|
I �
<br /> � � y ,P i i
<br /> NOTICE OF DEED RES7RICTIONS: The undersigned undersiands ihat ihis.permit may besubject to"deed"restrictions"
<br /> which may be more restricCiva than County regulaGons. The undersigned assumes responsibilily for conipliancelvith anq
<br /> applicablo deed restrictfons, �
<br /> UNLICENSED CON7RACTORS AND CONTRACTOR RESPONSIBtLITIES: If ihe ovrner has h(ted a conlractor or
<br /> � contiacto�s to undertake work,they may be requfred to be licensed.in accordance-vrith state and locaLregulations. If the
<br /> � contracfor is not Iicensed as.required by law, both.lhe ovmer�and contractor may be cited for a misdemeanor violation
<br /> under sfate law. If the otivner or intended conlraclor a�e unceriain as to�vhat licensing requiremenls may.appiy for the
<br /> inlanded work,they a[e advised to coniact tfie Pasco County Building Inspection Division—licensing Section at 727-847-
<br /> 800�3�. FurtFiermore, if the ovrner has hUed,a coniraclor,or corilraclors, he is advised to haye the conlractor(s) sign
<br /> portions.of the"contractor Btock"of this•appllcation for which'they��rilf be responslble. If you, as lhe owner s,ign as the
<br /> conlracto�,that may:be an indication that he(s not.properly flcensed and is not entitled to permitting priviieges�in.Pasco
<br /> Cownty. �
<br /> TREINSPORTATION IMf?ACT/UTILITIES IMPACT AND RESOURCE,RECOVERY FEES: The undersigned understands
<br /> �lhat•Transportalfon Impact Feesand Recourse Recovery Eees may apply to ihe;construction of nev�buildings,change of
<br /> i, use in existing buiidfngs,orexpan,�ion of'existing builclfngs,:asspecified in Pasco County Ordfnance numbet 88-07 and
<br /> � 90•07,.as:amended. The undersigned also understands,.ihat such fees,as may be due,will be identified at the time of
<br /> pe�mitling. It_is furiher understood that Transportalion Impact Fees and Resource Recove.ry Fees must be.paid prior io
<br /> receiving-a"cerlificate of occupancy"or final power release, If the proJect.does not involve a certificate of occupancy or
<br /> fnal�ower release,lhe�fees must be paid prior to permit'issuance. Furihermore,if Pasco County 1NatedSe��rer Impact.
<br /> fees are due,ihey must be pa,id prior to.per,m'it issuance in accordance with-applicable Pasco County ordinances.
<br /> � CONSTRUCTION LIEN LAW(Chapter 713,�lorida Stafutes,:as amencietl); 'If valuation of�vork is'52,500.00 or more,I �
<br /> � ceCtify that I, the applicant, have been provided �vith a copy of�lhe "Florida Construction Llen Lavr—Homeo�vners
<br /> ' Pintecllon Guide"p'repared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone ;
<br /> � other lhan lhe"o�mer",I certify lhai I f�ave obiained a copy of the.above described.document and promise in good faith to
<br /> deliver it�lo the"o��mer"prior lo commencement. .
<br /> QONTRAC'fOR'S/OWNER'S AFFIDAVIl': I certify that all the fnformation in this applicalion Is-accurate and lhat aD work
<br /> vrill"be done in compiiance;�vith all�apulicable laws reguialing construction,zoning and land development, Applicaqon is ,
<br /> here�y made lo obtain�a permit to do work and installation as indicated. I certify that no work or installal(on has
<br /> cammenced prior to.issuance of a permit and that all�vork.��iill lie performed to meet standards of all la�vs regulating
<br /> con"struclion, County and City codes, zoning regulations, and land development regulations iri the jurisdiction. I also
<br /> certify�that I undersland that tfie regulations-of othergovemment agencies may apply to the infended work,and that it is �
<br /> my�esponsitiility to identify what acilons I inust take to be in compliance. Such agehcies include but are not Iimited to:
<br /> - Department',of'Environmental ProlecUon-Cypress Baylieads,Wetland.Areas and Environmentaliy SensiQve i
<br /> Lands,Water/Waste��lale�Treatment. �
<br /> - Southiuest Florida_ Waler Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering �
<br /> Watercourses: �
<br /> - Army Corps of Engfneers-Seawalis,Docks,Navigable Watervrays.
