|
` y �
<br /> ' ' NOTICE OF DEED RESTRICTIONS: The undersigned under tands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
<br /> applicable deed resVictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are unc rtain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County uiiding 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 responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is not properly li ensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,tha such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impa Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate 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 iss ance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Ag culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�",I certify that I have obtained a copy of he above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all th information in this 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 installatio as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work ill be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govem ent agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in c mpliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Distr ct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navig ble Waterways.
<br /> - Department of Health 8 RehabilitaUve Service /Environmental Health Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos a atement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of tll:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly permitted.
<br /> - If the fill material is to be used in Flood Zon "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 ' " in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fi I the area within the stem wall.
<br /> - if fill material is to be used in any area, i ce ify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fiil is found to adversely aff ct adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued und r the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,an engineered dra nage plan is required.
<br /> If i am the AGENT FOR THE OWNER,I promise in good fait to inform the owner of the permitting conditions set forth in
<br />, this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall iss ance of a pertnit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or viola ons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced w thin six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) onths 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 demonsVate
<br /> justifiable cause for the extension. If work ceases for ninety( 0)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR `��d s*ivo�i�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �ai rv'.
<br /> � WITH YOUR LENDER OR AN ATT RNEY BEFORE RECO DING YOUR NOTICE OF OMMENCEMENT. =r���
<br /> -0 N � FLORIDAJURAT F.S.117 ����t��/�:
<br /> � - �, �c.\) '�9j:����
<br /> li � u- � OWNER O AGENT CON RACTOR �� �`/ ���/ijji►���
<br /> N •� � � Subsc�bed a om to(or affirme )b r@ me this Subs ribed and swom'o(or affirme efore me this �
<br /> OLL Z � �by �S''-p�'r�t � rda:�R d0 by (�p.fa�Cit faoao►J13 -C
<br /> � c Who is/re personally known to me or has/have produced Wh s/ e personally known to me or haslhave produced I'S1 C7
<br /> � O Q � �L �c,�x,ci l���s..51 as iden6ficatlon. e as iden6fication. � O m
<br /> � d C/� -- �-�. C/� 6
<br /> O) c6 � � (� � � - � � � �
<br />� � f!� � -'-- �.p`�� C/) CD �
<br /> � Q � �'V � Notary Public �— Notary Public � � O�
<br /> y- w Commission No. ��"' .,L1 U�e Com ission No. �� �,yD� � Z p �
<br />, ��,����,�,,� 1�2���,� �.2�fln.a Fo c c� � � , a. Fv c� �T� o
<br /> `�0 bo� Name of Notary typed,printed or stamped Nam of Notary typed,printed or stamped � �
<br /> �a C �l V
<br /> LL�
<br /> o>��- �
<br /> �6 0�
<br /> ,''��Ifl d��``
<br />
|