|
s
<br /> 5
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to`deed"restrictions"
<br /> YJI IIGII may lit Iliun=scat n.UVC U1011 NYUIItJ ICyaIfOUYIiO. tltry YliuViOlallQu i7DOYii1Ga iVO�IVMaVnii�fvi irJinj+ ri is.....oiy
<br /> applicable deed}restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to utrdertake work,they may be required to be licensed In accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<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 contact the Pasco County Building Inspection Division—Ucensing Section at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the!,'contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that�imay be an indication that he is not properly Ncen:ed and is not entitled to permitting privileges In Pasco
<br /> County.
<br /> TRANSPORTATION IMPAC I IU I ILi I lib IMPAU I AMU Kt'UUKUt KtUUYGKT rtt5: ins undersignea understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of 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 identified at the time of
<br /> permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a'certlficate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore.if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 719,Florida 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 Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
<br /> other than the;cwnoe%I ccrtlty that I have obtained o copy of the above dcw.dbcd document and promise In good faith to
<br /> deliver it to the downer"prior to commencement.
<br /> CONTRACTOR'S10WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done Inloompllanco with all applicable laws regulating construction,zoning and land development. Application 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 prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I untlerstand that the regulations of other government agencies may apply to the intended work,and that it Is
<br /> my responsibility to identify what actions I must take to be In compliance. Such agencies Include but are not limited to:
<br /> - DOartment of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive
<br /> I arch; WaterlWastewaterTreatment
<br /> - Southwest Florida Water Management District-Welts, Cypress Bayhoads, Watland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of EngineemSeawaIla,Docks,Navigable Waterways.
<br /> Department of Health 81 Rehabilitative ServicestEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> UStEnvironmental Protection Agency-Asbestos abatement-
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> Uso of fill is not allowed in Flood Zone"V"unless expressly permitted,
<br /> If the fill material Is to be used in Flood Zone "A", It is understood that a drainage plan addressing a
<br /> +wr::nnnnn��{rtn vc!urne"..All be eubrniHod at Brae of nermHlinn%yNch Ie prepred by a nmfoaninnol ennlru_aar
<br /> �....- ,._....... .o ...._... ,. .,. . _ r. .a..
<br /> llccn3cd by the State of Flodao, _
<br /> If the fill material Is to be used in Flood Zone"A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fill the area within the stem wall.
<br /> If 411 material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the''conditions of the building permit Issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered Cringe plan Is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the-ovner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, slgnts,wells, pools, air conditioning, gas,or other Installations not specifically Included In the application. A
<br /> t.. tl.-.... ...4 `6'.?. -L �J �n w,fl•,•M.•��„iylwlw ..... wY�• w IJCIII III 1a0YN IIltQll VC VVIt.7t1YGY W NCO t11r4:11Jt.W ptt,t.t,.w t• tl vVln=4, M Mu•v,l•)
<br /> set aside sty provisions of the technics!codes,tar shall lsgnce of a permit prevent the Buulding Official from thereafter
<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 commenced% thin six months of permit issuance,or it work authorized by
<br /> the permit Is suspended or,abandoned for a period of six(a)months after the time the work Is commenced. An extension
<br /> may be requested,In writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause forthe extension. If work ceases for ninety(90)consecutive days,the job Is considered abandoned.
<br /> i;
<br /> WARNING T6OWNER: YOUA,FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> U DER OR AN ATTORNEYBr=FORFI t3 YOUB NOTICg Qp COWHINCgMENT.
<br /> i;
<br /> OWNER OR AO tg1L A CONTRAOTOR
<br /> Sub ribed and o me c d and r e Ir is
<br /> Sub
<br /> t
<br /> are pe svn y nowrl to me a trasthave producetl o i are y me o omave pmtlucea
<br /> a,+ i.:etion. as Ide�tlfieaUcn.
<br /> Ir 4/ V �(� GCS Notary Public
<br /> Gammtyslon koi
<br /> If';••f• AiA
<br /> X t uil6 ebl / egi� t 1 prildmuOf6tomped '
<br /> :a• •� �b
<br /> E r !tars
<br /> U r10t21Y Public Unde(Wr t,!
<br /> ' reod0�°c' t3nn,de �, :, AMANDA ACKERSON
<br /> MY COMMISSION#GG 925496
<br /> .T
<br /> EXPIRES.,February
<br /> •,OFFL" ry23,2024
<br /> Bonded Thru Notary public Underwriters
<br /> 1`
<br />
|