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NOV /16 /2008 /SUN 02:13 PM ZEPHYRHILLS BUILDING FAX No.813 - 780 - 0021 P. 003
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<br /> NOTICE may b e More R restricttive than County regulations. The undersigned ass mes responsibility for compliance restrictions"
<br /> with any may e
<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 accordanoe 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 owner has hired contractor
<br /> for which they will contractors,
<br /> responsible. If you, as the owner sign as he
<br /> portions application ons of the "contractor Block" of this app li ' ation in Pasco
<br /> contractor, that may be an Indication that he Is not properly licensed and is not entitled to permitting privileges
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESO mRC apply REG O V„R al uS: The
<br /> of new b gn d und n s
<br /> Fees that Transportation impact Fees and Recourse Recovery may
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 end
<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 1
<br /> certify that 1, 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: 1 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_ 1 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 /> 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, 1 certify that use of such fill Will not adversely ited for violating adjacent
<br /> t
<br /> properties. if -use of fill is found to adversely affect adjacent properties, the owner may be
<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 wells, ols, ai conditioning, gas, or installations not specifically permit
<br /> inclu required
<br /> ed in the electrical
<br /> pplication. A,
<br /> plumbing, e i t issued signs, wells, p
<br /> permit isse 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 /> unless the e cor k aut of error 1 such n permit is r commenced within any codes.
<br /> of perms issuance,
<br /> or if work authorized by
<br /> unless m it work Is suspended or by p
<br /> the permit pended or abandoned for a period of six (13) months after the time the work. Is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work oeases for ninety (90)•consecutive days, the \ job Is considered abandoned.
<br /> WARNING OWNER: PROVEME FAIL TO YOUR PROPERTY. r IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> PAYING TWICE FOR .
<br /> WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N • T %COMMENCEMENT.
<br /> FLORIDA JURAT (F,S. 111.03) .
<br /> OWNER OR AGENT . CONTRACTOR nd s • .• Subscribed _ • eforo me this
<br /> or a
<br /> Subscribed and sworn to (or affirmed) before me this b _
<br /> by o Is /are personally known to me or has/have r produced as Who Is/ara personally known to Te as identification. duced Yvh
<br /> Notary Publla
<br /> Notary Public
<br /> Commission No.
<br /> Commission No. .
<br /> game of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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