HomeMy WebLinkAbout05-5163
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5163
Permit Number: 5163 Issued: 11/18/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 300.00 Total Fees: 52.50
Amount Paid: 52.50 Date Paid: 11/18/200
Address: 6013 17TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Phone: L~:
Work Desc: REPLACING 2 WINDOWS
EDGE CHERYL
6013 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC,
MISC. DRIVEWAY MISC. MISC.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
Q~.~.t'j~p-- ~~
CaNT CT. RS SIGNAT RE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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OveNiew PrtxIUCI Search Or;eo~on Product VIew
S811'CIl AppllClIiOn Altachmenl$
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User; Public: User . Not Associated with Organization -
~~~,He'!p-?
Application #:
Date Submitted:
Product MaDufactl1reI:
AdlhessJPhonelCDlllil:
FL663
10/2112003
BetterBilt
650 W Market St
Gratz, P A 17030
Category:
Windows
Subcategory:
Single Hung
Evaluation Method:
CertificatiOD Mark or Listing
Referenced StlDdaxds from the Florida Bwldmg
Code:
Sedion Standard Year
AAMAINWWDA 1997
lOl/IS2
Certification Agency:
American Arc:hitectuta1
Manufacturers Association
Quality Assnranee Entity:
Validation. Entity:
Date Validated:
Authorized Signature: ANDREW BRllL
ABRILL@MIHP.COM
performance level of the product and conditions or Per manufactureI"S installation
limitations oiuse; iDs1:ructions. More i:o.formation ,
availablc at: wwwmihp.com
EvaluationlTe.st Report; Uploaded:
InstallatioD Documents Uploaded:
Product Approval Method;
Method 1 Option A
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Application Status:
I .I"~/..".
"""r.,......,,_ Approved
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--',Sf'
Pagel/2 II.
Product Model # or Name
165
16513000
165/3000
16513000
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FLORIDA PRODUCT ApPROVAL NUMBERS
FOR SERIES 740/3740
To view the applications. go to 'NWW.f1oridabuildina,ora. Pick the Product Approval icon (along the left side of screen). Pick Product Search
tab (at the top of 1tIe screen). In the Product Manufaclurer drop down box, find and select BetterSi~. In the ApplicationlSeq #: box, type In the
ApplSeq # (shown below). then pick the Search butten. Scroll down and the Infom1atJon is listed at the bottom of the screen.
Category: Windows I SUbcategory: Single Hung
AoPlSeq , Product Model. or Name Madel Description
663.1 B 74013740 Fin Frame
39x90. R-35, DP +35.3/-47.2
863.17 740/3740 Fin Frame
47x89. R.35, DP +35.3/-47.2
4029.1 74013740 Fin Frame
52x71, R.35. DP +35.3/-47.2
663.12 74013740 Fin Frame
52x71 R-45. DP +45 /-45
663.16 740/3740 Fin Frame
52x71, R-45. DP +45/-47.2
663.13 74013740 Fm Frame
52x72 R-45, DP +45/-45
663.11 74013740 Triple with Continuous Head and sar
1 06x71 , R.30. DP +31.5/-39.7
663.19 74013740 Flange Frame ~
47x89, R-35 OP +35.3/-42.7
663.20 740/3740 Flange Frame . Oriel
47x89. R-35, DP +35.3/-42.7
663.15 74013740 Flange Frame
52x71, R-45, DP +45/-47.2
4029.2 740/3740 Flange Frame
53x72. R.25, DP +25.9/-34.7
4029,3 740/3740 Range Frame - Oriel
53xZ2. R-4S, DP +45/-472
663.14 74013740 Flange Frame
53x73, R-45, OP +45/-45
Category: Windows I Subcategory: Fixed
ApP/Seq #I Product Model fI or Name Model Descrfptlon
676.15 74013740 Fin Frame
59x72. R-45 DP +45 f -47.2
676.16 740/3740 Fit Frame
71x71, R-45. DP +45 f -47.2
676.17 740/3740 Fin Frame
108X52. R-40, DP +40 f -40
676.13 74013740 Flange FJ'ilme
59x72 R-45. DP +45/-47.2
676.14 74013740 Flange Frame
71x71 , R..JO. OP +35.3/-45.3
676.12 74013740 Flange Frame
109x53, R-40. DP +40 1-40
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'f.t:ST REPORT SUMMARY
Rendered to~
Ml HOl\1E PRODUCTS, INC
SERH:S/l\tOnF;l.: 7401744/3740
TYPE: Aluminum Single Hun~ Windtlw wilh li'lunge
fJlSM
Title of Test !
o:=:a.;-r....
