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Home My WebLink About12-12912 CITY OF ZEPHYRHILLS � 5335-8T}i STREET � � (813)780-0020 12 BUILDING PERMIT Permit Number: 12912 Address: 5150 4TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15600-0160 Improv. Cost: 1,950.00 Date Issued: 4/26/2012 Name: LEIGHLY ROY& JO ANN Total Fees: 93.75 Address: 5150 4TH ST Amount Paid: 93.75 ZEPHYRHILLS FL 33542 Date Paid: 12/03/2012 Phone: 813-770-8584 Work Desc: REROOF METAL-see notes-reopen for 6months- � ►�s �. i�2 c•c.si� TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)oondemned 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� 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 requi�ed 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 oommencement." Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ` � - � CONTRACTO S ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH SIREET (si3)�so-oo20 12912 BUILDING PERMIT Permit Number: 12912 Address: 5150 4TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15600-0160 Improv. Cost: 1,950.00 Date Issued: 4/26/2012 Name: LEIGHLY ROY& JO ANN Total Fees: 62.50 Address: 5150 4TH ST Amount Paid: 62.50 ZEPHYRHILLS FL 33542 Date Paid: 4/26/2012 Phone: 813-770-8584 Work Desc: REROOF METAL '- � w l �� ( � ,5' . , TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construuction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site fl plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additionai restrictions applicable to this properly 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 notioe of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recoMing your notice of commencement." Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with Ci C es and Ordinances. NO OCCUPANCY BEFO C.O. ' o l � � ! ONTRAC OR SIGN R PERMIT OFFI R . �.� PERMIT EXPIRES N 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�� , � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �' ' � � Date Received: 3 - � � -( Z Site: � ( 5(j �� 1 Permit Type: M'e-� I`�-r� Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: O �� I� -�" C � � l�-� �c �- �� r'� This comment eet sh kept with the permit and/or plans. � i � f� � � � �� / . ` � `'� �, � � E jL�\ � Kalvi wit - s Examiner Date Contractor and/or Homeo r (R�quired when comments are pre t) b 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � � �� phone Contact for Permittln — Owner's Name :� � Owner Phone Number 2S �� //� '�� Owner's Address ci��i� ��"` �� + Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS t'�-5�, "/�` 5`F ��-� -��S LOT# C� SUBDIVISION . PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME �� STEEL Q DESCRIPTION OF WORK � /"CC3C7 J � BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $ G! �d VALUATION OF TOTAL CONSTRUCTION (1 �ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY � W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �;,j�_ j Z� �v � � OGAS �� ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � �F� COMPANY SIGNATURE 2„ REGISTERED Y/ N FEE CURRE� Y!N Address ' License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N Address Lfcense# � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy FoRns;R-O-W PeRnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Slte Work Permit for subdivisions/large projects COMMERCIAL Attach(3)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 submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�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 appllcation completely Owner&Contractor sign back of application,notarized If over$2500,a Nottce of Commencement Is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restric�ions" 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The u�dersigned 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.certi�cate of occupancy or final power release, the fees must be paid prior to permit issuance. Fu�thermore, 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 T13, 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 Ftorida 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'SIOWNER'S AFFIDAVIT: 1 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 wo'rk, 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 8 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 materiat 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 p�operties. 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 speci�cally included in the application. A permit issued shall be construed to be a license tv 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. 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. FLORIDA JURAT(F.S 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or a�rmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identlficaUon. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped . ..,....w .,.........b .,.,..., .�......., I"d�C 1 vI L «i � 1 1 � ' i 1 - �' r��c�c� F'0'i�c lh'p:�.'tl'.lE'�i�� BCIS Nome Log In User Reqts[ration Ho[ToDia Submit Surcharqe Stats&Fatts Publicatlons FBC Stafi BCIS Site Map Links Search Busines �� Professi��a� " Product Approval �USER:Publit USer Regulation Product Aooroval Menu>Product or Aoolication Search>Aoolication List>Appltt�tbn Mtall .'