|
� �
<br /> NOTICE OF DEED RE3TRICTtONS: The undersigned understands that this.permit may be subject to"deed"resUfctions"
<br /> whtch may be more restrictive than Counly regulations. The.underslgned assumes responstbility for compliance with any
<br /> appllcable deed res�iottons.
<br /> UNLIGENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the pwner has hired a contractor or
<br /> contractors to undertake work,they may be requi�ed to be llcensed in accordance with state and laca!regulations. if the
<br /> contractor 1s nat ticensed as requ3red by law, botts the owner and contractor may be eited for a misdemeanor viofation
<br /> under state law. If fhe awner ar intended contractor are uncertain as to what licensing requirements may appty for the
<br /> intended work,they are advised to contact the Pasco County Buiiding Inspection Division--Licensing Sectlon at 727-847-
<br /> 8009. Furthermore, if the awner has hireii a contractor ar cantractoss, he Is advlsed to have the cqrstractor(s} sign
<br /> portions of the"contractor Block"of th(s application for which they will be respons(ble. if you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properfy licensed and is not entitled to permftting privileges in Pasco
<br /> C�oursty.
<br /> TRANSPORTATION IAAPAC7/UTILITIE3 IMPACTANLI RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transport�tion Impact Fees and Reoourse'Recovery Fees may apply to the construction of new bufldings,change of
<br /> use#n exis#ing bulidtngs,or expanslon af exlsting bulid3ngs,as specifi�ed in Pasco Gounty+4rdlnance number&9-07 and
<br /> 90-07,as amended. The undersigned aiso understands,that suoh fees,es may be due,wili be identifted et the time of
<br /> permitting. .It is further understaod that Transportation Impact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or flnat power retease. It ihe proJect does nat Involve a certifica#e of occupancy af
<br /> floal power reteese,the fees must be paid prior to permit issuance. Furthermpre,�f Fasco Counry Water/Sewe�tmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Coun#y ordinances.
<br /> COH87Rt1GTiQN L!€N LAVY(Chapter 793,Fiortda Statutes,as ars�ended}: tf vatuaUon 6f work is$2,500.00 or more,{
<br /> certify that i, the applicant, have been pravfded with a copy of the,"Ffonda Carsstircaction L3en Law—HomBpwner's
<br /> Protection Guide"prepared by the Florida Department af Agriculture and Consumer Affairs. If the appticant is someone
<br /> other than the"owner",!certify that I have ablatned a capy�af the above described document and promise in good faith ta
<br /> deliver it to the"awner"priar to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compllance with all applicable laws reguleting construction,zoning and land develapment. Applicatlon is �
<br /> trereby made to obtain a permlt to do wartc and ins#a4latian as indtcated: 1 certify that no work or 3nstal#ation has
<br /> commenced prior to issuance of a permit and that all work will tie performed to meet standards of all laws regulating
<br /> construction. County and C(iy codes, xaning regulatlons, and land development regulations in the jurisdictian, I alsa
<br /> ce�tify that!understand that the regutations of other gavernmenf agenqies rnay apply to the intended work,and thaf it is
<br /> my responsibility to identify what actfons I must take to be in complfance. Sucti agenc(es inciude but are not Nmited to: •
<br /> - DepartmeM of Environmental Protection-Cypress Bayheads,Wetland Areas and Enviranmentally Sensitive
<br /> Lands,WateriWastewater'Creatrnent.
<br /> - Southwest Florida Water Management District-Welts, Cypress Bayheads, Wetland Areas, Aliering
<br /> Watercourses.
<br /> - Army Corps�f Engineers-3eawalts,Dacks,Navigabie Wat�rways.
<br /> - Departmen2 of Health & Rehabilitative ServicesJEnvironmentai Neaith Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - t!$Environmenia!Protectlon Agency Asbestos abatement.
<br /> - Federai Aviatton Authari#y-Runways.
<br /> I understand that the fallowing restrictions apply to the use of fill:
<br /> - Use of.fill is not allowed in Flood Zone°W uriless expFessly permiited.
