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HomeMy WebLinkAbout07-6598 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6598 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6598 RE-ROOF ROOF REPLACEMENT SINGLE FAMILY RESIDENTIAL Address: 5615 BEECH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-006B-00000-0020 4,890.00 4/04/2007 55.00 55.00 4/04/2007 REROOF-SHINGLES Phone: r\ YJ nJQ cD S-d3--0i I~ REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be 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. 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 to your property. If you intend to obtain financing, consult with your lender or an attorney ing r n of commencement. " NO OCCUPANCY BEFORE C.O. OR SIGNATURE ~M~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . 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 contractor1are 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: '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 "V". 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, po?ls, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A permit issued shall be construed to be a license to proce~d With the work a~d not as authono/ ~o vlolat~, 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 th~ work is commenced: An extension may be requested, in writing, from the Building Offici a! for a period not t~ exceed nrn~ty ~90) da~s and Will demonstrate justifiable cause for the extension. If work ceases for nrnety (90) consecutrve days, the\Job IS conSidered abandoned. WARNING TO OWNER: PAYING TWICE FO WITH YOUR LE FLORIDA JURAT (F ~ d~' c. ~-. __ Notary Public Commission No. l~~V.'~!.~~ Karen L. Miller ::f ~ Commission # DD609664 ~. .... Name of Notary typ '. r . 10' ao.- T"'V FIln ".......ne.. Ino eoo-38~70'9 ~~I>~~ ~~A' Notary Public Commission No. xpires October 29,2010 BonG.cl Troy F... .,.......... Inc. 800-385-7019 813-780-0020 C:~.y Of Zep~yrhills Permit Application Building Dep 3rtm3nt Fax-813-780-0021 Owner's Address -L Phono Contact fol' P,armittin n: a:mnttmn:rttIlJ:[[I u-f:....-_/ Owner Phone Number --~--------- a~~~ J1C- ==~~~~wner Phone Number I - ,-,--~"-t +1~ .). ---tl ~ J, 7 1 ner Phone Number I --- (' ~-- Date Received Owner's Name JOB ADDRESS LOT # SUBDIVISION I PARCELI[)#LI2 -2(0 ..2., - 0(:)(_1)(0 __LLDOO - 00201 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTH B ADD/ALl D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE D SFR CJ COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I o BUILDING =:J o ~ o 1$ ~ o MECHANiCAl ~~ ~ VAlUATION OF MECHANICAl INSTALLATION o GAS ROOFING C] SPECIAL.TY D OTHER FINISHED FLOOR ELEVATIONS I ] FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111111111111111111111111111)11111-111111111111111111111111111111111111111111111111111111111111111111111 BUILDER I ] SIGNATURE I IIII I II11 1 I 1 II 1 I 1 11 1 II' Illlll' 1II1I"IIII 1 IIII" "1111'1'1 I' "11"11"" '"" "1 f I' r 1111111'" II"1III" ~~ HEIGHT I BUILDING SIZE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE CJ PROGRESS ENERGY o W.R.E.C. Y/N I I I I I I I COMPANY REGISTERED YI N FEE CURRENT Y/N Address ELECTRICIAN I SIGNATURE ~~ License # Y/N Address PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Y/N Address OTHER SIGNATURE Address ~ License # 11111111111111111111111111111111111111111111111111 11111111111111111111111111111111111111111111111111111111111111111111111 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 (3) 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/ Sil.t 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. D,~~~i:i~~~':' . . , , , , . . . . , , , , . . . . , , . , , , , , . . , . . , . . , . . . . , , . , . . . . , . . . , , , . . . . . . , . . . , , . , . , . . , . , , . . . . , '. ' , , , , . , , . . , . , , . , , , , , . , , . . . . . . . . . , , , , , , . , . . . . . . . . . . . . Fill out application completely. Owner & Contractor sign back of application. notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) .. 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 (Front of Application Only) Reroofs .Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF COMMENCEMENT State of Florida County of Pasco TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property, and III accordance wIth Chapter 713, FlorIda Statutes, the following information is provided in this Notice of Commencement: (8 1. Description of Property: Parcel No. ()- -2-G -;( - 00 P /; -0 f!)&1) 'D c!) ().2--8 (Legal description of the property and street address if available) 2. General Description of Improvement Reroof 1111111111111111I1111I1111111111111111111I1111I 111111111 1111 2007038439 Rcpt: 1087955 Rec: 10. 00 DS: 0.00 IT: 0,00 04/03/07 Dpty Clerk 3. Owner Information: Name Mary Doe Address 5615 Beazeh St reet City Zephyrhills State FL 33542 Interest in Property: Name of Fee Simple Titleholder: (If other than owner) JED PITT"AN, PASCO COUNTY CLERK 04/03/07 09:36am 1 if ~ OR BK 7446 PG 419 Address City State :j 4 ;~ . i Contractor: Name Richard Bartlet t of A Bartlet t Rooding Address 38408 3rd. Ave. 