|
i •
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed restrictions"
<br /> which maybe more'restrictive, County`regulatIons. The undersigned' assumes responsibility for compliance with `any
<br /> 'appiicabie'deed restrictions
<br /> . UNLI C ENSED . 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 /> 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 * 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 RECOVE FE The undersigned understands
<br /> that Transportation impact 'Fees and Recourse. Recover/ 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 — Homeowner's
<br /> Protection Guide" prepared lay 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. 1 '
<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 ' ' k 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, Coun'ty and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 Protectibn- 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.' 1
<br /> Army Corps of Engineers- Seawalls, Docks, Navigable Waterways. .
<br /> - Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
<br /> Septic Tanks. ll
<br /> - US Environmental Protection Agency- lsbestos 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 Tess than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required. . .
<br /> If 1 am the AGENT FOR.THE.OWNER, 1 promise in good faith to inform separate owner of the y e r lequge cond
<br /> fd itions set f
<br /> i orth in
<br /> work,
<br /> this affidavit prior to commencing construction. l o nders other installations not specifically included in the application. A
<br /> ppermit isslumbing, ued s h signs, all be wells , pools, to be air conditioning, g
<br /> a license to proce uthority to, violate, cance� alter, or
<br /> Official from construed .
<br /> set aside
<br /> rin a any provisions r the technical codes, ction with the work io of any codes. E ery t and not as authority
<br /> BUild
<br /> Is ed shall become invalid
<br /> requiring a correction of errors in plans, co
<br /> unless the work authorized by such permit is period of six (6) m after the time e the t work a s if work
<br /> authorize
<br /> the` permit, is suspended or abandoned for a p , and
<br /> may be requested, in :writing, -from the Building Officialfor a period not to exceed i Job i9 d ay s red a rate
<br /> justifiable cause for. the extension. If work ceases for ninety'(90) consecutive days, •
<br /> WARNING TO O
<br /> WNER: YOUR FAILURE TO R ECORD A NOTICE OF COMMEN MAY 'RC U IN YOUR
<br /> PAYING TWICE FOR IMPROVE NTS TO YOUR PROPERTY. IF YOU I :END T ,JO CE O MENT OiP NT .
<br /> [ W T. 0 ' . 3 _ _ i
<br /> • 1 . i F ° R C. DI 0U i i
<br /> FLORIDA JURAT (F:S. 117.03) �
<br /> and - , '�`J
<br /> OWNER OR „ 3r• / Subscrib � ed) _, - jr s►f/�
<br /> Subscflbed and nd sworn wom.t�or a � �:'; yo rN ed 2..rr by swum to (or �o
<br /> i Wh re personally ■known to me or ha ave produced
<br /> Who dare personally known to. or ha One produced as identification.
<br /> as identification.
<br /> 1 � Notary Public
<br /> Notary Public i
<br /> - DP : 774I D 2 Commission No. 77 0 3
<br /> Commission No
<br /> - - ' - Name of Notary typed, printed or stamp _k. 4 !, ,_ Commission DD 774023
<br /> Name of Notary typed pri , « ,P = :romission DD 7740 ;,• Expires June 6, 2012 4. ;w `• Expires June 6 2012 , %,�p � OndeO Thn+ =ro'/Fain Mayors 1100036:7019 . 4,410 sormotnro troy f sn MOAN
<br />
|