|
NOTlC� �� �f�E� (RES�'�ICYlON�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulatians. Ttte undersigned ass�mes responsibility for compl9ance with any
<br /> applicable deed restrictions.
<br /> 11�Il.IC�P9S�D CK1+N7Rf��rOR:� ��IID �C7P�Y��'TOff� ��SiPOP��1�lLO�'l��: if the awner has hired a contractor or
<br /> contractors to undertake �vork, they may be required to be (icensed in accordance �rith state and iocai regulations. If#he
<br /> contractor is not licensed as required by law, both the awner and contractor may be cited for a misdemeanor violation
<br /> � under stafe larn�. if the owner ar inteneied con#ractor are unc�rtain as to r1vhat (icensing requirements may appiy for the
<br /> ' intended work, they are advised to cantact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8409. Furthermore, if �he a�ntner has hirec# a cor�tractor or contractors, he is advised ta have the contractor{s} sign
<br /> portions of the ucontractor Block" of fhis applicatian for which #hey vvili be responsible. If you, as the ouvner sign as the
<br /> eonkractor, that may be an ind+ca#ion that h� is not properly Gcensed an,d j� not entitled to permitting privileges in Pasco
<br /> County. °
<br /> T9�Id5�O�t'�AYION IRA�ACTII�'�ILIY'IfE� Ifl���►C1f�ft9� f���IDI&�2�� Rf��Oi/f��Y f�f�(��: The undersigned underskands
<br /> that Transpartation lmpac# Fees and Ftecours� E�ecovery Fees may apply to the cons#ructian of new builclings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aEso understands, that such fees, as may be due, wi11 be identified at the time of
<br /> permitting. It is further understood thaf Transportation Impact Fees;;and Resource Recovery Fees must be paid priar to
<br /> receiving a "certificate of accupancy" or final power release. !f the project��oes �ot involve a certificake of occupancy or
<br /> finei power reiease, the fees musf be paid prior ta permif issuanc�. �urthermare, if F'asco County Water/Sewrer Impact
<br /> fees are du�, they must be paid prior Qo permit issuance in ac�ordance with applicable Pascv County ordinances.
<br /> G0�4STt21}�TlON �11EP� �.�►1fV{�ha�4��7'�93, ��$ric�a��4��c����, �� �r�n�e�ded�: !f valuation of�nrork is$2,500.00 or more, 1
<br /> certify that I, the applicant, have b�en provided with a capy of the "�'lorida Construction Lien Lawr—Homeovuner's
<br /> Pratectian Guide" prepared by the Fiorida Department of Agriculture and Cvnsumer Affairs. !f the applicant is someone
<br /> � other than the"owner", I certify that i have obtained a eopy of the above describ�d documenf and promise in good faith fo
<br /> ' deliver it to the"owner"prior to commencement.
<br /> G�WI'6��►C70R'�ICl��9��i'� �i�IFlI��Oi1T: 1 certify that ati the informafion in this applicatior� is accurate and that al!wlork
<br /> will�be done in compliance with all applicabte laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit ta da work and inskaiEation as indicated. 9 certify that no v�tork or installation has
<br /> cammenced prior to issuance af a permit and that all work will be perfarmed fo meet standards of all laws regulating
<br /> i construckion, Counky and Ciky codes, zoning regulations, and land development regulations in the jurisdictian. I also
<br /> �' certify that 1 undees#and thaf the regulations Qf o#her governm�nt agencies may apply #o the intended wark, and that it is
<br /> rrty responsibility ta identify what actians I must take to be in compliance. Such agencies include bu#are not limited ta:
<br /> - Department of Environmental Pratecfi9an-Cypress �ayheads, Wetla�d Areas and Environrrientally Sensitive
<br /> Lands, VVat�r/Wastewater Treatment.
<br /> - Southwest Flarida Water iVianagem�nt District-Wells, Cypress Bayheads, V1(etland ,Areas, Altering
<br /> Watercourses.
