|
i (
<br /> I I
<br /> I .
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CON7RACTORS AND CONTRACTOR FtESPONSI�ILITIES: If the owner has hired a contractor or
<br /> contractors 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 law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply 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 application 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 properly licensed and is not entitled to permitting privileges in Pasco
<br /> I County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMP�►CT 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 />- -8U-07,-as-amended.-The undersigned-also understands;that such-fees; as-may-be due,-will-be-identified 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 Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAVV(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 Construction Lien Law—Homeowner's I
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement. �
<br /> CONTRACTOit'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will�be done in compliance with all applicable la�nis regulating construction, 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 tiiat 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 government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protec,tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.�
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br />� - Army Corps of Engineers-Seawalls, D�ocks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />' Septic Tanks.
<br /> - US Environmental Protection Agency-i4sbestos abatement.
<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 fill 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 professional engineer
<br /> Iicensed by the State of Florida. �
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill 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 will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit 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�1GENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is com'menced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months afte�the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARNIN(s' TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT fiifAY RESULT IhV YOUR
<br /> PAYING lYVICE-FOR-IMPROVEMEN�S-TO YOUR PROPERTY. IF YOl1 INT�ND l'O O�TAIN FIPIAWCIPIG, CONSUL.I'
<br />� VNITH YOUR LENDER OR AIV ATTORNEY�EFORE RECORDING Y09�R NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 17.03)
<br /> OIfVNER OF2 AGEN � CONTRACTOR
<br /> S bsc bed and swom o med)before me thls � Su scribed and swom to o 'irmed)before me this
<br /> �30 $ by � m� v.C.r�fu� � 3 �a ls by �I�mr� �t-�oteB'�-�s�
<br /> o islare personally known to me or haslhave produced Wh Is/are personally known to me as/have produced
<br /> as Identlficatlon. � as i en6fication.
<br /> �—
<br /> �� �-T ..�
<br /> Notary Public� �Ip�a ublic
<br /> `���iil���' '� `�4PNV Pvb����
<br /> ,o`�PR�NO� ANNA MARI LYNCH TrNi�Y � Commission No. =2+ •�: Notary PubIIC-Stat o� Flc�nda
<br /> Commisslan N .•° °.•; _ � �
<br /> - * . iC- tate c "�' : ° � �5865
<br /> ;y` ;P; MY GOmm.Expir�� .��� ,tr+7"�� %.Iq� ,,�: Commission#EF .
<br /> Name of Nota ty�►¢ � , �ed or �5�� � �F �55865 � Name of Notary typed,p'nted�or�sfamp e roug wr,: e,� �
<br /> Bonded Throu�� � , ����ary�qyq.
<br /> ,--.....,,,yp... ,
<br />
|