--�-�,:� . .
<br /> �
<br /> � I
<br /> NOT9C�OF DEED RESTRICTIONS: The undersigned understands t at fhis permit m y be subject to"deed°�restrictians°
<br /> whicla rnay be more:restrictive th�n(C.ounty regulafbns: Tfie undetrsi ned assumes r:esponsibility for,�compifance with any
<br /> appiicable deed restricfions. '�
<br /> UNC6CENSED C13NTRA�TCIRS AI�ID GUNTRACTOR RESPONS! ILlTIES: If the owner has F�ired a contrac#or or '
<br /> contrac#ars to undertake work, they may be required.to be Ilcensed i accordance with state and local regufations. If fhe
<br /> contractor is not Ifcensed as requlred by law, both tfie awner and c ntractor may be oited for a misdemeanor violation
<br /> under state law. If the owner or fntE,nded contractor are uncertaln s to what licensi g requiremenfs may apply for the
<br /> � inkended work, they are,advised to cr�ntact the Pasco County Buildin inspection DEvisi n—Licens€ng Sec#ion at 727=847-
<br /> 8q09�. Furthermare, if fhe owner h.as hired a contractar ar contra tors, he 3s advls d to have the contractar{s) sCgn
<br /> parti�ns of the °c4ntractor Black" of,fhis applicatlon far whfch they w II be responsible� If you, as the owner sfgn as the
<br /> contractor, that may be an Indicatior� that he is not praperly Ncensed and is nnt entitle�d to permitting privileges in Pasco
<br /> ; County. �
<br /> TRANSPORTATION IMPACTIUTILI'�TIES IMPACT AND RESOURC RECt3VERY FE�S: The undersigned understands
<br /> that Transportation Impact Fees and�Recaurse Recovery Fees may ppiy to the canst uction of new buildings, chang� of
<br /> use in eXisting bui(dings,.or expansi+'�n of existing buiidings, as spec fied in Pasco Ca nty C}rdinance number 89=07 arid
<br /> SO-07, as amended, The undersigned also understands, that such ees, as may be ue, will be Eden#ifled at #he time of
<br /> perniitting. It is further understaad that Transportatlon Impact Fees �nd Resource R covery Fees tnust be paitl prlor to
<br /> receiving a "sertiflcate af occupancy" or�inal pawer release. !f the prolect does not i �volve a certificate of occupancy or
<br /> final power release;the�fees must���e paid prior to permit issuance. FurEhermore, if 'asco County�Wafer/Sewer Impact
<br /> fees are.due,.#hey must be.paid pria��to permlt(ssuance in accordanc �with applicable asco County;ordinances. -
<br /> COMSTRUCTION LIEN LAW(Chapiter 713, Fiorida Statutes, as a ended�: If va(u ian of work is $2,500.00 ar mare, i
<br /> cerfify fihat I, the applicant, have�15een provided with a copy of he "FEorida Con�truction Llen; Law—Mameowner's
<br /> Protecfion Guide" prepar�d by the F�'larida Department o€Agriculture and Consumer ffalrs. I#the�applicant !s someane
<br /> othar than.the"4WR@f°� 1 eertify that I have obtafned a copy of the ab�ve descrlbed doc�ument and promise in goad faith to
<br /> deliver it to the"owner"prior fo cotrinnencement. �
<br /> Gt?tVTkAGTOR'S/OWN�R'S AFI�lC►AVIT: I certify#hat all the infar ation (n this appll'cafian is accurafe and that all•work
<br /> will be done in campliance with all ��ppiicabie laws regulafing consfr�ction, zoning an land development. Applica#ion is
<br /> her�sby made to ob#ain a permit tc� do work and installatian as i dicafed. I certi�i fhat no work or installation has
<br /> cammenced prior to issuance of a �permif and that ail wark wili be perfarmed ta meet standards af a!i laws regulating
<br /> con5truction, County and City coders, zoning regulatians, and land development re�ulatEans ln the JurEsdlction. I also
<br /> certify thaf i understand fhat the regulations of ottier government ag racies may apply to the intended work, and that 1t is
<br /> my responsibility ka{dsntify what actgons ! must kake to be In complia ce. Such agenci s inciude buf are not limited to:
<br /> - Department of Environrnental Protection-Cypress Bayh ads, VUe#(and Ar� as and Environmenfally Sensitive
<br /> Lands, WaterlWasfewater Treatment.
