|
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more�estrictive than County regulatfons. The undersigned assumes responsibfliry for compiiance 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 cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what Iicensing 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 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 responsfble. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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 specifled 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 Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certiflcate of occupancy" or final power release. If the project does not involve a certficate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Fu�thermore, ff 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 Statutea, as amended): If valuation of work is $2,500.00 or more, I
<br /> ce�tify 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"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"owne�" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable taws 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 /> ce�tify 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-Seawails, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federai Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:
<br /> Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> If the fili 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 materiai is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I ce�tify that fill will be used only to fill the area within the stem wati.
<br /> If fill material is to be used in any area, I certify that use of such fil�he iowner mayrbe�cit d for v�oa t ng
<br /> p r o p e r t i e s. I f u s e o f f i l l is found to adversely affect adjacent properties,
<br /> the conditions of the building permit issued under the a t tac he d per m i t a p p l i c a t i o n, f o r I o t s l e s s t h a n o n e (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER�tructi n�s I�u derstandhthatna�s parat permit may be required fo��electr cal work,
<br /> this affidavit prior to commencing con
<br /> plumbing, signs, wells, pools, air c�g a'license to p oceedewith the work and not a's aul hority to violateecanclelaa'Iter, or
<br /> permit issued shall be construed to
<br /> set aside any provisions of the technical code uction oalviolations of any cod sprEvery pe►'mitiissued shall become inv I d
<br /> requiring a co n e c t i o n o f e r r o r s i n p l a n s, c o n s t
<br /> unless the work authorized by such permit is e o d of six(8) mhonths after the t meethe wo k is commenced An hextension
<br /> the pe�mit is suspended or abandoned for a p da s and will demonstrate
<br /> may be requested, in writing, from the Building Official for a Pe�consecutive days,the jobtis�cons de�ed abandoned.
<br /> justifiable cause for the extension. If work ceases for ninety(90)
<br /> WARNING TO OWNER: YOUR FAILURE TO RR PROPERTY.TIF YOU tNTE DETO OBTA NnFI�NANCSNG CIONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOU N M T.
<br /> WITH YO R L R AN TT EY EFORE RECORDING YOUR NOTIC OF
<br /> FLORIDA JURAT(F.S. 117• G`=-�--v � /l � a`s�'�-�
<br /> ,��, CONTRACTOR r e�� b �$
<br /> OWNER OR AOENT Subscribed and swo�y ,
<br /> Subscxibed and swo t�g(a�a��1 be r thls �,��� �� by� , ,
<br /> - - :.2 by Who Islare persona nown to me or haslhave produced
<br /> Who i �e pe nally n�^t��^ or ha ve produced �; �� as ldentlfication.
<br /> �� as identlflcatlon.
<br /> / 3
<br /> '� � � �`i�—,? J`'�Z*u � - jlv-Z/�-t'.''k�?Lt otaryPublic
<br /> , ,, ,.� • � ..
<br /> , .
<br /> Commission No.
<br /> Commisslon No.
<br /> .•••"y""•• Name of No � � 140709
<br /> Nam : � � ' � �pires February 2'L,2016
<br /> �; y� Expires February 22,2016 ���T�yFy�Imurypa8p0.385�Mt9
<br /> d:' Badad Thru Tmy Fain Insxance 800-3867019
<br /> ��N�
<br />
|