|
�
<br /> ..,___ �....�-�sr�,�.����::_�:���:-..:�:���.�.�_�4,}�<�;.
<br /> r ,
<br /> R�OTiCIE C9F DEIED RE�TV4BC'�'IQNS: The undersigned understands.that this,permit may be subject to°deed"restriction's`',,;.;.';.
<br /> which..may�:be;moce:restrictive�than Cownty tegulations. �1'he�undersign'ed`<assum`e's��respoiisiliality`�forticorri'pliance�inritii��ariy` "
<br /> app(icabte deed res#rictions. . , . . ,� .
<br /> U�ll.lCE�15�D-�ONTl2ACTC?RS AidD �Of�TRAC�'�62 9�ESAQNSIBILiTi�S: if�tfie ovvner has hired��a��contractor�or
<br /> con#ractors to undertake�work, they may be r:equired,ta be:licensed in accordance with state and iocat regulations:-. If:the==� �
<br /> contraator is.not licensed-as required tiy'`lav+r, both�the owner and:contract6r�rriay-6e-cifed-�€or-:a rnisdemeanor viaiation
<br /> under state law. If the owner or intended contcac#or are uncertain as ta what licensing requireaiaentse�may�aappEy for.;.ttie:�
<br /> '.�..,y..f..::.�
<br /> intended wor.k,.they..are.advised to contact`tFie'Pasco County Building Inspection�DiVision--Licensing Sectian at 727-847-
<br /> 8009. Furthermore; if the owner has fiired-�a contractor or cantractors, he is advised ta �have the contractor(s). sign:. ,
<br /> portions of the "contractor Block" of this application far vuhich they will be responsibie. If you, as�`tFie'oviine,'r"'sigri as`"th'e
<br /> contraator, #hat may !ie an indication that he is not properly licensed and is nof entitied�to permit#ing priviteges in Pasco
<br /> County. � �
<br /> TEt�IdSPORT1�TtO0V Ii�dP�ACTLUTILITIES 114�PACT AiND RESOIDRCE R�COVERV FEES: The undersigned understands
<br /> that Transportatian impact Fees and Recourse Recavery Fees may:;apply to the construction of.new buildings, cHange$of��' '
<br /> use in existing baildings, or expansian of:existing�buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned-also understands, thaf such.fees, as�may.bs.due, will i5e�identified at�the�fiiiie�afi"� '`
<br /> permitting. It is further unclerstood thak Transportation lmpact Fees and Resaurce':Recovery Fees must be paid prior to
<br /> receiving a "certificate af occupancy" or final power release. If the praject does not involve a certifcate of occupancy.or.��
<br /> final power release, the fees.must be-paid prior to permit issuance. Furthermore, if Pasco County WaterlSewec Impae#
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ardinances.
<br /> �0�1STRUCTIOR9 �:IEi� �f��f(Chap�er 7�03,-�lo,e�ic4a S#at�age�, �� am�nd�cd): If valuation of wark is$2,500.00 or more,.,l�;
<br /> certify that 1, #he applicant, have been provided with a copy of the "Flarida Construe#ian Lien Law—Homea�rner's
<br /> Profiectian Guide" prepared by the Florida Department of Agriculture and Consumer.Affairs. If the app(icant:is someone
<br /> other than the"owner", I;certify that I haVe obtained a copy of the above describsd`document and promise-in good faith to
<br /> deliver.it to the.`°owner" priar ta commencement.
<br /> CUi�TRACTt3R'S/�'6�i���'�AFFtD�►NI'�`: I.certify:.that all.the informa#ion in this application is accurate and that alf work
<br /> will be dane in compliance vvith a!1 applicable�iaws reguta#ing construction, zoning and-land develapment. Applicatian is
<br /> hereby made to obtain a permit,to do ,work-and insfallation as 3ndicated. 1 certify that na wark or insta(iation has
<br /> commenced prior to issuance of a {aermit and�that all wark will be performed #o meet standarcis of a11 laavs regulating
<br /> construction, County and City cades, zoning regulations, and land development regulations in•=the jurisdiction. ! also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended wark, and that it is
<br /> my respansibility to identify what actions t musf take to be in campliance. Such,agencies include bu#are not limited.to:
<br /> - Department of Ertviranmental Protection-Cypress Bayiieacis,'UVetland Areas and Environmentally Sensitive
<br /> Lands,WaterMfaste�nrater Treatment.