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O\'ernll ~~si~~~:.:s~eo. _1_
o t:raLing fO!{.:l:
_'_' __.:'\!':...~itlE~trctll I
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~trll~'lund TellOl Pr~Jo;Surt:
. ,.:.,..: 'Dcglaziug
ForccQ, S~r..L~.~~~<:.e,~_ ~
Results
H..R45 52 x 7]
-4SJ)'p$f
-47.2 pltf ._
23 !b maJO.
0.1 () c.fuiift:......
(l.7S'" sf
';:tiJ:~ pst
-70:..~B~[ 0., j
P~:;Sl.:tl
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Re(,:'I't-nce ;shou Id be 1I1a~k, ill Rt:llorl f\<'1, 111.~Oh5Ct.O~ I'm \,(I)(lpkt\.'lC~l ~pt:c:imen tlescriplil)ll ~L11l1
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fl.\r ARCHlTE(,TlIR_~ Tl..!S'II~(j. 1;\1<"'.
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Architectural Tes-tfna
AAMA/NWWDA J 01fLS.2-97 TEST REPORT
Rc.11de:reu lO:
MI flOME PRODUCTS, INC.
P.O. Box 370
(irat'~T Pernlsy)vnnia 17030-0370
Repon No; 0140656.03
TC!il Dale: 12/19/01
Repon D31tJ: 03/22102
Expiralion Dare: 12/19/05
l)rojer.t Summ~rv; Archicec\.urul TL::SL,inf!.. IIlC. (.1\ Tn was c.:ontmcled by!vn Home Produet5. Inc.
to "dtness p~rlo~l!!ncc leSli.ng on a Serl~slModel 7401744/~740, uluminlln1 single hlll\g willdow
at MI H~:m1e PrQdu.c'liST Ine.'!> leSl 1l1.cility in Elizabethvillc, penm.ylvania. The .';jarupk tested
~llCCcssr~llly mel the pcrloml<ancc r~'l.uirements for an H-R45 52 x 71 rJ.ting.
'rest S~ednc2tioll: 11'1e lest .spC!:c1mcn was evaluated j~ accordance v.cith .A..AJ."vlAINWWDA
I OJ il.S.2.97, Volumary '~/>ec:{/ir:(ltio/lslvr Alumiflum, Vinyl (PVC) 11m! W'vou Windows and GJa.rs
DU01~t.
lesl Splocimcn Descriptii'Jn:
SCl'~sJ{\o1oJ.el: 7401744/3740
Typc.~: A ItlminuJ.l~ Singk Hung WindO\v With Flange
Over<lll Size: 4' 4.3/Jj)" '.viue hy 5' 11-1/4" high
Active Sash Size: 4' 2.3/4" whk by 2' 11-314" high
Fixed Dayllghr Opt'ning Si;~(': 4' L" wid!.: b~' l' 11" bi~lh
Screen Siz;(!: -t' 3" wide by .3' fl-I /~" high
Fini$h: AU aluminum W~ puinl('d.
Glnzillg Details: Thl:' active sash and [iX(;lu lite tllilh:td 112" thick sealed insulating glns~
llnjls lilbl'icm<:.J from lWO shCl.:ls of I/S'I thie};' clear D.r1ll~aled glOlSS aad n metal reiTlforcetl
bUtyl :>r-~Ii.:~r ~y:-;.t~111. The JilL'S wore chromel glu:l"a!!!d ulili1',ing a fiL'xibk dnvl wrap around
ga$k~L
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pnon~: H7.7oStI.7700
fax: ] t7 71:-1 .l \ ~9
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Pllll-e 2 of .s
Test Spt:cimen Dcs(!;riptioJl: (COmillued)
'Vcnlhcrstrippin.~:
.Q~f'Crilil:(Q:!,l
Ouanlliy
Locntion
O.2901l high by 0.187"
backed polypile
with center .fin
1 Row
Fixed meeting r.ul in~erluck
n,l30" high hy 1),187"
backed polYJ:iile
with t:<:nter fin
1 Row
Fixed lhe, stiles amllqp rail
3/B" diameter hollow
bulb gask.~t
1 Row
BotlQm')1lJI
0.2 lO'" high ,by O. t 8i"
backed polypilc
with cenler fin
1 Ro'l.\'
Actj\le sash stiles
0.130" high by 0.187"
wide polypile
Frame Coustruetiou.: AU fraLll\,; m"'''Inbers \,,"ere constructed or extruded .alll.D1irtUnl with
copud. bmtl;,\J and se'd.lell COnl.;[S f.lstenoo with twO #8 X Sf81' screw$ cach. fixed sash ,va:;
!>eeureu utilizing olle #8 x 5/8'. screw in e<lch end dircclly lhrougb eXlerior fact! illl0 jumh.
