|
e -�
<br /> i
<br /> �•1
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to`deed"restrictions"
<br /> whfch may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICEPISED 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 /> conVactor 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 /> 80U9: Furtherrrrore, if the ownerhas hired'a confracYor or conCracfors, he is advised't"o have the contract'or(s) sfgn
<br /> portions of the"contractor Block"of this appiication 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 propedy lic�nsed and is.not.entitled to.permitti�g privileges-in Pasco
<br /> County.
<br /> TRANSPORTATION IiNPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction 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 aiso 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"certiftcate 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 /> COiVSTRUCTION LIEIV LAW(Chapter 713,Florida S4atutes,as amended): If valuation of work is$2,500.00 or_more,I
<br /> certify that I, the appiicant, have been provided with a copy of the "Fiorida 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 /> deliver it to the"owner'prior to commencement.
<br />' CONTRACTOR'SlOWNER'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 pertormed 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 regulatlons of other government agencies may appiy 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 /> - Qepartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Fiorida 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 ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> -- •Federal-Aviation-Authority-R�trjways.
<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"wlll 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 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 any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. ff use of fill is found to adversely affect adjacent properties, fhe 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 /> aere which:are elevated by fitF,an engineered drainage ptan 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 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 Building Official from thereafter
<br /> requiring a corzection 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 /> the permit 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 O�cial 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 OWiVER: YOUR FAILURE TO RECORD A NOTICE OF COMINENCEMEfVT MAY RESULT IN YOUR
<br /> PAYING TWICE FO�i aMPfitDVEMEld�S�O YOU4a PRO�E{3'�l. IF�ll3U{NTE{4D T<3 OBTA4ti1 fIMANCING,CONSULT
<br /> WITH YOUR LEfdDER OR N ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 .
<br /> OWNER OR AGENT COPITRACTOR
<br /> Subscribed and swom to(o a r ' efore me this Subscribed and sworn to or a r ed)before me thfs
<br /> by by
<br /> Who is/ere personally known to e r has/have produced Who islare personally known e or haslhave produced
<br /> as IdenGfication. es identification.
<br /> r
<br /> ������ SUZANNE ALLEN
<br /> tary Publi ���PRY P���i�i
<br /> �11111�1
<br /> Co rr�i�i �P�Bi'•. ublfC-, t 8 1 Florlda Commission No. � '• �`�•�.= �u��ub�FF 912586da
<br /> 'r' • - Commission: '
<br /> �. g ��'�`'= My Comm Expires Oct 25,2019
<br /> Na ,(�t6�81B1a S� Name of Notary typed,printed or st mped• �i����ned t�roug a ional Notary Assn.
<br /> �'''� ° �� Ba►ded tluougt►Na�on�1`�tarY A� .__._:
<br /> OF F����
<br /> ���11111111�
<br />
|