�
<br /> NOTiCE OF DEED R�STRiGT10NS: i'he nnderslgned understands theY ih€s permit may be subJect to"deed'restrictlons°
<br /> which may be more restrictive than County regutations. The unders#g�ad assumes responsibitity for campiiance with any
<br /> applicable deed restricttons. �
<br /> UNL{CENSED CONTRACTORS AND GONTRAGT4l2 RESPONSlBt�filES: {f the awner h�s hired a contractor or
<br /> contraetors to undertake work,they may be•required to be itcensed in accordance w3th state and tocal regetafians. tf fhe
<br /> contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misde►neanor vialattan
<br /> under stake{aw. ti the owner qr Infended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to cantect the Pasco Caaniy Suifding Inspecflan Divislort=ticens'sng Section at T27-847-
<br /> 8009. Furthermore, if the owner has hired a conhac#or or contractors, he is advised to have the contrackar(s) sign
<br /> portions of the"contractor Block"of this appllcaUan for wHich they w[II be responsible. !f you,as the owner sign as the
<br /> confracfor,fhaf may be an Indicafion that he Es not proper3y licensed and is nof entifled to permitting priv9leges in Pasco
<br /> County.
<br /> TRANSPORTATlQN IMPACTI!!"17LlTlES IMPACT AND RESOURCE RECOVEFtY FEES: The understg�ed understands
<br /> that Transportation Impact Fees and Recourse E2ecavery Fees may apply ta fhe cansfrttction of new bu3tdings,change of
<br /> use in existing buildings, or expansion of exisdng buildings,as specffied in Pasco Counly Ordinance number 89-07 and �
<br /> 90-07,as amended. The undersigned also undetstands,that such fees,as may be due,wql be Identffied at the time af
<br /> permitting. 1t Is further tanderstood that Transportatlon Impact Fees and Resattrce Recovery Fees must!be patd pr�ar to
<br /> receiving a'certificate of occupancy�'or flnai power release. If the project does not involve a certificate of occupancy or
<br /> final power�elease,the fees must be paid prior to permit issuance. Furthermare,if Pasco Caunty Water/Sewer Impaot
<br /> fees are due,they mus#be paid prlor to permit Issuance in accordance rr+rith applica6le Pasco Counfy ordinances.
<br /> CONSTRUCTIQN LIEN LAW(Chapter 713,Florlda StaEutes;as amended): ff valuatlon of work is$2,500.00 or more,i
<br /> certify fhat I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowner's
<br /> Pro#ectEon Guide°prepared by the Fio�ida Departrnent of Agdcutfe►re and Gonsumer AfFairs. If#he app{icant is someone
<br /> other tf�an the"owner",f certify thaf t have obtained a copy of the above described dacument and promtse in good faith to
<br /> deliver it to the"owner"prior to commencement. t
<br /> CQNTRACTOR'SIOWNER'S AFFIDAVlT: 1 certify fhat all the informatlon In fhts appllcation is accurate and that all wark
<br /> wiil be done in comptianae with ati applicable�laws regulating consfrucUon,zoning and tand developmen� Applicatfion is
<br /> hereby made ta obtafn a permit to do work and installation as indicated. I cerlify #hat no work or�installation has
<br /> coramenced pnor ta issuance af a perntit and that alt.work wil!be performed to meet standards of aii�laws regulafing
<br /> construcfion, Counfy and City cades, zoning �egula�ons, and land devetopment regalaBons in the jun'sdicfian. f al'so
<br /> certify lhat I understand that the regulations of atFier govemment agencies may apply to the intended work,and that it is
<br /> my respons1b11�fy to ldent3iy what actlons t must take to be in comptlance. Such agencies lnctude but are nok limited to:
<br /> - Departmenf of Environmental Protection-Gypress Bayheads, iNetiand Areas and Environmenfaily Sensitive
<br /> Lands,WeteNWastewater Treatmen�
<br /> - Southwest Ftortda Water Management Dlstr[et Welis, Cypress Sayheads, WeUand Areas, Aite�fng ,
<br /> Watercourses.
