|
, ;
<br /> NOTICE OF DEED RESTRICYIONS: Th�u�decs(gned under.gtands>.th�t�thi�;.p�rmit�:may;be,subJec�to."deed",restrl�(ons°
<br /> which may°be=more'.rest�act(ve>thsln County'�r�sgulat�ons: 'The underslgned"assumes��esponsltilllty for�compllance`witfi"any
<br /> applicable deed reshlctions. . �
<br /> UNLICEIdSED CONTRACTORS AND CON�'RACTOR RESPONSIB1Li'�ES: -If�the owner has �hired a :contractor or
<br /> contractors to undertake work, they may be;r,�quiced.<to_:be.;llcensed In accordance.with state.and•local'regulatlons. �If�the� �
<br /> contractor is not licensed_as�required�by-law, both the owner and�conti�actor�inay be��cited-for a�ml�demeanor violatfon
<br /> under state law. If the owner or Intended.=,co�traaton.are;uncertaln as to what Ilcenstng.requlre�nents,may�:applyr.�for:the
<br /> intended work, they are advised to contact the Pasco County Bullding inspection Dlvision-Licensing Section at 727-847-
<br /> 8008. Furthermore, If the owner has hlred a conUactor or contractors. he Is advised to have the contractor(s) sign
<br /> portions of the "contrector Block' of this appllcation for which they will.be r.esponslble.. if you� as.fhe ownerf'sign'�as Ehe
<br /> contractor, thattnay be an indication that�he�is not.properly Ilcensed and��is not entitled to perniitting privlleges In Pasco
<br /> County. �
<br /> TRANSPORTATION:IMPACT/UTILITIES�(MPAC7�ANb RESOUltCE RECOVERY�FEE�:��The undersigned understands
<br /> that Transportetlon Impact Fee�:and.Reco.urse Recove.ry.Fees may:�apply:to:tf�e construction of new bulldtngs, change•of`
<br /> use in exisNng buildings, or�expar�si�rr�of-aexisti�i��6uildings, as specifled.(n Paeco County Ordinance number 89-07 and
<br /> 90-07� as amended. 'Fhe undersigned also:understands; that:�such fees�•as�may�be�:due;:wlll:�be ldenttfled at the�time°ofi
<br /> permitting. it is furtlier understood that Transpo�tatlon ImpacC Fees aad;Resource.Reco�sry�Fees must be paid prior to
<br /> rece�ving a.'certfflcate.of occupaFlcy"or�flnal�power:release. :If�the.project..does:not�involve;a;.certificate of occupancy. o�-
<br /> final power release;the#ees mu�t be paid prlor to permit issuance. Ft��thermore;If:.Pasco:County�Water/Sewer�lmpact
<br /> fees a�e due,.they.must be-pald.pnior to.permit-lssyance=ln accordance�wltfi�appilcable�Pasco�.County;ordinances. •
<br /> CONSTRUCTIOtd"LIEN�LAW(Cliapter 713� �lor�ela St�fut���as�msndedj: If valuaaon of work is 52,500.00:or more, I
<br /> certify that I, the -appiicant, have�been provi.ded with_ a copy of�the� "Florida- Constructlon� Lien Lau�—Homeowner's
<br /> Protection Guide" prepared by the Flo�ida Depa�tment�of Agricultnre and Consumer�Affairs. if the applicant Is someone
<br /> other than the"owner", I certify that I�have.obtained'a�copy.of..the:above.described�docu�ent=and.ptomise in,good.faith to
<br /> deliver It to the�'ownec"�.prior�-to-cornmencement:' � ,
<br /> CONTRACTOR'SlOWPIER'S AFFIDAVIT: I.ce'r.11ty,�that all..th��:lnf�rmation-in thi�appllcation(s accurate and that all work
<br /> will�be done in compliance with all.app8cable laws regulating construction, zoning and:land�development. Applicatlon is
<br /> hereby made to obtain .a.permit to :do_work:;.and installation as indi�ated:-� `I cectify that no work=or tnstallatlon has
<br /> commenced prlor to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking-
<br /> constructlon, County and City codes� zoning regulatians, and land development tegulatlons-In the Jurisdtction. I al'so
<br /> certify that I u�derstand that the regulatlons of other government agencies may�apply�to the intended work, and that It (s
<br /> my responsibiHly to identify.what.acttons I must�take:to be�in:.corrlpliar�ce S.uch agencles include but�are.not limited to:
<br /> - Department of E�lvironmentai=Protectton=Cypress.�Bayhead�, Wedand Areas and Env(ronmentally Senslttve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management .District-Wells, Cypress.��Bay�eads; Wetland Areas� Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawells, Docks, Navigable Waterways. :
<br /> - Department of Health�'8 Ret�abllitative Servlces/Environmen#al Nealth Unit Well.s� Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Envi�onmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatlon_Autk�orlty-Runways.
