|
\ �
<br /> �` ,.:�'IOPI�: The undersigned understands that this permit may be subject to"deed" res4ri�iians" r
<br /> � wtiich may �e r��u,���:�ic�ive than Caunty regulations. The und�rsigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> ���������p �p�����ypR:� ��IC� C��i�'�,�`d'�� �i��I�ORJ�tt�Y�1T'0��: !f the o�nrner has hired a cantra�#or or
<br /> contractors ta undertake work, they may be required fo be licensed i� accardanee �ntith state and locai regulations. If fhe
<br /> contrac4oe is na# licensed as required by lauv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the ow+ner ar intended contrac#or are uneerfain as to what iicensing requiremenfs may apply far the
<br /> intended work, they are advised to con#act the Pasco County �uilding Inspection �ivisian—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ouvner has hired a contractor or contractors, he is advised to have fhe contrac#or(s} sign
<br /> portions of the "contractar Block" of this application for wrhich #hey will be responsible. tf yau, as the owrner sign as the
<br /> contractor, that may be an indicatsan that h� is na� properly licensed and is nof �ntitled to permitting privileges in Pasco
<br /> County.
<br /> 79�iRl�P0�21'�YION I���,CTIU'TILI'TI�� �i�P���°/�R4�9 �f��tJ9J�C� �EC�1VERlf��I��: T"he undersigned understands
<br /> fhat Trartsportation Impact Fe�s and Recourse Recovery Fees may apply to th� constructiort of neuv buiEdings, change of
<br /> use in existing buildings, or expansion of �xisting buildings, as specified in �asco County Ordinance number 89-07 and
<br /> 90-07, as amended. The ur�d�rsigned also understar�ds, that such fees, as may be due, will be identified aE the time of
<br /> permitting. It is further understood that TPansportakion Impact Fee� and Ftesourc� Recovery Fees musf be paid priar to
<br /> receiving a "certificate of occupancy" or final power release. (f fhe project does not involve a certificate of occupancy or �
<br /> finai povver release, the fees must be paid prior to permif issuance. Furthermore, if Pasco County 1tVaterlSevuer Impact °
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable F'asco County ordinances.
<br /> GC��IST�2UG�"1�� �.1�� �.�l�V�C�ta�t��7'�93, �I�Pae���t��u���, �� ��er�d�cf�: tf vaEuafion of work is$2,500.00 or rnore, 4 '
<br /> certify #hat I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Pratection Guide" prepar�d by the FEorida Department af Agriculfure and Consumer f�ffairs. if#he applicant is someane
<br /> other than fhe°owner", t certify fhaf i have abtained a copy of the above described documenf and promise in good faith to
<br /> deliver it to the"owner" prior to commenceme�t.
<br /> CtJ�IT��►CTCD�2'Slt�ti!lW��'� ��F��C},�►1i1�': I certify that a41 the information in this application is accurate and that al!wrark
<br /> will be done in compliance �nrith all applicable lav�s regulating construction, zoning and land development. Application is
<br /> hereby made ta ob#ain a permit �o da v►rork and ins#allation as indicated. 1 certify that no worlt or installation has
<br /> commenced prior ko issuance of a permit and that all work will be per�ormed to meef standards of alI laws regulating
<br /> construckion, County and City codes, zoning regulations, and land developm�nt regulations in the jurisdic#ion. ! also
<br /> certify that I ur�derstand that fhe regulafions of other government agencies may apply #o fhe infended wark, and that it is
<br /> my responsibility to identify what actions I must fake fo be in compliance. Such agencies include bu#are not limited to:
<br /> - Department of Environrrtental Profection-Cypress Sayh�ads, W�tland Areas and �nvironmentaily Sensifive
<br /> Lands, WaterMlastewater Trea#ment.
<br /> - �outhv�rest Florida Water �lanagement C?is#ricf-We11s, Cypress Bayheads, Wetland Areas, A(tering
<br /> Watercaurses.
<br /> - Army Corps ofi Engineers�Seav�ralls, Docks, Navigable Waferways.
<br /> - Department of Neakth � Rehabiiitafive S�rvices/�nvironmentai Fde�fith Unit-Wells, Vtlastewater Treatmenf,
<br /> Septic Tanks.
