Laserfiche WebLink
� ' � r>,,j^�� + '; .�, ' _.. ' . ,:� , <br /> � f • <br /> 1 <br /> NOTICE C1F DEED•RES FttCTIQNS: The undersigned understands that this pe�rmit may be subject#o�deed"i-esfrictions" <br /> which may be mors res#'r�ctive th'an County regulafions: The undersig�ed assumes responsibitity for compliance w'it[�i any <br /> appticabie deed restr�cho�s. , . , . <br /> UNLiCENSED CtJNTRACTORS AND CONTRACTt3R R�SPONSiBILiTlES: if the. owner has hired.a._cant'ractor or <br /> confractors to undertake work, they may be required to be iicensed in accordance wiEh sfate and iocat reguiations, tf the <br /> contractor is not license� as're�uired by law, be►th the awrrer and contractor may be cited for a misdemeanor viotafion <br /> under sEate 1aw. If the uvner�r intended contractor are uncertain as to what liaensing requ�rements may apply for the <br /> fintended worfc, they are�dvised#ta contact the Pasca County Building lnspection Division—Licensing Sectian at 727-847.- <br /> 8009. Furti�ermor�, if fhe owner has hired a contracfar or confractars, he 'rs advised fa have the contractor(s) sign <br /> portions af the "contract�r Btock" of this application for wiiich they wili be responsible_ if you, as the owner sign as the <br /> contractor; that:may be an indiCation that he is riot properly(icensed and is nat entifled ta permiffing privileges in Pasco <br /> Caunty. � � �_ • <br /> TRANSP�RTATIt3N tM AGTNTILiT1ES tMPQCT AND RESOURCE REGt�VERY FEES: The undersigned understands <br /> that Transportafion Imp ct�Fee�and Recourse Recovery Fees may appty to fhe ConStRlet'ton of new buildings, change af <br /> use in existing butldings or expansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and <br /> 90-D7, as amended. T e undersigned also understands, that such fees, as may be due, wili be identi�ied at the flme trf <br /> permifting. iE is further nderstood that Transpart�tion tmpact Fees and Resource Recovery Fees must be'paid priar�to <br /> receiving � °cerEificate o occupancy" or finai power refease. if fhe projecf does nat invotve a certifiicate af occupancy or <br /> fli na! pawer'release, the fees must be paid:prior to permit:issuance. Furfhermore, ff Pasco County WaterlSewer impact <br /> fees are dae,fhey must be paid prior tn permit issuance in acccrrdance tnrith applicable Pasco County ordi�anc�s: • . <br /> CONSTR.UCTiON LfEN L.AW(Chapter 713,Fforida Statut�s,as amended): IF valctatian of wark is$2,500.00 or mflre. i • <br /> aerEify that 1, fhe appli anf, have been provided with•a copy of the �Flarida Construction Lien �aw Hameowner's <br /> Protection Guide" prep red by`the Florida Depa�ment of Agricuifure and Consumer Affairs. if the applicant is sameone <br /> oth�r�than the°owner", certify�tha#•I�have obtained a copy of the above described docurnent and promise in gQod�faith to <br /> deliver it to fhe"owner� rior to camrnencement. � � . _ <br /> CONTRACTOR'SIOWI�ER'S��FibAVIT. 1 certifjr that al1 fhe informafion in fhis appiicafion is accur�te and tfiat ait work <br /> will be dane in complia.ce wiRh all applicable Iaws regulating cansfrucfion, zoning and tand-development. Applfaation is <br /> hereby ma@e to abtaic�a per�rnt #o do work and Installation as indicated. I ce�tify that no work or instaDation has <br /> comrnenced prior fa issuance(af a permit and that aH work w�l1 be pecFor.mec! to meet standards of all laws regula#ing <br /> consfruction, Counky a d City;codes, zoning reguiafians, and land devetopment reguia#ions in fhe jurisdictian, I aisa <br /> cetrtiify that I tinde�stan�that#Fie regu(a�ions of ather governmenf agencies may appiy to fhe in#ended work, and that if is <br /> my respansibifity ta ideri�tify what actions I must take to be:ln complrance. Such agencies inc(ude.but are nofi timited to: <br /> - Deparfinent of Environmentat Protectian-Cypress Baylieads� Wetland Areas and Enviror�mentally Senstfive • <br /> Lands,Wa srNVastewater Treafinen� , <br /> - Southwest F[arid2 VVater-. Management Districf WeNs, 'Cypress Bayheads, Vtieflanci