|
: " ' �
<br /> t�OT10E dF�EED R�ST}��C'TIOri1�: The undersigneci understands thafi this permifi tnay be subject to"deed" restrictions"
<br /> V�hich may be mare reskrictive than County regulations. The undersignec� assumes responsibility for campliance with any
<br /> applicable deed rsstrictians. '�
<br /> UNLICENSED CONTRACTORS APID CONTFtACTOf2 RESP��VSI�ILITIES; If the owner has hired a contractor or
<br /> contractors ta underta!<e work, they may be required to be licensed ii� accordance with state and lacal regulations. If the
<br /> confiractor is nat licensed as required by iaw, bath the awner and conkractor may be cited for a misdemeanor vialation
<br /> under state law. If the owner or intended contractor are uncertain s�s tcy what licensing requirements may apply for the
<br /> antended work, they are advised to contact the Pasco Gaunty Buildinc� Inspection Division--C.icensing Section at 727-847-
<br /> 8009 Furthermore, if khe awner has hired a contractor ar contraciars, he is advised to have the contractor(s) sign
<br /> portions of the °contractor Slock" of this appiication for which tliey wili be responsible. If you, as the owner sign as the
<br /> confiractor, that may be an indicatian thafi he is not properly lice�nsed and is not entitled ta permitting privileges in Pasca
<br />� County �
<br /> TRANSPC3RTATtQN I�t'ACTlUTI�ITIES 1�1i1�ACT AND RESOUt�CE RECOVERY FEES: The undsrsigned_undersfiands
<br /> that Transportation Impact Fees and Recaurse Recovery Fees may apply to the constructian of new buildings, change of
<br /> use in existing buildings, or expansion of existirtg buildings, as specified ir� Pasco Gaunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned a(so understands, that such fees, as may be due, will be identified at the time of
<br /> permitting It is'further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupaney" ar final power release. (f the project does not invo(ve a certificate of occupancy or
<br /> final power release, the fees must be paid priar to permit issuance Furthermore, if Pasco County Water/Sewer Impact
<br />�-��fees are due,they must be paid prior ta permit issuance in accordance with appiicable Pasco County ordinances.
<br /> CO�ISTI�UCTIOiV LIEI� LAW (Cha�►ter 7'N3, Florida Statut�s, as amer�ded): If valuation of work is $2,500 00 or more, I
<br /> certifiy that l, the applicant, have been provided with a copy? of il�e "Floricia Canstruction l..ien �aw—Fiomeawner's
<br /> Protection Guide" prepared by the Fiorida Department ofi Agricu(ture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that 1 have obtained a capy of the above described document and promise in good faith to
<br /> detiver it to the"owner" prior to camrnencement. �
<br /> CONTRACTOR'S/0V11NER'S AFFIDAVIT: I certify that all the infarmatian in #his application is accurate and that all work
<br /> will be done in compliance wi#h all applicabie laws regulating construction, zoning and land deve3opment. Applicafiian is
<br /> hereby made to obtain a permit to do work and installatian as inciicated. I certify that no work ar installatian has
<br /> commenced prior to issuance of a permit and #hat all wark will be performed to meet standards of afl lav+rs regufating
<br /> constructian, County and City codes, zoning reguiations, and land deve(opment regulations in the jurisdiction. I afso
<br /> certify that I understand that the regulations of ather government agencies may apply to the intended work, and that it is
<br />', ��y responsibility to identify wha#actions I must take to be in com'pliance. Such agencies include but are not limited to
<br /> � - Qepartmenk of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, 1NaterllNastewater Treatment. �
<br /> - Southwest Florida Water IVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Alfiering
<br /> � Watercourses. ;
<br /> - Army Corps of Engineers-Seawalls, Docks, t�avigable Waterways. �
<br /> - Department of Health & Rehabilitative S�rviceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Sep#ic Tanks. (
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Autharity-Runways.
<br /> � understand that the follawing restrictions apply to the use of fill. ,
<br /> - Use af fil! is not a!{owed in Flood Zone"V" unless expressly permitted.
<br /> - if the fi(1 material is to be used in F(ood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume" will be submitted at time of�permitting which is prepared by a professianal en�ineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" lin connection with a permitted building using stem wall
<br /> construction, ! cerfiify that fili will be used only ta fi!!the area within#he stem wall.
<br /> - 1f fi11 mafieria( is to be used in any area, I certify�that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found ta adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditians of the bui{ding permifi issued under the attached permit application, far lots less than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> ff i am the AGENT FOR TNE aWNER, I promise in goad faith to inform the owner af the perrnitting canditions set forth in
<br /> � this affidavit prior to commencing construction. I understand that a separafie permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application A
<br /> permit issued shall be construed to be a license to praceed,with the work and not as authority to violake, cancel, alter, or
<br /> set asida any provisions of the technica! cades, nor shall issuance of a permit prevent the Building O�cial trorr►thereafter
<br /> °equiring a carrection of errors in plans, canstrucfiion or violations of any cades, Every permit issued shall become invalid
<br /> unless the �ork authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> the �ermit is suspended ar abandaned for a periad of six{6} months aft�r the#ime th�e work is commenced An extsnsion
<br /> may be requested, in writing, from the Building Clfficial for a period not ta exceed ninety (90) days and will demonstrate
<br /> justifiabie cause far the extension. If wark ceases for ninety{90l cc�nser,ai#i�,te�a}r�, fhp�;�h ;s cc;;�;d°red aba�;�o�ed.
<br /> V�/AI�fVING TO OWNER. YOUR FAILUF2E TO RECQRD A NOTI�E �F COi1�f1�ENGEfifiEiVT IU{AY ftE5UL1" IN YOUR
<br /> PAYtNG T�NiCE FOR IIUIPROVEMENT� Tt�YOUR PROPERTY. 1�'Y��.1 INTEtdD T4 O�TAIN Pii�lAIVClt�G, COIVSULT
<br /> � q 1�1,��I �TTfLR7AYC C'r C �—.nR't.A��".�c.or�..ii..��,� .o�., �^+c—
<br /> 9T (?lA�'P I.El���Ft �. �. ��f 3�. ',��?�. .�,'r�,...��.:�o�v.,� s v��."s=����,'�"3L� vr �•i,�i4�iiviciv��'itii�YV o.
<br /> �LORfE}A JUFiA'f{F.S 't 17A3}
<br /> OWNER OR AGENT ����,�%" CONTRACTOR �l/� ��C� �1
<br /> Subsaibed and s �n to( ffirmed) .efore me this Subscribed and sworn to(or affirmed)before me this
<br /> � - ) bv��� X�titi�__�.�� Q (�I� by flw,�'(1,�[7 t"�� � �— �42.
<br /> Wh is/ re p nally known r has/have produced W is/ e pe� na now ��r has/have produced
<br /> as ideniification. as identificafion.
<br /> Notary Public I Notary Public
<br /> Commissio»No � r°�fLdm�l� �ommission tvo. OIIV18 A.�OYBtt
<br /> publlc,St�� ��q016 ; Notary Public,3tate of Fforida
<br /> Name of Nofary#yped,printed ar� ' n piE�a��,129 Name of Notary typ�d,printed a . . . }
<br /> �m.No, Com.No. EE828129
<br />
|