<br /> - If the fiEl ,materia! is ta be ased En F1oad Zone "A, i# is undersfaod thaf a drainage pian addresstng a
<br /> "campensatMg volume"will be submitted at time of permltting which is prepared by a professional engineer
<br /> Ilcensed 6y the State of Florida.
<br /> - if the filt mater�ai 3s ta be used in Flood Zane A' in cannecitar�wlth a pesmitted bulEdEng �sing stem wail
<br /> constructiqn,I certify that flll wiil be used only to fill the area wikhin the stem wall.
<br /> - If flll material is to be used in any area, I certify that use of such fill will.not adversely affeqt adjacent
<br /> propertles. !f use at`fltf ts found ta adqersety.afEect adJacent prape�3es,the owner may be ciked for v�ofaftng
<br /> the canditions of the bullding permit issued under the attaahed perm(t appiication,for lots less than one(1)
<br /> acre which.are elevated by flll,an engineered drainage plan is required,
<br /> if i am the AGEN`f FOR 7HE OW�IER,i promise in gaod falth to lnfasm the owner of the perrraittlrrg conditians set forth in
<br /> this affidavit priar to cammencing construction. I undetstand that a separate permif may be required far elecfrical work,
<br /> plumbing, signs,wells, pools, air conditloning, gas, or other installations not specifically included in ihe appUcation. A
<br /> perrnl#lssued shatE 6e cortstrued ta he a ltcense to proceed with the work and no2 as authoriky fo vialate,cancet,alter,or
<br /> set aside any provisions ot the technicai cades,nar sha11 tssuanee of a permi#prevent the Buitdi�g OfflcFal from thereafter
<br /> requiring a correction af ercors In plans,eonstruction or violations of any cpdes. Every permit issued shall become Invalid
<br /> uniess the work sutt�arized by such permit Is coirtmenced within six months of permit tssuance;or if work authorized by
<br /> the permit is suspended os abandoned for a per�ad a#six(6}months after the time the wark is cammenced. An extension
<br /> may be requested, in writing,trom fhe Building Offic(al for a perlod not to exc:eed ninety(90)days and will demonstrate
<br /> just#fiable cause for the extenston. !f work ceases for nlnety(90)consecuiive days,the Job 3s constdered abandoned.
<br /> WARNING TO OWN�R: YOUR FAILURE TO RECORp A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYlNC,TWICE FOR IMPROVEMENTS TO YOUR�PROPERTY. IF YOU INTEIdD TO OBTAIN FINANCING,CONSULT
<br /> W1'fH YOUi2 l.�t�DER OR At3 TTORN Y B FORE CORDING Y UR NO7'IC�dF CON[ GEMEN .
<br /> FLORIOA JURA'F(F.S.117.03 �{�,�
<br /> OWHERORAGEIdT ^ CONTRARTOR �..— 'IV�-
<br /> '�ubsai ed snd m ta(or mte beEore me this u scribed and sNro ta{or�Nlrmec�petare me thts
<br /> .t�bY�;�i�� ��.�p ��b�.�na�ee �
<br /> Who Is/are�personell kn to me or hesJhave roduced Who is/arn nersonaly knovm lo me or hesfiave produced
<br /> �!.UL esidenUticatlon. �� asidontlttcatlon.
<br /> �,�'1r�,��/� ���, Notary Public ��_, Notary public
<br /> U /}
<br /> Commlasion No.�F�`7`fOI Commission No.�
<br /> :'.'tv�,��`�,�t�'ota�v.}��tu'�e""'—�t� iNSER t�er�s hot� ',�:P�n�`���YA�lbil S�R
<br /> o �
<br /> ,�.�.�; MY COMMISSION�!FF217901 -YT�:�, MY COMMI�SION#FF217901
<br /> •'.'os�;,d;°' EXPiRES April 07,2Q19 �.� `�` pr�!07.203$
<br /> � e� � oFh,r` EXPIRES A
<br /> ���53 ^ `F�ond.iNo;a��Senticp.orr ���>>3`�-0'53 Fb�iaallo:aySeryiCe,com
<br />
|