|
NC1TiCE OF �EE� RESTRIGT�ONS: Tha undc3rsigned under ands tfiat th4s pe�mit may ba svbj�ct to°dead°rest�iotions°
<br /> wFiich may be more r�strictWa tF�an Cou�ty regulations. Thia u d�rsignad assume� responsibility Por compli�ance witti any
<br /> applicabl�dead restrictions.
<br /> UNLtCENSEU CONTI2AC'i'ORS ANU CONTRACTOR F2ES CiNSf61�1T�ESG: If #he owner has tiired a contractor or
<br /> contractors to u»dertatca work, tfieey may bg resqt�ired ta ba Ilc ns�d in accordance with state a»d iooat reguiations. if th�e
<br /> co�tractor is no� licensed as requirad by law, both #he owna a�d conk�actor may be cit�d for a miademc�eanor viotativn
<br /> undar state law. IT tF�a ownar or intendad co�trectar are unc rt�in as ko what licansing requiramenl:s may apply for th!e+
<br /> intaridad woric, tFtiey are advised to contact tha Pasco County uilding Inspection �ivision—Licensing Section at?27-84?-
<br /> 80Q9_ FUrtha�mara, ff tt+a own�r fias trired � cont�actor or ca�tractors. i�� is advtsad to t�sve tfi� contracto�(s) sigrti
<br /> portFons of tFi� "contr�aotor BIocK" af t�is appiication For wh;ch thay wiN be rasporfsibte_ If you, as tfiti+e owner sign as tF��
<br /> contractar, that may be an indication that t-�e is not proparly li onsed a�d is not entitled ta pe�mitting privil�ages irti Pasco
<br /> Caunty.
<br /> TRANSpORTATION /MPACT/UT�LlTIES IMPACT ANO RES IJRCE RECdVERY FEE$: TF�a undersigned understands
<br /> tF�at Transportatio� 4mQact F�es and R�+course 12ecovery Fee may apply to the construction of r�ew buildings�cfiange of
<br /> uar� in axisti�g bulldi�gs, or sxpansion of existi�g bvildings, s spBCitiad in Pasca County O�dinanca number 89-07 and
<br /> 90-07, a� amanded_ 'The undersigned aiso ur�dersta�ds, tha such f�as, as may be du+e�, will ba idantified at tli� time of
<br /> perrmittfng_ It i� fairtF��r und�srstoad tt�at Transportatfa� Impa F+�es and Rta�ourc�.a Recovery Faes must be� paid prior to
<br /> rsca7ving a "certificate of occvpancy° or fl�ai powar raleas�_ If the project does not involve a cer[ific�te af occupancy ar
<br /> finai powgr rafaase, tt�e faees must ba ¢aid prrtor to perm➢t iss ance_ Purtt�armo�o, if Pasco Covnty VliaterlSewgr impact
<br /> faeo-s are due, they must be paid{arior to permit issuar�ca in ac ordanca witFi appiicabte Pasco Qounty a�d3nances_.
<br /> CC►NSTRIJCTICiN LIEN LAW(CF»ptar 773, Florid�Statut@ , aa amonded): If valuation of worFc is $2,500.00 or mnra, 1
<br /> certify th�t 1, the applicank, hava baan provided witF� a c py of tFwee °Florida Construction Lien Law—liom�owner's
<br /> P�atection Guido^ propared by tha Ftorida Oopartmesr+t of Ag icvitura and Consumsr Affairs_ if ft�e applicar�t is someone
<br /> othar tt��n tFe'own�r°, I c�artify that S t-�ava obtained a copy of tF�a above described docume�t acZd promisa i�good faitfi to
<br /> deeliver it Ro tl��'owner^prior to commenaemant_
<br /> CCYNTRACTOR,'S/OWNER'S AFF�UAV�T: 1 certify that alt tF� information in this applic�tion is accurate ar�d that all work
<br /> will ba done in complianccx witF� all applicablo laws regulatin constn.�ction, zoning and Is.�nd dovelopment. Application is
<br /> he�r�by made to obtain a permit io do wor{c and i�sta�tati n as indicatad. 1 c�ftiTy that »o worlc or instatiation tyas
<br /> comm�nced prior #a issuance of a p�rmit a�d that a4t wortc wHt be pt:rformed to meat star+dards of ai! Iaws �agu/ating
<br /> construction, County and City codes, zoning regulatio�s, a d tand davelopment regulations in tFi� jurisdiction. 1 aiso
<br /> cortify tF�at 1 understand th�t tF.a regulations of otF�ear gov�rn ant agancies may apply to tF�e intende,d wo�k, and tF�at i2 is
<br /> my responsibiiity to identify what F�ctio�s 1 must talco to bB in ompliance_ SucF�ager�cies includ� but are not limiteed to:
<br /> - Oapartm�nt of Enviranm8ntal Pratectian-Cypre Bayt��ads, Wetland A�eas and Envi�onmantaliy Sensitive
<br /> Lands. WaterlWast�water 7'�eatmant_
<br /> - SoutF�w�st Florida Wateer Managem�nt dist ict-Wells, Cyprass Bayh+sads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - A�my Corps of Ee-�ginaers-Seawetis, Oocics, Navi abla Waterways.
