'_ ..
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands�that this.permit.may.be,subject to"deed"restricY(ons"
<br /> which may be:more restrictive.than County regulations. �The undersigned assumes responsibility for compflance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS�AND CONTRACTOR RESPONSIBILITIES: If the owrner has hired a contractor or
<br /> contractors to undertake work, they may be required_to be ilcensed in accordance.with state.and�local regulations. If the
<br /> contractor is not licensed as requiced-by law, both the owner and contractvr may be cited for a misdemeanor violation
<br /> under state law. If the owner or Intended�contractor are uncertain as to what licenstng.requirements may apply�for the
<br /> intended work, they are advised to contact the Pasco County Bu(Iding Inspection Divtsion—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Btocic" of this appllcation for which they will be responsible. If you, as.the owner sign as the
<br /> cont�actor, that may be an indication that he is not properly licensed and Is not entitled to permitting privileges tn Pasco
<br /> County.
<br /> TRANSPORTATIDN IMPACTIUTILITIES IMPACT AND�RESOURCE RECOVERY�FEES: The undersigned understands
<br />' that Transportation Impact Fees and.Recourse Recove.ry Fees may apply to.the construction of new buildings, change of
<br /> use in existing buildings, or.expans(on 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 understaod 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 projec@ does not (nvolve a certificate of occupanoy or
<br /> final power release, the,fees must be patd prior to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,.they must be-pald prior to permit Issuance-In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provlded with a copy of the "Florida Construction Lien Law—Homeowner's
<br />' Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appltcant is someone
<br />� other than the"owner", I certify that I have.obtained a copy of the above described document and promise tn_good faith to
<br />� deliver it to the"owner"prior to�commencement.
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I ce�tify that all the Information.in this applicatlon is�accura�e and that all work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and land devetopment. Application is
<br /> hereby made to obtain .a permit to do work and Installation as indicafed. I 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 regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations�in the jurisdiction. I 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 I must take to be,in.compliance. Such agencles include but are.not limited to:
<br /> - De artment of Env(ronmental Protection-C ress.Ba heads Wetla
<br /> P yp y , nd Areas and Envlronmentally Sensitive
<br /> Lands,WaterMJastewater Treatment.
<br /> I
<br /> - Southwest Florid� Water Management .District-Weils, Cypress. Bayheads�, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Wateruvays.
<br /> - Department of Health & Rehabilitative Serdices/Environmenfal Heatth Unit-Wells, Wastewater Treatment;
<br />' Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br />' - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of ffll:�
<br /> - Use of fill is not allowed in Flood Zone"V"uniess 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 /> ucompensating volume" will be submitted at time of permitting which is prepared by a professional engfneer
<br /> Iicensed by the State�of Florlda.
<br />' - If the fill materiai is to be used in Flood Zone °A" in�connectlon�with.a permitted building using stem wall
<br /> construction, I certify that fill�virlll.be used only.to.fill the area wlthin 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 fill Is found to adversely:affect adjacent properties, the owner may be c(ted 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 flil, an engineered drainage.plan Is required.
<br /> If I am the AGENT FOR THE OWNER, I,�promise In good faith to inform the owner of the permitting conditlons set forth in
<br /> this a�davit�prior to commencing constructlon. 1 understand that a separate permlt may be requtred for electrical work,
<br /> plumbing, signs, wells, pools, air condltioning, .gas, or other Installations not spec�fically included in the application. .A
<br /> permit Issued shail be constcued to be a license to proceed with the work and not as authortty to.violate,cancel, alter, or
<br />' set aside any provisions of the techn(cal codes; nor shall issuance�of a permlt prevent the Bu(Idirig Oiflcial from thereafter �
<br />' requiring a correction nf errors In.plans, construction or violattons 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)months after the time the work is commenced. An extension
<br /> may be requested, in writing; f�om the Building,Official for a perlod.not to exceed nlnety(90) days and�will demonstrate
<br /> justifiable cause for the extension._If work ceases,for ninety(90)consecutive_day_s,.th�job is_c_onsidered aba�doned.___ _ __ ._ _
<br /> WARNING TO OWNER: YOUR.FAILURE.TO•RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUR-PROPERTY. IF�YO.U>INTEND'TO�OBTAIN�FINANCING��C.ONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE'OF COMII�AENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) _ "
<br /> OWNER OR AGENT �n,�i.�OO, '�, r'' �W� CONTRACTOR �Jilr�, %!7� �,e�
<br /> Subscribed and swam M(or a�d)before me th(s Subscribed and'sw m to(or aHirmed)�before me tfiis
<br /> by �by. -�
<br /> Who is/are personally known to.me or has/have produced Who Is/are personally known to me or has/have produced •
<br /> as identl8catlon. as IdentlficaUon.
<br /> � tary Public . � Notary Publfc
<br /> „�,,,, „��,,,
<br /> �^vp��: JOEL E.BACON Commis on o. �ZRl�Y P�e�= �OEL E.BACON i
<br /> ��:..
<br /> Comml • • . • •
<br /> :;� o;; Expires June 29,2018 =;�, p;' Expires June 29,2018
<br /> Name of Name of Notary '
<br />
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