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HomeMy WebLinkAbout13-14809 CITY OF ZEPHYRHILLS 5335-8T1-I STREET (813)780-0020 14809 BUILDING PERMIT Permit Number: 14809 Address: 5502 8TH ST HISTORIC Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-10100-0170 lmprov. Cost: 2,450.00 Date Issued: 12/10/2013 Name: WILKINS, KENNETH PAUL Total Fees: 150.00 Address: 5502 8TH ST -HISTORIC Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/10/2013 Phone: (813)480-2566 Work Desc: REROOF METAL HISTORICAL HOME DOUBLE PERMIT .• . _ I I '•• � 1 1.11 I I y �. � �:a F.dL�e� r.G,=.e re ....g!"aaa , ' 'Aa ' . ..< 'kl#.' -•• TAPE JOINTS ROOF INSP FINAL ( 2,_ I f 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 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements t. eur-p.• ,erty. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plan Specification Must Accompany Application.All work shall be performed in accordance with �= es and Ordinances. NO OCCUPANCY BEF: C.O. _ •/ / 444> . y4/ "seiri Am-NATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills Service Request Details Number 1669 Type No Permit Date 12/6/2013 2:31:00PM Assignee Brown,Eugene Status Closed Department Building Schedule 4.05 Taken By Boges,Jacqueline Closed Date 12/10/2013 97.20 Priority Location 5502 8TH STREET Feature District Caller BILL,BURGESS Address 5335 Home Phone 813 City/State/Zip , Work Phone Caller Note Cell Phone E Mail Description REROOF HISTORICAL HOME WITHOU PERMIT S/W CONTRACTOR WILL BE IN ON TUESDAY TO PULL PERMIT PERMIT COST WILL BE DOUBLE PER BILL. 12/6/13 Contact Notes Date Time Made Note 12/10/13 15:43 No Request Closed:pulled permit 12/10/13 tuesday#14809 December 10,2013 Page 1 of 1 (0 \l' \ arvl APPUCATION FOR A HISTORIC DISTRICT "CERTIFICATE OF APPROPRIATENESS" a-ylioe:App!Ication #. Cornbuting: Yes/No Darr). Submitted: ... rApptic a M.. Pies zuvichl;raftarrna don botbio#,..iri Iht)cif xtbro:Hof,s', Pfoperty Addret-z or Locotic.vr: :-.(-7)r .i......_..."E - V- ... ....• —1.__e54,4%,,----_,- -:..N.S....\c-Z-N\,.\.. .-4.- c-- --\ Owner's Name: \,CNS"x \sk--.. ..\ -...\\,\X--.4.\(\., Phono Applicant's Name & Corn par y (ff c:iffftrenrk"-N.s‘ce ■ C__. I \\_ •,r 6,C.:,..NeN.N..),, ,c AppiTcant's Ntliflog.4clrp_-_55: --)_\r.: .--- ,..... ._Nr...,__..,,...p..7■,..."" e_...,N,c)4.„,e ' N _ .3-..,N -.-. .. . .5. App.. Conlracz 1111.0 Phdrie --1%br- A_\"\l, Fax.. ..n.- \-°'s J\-1—Elr■ail. '..`1/4.\,1\..\..., \_)„,,C-NQ■s_.C.... \-v-\, Type. al Property: Residential L,,,'"----- Com rrlercii rubric or Other PROPOSED RESTORATION I RENOVATIONS I REPAIRS I RELOCATION I ETC: trier Wilk Sig mane _ IFx-terior t"_7f)cr7i, Liejliing IN Indipwi New Main Building ir A,Irlitk)ti to E2zistin Bulldirx3 Portho5 Nsw Accessory Bldg. frlanall(t, rwport.,Iihed Aavninsid u (1,-impic a New deck• ramp-,patio, LAC. Fencing f3 wing. Dernoliticn or ReloitInn - El_terior Painting f i C u k..)r Oiartges Gfri n ecri I Repairs fdash...:1A., hiNow,S ...71, -inoring (Aner ildepc.-ibe bulonJ D-34:-Wed deoriplLon of pncip:-.)F-A-oi kftrk: (aft;-741 altber:-t-rot*,:rf rhecIlKsar_si ..„..9._- _:1;Z_Is , - •- ., Tbo Illstert.Prtacivation Board till:ores:hat trio foinwing ink:viral:ion MUST be int:4311ot with:-in application prior tb application being antApptad by:.,-t-.0; • Detailed Plans,tricluding a site ri.on;Ind eievar)V n in.., • r.,-.)Inr 3nd mimnrfral nermiul.: • MA nutdqo rr..r s sakes atimntline' • Phe.tograchinci • Arty otrlet umorli ,Ar,,' ...ijir.,:.'cli ir) -how r.1- il ihe prupoacd-ary t if,can,.4 - ..fiiillir. ..t)• ,ted Cupwtment of Inialitor S - -- lir A roe or ,..... , sic:NATO RE I'm'A i l r,!'. 1, V'f l e k l l l AS- :---* li.IA;•t ,1400.,,-;:anr cfn NOT.44rekr(3ZI.O'lry ACTION TA.KEN D:3-te: / I /-2 7/ /e-:-3 .:.,... ley St.M: Approved Den ie.