�
<br /> t�0'TlCE OF D�ED RESTRlCTlONS: The undersigned understands t�at this pe�mit may be subject to°deec�res�rictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for campliance wi#h any
<br /> applicable deed restrictions.
<br /> UN�.ICENSED CtJNTRACTCIRS AND CONTRACTC�R l�ESPONSIBI�.ITIES: Ef the ownsf 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 whaf 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 ar contractors, he is advised to haye the contractor{s} sign
<br /> portions of the "contrac#or Block" of this application for which they will be responsible:�.If you, as the owner sign as the
<br /> cont�ac#or, that may be an indication that he is not properiy licensed and is naE entltied to permitting privileges in Pasca
<br /> County. _ " - � _ _ ,
<br /> Yt2ANSPORTATION IMPAC77UTIL.ITIE� IMP,AC7 AND RESOURCE RI�COVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of neuv buildings, change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fe�s, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportatian Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" oc fina! power �eleass. !f the proJect does not irno{ve a aertificate of occupancy or
<br /> final power retease, the fees must be paid prior to permif issuance. Furfhermore, if Pasco County WaterfSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ordinances.
<br /> CQNSTRUC'TlQN LIEN L.1�►V11(Chapter T13, Fla+rida Skatute�,�s ��nendecf): If valuation.of,�work is$2,500.00 or more, 1
<br /> ce�tify that I, the applicant, have been provided with a copy of th� "Florida Canstructiori Lien` l.aw—Homeawner's
<br /> Pcotectian Guide° prepared by the Florida Department of Agricutture and Cansumer Affairs. lf the appiicant is satneone,
<br /> other than#he°awner", I cerkify that I have obtained a copy of the abov� described dacument and promise in good faith fo '
<br /> deliver it to the"owner"prior#o commencement.
<br /> CONTF�ACTOR'S/OtiVN�R'S AF�I�AVlT: I eertify that aA the information in fhis appiication is accurate and #hat a14 work
<br /> will'be done in compliance with all applicable laws regulating constructian, zaning and land development. Application is
<br /> hereby made to abtain a permit to do work artd� instatlation as indicated. 1 certify that no r�rork or instaltation has
<br /> commenced priar to issuance of a permit and that ali work will be performed to meet skandards of ali laws regulating
<br /> construction, County and City codes, zoning regulations, and iand development regulations in the jurisdiction. t alsa
<br /> certify tha# I understand thaf the regulatians of ather government agencies may apply to fhe infended work, and that if is
<br /> my responsibility to identify what actions I must take to be in compllance. Such agencies include but are not limited to:
<br /> - Deparfinent of �nvironmental Pratection-Cypress Sayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Waker/Wastewater Treatment.
<br /> - Southwest Florida Water Management Dis#rict-Wells, Cypress Bayheads, Wetland Areas; Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Neaith & Rehabilitative ServicesJEnvironmenfal Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> _"----- _ -U�' �ii±�ii t'3i ti7ifu'gitcai [-��viv''4iit'ii r°�i.'f,��ii��F-�St3�'S:t�iB=.��"iat8ii'i2fti:--�—___.-�_._.>_��...__.�-_....-_ -. ___.__ .._.__. _ _,_._ . _
<br /> - Federal Aviation Autharity-Runways. _
<br /> 1 understand that fhe#ollawing restrictians appiy to the use af flli:�
<br /> - Use of fill is not allowed in Flood Zane"V"uniess expressly permitted.
<br /> - If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating votume" will be submitfed at time af perrnitting whic#��is��prepared by a p�afessional engineer
<br /> licensed by the State of Florida. ' �
<br /> - l# the fill material is to be used in Flood Zone °A" in cannection with a permitted buitding using s#em wail
<br /> construction, I certify that fill will be used only ta fill the area within the stem wall.
<br /> - If ftl! material is to be used in any arsa, ! certify that use af such fill wil! not adversely affect adjacent
<br /> properties. If use of fiH is found ta adverseiy affect adjacen# properties, the owner may be cifed for viotating
<br /> the conditians of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are e(evated by fi11, an engineerecf drainage p}a�is required.
<br /> If I am the AGEPIT FOit TH� OWfVER, I promise in good faith to inform the awner of the permitting canditions set farth in
<br /> this affidavit priar ta commencing canstruction. t understand that a separate permit may be required for etecErical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in fhe application. A
<br /> permit issued shall be construed to be..a license to proceed with the work and not as authority ta.violate, cancel, alte�, or,
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig��cial from thereafter�
<br /> requiring a correction of errors ln plans, canstruction ar violations of any codes. Every permit issued shall become invalid
<br /> unless #he woric au#horized by such.permit is corr�menced wifhin six months of perm9t �ssuance, or if work autharized by
<br /> the permit is sJspended or abandoned far a period of six(6) months after the time the work is commenced. An extension'
<br /> may be requssted, in writing, from the Building O�cial for a period not to exceed ninety {9Q) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninefy(90)cansecutive days, #he job is considered abandoned.
<br /> 1WARNlNG TO i7WN�R: YOU12 �AILUR� TO RECORD A NOTIC� O� COtVIMENC�NIENT iVIAY RESUL.T 1R! YOUR
<br /> PAYING T1IVICE FOR IMPROVEfVIENTS 70 YOUR PROP'ER7'Y. IF YOU INTEND TO OBTAIN FINANCING� CONSUL.T
<br /> IfiIIITH YOUR LEND R OR AN ATT'ORN�Y��F4RE REGqRDINC YC1 t�TiG�4F CCIRUIMENGEl1�ENT.
<br /> , FLORIDA JURAT(F. . 11 03)
<br /> OW1NEtt OR AGEN CQP}TRACTOR �
<br /> ubscrl ed and swor�-�q�( r affirmed b fore me thls Sub c be .and s or o(or affirmed)befa e e this
<br /> „�j � /S` by !/tJI�J�2Gt��O D D� �S/S by �D�'J/1,���O e� �l
<br /> o stare or haslhave produced W a islare oersonaSlv known Ea me or haslhave praducecf
<br /> as IdentlticaUon, as iden6fication.
<br /> �QIA _�.r1 ����r Notary Public �.r�'* �.�h�ri�'�� Notary Public
<br /> .+W
<br /> • Commisslon No. r P ,���aa Commission No.
<br /> } �^ SuSan Ann lavaAee ;a��Y pUOG� Notary Public State of Florld�
<br /> ` �� , Q , Susan Ann�av I
<br /> Name of Notary typed, rl �Fstafl�e�s o�i2z�zo�s Name of Notary typed,pri ��., p�;i Commiesion EE 218188
<br /> '+r::F�<� Exp�res 0 7/2212 0 1 6
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