|
I
<br /> N u TICE�dF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" F�'st�ictiofis"'
<br /> 'vii ich m�y tie more restrictive than Cvunty regulations. The undersigned assumes responsibility for�ompli�iice V1ii�li a�i�_,, :
<br /> ap� iicable�l�ed testrictions. �
<br /> ��; U L�C�NS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner i�as hired � coh�rao�o� o�',��,, !
<br /> ' co�tracto�� �b �hde�take work, they may be required to be licensed in acco�dance witli stafe and local Fe�ulatibh� "I��h� +'
<br /> � 4ti +�'`1.+..•
<br /> .. „�o tta�t6r is;`;�iot.licensed as required by law, both the owner and contractor may be cited #or � ini"sd�m�ai�or.viol�Ewtt =
<br /> V° un er �tat�;;�a1i'ir If the owner or intended contractvr are uncertain as to what licensing ,'requi'remen�s ma� app���o�E�i� .� ''t
<br /> : �nt�riiied�vo�rk; they are advised to contact the Pasco County Building Inspection Division=Licen�ing Section at��7=��7= i
<br /> , $0��. FLir��ieFfnore, if the owner has hired a contractor or contractors, he is advised to have the coi���ac4c�r��) �i�fi,'° ;
<br /> ,. � pot�io►is of���.,econtractor Block" of this application for which they wiil be responsible. If you, a"s �he owner sigri as Ihe �
<br /> ' �: :.,
<br /> �.- co�t�acEoi�,,t}�at:inay be an indication that he is not properly licensed and is hot entitled to permitting pPivileges in Pasco I
<br /> ' '' Cdun'ty:. .:.:�.'w. �
<br /> '�TF�AFiSPOit�'�►TION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uhderstands �
<br /> th�at Tr�n'spo�ta�ioii Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change o� !
<br /> _ Us�e in existiF�g_bili�dings, or �xpansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90,-07; as amet�ded: The undersigned al'so unde�stands, that such fees, as may be due, will be identifed at the time of
<br /> pe�mitting: �t i5 fu�ther understooc� that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "cettificate 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 $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owher", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'$/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that afl 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; 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, 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 Iots 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 techn�cs Iconstruct onsorlviolations of any codesPrEverytperm t iss ed shall become inval d
<br /> requiring a correction of errors m pla ,
<br /> unless the work authorized by sucned for�als er od of six(6) mhonths after the t meethetwork is commenced Anhextension
<br /> t h e p e r m i t i s s u s p e n d e d o r a b a n d o P
<br /> may be requested, in writing, from theork ce'a es�or'ninety(0)rcon ecutive days, the job is Oco n s�de e d ba lndoned s t r ate
<br /> j u s t i f i a b l e c a u s e f o r t h e e x t e n s i o n. I f w
<br /> WARNING TO O W N E R: Y O U R F A I L U RE YOUR PROPERT1f.TIF YOU INTEND TO BT A I N FI�N A N C N G, C O N S ULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117.03) `����' _-- )
<br /> L«" CONTRACTOR
<br /> OWNER OR AGEN Sub ribe nd swom o(or affiRned1 b�fore me this
<br /> � Sub rib and swo to o � e ) efore me this V�by—,��s iu�.s�'irh/1`ri/l�r�
<br /> V�bY o Is! re personally known to me or has/have produced
<br /> o Is re personal y known to me or has/have produced = as identification.
<br /> �— as Identification.
<br /> ? ~�� � ���� Notary Public
<br /> �� ,, „ ��� Notary Public
<br /> --� � � � Commission No. pATRICIA QUILI.�N
<br /> Commission No.
<br /> ;�,'..�':�: PATRICIA GIUILLEN
<br /> Name of Notary typed,printe ; , �Xp�RES November 21,2013
<br /> Name of Notary � �"������'��
<br /> EXPIRES November 21,2013 (407)398-Oiv FloridaNOtaryServ�e,com
<br /> ',� � `�� .S�NMA.GOn�
<br /> (�07)398-01�'• Florldallote
<br />
|