|
i
<br /> � �
<br /> � NOT'IC�O� CD�ED R���'f�IC'TtOPI�: The undersigned understands that this permit may be subject to"deed" restricfions" �,
<br /> i which may be more restricfive than Gaunty reguEatians. The undersigned assumes responsibility for campl9ance v�rith any
<br /> �I applicable deed restrictions.
<br /> U�l�IC�h3��D CONTR�CT�R� ��fCD GQR1T�►�'f�� �(��F���#�f�1�.9T�f��: !f the owner has hired a cantractor or
<br /> contractors to undertake work, they may be required to be licensed in accardance rwith state and Iocal regulations. Yf#he
<br /> conkractor is not licensed as required by law, bath the awner and contractor may be cited for a misd�meanor violation
<br /> under sta#e iaw. If the owner ar intended contrac#ar are uncertain as to �nrF►at licensing requirements may appEy for the
<br /> intended work, they are advised to contact the Pasco County �uildir�g Inspection Divisian—Licensing Section at 727-847-
<br /> 8009. Furtherrnore, 'sf the owner has hired a can#rac#or or contractors, he is advised to have the cantractor{s) sign
<br /> portions of the "contractor Block" of this application for which they will be respansible. If yau, as the ov�ner sign as the
<br /> conttactor, Ehat may be an indication that he is nat properly licensed and is not entiHed to permitting privileges in Pasco
<br /> County
<br /> TF�►N�POR1"P�YIOI� I��A.CTIIJI'iL�YIf�S Ii�iIf�AC�'��9� �t�50U�C� RI��O�'��Y f���S: The undersigned understands
<br /> that Transpor#ation 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 Caunty Ordinance number $9-07 and
<br /> ' 90-07, as amended. The undersigned also undersfiands, ttiat such fess, as may be due, will be identified at the time of
<br /> ', permitking. It is further understood that Transportation Impact Fees and Ftesource Recovery Fees musf be paid prior to
<br /> i receiving a "ce�tificate of occupancy" or final power release. !f the project does rtot involve a certificate of occupancy or
<br /> � final power release, the fees musf be paid prior to permit issuance. Furthermore, if Pasca County WaterlSewer Impact
<br /> � fees are due, they must be paid prior to permit issuance in accordance with applicable F'asco County ordinances.
<br /> �f3�lS"f�tt�C�"!��! C.tIEPd �.�l1fi�{Gh��t�r 7�9�, �I�r�a�a�����ca���j a�� ��t�ee�d�ef�: !f valuatior�af work is$2,500.00 or more, 4
<br /> certify that I, the applicant, have been pravided with a copy of the °Florida Construction Lien Lav�r—Hameovuner's
<br /> F'rotection Guide" prepared by the Florida Deparkment af Agriculture and Consumer Affairs. {f�he applicant is someone
<br /> other than the"owner", 1 certify that t have obtained a copy of the abave described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> COP1T�t1�CTOF�'S/i:71ii��1�1�'�6�,��1��V1Y: 1 certify fhat all the information in fhis applicatiort is accttrate and fhat all uvork
<br /> will be done in compliance vvith all applicable laws regulating construction, zoning and land develapment. Applicatian is
<br /> hereby made ta abtain a permit ta do v�ror4c and installation as ind9cated. { certify that no uvork or installation has
<br /> commenced prior to issuance of a permit and that ali work will be perfarmed to meet standards of alI laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdic#ian. ! also
<br /> certify that I undersfand fhat the regulations of other government agenci�s may apply to fhe infended wtork, and that it is
<br /> my responsibility ta identify what actions I must take to be in campliance. Such agencies include but are not limi#ed to:
<br /> - Department o# Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Wat�rNVas#ewrater Treatment.
<br /> - SouEhwest Florida Water �anagement District-V1fells, Gypress Bayheads, Wetland Areas, Altering
<br /> VVatercourses.
<br /> - Army Carps o�Engineers-Seawralls, Docks, lNavigable Watenrvays.
