|
" .. _� ��.���<.�
<br /> , �
<br /> NOTtCE OF DEED RESTRtCT10NS: The undersigned understands that this,,permi#.may be subject to"deed".restriction_s" �
<br /> which may_be more..restrictiue than County regulations: The�undersigrted�assu`mes`responsibility�#b�cbmpliance witFi'aiiy `�"`
<br /> applicable deed cestrictions. ,.�-� ��, `,��'
<br /> UNUCENSED CONTRACTORS AND CQNTRACTOR RESPONSlBI�ITIES: !f the owner has hired-�a=:contractoc or
<br /> _... .
<br /> contractors�to undertake�work, they may be required to be°licensed in accordance with state.and local regulations: lf�.the � �
<br /> contractar.is nat ticensed as required'by'law, botN`#he owner and�contractor may��be cited�`fo�:a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what Iicensing requirements:may•appiy°for:.tfie.--" � !
<br /> intended work; they are advised fo caritact°the Pasca Counfy Buifding Inspec#ion�Division=Cicensing Sect+on at 727-847- ,
<br /> I 8(109. �Furthermore, if the owner has�hired��a contractor ar coniractars, he is advised ta:�have the contractor(s)_sign , '
<br /> partions af khe "contractar Block° of this application far which they inri!! be responsible. !f you, as`tl�e.owner sign as`tlie" ` ' �
<br /> contractor, that may be an indication that he�is not properly licensed and is not'en#itled to permitting privileges in Pasca,, , _.
<br /> County. , � _
<br /> TRANSPORTATtON tMPACT/UTILITIES IMPACT AND RE3t3URCE RECOVERY FEES:'The undecsigned understands �
<br /> that Transpartation Impact Fees and Recaurse Recovery Fees may;appty to the construction af new buildings, cfiange�at�=i
<br /> use in existing buildings, or expansion of:existing�buildings, as specifled in Pasco County Ordinance number 89-Q7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as rnay:be due, will-'be:;identifisd at;ttie�t9riie�of �
<br /> permitting. It is further understood that Transportatian Impact Fees and Resource�Recovery: Fees must be paid prior to
<br /> receiving a "cectificate of occupancy" or f+nat power release. lf the project daes not involve a certificate of occupancy�oc,. �
<br /> fina( pawer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer.-Impact',� :
<br /> fees are due, they must be paid priar to permit issuance in accardance with applicable Pasco Caunty orclinances.
<br /> CONSTRUCTlQN LIEN LAW(Chapter 713; Flarida Statutes,as amended}: If valuation af work is$2,50QA0.or more,_!,F
<br /> cerkify that I, the applicant, have been provided with'a copy of .the "Florida Constructian L:ien Lawr=Homeowner's
<br /> Protection Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant�is someone .
<br /> other than the"owner", I certify that I have obtained a copy of the abave described"'document and promise�in good�'faith to'.,
<br /> deliver it to the�"awne�'prior to commencement. '
<br /> GONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that ali the information in this appiication is accurate and�#hat aII worR
<br /> r�rill be dane in compliance with afl applicable laws regulating construction, zoning and land-develapment. Appiicatian, is
<br /> hereby made to obtain a permit to do work-and installation as indicated. I certi#y that no work or_installatian has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of a!! laws regulating
<br /> construction, Counfy and City codes, zoning regutations, and land development regula#ions in the jurisdiction. I also
<br /> certify that i understand that the regu(ations of other government agencies may apply to the intended work, and that i# is
<br /> my responsibility to identify what actions I must take to be in compiiance. Such agencies include but are not limited to: ,
<br /> - Departrnent of Environmental Protectian-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> �ands,WaterMfastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigabie Waterways,
<br /> - Department of Hea(th & Rehabilitative Services/Environmental Heaith Unit We(Is, Wastewater Treatment,
<br /> Septic'Fanks. � .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> t understand that�the following restrictions apply fo the use af fill:
<br /> - Use af fill is not allowed in Flood Zane"V" unless expressly permifted,
<br /> - If the fill materiat is to be used in_ Fload Zone "A", it is understoad that a drainage ptan addressing a
<br /> i� °compensating valume° will be submitted at time of permitting which is prepared by a professional engineer �
<br /> � (icensed 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 /> constructian, I certify that fi11 will be used only to fill the area within the stem wall.
