�
<br /> PIOTICE OF DE��1 RE�►TF21C'TIOP9�: The undersigned understands that this permit may be subject to"deed" restrictions�'
<br /> which may be more res9rictive than County regulations. The unciersigned assumes respor�sib94ity for comptiance with an3/
<br /> applicable deed restrictions.
<br /> t9PdLlC{EtdSI�D CC1N7F��CY��L� �►�9� �C��lY�1�T'�R f���P�Rl�If�lL,1'PIIE�: If the owner has hired a contractor or
<br /> contractors to undertak� work, they may be required to be licenseci in accordance with state and tocal regulations. tf#he
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state iaw. If fhe ov�rner or infended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to cantac#the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ownar has hired a contractor ar contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application far which they will be responsible. If yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is not entitled ta permitting privileges in Pascv
<br /> Counfy.
<br /> 7�,RISPO�2YA�'IC1P1 I�l��►CT7l1Tll.l�'IES YflflPe�,�Y�►�9D ���OURC� RECOiI��v F�f�S; The undersigned underskands
<br /> that Transportafion Impact Fees and Ftecourse Recovery Fees may,apply to the construction of new buildings, change af
<br /> use in existing buildings, or expansion of existing buiidings, as specified in F'asco County Ordinance number 89-07 and _
<br /> 90-47, as amended. The undersigned aiso u�derstands, that such fees, as may be due, wrill be identified at the time of
<br /> permitting. {t is further understood that Transpartation lmpact �ees and Resource Recovery Fees must be paid prioc fo
<br /> receiving a "certificate af occupancy" or final powrer release. (f the project does not involve a certificate of occupancy or
<br /> fina} povuer reEease, the fees must be paid prior ta permit issuance. Fucthermore, i€ �asco County 1lVaterlSewer Impact
<br /> fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GONSTRUCT�ON L11EP1 LA1f1t{Chapt�r Y13, (Fleor9���ta�a��s, �s attte�d�e9}: If valuation o#vuork is$2,540.OQ or more, !
<br /> certify that I, the applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide° prepared by the l�lorida Departm�nt of Agriculture and Consumer Affairs. lf the applicant is someone
<br /> ather than fhe"owner", 1 certify that 1 have abtained a copy of the above described document and prorrtise in good #aith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CflNT'R�C'�"�R'S10V�lNiEFt'� �►��1�3�VI1C: 1 certify that ai1 the information in this applicatiort is accurate and that all work
<br /> will�be done in compliance with all applicable lauvs regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatian as indicated. 1 certify that no work or installatEan has
<br /> commenced priar to issuance of a permit and that aH work vuiil be performed to meet standards of alt laws regulating
<br /> construction, County and City codes, zoning regulatians, and land development regula#ians in the jurisdiction. I also
<br /> certify thaf ( understand fhaf the regulatians af pther government agencies may apply to the intended vuork, and #hat it is
<br /> my responsibility ko identify what actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Department af Environmental Protection-Cypress �ayheads, Wettand Areas and Environmentally Sensitive
<br /> Lands, VVater/Wastewater T'reatment.
<br /> - Southwest Florida Vllater Management Dtstrict-V1(ells, Cy�ress Bayheads, Wetland Aeeas, Nltering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Deparfinent o# Health � R�habilitative ServiceslEnvironmental Health Unit-1l�lells, Wasteuvater Treatment,
<br /> Sepkic Tanks.
<br /> - US Enviconmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authoriiy-Runways.
<br /> I underskand that the following restrictions apply to the use of fill:�
<br /> - Use af fi(I is not allorrved in Flood Zane"V"unEsss expressly permitted.
<br /> - If the fill material is to be used in Fload Zone "N", it is understood that a drainage plan addressing a
<br /> "compensating vaiume" vuil! be subr�itted at fime of permitting �uhich is prepared by a prafessional engineer
<br /> licensed by the State of Florida.
<br /> - !f the fill material is ta be used in Flood Zone "A" in connection writh a permitted bui{ding using stsm vsra8
<br /> construction, 1 certify that fill will be used only to�li the area within the stem wall.
<br /> - If fil! material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properfies, #f use of fill is found to adversely affect adjacent properfies, the owner may be cited for vio#ating
<br /> the conditions of the building permit issued under the attached permit application, far lots less than one (1)
<br /> acr��hich are elevated by fil1, an ertgineered drainage plan is required.
<br /> If I am the AG�PJT F06�'�6i� OIiVPVI��t, I promise in gaod faith to inform the owner af#he permitting canditions set forth in
<br /> this affidavit prior to comm�ncing canstructian. I understand that a separate permit may be required for electrica! work,
<br /> plumbing, signs, welfs, pools, air conditioning, gas, or ofher installations not specifically included in the appticafion. A
<br /> permit issued shall be construed to be a license to proceed vvith the work and not as authority ta violate, cancel, alter, or
<br /> sef aside any provisions of the technical codes, nor shall issua�tce of a permit prevent the Building O�ficial from thereaffer
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work autharized by such permit is commenced within six manths of permit issuance, ar if vrrofk authorized by
<br /> I the permit is suspended or abandoned for a periad of six(6) months aft�r the time the work is commenced. An exfension
<br /> rnay be reques#ed, in v�riting, from the Building Official for a period not to exceed ninety (90) days and wil! demonstrate
<br /> justifiabie cause far the extension. !f vvork ceases far ninefy(90)consecutive days, the job is considered abandoned.
<br /> {�iA�2NING '�� CDiiil��Ft: �C1l�E� i��1���R� 3't? ���4�RI} � �9�1'IG� C!� ��(��El����1�6�T M�Y �2��L1�.'T Ii� Y�i1�2
<br /> I �4�YIfdG �1fVICE �fJR Ihfl�R�ilI�iWIEP➢TS�'()YClll66t�'I�O�'�RTI(. 9f�YOIJ YN�'�ND TO O�TI�IIV FIN�IN�CIfVG, CON�ULY
<br />� �lVtTH YC}U�F L�Ptl��1�i�R�1Pt�YT�@�t��1���I���f�fft(E��J1�1�04�14�YC�t���9CIY �t��F Cd��1�If���1��1���f�f.
<br /> FLORIDA JURAT(F.S. 117.�3} ��M��,,.,,�
<br /> OlN1N�6a O€t A.G�NT CO�lT62AGTQgZ
<br /> Subscrfbed and swom to(or affirmed}before me th�s Subscribed and swa trm ' efal'e me t '
<br /> bY �"�'l� bY� ft/ ���
<br /> Wha islare personally known to me or haslhave produced Who IsJare ersona(y k owtn o me or hasthave produced
<br /> as Identlfication. �7_,�I�{S,�e,� as identificafion.
<br /> � �.
<br /> Notary Public �-•rr ��'� Notary Public
<br /> Commission No. ComriS� sion N
<br /> „�,,,,
<br /> ,,���i::r;��` JACQUELlNE BQGES
<br /> Name qf Notery typed,pr(nted or stamped tJame of Nota �� �t �eys �r 12,2Q1�3
<br /> ^'�,`,ar t+,4t'` 8onded Tlw 7my Fdn Inswanca 804�7019
<br /> .au�
<br />
|