|
_._ •-�-:����:
<br /> , �. �
<br /> NOTlGE OF DEED RIESTRICTION�: TMe undersigned understands that this permit may�bet subject to:"deed"restrictions"` "�f,
<br /> which,may be,mare�restrictive.than County�cegulations: The.undersigned�assumes cesponsibility'foc cortipliance witfa-.a�ny' '�
<br /> appticable deed restrictions.. :;��:; •� ��� �
<br /> UNLIC�NSED�CONTRACTClRS AND CONTRACTOR RESPONSIBiLITtES: if�the owner�has-hi�ea�a��contractor•or
<br /> con#ractors�to undertake work, they may.be required to be ticensed in accordance with state and�local�_regulations: •:lf.:the.,� .
<br /> cantractoc is nat licensed as r�quired tiy taw, both the owner and:cont�actor rriay��be-eitedxfor=.a iriisdemeanor violation.
<br /> under stafe law. �If the owner ar intended contractor are uncertain as to what licensing requiremepts.;may�apply'.for-;tlie:���'
<br /> intended work, they are.advised to coritact the Pasco Caunty 8uiiding tnspection�Division-=Licensing Section at 727-847-
<br /> 8009. -Furthermore, if the. owner has hired`a can#ractor or contracta�s, he`Tis advised to��have the contractoc(s} sign ,.,
<br /> partians af the "contractor Black" of this applica#ion far,which they will.be responsible.. !f you, as��tt�e owner�sign as>ttie `' �
<br /> contractor., that may be an indication that he is not praperly licensed and°is not entitlecf to permitting privifeges in Pasco
<br /> County. ` � , ' `. , .
<br /> TRANSPORTATION IMPACT/.UTILfTiES iMPACT AND RESOURCE RECGIVERY FEES:'The undersigned understands `
<br /> that Transpartation impact Fees and Recourse Recovery'Fees may apply to the construction of new buildirtgs, change"of`� " �
<br /> use in existing bui(dings, or expansion af existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and �_
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may,be due, wifl�be�identified at:the`time of � -
<br /> permitting. It is further understoad that Transportatian impact Fees and Resaurce•°Reeovery Fees inust be paid priar to �
<br /> receiving a "certificate of occupancy" ar�nal power release. If the project does nat involve a certifcate af occupancy.�oc�.-
<br /> final power release, the fees,must be paid prior ta permit issuance. Furthermare, if Pasco County Water/Sewer:impact_ �
<br /> fees are due, tfiey must be paid prior ta permit issuance in accordarice with app(icable Pasco County ordinances.
<br /> GONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuatian of work is$2,50Q.QO..or more,�!-;.., -
<br /> ce�tify that I, the �appticant, have been pravided with a capy_of -the "Florida Ganstruction Lien Law—Homeowner's �
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant�is sameone, �
<br /> other than the"owner", I certify that I have ob#ained a capy of the abave descri6ed'document and promise-in,good faith to .
<br /> deliver.it ta the."owne�'prior to commencemenfi.
<br /> CONTRACTOR'S/OWNER'S AFFIDAViT: l cerkify that all the information in this applicatian is accurate and'that a!f work `
<br /> will be done in compliance with aA applicable laws regulating corrs#ruction, zoning and land�devefopment. Applica#ion is
<br /> hereby made to abtain a perr�it to do work and installatian as indicated. t certify that no work or installation has
<br /> commenced priar ta issuance of a perrriit and that all work wili be performed to meet standards of a!I laws regulating ,
<br /> construction, County and Cify codes, zoning regulations, and land development regulations in the jurisdiction. f also
<br /> c�rtify that I understand that the regulatians of other government agencies may apply ta the in#ended woric, and thaf it is
<br /> my responsibility to identify what actions I must take ta be in campliance. Such agencies inctude but are not limited to: �
<br /> - Department of Environmentai Rrotection-Cypress Bayfieads, Wetland Areas and Environmentally Sensi#ive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Sau#hwest Florida Water Management District=Wells, Cypress 8ayheads, Wetiand Areas, Altering
<br /> Watercaurses.
<br /> - army Carps of Engineers-Seawaiis, Docks, Navigable 1Nateruvays.