SiliMIIC \vas. utiTi1..ed around .;:'Xtcrinr mc;'cLing railJjalub'joinl.
1 Row
Active sash stiles
Sash. C(}n$Ir1.1~tian: All sash members were cClnsLrut:ted of cxnllll~d alumilH.Lrn with coped
and bUL\et1 com~s fa$1entXl with tine #g ;;:;5/8" .screw.
Scre(l)l Con!lt....uc:Lir)lJ~ Tilt,; screen fr:lnw was constructed from ro!l~fumled aluminum
lTIt:rnbers 'with t>las[i~ kcytd c()mer~. The ~rceliing consislt:d of ~I Iihc;;rglM5S \'ncsh and Wa..';
!iccl1.r~d Wilb a Ot:;<ihle vinyl spline.
II~u'dw~ln:;
l )e~cri ntioll Ouamitv Locatioll
f.!]:,JSllC Lilllatdl "1 On each ..~lll uft'lC, il11erior
....
n'lc.:e'Ling rail
~"kial sweel' lock "'l 0" I'rom mL'~Llng r~\ii ~nd5
l:kd~lltC~. :l$'6l;;rltbl) 1 Oi1~ per j.unh
:5c rt:~1l tensi Oj1 Sllri ng, "' Ol1e per end or ::11,;'.) ......,:n :;lik
Ti It pill 1 One l:uch end ofb(')U01il rail
c.:zu.-~.4..
;l. ';:. .J'1AAc ~ 2 ~lIi.:r..
r .................~..,...-...,..-.,..;I...~~~,..~.....~.w
~'I! .-- ...,...."t.. fr........ ....,__~........-........,..- ~--.A""'T ~~, ,
.' I
. " ,~ "'.,,.....,..-~ 'l'T', Il ~
NOV-17-200~ lb:~~
.
Ml HUMI::.:::'
000 CoJ..J '"tI::JJO
I.U"'"t
I
..
~
Ol-'l0656.0~
Pa~e ~ of5
TeS1 SpeCimen De$et'~ptioD; (Can!lnLled)
Drainage:
llcscripliop
QUWltitv
I,.-ocmjoll
1/411 wide by 1/4" long
2
Ends ofhortom raill draining
gla?ing cavf(Y
31l6" \.vide by 3/8" long
"1,
...,
Fixed sash baltom rail, draining
glazing cavity
!
I
I
,
!
I
I
I ,
I
I
ReinfQrcement: No rejnll:.'Irct'mem wns utilized.
Installatioll: The test buck was f~\hri(:'ated from 2 s 8 #2 Spnloc-Pine~Fir. TIu:: unit WilS
secured Uliliz.iug t\'Vo #8 x I" scr~ws waugh the jamb mlCkr 5" from sill, ] -3/4" below
meding rail. TIle head uli1i7.cd tltJ'ec #8 x. I" sc~w~ 4" fronl jambs and lnidspan. E~Lerior
perimeTer was; scaled wilh silicone.
Test R~ults; .
Th~ rr.:suUs :Ire tabulsted as lolh:n.1/$:
P ur.<11"TJ"an h
]'i\k'ofTcSL ~ Tc.:~l Mell!q,Q
Results
AlIow~d
1.2.1.6,1
Oporating Forc~
23 Ibs
30 Ibs max,
2.1.2
Ail- Inllltrdli(m (:~STM E 283)
@ 1.57 psf(25 mph)
0.10 cfm/ft;!
0.30 Cfuli[ll mal<.
j1\,'-oui #1: The te:;te.(J .'f[1(ff.:im{:1I mee'l.r !htf. IJeI:formwlcl~ Icvl!/s $pecified ill .4...JMA/Nlf"I-I-DA
1 0 111.5'1. 2. <Ji ja,. Pi1"' iJ!{iltratirm.
~.L3
Water Resist3llce (ASTM.E 547)
(w.ith al1(.l wilhoUl screen)
\-V"rp - (1.75 psf Nt", I~:'!bge
No leakage
2.1.4.2
Unif'Qnn Lo~~J Structural p..,r ASTM r. 33/1.137
(!\.k'.<lSUrl,;'m~lllS repm1ed Wel';: li.'lkcn L'IlI Tht: me~lill~ l':li l)
(J .;"ladli Itdd 1~lr J 0 l;(:<;;Ul1d:li)
{~, ')fi.6 p~r(l~nsili...~,
@: 47.7 PSFl ncg;,ni\lC)
0.04"
IUI4"
O.ll ,. mG~.
0.21" In~x.
" .. ,(, , . "I..
au.- ')'Jr ~
1. Z M A~ol:;" .z d~ z..
.
{
. .~ !k1.......t1+M..~Iru..f9RI ,..~..---wo. I .~.~-.--:-...........-......,.........~......,.,.. .~_.
