|
�l07iCE O� DEED Rf�S��ICYIOPl�: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> LJPVLIC�IdSED COIVTF��►CYO�� �►�ID CONYRACT�R ����OPISIBILIYII�S: If the owner has hired a contractor or
<br /> contractors to undertake wor6c, they may be required to be licensed in accordance vuith 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 lawr. 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 /> 8009. FuPthermore, if the owner has hired a contractor or contrac�tors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which th�y will be responsible. ff 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 /> YF�R9SPO�tTATIOiV IiVIPACYIUTILI'TIE� VH�i��C7�Pl� �E�OU�C� Rf�GOV�RV FE�S: 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 specified in pasco County Ordinance number 89-07 and
<br /> I 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 Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If fihe 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 /> �OPJ57FtllC710fV L.I�Gd 1.6��i1 (Chap��c 713, I�IOPI���t��lJ���� �s ��nend�d): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been p'rovided with a copy of the °Florida Construction Lien La�nr—Homeo�nrner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", 1 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 /> CO�lT�d�CYOR'SIOV!lR7�R'� �►F�Ib�ii/IY: I certify that all the 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 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 thai I understand that the regulations of ofher 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 �ayheads, V1letland Areas and Environmentally Sensitive
<br /> Lands, WaterM/astewater Treatment.
<br /> - South�nrest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable VVaterwrays.
<br /> - Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Protecfion Agency-Asbestos abatement. a ,
<br /> - Federal Aviation Authority-Runways. �
<br /> I understand that the follovuing restrictions apply to the use of fill:
<br /> - Use of fill is not allovved in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "N", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting uvhich 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�►GE7VT �OfR 1fHfE OWlWE�t, I promise in good faith to inform the orrvner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand thaQ 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 vvork 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 Officia!from thereafter
<br /> requiring a correction of errors in plans, construction or violations 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) mon4hs 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 demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> !/U�RNIFl� TO O{�lR9�R: VOUI� fF�I���E TO ��CO�D A l�O�'!C� O� COWd�iENGf�i1flEP1�' fl��►Y R�Sl9LT 1�9 YOUR
<br /> �AYIIVG '�IC� IFOR IY�IIfPfi�OVfE�F1��YY� l(O 1(O�� �'VZO�'ER1�Y. �f�YOl1 9Pl'�'EW1D YO O�Yf�IR7 FIPI�iVC9R1�'s, C�R��l1�.Y
<br /> VVIVFI YOU92 L�fVD��O�G� b770�t Y[��FOV�� 9��COff��IP1C9 YOU� iV0 IC O� COi�i�liI�R1CI��iI�NY.
<br /> FLORIDA JURAT(F.S. 117.03) �l !� �� �„ll
<br /> OIAIPIEI2 Oi2 AGEPIT � VI/1r V L�"� 1A' �d��(/� COfVTRACTOR " • . /�'• d ✓�S U
<br /> Su crib� swor to(or af�jrmed)before me this Subs ribed and swor to(o a ir ed)before me this
<br /> ��� by �B��.� _ ,�1 / 1—�7-(�/ by
<br /> W islare rso ally kno me or has ave produced Who ls/a�_e p onally known to me or s/have produced
<br /> � i � ys , as fdenUficaGon. ��I�.� as identificaGon.
<br /> � � tVotary Public Notary Public
<br /> Co slan N . Commission No.
<br /> Name ot Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> I '
<br />
|