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City Zephyrhi lIs State FL 33542 City State City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) Notary Public: '<.' ~!,(", , 20!27 Signature of Owner: My Commission Expires: PC93053048/ A n . A. ~artlctt itnnfing (@f otcntrallJilnriba, 3Jnr. c/o Richard Bartlett 384083rd Ave. Zephyrhilfs, FL 33542 One of the Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home JP Stevens White Rubber Roofs & Insulated Aluminum Roof Overs RESIDENTIAL · COMMERCIAL · MOBILE HOME LICENSED - INSURED - BONDED · MEMBER OF THE CHAMBER OF COMMERCE · OFFICE PHONE (813) 782-5585 (813) 973-7737 (352) .523-1944 Lic.#RC 0031769 Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surroundipg Areas' We have reroofed or repaired over 15,ooo.~~mes and Mobile Homes in the last 33 yea~, Name i / r ....'i ' , / ,c : ';'. )/ .' "I A' /"-_' . Lr-<-----' Date / "Ii' 'N- ,0' Address ~' ) /-. r..:.f...-- ,1..// , '....-" .)~: / tll? I '.,., ~__ <,.1 l' P I,it ,H Phone ~ ./V /V0'-. 'oofing _~f entral '-' ~c. -'-. ! ....~. ' V0=J'/ lv"-- Richa C, Bartlett I I.", r' THANK YOU ---t II / / _ .' . . ------h-'t/1 .' ,Your Business is Appreciated,.-J.p A,--tl./ {/i./ It/, / (/ A"ayment upon completion unless previous arrangement made.NIlCjlfanlies pertain'-rOoriginal-owfler..../ / All arralT6;~ents conting;;'~~~~~~i;:S, accidents or delays beyond our control. Owner to ca~.'~ fi;:.:rnado and other necessary insurance. #-_ Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in cotlecting this bill. _ I! i Rotten wood ;s an ~ra $35.00 per sheet (4-ply). Rotten fascia is $2.00 per linear foot. /Total . ,. l,.,~ it' --; ; / ." ,/" /' / )/- ! (L fv tJ../. c T J ,I ~/ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6599 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6599 DEMOLITION 636-DEMOLlTION COMMERCIAL 18,100.00 Address: 7631 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 75.00 75.00 4/04/2007 Phone: DEMO EXISITING 695 sa FT SPACE FOR RENOVATION Name: UPER WAL-MAR Address: 7631 GALL BLVD ZEPHYRHILLS, FL. 33542 ~ {\ r 'iF b \\ :;) ~,~ .\ \J REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be 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. 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. ~~~ . ~. ~ CONTRA TOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER B13-7BO-0020 Date Received City of ZephyrhiUs Permit Application Building Department Fax-B 13-7BO-0021 -tf~Sq1 Owner's Name Owner Phone Number Owner Phone Number I Owner Phone Number I ....."....- I ~ ~rnUU ~~ I Fee Simple Titleholder Name I Fee Simple Titleholder Address I JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE ~1I1 0 BUILDING 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL 0 GAS 1$ 1$ 1$ 1$ o FINISHED FLOOR ELEVATIONS I _III BUILDER SIGNATURE Address i"1"~1 I hiLlI 81 vI/.. 'Uph r hills} Ft.. ~d I PARCEL 10# _ r::&J ADD/ALTO D REPAIR o COMM 0 OTHER o FRAME 0 STEEL 0 I ~DVa,t;Of'\ 0' 4J~u_ SQ FOOTAGE I (pq 5 I HEIGHT I ~ U l --_.UI..11..III1b_IIIIll4I8JI~"'IIIlI."'.IIII1_.IlIIII_II_1ImIIINIIIiftMM_lfIlIr_.~IIIIII!OOI.HIIIW L.OT# B o o (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR INSTAll SFR BLOCK o SIGN MOVE 0 DEMOLISH OTHER I J t" ODD 2.. 00 I I I I o I ONO VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o PROGRESS ENERGY o WR.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY 0 OTHER FLOOD ZONE AREA DYES -. ~ ~~~ :M\L-.I Y / N FEE CURRENT ~ License # 1a=.c.ISI2D'33 I I I I I I I I I ELECTRICIAN I SIGNATURE . Address I PLUMBER I SIGNATURE I COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N FEE CURRENT L1i.!U License # FEE CURRENT L1i.!U Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE I License # FEE CURRENT L1i.!U License # Address 1_11I!I_-.II~ r I II I.-_ RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. '-'PROPERTY SURVEY required for all NEW construction. 1f1~llr - II _,... ,_ FEE CURRENT L.:!:!!:U COMMERCIAL SIGN PERMIT License # -ijg .-r 1lIlI.~"M~m~i ........'-1111- Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same IIU --~"'1 11~ .--'-'''''IIIIIIlIW-'-IIftMIMml8IJ1 OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 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 RNANCING~ T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMM CEME . FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO- ~~~1an~;1f;o.r\;ii~ bg4..~l1 U~~'ad"d s t 0 rmed) forM: tf2,' ."..11"" 0 is/are ~rsonaJIy known to me or has/have produced Who is/are personally known to me or s/have produced \\\"" 1.1, ",~ as Identification as Identification. ~,~ ~ 6. y., ~ , '" ~ '"" .......... ~. 6 U~' ~ ~...~-. f ~/.lt.":ea. . olary Public ;: ::, 16 ~ * ~i 2008 %-i:.~_,_-, ..' $J~ '" .. !"UUN'_~\. "' ~ "'/.PJ-.A'.,.......: \f'O~,,,, /// "fFlY pv ", //////'11111111\\\\\\ 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, WaterlWastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 "V' 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. ~ ~u..'iL B. ViHil1tS Name of Notary typed. printed or stamped (3. tJ~ \\\""IIIII",,,/. ~",,\ 6. VIII'~"// ~ & ,"~,~""~.A. ~ NO~~~ ~~.,.~.~% ... ")-;. __ . cJl - ... -lA -..u . ~ ~~~ 18' !C~..~ =. 21008 "':: = ~ . : ~ ~~"" ~.I~~ % OJ},..........:\,~" ,,$' /'/',i;' Fly pv \\"" 11/1/11'11\1\\\\