NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more resVictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> conUactors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by faw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended conUactor are uncertain as to what licensing requirements may appiy for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this appiication for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is not proper�y licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation 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 County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be iden6fied at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power 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 WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicabie Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida ConstrucGon Lien Law—Homeowner's '
<br /> Protection Guide"prepared by the Florfda Department of Agriculture and Consumer Affairs. If the applicant is someone '
<br /> other than the"owner',I certity that i have obtained a copy of the above desc�bed document and promise in good faith to �
<br /> deliver il to the"owne�'prior to commencement. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this appiication is accurate and that ali work
<br /> will be done in compliance with all applicable laws regulating construdion,zoning and land development. Application is �
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has ,
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating ,
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is j
<br /> my responsibility to idenlify what acGons I must take to be in compliance. Such agencies include but are not limited to: �
<br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally SensiGve {
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering F
<br /> Watercourses. °
<br /> - Army Corps of Engineers-Seawails,Docks,Navigable Waterways. ;
<br /> - Department of Health & Rehabilitative Services/Environmental Heaith Unit-Welis, Wastewater Treatment, i
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement y
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fiil material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a protessional engineer
<br /> licensed by the State of Florida. °
<br /> - If the fill material is to be used in Flood Zone °A"in connection with a pertnitted building using stem wall G
<br /> construction,1 certify that fiil will be used only to fill the area within the stem wail.
<br /> - if fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent �,
<br /> properties. If use of fiil fs found to adversely affect adjacent properties,the owner may be cited for viola6ng
<br /> the conditions of the building pertnit issued under the attached permit application,for lots less than one(1) '�
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing consVucfion. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,welis, pools,air conditioning, gas,or other installations not specifiplly included in the appiication. A
<br />' permit issued shall be construed to be a license-to proceed wi�the work and�not as authoriry to-violate,-cancel,alter,-or-
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter ,
<br /> requiring a corcecGon of enors in plans,construction or violaUons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of permit issuance,or if work authorized by '�
<br /> [he permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension !�
<br /> may be requested,in wri6ng,from the Building Official for a period not to exceed ninety(90)days and will demonstrate t
<br /> jusGfiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 7?
<br /> WARNING TO OWNER: Y R FAIL RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR a`
<br /> PAYING TWICE- OR 1 VEME TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��
<br /> WITH YOUR LEND AN A RNEY BEFORE RECORDING YOUR NO F COMMENCEMENT. .'
<br /> FLORIDA JURAT(F.S.1 .0
<br /> OWNER OR AGENT CONTRACTOR i
<br /> Su bed antl sw to(qr a ir� ) efog me�h�'y S scribed and worn 'fk f re mejt�is t
<br /> "�� UI by . h Y - tP�nC:` /� iJ '� K ,.+LS j;
<br /> Wh i ere personeily known lo me or hasfiave produced Wtio i personalty known lo me or h h ve producetl
<br /> as identification. as dentification.
<br /> ` Notary Public Notary Public
<br /> Commi ion No. Comm ion No. '
<br /> VUY� � ,��� ,,,��„
<br /> Name of Notary typed,print d or stamped Name of Notary typ �e oh SS
<br /> �� - - ��, ;�� MYCOMMISSION#FF09050f3
<br /> QF�ICIAI. SEAL" `�,��'�
<br /> �,?o,�oa;•, EXPIRES April 'I.2018 �
<br /> C�IAh�I,���lUFMAN (407)398A153 FbrldallotaryService.com
<br /> Nb'PqRY PU�LIG,STATE OF ILLINOIS f
<br /> MY COMMISSION�XPIRES 912212016
<br />►
<br />
|