|
I
<br /> INOTICE 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 resUictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR 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 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 conVactor 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 conVactor 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 /> County.
<br /> � TRANSPORTATION IMPACTNTILITIES 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 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 /> I 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 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 Construction Lien Law—Homeowners
<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 /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'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 laws 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 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
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> i - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> , Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 /> ' - 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 /> , licensed by the State of Florida.
<br /> ' - If the fill material is to be used in Flood Zone "A" in connection with a pennitted buiiding 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 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 am the AGENT 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 wnditioning, gas, or other installations not specifically inGuded in the application. A
<br /> � permit issued shall be consUued 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 /> i 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 commenced within six months of permit issuance,or if work authorized by
<br /> i the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> i 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT �K.C�1'.�W�-�CONTRACTOR �
<br />' Subscribed and swom to r affirtned)be(ore me this Subscribedend's`y m to�� d)before me this
<br /> �� 3���, by r��� la�+�lK j �6 � �.�I i b$y�t,v..,. �,t�yJ
<br /> Who is/are personally known to me or haslhave produced Who is,j�e,pQrsonaily known to me or has/have produced
<br /> as identification. as ident�cation.
<br /> I I � �`�=- L-�
<br /> Notary Pubiic CLuw.�-� ��.+a..� Notary Public
<br /> I
<br /> � Commission No. �F�fl(o5 R Commission No. �� �'1 bfo b 5 g
<br /> S �2✓ (�vGt.� C.�AhS1� �o.. C�V2t:�
<br /> a e f o e rinted or stamped Name of Notary typed,prinled or stamped
<br /> :O�p�'Y PVB^ Notary Public State ot Florida ��ar��� Notary Public State oi Fbrida
<br /> , Christopher M Queen s , Christopher M Queen
<br /> y c.� '� My Commissfon FF 906858 �c*�� My Commission FF 906658
<br /> �`oFr�°� Expires09H3/2019 ����o Expires09/13/2019
<br /> I
<br />
|