� e
<br /> .. . ._... . ..--. ... . . . _,. "........... ... � ::��•:;�, .:.:': .....,^ .i... :..�-�,�. .�.,....�.: Y..,.,a, .�.. =,-.�^. ..�.,.�n,' �;� �:,.,_
<br /> NOTICE OF DEED.RESTRICTIONS: The undersl ned,understands�;th�t:this<. .�rmifma sbe.sub ect.to,deed..,resUictlons .._�...r-.Y
<br /> which may be<more"restFictive�th���County��regr�lat(ons: Tiie°underslgned�assumes�respongibility��for`compllance witfi any� � ��
<br /> appNcable deed-restrictions. _ • ' _ „ � • � . .-
<br /> UNLICENSED� CONTRACTORS :AND CONtRACTOR RESPONSIBILITiES: -°If°the~owner hasy�hired �a`conhactor or
<br /> contractors to undertake work, tFrey may-b.e;�r.equiredr_to--be;licensed in,accordance.with.state.and;:local wregulations:��if�the� � �°���"
<br /> contractor�ts=riot-llcerised-as requlred'tiy lew, tioth the owner and��contiactor°may�be°cifed�for�a��mtsilemeanor violation
<br /> under state law. If the owner or Intended�;co,n,tr;a�tor;are:;uncertaln as to what Itcensing;requirements�mayr�apply�:��for�.the"n�- �- �����
<br /> t. :,.�.:_�,, . ,
<br /> ... - - ....
<br /> intended work;tfiey are`atl`vised fo contact the.Pasco County,Building.'inspection:Dliils(on-�-Licensing'Sectton at 727-947-
<br /> 8009. Furtfiermore, If the ovirrier has�Fiired�a contracto��or contractors. he Is advised to have :the contractor(s),isign. _
<br /> portions of the_"contractor Block°_of this_appllcatlon._for�which.they,will.be-r.esponsible.-.If you;�as.the owner"`sign�as''the " -
<br /> contractor, that may`be an indication thaf`he=1s not:properiy 1lcensed�`and-'is'not entitled fo permittl`ng�priiiilege§ In Pasco ,
<br /> County. , :�;�.° ._. � ,
<br /> TRANSP;ORTATION-IMPACTNTILITIE$�rMPAC'I��ANb RESOURCE RECOVERY�FEES: �T�he underslgned understands
<br /> that Transportatbn Impact Fees and.Reco.urse Recove.ry.Fees may��applya#o�tf�e constructlon_of new..buildings�ichange�of�����==. ,`-�
<br /> use In existing buildings, or:expansibn�faf�ezietin�;buildings; a§ specffied.in Pascq County Ordinance number 89-07 and,,
<br /> 90-07, as amended.:F�"�he understgned aiso;urtderstands, th�t:�such fees���as�may::be�:due;,wlll,be tdentffied at the�'time'of�' v` - -�
<br /> ermittin It Is further understood that Tra�isportation Im act Fees and'°Resoucce.�Recorie�' Fees,must be ald rior to
<br /> P 9• P �� rY� P P
<br /> �ece�ving a 'cerffficate.=of�occupancy° or flnal��power.�elease: :If'the.proJect:.does:not trnolve�a=:certiticate of occupancy�=o�������='�� ' •
<br /> flnal power release;�tfie-;tees mu�t��be�paid;p�ior to;permR Issuance. F�tthermore;��ff:.Pascv,C�ountyAlNater/Sewer-;lmpact •� ,. <
<br /> fees are due,.they_�must.be=paid=;prior#o permit:riss4anee=ln_accordance wltli:applloatile.Pasco'.County�ordinances. •
<br /> CONSTRUCTION"LIEN'L:AIN(Cliapter 713� FlorXda$tatutes�a�amended); Ifi valuadon of work is$2,500.0_0._.oc�more,:t � -�;;x:�
<br /> certify tFiat-I� lhe.-appiicant,�have„been :provided�with. a=copy�of the �"Fiorida �onstruct(on� Llen Law—liomeowner's
<br /> Protectfon Guide" prepared by tFie Flo�ida Department_of Agric.ulture and Consum�r;Aftairs. If the applicant is someone ,. <
<br /> other than the'ow�er", I cert(fy.that,l.h:�ve,.ob.tained�a=eopy;of:#he:above.:riescribed�focuri�ent-and.promise�:in,good:..faith,to •;�r
<br /> deliver ft to.:the�'owner.":p�ior'to=c:ornmencement:"' � ' '�" � ' 'A � '' . -
<br /> CONTRACTOR'S/OWNER'8 AF�IDAVIT: I.certiijr,;that,.all�..the;information:.in thi�appllcatlon is accurate and that all work
<br /> >,t„
<br /> will'be done in compliance with all.appltcable laws regulating constructlon, zoning and��land deyelopment. Application,,Is
<br /> hereby made to obtain..a permit.;Co�do:work4;and;�insfallation as indtcefed:�-.-l. certify`that no work'=or Installatton tias`�
<br /> commenced p�io�to I'ssuance'of'a perrriit�"and that�:all work will be pertormed�to meet standards�-of.all laws regulating-_
<br /> conshuction, County and City codes� zoning regulatians, and land development regalatlons�in the jurtsdiction.'� I al'so.. . _.
