|
.r,;i;,' k_
<br /> NOT�CE OF DEED RESTR1CT10NS� The undersigned understands that this permit may be subject to "d�ed" " �.;, : s"
<br /> ,�r}�� be rr�re restrictive than Caunty regulations. The undersigned assumes responsibility for complianc '"uxli�F4 anY
<br /> deed restridions.
<br /> V Ct�tTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> �s t� undertake work, they may be required to be licensed in accordance with state and local reguiations. If the
<br /> �� ' rs not ticensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> ur�er;state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> �ntec�ied work, t#�ey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8p09. Furthennore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the °cantractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contrac�or, that may be an indication that he is not properly licensed and is not entitled to permitting privileg�s in Pasco
<br /> County.
<br /> TRAl�tgppi�T�TFON tMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES• The undersigned •�lerstands
<br /> � Tr�r�spostation �rr�act Fees and Recourse Recovery Fees may apply to the constntction of new bu�din ' h�ge of
<br /> use in e�asting buik�ir�9s, or e�ansion of existing buildings, as specified in Pasco County Ordinance numb '-f9F7 a�d
<br /> gp_p7, as amended. The undersigr►ed a�so understands, that such fees, as may be due, will be identified at tMe time of
<br /> perrrritting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a`c�rtifica#e of occupancy" or final power release. If the project does not invofve a certifiiczte o# occupancy or
<br /> final power release, ti�e fees must be paid pnor to permit issuance. Furthermore, i# Pasco County Water/Sewer impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with appiicable Pasco County orct+nances.
<br /> CpNSTRUCTK?N UEN LAW (Chapter 713, Florida S#atutes, as amended�: ►f valuation of work is $2,500.0� �a�,more'
<br /> certif�, that �, the appticant, have been provided with a copy of the "Florida Constructian Lien �av�►—Fi
<br /> Pratectian Guide° prepared by tlie Ftorida Department of Agriculture and Consumer A#fairs• ifi the a�ticarit �s° n�
<br /> ot� than the °awner', 1 ce�tify that ! have obtained a copy of the above described document and Pfom�se in 9o�d #� tQ
<br /> it to tt�e "owne�" prior to canmencement. .
<br /> R'SJaVI�+fER'S AFftDAY1T: I certify that all the information in this applica�on is accurate and . '�
<br /> �' �i1# in cornpliance with all applicable laws regulating construction, zoning and land dewelo�r�t'+�. ��s
<br /> hef ` made to obtain a permit to do work and instaltation as indicated. I certify
<br /> that no wark or insta�a�cx has
<br /> prior ta issuance of a pennit and that all work will be peROmied to meet stand�ds of aN �rs �e�ulatin�
<br /> p ior
<br /> � 'on, County and City codes, zoning regulations, and land develapmer►t regula�ons in me lu�s�r�on s a�s°
<br /> � to the intended work, a�d that it is
<br /> c e r t� that I understand that the regulations of other govemment agencies may apph/
<br /> my res�onsibility to identify what acfions I must take to be in compfiance. Such agencies t n c� u d e b u t a� e ���� d ��
<br /> _ Qepartrnent of Environmentaf Protection-Cypress 8ayheads, Wetland Areas ar►d Enviror►menta�Y �
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress SaYheads, W� ��: �
<br /> Watercourses.
<br /> _ qrmy Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servi��es/Environmental Heafth Unit-We��s, Wastewater+
<br /> Septic Tartks.
<br /> - US Environrt�tal Protection Agency-Asbestos abatement.
<br /> Federal Rviation Authority-Runways.
<br /> � �n�and that the foiiowing restricfions a�ply to the use of fi11:
<br /> - Use of fill is not aliowed in Fkood Zone "V" unless expressty p�rr�t�ed•
<br /> 1f the fill material is to be used in Flood Zone "A", it is understood that a drair�ge Pi�► � a
<br /> "compensating volume" will be submitted at time af permittir�g which is prepared bY a Pro�n� �
<br /> lic�sed by the State of Florida. .
<br /> 1f the fifl material is to be used in Flood Zone "A" in connection with a per�tted t�aiiding usin9 ��
<br /> construction, I certify that fill wiH be used only to fiil the area within the stem wail.
<br /> - If fill material is to be used in any area, I certify that us�: o# such fi!� w� twt adv�r .
<br /> �� properties. If use of fl[I is found to adversely affect adjacent properties, the c�er ►nal! �e �ed
<br /> � bon, � kots le.�,s , �� �
<br /> the conditions of the building permit issued under the attactfed permFt apPl� �
<br /> ac,�e which are elevated by fill, an engineered drainage p�an is required. �����
<br /> If I am tt►e AGENT FOR THE OWNER, I promise in good faith to inform th� owne+' of the pe�n9
<br /> �' this �Pffdavit prior to cammencing construction. I understand that a separate permit rnay be rec�red �Or ��.
<br /> p�u�g, signs, welis, pools, air conditioning, gas, or other ins#allations no# specifica�hl �dud� i� the �- �
<br /> permit issued shall be canstrued to be a license to proceed with the work and nat as a�th�rity tc� v�a�. �_ �, �
<br /> set aside any provisions of the technical codes, nor shall issuance of a pemtit prevent the 8t�g O#�iaa! ��
<br /> requiring a correction of errors in pfans, construction or violations of any codes. Every permit is.sued sira� be�a�e ir�r�d
<br /> unless the work authorized by such permit is commenced within six mor,ths of perm+t i�ta�ce, or i� wc�tc a�r+¢�3 �3'
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the woric is c�'�� �
<br /> may be requested, in writing, from the Building Official for a period not to sxceed nine�y {9U} c�ays
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the � is r.onsid�ed atZ�-
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE O� NAY �T �i '1(tllfR
<br /> PAYING TWICE FOR IMPROVEME S TO YOUR PROPERTY. IF YOU iNTENU TO OBTai FMiAN(�IIG, t�T
<br /> WITH YOUR LENDER OR AN A BEFORE RECORDING YOUR NOi'ICE OF �•
<br /> FLORIDA JURAT {F.S 1'17.03)
<br /> OWNER OR AGENT CONThZACTOR
<br /> Subscribed and swom to (or affirtne Subscxibed am! swoni to (or a
<br /> '7•?l by o `?.�.0•►) by ToH �
<br /> Vyj�Q;s/�g Personally known to � or haslhave produced N1� �e PErs+�r�a�y kr►�t to m� � � r ; "`°
<br /> as identifica8on.
<br /> � -
<br /> � a � Notary Public
<br /> Commi�sion No. �D ��Pa'� Commission No. ��0.�2��
<br /> E�!, 'r ,
<br /> �� Name ' ota d rinted or stam Name of Notary typed, printed or sta+nPed
<br /> ,,�1�111/I . \IIIIII y
<br /> �' _,�.�.�,, KRISTEN P. JOSEPH ;�.,�::�,,, KRISTEN P. JOSEPH
<br /> :*. ,;: Commission # DD 882627 _ ,.: Commiss�or # DD 882627
<br /> .,�N�; Expires April 21, 2013 �,�.�P : Expires Aprif 21, 2093
<br /> �' �, nndedT' yFair�lnsurance8l; 385•701y „�ndedT' Fan�Insntance8U ;f85-7U1:-,.
<br /> �i$i�\�" � '���i��" " , +
<br /> �i
<br /> ..�. .,.�..,«.�bx�"
<br />
|