_ _ _ _.._ �
<br /> – , .__ ��..-�,�.�<-.��.�.�...�:.�
<br /> � �- � . �
<br /> NOTtCE OF DEED R�STRlCTIQNS: The undersigned understands that#his,permit may be subject.to"deed"restrictions":=, "il -
<br /> which.may„be more:r.estrictive•than,County regulaticins. The.undersigned�assurries°��esponsik�.iiityafa�campliance witi�i�:any`
<br /> applicable deed restric#ions.. � .•� - � �
<br /> UNLICENSED CONTRACTORS AND CQNTRACTOR RESPONSIBILlTIES: !f the=awner has hired-a-contractor or
<br /> cantractors to undertake work, they may be.cequired ta be:licensed in accordance with state and.loca!_regulations.r lf�the°� .°
<br /> contracfor is not licensed.as required iay lavir, both the owner�and�contracto� rriay;6e cited�for�:a�misdemeanor violation.
<br /> under state iaw. If the owner or intended contractor are uncertain as to what ticensing requiremen#s.�may.��app(y for:the � �
<br /> intended work, they are advised to ciintacf'tFie�Pasco County Bailding Inspection Division-Lict�nsing Secfion.af 727-847-
<br /> 80Q9. -Furthermore, if the owner has hired`a coritractor or conirac#ors, .he is�advised to -have ihe confractor(s),,sign y,. `
<br /> portions of the "contractor Black" of this application for which they.wiA be responsible. !f you, as�tlie owner'sign as:�ttie ,
<br /> contractor, that may be an indication that he is not properly licensed and is riof entitled to permitting priyileges in Pasco �
<br /> County. , � :
<br /> TRANSPORTATIt3N 1MPACT/UTILiTtES IMPACT AND RESOURCE RECOVERY FEES: The underSigned understands ,
<br /> that 1"ransportation tmpact Fees and Recaurse Recovery Fees may,appiy to the construction of new,bui(dings, change.-af"'�`
<br /> use in existing buildings, or expansion of;existing"buildings, as specified in Pasco Caunty Ordinance number 89-07 and ��:;
<br /> 90-OT, as amended. The undersigned also understands, that such fees, as-may<b.e.due, wilf 6e:identified at�the tir»e-�of °- -�
<br /> - permitting. tt is further understoad that Transportation Impact Fees and Resource�,'Recovery. Fees must be paid pria� to �
<br /> receiving a "certificate of occupancy" or.final power release. If the.praject does not involve a certificate of accupancy�ae=-�
<br /> final power release, the fees must be paid prior to permit issuance. Furthermare, if Pasco County Water/sewer:tmpact �>
<br /> fees are due, ttiey must_be paid prior to permi#issuance in accardartce with applicable Pasca Caunty ordinances. �
<br /> CUNSTRUCTION LlEN !AW(Chapter 713,"Florida Statutes,as amended}: !f valuation af wark is$2,5Q4.QO or more,..l:.=.,.-
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hdmeowner's�� ;
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant�is someone,
<br /> ather than the"owne�', I.certify that( have obtained a copy of the above'described`document and promise in,good faith�to� ,
<br /> deliver.it ta the,.`•bwner"prior.to.cominencement: -
<br /> Ct?NTRACTQR'StOWNER'S AFFIDAVlT; t.certify.that aN.the information in this application is accurate and that ail work
<br /> will be done in compliance with al! applicable law5 r'egulatir�g canstruction, zoning and land-development. Applicatian is
<br /> hereby made to_ abtain a permit to do.,,work-and installation. as indicated. I cer#ify that no work ar installation has
<br /> commenced prior to issuance of a perm'it and that all wark will be perfarmed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regu(ations, and land development regulations in,the jurisdiction. I alsa
<br /> certi#y that i understand that the regulatians of other government agencies may apply fo the intended work, and that if is
<br /> my responsibility to identify what actions ! must take to be in comp(iance. Such agencies include bu#are not limited to:
<br /> - Department of Enviranmental�Frotection=Cypress Baylieads, Wetland Areas and Environmentaiiy Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engrneers-Seawalls, Dacks,� Navigabie Waterways.
<br /> - Department af Heaifh & Rehabilitative Services/Enviranmental ,Heatth Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos abatement. . �
<br /> - Federal Aviation Authority-Runways.
<br /> I undersfand that the fo(lowing restrictions apply to the use of�II:
<br /> - Use af f!1 is not allawed in Fiaod Zane"V" unless expressly permifted.
<br /> - If the fill matecial is ta be used in. Flood Zane "A", i# is understoad that a drainage pian addressing a
<br /> "compensating volume" wi!! be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State af Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in cannection with a permitted building using stem wa!!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fitl materia( is to be used in any area, I certify that use of such�fili witi nat adversely affect adjacent
<br /> properties. If use af fil! is found ta adversely affect.adjacent properties, the awner may be ci#ed for vialating
<br /> the conditions of the building permit issued under the attached permit appfication, far lots less #han ane ('t}
<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 good faith to inform the owner of the permitting conditions set farth in ,
<br /> fhis affidavit prior#o commencing construction. 1 understand that a separate permit may be required for electrica! work,
<br /> plumbing, signs, welts, pools, air conditioning, gas, or other instailations not specifically included in the application. A
<br /> permit issued�shall'be construed to 6e a iicense to praceed with the wark and nat as autfiority fa vialate, cancel, alter, or
<br /> set aside any pravisions of the technical codes, nor shali issuance of a permit prevent the Bu�Eding FJfficial from thereafter
<br /> requiring a correctian of errors in plans,�construction or violations-of any codes. Every permit issued shal! become invalid
<br /> unless the work authorized by such permit is commenced within six months af permit issuance, or if work authorized by
<br /> #he permit is suspended or abandaned for a period of six(6) months after the time the work is`commenced. An extension
<br /> may be requested, in writing, fram fhe Buitdirig �fficiai for a period�not to exceect ninety (90) days and will demonstrate
<br /> justifable cause far the extension. If work ceases for ninety(90}consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE.TQ RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YQUR RROPERTY.. IF YOU�INTEND-TO OBTAIN.FINANCING, CONSULT
<br /> WITH YOUR CENDER OR'AN ATTORNEY BEFORE RECORDING YOUR NQTICE OF'COMMENCEMENT.�
<br /> FL4RtDA JURAT_(E.S _. . .Q3)v.--._� ___�,_� -- --� - --- -
<br /> OWNER OR AGENT G�i"J�Q CONTRACTOR ` ,�.�
<br /> S bs ' ed a sw� {or af�rrned}befo e me this Subscribed and s #o(ar affirmed}before me this
<br /> � I n„ �'i�� L. e'!1 IS�i'1�c� -pZ-/ n-t� L r _!�
<br /> i Wfia is r +pnally known me or has/have produced ` Wha is/ar ersonally knouvn a me or has/have praduced
<br /> as 3dentificatio�. as identiflcation.
<br /> �' � ��~ '��`�' "� Nota Public 4 Nota Public
<br /> ry �
<br /> Com ission No �'�"�0 Commission Na .
<br /> �� � y, '$Yt�fR-A-C�iifFBft�"— ri
<br /> s��.`� �-, Noiary Pablic-Stata bt f{oridg � ` �:; Nofgry Public-Sta#e oi FtoriCa
<br /> � Name of Notary , tE !� �ci xpEr s � Name of Notary -
<br /> r Cammission N PF 034230 � e mission�PF 034230
<br /> ��f�u•`�� Bo�ad�Arauph,N`nionti Not�ry As�e: n�.•� 8anded'Throaph Nationat Nat�ry Assn.
<br />
|