w
<br /> DOTE OF DEED RESTRICTIONS: The undersigned,understands;that:this.,pprmit.may.bs,subject,to"deed".restrictions"
<br /> which may be more•restr6ctive-thsrt Ca�unty ru atiottis: Tlie undersigns assumes rospa�nsibliity fcr .dmpIlano with any
<br /> applicable deed restrictions.
<br /> UNLICENSED-CON'1'If;ACTORS'AND CONTRACTOR-RESPONSIBILITIES: -If the owner has-filred a .contractor or
<br /> contractors to undertake work,they may bs rgquirsd=to.:be;ltcensed In.accordance.with state--and.local regulations: :If the
<br /> contractor is not-licensed as required.by low,-both-the owner and-contactoi_may-be-cited-for o misdemeanor violation
<br /> under state law. If the owner or Intended=contractor.are uncertain as'to what licensing.requirements may,appiy#or:the.
<br /> Intended wont;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 contractors}. sign
<br /> portions of the "contractor.Blocle,of this-application for.which they.YAII be.responsible.Af you, as the ownier'sign'as the
<br /> contractor, that may bean Indication that-he`is not,properly licensed and-is not'entltled to permitting privlleges in Pasco
<br /> County.
<br /> 6 ( ��t �lfirittTlt N I ACT/ l t �1 �'tII PAC' `G �i� i��4 ( �6E RECO.VEI V-MEB -be.-undersigned understands -
<br /> that Transportation Impact Fees;and,Recourse Recovery'.Fees may appty`to.,the construction oi•new buildings,change of,
<br /> use in existing buildings, or:enpansionv of eiiisftrig'-Buildings, as specified.in Pasco County Ordinance number 89-07 and
<br /> 80-07, as amended. ,The.undersigned also:understands; th9t:such fee; ;;sis-tray be=duewill:be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Rescurce Recovery:Fees must be paid prior to
<br /> receiving a Ucertl#lcate of-occupancy°or final-power-release. 4t the.project,does l not.•invclve:a:certificate of occupancy or,
<br /> final power release;the fees must be paid prior to permit Issuance. Furthermore;-Il'.Pasco:.County,Water/Sewer Impact
<br /> fees are due,they trust be-pald prior to,permit-issupi ctt In accordance with*applicabla.Pasco.County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapters 7131,Florida otatutes,az amended): If valuation of work Is$2,500.00•or more, I-
<br /> certify that 1, the applicant, have.been provided with, a copy-of the-"Florida-,Construction: Lien*..Law Homeownees
<br /> Protection Guide"prepared bytha Florida Department of Agriculture and Consumer-Affalis. If the applicant is_someone
<br /> other than the"owner". I certify.that I..have>obtaineil ai cbpy.of.the-,above:describcddocument°and:prornisein:good faith to
<br /> deliver It to the.°owner°'-prlor to commenc�msint� -
<br /> COf TRAC`f'OR'S/OWNER°S AFFIDAVIT- I ceatif -.tnat.ali:tha•Intormaition.in this application Is accurate.and that all work
<br /> will'be done In compliance with all-applicable idv�s regulating construction, zoning and,land development. Application is
<br /> hereby made to. obtain.a.permit to do.work;-and Installation as Indli ated., .A.-certify that no work'or linstallation-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. l•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-what.actions I must.take:to be1n.compliance. Such agenoles Include but-are-not limited to:
<br /> Department of Environmental-Protection ress.'Bayheads Wetiand Areas and•Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management- �dlstricQ llyelIs, Cypress.5 ®syheads;. 'Welland. Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls;Docks,Navigable Waterways.
<br /> Department of-Health:9 Rehabilitative- Sertiices/Environmental Health Uhit Melts, Wastewater.-Treatment,
<br /> Septic Tar kii..
<br /> US Environmental protection Agency-Asbestos abatement.--
<br /> Federal Aviatlon:Authority Runways.
<br /> I understand that the fo0owing.restrictions-apply to the use of fill.-
<br /> Use of fill Is not allowed in Flood Zone Ir 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 volumeR.will be submitted at time of permitting which Is prepared by a professional engineer
<br /> licensed by-the State of Florlda;-
<br /> If the fill-material.ls Ito be used In Flood Zone "A" ins connection with-.-a permitted building using stem wall
<br /> construction, I certify that fill vifill:be rased only-to flll the area he-stem-wall.within-t
<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 bts cited for.violating.
<br /> the conditions-of the building.permit issuedunder ttie'ottached;permit application, for lots less than.-one (1)
<br /> acre which are ele4ated'by till;am engineered drainage plan Is required..
<br /> If lam the AGENT FOR THE OWNER$ kfpr6m1se in good faith to Inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understaiild that-a�separate-permit may be required for electrical work,
<br /> plumbing, signs, wells,.pools, air-conditloning,-.gars;.ar other:Instaittlons not.specifically included-In.the application. .A
<br /> permit issued shall be construed to be a-license to-rproceed with the"work and not as.authority-to.violater cancel, alter, or
<br /> set aside any provisions of the.tochnlcai.codds;-nor shall issuance of a_permit.prevent the®ulldirig Official from thereafter
<br /> requiring a correction of errors In-plans; construction or violations of any codes:--Every parmltlssued 15hall.become invalid
<br /> unless the work authorized:by such permit•is-commenced•within slx,months of-permit issuance, or if work authorized by
<br /> the permit is suspended,or.abandoned=for:aperlod of:slx•(a)-months.after the time therwork=is commenced. An extension
<br /> may be requested,.in writing;from the'SuIlding.Official for a pdriodnot=ter exceed ninety-(90) days and-will demonstrate
<br /> justifiable cause fouthe extension. if work ceases:for ninety.(90)consecutive days,..th\job'is considered abandoned.
<br /> RRt/AG MONG TO OWNER: YOUR_FAOLURE-TO.,REIIPgRI..A.-NQTICE:OF I;COMMEN6I�fil1ENT�MAY-RESULT IN-YOUR
<br /> PAVO�G` WI FOR 1�#itROVEM99MTID:-OURI..�ROPERTY Ill=°.YOU4197Ef!'19:fO'OST-AIM:FII CiNG,tOWSULT
<br /> IM07H- UR D -,AM; '$TORNEYV FORD •C ' . E T
<br /> FLOr3MA JURAT-(P.f's.1. t}3} -
<br /> CtfllMEft OR cAGiEfbT ' L/ `�-' CON E til�CT0
<br /> Subscribed and swrom {or affirmed)before me this Subscribed and'swro"eMffneftbrei me�thh;
<br /> by .by..
<br /> Who Islare personally known to.me or.hasihave produced. Who.Islare personally khowrn-tome or hasthave-produced
<br /> as fdsntlfication. as Ideni ffcation.
<br /> Notary Public iVotary Public
<br /> Commission tdc:, Commission.No.
<br /> Name of Notary typed,printed or stamped Flame of Notary typed,printed or stamped
<br />
|