HomeMy WebLinkAbout21-3174BGR-003174-2021
Issue ill 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 as water management, state agencies or federal agencies.
CONTRACTOR SIGNATURE
M-TIM-7101 TIMIMMMIM
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EIAIT OFFICE()
ITHOUT APPROVED INSPECTION
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NOTICE T I TI : The undersigned understands that this permit may be subject to`"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any,
applicable deed restrictions
UNLICENSED . iAND CONTRACTORI ILITI : If the owner has hired a contractor or
contractors to undertake work,they may lbekregUired�to be licensed in accordance Rwith,,state,,and,,I.ocaLr gulations..,-If`the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under estate law. If the owner or Intended icontractor are uncertain as to what licensing,.requirements,,.may,,apply4for,th ',
intended work, they are'advised'to contact the Pasco County Building Inspection Division Licensing Section at 727-847-
8009. Furthermore, if the owner has hired'a contractor or contractors,,he is.advised.to,,have.the contractor(s) sign
portions of the"contractor lock" of this application for which they will,be 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 in P, po
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND ESOP CE RECOVERY FEES: The undersigned understands.
that Transportation Impact Fees and R opurse°Recovery Fees may apply'to-,the}e rtstruct on of°ne '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=undersignee-also understands, that such fees, as,may be'>due,will be identified at the time of
permitting. It is further 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,notInvolye a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if` aso County Water/Sewer impact
fees are due,:they must be,pai ,prior-to permit issuance in a ordanoea'with applicable Pasco County ordinances. o
CONSTRUCTION Li .LAW(Chapter 7 , Florida tatut -,as amended):e ) if valuation of work is$2,500.00 orm.. re p I� ,
certify that 1, the applicant, have been- provided with a copy of the "Florida Construction""Lien Law—Homeowner's
Protection wide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the.applicant,ism someone
other than the"owner",I certify that-1 have obtained a copy of the above described`document and.promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'Sf FI I .<.,.i,certi: that allthet information..in,,this sapplicat bn4s'accurateand,th$t,all work,
will be done in compliance with all applicable laws regulatingconstruction, zoning and land•'development. Application is
hereby made to obtain a permit to do work'and'1install6tld`n as indicated. Ii certify that no work or installation -has
commenced prior to issuance of a permit and that all work will be performed to:meet„ tandads of all laws regulating.
construction, County and City codes, zoning regulations, and land'development regulations in the jurisdiction. ,1 also.
certify that i understand that the regulations of other government agencies may apply to theintended 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,WaterIWastewaterTreatment. .y ea s, Wetland Areas, Altering
m Southwest Florida Water Management District® ells, Cypress
Batercourses.
® Army Corps of Engineers-Seawatls,.Docks, Navigable Waterways.
4 Department of Health & Rehabilitative Services/Envirof ental ,Health Unit-W eilS Wastowater :Treatment,.
Septic Tanks.
us Environmental abatement.
Federal Aviation AuthorityRunway5.
I understand that the following restrictions apply to the u e of fllC
Use of€ill is not allowed in Flood Z6ne"V"unless expressly permitted...
if the fill material is to. be used in Flood Zone "A", it is understood`that a' drainage'plan addressing a
"compensating volume"will be submitted at time of permitting,which,is.prepared by a„professional engineer'k
licensed by the State of Florida.
If the fill,material-isa;to be used.in.,Flood.-Zone "A" in connection with a permitted building using stem wall
construction,_Ia certify fthat fill will beused only to fill the within,the-stem,walt.
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<filI is found to adversely affect adjacent,,properties,theowner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre'which areielevateddby ll;an engineered drainage plan is,required.
If I am the AGENT FOR 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, melts, pools, air-conditioning,.gas, or,other installations-not,specifically,includedw,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'-in•plans, construction or violations of any codes...Every<perniit issued}shall;beeame invalid
unless the work authorized by such permit:is commenced within six months,of permit issuance, or if work authorized by
the permit is suspended or abandoned'for a period'of'six(6)months after the time the work'is' menced.,An extension
may be requested,in writing, from,th,0 Building,Official for a'vperiod not to exceed ninety(90) days and will demonstrate,
justifiable cause forthe.extension. If work ceases for ninety(9Q)consecutive,days,the.job is considered abandoned.
Y IL.` TO TI T Y��.H T,t YOUR
WARNINGT r . . `Y1 T `T `I 11 L
PAYING ICE FOR IMPROVEMENTS T e 1F
I Fi Y LEN T
DER ,AN'A1 'ORN Y'BEORE RECORDINGYOUR
FLGI� fu r(F.s.117.03?
OWNER O G T.`_
S �and sworn to(or affi )before me this
Subscribed and sworn to(or affirmed)` betoc me thin ubsenbed
-by
by Who is/are personally known to me,or=heslh�ve paoduced
who is/ere personally known tomes den flcedofl Produced as;identiftcation.
Notary Public ( Notary Public
commission No. commission No.
Name of Notary typed,printed or stamped Name of Npta t�'Rb ,Print ' dr stamped'