;NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this permit may be supjeat`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 owner has hired a contractor or
<br /> contractors to undertake 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 apply for the
<br /> intended work,:they are advised to contact the Pasco County Building Inspection Divisipn—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 yowl 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 /> 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.(CFiapter 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 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 islaccurate 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 /> commenced prior to issuance of a permit and that all work will be pertormed.to meet standards of all laws regulating
<br /> construction, County and. City codes, zoning regulations, and land development regulations I in the,jurisdiction. I 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 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,-WaterMastowater Treatment. i
<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 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 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 I adversely affect. adjacent
<br /> properties. If use of fill is found to adversely affect adjacent 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 application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not.as authorityito.violate; cancel, alter, or
<br /> _set-aside_any pr_ovisions.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 fora 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) consecutive days,th 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 YOURLENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JVRAT(F;S 1.7.03) _
<br /> OWNER:O:R AGE NT.' � U > —JCONTRACTORE`Subs' rib" and sworn o or ' irme )betore g this Subs lbe and sworn t r a ymed bef me.this
<br /> �`k..y wo oo! 3: byv(a- Y wo o-�
<br /> Whols/ re personally kn n to me or h s/have produced Who is/are personal know to me or has/havei produced
<br /> as identification. as identification.
<br /> 4'zl` ' f/ Notary Public Notary Public
<br /> Comm
<br /> Commissio
<br /> u ! o �,, AN NA hi jiE LYNCH TERRY'"
<br /> ANN •
<br /> o` s Notary Public State of Florida; o,.A v -
<br /> Name o o e prirQeahth�'e Name of N
<br /> ffil WP, 4t61fd&0m&0
<br /> FF 958064!:;
<br /> My comm.Expires Apr 4,20?0' NMy CommExpires Apr*26'
<br /> O � Bonded through National Notary Assn �'••;F ?;
<br /> • ,,,,,,,a Bonded through National Notary Assn ,
<br />
|