|
._ .'=,,.'"•.y..�6Y�W.�"u�1
<br /> , — �
<br /> �
<br /> "�' .,
<br /> t=:�:".a<i,::.:���;� i
<br /> NOTICE OF DEED RESTRIGT1t3NS: The undersigned.understands,that.this<p,ermit may be;subjeet.;to`,.deed" resf�ict`ions`,°`"�,,;�
<br /> ��...,.� , t, � :.
<br /> wh�ch may;be morerr.estrictive-�than=Caurity regulations:� TiiefiUritlersigneid�=assumes'responstbility'�fo'r c.ompliance wnth any #
<br /> appticable cJeed restrictions. � � _�.�:;�:a�s:,s.�-=���s�3:'3
<br /> UNL(CENSED. CONTRACTORS AND CONTRACTOR RESPONSI�IL-1TIES: if-tlie-�owner�=has��tiired�=a�-contractor or :;
<br /> contractors to undertake4work; they,;may��be reguiced to be�l�censed in accordance with_state"and:-locaLregulations:.-�"lf;�.the�:�:".:��}
<br /> contractor is not licensed-as.required"by"law, both the avirner and-cont�acto�,may�=be-�citect�ftirha:.m�sdemeanor violation `;
<br /> under state law.�If the owner or.intendetl con#[actoc are uncectain as to what.liaensing requicements:-may.,�a�aply'for:;4F%e�a:�:�`�.�;�
<br /> ..,:..r�:..a... .::�:..».
<br /> intended work,�.they::are.advised to caritact`the'Pasco County'Buitding tnspectidn`Division=Licensing Section af�727=847- ` ��
<br /> 8QQ9. Furtherrrrore, if the awner has'hired'�a'ccintractor or contraators, he�'is advised to'�;have the contractor(s,).�sign.,,�,.,..;�
<br /> u n . . ,. ._ : ..;...5-..;;.c.J:::�.:.:.,,,:, , � - ro�,,�
<br /> porkions of the contractor Block �of.this applicaitian.for wbich they will.be resp.ansible�;!f you, as°``tlie,`owrier s�gn;as�.tiie� ��,;-.
<br /> con#ractoc, that may be an indication that tie is not prope�ly licensed and"is not enti#led to permitting�pr'ivileges;in„Pascb:.,,_.=;�
<br /> � a=r�rh;
<br /> County. ' - -- . - � '-���' �:�
<br /> ':a
<br /> TRANSPORTATtON--IMPACTLUTIL.iTIES IMPACT AND RESOURCE RECOVERY F�ES: The undersigned unders#amds ;;;;
<br /> �_- •:.:
<br /> that Transportation Impact Fees and Recourse Recovery Fe.es.may,�appiy to the construction,of new:,buil.dings,.ciiange��of`�'.��,7',��
<br /> use in existing buililings, or.exPansio�t of:exi�ting buildings, as specifsed in Pasco County Ordinance nurnber 89�07.and -H
<br /> 90-Q7, as amended. The undersigned also und,erstands, that such�fees,.�as�may be.dr�e, will�t�e�identified-at:ttie?;time'�of£�a�=��:'';�
<br /> permitting. `It is further understaod that Transpoita#ion Impact Fees and Resource�rRecovery Eees must be paid�;prior to ,x
<br /> receiving a "certificate of occupancy," ar final_.power release. If the project does nat involve,a certificate of oecupancy.:oi�;�:�� ��
<br /> final.powet release,.the-,fees.must be,paid prior to permit issuance. :Furktiermore,.if Pasco Gaunty ,W.,.;ater/Se,w,.eK;-lmptact�.-�-" ;-
<br /> fees are.due,tfiey must tie paid priar ta permit issuance in accordance with°applica�le.Pasco Ciaunty ordina'nces. ; t -
<br /> CONSTRUGTIQN LIEN�EAW(Chapt�r 7�3;Florida Statutes,as amertdeci}: If vaivation of wock is$2,500:OQ.or;more;,,,iar,�- :
<br /> certi#y that l, the applicant, have been �provided with -a capy:of the "Florida Construction Lien Lav�-Homeowner's��"�� ,
<br /> Protection Guide" prepared-by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone_� :
<br /> �. ,.� �
<br /> other than the"owner", I certify that I..have obtained a copy of the above described,document and,promise�in good�faitfi�fo ,.,
<br /> �deliver.it_tothe,'towner"�prior:-�to:camrnencement: ` � � ? Y
<br /> CONTRACTOR'S/O{1UNER'S AFFiDAt/iT:.:;1.certify.that all the iriformation in this application is accurate and that aTrwork
<br /> wif! be done in corr�pliance with all applicable'laws regulating construction, zoning�and (and-develapment. Appiication is
<br /> hereby made to obtain; a,permit #o:d;o;vuork-and instaflation as :indicated. t cerEify t�at no-�work or in`stallafian�has
<br /> commencecl prior-to issaance of a perrriit anii that aU wark vuill be performed to.meet standar,ds af all laws regulating �
<br /> construction, County and City codes, zoning regulations, and land development" regulatians`in.the jurisdiction. :,<<I �also
<br /> certifiy that I unde�stand that#he regulations of other gavernment agencies may apply to the intended wark, and that it is
<br /> my responsibitity#a identify what actions 1 must take to be in compliance. Such,agencies inc(ude;but are notrlimited;to: „
<br /> - �Department of Env�ronmentaF"Frotectian-Cypress BayFaeads, Wetland Areas ancf Environmentaliy Sensitive
<br /> Lands,WaterlWastewater Tseatment. ; ,
<br /> - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wate�courses. " .
