HomeMy WebLinkAbout14-15821 CITY OF ZEPHY�HILLS
�- - � 53 5-8TH STREET
• �� ( is)�so-oozo 15 1
BUIL ING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 15821 Address: 38046 10TH AVE
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: 11-26-21-0010-09200-0170
Improv. Cost: 2,900.00 � OWNER INFORMATION
Date Issued: 12/08/2014 Name: CUMMINS LORETTA
Total Fees: 75.00 Address: 38046 10TH AVE
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-3922
Date Paid: 12/08/2014 Phone: 813-781-6221
Work Desc: METAL ROOF
CONTRACTOR S APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 75.00
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Ins ections Re uired
DRY IN R OF INSP
TAPE JOINTS ROOF INSP
FINAL a'L— 1 �S ^- ��
REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi g reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctio s not made when inspections called d) work not ready for
inspection when called e) permit not posted n job site f) plans not at job site g)work not accessible.
NOTiCE: In addition to the requirements of this permi 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 mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a n tice of commencement may result in your paying twice for
improvements to your property. If you intend o obtain financing,consult with your lender or an attorney
before recording ur notice of commencement."
Complete Plans,Specifications Must Accompan Application. All work shall be pertormed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
� /;; ___ j 1,1,�
`� CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTI N - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER
i iiiiii iiiii iiiii iiiii oiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
, _ 2014189633
� � ` Rept:1645382 Rec: 10.00
DS: 0.00 IT: 0.00
/ �r NOTICE O COMMENCEMENT 12/03/14 D. W. , Dpty Clerk
Permit No.<�—`�� r`��" ���V �GJ� Q! �� �pqULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
12/03/14 10:37am 1 of 1
Property Identification No. OR BK �11 g p� 922
THE LTNDERSIGNED hereby gives notice that improvemen�s will be made to certain real properiy,and in accordance with Section
713.13 of the Florida Statutes,the following information is p ovided in the NOaICE OF COIVIMENCEMENT.
1. Description of property(legal description:� � � / � 6 C fG l � �z��
a) Street Address: � d l/' ,t' i s
_ 2. General description of improvements �
3. Owner Information � / ;�j�
a) Name and address: ��l'���G � S •3S'� � �� r� �' ��,017 f i �(.S �' _��`s�-� /�
b) Name and address of fee simple titleholder(if other han owner) �
c) Interest in property
4. Contractor Information /� n / "/
a) Name and address: �/� (�1.� / ^ ��O� L� Q �� /�/(�� Ze h /�l?/! �/
b) Telephone No.: / ' - ��' Fax No.(Opt.) ,L
S. Surety Information ' 7 Z
a) Name and address:
b) Amount of Bond: '
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addirion to himself,owner designates the following p rson to receive a copy of the Lienor's Notice as provided in Secrion
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expir tion date is one year from the date of recording unless a different date is
specified): �
WARPTING TO OWNER:ANY PAXMENTS MADE B THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT t�RE CONSIDERED IMPROPE PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORYDA STATUTES AND CAN RESULT IN YOUR AYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
PTOTICE OF COMMENC�MENT MUST BE RECO ED AND POSTED ON THE JOB SITE BEFORE THE�IRST
INSPECTION.IF YOU INTEND TO OBTAYN FINAN ING,CONSULT YOUR LENDER OR AN ATTORNEY BEFOIPE
COMMENCING WORK OR RECORDING YOU NOT CE OF COMMENCEMENT.
STATE OF FLORIDA --� •
COUNTY OF PASCO ��it!'�C/LL'i. �iL'I.�)�YI/Y1'�-'ti�`-'°
Signature OF Owner or Owner's Authorized Ol�cer/Director/Partner/Manager
;��e f'�-c� �y f,i ��� yn � nS'
Print Name
The foregoin ins,ument was acknowledged before me this� day of �eC�xn�P� ,20�by
(3t2, (,tl�fhi nCtS as (type of authority,e.g.officer,trustee,attorney in fact)for
(name f party on behalf of w o instrument was execut ). .