\�\.f i�-:'/t� (l��-y P- j J iJ t � 3-�/— /L. i FL# FL1763-R1 �`C�Y ��' ��f H�RH��( c ` ;4�!In�!!i � ApplicationType Revislon ��N� ��M'N�� ±_"�, 1 Code Version 2010 � '� ' Application Status Approved ~ —"' Comments Archived Product Manufacturer Advanced Aluminum Address/Phone/Email 29sa Pa�cway street ALL 1�'ORK SHAL1.COMPLY�T�%ITH ALL Lakeland,FL 33811 (863)648-5787 PREVAILING CODES.FLORIDA BUILDING advancedaluminum�msn�e�E,IJATIO\',AL ELECTRIC CODE AND Authorized Signature �ames sm�m CI TY OF 7.EPNYR�I1Li,S OR1_�1�?ANCES advancedaluminum�msn.com ��W�RK SHALL� Technical Representative � Address/Phone/Email �ODE,N��N�DES�F ORIDA BU`9`�'L ��YpFZEPNyRL EL S�o��ODELD]11 Quality Assurance Representative �jJj j IVD Address/Phone/Email �AN(,'�s Category Rooflng Subcategory Metal Roofing c�r '� � �� Compliance Method Evaluation Report from a rldaYR p�,. a Lic s Florida Professlonal En In �i�� / Evaluation Report 9Hardcop�R�►��,i�N�. H��S r � Florida Engineer or Architec[Name who Terrence E. Wolfe � �S developed the Evaluation Report Florida Llcense PE-44923 Quality Assurance Entity Architectural Testing,Inc. Quality Assurance Contrect Expiration Date 12/31/2014 Validated By Locke Bowden Validation Checkltst- Hardcopy Recelved Certiflcate of Independence FL1763 R1 COI Letter of Certification �df Referenced Standard and Year(of Standard) Standard Year TAS 100 1995 TAS 125 2003 UL 1897 2004 UL 580 2006 Equlvalence of Product Standards Certlfied By Sectlons from the Code http://www,floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvFGYZsjrZFR... 3/20/2012 a iva iuu L L11141116 �.vua+ vaaaui�. I"d�C G U1 L Product Approval Method Method 1 Option D Date Submitted 12/08/2011 Date Validated 12/13/2011 Date Pending FBC Approval 12/22/2011 Date Approved O1/31/2012 �Summary af Products � FL# Model,Number or Name Descri lon ; 1763.1 Advanta e Panel 26 Ga. 26 Ga.Advanta e Roof Panel over�h"PI ood Limits of Use Installation Inctructfo�s i Approved for use In HVHZ:Yes FL1763 R1 II 26 GA.Advantaqe Roof Panel over i Approved for use outside HVHZ:Yes I wood Details. df tmpact Reiista�t: N/A Verified By:Terrence E.Wolfe,P.E.44923 i � Desiqn Pressure: +N/A/-123.5PSF Created by Independent Third Party•Yes Other:-82.25 psf at 9"-9"-9"-9"Fastener Pattern at 24"Evaluatlon Reports i O.C. Fas[ener Spacing. -123.5 psf at 9"-9"-9"-9" FL1763 Ri AE 26 oa.Advantaae Panel over .5 Plvwood j I Fastener Pattem at 12"O.C. Fastener Spacing. Install HVHZ Roof 2 10 Format. df � I per manufacturer's detalls. For use in HVHZ Zones. FL1763 R1 AE 26 Ga.Advantaae Roof Panel Load � able. df � Created b Inde ndent Third Pa :Yes � �1763.2 Permatile Panei 26 Ga. 26 Ga. Permatlle Roof Panel over�i"PI wood i �LImRs of Uce Installatfon Instrudlons Approved for use in HVH2:Yes FL1763 Rl II 26 GA. Permatile Roof Panel over � Approved for uce outside HVH2:Yes I wood details. df j Impact Resistant: N/A Verifled By:Terrence E.Wolfe, P.E.44923 IDesign Pressure: +N/A/-161.OPSF Created by Independent Third Party:Yes Other: -74.8 psf at 14"-14"Fastener Pattern at 14" Evalustion Report6 O.C. Fastener Spacing. -161.0 psf at 7"-7"-7"-7" FL3763 R1 AE 26 Ga. Permatile Panel over.5 Plvwood Fastener Pattern at 14"O.C. Fastener Spacing. Instal) HVHZ Roof 2010 F rmat. df • j �per manufacturer's detalls. For use in HVHZ Zones. FL1763 RS AE 26 GA. Permatile Roof Panel Load � Iable. df � � _ Created b Inde ndent Third Pa :Yes � , Back Next f�nta��s 1940 Nerth Monroe Stn�et.Tallahae_erw FL 32399 Phene:850-tB7-1824 The State of Florida Is a�AA/EEO employer [onvAaht 2007-2010 State of Florlda. Privecv Steeement::Ac�cct6llttv at.m M::Refund SGtemerrc Under Florida law,e-mali addrcsses arc public reoords.If you do not want your rmall address released In rrsponse to a publk-reoords repuest,do not send elKtronic miil t0 thl5 eMlty InSWd,toMaQ tht OIFiOE by phone o�by tradkbnal mall.If y0u hav!!rry queStlo�S rlqardinq DBPR's ADA web accesslbility,please contsU our Web Msster at webmaster�dhnr.stste.fl.us. Product Ayproval AapOts: � �� +�tiUrit�'•n:�i:ii� v�r�eMin . � T/Y1tl� http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvFGYZsjrZFR... 3/20/2012 a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permittin — Owner's Name ✓ '� �� 4��Y Owner Phone Number �� S '�'�'�'T Owner's Address � T� Owner Phone Number Fee Sfmple Titleholder Name Owner Phone Number Fee 3imple Titleholder Address JOB ADDRESS �� } {/ s 1• �N��1/l.J� LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR 8 ADD/ALT � SIGN [� [� DEMOLISH INSTALL REPAIR � PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��G (� QU�t' �^�' ��h ��.rl!'��'7'��£ ' BUILDING SIZE � $ (� �S 3Q FOOTAGE C'� S HEIGHT l � �� QBUILDING E VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 �PLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J�� QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO UILDER COMPANY � IGNATURE � REGISTERED Y N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— PLUMBER COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Fadflties&1 dumpster;Site Work Permit for subdivisionsflarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new conshuction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compUance SIGN PERMIT Attach(2)sets of Engineered Plans. ""'PROPERTY SURVEY required for ail NEW consUuctlon. ..�..��r��i��rr Directions: Fill out application comptetely. Owner&Contractor sign back of application,notarized if over SZ500,a Notice of Commencement is requlred. (A1C upgradea over 57500) •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) Driveways-Not over Counter if on public roadways..needs ROW 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 IMPACTIUTILITIES 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 atl laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I unde�stand 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 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federat 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 pe�mitted. - 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�II 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. 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. FLORIDA JURAT(F.S. 117 03) OWNER OR AGENT CONTRACTOR Subsc�lbed and swom to(or affirmed)before me thls Subscribed and swom to(or affirmed)before me this by by Who is/are personally known to me or haslhave produced Wha islare personally known to me or has/have produced as idenNfica6on. as idenHficaGon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped