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Home My WebLink About16-17163� CITY OF ZEPHYRHILLS 5335-8TH STREET � (813)7s0-oo20 17 3 � BUILDING PERMIT PERMIT INFORMATION � � LOCATION.INFORMATION ' Permit Number: 17163 Address: 38422 NORTH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-01700-0010 Improv. Cost: 5,485.00 OWNER INFORMATION ' Date Issued: 3/14/2016 Name: RICE JAMES & CHERYL Total Fees: 105.00 Address: 38422 NORTH AVE Amount Paid: 105.00 ZEPHYRHILLS FL 33542-3550 Date Paid: 3/15/2016 Phone: 813-703-0650 � Work Desc: A/C CHANGE OUT 3 TON HEATPUMP & ELECTRIC ADDED CONTRACTOR S � � APPLICATION FEES ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 65.00 ELECTRICAL FEE 40.00 � � � Ins ections Re uired � DUCT INSTALLED DUCTSINS T D FINAL ��ec��-�—I�,-[� � REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONT C O S NATURE PERMIT OFFI R PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION . � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER /y CITY OF ZEPHYRHILLS 5335-8TH STREET „ (813)780-0020 163 � BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17163 Address: 38422 NORTH AVE Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-01700-0010 Improv. Cost: 5,485.00 OWNER INFORMATION Date Issued: 3/14/2016 Name: RICE JAMES & CHERYL Total Fees: 65.00 Address: 38422 NORTH AVE Amount Paid: 65.00 ZEPHYRHILLS FL 33542-3550 Date Paid: 3/14/2016 Phone: 813-703-0650 Work Desc: A/C CHANGE OUT 3 TON HEATPUMP CONTRACTOR S APPLICATION FEES ALL TECH AIR & FILTRATION LLC A/C CHANGEOUT 65.00 Ins ections Re uired D TS INSTALLED DUCTSINSULATED FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � / n . a-� C � � . CONTRACTOR SIGN TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED - PROTECT CARD FROM WEATHER % � e�a-�saoo2o City of Zephyrhills Pemit Applicafion Fax�13780-002i Buiiding DepaRment � Dato Rec�ivcd Phone Cen4act for Porml Ownars Namo Oa�rar Phorta Idumbsr - 1 b3- V S O Owners Addross 3 N r�- T7v� Ovmor Phorto Humtror Fco Simple Titleholdar Namo Owner P�ona Numbsar Fee Slmple Titleholder Address I JOBADDRESS rl LOT� O SUBDIVISION PARCEL ID� ' (68TAIM�FROi9 PROPEFIY TAX NOiSCE7 , WORK PRQP0.SED e NEW CANSfR 8 ADDIALT Q SIGid �] Q DEMOLISH INSTALL REPAIR ' PROPOSED USE � SFR Q COMM Q OTHER 7YPE OF COfdSTRUCTION Q BLOCK Q FRAME STEEL Q , , DESCRIP770N OF WORK C L� IC�.1 1 � � L� � BU1LDlNG 31ZE SQ FOOTAGE HEiGWT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL 3 AMP SERVICE Q PROGRESS ENERGI' Q W.R.E.C. QPLUMBING 5 i '. (n.✓ � �MECHANICAL $� � VALUATION OF AkECHANICAL INSTALLATION �I��W ��$ Q ROOFING Q SPECIALTY Q OTHER ��Ij�7/ ✓ fIN1SHED FLOOR ELEVATIONS FLOOD ZOP1E AREA QYES NO R �t,._ r v_t.ss,��.��• a�in�y e .,p„a� L.� ' BUILDER COAAPAPIY SIGNATURE R[-�is'[Eftm Y/ Pl F�cuRrtEn Y/N Address Lieense� ELECTRICtAN CQflAPM1Y � SIGNATURE rzEoisr�t� Y!Pl �cuar�. Y/N Addross Licenae S PLUMBER ��9P� , g�q�p'T(t� REGISTFFtm Y/N �cuR�n Y/Pt , Address Lice�se# PAECNANiC RAPANY �-111- �i r �- �i I-i�a�i m'1 SIGNATU c�sr�o N �cuRREn Y/N i Addreas Lica�se� � � O �"t OTHER COMPNVY SIGtdATURE t��tsT�teo Y/IJ �cuRt�n Y/N Addmus l�c8nse�I � 11t11191lillll ➢ 1111981tAlY1BII9091l9ABIIIiA091YlE0109i1C1111A9BLllL RFCIDENTIAL Attach(2)Plot Plans;(2)sets of Bu�7dirtg Plans;(1)set of Eitergy Fortns;R-O-W Pemitt tor new construCion. Minimum ten(70)worfdng days after submittal date. Required on�ita,Conswction Pians,Stortnwrater PL�,v�Siit Feram:e aub&�d, Sanitary Faalities&1 dumpster,SNe Work Permit for subdivislonsllatge projeds COM�AERqA1 IUtarh(2)complete sets of Bufidmg Ptans ptus a Life Safety Pag¢;(1)set oY Ens�gy Fams.R-O-W Penni4 fw�cva�n. M'ailmum ten(10)worfcirtg days after submittal date. Reqtrited onsite,C^�n Ptans,Sbrtnweter P4ans w/S�lt Fence ins�e�, Saniiery FadGfies 8 f dumpster.Site Work Pertnit for all new prqecfs.