NOV-l'(-d~~::' lb: ~1
IVll HUlvlt::~
000 c...I..J ...1t..I....u
A
01-40656.03
Page- i! of 5
T rSl ReSullS: ~ Cominued)
2 .1.1 ~().2
Tide ..)[Test ,:.'f.!;Sl Metll.o.d
D~laz.ing T eSL per AS1'M E 9$7
Tn operating dir~tlion at 70 lbs
Rt::l>ullS
AUQ\\'ed
Para2taul!
Top mil
Bouom rail
0.06"/12%
0.06"112%
0.50"/100%
d.50"/l 00%
In r:-:tt1aining direction at 50 Ibs
Left slile
Right sltle
OJ)3"/6%
0,03"/0%
O_50'1Jl'OO%
o .50l1l1 00".4
2.1.8
FCll.~1!ltj crltr-y R~iJlllln..:.e per ASTM F 58S-97
Type; A
Grac{~: t ()
Lock. Manipulation 'resl
No entry
No -entry
TeSf A 1 thru A5
No eIll.ry
No to'ltLry
T~l A 7
No (mtr)!
No entry
Lock Manipulalio11 'Tesl
Qptional Perlonn:3r\C~
No enlr)'
No Clltry
4.4.l
Unitorm Load Doflectiun per ASTM E 330-97
(Measl.Irem~11ls reported were lahn on Ule meeting. rallJ
(A"oads held for 52 !;econds)
~ 45.q psf(posttive)
@47.2 p8f(llcgati\'e)
D,8S"*'
l).6::!""'
0.30" lni:lX.
0.30" rua.x_
1
, i
i
~\
* Exccoos 1)175 for detlccliolt. but meets an ~ther l~t l'equiremcn~~.
4..:1.2
I ioifOTT11l.oad Slru-:L\Jral peT ASTM E J30~97
(Me3SlU'ClllCn\S repurted Were. t:'lkcn on the lTlcclillg mil)
(L~.Hj,ds held for 10 .sccond$)
@ 67.5 pSf(pC1~iti"c) 0.18" 0.211' max.
-L.L2
@ 70:8 p!.r\n~~:.lli\r)
O. Hi"
O.2l" mlL'\;..
a..u.-?i,. ~~....
% ~ ~""~ ... jJ :2 c:loor:=> 2.
M or .,~ ~...,._~ .~.. ~..._ ~~~,~~.._....
. r l.w , ~
NUV-l ' (-:dldld::> lb ; ~::Jl
I'll HUI'Il:'.=>
uuu '::"..J.....,I .....u......\..J
----,
I
I
A
01.406-56.03
'PnGe 5 of S
Dctailtld drll\\'ings, r~pr~SMla\i"c s3111ples uf~hc ICSl specimel1. and a C(lPY of this r~port will be
rL'l:.ain~J by A TL for a periou of four years.' Ibu above ref;lIlts were s~curecl by using the
(,k:signat~J LeSt melhods <lllll tl\l,.~Y indic~t" compliwlcc with the p~rrOlma1tCe requirements of lhe
.:lbo....'(.' referenced :.;p~cificatiO!l. This repQn does nm eonslitute certi11caliol1 of tllis pro(luct,
whicJl may (mly be gramed by tLic c.cni,ficutioll pn'lgrHm t\JUlini~lrlllor,
J'o[' ARCH ITEC1U~AL TESTING, rNl':
7/P /~
Mark A_ H~s:;
T~C'hll.ician
~ I), ,efic.--
Alh.'Tl N. Ree"e5~ P.E.
Director ~ Engineering Services
2'2 MAA(:;H .260:2.-
MAH:bilw
o j.40fi;it>,Q}
.....--~.."'t~
... 6'
T.!"'! --..,
.... ,....1, AA , .......,..!
TOTRL P.06
DATE RECE IVED
~ /f'r~ /if
/1- /7...0s
CITY OF ZEPBYRBILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR PERMITTING
OWNER'S NAME C~t' Y' ~ t J. f cl'J -e
/ I fit .1
JOB ADDRESS 0 () /.9 / '/ . S i V' 'e -c.. c-
PHONE is /3] 7S S -9 L S "l
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
f{p(~~(~ "
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
,
t UJ t') /1; 1 VI,J /", (AJ
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
r:J ? 9~
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
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
:::::RE ~.Q D) 't~ f ~c1r~,
******************************************************************
COMPANY
STATE CERT OR REGIST #
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*******************************************************k*********
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 Zephyrhi1ls Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions 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 indica~ion 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.
Appli~ation 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
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
20
(name of person acknowledged)
C1ho is personally known to me, or
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Ddid O:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped