|
i0'TIGE C1F D�ED RESYRICTlONS: The undersigned understands that this permik may be subject to"deed",,estrictions"
<br /> �hich may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> pplicable deed restrictions. �;`
<br /> iWLiC�IVS�D COW7"F�,CTORS AND CCIW'��tAICYO�E i�iESPOWS1�ILiTiES: if the awner has hiredz a contractor or
<br /> antractors ta undertake work, they may be reguired to be licensed in accordance vuith state and loi;a! regulations. lf the
<br /> ontractor is not licensed as required by lav�r, both the owner.and;contractor may be cited for a misdemeanar violetion
<br /> nder stale law. If the owner or intended contractor are uncertain as to what Iicensing requirements may apply for the
<br /> itended work, they are advised to contact the Pasca County Building InspecEion Division—Licensing Section at 727-847-
<br /> ;009. Furthermore, if the owner has hired a contractor or contractars, he is advised to have the contractor(s} sign
<br /> �ortions af the "contractor Block" af this�application far which they wili be responsibte. lf you, as_the awner sign as the
<br /> :antractor, that may be an�iridication ttiat he is nat properly l�censed and is not entitlec! to permitting privileges in Pasca
<br /> ;ounty. .
<br /> '1��►INS�OR'TA"�IOFd lilflfP�lCY/UYlL.Y�'I��IflflP�iC'�'AR}D�fE�IDURCI�R�COVfERY�E�S:� The undersigned understands
<br /> hat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change af
<br /> ise in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 30-07, as amended. The undersigned a}so understands, fhat such fees, as may be due, vuilE be identified at the time af
<br /> �ermitting. It is furfher understoad that Transpartafion impact Fees and Resource Recovery fees must be paid prior to
<br /> eceiving a "certificate af occupancy" or final povuer release. tf the project does not involve a certificate of occupancy or
<br /> inal pawer release, the.fees must be paid prior to permit issuance. Fu►thermare, if Pasco County VVatedSewer Impact
<br /> �ees are due, they rriust be paid prior to permit issuance in accordance with applicable-Pasco.Caun#y ordinances.
<br /> ;OId5T�3llCYlOPi LI�PI ��►IW(Chap�eP'��J� FioPld�t .°St�tU#�S� �� am�neied): If valuation of work is $2,500,00 or mare, i
<br /> �er#ify that I, the applicant, have been provided writh a capy of the "Fiorida Canstruction Lien L.aw—Homeowner's
<br /> �ratectio� Gu'rde" prepared by the Florida Department of Agriculture and Consumer Affairs. If ths appiicant is someane
<br /> �ther than#he"awner", i certify that E have obtained a copy of the above described document and pram�se in good faith to
<br /> deliver it#o the°owner"'priot to comm�ncement.
<br /> GOINT�,Cl"Oft'SlOWIN�R'a/1F�IDi11/M'�: ! certify that all the information in this application is accurate and that all work
<br /> uvill'be done in compliance with all applicabie iaws regulating construction, xoning and tand developmenf. Applicafion is
<br /> hereby made fo obtain a permit to do wark and installation as indicaked. 1 certify that no rnrork or instailatian has
<br /> commenced prior to issuance of a permit and that af! work uvill be perfarmed to meet standards af ai! laws �egula#ing
<br /> construction, County and Gi#y codes, zoning regulations, and land develaprnent regulations in the jurisdictior�. 1 also
<br /> certify khat I understand that the regulations of other gavernment agencies may apply to the intended rrvork, and that it is
<br /> my responsibility to identify wrhak aclians I must take to be in campliance. Such agencies Include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayi�eads, Wetland Areas_and Environmentatly Sensifive
<br /> Lands, Water/Wastewater Treatment. ,
<br /> - Sou#hwest Fiorida V1later it�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Arrrty Carps of Engineers-Seawalls, Docks, Navigable Vlfaterways.
<br /> - Depaetment of. Health & Rehabilitative Setvices/Environmental Heal#h Uni#-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Pratection Agency-Xsbestos abatement. '
<br /> - �ederai Avia#ion Authority-Runuvays.
<br /> I understand that the follawing restrictians apply to the use of�II:�
<br /> - Use of fi!{ is nat a!lavued in Fiood Zone°V"unless expressly petmitted.
<br /> - If the fil! materia! is to be used in Flood Zone "A", It is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill ma#eriai is to be used in Flaod �one "A" in connec#ion with a permitted buifd'rng using stem vvall
<br /> constructbn, }eertify that fiil will be used only#o iii!the area within the stem wai}.
<br /> - if fili material is ta be used in any area, ! certify that use of such fiii wii! not adversely atfect adjacent
<br /> properties. 3f use of fil! fs found to adversely affect adjacent properkiss, 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�1�EWT FOR�fHIiE OWIIV�I�, i promise in gvod faith to inform fhe ovuner of the permitting conditions set forth in
<br /> this a€fidavit prior ta commencing construcfion. 1 understand fhat a separate permif may be required for elec#rical wark,
<br /> plumbing, signs, wei4s, pools, air conditioning, gas, or other installations not spec�cally inc{uded in the application. A
<br /> permit issued shal! be construed ta be a Eicense to proceed with the v�rork and not as authority to violate, cancel, alter, or
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correctian of errars in plans, construction or violations of any codes; Every permit issued shall become invalid
<br /> unless the work autF�orized by such permit is commenced within six monttis`ofPperrriit'issuaiice;'�a��if�wark�:authorized by
<br /> the permi#'is suspended or abandaned for a period of six(6}months after the time tFie�inrar.k;is:coiitmenced, An exfensian
<br /> may be requested, in r�vri#ing, from the �uilding Ctfficial for a period not to ex��e�i',�iinetjr (90}.;days,_and�will demansfrate
<br /> justifiable cause for the extensior�. tf waek ceases for ninety(90}consecutive days,the job is considered abandoned.
<br /> 1�lAf�NIN� 'TO OVNNf�[�: 1fOUR FAIfLUR� YO f�ECO�tD �► Pl0'TICf� OF COflflflflEWCEflflEWT flfl/1Y RESIMLY IFI YOUR
<br /> �-��cYIYdG-YIiVICE-�UF3-I�HH�ROV�iWEAIY�-�'O YOUI7 I��O�!�i�'TY, i�YOU IiVYEWD TQ OBTAiN FIPI�►NCIYVC, COPISUL'�'
<br /> I�iIYN YOU�t LEiVL1iE�O�i�W AYYOIf�Pi�Y(��FCiif�l� FtIECO��IWt�Yt)t1�2 NO'TiCE C�F COi�i1HENCE�ENT. — _ �
<br /> FLflR1DA.lURAT{F:S.117.Q3j
<br /> OWVdER OFt AGENT ���^�-�����'— CGPITitACTQPt .%���•..- � �3.��t-�.�«�--
<br /> Subscdbed and swom to(ar a�rmed}before me this Subscrlbed and swom to(ar afflrmed)befare me this
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or hasJhave produced
<br /> as Identlficatian. as Iden#Ificatlon.
<br /> `�'"��~--� Notary Public �� Notary Public
<br /> �
<br /> Comm sion ••"„�",,,, Commission
<br /> � v t
<br /> *; ';:: Commission#FE 040�20 ' ,"„. JaCQUEIINE BOGES ,
<br /> ._ ,,°:'�.'���,, E 04Ci520
<br /> i�ame of t�ota �in g�.� ` � � Name of Notaty �8• ri
<br /> ���wsr;a;;:7 . - if��1$�tbet1 ,
<br /> - �^ �'' g4ndedTtuuTroyFdelnsuranceB00'��-1019
<br /> y� o�
<br /> pF�,r
<br />
|