|
v
<br /> et3.7sio-ov Gity of Zephyrhllls Perrin Application Fmcaa�-7ao,00z�
<br /> Bunning nepwtment
<br /> NQTlt'rrz OF 000 RMTRICTit M The undemtpmed and steads that this permit may be aubjectm"deed'mWcflore v4 t May be Moro ranfift4ve
<br /> than County regulatione.'rho undersigned assumes rasponslblllty for caanpkma with any dppl[rasbte deed reatrlCtlons.
<br /> iJNLICIJNM CONTRACTORS AND CUMNACM 1IMPONSIBiLMES:If the owner I=tinted a cortttg"r or ounhacWm W Undertake woflt.My
<br /> maybe mqu*ad to bb Hasmad i»scow tanoG wUh state and karat rtaguhAmm If tha dalntraetor is nat lleaft6d a$A�qutted by law,both the owner and
<br /> contractor may be cited for a ml1'denteanor vloladm under state law.If the owner pr Iniendgd CM t1' *W ri M unaei Edn ea to what licensing requirements
<br /> may Apply for the intwIdad work,they are advised to coiAzA to Pamo,County Building Inspection Division-licensing Section at 727-947-2000.
<br /> Furthermore,If the amw heu hired a ceninecur or oo*a4'tors,he is advised to have tho C*ntr r!(s)sign portions 0f the"contractor BbX of the
<br /> application for width they will be reuppnuibfia.If yaui,m the owner sign as the cantradar,that maybe an indicaffon that twig net properly Ilawwo end In
<br /> not entitled to permitting FdWleges in Pam County_
<br /> TRANSPORTATION IMPACTAMLITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
<br /> that Trampuddan hnpmA Foes amd Raeourse Recovery Fees may apply to the conetruotial Of new Wldi tgs,change of use In etdsiing buildings,or
<br /> expansion of etsliing bu-Wings,as speclfled In Pam County Olahtanoe number W07 and 90-07,as amended.Ttie undersigned also undemWnde,mat
<br /> such fees,as may be due.V01 be Ideri Pied of the time of perm) W.It is further understood that Transportation Impact Fees and Rmmrm Reaavery
<br /> Fees must bb guild Pmr to recedv+irig a bertificate of occupancy or tonal prxwyw rr W10.if ftpmjad doss not Involve a cerilllrata of occupancy or final
<br /> powner release.the fees must be p01d per"to WrAft Issuance.NFIbermoie,if Pasco Gburrt3r Wster/Sewer impact fees are due,they moat be pirid prier
<br /> b permit lsw$ In anconfance with apprmul*Pate*sty mdrrionG -
<br /> CONSTItUCTION LIEN LAW(Chapter 773, It vala ton of work Is$'2,500-00 or rmxe,1 certify that I.the applicant.
<br /> `have ham provided with a copy ofthei TFlodda CorsbiuoSon 1.19in taw—Foineownees Pmetactlon CuideP prepared by tho Florida Daparrment of
<br /> ABricultuitt•wW Gonmumei Atfalre,ifttiB sppficont is someone ottter than the'ownef,I certify tint I have obtained a+Gt>t7y of tyre abwa deeatmel
<br /> doarment end promise ul good iblth to deliver it to the"Onr4r✓prior to C M ITIVICerWt.
<br /> c=RAC' ir&oiIVNF-W$Ammvrr.I uertdy that ad the KIntlation In this application Is accurate and that all work vall be done in wmrplianoe Wth
<br /> all applicable IaWs regulating CorstructIM,xortirtg and land development.Application is hereby mean fC obt n a po milt to do work and Installation as
<br /> Indicated.I cer5fythat no work or installation hN CGmmmwed prior m Issuance of a permit and that all work wA be performed to meet standardb of ail
<br /> IBM MgUlaft CoMtruCft.Countyaarid Clby codes,zoning regulations,8nd land daVelopa'nant NgUIGtiM In tha jurI40elon-I aim germ that 1
<br /> undeaetand thatthe rag z5om of athar gpvhinmsm ales My apply to tie;Intended work,and that it is my responsibility to identify what actions I.
