� �
<br /> NOTIG.Y`OF DEED RESTRICTIONS: 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 /> UNLICENSED CONTRACTORS AND CONTRAC'T01t RESPONSIBILITIES: 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. Fu�thermore, 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 /> YFt�►NSPOf2TATION IMPAC7/UTILITIES IAflPACT AND RESOURCE RECOVERY FEES: 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 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 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 Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN L�►W(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or mor.e, 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 /> COPITRACTOR'SIOWNER'S AFFIDAVIT: 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 �egulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br />' my responsibility to identify what actions 1 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, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Baytieads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runwrays.
<br /> I 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 /> - 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 /> 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'appl,ication, for lots less than one (1)
<br /> acre whicti are efevated by fill, an engineered drainage plan is required.
<br /> If I am the�►GENT FOR THE OYiINER, 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 electricat 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 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)mont_hs 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COfNMENCEAAENT MAY RESULT IfV YOUR
<br /> - PAYE�lG'Fl�:lCE :��F-!!►�P!?�bEMlEbTG-T�-�19l�?� P9��PER'El(. E�_�rO��.�NT�R��'n �nE�T�I� FI[�ANCINGt--CONSIJL.T_—
<br /> - WITH YOUR LENDER OR N ORNEY EFOftE RECORDING YOUR NO CE OF OIVIMENCEiVIE T.
<br /> FLORIDA JURAT(F.S. 11 03) �
<br /> OWPIER OR AGENT � r�' CONTRACTOFt , �" �'�r
<br /> Subscribed and swo o(or affirmed)before e thls Subscribsd and sworn to(or affirmed)before me thi
<br /> by by
<br /> Who islare personally known to me or has/have produced Who Is/are personall known to me or has/have produced .
<br /> " as IdenGfication. as identification.
<br /> � � . , .. - , .. �
<br /> Notary Public Notary Rublic_
<br /> Com I lon o;��,��;•,,_ inGi G R Commi si N ��""'��•. , ON
<br /> :: :�-.�Comrmission#FF 137073 ;;`` '•::: Commission#FF 137073
<br /> _ :�; _ une 29 2018
<br /> Name of Not ��9rfn�p��tF��eo�aeoo-3asao�s Name of No '"' .�pruatedr�rr�4�phpet41Ce�0-3esams�
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