|
813-780-0020 City of Z8phydlill8 Permit Application Fox-813-780-0021
<br /> Building Department
<br /> '
<br /> NOTICE nFDEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed"restrictions"which may be more restrictive
<br /> than County regulations.The undersignedassumes responsibility applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a contractor nr contractors ho undertake work,they
<br /> may be required to be licensed in accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
<br /> contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements
<br /> may apply for the intended work,they are advised m contact the Pasco County Building Inspection Division—Licensing Section mt7z7-847 8008.
<br /> Furthermore,if the owner has hired a contractor or contractors, he is advised to have the contractor(s)sign portions of the"contractor Block"ofthio
<br /> application for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is
<br /> not entitled\o permitting privileges in Pasco County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or
<br /> expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also understands,that
<br /> such fees,as may br due,will ua identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must be paid prior to receiving a"certificate of occupancy"or final power release.If the project does not involve u certificate ov occupancy o,final
<br /> power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
<br /> m permit issuance in accordance with applicablePu000Countyord|nanoao.
<br /> CONSTRUCTION LIEN LAW(Chapter 71a.Florida Statutes,aoomondeu):!f valuation m work io$2.5no.oOo,more,|certify that|.the applicant,
<br /> have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of
<br /> Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that|have obtained o copy of the above described
<br /> document and promise in good faith to deliver h!n the'mwno/'prior mcommencement.
<br /> cONTnACnJR'SIOm/mEn'8 AFFIDAVIT: |certify that all the information in this application is accurate and that all work will be done in compliance with
<br /> all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain o permit touo work and installation ao
<br /> indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
<br /> laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that|
<br /> understand that the regulations uf other government agencies may apply tu the intended work,and that itismy responsibility m identify what actions|
<br /> must take Lobein compliance.Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayhaads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVotar/0/aatevvaharTnaatment.
<br /> ' Southwest Florida VVabar Management Oistrict-WoUs, Cypress Boyheoda, Wetland Areao, Altering
<br /> VVataro0uroaa.
<br /> ' Army Corps ufEngineons'GaaxvaUs. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUs, VVoshavvoter Treatment,
<br /> Septic Tanks.
<br /> ' UG Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Runvvaya.
<br /> |understand that the following restrictions apply tn the use nffill:
<br /> - Use of fill io not allowed in Flood Zone"\y' unless expressly permitted.
<br /> ' If the fill nnahar\o| in to be used in Flood Zone "A', it is understood that a drainage plan addressing o
<br /> ,.compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with m permitted building using stem vva||
<br /> construction, | certify that fill will be used only tofill the area within the stem wall.
<br /> ' If fill motaho| is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propadias, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots |osm than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan iorequired.
<br /> n|am the AGENT FOR THE OWNER, | promise ingood faith to inform the owner of the permitting conditions set forth in this affidavit prior to
<br /> commencing construction. I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or
<br /> other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and not as
<br /> authority to violate,cancel, alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from
<br /> thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit issued shall become invalid unless the work
<br /> authorized by such permit ia commenced within six months nfpermit issuance,orn work authorized by the permit io suspended or abandoned for a
<br /> period of six(n)months after the time the work ia commenced.An extension may be requested,in writing,from the Building Official for a period not to
<br /> exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered
<br /> abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TORECORD A NOTICE 0F COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> FLORIDA JueAT(F.G. 117.03)
<br /> OWNER OR AGENT Com/xxc/u
<br /> Subscribed and sworn m(or affirmed)before mmthis Subscribed
<br /> 12/15/2020 by Jan Pattie as Owner
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identification. Florida Driver's License —as identification.
<br /> �o�Pvb|iu k�___-___-
<br /> '
<br /> ovmmussmnwo. Commission No.
<br />
|