|
.� Ao..��.c_-`�,.-...+,�a""r,:r'.,r—sas"'^�[�t^�..�'i,.::1"C:';.�..�,.._...._._
<br /> R �
<br /> _ , .. .. �
<br /> IdOtICE OF DEED FtE�TRlCTlQ�IS: The undersigned understands-that..this;peemit may be subject,to°deed"res#ric#ions";��,
<br /> which=rriay:be more:restr:icti�e:than.Coun#y�regulatians. The:undersigned�assume`s"responsibility'f.or�cornpliance'with 'any"�°"
<br /> appiicable deed restrictions. �. - ' � ::"�.;=� ' ':`�:�=_,�`'
<br /> UNLiCENSED:G�NTRAGT4,RS AND CONTRACTOR RESPQNSI�ICiTiES: tf tfie-owner�iias�iaired°a�contractar or
<br /> corttractors to undertake wark,'#hey.may be.requir.ed tp be=licensed in accardance with state and:local,regulations,�`_Ifi_#iie-�-�° �
<br /> -�: .�.....:,_,_. .
<br /> contcactor is nofi:licensed-as r.equired by law, botti"the ovirner-and:cotatcactcir<rii'ay;�be�cited�for;;a misdemeanor violat�on_ �
<br /> under state law. If the owner or intended.contractor are uncerkain as to what.licensing requirements:may:apply fo.r.;tfie-=»'�
<br /> �, -- ,r,.,. ,
<br /> intended�work,�they are advised to con#act�'the Pasco County Buildfng`Inspection Division-l.icensing Section at 727=847�
<br /> 8009. �Furthermare, if fhe owner has hired a"contractor or cantracfors, he is advised to;'have the contractor(s.). sign �, =
<br /> portions af the "cantractar Blacic" of this application for which.they�wiH.be cespansibie: =ifyouu,.as�`,th�-owner"sigrr as:tiie--'" ,
<br /> contractor, tha# may be an indication that he is not properiy ticensed'artd'is not�entitleti to perrriitting priviieges,i,n.,Pasco
<br /> County. . , _.,,., �>_;..,.... .
<br /> TRAPISPORT�ITION IMPACT/UTILITIES IMPACT APlD�EtESOURGE RECOVERY FEES: The"undersigned undecstands �
<br /> that Transportation lmpact Fees and Recourse Recovery Fees rrmay�apply'to the construction of;new buildings, change`�of� �' �
<br /> use in existing buildings, or expansion:of.existing buiidings, as specified in Pasco County Ordinance number 89�07 and �3
<br /> 90-07, as amended. The undersigned a(so understands, that such�fees, as inay:b.e due, wili;6e identified�at�tiie';time'�of����'� '�;
<br /> perm�tting. �It is further understood that i'ransportatian lmpact Fees and Resouree4�Recavery Fees must be paid priar ta '
<br /> receiuing a "certificate of occupancy" or ftnal:power release. If the project does not inVolve a ceitificate of occupancy�or:�'. �� �`
<br /> final power release, the fees must be paid prior to permit.issuance. Furkfiermare,,if.Pasco Cou�ty WaterlSewec_�l�pact:�;�� ^
<br /> fees are due, they must be.paid prior to-permit issuance in accordance with applicable Pasco.Caunty ordinances. � �
<br /> Ct3NSTRUCTiON Lt'EN LA1N(Ciiap�er 713; Florida Statutes, as arnended): ff valuation of wark is$2,500.00-;or more,•.I.,.,.�•
<br /> .�._..