Personally Known_OR Produced Identification_ Notary Signature �
Type of Identification Produced �C� �►�?i-S I,�CP,Gc� Name(print) (.C��1�I� 2S
Verification pursuant to Section 92.525,Florida Statutes.Under p nalties of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
FORMSMOC.rvsd2007 �
Sig�aMe of Natwrl Pecson Sig�ing Above
5'='`'�"e'�"'
� •"'.�i�'y�•., JACQUELINE BOGES
'� := Commission#EE 040520
�� :��o�= Expires December 12,2014
r� '•k}j�N;0.�`•� BondedTAruTmyFainlnmranca600-3B�r1019
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City f Zephyrhills
BUILDING PL REVIEW COMMENTS
Contractor/Homeowner: �b��`�'�' �� ,
Date Received: - 3-
Site: u`� �d � j�� � '
Permit Type: � �1�-►��
Approved w/no comments� Approved w/the be ow comments: ❑ Denied w/the below comments: ❑
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This comment sheet shalll be kept with the pernut an or plans. �;
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Kalvin witze s Examiner � Date Contractor and/or Homeowner
(Required when comments are present)
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."�-'���s�.' - : � Code Version 2010FL# ALL
Application Type ALL Product Manufacturer Metal Systems,Inc,
Category ALL Subc�tegory ALL
Application Status ; ALL Com liance Method ALL
Quality Assurance Enfity ALL Quali y Assurance Entity Contract ExpiredALL
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Search Results-Applications
FL# Tvpe : Manu9acturer Nalidated Bv Status
FL650.0-R2 Revision; Metal Systems,Inc. Andrew Lovenstein, P.E. Approved
,Historv , Category: Roofing (813) 251-3301 �
' Subcategory: Metal Roofing
FL6511-R2 Revision� Metal Systems,Inc. Andrew Lovenstein, P.E. Approved
•Histor , Category:Structura Components (813) 251-3301
� Subcategory: Roof eck
�FL6513-R2 Revisioni Metal Systems,Inc. Andrew Lovenstein, P,E. Approved
Historv � Category:Structura Components (813)251-3301
� Subcategory: Struc ural Wall
` 'Approved by DBP0..Approvals by DBPR shall be revlewed and ratlfied by the POC and/or the Commisslon If necessary.
I
Con�c[Us:: 9 0 Nor o roe Stre [ a la assee 32399 Phone:B50-487-1824
The Sta[e of Florlda Is an AA/EEO employer.Co I f 2 07-2010 State o Flo ida :;privacv Stacement::Accessibllitv Slatement::Relund Statement
Under Florida law,emall addresses are puhlic records.I you do not want your e-mall address released in response to a puhlic•retords reques[,do no[
send electronic mail tn this enUty.(nstead,con�ct the fflce by phone or by traditional mail.I!you have any ques[lons,please contatt 850.487.1395.
'Pursuant to Sectlon 455.275(i),Fiorlda S[a[utes,effe Ive October 1,2012,Iicensees Iicensed under Chap[er 455,F.S.must provlde the Departrnen[
with an emall address If the�have one.The emails provld d may be used for offltlal communita[lon wlth the Ileensee,However emall addresses are puhlic
rxord.If you do no[wish m supply a personal address, lease provlde the Deparfinent with an erriall address whlch tan he made avallabte[o the public.
To determine If you are a Ilcensee under Chapter 455,F.S.,please cllck here.
