____
<br /> � -----__—s-- �,
<br /> i , �i � � r i_
<br /> ; NOTICE+DF DEED RESTRlCT10NS: The undersEgned understands#hat this permit m y b�subject to"deed°restrictiar�s"
<br /> � which may be more restrictive than County regulations. The unders(gned tassumes ce pon.stblllty for campliance witki any
<br /> ' app!lcable deed restrtctibns. .
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE:�: If the ownJer has hired a contractor or
<br /> contractors fo undertak�work, they may be requl�ed #a be Iicensed in accordance+tiit state and local regulations. (f fhe
<br /> contracfor is nat licensed as required by law, both ttie owner and contraetor may be �lte�t for a misdemeanar violatEon
<br /> under state law. !f the�owner nr intended contractar are uncerfain as ta what iicensi g r�qvirerrt�nts rrtay app{y€or the
<br /> intended work, #hey are�advised to contact the Pasca County Bulid(ng Inspecfian Dtvisi�n—�Licensing Sectian a#727-847-
<br /> 8009. Furthermnre, if the owner has hlred a cantractor or cantractors; he is adv!s,ed to have fhe contractor(s) s(gn
<br /> portions of fhe "contractor Black" of this appiicatian for whfch they will be responslb4el If�rou, as the owner sEgn as the
<br /> contractor, that may be an indicat(on that he (s not properly licensed and (s i�ot entitl d fof permi#ting privileges in Pasca
<br /> Counky. �
<br /> TRANSPORTATION IMPACT/UTIE.ITIES IMPACT AND RESQURCE RECQWERY FE S: IThe underslgned undersfands
<br /> I that Transportation lmpact Fees and Recourse Recovery Fees may appiy ta#he canst uct€r�n of new b�illdings, change of �
<br /> � use in exlsting buildings, 'or expansion of exisfing buildings, as specified in F'asco Co nty�Clydinance number 89=07 anii
<br /> 90-07, as amended. The underslgned also understands, that such,fees, as may be ue, ill be tdenfified at the fime of
<br /> permitting, it is further understood that Transpo�katlon impaat Fees and Resaurce R cov�ry �ees must be pald prlor to
<br /> receiving a "certificate af occupancy° or final power relsase, if the project daes nat i vaiv� a cartificate of occupancy or
<br /> fina! power release, the fees must be pa(d prior'fo perm(t lssuance. Furthermore, ff asc�o County WaterlSewer Impact
<br /> fees are due, tbey must be p.aid prior to permlt issuance In accordance�wlth app!lcab(e_ asco County ord(nances.
<br /> CONSTRUCTION LIEN�LAW(CFiapter 713, Flarida SYatutes, as amencled�: If vaEu #fon Iof work is$2,500.OQ or more, !
<br /> certify fhat t, the applicant, have been provided with a copy of the "Florida Con truatian E.ien Law—Homeowner's
<br /> ; Pratection Guide" prepared by the Fiarida Qepa�tment of Agriculture and Consumer Affair�s. ifi the applicant is someone
<br /> ' other than the"owner°, I cerkify that I have ob#ained a copy af the above descrlbed do urnent and promise in good fa[th to
<br /> ( de(iver it fo fhe"owner"prior ta commencement. ' '
<br /> � CONTRACTOR'SIOWNER'S AFFIDAVIT: ( certlfy that ali the informafion in this appi catican is accurate and #hat aii work
<br /> wilf�be done !n compliance v►rlkh all applicable laws regulating constructian, zoning,an land develapment. Application Is
<br /> hereby made to obtain a permit to do work and Installatfon as 1ndlcated. I certi that no work or tnstaflation has
<br /> commenced prior to issuance of a permit and that all work wifi be perforrrted to m�ef skandards of af( laws regulating
<br /> construction, County and City codes, zoning regulations, and land deveiopment re�ulaf�ons in the jurisdict(on. I also
<br /> certify that ! understand #ha# #he regulations of attier government agencles may apply to #�is inte►ided work, and'that ft is
<br /> j my responsibility ta identify wha#actions } mus#take ta be In compfiance. Suah agencl s ir�c#ude buf are not lim�ted to:
<br /> - Departmenf af Environmental Protecfion-Cypress Bayheads, INefland A eas�and Environmenfafiy Sensi#ive
<br /> Lands, WaterlWastewater Treatment. I
<br /> - Sauthwes� �lor�da WaEer Management Dis#rict-Wells, Cypress Ba hea�ls, Wetland Areas, Altering
<br /> Wafercaurses. ;
<br /> - Army Corps of Engineers-Seawa((s, Docks, Navigabls Waferways. �
<br /> - Department of Health & Rehabilltative Servlces/Enviconmental Nealth ni#{�lUells, Wastewater Treatment,
<br /> Septfc Tanks, �
<br /> - US Environmental Protection Agency-Asbestas abatement, � ,.
