|
._ .
<br /> or
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" y,
<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 Ahe owner has Wred a-contractor or
<br /> contractors to underiake'work,they maybarequired,to be licensed in accordance with state and local regulations.,,lf the
<br /> contractor is not licensed as required by law;both the owner and contractor may 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 f
<br /> portions of the"contractor Block"of this.application for.which they will be responsible:.-If you;as the owner'sign es'the I#
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. 1
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands i
<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 understarids,.that such fees,as may be.due,will be.identified at the time of. ti
<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 hoes not involve a certificate of occupancy or. 43
<br /> final power release,.the fees must be paid prior to permit Issuance: Furthermore;if Pasco County Water/Sewer Impact I
<br /> fees are due,they must be paid'.prior to permit issuance in accordance with applicable Pasco County ordinances.;
<br /> CONSTRUCT€ON 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 i
<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 gobd'faith to €
<br /> deliver it to the"owner"prior to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT:.-l certify that all-the information in.ttiis,application is accurate and that`all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and Nand development Apjailcation is-
<br /> hereby made to obtain a permit to do work and €nstallation as indicated. I certify that no work or installation.has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land-development regulations in the jurisdiction., V also
<br /> certify that I understand that the regulations of other government agencies may apply.to the intended work,and that it is s
<br /> my responsibility to identify what actions 1 must take to be In compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive '
<br /> Lands,WaterJWastewaterTreatment. i
<br /> - Southwest Florida Water Manageritent District-Wells, Cypress Bayheads, Weiland Areas, Altering I
<br /> Watercourses. 1
<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 /> - 'US-Environmental Protect€on•Agency--Asbestos abatement. j
<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'W 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 td,fiil the area within the stem,wall. j
<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 3
<br /> the conditions of the building 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 fa€th to inform the-ownerof the permitting conditions set forthi in
<br /> this affidavit prior to commencing construction. 1 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 correction of errors in plans,construction or violations-of any codes. Every permitilisued.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 i l
<br /> justifiable cause forthe extension.-If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD-A NOTICE.OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER-OR AN ATTdRNg BEFORE RECORDING NOTiCE�01o=M CEMENT.ti
<br /> FLORIDA JURAT( S.11 .03)
<br /> OWNER OR AGENT Ci6ii
<br /> 'U �
<br /> _S scd ed a swQ to r affi ed)be a th' affi be reC.o islare rsona y kn tame or has/have produced known tome or haslhave produced
<br /> as identification. as identification.
<br /> !Notary Public Notary Public.
<br /> -- 1
<br /> mission No. t _IWI ' n No. .
<br /> ,•P�'pu SYLVIA
<br /> t �' of Florida ;
<br /> Name of Notary e¢rnt@j or stampe Name of Notary typed,p t, d
<br /> '* "'o; Notary Public-State of Florida Commission ii GG 112939
<br /> • * = Commission GG 112939 `:s." op My Comm.Expires Jul 19,2021 f!
<br /> ?";' My Comm.Expires Jul19,2021 ".'FOFFo?. 8ondedthtcughNationaiNotaryAssn. ? i
<br /> tCFT „ Hondedthrough National NotaryAssn.
<br /> i
<br />
|