<br /> ' - Army Corps of Engineers-Seawalls, Docks, YVavigable Waterways.
<br /> - Department of Nealth � fZehabilita#ive Services/Enviranrrtental Flealth Unit-�V/ells, Wastewater Treatmen�,
<br /> Septic Tanks. .
<br /> - US Environmenfal Protection Agency-Asbestos abatetrt�nt.
<br /> - Federal Aviation Authority-Runv,vays.
<br /> I understand that the following restrictions apply to the use vf filf:
<br /> - Use of fill is not alloweci in Ftood Zone"V"unless expressly permitted.
<br /> - If the fill mat�rial is to be used in Flood Zone "N", it is understood that a drainage plan addressing a
<br /> "compensating vo(ume" vui11 be submitted at time of permitting uvhich is prepared by a professiona) engineer
<br /> licensed by the State of Florida.
<br /> - 1f 4he fill material is ta be used in Flood Zone "A►" in connection t�rith a permifted buiiding using stem wraH
<br /> construction, I certify that fill will be used only to fifl the area within the stem wall.
<br /> - 9f fsll material is to be used in any area, ! cert9fy that use of such fi!! will not adversely affect adjacent
<br /> properties. if use of fill is found to adversely affect adjacent properfies, the owner may be cifed for viaiating
<br /> the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage pEan is required.
<br /> If I am the AG�NT �O��'FI� CD'O�iliVfEl�, I promise in good faith to infarm the owner of the permitting conditions set forth in
<br /> this affidavit prior fo commencing construction. � understand that a separa#e permit rnay bs required for etectrica! work,
<br /> plumbing, signs, wells, poois, air condifioning, gas, or o#her installations not specificatly inciuded in the application. A
<br /> permit issued shall be construed to be a license ko proceed with the �nrork and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar shal( issuance af a permit prevent the Building C7fficial from thereafter
<br /> requiring a correction of errors in plans, construction or violatians of any codes. Every permi# issued shall become invalid
<br /> unfess the work authorizecf by such permit is commenceci v�ithin six manths of permit issuance, or if work aufhorized by
<br /> 4he permit is suspended or abandon�d for a period of six(6) manths after the time the�nrork is commenced. An extension
<br /> may be requested, in uvriting, from the �uilding Offrciai for a period not to exceed ninety �90) days and wi!! demonstraEe
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> i�iARNIN� 7'C3 �i�ll�1��: YOU�2 iF�il.U�t� T{3 �Z(��OR� � �40T�C(E Q� C��flilEWC���I�T �A't R��UE.1' l�l lfOtlR
<br /> �"AI�INC TN'l1ICE l�C)Ft mti�f�ROV�Af1�P1�'�T�C2 Y011l��II�CIfPfE�'fY. I�1�OU YPIYEPJD TC� O�Yk\IiV FIPIl�►WI�CI�iG, GOiVS�I�.T
<br /> itiflTN'Y�l1R L�E�G����t �,1C70i���Y`i��IF��iE ���t}�(DIPf�Y�11� P10T1��CI�C�Ii��1��NCl�l�i(E�6Y.
<br /> FLORIDA JURA7(F.S. 11 . 3)
<br /> OlfitPtEF2 OFt AG �QN'TFtAGTO�
<br /> Subscribed a swo irme re e#his Subscribed and swom to(or affirmed)before me this
<br /> b by
<br /> Who islare personalty known me or haslhave produced Who Islaee personally knawrn ta me or haslhave produced
<br /> as Idenk(fication. as identificakion.
<br /> Notary Public Notary Public
<br /> �If/1��� .
<br /> Co missi r���Py�•: JOEL F,� .� _ Commission No.
<br /> ="� R; �ommtssion#F�937473
<br /> iVame o( T � ed,�tl�dtrd�'�,��,� IVame of Notary typed,printed or stamped
<br /> sao�s
<br />
|