HomeMy WebLinkAbout21-3278I 00alim
BGR-003278-2021
Issue D. 11/30/2021
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.
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Complete Plans, Specifications add fee Must Accompany Application. All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
�R.' NO
PEJAIT OFrICEU
ITHOUT APPROVED INSPECTION
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Kfth10tNTtAL Admit Idp Fes m anf, t4) eels of c#uttctang mans, .t, set ui trn;g1s txr<arens., 4v *"�er-n,i tor nt�'1't`C,4*n8ititOtiGt'.,
'MrrtaeQ (tC) W0rlvng dap$ OWSUbmMal dateb cs c nsRa. C rskr n PWns, Star ter RWIS it FanOe ;fnesRed,
Sandray Facilities & E du"`r, tej , 844 VVC-,Ik ?er:-ntt for subdiRfsor barge prof
COMMERCIAL Attach (2) comdete eels Of E+uitd;ng Ran$ ptu5 a Lie 6rinin Page (1 ) Set of Energy Forms R-0trtl Deft n t far nOW construction
hi n ininn ten (10) mrk,ng days after submrtla€ date Required Inske, C n-t uct1,1n Ptans, StO r "'Wer MansiNif Sit Few ;tastalled,
enttary Fars4tttas ': 00,n t€ar Este ut,,* apt rmri gar ail neu� 410er A,- om^atal ;zw nAuach) setat Engineered Rangyt Pit b cornoRri,e
—PRO
.... _ . _ . _. PER'ry° SUkVEY fWJOW for l NIEW Fond , on-
RYts c r a .a,2 .. *mpt*zle,
owrer & contrack�r r tiack of araati au 1. nr
If over , a. o f rsa #it requjrr I ssl r a s p
Agent or pawr V A[IO'M9Y OOrTIP O 1af 4§catld to sorreOnAWOh notar{zed lart€ar from Owner auth arv§ng some
OVER THU COUNTER PrANTTING (c,ODY of contract required)
Re,,,00fs if Wrngfaes 's awe"s 601Y1,0e L)Pg oes AIC Fences (PIOVSurvey1 t10
3u rlrt a COUM r If Or', Put itc fwd4 ys, nsw,,n R(.ift
NOME OF DEED R TI TI _ S; The undersigned understands that this permit may be suhield t d d re ctio
vpt al4..f4 ks�.ieyr ia� rstx�ras e�. sitxcexbx zd acas�.«. aray r srsss�wsaa^- s,,u au ..av�.e�ea�sz aai� e@ua+s �'a*ixaep ,max yea+pf<rre><.� F
applicable deed restrictions.
UNUCENSED CONTRACTORSAND ON'T A ToR RESPONSIRIUME& I# the owner has hired a contractor or
contraotom to undertake work, they may be muired to be licensed in accordance with plate and local regulations, if the
contractor is not lloensoo as required by law, berth the ouiner arid ci>n"otor may be cited for a rnisdemeanor violabon
under state law; If the owner or intended o0rdractor arcs is rta n as to what licensing requirsMotili may af°ply for the
Intended work, they are advised to contact the IRS= County Building inspection Division —licensing Section at 727 7W
009, Furthermore, If the owner has hired a contactor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor £fits o of this application for which they edit be responsible, If you, as the owner sign as the
c9rtt3 c@ tr, t ritay be an mclictiers that the ii not proper ficensed and is not entitled to penridtiny; privileges in Pasco
County,
2 RANSP :3 IA1IUN Intl AI; # iV I I I I I I fiFd I U KtbU KLi Kt'� �g C f r : i n nag anpli
oormn
that Transportallon impact Fees and Recourse Recovery Fees may aptoy to tht c0rilitu,10011 rbriew buii0ings, change of
use in exist' „ buildings, or expansion of existing buildings, as specified in Pasco Countly Ordiname ournper W07 and
-07, as amended, The undersigned also rstands, that such fees, as may be due, Wit be Idenlified at the time of
permitting, It is farther understood that Tranilmodetion Impact, Feese and Resou Recovery Foes of be Palo prior
receiving a "riedifl tea of occupancy" or final pea rel s,e, if the project does not involve a rartificare of otrcuPancii or
final power re se, the fees Ovust be paid pricer to permit issuance, Furthernfore. if Pasco County Water/Sewer Impact
fees are due, they must be paint prior to permit issuance in accordance with aopf able Pasco Coup ordinances.
