|
.,•-� ..
<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 responsibility for compliance with any
<br /> applicable deed restrictions.
<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 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 /> 6009. Furthermore, ifi the owrter has hired a confracfor ar contracYors, he i"s advised to have Che confracfor(sj 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 property licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIOPJ IMPACT/UTILITIES 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 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 /> 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 LIEii!LAW(Chapter 7�i3,Florida Sta4u4es,as amended): If valuation of work is$2;500.00 or more,1
<br /> cert+ry that 1, 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 /> deliver it to the"owne�"prior to commencement.
<br /> CONTRACTOR'S/OWIdER'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 /> constcuction,.County and City,codes„zoning regulations,.and land development regulations in the jurisdiction. 4 also
<br /> certify that 1 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. 5ucli agencies include but are not limited to:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentalfy Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> I - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation�uthority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowad 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 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. 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 whichr are elevated by fill;arr engineered�drainage pian 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 instailations 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 technica!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 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 /> VIIARid9NG TO OWPIER: YOUR FAILURE TO RECOItD A NOTICE OF COMMENCEMENT NIAY RESULY IRl YOUR
<br /> PAY-0tdG T�tillCE F�R It�PFLOVEMEiVTS TO XOURi P,ROPERTY. !F�101i 1f3TEFlD TU OBTAIR�FtNANC1NG,COidSULT
<br /> WITH YOUR LENDER O Afd ATTORNEY BEFORE RECORDING YOUR P10TI E OF COMMENCEMENT. �"
<br /> FLORIDAJURAT(F.S. 17. � �,' y
<br /> � o
<br /> OWNER OR AGENT COPITRACTOR o °�° �' �
<br /> Subscribed and swom to(or affi e ) re me this Subscribed and swom to or m )be ore me this z LL N "' �
<br /> N
<br /> by bY F Q �LL � z
<br /> Who is/are personally known to me o s/have produced Who islare personally known to e r has/have produced y LL p ;e
<br /> as'dentification. as identification. LL, v� � m o
<br /> z ,
<br /> �o
<br /> p' Z �•o nZ
<br /> ,\111111II aW, ? ? N W j
<br /> -� .: �.. .,s ��..� ublic .•`�a�Po'o, SUZ�11Y6,+�L6.fdd � E o
<br /> � SUZAN ALLEN ! � � E
<br /> _'r. :�= Notary PubBc-State of Fln ; '' E o �
<br /> 'f Coh�� A�No. CommissionNo. -• - � � � „
<br /> j ?r •n. 0 2 Y I�� ;a� • - �2 5� � z �-,c
<br /> �� > • . � nr ac M Com 5. � m
<br /> ��, o ��y G�'di�����ge�Ct 25,2019 Name of Notary typed,print or s�te Bonded throug Notar � • � =���"'
<br /> �%�OF F����, h National F .• . �� a�r,;
<br /> ' ,�����„ Bonded through t�a4iaial Notagy Assn. ;�;�°••• 6,
<br /> a y
<br /> _',�'M P`�`
<br /> ���II1����,``,
<br /> ��'
<br />
|