<br /> I understand that the following:restrictions apply to the use of flil:� ._
<br /> - Use of fill Is not allowed In.Flood:Zone"V"unless expressly permitted.
<br /> - If the flll materlal is to �b.e used. In.�Flood Zone. "A", it. Is understood that a drainage plan addresstng a
<br /> "compensating volume" will be submitted at#ime of:permitting which is prepared by a professfonal engineer
<br /> Iicensed by the State of Flotida:
<br /> - If ih� flll material ts to be used in Flood Zone 'A" In�connec�ion�with:a�perm(tted building using stem wall
<br /> � construction� I certify that flil�:wall:b.e used only.to.fill the area within�the�stem wali.
<br /> - if fill material is to be used In any area, I �certify tfiat .usa of such flll will �1ot adversely affect adJacent
<br /> properties. If use of flll is found�to advereely:�ffect adJacent��pcoperties,.the owner may be cited for violating
<br /> the cond�ions of the building;permlt Issued under iha atEached�ermit appllcatlon, for:lots less than.one(1)
<br /> acre which are elevated�by fllt, a�englneer�ed drainage plan Is requlred.
<br /> If I am the AGENT FOR THE OWNER, I,.promise in good faith to inform the�owner of•the permitt(ng conditlons set forth tn
<br /> this affidavit�prtor to commencing construction. I understand.thet a-separate permlt may be requtred for elecMcal work,
<br /> plumbing, signs, wells, pools;. air condittoning,.gas, or otl�er Install�tlons no�.spec�ically inclu�led�tn.the�appiication. .A
<br /> permit issued shall be constcued to be a�1lcense�to��prcceed with tFie work and not as:authoNty to,vlolate..cancel, alter, or
<br /> set aside eny provlstons of the technical codos;�nor shall Issu�nce�of a.permit.prevent the Bulldirig Ofticlal from thereafter
<br /> requiring a conection af enors in plans; consttuctlon or violations of any codes. �very permit Issued shall become inval(d
<br /> unless the wrork authorized.by such permtt:�is.commenced�withln sGc m�nths of�permit Issuance, or if work authorized by
<br /> the permtt is suspended�cr.abar�doned for a�:period of�six f�)�montf�s.aRer the tirne the�work�s commen�ed. An extension
<br /> may be requested, In writing, from the Buiiding,Offlcial for a period.not to exceed ninety�(90)�days a�d w►ili demonstrate
<br /> justffiable cause for:the extenslon: If work ceases.for ninety.(90)cons.ecutive days�..the Job�ts considered aba�doned.
<br /> WARNING TO OWNER: YOUR.FAILWRE•TQ.,REC.ORD A.MOTICE�.OF�COMMEMCEMEMT.MAY�RESUlT IN��YOUR
<br /> PAYING TWICE�FOR IMPROVEMENTS TO;1PO�ift�:PR�PERYY. I��Y0.��0�'�ERiD��T���DB'9'AIN��FIN�4(��1N6;'C.ON�ULT -- -
<br /> WI U D AI� � O O. �t.. O � f;; ,V �. , � , . ,. .,:.
<br /> FLORIDA JURA�•(F�S:t . 3) , y �� ' -� �� ' - ,
<br /> OWNER OR AOENT CONTRACTO - �
<br /> Subs bed and awom to r aflirtned)before e thls Subsc bed and's �to(ow aiflrtned)'b te me'tlil�
<br /> /.�`�/� ✓1'IIS�Y1�r" 07-�/ . rn� 4• Wl•ts��^
<br /> Who Islare p rsonally knovm rme or has/have produced Who.l p.ersonally own•to me-or#iaslhave�produced •
<br /> aa Identlflcatlon. as tdentlflcafion.
<br /> �_ ` . .
<br /> Nofary Public . Notary Publlc
<br /> Comm lon No: ' C mission•No.
<br /> .••`""v P"�•. SYLVIA A.CAMPBELL
<br /> Nertle o(No ry � nt��y��pgdteof Florida Name of Molary typ ,;� �telia�tPublic-Stateof F orida
<br /> - ' ' •` Commission N GG 112939 -•: �•= Commission a GG 112939
<br /> -•. . -
<br /> �;� P; My Comm.Ezpires Jul 19,2021 `:;� P' My Comm.Expires 1ul 19,2021
<br /> - '•�OFF�,�,.��''� �'�°FFt�� 13ondedthroughNatlonalNotaryAssn.
<br /> ,,,,,, BondedlhroughNationalNotaryAssn.
<br /> I
<br />
|