|
JAN /21 /20091ED 08:34 AY. ZEPHYRHiLLS BUILDING FAX No. 813 P.
<br /> . .
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may bra 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 oited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain es to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection DNlsion— 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 property 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 ` certifoate 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 clue, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 719, Florida Statutes, as amended): if valuation of work Is 82,500.00 or more,
<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 applieant'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 11 to the "owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in thls 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, Weter/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, 1 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 fdl 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 proceed with the work and not as authority to violate. cancel, alter; or
<br /> set aside any provisions of the technical codes, not shall Issuance of a permit prevent the Building Official from thereafter
<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 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 ceases for ninety (90) consecutive days, the is considered abandoned.
<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 /> r, 9 - , DER • t AN • II a RNEY : F e i. . RECO " I ING 0 ; t e T _ • OMM N _ _ 0 •
<br /> FLORIDA JURAT (F:S. 117.03) e� V
<br /> OWNER OR AGENT + .CJA CONTRACTO (
<br /> S .•..• , : d : id swam to or a ntjod) up C g� I y S be b yg /CJ by • • Air
<br /> � � _.) • �� y p
<br /> ♦by � f
<br /> X11,'1 '• personally known to me or haslheve produced persona ly known to me ix has/have produced
<br /> as Identification. es Identification.
<br /> _
<br /> C if L t .) r- +aorary Publ IlJ _ - a �, / _ Notary Public
<br /> CommissionNo.W & L L / /'-/7 Commission No. 4# Mb
<br /> L
<br /> •
<br /> F fu/K. i W�Yk i FL ' t i/) P. /) n6
<br /> Name of Notary typed, printed or stem Name of Notary typed. printed br etempsd • F ORTUNA R. MUSINSKI , FORTUNA R. MUSINSKI
<br /> � r � �� MY COMMISSION #DD651747
<br /> r °` "G. MY COMMISSION #D0651747
<br /> rf
<br /> EXPIRES: MAR 18, 2011 EXPIRES: MAR 18, 2011
<br /> ° f Bonded by 1st State Insurance " Bonded by 1 st State Insurance '
<br />
|