i � � . �� '�,
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands°that this,p�rm[t may.be subJect to"deed"restrictions"
<br />' which may be:more restrictive.than County regulations. �7he undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictfons. �
<br /> UNLICENSED CONTR�4CTORS-AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />' cont�actors to undertake work, they may be required.to be.flcensed In accordance with state.and�local regulations. If the
<br /> contractor is not licensed as required-by law, both the owrner and contractor may be clted for a misdemeanor violation
<br />, under state law. If the owner or tntended�contractor are uncertaln as to what Ilcensing requirements may apply•for the �
<br /> intended work, they are advised to contact the.Pasco County Building Inspectlon Division—Licensing Sectton at 727-847-
<br /> 8009. Furthermore, tf 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 rasponsible. If you, as.the owner sign as the
<br /> contractor, that may be an indicatfon that he is not.properly licensed and is not entftled to permitting privileges in Pasco
<br /> i County.
<br /> TRAPlSPORTATION IMPACTlUTILITIES IMPACT 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 /> I 90-07, as amended. The undersigned also understands, th�t such fees,-as:may�be due,:will be identlfied at the time of
<br /> permitting. It is further understood that T�ansportation Impact Fees and Resource Recovery Fees must be paid prfor to
<br />� receiving a "certificate of occupancy° or finaF power. release. :If the;project does not involve a certiflcate of occupancy. or
<br /> final pouver release, the fees must be paid prior to permit Issuance. Furthermore;if Pasco County Wat�r/Sewer Impact
<br /> fees are due, they must be-pald prior to permlE Issuance-In accordance with appiicable Pasco County ordinances.
<br /> CONSTRl1CTION LIEN LAW(Chapter 713� Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, �he applicant, have been prov(ded with a copy of the "Florida Construction Lien Law.—Homeowner's
<br /> Protectio� Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the appllcant is someone
<br /> other than the"owne�", I certify that I have�obtained a copy.of the above descrlbed document°and promise in,good faith to
<br /> deliver it to the°owner"�prio�to�commencement� �
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I ce�tify that.all the information in this appllcation is accurate and that all work
<br /> will�be done in compliance with all.appHcable laws regulating construction, zonfng and land development. Application is
<br /> hereby made to obtain .a permit to do work and installatfon as indicated.� :l certify that no work or installation has
<br /> commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking-
<br /> construction, Caunty and City codes, zoning regulations, and land development regulations�in the jurlsdiction. I .also
<br /> certify that I u�derstand 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 corr�pliance: Such agencles.include but are.not limited to:
<br /> - Department of E�lvironmental Protection-Cypress.'Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br />' - Southwest Florida Water Management- -District-Wells, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navtgable Waterways.
<br /> - Department of Health 8 Rehabllitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Ta►iks. _
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Aviatlon Authority-Runways. '
<br /> I understand that the following,resfrictions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
<br />, - If the fill material�is to be used ln Flood Zone "A", tt is understood that a drainage plan addressing a
<br /> i u n
<br /> compensating volume will be submitted at#ime of permitting which is prepared by a professional engineer
<br /> Iicensed by the State�of Florida.
<br /> - If the fill material is-to be used in Flood Zone "A" in�connection with.a �ermitted building using stem wall
<br /> � construction, I certiry th.at fill will.b.e used only.to.fill the area wtthin the stem wail.
<br /> - If fill material Is to be used in any area, I certify that .use of such fiil wiil not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:affect adjacent properties,.the owner may be cited for violating
<br /> the condifions of the buiiding�.permit issued�under the attached permit applicatfon, for lots less than one (1)
<br /> acre which are elevated by flll, an englneered drainage plan fs required. .
<br /> If I am the AGENT FOR THE OWNER, I,�promise in good faith to inform the owner of the permttting condittons set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be requtred 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 Iicense 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 Buildirig Oiflctal from thereafter
<br /> requiring a correction af errors in plans, construction or violations of any codes. Every permit tssued shall become invalid
<br /> unless the work authorized by such permit.is commenced within sGc months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work ls commenced. An extensfon
<br /> may be requested, in writing, from the Building.Official for a period not to..exceed-ninet�v (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 /> WARNING TO OWNER: YOUR FAILURE�TO,RECORD A.MOTIGE OF COMMENCEME�t�=MAY�RESULT IN YOUR
<br /> PAYING TWICE;FOR iMPROVEMENTS T0 YOUR P.ROPERTY. IF°YOU�INTEND'TO�OBTAIN•FIt�FANCING,�CONSULT
<br /> WITH YOUR LENDER OR AN A�TORNEY BEFORE�RECORDING�YOUR NOTICE'OF COMMENCEMENT
<br /> FLORIDA JURAT�(F.S.11 .03) �
<br /> OWNER OR AGEN a ' �CONTRACTOR
<br /> bed an bs t, (or a rtned)be r m� Subsc,�ibed and bwom to(or a�rmedpbefore me ttiis
<br /> Y � ° Y
<br /> o is/ar personally knovm to.me or aslhave p _ uced Who is/are personally knovm M me or•haslheve produced •
<br /> as Identlflcatlon. as IdentlficaUon.
<br /> Notary Publlc . Notary Public
<br /> ,o��"i%B,'•,., JACQUELIN OGES
<br /> Com Is on 'r' °' Commission No.
<br /> =;� ;; Expires December 12,2018
<br /> '��OF Fk��� B011
<br /> Name of Nota , Name of Notary typed,prinled or stamped
<br /> I
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