|
PIOT'!C� O� �EE� R�,'�'�IC1'iORl�: The undersigned understands that this permit may be subject to"deed" restrictians" .
<br /> which may be more restrictive than Counfy r�gula#'sons. Yhe undersigned assumes responsibility for compliae�ce�vitF� ary
<br /> applicable deed restrictians.
<br /> 11�lL.ICiEN��D C{��I�Ft�G7QR� 1��1�D ���9������Y ���Q�OA1�I��L9�°8��: !f the ov+r�er has hired a contracfor or
<br /> contractors #o undertake work, #hey may be required to be licensed in accordance with sfate and local regulations. If fhe
<br /> contractor is not licensed as required by law, both the owner and contracfor may be cited for a misdemeanor violation
<br /> uncier state law. }f�he avuner or intended confractor are uneertain as ta what licensing requirements rr►ay appty for the
<br /> intended work, they are advised to confacf the �'asco County �uilding Insp�ction Divisian—Licensing Section at 727-847-
<br /> 8003. Furthermflre, if the ovuner has hirsc! a contractor or cantractars, he is advised ta have the contractor(s) sign
<br /> portions of the "conkractor Block" of this applica�ion for vvhich #hey vvill be responsible. If yau, as the awner sign as tf�e
<br /> eoni�actor, that may be an indication that he is not properly licensed and is no# entitled to permitting privileges in Pasco
<br /> County.
<br /> Y�N��O�`��►YICDR! If�l�'��YIE3�'IL9'Y"If�� IRfl����'@R!� ���IDUf�Cf� ���0lI�IRY Ff�f��: `The undersigned understands �
<br /> that Transparfation Impact Fe�s and R�caurs� Recavery Fees enay apply to �he construction af nevu buildings, change of
<br /> use in existing buildings, or expansian of �xisting buildings, as specified in Pasco Caunty Ordinance nu�mber 89-07 and
<br /> 9Q-Q7, as arr�ended. The undersign€�d aiso understands, that such fees, as may be due, wiil be identified at the time of
<br /> permitting. It is further understaod that Transpo�tation Impact Fees and i�esource Recovery Fees must be paid prior fo
<br /> , receiving a "certificate of occupancy" or final pouver release. If the project does not involve a certificate of occupancy or
<br /> final power reiease, the fees must be paid prior to permif issuance. Furthermore, if Pasco County UVa#erlSevver Impact
<br /> fees are du�, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CON�'Y'��CTIO� �.���i L�lf�(C�ap�g�r 7'��, i�l�ri¢!��4��¢����, �s ��ne�d�e��: If valuation af work is $2,500.00 or more, !
<br /> certify that I, the applicant, have been pravided with a copy of the "Florida Cons4ruction Lien Law—Hameowner's
<br /> ; Protectian Guide" prepared by the Ftorida Department of,4gricu(ture and Consumer Affairs. lfi the applicant is someone
<br /> ; other than the "owner", I cerfify that I have obfained a capy of the abave described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencemenf.
<br /> ( Cf?�i�'��1�'��31R'�lC�����'� i�����3�V1Y: t ceetify that al1 th�information in th'ss application 'ts accurate and that all �ark
<br /> ' �ill be done in compliance with all applicable lavus regulating construction, zoning and land development. Application is
<br /> � hereby made to obtain a permit to do �nroric and installation as indicated. I certify that no wark or insEallation has
<br /> ' commenced prior to issuance of a permit and that ail work will be perFormed to meet standards of all faws regula#ing
<br /> construckian, County and City codes, zoning r�gulations, and land developmenk regulations in the jurisdicfian_ ! also
<br /> I certify thaf I unders#and that fhe r�gu(atians of other governrrtent agencies may apply fo fhe intended worfc, and fhat if is
<br /> my responsibility to identify whet actians I must take 4o be in campliance. Such agenci�s include but are not limited ta:
<br /> - D�partment of �nvironmental Prot�ctior�-Cypr�ss �ayh�ads, Wetland Ar�as and �nvironmenEally S�nsi�ive
<br /> Lands, VVaterNVastevuater Treatment.
<br /> - 5outhwest Florida V1(ater tl�anagement DiStPIC�-VVBISS, Cypress Bayheads, Wetlar�d Areas, Attering
<br /> Watercourses.
