|
� 1
<br /> NOTICE OF DEED RESTRICTiONS: The undersigned understands tha#this permit may be subject to°deed"restrictions°
<br /> whiah may be more res.trie#ive than C unty r.egulations. The undarsigned assumes responsib�t(ify far comptiance wifh any
<br /> app(icabie deed restrictions.
<br /> UNt»IGENSED=CQNTRACT�RS AN GONTRACTt�R RESPQNSlBILITIES: lf the owner has hired a contrac#or or
<br /> contractors to undertake work, they y be required #o be licensed In accordance with state and local regulatlons. If the
<br /> contractor is not ifcensed as required�by law, both the owner and contractor may be cited for a misdemeanor vlolation
<br /> under state law. If the owner or inte ded contractor are uncerfa�n as to what licensing requ(remenfs may appiy for the
<br /> intended work, they are;advised to co fact fhe Pasco County 8uiiding Inspection Divisian—Licensing Sec#fon at.72T-847-
<br /> 8009. Furthermnre, if the owner ha hired a contractor or contracfors, he is aduised fo have the contractor(s) slgn
<br /> partions af the °contractor Block" of t 1s applicatlon for whfich they wiil be cespansfbEe. lf you, as the owner slgn as the
<br /> contractor, Ehat may be an indicat4on hat he Es not p�operly Ilcensed a'rid is not er�tltlsd to permltting prlvlleges !n Pasco
<br /> County. � .
<br /> TRANSPORTATlON IMPACT/UTILI ES IMPACT AND RE30URCE RECbVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and ecaurse Recovery Fess may apply ta the construction of new bui(dings, change of
<br /> use in existing buiidings; ar expansio. of existing buildings, as specified in Pasco County Ordlnance number 89=Q7'and
<br /> 90-07, as amended. The undersigne also undersfands, fhaf such fees, as may be due, will be Identified af the #ime of
<br /> permitting. it is further tsnderstaod t at Transpprta#ion Impact Fees arid Resaur�ce Recovery Fees must be pald p�for tb
<br /> receiving a"cerkificate i�f ocaupancy" or flna! power celsase. If the project does not involve a certificate of occupancy or
<br /> fina) power release, the�fees must b pald prior to permit.issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> fees are due,-they must be pald prior o permlt issuance in accordance�with applicable Pasco County ordinances,
<br /> GONSTRUCTION LIEN LAW(Chapt r 713, Florida Statutes, as amended): if va(uat(on of work(s$2,500.00 ar more, i
<br /> cerfify fhat I, the appiicant, have b en pravided with a aapy of fhe "Florida Constructian Lien Law--Homeowner's
<br /> Protection Guide" prepared by the FI rida Depa�tment of Agriaulture and Gonsumer Affairs. i#the applicant is someone
<br /> afher than the uowner°, f ce�tify that i ave obtained a copy af the above descrlbed documenk and promise!n good•faith.ta
<br /> deliver it to the`�4WCl@C�'prlor to comm ncement. � �
<br /> CON7RACTOR'SIOWNER'S AFFID YIT: I certify that all the Informa�lon in this application is accurate and that ali work
<br /> w111�be done in campliance with all a plicable (aws regulaf(ng constructian, zoning and land development. Application is
<br /> i�ereby made to obtain a permi# ta do work and insta(lation as indicatad. t certify that no work or (nstaila#ion has
<br /> commenced prior to fissuance of a ermit and fhat all work will be perfarmed ta meet standards af ail laws regulating
<br /> construation, County and City code , zoning regulations, and land development regu3atfans in the �urisdlctlon. 1 aiso a
<br /> certify that 1 cinderstand Ehat the reg lations o#ottisr government agencles may apply to the interided work, and�that it is �
<br /> my cesponsibflity to identify what acti ns ! must take to be in compUance. Such agencies Include but are not Ifmited to:
<br /> - Department of Enviromm �tal Protection-Cypress Bayheads, VVetland Areas and Envlronmentally Sensitive
<br /> Lands,WaterNVastewate Treafinent.
<br /> - Sautttwest Fbrida Wa er Management pistrict-We11s,� Cypress 8ayheads, Wefland Areas, Altering
<br /> Watercourses.
