|
<br />'. .N~T.ldi!;"'t)IEED RESTRICTIONS: The undersigned understands that this permit may besubjedto jid~ed~f~~fflqfIOns7':
<br />:W f' . ';o.re restrictive than County regulations. The undersigned assumes responsibility for bompli~~~i;;, .).
<br />- ap ..re.strictions. . .' ... . .... ............. ,\ei','
<br />,; . ':'.. u$i '"',9NTRACTORS AND CONTRACTOR RESPONSiBILITIES: I[the oYJr1erhashifed.~tca
<br />'; roB dertake work, they may be required to be licensed in accordance<withstate ahd.loc~I... ',,, . .
<br />K:;,i;,~\e'Jlc.ensed as required bylaw, both the owner and contractor mayb~~itedJofa filis'
<br />:j;:,:;:}:, .If the owner or intended contractor are uncertain as to wh~t Iig~nsing...tE;qUif~m~nt~
<br />;.,),'" ' ': are advised to contact the Pasco County Building Inspection DiVislon,."iUc@n~ii1g' "i< ...' .~..., ..;'
<br />i/'('f;"" ri..J:iirt'..' 1'.'0'.":.'...' '\~' if the owner has h\red a ~ontractor .or contractors, he Isadvlsed,Jo ha~e~h@~~lt~~l~r.~~)~sl~n;'?;
<br />fi.lied'!;'. co':;.U..JL...t'I'.'.a'~.... ~tractor Block" of this application for which they will be responsible. If you; as the bW~~rsi9n as.tfje;. ,. r
<br />"r ,ay be an. indication that he is not properly licensed and is hot entitled to permittin~ priVli~ges .'111 Pasto .
<br />.' " bOWi
<br />":'~fRANs ION IMPAGT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands
<br />tMt Tra "n Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of
<br />. ys~ (n~L'.., 1161ngs, o~ expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90,-07, a8/;<,..; eel. The undersigned also understands, that such fees, as may be due, will be identi~ed at tlie time of
<br />pefmittirig,lt.2)1~,(unher understood that ~ransportation Impact Fees and Resource Recovery Fees mUst be paid prior to
<br />re?eivlnga.;i1.q~ftifl(:ate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />finfll power rel~ase, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe~s are dUe;t~~ymust 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 Gulden prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the "oWher'. 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 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 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 "V" 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 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 proce~d with the work a~d not as authorio/ !o. viol~te. cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding Official from the~eaft~r
<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 th~ work is commenced: An extension
<br />may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) da~s and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />as Identification.
<br />
<br />
<br />e me this
<br />C Of'ye \ a-
<br />to me or has/have produced
<br />as identification.
<br />
<br />Notary Public
<br />
<br />~.~ d~.Jl.LL.< -
<br />
<br />Notary Public
<br />
<br />Name of Notary typed.
<br />
<br />..,~~. Karen L. Miller
<br />i..~ .~ Commission # 00609664
<br />8 r,
<br />........ TIO'/ ,.,. .,........, '.C. 100._701&
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />
|