�commercial riequlremertts must meet eomp9ance SIGN PERh11T llttech(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW�nstruCion. i . .�._aJ_��u� . � a �—e—x Bi��,n,,,�_�-'.-- ' Diradiona:• - --- ' FW out eppticatinn completely Owner 8 Contrador slgn badc of appliotian,notarized N ovcr t2500,a fdoUco of Commoncement Is requlred. (AIC upgradea ovar 576t�0) � " Agent(for the contractor)or Power of Attomey(far the awne�wouW be somoone vrilh nofnr¢ed I�tfer from w✓ner aulhor¢ir.g e-ama OVER THE COUNTER PERMITTiNG (copy of contrad required) ReroMs if shingles Sewers Service Upprades AIC Fences(PInVSurvey!rooiaae) Drtvawayn-Not over Counter if an public roadw�eys..needs ROW , N0710E OF DEED RESTRICTIONS: The undersic�ned understantis 4hst thEs pemtit may be subj2ct to"d�ed°fesbic�ions' � which may be more restridive than County regulations. The undersignr�assumes respansibility fior c�mpliance wifh any applirable deed restrictioc�s. UNLICEHSED COPfTRACTORS �CPfD CO�TRACTOR RES�ORiS1�BL917�: If� owner has hired a conttrac�or w contractors to undertake work,they may be requited to be licensed in aa:ordance with state and Iocal reg�ations. If tFse contractor is not licensed as required by law, both Yhe owner arsd corFVactor m.-y be cited for a misdemeanor violatian under state law. If the owner or irrtended contractor are urtcertain 3s to what licensirtg reqtihremertffi'may apply fo�the intertded work,they are advised to contac�the Pasco County Building Inspection Divisior�Licensing Sedion at 727-847- 8009. Furthermore, ff the owner has hired a contrador or contradors, h;� is advised tn havz ttse �ador(s) sign partions of the"contractor Black"of this applicatian for which they vrill bs resp�ible. If you,as ti�owner sign as the conVactor,that may be an indication that he is not properfy licensed and is not entitled fo p�mtitting pri�ileges in Pascfl Courriy. TRAPISPORTATION IMPACTNTILITIES IMPACT d6dD EiESOURCE iBECOVEI�Y FEES: The undetsignad tutderst�ds that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uc�fon of n�ro buUdirigs,c�arsge of use in exis6ng buildings,or expansion of existing buildings,as specified in Pasco County Ordinan�number 89-07 ar� 90-07, as amended. The undersigned also understands,that such fees,as may be due,w+tl 6e identified at 4h�time af permitdng. It is further understood that Transportation Impact Fees and Resour�Recovery Fees rtwst ba paid prior to receiving a"certific�te of occupanc�'or final power release. If the projed does not irnrolve a certiflcate of o�upancy or flnal power release,the fees must be paid prior to permit fssuance. Furthermore,if Pasco Caimty Water/�wer Impac� fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco CouMy ardlnances. CONSTRUCTION LIEtd LAW(Chap4er 713,Florlda St�tub3s,as 2m9nde�: If valuation of wortc is 52,�0.00 or rnore,1 certify that I, tl� applicartt, have heen