ProductApprovalAccepts:
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http://f1 oridabtzilding.org/pr/pr_app_lst.aspx 9/19/2013
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',��,,�{ � FL# � FL6508-R2
�`w=�=��'��-�: ' � Applical•ion Type Revision
Code Version 2010
Application Status Approved
Comments �jjj .,_
Archived � .�.L,L��� �:,.��:; " 1„]�' /
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� 7'RICAL,� ULII��.:ji:v�; c''
Product Manufacturer Metal Systems,Inc. C���I''•-.,�A%C��u$ ��t�
Address/Phone/Email 3301 Paul Buchman Hwy
� Plant City, FL 33565
(813) 752-7088
atfabcutting@hotmail,com
Authorized Signature:, Steve Wailer ���1�/f��
atfabcutting@hotmail.com �l ��'�`� r �
Technical Representa�tive �i�
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Address/Phone/Email �L��S�'�ii�/(J���I��`S (
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Quality Assurence Re�presentative �-•
" 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 Samuel A. Greenberg
developed the Evaluation Report
Florida L.icense PE-34245
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date OS/28/2014
Validated By � Andrew Lovenstein, P.E.
, � Validatfon Checklist- Hardcopy Received
Certificate of Indepen'dence FL6508 R2 COd 320IISa FLG500 R2 C:OI Letl•er of Certification.pdf
Referenced Standard�and Year(of Standard Standard Year
Florida Building Code 2010
' UL 1897 2004
UL580 2006
Equivalence of Product Standards
Certified By ' Florida Licensed Professional Engineer orArchitect
_ �l_650f! R2 Cnuiv 320f158 FL650f1 R2 Letter uf Fquivalency_�clf
http ://floridabuilding.org/pr/pr_app_dtl.aspx?par m=wGEVXQwtDqubsyUdumBSkdQCK... 9/19/2013
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Seckions from the Code
Product Approval Mefhod Method 1 Option p
Date Submitted 07/26/2012
Date Validated 07/31/2012
Oate Pencfing FBC Approval oa/a�lzoza
Dake Approved 10/09/2012
Summary of Products
�
;FL# Mode1,Numher or Na e Description
?b508.i PBR 28 6a.PSR over S5J32"PCywood Non HVHZ
!Limits of Use Installation Ins#ructians
� Approved for use in HVHZ:Na FZ6S4t3 tZ2 T2 32085£i FL654ft 1 R2 Inska!l�7tion DraNlinqs.pdf
' Approved for use outside HVH2:Yes Verified By: Samuei A. Greenberq, P,E.34245
Impact Resistant:`N/A Created by Independent Third Party: Yes
. Design Pressure: +N/A/-94.58PSF Evaluation Reports
� Other:-94.58 psf @ 2'-0"O.C. Fastener FL65Qfl R2 AE 320t358 FL650£l �. R2 Enain�ering Evaluation,ptJf
Spacing.Install per inanufacturers details ot FLG508 R2 AE 320858 FL650a 1 R2 Load Table,pdf
for use in HVHZ 2ones. Created by Independent Third Party: Yes
6508.2 Ri� 26 Ga.3/a"Rib over 25j32"Plywood Non HVHZ
, Limits of Use Installation Instructions
Appraued for use in tlVtlZ:No FL&50£2 R2 II 320858 FL650i3 2 R2 Tnstallatlon Drawinas.nd(
Approved for use ouiside HVNZ:Yes Verified By: Samuel A.Greenberg, P.€,34245
Impact Resistant:;N/A Created by Independent 7hird Party:Yes
Desig�Pressure:�N/AJ-243,3PSF Evatuation Reports
; Other:-144.58psf @ 2'-Q"O.C, Fastaner F�&5dit RZ AE 32�t358 FL650f# 2 RZ Enaineerina Evaluation.pcft
Pattern Type A-243:33 psf @ 1'-0"O.C, f'L650(1 R2 AC 320850 FL65Qb 2 R2 L�ad Table.pclf
FastenEr Pattern Type B.Instal!per Created 8y Independent Third Party:Yes
manufacturers details. Nan for use in HVH
Zones.
