|
NOTICE QF DEED RESTRlCT14NS: The undersigned understands that this permit may be subject to"deed"restrictians"
<br /> which may be more res#rictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> appiicable desd restric#ians.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITtES: If the owner has hired .a cantracfar or
<br /> contractors to undert�ke work, they may be required to be licensed in accordance with sta#e and local regulations. If the
<br /> contractar is not Eicensed as reguired by law, both #he awner and contractar may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to wha# licensing requirements may apply for the
<br /> intended worK, they are advised to contact the Pasco County Bui(ding Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if #he owner has hired a contractar or cantractors, he is advised to have the contracfor(s) sign
<br /> portians of#he "cantractar Block." of this application for which they will be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is nat entitled to permifting prEv9leges in Pasco
<br /> County.
<br /> TRANSPORTATtQN ]MPACTIUTIL[TtES tMPACT AND RES�URCE RECOVERY FEES: 7he undersigned understands
<br /> fhat Transportation Impact Fees and Recourse Recovery Fees rnay app)y to the constructian 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, v,rill be identifed at the time af
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificat� af occupancy" or fina! power release. If the project does not involve a cerkificate of occupancy or
<br /> fi�ial power re(ease,-ti�e fees must be paid prior fo-permif issaance. Furthermare;if Pasco-County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Coun#y ordinances.
<br /> CQt�STRUCT]ON LI�N LAW(Chapter 713, Florida Statutes, as arrtendedj: If valuation of worlt is$2,5Q0.00 or more, I
<br /> certify that I, the applicant, have been pravided with a copy of the "Florida Canstruction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than fhe"owner", 1 certify that I iiave obtained a copy of the above described document and promise irr gaod faith to
<br /> deliver it to the"owne�r"prior to commencement. �
<br /> CON'TRACTOR'S14WNER'S AFFtDAV[T: I certify that a!1 the information in this application is accurate and that al(work
<br /> will be done in compliance with all applicabfe laws regulating construction, zoning and Iand deve(opment. Applicatian 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 priar to issuance of a permit and that all work will be perfarmed to meet standards of all laws regulaf9ng
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
<br /> certiEy that 1 unders#and that the regulations of other government agenciss may apply to the intended work, and that it is
<br /> my responsibility fio identify what actions I musE take#o be in compliance. Such agencies include but are not limited fo:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterJWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercou�ses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigab(e Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos aba#ement.
<br /> - Federa!/�viation Autharity-Runways.
<br /> I understand#hat the following restrictions apply to the use of fi(I:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permi##ed.
<br /> - If the fll mater9al is ta be used in Flaod Zone °A", it is understaod that a drainage plan addressing 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 fiil material is to be used in Flood Zone "A" in connection wifh a perrrritted building using stem wa13
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - lf fill maferial is to be used in any area, 1 eertify that use of such fill will not adverseiy affect adjacent i
<br /> propertiEs. If use of fill is found to adversely affect adjacent properties, the owner may be cited far 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 AGENT FOR THE OWNER, I promise in good faith ta inform the owner af the permitting conditions set forth in
<br /> this a�davit prior to commencing cons#ruction. l understand that a separate permit may be required far electricai work, �
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in the application. A i
<br /> permit issued shall be construed to be a license to proceed with the work and not as autharity to violate, cancel, alter, or
<br /> set aside any provisions of fhe technical codes, nor sha[I issuance af a permit prevent the Building Official from thereafter i
<br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall became invalid '
<br /> uNess the work authorized by such permit is cammenced within six months of permit issuance, or if work authorized by i
<br /> the permit is suspended or abandoned for a period of six(6) months afterthe#ime the work is commenced. An extension
<br /> may be requested, i�� writing, fram the Building OfFcia! for a period not to exceed ninety {90) days and will demonstrate
<br /> justifiabie cause far the e>ctension. lf work ceases for ninefy{90)consecutive days,the job is considereci abandoned.
<br /> WARNING TO OWf�ER: YOUR FAi�UR� TO RECORp A N{)TtCE OF Gt�MMENCEMENT MAY RESULT 1N YOUR
<br /> PAYWG TWICE FOR iMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO'OBTAIN FtNANCING, CONSULT
<br /> WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CQMMENCEMENT. '
<br /> FLORIdA JllRAT{F.S.117.03} , I
<br /> � I �
<br /> OWNERORAGENT__�,�,/%!�G.�.� _ CONTRACTOR ��� ��;EJG-�?�--�
<br /> Subscribed�pd swom to( affr ed}before me fhis 5ubscrEbed a d sworn to{or affir e }b fore me fhis
<br /> la-�L--,5 by ,���iu yYl�vvt � �,?-i Lj� by �1r�-`�'/�.� 6� , r� 5
<br /> Who is/are personally known to me—� o�r has/have produced Who is/are personallv knowrLto me or has/ha e produced
<br /> � �� as idenfification. as identification.
<br /> ����"�`�''��j � �c�L� Notary Public l��Y�v L�t.�'"� Q J�✓�-U� Notary Pub(ic
<br /> Commission No. }" ��Q"1 ���nj �f Commission No. �"'�v -1 J � '�7 n? ,
<br /> Name af Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> r�4+�41RY1'U�Gni �ANCY J BFtOOK� � , .,., --�-�- �
<br /> .,,�RV P•,
<br /> '• .•° .{' °"`• NAldCY J �F3C?OtCS
<br /> = _ MY GOMMISS}OtU#FF0936:�;. � ,>�o ��:.
<br /> ,?9jF'�FFl„OQ``Qs EXPIFtES February 18.201s� :' L� q` MY COMM158fON#FF093699
<br /> �,..��..� =�y�q'i
<br /> (ao��ssa-otsa FlorldallotaryService.com �-.,;'raFA;o?. EXPIRES February 18..2018
<br /> (ao7}398-Di53 FtortdaNatarySeroice.com
<br />
|