<br /> s .
<br /> - Army Carps of Engineers-Seawralls, Docks, Navigable Waterways. ;
<br /> - Department af Heai#h & Rehabilitative ServiceslEnvironmental Health Unit Wells, Wastewater.Treatment,
<br /> Septic'Tanks. ' , � -
<br /> - US Enviranmental Protectian Agency-Asbestos..abatement. ! �
<br /> - Federal Aviatian Au#hority-Runu�rays. ' '
<br /> I understand that�.the following restrictions apply to the use of�II:
<br /> - Use of fil(is not allowed in F(ood Zone"V" unless expressly permitted.
<br /> - tf the fill material is to be used in� Flaod Zane "A", it is understood tFrat a drainage.plan addressing a
<br /> � "camperisating volume" wil! be submii#ed at time of permitting which is prepared by a professional engineer ��
<br /> licensed by the State�of Florida, `
<br /> - If the fill material is to be used in Fload Zone "A" in connection virith.a permitted build'ing�using sterr� wall
<br /> � construction, I certify that fill:will be used only to filLthe area within the stem wall, ;
<br /> - if filt material is�to��be used in any area, I certify that use of such�fill will nat adversely affect adjacent
<br /> praperties. if use of fi(I is found to adversely affect adjacent proper#ies, the awner may be cited for violating
<br /> � the conditions of:tiie bu�lding permit issued under#he attached permit.appticatian, for (ots iess than one (1}
<br /> ac�e wrhich are elevated by ftl1,an engineered drainage plan is�equi�ed. �
<br /> If I am the AGEN7 FQtt THE QWNER,-1 promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit pr.ior fo commencing construction. I understand that a separate permit may be required for ele�trical;work,. '
<br /> piumbing, signs, wetls, pools,,air.conditioning, gas, or other installatians not specifically included in the application. A . } .
<br /> permit issued sha8-be construed to be a license#a proceed with the wark and not as authority.to violate, cancel, alter, or
<br /> set asicle any pravisions of the'technical codes, nar shali issuance of a permit prevent the Buitding C3fficial fram the�eafter
<br /> requiring a correct�on of ecrors in plans;constructian oc violations a€any codes. Every permit issued sliatl become irnalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work aufhorized by
<br /> the permit is suspended�or abandoned far a;period..of six(6) months after#he time the work is�cammenced. An extension � ,
<br /> may be requested, in=writing, ffom tFie Building C3fFicial for a period not ta exceed ninety (90) days and�will demonstrate
<br /> justifiable cause for#he e�ctensian. ff.work ceases for ninety(90}consecutive days,the job is considered abandoned�.
<br /> -- ;
<br /> VIfARNlNG"TO OWNER:. YOUR FAlLURE T'O.,RECORD.A NC?TICE t?E C.QMMENCEMENT°lltffAY RESUI�T 1N YC1UR
<br /> PAYING TWICE''FOR IMPR01/EMENTS:TO YOUR.PROPERTY. !F YOU>!N'FEN� =TO�,OBT�►!N'�FINANCING,�CONSULT
<br /> WtTH YQUR`L'ENDER CIA AN AT'TORN B C'!RE RECORDING YOWR N � . �OF��� E �lEl!l1�NT.- ---
<br /> �_FLQRdDA-JURAT-{F:3,41?- - -— - -- -
<br /> _� _ _ ____ _ .
<br /> � ' � � r
<br /> OWNER OR AGENT� ,,,,,,,_ CONTRACTOR
<br /> 5ubscribed and swam to{or affirtned}b fore me this Subscribed and swom (or affirmed)befare me this � ; �
<br /> by by
<br /> Wha is/are personally known to me or has/have produced � Who is/are personally known to me or haslhave produced i
<br /> as identification. as identifica#lon. "
<br /> �
<br /> �
<br /> Natary Public t�otary Public
<br /> Commtssian No, Commission No.
<br /> Name of Natary typed,prin#ed or stamped Rlame of Natary typed,printed or stamped
<br /> ,s� - ,
<br />
|