|
-----, .-�:��.z.-�--�u�,.,,.�-»v^�--�.v—.�����
<br /> . . -- ., " ' v`
<br /> PdOTIC�QF.d��IED R�S7'RlGTl�NS: The undersigned undecstands.that.this:permit may;be�ubject to"deed"r.estric#ions"�:"=`.
<br /> ., . .. �, i.. 1: :' ':.i ".v .'a. ��..
<br /> s 4,`,k.....as,.: -P�a.,...Y.�r,�'��'
<br /> which;maybe�more:restr:icti�e�ttiarr.County.r.egulations: The�unde'rsigned�assurr'%e"sy-�espons�tiifity;for�comp!lance=witti�ariy�`"
<br /> applicable:deed�es#rictions. . � _ H.._. . � r.
<br /> UNLICENSED�,zCONTRACT,ORS I�ND CANTRAGTOR RESP!ONSI�ILITIES: - If tlie�awnerfias=�tiired��a�;contractor~or 1
<br /> coritractars to undertake work;:they may be.r.equired #o be iicensed iri accordance with state and:iocal,r.egula#ions:=plf;�tlie�`�-
<br /> contractor is no#:�ficensed-as-.cequired by, lawr, botti"�the awnec�and'-cciritractof=-titay;Atie=citetl�fo�:�a�misdemeanor violatibn 4
<br /> under state law. If the owner or intencied con#ractar are uncertain as to what licensing requirements�may>�apply.�for=;t�te�-'� ,
<br /> ,,. . . :�.:_, , ., �
<br /> infended�work;•they are advised to contact tti`e Fasco Gounty Building Inspectiori_pivisiori.-Licensing Section at 727=847-
<br /> 8009. Furthermore, if the owner has hired'a -contractar ar contractors, he is advised to,�have the contraCtor{s)._sign.;.,., '
<br /> portians of the "con#ractor Black" of this application,.for which they._wilL.be responsible._:Ifryou, as`;the`owrte��`sign'as��ttie"�
<br /> contractor,tlia# rr�ay be an indication thaf he is no# property�ticensed anci is naf entitle�to permitting p�iviieges in,Pasco.�; �°
<br /> County. , _ _ '_., - ...._ .,... • _ „ - . �"r',. _. .. .
<br /> T12AN�PORTATION IMFACT/UTIl.lTlE�IMPA,C7 AND-RESOURCE R��QVERY FEES:'The uniiersigned undecstands ;-
<br /> that Transportation Impact Fees and Recourse Recovery Fees may;,apply'to the constructia.n of,,new:bulldings, change��of'.���� �°
<br /> use in existing buildings, ar expansion.�.of.,existing buildings, as specified in Pasco County Ordinance number 89•07 and ��
<br /> 90-07, as amend�d. The undersigned aiso understands, that such.�fees, as�may,:�be{due, will"'kie�identified�at'�.tfie';time�of=�°� '„
<br /> permitt�ng. tt is fu�#her und'erstaod fhat Transpartatian Impact Fees�and Resource��Recovery.Fees musf be paid prior to
<br /> rec�iving a "certificate of occupancy°-or final..,power release. If#he project�does nat invoive a'certificate of occupacrcy4o"r,'.:���;
<br /> final power release, the fees must be paid prior to permit issuance. Furttiermare, if,,Pasco Gtiiinty WaterlSevtrer�v#inpaet;;;�- ;
<br /> fees are due,.they must be paid prior ta permit issuance in accordance with°applicatile Pasco Cou.nEy ord�nances.� '�
<br /> CONSTRUCTtON`L:IEN LAVfI �Cfiapter 713; Florida Statutes,as am�nded): If valuation of work is$2,�QO,OU..or.�moce;ti,l,;-�,_�:
<br /> certify that f, the appl'rcant,, have been. provided.:with a copy_ of the "Flarida Construction,;;Lien_Law::Homeowner's ��h
<br /> Protection Guide° prepared by the Flaritla Department af Agriculture and Cansumer Affairs. If the app�icant;is some.one�;
<br /> ather than the°owne�', !cerkify that I have obtained a copy of the abave'descr'ibec!"ciocument�and�promise_=in gaod;,faith_to,,�.,,
<br /> delivec.it to the.'>owne�'prior to comrnencement. � � ' ' �
<br /> CONTRACT�R'S/OWMER'S AFFIDAVlT: ,I..certify.that all;the in#ormation in this applica#ion is accurate and that alf work
<br /> will be done in compliance with all applicable laws regulating cons#ruction, zoning and.land�development. Application.is
<br /> hereby made to obtain a permit:.to do work and installation as- indlcated. I certify that no �wark or.installation��has
<br /> commencect pr'ror to issuance of a permit and that ail work will be pertormed to meet standards of all laws regulating
<br /> constructian, County and City codes, zaning regulations, and land development regulations�in;the jurisdicfian: I atso
<br /> certify that 1 understand that the regufations af ather government agencies may apply to the interided work, and that it is
<br /> rny responsibility to identify what actions! must take to be in compl�ance. Such agencies incfucle�but are not;limited�Ea:
<br /> - Department of Enviranmental Fratection-Cypress Bayheacls, Wetland Areas anc! Environmentally Sensitive
<br /> Lands,WaterNVastewater Treafinent.
