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Home My WebLink About01-0417 BUILDING PERMIT~~ Permit Dot. 7 hlo I I r 0417 CITY OF ZEPHYRHILLS (813) 788-6611 BUIL~NG ELEC~CAL PLU~N~ Property Owner: _5r 0.. ~ O\Ja.~ ( /1a. r 'OY\. Job Address: .~ ~ b '-t 0 ~Qr.fk. Ave I 40.00 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: _,nergy Code: Descriotion of Work --1l / (' C[u\O. ....5 e Radon Gas: o~+ NO OCCUPANCY BEFORE C.O. FINAL C.O. g- Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee~O. 0,2 J. Signature ----'-- ~ ~ Company Address Telephone# ~J Go. ., "] ;,-J. J A Valuation or Contract Price J/7r City License Registration # State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL ./r- AK ELEC RICAL PlU BING MECHANICAL 19 Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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. bOJ.) 10UmanS IIJU-";t.'OL. V1/1...V/ J....I..1..,' ..L...L....L..J...;~ ..~J. Ul'LtCAYICM rea ftIlIII'1' CI'I1 ,. UJtlDJIlUJI M1ILDx.I ~DWIJl'% DAD UC&IVU PLU. UVIft nil :..~:= ~1>~~~\~>-\"'~;;:~'~~ li'HONE (~\~ '\ ~ l.-~ \ '-\0 <1 L!'.GAL llDCRll'TIOKI LOT (8) BLOCI( SUBDIVISION PARCEL 10 II iIORX PIlOl'Sl':Ds ONEW CONSTRUCTION fnR~aTN rR~ PRnPRRTV ~ax H~lCP.' OSIGtl PROli'05BD USES~L r~LY DWELLING o COHKERCIN. o HOVE DAJ.TEM.'11ON o DIJ(()LlSH o REPAIR E1iIlS'1'ALL o ADDITION DMULTI-r~LY o INDUITIUAJ. D, or UNITS o SWIJ+1ING lOOL o KOBIL! JfClMK o OTHIR CJ REST....UIWfT , HBlUaTH D!PARTHEN'l' APPIlOw.L OESCRI P'l'IOO Of WORK (' .......C. (\~ 'L.. ov\ L ,S 17:>0 ( \-\ \ (? ') 0. \ ( C..Hl. 5~ ~~ aUILDING SIZE SQUAU FOOTAGE HBIGHT RESIDENTIAL: "'TT"'CH (21 PLOT PLANS , (2) SETS OF BUILDING PLANS, (1) SBT DUERli,Y FOP,HS. COMMERCIALs ...TT....CH (3) SETS OF BUILDING PLANS, 111 SET ZNZRGY roRHS. ?IlOPER'l'Y :lURIfB'i REQUIRED FOR ALL NEW CONSTRUCTION. PEIQU'1'S UQUZS'lED o IlUILDING $ VN,U...TION or TOT"'L COKSTRUC'l'ION o ELECTRICAL AMP 8ERVIC! 0 FLORIDA POWER 0 V.R.B.C. zaING ~ \ \ S 00 MEcll1\N] CJI\L , VN.UAl'ION or HECHANCIN. INSTN.tATION Dc;.a.s o ROOFING o SPECI....LTY o ClTtfER o rAAHE o STEEL o OTHER TYPE or CONSTRUCTIONs 0 BLOCK FINISHED FLOOR ELEV....~IONS IS PROJECT IN FLOOD ZONE -'RlAO ns 0 HO r'" ," ~ .;~::;; :'~-: ',j',. : '-.:: .. .::- :.'1. : ... :cj . ,..... ..' 'I . . '. ., . 1".0.1 I: . I . . ." :,:1 .1.' ,"r. ." . ~. ; COHl'lIN't STATZ CERT OR REGIST . CITY PROCESSING . .uILDU SI GNATUR8 ....**.........................................................*.. SIGN",TURlt COHl'ANY: STATE CIRT OR RltGIST . CItY li'ReCESSING t Il~CIM **.......................................A........................ CotIl' AN.- nATI CERT OR RltCiIST . CITY PROCESSING , .11-- SIGN"'TUU ............................................~;.....,..."?\:...~... . ~~ C..~__cl ~ ","""CAL J1 " _>NY' , ,-" h ~ '-"'c. _ . ST"'TE CZRT OR REGIlT . ":) 00 SIGNM'URF. ~ /I~ CITY PIlOCU.IIlG . \ ~'1 ......................