|
, i -
<br /> i
<br /> NOTICE OF DE�D R�STRICTIONS: The undersigned understands that fhis �ermit m y b�i subject to"de�ed" restrictions"
<br /> whioh may be more res#rlc#ive thart County r.egulations. The underslgnedlassumes re �on=3lbility for complf�nee w�th any
<br /> , {.
<br /> applfcable deed restrlc#lons.
<br /> UNl.lCENSED CoNTRACT4RS AND CONTRAC70R RESPONSIBILITIE,�: If the aw�i�er has hired a contractor or
<br /> contractars to undertak� work, they may be required ta be (Ecensed Irt ac�otd�nce wit �ta�e and locai regulatlons. If th�
<br /> contractor Is not Iicensed as required by law, both the owner and contr�ctor may be c�ite� far a misderne��n�r vlolafian
<br /> under state law. If fhe owner or iratended contractor are unce�taln as to;wh��# Ilcensi ±� t�quirem�nts may apply for th�,
<br /> intended work, they are advised to contact the Pasco County Build(ng Ins�ecfion Div(si�n--�Licensing SeGtion at 727-847�
<br /> 8p09, Furthermore, if the owner has hlred a con#ractor or contr�ctars3, h�i Is advi �d to have tho contractor(s) sign
<br /> portions af the °contractor Block" of this appiication for whfch they wlli be ra,�pansible� Sf ou, as t1�� oVUnt�r slgn as the
<br /> contrackor, that may be an lndicatlo� that he is not properly ilcensed and, is not entitled to�permitting privileges in Pasco
<br /> Counfy.
<br /> 1
<br /> TRANSPORTATION IMPACTIUTIUTIES IMPACT AND RESOURCE RECLIWERY FE ;S; ;The undersignecl undersfand:�
<br /> that Transportat{on Impact FeeS and Recourse Recovery �ees may app!}� to �he cartst iactit�n of new buildings, chang� of
<br /> use in existing buildings, or expansion af exis.ting bulldings, as specifled;in F�asco Co n#y!Ord3nance number 89�07 ;�nc�
<br /> 94-07, as arrtended, The underslgned alsfl unde�stands, that such fees,;as may be ue, InWill be (dentifiE�tl at fhe timH of
<br /> permitting. If Is further undersfood that Transpo�tation impact Fee:� and 1Re�tauroe R r.av+�ry Fees musf 6� p�id p�ior tti
<br /> receiving a "cerkificate of vcaupancy" or final power release, If the praJect d��es not i volv;e a aertiflcate af occupancy ar
<br /> flnai powar release, the fees must 6e pald prior fo permit Issuance. Fur�thermore, If asc`o Gounty iNat;rrlSewer Impac#
<br /> fees are due, they must be p.aid prior to permit(ssuance In aecordance with applicable �;sco County ordinariees,
<br /> CONSTRUCTIC}N L1EN LAV11(Ghapter 713, Florlifa 3tatutes, as amendedy: !f valu tlon�of wark is$2,ya40A0 or more, !
<br /> certify that i, the applfcant, have been pravfded wifh a copy of the "Florida Con t�ucition E.ien Law—Homeown�r'-;�
<br /> Pratectlon Gulde" prepared by the Florida Department of Agrlculture and Consumer f�al�s. If the appliaarit i� sameono
<br /> other than the uowner", 1 certify that I have obtained a copy af the akrove descrlbed do i�m�:nt and promis�� 4rf g�ad falth t�
<br /> deliver it to the"owner" prfor to commencement. � ; '
<br /> C{?NTRACTOR'S10WNER'S �FFIDAVIT: I cerflfy that a41 the informatloj� In fhls appl c=atic�n 1s accurate,�nc� that a41 worlc
<br /> wfll'be cione in compliance with all applicable laws regulating constructfoh, zqning an lar�d development� Application is
<br /> hereby made fo abtafn a permit to do work and Instaila#ion as .lndlcated. ! cert!�Y that no work or instaflatfvn ha�
<br /> commenced prlar to (ssuance of a permif and thaf all work wlil b�3 performed fo m�e3t standards of a(1 laws reguiatin�
<br /> construction, Caunty and Clty codes, zoning regulations, and land develoxrment re�talat ons (n the jurlsdictlon, I alsn
<br /> certify that i understand that fhe regulatians of otFier government agencles may apply 4o t�e interided wc�rk, and that It is
<br /> my responsibllity to Identify what actions I must take to be in compU�ince. �Sut,h agenci ,� frlelude buf are riot limited to:
<br /> - Department of Envlronmental Prate�tion-Cypress Bayl�eads� 1%Vetland A,e�s�and Envlronm�ntally Sensltiv�
<br /> Lands, Water/Wastewater Treatment, '
<br /> - Sauthwest Flarlda Water Management D(strlct-Weils, Cypress Ba�hea�is, Wetland AreaS, Alterin�
<br /> Watercourses. { � �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterway,s. , �
<br /> - � Department of Health & Rehabllltatl.ve ServlcesJ�nvlronmentai Health nit-1Nells, iNaste�nrat�r Trea#ment,
<br /> Septic'fanks. '! � ;
<br /> - US Envlronmental Protectlon Agency-Asbestos��atement, � �
<br /> Federal Arriation Autharity-Runways. ! � �
<br /> ! understa�d that the failowing restrlctlorts apply to the use of f(!!: � � '
<br /> - Use of fill Is not allowed in Fiood Zone"V" unless expressly permitted, '
<br /> - !f the flil materlal is to be used in Flaod Zone uA", if Is understood t�h�t 'a drainaga pl�in addressing �a
<br /> °compensaffng volume° wi11 be submitfed at time of permittlr�g whlch is p'repared by a prafesslonal engineer
<br /> iicensed by the State of Florida. ;
<br /> - If th� fi11 materlal is ta be used In Fload Zone "A" !n cortnecticm with a C�ert,nitted buflding using stem wail
<br /> construction, I certify that flll will be used only to fill the ��rea within the s#er�w�ll.
