|
�
<br /> , " "�
<br /> PJOT'iCE OF DE�D R��TRB�T'IOPI�: The undersigned understands that this permit rnay be subject to"deed"restrictions"
<br /> which may �ie mare restrictive than County regulations. The undersigned assumes responsibi4ity for campl9ance with any
<br /> applicable deed restrictions.
<br /> U�tl.lCEtdSED CC1NTRf�C'CiJRS �ND CCtt�7'��T�� �fES�ONa➢�lL,�YIf�S: !f the awrner has hired a contrac#or or
<br /> confractors #o undertake work, they may be required ta be licensed in accordance with state ancf tocal regulations. !f the
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor vialation
<br /> under state law. if the o�ntner or inte�ded contracfor are uncer�ain as #o v�rha# licensing requicements may apply fo� the
<br /> intended wark, they are advised to cantack the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Fur�hermore, if the ov�rner has hired a contractar or contractors, he is advised to have the contractor{s) sign
<br /> portions of the "contractor �lock" of this application for�which they wili be responsible. tf you, as the awner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permit#ing privileges in Pasco
<br /> County.
<br /> ' 7R�►PISPOF2T'AYICDiV IMF�AC1'1ll�ILl'�IE� �����Y�PID f���0iJ�2CE R�COVERY ��ES: The undersigned understands
<br /> that Trartsportation Impact Fees and Recourse Ftecovery Fees may apply ta the construction of nevtr buiidings, change of
<br /> use in existing buildings, or expansion of existing buiidings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, uvill be identified at the time of
<br /> permitting. It is further uncf�rstood fhat 7ranspartation impac# Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificaYe of occupancy" or final pa�nrer release, If the project does not involve a certificate of occupancy or
<br /> final pavver release, the fees must be paid priar ta permi# iss�tance. Furthermore, if Pasco County VNater/Sewrer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> GON�T�tUICT1��1 Ll�P! l.��V(CF�ap��r Y93, �l¢�Pi�a���a4u���, �s ��er�d�e��: If vaivation of work is$2,540A0 or more, !
<br /> certify that I, the applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Hameowner"s
<br /> Protectian Guide"' prepared by the �'lorida Department of Agriculkure and Consumer Affairs. If the applicant is someone
<br /> other 4han the"ovtrner", 1 certify that I have obtained a capy af fhe abvve described document and promise in good faith to
<br /> deliver it ta khe "vwner"prior ko commencement.
<br /> �t}INTR�CTQi�'�10�lI��R'����11��►VIT: 1 certify that alE the information ie�this appEica�ion is accurate and that all uvork
<br /> will be done in compliance with all applicable lav�s regulating construction, zaning and land development. Application is
<br /> hereby made to ab#ain a permit to do vuork and inska!lation as indicated. ! certify that na wrork or instatlation has
<br /> commenced prior to issuance of a permik and 4hat all work will be performed to meet standards of all laws regu(ating
<br /> constructian, County and City codes, zoning regulatians, and land development regulations in the jurisdiction. I also
<br /> certify thaf I unders#and that #he r�gulafions of other government ageneies 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 ar� not limited to:
<br /> - Depa�tment of Environmental Pratectian-Cypress Bayheads, �!/�tland Areas and �nvironmentally Sensitive
<br /> Lands, Wa#erNVastewater Treatment.
<br /> - Sauthwest Flarida V1(ater [1�anagement District-Wells, Gypress Bayheads, Wetland Areas, N{tering
<br /> Wafercourses.
<br /> - Army Corps of Engineers-Seawalls, [7ocks, YVavigable Waterways.
<br /> - Department of Nealth � RehabiEita#ive Servicesl�nvironmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environrt�ental Profection Agency-A�sbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> R understand that#he#allowing restrictions apply ta the use of fill:�
<br /> - Use af fill is not allowed in �laod Zone"V"unless expressty permitted.
<br /> - If the fill material is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "cornpensafing volume" uvill be submitted at fime of permifting vuhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - !f fhe fiN material is to b� used 'sn F1ood Zone "A° in connection with a pecmitted building using stem vtiral!
<br /> construction, I certify that fii(wili be used only to�lI the area within the stem wali.
<br /> - If fil! makerial is to be used in ar�y area, ! certify that use of such fill will not adversely affect adjacent
<br /> properfies. if use of fiil is found to adversely affect acijacenf praperties, the owner may be cited for vio4ating
<br /> the canditions of the building permit issued under the atfached permit applicafion, for Iofs less than one (1)
<br /> acre which a�e elevatecf by�11, an e�gineered drainage plan �s�required.
<br /> If I am the�4G�N7 FOF�TFYIE 09PV�l��t, I promise in good fai#h to inform the owner of#he permitting conditions set forth in
<br /> tt�is affidavit prior to commencing construction. ! understand that a separate permit map be required for elect�ica! wrork,
<br /> plumbing, signs, welis, pools, air condifianing, gas, ar other insfaliafions nof specificaily inciuded in the appfication. A
<br /> permit issued shall be construed ta be a license to proceed writh the work and not as authority to violate, cancel, alter, ar
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent fhe Building Officiat from thereaftar
<br /> requiring a correction of errors in plans, canstruction vr violations of any codes. Every permit issued shall become invalid
<br /> unless #he work au#horized by such permit is corrrmertced writh3n six manths of permit issuance, or if work authosized by
<br /> the permit is suspended or abandon�d for a period of six(6) months after the time the work is cornmenced. An extension
<br /> may be requested, in writing, from �he �u9lding Official for a period nat to �xceed ninety (90) days and wil! demonstrake
<br /> justifiable cause for the exfension. If tnrork ceases for ninefy(90}consecutive days, fhe job is considered abandoned,
<br /> �IAR�3iNG 'f� f31iV��R: �C�19�-�����3R���-���QR� �'. �Q�"3C� ��= �t)�E�3�N��!l���T !4�#�Y�t���LT'-��1 �fOIIR-- .
<br /> 6'b�Y1F�lG �1lIICE FOa2 IIYiPRZ.I�/EIV1EiVY'� 1"PJ YC�t�R�ff�OI�E9�'�Y. 9�YOIJ IPI7'I�WD 7'ID O�i7�1lN F'IRli�f�lCIfl4G, CO�I�ULY
<br /> 1tY1TFf V011�t�ENDER�JJR�N l�TT'�RN�Y B��FC}�t�f�ECt)1RfDING Y�UR�9A'�IC�t�F COIVIlV��NC�Ii��NT.
<br /> FLORIDA JURAT(F.5 117 03) �r����-rC
<br /> 01�VY�E12 O�t/iGEt�T COIU7'F�ACTOP2
<br /> Subscribed and swom to(or med)before me this Subscribed and swarn to(or rmed)before me this
<br /> Who islar persona(ly ow to me ot haslhave produced Who fslar personh!! na ta me ar haslhave produced
<br /> as Identlfication. as identification. '
<br /> �� otary Public ,,�" � Notary Public
<br /> �'°�"" Co mf ion "y"�•
<br /> C m sfon ;�o •���--�k�@tlE[�fil_ s.•� •,
<br /> �"�: Commission#EE�GJ���{(S�r f� _ : ��*= Commissian#EE 040520
<br /> �k• — l/�'fS/a72U _ _
<br /> =o'l :r
<br /> Name aC Not •�71 � ,2014 Name of Not '„�� ��flfl�BEdORnS��tit{d@E�rence800365-7019
<br /> ��� Thru TroyFein Insurar�ca gpagg5-T019
<br />
|