<br /> certify that I u�derstand that the regulations of other government agencies may�apply�to the Intended work, and that it (s
<br /> my responsibility to identlfy.what,actlons I must�take:to.be,in�corr�pllance;. Such.agencles include but-are.not iimited to:
<br /> - Depaitment of Et�vlronmental�Protection=Cyp'ress.`B�jiheads�;�Weaand Areas and Envlronmentally Senslttve
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest FloNda Water Manageriient"::Dlstrict-Wells, -Cypress.} Bayheads; Wetland Areas, Altering
<br /> Watercourses. �. � �� . ,
<br /> - Army Corps of Eng(neers�Seawalls,'Docks, Navfgatile Waterways.
<br /> - Department of-Health;;;&-.ReY�abllltative ServlceslEnvfr.onmenfal .F�ealth Untt-Wells� Wastewater�Treatment,
<br /> -- : :- - . .
<br /> Se�tic'Tanks.. �_. : � - -
<br /> - - - -----=----
<br /> - US Envlronmental�cot�ctlon Agency-Asbestos abatement....- -
<br /> Federel Avletivn_Authorl,ty=Runways3�� �
<br /> I understand.that the,following;`rest�lctl'ons apply to the use of flIL•
<br /> - Use of fill Is not allowed In:Flood:Zone"V"unless expressly permltted.
<br /> - If the•flll"materlal-Is to�b.e used���ln :Flood Zone. "A°, It. Is understood��that a dralnage plan address(ng a
<br /> °compensating volume"will be subm(tted at time of,permifting wFilch is prepared by a profess(onal englneer �
<br /> Ilcensed by the State of=Flo�lda. -� �
<br /> - If ih� flll materlal-is�to be.used tn Flood Zone 'A" Irn connection•wlth�a permltted building using stem wall
<br /> construction, I ce�t(fy that fill:wall:h.e�used only.to.fill the area wlthln�the�stem�wall:
<br /> - If flll materlal Is�to be used In any area, I �certffy that .use. of�such�flll wlll not adversely affect adJacent
<br /> propertles. If use of flll Is found.to adversely:affect adJacent��pra�pertles�.the owner may be clted for vlolating,
<br /> the conditions�_of..the bullding;permlt Issued-under the�at�achedvpermR�appltcatlon� for;lots�:less>than:one (1)
<br /> � acre wlilch are elevated`tiy fllt; a�t englneered dralnage plan Is requlred. . •�
<br /> If I am the AGENT FOR_THE OWNER;.I;promise In good falth to Inform the owner of•the permltting condftlo�s set forth In
<br /> this atfidavtt'prtor to commer�cing construcUon. I understand thet a.separate permlt may be requlred for electrlcal work, .
<br /> plumbing,..signs, wells,.,pools;. alr condltioning,.gas�'.or othe� Insta�ll�ttons not.spec�lcally Included�in.the�applfcatlon. .A
<br /> permlt Issued shall be construed to`be��a�Itcense��to�proceed wlth tNe_work and not�as:authodty:to:.vlolate,�'cancel, alter, or
<br /> set aslde any'provisions of tlie teclinlcal.codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Oi�iclal from thereafter �
<br /> requlring a correctlon af eRors_In;plans; constructlon.:or vlolaUons ofany codes:� Every•�p�ermlt=lssued sfiall-becorrie�-invalld
<br /> unless the work authorized.by such permlt:�s-commenced�wlthln sGc,months of�pennit Issuance� or If work authorized by
<br /> the permlt Is suspended�.or.abandonedAfor.a�:perlod,ofslx�:(H)�montiis:aRer the tlme the�work>Is commenced. An extension
<br /> may be requested,_In writing,_from�tHe:�Bullding.Offlclal�for a perlod.�not to.exceed•ntnety,(90)��days and�wlll demonstrate
<br /> justifiable'cause for.�the extension: If work ceas�s.for nlnety.(90)cons.ecutive.day.s...the job�is constdered aba�doned.
<br /> . .;.: . . . , _. �. , .. . ,.
<br /> WARNING TO OWNER: YOUR..FAII.WRE,TQ.,REC.O�tD,A�N.OTIGE:OF.�COMMEMCEMENT-.NFAY=RESUlT IN��YOUR
<br /> PAYING TWICE:FOR,.IMPROVEMEIVTS�.TO:XOUR�:PRL�PER-TY:WI�°.YO.U{II�F'iEND�`T0=i0BTAIN�FIN�►PIEING;'C.ONSULT
<br /> WITH YOUR I�END@R OR AN�i4TTORN��f�ORE�RE�OR�ING�YOUR�'NOTIC�'aF Cd�ilA11ENC�E�IN�7'�. "
<br /> FLORIDAJURAT�(F.S:1.1T.03} .. , . . . - . _ ' . . ' ' ` .
<br /> OWNER OR AOENT . CONTRAGTOR ' . - � �
<br /> Subscribed and swom to(or affirmed)before me thls Subecrlbed'and'swom•to(ot aHirmed)�before me fhtg.
<br /> by _,.by... . �. . ,
<br /> Who Is/are personally known to.me or.has/have.produced Who.ls/are p.ersonallyknown•to nte.or haslhave�produced• •
<br /> as IdenUflcatl4n:- as IdentlBcadon.
<br /> Notery Publlc . Nofary Publlc,
<br /> Commisslon No: Commleslon No. �
<br /> Name of Notary typed,printed or stamped Neme of Notary lyped,printed or atamped
<br />
|