|
�
<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 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 contractar 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. Furthermore, if the owner has hired a contractor 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 oinrner 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 IMPACT/UTILITIES 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 /> 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—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'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 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 regulations of otHer government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify wliat 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 Environmentaily Sensitive
<br /> Lands, WatedWastewater Treatment.
<br /> - Soutfiwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, 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 ailowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill materiai is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at tiine 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 buiiding 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 faitFi 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.yiolate, 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 /> 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(9(1)consecutive days,the�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT-MAY-RESiJLT IN YOIJR "
<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(�y,7.0 '
<br /> OWNER OR'AGENT CONTRA —
<br /> $� rlb d and swo 0 or a ed fore me thi Sub cri d and sw or affirmed) �ore me this
<br /> FJ by � 3 by
<br /> Who /are personally known to me or has/have produced is/are per naly�k�nwn to me or has/have produced
<br /> s e ' as tdentificaBon.
<br /> , a id nbflcadon.
<br /> � � I ��
<br /> Notary Pubflc � Notary Public
<br /> Co mi,s��lb�q. ANNA MARIE LYN TERRY Commissfan No. ;
<br /> :r° `�•; Notary Public-State af Florida �p1��PLs�y,,
<br /> ' ' * = Commission A�FF 95A064 =r �: Notary Public-State of Flonaa fi
<br /> Na � . p�,�c��p�rqp�d,2020 Name of Notary ty , 'Esta �
<br /> isslon N FF 958064
<br /> �°�O�i��'�� Bonded through.National Notary Assn. '�,�������°�� MY Comm.Expires Ap►4,2020
<br /> ������� Bonded throuqh.yational Notary pssn.
<br />�
<br />
|