fiIOTICE OF DEED RESTRIC'TIONS: The undersigned undecstands that this permit may be subject to"deed"restrictions"
<br /> which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance�with any
<br /> applicable deed restrictions.
<br /> LYNLICENSED COfd'TR�4CTORS �►fdD CONYRACTOR RESPONSIBILiTIES: If the owner has hired a contractor or
<br /> contractors to undertake.work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both .the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended confractor are uncertain as to what licerasing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> , 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for verhich they wi!! be respon§ible. If you, �s the owner sign as the
<br /> contractor, that may be an indication tha# he is not properiy licensed and is not entitled to permitting privileges in Pasco
<br /> County. , ,
<br /> TRAWSPORYATION IIlAPACT/llTILITIES INIPACT ARID RESOURCE RECOVERY FEES: The undersigned understands
<br /> that T.rans.portation Impact Fees and Recourse Recovery Fees may apply to the construction 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, will be identified_at the time of
<br /> permitting. It is further understood that Transportation Impact Fee� and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
<br /> �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinances.
<br /> COPISTRUCTIOM,LIEN LAW(Chapter 713, Floric➢a S4afutes, as amended): If valuation of work is $2,�00.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien La.w—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�t of Agriculture �nd Consumer Affairs. If the applicant is,someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good fiaith fo
<br /> deliver it to the"owner"prior to commencement.
<br /> COPdTRACTOR'S/OWNER'S AFFtDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constru�tion, zoning and land development. Application 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 prior to issuance of a permit and that ail work will be performed to meet standards of all laws regulating
<br /> construction, County an�i City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the•regulations of other government agencies may appiy to the intended work, and that it is
<br /> my responsibility to identify what actions I must tak�to be in compliance. �uch agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> -_� Lands, VVater/Wastewater Treatinent.
<br /> - $outhwest Florida Wate� Management District=Wells, Cypress Bayheads; Wetland Areas, Altering
<br /> Watercourses: �
<br /> - Army Corps of Engineers-Seawalls, Docks, Naorigable VVa#e�rirays.
<br /> - Department of Healtfi & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
<br /> Septic Tanks. �
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> I undersfand that the following restrictions apply to the use of fill:�
<br /> - �Use of.fill is not ailowed in Flood Zone"V"unless expressly permit�ed. .
<br /> - If. the fill material is to be used in Flood Zone °A", it is understood 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 Sfate of Florida. -
<br /> - If the fill material is. to be used in Flood Zone "A° in connection with a permitted buiEding using stem wall
<br /> construction, i certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect. adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may�be'cited for violating
<br /> the co�ditions 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�►GENT FOR THE Ol�Ii�E12, I Promise in good faith to inform�th�e owner of fihe permitting condttions set forth in
<br /> this affidavit prior to commencing const�uction. I understand that a separate perrnit may be required for electrical work,
<br /> plumbing, s'igns, wells, pools, air conditioning, gas, or other installations not specifically included in�the applica#ion. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to,violate; cancel, alter, or
<br /> set aside any p�ovisions of the technical codes, nor shaEl issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Every permit issued shall become.invalid
<br /> unless the work authorized_by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) mont9�s after the time the work is commenced. An extension
<br /> may be �equested, in writing, from the Bu,ilding OfFcial for a period not to exceed ninety (9p) days ar�d will demonstrate
<br /> __ jus#ifiable cause for fhe�extension. If work ceases for ninety(90)cansecutive days,the`job is considered abandoned.
<br /> !1lfAR�lING TO OWfdER: YOUR FAILUFZE '�O RECORD A f�OTICE OF C�MIlA�NCE�flIiENT IVIA`ff FZ�5UL7' IP� Y�UR
<br /> PAYING�'�WWICE FOR IMPROVEIIflENTS TO YOUR PROPERTY. IF YO.I� INTEWD TO OBTAIN FINANCING, CONSULT
<br /> l�ill�'H YOUR LEPIDER OR AaPI ATTOFtWEY BEFOiZE CZ�G002DING YOUIt NOTIC�OE COlVIMENCEIIAE(VT. •
<br /> FLORIDA JURAT(F.S. 1�7.03) • ___ „
<br /> :;+ ;,:.,���`;;�,:n...,,,Y... ;F;,,,,-- :;s;>,:;���;.:.
<br /> ,'.:��';;�:�;;'.� { :4«:,�,<:�� (,� _e;;��.:�,_:
<br /> �,. /�
<br /> :.Y _ ;;:�-.. _:: � ,,;. /� �' ���•::c-..
<br /> � J , �'W': =.��'I'n't 'hf-,eu.t,.�R e V'
<br /> ,`�;, :.:�)� a::- t':y � �� ' �i:' .�.� •
<br /> OYVIdERs;QRr74GEM:Ts:S.;�_ _ Q s:��t,���`.'�:GONTRACTOtt'" � -
<br /> ��,..J i
<br /> Suti"'''�-�a d wom o(or ' ed)betor � e.this � S bscribed and swo to r a rme b�f rP me is
<br /> b�l(o G [x, % . S'e f o�l(a by rY
<br /> Who is/a e ersonally known to or haslhav produced Who is/are personally k to me�or h slhave produced
<br /> ` � • as identiflcation. as Identification.
<br /> !� .
<br /> Notary Public • Notary Publlc
<br /> Com issi n No. `� �5�I� Comm ion No. �� r D `�o�� I
<br /> I�Z��l �t� �{�Q..{�t ��!
<br /> iVame of Notary o�stamped Name of Notary typed,printed or stamped
<br /> ' ,�`:����°�s- KELlI B. RYMAN """"' ��
<br /> _�o ��� _�+o�►*�ro��n� KELLI B. RYMAN
<br /> _� �_ Commission N Ff 905017 Commission N FF 905017 �
<br /> :; ,.,e My Commission Ex ires :�•�
<br /> ' ,,''`r°111„F,• P ,��f *A`� My Comm�ssion Expires
<br /> JuIY 3'0, 2019 '�•.`„�;;;,•`' July 30, 2019
<br /> , -. , , - �- - �. - .. _
<br />
|