<br /> - Mny Carps of Engineers-Seawalls,�Docks,Navigable Watetways. �
<br /> - Department of Heatth 8� Ftehabi(itaUve ServiceslEnvironmental Neatth Unit-Welis, Wastewater Treakment,
<br /> Septic Tanks. = `
<br /> - US Environmental Protectian Agency-Asbestas abatement.
<br /> - Federa!Aviation Authodty-Rum�rays.
<br /> I understand that fhe foilowing resfr�ctlons appty fo the ese of fi11:�
<br /> - Use offill is not atlowed in Flood Zane'V°unless expressly permitted.
<br /> - !f the fil! matedal is to be used in Flood Zone 'A", tt is understood that a dratnage plan addressing a
<br /> `c;ompensating votume"wiil be submtfted af fime af permitting which is prepared by a prafessianal esgineer
<br /> I'icensed by the State of Flarida.
<br /> - If th�fi!!.material.is to 6e used fn.Elood Zone 'A° in connecaon with a permitted building using stem wail
<br /> constructiatt,l certiiy t#�at flll wi11 be used onty to fiil tt�e area wtthtn the stem wali.
<br /> - If.flll material is to be used�in any area;-I certify that use of such flll will riot adversely affect adjacent
<br /> prope�ties. !f use af fill Is found to a,dyersely afiect adJacenk properties,the owner may be cited for violating
<br /> fhe condiBans of fhe bu9tding permit�lssuacl under-#he aitached permif appE3ca#ion,far lofs fess fhan one{1}
<br /> acre whfch are elev�#ed by fill,an'e�gineered dralnage pla�Is requfred.. '
<br /> !f 1 am the AGENT FOR,THE OWNER,!pramise tn goad faith to_inform the owner of the pertnitting conditions set forth in
<br /> this afftdavit pdor to commencing conskvction. !understand thaf a separate permlt may be required for etectricat work,
<br /> plumbing, signs,weils, pools, air conditioning, gas, or other instaitations not specfficalty induded in the apptica8on. A
<br /> peRn(t issued shall be consWed to be a license to proceed wlth the work and not as euthority to,violate,'cancel,alter,ar
<br /> set aside any provlsions of the Eechnlca!cades,nor shalt tssaaace of a permlt prevent the BuiEdirig Officia!iro'`m thereafter „
<br /> requiring a coRection af errors in plans,constructian or vialations of any codes. Every permit issued shalt become#nvatld
<br /> unless ihe work authorized by such petmit is cpmmenced within stx months of pertnit Issuance,or'rf work autharized by
<br /> Ehe permtt 1s suspended or abandoned far a period af slx{6}r�ionths afker the time the work is commenceil. An extensian
<br /> may be requested, tn writing,ftom the 8uilding,Official far a periad not to exceed nlnety(90)days and will demonsfrate
<br /> justifiable cause for the extension. If wark ceases for ninety(9Q)consecutive days,the�Job is considered abandoned.
<br /> WARNING TQ OWNER: YOUR FAILURE TO RECORD A NOTtCE OF COMMENCEMENT MAY RESULT tN YOtlF2
<br /> PAYING TWICE FOR IMPROVEMEN78 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR I.ENDER OR A[d A'FTORt�IEY BEF4RE REGORD�NG YOUR NOi10E 4F GOMMENCEMENT_
<br /> FI.ORIDA JURAT(F:3.1i7.03) ,
<br /> OWNER OR AGENT CONTIZACTOR
<br /> Snbsal6ed and swom fo{or afAtmed}before me Sttis Sul�salbed arsd sNrom fo(ot afitrmed}Before me ittis
<br /> by �Y
<br /> Who is(ere personally knoxm iu me or hasRiave produead Who is/ene personally Imown to me or haS/have produced ,
<br /> asldemlf�caHan. as IdentlficaHon.
<br /> Notary PubDc Nobry Puhlic
<br /> Commission No. CommiSSion No. '
<br /> Nama at Nahasy+typed,Pflnted or stamped �Nama of Nahary typed,Arinted or stamped ,
<br /> . }
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