�
<br /> , NOTICE OF DEED RESTFtICTIOPIS: The undersigned understands that this permit may be subject to"deed"'�estrictions"
<br /> which may be more restrictive than Counfy regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UMLICENSED COFdTEte4GT'ORS A{dD CONTRACYOFZ RESPOP�vIBILiTIE�: 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 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. 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 licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRA[dSPORl'ATION IMP/�►CTlUYILITIES IMPACT ABVD RESOURC� REC0I�ERY 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 /> 90-07, as amended. The undersigned also understands, that such fiees, 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 the 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 WateNSewer Impact
<br /> �fees are due, they must be paid prior to permit.issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTitllCT00N,LIEfV LAW(Chapter 713, Florida Statutes, as arreendeci): If valuation 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 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"owner"prior to commencement.
<br /> COMTRACTOR'S/091VNEFt'S AFFIDAVI'T: 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 /> commencec�,�rior to issuance of a permit and that all work will be performed fo meet standards of all laws regulating
<br /> construction, C�'unty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> . certify that I unders�and 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, V1/aterM/astewater Treatment.
<br /> - Southwest Florida Wate� Management District=Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> 1Natercourses: �
<br /> - Army Corps of Enginee�s-Seawalls, Docks, Navigable Waterways.
<br /> ` - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Env_ironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. �
<br /> I undersfand 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 /> - 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 which is prepared by a professional engineer
<br /> li.censed by the State of Florida. �
<br /> - If the fill material is. to be used in Flood Zone "A" in connection wifih a permifted building using stem wall
<br /> construction, 9 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 AGE9dT FOR THE OV+/PiER, 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 speci�cally 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 violations of any codes. Every permit issued shall become.invalid
<br /> unless the work authorized by such permit is commenced within six mvnths of permit issuance, or if work authorized by
<br /> - - - the-pecmit is_suspended_or abandaned for a_p.eriod of six (.6) months after the time the work is commenced. An extension __
<br /> may be �equested, in�writing, frorn the Bu,ilding 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, th�job is considered abandoned.
<br /> IIVe4RNING TO OUVNER: YOUl2 FAILURE T'O @ZECORD A fVO�TICE OF COiUIMENCEMIEN7' fd9AY RESi.lLY 9N YOIDFZ
<br /> P/�lYING�TMrICE FOR LBUfE'IiOVEMENTS TO YOUR PROPERTY. IF YOID INTEfVD TO OB�'AIM FINAfVCiNG, GONSULT
<br /> WITH YOU1t LENDEFt OR AN Q►TT'ORNEY�EFORE RECORDING YOUR NOTICE OF CONlMENCEMENT.
<br /> FLORIDA JURAT(F.S. 11�7 • �
<br /> ,_.,,,-r-�,_ ,e ;,'., .,i,:�_�r` :.�;(l.:i�?>�sc;�;::..••—.�•i-y.4:•.:.;?;;,;�,},;:�i��`=%--- --7.;;�;� -
<br /> OVYNER;QR AGEPITI.�-; -�--- � � • ' �CON'i'RACTOR::'.,�� '"'� .,. .
<br /> �uti`scnlied and swor�(or rm ) etore me this Subscribed and swom to or a d bQfore me xhi�
<br /> -�1—(s by ��r,my �i�G�-- l0—�1—(s by i�.r»�a v.c..��
<br /> Who is/are aersonallv knou+m to �or has/have produced Who is/�� r has/have produced
<br /> � as ident(fication. as identification.
<br /> � �� � � �
<br /> .v'��1 Notary Public � / Notary Public
<br /> ����P�,,, ANNA MARIE I.YNCH TERRY
<br /> Co ssi Comm si�1: �e�.
<br /> ,���„ ANNA - ;r» t�: � -
<br /> ,,��ar�vu'�� _.; ; •: My Comm.Expires Apr 4,2016
<br /> .�P °�%-, otar Public-State ot Flon a
<br /> Na � N t�1p�1j p0�d�tiP� � sg65 Name o ,pri �f��'
<br /> =s� •o`; Commission#E ''���„���`'� Bonded Through National Notary Assn.
<br /> �'%%;o�F`.°P'�� Bonded 7hrough Nalional Nolary ssn.
<br /> . •-,:�^�+re^�
<br /> , ,�������
<br />
|