<br /> - If #�fi mater{al is to be used !n any area, I eertify that use of such fil! wlll; no# adversely a�ffect adjacent
<br /> praperfies, If use of fill is found ta adversaly affect adjacent;prcrperfies, t�a ciwner may be c.(ted for vlo3ating.
<br /> the conditlons of the building permit Issued under the attacFied permit a pl(cation, for lots IEjs� than one (1)
<br /> acre wh3ch are elevated by fil1, an englneered dra3nage plan is requlred. '
<br /> If I am Qhe AGENY FOR THE OWNER, I promise fn good faith #o inform�t�e�owner of ho �yermitting eonditlons set forth in
<br /> this a#fldavit prlor to commencing canstructian. f understand that a separate perm(t���y;be requlred for electrlca! work,
<br /> plumbing, slgns, wells, pools, air condifioning, gas, or other ins#allafians nnt specifi a11y+inc(uded in thfj applicafion, f�
<br /> permlt lssued shal! be construed ta be a Ilcense to proce�d wlth the wark and not as ��tatNiority to,violate, c�incel, alter, or
<br /> set aside any pravisions of the techn€cal codes, nar shall issuance of a p�rmlt preven the;BuElding Offlci��l f��om thereaffer
<br /> requiring a correction of errors in plans, constructlon or vlalations of any cod�s, Eve pe�;mit issued�shall become Invalid
<br /> uniess the work authorized by such permlt 3s cammenced wlfhln slx marith� of perm�# Iss;uance, or if work authorizec� by
<br /> the permit Is suspendetl or ab��ndaned for a period of six (8) months after th�� time #he worik is commenced, An extension
<br /> r�-fay be requested, in wtiting, from the Bul#dfng.Offlcia! for a perlod not to exceed nfr�ety i(90) days and wil4 demonst{�ati�
<br /> Justifiable cause for fhe exfension�, lf wark ceases for ninefy(90)cansecutiv�days, th Jc�b;is considered �ib��ndoned.
<br /> ; � ' �
<br /> WARNING TO OUVNER: YC?UR FAILURE TC} RECOR€� J� NOTICE OF {:ONtMENGI:I�lENT MAY RESI�LT' tN YOUF2
<br /> _ PAYING TWICE FOR IMP.ROO/EMENTS TO YOUR.pROPERTY. QF YOU II+�TEND Tb 4�I�TAIN FINANCIN�G, CONSUL.Y'
<br /> . .–WIT�i YflUR LENDER C}R Ai�A'T'i QRNEY BEFt�f�� RECQRDtMt�Yd�U�iVf3T[ �Q�OMl1f1�NG�MEN�� _
<br /> FLORIDA JURAT(F:S, 117,03) I - - � - - " - ,- '-
<br /> OWNEf2 OR AGENT CON'TRAC7QR � � �'�-;�,
<br /> Subacribed and sworn to(or afflrmed)before me thls Subscr�bed and or'n ta(or affirme�)bef,bre me s
<br /> by . bY ' � _.....,�..
<br /> Who Islare persana4ly known fa me or haslhave produced Who islare�personally owr�to me •r ha,�ihave prodt�eed
<br /> as idendflcatlon, � � _,�s Identiflcatlan.
<br /> � � ,
<br /> i !
<br /> I
<br /> Natary Public I _Notary Public
<br /> Cammisslon No, _ Cammiselon No, � . � _,_,,,� �,
<br /> i
<br /> I Y
<br /> Nama of Nqtary ryped,printed or stemped Name of Notary ryped,printed or st mpac,�
<br /> k �
<br /> � �
<br />� i
<br />
|