-- .6508.3 F.i6 29 Ga.3fa"Rib 4ver i�/32"Ptywood Nan HYH2
,Limits of Use Insfailation Instructions
Approved for use in NVHZ:No FL650a R2 II 320fi50 FL6508 3 R2 Installation_ Drawinqs,pdf
Approved for use outside HVHZ:Yes Verified By: Samue!A.Greenberg, P.E.34245
� Impact Resistank:�NJA Created by Independen#Third Party:Yes
; Design Pressure:+N/A/-243.3PSF Evaluatian Reports
Other.-144.58 psf{@ 2'-4"O.C. Fastene FL6508 22 AE 320E45fi FL550£1 3 R2 Enqineeriny Evaluation.�df
�Fattern Type A-243:33 psf @ i'-4"O.C, r�5508 R2 ,�E 320858 FLG508 3 R?_ i.oad TaFs(e.ndf
Fastener Pattern Typ,e e,Install per Created by Independent Third Party: Yas
manufacturers detail's. Not for use in HVH
�Zones.
se�k nm�
, Contact US::1940 No onr e S[reet Ta lahass e t 3239 Phone:B50-487-192g
The Sta[e of Fbrida is an A�A/EEO employer,Co ri 007-20 cate of orida.::Privacv Statement::AccessfbiliN Statement::�efund Statement
Under Florlda law,emafl addresses are publlo records.I/you do not wank your e-mail address released tn respanse to a pu6tic-recards request,do no[
send eiectronit mail M khls entlty,lnstead�contac[the offlce by phone or by tradi[lonal mall.If you have any queskions,pleaSe tontatt 850.487,1395.
*'pursuant to Sectlon 455.275(1),plorida Statutes,eff ctive OcGOber 1,2012,Ilcensees Ilrensed under Chap[er 4SS,F.S.musk provlde khe Departrnent
w�th an emaii address tf they have one,The emails provi ed may be used for'otttcia3 communicatlon with the Ucensee,tiowever email addresses are public
record.If you do not wlsh to supp4y a personal address,p{ease provlde che Departmenk wi[h an emall address which can be mada availabie ta[he pubtic.
To determine if yo are a Itaensee under Chapter 455,F.S.,please alick here.
Produet Approval Acsepts:
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�,�-rawUU�U City at Zephyrhitls Pecmit Application Fax-s��-7sa-floza
', Building epartment
,,.-�• _ - - �
Date Recetved � �2,�3�-i - ' _ .;phone Gontact for ermittin � --
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Dwner's Name �6� � C• �� � Ownec Phone N ber�. -U'��-� �l — (9 '
Dwners Address ��� �t,.l� � � �� Uwner Phone umber +C ~
Fee Simpte Titteholder Flame � Clwner Phone Number Y �.
Fee Sfmple 7itlehoider Address
!OB ADDRESS ' ���� `C �lF t� � ��. �� �� ��)C I.QT# �____��
5U8DIVlSlClN �— � PARCEL 1
- -- --- - - _ - __- -_ — . __ _ --- -- - - _.._ _ ---. _(09TAIME�EROM PRO_P_ER7Y T�CN0T10E)___�______ _-- - —_____..�__..
WORK PROPOSEb e NEW CONSTR 8 ADDiA�T �,� SIGIV Q , Q DEMOLISN ;
SNSTALL REPAIR
PROPOSED USE . . C] SFR C] COMM � OTHER
TYPE OF CONSTRUCTIQN [� BLOCK Q FRAME � STEEL [�
DESCRtPTtON OF WORK t����� �`�`T
BUll.QINC,StZE �— �.'� SQ FOO AGE FiE1G1{T � �
�
OBUILDING $ >}� /'� VA�.UATIt}N O T01'AL CO�lSTF2UCT10lV
vL viCJ
QEL,ECTFtlCAL AMP SERVICE CJ PROGRESS ENERGY Q W.R.E.G.