<br /> ce�tify that i, fhe applicant, have been provided with a capy. of the °Florida Constructian_�Lien. ,Law='Homeowner's
<br /> Pratection Guide" prepared by tfie-Flarida Department a#AgricuEture and Consumer:�Aftairs. If the applicanf�is.someone,
<br /> other than the°owner", I certify that.l �ave obtair�ed a copy of the above desc�ibed iiacument and pramise-in gaod.#aitli_#o''
<br /> deliver it.to the.°owne�'�prior.ta cammencement. ' '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT;�I.certify that all the information in this application is accurate and that al!work
<br /> will be done in camp(iance wi#h alt applicable laws regulating construction, zoning and land-develapment. Application.is
<br /> hereby made to obtain a :permit�..to da work and installation as �indicated. I certify that no`wark or insfa(lation�-has
<br /> corr�menced prior to issuance of a permit and that all work wil( be perfarmed .ta meet standar.ds of ail iaws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulatidns iri the jurisdic#ion: 1�a1sa
<br /> certify that ! understand that the regulations of other government agencies may apply ta the intended work, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies include-but are not.limited>to:
<br /> - Department of Environmental Protectiori=Cypress Bayheads, Wetland Areas and Environmen#ally Sensi#ive
<br /> Lands,WaterNVastewater Treatment. �
<br /> - Southwest Flarida Water Management District:Welis, Cyplress �ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaUs, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitatixe Senrices/Enviranmental .Health Unit Wells,,.Waste�nrater Treatment;
<br /> Septic.Tari{is. -
<br /> - US Enviranmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> !unclerstand tttaf tlie following resfrictions appfy to the use of flill:
<br /> - Use of fi!!is not allawed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is-to be used in Flaod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wiil be submitted at time�of permitting which is prepared by a prafessional engineer -
<br /> licensed by the State of Florida.
<br /> - If the fi11 mate�ial is to be used in Fload Zane °A" in connectian with a permitted building using stem wail
<br /> construction, I certify that�11 will be used only to fill the area v�rEthin the stem walf.
<br /> - !f fil! material is� to .be used-in=any area, I certi€y that use of sUch fll! will nat adversely affect adjacent
<br /> praperties. If use of.fill is found to adversely affeot adjacent properties, th� owner may be cited for viola#ing
<br /> the conditions of ttie�building permif issued under the attached permit application, for lots less than one (1)�
<br /> acre which�are e(evated by fi(I, an engineered drainage plan is required.
<br /> If!am the AGENT F4R THE QWNER,�I��promise in good faith ta in#arm the owner of the petmitting condi#ions set forth in
<br /> this a#fidavit prior to commencing construction. 1 understand that a separate permit.may be required far efectrical work,
<br /> plumbing, signs, wells, pools, air conditioningt gas,.or��other instaUations nat specifically included in the apptication. A
<br /> permit issued shall be construed to be a license ta:proceed'with the work and�not as authority to�violate,-cancel, alter, or �
<br /> set aside any provisions of�tFie technical codes, nor shall issuance of a permit prevent the Building Qffiaial f�am thereafter
<br /> requiring a correction of errors in.plans;construction or violatians of any codes. �very�permit issued shall become invalid '
<br /> unless the work autharizeci by such permit is commenced within six montits of permit issuance, or if work autharized by
<br /> the permit is suspended.or abandonedfor a period-.of s�x(6}montfis after the time the work is`'commenced. An extensian `
<br /> may be requested, in:writing, from tlie Builcling-Official for a,period not to exceed-ninety{9Q) days and will derrtonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(9qj consecutive days,the job is considered abandoned.
<br /> WARNtNG TO OWNER: YOUR FAtLUR�TO REGO„RD�A NOTICE CiF COMMENCEMENT MAY RESULT tN YOUR
<br /> PAYfNG TWICE F4R.IMPROVEMENTS;TC.�}Y4UR:.!?Rt�PERTY.:;lE YC1U.:.INTEND~TO�BTA1N FINANCiNG;Ct3NSULT
<br /> WlTH YClUR LENDER OR AN ATTORN �EFbRE:REGORDING YOUR Nt�TtGE OF`COMMENCEMENT:
<br /> -FI_QRlpA JUR�4T IF.S.-1 -..0 1_ ._ ___- __ _ :�i - - . - - - ---_ - . - - --_ __�. �
<br /> ri C ��__- — � -
<br /> OWNER OR AGENT �-�'�ONTRACTQlt �''C../�"'
<br /> Subscribed and swom to affirtned)before e Is Subscribed and sw or affirmed)before me thls
<br /> by y
<br /> Who islare persona8y k wn to me ar has/have produced Y� Who!s/ar ersonalt to me or t►asthave produced
<br /> as identlflcation. ,a�._ as IdenUficatlon.
<br /> �
<br /> Natary Pubtic �-�... � ���' Tlotary Public
<br /> Commission No. Co ssion fV .
<br /> ���,,,
<br /> �o�tt,P.iiYB���
<br /> Name of Notary typed,printed or stamped Name of Natary�r�d 'd(c'�rah�FF 150422
<br /> �-� _' Expires December 12,2018
<br /> . y�•.. oP``�
<br /> , r.°P„�'.,+` 6onded Thro huy Feit�lasurance 86a385.70i9
<br /> ;�:.�wawaor�
<br />
|