|
, NdT{GE OF pEED t3E5TRkCTtQNS: The unda�s�g d understands that this permit may be sub�ect to`deed"restrictions"
<br /> which may be moro rest�ictiva than County regulatla s. l'Ae underaigned assumes respansib�iity tor campiiancci with any
<br /> appficahie deed restrictions.
<br /> UNCiCENSED CQNTRACTORS AND CONtRAC'�OR RESPONSI81z4TiE8; !i the ownet has hlred a c�nfraCtar or
<br /> confractars fo u�dertake work,ihey may be requi�er�to be Itcensed in accordance wiih state and local�eguiations. If the
<br /> contractor is not Ncensed as required by faw,bath the owner and contractor may qe cited tor a misdemeanar vio}ation
<br /> under state law, tf the owner or intended eontractar are unce�tain as to what liccnsing requirements may appiy tor the
<br /> intended wock,they aro advised to contaci the PBSCb Coutity Huilding InSpeation Division--l.icensing Section at 727-847-
<br /> 8009. Furthermore, it the owner has hired a Co�f ractor or contractors, he is advisod to have the contractor{s) sign
<br /> portions af Rhe"COnttactar Btocic°of this appiication Ifai whicti fhey wiii be responsi6le, ii you,as th�awner sign as the
<br /> Coniractar,that may be an lndicetipn tt�t he is not{)s'oparly Itcensett and is nai entiifed ta penniiting priviteges in Pasco
<br /> County.
<br /> TRANSPORTATlOH IMPACTlUTCLITIES IMPACT ANQ RESOURCE RECpVERY FEES: 7he undersigneci understands
<br /> that Transportation Impact Fees and Ftecourse RecOVery�ees trsay ap�ly!a 1he constructinn of netiv 6uildfngs,change of
<br /> use in existing buiidings,or expanslon of existtng b�itdinga,as spacifled in PesCt�CQUr�ty Qrdinaace number 89-4?and
<br /> 9t3•07,as amended. The undersk�ned afso unde�st�nds,that.such tees,as may be dus,rvil!be identified at the ifine aS
<br /> perrt�itiing. It is furfher understaad thel Tra�sportatio�Impacl Fees a�xl Resource f2ecovery Fecs must be paid prior to
<br /> teceiving a^certtCcste ot occupancy'ar finai pawer eiease. tt the prdject does not invowe a certificate of oecupancy or
<br /> (�na!power telease,She fees musl be paid prior to.�8rmit Isauance. Furthemtore,i(PasCO County WatedSewer impact
<br /> fees are due,they nausf Ge pasd prior 2r�pecmit issuat�ce!n accordance with appiicabte Pasco County ordinances.
<br /> CpNSTKUCTtON LlEN!AW{Chaptsr 713,Ftorida SteEtutes,as amended): if vatuation ofiwork is 52,500.00 or more.i
<br /> certify that I, lhe appticas+t, have heen provided+A�ith a copy �f !he "F3orida Cansiruct+on Lien Lav,r—Hvmeavrner's
<br /> ProteCUon Guide"prepared by the Florida Department a!Agricuflure and Gonsu��et Affairs. it ihe appiicant is someone
<br /> ather than the"owner",I certify that 1 have ablained a copy of the abave descritaed document aE�d promise in good iaith to
<br /> deiiver ii to ihe"owner"priar to commencement. �
<br /> GONTRAC30R'S10WNER'S AFFIDAVIT: I eertity that ail fhe information in this application is accurate and thal al!work
<br /> wili be dpne in compliance�viffi aifi appticabie laws rggutatin�conshuctipn,zoning and land develppmenl. ApplicaUon is
<br /> hereby made to obta'sn a perm)t to do wark and i taitation as ind�cated. 1 cehity lhal na work ot instaliation hes
<br /> cammenced prlot to issuance ot a permit and#hat�il work witl be pertorrned to meet standards o#aIi laws regulating
<br /> construction,County and Gity castes,zaning regutat{ons, and land development reguiations in fhe jufisdiciio�. i aiso
<br /> certify that!understand that the regulaGans o!otherlgnvemment ageneles may apply to the in#ended work,and lhat it is
<br /> my respo�si6ility ta identity what acf+oszs!must take t�a be in compliar�ce. 5uch agencleS incTude but are no!limited to:
<br /> - Department ol Ernri�onmentai Protection-Gyp{ess eayheads,INetland Areas and Environmenia#3y Sensitive
<br /> Lands,WaterNYastewater Treaimeni.
<br /> - Soutfiwest Fiorida Water Manageme t District-Welis, Cypress Bayheasls, Wet(and Areas, Alieiing
<br /> Watercourses.
<br /> - Ariny Gorps oi Engineers-Sea�vatts.Do hlavigabie Waterways.
<br /> - f�epartmei�t of iiealth & RehabititaGve Senrices/Ernironmeniai Iieaith Unit•Wells, Wastev�ater "freatment.
<br /> Septic Tanks.