QPLUMBWG E.�_____�� /���'� �, ���'�
c� �j_W �'��
QMECHANICAL ��� VALUATION O MECHANICAL INSTALtATION ��
�
OGAS Q ROaFING � SPECIAL Q OtHER ^�1 �j
�l�/ " ��G�ro�nu��-_�'D�
=1NSSNED FLdOR ELEVATiONS FLOOD Z tJE AREA QYES NO � � �,� r�
• �� �\
3WLQER r j� ��/ � �COM ANY U �,�1
t�}Z���-- l./�'�3�11Y�}n~{�-� .�
atGNATU1tE j REGiS RED Y/ N FEE CURRE� Y/N
AddKess CEcense# �� ���
3LECTRICIAN � COM ANY
alGNATURE REGIS REO Y/ hi FEE CURREi� Y/N
Address l.Ecense# � �
�LUMBER COM APtY
3ltiidATU#tE REGt REO Y J N FEE CURREn Y i R1
Address �icense# � �
AECHANICAL CQM ANY
i1GFiATtfRE „ REG� REO Y t tV FEE CUttRE� Y 1 tV
Address Ucense# � �
)THER COM ANY �
EIC�NATUf2E RE��s R�o � Y t iti! FEE CtlRREP Y!hl
Address license# � �
tESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildtng Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction,
Nlintmum ten{10}wortcing days after submlttai date, Req Ired onslte,Construc#lon Plans,Stormwater Plans wl S11t Fenca Installed,
Sanitary Fadllttes 8�1 dumpster,Site Work Pertntt for sub tvis{onsilarge proJects
:OMMERCIAL Attach(3)complete sets of Building Plans plus.a Life Saf ty Page;(1)set of Energy Forms.Ft-O-W Permit for new construction.
Minimum ten{10}vuarking days after submittal date. Req lred onsi#e,Constrvcflan P1ans,8tormwater PEans wl Siit Fence l�stalled,
Sanitary Facilltles&9 dumpster.Site Work Permit for all ew projec#s.Ail cammerclal requfrements must meet compliance
�IGN PEFlMIT Attach(2)sets of Englneered Plans.
'*"PRCIPER7Y SURVEY requlred Tar alt NEW constttrc� n.
Ilrectlons: '
Fi{I out applicatton campletely.
Owner&Contractor sign back of application,notarized '
If over SZ50q,a Notlae ot Cammencement is required. (AIC upgra es over�T500�
' Agent{for the cantracfor}or Power af Aftomey(far the owner}would be omeone wtth notafized iet#er from owner authorizing same
IVER THE COUNTER P�RMITTING (Front of Appllca8on Oniy)
,eraafs If shingles Sewers Setvice Upgrades AlC Fences{ #aUSurveylFoatage)
Driveways-Not over Counter if on public roadways..nesds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulatians. The undersigned assumes responsibfiity for compEiance with any
appticable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
cantrac#ars to undertake work, they may be required to be I�censec3 in accordance with state and lacal regulat3ans. If fhe
contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
under state law. , (f fhe awner ar intended contractar are uncertaln as ta what Ilcensjng requtrements may appEy for the
intended wark, they are advised to contact the Pasco County Buitd(ng Inspection Divis(on—l.icensing Sec#ion a#727-847-
8409, Furthermacef if the owner has hired a contractor or contractars, he is advlsed to have the aontractor{s) sign
portions of the "contraatar Btock" of#hfs application for which they wili be respanslble. If yau, as the awner sign as fhe
contractor, that may be an indication that he is not praperiy licensed and is not entitled to permit#ing privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPAGT AND RESQURCE RECOVERY FEES: The undersigned unders#ands
that T�ansportation lrr�gact Fess and�Recaurse.Recovery Fees.m�y app4y#a the constructian of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty t�rdinance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees, as may be due, will be identified at the time of
permifting. It as turther understood that Transpo�tation lmpact Fees and Resource Recovery Fees must be paid pr€or to
receiving a "certificate af occupancy" or final power release. If the project does not involve a certificate af occupancy or
final power release, the fees must be pald prior to permit issuance. Furthermare, if Pasco County WaterlSewer Impact
fees are due, #hey must be paid prior to permit issuance in accordance with appiicable Pasca Coun#y ordinances.