<br /> - Army Gorps of Engineers 8eawafls, Docks, Naviga�le Waterways.
<br /> - Department of Health Rehabilit�tive ServlceslEnvironmental Health Un1t-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenfal Prote tian Agency-Asbestos abafement.
<br /> - Federal Aviat(an Authori -Runways.
<br /> I undecsfand that the follawing restric ions apply ta the use of ffll:� ,
<br /> - Use of fill is not allawed i Flood Zone''V"uniess expressiy permlt#ed.
<br /> - If the fl!! materiai is to e used in Flood Zone °A", Et is understood that a drainage plan addressing a
<br /> "compensating volume" i!! be submitted at time of permitting which is prepared by a professional engineer
<br /> Ifcensed by the State of lorida. .
<br /> - If th� flli maferial Is fo used in Flood Zone "A" in connection wifh a perrtiiffed building using s#em wail
<br /> � construction, I certify fha fiil wiN be used only to fill the area within the stem wal1.
<br /> - If fif( materia! is to be sed in any area, I certi#y that use of such fiil wiil not adversely affect ad)acent
<br /> properEles. If use o#fili i found to adversely affect�adjacent properties, khe owner may be cEked for vlolating.
<br /> the conditlons of the bui ding permlt Issued under the attached permit appllcatlon, for lats less than one (1.)
<br /> acre whfch are elevated y flll, an englneered drainage plan is required.
<br /> If I am the AGENT FOR THE OWN , I promise in gaod falth to Inform��the owner of the pecmitting.condifions set forfh in
<br /> fhis affidavit prior to commencing co sfruction. I understand that a separate permit may be requirei!for eiectrfica{ wark,
<br /> plumbing, signs, wells; poots,. air co ditioning, gas, or other Installatlons not specificaily inciuded in the appliaatlon: A
<br /> petmif Issued shall be canstrued to e a 13cense to proceed witfi the wock and not as author{ty to,v{olate, cancel, alt�r; or
<br /> set asfde any�provisions of the techn cal eodes, no�shali issuance af a permit prevent the Bu!lding Qf�cial from thereafter
<br /> requiring a carrection of errors in pla s, canstructlon ar violations of any codes. Every permit Issued�shall beoome invalid
<br /> unless the work authorfzed by such ermlt ls cammenced within six months of permif Issuance, or if work authorized by
<br /> the permit is suspendetl.or abandon d for a period of six(6) months affer the time the work is commenced. An extension
<br /> � may be requested, (n wrifing, from t e Building Officiai far a perbd not to exceed ninety (90) days and will demans#rafe
<br /> justifiabie cause for the,extension, )f ork ceases for ninety(90)cons$cutive days,th�)ob is consldered abandoned.
<br /> WARNlNG TQ OWNER: YO!UR E ILURE TO RECORD A Nt?TICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWlCE FOR IMP.ROVEME TS TO'YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANGiNG, CONSULT
<br /> WITH YU.` R�LE DE, O �.AN A RNEY BEFO E RECORDiNC YO R OTI E OF COM �NCEM NT.
<br /> F40R1bA'JUR7ifi°(F:S:147.a _ . _ ._� _. - -
<br /> �
<br /> OWNER OR AGENT ~ .� o'` CONTRACTO �
<br />� Subscribed and swom o(or effirmed}before e this Subseribed and sw m fo{ot a�Ermed)before me this .
<br /> �Y
<br /> 4 YVho Is/are persona ly known to me or haslha e produced Who I§/are-personalty knowrrto'me or haslMave produced
<br /> as identlflca on. as tden�Hcaflan.
<br /> „ ��,,, '�"' ,,,,,,. JOEL A
<br /> rv JQ� Na ry Pub!!c :�v , Notary Public
<br /> :.: ':�: Commission#FF 1370 3 =*� '
<br /> Com o �o�: Ex ires June 29 2018 Comm n No :�• '�: �XP«�S����29,2018 aia
<br /> ".,Patt-,`' eaMedShmTroyFs�ninswanes 70fs �'�P„���` �
<br /> a.i�
<br /> Name of Natary typed,printed or starnped Name of Nofary fyped,printed"ar sfamped
<br />
|