|
1NOTICE OF DE RP RWRICTIONB: The undersigned understands that this permit may be subjecttO°deed"restrictions°
<br /> which may be In re restriouve than County regulations. The undersigned assumes responeibil ty for compliance write enY
<br /> applicable dead motions.
<br /> UNLICENBID ,ONTRACTORS AND CONTRACTOR RESPONSIMUTiES: If the owner has hired a contractor or
<br /> cormaotora to u .artalm worts,they may be required to be licensed in accordeke,�with state and local n�AvtaVON. If the
<br /> contrec�or is not►1<censsd as required by law.both tit®owner end coltt<sctor�,p'n,•i 1DUletrrOi for aarrnente may atYWobtfun
<br /> fbr the
<br /> urger state taw. .it the Owner or iratKrti��1 i+isriau�we pro Y,I�W,1Vn','.. �.Y:ti
<br /> intended work,f ey are advised to contact the Pasco County Building Inspeotioit t7tvtetort•-Lt�neing Section at 727.847-
<br /> 800®, Furthe are, li the owner has hlrsd a Contractor or contractors, he is advised to have the CAntractoKa)sign
<br /> portions of the a nbsztor Bloch!'of this appithation for which they will bs resportslltte. If you,®a the owner ON"as the
<br /> must,ihat I py be an itldlgogn ttret ire i�not property tloensed end is not sr&tied to permitting prty qw in Pasco
<br /> Counter. w,.wr,e n200"U �Y-- an' The Itn,r
<br /> TRA BPORTA t ON]MppjWrNMLfft�"iRlrA0 i-AND RI'�Vimv�nFYh++l�.e•.,-a I—- ._°f� !masr�rrds
<br /> that T191,11111=111111 impact Foes anti ROODIjf6i;i R owly FHB may apply to rho ootRtiuixon of I=IAMM*,change of
<br /> use In mristhnq undtnga,or expansion of exlaung butldings,as opeclood in Masco County Ormance number 4"7 and
<br /> �..�•_.�+ 9�1,.±Al tmdexaien ..that such fees.all may be due Will be Identified at the time of
<br /> permittlng: It t�Ilfluae",'
<br /> her urtdemtoad fhat TrnsnspertetieR(mpetct Fees and Reaour�Raoovery Fens nrntec oa psis:prior 6u
<br /> receiving a•� te of oecupencyl'or final power rels=i if the projeol does not Inv"a"MGM Of Occupancy or
<br /> final power rel the fees must be paid prior tp permft lesuance. Furthl3nr=,9 Pasco County'00tstft ar impact
<br /> (�� /p 1,� µ� Y.._..,.o-A1A a u„ w.Co■r.PSntmtu nrWirmna".
<br /> fob a.V QM..I muSr�,Y Palo'-pllul 1V_P- 111I11100untswL,{.YWVIV...w
<br /> CONSTRUCTt iN L113H LAW(Chapter 713,Rtartde statutes,as amondsdf if valuation of work Ill 42,tit10.00 or more.I
<br /> canny that 1, t ie appiwam,-nave been pro aso Win a copy Of the "Florida COn UCIlon Lien Lawn 41ontiiownars
<br /> Pnot�aotian.Ortttt�".nraearad by the Florida Department of Agriculture and Consumer Affair8. If the 8pp9011111 Is aomrrorta
<br /> other th®n the vmse'I earth that I have obtained a copy of tttasbove d00060 dOCUMOntand promise in good fault io
<br /> deliver it to the owner°prior to commencement.
<br /> CONTRALTO 141OWNIERIS AAFFID_AVIT: i certify that all the Information In this application is accurate and that all work
<br /> 11II1U,in nano UI III}IIICIIW WIU16{I 0t,1/II/i0Y1Q 10WD,ad410Y1ltl WIMW YVYV,,,aY,tll,n Y.w..,. ••1'•.�.• .-.�,jn
<br /> hereby made obtain a permit to do work and Installation as indicated. I cerey that no work or Installation has
<br /> commenced p or to iasuence of a permit and that all work wilt be performed to meat Ondarda of all tavm ragutating
<br /> cortstructton.C and Clty codes,zonirm requiallons, and land development regulations in the Jurisdiction. I also
<br /> Cartlfy that I un1lerstand that the regulations of other govemnient agenclas may epply to ttte Intended wark,and that it Is
<br /> my responsib %to Identify whet acfform I must take to ba fn compliance. Such agencies include but are not limited to:
<br /> D iariment of Environmental Protectfon•Cypreas Sayheads.Wetland Areaa and tsvironmarbIly 6eneltive
<br /> La ds WaterrWasfawaterTomonent _
<br /> .unumL. •L•_- •4�v_-._ 11.-wall mWi
<br /> - lularool �wuua vvalat mnlrao3srrualu u1>yulutwlmlls, i.YlrFdss t5ii}ifl!l9ae. 'udaaarta %9®9t3, Alumn
<br /> 11Y6t@rG0Ut6e8.
