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Home My WebLink About16-17172 CITY OF ZEPHYRHILLS ' � 5335 8TH STREET � � (813) 780-0020 17172 TEMPORARY SIGN PERMIT " PERMIT INFORMATION - - " LOCATION INFORMATION Permit Number: 17172 Address: 5522 GALL BLVD � Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL. Class of Work: TEMPORARY SIGN PERMIT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05700-0250 Improv. Cost: � � OWNER INFORMATION - - Date Issued: 3/15/2016 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 40.00 Address: 34619 STATE ROAD 54 Amount Paid: 40.00 ZEPHYRHILLS FL 33541-2132 Date Paid: 3/15/2016 Phone: Work Desc: TEMPORARY BALLOON SIGN MARCH 16TH -APRIL 5TH 2O16 ( LIBERTY TAX) CONTRACTOR S � " � APPLICATION FEES � � = OW ER TEMPORAFtY SIGN PERMIT 40.00 . � - � � � / � - � Ins �ections Re uired � � � � FOOTER , ELECTRIC ` U ' �� FI REINSPECTION FEES: Reins ection fees will com I with Florida Statute 553.80 2 c when extra ins ection P P Y � )� ) p 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� 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 properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a 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 perFormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �.,'. - CTOR SIGNATURE PER OFFI PERMIT EXPIRES IN 14 DAYS . PLEASE BE SURE TO POST STICKER WITH PE IT. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER L� �'i,� t ,-�+�.yf I � Atik�� e �' " at: " � t4 .,�'..� k �' P;"` � d.'�'cnf F��}'� +��i>,� � F,� �� '�a , , � �<;:� ,�F=: � � �� '�;,;3 ti ,�-�s . � s��-7saao2o City of Zephyrh�ils Permit Applicatian Fax 813-780-4021 Buitding Department . Date Reeelved Ahane Cantect'far Permittin — `� Owner's Name �f�k 12G7L- �-D.3l,Glf�a�✓1 C.�. Owner Phone Number �'��''i � ��` �ZQ Z I 2 OwnePs Address 5'SZ-Z Crif LL- i�l U�. ��'(� hIFPGLS 3�'S�wner•Phone Number Fee Simpis�Itlehold�r Name � � dwner Phone Number �� ,�, � Fee Simple Tttieholder Addrsss � .�oe ana��ss 5`�5'��Z G.�LL i�L U D, ��"f'�Y2 H6 c.�S r f c_ .�3��.2 �oT# l�..._—I SUBDIVISION � �� PARCEL ID# � ' (OB7AINED FROM PROPERTYTAXNOTICE) WORK PROPQSED � NEw GONSTR ADD/ALT [„] SIGN t� Q DEMOLISH • � e INSTALL 8• REPAli2 PROPUSED USE Q SFR [� GOMM Q OTHER TYPE OF CONBTRUCTFON [� B�QCK ' Q FRAME � STEEL Q DESCRIPTION OF WORK i��P� SICr�'-1 BUILDING SIZE �� SQ FOOTAGE�_�� HEIGHT [�� QBUILDiidG �� VALUATIOIV`OF TOTAL CONSl'RUC710N QELECTRIGAI �� AMP SERVICE Q PRt}GRESS ENERGY [� W.R.E.C. C]PLUMSING $ -^') ] �� `,,,% QMECHANICAL $ VALUA710N OF MECHANICA�INS'FALLATtON ��- QGAS [� RQOFING CJ SPECIALTY �,] OTNER � ��(1 v FWISHED FLOOR ELEVATIONS �� F�OOD ZONE AREA QYES NO BUiLDER COMPANY SIGNATURE �--"'�� REGiSTERED Y! N F�E CuttREt+ Y i N Address License# � � �� EE.ECTRlCIAN COMPANY SIGNATURE �' REGIS7EREQ Y J N FEE CtiRREA Y!N Addrass �License.# I � PLUMBER � CQMPANY SIGNAYURE REGISTERED Y/ N FEE CURREt� Y 1 N Address Ucense# � � MECHANlCAC CQMPANY SIGNATURE REGISTERED Y./ N FEE CURREA Y!N Address I.icense# I r�� OTHER GQMPANY SIC3NATURE REGISTERED Y/ N F�e CURRen Y:/N Acldress �Icense# � � RESIDENI'IAC Attach(2)PIot.Plans;.(2)sets.of�Bui!'ding�Plans;(1)set of Energy�Forms;R-0-W.Pemiit for"new,construetion, _ Mtnimum�.ten..(1.0),working;days:after subinittal da#e.