Areas, Aifering <br /> Watercour�ses. { � � <br /> � - • Armq�Cor.p af Engineers�Seawa}!s,Docks,�lavigable VlCaterways. `.. <br /> - Departme t of Health &+�Riehatritifative ServPcesiEiiviro�rtienta! Nealth Unit WeEls,. Was#ewater Treatment. <br /> Septia,Tan s. � . <br /> - US'Enviro mental��Protection Agency-Asbestos abatement. <br /> Federai A iation Authority-Runways, • , . • <br /> 1 undersfand fhat the f llowing#resFrictions appty to fhe use of ftii:� � <br /> - Use of filt is} not a(tawea in Flood Zone°V"uniess expressiy permitted. " <br /> - !f #he fill rhateria� is ta be used in F,[oad Zone aA", it is understoad fha� a drainage plan addressing a <br /> °campens�ting vo�ume"will be submitted at�time of per'mitting which is prepared by a professioria!`engineel' <br /> ticensed b�r fhe St fe of Ffortda. - � ' <br /> - : If the fill r�aterlal�is to be used in Flcivd �one "A° in connec�ion wifh a permitted b�tilding usit�g:sfem wa41 <br /> constructi n,.!certify that fi!!will be used oniy to fitl'fhe area within#he stem wati. <br /> - If fifl mat�ria! ts .ta be used in any a'rea, ! 'aertify that use of such fill wilt not adversety affect.adjacent <br /> properfiest If.us�af flli is found to adversely affect adjacent properties, the owner may be cited for violating <br /> , fhe condif�ons�of�the 6uiiciing permit issuecf under the aftached permit appiieation, fvr fats fess than one (1) <br /> acCe which are elevated by fill,�an engineered drainage ptan is re,quired. <br /> if I am the AGEfilT f�R THEiC1WNER, ! prornise in gQpd�faitii to inform fhe owner of the permifting condifions set fiorth in <br /> fhis afftdavit prior to commen�c�ng consf�.tctian. 4 understand that a separate permit inay be requtred far electrical work, <br /> plumbing, signs, weit , poois; air conditianing, gas, or other'instailatians not specifically included in the applicatiori. A <br /> permit�ssued shal! be�construed to be a Iicense to proceed witit fhe work and not as autharify to_viatate, cancei, alter, or <br /> sef aside any pravisio�s of#he technical codes, nor shal! issuance of a permit prevenf fhe Buitding Offtciai from fhereafifer <br /> �cequir:.ing:.a;corceefion:��afi.err:ors:;in.,plans,;.constr.uctlo�.oi�"violations of any codes. Every peEmft issued shall-become-i�valid- �--�. <br /> unless the work auEhorized by such permif is commenced within sfx months of permit issuance� or if work a�ithorized by <br /> the permit is suspended or abandoned for a period of six(6)months after fHe time th�work is aommenced. An extension <br /> �may be�requested, in�wri6ng� #rom the Building.Oificiai fnr a-period not•to exceed ninefy.(90) days and wiit demanstrafe <br /> jusfi�ia5te cause far th�e extensfon. !#warK ce�ses for ninet�(9Q)consecufive�days,fhe job ys considered abandoned. , <br /> WARNING.TO..OWN�Rc Y�]UR,FAILURE•TO RECORD A NOT�GE QF CQMMENCEMENT MAY RESULT �N YOUR <br /> —PAl�fll�G�7WlGEFOI.�;�Me13�.71�EMENTS'TO YOUR•PROPEt�TY. iF YC}U iNTEND�TGI..OB'TAE�f F�NANClNG,,CO�lSULT <br /> _.__�, __... <br /> WITH'YOUR LEN�ER OR�•AN.A"iTdRNEY BEF`t312��R�IC01�ai�1G�Y`OU�t,WO�TEC���Fr CONill+lEWCE�tiE�NI:� _ <br /> FI.ORiDA JURAT(F:S.11�.43) � <br /> � ._ ., , ,��C�� .• , ' ~~~ <br /> QWNEit OR A.ri�NT " CONTRACT'OR �. � �� <br /> 5ubscriba�nd swom a�rme efore me ' • Subsaribed and swom•fo ffirmedj tigfOr+a�e#h1s/. <br /> /?-1�l � b �� � ?_ ' � t <br /> Who is/are ,ott�(I tnCr�rtTi � e br ha �ave praduaed Who(s! pe kn n fo as/hav prodviced <br /> � as�Idenli�caHon. as idenfiScatlon. <br /> � � � • <br /> �'� � <br /> �''�'�, ` �,�'`�, ` r— <br /> �, �,����.���"-�i'�""� Natary Publtc .1.--�"����T' Nofary Pubiia <br /> commisston Na. ' Commissian No. • <br /> o . <br /> t*�:::;'e DOUG BUHtET� <br /> Name of IVotary typed,printed or � d �(�,lIS$1Q1+{t fF 935353 � Name of Noiary typed,prinfed or st�, * MY COMMl3S1flN'�f F 935353 <br /> * * ptpiRE5;tdcuamber ti.2019 EXPiRES:Navemher ti,2019 <br /> °�' �pR°�` QOtidldiliN911dpE2NObrySEnlcft � ��replFtq�'� Hondediriro6udpatNobryServkec <br /> ' . � • � <br />