provided with a copy af the "Flarida Constructian Lian Lau�—Notnawntr�er's Protection Guide"prepared by the Florida Department of Agricuiture and Ca�sumer Affairs. If ft�sppfEc3nt is someort2 other than the"owner�,I certify that I have obtained a copy of the above desaibed docx�rr�rt and prortsise in good f2ith to deliver i4 to ths"owne�'prior to comm�ncement. C07dTR6+CTQR'S101RINEi2'S AFFIDAVIT� I certify that all th2 infom�atioe�in this appliqiuon is accurate and tha4 ait work will be done in compliance with alI aPplicable lau�regulating consWction,zonlrtg and land developmert. Application is hereby made to obtain a permft to do wrorfc and installatian as indicated. 1 certify that no work or installation has commenced prior to issuance of a permit and that alt wark will tr2 performad to ms�t standards of a!1 laws regulatirtg construdion, County and City codes, zoning regulations, and land devetopment regufaHons in tt�jwisdic3ion. I atso certify that I understand that the regulations of oUzer govemment agencies may apply to the intended Uaurfc,and that it ts II my responsibility to identify what actions 1 must take to�in compliars�. Such agencies irtclude but are rtat 1im94e�Q�: i - Department of EnvironmeMal Protec�ion-Cypress Bayheads,Wetland Areas and Environmer�taily Sensitiv� Lands,WaterMfastewater Treatment. - Southwest Flcrida Water Management Distrid-Welts, Cypness 8ayheads, Wetland Areas, Atteruig Watercourses. - Amry Corps of Engirieers�eawralls,Docks,Alavigattle Watenn+ay3. , - Departrnent of Heatth & Rehabilitative Servlces/Environrr�ental H�afth t7nit-Wefls, WasQc>wtater 7re34rrt�nt, Septic Tanks. , - US Environme�af Protectio�Agency-Asbestos abateer�nt - Federal Aviation Authority-Runways. I undsrstand that the fotlowing restrictions apply to the use of fill: - Use of fill is not allowred in Flood Zone"V"unless expressly p�mtitted. - If the fill material is to be used in Flood Zona `A", it is understood �t►at a drain2ga ptsn addressfr�g a "compensating volume"will be submitted at tirr�e of permitting which is prepared by a professianal e�►gineer licensed by the State af Rorida. - If the fill material is to be used in Flood Zone "A"in conn�fion with a permitted bu'stdirig usirtg stem wrdt� construction,1 certify that fill will be used only to flll the area�vithin the stem waA. � - If fill mffierial is to be used in arry area, I certify that use of such fttl will not adversefy afFect adJac�r►f properties. If use of fill is found to adversety affec;t adJac�sit properties,the owner rrsay be ci�d far vlofating the conditions of the building permit issued under the attached permit 2pplica9fon,for lots less than one(1) acxe which are elevated by fill,an engineered drainage plan is required. ' If I am the AGEPIT F062 THE O�lER,1 promise in good faith to irtf�rm 4he ovmer of th�pesmitting canditior�s sae##Lorth i� �� this a�davit prior to commencing construction. I understand that a separate parmit may�requaed for e�.eetr(caf wor6:, plumbing, signs, wells, pools, air conc3itioning, gas, or other instaHations not speaficalEy indtx!ed in t,�e applic�#ian. A pertnit issued shall be construed to be a IicensE ta proc�ed with th�wvrk and nat as aulitority to violaYe,c�ncel,ahe.r,or set aside arry provisions of the technical axles,nor shalt issuance of a permit pr�verrt Ltie SuUdirfg�fi'iaal