� ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restricUons"
<br /> which may be more restrictive than County regulaGons. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conVactor or
<br /> contractors to undertake work,they may be required to be licensed in acc:ordance with state and loql 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 U�e
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sechon at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrador(s) sign
<br /> portions of the"contractor BIocK'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 properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatlon 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 speafied in Pasoo County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned aiso understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. If the project does not involve a certifiqte of occupancy ar
<br /> final power release,the fees must be paid prior to pertnit issuance. Furthermore,if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appliqble 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—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certify that t heve obtained a copy of the above desaibed document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance 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 work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertom�ed to meet standards of all laws regulating
<br /> construcdon, County and City codes, zoning regulations, and land development regulations in the jurisdicGon. I also
<br /> certify that I understand that the regulations of other govemment agenaes may appty to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenaes indude but ar�e not limited to:
<br /> - Department of Environmentai Protection-Gypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,WatedWastewater Treatrnent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departrnent of Heafth 8� Rehabilitative Senrices/Environmental Health Unit-Wells, Wastewater Treatrnent,
<br /> SepUc Tanks.
<br /> - US Environmental Proteetion Agency-Asbestos abatement
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following resUictions appty to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly 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 permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fili material is to be used in Flood Zone"A"in connection with a permitted building using stem wall
<br /> consWction,I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in arry area, I certify that use of such fill wili not adversely affect adjacent
<br /> properties. If use of fill is found to adversety affect adjacent properties,the owner may be cited for violating
<br /> the condidons of the building permit 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 pramise in good faith to infartn ihe owner of the pertnitting condiUons set forth in
<br /> • thls affidavit prior to commenqng consbvction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,welis, pools, air conditioning, gas, or other installations not speafiplty induded in the application. A
<br /> permit issued shall be cansUued to be a license to proceed with the woric and not as authority to violate,cancel,atter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Offiaal from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid II
<br /> unless the work authorized by such permit is commenced within soc months of pertnit issuance,or if work authorized by i
<br /> the permR 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 period not to exceed ninety(90)days and will demonstrate �I
<br /> justfiable cause for the extension. If work ceases for ninety(90)vonsecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR �
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0710E OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.0 )
<br /> OWNER ORAGENT-�•` V"��1 i' CONTRACTOR �
<br /> t Su�sai¢ end swom or ef e this � Su�and r a � b , �r��
<br /> ! , [
<br /> Who isla kn to me or asrtiave produced o isl personal y kn to me or e produced I
<br /> as identifiptian. as identlfication. '
<br /> �� i �(y�
<br /> � �— Notary Public �� �� �Notary Public I
<br /> C m Comm' ' n No.
<br /> �����`�"' ' sion#FF150422
<br /> ;=9•' .�: •"'Y"'� QUELINEBOGES �
<br /> Na ,�o �a,�Q� r , Name of Notary � e��r g�sion F
<br /> .; o�' g��BdThcuTroyFeinlnsumnce8U0-385-7��� -#', • ° Expires December 12,2018
<br /> p��
<br /> '�P'�` .�.,�'�PF fl?.P� BondedTlwTmyFeinlnsuranee80o-3E5•7019
<br /> �
<br />
|