<br /> must take to be in complim m.Such agencies incktdo but pro not Hmited tw.
<br /> Department of Envitnmental Protec9on-Gypress Bayheo$,Wetland Areas and Environmentally Sensitive
<br /> L-m ds,Wotet/Wa RtewAter Treatment:
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wat$Moufses-
<br /> Army Corps of EMinsors-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rohabili tttVA 9,0rVIt%1%/9nVlrenmental Health Unit-Wells, Wastewater Treatment.
<br /> Septic Tanks_
<br /> US Environmental Protection Agenc7FAsbesfibe 9baterlient
<br /> Federal Aviation Authorltyr Runways.
<br /> I undersbwd that the folluMn9+wMetions apply ll0 ft use of fill.
<br /> - Use of fill is not allowed In Flood Zone"V"unlasa tormhr permitted.
<br /> If the fill material Is to be used in Flood Zone "K. it is understood that a drainage plan addressing a
<br /> ■Corripaingagg volurmer vAI be subiri itt8d at time of permitting WhIeh Is prepared by a professional engineer
<br /> ticenved by the State of Florida.
<br /> Ir the fill material is to be used in Flood Zone "A in Conneotinn with a perrriiftecl building using slam WAIT
<br /> wristruction,l certify that'ftll will be used only to fill the area Within the stern wall.
<br /> - if fill material is to bw used in any Brea, 1 Cerft that use of such fill wlff not adversely affect adjacent
<br /> properties, If Use of fill is found to adversely Affoot id 80ent propertlao, the owner may bei cltad for violating
<br /> the concouns of the building permit Issued under the atisahad p®rmit appilestion,for lots less than one (1)
<br /> acre which are elaV d oylill,an Angirneered drainage plan is required.
<br /> if I am tha AGE61T FOR THE OMM,1 prom-se to good fallh to inform tha owner of the perm tting cw d fiahs set forth in this 96M11NIt poor 10
<br /> commencing aonctrt 0110D,l gndwswrid that a Separate permit may be required for ekChical w+oriC plumbing,signs,wails,pools,air conditioning,gas,or
<br /> Other inslallat OM not spw-fiically included in the application.A parmtt Imued WO be omalrtrad to ba a Pow=to Preaead wpb the!work and not an
<br /> audto*to vtOitife,oaMI,otter.or set aslde any prWslans of the bx tw"aides,nor shalt mwance of a permit Wev"A tta Building Official fiwn
<br /> VWWfter regdtfang a correction of errors in plans,construction orvialauons of My pies.Every permit iaW 63 etrtrll become InVWld tinleo;a the work
<br /> aWboriaed by such permit to eommer4od within WX months 0 permit Wmanw,or if work authorized by the permit Is suspended or abandoned fora
<br /> period of efx(6)meths after the time the work is corrarrenced.An extension may be requested,in writing,from the Building Ofiialal for a period Vol to
<br /> exceed&OW(90)dus%and vell demonstrato i muMble Mae for the etdanston.N vbrti ceases for ninety(90)consecutive days,the Job Is considered
<br /> #bah lnned-
<br /> WARNING TO OWt m. YOUR FAiUJRE 'rO RECORD A NOTICE OF COMMENCF-.iNENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> FLOttIaA 3URAT( .S.117.02)
<br /> OW14ERORAGENT CONiRACIiOR
<br /> Subamflnid and swam tp(Or a9hmed)bafata ma drts Subscdtrsd and swum (or affimned store me this
<br /> wate
<br /> t
<br /> who �y o me ar ftaslt�ve produced ho Isla nall Rn wn to has1havo used 1
<br /> known
<br /> _tea Ideniffloo5 tt. ld +gym►- d' 1
<br /> LINOA S.SANG
<br /> * * MY COMMISSION 9 GG M1946
<br /> a B(PIRES`March30.2021
<br /> rcgYFlo�� BondedthN8udgetNolarySer*n
<br />
|