|
=F .�" � � , . .
<br /> . _" " ., i , , � � •1 ' �' •` ��
<br /> , �GOTICE OF D��D RESTRICTI�PIS: The undersigned understands that fhis permit may be subject to°deed"restrictions"
<br /> which may be more restrictive�than Counfy regulations. The undersigned assumes responsibflity f�or compii�nce with �ny
<br /> applicable deed,restrictions., � � � � , -
<br /> llN�ICEfdSED CONTR�ICTO�� AN��C0�94i�►�CYOR RESF'ONS��I�I'TIES: If the owner has hired a contractor or �
<br /> contractors to'undertake work, they may be required to be licensed in accordance with state and local regulations. If 4he
<br /> contractor is not licensed-as required by law,, both the owner and contractor may be cited for a misdemeanor violat6on-
<br /> under state law:, If the owner or intended contractor are uncertain as to what licensing requirements may apply,for.fhe
<br /> intended work, they are advised to contact the�Pasco County Building 9nspection Division—Licensing Section at 727-847-
<br /> �8009. Furthermore, if the owner has hired a contractor or con4ractors,. he is advised to have the contractor(s) sigri ' _
<br /> � portions of the,"eontractor Block" of this application for which they will be resp,onsible. If you, as the owner sign as khe �
<br /> contractor, that�may be an indication that he is not properly licensed anii-is not entitled to permitting privileges in Pasco
<br /> County. � . . � � . ,
<br /> Y�lNS�ORTA�EOR9 Ifi�P�CTBl1TILITIES IiiAP�►CY�ND RES�URCE f�ECOVERY�EES: The undersigr�ed understands ,
<br /> that Transportation,lmpact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of
<br /> - . use.in existing buildings,.or expansion of existing_buildings, as specified in.Pasco.County-Ordinance number 89-07 and
<br /> _ ' ,90-07, as amerided. The und�rsigned also understands, that such fees, as may be due, will be 6dentified at the time of
<br /> � permitting. It is further uriderst�od that Transportation Impact Fees'and Resource Recovery Fees must be paid prior'to
<br /> receiving a "certificate of occupancy" or final power release. If the proJect does not involve a ce�;ificate of occupancy or, '
<br /> fnal power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer ImpacQ
<br /> � fees are due, they must be pai� prior to perm.it issuance in accordance with applicable Pasco County ordinances. � �
<br /> ��P➢5T�9J�TION d.a�N L�►�V Q�h�pt�r'��3, Elorid��t��aat�s, �s am�euded): If valuation of work is$2,500.00 or.more, I .
<br /> .cerQify. that .I, the applicant, Nave been provided with a copy of the "Florida Constructoon Li�n Law—Homeowner's �
<br /> � Protect'ion'Guide"�prepared 6y the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other.than the"owner°, I certify that I have obtained a copy of the above described document and promise in good faith to �
<br /> deliver it to the"owriec" prior to commencement. , � ' • ' � � ,.
<br /> ,. �G�9�T9���TOR'SI�WfP1�Ft'� 641FFIDA�/IT: I certify,that all the inform�tion in this application is accurate and that all work
<br /> , will�be done in compliance with all applicable laws regulating construction, zoning and lanii development. Application is
<br /> hereby� made Qo�obtain a-permit to do work and installation as indicated: I certify that no worlc or installation .has
<br /> - commenced prior to issuance of a permit �nd that all work will be performed to meet standards of all laws regulating
<br /> •construction, County and City codes,,_ zoning reg�ulations, and land development regulations in the jurisdiction. 0� �Iso
<br /> - , cectify that�l understand that the regulations of other government agencies may apply to the intended work, and that.it is ,
<br /> my responsibility to identify what aotions I must take to be in compliance. 5uch agencies include.b�t are not limited to:
<br /> . - ;' Department of Env.ironm�ntal Protection-Cypress Bayhea�ds, Wetland Areas and Environmentally Sensitive�
<br /> - Lands, WaterM/astewater Treatment. � �
<br /> - Southwest Florida Water Manageenent District-Wells; Cypress Bayheads, Wetland Areas, Altering �
<br /> . Watercourses. , � ., - . ' .
