|
wh�'�ch may bemoe RestTc�tive t aN C unry r gu el ons. The undersigned a esp ns bflty for c mpl ance t with any
<br /> applicable deed restrictfons.
<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 wfth state and local regulations. If the
<br /> contractor is not licensed as required by law, both the ovmer and contrector may be cited for a misdem�a PP yiolation
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
<br /> intended work, ihey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009 Furthertnore, if the owner has hired a contractor or conhactors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of ihis 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 nat entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATiON IMPACT/UTILiTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
<br /> that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of new bufldings, change of
<br /> use in existing buildings, or expansion af existing buildings, as spec�ed 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 accupancy" or flnal power release. If the project does not invoive a certificete 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 pemtit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida 3tatutes, � f he a F orida Construcf on L en $ aw�—Homeowner's
<br /> certify ihat I, the applicant, have been provided with a copy
<br /> Protection Guide' prepared by the Florida Department of A9 f�ttie f above described docum and promPse n faith to
<br /> other than the "owner", I certify that 1 have obtained a copy
<br /> deliver it to the `owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I cerUfY that all the Information in this application fs accurete and thet all work
<br /> will be done in compliance with all applicable laws re9ulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certffy that no work or installation has
<br /> commenced prior to issuance of a permit and th ulati�ons� nd devel p ent reg IaU'onsen the 1
<br /> construction, County and City codes, zoning reg
<br /> certffy that I understand that the regulaiions of other govemment agencies may apply io the iMended work, and that it is
<br /> my responsibility to identHy what actions I must take to be in complfance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands, WaterlWastewater Treatmenk
<br /> _ Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawells, Docks, Navigable Waterways.
<br /> _ Department of Health 8 Rehabflftative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> _ US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviatfon Authority-Runways.
<br /> I understand that the foilowing restrictions apply to the use of fill:
<br /> Use offlll is not allowed in Flood Zone'V' unless express�Y Pertn�ned•
<br /> If the flll material is to be used in Flood Zone "A", it is understood that a dreinage pian addressing a
<br /> "compensating volume" will be submitted at Hme of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the ftll malerial is to be used in Flood Zone 'A" in connection with a permitted building using stem wall
<br /> construc8on, I certffy that flll wlll be used onty to fill the area wRhfn the stem wall.
<br /> If flll material is to be used in any area, I certiry that use of such fill will not adversely affect adjacent
<br /> properlies. If use of flil is found to adversely affect adjacent properties, the owner may be cited for vbletfng
<br /> the conditions of the building permil �ssued unde� the a an is required, epplication, for lots less than one (1)
<br /> ecre whfch are elevated by flll, an engineered drah►age p
<br /> K I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the pertnittin9 cond�ions set forth in
<br /> t �umbin gns, pools�ai conditio gasn oe other Ins nsn ot s p�ecificeilY duded the a
<br /> P g
<br /> permit issued sh � a v�ions�of the technica�l I cc�ddege�o shall Ggsuance aF�a Perm�tP e ent the BuNdirig irom thereaRer
<br /> set aside any pr
<br /> requiring a correction of errors in plans, construction or violetions of any codes. Every Pe en u or�if work�authoezed by
<br /> unless the work authorfzed by such permN Is commenced within six months of Perm
<br /> (he �rmieisJeB{ d fn writi g from the Buiidi g���aliforga perfod not to ex nine� 0) days and wiil demo strate
<br /> may Q 90 consecutive days, the job is considered abandoned.
<br /> justiFiable cause for the extension. If work ceases for ninety () �,
<br /> WARNING TO OWNER: YO VE R �EN ' TS TO YOUR PROPERT1f.TIF YOU INTE D OBTA N FI ANCSNG, CONSULT
<br /> PAYING 7WICE FOR IMrR� �,,,,,� DcrnentuG YOUR NOTIGE �F �MM
<br /> •�"+ i n YOUR LFNDER OR AN�_
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> CpNTRACTO
<br /> pWMER OR AGENT Subsaibed end $w� 1� (or a(flrmed) before me thls
<br /> Subscrlbed and swom to (or alflrtned) before me this - yY
<br /> bY Who Islare personally know^ t° me or hasThave produced
<br /> yyho islere personaly known to me or hesTheve produced es identlflceUon.
<br /> as ideMlficatlon.
<br /> Notary Public
<br /> Notary Pubilc
<br /> Commissfon No.
<br /> Commisslon No.
<br /> Name oi Notary lyped� D�nted or stamped
<br /> Name of Notary tYPed• P�nted or stamped
<br />
|