|
- ���i ...__
<br /> k
<br /> (
<br /> �
<br /> I . . ' . .
<br /> (
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned unders#ands that this permit may be subject ta;"deed" restrictions°
<br /> which may be more restricfiive than Caunty regulations. `fhe undersigned assumes respansibility far campliance wi#h any
<br /> applicable deed restrictions. I''
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR'�RESPQNSlBlLITIES: !f the owner has hired a contractor or
<br /> contractars to underEake wark, they may be required to be licensed in accordance with state and local regula#ians. If the
<br /> contractor is not licensed as required by law, both the owner and contractar may be cited for a misdemeanor violation
<br /> under state law. If the owner oc irttended contractor are uncertain as fo what licensing requirements may apply for the
<br /> intended work, they are advised�to contact the Pasco County Building Inspection Division--Licensing 5ection at 727-847-
<br /> 8009. �Furthermore, if the owner has hired a contractar or contractors,. he is advised to have the contractor(s} sign
<br /> portions af the "contractor Blockn af this applicafian for which they wi(1 be responsible. lf you, as #he owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasca
<br /> County. i
<br /> TRANSPORTATION IMPACT/UTIL171ES IMPACl"AND RESO,URCE RECCIVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recoveryi Fees may apply ta fihe canstruction of new buildings, change ot
<br /> use in existing buildings, or expansian of existing buildings, as speci�ed in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, will be.identified at the time�of
<br /> permitting. lt is furkher understood that Trarispartation lri�pact Fees and Resource Recovery Fees must be paid.prior ta
<br /> receiving a "certificate of occupancy" or final power release. If the project daes nat invalve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permifi issuance. F'urthermore, if Pasco County Water/�ewer lmpact
<br /> fees are due,they musfi be paid priar to permit issttance tn accordance with applicabfe Fasco County.ordinances.
<br /> CONSTRUCTIO.N LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the appEicartt, have been provided with ;a capy of the "Florida Construction Lien C.aw—=Homeawner's
<br /> Protection Guide" prepared by the.Flarida D'epartment of Agriculture and Cansumer Affairs. If the applicant is sameone
<br /> other than the"owner", ! certify..that! have obtained a copy of the above described document and promise in good faith to
<br /> deliver it ta the"owner"�priar ta.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 compliance with ai[ app(icable laws regulating construction, zaning and land development. Applicafiion is
<br /> hereby made to abtain a permit to do wark and installation as indicated. ' I certify,that no work or installation has
<br /> commenced prior to issuance af a permit and that all,uvork wil! be performed to meet'standards of all laws regulating
<br /> eonstruction, County and City cQdes, zoning regulafions, and land development regulations in the jurisdiction. I a(so
<br /> certify tliat I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify wliat'actions 1 must take to belin,cornpliance. Such agencies include but are nat limited to;
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands;WaterlUVastewater Trea#rnent. !
<br /> - Sauthwest Fiorida UVater Management Dis#rict-Wells, Cypress Bayheads, Wetland Areas, Aftering
<br /> Watercourses. i
<br /> - Arr�y Corps af Er�gineers-SeawaJls, Docks, tUavigable Waterways.
<br /> - Department af Health & Rehabilitative Seiices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - tJS Environmentai Protection Agency-Rsbestos abatement.
<br /> Federal Aviatian Authority-Runways. i
<br /> I understand that.the following restrictipns apply to fhe use of fill:
<br /> - Use of fill is not allawed in Flood Zone"V" unless expressly permitted. ,
<br /> - !f the fill material .is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" wi(I be submifted at time of permitting which`is prepared by a professianai engineer .
<br /> licensed by the State of Florida. �
<br /> - ]f the fiEi material is ta be used in Flood Zo�e "A" in cannection with a,permitted building using stem wall
<br /> constructibn, I certify that fill will be used only to fill#he area within the stem wall.
<br /> - lf fill material is ta be used in any ar�a, ! !certify fihat uss of such fil! will not adversely affect adjacent
<br /> properties. if use af fill is found to adverseiy�aifec# adjacent properties, the owner may be cited for vioiating
<br /> the canditions of the building permit issued under the a#tached permit application,.for lots less than one (1)
<br /> acre vuhich are elevated by f311,,an engineered Edrainage plan is required. '
<br /> Ifi I am the AGENT FOR THE OWNER, I pramise in good#faith to inform the awner af the permitting conditions set forth in
<br /> this a�davit prior fio commencing construction. f underst�and that a separate permit may be required far electrica! wark,
<br /> plumbing; signs, weils, paols, air conditioning, gas, or pther instaliations nat specifica(iy inciuded.in the application. A
<br /> permi# issued shall be construed to be a license to proce�d with the wcark and not as�authority to violate, cancel, al#er, or
<br /> set aside any provisions of the technical codes, nor sha3i issuance of a permit prevent the Buildirtg,flfficial from thereafter
<br /> requiring a carrectian of errors in plans, cons#ructian or violations of any codes. Every permif issued shall become invalid
<br /> un{ess the work authorized by such permit.is commenced vuithin six months of permit issuance, or if work authoriaed by
<br /> filie permit is suspended ar abandoned for a period of six(6} manths after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period no#to exceed ninety (90) days and will demonstrate
<br /> justifiiable cause for the e�ctension. [f work ceases far ninety{90)consecutive days,the jab is considered abandaned.
<br /> ,
<br /> WARNlNG TO OWNEf�. YOUR FAl�URE TO REC�RD A NOTiCE QE COHtIMENCEMENT MAY RESULT 1N YOUR
<br /> pAYING TWICE FOR 1MPROVEMENTS TO YOUR PRt)PERTY. IF YOU INTEND 70 OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY'BEFORE RECORpING.YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDR JURAT(F:S.917:43} , , ,
<br /> �
<br /> OWNER OR AGENT _ ,,,,,_,,,�_,,,,,_,,, _ CONTRACTOR �
<br /> Sutascribed and swom to{ar aFftrme before me this SuEiscribed and sworn to r a �rmed}before me this _
<br /> v°-uG-c-�� py paul Sweene _ • _ �e�o��-�� by Bat Sweene - ' " ^ -
<br /> Who is/are ersonall knawri to e or Who is/are ersonall nawn to me or
<br /> as idet�tification. as identification.
<br /> �� i .
<br /> �r� Notary Public � iVotary Public
<br /> , , ,
<br /> Commission No. FF98537 Commission No. FF98537 ' '
<br /> Elissa IvI.Holleran ' �- Elissa M.Holleran �
<br /> ' Name of NotaN tvped,printed or stamped Name of Notary typed,printed or stamped
<br /> _ .�..�.�.
<br /> �I�I�M�.N�19��W' - ,il �I��,kli��I'AI��W .
<br /> y��rsar��anE�l.���heae� �r�un"�u'tanpi��Pabaal�' 1
<br /> j ��a��r�������
<br /> ��4,�1dIt�����fF�� , �, . �., e+�dwla�atT,»�P,�eivo�.�dd�11�PU ,
<br /> ",; . �, �drdl�ItNTkayF�a'�44+9H,�118C47�9,7tQ1 � - -
<br /> i
<br /> � I
<br /> I _ _
<br />
|