|
NOTICE OF DE s ED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> wl lilll IIJay UC II IUIC IC,Ul1AJVC O \ 6t�1a11 'UUIIty 1 W U1VI10. I IiG uliucl o1y1"E aoDYlOGii iVo'IViIwV i1i'fvi wlil�/iim,w�..an iiily
<br /> applicable deedrestrictions.
<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 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—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,that-may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. _ _
<br /> TRANSPURTATION IMI'AG IIU I ILI I Itb INIPAU I WNU Kt,UUKL;t Kr-IJ VERt tEE6: i ne unaersigned 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'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 La*—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
<br /> other than the",co rner",I^^rti 'he*I have obtained a copy of the above do—scribed document and promiso 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 In loompliance 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/Wastewater Treatment-
<br /> - Southwest 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 6 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 W"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 /> "nri.nnnnceftnn vnL,ma"udtl l+e cnhn�iffo.f of ftrr,n nF n-iffinn whinF,ie nre na rota by nrnfacainnal an In
<br /> liccn�cd by the State of Florida.
<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 k 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 /> It 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.-----a- -- 41.. „{i.�M.,♦�. nl..�� nl nf{w-
<br /> IJCllllll IAOYCY wm,l—_I mu_W Y O IIt. ,—t.,,Wa u„ „ ,u „ ,a)• ' ...,w^�vv �•v, v�
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Officialfrom thereafter
<br /> requiring a correctlon 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 for the 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 YOU ENDER OR AN ATTORNEY BEFORE RECORDING YOU5 N TICE OF COMMENCE ENT.
<br /> OWNER OR AG CONTRACTOR
<br /> 5 Subscribed and svtic or of firmed)before me this �4 bscri d and or a armed) fore rtna this
<br /> 1 J y '
<br /> Who is/a personally no vat me or has/have produced Who Isla perso y ri o me or h slhave produced
<br /> as identifi;ation. aside tification.
<br /> Notary Gts '� - Notary Public
<br /> commission No ^1ct,, �=—�( 1ut( Commisslon no._�"'���1 d��.--�CA LQ
<br /> JdH e F a-r,t r\ d ` 1
<br /> tJen+d aF �.��������,
<br /> =�—
<br /> Prau•' AMANDA ACKERSON :•�o<":`k.YP�� AMANDA ACKERSON
<br /> MY COMMISSION#GG 925496 .r.' MY COMMISSION#GG 925496
<br /> EXPIRES:February 23,2024 i=A EXPIRES:February 23,2024
<br /> Q; ry A•• •'•O: •n,
<br /> 9r,•.,••oc, '••FOFF�°�'' Bonded 111rrJNotary
<br /> FOF F� Bonded Thru Notary FublicUnderwriters -I_ •, •� Public Underwriters
<br />
|