<br /> - De,partmen#,of Health & Rehabilitalive Seryiees/Environmental Healih Unil-Wells, Wastevrater Treatmeht;
<br /> � Septic Tanks. � � � � �
<br /> - US Environmerital Proteclion Agency-Asbesios abalement.
<br /> - Federal Ayiation Authorily=Runviays.
<br /> I understand that ttie;follo�ving restriclions apply to ihe use of fll:
<br /> - Use of�II is nol allowed in Flood Zone"V"unles§exgressly permitted.
<br /> - If lhe fill mate�ial is.to be used in Flood Zone "A", it is undersiood thal a drainage plan addressing a
<br /> "compensat(ng volume"��,rili"be submilted al lime of permilling-which is prepared by a professfonaPengineer
<br /> ; licensed by..the.Stale.of Florida., i
<br /> , - If the fill material is io be used in Flood:Zone "A"in connection��rilh a permitfed building using stem�vali
<br /> construction,I certify'that fill vrill be used oniy io.fill Ifie area wilh(n the stem wall.
<br /> - if fill.material is lo be:used in any area, I eeriify lhat use of such fll will not adversely affect adjacent '
<br /> � properiies. If use of fill is tound to adversely,aitect.adjacent properfies,ihe owner may be.cited for violating
<br /> i the condilions.of the building permi(issued under Ihe atlached permit appllcation,for lols:less lhan one(1)
<br /> � acre�vhich are.elevated by till,an engineered drainage.plan is_requfred,
<br /> i If I am the AGENT FOR THE OWNER,I promise in good fallh to fnform the owner of ihe permiUiny conditions sel forth in
<br /> i lhis atftdavit prior to cotnmencing construction. I understand lhat a separate pemiit may be required for elecfrical vrork,
<br /> plutnbin�, signs, vrelis, pools, air conditioning, gas, or other installations not spedfically included in lhe appfication. A
<br /> permiLissued•shalF�Q construed t"o'be.�.license:lo proceed�viUi Iheavork.and riot as authority to violate,cancel,alter,or
<br /> set aside.any provisions of the technical codes,nor shall issuance of•a permit prevent the E3uildiny Official from thereafter '
<br /> � requiring a correcllon of errors in plans,construction or violalion"s.of any codes. Every permit issued shall become invaBd
<br /> � unless the��lork�aulhorized by sucfrpermiCis corrimenced wilhin six months of perrriil issuance,or if work authorized by
<br /> the permit is suspended or abandoned fo�a period of sIx-(�)monlhs after the:tline the.work is commenced. /��extension
<br /> may be requested,(n writing,from the E3uilding Offic(al for a�eriod not to exceed ninety(90)days and will demonslrate !
<br /> justifiable cause for the extension: If v�ork ceases for_ninety,(�JO)consecutive days„the.job is considerecl abandoned.
<br /> WARNING TO;OWNER: YOUR FAIWRE TO-RECORD.A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> � PAYING'f1NICE FOf21MPROVEMENTS TO YOUR PROPERTY. IF YOU 1NTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER• AN, ORNEY BEFORE REGORDING YOUR NOTICE OF COMMENCEMENT. i
<br /> FLORIDA JURAT(F.S . 3) �
<br /> OWIJER OR AGE CON7RACTOR �
<br /> Subs,�nbe en b��ro o(Qr,af �d efo o moil�e/ � Subscritred and�m to(or atfirm�cn before me Ihis
<br /> � /J� /t K.- b
<br /> Wno Is/are pe�sonally known lo rtle �haslhava produced Wno islara personaity knovm to ma or has/nave produced
<br /> as identificalion; as Identification.
<br /> �-�1����^-�-��_Notary Rublic �otary Public
<br /> CO�Qro¢�si sion.tJ���_O�"7'�-/ .:J —/ Commisslon No.
<br /> MVIVWE
<br /> M_N�r��o��o�ay � pn��e�oO§amp� Name o(Nolary lyped,prinled or.stamped
<br /> ef L V IV i iy h
<br /> Union Twp., Lawrence County
<br /> My Commission Expires May 1, 2020
<br /> MEMBER,PENNSYLVANIA AS OCIATION OF NOTARIE
<br />
|