|
i �} `'r i
<br /> � -9
<br /> � �
<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 responsibiliry for compliance with any
<br /> applicable deed restrictions.
<br /> UNLIGENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contra�ctors 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.I Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portio I s 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 /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES The undersigned understands
<br /> that T�ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use i � 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 identified at the time of
<br /> permi�ting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> recei�ing a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final �ower release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees �re due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CON�TRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certif�� that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other��than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliv�r it to the"owner" prior to commencement.
<br /> CON�RACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
<br /> will b done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereqy made to obtain a permit to do work and installation as indicated I certify that no work or installation has
<br /> comrnIenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
<br /> constYuction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certifj�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 Protection-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, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> � US Environmental Protection Agency-Asbestos abatement.
<br />, I
<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 /> I licensed 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 /> i 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 any 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 al the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this ffidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plu��bing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> per►�►�it 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 Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unle�ss the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the �ermit 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 writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justil iable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FO IMPROVEMENTS TO YOUR PROPERTY. IF YOU I TEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LEN OR AN ATTORNEY BEFORE RECORDING YOU N TICE OF COM ENCEMENT.
<br /> FLO i IDA JURAT(F.S. 17 3)
<br /> OWNER OR AG T CONTRACTOR /w`�lJ�^�^-
<br /> Subscribed and sworn tq(or affirmed)before e this Subscribed and swor to(or affirmed before me this
<br /> I�SEP 2oa�y Pnsc���u -��N►nS I�S�2o��n by (��tisc.'��a Z,G�o�naS
<br /> Who�is/are personally known to me or has/have produced Who is/are pPrconan�k����m r„.,,o or has/have produced
<br /> as identification. as identification.
<br /> II
<br /> �� �""""'' Notary Public � Notary Public
<br /> Comll ission No. ��g�'l U S� Commission No. �'Z$Fl l o S�l
<br /> I�
<br /> Na ie of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> ANGELA LEIGH McNUTT ANGELA LEIGH McNUTT
<br /> Notary Public,State of Florida yo�ry public,State of Florida
<br /> My Comm.Explres March 5,2017 My Comm.Expires March 5,2017
<br /> No.EE 881057 No.EE 88i057
<br /> �
<br />
|