�.Requ�red onslte,Construcdon�Plans;=SMrtnwater Plans w/Silt Fence installed, Sanitary Faclli�es�&Yi,dumpster�Site>Work:,Rermit for sutidivisionsnarge pmjects ` ' COMMERCIAL. Attach(3)ceri►plete se'ks of Bullilirig Plans plus a l.ife Satety Page;(1}set of Energy Farms.ft-O W Permit far new consbvctfon. - Minimum ten(10)working days'after submittal date. Requlred onsite,Constructlan Plans,Stormwater Plans w/811t Fence installed, Santtary Facilities&1 dumpster.Site Work Permit for all'neur'prdjects.All commercial requirements must meet compitance SlGM pERMIT Attacti'{2)`sef"s of Engineered Plans. :�-� - � ""PROPERTY SURt/EY required forall NEW cansWction. Dire�tlons: FAI out applicatlon completely. Owner 8 Conttactor sign back of applica#ion,notarized !f over�25Q0,a Natice of Commencemeot ia required. {RtC upgrades over 57500) " Agent(fot the contraator}or"Pbwer af Attomey(for the owner)wouid be someone with notarized tetter from awne�autharizing same OVER THE CQUNTER PERMITTING- {Front of AppiIcatton Only} Reroofs if shingles Sewers Servlce Upgrades AfC Fences{PloUSurveylFootage) driveways-No#aver Counter if on pubific roadways..needs Rt)W NOTiCE OF DEED RE�TRIC'f'IO�S: The underslgnedunder�tands;Qh�t��hl�.,pprmit.may b�.sub)ect to"deed"restrictlons" which rreay.be:�moce'�r.est�ictive�th��Gounty�regulatfons. �The°undersigned��ssumes-r"esponsibility for'compliance witfi"'any app8cable deed restrictlons. UNLICEPISED CONTRACTORS �AND -CONTR/a1CTOFt RESPOIVSIBlL-ITIES: If the owner has -hlred a contractar or contractors to undertake work, they may.be,r�,quiredrto_be::licensed In accordance.with_state.and�local regulations. �If the contractor ts not:licensed as�requlred'�by law;-both the owner and�contraeto�-may be•-cited-for�a�mtsdemeanor violation under st�te law. If the owner or intended�c.ontr,actor•;ar� uncertain as Qo what Ilcensing.requirem�nts:mayP apply�or Qhe intended work, they are advised to contact the'Pasco County Bulldtng InspecQion Dlvislon--Licensing Section at 727-847- 8008. Furthermore, tP the owner has hlred a contracfor or contractors, he Is advised to have the contractor(s) sign portfons of the "contractor Block" of this application for which they will be r.esponsible. If you, as.the owner sign as tlie contractor, that may be an indication�that he�is not�.properly licensed and is noY entitled to pemiftting privileges fn Pasco County. � YRANSPORTATION..IMPACYIUTILITtES�IMRAC�'-ANb-RESOURCE R�COVERY�FEE3: �The under�igned�understands that Transportation Impact Fees and.Recourse Recovecy�Fees m�y:apply��to:the construction of new bulldings, change�of use in existing buildings,�or:expanslon:-of�ezistin�g'�buildings, as specifled.(n Pasco County Ordinance number 89-07 and 90-07, as amended., The undersigned alsovunderstands, that:such fees,�as;may�be:due,,:wili�be Identlfied at the�-time°of permf�ting. It is furtfier understood that Tra�sportation Impact Fees and�Resour.ce R�covery'Fees.must be paid prior to recefving a "certi�cate of occupancy" or flnal�.powec�release. :I�the project.does:not involve.:a certificate of occupancy o� final power release, the fees must be paid prior,to permit tssuance. Fa�thermote;r�if:Pasco County Water/Sewer Impact fees are due, they:.must.b�-pald,prior to permit•i�suance=in accordance witfi applicable Pasco�-County ordinances. CONSTRUCTIOPO I.IEN'LAW(Chapter 713� Florlda Statute��as amended): If valuatlon of work is$2,500.00.or more, I certify that I, the applicant, have-been provlded with a copy- of the �Florida��Constructlon� Llen Law—Homeowner's Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Aifairs. If the appltcant is someone other than the"owner", I certify that I�have.obtained�a copy.of the above.:des.cribed�docu�ent°and.p.r.omise in,good falth to deliver It to the`owne�'prior�forcornmencement. � CONT�CTOft'SIOWNER'S AFFSDAVIT: I certify:.th_at.�ll the Informati�n in�this appllcation is accurate and that all work will'be done in compliance with all applicable laws regul�ting constructlon, zoning and:land development. Appltcation is hereby made to obtain .a permit to do. work::and Installation as Ind(cefed�• I certifjr that no work�.or installatton has commenced prlor to Issuance of a permlt and that.all work will be performed to meet standards of all laws regula�ing� construction, County and City codes, zonirrg regulatlans, and land development cegulat(ons�in the jurisdiction. I also certify that 0 uad�rst�nd that the regulat(ons of other governm�nt agencies may�apply�#o the intended work, and that it is my responsibility to identify.what.act(ons I must take to be,in:.corrlpliancs: S,uch agencles include but-are.not Iimtted to: - Department of Erlvironmental�Protection'-Cypress. Bayhead�;�Wetland Areas and Environmentally Sensittve Lands,WatedWasfewater Treatment. - Southwest Florida Water Management: .DistPict-Weils, Cypress.