i �
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned undergtands,that this�.p�rmit�.may:be:sub)ect,to,tldeed".,restricttons" �
<br /> which may�:be:�mor���restcictive�than Counly�regulations.''TFie�undersigned assumes'responsitiility forJcom'pliance'witFi any
<br /> applicable:,deed rest�ictions. �
<br /> UNLICENSED �CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: --If tFie owner-has-htred �a 'contractor or
<br /> contractors to und�rtake work, they may be;required.;to,be.11censed In accordance.wlth state.and•local regulations. If�the
<br /> contractoc:is:�not�:ltcensed as�reyulred"tiy law, both the owner and contracto��may be-cited for-a=misdemeanor violatlon
<br /> under state law. If the owner or intended�.contractoe�are:uncertain as to evhat Iicensing.requirements may�apply�for<the
<br /> intended work, they are advised to contact�tlie Pasco County Bullding"inspection Dtvisfon-L(censing Sectton at 727-847-
<br /> 8009. Furthermoro, If the owner has�hlred�a cont�acto� o��contractors, he�ts advlsed to have the contractor(s),rysign
<br /> portions of the "cvntractor Block" of this,applicatlon for_which they wilt be responsible. .If.you,-as-.the owner``stgn�as''the �'
<br /> contractor, tFiat inay�tie an indication�fhat�he is not.properly licensed and is not entitled to perrriftting privileges in Pasco j
<br /> County. � " f
<br /> TRANSPORTATION�iMPACTIUTILITIES IMPAC7�ANb-RESOURCE RECOVERY�FEES: The undersigned understands �
<br /> that Transportation Impact Fe�s and.Reco.urse Recove.ry.Fees may��apply�to�the construction of new_bulldings,�change-of' ;
<br /> use in existing buildings, or�expansion��.of�existin;g`�bulldings� as specifled.in Pasco County�Ordinance number 89-07 and
<br /> 90-07, as amende�,,,_The undetsigned also�understands, thait�such fees,-as�may`be�:due;�:wlll��be ideritified at the��time=of i
<br /> permitting. It Is fur�lier u"nderstood that Transportation Impact Fees and Resource Recovery'Fees.,must be pald prior to i
<br /> receFving a "cer.fificate.-of occupancy" or flnal�.powec��elease. :If�the proJect.does.not Involve�a;certificate-of occupancy.o� -
<br /> final power�release;�the.fees must be pald prior to permit issuance. Fu�thermore;-H Pascv County-1Nater/Sewer�:lmpact '
<br /> fees are due,_they..must be-paid..prl'or to permit-Iss4ance-in accordance wttii applicable Pasco'County�o�dinances. ;
<br /> CONSTRUCTION�I:IEN LAW"(Chapter 713� Florlda Statutes�as amended): If valuatlon 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" �repared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certify.that I have.obtained'a copy of.the.above..described documentand.ptomise In,good faith.to '
<br /> deliver it to,.the�`owner"�prior to-commencement: " ,
<br /> CONTRACTOR'S/UWNER'S AFFIDAVIT: I certify.that.all the Informatign�in�this application is accurate and that all work �
<br /> will'be done in comptiance with all applicable laws regulating construction, zoning and:land development. Appltcation (s
<br /> hereby made to obtain .a .permit, to do. wofk.and instaliation as indicefed:-,,.'I ce�tifjr�that no work�or Installatton has
<br /> commenced prlor to Issuance of�a permif and that.all work wiil be pertormed to meet standards of all laws regulating- ,
<br /> construction, Couniy and City codes, zoning regulatiQns, and land development regulations-in the jurisdtctton. ( also
<br /> certify that I unders�and that the regulations of other government agencies may�apply�to the intended work, and that it is �
<br /> my responsibility to Identify.what:act(ons I must take to be5ln:.cornpllance: S.uch agencles include but-are..not limited to:
<br /> - Department of Ehvironmental Protection-Cypress.Bayhead�, VUeNand Areas and Environmentally Sensitive '
<br /> Lands,GNater/Wastewater Treatment. r
<br /> - Southw�st Florida W�.ter Management: ..District Welis, Cypress. Bey.heads�, Wetland Areas, Altering
<br /> Watercourses. %
<br /> - Army Corps of Engtneers-Seawalls,Docks, Navigable Waterways..