<br /> i - Army Corps af Engineers-Seawalls, �7ocks, Navigable Waterways.
<br /> � - C�epar#m�nt of Fiealth � Ft�habilitatiue Services/�nvirt�nrrten#al Heaffh Unit-V1le(Is, Wasfewafer �`reatment,
<br /> Septic Tanks.
<br /> - US Er�vironmental Profectiart Agency-Asbestos abatetn�nt.
<br /> - Federal Aviation Authori#y-Runwrays.
<br /> i understand that the following restrictions apply 4a the use of fill:
<br /> - tJse of fill is nat allowed in Flood Zone"V"unless express(y permifted.
<br /> - If the fill material is to be used in Flood �on� "�", it is understaod that a drainage plan addressing a
<br /> "compensating volutne" vviH be submifted at fime of permitting �nrhich is prepared by a professiona) engineer
<br /> licensed by the State of Florida.
<br /> - lf fhe �ll material is to be used in Flaod Zone "A" in conneclion writh a permitted building using stem vvall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - 4f fiN mat�rial is tp be used in any area, I cerfify #hat use of such fill uvil! not adversely affec# adjacent
<br />' properties. If use of fill is found to adversely affect adjacent properfies, the orrvner may be ci#ed for violating
<br /> the conditions of th� building permit issued under Qhe a#tached permit applicatian, for lofs less than one (1)
<br /> acre which are elevated by fill, an ertgineered drainage plan is required.
<br /> If I am the AP��idY f���1fH� CDlfil�llE4�, I pramise in good faith to infarm th� owner of the permitting condi#ions set forth in
<br /> i this affidavit prior to cammencirtg construcfion. � understancf that a separate permi# may be requit'ed for electrica! vvork,
<br /> plumbing, signs, welis, poofs, air conditioning, gas, or ather installations not specifically included in the application. A
<br />, permit issued shall be construed to be a licens� �o proceed with the vuork and not as authority to.violate, cancel, alter, or
<br />( set aside any provisians of the t�chnical codes, nar sha11 issuance of a permit prev�nt#he �uilding a�cia!from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the v�rark authoriz�d by such permit is comrt�enced withirt six months of permi# issuanc�, or if Uvork authorized by
<br /> the permit is suspended or abandoned_for a period of six(6) months after_the-time the-work-is commenced. An�extension
<br /> may be cequested, in v,rriting, from the �uilding �fficial for a period not to exceed.ninety (90) days and will demonstrate
<br /> justifiable cause for the extensian. (f work ceases ior ninety(90)consecutive days, the job is considered abandnned.
<br /> iiilfARR98�� i'� t9�ii►F�iE�: Y�UIFt ��1LU�� Y� (R�CtI�D � ��l��C� O� ���fl6�dENC���P1'�' flH�Y (���i9�T I�t Y�iU�
<br /> �'d�1fIPIC T1fV0�� IFiD� bi�i�'�20VI�fNrI�W`6'� �'C)Y0�9�I�II�CSf���Ylf. V�1fOlY 9h�'�EfVf� 7C) t)�Y,�11iV �IW�1hV�CIN➢(9, ����9J�Y
<br /> 1f1tP7p-i '���l�t�ER9C�}��t Ca���1�7Yti�f�l�lt'I��SFt)������1��1�1r YC3�l��lOY1��t)(��O�f1i�iE6�C�t�i�PIT_
<br /> FLORIDA JURAT(F.S, 117 03
<br /> r �
<br /> {?lfltftlEF2 4��t�G�1117 ' f�-- �Oi�l'TIRAC'TO� ��i�iG"I�2CL-�
<br /> Subscribed and sworn o(or ai'firmed)before me this Subscribed and sworn to(or affir ed)before me this
<br /> by by
<br /> Wha islare persanally known ta me or F�aslhave produced Who{slare persanally knovsrn to me or haslhave produced
<br /> as Idenkificakion. as identification.
<br /> fVotary Public Notary Public
<br /> Commisslon No, Comm(ssion No.
<br /> Name af Notary typed,printed or stamped iVame of PJotary typed,printed or stamped
<br />
|