_...................**..................... SIGN....TURE COH'ANY STATI CERr OR REGIST . CITY pROCESSIMG I <mUQl ....*......~...~.~....jJ.....IIIA.**t***.**...................**. It .tJO.D i.' 0 UlllaIlS I ()()-..;,:; 0':; VII I.,.V/ .1....1."/,,,/ ..l..l....J...............i. .~" U.LICM'ICM woa ftIIIIII'l' CI7I ~ IUaUlLU MlIUlx.ll Dll7U~ DAD UCJ:IWD PLUS UVID nil :'::=3~~<,od~~r-\'" (\\~~'~" PHONE (~\~\\ ~ 2..- -"I ~o q LEGAL DESCRIPTION I LOT(S) BLOCI( SU.DIVISIO" PARCEL 10 II IfORX PROPSEDI ONEIl' CONSTRUCTION rnR'I'II.TN FROM .PIlnPr.RTY TII.X HOT I CII! 1 o ADOITIOil OALTEI\1\.71ON o DEKOLIBH o !\BlAIR ~IlSTALL OSIGtI PROPOSED USEI~L r~Lr DWELLING o COMMEIICIAL OHOVI!: DMI1LTl-r~LY a INDUSTRIAL 0, or UNITS o 9WIJ+lING. 'OOL o KOBILE HOM& o OTIlJ:R o III!:ST....UIWlT , HENrTH DEPMTt1DfT APPROVAl, OESCRIl"1'Iaf or WORK (' he.. f\Q\L o..A L . S \7;0 ( \-\ \ p) 0., ( (..wi. 5"" ~~ aUILDING SIZB SQUAJU: fOOTAGE HBIGHT IU:SI DEN'TIAL: ATT....CH (2) PLOT PLANS, (2) nTS OF BUILDING PLANS, 111 SBT BNl!:~Y FO'lHS. COMMERCIAL I ATTACH (3) SETS or IlUILDING PLANS , (1) B!:T ENERGY roRHS. i'ROPER'l'Y SURVBY REOUllU!:D FOR ALL NEW CONSTRUCTION. PERMI'1'S UQUES'.rED o BUILDING ~ VI'.LUI\.TION or TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 ..II.E.C. ~8ING 3\iSOb MECHANICAL . VlI\LUAt'IOIf or HECHANCI AL IN STI'.LLI\.T ION o GAS o ROOFING o SnCIl'.LTY o OTK!:R o J'IWU: o STEEL o OTHER TYPE or CONSTRUCTION I 0 8LOCK fINISHED rLOOR ELEV....7IONS IS PROJECT IN nOOD ZONE AJ\lA0 YES 0 HO 1".... '; .:.. . .,- : ....'..1.. .~ .\~.:: i: to" :J,,: ,,:. ":,'.l, ~ ..I " . ::_i~;_ CClMl'MY ST....TE CERT OR REGIlT . CITY PROC&SSING I ~ SIGNATURE ................*............~+................................... SIGN"'TUU COMPAN"t ST^T& C.R~ OR UGIST I CITY P~CZISI"G . .~C1M .................................................................. COHPlIN.... S'lAT. CERt' OR uaIn . CITY PROCESSING . ~ :JIGIV.TUU ~~ICAL ......*.Jj....~.......................~;;;~.. ~1 - STAT! CER'l OR UGUT . SIGIIATUR!: ~ CITY PACCUIING . ~MC 00 .............+..........***...*.................................. CClMPlINY STAT! CERT OR UGIST I CITY PACCESSING . 0'IIIKJl SIGNATURE ...........~.....~....A."'~.,I&A.*.t*t*.*...........*.......**.. It CONDITIONS OF PERMIT AI'E'lDAVIT A. NOTICE OF D'tBD RESTflIGTIONB The und'U:lli\lned und41u\:ande that: this penn1l: may be lIubjectto "daad restriotionll" which mIlY b. more rastrlctive than City re<;lulal:ions. Tba undersignad a.sume. re.ponsibility for compliance with any epplinahie deed r..trictions. B, I1IfLICDlSl:D CONTRACTOJUf lIND CONTf\AcTOR RESPONSIIHLITIKS If the owner ha. hired a (~ntractor or contractors to undertake work, they may b. required to b. licen.ed In accordallca with state snd local regulation.. It