PIOTtCE O�DEED RESTRICTIONS: 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 for compliance�with any
<br /> applicable deed restrictions.
<br /> UIdLICENSED CQ(dTRACTORS AIdD COfdTRACTOR RESPONSIBILOTIES: If the .owner has hired a contractor or
<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 law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended confractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection DivisiQn—Licensing Section at 727-847-
<br /> , 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for vvhich they vvill be responsible. If you, as the owner sign as fihe
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. � ,
<br /> 7R�►PdSPORY�►TIOFd IMPACT/UTILITIE� IMPACT AYVD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as�amended. The undersigned also understands, that such fees, as may be due, will be identified_at the time of
<br /> permitting. It is further understood that Transportation Impact Fee� and Res�urce Recovery Fees must be paid prior 40
<br /> receiving a "certificate of occupancy" or final power release. If the project does nvt involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> �fees are due, they must be paid prior to permit.issuance in accordance with applicable Pasco County oriiinances.
<br /> CONS�'RUCTIOfd,LIEPI LAW.(Chapter Y13, Foorida S4a4utes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien L�.w—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�t of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith fo
<br /> deliver it to the"owner"prior to commencement. -
<br /> CONTld�►CTOR'S10WfdER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constru�4ion, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County an�d City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
<br /> . certify that I understand that the�regulations of other government agencies may appiy to the intended work, and that it is
<br /> my responsibility to identify what actions I must takP to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
<br /> Watercourses: �
<br /> - Army Corps of Engineers-Seawalls, Docks, Naorigable Wa#e�ruays. �
<br /> - Departrrienf of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
<br /> Septic�anks. . .. , - -
<br /> - ., .
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways. ,
<br /> I undersfand that the following.restrictions apply to the use of fill:�
<br /> - �Use of.fill is not.allowed in Flood Zone°V"unless expressly permit4ed. ,
<br /> - If. the fill material is to be used in Flood Zone °A°, it is understood that a drainage plan acldressing 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 the fill 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 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 to adversely affect adjacent properties, the owner may�be'cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> � acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGERIT FOR THE OWNER, I promise in good faith to inform�th�owner of 4he permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in�the application. A
<br /> permit issued shall_�ie'construed to be a license to proceed with the work and not as authority to.violate; cancel, alter, or
<br /> set aside any p�ovisions.of the technical codes, nor shaCl issuance of a permi#prevent the Buildir�g Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Every permit issued shall become.invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> - the permit is suspended or abandaned for a period of.six(6) months after the time the work is commenced. An extension
<br /> may be �equested, in writing, from the Bu,ilding �Df#icial for a period not to exceed ninety (9p) days and will demonstrate
<br /> __ _justifiable cause for#he extension. If work ceases for ninety(90)consecutive days,the`job is considered abandoned.
<br /> !!tlAIZiVING TO OWIdER: YOUR FAIWFZE TO RECORD.A NOTICE OF C�MNIENCE�liENT IVIAl' i��SULY IN Y�Uf�
<br /> PAYIWG'fWICE FOR IMPROVEMENTS TO YOUE2 PROPEIaTY. IF YO.l7 INTEPID TO OBTAIN FINANCING, CONSULT
<br /> - - WITH YOUR-LENDlER_OR AN AYTORNEY BEFORE REGORDIiVG YOUFt NOTICE O�GOMME.NCEIVIIEI�T. � •
<br /> FLORIDA JURAT(F. 11•7.03) • _ //J - ---- —- - - "
<br /> 1 I �� y��a':_:. ;.';�c;�;�,i�4�"?i�� �ei�.£a_�}!;,iR,,";�'�};i:r%i,5`•' � ''':i�'�Yi#,n;�.;,:::�;:
<br /> ..;�4..:..�.:r�:.;�,;. N . ''.C. �T,�.>'r �i;��� . . ��j�/�i /� a( �_
<br /> OWtilER�,.QRr%7!:►GENT��.:-._: t.(itJu�� ;-�;��;SW�,�.��l:CUNTRACTOR�'Y.:zii►_I �1.. �� =t.:->�„=�':;
<br /> .,...w
<br /> f_:,
<br /> �.:.,.,....�-::.__:.-.
<br /> �S '� j d an bswgr�nto�(L� �Gd),b�et4[ e.this S � r! ed and bwo o( r a Q�a for��tF�ts
<br /> -� y r-�_ �� W �� y rv �►
<br /> o is/are personally 4 own to me or has/have produced ho s/are personally kn to me or h /have produced
<br /> • as identlfleation. as identiflcation.
<br /> Notary Public Notary Public
<br /> C' misslon No. C mmission No.
<br /> �""""� KELLI B. RYMAN • - ;•`;:�`�;�y KELLI B. RYMAN
<br /> Name6fNotarytype ,,'a'•`e'�sta��'�ss�on 9 7
<br /> Name of Notary typed,printed or s e �g Commission q
<br /> , �, ,; My Commission Expires ;r, o�? My Comnl�ssion Expires
<br /> �'%;;toRr��;.`' July 30, 2019 ''a;;���;a: JUIy 30, 2019
<br /> /IHNf
<br /> �I1111\4�
<br /> ' ._ """i' "..�. - .
<br />
|