, �
<br /> NOTICE OF DEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed" restric#ions"
<br /> which may be more restrictive than County regulations. The undersigned assumes respansibility for compliance with any
<br /> applicable deed�restrictions. ''
<br /> i1NLlCENSED GONTRACTORS AND CONTRACT4R RESPQNSIBILITI�S: [f 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. tf 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. (f the awner or intended contractor are uncerta9n as to what licensing requirements may apply far the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthe►�more, if fhe owner has hired a contractor or cantractors„ he is advised to have the cantractor{s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as fhe 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 /> 7RANSPOR7ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recovery Fees may apply ta the constructian o#nevu buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-47, as amended. The undersigned also understands, that such fees, as may be dus, wi!! be identified at the time of
<br /> permiffing. lt is fuether understood that Transportafion Impact 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 /> fina[ power release, the fees must be paid prior fo permit issuance. Furthermare, if Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIQN �lEN �AW{Chapter 713, Florida Statutes,as amendedj: !f valuat9on of work is$2,5QOA0 ar more, !
<br /> certify #hat I, the appiicant, have been provided with a copy of the "Florida Construction �ien 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"awne�', 1 certify that [ have obtained a copy of fhe abave described document and promise in gaod faith ta
<br /> deliver it to the"owner" priar to commencement.
<br /> CONTRACTC?R'S/C}WNER'S AFFIDAVI7: I ce�tify that all the information in this application is accurate and that all work
<br /> will be done in complianee with all appiicable laws regulating construction, zaning and land development. Application is
<br /> hereby made to abtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance af a permit and thaf all work will be performed to meet standards of all laws regulating
<br /> construction, County and City cades, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certiiy that I understand that the regulations af other government agencies may apply#o the intended work, and that it is
<br /> my responsibilify to identify what acfions I must fake to be in compliance. Such agencies inc(ude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, We#land Areas and Environmentally Sensitive
<br /> l.ands, WaterNUastewater Treafinent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabilitative Services/Environmenta! Health Unit-Wells, Wastewater Treatment,
<br /> Septie Tanks.
<br /> - lJS Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviafion Authority-Runways.
<br /> f 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 /> - lf the fill material is fo be used in Flood Zone �A", it is understood that a drainage p(an addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> lieensed 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, !certify that fill will be used only to fill the area within tne stem wall.
<br /> - if fill materiai is to be used in any area, ( certify that use of such fil( wiil 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 cond'stions of the building permit issued under the attached permit appl9cation, far lats less than ane (1}
<br /> acre which are eleva#ed by fill, an engineered drainage plan is required.
<br /> !f I am the AGENT FOR TNE OWNER, ! promise in good faith to inform the owner of the permitting conditions set farth 'sn
<br /> this affidavit prior to commencing cons#ruction. 1 understand fhat a separate permit may be required fior electrical wark,
<br /> plumbing, signs, wells, paals, air conditioning, gas, or other installatians not speci�cally included in the application. A
<br /> permit issued sha[I be canstrued ta be a license ta proceed wifh the work and not as authority#o vialate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fram thereafter
<br /> requiring a correctian af errors in plans, construction or vialations of any codes. Every permit issued sha!! become invalid
<br /> unless fhe work authorized by such permit is cammenced within six months of permif issuance, or if work authorized by
<br /> the permit is suspended ar abandoned for a period af six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Buiiding O�cial far a period not ta exceed nEnety (90} days and w's11 demonstrate
<br /> justifiable cause for the exkension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING 70 OWNER; YOUR FAt�URE TO RECORD A NC3TICE OF CtJNiME�10EMENT MAY RESULT tN YOlJR
<br /> PAYING TWICE FOR IMPROVEMEN7S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR I�ENDER C•1R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDAJURAT F.S. 11 , ' ���.—
<br /> ` � �,�,0� ..�
<br /> OWNEFt�OR AGElYT /1'i Ct1NTRAGTOP��
<br /> �bscribe and sworn o` r ffi ed)b�fo th' B�ubZrjbe�i�n�1 s�wy o� to or affirmed}b e e this
<br /> -zl-l� r r �
<br /> �/ r
<br /> Wha islar erson y known o me or haslhave produced Wha�are p son,a r}olun to me or hasthave produced
<br /> as idenfification. 1/�'r t��CPs�-SQ_ as identification.
<br /> �� Notary Public .�" ��C�'�'"i!� Natary Public
<br /> �d�4,�Y y,��
<br /> �:�F.,, JAGQtJEL BOGES ,,,���.,.
<br /> C m ssion .�. , �.�* 7{F� Com iss' n o.
<br /> '�� ' n r�1L �F'r
<br /> ;;�+�� .4,: Expires December 12,2Qlg _ :�= Commission#FF 150422
<br /> Name of No t°�f p�1��8�3es-lms Name of Nof ry'-� �'in� �� �e� '
<br /> �r� ���� n a surenee800.395-7018
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