|
11l��I����
<br /> , 4' .
<br /> , �
<br /> NOTiCE OF t�EED RESTRICTlANS: The underslgned under�tartds-.th�t#his.,p�rmit�maypbe,subJeat.to�.de�d°restrEc#fa�vs"
<br /> which may--be.�more':,r.estrictNe:�than County�raguia#lons. 'The�underslgned�assumes'�espnnsibility<for'compitance witti'an;�
<br /> applicable.deed.res�rictions. • . -
<br /> UMlIGENSED_.Ct1NTRACTORS AND CONTRA►GTOR RESPONSiBtLIT1ES�: =1f ttie owner-has fiired �a �cantractor or
<br /> contracto�s to undertake work, they may be:r.equired.-to�,bg<Iicensed In accardance.witH state.and•loca,l regulations. If�the
<br /> con#ractor,is:�not_!#censecf as rsquired`6y taw, both�the owner and=convactat�inay be�-c3ted-for a-inlsdemeanor v1olation
<br /> under state iaw. if the awner ar tntended;contractor arey:uncertain as to what Iicensing.requiremeM9;may-apply,�;for'-the -
<br /> intended work; they are advised to contact tfie Pasco County Bullding"�Inspectiori_Dlvislon—Llcensing Section at 727-847- '
<br /> 8009. Furthermore, if the owner has�hl�ecl a cont�actof or confractors, he is advised ta have the contractor(s)- sign :
<br /> partions of the "contractor Block" of this appllcation for which they will be responsible. ,If.you,-.as-.lhe owner stgn as`tFie
<br /> caniractor, tfiat may•be an lndlcatfon Ehat�he Is not.properfy tlaensed and is not entitted t+b permitting privileges in Pasco �
<br /> County. - i
<br /> TRANSPORTATlON�IMPACTIUTILITIES IMPACT ANb RESCIURCE RECOVERY�FEES:�The under�igned unde�stands !
<br /> that Transportation Impact Fees and.Recaurse Racave.ry.Fees may��appiy ta�the canstrvation af new bulidings,:change of � ;
<br /> use in existing buildings; or:expansion�.of�existiri�<�iuildings, as specifled in pascq County Ordi�ance number 89-07 and #
<br /> 80-07, as amended. .T.he. undet�lgned also undet�tands� that.such fees,ias�may���e:-due;,;witl:�be tdentlfied at the`tirrie of �
<br /> permitting. It Is furkFie�'unders�taod that Tra�sportatlon Impact Fees and�Resource Recavery`Fees.must be paid prfor to i
<br /> receiving a "certlftcate.of occupancy" or flnal-power.release. :If ths pro�ect.does no!invotve�a:certiflcate of accupancy ar - s
<br /> tinal power�release;the�.fees mu�t�ba pafid prfor to permit issuance. F�rthermore;:if Pasco,GauniyyWater/Sewer�lmpact
<br /> fees are due, they.must be.paid pNor to permit�issuance-In accordance with�applicable Pasco'Caunty a�dinances. ;
<br /> GONSTRUCTION��lE�l�l.AW{Cliapter 713, Flarlda Sta#utes�a�amended}: If valuatlon of wark Is$2,50q.00:ar more, 1 �
<br /> - certify that I, �he .applicant,. have.been pravided wtth_ a copy of the� "Florida~Construction� Lien.Lav�-�-Homeawner's
<br /> ProtectRon Guide" prepa�ed by tfie Fiorlda DepartmenE of Agrla.ultnre and Gonsumer Affairs. t#the applicant is someane
<br /> other than the°awner", I certify that I have-.ob#ained-a copy.of..the abave.rlescrlbed doc.�iir�ent�and.pcomise ln.good falth to
<br /> deliver it to.the"owner"prior-toscommencement: � _ `"
<br /> CONTRACTGIR'S1t�WNER'S AF�IDAVIT: 1 ceitity tEaat a11-.th�-3nf.ormatlon.{n�this applicattan is accutate and that all wark
<br /> will'be done in compliance with all.appl(cable laws regulating canstruction, zoning and land development. Appiication is
<br /> hereby made to obtatn .a perm�t.to da. wark.and lnstalla#1on as 1ndt�ated:�,; 1 ce�t�fjr'�that no work�o� tnstaEiatton has
<br /> commenced p�lor to issuance of`a permit and that.all work wiil be pertormed to meet standards of.all laws regulating�
<br /> constnaction, County and City codes, zoning regulatlons, and land development r.egulatlons-In the Jurisdtctton. ( al'so
<br /> certify that 1 u�ders#and thaf the regulations af other government agencies may�apply�to the intended work, and #hat i# is ;,
<br /> my responsibility to identiiy•what:act(ons I must take to be�in:.compltance. S.uch agencles include but�are.nat Ilmited to:
<br /> - �epar#men# of Environmental Protect�on-Cypress.BayFieads� Vi'teNand Areas and E�vironmentally Sensitive
<br /> l.ands,WateNWastewater Treatment. - �
<br /> - Southwest Florida Water Management :l�istrlct WeAs, Cypress. Bay_heads; Wettand Areas, Aiter��g �
<br /> Waterc+aurses. .