from ffiereafter requirirtg a correcfion of errars in plans,construction or violations of any codes. Every pertnit issusd shaH�me 1nvaEd unless the woAc authorized by such permit is commenc�d vuithin sbc morrths af permit issuance,or if work auEharized bq the permit is suspended or abarxioned for a period of six(6)months after the time the vYork is comrtser�. An ex�nsian may be requested, in writir►g,from the Building Otfiaal for a perfod not 4o exc�d nin2ty(90)days and uAll demonstrats justfiable cause for the extension. ff work ceases for ninety(90)consecutive days,the job is cansidered abandoned. �1l�,RPIING TO OW6VER: YOUEt F�AILURE TO RECORD�.P10T10E OF COP�'i5E4&C�fI�T l�AY�SULT IN YOUGt PAYING 7d1iiCE FOR I�PROVEA9ENTS TO YOUFi 6�rtOPERTY. IF YOU ltUTE@'16�'O O�TAIt�Fl@dA�d�ItRttG,CO@�!,IJL'P YyiTH VOUR LENDER�R A!d ATTORNEY BEFOFiE 02ECQRd1RDG YOUR PlOYICE OF C01�3hi��.►GEk11�YT. FLORIDA JURAT(F.S.117.03) v �y� O�PfPlER Oft AGENT CONTRdCTCR P�Y�C{� �1 A��J 1 I Subsaibed nnd svmm to(or afBrtned)before me this $��J��s,riom b(cr affmn3d)befote m � by bY� Who Islere personalty Imovm to me or hasfiave produced Who Is/ pe nzlly lmowrt to me or ha:Jhaue produced as identificetio�. as Wentifirabon. NotaryPubfic � i YU IJ IAR�\J�7 kat�yPu6[fc Comrtrisssion No. � ' �•— - Name af Notary typed,printed or slartq�ed Nama of�otzry typed,prin:ed ' !��;, UITI NER ''` ': MYCOMMISSION#FF144817 :�,.. :a;= "'�;'oF'�op.•° EXPI�ES July 24, 2018 (ao7)a9H•o153 FloridallotaryService.com � V � � � � � e � 35946 State Road 54, Zephyrhills,F133541 Ph �13-870-6934 Fax 813-7�3-2336 CAC1814196 m • • • � AirConditioning&Heating �� t�� 3-�o-�s PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: Cheryl Rice (Same) 38422 North Ave Zephyrhills,F133542 813-703-0650 jimandche lrice rr,msn.com WE HEREBY PROPOSE TO FURNISH THE MATERIALS AND PERFORM THE LABOR NECESSARY FOR• 1. 1—Goodman 15 SEER Puron 410A(3 Ton Heat Pump)Split System with Skw back up heat CONDENSER: GSZ160361 /HIGH EFFICIENCYAIR HANDLER:ASPT37B14 ARI 833]283 2. This Also Includes:Digital Thermostat,Flush Copper Lines,Flush Drain,Re-build Hang Kit for Air Handler with Float Switches,Hurricane Slab&Straps for Condenser,and Permit. **Goodman Warranty: (10 Years Parts and 1 Year Labor)**Included '�"�Not Including: (Any Pre-existing Conditions, Original Electric, Flex and Extended Wananty) ALL MATERIALS ARE GUARANTEED TO BE AS SPECIFIED ALL WORK TO BE COMPLETED 1N WORKMANLIKE MANNER FOR THE SUM OF• $5,485 00 F'I�E T'�IOITSA101D FOIJit I��TNDREI) EIGHTY�IVE I)OLLARS Al�D 00/100 ANY ALTERATTONS OR DEVIATIONS FROM ABOVE WORK INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDER AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE PROPOSAL AMOUNT.ALL AGREEMENTS CONTINGENT UPON STRIKES,ACCIDENTS,DELAYS BEYOND OUR CONTROL AND ACTS OF GOD Respectfully submitted,Patrick Kilg on Expires 30 Days Manager, All-Tech Air &Filtration, ACCEPTANCE OF PROPOSAL You must provide all conditional approved Permit Documents and provide one business day of your choice to stay home,within 10 days of completing work at your house for City or County Inspection.The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do the work as spfe�' Payments are as follows:$5 680.00 Due on Com letion OR$5,485.00 C e�"ii ck or Cash) 10° Down Intials I Acce t Estended Warrant +$g2 . 