the oontractor is not 11c.n.ad as requlzed by 1"", both the owner and oontractor may ba cit.d for a mi.d"meanor violation under atate la". If the owner or intendad contractor ara uncertain liS to what lictn.ing requirements ma]' apply for the intended work, they are advi.ed to contllot the City of Zepbyrhilh &uUdIng Department, 813-788-6611. I'urtharmore, if tha owner bas hired II contraator or contractor., he is advi.ad to have th~ contractor (II) sign portians ot the "Contractor 8eetlon." of thill ..pp1iaation for "hioh th.,y "ill be responllible. If ]'OU, all the Qwer l!Iiqn.s a. the contractor, you are indicating th..t you, nth.r than the aontl:actor, an re.ponll1bh for the work. If the <lontraotor whhes you to sign ... oontr.citor that may be an indioation that he 1. 1I0t properly licensed and h not entitled to penn1ttinlr privileges in the City of Zephyrhillll. C. TIWlSPORTJl.TION IKl'AcT I!'EES AND UTILITY CONNECTIOll PUS D. CON8TRUCTUIOlf LIEN LAtr (CHAPTER 713, rx.olUDA STATUTES, 1\8 AMDlDED) I oertify that I, the applicant, lutve been providad "itb a copy of "Florida',. Con.tructior. lien LIl" - 1I000000wnar'. Prutection GuideN praparad by th. florid. Depart_nt of Agriculturfl and Conswner Affdr.. It the applicant is "Qmeone other thllt th.. "owner", I cerify that J: have obtained a oopy of the abQve dellcribed dooument and prom.. in good faith to deliver it to the ~o"nerN prior to commenaement. ll. CONTIl.ACTOR' S/OWNER' S J.!'!'Ull\VIT I outify that all the inl:omation in thl. apl'lication 1. accurate and thllt all work will be elone in oompliance wittl all Ilpplicable law. ral1ul..tinl1 oonstruction, zOl\ing, and Illnel <l.eve10pment. Applioation 18 heuby mad" to abtain II pentdt to do work and In.t..llation as indicated. J: oertify th..t no work or installation h..a co_need prior to .tasuanca of a pennit and that ail work 14111 b. perfornwKl to me.t atllDdards of all laws regulat!nq oonstruotian, Clty cod.., zonin~ regulationa. and l.nd development regulationa in the jurisdiction. I a1.so certify that I un~ratand that the re\lulations ot other gOV6rnm6nta! agencies may ~pply to the 1ntend..d work, and thllt it ill my rupon'1bility to identify what action.. I must t.ke 1;0 be in compli.nce. Such .lIenci... include but are not: limitad tOI "Departm..nt of tnvirol1Mntlll Regulation-<:yprell. Bayb.ad., Wetland Arau .nd Ilnvironm8ntal1y Sensitive Landa, lfat..r/jfa.t......ter TJ:aatment "Southwa.t llorida Water IIllnagement D1..tr10t-IIell.., Cypress Bayh".d., Wetland Area., l\lterin<;l Watercour.e. "Army Corp. of Enqineera-fl......ll., Dock,., Nav1qable Waterway. "Dopartment of Rea1th i R<,hab11it.tiv. Serv1ce., Environment.l Health Unit-Walla, Wastawllter Treatment, Sapl;ic Tanks .U. S. !nvironmentei 'J:ote(:tion Agenoy-Aaba.to. abatement I alBa certify that, if fl.ll -tad.1 i. to be uaed in Flood Zone "Air or "JI.,.tc.", it 111 undaratood that .. drainag" pllln addreasing a "cOlllpenaatinq volwna" wl11 be aubmittad. which is prepared by a professiunlll engin..r registerad in the State of rlorida prior to pennit issullnce. A pennit i..uad aha11 b.. uonatJ;uad to be a licen..a to proceed with' the wOlCk and not as authority to violate, mlnual, alter, OJ: sat IIaida .ny pJ:ovi.ion. of the technioal codas, nor ahall i"ullnoa of II ponnit pnv..nt the Building Official from therealb.r requiring a correction ot errors in pJ.allll, construotion, or violations of any cod.. Every pamt i.s8ued IIhall beoome invali.d unl.u the work authorized by suoh pumit 18 c:.......nc.d within Ill! monthll of iuuano., OJ: it work authorized by the !>entdt i.. aUllpandad or .bllnd:oned for II period of sill m.<>nths aftsl: the time the work is conanancad. One 90 day extendon of time may be allowed for the peJ3Ut with tee charga ot $15.00. The extanslon abal1 be requa.t.d 1n "riUnll to th. 8uildinll Official. An app.toved inspeation must be logged durill.g aach ..ix month p.riad, or the pro:l"c!t will be aonlllidel:ed. abandoned. WARNIN'" TO OIf}!!RI YOUR FJUX-UR!: TO RJ!:CORD A HOTICE 01' COHM!:HCmtBNT MAY RBSULT IN '(OUR rAYING TWICI!: i'OR IMl'IIOVEMl!:NTS TO YOUR PROI!Il1\TY. I&' YOU INTEND TO O&TAIIf "INMICI~'G. CONSUl.T "ITH YOUR LENDI!.R OR AN A'I";~O.MIY BEfOR\!: RECORDING YOUR HOTIC! 01' COMMEIlCDlBIf'l'. J(,!S UNDER ""~i~"_AA'_~~~ SIGN1I.TURt, R OR MEN'r SIGNATURE I COliTRACTOR STATll OF B'LORIOlI. (") ",-, S~ATI!: or FLORIDA COUNTY OF \~ 0 COUNTY OF The toregoing inat~ant HIloII 'OknO"le~dl1ed .\The foreqoin(l in~ument wa. B..fore m.e th <la O:r,:s)\l.'-\" 1Iafot6 me his ay 0 by c. ~\...O by nama of perllon ackn')lfledgad) of penon ackno"led...,d) who i. personally knoMl to me, or personally known to me, or l~_nt '" MY COMMISSION #CC 885490 (JF nted d.i:XB~HJv 5, 2003 l,S00-3,NOT ARY Fla. Notary Service & Bonding Co. Jp.kno~r~tL BELlAS ~ MY COMMISSION II CC 885490 ed lOArIKh:;: Nov 5, 2003 ARY Fla. Notary Service & Bonding Co. l . d 9L90'ON SIIIH~^Hd3Z jO All) VIVI16 IOOl '9j'lllJr BUILDING PERMITN~ 0418 CITY OF ZEPHYRHILLS (813) 788~6611 Permit o::P J').- BUILDING 2- <:.;;Ie...} ). ,- ELECTRICAL Date I /5 / 0 ( I ' PLU~NG MEC~NICAL Sewer Conn Property Owner: S..J4~ te", ~ Job Address: 55 t 2. Jo.~ G.. I' J~ Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning; Description of Work Energy Code: Ltc! )f> " ."\ Radon Gas: 7 c... ~ lj-f' NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price Permit Fee 5'~? ~ City License Registration # State Certified License# -t.. Signature Company Address I- Telephone# r'f/Z- 7/5'''' ?Ob b 6WrJ G(Z (;)"V rJ .6(( BUILDING ELECTRICAL Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. /tl.