<br /> �- . Army Corps of Engineers-Seawalls, Docks, Navig�ble Waterways. _ - , � � � -
<br /> - ' Department of Health � Rehabilitative Services/Environmental Health Unit-V1lells, 1Nastewater Treatment,
<br /> . ' . Septic Tanks. ' �. , �
<br /> - US Environmental,�rotection Agency-Asbestos.abatement. � ,
<br /> , , - Federal Aviation Authority-Runways. , � _
<br /> -I und,erstand that the following �estrictions apply#o�the use of fiEl:� � -
<br /> - - Use of fill is not allovued in Flood Zone"V" unless�expressly permitted. . . � '
<br /> , - If the fill material is to be used in Floo�d Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating�volume" will be submitted at time of permotting which is prepared by a professional engineer: I
<br /> _ � licensed by the State of Florida. ' ' ' I
<br /> - If�the�fill ri�aterial-is to be used in Flood Zone "A" in connection with a permitted building using s4em wall �
<br /> � • ' _ � ' construction, I cerfify tfiat fill will be used only to fill the area within the stem wall. '
<br /> - If fill, material is �to be �sed in any area, I certify that,use of such fill will not adversely affect adjacent ; -
<br /> , ' - �properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating .
<br /> � - � , the'condiQions of Qh� building permit �ssued under the attached permit application, far Iots less than one (1)
<br /> � , acre which_are elevated by fill, an engineered drainage plan is required. , , „
<br /> If I am the�►GEP17 FOR TFI� O�iIR�E�, I promise in good faith to inform the owner of the permitting conditions set forth in �
<br /> � fhis affidavit prior to corrimencirig construction. I understand that a separate permit may be required for electrical work, ' '
<br /> plumbing, signs, wells, pools, aic conditioning, gas, or other installations not specifically included in the application. A
<br /> „ permit issued shall be construed to be a license to.proceed with the work and not as�authority to.violate, c�ncel, alter, or
<br /> sep.aside any provisions of 4he technical codes, nvr s,hall issuance of a permit prevent the Buildiny Official from thereafter �
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every.permit issued shall become invalid
<br /> - unless tlie work authorized b�� such permit is commenced wit7�in six months of permit issuance, or if work authorizecf by
<br /> � � _fhe:permit is suspended�or abandoned for a period of six(6)months after the time the work is corrimenced. An extension
<br /> � , may be requested, Bn vuriting, fr�m the Building Official for a period not to exceed ninety (90) davs and will demonstrate
<br /> _Susti,fiable-cause for the �xtensian.-_If_work ceases for_ninety(90).consecutive days, the job is co,ns6de[ed abandoned. _ _ ___
<br /> °_� ��RP91NG TO Oli1�BV�R: Y�U9i f��GLl�9�� TO R�CORD,� �70TIC� OF C06i�iYiEPICEi11i�i�T fi�1d41� RE�IDLT �YV YQ�UfR
<br /> � -� ��r��°6b���°�'r���� ��� 9�a��:9`�����!!��TO�!��R��0����'Y.. pF�f�U IPITEiVD TO OBT�iIN FIPI�FVCIV��, GO�IS�J�.T
<br /> �filBT�G Y�LBR LEP➢D��OR�Pd l�YT�f�R7�Y���ORE �EGOR�IPIG�O�.BR WOT9CfE OF COhYVflfi�Vd���fi�V�T: � � .. - ,
<br /> , F.LORIDA JURAT(F.S;117.03) ; � r , - �
<br /> ,'01N�9EF2 OR AGEP�T �� COP1Ti3ACTOlt , �C�l CI� ��. � II 11DI�I , �,
<br /> ' -• Subscribed and sworn to.(or affirrried)before ine this Subscri�gd and sworn o(or affirmed)before me thls _
<br /> ey. ; � f 3 by '�l�.,zl�, 2-�1 �"" ,
<br /> Who is/are personally kriowm to me or haslhave produced ,QNlio Is/are personally known to me or has/have produced
<br /> - as ldentlficaGon. � as identifir,ation.
<br /> ,- ,
<br /> , � , - �a 1?e�,i r�.e�� f��rrci,t��n�� _
<br /> :, -, c
<br /> - Notary Public ` ' - Notary Public '
<br /> - � Comrrilsslon No. � - " �, C mis on No. � ` - ' ,
<br /> � �;�''"�"`d��., �{ti�t�UEL1NF�HAFiRUiTINER -
<br /> Name of.i�otary tyPed,pririted or stamped _ Name of Notary typed,pri ed otj�anipequlY COMMISSION#FF1A4817 `
<br /> ' ' � •9FFL"�.,�� EXPIi��6 July 24, 2018 � '
<br /> � . � , � . •9[��f116J Flnrld�Np;:l 'SBNI(.Q.Y:Ort1.
<br />
|