��Bayheads; Wetland Areas, AlteNng Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of H�alth 8 Rehabilitative Senrices/Environmental Health UniQ-Wells, .Wastewater�Treatment, Septtc Tanks. � _ - US Environmental Protectlon Agency-Asbestos abatement. - Federal Aviatton Authority-Runways. I understand that the following;resuictions apply to the us�of flli:• - Use of flll is not allowed in Flood Zone"V"unless expressly permitted. - If the flll materi�l is to.be used. In �Flood Zone. "A", It. is under�tood that a drainage plan addressing a "compensating volume" will be submi4ted at#ime of permttting whlch is prepared by a professfonal engineer Iicensed by the State�of Florida: - If ihe flll material Is to be us�d In Flood �one °A" (ns connection�with:a�perm9tted building using stem wall � construction, I ce�tify th�t fiil•:wlll-�b.e used only.to.fill the area w(thin the�stem�wali. - If flll materlal is -to be used In any area, I �certify► that .use. of such flll will not adversely afiect adjacent propertles. If use of flll is found to adversely..affect'adJacent��properties,.th� owner may be clted for diolating the condllions of the building�;permit Issued under the-attacfied�permit application, for:lots less than.one (1) acre whlch are elevated by�fill, art engineer�ed dralnage plan is required. • . If I am the AGENT FOR THE OWNER, I;promtse In good faith to i�form the owner of•the permitting conditions set forth in this a�davtt�prior to commencing constn�ctlon. `I understand that a�aeparate permlt may be requtred for elect�ical work, plumbing, signs, wells, pools, afr condttioning,.ga�s, or otMer installatfons not,spec�ic�lly included�in.the appltcation. .A permit issued shall be:constn�ed to be°a�Iicense to proceed w6th tNe ti►ork and not as.authority to_vlolate,�cancel, alter, or set aside any provisions of the technical codes; nor shall issuance�of a.permit.prevent the Bulldirig O#�iclal from thereafter � requiring a correction.nf errors in.plans,consti�uction or violaUons of any codes. Every permit Issued shall become invalid � unless the work authorized.by such permit•�s.commenced withln stx months of permlt i�suance, or If work authorfzed by the permit is suspended or.abandoned for a:period of six(�)�months.after the time the�work is commenaed. An extension may be requested, in wrfting;.f�om the Building;Official for a perlod,not to.exceed ninety�(90) days and will�demonstrate justifiable cause for.the exten�ion�. If work ceaseS,for ninety(90)consecutiv�:days�..the Job is consideted aba�doned. lNARPlIIdG TO OWN�R: Y011R..FAILURE TCJ...REC.ORD,A NATICE;OF-COMMEMCEIWEMT:NtA1F��RESULT IN�YOUR PAYINGTWICE.FORIMPROVEMEW.TS�TOYOUR�>:PROPEfLTY. tF°YO.U;IId�TEWD^T��OBTAIRI�-FIN�ApE1NG;�C.ONSULT �s'�!��R-��IA��t:O�t AN A'�'YO�tNEY.