<br /> A iy Corps of Ertpineors,Beawrpli3,Davila,N tvigable vVaterwaye.
<br /> errtmeint.of H-Wlth & Ftehebl4tatmve t3en,ir�rEn�imnmlenfnl 9.re,snh I lnt!_.Uflalln iAf�arr�,�ln�r•n.R.�.,...►
<br /> t3 itio Tanks,
<br /> USEnvironmentai Protection Agency-Mbsstos abotemenL
<br /> FQeral Aviation Authority-Runway8.
<br /> '.n,MV/Y1A,IY Y1 ►1nv IYIIYr1111fr 1QpU 11iUY118 aw1y to Ulu 16111s7 Yf IIU�
<br /> us',of fill Is not allowed in Flood Zone W untese expressly permitted.
<br /> If V a fill material is to be used in Flood Iona "K. It Is understood that a drainage plan addressing a
<br /> c'eOnpansetlna voiuman wilt be submitted at time of narmNnna whTh%so nranewa l a.,
<br /> Iic nsea Oy the state of Florida.
<br /> If ill trli material la to be used in Flood 7-On8"An In Connection with A permitted building using stem wall
<br /> 00'etfuoticn,I ce"that III will be used only to fits the area within the stem wall.
<br /> it it material Is to bs used In any area, 10ertlly that use of such All will not edvaft effect
<br /> D pertleQ. If use of fill is found to adversely affect adjacent proper8ea,the owner y BdJa�rit
<br /> onay be cited for W Wattng
<br /> th :condhlons of the building permit Issued under the ettsched permit application,for loth face than one(1)
<br /> a which ens elevated by 50.an erMineared diphaga plan is required.
<br /> It t am the AS FOR THE OWNER.I promise in good faith to Inform the owner of the pannIM7 corAorms at forth In
<br /> this affidavit p or to conriffm rag conobuclion. i undomtend that a separela permit may be required for etetddeat vwjl,
<br /> pitanblre sign,watts,pools,air conditioning,gas,or other insWations not specifically Included in the eppAcation. A
<br /> perrtltt tesuad Olt be construed to be a license tot weed tatrit the work mid net airs auFr n4hp t b:sAm - ...W. --
<br /> ::• ar�it�1�tlotUflH ar vrairsonnrtas:tOsses,irr}r rhail 189=03�Sr D psnntt pl+svehtihe eid(ding 5ithtil fiom t�lBiBeltt�r
<br /> retilddng a Dort on of chore in Ol'10.C61`18ttuedon orvlolation®of any codas. Every pannit issued shalt became invalid urdesa the wo s authorized by such permit fa commenced within tibr months of permit I3juanee,Or If work authodmed try
<br /> the is m*is s spended or abandoned fora period of six(a)monf after the time the work is commant�d. An e>amilan
<br /> may b®frsqu ,in writing,from the Building OfitClal for a period not to exceed ninety(60)days and WN demonstrate
<br /> Justifiable caul a for the extension, if work ceases for ntnety(so)consecutive(1ays,the job is consideM ibandtMed.
<br /> WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWIG FOR IMPROVEMINT S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN RNANClNO.CONStrrLT
<br /> wltu vnrlo l ' mmn,%® ..._.mow......-----
<br /> FLORID JuliA f. TOM) u - -._Q -
<br /> / owueR oa as uOMMAara
<br /> tBubtnibEd er1 d3 tamtll eau fflaun
<br /> 1liiMnn l sr
<br /> Who ic -s-
<br /> F�rson wVIma m amsorheal mpmtlumd wino a psrsanmhr(mwm ortsacfis�p►cduad
<br /> natdantmmuon. tesWsatirt�tmn.
<br /> w , n O -N Pa41tc Win. .f—•�t•.a r /�r ."1 '� toy puft
<br /> s93.2020 .N
<br /> `�' rloddallo a'yS�rv'co•call MY COMMISSION#FF963675
<br /> i,tC'13Cb•Ct�3 � Q'
<br /> ofF EXPIRES February 23,2020
<br /> I40)398-0153 noridallota'ySerwce.con-
<br />
|