Laserfiche WebLink
� M <br /> � � ' NOFICE OF DEED RE3TRICTIONS: The tiriderslgned tinderstands that thts permlt may be sutiJect to'deed`restrictloris" <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 undettake 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 ap�ly for the � <br /> i`nfer�ded�work,they>ar'e�ativised`t��eari�asf�the�t�asecc�=County8uilding{r�spee�iorrDivisic�i—�icensing=Sectii�rra X27-847= <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 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 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 /> �eceiv,,�ng a'be{�ifcate nf occy�p��cy"or•.���-,power�e�ease. �,f.;�he.project�oes,not,�vo�v�y:ce,rti�c�te of�a�P?.�?cY ol - <br /> �ina7 power release,ihe:fiees must�be{�aid�pr+or to{ierrriit�issuance. `Futthermore,'if�asco�ou�ity`Waterl5earer ampact <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 /> ce�tify that l, the applicant, have been proyided with a copy of the "Florida Constsuction l.ien �aw—Ho�eowner'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 /> co�ninenced piio�fa�issuanee:of'a perm�'aKtc#tha!a�work w�be-perfocmer�fa�rrree€st�ndards of.akk f�w�•regulafing <br /> construction, County and Gity cades, mnirrg regulations, and lartd deveiopment regutatiorts irt th�jurisdictian. 1 atsa <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 what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> - DeparEment of Environtttental Proteotian-Cqpress 8ayheads, Wetfartd=Areas-and Environmentaiiy Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Welis, 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 /> - �5��virm�inera'ta1�iotectirua-�genay-;9s�es3os��aaiemeii4. <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 materlal ls to be u'sed In Fiood �one A" ft 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 /> ffi�eonditiov�s•of lhe�bt�iFdfng�ertrrft i'sstsed�nd`er Efre sttaefied pemtiY appfteafioer�for-�ofs fess tF�art 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, welis, 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 O�cial 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 /> �?a�-J?e,regueste�l..lq,N!���}9�.��o,m:the:,a�.u1�'tn9.:l��cial-,fo,r.�;P�94d_�142_to,exceed:,cksneiy.(9p)c�ays.�qd wiJl c�e.mo,ps�rate <br /> �usiifiable eause-#er�he exieras'wr�. �#woi�c ceases•fer�iit�ei�:(9D�ec�nseeutave t�ays,:tt�e:jc��as r�s�ered abafldoned. <br />' WARNIPIG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR � <br /> PAYING T)NICE FOR•lMPRO�[EMEI�LTS-TQ YOUFLPROBER'CIC..IE YOLL tNTEND T0 OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � <br /> FLORIDA JURAT(F.S.11 3 i <br /> OWNER OR AGENT \ CONTRACTOR <br /> Subscribed and swom to(o a before me this /Su�sfribe�and sworn to o a i ed)before me this <br /> by E'! 6�f <br /> Who is/are personally known to me or has/have produced Wh 'e er nall� known to me or hasfhave produced <br /> as identification, as Identification. <br /> ro <br /> Notary Public Notary Public <br /> Commission No. Co is n No. <br /> Name of Notary typed,printed or stamped Name of Notary <br /> �un <br /> `'n«PY P�;B��� JACQUELINE BOGES <br /> ���� �� '�:`_ Ccm�i�sion#FF 150422 <br /> ;, _ <br /> . - Fr,;;���::�iec:•mh.F,9�.�l�'�@ <br /> our�oau B�m 7roy Fffin InsUrence A00.9B5-7019 <br />