-- — --- _ -�:.-...«.�;�.��:�.�a
<br /> , c �
<br /> NOTICE O�DEED RESTRlC71t?NS: The undersigned understands.that this,permit may be subject.ta"deed"restrictiorts"
<br /> which may.be mare restrictive than County regulatians. Thezundersigned assumes'cesponsitiiiity far�compl�ance�ivith�.any" �
<br /> appticabie deed restricfions. � � � ' ' - � - �
<br /> UNLiCENSED CONTRACTORS AND CC?NTRACTOR RESPONSlBlLlTIES: !f tfie�owner-has hired a contractor or
<br /> contractors ta undertake work, they may be required to be•licensed in accordance with state and.lacat�regulations.- if the r "-
<br /> contractor is not licensed as required kiy fawr, botfi the awner and�cant�acfor may:6'e�cited for=-a m"isdemeanor vioiation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requir'ements��may��apply for�;the��� �
<br /> intended work, they are advised to contacf the Pasco Courity Building lnspection�Division=Licerising Section.at 727-847-
<br /> 8009. Furtherrnare, if the awner has hired��a contractor or contractors, he�is advised ta 'have the contractor(s) sign„
<br /> po�tians of the "contractor Biock" of this appiication for which they wiil be respansibie. if you, as tiie owner sign as�the '
<br /> contractar, #hat may be an indication that he�is not proper(y licensed and�is not..entitled fo permitting pri'vileges in Pasco
<br /> County. � � - - `
<br /> TRANSPORTATION IMPACTlUTlLITlES lMPACT AND RESfJURGE RECOVERY FEES: The undersigned understands
<br /> that Transportatian 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 buiidings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such.fees, as may.be due, will 15e identified at:#tis tit�ie=of�- �
<br /> permitting. It is further understood that-Transportation lmpact Fees and Resource�Recavery. Fees must be paid prior ta '
<br /> rece�ving a "cer#ificate of occupancy" or flnai power retease. ff the praject daes not invalve a certificate of occupancy�ar:�_•
<br /> fnai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Water/Sewer lmpact:
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LlEN-LAW(Chapter 718;Florida Statutes,.as amended): !f valuatian of work is$2,500.00 ar more, l: , .
<br /> certify that I, the applicant, have been provided witli a capy. af the�"Fiorida Con`struction Lien Law—�Homeowner's
<br /> Protectian Guide° prepared�by the F(orida Department of Agricialture and Consumer Affairs. If the applicant'is someone
<br /> other than the"awner", I certify that! have abtained a copy of the above described document and promise�in good faitti to
<br /> deliver.it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S QFFIDAVIT: t certify that all the infarmation in this application is aacurate and that all worli
<br /> wilt be done in compiiance with alt applicable taws regulating construction, zoning and land�development. Application is
<br /> hereby made to obtain a permi# to do wark and installation as "indicated. ! certify thaf na wark or installation has
<br /> commenced prior to issuance of a perrriit and that al! work will,be perfarmed #o`meet standards of all laws regulating
<br /> construction, County and City cades, zoning reguiations, and land development regulations in the jurisdiction. 1 also
<br /> certify that I:understand fhat the regulations of ather government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - . . �Departmenf�of`Enviconmental Rrotectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> ��` Lands,Water/Wastewater Treatment.
<br /> - Sauthwest. Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> _. VUatercourses.
<br /> - ��Army Gorps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabiiitative Services/Environmentat Health Unit-Wells, Wastewater Treatm�ent,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ! understand that the fallawing restrictions appfy ta the use af fill:
<br /> - Use af fiN is no#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 /> "comp�nsating volume" will be subrrtitted at time of permitting which-is-prepared-by_a professianal engineer
<br /> licensed by the State af Fforida. � `'-- �
<br /> - If the fitt ma#erial is to be used in Ftood Zane "A" in connection with a permitted building using `stem wal!
<br /> construction, 1 certify that�ll will-be used only to fill ttie area;within the stem wall. '
<br /> - !f��II materia! is to be used in_any area, ! certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, fhe awner may be cited for violating
<br /> the conditions of the building permit issued under the a#tached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,an erigineered drainage plan is required. ,
<br /> If I am the AGENT EOR THE OWNER, ! promise in good faith#o inforrrt the awner af the permitting conditions set forth in
<br /> this a�davit prior to commencing canstruction. I understand that a separafe permit may be required far eiectrical wark, �
<br /> plumbing, signs, wel(s, paols, air conditioning, gas, or other"installations not specifically included in the appl�ca#ion. A
<br /> permit issued shall be construed to be a license to proceed with the work and nat as authority to violate, cancel, alter, ar �
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buifding Official from thereafter
<br /> requiring a correctipn of errors in plans, canstructian or violatians af any codes. Every permit issued shali become invalid
<br /> unfess the work authori�ed by such permit is commenced within six manths of permit issuance, ar if work authorized by
<br /> '� the permit is suspended or abandoned for a period of six(6)months after the#ime the work is carrrmenced. An e�ens�on
<br /> I may be requested, in writing, from the Buildirig Officia! for a periad nat ta exceed nine#y(90} days and will demonstrate
<br /> �� justifiable caease for the extension. If wark ceases far ninety{90)consecutive days,the jab is considered abandoned.
<br /> i
<br /> �� WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OE COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR lMRROVEMENTS TO YOUR PROPERTY. IF YQU.�INTEND°TO t�BTA1N.FINANCING;CONSU�T ,
<br /> WITH YClUR LENDER t?R AN ATTC?RNEY BEFORE RECORDING YOUR Nt3T10E C1F COMMENCEMENT,..._--.-=-- ---_-----�—�`-'
<br /> PLQRIDAJUf2A7{�.5.447,03) _ �..____.__. _ --. _____ _ __��___ _- --- - ` � �^�_ _____,�
<br /> OWNER OR AGEl+iT COW7RACTORr "� �„� ._„__„
<br /> 3ubscribed and si+rom ta{or affirmed)befare me this Subscribed and s to(or affiRned}before me this
<br /> � bY
<br /> � Who is/are personally known to me ar haslhave produced " Who islare personaNy known to me or haslitiave produced
<br /> as identifl+catian. �. as identtficatian.
<br /> ' Notary Publia Notary Pubtic
<br /> Cammission No. Commission No. ,
<br /> lVame cif Natary typed,printed or stamped Name of Riatary typad,printed or stamped
<br />
|