��FOR��R£COl��ING_YOUR�NOTIC�`OF'COMl�ENC�ENIENT FLORIDA JUFiA'�(F.S.1.17.03) � - - " - -� � - OWNER Ot�AOENT COWTRACTOR Subsarlbed and swom to(or afflrmed)before me this Subscrlbed'and'swom=to(or afflrtn�dpbefore me thifi , bY �bY Who Is/are personally knovm to.me or has/haye prcduced 1Nho:ls/are personallyknown•to me or has/have produced • � as Identlflcatlon. - as IdentlRcaUon. Notery Public . Notary Publlc Commisslon No. Commis9lon No. Name oi fdofary typed,printed or stamped Id�me of Notary typed,printed or stamped CITY OF ZEPHYRHILLS ' S335 8TH STREET . - (813) 780-0020 17081 , TEMPORARY SIGN PERMIT ' � , PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17081 Address: 5522 GALL BLVD Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL. Class of Work: TEMPORARY SIGN PERMIT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05700-0250 I Improv. Cost: OWNER INFORMATION Date Issued: 2/23/2016 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 40.00 Address: 34619 STATE ROAD 54 Amount Paid: 40.00 ZEPHYRHILLS FL 33541-2132 Date Paid: 2/23/2016 Phone: Work Desc: TEMP -BALLOON SIGN -EXP FEBRUARY 24TH - MARCH 15, 2016 (LIBERTY TAX) CONTRACTOR S APPLICATION�FEES ER TEMPORAR S GN PERM T 40.00 �/� C� � Ins ections Re uired - FOOTER ELECTRICAL ROUGH FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty 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 fi) 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 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PER OFFI PERMIT EXPIRES IN 14 DAYS . PLEASE BE SURE TO POST STICKER WITH PE IT. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS .,'' �. � 5335 8TH STREET �f ' � (813) 780-0020 17�.04 TEMPORARY SIGN PERMIT `� PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 17004 Address: 5522 GALL BLVD Permit Type: TEMPORARY SIGN ZEPHYRHILLS, FL. Class of Work: TEMPORARY SIGN PERMIT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Number: 11-26-21-0010-05700-0250 Improv. Cost: OWNER INFORMATION Date Issued: 2/02/2016 Name: WELLESLEY DEVELOPMENT CORP Total Fees: 40.00 Address: 34619 STATE ROAD 54 Amount Paid: 40.00 ZEPHYRHILLS FL 33541-2132 Date Paid: 2/02/2016 Phone: Work Desc: TEMPSIGN -BALLOON FEBRUARY 2, 2016 THRU FEBRUARY 23, 2016(LIBERTY TAX) CONTRACTOR S APPLICATION FEES NER TEMPORAR SIGN PERMIT 40.00 ' �� v Ins ections Re uired F OTER ELECTRICAL ROUGH FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty 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 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. CTOR SIGNATU PER OFFI PE IT EXPIRES IN 14 DAYS . PLEASE BE SURE TO POST STICKER WITH PE IT. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813aao-ooza City of Zephyrhills Permit Application Fax-B13asaoa�� R _ �. � Bullding 4epattment Date Recelved Pha�e-Contact for Permitting — Owner's Name �. f !J'�' �i� ��c X S�'2�/t CG Owner Phone Number S13 ''Sfu7— f 2�� Owner'sAddress ��°Z'�- ��" ��'�� Owner Phane Number � � Fee Slmple Tltleholder.Name �— � Owner Phone Number � � Fee Simple Tltleholder Address JOB AUORESS LOT# C� SUBDIVISION �� PARCEL ID# (QBTAINED FROM PROPER'[Y TAX NQSICE) WORK PROPOSED NEW CONSTR ADD/ALT � SiGN Q Q DEMOLISH INSTALL 8 REPAIR PROPOSED t1SE , Q SFR [� CC1MM � OTHER TYPE OF CONSTRUC710N . Q BLOCK � [� FRAME [� STEEL Q 4 pE3CRIPTION OF WORK 1�Nf�O RrE 2Y sIG—�t1.4 C�C � (3r4C ovW s> BIiiLDING SIZE �� SQ FOO7AGE�� HEIGHT �_ � -��:T�;�. BUI�DING � � VALUATION GIF TOTAL CONSTRUCTION QELECTR1CAl ($ —� AMP SERNECE Q PRQGRESS ENERGY Q W.R.E.C. �� QP�UMBING � � QMECHANICA�. $ VALUATtON OF MECHANtCAL.INSTAI.LATIC}N �� 1 �c�s Q ROOFl3tiEt^a � s��c��nr 0 iJTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES NO S G'ATURE ��.....i"' ..._—�—�. COMPANY� REGI3TERED Y/ N FEE CURRE� Y/N Address llcense# I � EI:ECTR(CIAN ., COMPANY SIGNATURE REGISTERED Y/ N FEE CUftF2E� Y/N Address � License# � PLUMBER � � COMRANY ' SIGNATURE � REGISTERED' Y/ N FEE CURRE� Y/N Address .License# � ' � MECHAN1ClU. - COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� OTNER COMP�WY SIGNATURE REGISTERED Y/ N . FEE CURRE� Y�/N Address License# �� RESIpENT1AL Attach(2}P1ofPla�s;{2}sets of:Buildii�g Plans;{1)set af Energy��orms;�F2-O-W Permit for new construction,_ Minimum ten_(10),workfng;days.after.".subrriittai date. Required onsite,ConstrucUan Plans;Stomnwater'Plans w/Silt Fence installed, Sanffary FacElitles,&:1 