0 Eac� � it Intials I Declin Extended Warrant P � �� i Date � 2lle�zp�o��afe��atv��!2�1e�e�.yu�! i al4tecfsaor,com '� �'' R` � si�-�s��20 City of Zephyrhills Permit Applicatian Fax 813-780.0021 Buitding Department Date Re�efved " � Phone Contacf far Fermlttin Owner's Mame � Owner Pbone Nnmber Owner's Address �� (�� OwnerPhone Number �� Fee Sfmpie Titlehoider N�me �- � Owner Phone Number � � � Fee Simple Tltiehotder Address " JOS ADDRESS LOT# [� SUBDWISION � � AARCEL iD# - (09TAlNED FROM PROPERTY TAX NOTlCE) WORK PROPOSED • NEW CON57R ADD/ALT � SIGN� Q [� DEMOl,ISH - � e INSTALL � REPAIR PROPOSED USE [� SFR Q COMM � O7HER TYPE OF CON3TRUCTiON Q BLQCK ' Q FRAME Q STEEL Q �� '� , � QESCRIPTION OF WORK '�'t�j� �r v�� BUILDING SIZE � � SQ FOOTAGE�_� HEIGNT C,_ ,,� QBUILDING $ � VALUATlC1N"C?F'1'Ql'AL CONSI'RUCTION ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �.5�c��--- OPLUMBtNG �� QMECHANtCA� $ VALUATION t3F MECHANICAL INS7ALLATION �__._� [�GAS Q ROOFING Q SPECIALTY [� OTHER FINiSHED FLOdR E�BVATiONS � � FLOt3D ZONE AREA �YES NO BUtLDER COMPANY 31GNI0.TURE REGiSTERED Y/ N FEE CURREh Y/N Address Llcense# �� ELEGTR1CiAN COMPANY T�J� G-��SS �-��.c `�r-w�-' StGNATURE {J ' REGISTERED Y J N FEE CURRE� Y/N Address � ( l � - �Ucense# ��-�� PI.UMBER COMPANY sIGNATURE REGI3TERED Y/ N1 ��cuw�n Y!N Addrass Ltcense# � � �� MECHAAIICAL COMPANY SIGNATUEtE RE�lSTEREd Y,! N FEE CURRER Y!°iV Address Ucense# ��i�� {}THER GBMPANY SIGNATURE RE�tSTERED Y J N . �s cuR�R Y/N Address License# � �� '-S,.. RESIDENTIAi. Attach{2):PCot��Plans;.(2}sefs:af:BuElding';Ptans;'(1)setof�Energy�Fartns;R-Q=WPerriitt.for;new,construction,_ Minimum�ten�(10),working days;after'submlttaililate.=Required onsfte;Gonstivc�amPlens,�3tarmwater'Pians wt Sil#Fence instailect, Sanitary EaGlities&..1,dumpste,r.,�Site�.Work.�Permlt far sutidlvislonsAarge proJect's •-• ;:=�' � � COMMERCtAt. Athach{3)coriiptete sets of Btiilding Plans pttis a Life Safety Page;(1}set of Energy Forms.R-Q-W Permit for new constru�tion. Mi�imum ten(10}warking days aEter submlttai date. Reqttfred o»site,CortsUua#!an Plans,Siormwater Pfans w!Sitt Fence instaited, Sanit�ry Facllitles&1 dumpster.Sfte Work Permlt fqr all new projeots.All commerclal requlremenffi must meet compllanca BiGN PERMiT Attacti(2)"se#s of Engineered Ptans.. . ""PRQPERTY SUR1%EY requlred fo�ai!NEW cansUuc@on. dtrectians: FI{I aut applicatton complete{y. Owner&Contractor sign back of applfcadon,notarized If over 52500,a Notice af Commencement la requlred. (AIC upgrades ov�►r b7500) " Agent(for the confractor)or Power af Attoritey(for the owner)would be someone with nota�ized letter 1'rom owner authorizing same OVER THE COU1dTER.PERMiTTING (Front of Application Onfy) Reroafs If shingias Sewers Setvice Upgredes AtC Fences{plotlSurveylFcoNage} Oriveways-Not over Counter if on public roadways..needs ROW F Y NO'Y'�C�CiF�EED RE�TR4CTI�NS: The a��adecsignect undec�ta�dsith�t 4�lsi�r:mit:may be.subject,to�de�d".resfrlcflonsp which may.be.�more�rest�ictive<<th�n�County�regul�tlons. The und�rsign�d'��ssumes-responsibiltfy"for�co�ipliance with any applicabl�s deed restetcffons. , • Ut�l.tC�ENSED CONTRAC�'t�RS .�►N� -GC)NTRA��TtJ�R RE�POIVSt�iLiTtES: if tfic� ovvner has �hired a c�ntrac#or or contractor� Qo ur�de�take woek, th�y may,be<r.eq�ir.ed�ta:,be,licensed Ira.acc�rdanae.wlth state.and.lsscal tegulations., Ifthe contracEor #� no# 11c�nsed as requlred"by la�nr, bath #he owne�a�and-�cont�actorrm�y 6e�-ctted�for a�misd�m�anar vlolation under state I�w. If 4he owner or InQended�contr..