|
- � � , , .,. , __ , , �, � .
<br /> NUTICE fJF DEEQ RESTRICTIOMS: The undersigned understands that this permit may be subject to°deed°res#rictions°
<br /> which may be more rest�ctive#tian County regulatians: The undersigned assumes respansibili.ty for compliance witii any '
<br /> applicable deed restriaEians. i �
<br /> UNLiCENSED CCiNTRACTORS AND CClNTRACTOR RESPONSIB#LITiES. if t�e awner has hired a cantf-actcir or
<br /> contracfarrs ta andertake�work. #hey tnay be required to be licensed In accordance with state and laca! regulations. !f#he
<br /> contractor is not licensecl as reguired by law, both the owner and contractar may be cited for a misdemeanor violatic�n :
<br /> under state law. If the awner or�.lntended contractar are uncertain as ta what licensing rec�uirements may apply for the
<br /> intended work, they are �dvised�fo cantacf the Pasco County Buiiding Inspection Division—Licensing Sectian at 727-847- �
<br /> 8009, Furthermore, if fhe owner has hited a contrac#ar or contraators, he is advised ta have the con#ractor{s) sign
<br /> partians of fhe °cantrac�ar Block" of this application for whtch they will be responsibte_ If you, as the owner sign as the
<br /> con#ractor. that.may be�an indic;ation #ha�he is riat properijr!lcensed and is nat entifled to permitting privileges in Pasco
<br /> Coun'ky. - � I .. . � .
<br /> TRANSPORTATION IMQACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '
<br /> that Transportation Imp�Ct Fees and Recourse Recavery Eees may appiy fo the constrUCtiott of new buildings, change of
<br /> use in existing buitdmgs or expansion of exisfing burfdmgs, as spectified in Pasca Counfy �rdinance number 89-07 and
<br /> 90-07, as amended. T�e undersigned atsa undetstandsR that such fees, as may be.due, tnri(( be �dent�ed at the t€me of
<br /> permitting. It is fcsrther nderstood that Transportation Impact Fees and Resource Recovety �'ees must be patd prior to " �
<br /> receiving � °certiflcate of occupancy° or fina!power release. If the prajec4 does not involve a certificate of occupancy vr
<br /> fnal power release, the�fees must he paid prior to permit issuance. Furthermore, if Pasco Counfy WateriSewer Impact
<br /> fees are due,they must`be paid prior tn permit issuance in accordance wifh applicable Pasco Counfy ordinances: ° - .
<br /> ' CONSTRUCTtON LIEN LAW(Chap#er 713, Florida Statn#�s,as amend�d): If uaivafion of tntork is$2,500.00 or mare, 1
<br /> certify fhat t, fhe appti anf, have been pravided with-a copy of the °Fiorida Gonsttuction Lieh Law—Homeovmer's
<br /> Protec#ion Guide° prep red by�the Florida Departmen#of Ag�icul#ure and Consumer Afi'airs. !f the applicant is someane
<br /> other than the°owner�,� certify(#ha#! have obtained a copy of the above described dacument and promise in good faith to
<br /> deliver ik to`ihe:°owne�" �riot ta cammencement. -- �-
<br /> CONTRACTOR'S/OWi�ER'S AFFIDAVIT. I cerkify that ail fhe�infarmation in fhis applicafion is accurate and #hat al)work
<br /> will be done in complia ce wi#h a(i applicable taws regu)ating constnretion, zo�ingand land deveiopment. Applieation is
<br /> hereby made to obEair�a pecmit fa da work and 'tnstallatlon as fndicaEecl. ! cert#ty that na wotk or installatian has
<br /> cammencec! priar to issuance io€a petmit and that all work wi!! be performed ta meet standards of atl laws regula#ing
<br /> const�uction, County a'd City,cades, zoning regulations, and land development regulations in the jurisdiction. , f alsa
<br /> cettify that I tinderstan�that tlie �egulations of other govemment agencies may apply Eo the intended work, and that i#is
<br /> my responsibility to identifjr what ac#ions 1 musf take to be.in compliance., Such agencies inctude but are not limited fo:
<br /> - Departmen� of Environmentat Protectian-Cypress Bayiieads, Wetland Areas and Erivironmentaily Sensitive �
<br /> Lands,Wa�erfWasfewaterTreatment: � �
<br /> - Soufhwest f Florida 1Na#er- Management DisUict We!!s�_ Gypress Bayheads, Wetland Areast� Altering_,�
<br /> Wat�rcaurses. ; . � �
<br /> � - � Army.Corps of Engineers-Seawa,lis,Dncks, �lavigabie 11Vaterways.