dumpster Site Work=Permit for subdiVisfonsflarge projecis COMMERCi1U. Attach{3}camplete sets af Suitdirig Plan's plus a l.ife Safety Page;(1}set of Energy Forms.R Q-W Permit For new canstruc�tion. Minfmum ken(10)working days after submittal date. Required onsite,Constructlan Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilitles&1 dumpster.5tte Work Permtt far aEi new pro�ects.R#i cammerciai requirements must mest compffance StGN PERMIT Attach(2j sets af Eogineered Plans. ""«PROPERTY SURVEY required for all NEW canshucBan. Directtans: Fill out applicadon completely. Owner&Confractor sEgn back of apptica�on,natarized If over 5�500,a Notice of Commencennent is required. (A/G upgrades over 57500) " Agent(for the contractorj or Power of Attomey(for the owner}would be someone with no'tarized letter from owner aufhodz4ng same OVER THE COUNTER PERMITTING (Front of Applicatlon Only) Rerool's if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not aver Counter if an pubOc roadways..needs ROW , � ., . ..- � NOTICE OF DEED RESTRICTIONS: The u�dersigned undergtands��th�t.this,p�rmif,.may be•subJect*to"deed"restrictions"� . which may be.:more:�rest�ictive-th�n�.County'=reg�latlons:�The`undersigned�assumes�responsibiltty for�coinpliance-witFi any " � applicable deed resUlctions. . ` • � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required.-to_be Ilcensed In accordance.with state.and•local.regulations. If the " cont�actor ts not lfcensed-as requlred"by law, both the owner and:conUactor�may be-clted-for a°misdemeanor vtolation under state law. If the owner or Intended�contractor-are;uncertain as to what Ilcensing.requlrement�:may apply.:�for�the � �� intended work, they are advtsed to contact the Pasco County Bullding_Inspection Division—Ltcensing�Section at 727-847- 8009. Furthermore, �if the owner has hired a cont�acfor or contractors. he (s adVised to have the contractor(s), sign portions of the "contrector Block" of thls appllcation for,which they will be responsible. If.you,-as.the ow'rier sfgn'a§`the ' contractor, ttiat may be an Indication that-he Is not properly Iicensed and is not entitled to perrriftting privileges in Pasco County. � TRANSPORTATION�IMPACTIUTILITiES�IMPAC'�ANb RESOURCE RECOVERY�FEES: The undersigned understands that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may��apply��to the construction of new buildings�:change�of - � use in existing buildings, or:expansion>oftiexistin,g`builiiings, as specified in Pasco County Ordlnance number 89-07 and 90-07, as amended., The undersigned also,un.derstands, thait-such fees,.,as=may,be�due;;wiU.�be tdentified at the�time�of' '° permitting. It is further understood that Transportation Impact Fees and Resource Recovery�Fees,must be paid prlor to receiving a °certificate of:occupancy" or-flnal��powe..r-release. :If the project•,does not Involve a:certificafe of occupancy. o�- flnal power release;:the�fees.must be paid prtor to permit fssuance. Ft�rthermore,-ff Pasco County�Water/Sewer•Impact - fees are due,they�must..be:pald�.prior to permiE-Issuance=ln accordance with�applicable Pasco�County o�dinances. CONSTRUCTION LIEN�LAW(Cliapter 713� Florlda Statutes�as emended): If valuation of wark is$2,500.00,or more, I- certify that I, ihe applicant,,,have-been provided with a copy of the °Florida Construction Lien Law=Homeowne�'s Protection Guide" prepared by the Flo�ida Departmenf of Agriculture and ConsumerAffairs. if the applicant is someone other than the"owner", I certify that I°have.obtained�a copy;of.the above..described tlocuri�ent-and.promise in,good faith to � deliver it to the.'owner"�pdor to�commencement: � CONTRACTOR'SIOWNER'S AFFIDAdIT: I certify that.