|
;
<br /> ,-,•'. . ; _
<br /> � . N4TIGE Of DEED RESTRlCT{ONS: The under igned understands that this permit may be subject to"deed°restrictions°
<br /> , which may be more restrictive than County regul tions. The undersigned assumes responsibility for compliance with any
<br /> • app(icab(e deed restrictions.
<br /> IfPILICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> ' cantractors to undertake work,they may be requ red to be Iicensed in accordance with state and local regulations. If fhe
<br /> . contractar is not licensed ss required by law, b th the owner and contractor rrsay be cited far a mistiemeanor violation
<br /> - under stete!aw If the owner or intended contr ctor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the P sca County 8uilding lnspection Division—Licensing Sectian at 727-847-
<br /> 80Q9. Furthermore, if the ov+mer has hired a orrtracEor o� contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractar Block"of this applicat on for which they will be responsible. If you, as the owner sign as the
<br /> contracfor,that may be an indication tha#he is af properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTIUTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation{mpact Fees and Recaurse ecovery Fees may app{y to the ca�s#ruction of new buiidings,change of
<br /> use in existing buildings,or e�ansion of existin buildings, as specified in Pasco County Qrdinance number 89-07 and
<br /> 90-07, as amended. The undersigned also und rstands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further unders#ood that Transpo ation lmpact Fess and Resource Recovery Fees must be paid priar to
<br /> receiving a"certificate of occupancy"or final po er release. If the project does not involve a certificate of occupancy or
<br /> . final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterJSewer Irrzpacf
<br /> fees are due,they must be paid prior ta permit is uance in accardance with applicable Pasco Gounty ardinances.
<br /> CONSTRUCTION LIEN LAW(Chapter T13,FI rida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that 1, the appiicant, have been provid d with a copy of the "Florida Construction Lien Law—Homeowne�s
<br /> ' Pratection Guide"prepared by t4e Florida Depa ment af Agnculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner",I certify that I have obtai ed a copy of the above described document and promise in good faith to
<br /> deiiver it to the"owner'prior to cammencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVlT {ce ify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable I s regulating construction,zoning and land development. Appiication is
<br /> hereby made ta obtain a permit to do war{c nd insta{iatian as indicated. I certify that no work or insta!lation has
<br /> commenced prior to issuance of a permit and hat all work will be performed ta meet standards of all laws regulating
<br /> construction, County and City codes, zoning r gulations, and land deveiopment reguia#ions in the jurisdiction. I also
<br /> certify thaf!understand that the regu(ations of the�govemment agencies may apply ta the intended worlc,and that it is
<br /> my responsibi(ity to identify what actions I must ake to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Prot ction-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,WateriWastewater Treatme t.
<br /> - Southwest Florida Water Mana ement District-Wells, Cypress Bayheads, Wetland Areas, A�tering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawafls,Dacks,Navigable Watervuays.
<br /> - pepartment of Health & Rehabilit tive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - 11S Environmental Protection Agen y-Asbestos abatement.
<br /> Federal Aviat�on Authority-Runway .
<br /> I undersTand that the faAowing restrictians appi to the use of flil:
<br /> - Use of fill is not aflowed in Flood Z ne"V"unless expressly permitted.
<br /> - If the fill meteria� is to be used n F(ood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wiii be su mitted at time of permit#ing which is prepared by a professiona!engineer
<br /> licensed by the State of Florida.
<br /> - If the flll material is to be used in Flood Zone "A°in connection with a permitted building using stem wali
<br /> construckion,!certify that fil{wi!!tae used only to fil{the area within the stem wall.
<br /> - If fill material is to be used in a y area, I certify that use of such fill wi►I not adversely affect adjacent
<br /> properties. If use of fi11 is faund t adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building pe it issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an ngineered drainage plan is required.
<br /> If I am the AGENT FOR THE QWNER,i pram se in goad faith ta inform the owner of the permitting conditions set farth in
<br /> this affidavit prior to commencing construction I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poals, air conditioning gas, or other installations not specifically inGuded in fhe appiication. A
<br /> permit issued shail be canstrued to be a licen e to proceed with the work and not as authority to viofate,cancet,alter,or
<br /> set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building Qfficial from thereafter
<br /> requiring a correction of emors in plans,const ction or vioiations of any codes. Every permit issued sha11 become invalid
<br /> un(ess the work authorized by such permit is mmenced within six months of permit issuance,or if work autharized by
<br /> the permit is suspended or abandoned for a p riod af six(6)months after the time the work is cammenced. An extension
<br /> may be reques#ed, in writing,from the Buildi dfficiai for a period not to exceed ninety{90}days and wi{{demonstrate
<br /> justifiable cause for the e�ctensian. If work cea es for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNtNG TO OWNER: YOt7R FAII.URE O RECORD A NOTICE OF CQMMENCEMENT MAY RESULT IN YQUi2
<br /> PAYfNG TW{CE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSUL,T
<br /> WITH YOUR LENDER OR AN ATTORNEY B FORE RECQRDtNG YOUR NOl'ICE OF CdMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03} �
<br /> OWNER 4R AGENT CONTRACTt7R
<br /> SubS,cribgd and sw n�tp Lor a� gd) for me this Su6S�ribed d sworn to�(or affirm d)befQre m this
<br /> ��—,L't�__by �*tH Qt�3 �• �{}�cQ_ �1� �h—�� by C.41'�LI�S C � �DR��--
<br /> Who is/are personally known to me or has/have produce Who is/are personal� Iv k�,nown�to me or haslhave produced
<br /> as identifccstiorr. as ident�cation.
<br /> 1 J �-�" ^^` � Notary ublic t /�r�^^� "t�— Notary Public
<br /> Commission No. Gommission No.
<br /> � C,tG �sC G M � • ��+'1�' ublic State of Florida
<br /> t d, r t s ed Name of Notary typed,printed or stamped Thomas M LaCicero
<br /> �i►�►� Notary Public Stats 6f Fiorida �
<br /> . Thomas M laCicero_ � �+` My Cammission EE ssasas
<br /> �c�� .My Commission EE 864649 �orr� �Piros OSt13/2017
<br /> a,ri Exptros Q111 312 01 7
<br />
|