� NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this ermit ma be sub'ect to"deed"restrictions"
<br /> '� 9 P Y 1
<br /> � which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> � t- •applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner 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 what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Countyl Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor o� contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°of this application for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
<br /> County. I
<br /> TRANSPORTATION IMPACTNTILITIES 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 /> 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 understoad that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy'or finai power release. I If the project does not involve a certificate of occupancy or
<br /> final power reiease,the fees must be paid prior to permit issuance. Furthermare, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />' CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
<br /> Protection Guide"prepared by the Florida Department of Agnculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy o�the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
<br />' will be done in compiiance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no woric or installation has
<br /> commenced prior to issuance of a permit and that all worklwill be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
<br /> certify that I understand that the regulations of other govemment 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 agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment. �
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Heaith 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. I
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless�expressiy permitted.
<br /> - If the fill material 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 pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida. I
<br />, - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fi,ll the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill wiil not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building pertnit issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,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 conditions set forth in
<br /> this affidavit prior to commencing construction. I understand�that a separate permit may be required 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 license to praceed with the work and not as authority to violate,qncel,alter,or
<br /> set aside any provisions of the technicai codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wi�thin 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,from the Building Official for a Iperiod not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> o dy5 o No'p
<br /> WARNING TO OWIdER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR K
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT �o c
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y R NOTIO�OF CO ENCEMENT. '°,oa o�r0
<br /> FLORIDA JURAT(F.S.117.03) I
<br /> ���o
<br /> OWNER OR AGENT CONTRACTOR ^�� m
<br /> Su6salbed end swam ta(or e(firtned)before me this u scri d a d m to(or a� ed)be me s N � ��
<br /> by V��by Yh�S�T�� =3 U��
<br /> Who Islare personelly known to me or heslheve produced islare personally known to me or haslhave produced �,
<br /> as idendfication. as fdenWication. a>o � �
<br /> N� �u,
<br /> �m m
<br /> - a,m m
<br /> � �
<br /> Notary Public � _ Notary Public m T
<br /> G ��(n��� m �
<br /> Commfsslon No. Commisslon Na. o Q
<br /> �(Y�Wc�—�s 1� ��t.�•A—,2—`9� d
<br /> Name of Notary typed,printed or stamped eme of Notary ed,printed or stamped
<br />
|