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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 �� 1 �; � �-- �2 - t � - � �{ J E� 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 �� `\ , �, � "; ;, � ",=. rt'��� �`"` �f i �: '�- - - C� Y'" ��(� _ -� � 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: ❑ �t; � i �. r." � i ��, This comment sheet shalll be kept with the pernut an or plans. �; .', � i f�- y� Kalvin witze s Examiner � Date Contractor and/or Homeowner (Required when comments are present) � ° - -----—-------o �.._.. .....,..., rdge i or 1 �, • �� , l II �'�^�, ��'�!i����� t ��pS�� ' T�„' J� j` +-4 5 Ye,�,..�i.� '"��� ���sia�y i�� E Z` ' � ,.. � .• � k-, �',ti r �;.. + ��y���.�,�.'. .,. -r�a'� � tk� � i�� ••a� l� i'�� '� �. � � . � � �F � �.4..-T'1Ir•;�M1 � ,' ~. �•' � � S d ( , f 0 `ix 'J� �� �_ _ . -.T� +" � ,. _.- .f?<.1,��Yiy`,'rx..3f:� „ . s ,� ,y� 1+ _ q ' y s H:i:� ' �: �:.... . _. :.di:.y _' -` . ��" •� .: t.i' �i-�:... q•.-�, :. I� r.p.. �.t�.r4;.+�� .�;;�k.+ r.r�..:�.� '�,..�.'�•'. r BCIS liome Lo I R g � P n� ,:•.::i''a�fl'�,il�' 9 n User e is[ratlon �Hot To Ics S bmi[Surcharge Stats&Facts Pu611catlons 'FBC Staff BCIS Site Map Links Search B� siness'��'� � � Pr�fessibnal �;��Product Approval ', np �USER:Public Usei lt�,l��,�!����`J1� � � � '�� � Produc[Aooroval Menu>ProduU or Aoolica[ion Search> ppllcetion List � r'.+s�F3: .r�r�' ; �x°�ffi$ �r*�:�_;; ,�� : Search Criteria Refine Search ."�-'���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 Product Model, Number or NameALL Produ�t Description ALL Approved for use in H,VHZ ALL Appr ved for use outside HVHZ ALL Impact Resistant ALL Desig Pressure ALL Other ALL � 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: � �' s�Et-k � sccuril�•�,i�i�ur., i i http://f1 oridabtzilding.org/pr/pr_app_lst.aspx 9/19/2013 I ' ° - ...-......,,.b .�.,�„ V111A11V ra�e i oz� . I y 'r .11 .,,,. ' �,±`"t�5'{`EBrz:ik�t.�•i,r t� v v '.: .4..� . L-..:��r?3u4:.±::�i+,1.: ,�_'A _� , al.� ., = . ' ��':_. '4;`�?,'�:�'z;.';n_�.�S`���'+` �_y - : - $' � �� i°� t�� 1 .➢y4 '�T�_'�.i. I.�.t: t, , „ .,4 "} s R,� �iTtf. . '. !x a{;' I��C f.;� ��JJ^���"- � - �4t.il � ��4 _�. . Y Jiy�:, i �%"�rt' �`�� e` 8 ! •: 8 9 `�1 4c� ' . . _ '��{^i't."ia�r�( �Y - �' _ _ �. �"�y� �� - �__.-- — ' :i!{�.r ti,.�yi y � 'a" _ �s�^ �:d...,«3.3...re'r..�f�SF���� _ . y�� 7� ` a . • a: � � Ck��3k.��Gt2'%�. 'SYI.��_I���1.�5.._�.}_�' �.�.� „� r.���:����r,�-. BCSS Home Log In User�Regfs[ratlon �HotToplcs S bmi[Surcharge Stats&FacLS Publlcations FBC Sta(f BCIS SI[e Map Links Search Biasi�hes�%�� - : � '�-. PC��feSS�On(�I v,.�le, Product Approval t1SER:Publlc User �'��: LIl�ailc)r7 , �.-,,) � � � Product Aoproval Menu>Product or Aoolicatfon Search> Iicadon Lis[>Application Detail f� r. ',��,,�{ � FL# � FL6508-R2 �`w=�=��'��-�: ' � Applical•ion Type Revision Code Version 2010 Application Status Approved Comments �jjj .,_ Archived � .�.L,L��� �:,.��:; " 1„]�' / � �����;_�� '-;.;: aI' '�i�� ' FI.,�+C a. . .l.i7jN � 7'RICAL,� ULII��.:ji:v�; c'' Product Manufacturer Metal Systems,Inc. C���I''•-.,�A%C��u$ ��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� �dF��� , Address/Phone/Email �L��S�'�ii�/(J���I��`S ( ' --��cr) 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 y n _..�.'..,..�..'Y....�b .,�,... �.;�.��.., rage� or�, 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: r:�.;�:: � Ecrr� ;�� r,,, srcu ri!e�n�;ur, �� ' httx:/IflaridabT.�ilding.arg/prJpr_apP_dtl.aspx?p m=wGEV�QwtDqubsyUdumBSkdQCK... 9JI912013 �,�-rawUU�U City at Zephyrhitls Pecmit Application Fax-s��-7sa-floza ', Building epartment ,,.-�• _ - - � Date Recetved � �2,�3�-i - ' _ .;phone Gontact for ermittin � -- � � j /� 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 ` . ' ���%i� L.Y.� � OWNEtt OR AC3ENT�f-t1 l�', ,��������7�6�--� CONTRACTOR � _ �-'���''v��`'�--'� S/ub2scribedJ,�(�j�cf,s f �{ar-a ad �e,Jfa�/re�m�,ery th��ls/ ° Sutiscribed an/'d'�swo tP}(o�{�r,/a�i n�p�,j/b�e#oref[�(�t)hisj �} ' (' .���/ � �,�"N.V/ ��../l�ir l�' '��f�l""Dy�Y'�V 0 �T�r ' �''l 1 � L�!/1��I��J W��is/are persona ly known to me or has/have produced Who Is/are personall knovm ta me or has/have produaed K�t��f�w,v' �t�r� as Identl�ca�on. �La �:�r'�r �`�S� as Identificafion. � j�`�- Notary Pubilc ��L�� Notary Pubttc �� s Com an N ' Cam on N ;;i:��P�;�;,, _JACQUELINE BOGES :�: '�•�. �L(NE BQGES �� ' � Commission Name of Nota ', ^ $ r �. ber 12,2014 Name af Nata e � ber'12,2044 P\� ,��°7��t'c�,•. 8ondedThruTroyFain tnuuance80a385�7019 ,��,p,n�°.'� �indedlhrtiTRryFeinlnsural�ce80a38S7qi9 . �ewwo,�e