|
.. , .�' :r. � • _ �t t�� -, y,... ' . n� ,
<br /> $ �.�if'• . � ,
<br /> � _ • Y
<br /> �
<br /> NOTIGE OF DEED RES RICTlC1NS: The understgned u�derstands that this permit may be subject to"deed°testrtc#ions°
<br /> which may be more rest�ctive th�an Cot�'nty regulations: Th�under'sigi�ed assumes responsibility far compliance witti any
<br /> applicabie deed restrict�o s. �
<br /> UNLICENSED CON�CTORS AND CONTRACTUR RESPONSiBii�lTtES: if the owner has hired a cant'ractcir ar
<br /> cQnfracfors to undertake ork, t�iey may be required to be 1[censed irt accordance with state and I�cai regulaE�ons. If fhe
<br /> con#ractor is n+�t license= as re�uired by [aw, both the awrrer and contrac#ar may be cited for a mtsdemeanor vialation
<br /> under s#ate law. !f the c�wner Qr in#ended contraetor are uncertain �s to what licensing requirements may apply far the
<br /> intended workt they are�dvised�#o contact fhe Pasco Couniy Buitding tnspection Division--Licensirig Section at 727-847-
<br /> 8009. Fu�hermor�, if fhe owner has hired a contracfor or confraators, he is acivised fo have fhe confractar(s) sign
<br /> portions of fhe "contracf�r Biack° ofi this applicafion for which.they wili be responsible_ If you,.as the awner sign as the
<br /> cc�ntracfar; that:may be�an indicatian that he is rloE properly licensed and is not entitied #o�ermitting privileges in Pasco
<br /> County. �' � . . . • .
<br /> TRANSPORTATION IM AGTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The underslgned understands
<br /> that Transpor#atian tmp c#•Fe,e�and Recourse Recovery Fee� may apply to fhe ConStruction ofi new buitdings, change of
<br /> use in exist�ng buiidings or expansion of exisfing buildings, as specifr`ei3 in Pasco Cvunfy Ordinance number 89-07 and
<br /> 90-07, as amended. T e tandersigned also understands, that such fees, as may be,dae� witl be iden��ed at the tirrte�f
<br /> permitting. I#is fur#her nderstaod that Transport�tion Impact Fees and Resource Recovecy Fees must be'paid pciQr�to
<br /> receiving a� °eerti�eate o occupancy" or fi�nai power release. If the project does not involve a certa�cate of accupancy or
<br /> final perwer release, the fees must be paid prior fa permit issuance. Furthermore, if Pasco County WaterlSewer Impack
<br /> fees are due,fhey must be paid prior fo permit issuance in accordance with appiicabie Pascv Coun�y otdinances: • .
<br /> GONSTRUCTION L.tEN L.AW(Chapfer 7�f3,Ftorida Stata��s,as am�nded}; If v�tuatian of Vuork is$2,500.00 or more, i •
<br /> ; certify tha# t, the appli ant, have been provided with•a copy of the °Florida Consttuctiarr �.ien Law—Hameowner's
<br /> Protectton Guide" prep rsd by�the Flortda Qepartment of Agriculture and_Consumer Affairs. If fhe applicant is someone
<br /> oEher�than th�°owner°, �cerkify�that�khave obtained a copy of the abave descrbed document and pr�mise in good�faith to
<br /> deliver It to the°owner" riar to commencement � - � •' -
<br /> CONTRACTOR'SIOWR�ER'S A�FIbAVfT: I certify fhat atl the infarmafian in fhis applicafian is accurafe and fhat ail work
<br /> wiil be done in campiia�nce with aii appiicable laws reguiat�ng consftvat'ran, zoning and iand devel�pment. Application is
<br /> hereby made to abtair� a p+�r�nit to do work artd instalfation as indicated. f cettify th�t no w�ork Qr ins#a(lat�on has
<br /> commenced prior to issuance�of a perrnit and fhat a!! work will be performed to meet sfandards of a!1 laws regulating
<br /> construction, Counky a'd City;codes, zaning regulations, and tand deve(opment regulations in �he jurisdiction. [ also
<br /> certify that I tlnderstan�tF�at tNe regulatians of other governmen#agencies may appiy tv the infended work. and fhat it is
<br /> my responsibility to idenfify what acfion�I mus�take�to�be:in compliance. Such agenc�e�inciude�ut are nofi timited to:
<br /> - Department af EnvirvnmenEai Protection-Cypress BayFieads, Vilettand Aress and Enrriranmentally Sensifive •
<br /> L�nds,Wa erlWastewater Treatmen�: , . '
<br /> - Southwest Florida V4fater; Management District Well�, `Cypress Bayheads, Wetland Areas, Altering
<br /> Wat�raourses. ' " � - ,
<br /> � - • Army Corps af.Engineer,s-Seawalls,Docks,�tavigable 1lVaterways.
<br /> - Departme t af Health &`Rehatiilifative ServicLs/Erivironmentai Neatth Unit Wei1s,..Was#ewater Trea#rr�enE,
<br /> Septic Tan s. i � � .
<br /> - � US�Env[ra mental�Protection Agency-Asbes#os abatement.
<br /> - Federa!A�lation Aufhority-Runways. ' � •
<br /> 1 understand that the fqllowing�restrictiQns apply to the.use of fill:
<br /> - Use of fil(i§ not atlowed in Flood Zone°V"unie�s expressiy permi#ed: "
<br /> - If the ff(t rfnaterial is to be nsed in �tood Zone "A", it is understaod fha� a drain�ge p{an addressing a
<br /> �carnpensating vcr��ume" witl be submitted at�#ime of pertnitting which is prepared by � professiciria�l'ettgirteer
<br /> iicensed b�#he St fe of Florlda. - . .
<br /> , - !f the fill n�taterial�is to be used in Flood Zane "A" in connection with a permiH:ed building Using:sfem wall
<br /> � constructic�n,.l certify that fill ruill be used onty to filf the area within the stem wali.
<br /> i - If.fill mat rial is tta be used in any a�ea; 1 certiiy fhat use ofi sueh ft11 wiii not ac�versety affect.adjacent
<br /> ptoper#ies� If.vse of fili is found ta adversely aiFect adjacent properties,the owner t�ay be cited#or v�ofating
<br /> , the oondit�ons•af�the building permit issued under the aftachecl permit applic�tion, for lots less than one (i�
<br /> acre which{ are elevated by fi!!,an engineered drainage plan Is re,quired. .
<br /> If!am the AGEFJT FO�R THE�OWNER, I promise in goad�faitii fo infarm the awner af the permitting condifions set forth in
<br /> this aftldavit priar ta c�mmen�cmg consfruction. i undersfand ihaE a separate permit inay be reqvired for electrical worlc,
<br /> plumbing, signs, weit , pools; air conditianing, gas, or ofher'instaliatians no� speai#ica{ly included in the applicatioti. A
<br /> permif issued shaii be�cons#t'r.ted to 6e a license to proceed with the work and not as author3ty to_violate, cancel, alter, ar
<br /> set�aside any provisio�s nf the technical codes, nor shatl issuance af a petmit prevent the Suildin�Off'icial from thereafter
<br /> �Gequ�r:.ingt�;co�:ectian:�of-�n�rs_Ja.:plar�s,;.consti'.uctto�.oi"vio}at;ons of any cades_�Every permit issued shall:becamea�.v,alid- �--�-
<br /> unless#he work autharized by such permit is commenced within six months of permiE issuance, vr if work aUfhorized by
<br /> the permit is suspended or abandoned for a period of six(6)rnonths after flie time fhe work is commenced. An extenslon
<br /> �may be�requesEed, in�writing� from fhe 8uilding Gfficiai far a-perio�i nak•ta exceed ninety..{90} days and wilt demanstrate
<br /> justi�abte cause far thle e�ctensicin. It work ceases for nir�ety. (90}consecutive riays,ihe�ob is considexed abandaned. ,
<br /> WARNING TO.,OWN�R: Y�?UR FAILURE-TO RECCIRD A NOTICE O� COMMENCEMENT MAY RESULT tN YDUR
<br /> PAYIt�(a-TWICE_FOF�IMLF�OVEIVIENTS`_Tt�YOUR•PROPEFlTY. tF YUU 1N'i�#�[Ci,Tb..OBTAiN�'�NANCING,,CUNSULT
<br /> WITH`YC1UR LENRER�R AN ATTCIRNEY'"���OF�E�RECOR�Ii���Y`€D�D6�;NQ�`!G'E�C1�=�t?{1t1�1l�t�iCE�ltlIENT.__ ____ ____
<br /> OLC1RiDA JURAT(F.S,1 i�.03) ' " '
<br /> � �
<br /> �
<br /> wr�e�t oa a�e canrr�z,ac roR�=�='=�-'"' - .,_. '
<br /> Snbsc I�ed and svvom.1�(br a�rm }befate me thls ' - Subs ri and swom•to ffimted)ti��o re me this
<br /> -y2 8 rr bY ��1G'..�� � ��c z'� I B/,.r" by �rv��:Xevr��.
<br /> Wha Isiare personaity knoVun to m��'i�haslhave produced Who(slare personatly known fo me or haslheve prodttced
<br /> � ��l�d�n����Qn, as identi�cadon.
<br /> � ' • . ', .
<br /> �'' - , .
<br /> f„� ' Notary Pub11c ^_-�--"—�-1�'��"'�' - Nofary Puhlic
<br /> Commisslon hla. '1 '�� Commisston No. �,'�Y�j�,Y��.,�.p�p� —' --
<br /> �'* �• *1�(CAMMlS5I0 ��`'�—' � "� �` °* MY COMMISSION t FF.935353
<br /> w - � omber 1i,24i9
<br /> Name of Notary typec�r, ��� r �y:TN�t1►SlNtet � Na[[te of IdQtBty typed,grtnted or �����lo� �dedfiro9u��atKobrYSericet
<br />
|