft)
--------- -------------------------------- ----- ------- -----------
North
East
South
Adjacent
4"Brick/8"CMU/3/4"ISO Btwn 24"oc
4"Brick/8"CMU/3/4"ISO Btwn 24"oc
4"Brick/8"CMU/3/4"ISO Btwn 24"oc
Block Wall
403.------DOORS--ZONE
Elevation Type
0.142 4 126
0.142 4 216
0.142 4 428
.529 0 248
Total Wall Area in Zone 2 = 1017
Total Gross Wall Area = 1341
1-------------------_____________________________
U Area(Sqft)
'Adjacent
--------- ------------------------------------------ ----- ----------
1-3/8 Wood
403.------DOORS--ZONE
Elevation Type
Door-Solid core flush 0.39 20
Total Door Area in Zone 1 '= 20
2-----------------_______________________________
U Area(Sqft)
Adjacent
--------- ------------------------------------------ ----- ----------
1-3/8 Wood
404.------ROOFS--ZONE
Type
Door-Solid core flush 0.39 20
Total Door Area in Zone 2 = 20
Total Door Area = 40
1----------------________________________________
Color U Insul R Area(Sqft)
------------------------------------ ------
------- ----------
Shngl/1/2"WD Deck/WD Truss/6"Ba Medium 0.040 19 1399
Total Roof Area in Zone 1 = 1399
404.------ROOFS--ZONE 2----------------________________________________
Type Color U Insul R Area(Sqft)
------------------------------------ ------ -----
------- ----------
Shngl/1/2"WD Deck/WD Truss/6"Ba Medium 0.040 19 1596
Total Roof Area in Zone 2 = 1596
Total Roof Area = 2995
405.------FLOORS-ZONE 1--------------__________________________________
Type Insul R Area(Sqft)
------------------------------------------------
Floor over Conditioned Space/Uninsulated
o
1399
------------------------------------------------
Total Floor Area in Zone 1 = 1399
2-------------------------_______________________
Insul R Area(Sqft)
405.------FLOORS-ZONE
Type
Floor over Conditioned Space/Uninsulated 0 1596
Total Floor Area in Zone 2 = 1596
Total Floor Area = 2995
406.------INFILTRATION-------------_____________________________________
I CHECK
Infiltration criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
------------------------------------------------------------------1-----
HVAC load sizing has been performed. (407.1.ABCD)
407.------COOLING SYSTEMS-------------------____________________________
Type No Efficiency IPLV Tons
----------------------------
---------- ----- --------------
1. Split System
2. Split System
408.------HEATING
Type
--------------------------------
1 10.5 0 2.97
1 10.0 0 3.92
SYSTEMS-----------------______________________________
No Efficiency BTU/hr
1. Electric Resistance 1 20 36170
2. Electric Resistance 1 20 52400
409.------VENTILATION----------_________________________________________
I CHECK
Ventilation Criteria in 409.1.ABCD have been met.
410.-----AIR DISTRIBUTION SYSTEM----------------________________________
CHECK
----~~~~-;i;i~~-~~~-~~;i~~-~~~~-~~~~-~~;~~;~~~~-(~~~~~~~;~~)------I-----
AHU Type Duct Location R-value
---------- --------------
----------------------------------- ---------------------- -------
1. Air Conditioners Ventilated 6.0
2. Air Conditioners Ventilated 6.0
CHECK
----;~;~i~~-~~~-~~~~~~i~~-~i~~-~~-~~;~~;~~~~-(~~~~~~~;~~)---------I-----
411.-----PUMPS AND PIPING-ZONE --_______________________________________
Basic prescriptive requirements in 411.1.ABCD have been met. I
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE
Type
------------------------
1-----------------______________________
R-value/in Diameter Thickness
411.-----PUMPS AND PIPING-ZONE
Type
---------- -------- ---------
------------------------
2---------------________________________
R-value/in Diameter Thickness
412.-----WATER HEATING SYSTEMS-ZONE 1--------------____________________
Type Efficiency StandbyLoss InputRate Gallons
---------- -------- ---------
------------------------ ---------- ----------
---------- ----------
412.-----WATER HEATING SYSTEMS-ZONE 2--------------____________________
Type Efficiency StandbYLoss InputRate Gallons
------------------------ ---------- ----------
---------- ----------
ELECTRICAL SYSTEMS
CHECK
413.-----ELECTRICAL POWER DISTRIBUTION---------------------------_ _____
Metering criteria in 413.1.ABCD have been met.
414.-----MOTORS--------------------------_________________________ _____
Motor efficiencies in 414.1.ABCD have been met.
