;��.�..�-,�.�.,.��.,��,�x
<br /> _ ;� .
<br /> N4TlGE OF.DEED RESTRICTIONS: The undersigned unders#ands.#hat this,permit may be subject to"deed"�restrictions":_.,',
<br /> which may,be,mare restrictive than Caunty cegulations` The�undersigned�assumes'.�esponsibility`for�compliance'with any �''
<br /> appiicable deed resfrictions. � _,-.�:, � � •
<br /> UNLICENSED- CONT,RACTORS AND CONTRAGTOR RESPONSIBlUTtES: !f tFie-owner-tias fiired�'=a'contractar or
<br /> contractors to undertake wrork, they may be required ta be licensed in accordance with state and locai regutatians: `If.�the� „
<br /> contractor_is not licensed as required by°law, both the owner and�contractor-may�`-be cited=fcir��a:misdemeanor violation.
<br /> uncier state lavv. if the owner or intended contractor are uncertain as to what licensing reqyireri�ents_.�rnayv:apply far.the� �
<br /> intended:work, they are advised to coritacf the.Pascti County Building�fnspectiori"Division=l:icen'sing Secfion at 727-847- �,
<br /> 8Q09. -Furthermore, if the owrner has hired a contractor or cantractors, he�is advised to ;have fhe contractor(s} sign __. t
<br /> porEions of the "contractar 8tock" af this application,for which they wi(I be responsib(e. If yau,_as�the=owner sign a's�ttie�' :'
<br /> contractoc, that�may be an indication tliat he is not praperly licensed and is not erntitled�to permitt'ing privileges in.Pasco ,
<br /> County. � " � - � ' �
<br /> TRANSPORTATION IMPACTLUTILITiES lMPACT AND RESOURGE RECOVERY FEES: The undersigned understands �
<br /> that Transportation impact Fees and"Recourse Recovery Fees may apply ta the construction of new buildings,.ctiangenof°" ;i
<br /> � use in existing buildings, or'expansion of.existing buildings, as specified in Pasca Caunty Qrdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may.-be due, wili be identified at�tfie�timenof�° =
<br /> permitting. It is €urther understaad that-Transpartation tmpact Fees and Resource Reeovery Fees must be paid prior to �
<br /> receiving a "certi�cate of occupancy" or�naf power release. tf the.project does not involve a certificate of occupancy:or �' -
<br /> final power re(ease, fhe fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer-lmpact���.
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable"Pasco County ordinances. � �
<br /> CONSTRUCTION LIEN LAW(Chapter?13; Florida Statutes,as amended}: If vatuation of work is$2,500A.O.or more,<t:,�_,.,
<br /> certify that !, the applicant, have been provided with a copy. of the "Fiarida Gonstruction Lien Law Homeowner's �
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is,someon.e
<br /> other than the"owner", I'certify that I have ob#ained a copy of the abave described`dacument and pramise=in,good faitti fo ,
<br /> deliver.it to the',owner" prior to cammencement. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all the infocmation in this application is accurate and�that all work
<br /> wili be done in compliance with all applicable laws regulating construction, zoning and land-development. Applicatian is
<br /> hereby made #o obtain a permit to do work and ins#a!laEion as indicated. I certi€y that no work or ins#ai(atidn has
<br /> commenced prior to issuance af a permit and that aii work wiit be perfarmed to meet standards of all laws regulating
<br /> construction, Caunfy and City codes, zoning regu(ations, and land development regulations in-•the jurisdiction. I also
<br /> certify that I understand that the regulatians of other government agencies may appiy to the intended work, and that it is '
<br /> my responsibility to identify what actions I must take to be_in campliance. Such agenaies inciude but are nat iimited to: ,
<br /> - Department o# Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmeritally Sensitive '
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Managemen# District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercoucses. ,
<br /> - Army Carps af Engineers-Seawaiis, Docks, Navigable Waterways.
<br /> - Department of Heai#h & Rehabilitative Services/Environmental Health Uni#-Wells, Wastewater Treatment,
<br /> � Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. �_ _ -_ -- -- � -
<br /> - Federai Aviation Autharity-tZunways.