<br /> - C)spartm�nt of Healfh 8 F2at�abi/itativ� Service J�nvironm�r�ta� Ftealtfi U�it-Wetis, Wastewater Tr�atma�t.
<br /> Sr�ptic l"antcs.
<br /> - 11S Environmantal Protection Agre�ncy-Asbestos batement.
<br /> - Fe�cleral Aviation Autl�ority-Runways_
<br /> 1�.ends��ta�d that tt'�e�fotlowing r�stric#ions apprly to the us�a o flli:
<br /> - Use of fl1i is not a�iowed in Flood Zona"V"unl+es exprsssly parmitt8d.
<br /> - If tF�a till mata�ial is to bQ �sad i� Fiood Zo e ^A^, it is u�derstood tlia! a drainage ptan addr4sssi�g a
<br /> 'comp�nsating volume^ will be submf#tad at tfm of permitting wF�icF� is pr�pared by a professional +enginaer
<br /> 1ice�sed by tha Stater of Florida_
<br /> - if tt+a fiii matariat is to ba t�sed in Rood Zcsne °A° in co�r+ection wlth a p�erm"sttad buiiding using stem walt
<br /> constructioei, i certify thai ftIi wiN ba us+�d anly to dt tt�e arr3a witttin tt�e stem wa�E_
<br /> - if fill ma�eNal is ta be a�s+ed in a�y area. 1 c rtify tF�at usa of such fill wilt no� advr3rseiy afFect adjacant
<br /> propertias_ If use of fill is found to adv�rsely a act adjacent properties, ttrei ownar may be cited far violating
<br /> tt�� condit€ons of th� building parmit fssuad un e� tF�e attach�d permit application, for lots I�ss tY�an one� (1)
<br /> acre w!'�icfii ar�a e}evated by fl1i.an engin6er�d d inaga piar+is resc}ceirc-td_
<br /> if! am the A.i"`.+ENT FOR THE OWNER, i Promise in good i th to inform the owne�r oT tt�a perrnittiezg conditions s�t forttt in
<br /> this aRidavit prior to commencing conatrucHon_ 1 understa d tt�at a sepa�ate parmit may b� requirod for�lectricai warK,
<br /> plumbing, signs, w!alls. pools, air conditioning, gas. or oth r installyations not s{ac:ciFceilly included in tF�t�a application, A
<br /> p�rmft issued st�aii be co»struett to b�ar a lic�ansa to procr3� with tt+o worlc and nat as autF�or4ky to violata, oanc�l, alter, or
<br /> sot aside a�y provisions of tfie#e:chnicat cod�s, nar sfiatl is uance af a permit prevant#hg Buiiding G7ffc�ai from tiiereafter
<br /> raquiring a aorrection of�arrors in pia�s, consRruction or viot tions of any codes_ �very permit €ssur3d shat► become inva4id
<br /> unless the wor{c auithorizeed by sucF� pryrmit Is commencad i�hin six montF�s of permit issuance, or iT wark authorized by
<br /> tFie pgrmit is susperinded ar abandonad for a period of stx(6 montFis after the timr�tl�e worlc is commenced_ A�v exte�sio�
<br /> may bee requasted, in writt�g. from ttia SuFtding dtiiciai for s period not to exce�rd nin[�ty (9pj days and will damonstrate
<br /> justifiabis cause for tF+e r3xtension_ Sf wor#c aoases for ning {94)consecut4ve day�,the job is considEZ�ed abandaned_
<br /> WARNING TO OWNERx YOIJR FAILURE TO RECC1rFt� A NOTICE OF COMMENGEMENT MAY RE'SULT IN YOUR
<br /> pAYfNG TW�CE Ft}R�MPROVEMENTS TO YOIJR PRClP RTY- IF YOU INTENO TS}061'AIN FINANCING, CONStJLT
<br /> VKlTH YO1lR� FNOER L}R AN ATTORhEY BEF t G UR NO�'#CE O�COMMENCEME.NT
<br /> FLOR7pA JtIRAT(F_S. 117.03j �"':�����/� �+^^
<br /> OWNE.R OR AK3ENT C NTitACTOFt /�=�°"°��-"r^^�"' �"l��
<br /> $aibscrlb�ad and swom to(or afHrmad)befora m�ti.is S s ribad I�d swo to o rm�d ¢orerYr�e this
<br /> by _ _ ' ....
<br /> sN1so;slare parspna�iy K�owr+to ms or tsasfha�+�Produ<:ed i�la a�'socsaity K Yo m6 OT haslhav6 prvduGed
<br /> as IdeenHficaqan_ as Idantlfication_
<br /> Notary Pubilc ,_Notary Public
<br /> Oommiaslon No. C iif sion o _-- -
<br /> — Commis�ion#EE 04052q
<br /> ^_ : '
<br /> Nama of NotarY tyPed.Prinked or sTamPeO � N m+3...oT NoR�ry�tYP� .' ta� �--... auo-xs�-�ro�e
<br />
|