<br /> - Sauthwes� Florida W��ter Management Dis#rict-Well , Cypress Ba�heads, Wefland Areas, AEtering
<br /> Watarcaurses.
<br /> - Army Carps of Engineer,s-Seawalls, Dacks, Navi�a�le W terways.
<br /> • Qepartment of Healkh� �& Rehatiilitativea ServiceslEnvlronmental Health nit-Wells, Wastewater Trea#ment,
<br /> Septic Tanks.
<br /> - US Environmental RrotEiction Agency-Asbestas abafeme t.
<br /> - Federal Aviation Authority-Runways. . �
<br /> 1 understand thaf'the following restri+�tions apply to the use of fill: -
<br /> - Use of fiit is r►at allowed!in Fiood Zone"V°unless expres ly permitked. �
<br /> - 1€ the ffll materia! !s to be used En Flaad Zone "A", i !s understood t, at a drainage pian addressing a
<br /> "compensating volume"'wiU be submltted at time af per itting which is pFepared by a professional engineer
<br /> licensed by the Stafe of'Fiorida. '
<br /> - If the fili maferial is fo be used in F(ood Zone "A" in cannection with a�perttiitted buiiding using sfem wall
<br /> cansfructlon, I cerfify fhraf fill will be used anly to fifil the a�Iea within the stem wali.
<br /> - tf fiil material is fo be used in any area, i cerfify that use af such f�il) wlll nat aclversaly affect adjacent
<br /> prnperties. if use af�!i'!s faund to adversely af#ect adJ cent propertles, the owner may be cfted for violating
<br /> the condltions of ttie buElding permit Issued under the ttached permit a�plication, for lots less than one (1.)
<br /> acre whlch are elevated by fill, an engineered drainage lan is required. I'
<br /> If I ;�m the AGEN7 FOR THE OVUN�ER, I promise in,good faith to inf rm�.the owner of the permitting.conditions sef forfh in
<br /> this affidavit prior to commencing c;onstructian. ( understand thaf a separate permit.�nay be requited for etectrical wark,
<br /> plumbing, signs, weiis, pools, air conditianing, gas, or other install tions nat speciflcaily Included In the applfcat#on: A
<br /> permit issued shall be construed fa�be a flcense ta proceed wftti'th work and not as�authority to.vlolate, cancel, alter, or
<br /> set aside any provislons af the technfca! codes, nor shall issuance o�a permlt preven�the Bu1ldErig afficlal from thereafter
<br /> requiring a correctiorr of errors in pls�ns, constructlon or violations of�ainy codes. Every permit issued shall become invalld
<br /> unless the work authorized by sucri permit ls cammenced within si monfhs af permi'f issuance, or if work aufhorized by
<br /> the permit is suspended or abandoried for a period of six(6) manths affer the time the�wark is commenced. An exfension
<br /> may be requested, (n writing, fram the 8uild(ng Official far a periad not fo exceed nir�ety (90j days and will demanst�ate
<br /> justifiabie cause for the extension. (f work ceases for ninety{90)cansecutive days, Eh�jab 3s considered abandoned. ;
<br /> WA,RNING TG OWNERc YUUR FAILURE TO RECORD A NOTI�E OF COMMENCEMENT MAY RE8UL7 IN YOUR '
<br /> PA'YING TWlCE FOR lMPROVEME:NTS 70 YC1UR'PR"OPERTY: I YOU iNTEND Tb 06TAiIV FIWANCMNG, CON�ULT
<br /> - WI1tH YOLOR�LENDER(�R AN ATTORNEY.BEFO E RECORDiNG YOUR C1TI E�F CO EN�EMENT.
<br /> FLORfbA JURAT(F.S. 11•T.03j V ! - v� ,
<br /> � OWNER OR AGENT_ _ _ _ _...___� _. - `— � CONTRACT R� '' �\�����,,�.�__ _.—"_
<br /> Subscr(bad and swom M(ar afflrmed}before me this Subscr(bed an to{ f�rmed)-,.efore me thfs �
<br /> bY � ��Y ' -�...�.� -�.._.
<br /> Who!s/are personally known tn me or has/h�,�ve protluced Who Islare pe son y known to me �r has/have prod_ce
<br /> as(denNficaBon. � as Identi8caflon. �
<br /> Y �
<br /> _.._. _..Notary F'ublic � Notary F'ubl3c
<br /> Commisslon No. Commission o. �
<br /> Name of Notary typed,printed or stamped Name of Nota� typed,printed or staFnped �
<br /> � '
<br /> �
<br />
|