CONSTRUCTION LIEN to (Chapter M, Florida Statutes, as amande ), if valuation of work is$,2,5M,OO or more, I
certify that 1, the applicant, have been provided with a copy of the "Flod a Construction Lien Lau Home oiner's
Protection Guide' prepared by the Flofdra Department of Agriculture and Consumer Affairs. It the applicant is someone
olhcr trion t -c N 7r r �t flthat! h avo obtair,--d c ropy of the ob.-vc doocribod tdoouM nt of ad prr:97t130 In goetd faith to
deluder it to the sowner" pricer to ccmmencement.
CONTRACTORISIOWNERIS AFFIDAVM I certify that all the infrarmatiorn in this application is aawrate and that all work
will be done incompliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do worts and installation as indicated, I cartify that no work or installation has
commenced Infor to issuance of a par it and that ail work Wit be perfurnOrd to meet standards of all laws regulating
construction, ODunpi and City codes, zoning regulators, and land developintint fegulatione in the furistflotion. i also
cerlity that I understand that the regulations of other govemment agencies may apply to the Intended worst, and that it Is
tray mepormutity to identify what actions B must tale to be in co [lance, Simh agencies hc9ude bait are not limited to:
f'-part nt of F-rorrmcerftt Protectloci-Cypreas ftyriesda, wedend Area* orid EnvironmentallY Senaftwe
i Roft WaterAlVastpotatpr Treatment
SotAhwest Fionna Vilater Management District- stIis, Cypress Bayheads, Welland Amos, Aftedrill
witerctiumes.
tMy Corps of Engineers -Seawalls, Docks, Navigable Mtervatys,
Department of Health & Rehabilitate Sear` sr`Fnviron lust Heafth Unit -Welts, Wastewater Trelarnerd,
Septic Tanks.
US, Environrrental Protection e y-Asbestos ab tement,
Federal Aviation Authruity-Run ys-
I understand that the following riastrictions apply to the use of f'K
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to he used in Flood Zone "A", it is understood that a drainage plan addressing a
:,,�.mra E 4i 4a {wa iP i a0 t e r,i xae �iii roe kxc,h i. r+ mszca A i r 0 r+rrtisaw�itacesai nexrtinrtxs+P
Ii nzod by¢the State of Flori a,
if the fill material is to be used in Rood Zone "R" to r-onnection with a permitted building using stern wall
construction, I certify that fill will be used only to fit the area within the sterns stall..
if Off material is to be used in any area, I certify that use of such fill v~±ill not advemely affect adia0ent
properties, If use of fill is found to adversely affect adjacent propertieas, the owier rimy be cited for violating
the conditions of the building permit Issuer! under the attached permit application, for Beats less than one (t)
acre which are elevated by fill, an engineered drainage plan is required,
it t am the AGENT" FOR THE , I procritse In good faint to halo , ' of the permMing conditions act forth In
this offadevit prior to commerning construction, I undeMand that a saisirmte, peornit may be Muiradfor electrical
pluaarbing, signs, wells, pools, air conditioning, gas, or oto Installations specifloally iricluded in the application, on, Ac
atCSitf4tt #a'xiAWCikk �l P�4§ 624 r .wn +w�c
set Mils any via as of the technical codes, Mr s,�l l v t n of s � Prevent theBuilding flirt i from them3ftr
requiring a idiftchon of ermrs in Tunas, constructirin or vialiations of any codes, Every past Issued It become invalid
unless the work authorized by shah permit is commenced w4thin six rnonths of permit Issuance, or if mrk authorized by
than perfrift is suspended or abandoned for a period of six (fit) rnonths after the firne the work is commenced, An exterisk i
may be requested, to writing, from the Building Official for a period not to exceed ninety () days and will demonstrate
Justifiable cause for the extension. if work ceases for ninety () consecutive days, the job is considamd abrindoneei.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TMGE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
Pubfic
5496
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XPI4S Februsary 23> 2524 iANA �GKFR9(
Pudlic Underwriters * MY COMMISSION # GG 925496
;sledTh:uNotary 4 EXPIRES: February23,2024
";, fiertlted T?iru Notary Pudlic Under+xr€sets