-/.3-n / 1<.1 }I Insul. CL WL Tp. SeN. SLB Rough In 1.5l - I '$ -0 I L^-'( Tub Set Meter Can Water Canst. Pole Sewer Pool Final Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. I. r ...J I ! i _~_ I '. I, 1 i I I ,~ I i ._- ~Scl!"3 HII/'ll pz#-z 1". IJV'} '" :l f' --L V \t-. "- .,.J) ~ ~ ~ C? ~ C..J r-.j - u_ :L., ,'J/e. '. i,,' i~:.J ! I 1 : : ~ ~ ~7-=-J ~9.z~1 --- ---~ c ~ ~ { ~ ), v...----,l 4> -~~ ($" f r - --Jc r-' -- ral ~NllSIX3 .1 I II IJ! ili t~ "\ \., ' I"j " ....... '" J.-- --.. "'. :--......... " -..... .-....'"-. "- :' '. " I ......... ., ,~ -. -", i .. I I U '..... , -... ':' II "- , ~ i i !t-'; ~ """ ~ '<'. ~ i .~ L.J___ ,S X 9,6 I HJ?,8 J : I, 2;:,;:'~ ~r" ",,=-o l,S __n___~: 'T-'-="'" ,:) : ! ~ ~ ! ! '...;- " 11:- c x ---ill -:.;' C ;( ;- :: ~ I I '-"~ ,7 ~ .....'- YL... - ;~~<~ 1I13SOi8 j ! _-C nl'ii:L : r---~ ,7 -----~ j (---- L,S --._~-- , I , I : I c: ~ ,C ~ X ;, ~ ~ /~.cJ I-I"':" S c'~:< Sf2:~ J- _'j\jOOdCJ::::S -: :..:; ;, , , G :'1 , , ! i -~ I~'~-'<C~,=~ V'JC!CJ8 C:!31S'7'!j'] '. (~ 7:3(:/ _ {J.f l;/ /# 'J' .-t c 1/ f f , . j\j'v'ld (jOOl~ J.S(jI~ 8NIJ.SIX=i 38N3a1S3~ NIV'8 i"" ,/ '. I ~:' " '\ '1\, "- .....\. '\"'".. '. " " ,", >. "- ~ \ '\ ".. '-. .',\ "- \..... \ ...... -,-" "'- '. ';" ,x... ~ " \ '-"'-"" '-. , :::'-' ~. ..;. ': CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540 Phone:S13-7S0-0020 Pax:S13-7S0-0021 DATB RBCBIVED PLANS REVIEW PBB OWNER'S NAME S~4r'kn4. ? JOB SITE ADDRESS n~/;l ,;20 ~ al',? r:O.J.J) PHONE CONTACT 7/)'" ?ab -->7- 2~~Y'A'/'4~; J'.3So/'O LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION D ADDITION E:t1\LTERATION DREPAIR [J INSTALL [J SIGN DMOVE [J DEMOLISH PROPOSED USE: fdSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME D COMMERCIAL o INDUSTRIAL [J SWIMMING POOL [JOTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Rr'pu>c.Je G~t!" thD/""' l?Ioclr~ ~ ~~~'~8W S/~I-4P~.#( BUILDING SIZE ,/0.19' -Sf -1-'1--. 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 ~CTRICAL $ ;J()O. DO VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: ~LOCK D FRAME [J STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES !!(NO BUILDBR I.~ ~4~ COMPANY STATE CERT OR REGIST #. CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNATURE )( ~P:=m---- , COMPANY STATE CERT OR REGIST # CITY PROCESSING # **************************************************~*************** PLUMBBR COMPANY STATE CERT OR REGIST #_ CITY PROCESSING # SIGNATURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NO~ICE 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 infoDmation 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 peDmit and that all work will be perfoDmed 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 *ADmY 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 COMMENCEMENT". ~~/~. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped