|
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to'deed"restrictions"
<br /> vlili,il IIIGy UC IIIVIC IVa11161IVC 111011 VUUllty IGIJU(OUVIio. tiro ul iucTo(yi1c�iivvuuioo icopviw,vuuy 1 wngruoi,:.aw:r1.11
<br /> applicable deed restrictions.
<br /> UNLICENSED `CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake 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 lave, 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—Licensing 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,thaVmay be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
<br /> County. _
<br /> TRANSPORTATION IMPAU'IIUIiLI IIhS IMPA(:I ANU Kt'UUKI:t Kr-UUVCr(T rr= ine undersignea understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction cf 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'certificate 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 713,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"cwnor',1 ccrti that 1 have obthircd a copy of the above do
<br /> deliver document ai:d Frornlso In good faith to
<br /> deliver it to the"owner"prior to 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 incompliance 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 understand 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 /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> lands Water/WastewaterTreatment.
<br /> - Sot thwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US;Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways_
<br /> I understand that the following restrictions apply to the use of fill:
<br /> Use 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 /> ri coHnn.rnl,.mn"will V.e cnl+miHo.1 at 4imo of nnrmiHlnn which ie n n —I her nrnfacclnnal enntnoor
<br /> licensedbytticSta,me"vorda_--......-- _.time _ r_....itfl o ..,hiv. -. _ -..--....-.. _ _-•
<br /> e of
<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 fill 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 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas,or other installations not specifically included in the application. A
<br /> 1._ -J .:{L{L�...d.�...1.. „fi,�.:f,•Jn. nl..{- col .,Y...
<br /> Nefliiit i56ucu 5iiv(i uc wiwiiuci.i�vc c(ii.wioc iu t.:`--w :.1...... :......... ..G:Q�' "' C...
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building 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 within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)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 /> WARNING TO"OWNER: YOUR 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 /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> 02)
<br /> OWNER OR AGE I 91 _ CONTRACTOR _
<br /> u� rbed and sp MA-9-1(or affirmed)before me this bspribed end s•_ (o arm d)before mu this
<br /> by \ t� dye 9r �t'D \ by
<br /> o is/are personally En R to me or tlaslh ve produced Who islare perso ly kn vn to me or haslhave produced
<br /> as identdi-oation, as identification.
<br /> f
<br /> Notary � Notary Public
<br /> 1
<br /> Commtssan No.��Lr%-1_�l ��„Sl mm6sfon no�"',C"") c-Js l-A C1 L?
<br /> 41.( ( 4ety typed,pdAted or stafnpe Wdn1e ar Na ry typ-b ,printed or stomped
<br /> i
<br /> I
<br />
|