415.-----LIGHTING SYSTEMS-ZONE 1-----------------------------------____
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
-------------- --- ------ ----------
Reading, T
Corridor
1 On/Off
1 Security (con
6 1485 1135
350 264
Total Watts for Zone 1 = 1835
Total Area for Zone 1 = 1399
2------------------------------_________
No Control Type 2 No Watts Area(Sqft)
415.-----LIGHTING SYSTEMS-ZONE
Space Type No Control Type 1
--------------
-------------- --- ------ ----------
Toilet and
Reading, T
Corridor
1
1
1
On/Off
On/Off
Security
2
4
Total Watts
Total Area
64
2025
700
for Zone 2 =
for Zone 2 =
Total Watts =
Total Area =
91
1350
157
2789
1598
4624
2997
CHECK
(con
Lighting criteria in 415.1.ABCD have been met.
------------------------------------------------------------------ -----
16. Operation/maintenance manual will be provided to owner. (102.1)
----------------------------------------------------------------------------
PROJECT TITLE
BUILDING TYPE
BUILDING LOCATION
BUILDING AREA (ft2)
Second Floor Buildout
Business (Office)
POLK COUNTY
5734
BUILDING ANNUAL ENERGY USE
DESIGN BUILDING BASELINE BUILDING
(%) (%)
HEATING ENERGY
Electric Resistance 9.06 6.05
COOLING ENERGY
Direct Expansion 33.32
Air Conditioner (PTAC) 26.54
DOMESTIC HOT WATER ENERGY
BUILDING MISCELLANEOUS
Lights 24.64 26.01
Equipment 14.42 14.42
SYSTEM MISCELLANEOUS
Fans 7.54 20.19
PLANT MISCELLANEOUS
TOTAL ENERGY CONSUMPTION . 82.21 100.00
.
I
******* PASSES ******
PROJECT TITLE
BUILDING TYPE
BUILDING LOCATION
BUILDING AREA(ft2):
.
.
Second Floor Buildout
Business (Office)
POLK COUNTY
5734
BUILDING DESIGN :
Exterior Lighting Power
o W
EXTERIOR LIGHTING CRITERIA:
AREA AREA
CODE DESCRIPTION
AREA OR
LENGTH
ALLOWANCE
WATTS
Exterior Lighting Power Allowance
0.00 W
**** Not Applicable ****
LIGHTING SYSTEM CONTROL REQUIREMENTS:
TYPE 1
CONTROLS
NO. TYPE 2
TOTAL EQUIVALENT
CONTROL POINTS'
NO. DESIGN CRITERIA
SPACE
NO. DESCRIPTION
NO.
AREA TASKS
I
26 Reading, T 1135.2 1 On/Off 6 0 6 > 2
2 Corridor 264.0 1 Security 0 0 0 = 0
13 Toilet and 91.0 1 On/Off 2 0 2 = 2
26 Reading, T 1350.0 1 On/Off 4 0 4 > 2
2 Corridor 157.0 1 Security 0 0 0 = 0
, I
******** PASSES ********
PROJECT TITLE :
BUILDING TYPE :
BUILDING LOCATION :
BUILDING AREA(ft2):
Second Floor Buildout
Business (Office)
POLK COUNTY
5734
HVAC SYSTEM REQUIREMENTS:
I I I I .
Cooling System Measure Minim. Minim. System System Result Result
Type #1 #2 #1 #2 Eff.#l Eff.#2 for #1 for #2
Split Sys. SEER 10.00 0.00 10.50 0.00 PASSES
Split Sys. SEER 10.00 0.00 10.00 0.00 PASSES
Heating System Measure Minimum Req. Efficiency Result
Ele. Resis. Et 20.00 N/A
Ele. Resis. Et 20.00 N/A
******** PASSES ********
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS:
Zone # Duct Location
Minimum R-Value
Design R-Value
Result
1. Ventilated
2. Ventilated
6.00
6.00
6.00
6.00
PASSES
PASSES
******** PASSES ********
PROJECT TITLE
BUILDING TYPE
BUILDING LOCATION
BUILDING AREA(ft2):
Second Floor Buildout
Business (Office)
POLK COUNTY
5734
WATER HEATING SYSTEM REQUIREMENTS
'Measure I I I
System Minimum Maximum Design Design Result
Type EF / Et SL EF / Et SL
**** Not Applicable ****
PIPING INSULATION REQUIREMENTS:
I I
System Type o. D. ( in) Minimum Reg. Design Result
Pipe Insulation Thickness(in)
**** Not Applicable ****
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
RESIDENTIAL (Each Lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131.25 $ 479.25
COMMERCIAL (Per fixture)
Sinks $ 87.50 $ 319,50
Water Closet $ 131.25 $ 479.25
Urinal $ 87.50 $ 319.50
Lavatorv $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washina Machine-Commercial Size $ 350.00 $ 1,278.00
Washina Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-CompartmenO $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000.00 $ 6,390.00