-b . ._ Reon for Dona: E ,,,. HPB: Appreveci Approved with rtirJciflc,-itions ncited b -...Awv- anfl'or en attached sheets Dertied _ c( me. 13(k n ,i Ictie , ,De -f, ' i)-(ri\ol e -) r . - -- . — • —- • • • .,-—• - -1: 1\17C --'r 7-(_,%a S /1) f( /J d apprcim- c. -, — 77) 6 fi EP to c -,s / i) -r c 1\/11 e'e-( 0 c -/L/Le_ h e.' (15 rt ,,,,-, --I— r/P(ac )1) -el 0L-t- c r '-•)- t-c / n l'J if' L., ) I •NUV c.v •.: vr .v'+j.N i ovC i ■riG � -D07 L 7 L r Ore_Florida Building Code Online ' N � .t; - -c Page 1 of 3 • ice. ti - De k r n BOS Mcrae yep Ir User kepist aeon riot Topics Submit 5.)rrnarge Stets&Facts ■ Publications d PBC Safi ' SCIS Ste Map :irks Search �e BusinessK ;t . -' Professib_ a Product Approval I' USER: Public User t,i.UU,' .�or .. 'm ud App•,va�nl n >PrcJLi C,Dr acoI;A,,s;5'c3?>Acchcei n L >Application Detail r ' y FL 4 FL4525-R2 r�' rl:;=: . _v Application Type Rev's',on Code version 2010 Application Status Approved i i �, `; '; Comments t11.1'1( r . � I I ' Archived :O ii (.'• t1L fI Product Manu`acturer Metal Building Supplies, LLC `� > Address/PhonefEraii 800 E. Donegan Ave Kissimmee, FL 34744 (407) 935-9714 fivaiidation @yehoo.com � Authorized Signature Scott Prossen D 1✓ `iva'idation©yahoo.corclTy _ - ! (�F FF�HY Technical Representative �1 A' PXAA�fN fiH/Li.c`1 ( Address/Phone/Email 1 - Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Metal Roofing Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Terrence E. Wolfe developed the Evaluation Report Florida License PE-44923 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 05/06/2014 Validated By Locke Bowden Validation Checklist- Hardcopy Received Certificate of Independence FL4525 R2 COI LEi ER of Cerr_ification,pcf Referenced Standard and Year(of Standard) standard Year FM 4471 1995 TAS 100 :995 TAS 125 2003 UL 1897 2004 UL 580 2006 Equivalence of Product Standards Certified By http://floridabuiIding.org/pr/pr app_dti.aspx?param=wGEVXQw-tDgvjCiiNa3IFkMgK06... 11/26/2013 v■ v LU 1..) u, vvl r dvC r IC Cr',leipi!beS Iris 4U/5b/ U1 L p.13 Florida Building Code Online Page 2 of 3 Sections from the Code Product Approval Method Method 1 Option D Date Submitted 01/30/2012 Date Validated 02/13/2012 Date Pending FBC Approval 03/08/2012 Date Approved 04/03/2012 ;Summary of Products FL * _Model,Number or Name I Description 4525.1 - 24 Ga. LO Nail Strip -4', P 0 Nail Strip 24 Ga. 16" Wide Roof Panel over 15/32" r- l Plywood Limits of Use Installation InStructiOnS Approved for use in HVHZ: No 6L 5 452 2 II 1.0 Nall Strio deGsils C•df Approved for use outside HVHZ:Yes Verified By: Terrence E. Wolfe, P.E.44923 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +N/A/-153.5psf Evaluation Reports Other: -59.75 psf. @ 16"0.0. fastener spacing. -101.0 F;4525 22 At 1 Nai',strip 24 qa over Plywood Roof psi'@ 6 3/4"o.c.fastener spacing. -153.5 psf @ 6 3/4" 12010 Forma.ndf ;o.c. fastener spacing, Install per manufacturers details I FL4.2.5 R7 AE L:Oad TaolL trio,pdf 'NOt for use in HVHZ Zones. i Created by Independent Third Party: Yes :4525.2 124 Ga. 1.5 Sna. Lock !1.5 Sna. Lock 24 Ga. Roof Panel over 15/32"PI wood , Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL4525 R2 11 1.5 Snap Lock.de:aiis.pdf IApproved for use outside HVHZ: Yes Verified By: Terrence E Wolfe, P.E. 44923 Impact Resistant: N/A Created by Independent Third Party: Yes 1 Design Pressure: +N/A1-116.Opsf ;Evaluation Reports ----, ^ Other:-86.0 psf @ 24" c.c. -108,5 psf @ 12" c.c. - FL4525 R22 AE ■1.5 Snap Lock 24 ca. over .S Plv ,00d ;I 116.0 psf @ 6"o.c. Install per manufacturer's details. For HVHZ Roof 2013 Format.pdf use in HVHZ Zones. FL4525 R2 AF Load Table- 1.5 Snap LCck.pdf • Created by Independent Third Party: