|
�/ � - -,m���,�sss:�..�cr��.^:.�:�-�:..�-..�._,�-v.'�::..�
<br /> 1
<br /> ♦
<br /> NOTlCE OF DEED RESTRtCT18NS: The undersigned understands that this permit may be subject to"deed"restrictians".. i'
<br /> which may:be.mace resfrictive:than Caunty regulations: The under.signed a"ssuiiies responsibility`far�compliance�witi�any'�
<br /> applicable deed restrictions. . � �
<br /> UNLICENSED CQMTRACTQRS AND C4NTRACTOR RESPONSiBtIITtES: If the owner has hired �a�cantractar or
<br /> contractors ta undertake work, they may be required to be licensed in accardancs wi#h state and local,regulatians: !f«ttie°i
<br /> contractar is nat ticensed as required by'law, both the owner and carttractor rriay 6e cited=far�.a misde,meanar viotatian
<br /> under state law. If the owner ar intended contractor are uncertain as to what ficensing requirements:may�appiy for.the� I
<br /> intended work, they are advised to contact the Pasco County Building inspection Division--Licensing Section at 727-847-
<br /> 80p9. Furthermare, if the owner has fiired�a contractor or contractars, he is advised to have #he contractor(s} sign „„
<br /> portians of the "contractor B1ock" of this application_for which they wi!! be responsible. !f you, as°tfie owner sign as tlie
<br /> contractor., that may be an�indication #hat he�is not properly licensed and is na#en#ified�ta permitting�privileges in Pasco
<br /> County. � ., � '
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse�Recovery�Fees mayapply to the construetion of new buiidings, ctiarige.�of° '
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-Q7, as amended. The undersigned also understands, that such fees, as may:be due, wiil 6e identified at"tlie�fime�of�-
<br /> permitting. ft is further understood that Transportatian Impact Fees and Resource:-Recavery Fees must be paid priar to
<br /> receiving a "certi�cate of occupancy" ar final power release. !f the project does not involve a`certificate of occupancy�ar..
<br /> final power release, the fees must be paid priar to permit 9ssuance. Furthermare, if Pasco Caurity Water/Sewec�impact. ,
<br /> fees are due,they must be paid prior ta pe�mit issuance in accordance with applicab(e Pasco Coun#y ordinances.
<br /> CONSTRUCTiON LtEN LAW(Chapter 713, Florida Statutes, as amended); If valuation of work is$2,500.00 0�more,-I._ �
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construetion Lien Law—=Homeowner's 4
<br /> Protection Guide° prepared by the Florida Department af Agriculture and Cansumer Affairs. if the appiicant�is sameone ,
<br /> other than.the"owner", I certify that I have abtained a copy of the above described document�and promise-in good faith to
<br /> defiver it to the"awner"priar to cammencement. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVlT: ! certify that aN the information in this applicatian is accurate and ihat aH work
<br /> wi!!.be dane in compliance with ali applicable laws regulating construction, zaning and land devetopment. Application is
<br /> hereby made to obtain a permit ta do work and instaliation as indicated. I certify that na work ar installation has
<br /> commenced priar to issuance of a permit and that all work wil! be performed to meet standards of al! laws regulating
<br /> constructian, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! alsa
<br /> certify that I understand that the regulations of other governmertt agencies may apply fa the intended work, and that it is
<br /> my responsibility ta identify what actions t must take ta be in compliance. Such agencies include but are not Iimited to: `
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environrnentally Sensitive
<br /> L'ands,WaterMlastewater Treatment.
<br /> - Sauthwest Florida Water Management District Welis, Cypr�ess 8ayheads, We#land Areas, Attering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmentaf Health Urtit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentat Protection Agency-Asbestos abatement. .
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the fallowing restrictions apply to the use of fill:
<br /> - Use o€fill is not allowed in Flaad Zane"V" unless expressly permitted. •
<br /> - If the fili material. is to be used in Fiood Zane "A", i# is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a pra€essional engineer �
<br /> licensed by the State of Florida.
<br /> - !f the �I! material is to be used in Fload Zone "A" in connection with a permitted buitding using stem wall
<br /> constructian, t certify that fili will be used only to filt the area within the stem walt.
<br /> - if fi(( material is ta be used in.any area, I cerfrfy that use of such 'fill wi!! not adversely affeGt adjacent
<br /> properties. lf use of fill is found to adversely afFect adjacent praperties; the owner may be cited far violating
<br /> the conditions of the building permit issued ur�der the attached permit application, for lats less than one (1)
<br /> acre which are elevated by fill, an engineered drainage pian is required.
<br /> tf 1 am the AGEIdT FOR THE OWNER, t�promise in good faith to inform the awner of the permitting conditions set forth in ,
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, •
<br /> plumbing, signs, wel4s, pools, air conditioning, ga's, or other`installatians not specifically included in the application. A
<br /> permit issued shall be cansfrued ta be a ticense to proceed with the work and not as authority to vialate, cancel, alter, or
<br /> set aside any pravisians of the technical codes, nar shall issuance of a permit prevent the Building ��cia!frorn thereafter
<br /> requiring a correction of errars in plans, construc#ion or violations of any codes. Every permit issued shaN become invalid ,
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> the permit is suspended or abandaned far a period of six t6)months after the time the work is cammenced. �An extension
<br /> may be requested, in wri#ing, from #he Buildirig Official for a period.not to exceed �ninety (90) days and will demanstrate
<br /> justifiable cause for the extension, If wark ceases for ninety(90}consecutive days,the job is considered abandoned.
<br /> WARNtNG TO OWNER: YOUR FAILURE TO RECCIRD A NGITICE OF COMMENCEMENT MAY RESULT W YOUR ;
<br /> PAYtNG TWICE FUR tMPRC1VEMENTS TO YOUR.PROPERTY. 1F YOIJ=INTEND'TO OBTAlN FINANGIAlG, GQMSULT
<br /> WITH YCMUR LENDER OR AN ATTORNEY BEPQRE RECORDlNG YC�UR NOTICE f�?F CQMMENCENIENT. _ ;_
<br /> FLORIDA JURAT(F.S.11T�I3}-�r, - " �`� � �
<br /> OWNER OR AGEN � GONTRAC70R�'� '
<br /> S bscribe nd swo to Rned)be �,me th(s S�bscribe nd sw r to afflrme before me� s `
<br /> ��by . K..� �~G✓Y"L' ,-�': _ � by� �2c2 zc e- +'"�,�"U` ,
<br /> o is/are person ly known to me or has/have produced ho(slare,.,personally nown to me or haslhave produced �
<br /> �L', t�2t 1Zrs (a�ft�'�.. as IdenUficatian. �4' lJ�;l"Z:� ��:';� as Identlfication. �
<br /> � � � ��3 � �
<br /> ;�' � �J�... Notary Public /� R �-1A'� Natary Pubiic
<br /> / � ,
<br /> Com ' sion Commis ia a. e 1 =
<br /> �✓.�
<br /> Name of p�t � d, 42z Name of Notary typed;_p� i���� -�e ��q2� �
<br /> :: ommEssion ! �,.
<br /> '�' Expires December 92,2418 = ,:>��:� Exai��es Dacember�2.7_018
<br /> •°��i F��RQ` Sonded Itxu Tray Fain Insurana 50�38wr7019 �`'fi%�i;;,Y:� tiwWetl tluu Iro'p FaGf 2nwrc:..:Kt7:..-�9t9
<br />
|