<br /> - Department of Health $ Rehabilitative Services/Erivironmentat Healfh_Unit Weits�,Wastewater Trea#ment,
<br /> Septic Tan�CS. , " �
<br /> - US Enviranmental�Protecfion Agency-Asbestos abatement. , ,
<br /> Federa!�A�iation Att#hority-Rut�ways. - � � - - - � '
<br /> ' _ 1 understand that#he following�restrictions apply to the use af fil1: -
<br /> - � Use of fill is nat allowed in 1=1ood Zane"V"unless expressly permitted. � �
<br /> - - !f the fill material' is to be used in Fiood Zone "A", it is understaod #ha� a drainage pian addressing a
<br /> .compensatmg vo�ume wilt be submi#ed at time nf permitting which is prepated by a professional engineefi
<br /> tiaensed by ffie Sfate of Ftorfida. -� � - '
<br /> - - if the fll rrrater�a{$is to be used in Flood �ane °A" in conriection with a perm�tted bUilding using,stem wali
<br /> canstruction, I certify that fil!wii!be used only to fill the area within the stem wall.
<br /> - ' !f fi14 materia! is to be used in any area..l certFFy #ha# use of such fill v1►i{I nat adversety affect adjacent
<br /> properties� lf.use of fill is found to adversely affect adjacent properties, the awner may be cited for. viotating
<br /> the condit�ons�of�the buiiding permit issued under the a#faehed permit applicatir�n, for lots less than one {4)
<br /> acre which are elevafed by fitl, an engineered drainage plan ts requ�rec4, � �
<br /> if i am the AGENT FOOR THE�OWNER, 1 promise in good faith to inform t9ye owner of the permitting conditions set forth in
<br /> this affidavit peiar ta commencing canstrucEi�n. ( understand ihat a separate permit may be required for electricat work,
<br /> pSumbing, signs, wells, pools; alt conditioning, gas, or other�ins#allations not specificatly inciuded in fhe applicatiori. `A
<br /> permit issued sha!! be!construed to be a license ta proceed with the work and not as authority to.violate, cancef, al#er, ar
<br /> set aside any provisions of the#echnical codes, nor shall issuance of a�pettnit prevent fhe Buiiding{Jfficiat ftotn there�fter
<br /> - :requining:a.conectian jc►f.etrar.s in�.ptans;:.consfnacfion ar vioia#ions af any aodes. Eve.ry pet�mft issued 5ha1!-:become.i�tv�lid- -- -
<br /> uniess the work authorized by such permit is commenced within six months af permit issuance. or �f�nrork aukhorized liy
<br /> the permit is suspended or abandoned for a perioc!of s�x{6j mon#hs after"the time the work is commenced. An extension
<br /> rr�ay be�requested, [n�wnting; from the Building Official for aperiod nat#o exceed ninety (90) days and wilt demanstrate
<br /> justiflable aause for th�e exten`sfan_ ff work ceases for ninety(90)aonseaufive days,the jab is considered abandoned. ;
<br /> WARNiNG TO t3WNER: YOUR FAILURE TC} RECORD A NQTICE �F Ct�MMENGEMENT MAY RESULT IN YOUR
<br /> - ----P-AI�ING�73t5►ICEEQ_R,tMCRQVEMENTS TC1 YQUR PRQPERTY. 11=Y.U4J INTEND TO OBTAIN FINANGING,CONSULT
<br /> WITH YOUR lENDER O 'N.ATT4RNEY BEFURE ECO-RDIIqG-YUtTR NOTICE-O�-CO MENCEMEt�T:'°= --- —
<br /> �LOFtIDA JUFZAT{F.S.7 �' ( ' _ —
<br /> t}WNER OFt AGENT � � CONTRACTOR �� ?
<br /> 5ubs b a d swom br affinne efor � ' � Subs "b and swom fo or afHrm efo �
<br /> j.�ay i u. y t.�"" '
<br /> y{�� {g gr� pn a ,t e'ior haslhave produced Who(s/ar rsonally kn o me or haslhave produced
<br /> i asidenti8cation. asidenti�ca8on.
<br /> f , , , .
<br /> � � ' ` �.
<br /> , ry Pubtic ��Notary Ptt6lia
<br /> Q� �yti �i,d�`�e,es �1� q,��'�Q`��to°' .
<br /> Cammisston Na. � '� '��'�___._� Commission No.
<br /> �0 aCo
<br /> 4t1'`���'u��3� .,��a'��`�"a,�`p0a��
<br /> t�lame of Notary typed,�p�i�'�,, or� �� Name of Notary typed,printed or � d� �������`
<br /> « �q � � �
<br /> * �,o sraTa���
<br /> STAZE4Q
<br />
|