�II the information In this appllcation is accurate.and that all work will'be done in compilance with all applicable'laws regul�ting construction, zontng and land development. Appltcation is hereby made to obtain .a permit to do..work.,,and installatlon as indicafed> °I certffy -that no work .or installatlon has- commenced prio� to Issuance of a permit and that.all work will be pertormed to meet standards of all laws regulating- construction, County and City codes, zoning regulations, and land development regulatlons-in the jurisdiction. I aiso certify that I u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is my responsibility to id�ntify•what.actPons I muat take:to be,in:.corr�pliance. Such agenoles include but are.not limited to: - Department of Erlvironment�l•Protection=Cypress.'Baylieads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Fiorida Water Management� .Distrtct-Wells, Cypress: Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 ReMabllitaflv,e Services/Environmenfal Health Unit Well.s� Wastewater�Treatment, Septic Tanks. - -dJS Environmental Protectfon Agency-Asbestos abatement. - Federal Aviatlon Authortty-Runways. I understand that the following:restrictions apply to the use of flll:• - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the flll materfal is to be used_�In.:Flood Zone "A", tt. Is understood -that a drainage� pian addressing a °compensating volume"will be submitted at time of permifting wh(ch ts prepared by a profess(onal engineer Iicensed by the State of Florlda: ° - If ih� flll mater(al.is to be used in Flood Zone °A" in�connection�with.a permitted building using stem wall construction, I certify that fill:wlll:6e used only.to.fill the area within the�stem�wall. - If flll materlal is to be used in-any area, I�certify that .use. of�such fill will not adversely affect adJacent properties. If use of flll is found to adversely,�ffect adJacent«properties,.the owner may,be cited for viofating. the conditions of the building;permit Issued�under the:attacFied permit applicatlon, fo�_lots less than one (1) acre which are elevated�by flll; an engineer�ed dralnage plan is required. . ', If I am the AGENT FOR THE OIMNER, I�promise In good faith to inform the owner of-the permttting conditions set forth In this affidavlt'prior to commeracing construction. f understand thafi a-separate permlt may be required for elecMcal work, . �, plumbing, signs, wells, pools; afr condittoning, .gas;4 or•othec installatlons not•specifically included-in�the appiication. .A _. permit Issued shall be constcued to be a�Itcense to�proceed wlth ttie`-work and not as:authority to.violate,.cancel, alte�, or � set aside any provislons af the.technical codes,�nor shall issuance�of a.permlt.prevent the Bulldirig 06ficial from thereafter requiring a correcqon af errors In.plans; construction or violatlons of any codes. Every permit issued shall become invalid unless the work authorized.by such permit:�ls-cornmenced�within stx months of permlt issuance, or if work authorized by the permit is suspended or.abacadoned for a:perfod of§ix f8)�montFis 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)ob�is.constdered aba�doned. WARNING TO OWNER: � YOUR.FAILURE�TQ.,REC.OltD;A.NOTIGE OF,•COMMENCEMEPtT MAY=RESUlT IN�YOUR PAYING TWICE,FOR:IMPROVEMENTS TO YOUR=PROPERTY. IF�YO.U�IIV�END"TO�OBTAIN��FINANCING��CONSULT - - !�!!l�.�l=-V9ldE3�El�DEF=�R-�:l�!A��!'T�RI��l��E�4E-P��GOR�DtI�C�YO�E��TI��`ClC=�S.-''"9E�E!�C��:E�l�� - - - -- - - FLORIDA JURA'�(F.S.1.17.03) � — • � - OWNER OR AOENT CONTRACTOR ' Subscrlbed and swom M(or aNirmed)before me thls Subscribed and'swom=to(ot aflirmed)�before me'tlii� bY •bY Who Islare personally known to.me or has/F�ave Produced �Who Is/are p.ersonally known�to me or haslhave produced • as identlflcatlon. as identlBcadon. Notery Public . � Nofary Public Commisslon No. � Commisslon�No. Name oi Notary typed,printed or stamped Name of Notary typed,printed or stamped