|
_:
<br /> �
<br /> - � NOTtCE OF DEED,RES7RtCT10NS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility far compliance with any
<br /> applicable deed restrictions.
<br /> �UNLIC�NSED CONTRACTORS AND CONTRACTOR RESPONStBILITIES: If the owner has hired a contractor ar
<br /> contractors to 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 Iaw, both the owner and contractor may be cited for a misdsmeanor violation under
<br /> - state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended
<br /> worEc, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847-8009.
<br /> Furthermore, if the awner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
<br /> "contractar Block" of this applicatian for which they will be responsible. If you, as the owner sign as the contractor, that may
<br /> be an indication that he is not properly licensed and is nat entitled to permitting privi3eges in Pasco County.
<br /> 7RANSRORTATION IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recaurse Recavery Fees may apply to the canstructian of new buildings, change of use
<br /> in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-p7, as
<br /> arnended. The undersigned also understands, that such fees, as may be due, wi!( be identified at the time af permitting. It is
<br /> further understoad that Transportation Impact Fees and Resource Recavery Fees rnust be paid prior to receiving a"certificate
<br /> of occupancy" or final power release. If the project does not invalve a certificate of occupancy or final power release, the fees
<br /> must be paid prior ta permit issuance. Furthermore, if Pasco Gounty WaterlSevuer [mpact fe�s ara due, they must be paid
<br /> prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> Ct�NSTRUCTlON LtEN LAW {Chapter 713, Florida Statutes, as amended}: !f valuation of work is $2,5Q0.00 or mare, I
<br /> certify that l, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowner's Protection
<br /> Guide" prepared by tne Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the
<br /> `bwner", I certify that I have obtained a copy af the abave described document and promise irt gaod faith ta deliver it ta the
<br /> "owner" prior to commencement.
<br /> CONTRACTUR°SIC}WNER'S AFFIDAVIT: [ certify that all the information in this app[ication is accurate and that all wark will
<br /> be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby
<br /> made to obtain a permit to do wc�rk and installation as indicated. I certify that no work or installation has commenced priar to
<br /> issuance of a permit and that all work will be perFormed ta meet standards of all laws regulating construction, County and City
<br /> codes, zaning regulations, and land developrnent regulations in the jurisdiction. I also certify that I understand that the
<br /> regulations of ather government agencies may apply to the intended wark, and that it is my responsibility to identify what
<br /> actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> – Department of Environmental Protection-Cypress Bayheads, Wetland Rreas and Environmentally Sensitive
<br /> Lands, Water/WastewaterTreatment.
<br /> – Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,Altering Watercourses.
<br /> – Army Corps of Engineers-Seawalls, Docks, Navigable Vt/aterways.
<br /> – Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic
<br /> Tartks.
<br /> – US Environmental Protection Agency-Asbestos abatement.
<br /> – Federal Aviatian Authority-Runways.
<br /> I understand fhat the following restrictions appfy to the use of filL•
<br /> – Use of�II is not allowed in Flood Zone"V" unless expressly permitted.
<br /> – If the fill material is ta be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> – If #he fil( material is to be used in Flood Zone "A"' in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> – If fill material is ta be used in any area, I certify that use af such fi11 wiil not adversely affect adjacent properties. (f
<br /> , use of fill is found to adversely affect adjacent properties, the owner may be cited for vialating the conditions of
<br /> the buildirtg permit issued under the attached perrnit appiication,for lots less than one{3)acre v,rhich are e3evated
<br /> by fill, an engineered drainage plan is required.
<br /> � If! am the AGENT FQR TNE OWNER, I promise in good faith ta inform the owner af tE�e permitting conditians set forth in this
<br /> affidavit prior to commencing construction. ( understand that a separate permit may be required for electrical work, plumbing,
<br /> signs,wells, paols, air conditioning, gas, or other installations not specifically included in the application, A permit issued sha!!
<br /> be canstrued to be a license to proceed with the work and not as authority ta violate, cancel, alter, or set aside any provisions
<br /> of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correctian of
<br /> errors in plans, construction or violations of any cades. Every permit issued shall became invalid unless the work authorized
<br /> by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or
<br /> abandoned for a period of six (6) months after the time the work is commenced. An extension rnay be requested, in writing,
<br /> � from the Buiiding Ufficia(for a period not to exceed ninety(90) days and will demanstrate justifiable cause for the extension.
<br /> If work ceases for ninety(90) consecutive days, the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENGEMENT MAY RESUL7 IN YOUR
<br /> P�ftYlNG TWlCE FOR IMPROVEMENTS TC? YOUR PROPERTY. 1F YOU lNTEND TC} OBTAtN FENANCtNG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S 117 03)
<br /> OWNER OR AGENT�f �� CONTRACTOR �!U-''��
<br /> ` Subscribed and swom to( affirmed}before me this Subscribed and swam t�o(or affirmed}before me this
<br /> � 4/1/15 by Brian Walsh 4/1/15 by Brian Walsh
<br /> Who is/are personallv known to me or has/have produced Who islare personallv known to me or haslhave peoduced
<br /> as identification. as identificaEion.
<br /> , � ��, �-��.�,,y�� +� .�L- � 1 r" �� 1 � �'�`�}'
<br /> r'�'� + 1' r�Notaty Pub(ic / � '� l � otary Public
<br /> I J
<br /> Cam issian No. �Com}ission No. � /
<br /> ti
<br /> Name of Notary typed,printed or stamped M1lame of Notary typed,prinied or stamped
<br /> �P�t0l�lorida = �,.,,y.rr,q�.,�
<br /> T O,P4Y P�e NOtf1IY o'"tif�ay w .s��'
<br /> _ �`; S8ti14@�-a�%11k1iSS 413285 �.,n"�, Nota f�'�
<br /> � Q My Commlasla��� rY Pubtic State of filorida
<br /> � �� � Jamie�Jenkins
<br /> '�` o-� Ires 051211^�0�� o My Commission EEQ7s2&5
<br /> 9�Of flQ E%p cr'',=f�°' Expires 0512I12Q75
<br /> ..rh,�•r,�I't�"�1'''M/'y"�
<br />
|