|
<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be siJbJec;:t to -deed;' restrictions"
<br />. which may be more restrictive than County regulations. The undsl:'Slgnea assumes tesponslblllly for Compliance With any
<br />applicable deed r~s,trlctlons. . '. . , , '
<br />UNLICENSED CONTRACTORS AND C.ONTRACTOR RESPONSIBiLITIES:. If the owner has hired. a contractor or
<br />c~nb:actors to undertake work, they rriay be re,qulred to be licensed In aecordance wltti state and local regulations. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanot violation
<br />under state law. If the C?wner or Intended contractor are uncertain as to what licensing reqUlreinents may apply for the .
<br />IntEmded work, th~y are advised ,to contact the P~sco County Building Inspection lJiv!sI0fi-L1censl/.l9 Section at Ti.t -84..,-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to heivEdhEl contraptor(s) sign
<br />. portions of the .contractor Bloc~" of this ~ppllcatlon for. which th*:,y,WIII be te~ponslble. If you, as the oWner sign ?IS the, . '
<br />contractor, that:may be an Indication that h~ Is not properly licensed and Is hot entitled .to permlUlng prlVllege$ In Pasco
<br />County., "',,.. : . ' ' , .
<br />TRANSPORTATION I~PACT/UTILITIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned Understands
<br />that Transportation Impact F:ees and Recourse Recovery Fees may apply to the construCtion of heW bUildings, chahge of
<br />. use In, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hUinber 89-07 and
<br />.", 90-07" as amended. The undersigned also understands; that such fees, as may be due; will be Identlhed at the thne of
<br />permitting. 'It Is further l:Inderstood.- that Transpo~atlonlmpact Fees and Resource Recovery Fees must be paid pi"lor to
<br />. receiving a .certiflcate of occupan~y" or final power r~lease. If the project does hot Involve a certiflca~a of occupancy or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthermote; If Pasco CountY. WateriSewer Impact
<br />. fees are due, they must be paid prior to permit Issuance In accordance w,ith applicable Pasco County ordinanCes.
<br />CONSTRUCTION LIEN LAW (Chapter,713, Florida Statutes, as amerided): "fvaluatlon ofY/ork,ls $2,500.00 or more, I
<br />certify that I, the applicant, have been prOVided with a copy of the -Florida Construction Lien Law-HomeoWner's
<br />Protection Guide" prepared 'by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
<br />other than,the .ownet", I certify thl:d I,have obtained a copy of the above described document and promise In good faitH to
<br />, deliver it to the .owner" prior to cOl1Jmencement. . .
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.lnformatlon In this application Is accurate and:that all Work
<br />will be donE! lri compllanqe with all applicable laws regulating construction, zonlrig and land develop"inent. -Application Is ' '
<br />hereby made to obtain' a permit to' do work and Installation as Indl.cated. I certify that ho work or !nstallatlon has
<br />commenced prior to Issuance' of a permit and that all work will be p'!lrformed to meet standards of all laws regulating
<br />construction, County' and CitY codes, zonh)g' regulations, and land development regUlations In the jUtlsdlctloh. I also
<br />,certify that I understand that the' regulations of other government agencies may apply to the Intended livork, ahd that it is ,
<br />my responsibility ,to identify what actions I must take to be In compliance. Such agencies hlclude but are not limited to: '
<br />_ Department of Environmental ProteCtion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
<br />Lands, Water/Wastewater Treatment. .'
<br />Southwest . Florida Water Management District-Wells, cypress i:3ayheads,' Wetlahd Areas, Alteririg
<br />Watercourses. . . . " , ' ,
<br />Army Corps of Engineers-Seawalls, Docks" Navigable Waterways. ' " " .
<br />Depar1m'ent of He~lth & Rehabilitative SerVices/Environmental H$alth 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.filllsnot allowed in'F1ood Zone -V. unless expressly permitted; .
<br />'If the fill material Is to be .used In Flood Zone .A", It IS understood that a drainage p'lan addr.esslng a
<br />.compensatlng volume" will be, sub'!1ltted 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 uA" In connection With a permitted bUilding using stem wall
<br />, construction, I certify that fill will be used only to 'fill the arE!a within the stem wall. ,
<br />. If fin, material Is to be used In' any area, , certify that use of such fill will hot adversely affect adjacent
<br />properties. if use of fill 18 found to a~versely 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 fo~h in
<br />this affidavit prior to commencing , construction. I, understand that a sep~rate perml~ may be required for electrical wor~,
<br />, ' ' plumbing, signs" wells, pools, all' condltlorilng, gas,. or other installations 'not speCifically Included In the application. A
<br />permit Issued shall be construed tl? be a llcens,e. to proceed with the work and not as authority to violate, c,an~el, alter, or
<br />set aside any provisions of the technlcaloodes, nor shall Issuance of a permit prevent the Building Official ~om .t~e~ea~~r
<br />requiring a qorrectlon of errors In plans,construct,!on or violations ,of any code~. Every permit lssu~d shallb~come Invalid
<br />unless the work aulhorlzed by such permit Is commenced within six months of permit Issuance, or If work authorized by
<br />the permit is suspended or ab,andoned for a period of.Slx (6) months, after. the tlm,e t~~ ~~rk IS commenced. 'An extension
<br />'may be requested; in Writing, .from the Bul.ldlng Official fora period not to exc~ed ninety (90) dars,ahd Wlll,~em~nstrate
<br />JustlflaiJle cause for the extension. If work ceases,for ninety (90) consecu,tlve days, the Job Is conSidered abandoned. .
<br />
<br />, WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCEME;NT MAy ~ESULt IN ~OUR '
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I,F YPU INTENP TO, O,BTA~N F~~ANCING; OOt.JSUL T
<br />WIT OU LE E 0' AN 0 NEY BEFORERECORDIN OU 0 OF CO E T.
<br />. FLORIDA JURAT (F.S. 11.7.03) I,---,;i! ~ . b ,
<br />. OWNERORAGENt 6LY'''''/OL. l~rY!c;S
<br />Subs bed and siNo or affl e e this,
<br />, ,~by ~ '. .2--
<br />Isfare personally known tb e or haslhay!! produced
<br />. VJ .' :" as IdeoUflcaUon.
<br />
<br />
<br />~~~pmk
<br />
<br />Commlss No. ,
<br />
<br />
<br />, '..e-- ~NolarY Public
<br />
<br />No.
<br />
<br />Name of Notary lyped. printed or stamped
<br />
<br />Name of Notary typed. prIiltlMi or stamped
<br />
|