|
.
<br /> NQ710E O� DEEp REST,RlCTIOldS: The unders#gned understands�that.this,��rmit.may,bs�.subject to.°a��a",r�strtctlons"_ `'' ."
<br /> which may be�more�restrictive-�th�n County�tr+agulattons:'The:unde�igned`assumes°:cesponsikiilitji for`'compiiance witii any,
<br /> appUcable deed restrictions. .,. .. .. _ . . � _ . . � � -
<br /> UN�ICENSED CONTRACTORS AND CtlNTRACTOR RESPONSlBt�:IT1ES: --�f�the auvner-has��hlred��a�contractor or
<br /> contractors to undertake work, they.mey be;requfred,�to:be;;llcensed In accb�dance.with„state.and•lacal.regulations. �_Ifthe � '
<br /> contractor Is nat Ificensec! as reguired"6y law, botti the owr�er and:�cont�ac#o��may #ie°�c3ted�fur a��misdemeanor vlolatton
<br /> under state law, if the awner nr intended-cantractor are uncertaln as to what Ilcensing.requiremenfs��`may-appiy��for-athe �� �
<br /> � �s.�. �. .. ,: ..
<br /> intended work.they are advised.to-cantaot the;Pasco County 8uilding"InspecNon Diviston=Llcensing Sec#Ion at 727-847-
<br /> . _,..,._. _. .. .
<br /> 80i�9. Fu�them�are, K the owner�has'.hlfeic! a coritFaatiif�oc"ciontr�ctors, he is advised to have the contractor(s), sign
<br /> portions of the "contracka� Bloak" of this appllcation for which they„wlll be resp.onsible. �..If...you�.asn.#he oinmer"sign'as~the
<br /> caniractor, tha�t inay be an tnilication ttiat=he°is�not=.property Itcenssd and ts riot entitled to"permittiitg.privileges fn Pasco
<br /> Counky. ' `� �
<br /> TRANSPORTATION-IMPACT1UT141TIES•IMPACT AND�RE3�IURCE RECOVEEtY•FEES:�The underslgned understands
<br /> #hat Transpartatior� Impact Fees.and Recourse Recave.ry.Fees may�•appiy:#o fhe aansfructlon of new_buildings,:chang�e of � �
<br /> use in existing buildings,°or:expansion£of��existin,g:7bulldings� as specffied in Pasco County O�dinance number 89-07 and
<br /> 90-U7, as amended._ The�undexslgned aiso��understands, #halt-such fees,-,as;may�be:due;,=wlll}�� tdent#fled at the-t�iYie�of -
<br /> permikting. (t Is furtfier understood that Transportatlon Impact Fees and Resource Recovery'Fees_mus#"be paid priar to
<br /> rece�ving a"certificate of occupancy° or tinaF power.release, :lf�the.p�ojeat:does.not fnvolve�a-<cert{�cafs of occupancy or '
<br /> �nal power retease; #he fees must be paid prior#o permit issu�nce. F��thermore;-if Pasco Couniy�NUaterJSewer impact �
<br /> fees are due, they must.be-pald prior to,permtt-Issuance�ln accordance with applicable Pasco�County ordinances,
<br /> CONSTRUCTiON LlEF�E.�iW�Ghapter 718,Flor�da Statates,as amended}: 1�valuation o#wark Is$2,500.OQ�or more� 1 .
<br /> oertify that I, �he applicant,,.have�been. pravided with• a copy of the "Florida Conskructian Lien.Law Homeowner's
<br /> Protectlon Gulde" prepared by the Flo�ida Department of Agric.ulture and Consumer.Affafrs: {f#he appifcant is someone
<br /> other than the"owne�', I certlfjr4#hat t have,obtalnetl�a copy.of,#he=above.descrlbed docui�ent�and:p.r.omise in,goqd faith.to - ,
<br /> deliver tt to..the�°owner".prior�to:commencemenE:-� . ' � ��- � �� ' ' " " �
<br /> CONTRACTOR'S/0V4iiVER'�A�fIDAVIT: 1 ceitify>:that;atl:the,lnformatton in;ttiis appltcatlon is accurate and that ail work
<br /> will�be done in campliance with aII appUcable laws regulattng constructlon, zoning and�land�development. Appllcatlon Is
<br /> hereby made to obta4n :a permit to do.work a�nd ;installatlon �s indt�efe.d:_ '1 cer�ify�ti�at no�woik�.ac insta!!a#tan has
<br /> commenced p�ior #o Issuance of a` permlt"'and that'.all�work wiil be pertormed to meet standards of all laws regulating-
<br /> constructlon, County and Clty codss, zonfng regulatlons} and land development r.egulatlons�tn�the�Jurfsd(ctlon. ! al'so.
<br /> certify that 1 unders#and that the reguiations of other government agencies may�appiy-#a the intended work, and that i# is
<br /> my responsibllity#a identify�what:actions I must take.to bedn:.cor�lpllance: S.uch agencles lnclude but�are.not Rmited.to:
<br /> - Depattment of Etyvtronmental Rrotectton_Cypress:'Bayhead�; Wefland Areas and Enviranmental#y Sensit�ve
<br /> ' l.ands,WaterMlas#ewater Treatment. .
