Laserfiche WebLink
NOTICE C1F DEED RESTRiCT1�NS: The undersigned understands that fhis permit may be subject to"deed"restricfiions" <br /> which may be mare res#rictive than Caunty regulations. The undersigned assumes responsibility for compliance with any <br /> app(icable desd restrictions. <br /> UNL,ICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITIES: If the owner has hired .a cantractar or <br /> contractars to undertake vuork, they may be required ta be licensed in accardance with stafie and loca! regulatians. !f the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor�iolation <br /> under state law. If the awner ar intended contractor are uncertain as to what licensing requirements may apply for the <br /> Enter�ded work,they are advised to contact the Paseo County BuiEding Inspection Divisian—Licensing Sectian at 727-847- <br /> 8009. Furthermare, if #he owner has hired a contractor or contractars, he is advised to have the contractor(s) sign <br /> partions oF the "co�tractor Sioc4c" of this applicatian for which they will be responsible. !t you, as the owner sign as the <br /> contractor, that may be an indication that he is nat properly iicensed and is nat entitied to permi#ting privi[eges in Pasca <br /> County. ' <br /> ' TRANSPORZATtON IIVIPACT1UTtLtTIES IMPAC'f AND;RESOURGE RECOVERY FEES: The undersigned understands � <br /> � � thak Transportatian Impact Fees and-Recourse Recovery�Fees may appfy 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, wiil be identified at the time of <br /> permitting. It is further understood tf�iat Transportation Impact Fees and Resource Recovery Fees must be paid prinr to <br /> receiving a "certificate af accupancy" or final pawer release. lf the project does not involve a certificate of occupancy or <br /> final power reiease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTt�L3CT10N LIEN LAW{Chapfier 7'I3,Ftorida Statutes,as amended}: 1f vaEuation of wark is$2,500.00 ar mare, 1 <br /> cerfiify that I, the applicant, have been pravided with a copy of the "Flarida Construction Lien Law—Hameowner's <br /> Pratection Guide" prepared by the Florida Department of Agriculfure and Consumer Affairs. If the applicant is someone <br /> ofher than fhe"owner", i cer�ify that( have obtained.a copy af the above describeti document and promise in gaad faith to <br /> deliver it ta the"owner"prior to commencement. <br /> CONTRACI"OR'SIQV1tNER'S AFFIDAVIT: 1 certify that aSl tha information in this appIication is accurate and that al1 work <br /> will be done in compliance with all applicable laws regulating construction, xoning and land development. App(icafion is <br /> hereby made to obtain a permit to do work and installation as indicated. l cer�ify that no work or installation has <br /> commenced prior to issuance of a permit and that a11 work will be performed to meet standards of all Iaws regulating <br /> construcfion, County and City codes, zoning regulations, .and land development regulations in the jurisdictian. I also <br /> certify that 1 understand that the reguIatians.of other government agencies may apply fa the intended work, and that it is <br /> , my responsibility to iden#ify what actians i must ta{<e to be in compliance. Sueh agencies include but are not(irnited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Was#ewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> ilttatercourses. <br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. <br /> - �Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafiment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestas abatement. <br /> - Federal Aviatian Authority-Runways. " <br /> t understand fhat#he foliowing restrictions appiy to the use of fili: <br /> - Use of fill is not allowed in Flood'Zone"V" unless expressly permitted. <br /> - 1f the fll material is to be used in Fload Zone °A", ifi is understood that a drairiage plan addressing a <br /> "compensating volume" will b� submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the State af Florida. <br /> - If the fill material is to be used in Flaod Zone "A" in cannection wifh a permit#ed building using stem wali <br /> construction, I certify that fill will be used only to fill the area within the stem wall. <br /> - if fill material is ta be used in any area, 1 certify that use af such f!! wifi no# adversely aifect adjacent <br /> properties. If use of fill is found to adversely affect adjacent praperties, the awner may be cited for vioiating <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are eievated by fiii, an engineered drainage pIan is required. i <br /> If I am the AGEN7 FOR THE OWNER, I pramise in goad faith to inform the owner af the permitting conditions set forth in <br /> this affidavit prior to commencing constructian. 3 understand that a separate permit may be required for e(sctricai work, � <br /> plumbing, signs, wells, pools, air conditioning, gas, or other instailations not specifically included in #he application. A <br /> permit issued sha!! be construed to be a license ta proceed with the work and nofi as authority to violate, cancel, alter, or <br /> set aside any provisions of the technical cades, nor shail issuance of a permit prevent the Building O�ciai fram thereafter i <br /> requiring a correction af errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unEess 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 periad of six(6) months after the time the wark is commenced. An extension <br /> may be requested, in writing, from the Building Official far a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause for the extension. tf work ceases far ninety{90}consecutive cfays,the job is car�sidered abarrdaned. <br /> WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NUTICE OF GOMMENCEMENT MAY RESULT !N YOUR � <br /> PAYiNG TW(CE FOR tMPROVEMENTS TO YOUR PROPERTY. tF YOU iNTEND TO'OBTAIN FINANCING,CONSULT <br /> WI`TH YOUR LENDER OR AN ATTQRNEY BEFORE RECORDWG YOUR NOTICE OF COMMENCEMENT. <br /> FLt7RIDA JURAT{F.S.1'17.03} <br /> OWNER Ot2 AGEN7 `r'�� CONTRACTOR //T `� <br /> S scribed and swo �a„{or affirrned} ore m(this S�{bscribed and s �p.{or�a.�ffirtmed)b re me this <br /> -23-t by ...1��!'ci(d �}�� c 4t e ,r"" �/'a�—t(o by J g�.�---�t�tP cr' <br /> Who is/are personally known o me ar has/heve produced is/are personally know to me or has/have produced <br /> ��c�e e@,� �l�+J e�5 ���Stlentification. � o f t aQ a- r�U e.1"5 ���S L' as ldentification. <br /> � f;���j,Z7i�'�Nofary Public �,����.�`f�' _�1'��'��)!�"t�? Notary Public <br /> Commissian No. ��� � �� Commission No. (/ `/ rr o `�,3 (�� � <br /> Name of Notary typed,printed or stamped Name af Notary typed,printed or stamped <br /> >�°:►""�'u�'°�• R6At�GY J �ROOaCS ,,,,,..,.,. ------- <br /> �° '��""YP"°��"` RIAfNCY J BROC1aCS <br /> ��.. <br /> •a c�9:�699 ' <br /> _• •= SNY GOMMISSlON#F. ;= n; <br /> � : . �Q: jF, ?ms €' •: <br /> '°"'r� o°� EXPIRES February :N ; ,Q; MY COMMI3SION#FFb93699 <br /> .9'......•'P: <br /> •.FOFr�;,,.• '•.".,'.s""'-'o°' EXPIRES February 18,2018 <br /> P <br /> „.,.,,. $�1'VICi.�ltif�'1 .,ba R,,. <br /> (407}398-0153 Florldallotary ,."..,.. <br /> {�07}3gs-at53 FlaridallotarySeroice.com <br />