|
�
<br /> NpTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulatfons. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictlons.
<br /> UNLICENSED CONTRACTORS AND CONTRqCTOR RESPONSIBILITIE3: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be req4ired to be Iicensed in accordance with state and local regulations. If the
<br /> contractor is not Iicensed as required by law, both the owner and cont�actor may be cited for a misdemeanor violation
<br /> under state (aw. If the owner or intended,contrpctor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Buflding Inspection Division—Ucensing Secfion at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cont�acto�s, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they wiil be responsible. If you, as the owner s(gn as the
<br /> contractor, that may be an indicatfon that he is not properly Iicensed and is not entitied to permitting privfleges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPA�7 AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Atecovery Fees may appiy to the construction of new buiidings, change of
<br /> use in existing buildings, or expansion of 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 /> perrr�itting. It is further understood that Transportation Impact Fees and Resource Recvvery Fees must be pafd prior to
<br /> receiving a °ce�ti�c�te of occupancy" or flnal power release. If the proJect does not involve a certificate of occupancy or
<br /> flnai 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 prfor to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Fiorida 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 by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
<br /> other than the"owne�", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> delfver it to the"owne�"prlor to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the information in this appUcation 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 instaliation has
<br /> commenced prior to issuance of a permit and that ail 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 tY�at I understand that the regulations of otFier government agencies may apply to the intended work, and that it is
<br /> my responsibility to Identify what actions t must t�ke to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�tment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> ' Watercourses.
<br /> - Army Corps of Engineers-Se�walls, Docks, Navigable Watervvays.
<br /> - Department of Health 8� 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 followfng restrictioFlS appiy to the use of fill:
<br /> - Use of flll is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the flll material is to be used in Flood Zone "A", it is understood that a drainage pian addressing a
<br /> "compensating volume" wfll be submitted at time of permitting which is prepared by a.professfonal engineer
<br /> Ilcensed 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 wali
<br /> construct(on, I certify that fill will be used only to flll the area within the stem wall. '
<br /> - if fili 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 flll is found to �dversely affect adjacent properties, the owner may be cited for vfolating
<br /> the conditions of the building permit issued under the attached permit application, fpr lot5 less than one (1)
<br /> acre whfch are elevated by fll, an engineered d�ainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, i promfse in good faith to (nform 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 /> plum6ing, signs, wells, pools, air conditioning, gas, or other installations not specifically ihciuded in the application. A
<br /> permft issued shaii be construed to be a Iicense to proceed with the work and not as authority to,vidiate, cancel, alter, or
<br /> set aside any provfsions of the technical codes, nor shall issuance of a permit prevent the Bufiding Official from thereafter
<br /> requlring a correction of errors in plans, construction or v(olations of any codes. Every permit issued shall become invalid
<br /> unless the work 8uthorized by such permit is commenced within six months of pe�mit issuance, or if work authorized by
<br /> the permit fs suspended or abandoned for a period of s(x(6) months after the time the work is commeneed. An extension
<br /> may be requested, in wrfting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justiffable cause for the extension. If work ceas�s for ninety(90)consecutive days, th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RE�ORD A NOT{CE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YQUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WI Y R Y BE. R IN Y MENT.
<br /> FLORIDA JURAT(F.S. 11�03) � �
<br /> OWNER OR A(iENT. CONTRACTO `
<br /> Subscribed and swom afffrmed)before me thia Subscrlbed and m to(or affirme before me th s
<br /> by ' bY
<br /> Who islare personally known to me or has/have produced Who is/are Personaily known to me or has/have produced
<br /> as idendfica8on. as Identlflcatlon.
<br /> Notary Publlc Notary Public
<br /> Commission No. Commisslon No. '
<br /> Name of Notary typed,p�inted or stamped Name of Notary typed,printed or stamped
<br />
|