|
_ , �
<br /> NOTICE OF DEED RESTRICTIOMS: The undersigned undetgtands�:.th�t this:p�rmit.may.be,subJect to"deed"restrictions"
<br /> which may be�more-restNctive:th�n County�r+egulatlons. �TFie undersigned�assumes responsibility forcompliance with any
<br /> applicable deed reshicttons. .
<br /> UNLICENSED CONTRACTOItS .AND CONTRACTOR RESPONSI�ILITIES: If the owner has htred a contractor or
<br /> contractors to undertake work, they may be.requlred�•.to be;itcensed in accordance wlth state.and•local regulations. If the
<br /> contractor ts not Itcensed as required�-by law, both the owner and conUactvr may be-cited for a-misdemeanor violation
<br /> under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing.requlrements may apply�foc-the
<br /> intended work, they are advised to contact the Pas'co County Bullding�Inspection Dlvislon—Licensing Sectlon at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor o��contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be.responsible. If you� as.the owner'stgn yas�the
<br /> contractor, that inay be an indication that�he is not.properly flcensed and is not entitled to perinitting privileges in Pasco
<br /> County. ' '
<br /> TRANSPORTATION IMPACTIUTILI'FIES IMPAC7 ANb-RESOURCE RECOVERY FEE3: The undersigned understands
<br /> that Transportation Impact Fees and.Recourse Recove.ry.Fees may�•apply.to°the construction of new buildings,�change of - �
<br /> use in existing buildings, or-expansion��of��existiri,g.'buildings, as specifled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undetsigned also understands� that:�such fees��,as�may�be�due;:wlll.:be identified at the time of
<br /> permitting. tt is further understood that T�ansportation Impact Fees and Resource Recovery�Fees must be pafd prfor to
<br /> receiving a "certlflcate of occupancy" or flnal-power-release. :If�the project does not involve:a:certificate of occupanoy_o�
<br /> final power release, the fees must be paid prior to permit issuance. Ft�tthermore��if Pasco County 1Nater/Sewer Impact
<br /> fees are due,they�_must.be-paid prlor to permit-lssuance=ln accordance with applicable Pasco County o�dinances.
<br /> CONSTRUCTION LIEN L"AW jChapte�713� Florlda Statutes�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 Construct(on_Llen�.Law=Homeowner's
<br /> Protectio� Guide" prepared by the Flo�ida Departmenf of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certffy that I h�ve.obtained�a copy of.the above.described docurrjent�and.pr.omis�in.good faith to
<br /> deliver it to the°owner"prior to�commencement. `
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I ce�tify.that all_the,inf.ormation.in this_appllcatlon is accurate and that all work
<br /> will'be done in compliance with ail applicable laws regulating construction, zoning and land development. Application Is
<br /> hereby made to obtain .a.permit Co do work,and installaklon as indicafed.� °I certify that no work or installatlon has
<br /> commenced prior to Issuance of a permit and that:all work wiil be performed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulatlons-in the jurisd(ction. I also
<br /> certify that I uaderstand that the regulations of othe�government agencies may�apply�to the intended work, and that it is
<br /> my responstbility to(dentlfy�what,actions I must take:to be=In�corrlpllance: $uch agencies include but are:not limited to:
<br /> - Depa�tmeni of Er1v(ronmental Protection=Cypress.�Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands�WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers=Seawalls, Dacks, Navigatile Waterways.
<br /> - Department of Health'8 ReFiabiHtativ.e Services/Environmental Health Unit-Well.s, Wastevirater Treatment, _
<br /> Septic Tanks: ' .
<br /> - US Environmenfal�Protection Agency-Asbestos abatement.
<br /> �
<br /> - Federal Avlattvn_Authoriiy-Runways. �
<br /> I understand that the following-restrictlons apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
<br /> - If the flll material is to be used:in �Flood Zone tlA", ft. is understood that-a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a professfonal engineer
<br /> Ilcensed by the State�of Florida:
<br /> - If the flll material is to be.used fn Flood �one °A" in�connec�ion�with.a`�permitted building using stem wall
<br /> � construction, I certify that flll�:wlll=b.e,used only.to.fill the area withfn the�stem�wali.