Yes , ..452S.3 126 Ga. 3/4" Rib '26 Ga. 3/4" Rlb over 15/32" •I wood Non-HVHZ i Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL4525 R2 IT 26 Ga Rib over p ywood details.pdf Approved for use outside HVHZ: Yes Verified By:Terrence E. Wolfe, P.E. 44923 ; Impact Resistant: N/A t Created by Independent Third Party: Yes Design Pressure: +N/A1-159.2PSF Evaluation Reports Other:-71.75 psf @ 24' o.c. fastener pattern. -159.25 ,FL4525 P2 AE 26 Ga. Rib over of,hood - Load psf @ 12"a c. fastener pattern. Install per manufacturers Table.odf i icstallation details. For use it HVHZ Zones. FL4525 R2 AE 26 G . Rib Panel over.5 Plywood HVHZ_ ' y Roof 2O71 C FcrmaL.puf Created by Independent Third Party: Yes 4525.4 •26 Ge. 3/4" Rib 26 Ga. 3/4" Rib Roof Panel over 1/4 Wood Purlins over 115/32" Plywood 1 Limits of Use Installation Instructions I Approved for use in HVHZ: Yes F14925 R2 I, ? a. R,b over 1x4 woop a !iris ll Approved for use outside HVHZ: Yes P Impact Resistant: N/A d? l _P Verified By: Terrence E. Wolfe, P.S.44923 IDesign Pressure: +N/A/-164.2psf 'Created Independent Other: -106.75 psf C' 24"o.c. -154.25 psf by Pendent Third Party Yes Install per manufacturers details. For use In HVHZ Zones.I FL45 5'22 RAC 26 Rib AC 26 Ga. Ri,- Pane.over 1x4 HVHZ Rocf 12010 Format prlf i FL4525 R2 AE 26 Rib over 1x4 wood Durli,ns - loaa 'table.p_p11 Created by Independent Third Party: Yes ;4525.5 26 Ga_ PBR 26 Ga. PBR Roof Panel over 1x4 Wood Purlins over - 15132" Plywood Limits of Use - Installation Instructions Approved for use in HVHZ: Yes FL4525 F.2 II 26 Ga. PBR.over 2x4 details.adf Approved for use outside HVHZ: Yes Verified By: Terrence E. Wolfe, P.E. 44923 Impact Resistant: N/A i Created by Independent Third Party: Yes Design Pressure: +N/A/'-151.7PSF Evaluation Reports Other:-100.5 psf p 24"o.c. -151.75 psf @ 12" o.c. FL4525 R2 AE 2.6 Ga. PBR over 1x4 a±:ood ourti:ns Ioac1 l install per manufacturers installation details. For use in ate.Ddr HVHZ Zones. FL4525 R2 AE 26_Ga. PBR Panel over tx4 HVHZ Roof ,. i 7020 Farmat-Pd f -- • hrtp://floridabuilding.org/pr/pr_app dtl.aspx?param=wGE VXQwtDq vj Cii Na31FkMgK06... 11/26/2013 Iyuvcu I.) vi ,... +k i 05 1ICCIItsiYiibeb !nu 4U/'O/ U'L p4 Florida Building Code Online Page 3 of 3 Created by Independent Third Party. Yes ;f --. x4525.6 126 Ga. PBR 26 Ga. PBR 36" Wide over 15/32" plywood ''Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL4525 R2 II 26 Ga. PER over _ywood ceIails.edF i Approved for use outside HVHZ: Yes Verified By' Terrence E. Wolfe, P.E. 44923 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +N/A/-154.7PSF !Evaluation Reports 1. Other: -60.5 psf @ 24" c.c. -154,75 psf @ 12"c.c. I FL4525 R2 AE 25 pa. °BR over plywood 'cad table.pd` ii Install per manu`acti.Jrers installation details. For use in I FL4525 R2 AE 25 Ga. PBR Pane' over.5 Pivwocd HVHZ ii I HVHZ Zones. Ro .f 22111 ForTn.t.Rdf .i Created by Independent Third Party: Yes I i h 4525.7 lMin. 29 Ga 3 4" Rib �� 1 Min. 29 Ga. 3/4' Rib over 15!32" Plywood Limits of Use ,Installation Instructions Approved for use in HVHZ: No I FL4525 :2 11 Min. 29 Ga. Detai s,pdr Approved for use outside HVHZ: Yes I Verified By: Terrence E. Wolfe, P.E.44923 Impact Resistant: N/A 'Created by Independent Third Pa-ty: Yes - Design Pressure: +N1A/-146.0psf Evaluation Reports i. Other: -84.25 psf. @ 24"o.c. -146.0 psf @ 12"o.c. FL4525 P2 AE 29 Ga. Rib. Panel over .5 P:yvvoc'd NEON i:Cnstall per manufacturers details Not for use in hVhZ I-VtiZ Roo`2010 Fgrrral.DC.j ii Zones. FL4525 P2 AE Min 29 Go Icadtable0001.pdf Created by Independent Third Part Yes i I Barb I Neat Contact 4s:: 1940 North Monroe Street.Tallahassee FL 32399 Phone:6.50-407-1024 The State of Florida is ar AA!EEO employer.Cooyrioht 