|
r . .
<br /> PJOTICE OF DE�D�RES'��iCYIORI�:' The unde�"signed understands that this permit may be subject to"deed" restrictions"
<br /> wrhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable,deed°restricti�hs. : � , � � � = +�:
<br /> l9RfLIC�N��D COFI7F�ACTO�� AP1D CORI��i�CY�R ft���PONSII�ILI�'I��: If the owner has tiired a contractor or
<br /> contractors to undertake vvork, they may be required to be licensed in accordance with �tate�and local r:egulations. 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 licensing 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 /> SOOJ. Furthermore, if the owner has hired a contractor or contrartors; 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 ouuner sign as the
<br /> contractor, that may be an indication that he is not,_properly,licens�d„and is not entitled to permitting privileges in Pasco
<br /> � � - . .. .., �- • .
<br /> County. �
<br /> i"��9SPORYATIOPI I�fI�ACYll1TIL9Tl�� ����CY�P�.D �tf��OUf�Cf� ��COVE�Y�f��5: T'he undersigned understands
<br /> that Transportation Impact Fees and Recour'se Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also undersfands, 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 �e'es mus4 be paid prior to
<br /> receiving a "certificate of occupancy" or final povver release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuan�e. Furthermore, if Pasco County VVater/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance wit#� applicable Pasco County ordinances.
<br /> �:COFVST�2lJCYlON.L�IE�I,,�d�ldV(Chap��e,7''�3, fFl�rida� ���Q�a4�s, �5 �e�aee�d�d): •If yaluation 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 AgriculQure,and Consumer Affairs. �f 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"owner" prior to commencement.
<br /> �0�9T�dk�CYO�i'�/Olf��ll�ff7'� k���l�ld►VIY: I certify that all the information in this application is.accurate and fhat all work
<br /> vvill 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 uvork and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permiQ and that all work will be perFormed fo meet standards of all lavvs 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 fo 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, 1lVater/VVastevuater Treatment.
<br /> �� �, �
<br /> - Southwest Florida Water iVlanagement District-Vl/ells, Cypress Bayheads, Wetland ,4r�as, Nltering
<br /> Watercourses. `
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable VVaterways.
<br /> - Department of Health � Rehabilitative Services/Envirnnmental Health Unit-VVell,s, VVastewater Treatment,
<br /> Septic T,anks._ �''' '; � .
<br /> - US Environmental Protection Agency-Asbestos abatement. , _ � , � • •
<br /> - Federal Aviation puthority-Runvuays. "" °- _; � �
<br /> I understand that,the followin�restrictions app�y fo the use o,f fill:� _ ,
<br /> - Use of fill is not allowed in Flood Zone"V" unless expre'ssly pe�rriitted. - � - '� ' ' �
<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 �rvhich 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 lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AG�N�' FOR Y�V� 01i1l�IE�, 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 technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or vio►ations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) monfhs after the time the work is commenced. pn extension
<br /> may be requested, in writing, from the �uilding Official for a period not to exceed ninety (90) days and will demonstrate
<br /> j�stifiable cause for the extension. If work ceases for ninety(90)consecutive days, fhe job is considered abandoned.
<br /> �i11iARPlIP1� 7'O 04RlW�(�: YOl1R IF�►ILUR� TO Rf���RD � �IOYIC� OF CORflliflfENCEflfl�iVT §1HAY RESULT I�l YOl1R
<br /> �'AYIIVG Y49iiIGfE FOR IIf��R04/l��ill�it97� YO YOU�2�'i70fPIEFt1Y. I�VOU IF1Y�6VD YO OBYP►IW FIPV�►F➢CINI(°s, COP1Sl1L.�'
<br /> 1iVIVl�YOl9�L.��IfDIE�i Oli��iP➢s�7Y01(��9�1(���Of�l� f��C�I�fDIf�C YO1193 P10YIC� OF CONfi�ihlf�iVC��iiEG�Y.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OIRIPIER OR AGEWT COWTRACYO
<br /> � � `
<br /> Subscribed and sworn to(or affirmed)before me this Subscrlbed m (or a�rmed)before me this
<br /> by bY
<br /> Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Identification. as identificaGon.
<br /> PJotary Public Notary Public
<br /> Commisslon FJo. Commission PJo.
<br /> Name of Notary typed,printed or stamped Name of IVotary typed,printed or stamped
<br />
|