;�
<br /> NOTIC� OIF DEED�RESTI�ICTIONS: The undersigned understands that this permit rnay be subject to "d�ed" restric:tions" �
<br /> which m�y be more restric:tive than County regulations. l'he undersigned assumes responsibflity for compliance with any
<br /> applic:able deed rest�ictions. � � � ' � �
<br /> UNLI�C��ISED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a ccmtrac:tor or
<br /> contr��ctors to undertake work, they may be required to be licensed in accordance with state and local r�gulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemearror violation
<br /> under state law. if the owner or intend�d contractor are uncertain as to what licensing requirements may apply f'or the
<br /> intencied work, they are acivised to cont�ct the Pasco County Building Inspection Division—Licensing Sec;tion at 72'J-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractor�, he is advised to have the contractor(s) sign
<br /> portlons of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign �s fhe
<br /> contre�ctor, that may be an indication th�at he is,not properly lic�nsed and is not entitled to permitting privileges in �'asco
<br /> County.
<br /> TFlAPJSPORTATION IMP�ACTIUTILITIE� IMPACT AND RESOl1RCE RECOVERY FEES: The undersign�:d under:�tands
<br /> that T'ransportation ImpacQ Fees and Re�ourse Recovery Fees may apply to thE: construction of new�buildings, change of
<br /> use in existing buildings, vr expansion of existing buildings, as specified in Pa;�co County Ordinance number 89-07 and
<br /> 90-07', as �mended. The undersigned also understands, that such fees, as m�y be due, will be identified at the time of
<br /> permutting. It is further uriderstood that Transportation Impact Fees and Resource Recovery Fees mus1; be paid prior to
<br /> recei�iing a "certificate of occupancy" or flnal power release. If the project doe� not involve a certificate of oc;cupancy or
<br /> final power release, the fe3es must be paid prior to permit issuance. Furthermore, ii� Pasco County Water/Sewer Impact
<br /> fe�s �3re due, they must bE� paid prior to permit issuance in accordance with applicabl�: Pasco County ordin:�nc�s.
<br /> C(�NSTI�UCTION�L•IEN LAW(Chapter 7�13, Florida Statutes, as amended): 9f valuation of work is $2,5p0.00 or more, I ;
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law�--Hc�meowner's
<br /> Protecti�n Gufde" prepar�d by the Florida Department of Agriculture ancl Consumer Affairs. If the applicant is sorneone
<br /> other than the "owner", I certify that I have obtained a copy of the above described document and promise in c�ood faith to
<br /> delive;r it to the"owner" prior to commencement.
<br /> CC�N'TR�ACTOR'SIOWNER'S AFF9DAVtlT: I certify that all the information in this application is accurate and ihat all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is �
<br /> herel;�y made to obtain si permit to da work and installation as indicated. I certify that no work or installatian has
<br /> comrnenced prior to issuance of a perrnit and that all work will be performed to meet standards of all laws regulating
<br /> consi:ruction, County and City codes, zoning regulations, and land development r�sgulations in the jurisdicfion. f also
<br /> certif,y that I understand that the regulations of otfier government agenci�s may apply to the intended work, and that it is
<br /> my rE:sponsibility to identify what actions I must take to be in compliance. Such agencies (nclude but are not lirnited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, VVetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. , --- �
<br /> - Department of Health & Rehabilitative Services/Environmental Health Un'it`-Welis,`Wastevuater�Treatment,
<br /> Septic Tanks. �
<br /> - US Environm�ntai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I �mderstarid that tlie following restrictions apply to the use of fili:� � �
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - if the flll material is to be used in Flood Zone "A", it is urrderstood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a prof�ssional engineer
<br /> licensed by the State of Florida.
<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 fill the area within tlie stem wall.
<br /> - If fill material is to be used in any area, I certify tliat use of such fill will not adversely affE:ct acljacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the condition:� of the building permit issued under the attached permit �pplication, for Iots less than c�ne (1)
<br /> acre which are elevated by fill, an engineered drainago plan is requlred.
<br /> If I ain the AGENT FOR 1fHE OWNER, I promise in good faith to inform the owner of the permitting condition� set i`orth in
<br /> this <afficlavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,, wells, pools, a,ir conditioning, gas, or other installations not �pecifically included in the application. A
<br /> � permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> sE:t aside �ny provisions of the technical codes, nor shall issuance of a permit prevent the Building Officia(from thereafter
<br /> requfring a correction of errors_in plans, construction or violations of any codes. Every permit issued shall berome invalid
<br /> unle:�s the work authorize:d by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the aermit is suspended c►r 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 period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the e�ctension, If work ceases for ninety(90)consecutive days, the`Job is considered abandoned.
<br /> WAFtNING TO OWNER: YOUR FAIL9JI�E TO RECORD A NOV'ICE UF COMMENCEMENT MAY RE::iUL.T IN YOUR
<br /> PAYINC�'f111110E FOR IMIPFtOVEMENT�TO YOUR PROPERTY. IF YOU-INTl=ND-TO OBTAIN FINAN��NG, COWSULT_ .,
<br /> WIT�i Y9UR LENDER O�AN ATTORN�Y BEFORE RECORDING YOlJR NOTICE OF COMMENCEMI=�IT.
<br /> FLORIDA JURAT(F.S.117. � "
<br /> n n �` -
<br /> OWNIER t7R AGENT ' c�J� CONTRACTOR " =
<br /> Subsc;rlbed and swo to(or afflrmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> _bY --
<br /> Who fslare personally known to me or has/have produced Who Is/are pers ally nown to mr or has/have produced
<br /> as Identiflcation, as Identification.
<br /> ,
<br /> Notary Public _ -" Notary Public
<br /> Commissfon No. Commiss o . —
<br /> ,o1�.e�;a";.,�ELINEBOG
<br /> =*' �:__ Commission#FF 150422 _
<br /> NamE�of Notary typed,printed or stamped Name of No �tjr��;�0.•�BondedTlwTroyFeln ncurediwa800.385-7019
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