|
. � NOTlCE QF OEED€tE$TRIGTIONS: The undersigned unders#ands that this peimit may be sub;ect to`cieed"tesirictions'
<br /> which may be more restriUive than County regulations. The undersigned assumes responsbility for compliance with any
<br /> appiicabte deed restrictions.
<br /> UNI.lCENSEQ CONTRACTORS AND CONTRAGTOR RESPONSIBlUTtHS: !f ihe owner has h'sted a contraUor or
<br /> contractnrs#o undertake work,they may 6e required to be Gcensed in accordance with state and lacal regulaGons. If the
<br /> cantractbr is not licensed as required by law,both the owner and contrador may be-citecE for a misciemeanor vsota6on
<br /> under stale law. If the owner or intended contraUor 8re uncertain as to whaLliCensing requir'ements may apply fqr the
<br /> interrded work,tttey are advised to contact fhe Pasco County Buitcfing inspection Division—Licensing Sectian at 727-84?-
<br /> 8009. Furthermore, if the owner has hired a contractor or cor�iractors, he is advised ta have Fhe contractar(s) sign
<br /> portions of the"contractor Block".of this appiiraGon for.which they will be responsib(e. If you,as the owner sign as the
<br /> contractor,fhat may be an indicatic�n that he is not graperty licen�d and is not entitled to permit�ing privileges in Pasco
<br /> County.
<br /> TRANSPORTATtOFt tMPACT1UTiCiTiES tMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that TranspartaUon lmpact Fees and Recourse t2ecovecy Fees may apply to ttre cx�nsUuction of new b�ildings,change of
<br /> use in eacisling buildings,or expansion of existlng buildings,as speCified in.Pasco County Ordinance number$9-07 aM
<br /> 9D-07,as amended. The undersignec!also understa�ds,that such fees,as may be due,�viiS be iden6fied at tfie 6me of
<br /> perrnitting. It is further understood that TransportaUon Impact Fees and Resnurce Recovery Fees must be paid prior to
<br /> r�ceiving a`certiftrate of oecupancy"or 6nai power release. tf ihe project does not involve a certificate of occupancy or
<br /> final power release,the-fees ctiusi 6e paid prior ta perm'st issuance. Furihermore,�f Pascn County WatertSeurer Impaet
<br /> fees ate due,they must be paid prior fa permit issuaa�e in accordance with applicable Pasco County or�nances„
<br /> CONSTRUCTION LIEN LAW{Chapter 713,Florida StaWCes,as amended): If vatuation of woric is S2,500_00 or mare,I
<br /> certify that t, the applipnt, have been provided with a copy of the "Florida Construction Lien Lavu--Nameovmer's
<br /> Protection Guide"prepared by the Ficsrida DepartmenYof Ag�icuiture and Consumer Affairs. If the applirant is someone
<br /> other than the"owner",}ceRiEy tt�at 1 have abtained a copy of the ahove destxibed documsnt and promise in goad faiih to
<br /> deliver it to tfie"owne�'prior ta commencement.
<br /> CONTRACTCIR'SIOWNER'S AfFlDAVifi t certity that aIt the information in this appliration is accurate and that ati wark.
<br /> will 6e done in comp(iance with aU applicable-laws regulat�ng construc6on,zoning and land development. Applicadon is
<br /> hereby made to obtain a pertnit to do work and instailaGon as indicafed, 1 certify that no work or installation has
<br /> cornmenced prior to issuance at a permit and that alt wark wil!6e pettormed ta meei sEandards nf ati laws regulattng
<br /> mnstruc6on, County and City codes, zoning regulations, and land devebpment regulaGons in the jurisdiUion. I also
<br /> cectify ihat t undesstand that the regulatior�s of afher gavemment agencies may appty ta the intencied work,and fh�t ii is
<br /> my responsibility to identify what:a4tions I rnust take to b�in compliance. Such agencies include but are not limiied to:
<br /> - Departrnent of Environmentat Protection-Cypress Bayheads,Wetiand Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatmet��.
<br /> - 5outhwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Albering
<br /> Waterce-rurses.
<br /> - Army Corps of Engineers-Seawafls,Docks,Navigable Watenevays.