<br /> - Southvuest Florida Water Management Distric#-We{!s, Cypress 8ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
<br /> - Department of Heaifh & Rehabilitative Services/Environmen#ai .Hea(th Unit Wells, Wastewater Treatment,
<br /> Septic`Tanks.
<br /> - US Environtnenta!Pratection Rgency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> I understand that the follovving restrictions apply ta the use of filL•
<br /> - Use af filt is not aliowed in Flood Zone"V"unless expressly permitted.
<br /> - if the fifl material is to be used in Flood Zone "A"', it is understaod that a drainage ptan addressing a
<br /> "compertsating volume" wiil be submitted at time of permitting which is prepared by a professional engirieer
<br /> licensed.by#he State of Florida.
<br /> - If the fill material is to be used in Flood Zone °A" in connection with a permitted buifding using s#em vuall
<br /> construction, I cer#ify that fill will be used only to fill the area within the stem wall.
<br /> - if fiii materiai is ta be used in any area, 1 certify that use of such�fill will not adversely affect adjacent
<br /> properties. If use af fill is found to adverseiy affect:adjacent properties, the ovuner may be cited for vialating
<br /> the canditians of the�building permit issued under-the attached permit application, for lats less than one (1}
<br /> acre which are elevated by fill,an engineered drainage plan is requited.
<br /> If I am the AGER�T FCDR TH��1lM��R, I promise in goad faith to inform.the owner of the permitting conditions set forth in
<br /> this affidavit prior#o commencing construction. I understand that a separate permit may be required for electrica! wark,
<br /> � plumbing, signs, weils, poots, air condi#ioning, gas, or other�installations not specifically included in the application. A
<br /> permit issued'shaN°be construed ta be a (icense to proceed with the vvark and not as authori#y to violate, cancel, aiter, or
<br /> set aside any provisions of the technicai cades, nor shaff issuance af a permit prevent the Buifding t�fficial from thereafter
<br /> requiring a correction of errors in plans,�construction ar violations of any cades. Every perrnit issued shalS become invalid _
<br /> -__�_._ _
<br /> - - ----unless-the-�vork�autharized�by�saoh-permit-is commenced-iniitnin six"mantris of Jpermit issuance, or if work�authorized by
<br /> the permit is suspended or abandaned for a period.of six(6)mon#hs,after the time the work is'commenced. An extension
<br /> may be requested, in writing, from the Building �fficial fior a period not to exceed�ninety(90) days and witl demonstrate
<br /> jus#ifiable cause for the extension. If work ceases for ninety(90}cansecutive days,the job is considered abandoned.
<br /> lM�+�26�1MG 70 Ol�MER; `�OUat FAILURIE TO RECORD A N4.1TlCE OF COMlVIENC4�iVlEMT MAY RESUL.T Si� VOUR
<br /> �AVIV�G YNilICE FO➢Z It�i�ROVEflAENT$Y.,C�YOUR:G�RQ�RERTY. IF YOU•�.If�TEIdD��TO O�TAIM�FIRlAfdCltdG,COi�SUI.T
<br /> �1�'H Yi�Ui2"LI�FIDEl2 UR A ATTCIRNEY B�FOi2�RECOR�ItdG Y UR Nt3TICE O ' OM �CEIIiiENT.
<br /> FLORtDA JURAT{F.8 11T. 3)
<br /> �
<br /> OWi�EF2 OR AGEPlT CQSVTRACTOR i
<br /> u cri et�,and switsa.t or rm e re me tht_s/ Sta scr� e and s orn o d efore m�e th�'
<br /> �� ( by 'e.Y � ( W C)C)(�1 a7 !� b � Q �-'C.Y`.CA
<br /> Who isJ re personaily known ta me or has have produced W o is are persona own ta me or has ave produced
<br /> "" as identiflcation. "--"'^' as identiticaUon.
<br /> o lic Notary Pubtic
<br /> Com 'ssion No. Commission No.
<br /> Name of Natary typ , �;r s amq��,(.� B. R4ame of Notary typed,printed or sta `� ""°•.n; •-
<br /> ,��`��*�4�`�: Cammission N FF 905017 �� �z C6mmission N FF 905017
<br /> *- My�omm�ssion Expises 5; o.: MY Comn�+ssian Expires
<br /> '' = y;'' r��u���O JUIy 30, 2q19
<br /> �''.;'j.a,+�o�;�� auly 30� 201q ��enn++
<br /> ��m ma�
<br />
|