|
<br />NOTICE OF DEED RESTRICTIONS: The undersigned undersumds that this permil may be subject to "deed" restrictions'
<br />which may be more restrictive than County regulations. The undersigned essumes responsibility for compliance with any
<br />applicable deed restrictions. ' ". ",'
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: II the owner has hired a contractor or
<br />contractors to undertake work, they may be required 10 be licensed In accordance With slate and local regulalions. If the
<br />contractor Is notltcensed as required by lew, bolh the owner and contractor may be cited lor.. misdemeanor \liolalton
<br />under state law. lithe owner Of Inlended contrilclor are uncertain as 10 whallicenslng requirements may apply lor the
<br />Intended work. they are edvlsed to contact the Pasco County Building Inspection Dlvlsion-tlcensing Seclion at 727-847-
<br />8009. Furthermore. il the owner has hired e contraclor or conlractors, he is advised to have the contractor(s) sign
<br />portions 01 the "contractor Block". 01 this appli~tlon lot which they will be responsible. II 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 />
<br />~~~PORTA nON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERYFEES: The undersigned linderstands .
<br />that Transportation Impacl Fees and Recourse RecoverY Fees may appiy to the constrUction 01 neW buiidlngs. change 01 .
<br />use In existing buildings, or expansion of existing buildings, as specified In Pasco GOlJnty Ordinance hllmber 89-07 ehd
<br />90-07. as amended. The undersigned also understands. that such .Iees, .as may be due. will be Idenlilied at \he time of
<br />pennJijlng. It is further underslood that Transportation I,!,pacl Fees and Resource "Recovery FeBs",usl 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 lees must be paid prior to perinlllS"Ouance. Furthermore, Ii Pasco County Water/SeWer impact
<br />fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco CoLlnty, ordinance~.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida statutes. as amended): Ii valualion 01 work i~ $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 t~e applicant is so~eone
<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'5/0WNER'5 AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />'will be done in compliance ~ith all applicable laws regulating construction, zon1ng 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 performed to ineet standards of all laWs regulating
<br />construction, County and City codes, zoning teguh:itions, and land development regulations 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, Water/Wastewater Treatment.' '
<br />Southwest Florida Water Managelllent 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 ranks. '
<br />US Environmental Protection Agency-Asbest9s abatement.
<br />Federal Aviation Authority-Hunways. '
<br />I understand that the following restrictions apply td the use of fill: ,
<br />Use of fill is not allowed In Flood Zone "V" unless expressly permitted:
<br />If the fill m~erialls to be used in Flood Zone "N.)it is understood that a drainage plan addressing a
<br />"compensating volume" will be submitted at time of p~rmitting 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 wail
<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 wili not adversely affect adjacent '
<br />properties. If use of fill is found to adv~rsely affect adjacent properties. the owner may be cited for Violating
<br />. the condllions 01 the building permlllssued under Ihe a"ached pennll application, lor lols iess thah one (1)
<br />acre which are elevated by fill, an ellgineered 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 commfilncing construction. I understand that a separat~ permit may be required fot electrical work.
<br />plum~l~g, signs. wells, pools, air conditlonlng.gas.:or olher Ih.tallations hot spacmcally Included In tho eppllcation. 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 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 lor a period nol to exceed ninety (gO) days and Will demonstrate
<br />jlJ5tlflable cause for the 'extension. If work ceases for ninety (90) conseputive days, the job Is corisider~d abandoned.
<br />
<br />
<br />" CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or has/have produced
<br />as IdenUficaUon.
<br />
<br />OWNER OR AG!=NT
<br />Sub5cribed and swom to (or affirmed) before me this
<br />by
<br />Who 15/arE! per50nally known to me or haS/have produced
<br />a5 Identification.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Comml5slon No.
<br />
<br />Commission No.
<br />
<br />,.
<br />
<br />Name of Notary typed, printed or 5tal11pe!i
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />j
<br />
|