�ctor are:unaertain as Qo woh�# Itcensing.r�quirerrrents:may=�appiy,��for the intended wror�c, they are advfs�ei#o�ontact the-P�sao County�uifiifng tnspectR�sn QOvlslrsn--l.lcensEng.Sectlan at 727-�47- S�OEo. Fur#hermor�, (f the �wner lias hired a cvntractor or contractors, h� is advised ta have� the contractor(s), sign portlans mf the "contr�c�or Block" off this a�plicat6on faP which th�y wiEl be.respc►nsible. If yau,.a,�.#he ovvrier�ign�a� the �ontractor, that may b� an indlca#lon #hat he is r�at�.prape�ly licensed and �� r�o#er�titled f€� p�rmlt#ing p�ivileges in Pasco County. ' ' TR�Id�PC1RT�1'10N_lMPAC'TI1J�'1l:�'i`iES�!�!lPAC�'-A{�t?��ESSOURCE REGt9VERY FEE�: The unders�gr��d vnderst�nd� that Trensportatian Irr�pact Fees:�nd.Reca.urse Recove.ry.Fees may�appty,.to:th�constructian of new bulldings,:chan�e•of use in existing buildings;�or,�expansion��ofy�i�is#i►i;g'�builtfings� as spe�clfi�d in Pasc� �oun� Ordinanc� �umb�r 89-07 and 9�-OT, as am�e�ded..,,The u�dec�igned a�so.�nderstands, that�suah fee�,LL,�� cnay,6e:d�e„}wllt:,6e id�nt�fied at tttes-Qim��of permlt�ing. It is further understood fih�t Tr�nsp�rt�tion Impact F�es and'�R�source Recov�ry'Fees mu�# be pafd priar to recelving a"ce�fificate..of occup�r��y" ac ftna!-p��wree�cele�s�. :!�the proj�cE�d�es.nat lnvalve:a,ceetf�ic�te o�occupartcy ar flnai power retease;the��s.mu�t be paid pcior to permiQ is�uance. Fu�khermore;�if l�asco County iNater/Sewer-Impact fees are due�,they:.must.be,paid.prlor Qo p�rmit•6�suance-in accord�nce+�tth appllcabie Pasco.County ordlnancss, CQN�3'E3�ICT1CtN t�IEN'�..AAYV{Ct��ptar 7'fS,FO�rdd�State�t�ffi,��am�nd�c1�: 6f vat�ation af wark is$2,50d.00:or mote, 1 certify that I, the �ppotcant, have b��n provided with a capy ofi-the "Florida��ConstrucQion Lie�n L�w►—Homeowner's Pro�ectican Guide� p�pared by the Ftartd� D�p�rtmenf of A�rlculture �nd Consumer Aff€tir�. if th+a appl4c�nt Is s�t1neane other than the°ow�e�', I certif�that l h�ve,obtained�a copy,af.the abov�..de�crlbed�docuir�ent�and promise�In,gaod f�ith to deliver E�to the�"+�wrner�p�ior.�t�acorntraencemervt: C�3RIT�ACT�R';St�WNER'S aF��D�ViT: L cer�kify..:that a10 th�-:inforenatian i�ro•thl.s appliaatlan 3s accurat��nd t�at ail work will'be done in campliance with all �ppltcable I�wrs regulating constructian� zoning and�land developm�rat. Appltcation is h�reby mad� to e�b#aln .a permi�.Co do vu�rk,tand lnstallatior� as tndE�eted:>> `I csrtlfy tli�t no work :�r installa�timn has commenced pri�r to Issuance of a p�rmit and #hat.all wark will be� pert�rmed #o m��t standard� of �li laws regulating� �onstr�ction, County and C�ty cod��, aonting �egul��lans, �nd tand developme�t cegui�tion� t� the �url�diotion. 1 aiso certiiy th�6 I undersfarod th�t th��eg�atatians of ather governm�nt agencles may�apply�tm �he lntended work, and that it is my��sponsibility to id�ntffy�what.�ctions I must t�ke:to be,ln,campllance. S.uch ageneles includs bwt-are.nat Iimit�d to: - Depart�en# of �r�vEron�nental=£�rotection�ypress.�Bayhead�; 1�etland Are�s and Enviroromentafiy �ensitive Lands,�iVat�edWastewa#er Treatment. - Sauthwest Ftorida Y�0�4e� Managemeret: :�8s�lct-Wells, Cypress.