HomeMy WebLinkAbout21-3172! isiillim
BGR-003172-2021
Issue Date: 11/12/2021
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 subsequent reinspection.
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 permit required from other governmental
entities such���Ient, state agencies or federal agencies.
!I I I IF I •!I I I M ►I III !I I I! I•1! 17 1 1 1
[ITT -MINI Irl f-TINTMIN
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
THOUT APPROVED INSPECTION
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to'deed"restri lops"
v. s.
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with:any
applicable deed restrictions,
UNLICENSED T T I,AND CONTRACTORRESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may'beireuireito be licensed in accordance with,stateMandJocal.regulatiofS If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended 3contractor, re uncertain alto.what licensing,,requirements..,m y..appIyfor h °
intended work, they are advised td contact the Pasco CountyBuilding inspection Division—Licensing DMsion—Liceflsing Section at 727847
8009. Furthermore if the owner ha hired,a i contractor or contractors,,he is advised to,,.have,.the#°tohtr t r(s) sign
portions of the contractor BIock",of this application for which they:will xbe responsible, If you„as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting,,privileges 2.in Paco
County,
TRANSPORTATION IM CT!UTILITI IMPACT AND RESOURCE RECOVERY FEES: The undersigned understandsn
that Transportation;Impact-Fees and Redeurse ecovery Fees may applyto the constructiongf.new,buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
9007, as amended. The;undersigpedraisp undierstonds, that'such,fees, as may be duet$will rbe-identified at the time of
permitting. It isfurther understood that Transportation Impact Fees and Resource Recovery Fees,must be paid prior to
receiving a "certificate of occupancy" or final power release, if the project does not'iinvolve a certificate of occupancy or
final power release,the fees must be paid;prior to permit issuance. Furthermore, it'Pasco County Water/Sewer Impact
fees are due,they must,be,paid..,prior to permit Issuance in accordance with applicable Pasco bounty ordinances
CONSTRUCTION LI (Chapter 713, Florida statutes,as amended): if valuation of wdtk is$2,500.00 or mere I
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certify that 1, the applicant, have -been�"provided-with a copy- of the "Florida-Construction°�Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the'"owner", I certify that i have obtained a copy of the above described document yand'..promise,in,good faith to
deliver it to the"owner"prior to commencement.
4I earl°# that all,the infer lationPin this.applicØtiOflisaCQUratee and,that all workr.
will be done in compliance with all applicable laws regulating.construction, zoning and land-development. Application is
hereby made to obtain a permit to do work-and install tib-n as indicated. I i certify that no work or installation has
commenced prior to issuance of a,permit and that all work will be performed to meet standards of all laws regulating,
construction, County and City codes,' zoning regulations, and land development regulations in the jurisdiction' i also
certify that i understand that the regulations of other government agencies may apply to the-intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland,Areas.,and.Environmentally Sensitive
Lands,WaterMasteWaterTreatment. Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cypress, a eads,
atercourses.
Army Corps of Engineers-Seawalls,Docks, Navigable Waterways.- "e#1 i sate ter TreatmenteTreatmentent-.
Department of Health Rehabilitative Services/Environmental Health `C Unit-
Septic Tanks.
- US sbestos abatement.
Federal,Aviation Authority" unways,
i understand that the following restrictions apply.,to the use of fill:
Use of fill.is!not allowed in Flood Zone r unless expressly permitted.
If the fill material is to,be used in Flood Zones"A", it is understood"'that"`a_draiinage plan-addressing a
a.
"compensating volume" will be submitted at time of permitting which,°,is,=prepared bya°professional engineer °
licensed by the State of Florida.
if the fill: aterial3s;to bewused.in,Flood:;Zone "A"'in connection with a permitted building using stem wall -,
construction;I"certify that fill will be used only to fill the area within the,,stem.wall.If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties, .If use of fill is found to adversely affect adjacent properties the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre"whichyaretelevoted' ,,lll an engineered drainage plan is required.
If i am the AGENT T "THE OWNER, I promise in good faith to inform,the owner of the permitting conditions set forth in
this affidavit prior to commencing construction, I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations:,not spocifically°:included,--,in.the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of.the technical:codes, nor shall-issuance,,of.a permit prevent the Building official from thereafter
requiring a"correction of errors construction or violations of any cddes° EverypeflitiSSUedShalt.,become invalid
unless the work yauthorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for.period ofsix(6)months afteryth time the workis'commencedo n extension
may be;requested, in writing,from.°the" uildin ciat for aaperiod not to exceed ninety(90) days and will demonstrate. .
justifiable cause for the extension° if-work ceases for ninety(90)°consecutive,.days,the.job is considered abandoned.
WARNING TO OWNER:• YOUR a:FAILURE TO RECORD A NOTICE F,COMMENCEMENT MAY.,,RESULT IN YOUR
PAYING TWICEFOR IM T TO YOUR PROPERTY. IF#YOUINTENDTO OBTAIN TINA IN ,rD FI L`
OWNER OR'AGENT__...__.____-
NT Co T Tom
°and sworn to(or atfi )bet re me this
Subscribed arid sworn to(or=a�3ec3)before me thisSubscribed i�{
Who is/are personally known to mss id nUfi tionroduc d as.ldontification,.
Notary Public Nottary. pbli
Commission No, Commission No.
Noma of iyair typed,printed or stamped off Notary#ypi>printed'cr ship; „
MICHAEL REVELL
COMMISSION184920
a�A � EXPIRES:FebruarY 12,2022
`` �� : dundd Thtu NotiUy ub1 Urge