|
NQ?'TICIE O� �D�f�D RE�T��C7'1�1Al�: The undersigned understands that this permit may be subject to"deed" restrictibns" �
<br /> which may be mare restrictive than Gounty regu(a#ions. The undersigned assumes responsibiiity for compliance rrvith any
<br /> applicable deed restrictions.
<br /> � l9NLIC(E�SEC! C�1dTR�CTQ�� �FV� GOP1T�fGT�� �d�S�ON�i��l1�'1l��. !f the orruner has hired a contractor or
<br /> �� cantractors to undertake work, they may be required to be licensed in accordance v�rith state and local regulatians. If the
<br /> contracEor is not ficensed as required by law, bath the ovvner and contractor may be cited for a misdemeanar violation
<br /> under state law. if the owner or infended cantrac�or are uncerfain as ta uvhaf licensing requirements may apply for the
<br /> intended work, they are advised to cantact the 6'asco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owmer has hired a eontraetor or cantractors, he is advised to have the eontraetor(s} sign
<br /> portions of the "con#ractar Block" of this application for which they will be responsible, If yau, as the avvner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entstled to �aermitting privileges in Pasco
<br /> County.
<br /> T�id�POR7`ATION Infl�,�CY/l1T'iLl'�"If�S IiVi��►GY�Pl� f�f��C79J�t�� R'�COi/�RY ����: The undersigned underskands
<br /> that Transpa'r#ation {mpact Fees and Ftecaurse Recovery Fees may apply to the construction of new buiidings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance nurnber 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, wil! be �dentif�ed at the tirrte of
<br /> p�rmitting. It is further understaod that Transportation (mpact Fees and Ftesource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final pav�rer release. If the project does not involve a certificate of occupancy or
<br /> final povver release, the fees musf be paid prior to permit issuance. Furfhermore, if Pasca County Water/Sewer Impact
<br /> fees are due, they rnust be paid prior#o perrnit issuance in accardance with applicable f'asco County ordinances.
<br /> �43N��'RUC�"�ON �IIEN �.�If�(Gh�p��r 7''��, �Icarie������ta���, �s �r�a��d�d}: !f valuat9on of wrork is $2,500.00 or mare, 4
<br /> certify that I, the applicant, have b�en provided with a copy of the "Florida Construction Lien Lavu—Hameowner's
<br /> , Protectian Guide" prepared by the Florida �epartm�nt of Agriculture and Consumer pffairs. lf the applicant is someone
<br /> other than fhe"owner°, I certify that I have obtained a copy of the above described document and promise in gaod faifh to
<br /> deliver it to khe"ovuner" prior to commencement.
<br /> CO�ITR�►�7'��'S/C3t�iR11�f�'��li��l��il1Y: 1 certify that all the information in this applicatic�n is accura#e and that all vuark
<br /> will be done in compliance uvith all applicable lav�s regulating construction, zoning and land develapment. Applicatian is
<br /> hereby made ta obtain a permit to do vuork and installation as indicated. [ certify that no worSc or installation has
<br /> cammenced prior #o issuance of a permit and that all work vuill be performed to meet standards of all laws regula#ing
<br /> construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. 1 also
<br /> certify that 1 understand fhat fhe regulations of other gavernment agencies may appty #o fhe infended work, and that it is
<br /> my responsibility to idenfify what actions I must take fo be in compliance. Such agencies include but are not limited ta:
<br /> - Department of Environmenfal Protectian-Cypress �ayheac3s, VUetland Areas and �nvironmentally Ser�sitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Sou#hvtirest �lorida 1lVater Management District-Wells, Cypress Bayheads, Wet3and �eas, Altering
<br /> Vl/atercourses.
<br /> - Army Corps of Engineers-Seav�talls, Docks, iVavigable Wa4enrvays.
<br /> - Deparfinent of Health & R�habi)itative Servicesl�nvironmental Nealth Unif-Wel(s, Wastewafer Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmentai Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> t understand that#he iollouving restrictions apply ta the use of filt:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressiy permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" will be submitted at time of permitting virhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - 1f the fill materia! is to b� used in Flood �one "A" it� connection with a permitted building using sfem �nraEl
<br /> construction, I certify thak fill will be used only to fill the area within the stem wall.
<br /> - If fiN material is to be used in any area, I certify that use af such fi!! will not adversely affect adjacent
<br /> properfies. If use of fi11 is found to advers�eiy affect adjacent properties, the owner may be ci#ed for violating
<br /> the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
<br /> acre which are e(evated by fill, an engineered drainage pian is required.
<br /> If I am the AGIEN�' fFOR 7HfE f��ilY�E�t, I promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> fihis affidavit prEor to commencing construction. ( understand that a separate permit may be required for eteaf�ical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installa#ions not specificatty included in the application. A
<br /> permit issued shall be canstrued ta be a license to proceed v�rith the work and not as authoriiy to,violate, cancel, alter, or
<br /> set aside any provisions af the technical ccades, nar shail issuance of a permit prev�nt the Building t�fficial from thereafter
<br /> requiring a correctian of errors ln plans, construction or violatians of any codes. Every permik issued shall became invalid
<br /> unless the work autharized by such permit is catrzrnenced vtirithin six mon#hs of permit issetance, or if�nrork authorized by
<br /> lhe permit is suspended or abandoned for a period of six(6) months after the time the wrork is commenced. pn extension
<br /> may be requested, in writing, from the Building C}fficia} far a period not to �xceed ninety (90} days and v�ril! demonstrate
<br /> justifiabl� cause for fhe extension. If work ceases for ninety(90)consecutive days, fhe job is considered abandoned.
<br /> �,
<br /> �H/�►RNOPl� Y�3 01�i1�t�6�: Y�t1tR ��i�LUR� YO �2��¢aR� 1� 6��T9C1� �(F C�(��PER�C��1��iT �AY fiI�E�Ul.Y I�i 1(t7Ll�2
<br /> IP�YIfVG �IfiflGE �C1F2 diilll��tOVfEfiNIEIV'�� Y�l1011� �'IRID�'E�'�'1(. IF YOLJ IfVTE1VD YC1 0�7',k11N f�IiV�►WC�WC, iCOfd�lJl.lf
<br /> �l�3'�-i Y�Ql�:�..��tCb�{t:����a�i�0�2��1�'��F����'IE����.}IF1ity gf�tJ O`I�1C�t��CQ��iiEP1C�t1t11E�lT.
<br /> FLORIDA JURHT(F.S. 117.03)
<br /> Q1IUFlEF2 OR�G�RtT ���1Tf2�CTfJP? _.►L,,,•�~-.i.
<br /> Subscrlbed and sworn to(or affirmed)before me this Subscribed and om to(or affirmed)before me this
<br /> by by
<br /> Who istare personally known ta me or haslhave produced Who Islare personally knawn to me or haslhave praduced
<br /> as IdenUficatlan. as identification.
<br /> Notary Public PJotary Public
<br /> Commission No. Commission No.
<br /> Name of hJotary typed,printed or stamped Name af Notary typed,printed or stamped
<br />
|