|
� ' � �
<br /> NOi'iCE dF DEED RESTRiC't'14NS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> ' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRAGTOR RESPONSIBI�ITIES: If the owner has hired a contracfor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. if the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under sfate Iaw. If the awner or intended contractar are uncertain as to what licensing requirements may appEy for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisian—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sj sign
<br /> portions of the"contrac#or Block"of this applicatian far which fhey wi11 be responsible. If you,as the owrier sign as the
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting priviieges in Pasca
<br /> County.
<br /> TRANSFOF2TATlON IMPAGTtUTtLITtES IMPACT AND RESOURGE RECdVERY FEES: The undersigned undersfands
<br /> that Transpoftation impact Fees and Recourse Recovery Fees may appiy to the construction of new buiidings,change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9Q-07,as amended. The undersigned also undersfands,that such fees,as may be due,will be identified at the firne of
<br /> permitting. it is further understood that Transportation impact 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 involve a certificate of occupancy nr
<br /> fina!power release,the fees must be paid prior to permit Essuance. Furihermore, it Pasco Counfy WaterlSewer impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicab(e Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Ghapter 713,Florida Statutes,as amended): If vaivation of work is$2,500.00 or more,I
<br /> eertify that !, fhe applicant, have been provided with a copy of the °Florida Construciian Lien Law—NomeawnePs
<br /> Protection Guide"prepared by the Florida Department of Agriaulture and Consumer Affairs. ff the app(icant is someone
<br /> other#han the"awner",I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"priar ta commencement.
<br /> CONTRACTOR'Stt3WNER'S AFFIDAVlT (certify that ai1#he infarmation in this apptication is accurate and that aIl work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and insta!lation as indicated. I certiTy that no work or insta!lation has
<br /> commenced prior to issuance af a permit and that aI!work wiEl be performed to meet standards of al1 iaws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand that the regulations of other government agencies may apply ta the intended work,and that it is
<br /> my responsibiiity to identify what actians 1 must take#o be in campliance. Such agencies include but are nat Iimited ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Nianagement Distact-Wells, Cypress Bayheads, Wetland Areas, Alferi�g
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Fiealfh & F2ehabilitative SetviceslEnviranmental Fleaith Unit-We11s, V+lastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that the following restrictions appiy to the use of fill:
<br /> - Use of fill is not allqwed in Flood Zone"V"unless expressly permitted.
<br /> - If the fii! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted a#time of permitting which is prepared by a professiona�engineer
<br /> licensed by the Sta#e of Florida.
<br /> - !f the fi11 materiat is to be used in Fload Zone"A"in cannection wifh a permitted buiiding using stem wali
<br /> construction,I certify that fill will be used only to fiN the area within the stem waii.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. if use of fi(1 is found to adversely affect adjacent properties,ihe owner may be cited for violating
<br /> the conditions of the building permit issued under the attaehed permit application,for lots(ess than one{1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If!am the AGENT FOR TNE 01MNER,!promise in good faith to inform the awner of ihe permitting conditions sei forth!n
<br /> this af�davit prior fo commencing construction. I understand that a separa#e perrnit may be required for electricat work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shal!be construed to be a license to proceed with the work and not as authority to viokate,cancel,affer,or
<br /> set aside any provisians of#he technica[codes,nor shall issuance of a permEt prevent the Buiiding Official fram thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless 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 abandaned Eor a period of six{6}months after the time the work is commenced. An extensian
<br /> may be requested, in writing,fram the Buiiding Official far a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 4F COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENT$TO YOUR PR4PERTY. IF YQU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITli YOUR LEPtDE O AN A RNEY SEFORE REGORDING YdUR N TI OF COMMENGEME .
<br /> FLORIdA JURAT(F.S.1 . 3 �
<br /> QWNER OR AGEN7 C�NTRACTOR � �'_
<br /> S s�( d nd swo {or a�rm } efore Sub�, b and swor t r affir ed}be vSe metqis
<br /> f }�`f�ti'��h�1�/ " bY � (•!���1}��� 1 ldin.33r.s�e 1^�
<br /> �'� o i ere ersonal y known to me or ha e produced o is/are personall o to m or has/have produced
<br /> as identification. s identification.
<br /> N'�� Notary Publie Notary Public
<br /> mmission No. Commission No.
<br /> ....�-"
<br /> �—�d�p�jptect�r���d Name af Natary typed,printed or stamped
<br /> Utitf�i
<br /> 2�!�`Y'��c���,�y COMMISSION#GG039755
<br /> E�tP1RES:OGT 1S,2020 s�,,Pv ROBERT HARTWIG
<br /> o ••�Ao
<br /> '�,����Bontled through�st State�nsutance £�;�' ��MY CdMMISS(ON#G6039755
<br /> � ,��� IXPIRES:OCT 18,2020
<br /> ` , ' �'��,��.� Bo�ded through 1 si State lnsurance
<br /> i
<br />
|