|
,
<br /> N07'oC��F DEEC1 i2ES"q'�tlCl'10�l�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regula#ians. The undersigned assumes responsibitity for compliance rnrith any
<br /> applicable deed restrictions.
<br /> UN�.10Ei��ED CpNTRA��'OE�� ��1D C�?N�'�i�T�� �L�S�'OPJ�Il�IL��'1��: !f the owner has hired a contractor or
<br /> ', contractors to undertake work, #hey may be required to be iicensed in accordance with state and iocal regulations. If fhe
<br /> contractoe is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under state lavsr. If th� owner or intended contractor are uncertain as to vvhat licensing requirements may apply far the
<br /> intended work, they are advised to corttact the Pasco Caunty �uilding Inspection Divisian—Licensing Section at 727-847-
<br /> 80a9. Furthermore, if fhe owner has hirec# a co�tractor or contrac#ors, he is advised to have the contractar(s) stgn
<br /> portions of the "contractar Block" of this applicatian for which they will be responsible. tf yau, as the awmer sign as the
<br /> cantractor, that may be an indicatian that he is not �roperly #icensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> �'Ii�Fl�POR'TATIt3T➢ Ii�IPACYIIJ'�ILI'�'�f�� I���►��°�+�I� �E�C�l9��f� fRf��Oi/f��3Y F�fES: The undersigned understands
<br /> that Transpor#ation Impact F�es and Ftecourse Recovery Fees may apply to fhe canstructian of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in F'asco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The ur�dersigned alsa understands, that such fees, as may be due, wil! be identified at the time af
<br /> permitting. I# is further unders#ood that Transpvrtation Impact Fe�s and Ftesource Recovery Fees must be paid priar fo
<br /> receiving a "certificate of occupancy" or final povuer r�lease. !f the projec# does not involve a certificate of occupancy or
<br /> final power reiease, the fees m�st be paid prior ta permi# issuance. �urthermare, if t'asca County WaterlSevver Impact
<br /> fees are due, they rnust be paid prior to permit issuance in accordance with applicabl� Pasco County ordinances.
<br /> CONSTRLICYlQN �1��9 1L�►14V{C6��g���r 713, �I�Pid�5��tut��, �s �m�nd�d�: If valuation of+nrork is$2,500.Q0 or more, 4
<br /> '' certify� that I, the applicant, have been provided v�rilh a copy of the °Florida Construction Lien Law—Hameo�nrner's
<br /> Protec#ian Guide" prepared by the Florida Department of Agricul#ur� and Cons�smer Affairs. lf#he applicant is someone
<br /> other than the "owner", I cerfify that 1 have obtained a capy of fhe above described document and promise in gaod fai#h to
<br /> deliver it to the"owner"prior tv commencement.
<br /> CON'T�1�GT01�'S/O{fitAl(EFt'� �,FF1�19�V{�': t certify that all the informatian in fhis application is accurate and Ehat alf wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit ta do work and installatian as indicated. I certify that no wtark or instaltatian has
<br /> commenced prior to issuance of a permit and that all wrork will be perfarmed to meef standards of all laws regu(ating
<br /> construckion, County and City codes, zoning regulations, and land development regulations in khe jurisdiction. ! also
<br /> certify thaf I und�stand that fhe reguiations of other governmertt agencies may apply to fhe infended work, and that it is
<br /> my responsibility to�ide�tify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmenta] Protectiar�-Cypress �ayheads, VU�tland �ireas and Environmentally Sensitive
<br /> �.ands, �/VaterNVastewater Treatment.
<br /> - Southwest FEorida VVat�r �(lanagement Qistrict-V1(ells, Cypress �ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Enginesrs-Seawalls, Docks, fVavigable Waterways.
<br /> - Department of Health & �ehabilitafive ServiceslEnvirc�nmenta! Heafth Unit-WelCs, Wastevtrater Treatmer�f,
<br /> Septic Tanks.
<br /> - US Er�viro�►�en#ai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> E understand that the folfowring restr9ctions appRy to the use of fill:�
<br /> - Use af fili is not allowed in Flood Zone"V"unless expressiy permitted.
<br /> - If the fill material is to be used in Flood Zone "A", if is understovd that a drainage plan addressing a
<br /> "campensating voiutne" wiil 6e submitted at fime of p�rmitting �nrhich is preparecf by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the �I1 material is to be used in Flood Zane "A" in conneefion vvith a permifted building using s#em waE4
<br /> construction, I certify fhat fill will be used only to fill the area within the stem wall.
<br /> - ff fill materiaf is to be used in any area, 1 certify that use of such fil! will not adversely affect adjacent
<br /> properties. if use of fiii is found to adversely affect adjacent properties, the owner may be cited for vialating
<br /> #he canditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevafed by fll, an engineered drairtage plan is r�quired.
<br /> If I am the AGEfV7 IFOR�"FYE Olf`1lIN�I�, I promise in goad faith to infarm the or�vner of#he permitting conditions set forth in
<br /> this affidavit prior to commencing canstruction. I understand that a separate perrnit may be required for etectrical �nrork,
<br /> plumbing, signs, wells, pools, air canditioning, gas, or other instaflations not specifically included in #he app(ication. A
<br /> permit issued sha!! be construed 4o be a license to proceed vvith the vuork and not as authority to,violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, rtor shail issuanc�of a permit prever�f the �uilding Officia!from fhereafter
<br />, requiring a correctian of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> un(ess the work autharized by such permit is commenced within six manths of permit issuance, or if vtrork aufhorized by
<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the work is cornmenced. An extension
<br /> may be reguest�d, in �nrriting, from the �uilding t7�cial for a period not ta exceed ninety (90) days and vvill demonstrate
<br /> jusfifiable cause far the extension. If work ceases for ninety(90)consecu#ive days, the job is considered abandoned.
<br /> 1ii/lAE2NMNG Tf3 01�lN�1�: Y{�19� iFA1�URl� TQ �2��C�l�2D � PI��iGf� C�� C�i��f1ENC(�fi11fi�P�T �AY �t�SIJ[.'T [�l �lf?l3R
<br /> �,�YIN�-'Til1iNCE �'d��d-16�l��ZO!/�fiW��9`�� 7'�YOI��t�'�.OPE�`I�. �fF YOU E�'f�P�D�"Cb ��7'�Ih! fFlhl�i�dCB�lC, �O��U�.1�
<br /> �tit1�H Y�l�� �.E[VC�iE�QIf2��V i�YYC11f��11�Y�iE�{)�� ��CC?(�ID1�9t�1��UF�� IC� O(F CClt�3�i �!C(E�f! (�i�.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OVN�lEf2 4R tiGENT COPITF2ACT0� °'�
<br /> Subscrtbed and sworn to(or affirmed)before me this Subscribed and sw rn to(or affirmed)before me this
<br /> by by
<br /> Wha islare personalty known to me or haslhave produced Who islare personally knawrn to rne oc haslhave produced
<br />, as Identification. as idenGfication.
<br /> Notary Public , � iVotary Public
<br /> Commisslon No. Co is on IVo
<br /> :v ��";,y,,;''' JOEL E.BACON
<br /> `2''�"`?�i
<br /> Name of Notary typed,printed or stamped PJame of Notary � ' rlv�e ;�,}R��9,2Q18
<br /> :
<br /> �'l'f,p{��;;�� 6pdedTtuuTmyFeinlnwranee80U,A'5�7019
<br />
|