<br /> - Ifi fili �material �is'to .be used in any area, I certify that use af such�fili wiit not adversely affect adjacent
<br /> i properties. (f use of fili is faund to adversely affect adjacent properties, #he owner may be cited for vialating
<br /> the conditions of the building pecmit-issued undec the attached permit applicafion,.for lots less than one {'I}
<br /> � - acre which are elevated by fill, an engineered drainage plan is requited. ,
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forkh in .�
<br /> this affidavit pcior to commencing construction. 1 understand that a separate permit may be required for electrical work, "
<br /> p(umbing, signs„we11s, pools, air conditioning, gas, ar ather instatlations not specifically included in the application. A �
<br /> permit issued shait be construed ta be a license ta proceed with fhe work and not as autharity to viatate, cancel, aiter, or
<br /> set aside any provisiorts of the technical codes, nor shall issuance a#a permit prevent the �uilding Ufficial from thereafter
<br /> I requiring a correctian af errors in plans, construc#ion or violations af any codes. Every permit issued shal! beeome invalid
<br /> unless the work authorized by such permit is commenced within six manths of permit issuance, or if work authorized by
<br /> � #he permi#is suspended or abandoned for a period-.of six(6) manths after the time the work is commenced. An extension
<br /> may be requestecl, in writing, from the Building Official for a periad,not to exceed-ninety (90) days and will demonstrate -
<br /> justifiable cause far#he extension. If work ceases.for ninety(9d)consecutive days,the job is considered abandoned.
<br /> WARNlNG TO QWNER: YOUR FAILURE TO RECORD,A NOTICE:OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR,PRQPERTY.:.IF YO,U:INTEND-TO OBTAIN FINANCING,CONSULT
<br /> _.�.�Wi?.kLYQURtE1tiDER-�R.�aR!-e+�-�'1"�E7IdEYBEFOF2E�E?�CCbR636El�Y�vi:O�t-i�."i.'Pi�E�ur=" f�i�nnnCF��Ei�ii�NiY�--"__ _ _ _.___ _
<br /> FL4RIDA JURAT(F.S.117.03} -^ '
<br /> G� j���,,
<br /> QWNER OR AGENT - � . CONTRAC70R l .
<br /> Su ab d,,�td swo to or a , ed b me this T S�b,c�be a�sawarii t or a � ed) efore this
<br /> ' � by � r7�o��C.-'}.� Y �����:���-"�.�
<br /> o is/are�ersonalty known„�p me or has/have produced ` Wha is/are.�elsanally known to me or has/have produced
<br /> � as iden'�f'ica6on. as identiflcatian.
<br /> ;
<br /> . � �
<br /> Public Notary Publia
<br /> Commisslon No. T-"�������� Commission No. �� ��C)� O � �
<br /> ���s�-t.�.,t C..��� -�4 ��'�-�.�'_�. t._..�-��I�-�' _ �
<br /> 'i iUa' , ,r�i+�rr�'iiY�ri� � Name of No d i � r �ar�, :� �
<br /> �\IIIIy �rti���i��V�
<br /> ..r�� Y �yNt�p�,�+r�
<br /> � ,��P� ��-,,, SHERRI L LAfilTBN
<br /> :.� .�? IlatitY Pu611C-SCt�t�t��lOrid� �:� ,°: i�ptary Public-Stats of�lorida
<br /> :J'�,• , •q,:
<br /> Cammission N PF 970389 °" '� Comm#�a1on#►PF 970369
<br /> �'�',%�����,.;;;o My Cornm Expires Mac#8.2020 w'�;' F cg'�•' My Gomm.Erplros Mar 16.2020
<br /> �:�n�t+
<br /> j.. . # d _
<br />
|