<br /> - Southwest Flortda Water Management D3strlct Vltells, Cypress. �8ay_heads; Vltetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps nf Engineers-Seawalls�Docks, Navlgable Waterways.
<br /> - Department of Hea4th�8� Reliabltitative SenrlceslErnritonmerifal Flealth llnit We11.s; Wastewa#er�Treatment;
<br /> Septla Tanks. � .
<br /> - US Environmental Pratection Agency-Asbestos abatement. �
<br /> - Federal Aviatton Authori4y.�unw�ays.'
<br /> !understand that the foAowing:restrlctions apply to the use of flll:�
<br /> - Use of fili is not allowed in Flood Zane"V"unless expressly permitted.
<br /> - If the fill material Is to be used.�fn. Flood Zone. °A". it. Is understood #hat �a drainage plan addresstng a
<br /> °compensating volume"will be subr�ltted at�tme of perm[fElr�g which is prepared by a professtonal engtneer
<br /> Ilcensed by the State of.Florida:
<br /> �, - !f the #111 materlal_is to be used in Flood �one °A° In�connection�with.a �ermltted build4ng using stem wall
<br /> � construction, i cerEifiy that fill:wail:b.e used oniy.to fiH the area within the stem�waii.
<br /> - If flll materlal Is ta be used In any area� P�certlfy that use of sucFi flll will nat adve�sely affect adjacent
<br /> propettles. If use of fill is#�und to adorersely:affect ad�a�er�t propertEes�.the owner may be clteci for vtorating
<br /> the condilions of the buil�ing:permit Issued under the.�ttached permit applicatian, for�lots less than.one (1)
<br /> ar.�e whlch ere elevated byflll,an englneer�ed dralnage plan!s requlred. • .
<br /> If I am the AGENT FOR THE OWNER, I;�promise in good faith#o inform the owner of�the perm(tting condi#(ons set forth in
<br /> this aHidavit prior ta commencing constructlan. I understand that a-separate permtt may be reQutred for electNcal�wark,
<br /> plumbing, signs, wetls� poats� alr condit�oning�.gas�.vr�otfi�er. instalE�i#ians �no� spec�tcally included�in.fF�e applicat3an. .A
<br /> permft Issusd shall be canstcued to be;a�Ilcense to proceed v►rlth tlie virork and not as:authority to..violate, cancel, alter, or
<br /> set aside any provlsfons af the technical codes; nar shall.issuance�of a.petmlt.prevent the Buifdfrig Q�f1c1a1 from thereafter
<br /> requtring a aorrection uf enors In.pians; constructlan or vloiattons of any cades. Every pertnit Issued shall become invaiid
<br /> uNess the wark authortzed by such permlt:�is-cotnmenced•wlth(n sGt months of permlt lssuancef or if work authorized by
<br /> the permit is suspendad or.abar�dor�ed for a period of�s�C{8}mnntFis.after.tlze t�rne#he wark Is commenced: Arr extensian
<br /> may be requested, tn writing, from the BuUding.Officlal far a perlod�not to exceed nin�ty(90) days and wlll demonstrate
<br /> justifiable cause for.the extensto�: If work ceases:far nlne�r{9t}}consecutive day.st-th�jobis consldered aba�done�.
<br /> WARNING TQ OWNER: YOUIi.FA1LURE�TO..RECO�tD A NOTtGE OF�COMMBNCEMEi�T IVIAY�RESULT 1N YOUR
<br /> PAYiNG TWiCE.FCyR IMPROVEMEN'�S Tfl YOUii<.PRC�PERTY. -1�°YBU��IId�'FF.�tD`TQ�f�3BTA1N�FIN�ANCtNG;�Ct3NSULT
<br /> �. u�ri�-�l--���.��Mb� ;O ,AN� '�TO N � FO'. �� � CO �C1 f:; OU :' O, .; .,O �..•. E ,� T.
<br /> FCORIDA JURA'f'�F.S.117.03) _. ._ -__ ._._ _ ,—. -.--. _-__.___._ _ __ _ __
<br /> OWNER OR ACa1ENT CONTRACTOR �
<br /> Subscrlbed and swom or afllrrnad}before me thls Subsalbed'and`swom to t fflrmedpbe(ore e'ttiis
<br /> �, bY -,�'v�, ��l��f?_ .bN �s�ts, i�)►� >i'�t
<br /> � Who Is e p/}�rsq ally own to.me or has/have produced Who Is/are perso allykno tCf ine or hBsA�ave�produced :
<br /> f l�_� t� as#dentlflr.abon. �2.-�: t��t�r� �'�Us� as Idenllficattan.
<br /> ..f;�_�',� ' .., tVofary PubSlc �,�X.t� Notary Pubtic
<br /> I� Com t� , ,:. Gcmm o N '�"'•••. 4NE ES
<br /> '�� �"� Commission#FF 150422 =�r ':'� Commission#FF 150422 � '
<br /> I "" - :r- ecember 12 2018
<br /> ! Name O :¢�ea'��#�;�-sas-iois � lUame of N , �;p�tedr�urs#��hp�+�saoasa�.rotis .
<br /> r�,����
<br />
|