i
<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 ownee has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in acco..rdance 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 unce.rtain.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-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.0 rider stands
<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-ouch fees, as may-be-due,will-be identified at the time of
<br /> permitting. It is further understood,thatTrari' portation.lmpactFees 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:l.have'bbtained a copy of the-above de'scribeddocument and promise in good faith to
<br /> deliver it to the'owner".prior to commencement.
<br /> CONTRACTOR'S/OWNER'S'AFFIDIT:, .Lcertify that all the ofof mation.in,this.,application.is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction;zoning and hand development.,= Application is
<br /> hereby made to obtain a permit to`'do.,work"and install ation`is'-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'"Cify'cod'; zoning.-regulations, and`land'development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may-apply1o:the intended work, and that it is
<br /> my responsibility to identify what actions:I musttake 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,WaterM/astewater:,Treatment.
<br /> Southwest Florida Water' Management District-Wells, 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 /> US,Environmental,Protection'Agency=Asbestos.abatement.
<br /> Federal-Aviation Auth6eity=Runways:
<br /> understand.that the..following restrictions..apply-to:the use of fill:
<br /> Use of fill is not`allbwed 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 bya professional engineer
<br /> licensed by the State of Florida.
<br /> If the fill material is to.be used.:in Flood Zone'"k]n connection with a permitted building using stem wall
<br /> construction, [certify that fill'will be-used only to filfihe.aiea 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 adjacen ;t properties, the•owner may be cited for violating
<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 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, wells, pools, air-conditioning, gas, or other installations not specifically included in the A
<br /> permit issued'shall be construed to be a license to proceed with the-work.and not as authority to violate, canceli,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(90),donsecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO--RECORD.A NOTICE%OF,COMMENCEMENT.MAY RESULT'IN YOUR
<br /> G T PAYINWICE FOR-IMPROVEMENTS-TaYOUR-PROPERTY.-.IF:YOU-INTEND_TO OBTAINTINANCING;CONSULT
<br /> WITH YOUR LENDER_OR AN ATTORNEY BEFORE RECORDING YOUR�.NOTICE OF OMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 .03)
<br /> OWNER OR AGENT CONTRACTOR C
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sw`0T to(or affirmed)before me this
<br /> by
<br /> Who is/are personally known to me or has/have produced Who is/ a person II known to me or has/have produced
<br /> as identification. as identification..
<br /> Notary Public Notary Public
<br /> Commission No. Co mis ion
<br /> Name of Notary typed,printed or stamped Name of of tamed, d 1
<br /> Commission#GG 51
<br /> 1 ,2022 1
<br /> fxpiresDece
<br /> tuber 2
<br /> sw dTnrvTroy Fain lnsirance 8*3857019
<br /> :FOF its,• .:1
<br />
|