Laserfiche WebLink
A NOTICE OF DEED RESTRIC710NS <br /> , The undersigned understand that Uiis pertnit may be subject to"deed restrictions"which may be more restrictive than County regulations. The <br /> , undersigned assumes responsibiliry for compliance with any applicable deed restridions. <br /> B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> If the owner has hired a contractor or conVactors to undertake work,he may be required ta be licensed in accordance with State and local <br /> regulations. It the contractor is not licensed as required by law,both the owner and conVactor may be cited for a misdemeanor violation under <br /> State law. If the owner or intended contractor is uncertain which licensing requirements may apply for the intended work,he is advised to <br /> contact the Pasco County Bu�ding Inspections Division,Contractor Licensing Section,at p27)847-8009. <br /> Furthertnore,if the owner has hired a contractor or contractors,he is advised to have lhe contractors sign portions of the"Contractor Block"of <br /> this applica6on for which he will be responsible. If you as the owner sign as the canUador,you are indicating that you,ralher than the <br /> contractor,are responsible for the work. If the contractor wishes you to sign as contraetor,that may be an indication that he is not properly <br /> licensed and is not en6Ued to permitting privileges in Pasco County. <br /> C. IMPACT FEES/UT1LITlES IMPACT AND RESOURCE RECOVERY FEES <br /> The undersigned understands that Impact Fees and Resource Recovery Fees may apply to lhe construction of new buildings,change of use <br /> in epsting build(ngs,�or e�ansion af e�dsling buildings. The undersigned also underslands that such fees as may be due will be identified at <br /> the time of permitting. It is further understood that Impact Fees and Resource Recovery Fees must be paid priar to receiving a"Certificate of <br /> Occupancy"or final power release. If the project does not involve a Certificate of Occupancy or final power release,lhe fees must be paid <br /> i prior to pertnR issuance. Furthermore,if Pasca County WatedSewer Impact Fees are due,it must be paid prior to pertnit issuance in <br /> accordance with applicable Pasco County ordinances. <br /> D. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended) <br /> If valuation of wark is$2,500.00 or more,I certify that I,the applicant,has been provided with a copy of the Fforida Construc6on Lien Law- <br /> Homeowners Protection Guide prepared by the Florida Department of qqriculture and Consumer Aifairs. If the applicant is sameone other <br /> than the owner,I certify that I have obtained a copy of the above-described document and promise in good faith to deliver it to the owner prior <br /> to commencement. <br /> E. CONTRACTOR'SIOWNER'S AFFIDAVIT <br /> I certify that alt the infortnetion in this application is accurate and that all work will be done in compliance with all applicable laws regulating <br /> consWdion,zoning,and land development. <br /> Applicatian is hereby made to obtain a pertnd to do work and installation as indicated. I cerfdy that no work or installation has commenced <br /> prior to issuance of a permit and that all wodc will be pertonned to meet standarcls of all laws regulaUng construction,County codes,zoning <br /> regulations,and land development regula6ons in the jurisdicdon.1 also certify that I understand fhat the regula6ons of other govemment <br /> agencies may appiy to the intended work and that it is my responsi6iliry to identify which actions I must take to be in compliance. Such <br /> agencies inGude,but are not limited to: <br /> • Department of Environmental Protection: Cypress bayheads,wetland areas,environmentally sensitive lands,and water/wastewater <br /> treatrnent <br /> pe <br /> • Southwest Florida Water Management District Wells,cypress bayheads,weUand areas,and altering watercourses. <br /> . Army Corps of Engineers: Sea walls,dodcs,and navigabte waterways. <br /> . Florida Department of Children and Family Senrices,Environmental Health Unit: Wells,wastewater Ueatrnent,and septic tanks. <br /> • U.S.E�vironmental Protedion Agency: Asbestos abatement. <br /> . Federal Aviation Authority: Runways. <br /> I understand that the following resfrictions apply to the use of fill: <br /> • Use of fill is not allowed in Flood Zone"V" <br /> . If fill material is to be used in Flood Zone"A,"it is understood that a drainage,plan addressing a"compensating volume"will be <br /> submitted at the time of pertnitling which is prepared by a professional engineer licensed by the State of Fforida. <br /> . If fill material is to be used in Flood Zone"A"in connection wifh a pemtitted building using slem-wall construction,I certify that fill will <br /> be used only to fill the area within the stem wall. <br /> . If fiil material is to be used in any area,I certify that use of such fill will not adversely afied ad1'acent prope�ties. If use of fill is found <br /> to adversey affed adjacent properties,the owner may be cited for violating lhe conditions of the Buildng Pertnit issued under the <br /> attached permi[applicafion. For lots less than one(1)acre which are elevated by fill,an engineefed drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the pertnitting conditions set forth in this affidavit prior to <br /> commencing construction. <br /> I understand that a separate pertnit may be required for electrical work,plumbing,signs,wells,paals,air conditioning,gas,or other installatians not <br /> specifically inGuded in the applicatlon. <br /> A permit issued shall be consWed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of <br /> the technical codes nor shall issuance of a pertnit prevent the Building Official fram thereafter requiring a correc6on of errors in plans,consWction,or <br /> violations of any codes.Every pertnit issued shall became invalid unless the work authorized by such pertnit is commenced within six months of peRnit <br /> issuance,or if work authorized by the permit is suspended ar abandoned for a period of six months after the fime the woAc has commenced. An <br /> extension in writing,may be requested from the Building Official for a period not to exceed ninety(90)days and will demonstrate jusfifiable cause for the <br /> extension. If work ceases for ninery(90)consecuGve days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS <br /> TO YOUR PROPERTY IF Y U INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LEN R OR AN ATTORNEY BEFORE RECORDING <br /> YOUR NOTICE OF MEN MENT. / /"`- <br /> � � � <br /> SIGNATURE: SIGNATURE. <br /> , OW RORAGENT N� CTOR <br /> STATE OF R A STATE OF ORIDA � <br /> COUNIY /I COUNTY ,� <br /> The farego' sWment ackf owled ed before e this �� � The foreg ' instrument s ac n vAedged fore me this,� ' v uV�� �1� <br /> (date),by��Z°�� (.� � �� (date),by q�Q.Y' ' �l�Q a+n� <br /> (name of persan acknawt ' ),who is person Ily known to me orwh (name of perso acknowledging), o is{�rsonally known to me orwho <br /> has produced i✓� a produced Y�'�,.,v'S I�a�-p <br /> ( e f (type of <br /> identification a ' ' n. i entifica6on)as identifipGon. <br /> � �r��� NOTAR Seal: NOT <br /> � �frac�a7c �a�Ub���4 <br /> � �IYoonim.e�iresSe�.27�2019 0 L 'QZ �eQa��O �� °,�y <br /> so�idx3 uo�ss�wwo� W 3s��� <br /> 0$OLd�J�J N uoies�wwo� �,'�. ��,.rr` <br /> wpdata/bcslformsPouildingpertnitapplication�c93043032 �p���in��`�� <br /> C100M '1 91.711211 Rev.6/10H5 <br />