|
—����
<br /> NOTICE O� DEED RESTRlCTIONS: The undersigned understands that this,permit may be.subJect to"deed"restrictians"
<br /> which may be mare restrlctive than County reguEations. The underslgned assurties �espansibility for campliance.with any
<br /> applicable deed restrictions. "
<br /> �lNLICENSED GCiNTRAGTORS ANQ CK?NTRACTOR RESPONSlBtL1T1ES; tf the owner has hired a cantrac#or or
<br /> contractors ta unde�take work, #hey may be required to be licensed in acaardance with state and•lacal regulatians. If the
<br /> cont�actor is not licensed as required-by law, both the owner and contractor may b� c(ted for a misdemeanor violation
<br /> under state law. if the owner or fntended aantraetar are uncertain as #o what ticensing requirements may apply�far the
<br /> intended wark, they are advised to contact the.Pasco County Butlding lnspection D(vislon=l.icensing Section at.727-847- ,
<br /> 8009. Fu�thermoreT if the awner has hired a cantracta� or contractars, he �s advtsed to have the cantractor(s} slgn � �
<br /> portians of khe "cantrackor Black° of thls appllca#ian for whfch they will be respo�sible. If you, as.the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is no#entttled to permitting privileges in Pasco
<br /> Caunty. .
<br /> TRANSPORTATION IMPJ�,,CT/UTILITIES IMPACT AND RESi�URCE RECOVERY FEES: The undersigned understands
<br /> that Transportatfon liripact Fees and Recourse Recavery.Fees may apply to the construction o€new bulidings, change of •
<br /> use in existing buiiding's, or expansion of existirig'buildings, as specifled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended The undersigned aiso u�derstands, that such fees, as may�be�due, w0! be identified at the time of
<br /> permitting. It is furtheF understood that Transporkation lmpaat Fees and Ftesource Recovery Fees mus# be paid prlor to
<br /> receiving a "certificate af occupancy" or final power release. .If the project does not involve a ce�klf[cate of oacupancy or
<br /> final power retease; the fees must be pald prior#o permit-issttance. Futthermore, if Pasco County V1►ater/Sewer Impact
<br /> fees a�e due, they�must be paid prio�to permit Issuance�(n accordance with appl(cable Pasco County ordinances.
<br /> GONSTRUCTIflN �IEN LAW{Chapte�T13, Florlda Statutes�as amenc�ed}: 1f valuation of work is$2,500.00 or more, 1 ,
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Constructian Lien Law—Hameowne�'s
<br /> protection Guide" prepared by the Florida Department of Agctcu(ture and Consumer Affairs. 4f the appllcant is someone
<br /> other#han the"owner", t certify that 1 have,abtained a capy of the above described documenYand promise in gaod faith to
<br /> deliver it to the"owne�"prior to commencement. �
<br /> CONTRACTOR'SIQWNER'S AFFIDAVIT: i cei�lfy that atl the informatlon In fhis appticatlon is accurate and that a!1 worlc
<br /> will'be done in compliance with all applicabfe laws regulating conslruction, zoning and land development. Application is
<br /> hereby made to obtaln .a permit to da work and instailation-as indicated. t ce�tify that no work or instaliation has
<br /> commenced prior to issuance of a perini# and that all work will be performed io meet standards of ail laws regulating-
<br /> conskruction, County and City codes, zoning regulatians, and land development regulations in the �urisdictton. 1 also
<br /> certify that 1 understand f1�at the regulations of other governmen#agencies may apply�to ti�e intended work, and that it is .,
<br /> my responsibility#o identify�what actions I must take.to be.in.compllance. �uch agencies include but are.not limited ta:
<br /> - Depantnent af Erivlranmental Protection-Cypress Bayheads, Wetland Areas and Enyironmentally Sertsi#ive ,
<br /> Lands, WatedWas#ewater Treatmenk.