<br /> - US Envieonmental Protection Agency-AsbesEos abatement.
<br /> - �'ederal Aviation Authority-Runways.
<br /> ! unders�and that#he fallovuing restrictions apply�a the use of fill:�
<br /> - Use of fill is not allowed in �lood Zone"V"unless expressly permitted.
<br /> - If the fill mat�rial is to be used in Flood Zone "A", i4 is understaod that a drainage plan addressing a
<br /> "compensafing voiume" uvill be submitted at fime of perrrtitfing which is prepared by a professionai engineer
<br /> licensed by the State of Flarida.
<br /> - If fhe fill material is ta be usecf in Flood �one "A" in connection v�+ith a permifted buifding using sfem usraEl
<br /> construction, I certify 4hat fill will be used only to fill the area within the stem wall.
<br /> - !f fill materia! is to be used in any area, I certify that use of such fil! uvill not advetssly affect adjacent
<br /> properties. If use of fill is found to advers�ly affect adjacent prope�ties, the owrner may be cited for viola#ing
<br /> the conditions of the building permit issued under the atfached permit applicatian, for lots less than one (1)
<br /> acre whicl� are elevated by fi11, an engineerec! drainage plan is requ9red,
<br /> If I am the�►C�PJY iFOIR �'�9� C�'I�l�IfE�, I pramise in good faith to infarm the ovvr�er of the permitting condi#ions set forth in
<br /> this affidavit prior ta commencing construction. I understand that a separa#e permit may be required for elecfrical work,
<br /> plumbing, signs, wells, poals, air conditioning, gas, or other insfatlakions not specifically included in the application. A
<br /> permit issued sha!! be construed to be a license to proceed with the woek and nat as authority to violate, cancel, alter, or
<br /> set asfde any provisions of the technical codes, nor shai( issuance of a permit prev�nt the Buiiding Official from #hereaffer
<br /> requiring a carrection of�rrors in plans, constructian or violations of any codes. Every permit issued shall become invalid
<br /> unfess the work aufhorized by such permit is commenced v�rithin six monfhs of permit issuance, or if woek authorized by
<br /> Qhe permit is suspended ar abandoned for a period of six(6) months after the time the vuork is commenced. An extension
<br /> tnay be requested, in vvriting, f�om the �uilding O�ciai for a period not to exceed ninety {90) days and wifl demanstra4e
<br /> jusfifiabfe cause for the extension. If work ceases for ninety(90)consecufiv�days, the jab is considered abandaned.
<br /> i�IA�F�lll�tlfy `TC3 �IH►i�#iE�: Yf}l��t ��l�U�i� 1i"{9 Ri�C�gtt9 � �iP,��tC1E O(� C����iEiEWC��Eit4T �iH��( R1�S�9�T` IW Yt3fl��
<br /> fP�YIWC�+YVi91C� �GDp� IIIH9��20Vf��1EP1�""� TO YOI�IFt f�I�Y()Y��97�X. Yf�YOU YR1Tf�P1CD TCI O�Y�S.IW FYW�►Y�ICIG��, CfJNSII�.I('
<br /> 93iPl�pi Y�U�Z t,.��D�F��,����8'�"'���t{��Y������ iF������16��'�'�E9� ��8�'�C�����6l��f4E�����N�.
<br /> FL.ORIDA JURAT(F.S. 11 .03) �
<br /> 01NIRtEi2 C3�F�G�F6'T v COAlTF2AC�Q�
<br /> 5ubscribed and sworn to(or a�f'irmed)before me thi Subscribed and sworn to(or affirmed)before me this
<br /> by �r�r h/.+1 /A,. �'1 � 1 �e1'�— bY
<br /> Who�slare persanally known to me or haslhave produced Who Islare personally known to me or haslhave produced
<br /> as Idendficatian, as iden6�cakion.
<br /> Notary Public P�otary Public
<br /> '�°pe� JOEL E.BACON
<br /> Co ssion No r''��"•;'�. Commission No.
<br /> :«: v: rttissiorr#�ff-13�6�3—
<br /> ;;;;. ..�°� Eup�res June 29,2018
<br /> Name oC Notary Name of Notary typed,printed or stamped
<br />
|