<br /> i understand that�the fatlowing restric#ions apply fo the use of flt1:
<br /> - Use of fitl is not allawed in Flaod Zone"V" unless expressly permitted. '
<br /> - !f.the fill materia! is to be used in Flood Zone °A", it is understoad that a drainage pian addressing a
<br /> "compensating volume° wiii be submitted at time of permitting which is prepared by a professianal engineer "
<br /> licensed by the State of Fiorida. �
<br /> - If the fill material is to be used in Flood Zone "An in connection with a permitted building using stem wall
<br /> canstruction, !certify that fill will be used only to fil!the area within the stem walL
<br /> - if fiif materiat is ta be used in any area, I cer#ify that use af such�fili will nat adversely affect adjacent
<br /> properties. if use af fiil is found to adversely affect adjacent properties, the owner may be cited for vio(ating
<br /> the conditions of the building permit issued under the attached permit application, for lots less #han one (1) -�
<br /> acre which are elevated by fill, an�enginsared drainage plan is required. 9
<br /> If I am the AGENT FOR`EHE 4WNER, f promise in good faith ta infarm the awner af the permitting candi#ions set forth in �1
<br /> this afFdavit pcior to commencing construction. 1 understand that a separate permit may be required for electrical work, +'�
<br /> ptumbing, signs, wells, pools, air conditioning, gas, ar other in`s'tallations not specifically included in the application. A
<br /> �permit issued shall be construed to be a license ta proceed with the wark and not as autharity to vioiate, cancel, alter, ar ,
<br /> set as4de any provisions of the technical codes, nor shall issuance af a permit prevent the 8uifding Officiaf from thereafter
<br /> requiring a correction of errors in.plans, canstruction or vioiations of any-codes. Every permit issued shall�become invalid �
<br /> unless the work authorized by such permit is commenced v�ithin six months of permit issuance, or if work authorized by �
<br /> the permit is suspended oc abandoned for a period-of six(6)'inonths after the time the work is commenced. An extension �
<br /> may be requested, in wriEing, fram the BuHding Clfficial far a period nat.#o exceed•ninety (90} days and wiif de,monstrate
<br /> justifrabfe cause for the extensian. If wark ceases for ninety(90}consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAlLURE TO RECQRD,A NUTlCE OF CS?MMENCEMENT MAY RESULT !N YOUR
<br /> PAYlNG TWICE FOR IMPROYEMENTS 70 YQUR.PRC?PERTY. !F YOU}INTEND T{�OBTAlN�FfNANCING;COf�SUlT .
<br /> WtTH YOUR L;ENDER OR AN ATTORNEY BEFORE RECORDINGI(At�R=Nd�TlCE-+S3F-CL-�E1��`A��G�P�iE�UT: - " R_ � -
<br /> FLt3R(DA JURAT(F.S.i i 7.03}-` = `=�J ` �
<br /> OWNER CfR AGE{d7 1.�.�. _,.�.� �"�_:,1.�� 'e.� CONTRACTOR .
<br /> Subscribed and swom to(or affirtned}before me this Subscribe,d nd swom t r affirmed�,�r befof�m,,�e,thi�,
<br /> ,.�(�F f_�� l' ' by ,�'���Gf r 1�'�i •r.'-'
<br /> Who isJare sr na y own to me or has�ave produced ' Who is/a e pe��onatly nown,to me or has/have produced
<br /> as id'entifica6on. �L�c[J,�o ��c',✓"S�Ls f'c2� �as identification.
<br /> � -'� >
<br /> (�f� ota Pubiic � �"��`'� / Notary Public
<br /> ry
<br /> ` "".^i;'-. JACQUELINE BOG
<br /> `iq�+�,.
<br /> om issian Cammissior� a�. .
<br /> ,.:.. � �o; Expires December 12,2018
<br /> "�"„ 3ACQUEl.1NE F�OG�S ':��•.•�o;;,-
<br /> .>�t,�Y R{�rr� � . ..
<br /> Name _ pt ty� �1�PIf�6• ��� Name of Notary
<br /> :� p; Expires Decsmbe�• . � .
<br /> �; o.+` gQnqeti Tiw`fro+Fuui irwuranc9 EOP385�7019
<br /> .F AF�,,� v.+,a.�
<br />
|