SINKS 50 1 $ 87.50 $ 319.50 $ 407,00
WATER CLOSETS 75 2 $ 262.50 $ 958.50 $ 1,221.00
URINALS 50 1 $ 87.50 $ 319.50 $ 407.00
LAVATORIES 25 2 $ 87.50 $ 319.50 $ 407,00
TUB/SHOWERS 50 $ - $ - $ -
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PERfST ALL 1000 $ - $ - $ -
SUB-TOTAL $ 525.00 $ 1,917.00 $ 2,442.00
3/4" WATER METER
GRAND TOTAL $ 2,442.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
10/6/98
SANDY DEVELOPMENT
6930 GALL BLVD.
COMMUNITY NATIONAL BANK
(OFFICE BUILD-OUT)
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 93,800,00
FEE SHEET $ 446.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 579.00
ELECTRICAL: $ 105,73
PLUMBING: $ 50.00
MECHANICAL: $ 115.00
RADON: $ -
CREDIT: $ 90.00
TOTAL $ 849.73
SEWER $ 1,917.00
WATER: $ 525.00
TOTAL: $ 2,442.00
3/4" WATER METER I $
I
: I
T IF'S :1 $
99% $
1% $
TOTAL: $ 3,291.73
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~~~ RECEIVED r - ;l d- - r JY
PLANS REVIEW FEE 9 G, Ub
OWNER'S NAME Community National Bank of Pasco County
JOB ADDRESS 6930 Gall Boulevard, Zephyrhills, FL 33541
PHONE 813-783-8122
LEGAL DESCRI PTION: LOT (S) e & 9
PARCEL ID # 02-26-21-0010-00800-0050
BLOCK
SUBDIVISIONZephyrhill~ Colony Company
I Land
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: lliINEW CONS'l'RUC'I'lON
o AUUITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
~COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
Interior completion of 2nd Floor
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~ BUILDING
$ 93,800.00
VALUATION OF TOTAL CONSTRUCTION
Iia ELECTRICAL
existinii
AMP SERVICE
[l FLORIDA POWER
o W.R.E.C.
Ii] PLUMBING
IKI MECHANICAL
$ 18.600.00
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
,'!"i'!!';I,jiliri'ii!!!i!ll,lili!lili!I:III!li!ll!ji
;~~~:'~~f{~ &t"Jn.:3
CITY PROCESSING # ~~~
/
********************.******.**************************************
ELECTRICIAN~~ COMPANY f;f!- -' C: (? (~SS E/ f? r-:{:-I:.. : c:
-/ STATE CER'l' OR REGIST # t:)/J // ~/7
SIGNATURE ~ .# CITY PROCESSING # I ~ ~ .
********** * .**~*~*.*****.*************************;*************
PLUMBER COMPANY f, ( 1 ~'~ '5 :P lu \tv'\ ~ (Vi ~
o . _ Arf\ 11'1 STATE CER'f OR REGIST # c fe_c) ?-G 7 ?3 9
SIGNATURE~ v.~ CITY PROCESSING # A/Jl-'f~
H'H'H'H'H'H'HHHHHH'HHHHHHHHHH'HH'H'R:'HH 1 Lt //
MECHANICAL ~ COMPANY 50/Vltry C _ / 5(' 5U A. __/
. . A STATE CERT OR REGIST # I?1I'J ('J Ii (I (? /
SIGNATURE '_ frlo-cj 9~ CITY PROCESSING # ~ (j L
l./
V'
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************.********.~********~**..**************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENC "
~ ~ (iYtlMV.
SIGNAT R: OWNEIt: R AGENT
STATE OF FL R D
COUNTY OF
The foregoing ins~rument wa acknowledged
Befo~ me thi~ /c~~y O~~lKflI'1.. 1999
by cl (2itk':Ht -::=r: :!btJ)P_
~ .,(name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w~~~ledged&t7
Before me this ~ay of -LJP IrtCAu,.p~ 19:J:.il.
by ~~,I Pr() rYl P , . 'Q/ J(e;:.
(name of person acknowledged)
~ho is personally known to me, or
fJeuKO
per5'~aking
. 7-:e/A- r
Name typed, printed or sta
Dwho has produced
(type of identification)
and who Ddid Blid not take an oath
to<L'rU
acknowledgment
r-J
\-----.
; .j I '-7'\ ....:
f il! e _(Sa. Jf ,J JrOcuri
N al?II>?Y~>>>.!IIII~hJ~>>>>>>II~/?III~/>>>>~led
) <.~~Y P(19 Melisa D. Brown '
: ~'l.J"& Notary Public. Slale of Florida :c
) ~~/~ Commission No, CC 49&021 ' :
:~ ~ OF!\ 0,'" l'.'~v Commission Expires 09/26/99 :'
. ,
~ l.aOQ-3.NOTARY. FIa. NO!;d}' Service & IloIldin& Co, :<
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