|
, ' NOTICE OF DEEb RESTRiCTi013S: The trndersigned understands tha#this permit may be subject to"deed"restr'rctions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility far compliance with any
<br /> appifcabte deed restrict4ans.
<br /> UNGiCENSED CONTt2ACT4RS At3D CQ�tTRACTOR RE3POPlSiBiLI7iES: If the owner hss hlred a cantractor ar
<br /> contractors to undertake wQrk,they may b�required to be licensed in accardance with state and lacal regulations. if the
<br /> � contractor is nat licensed as required by law, both the owner and contraatar may be cited for a misdemeanor violation
<br /> under state iaw. If the owner or intended confcactor are uncertain as fo wha#IicensEng requiremerrts may apply far the
<br /> I intended work,they are advised to contact the Pasca County Building Inspectfon Division—Licensing Section at 727-847-
<br /> ' 8Q09. Furthermore, if the owner has hfred a cant�acko� or contractors, he is advised ta have the contractor(s) sign
<br /> ; partions af#he"contractor 8lock°of this apptication far whlch they will 6e respansib4e. If you,as the owner s[gn as Ehe
<br /> cantractor,that may be an fndication that he is not properly Iicensed and is not entitled ta permitting privileges in Pasco �
<br /> County.
<br /> T3tAhiSPORTATtON iMPAC'F1llTIUTtES tiYtPAC?AIdD RESOURGE REGOVEi2Y FEES: 7he underslgned understands
<br /> that 7ransportation Impact Fees and Recaurse Recovery Fees may apply ta the canstruction of new buildings,change of
<br /> use in existing buiidings,pr expanslon of existing buildings,as specified in Pasco County Ordinance numher 89-07 and
<br /> 90-07, as amended. The unders'sgned also undersfands,fhat such fees,as may be due,witl be iderttified at the fime of ,
<br /> permitting, It is furkher understood that Transportation Impact Fees and Resource f2ecovery Fees must be paid prior to
<br /> �ecelving a"certificate of pccupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> 11na1 power release,#he tees must be paid prior fa perm3t 3ssuance. Furthermare,if Pasca Gounty WaterJSewer Impact
<br /> fees are due,they must be paid priar to permit issuance in accordance with applicable Pascn County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Fiorida Statutes,as amended): If valuation af work is$2,500.00 or more, I
<br /> certify that E, the appl3cant, have been provided wjth a copy of the "�torida CanstructEan lisn Law—Hameawner's
<br /> Prqtection Guide"prepared by the Florida Department of Agricuiture and Cansumer Affairs. tf the app(ieant is sameone
<br /> other than the"owner",I certify that I have obtained a copy of the above described document and pramise in good faith to
<br /> dellver it ta the"awner"priar ta commencement.
<br /> COWTRAC70R'SIOWNER'S APFIDAVIT: !certify that ail the infarmation in th3s applicafion is eccurate and fhat all work
<br /> will be done in compiiance with aii epplicable laws regufating construcfion,zoning and land development. Application is
<br /> hereby made te obtain a permif ta do work and insta}tatlon as indicated. f certify that no work ar instaliation has
<br /> commenced prior ta issuance of a permit and fhat ai{wprk wiil be performed to meef standards af atl iaws regutating
<br /> epnstruction, Counry and City codes, zoning reguletions, and land development regulatlans in the jurisdiction. I also
<br /> � cert(fy that i understand that the regulations of ott�er government agencles may apply ta the Intended work,and that it is
<br /> ' my responsibilfty to idenfify what actions 1 must fake ta be in compliance. Such agencles Inc{ude but are nof iimited to:
<br /> - Department af Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlUVastewater Treatment.
<br /> - Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterv��ays.
<br /> - Depar#ment ot' tieaith & Rehabilitative SenricesiEnvironmer�tai Health llnit-Weiis, Wasfewater Trea#menf,
<br /> Septic 7anks.
<br /> - US Environmenta!Protection Agency-Asbestos abatement.
<br /> - Federa(Aviation Autharity-Runways.
<br /> I understand that the fol�oWing restrictions apply to the use of fill:
<br /> - Use of flll is no#allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill maEerial is 4o be used in Flaad Zone "A°, �t is understaod #ha# a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiil materfiai 3s ta be used Pn Flo�d Zane °A° In cannectian wi#h a permiited buiid�ng using stem wati
<br /> construction,1 certify that fill wii(be used only to fiii the area within ihe stem wai(.
<br /> - If fill material is to be used in any area, I certify that use qf such fi�l will not adversely affect adjacent
<br /> propefties, if use aE titE is found to adversely affect adJacent propesties,the owner may be cited for v3olating
<br /> the conditions of the buifding permit issued under the attached permit application, for lots(ess than one{1} ;
<br /> acre which are elevated by fill,an engineered drainage plan is required. '
<br /> i ff 1 am the AGENT POR 71iE 4WAtER,i promise in good faith to iriform the awner of the permitting canditions sat forth in
<br />� this affidavit prior to commencing construotion. I understand thai a separate permtt may be required fer etecfrical work,
<br />, plumbing, signs, welis, ponls, air conditianing, gas, or other installations not speoifically Included in the application. A
<br />� permit issued sha!!be construed ta be a 3icense io ptoceed with the wark and nat es authadty to violate,cancel,alter,or
<br /> set aside any provisions af#he technicai codes,na�sha{{issuance of a pe�mit prevent tfia 8uild(ng flfficiai from theeeafter
<br /> requiring a correction of errors in plans,canstn.iction or vialations of any cades. Every permit issued shall become invalid
<br />� unless the work authorized by such permit is commenced within six months of permtt'sssuancs,os if wark autharixed 6y
<br /> the permit is suspended or abandoned fo�a period 4f six{6}monfhs aitee#he time the work is commenced. An eutensian
<br /> may be requested, in writing,from the Bu3lding Official for a period not ta exceed ninety(90) days and will demonstrate
<br /> I justifiable cause far fhe sxte�sfon. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO QWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />� pAY1NG'iWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB7AIN FINANCING,CpNSULT
<br />' Wt'fH Y4t3R LE(dpER QR AN ATT4RNEY BEFQFtE REG4RDlNG YflUEt NOi'ICE OF GOMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) n
<br />� OWNERaRAGE99p .l�z{a+..���--�1 CONTRACFO�,,,�rwr,� S� ('�-�_
<br /> scribad and� m to(ar a�nned)befote me fhis G�bso`;d and bwa,,,��r�tmed}6ei re m,�fhis
<br /> Y� ._(`�LZ� Y `�
<br /> Who is/are p ally known me or has/ti e produced Who is/are pe on nown to e or asJheve produc d
<br />� as identitica8on. aS identiflcation.
<br /> �...r.. �"
<br /> _ Notary Pubifa Notary Pubitc
<br /> Gommission No.�-�"�lA,�t t�� Commission No.�� ��.D J�� J �
<br /> ' Nameof ota ypnnt������ x�KERSbN I
<br /> ;�:'t""���;: AMA�dDA ACKEFtSON ��'��=
<br /> �'� '" CvtY CflMt+AISSSON#FF$63676 � '"= �Y COMMISSION M f F963675
<br /> ;���,;: y �.'';�.. ��.# EXPiRES Febfuary 23.2D24
<br /> � EXPIRES Februar 23 2020 ��
<br /> �r�, I+IC71398-0i53 �Iu�dallo:aySemcecun' ,
<br />(I /4C�1 348-0753 FloridallomySernco c�n'
<br /> L i
<br />
|