<br /> • US Envlronmantal Pratection Rger�cy-As�estos aba2emc�n#,
<br /> Federat A+riation Aufhority-Rurnvays.
<br /> I understand that the(oilowing reslrictians appty to thg ase o(f+lf:
<br /> - Use oF fill is not ailowed in Flaod Zone�unfess eicpress(y permii4ed.
<br /> � if ihe fiii matenai is to 6e used in F►ood �one 'A", ii is uaderstoad that a drainage plan addressing a
<br /> `compensating votume°wiil be submillec�at tims of permiUing whiCh is prepared by a pro(essiona!engineer
<br /> licensed by the State of Fiarida. i
<br /> - if!he ftll m8teriai is ta be used in Fto�Zqne°A'in conneCtian with a permitted quilding using stem wall
<br /> conslruction,t certiiy that CtEI wiii tfe used bniy to fiti the area within the siem waii.
<br /> - !t fil! rnateriat ts to he used in any area, t ceRity that use af sucri fi#i wiit not adverseiy affect adjacent
<br /> praperiies, !4 use Qf C!!is found to aGversely-af€ect ac[jaceni praperties,the avrrser may be cited for viofating
<br /> the candflions oi the building permit isst�ed undet the at€aclled permlt appHCafion, Eor lots fsss than one{t)
<br /> acre which are elevaled by fiU,an engineered drainage plan!s cequFred.
<br /> if i am ihe AGEMT FOR THE OWNER,i pramise in good faith to intorrrt the qwne�of the psrmitting cond�i3ons se#torth�n
<br /> this affiidavit prior io commencing canstruciion. I un�lerstand ihat a separate permit may be requi{ed toc.electrical work.
<br /> plumbing,signs,welis, poois, air canditioning, gas,Or otfier instaflations nat spec�ficapy included in ihe application. A
<br /> permit issued shaif be construed to t�e a iice�se#o p�ocead with the wCrrk and not a5 authorily to violate,cancei,aiter,or
<br /> sei aside any pravisions af the€�chnicat codes,nor shaii issuance of a permit prevent the 8uiiding Ofiiciai firom thereatier
<br /> requir+ng a comection of e�raes in plans,cor�struclian ar violaiions af arry codes. Evety permif issued shaii become invaiid
<br /> uNess the work auihorized by such pemlit Is com�nced within six monihs ot�sermtt issuance,.or if work auihorized by
<br /> the permit is suspenQed or abandaned Eor a period o�siat{U)mQnths afler the time ihe work is commenced. An extenston
<br /> may be requested,in writing,trom ttie Buildirty d�c�al Co�a periad not to exceed ninety{90?days and u+ii!demtznslrate
<br /> justiOable cause for the exiension, if work ceases for�i�ety(90)co�tsecutive days,the job is constdered abandaned.
<br /> WARNING Td dWNEit: YOtiR FAi4UitE TQ RECORD A N0T4GE OP C4MMENCEMENT MAY RESULT IN YOUR
<br /> PAYlNG TWtCE FOR iNIPROVE3�ENTS T4 YOEttt AitQRER7Y, iF YOU tNTENB TO QB7AiW FINANCi G,CONSULT
<br /> WlTN YOUR LENOEt2 F�AN ATTt712 EY SEFfiRH RECORDiNG YOt3R tdOTiCE QF COP�SMENCE T.
<br /> fLORIDR JURAT{f'.S.11? 3 .
<br /> OWNER6Wnc�ENT'� •^ L"?✓ CONTi2ACiOR��r\����L�✓t/V�
<br /> Supscribed rn Ea{ r affumed ttQlote tsm iivs Suhsuibed ard sveom a(ar atfamecf)be�•us
<br /> �Y.��_�I:�._br_.%'�'.>� ���"va,c.> u`t Zs..�S er��. 2 o_t��l l
<br /> Nfia istare porsonatiy know»sa me or irasthava produced Whp islare persoaaity knsnm So me ha av rodu d
<br /> __ as WtMzfecat�n. � C� s i nti[ � n
<br /> ,�-� �' '�,�ary Pub6c Not2ry Pub€tc
<br /> GOmm�St�n No.,_,. �, COt�Mtti+SS�on t1u.�,`,�_tJV `� CO
<br /> ,�L1 � � �e� _,_. "C�`'�"' �,r�.'�cs,,.�►���
<br /> tJBme otlJOt ry 1+L{tfsd, Me r Name ol idutary typaU,pnnted or slampeA
<br /> �:*"�"'�, WE[VDY E��?DRlGUEZ
<br /> )
<br /> ���. AAY G{7QV�411S310S1#F�i77632 o��,av��e� �flf��@�SOlT
<br /> ��;� p(�{�{F»�S NqVemEset S8,�o�a r � State of Fiarida
<br /> .Smo�?ssa�ots� F�ot tf;5t�tota' rotce.com �,�a�My Commission#EE 853493
<br /> , _ . , _ • � 'r�`°F FL°Q' �cpires:November 25,2016
<br />
|