`"8sy.heads; Wefland Areas, Altering Watercourses. - Army Corps of Ee�gir�e�w,�aSeawallst Cl�cks� Na�r��a�s wat�rw�ys. - Depar�mer�t of Health � Re�aabilitativ� Services6iEnv3r�nmentai Fdesith Unit:V9teils, V11ast�water�Treatrvicenf, Sept9c Tarik�. � , - US Environme�ta#Pr�#�ction Age�r-Asbe�to�abatemenf. - Feder�t Aviatlon Authori9y-Runways. &understand tha#the followlr�g.�r�strl�#ions�pply to th�t�se of fl!!:• - Use of#iti is not atiouved in�load Zone"V"unless expressiy permitted. - If the flll materlal is ter.be used:�In.�Floa�d Zon�. "A°, (t. ts ur�d�rstood that a drainage ptan addressing a "cc�rvrpa�sating volume"wlft be submitt�d at#Ime of permltting vuhlch is prepae�d by a pr�f�ssfana# englneer Iicensed by�he-State-o�Florida. , - !# th� �il! materi�l.ts to.be used f� Ftoad �one °�!� in{�annec�io��wlth:a �rmitted buiiding usfng stean walf canstruction, i cettify that�19:w119-be wsed ortly to filt the area within the�stecn�w�li. - If ftll mat�rial 1s �to be u�ed On any area, 1 certlfy that .use. of such fill wl19 na4 adv�aesely a##ect adjacent propet#ies. !f use o#fil� is f�un� ta a�ver�e�y-.a#f�ct ad�a��t�prapertle�,.t�e owner may be cfted for violati�g the cvndilions of khe"buliding-;p�rmit I�sued under tha at�ached permit�appllc�tlan, for lots less than one (1 y acre w►hich ar�elev�tetl by fl11;a�ertgtneered drain�ge plat�ts required. . if 1 am �he,�GEM7'_FAR TM�PJVE�RIER,`i;,promise in go�d faith to tnform the°owner of�khe permitting.condf#lons set forth In ' this aaffidavit`prtor to commen�ing constn�ctlon. f under�t�nd fh�t��separate permlt may be tequtred for electrtcal �,rork, n:�,...-x�r,� plurnbing, signs, wells, pooEs; alr condittan�ng,.g�s,��ir=ather lr�sfaEratlon� no�.spec�lcally included�in.the application. A pePmbt issu�ed shal! be�aonstrued to be a Ilc�nse-t�proceed wvith the work and not as.authorlty to.vlolate� cancel, alte�, or set�slde any provlsfoe�s ot the techrtfcal.codes; nor�ha�il lss��nce�of a.pe��nit.pc�vent th��u{Iding O#fiic�al from therea�#t�r requtring a correction.a�'errors in.piens; cans4ructlon or vloiatlons.of any co�de�. Every permlt Issued shall become inv�alid unles� �he wrork authmrized.by such permlt�ls-co�nmenced�withln sfic months �f p�rmlt tssu�nce, or !f wark authorfzed by the pe�it 3s saspended�ar abandoned-for a:peeEod of�six f8)�manths.after the t3me th��wark is coer�m�nced. Aro extension may be requested, in writing,.from the Building,Official for a perlod��not to exceed nlneity(�4� days and wilf d�monstrate �ustl�3able c�use fot=the exten�lo�: �f muork c�ase�for nir�e�r(9Q}cons.ec�ative:d�yst..th��ob��s�consldered abando�ed. WARIVONG T� 04VN�R; 1fOldR.FA!l.URE TO.;��.�.t�lt�,N �OTIGIE gF-C�l�lM�W�EI�iIE�t`T:MAY R�SU�T it� �lC�i1R PAYIIV�TWiCE iFOR OMPROVEMd T��Tfl Y-S)U��:PR�U�ERTIF. IF Y�.U�IN'��D�TQ��BT iN•�FINf�I��'IidG;'G.ONSULT WIT YO /41�l� O'.Es �CO D G� O ` � � �:q `' T FLORIDA JtlFtA�'�{ S:t .03I .l� . � �OWN�Ct OR/1t3ENT -,;.__ � GONTR�CTA - --- -- - - --- 8ubscrtbed and�wro ' {or afllrr�e b� 'r�e thls Subscribed�t'td'satam ta{ar aillrmed}•b' tne iS �y .by VVho Islare personally known to.me a has/P�ave produced VYho(s/are per�onallykno4�un ta me ar as/have-produced • asfden��catlon. �siden��ca8on. 4 Notary Pubiia . tdotary Pubitc Cnmml�ston Na. Coms�►isstan.No. Plame oC tdotary typed,printed or sRamped IVame of Motary typed,printec!or s#ampad