<br /> - Department qf Health 8� Rehabilftative ServiceslEnvironmenta( Health Unit-Wells, Wastewater 7reatment,
<br /> Septic Tanks.
<br /> - US Environmental Protecuon Agency-Asbestos abatement
<br /> - Federat AvFatien Authority-Runways.
<br /> I understand that the fnllowing restrictans apply to the use of fill:
<br /> - Use of fiII is nat attowed in Ftood 2ane'�1"unless expressy permitted.
<br /> - !f the filt materia! is to be used in.Flood Zona `A", if is understood that a drairiage plan addtessing a
<br /> `Compensatina�volume"will be submitted at time of permitting which is prepared 6y a professional engineer
<br /> licensed by the State of F(orida.
<br /> - If the fill material is to he used in Flood 2ane A in connectian with a pertnitted buildtng using sfern vra!!
<br /> cansWcUon,I cerfi(y that fiII wiii be used onty to fi0 the area wiffiin the stem watl.
<br /> - If fil! material is 10 be used in any area, 1 cerEify it�af use oP such fit!will noY adversely affect adjacent
<br /> pr6perties. If use of fill is found to adv�:rsely aFfect edjacent properties,the owner may be cited for vialaling
<br /> the canditions oE the bui(dir�g permit issued undes ihe aitached permit apptic�tion,far lats tess than one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am.the AGENT FOR THE aWNER,I promise in good faith ta infarm the owner of the pemtitting conditions set farth in
<br /> this affidavit paor to cammencing consUuction. f underssand that a sepatate permii may be required#ar efectricat work,
<br /> plumbing,signs,wells, poots, air conditioning, gas,or.other installations not specifically i�Guded in the application. A
<br /> germit issued shat[Be construed to be a license ta pmeeed vrittr the worlc and�ot as auftiorify to xiotate,cancel,alter,ar
<br /> set aside any provisi4ns af the technical cades,.nor shall issuance of a permit Ex�evenk the Building Offcial ftqm thereaftes
<br /> requiring a corneCtion of errors in plans,constructian or vioiations of any codes. Every perrnit issued shall hesome Invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,or if worEc auiharized 6y
<br /> the permit is suspended or aba�oned for a period of six(6)months after the 6me the woric is commenced. An extension
<br /> may t5e reguested,ia writing,trom the Building Official for a period nat to exceed niriety{SD}days and witt demonstrate
<br /> justifiable cause tar the extension. If work ceases far ninety(90)consecutive days,the job is considered abandoned.
<br /> WA6t4VlNG T0 bWNER. YQUR FAlL!!RE TO REC4RQ A N0710E F�GOMMEMCEl1flENT MAY RESl11T tM"YQU}2
<br /> PAYING.7YVICE FOR IMPROdEMEN'fS TO YQUR PROPERTY. IF YO "INTE TO OBTAIN FINAIVCING,CONSULT
<br /> WITN YOUR�ENDER QFi AN!ATTORIUEY BEFORE l2ECaFtDtMG Y4 R NO E.OF COM ENCEftItENT.
<br /> FLORIDA'JURAT(F.S.11 03) Q �
<br /> pWNERORAGENT , _�[�Y'�"'i✓�/�Y�/\.CONTRACTOR/
<br /> Subsc»tred an�!swam ta(or�rmea}D_are me this n an st r o or ir d)6eiore me fhis
<br /> Dy i
<br /> Wha isl2re persOnaliy knovm io me Or haSRtave.prodoCEd Who istare �t2 knOtVn to 8r�'teS@ aee prOtlUced •
<br /> es itlentifiWion. as ideMifiqlion.
<br /> i�� Notary Pubfic Notary Pubtic
<br /> i
<br /> C J
<br /> ,�""'`�, } ����i�Y A4B��i� SHEi2R1 L.WttKlE
<br /> N c � ���FF�t�Sg93� t g PNt3�Frg @�hti�Siat�or�da .
<br /> N
<br /> `� �' F.7�IItES:March28,2020 - s�y a�,My Comm.Expires Nfay 22.2018
<br /> '�� '%;Fo��4��` Commission A'FF 107354
<br /> •...�.�.�
<br /> I
<br />
|