I
<br /> NOTiCE OF DEED RESTRICTIONS: The undersigned under.�tands that this.p�rmit.may be.subJect to"deed"restrictions"
<br /> which may be:more resteictive than County regulatlon�. The undersigned assumes responsibility for comptlance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CANTRACTOR RESPONSI�ILITIES: If the owrner has hired a contractor or
<br /> contractors to undertake work, they may be required:to be:ilcensed In acco�dance.with state.and•local regu0ations. If the
<br /> contractor ts not flcensed as required by law, both the owner an� contractor may be ctted for a misdemeanor violatfon
<br /> under state law. If the owrner or intended contractor are uncertaln as to what Iicensing.requirements may apply�for the
<br /> intended work, they are advised to contact the Pasco County BuildOng Inspectlon Divislon—Licensing Sectlon at 727-847-
<br /> 8009. Funhermore, If the owmer has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br /> portions of the "contractor Btock" of this application for whlch they wilt be responsible. If you, as.the owner sign as the
<br /> contractor, that may be an indication that he is not properly flcensed and is not entitled to permitting privileges In Pasco
<br /> County.
<br /> TFtAWSPORTATION IIIAPACTJUYILITIES IMPAC7 API�RE�OUR�E RECOVERY�EES: The undersigned understands
<br /> that Trans�ortation Impact_Eees and-Recovr�e Recov�.ry.Fses en�yap�6y to.the construction of new buildtngs, change of
<br /> use in existing buildings, or.expansion•of�existing'buildings, as sp�clfled.in Pasco County Ord(nance number 89-07 and
<br /> 90-07, as aenended. The undersigned also understands, that such fees, as:may be�due,.wlll.be identified at the time of
<br /> permitting. It fs fur�her understood that Transportation Impact Fees and Resource Recovery�Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or flnal powrer release. :If the project does not (nvolve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit Issuanc�. Furtherrryore, if Pasco.County Water/Sewer Impact
<br /> fees are due, they must be-pald prior to permit lssuance-in accordance with applicable Pasco County ordinances.
<br /> CONSl'RUCTION LIEN LA1N(Chapter 713� Florlda Statutes, as �mended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, �he applicant, have been provtded writh a copy of the "Florida Construction Llen Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appl(cant Is someone
<br /> other than th�"owner", I ce�tify that I have obtained a copy af the above.descrlbed document�and p.romise in,good faith to
<br /> deliver it to Qhe°owner"prior to�commencement.
<br /> CONTEtACTOR'SIOWNER'3 AFFIDAVIT: I certify that�II the Informatidn in thi� applicatlon is accurate and that all work
<br /> will�be done in compliance with all applicable laws �egulating construction, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work and Instailatlon as Indicafed.• I certifjr that no work or installation has
<br /> commenced prior to issuance of a permit and that.ali work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land dedelopment regulation��in the jurisdiction. ( also
<br /> certify that I u�derstand that the regulations of other government �gencies may�apply�to the intended work, and that it is
<br /> my responsibility to identify.dvhat.actions I must take to be•In:.core�pllan�. Such agenc(�s inelude but are.not Iim(ted to:
<br /> - Department of Env(ronmental Protection-Cypress.�Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-W�IIs, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corp§of Engineers-Seawalls, Docks, IV�vigable Vllatennrays.
<br /> - Department of Health 8. Rehabilitative Serv(ces/Environmental Health Unit Well.s, Waste�tater Treatment,
<br /> Septic Tanks. � .
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runway�.
<br /> I understand that the following.restrictions apply to the use of flll:•
<br /> - Use of fill is not allowed in FYood Zone"V"unless expressly permttted.
<br /> - If the fill mat�rial is to be used in �Fload Zone "A", It_ (s understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of per:mitt(ng which is prepared by a professional engineeP
<br /> licensed by the State of Florida.
<br /> - If ihe fill material is to be used in Flood Zone °A" In>connection�with.a permitted building using stem wall
<br /> construction, I certiry that fill.wlll.:b.e used only.to.fill the a�ea within the stem�wall.
<br /> - If ffll material 6s to be used in any area, I certify th�t .use. of such flll will not adversely affect adJacen4
<br /> propertfes. If use of flll is found to adversely:affect adJacen� proper�ies, the owner may be clted for v(olating
<br /> the conditions of the bullding.permit Issued under the attached permit application, for�lots less than one (1) ,
<br /> acre which are elevated�by flil, an engineered drainaga plan is required. ,
<br /> If I am the AGENT FOR THE OWNER, I,�promise In good faith to in#orm the owner of the permitting conditlons set forth In '
<br /> this affidavit prior to commencing construction. I understand that a•.separate permit may be requtred for electrical work,
<br /> plumbir�g, signs, wells, pools;, alr condEtioning, .gas, or other Install�tfons not spec�fically included�in.the application. .A
<br /> permit lssued shall be construed to be�a I(cense to proceed with th�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 th�Bulldirig Official from thereafter
<br /> requirtng a correction af errors In.plans, construction or violatlons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit�is-commenced�w(�htn sfx rnonQhs of permit issuance, or if work authorized by
<br /> 4he permit is suspended or.abandoned for a.period of six(6)months.�fte�the 41me the work fs commenced. An extension
<br /> may be requested, in writi�g; from the Building,Officia6 for a perlod,not to.exceed ninety�(90) days and wrill demonstrate
<br /> justifiable cause for.the extension. If work ceases for ninety(90)cons.ecutive days,..th�job�is.conside�ed abandoned.
<br /> WARNlIVG TO OWNER: YOUR.FAILURE.YO..RECOt2D A.NOTIGE OF�COMMEtdCEMENT �IIAY RESULT IN YOUR
<br /> PAYIPIG TWICE.FOR IMAROVEMENTS TO..YOUR>PR�OPER7Y. IF YA.U�INTEND�T��OBTAIN�FIf+FANCING;�CONSULT
<br /> 4NIT Y UR E. D O AtV�A7TORN�Y B FOR�. , ECOR� G:• OUR' O �C 'OF� ' E CE EN �
<br /> FLORIDA JUt�AT(F.S. 1.17.03)
<br /> OWNER OR AOENT COPITRACTOR�/v _�`
<br /> Subscribed and swom to(or afliRned)before me this Subscrlbed and'swom to(or affl edpbefore me'thi
<br /> by :by..
<br /> WF�o Is/are pe►sonally knovm to.me or has/haye produced Who ts/are personatly knovm M me or ha�lhave produced
<br /> �s identlflcatlon. as IdenBflcatlon.
<br /> Notery Public Notary Public
<br /> Commisslon No. Commisslon No.
<br /> Name ot Notary typed,printed ar stamped Name of Nolery iyped,printed or stamped
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