|
� � r NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibilify for compliance with any
<br /> appiicable deed restrictions.
<br /> UNLICENSED CONTRACTOR8 AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed�n accordance with stafe and local regulafions. if fhe
<br /> contractar is not licensed as required by law, both the oduner and contractor may be cited for a misdemeanor violatian
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contaot#he Pasca Caunty Suilding Enspection Division—Licensing Section at 727-847-
<br /> $009. Furthermote, 'rf the owner has fiired a contractor or contractors, he is advised to have the contraokor(s) sign
<br /> portions af the"contractor Block°of this application for which#hey will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indfca#ion#hat he is nat praperiy IEcensed and 9s not enfi#led ta perm�tting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpor#atton Impact Fses and Recourse Ftecovery Fees may apply ta,the cansttuction of new buildings,change of
<br /> use in existing buildings, or expansion af existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be ident�ed at the time of
<br /> permitting. it is further understood that Traospartation impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy"or final power release. If the project does not invotve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> #ees are due,they must be paid prior to permit issuance in accordance with applicabte Pasco County ordinances.
<br /> CONSTRUCTtON LtEN LAW{Chapter 713,Flarida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Fiorida Department of Agricuiture and Consumer Affairs. !f the appiicant is sorr►eone
<br /> other than the"owner",t certify that I have obtained a copy af the above described document and promise in gaod faith to
<br /> deliver i#to the"owneP'prior to commencement.
<br /> CONTRACTOR'StOWNER'S APFIDAVi7: i certify fhat all the information in this appiication is accurate and that atl work
<br /> will be done in compliance with all applicable taws regulating construction,zoning and land devetopment. Appiication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced grfor to issuance of a permit and that aii work wi31 be performed fo meet standards of at! taws regulating
<br /> constructlon, County and Gity codes, zoning regutations, and land developmerrt regulations in the jurisdiction. I atso
<br /> certify that I understand that the regulatians of other gavernment agencies may apply to the intended work,and that ik is
<br /> my respansibility to identify what actions i must take to be in compliance. Such agenciss incfude but are not timited to:
<br /> - Department of Environmentai Protec#ion-Cypress Bayfieads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District WeOs, Gypress Bayheads, Wettand Areas, AI#ertng
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. �
<br /> - Department of Nealth 8� Rehabilitative Services/Enviranmentai Fteaith Unit-Weiis, Wastewatsr Trea#ment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> 1 understand that the following resfrictioris appfy to fhe use of fiq:
<br /> - Use of fill is not allowed in Flaod Zone"V"unless expressly permitted.
<br /> - If the fill materia! is to be used in Ftood Zone "A", it is understoad that a drainage pian addressing a
<br /> "carnpensafing voRume"will be submifted at time of permiffing wi�ich is prepared by a professionaf engineer
<br /> licensed by the State of Fiorida.
<br /> - If the fill material is to be used in Flood Zone"R" in connection with a permitted building using stem wail
<br /> constructian,!certify that fill wilt be used only to fill the area within fhe stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fili will not adversely affect adjacent
<br /> properties. If use of flll is found to adversety affect adjacent properties,the owner may be cited for viola#ing
<br /> the conditions of the building permit issued under the attaehed permit application,for lots tess than one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing consftvctian. 1 understand that a separate permi#may be required for electrica3 work,
<br /> plumbing, signs, wells, poois, aPr conditianing, gas, or ather installations not specfically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta violate,cancel,alter,or
<br /> seE aside any provisions of the technical codes,nor sha11 issuance ofi a permif ptevent the Building Official€rom thereaf#er
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cammenced within six months of permit issuance,or if work aukhorized by
<br /> the permit is suspended or abandoned for a petiod of six{6)manths a8er the time the work is commenced. An extension
<br /> may be requested, in writing,from the Buiiding Official for a period not to exceed nine#y(90�days and will demonstrate
<br /> justifiable cause far the extension. If work ceases for ninety{90)consecutive days,the Jab is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE QF COMMENCEMENT MAY RESUL7 IN YOUR
<br /> � PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEIdDfR OR AN ATfORNE7 BEFORE F2ECOl2DIN�YOUR NOTICE OF OMNt�NCEMENT.
<br /> FLORtDA JURAT(F.S.117.03)
<br /> OWNER pR AGENT CQN7RAGTOR�' ���_,
<br /> Subscribed an bswom to{or aff(rmed)befare me thEs S scxib�7 b tq{pr affi^ed}i�efa���this�
<br /> �l�. 1,,,_ IA�
<br /> Who is/are persanally known to me or has/have produced W `s/ e ersonellyknown to me or has/have produced
<br /> as identifiqtion. �+� it t�f� as idenUfication.
<br /> r /''�r
<br /> Notary Publla �/ N"'_t\�%�.�_Notary Pu6lic
<br /> Commission No. Co m'sIQ
<br /> 6 un�
<br /> ,.,�`��,.rs%,�;., JACQUEl.INE BOG�S
<br /> Name of iVoWry#yped.Pfinted or stamped Name af �aty r#uin t�}t�t��ip FF 150422
<br /> _"� �a: Expires December 12,2018
<br /> 1
<br /> y, 7�`
<br /> '�'�eg��y�y�`� 8ondedTlwTmyfaininsurance8�0-385-70t9
<br />
|