<br /> - Department of Health�'& RehabiHtativ.e Services/Envtronmental Health Unit Wells, Wastewater Treatm�ent, •
<br /> Septic Tanks. � ,
<br /> - US EnvGronmentai Protectfon Agency-Asbestos abatement. ,
<br /> - Federal Avlatton_Authority=Runways. ,
<br /> I understand that the following�restrictions apply to the use of flll:• '
<br /> - Use of fuli Is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the flll materlal is to be used_In�:Flood Zone. "A", (t is understood that�a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permitting which Is prepared by a professfonal engineer
<br /> licensec9=by.the State-of Florida:
<br /> - If the flN material:is�to be.used in Flood Zone 'A" (n�connection with.a�permitted building using stem wali
<br /> � construction, I certify that fill�:wall=be-used only.to#ill the area w(thin the�stem�wall.
<br /> - If flll materlal is to�=be used In any area, I certify that .use of such-fill will not adversely affect adjacent ,
<br /> properties. If use of flll is found to adversely,�ffect adJaeent propertie5,.the owner may be clted for violating
<br /> the condFtions of the"buflding,permit issued•.under the at�ached permit appiication, for lots less than one (1)
<br /> acre whfch are elevated by:flll, 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-conditlons set forth in !'
<br /> this affidavit�prior to commencing constructton: "�I understand that a=separate permit may be requlred for elecMcal work, ;�
<br /> plumbing, signs, wells, pools; air conditioning,.gas,. o�"ott�er installations not,specffically included-in the application. .A I`
<br /> permit issued shall �e construed to-be a�license;to�proceed with tFie work and not as�autho�ity to,violate,cancel, alter, or '
<br /> set aside any provis(ons of the techn(cal.codes;�nor shali issuance of a.permit.prevent the Bullding OfficlaPftom thereafter :'
<br /> requtring a correction.nf errors In.plans, consfruction or iriolations of any codes:� Every permit Issued shall become invalid
<br /> unless the work authorized.by such permit_is.aommenced�wtthln stx month� of�pertnit issuance� or if work authorized by `�
<br /> the permit is suspended or abandoned.for a:period;of six f6)montFis.after the.time the�work�ts commenced..An extenslon 7a
<br /> ma be re uested, in writin , from the Bulldln .Officlal for a eriod:not to exceed nlne 90 da s a�d will�demonstrate +� i
<br /> Y q 9 9 P tY E ) Y
<br /> �ustifiable cause for:t9�e extensior�. If work ceases:for ninety(90)cons.ecutive days,..th�job�is.considered abandoned.� ;. �I
<br /> �,
<br /> WARNING TO OWNER: YOUR.FAILWRE�TU.,REC:ORD,A.NOTIGE OF�COMMENCEMENT�MAY-RESULT IN�YOUR
<br /> PAYING TWICE FOR IMPROVEMEN_T3�TO YO.UR•.PR�OPERTY.;:IF°YOEI=Itd�'FEEI�ID'Ta OBTAIN��FINANCING;�CONSULT
<br /> _WIT X U �ND :9 � N- 7TA f� _A ��it�:; GA ��11 G:�YAU = � � � :: � _� FNT'------ -_-- -- .._
<br /> FLORIDA JURAT(F.S.1.17.03 ' -
<br /> DWNER OR AOENT CONTRACTO
<br /> ,'�.
<br /> �bscrlbed and swo�}(or �1ed) fore me this Subsctibed and'swo to(9(�flirmed)� re me tFilfi
<br /> ZZ�,�j by _�I' (1r±i ��`v7 2-Z2—(�(7 •b � . (�"Gin.� -�C�u
<br /> Nho is/are personally knoum to.me or haslhave produced Who Is/are�ers nallyk�pwn•to me or#�asR�a�e�produced
<br /> �L�'�elr�-s i.cp�,.S.e as IdenUflcatlon. �tl .l��S c.r Ce:�� as IdentlBpUon.
<br /> b .
<br /> ,j Notary Public _ '1� � Notary Public
<br /> --�
<br /> �ommisslore �_— Commis
<br /> „p, 15 22 .�4;:�°
<br /> :=9��Y�ye`•�= Comm�ssion#FF 04��8 ;;: �;: Commissiori#FF 150422
<br /> Vame o(No r�r� �sl � �,,,eeBOb385•9D1B Name of Nota t � �
<br /> .,' q°ia� Bo�ed TFw t�ml .,F F:�0.�� Bonded Tfw Tmy ein Insuranca BOP38S7019
<br /> �%��P�,�;. ^, P,��„
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