|
� �
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned undergtands�th�t thls.pQrmit.may�be•subJect to"deed" restrictions"
<br /> which may be:more-r.estrictive than Gounty regulations. �The underslgned assurries responsibiltty for compliance with any
<br /> applicable deed rest�ictions. �
<br /> UNLICENSED CONTRACTORS AND COIVTRACTOR RESPONSIBILITIES: 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 llcensed as requlred-by law, both the owner and contractor•may be cfted for a misdemeanor vtolatton
<br /> under state law. If the owner or Intended�contractor�are uncertain as to what Iicensing.requirements may apply�for the
<br /> intended work, they are advised to contact the Pasco County Bullding Inspectlon Divislon—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 /> portlons of the "contractor Block" of this appllcation for whlch they will be.responslble. If you� as.the owner sign a� the
<br /> cantractor, that inay be an indication that he Is not.properly Ilcensed and Is not entitled to permitting privlleges in Pasco
<br /> County. �
<br /> TRAPISPORTATION IMPACTlUTILITIES�IMRAC7 ANb RESOURCE RECOVERY FEE3: The undersigned unde�stands
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply to:the construction of new bulldings, change of
<br /> use in existing buildings, or.expansion:_of�existiri,g�6uildings, as speclfied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, tha�E such fees�-:as tna�r be�.due,:wlll.be identified at the time of
<br /> permittfng. It is furthe� understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receFving a �certificate of occupancy" or flnal 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. Fu�thermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be�pald prior to permit-Issuance-In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Ch�pter 773, Florlda Statutes�as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that_I, the applicant, have-been provided wtth a copy- of the "Florida Construction� Llen Law—Homeowner's
<br /> Protection Gutde" prepared by the Florida Departmenf of Agric.ulture and ConsumerAffairs. If the appl(cant is someone
<br /> other than the"owner", I certify that I have.obtained a copy.of the above..described docurr�ent�and.promise in.good faith to
<br /> deliver it to the"owner"prior to-commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that al{the Inf.ormation I�thls applicatlon is accurate and that all work
<br /> will'be done in compliance with all appNcable laws regulating construction, zoning and land development. Application Is
<br /> hereby made to obtain :a permit to do wofk.and installation as Indicafed.- °I certffy that no work or Installation has
<br /> commenced prior to Issuance of a permit and that all work will be pe�formed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulatiQns, and land development regulatlons-in the jurisdiction. ( al'so
<br /> certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility to identify�what.acttons I must take:to be�in:.corrlpllancs: S.uch agencles include but are.not limtted to:
<br /> - Depa�tment of Etivironmental Protection-Cypress.Bayheads, Wetland Areas and'Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management- I�isUict-Wells; Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabllitative Servlces/Environmental Health Unit Welis� .Wastewater�Treatment,
<br /> SeptlaTanks. .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatlon Authority-Runways.
<br /> I understand that the followtng.restrictions apply to the use of flil:�
<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", (t. is understood that a drainage plan addressing a
<br /> "compensat(ng volume" will be submitted at time of permifting which (s prepared by a professional engfneer
<br /> licensed by�he State of Florida:
<br /> - If ihe fill material is to be used in Flood �one "A" In�connectlon�with.a permitted building using stem wall
<br /> � construction, I certify that fill�.wlll:�b.e used only.to.flll the area wtthin the�stem•wali.
<br /> - if fill material is to be used in any area, I �certffy that use. of such flll will not adversely affect adJacent
<br /> properties. If use of flll is found to adversely:�ffect adJaeent�properties,.the owner may be cited for viofating
<br /> the condiiions of the building�.permit Issued�under the.at�ached permit application, for lots less than one (1)
<br /> acre which are elevated by flil; 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 condit{ons set forth in
<br /> this affidavit�prior to commencing constructlon. I understand thet a=separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning,.gas, or othec install�tions nol.spec�ically included�in.the application. .A
<br /> permit Issued shall be construed to be a Iicense to proceed with the work and not as:authority to.vtolate, cancel, alter, or
<br /> set aside any provisions of the techn(cal.codes;�nor shall issuance�of a permit.prevent the Bulldtrig O#ficial from thereafter
<br /> requfring a correction af errors in-plans, construction or vlolatlons of any codes. Every permlt Issued shall become invalid
<br /> unless the work authorized.by such permit.�ls.commenced•withln sfx months of permit lssuance, or if work authorized by
<br /> the pe�mit is suspended or.abar�doned for a:period of six(6)montf�s.after the tirne the�work��(s commenced. An extension
<br /> may be requested, in writing, from the Buflding,Official for a period not to exceed ninety(90) days a�d will demonstrate
<br /> justifiable cause for:the extension. If work ceases.for ninety(90)consecutive:days�..the job�is considered aba�doned.
<br /> WARNING TO OWNER: YOUR.FAILURE�TO.,REC.ORD A NOTIGE OF•COMMENCEMENT�MAY�RESULT tN YOUR
<br /> PAYING TWICE FOR�IMPROVEMENTS TO YOUF�<P1tOPERTY. IF�YO.U�IN�'FEND�°TO OB�'AIN�FINAI�CING��CONSULT
<br /> WITH YOUR L,ENDER:OR AN ATTORNEY�fFORE RECOR�iNG�sY0U1t'NOTIC��'OF�COMIIIIENCEMIENT: �i
<br /> - FL:r'iO�A JtIPiA;-(�.:�.-i.i�7:03�__ _-- ------ — ----- ---- -• -- — — �---- -—� -
<br /> OWNER OR AOENT �� . CONTRACTO �����f� �
<br /> Subscrtbed and swom to r rmed)before me this Subscrlbed and' m (or aflirmed)'before me ftils�
<br /> by y
<br /> Who islare personall . to.me or•has/have produced Who.ls/are p rsonall no to me or haslhave�produced. •
<br /> as Identlflcatlon. as Identlflcation.
<br /> � Notery Public . �/ Notary Publlc
<br /> Commissl , Comr�issiq
<br /> ';�� ���' Commission#FF 137073 / •"�y fv�., .
<br /> '#� ••= '��� �'` Commission#FF 137073
<br /> ' 'k� �k_
<br /> Name oi Ol'dry �, � � � ����swancaeoo3e5-7ot9 Name o NOle K �
<br /> ���Y„F'�� ° 8 ���pF�°••'� Banded Thtu Tmy Fein Insuranca 800-3857019
<br />
|