<br /> - Army Carps of Engineers-Seawalls�Docks� Navtgable Waterways. ;
<br /> - Ctepa�tment of Health 8 Ret�ab111#ative ServlceslEnv3ronmen�al HealEh Unit We11s, INasteutitater�TreatmenE,
<br /> Septic l'anks. � � . .
<br /> - US Envi�onmental Protectfon Agency Asbestos abatemen� .
<br /> - Federal Aviattan Aulhority-Runways.
<br /> i understand that the following:restrictlons apply to the use of flll:
<br /> - Use of fill is nat atlowed in Flovd Zone°V"unless expressiy permitted.
<br /> - If the flll materfal. is to be used.�in �Flood Zone �A", it. is undersfood that a drainage plan addresstng a
<br /> °compensaEing volume"wlti be submitted at#�me of permitt€n�wfiiah is prepared by a professianal englneer
<br /> iicensed�by�he State�of�Florlda.
<br /> - !f ihe flll materlal:.is.to be used tn Flbad Zane °A" in�cnnnection�wlth.a �ermltted building using stem walt
<br /> � constniction, I certify that fiil:wiii-b.e used oNy.to fitf#he area withtn the�stem�wati.
<br /> - If flll materlal is�to`�6e used in any-area, I certffy tha# use of�suchi�flil will not adversely afl'ect adjacent
<br /> properties. #f use of#il# is fonnc3 #o adverseEy.�ffect adja�ent�prtipertit�s,,th�owner may be cited for vEatattng �
<br /> the condifions of the-building;permit Issued under the�attacHed pecmit.appl(cation, for:lats less than:one (1)
<br /> ac�e whiah are elevated by fl!!;an eng#neered dralnage plan ls required. • ;�
<br /> If i am the AGENT FOR THE OWNER, I,-;promise tn good faith#o inform the�awner of-the:permitting condftians set fo�th In
<br /> this aftidavit`prior to commer�cing construction: "f understand #hat a,s�parate permit may be requtred for electrical wark� ;�
<br /> plumbingf signs, welts� pools; al� condl#ionln8,.9a:s, o�ot�er. instaElations not,spec�ically Included�in.ttte appiicatian. .A ;i
<br /> permit Issuetl shall be constcued to ba a'�Ilaa�nse.to proceed with the work and not as�authority to.violate�.cancel, alter, ar �
<br /> set aslde any provistons of the techotcal.codes; nor shaii issuance af a pecmft.prevent ttys Buildirig C?tflcfalfrom thereafter �
<br /> requiring a correctlan.af errors ln.pians, eons#rvctlan or vlotatlons of any codes: Every permlt[ssued shall bacome invalid j�
<br /> unless the work authorized.by such permit.�s.commenced�with(n s(x months of petmlt tssuanae. or if work autharized by ''
<br /> the permit is suspendad or.abandoned for a:period,of slx{8)mon#hs.after the:#lrne the�wat'k is commenced.-.An eactension ''
<br /> ,
<br /> may be requested, tn wrfting, fram the Building,Official far a period;nat to exceed�ninety�(90) days a�d wrill�demonstrate t'
<br /> �ustt�abfe cause for.the extenslon: If work ceases:for nlnety{9t}}cons.ecutive day.s�.-th�job�s considered aba�doned. '
<br /> ,
<br /> '.
<br /> WARNING TO OWNER; YOUR.FAILIlRE.TQ..RE.C.OEtd.A-.Nf?TIGE:O��COMMENCEMEMT•MAY RESULT IN�YflUR t;
<br /> PA1tING TfNICE.Ft'�R lMPR�VEMENTS TO YOUR�,PROPERTY.�,I�°Ya.U�fNTE�fD�'TQ i�BTAtN��FiN�A1�C�NG;CONSULT ,
<br /> WITH U D O AN 7T0 NEY�B FO.E�+ ECOR� G:° OU 3 O �� 'OF�` �' E EM N ' �•
<br /> _��.oRraA au��t�.s.��T.as} - �� . . .
<br /> - -- — ----- ____`. ____.__�:___�__ _�-___ _ - -. -_ - __ _ . - - _.__._____
<br /> .- -- ---- -
<br /> DWNER 06i AOENT CONTRACTOR ,�"'"�!.`'/,�WL�i�G'`-�
<br /> 3ubscrtbed and swom to(or aflirmed)before��this SubscrEbed and'swom#o{at a tmed)�betot�a me`ttit��-
<br /> by •by - -
<br /> Nho is/are personally knovm to.me or has/have produced Who.ls/are personally kiiawn•to me•or has/have�roduced •
<br /> ' as identl8c�tlan. as tdend�caUon.
<br /> �.
<br /> Nofary Pubtia Npfary Pubttc
<br /> �ommisslon No. �- � Comr�isston No.
<br /> �ame of Notaty typed,printed or stamperd Name ot Notary typed,printed or s#amped
<br />
|