|
y _� , ti
<br /> NOTICE OF DEED RES7'FtICTIQNS: The undersigned ttnderstands that this permit may be subject to°deed"restrictions"
<br /> which may he mo�e restrictive than Caunty reguiations. The undersign�d assumes responsibility far compliance with any
<br /> applicable deed restrictions.
<br /> UN�lCENSED CUNTRACTORS AAID GONTRP►CTOR RESPONSI�ILITIES: If the owner has hired a cantractor or
<br /> contractors #a undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by taw, both the owner and contraotor may be cited for a misdemeanor viotation
<br /> under state law. If the owner ar intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. furthermore, if the owner has hired a contracfor or contracfors, he is advised fo have the epntractor{s} sign
<br /> portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owner sign as the
<br /> cantrackor, that may be an indicat�an that he is not properly licensed and is not ent�tled to permitting privileges In Pasco
<br /> County.
<br /> TRAIVSPORTATION IMPAC'T/UTILITIES IIVlPr4C'T Ia1ND FtESOURC� RECQVERY FEES. The undersigned understands
<br /> #hat Transpo�tatian Impac# Fees and Recourse Recovery Fees may apply ta fFte construction af new buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 9Q�Q7, as amended. The undersigned alsa unders#ands, fha#such fees, as may be due, will be identified at#he time of
<br /> permitting. It is further understood that Transportation Impac# Fees and Resource Recovery Fees must be paid priar to
<br /> reGeiving a "certificate of occupancy" or fina! pQwer release. !f the project does not invoive a cer#ificate of occupancy or
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewre� Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIflN LIEN l.AVi►{Chap#er 713, I�lorida StatuEes�as amer�d�d): If valuation of work is$2,500A0 or more, t
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
<br /> Protectian Guide" prepared by the Florida Degactment af Agriculture and Consumer Affairs. If the applicant is someane
<br /> ather than fhe"awner", I certify that I have abtained a capy of the above described document and promise in gaod faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CQNTRACTOFt'S/OWN�R'S AFfIDAYiT: t certify that att the information in this appiication is accurate and that all,wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
<br /> herel�y made to obtain a permit ta dQ work and insta0ation as indicated. 1 cert�fy that na work or instailation has
<br /> cammenced prior #a issuance of a permit and that all work will be performed to meek standards af all laws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. 1� also
<br /> certify thaf I understand that#he reguiations of other government agencies may apply #a the intended work, and that it is
<br /> my responsibllity to iden#ify what actions ! must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Enviranmenta! Protection-Cypress Bayheads, Wefland Areas and Environmentatly Sensifive
<br /> Lands, Water/Wastewater Treatment. ,
<br /> - Southwest Florida Water Nlanagement Dis#rict-Wells, Gypress Bayheads, Wetland Areas, AI#ering
<br /> Watercaurses.
<br /> - Army Corps of Enginsers-5eawaNs, Dacks, Navigabfe Waterways. ;
<br /> - Department af Health & Rehabiiitative Services/Environmental Heaith Unit-Wells, Wastewa#er Treatment,
<br /> Septic Tanks. ��
<br /> - US Enviranmental Pratection Agency-Asbesfos abatement. ;
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the following restrictions apply to the use o#filf:� ,
<br /> - Use of fill is no#ailowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill materia! is to be used in Flaod Zone "A", it is understood that a clrainage plan addressing a
<br /> "compensating votume" will be submifted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fifl material is to be used in Fload Zone °A° 9n connection with a permiffed building using stem'wall
<br /> construc#ion, I certify that fill will be used only to fill the area within the stem walL �
<br /> - tf fill materRa! is #o be used in any area, I certify #hat use of such fill will not adverseEy affect adjacent
<br /> properties. lf use of fil( is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> the conditions of the building permit issued under the attached permit application, for lots Isss than one (9}
<br /> acre which are elevated by fi(1, an engineered drainage plan is required.
<br /> If I am the AGI�NT FOR THE OWNER, I promise in good faith ta inform the owner of the permitting conditians set forth in
<br /> this affidavit prior to commenci�tg construction. I understand that a separate parmit may be required for eEectrical work,
<br /> plumbing, signs, wells, paols, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed ta be a license to proceed vuith the work and nat as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar shati issuance of a permit prevent the 8uilding Official from thereaf#er
<br /> requiring a correction of errors in plans, cons#ructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work au#horized by such permit is commenced rrvithin six months of permit issuance, or if wark aufhorized by
<br /> the pe�mit is suspended or abandoned for a period of six(6) months after the time the wark is commenced. An extensian
<br /> may be requested, in writ3ng, from the 8uilding Official for a pecfod not to exceed nine#y {90) cfays and will demonsfrafe
<br /> justifiable cause for the extension. lf wark ceases for ninety(�0)consecu�ive days, #he job is conside�e� abandone�.
<br /> WARMING TQ OWNIER: YOUR �AILURE TO R�CORD A NOTiCE O� COMMENCEMENT f�AY' RESULT IW YOUit
<br /> PAYING TWICE FOR IMPROVEII�ENTS TO YOUR PROPER7'Y. IF YOU INTEN�TO OBTA,IN FIN,I�►NCIIVG,CORISULT'
<br /> � -�lfdTN YQUR�ENDER OR AN ATTQRWEY BE�OFtE RECORQING YOUR NOTI�E�F COMfi�IENCEMENT. .
<br /> FLORIDA JURAT(F.S. 11 . _ � _ __ _ _ ___� _ _ _ _ _ - - - - - •
<br /> 01Nt�lER C}it AGEtd7'� /� � CONTf2ACTOR `�..�" ..�, - • -� _ - —`_ _ _ --
<br /> Subscribed and swom to(or affi ed)be�#are me thfs Subscribed and swom to(or affirmed)before me this
<br /> �-''l-t5 by `�hrvv++o V-C.�-c�ctuo y-Z-IS by '��r.n,K 1/�.r,-d�ci�/a
<br /> Wha islare personalt a ta me or haslhave produced Wha islare personatly kr�own me or haslhave praduced
<br /> as Idenkification. as identification.
<br /> ���:'•,( ;� ..�. .�'°� Public � I.�l' NotaryPublic
<br /> � '„' ' ' RRY �—
<br /> `�a�• +r- Notary PubiiC-State of Floflda
<br /> Commi slo ��``: Comml fa N .
<br /> ;r,• "�'�Expues Apr 4,2016 "�"""''�-� �
<br /> '%'FOr ftua°•` Commission#EE 16 .s��tPRY�AV��� ANNA MAR�E lYNCH TERRY
<br /> Name f Plota�y,ty,p.��,. � ��3tklatiPr�dNotary Assn. Name I�"o �dl 8t��t�ra�de ot Florida
<br /> �N* + •? My Comrn Expires Apr 4,201&
<br /> %rF oP°;` Commissian#EE}66865
<br /> �''�°���+�`'�
<br /> Bonded Through National Notary Assn.
<br />
|