|
<br />NOTICE OF OEED 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 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 />understate 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 Division-Licensing Section at 727-847-
<br />8009.. Furthermore, if the owner h~s 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/UTII:-ITIES 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 paldprlor 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 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 Is accurate 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 performed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, 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 1 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 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 />'1 understand that the following restrictions apply to the use of fill:
<br />Use of fill Is not allowed fn Flood ZOne "V" unless expressly permitted.
<br />If the fill material Is 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 permitting which is prepared by a professional engineer
<br />licensed by the State of Florida.
<br />If the flll material Is to be used in Flood Zone "A" In connection with a permitted building using stem wall
<br />construction, I certify that fllI.w1ll 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 adversely affect adjacent
<br />properties. If use of fill Is found to adversely affect adjacent properti~s, 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 ~f the permlttln~ conditions s~t forth In
<br />thi. affidavit prior to commencing construction. I understand that a separate permit may be reqUired for electrlca,' work,
<br />I:mblng, signs, wells, pools, air conditioning, gas, or other Installations not specifically in?luded, in the application. A
<br />p 't I d hall be construed to be a license to proceed with the work and not as authOrity to Violate, cancel, alter, or
<br />P:~~~id~s~~ s rovisions of the technical codes, nor shall Issuance of a permit prevent the BUil,ding Official from the~eaft~r
<br />~e uirin a :air-ection of errors in planS, construction or violations of any codes. Every permit Issued shall become. invalid
<br />~ . t~ work authorized by such permit Is commenced within six months of permit issuance, or if work authorized. by
<br />~n ess .~, u ended or abandoned for a period of six (6) months after the time the work is commenced. An extenSion
<br />he p~rml IS s :Pd In writing from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />;:;:futa~~e:~:e ~o~ the exle~slon. If work ceases for ninety (90) consecullve days, Ihe job Is considered abandoned.
<br />
<br />.. RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />::':~:~~~EO~:~P~g~::e~~~~ ~~UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, cONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />
<br />FLORIDA JURAT (F.S. 117.?3) . &- ,
<br />/ . J! 'J /. M L_ ~ CONTRACTOR
<br />OWNER OR AGENT A r~ "L .-(T ~ subscrlbed and swom to (or affirmed) before me this
<br />SubsGIlbed and swor:!lJQ (or affirmed) before m~ . by
<br />"}.-3 by . 2-, d Who Isfare personally known to me or hasfhave produced
<br />Who Isfare personally nown to me hasfhave produce as Identification.
<br />as Identification;
<br />
<br />
<br />'i-
<br />~,
<br />commission 'r~ JACQUELINE BOGES
<br />N : : Con:muSS1on DO 621833
<br />~" . /~l Expires December 12, 2010
<br />.. ... . , ~,. , Il!llml ~llIlU-3lIO"(U19
<br />... Name of Nota' ed, p' If'b~' ...
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No,
<br />
<br />~
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />.'
<br />,
<br />
<br />~,
<br />
<br />l'
<br />
|