<br /> Federal Aviation Au#har(ty-Runways. j ,
<br /> � I understand thaf the following restrlctlons apply to the use of fll1:� I ;
<br /> - Use of flil is not ailawed in Flood Zone"V"unless expressly permitted. � '
<br /> ff the fill materiai is to be usad in F{aod Zone "A", it is sanderstaad �hat a drainage p4an address€ng a
<br /> "compensa#Ing volume" will be subml#ted at time of permifting which is prep�red by a professiona) engineer
<br /> ficensed by the State of Florlda. '
<br /> - if th� fill materfai is fo be used in Flood Zone "A° In connectian with a perrrriifted building using stem wal#
<br /> construction, (certify that fill wili be used on(y to fili the area within the ste w�li.
<br /> - If f�!! materia! is to be used in any area, I certlfy tha# use of such fill wlli not adversely affect adjacent
<br /> proper#fes. !f use of fill is found to adversely affeck adJacent pcc�pe�tles, the owne� may be clted for violating: ;
<br /> the candi#ions of#he t�uiiding permfit issued under the attached permft a�piic�tion, for lats less than ane (9)
<br /> acre which are elevated by fill, an engineered drainage plan is required. I I
<br /> If I am the AGENT FOR THE �WNER, ! prom(se in gaod faith to inform fhe owner of fl�e ��ermiEting condifions sef forth in
<br /> this atfidavit prior ta commencing cons#ruction. ! understand thak a separate permEt Enay�be requiretl for electrical work,
<br /> plumbing, signs, weNs, pools, air candifioning, gas, or other instailatians not specifi ally�:ncluded in the application: A.
<br /> permtk issued shall be construed to be a license fo proceed with fhe warlc and not as aut �ority to,vialate, cancel, ait�r, or
<br /> set aside any provlsions of the technica) codes, nor shall issuance of a perm(t preven� fhe�8uliding Officfal from thereafter �
<br /> requiring a correction of errors in plans, constructfon or viofa#ions of any cod�s. Every permit Issusd�shall become inva4id
<br /> unless the wark authorized by sueh permit is cammenced within six manfh� of perm�t iss�uance, or if wark aufhorfzecf by
<br /> the permit!s suspended.or abandaned for a period of six (8) monfhs after fhe time the wo�k is commenced. An extension
<br /> rnay be requesked, In writing, from the Bullding Offlcial for a period not to exceed nir�efy�(90) days:and will demonsfrafe
<br /> justifiabie cause for the extension. If wark ceases for ninefy(90)co.nsecutiv�clays, th�jobi is consldered abandoned.
<br /> WARNING TO OWNER:� YOUR FAtLURE TO RECORD A NOTICE OF COMMEN�CEIUIENT MAY RESULT tN YQUR
<br /> PAYIN�TWIGE FOR IMPRO�/EMENTS TO YOUR pR�QPERTY. DF YOU ![+ITEND T O(3TAIN FiNANCtNG, CONSULT
<br /> W(TH VfJUR�LENDER t�R AN ATTt?RNEY BE�ORE RECORDIN�YC1U -WQT{CE F{�OMMENCEMENT,
<br /> � FI.ORiD1l�OFTAT-(F:S��17`:d3j;` -_—---_ _—_ _._. __---- -�_� __�__ � __ --- --- -- -
<br /> OWNER OR AGENT CONTRACTQR ,,� 4 I �!'/_ c7t t..�.a�.._-�-
<br /> Subscribed and swom fo(or affirmed}before ma this Subscribed and swa�Ctb(ar afflrme )betgre rna thfs
<br /> bv by {
<br /> Who islare personally known fo me or hasfliave produced Wha(s/are�persona(ly knawn to me �r ha'/have prodyced
<br /> as iden�tic�a8on. s(dentfficatfon.
<br /> (
<br /> Nohary Pubiic I Notary Pub(ic
<br /> ; .
<br /> Commiss(on No, Commissian No, �
<br /> � �
<br /> Name of Notary typed,prtnted or stamped Name of Notary typed,ptinfed or st mpecl
<br /> �
<br /> I �
<br />
|