|
r y
<br /> NOTICE OF DEED RESTRICTICiNS: The undersigned unders#ands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTUR RESPQNSIBlLITIES: If the awner has hired a contractar or
<br /> cantractors ta undertake work, they may be required #o be licensed in accordance with state and loca! regulations. If the
<br /> confractor is not iicensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation
<br /> under stafe iaw. tf fhe owner or intended contractor are uncertain as to what licensing 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 /> 80Q9. Furthermore, if the owner has hi�ed a contractar or contracfors, he is advised ta have the contractor(s} sign
<br /> portions of the "contractor Black° of this application for which they will be responsible. if you, as #he awner sign as the
<br /> con#ractor, that may be an indicatian that he is not properly licensed and is not entitlec! to permitting privileges in Pasca
<br /> County.
<br /> TRANSPORTAi'ION IMPACT/UTtLITIES IMPACT AND RE50URCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation Impact Fees and Recourse Recovery Fees may appiy ta the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
<br /> permitting. lt is further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not invalve a cerkificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasca Caunty Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca Caunty ordinances.
<br /> CONSTRUCTION LIEN LAW{Chapter 713, FlorEda Statutes,as amended}: If valuation of work is$2,5d0.00 ar more, 1
<br /> certify that !, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deiiver it to the`bwner" prior ta cammencement.
<br /> CONTRACTOR'Slt1WNER'S AFFIDAVIT: I certify that ali the information in this applica#ion is accurate and that all work
<br /> wi!! be dorte in compliance with aN applicable laws regulating construction, zaning and land developrnent. Applieation is
<br /> hereby made to obtain a permit to do work and installation as indicated. f certify that no work ar installation fias ,
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards af a!I laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that i understand that the reguiations af other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies inciude but are not limited to:
<br /> - Department of Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNl(astewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wa#erways.
<br /> - Department af Health � Rehabilitative Services/Enviranmental Health Uni#-Wells, Wastewater Treatmenf,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ( understand that the fo�iowing restrictions apply to the use of fill:
<br /> - Use of fiil is not a(lowed in F{ood Zone"V" unless expressly permitted.
<br /> - If #he fifi material is to be used in Flood Zane °A", it is understood that a drainage plan addressing a
<br /> °compensating volume" wiN be submitted at time of permitting which is prepared by a professiana( engineer
<br /> licensed by the State of Florida.
<br /> - lf the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal!
<br /> canstruction, 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 fi(I wii( not adversely affect adjacent
<br /> properties. if use af fill is found ta adverseiy affect adjacent properties, the owner may be cited for violating
<br /> the conditians of the buifding permit issued under the attached permit application, for fats Eess than one (1}
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in gaod faith to inform the owner af the permitting condltions set forth in
<br /> this affidavi# prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or o#her installations not specifically included in the appiication. A
<br /> permit issued sha(I be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar
<br /> set aside any provisions of the technical codes, nor shalf issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in pkans, construction or violations of any codes. Every permi#issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ae if wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from #he Building Official for a period nat ta exceed ninety (90) days and will demanstrate
<br /> justifiabie cavse far the extensian. If vuoric ceases far ninety(90}consecutive days, the job is considered abandaned.
<br /> WARNlNG TO OWNER: YOUR FAILURE TO RECORQ A NOTIGE OF GOflflMENGEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO OBTAlN FlNANCING, CQNSULT
<br /> WITH YUUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE C1F COMMENCEMENT.
<br /> ____FLf3BiDA.Jt1�2A�.(F8.11-7 3}-_ -- -- -------- _--_ __- -- --- --_ �_---- -- .
<br /> OWNER OR AGENT CONTRACTOR„� r _._.
<br /> Su c��dl�n bswo t {o affirme efore me this �u�bs�ed�ad s�wo to affi �fo� re,ine this
<br /> y / �a y t�•�
<br /> Who isJ arep��r�sqna�y kr�o�n to me or has/have produced Who,i�j re pp�rsonally kn uYn to me or has/have produced
<br /> �L,r it�utt'�fSLtG�tS2..as identification. 7'L� t/�i}M�✓s �`t�.'''t�.�`'� as identificafion.
<br /> C
<br /> ��-- otary Public ,�'' rt.r� Natary Public
<br /> ,�."..e'4., JACQUELINE B G S /
<br /> C m s�; �'��j�� Commi Sio ���„
<br /> 4..f/B�4
<br /> E BOGEB
<br /> :;. �o; Expires December 12,2018 =�:' ��.= Commission#FF 150
<br /> .eo• -
<br /> i�lame Name of Nota ,,Af,F`'a`*�t Band�T�hruimyF�'��jn�SBwanse800-5-�70i9
<br />
|