|
<br />NOTICE OF DEED 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 andloca! 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 Division-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 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/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 (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-Homeowne~'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 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. I
<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 properti~s, the. ow~er 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 />this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t.may ?e reqUlr~d for elect~lca.1 work;
<br />plumbing, signs, wells, pools, air condilionlng, gas, or other ~nslallallOns not spactflcally Induded In the appllcabon. A
<br />penni! issued shall be construed to be a license to proceed WIth the work and not as authonty to. vlol~t~, cancel, aller, 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 correclion of errors in plans, construction or vlolallo~s of any codes. Every ~ennrt ISsued shall become. Invalid
<br />unless Ihe work authorized by such permit Is commenced WIthin sIX months of pannlt ISsuance, or it work authonzed. by
<br />the ermills suspended or abandoned for a period of six (6) mon.ths ailer the tIme th? work IS commenced: An extenSIon
<br />p busted in writing from the Building OffIcial for a penod not to exceed nInety (90) days and WlII demonstrate
<br />ru=~fla~l~e~~se fo; the exte~slon. If work ceases for ninety (90) consecutive days, the~ob Is considered abandoned.
<br />
<br />TO OWNER' YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN yoUR
<br />~:~~~C:WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENllER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COM NCEMENT.
<br />FLORIDA JURAT (F,S. 117 ~,,---/:J L ~
<br />7C' ~ CONTRACTO
<br />OWNER OR AGE S b .b a m 0 (or affirmesU befo e me this,
<br />Sub!",""d aad 10 (M am"",d).... Ole ~~l ~ I~ :':. O' by ~""OV'> l<',~ ~\&
<br />12 ,2- f (;;;0 by !-eo f"\ k?l cl '\~ Who Is/are personally known to me or has/have produced
<br />~I.s/are personally known to me or haslhave produced ~ "'"\) e ,,'Z.. u c- as Identification.
<br />"beu<2- 1.-"- c- as Identification. '-'
<br />
<br />
<br />,
<br />
<br />~\QQ---""
<br />
<br />~~
<br />
<br />Notary Public
<br />
<br />~. ~ ~ ~'-'" u---
<br />
<br />Notary Public
<br />
<br />commission No.
<br />
<br />Commission No.
<br />l~\\1.'f.!!f~ Karen ~. Miller
<br /> Ir ,2010
<br />........ ~ PalO .IMUItftllI.IM 1OO4I.701Q
<br />
<br />
<br />
|