<br /> - if fill material is to be used In any area, I certify that .use of such flll�will not adversely affect adJacent
<br /> properties. If use of flll is found to adversely:�ffect adJacent properties,.the owner may be cited for viofating
<br /> the condf#ions of the�building;perm(t issued under the_attached �ermit application, for lots less than one (1)
<br /> acre which are elevated by flll.an engineered drainage plan is�equired. •
<br /> If I am the AGENT FOR THE 01MNER, t,:promise In good faith to inform the owner of�the_permitting conditlons set forth in ,
<br /> this affidavit prior to commencing construction. I understand that a=separate permlt may be requtred for electrical work,
<br /> plumbing, signs, wells, pools; air cond(tioning,.gas, or other installattons not.spectfically included-in.the application. .A
<br /> permit issued shall be constcued to be a Ilcense to p�oceed with ttie work and not as �uthortty to.violate, cancel, alter, or
<br /> set aside any provisions of the techn(cal.codeis;�nor shall issuance�of a.permtt.prevent the Bulldirig O#ticial from thereafter '
<br /> requlring a correction af.ercors in:plans, construction or vlolatlons of any codes. Every permit Issued�shall become invalid �
<br /> unless the work authorized by such permit�s-commenced�within sCx months of permit issuance, or if work authorized by '
<br /> the pe�mit is suspended or.abandoned for a period of six(8)�montF�s:after the tirne the�work�is commenced. An extension
<br /> may be requested, tn wrlting, from the Building.Officfal for a period.not to exceed nlnety�(90) days a�d will demonstrate
<br /> iustifiable cause for:the extension�. If wark ceases:for ninety(90)consecutive day.s;..the)ob�is.cons(de�ed aba�doned.'
<br /> WARNItdG TO OWNER: YOUit.FAILURE�TO.RECORD A MOTIGE OF COMMEMCEMENT MAY°RESULT IN YOUR
<br /> PAYING TWICE,FOR�IMPROVEMENTS TO YOUR�:PROPERTY:�IF�YO.0�INTEND'TO'OBTAIN�FINFANC1NG;�CONSULT
<br /> INlT�l=Y�1�� �����R 9�l�I�A7TCJ�(�EY���PORE RECOR�ING��YOUR�NATICE`OF'GOMMENCENfENT� _ _ _
<br /> FLORIDA JURA�(F.5.117.03)
<br /> n,, �
<br /> DWNER OR AOENT ��Y.Y�l�� CONTRACTO
<br /> 5uhscrlbed and s m M(or a�i d e ore m s ubs ribed and'swa to(ot afflrme �b ' re me' i�
<br /> f i� •/'�'by � � � �� �So�/�by �
<br /> JVho s/ar erso�naliy knov�m to.me or haslhaye produced Who Is/are p�sQnalty known•to me or haslhave produced
<br /> .eo as Identlflcatlon. �G. L� v`�'T �� Ca.� as Idend8ca0on.
<br /> �'�%�/^-� �� Public �� otary Public
<br /> �om on No. Co Isslo .No .�•"+��'r"%, JAC(11��4."�j�'��'��a
<br /> �,�.�a .. _�; ;d �� :.,.fa,,, ;;: -,. ��
<br /> ,.•,a�:'e"'�• JACQUELINE BOGES ;y,: �,�r �:��i(�o fa����"•��4:;�t,�b18
<br /> Vame ot Nota "eeamn Name of Notary type p ,d'�st��' �t� �° �� n�10ne
<br /> :�a• ;,; Expires December 12,2018
<br /> ��.�01;:,i� ,. .� n,•.i' � : .^.•tner.ce RC�'.'.5�'078
<br />
|