2007-2013 State of Florida. Privacy Statement Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in renocrse to a public-records request,do Oct send electronic mail to this entity Instead,contact the office by phone or by traditional mail.If you have er.y questions,please contact 850.487.1395. -Pursuant to Sector x55.275(1),Florida Statutes,effective Octohe-_,2012,licensees icensed under Chapter 4S5,F.S.must provide-he Department war.or email address if they have one The emalls provided may be used for()MO al comnur Cation with the licensee.However email addresses are public record.if you do not wish to supply c personal address,pease provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455,F.S.,please click_R ----, Product Approval Accepts: tecur 'Fiu'nl,:c:. Credit .3r • http:I/flori da building.erg/pr/pr_app_dtl.aspx?param=wGE V;YQH tDq v i CiiNa3lFkMgK06... 1 1/26/2013 'NOV v, .v..;3., ' avC 1 ,CL,ILc,I,J'rJCJ1,1(.... 4U/DO/ U12 P 3/4',RI$_ ICAt.DETAILS OVER }5;32" PLy^ OOT) 1 1 LRE?ri[ME TUBE ' i.c-t'—. L 'Et.ED 'RJ"S1C1E CU' SURE -- 1 ` VALLr TRif.0 i 3o# F-ELT '--, PANEL-‘ 11 J E" i 3 f j/ ( x-15 s I 1J< ti'8F1 ..ii tVe�ee ` / I/ 12) PEq PANEL LNDD 1 / "3t. l "Q 1 - i -�� / :� 4x 1r o€ PANCAKE l t ' ( t F \--1513:1" PLYWOOD (':1 RU45'S Of 3�32" z 1/2"-' ! TAPE SEALL-R TYPICAL DETAIL 1 VALLEY 3 1 i 1 f-- 3-I: x 1 1/2. 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RAP CiOn./n i 07 AON! 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting Owner's Name ef)),e, ` Owner Phone Number Owner's Address 5 S 2- otii _Sr'? Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS -Zt-,CkN,NNc��..c �X . ��Sy� LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR n ADD/ALT SIGN I-1 n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM OTHER I TYPE OF CONSTRUCTION (--1 BLOCK n FRAME STEEL n I I DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT I[ BUILDING $ o.. VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY El W.R.E.C. PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 7/// te�� GAS n ROOFING n SPECIALTY OTHER I I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO UILDER ��� IGNATURE /�',,!! REGISTERED I Y/ N I FEE CURREN /N I ✓JJJ "` Address ( License# I LC�����\VI\ ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N I Address License# I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N .1 FEE CURREN I Y N I Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y N I Address I I License# I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I YIN I Address I License# 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)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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** 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 if shingles Sewers Service Upgrades NC Fences(Piot/Survey/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" 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, 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, 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 COMMENCE T MAY RE UL IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T•`e h FINANCING, WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT - -j /47— FLORIDA JURAT(F.S. 117.03) .J / �; CONTRACTOR✓`,4-.." OWNER OR AGENT Subscribed ands 11 '�'""'..,-. before is Subscribed and sworn to(or affirmed)before me this 2-0 e 3 by ��0.� - ��p^c by Who is/are personally known to me or has/ha - produced Who islare personally known to me as Identifcatiionroduced f7 Dz-l)er r`,02.r - as identification. ✓ Notary Public Notary Public ` 'G0-E.,. "i,c e-L!""F / J�5 c�, / Com iz ',.. . . — Commission No. "'.:�.'"JAcomE ••' <ion 520 typed,printed or stamped Name �n reoo-3I:_ Name of Notary typ P '''` ; , Tiny Fain