CONSTRUCTlON UEN L.AW{Chapter 713, Florlda Statutes, as amended):. If valuation of work is$2,500.00 or more, !
certify that !, the app{icant, have been pravided with a copy of the °�larida Constructian Lien !aw—Homeawner's
Protection Guide" prepared by the Flarida Departme�t of Agriculture and Consumer Affairs. If the applicant is someone
other#han the"owne�', I certify that 1 have obtained a copy of the above described document and prom�se in govd faith ta
deliver it to#he"owner"prior ta commencement.
CONTRACTOR'SlOWNER'S AFFfDAVIT: i certify that ail #he informatEon in this application is accurate and that ail work
will�be done in compliance with ail applicable taws regufating construction, zoning and iand deveiapment. Application is
hereby made to abtain a permit to do work and installation as indicated. I certify that no wark or installation has
commenced priar to issuance af a permit and that a11 work wiD be pertarmed,to meet star�dards of a11 laws regulatirtg
construction, County and City codes, zoning regulatians, and land development regulations in the jurisdiction. ( also
certify that 1 understand that the regula#iat�s of ottier governmen#agencies may appty to the intended work, and that it is
my responsibility to identify what actians I must take to be in compl(ance. Such agencies include but are not Iimited ta:
- Depar#ment of Environmental Proteation-Cypress Bayheads, Wetland Areas and Env(ronmentally Ssnsitive
Lands,WatedWastewafer Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army,Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment of Health � Rehabii�tative ServicesiEnvironmentai Heaith Unit-Weils, Wastewater Treatmen#,
Sepfic Tanks.
- US Ernironmental Protection Agency-Asbestos abatement.
- Federal Aviafion Autharify-Runways.
I understand#hat#he following restrictions apply#a the use of fill:�
- Use af fiii ls nat allowed in Fload Zone"V°unless expressiy perm�tted.
- If the flll material is to be used in Flood Zone "A", i# is understood that a drainage plan addressing a
"compensatfng volume" will be submitted at fime of permltting which is p�epared 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
constructian, 1 ce�tify that filE wil)be used only to ftll the area wttttln the stem wa[i.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
- prope�ties. i#use of fill is found to aclversely affect ad�acent properties, the owner may be cited for vio{ating
the condifions of the buifding permit issued under the attached permit applicafian, for lots less than one (1)
acre which are elevated by flll,an engineered drainage plan is required.
tf 1 am the AGENT fOR THE OWNER, 1 promise in goad faith to inform the owner af the permitting canditians set fo�#h an
this affidavit prior #o commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welfs, pools, air conditioning, gas, or ather lnstallations nat specifically inaluded in the application. A
permit issued shall be construed to be a license to proceed wi#h the work and not as authori#y to violate, cancel, alter, or
set aside any provlsians of the technlcal cades, nar shal) issuance of a perm9t prevent the BuIldirig Officia!from #hereafter
requiring a�aorrection of errors in plans, constructian or violations of any codes. Every permi#issued shall became invaiid
unless the work authorized by such permit is commenced within six months of permi# issuance, ar if work authorized by
the permi#is suspended or abandaned for a period af s�x{6}months after the time the work is commenced. An extension
may be requested, fn wri#ing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
jus#ifiable cause for the extensior�. if work ceases for ninety(90}consecutive days,th��ob is considered abandaned.
WARNING TO OWNER; YQUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYtNG TWiCE FCiR IMPROVEMENTS TO YQUR PROPERTY. IF YOU INTEND TO tJBTA1N FIMANCING, Ct3NSUtT
IIVITH XOUl3 LENDER OFt AN e4TT�RNEY BEFORE 6t�CARDING YOl�R N0710E C1F COMMENCEI!lIENT.
FLORIDA JURAT{F.S.417.03} ` .�.�f `
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K�t��f�w,v' �t�r� as Identl�ca�on. �La �:�r'�r �`�S� as Identificafion.
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