<br /> - Department af Healfh � Rehabiiitative ServiceslEnvironmenta! Fiealth Unit VUelis, Wastetrvater Treatment,
<br /> S�ptic Tanks.
<br /> - 9JS Er�vifanmental Peotection Agency-Asbestos abatement.
<br /> - �'ederal Aviakion Authority-Runuvays.
<br /> 1 und�rstand that the iollovuing restrictions appEy to the use of fiEf:
<br /> - Use of fill is not allowed in Ftood Zone"V"un(ess expressly permitted.
<br /> - If the fil! mat�rial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" wi1! be submitt�d at fime of permifting r�rhich is prepared by a pro€essiona) engineer
<br /> licensed by the State of Florida.
<br /> - If the fi11 material is to be used in Fload �one "A" in connection uvith a permitted building using sfem wall
<br /> construction, I cer#ify thak fill will be used only to fill the area within the stem wall.
<br /> - !f fili material is to be used in any area, ! certify that use of such fi!! Snrill not adve�sely affect adjacent
<br /> properties. If use of fifl is found to adversely affect adjacent properties, the owner may be cited for viola#ing
<br /> the condikions of the building permit issued under th� atfached permit application, for lots less than one (1)
<br /> acre vvhich are elevated by�I1, ae�engin�ered dra'snage pian is required.
<br /> If I am khe�►C�NT fFOFY TYiE OWIFV��, I promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> fhis affidavi# prior to commer�cing cor�structio;�. ! understand that a separa#e pert�it may be required for eEectrical work,
<br /> plumbing, signs, wells, pools, air condifioning, gas, or other installations not specifically included in the applicafiion. A
<br /> permit issued shall be construed to b� a license 10 procesd with the +nror4c and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technica{ codes, nor shall issuance af a permif prev�nt fhe 8uitding Officia)from fhereafter
<br /> requiring a correction of errors in plans, construction or violatians of any cades. �very permi# issued shall became invalid
<br /> un(ess #he work aufhorized by such permiE is commenced writhin six months of permit issuance, t�r if wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. Nn extension
<br /> rt�ay be requested, in vtirriting, f�orn the Building OfficiaE for a period nat to exceed ninety {90) days and wit! demonstrate
<br /> justifiable cause for the extensian. If work c�ases for ninefy(90)consecu4ive-days, fhe job-is considered abandoned.
<br /> !�!�►RNiN� Tt3 �1fii���F: Y�UR F6��L�R� TO R(���c�ti3 � �iOT9G� t)� CO��HE�IC��i��dY �i6AY �t(�SUl.T 1�I YCAUR
<br /> �AVING l�dll�E IFOR 1�1��OVIE�filEf�'�S 1'�1(OIJ� IPF2.OfPER`�'Y. II�YOl1 YWTI�ND TC) OB7,AI�1 FIRJ�►�9C9P1�, CORl:�l1L.T
<br /> i�IYN Y'�UR���i������I���7���9�Y���������C�3�iD1�fC Yf��� i���'1�E�IF��ii����1C����iY.
<br /> FLORIDA JURAT(F.S. 117.03) �. ;�
<br /> ��t►1PfER OFt AG��T �QRlT�GTCIF2 �
<br /> f�.��2ry��
<br /> Subsc�lbed and swom to(or affirmed)before me this Subscribed and sw � or affirmed) efore me this ,
<br /> by by
<br /> Who islare persona!!y known ta me or haslhave produced Who Islare personaHy known to me ar haslhave praduced
<br /> as IdenBficaUan. as identificaGon.
<br /> Notary Public � Notary Public
<br /> ,.•`''tit�T"a'�- JaEi.E.BACON
<br /> Commissfon No. Co mi sion No. +�-.
<br /> :%: :�e mmission#FF 137073
<br /> _; Q: Expires June 29,2018
<br /> Name af Notary typed,printed or stamped PV me of Notary typa
<br /> � � roy Fan Inmyanca 9pp.3g5•7019
<br />
|