<br /> - Department of Heal#h & Rehabilitative Services/Enviranmenta! Health Unit Wells, Wastewater Treatment,
<br /> Septic T'anks. �
<br /> - US Environmentaf Protectian Agency-Asbestos abatement. �
<br /> - Federai Aviation Authority-Runways.
<br /> I understand tha#=the fo(lawing restricEions apply fo the use of fill:
<br /> - Use of fi!! is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - !f the fi!! materia! is to be used in Fload Zane "An, it is understood that a drainage plan addressing a
<br /> "compensating votume" will be submiited at time.of permitting which is prepared by a professional engineer `
<br /> iicensed by the State of Florida. •
<br /> - !f the fil! materia! is to be used in Flood Zane "A" in connection with a permitted building using stem wall
<br /> canstructian, !certify that fil!will be used oNy ta fill the area within the stem watf.
<br /> - Ef fitl material is to be used in _any area, I certifiy that use of such�fill wi!! not adversely affect adjacent
<br /> praperties. If use of fill is faund to adversely affect ad�acent properties, the owner may be cited for violating
<br /> the conditions of the buildirtg permit issued under.the attached permit application, far lots iess than one (1) •;
<br /> acre which are eEevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of#he permitting canditions set forth in ;;
<br /> this affidavit prior to commencing construction. ! understand that a separate permiit may be required far electrical work,
<br /> plumbing, s�gns, wells, pools, a�r conditioning, gas, ar other installations not specifically included in tFre application. A ;:
<br /> permit issued shall"be canstrued ta be a iicense ta.,proceed with the wark and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions of the teahniaal codes, nar shall issuance of a permit prevent the Building C?fficia!from thereaf#er
<br /> requiring a correctian of errors in plans, construction or violatEons of any codes. Every permit issued shall became invalid •
<br /> u�less the work authorized by such permit is commenced within six months af permit issuance, or if work auth'orized by
<br /> the permit is suspended or abandoned far a periad.of six(6}months after the time the work is commenced. An extension
<br /> may be requested, in'writing, from the 8uitding Officiat for a period..not ta exceed•ninety (90) days and will demonstrate
<br /> justifiable cause for the extension, 1f work ceases for ninety(90)consecutive days, the job is considered abandaned.
<br /> WARNING TO ClWNER: YOUR FAILURE TO RECQRD A MOTICE OF,Ct3MMENCEMENT MAY RESUI.T IN YOUR
<br /> PAYtNG TWfCE F�R IMpROVEMENTS TO YOUR:t'ROPERTY. IF YOU.�INTEND.>TO OBTAIN FlNANGlNG,CQNSULT
<br /> I WiTH YC1UR CENDER'OR.AN ATTORNEY BEEORE RECORDlNG YOUR.NQl'IG���Cf?!1!!l�AENC�I�ENT: � � " � ���
<br /> FLQR(DA JUF2AT(F.S..1.17.03)�- --- � — f- L
<br /> OWNER OR AGEN ��37't-Q LC�SL�X�.., CONTRACTOR
<br /> Subsc'b and s o t (or affirmed)before me this S scribed and sw n to(or affi ed)before me this
<br /> 3-�'�jr1 b���tme L, t'1'lrse.r7�' a8�r �. r� �-
<br /> Who islare ersonally kno o me or has/have produced � Who tslar ersanalty knawn o me or haslhave praduced
<br /> as idenUfication. as identffication.
<br /> 1 •
<br /> r
<br /> Notary Public Notary Public
<br /> , ,
<br /> mission mission No.
<br /> ���N1y p4j4� SYIYIA A.CAMPBELL � ;�;►A';A;;e�.; 'SYLYIA A.CAMIPBEtI
<br /> �p't1� U��r �O .+:
<br /> Name of Nota �'y t��� ° xp'rres Ju!19,2017 Name of Notary typ .�t��m..Expires Jut 1$,2Qt7
<br /> %�, `� Commission�FF 03Q230
<br /> •'�:,�oF f�u;:�'• Cammission#FF 034230 °�n,g;;,,.�'�� g�nded'throu h Hationil N61a Assn:
<br /> 'J��+�����' Bonded'fhrauph Nation�l Notary Assn: 0 � �
<br />
|