<br /> - Southwest Flocida Water Management Ristrict Wells, Cypress. Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineer�-Seawalls, Docks, Navigable Waterways,
<br /> � - Depa�#men# af Health 8 Rettabilitative�Ser.viceslEnvironmental Heafit� Ut�it Wells, 1Nastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviation Authorlty=Runways.
<br /> 1 understand that the following cestrictions apply ta the use of fill:�
<br /> - Use of fll ls not allawed in Flood Zane"V"unless expressiy pe�rmitted. !
<br /> - if the fili material is to be used In Flood Zone "A", it. is understaod- that a drainage plan addressing a I
<br /> "compensating volume" wilt be submttted at time of permitt9ng virhich is prepared by a professionai engineer '
<br /> licensed by the State of Florida. - �
<br /> - If the fill materia) Is to be used in Flood Zone °A" in�connectlon with a {�ermitted buliding using stem wal! ;
<br /> construction, l certify#hat fi11 wlll.be used oniy ta fill the area wikhin the stem waii. '
<br /> - If fll materlal is to be used in any area,, I -certify that use of such fill will not adversely affect adjacent ;
<br /> propertles, If use of f�M Is found to adverseljr.affect adJacen# propert'tes, the owner may be cited fo�vloCating �
<br /> the conditions of the building permit issued under the attached permit applicatian, far lots less than one (1) I
<br /> acre whtcli are elevated by ffll,an engineered dralnage p3an is requtred. •
<br /> tf 1 am the AGENTFOR THE OWNER, t;promise in good faith to inform the owner of#he permiEting conditions set farth in
<br /> this a�davit prio� to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welts, paals; ait conditianing, .gas, or ather instaEEattans nof spec�icaEly included in #he application. A
<br /> permit issued shall be canstrued to he a license to proceed with the work and nat as authority to.violate, cancel, al#er, or'
<br /> set aslde any pravisEons of the technlca!cades; nor shall issuance af a permft prevent the Builcftrig C?fficia!fram thereafter
<br /> requiring a aorrection nf errors ln plans, canstruction or violations of any codes. Every permlt lssued shall became invaiid
<br /> unless the work authorized.by such permit is_commenced wlthln sGc months of permit issuance, or if wark authorized by
<br /> the permit is suspended or abandoned for-a period of six{6)manths after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building,Official for a period not#o exce�d ninety (90) days and will demonstrate
<br /> justifiable cause for fF�e extensian. If work ceases for nlnety(90}consecu#►ve,days,.th�job is considered abandoned.
<br /> WARNING TQ t?WNER: YCtUR FAILURE TO RECORD A NQTICE OF COMMENGEMEN3 MAY RESU�T iN Y4UR
<br /> PAYtNG TWICE FOR iMPRClVEMENTS�TO YOUR PROPERTY._IF�Y_OU.INTEND`T _- � F1fllAN�iNG, �CON�UL�-- - -
<br /> MfITH YOUR LENDE EY B FaRE�RECORDING YOU �I E CEMENT.
<br /> F�ORIDA JUF2AT{F.S.1 f .0
<br /> OWNER OR ACiENT� COMTRACTQR
<br /> Subsartbed anc!swom t o a before me this Subscribed and swam#o a�irnted�be€ore me th}s
<br /> by °bY
<br /> Who ls/are personally knovm to.me ar has/have produaed Who Is/are personatly knowmto me or has/have produced
<br /> as Identl�ca�on. as SdenB�cat3an. ,
<br /> I
<br /> �
<br /> � " �
<br /> tary Public Notary Publia t
<br /> P���n.y� i
<br /> Commi s �t$.r�,, JOEL E.B��A,,G�O{�N �+}7(�7q Gommissto . a.,��°,Y"•,.,, �
<br /> f. :M. {IIfT7r'1-�-hTFifF�i-
<br /> ;�, :;;= Expires June 29,2018 . _°.: �:= Commission#FF 137073
<br /> �. 19 : °
<br /> Naate o Name f Nct ,..°�fin pa�d�n�eaa-aa�ao�s
<br />
|