<br /> - Sauthwes# Flarida Water iUlanagement District Wells, Cypress Bayheads, Wetland Areas, �Altering
<br /> Watercourses. � ,
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wa#erways.
<br /> - Department of Health 8� Rehabil►tatiue ServiceslEnviranmenta! .Health :Unit Wefls,.:.Wastewater Treatment;
<br /> Septic Tariks. _ `
<br /> - US Envirorimental Pratection Agency-Asbestos abatement. , .
<br /> - Federal Aviatian Authority-Runways. ` _
<br /> !understand thaE�tlie faflowing resfrictions appiy fa the use of fiil:
<br /> - �lJse�of fll fs_not.a(lowed in Flood Zone"V"untess expressly permitted.
<br /> - If the�fill material is� to be used in. Flood Zone "A", it is unde�staod that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time�of.permitting which is prepared by a prafessiona! �ngirieer � "
<br /> licensed by the�State of Florida. �
<br /> - If the filt material is to be used in Flood Zone uA" in�connection with a permitted building using stem wall
<br /> constructfon, !certify'that.fill wiH be used only to fitl the area uvithin tF�e stem wali.
<br /> - If fi!! material is to .be used in-any area, ! cerEiflr that use of such filf wilf not adversely affect adjacent
<br /> praperties. If use of�II is found to adversely affect adjacent properties, #he owner may be cited far violating`
<br /> the conditions af the=tiuilding permif issued under the attached permit application, for lots less than one {1 j � "
<br /> acre which are elevated by filt, an engineered drainage plan`is required.
<br /> If 1 am the AGEMT Ff3R THE OWIdER;��1�-promise in good faith to-inform the owner of the permitting conditions.set forth in
<br /> this affidavit prior to cammencing'construction. '1,understand that a separate permit may be required for electrical„wark,
<br /> plumbing, signs,_wrells, pools, air,conditianing, gas,.or�o#her'�'nstallations not specifically inc(uded in the app(ication. A _
<br /> permi#issued shall,be construed`to be a license to:praceed`with the wark and•not as authority to vrolate, cancel, al#er, or �
<br /> se#aside any provisions of�#lie technical codes, nar shall issuance of a permit prevent the Building C?fficial frorn therea#ter
<br /> requiring a correction of errors in:plans;�construction ar violations of any codes. Every permiYissued shall 6ecome invalid t
<br /> unless the wark aiathorized by such permit is commenced within six months of permit issuance, or if work authorized by .
<br /> the permit is suspended,or abandoned-far�a period.of.six t6)montFis after the#ime the woric is�commenced. An extension
<br /> may be requested, in writing, frorr� ttie Building'Clfficial for a,.periad nat to exceed-n�nety(90) tlays and wilt demonstrate
<br /> justifiable caus�for the extension. lf work ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> �VARNtNG TO OVVNER: YOUR FAiLURE TO'.RECORD,dh.NOTICE OF COiNMENCEMENT MAY-RESULT IM YOUR ' �
<br /> PAYlNG TWtCE.FC�R�IiVlPRUV.EMENTS;.TC}Yf3.UR:PRQPERTY.=titF YOU.�.iNTEND°TO:t3BTAIN�FINANCING;�CCJNSULT �
<br /> �1!!TH YDUR L"ENDER OR AN NTTORNEY BEFOR�.RECC}RDING:YOUR NtJTICE OF Ct}MMENCEMENT:
<br /> FLORIDA JURAT(F.S..117.03) - � � - "
<br /> OWNER'Oft AGENT ----- ��'iP�'i�riC?�i�t ---––._ — -- _.^._ –----
<br /> - Subscrib'ed and swom fo(or affirmed)before me thls Subscribed and swam to{or affirmed)before me this
<br /> �y by ,
<br /> Wha ts/are personally knawm to me or hasthave produced Who is/are personaity known to me or has/f�ave produced
<br /> as iden�fication. �;: as fdentificaUan.
<br /> Notary Pubtic Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or skamped
<br /> �4`
<br />
|