�' - ,
<br /> NOTiCE OF DEED RESTRICTIONS: The undersigned undergtands that this.permit.may be,subJect to"deed"restrictions"
<br /> which may be,mote�restNctive.tha�n County regulatlons. �The undersigned assumes responsibiltty for compliance with any
<br /> applicable deed restricttons. �
<br /> lJNLICEN�ED CONTRACTORS AND CONTRACTOR RESPANSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required��to be;ticensed in accordance.with state.and•local regulations. If the
<br /> contractor Is not Ifcensed as required by law, both the owoier and contractor may be ctted for a misdemeanor violation
<br /> under state law. If the owner or Intended�contracto� are uncertaln as to what Ilcensing.requirements may appiy�or the
<br /> intended work, they are advised to contact the Pasco County Bulldtng Inspection Divlslon—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hlred a contractor vr contractors. he ts advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they wilt be responsible. If you, as.the owner slgn as the
<br /> contracQor, that inay be an indication that he is not.properiy Iicensed and is not entftled to permitting privileges In Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPAC7 AN�itESOUitCE RECOVERY-FEES: The undersigned understands
<br /> that Transportation Impact Fees and.Recourse i2ecove.ry.Fees may�apply to:the construction of new buildings, change of
<br /> use In existing buildings, or expansion.of�existing�.6uildings, �s specifled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, tha�E.such fees�.as,may�be due„wlll.be Identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and=Resource Reco�ery�Fees must be paid prior to
<br /> recetvtng a °certificate of occupancy" or flnal power.release. :If the project does not involve a certificate of occupancy or
<br /> finai power release, the fees must be paid prior to permit Issuance. Ft�rthermore;if Pascv 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(Ch�pter T13. Florlda Statutes�as am�nded): If valuation of work is$2,500.00 or more, I
<br /> certify that I, �he applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida DepartmenY of Agric.ulture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owne�", I certify that I have.obtatned a copy of the above..described document°and.promise in.good faith to
<br />� deliver it to the nowner"prior to�commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that all the Information in thl.s application is accurate and that all work
<br /> wiil�be done in comptiance writh all applicable laws regulating constn�ctlon, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work and installation as indicafed.-� 'i certffj+ that no work or Installat{on has
<br /> commenced prtor 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 regulatio.ns, and land development cegulatlons-in the jurlsdiction. I aiso
<br /> certify that I ur�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:.compllance. S.uch agencles_include but are not Ilmited to:
<br /> - Department of Ehvironmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells; Cypress. Bayheads, Wetland Areas, Altering
<br /> Vl/atercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, IVavigable Waterways.
<br /> - Department of Health 8 RehablNtative Seni(ces/Environmenfal Health l7nit Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Avlation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:�
<br /> - Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
<br />, - If the fill materlal 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 permifting which (s prepared by a profess(onal engineer
<br /> Iicensed by the State of Florlda.
<br /> - If the flll materlal is to be us.ed in Flood Zone °A° Im connection with.a �permitted building using stem wall
<br /> construction, 1 certify that flll:wlll::b.e used only-to.fill the area wtthin�the stem•wall.
<br /> - If fill materlal is to be used in any area, I certify that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flll is faund to adversely:�ffect adJacent properties,.the owner may be cited for viofating
<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 flll, 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 affidavit prior to commencing constructton. I understand thet a-separate permit may be requtred for elect�ical work,
<br /> plumbing, signs, wells, pools; afr conditioning, .gas, or�other install�tions noQ.spec�ically included in.the application. .A
<br /> permlt Issued shall be construed to be a Iicense to proceed with tlie work and not as.authority to.violate. cancel, alter, or
<br /> set aside any provistons of the technical codes; nor shall Issuance�of a permit.prevent the Bulldirig Offtctai from thereafter
<br /> requlring a correctton af errors in_plans, construction or violatlons of any codes. Every permit Issued shall become invalid
<br /> unless the work authorized.by such permit:{s-commenced�withfn s(x months of permit issuance, or If work authorized by
<br /> the pe�mit ts suspended or.abandoned for a:pertod of six(8)montF�s after the tirne the�wowk�is commenced. An extension
<br /> may be requested, in wrtting, from the Buflding,Offlcial for a pertod�not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for.the extension. If wvrk ceases for nfnety(90)cons.ecutive:days�..th�job�is considered aba�doned.
<br /> WARNING TO OWNER: YOUR FAILWRE�T�.,RECORD A NOTIGE AF•COMMENCEMENT NFAY RESUlT IN YOUR
<br /> PAYIMG TWIC@ FOR IMPROVEMENTS TO YOUR�:PROPERTY. IF�YA.U�IN��END:�T��DBTAIN•FII�FANCING;�CONSULT
<br /> WIT OU DE O AN A'�'TORNEI�� FORE� CORD G� �O " O �CE°O � LL' E CE NT� �
<br /> FLORIDA JURAT(F.S. 1.17.03) " ( � � - - I
<br /> \ -`.. _..
<br /> OWNER OR AOEN7 CONTRACTO ��
<br /> Subscrlbed and swom to(or aiflrtned)before me this Subscribed and's m (or affirme �before me ftils
<br /> by
<br /> Who is/are personally known to.me or has/have produced Who.is/are p.ers n y#cnown to me.or haslhave produced
<br /> as IdentlBcatlon, as Identlflcaflon.
<br /> Notary Publlc Nofary Publlc
<br /> Commisslon No. Commisslo o. s�o�-�B�a�ea��s�,�R �„
<br /> 8lOZ'6Z eun�sendx3 :;a."' •:�=
<br /> £LOLE6 uoi • :
<br /> Name af Notary typed,printed or stamped Name o olary typ d,printed or�ry�ad��30P ',';'?a a,�;;���
<br /> ���
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