i
<br /> �
<br /> NOTICE OF DEED RESTRICTION5: The understgned under�tands=.that:this;p�rmlt_may;be_subJect to"deed",restrictions" '_
<br /> which may;beamore'�restcictNe=th�rt County:regulatfons.�'The underslgned assumes`responsibility fo�`compliance`witti any � �
<br /> applicable deed�rest�ictions. _. _ . - �
<br /> UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES�: -If the owner�has -hi�ed�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.�ls not�.Itcensed as requlred':6y law, both the owner and contraotor�rriay be-cited�for�a"misdemeanor violation
<br /> under state law. If the owner or Intended contractor,are,uncertain as to what Iicensing.requlrements may apply:��or�tFie�� '�
<br />� intended work; they are advised to contact the Pasco County Building Inspectton Divislon--Licensing Sectfon at 727-847- i,
<br /> 8009. Furthermore, If the owner has hired a contracfo� o� contractors. he Is advised to have the contractor(s), sign
<br /> portlons of the "contractor Block" of this application for which they will be r.esponsible. If..you� as.the owner sign�as the �
<br /> cont�actor, that may be an indication that he,is not.properly flcensed and"is not entitled to perrr►lt#ing privileges_In Pasco
<br /> _ County. - - � - � "
<br /> TRANSPORTATION IMPACTIUTILITiES=rMRAC'��ANb�ItESOU�tCE RECOVERY�FEES:�The undersigned�understands
<br /> that Trensportation Impact Feas and.Recourse Recove.ry.Fees may;apply:to the construction of new buiidings,�cV�ange of
<br /> use in existfng buildings,�or=expansion�:of-�existirig�buildings, as speclfled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended..,The undetsigned also:understands, that-such fees�:as,inay tie:-,due; ,wlll�.be identified at tho��time°of��
<br /> permitting. it is furtlier understood that Transportation Impact Fees and�Resource Recovery'Fees must be paid prior to
<br /> receiving a °certificate of occupancy" or flnal�powerrelease. :If-the project_does not Involve:a;certiftcafe of occupancy o��
<br /> final power release;the�.fees must be paid prior to permit issuance. F�tthermore;�if:Pascv,County-INater/SewOr�lmpact -
<br /> fees are due, they_must be;pald.prlor to permit-Issuance-in accordance with appllcable Pasco�County o�dinances.
<br /> CONSTRUCTION LiEN"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=-Homoowner's
<br /> Protection Guide° prepared by the Florida Departmenf of Agric.ulture and ConsumerAffa(rs. if the appl(cant is someone � �
<br /> other than the"owner", I certify that I have.otstaineti a°copy.of the above..described docur�ent°and.promise�in,good faith to
<br /> deliver it to the:"owne�'p�ior��to�commencement: ' ,
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I cenity that ail the Information in this application is accurate and thal all work i
<br /> will�be done in compliance with all.appl(cable laws regulating construction� zoning and�land development. Applfcation is �
<br /> hereby made to obtain .a permit to do work and installation as indicafed:. 'I certify that no work or installation has
<br /> commenced prior to Issuance of a permiC"and that.all work will be pertormed to meet standards of all laws regulating� I
<br /> I construction, County and City codes, zoning regulatiQns, and land development regulattons�in the jurlsdiction. ( al'so� ',
<br /> certify that I understand that the �egulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility to identify.what,actions I must take.to bedn:.corrlpllance: Such agencies include but-are..not Iimtt�d to:
<br /> - Department of Ertvironmental Protection-Cypress.Bayheads; Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management• .District Wells, �Cypress.��Bayheads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navtgable,Waterways. � �
<br /> - Department of Health & ReMabilitative Services/Environmental Nealth Unit Welis, Wastewater�TrQatment,
<br /> Septic Tanks. � � , ,
<br /> - US Environmental Protectlon Agency-Asbestos abatement. �•.
<br /> - Federal Avlatlon Authority-Runways.
<br /> I understand that the following:restrictions apply to the use of flll:�
<br /> - Use of fill Is not allowed in Flood Zone°V"unless expressly permitted.
<br /> - If the flll materfal is to be used in Flood Zone. "A°, it. Is understood that a dralnage plan addressing a �
<br /> °compensating volume" will be submitted at time of permitting which is prepared by a professfonal �ngineer
<br /> Iicensed by the State of Florida.
<br /> - If Ihe flll materia).is to be used in Flood Zone °A" (n�connection�with.a permitted building using s4em wall
<br /> construction, I certify that fili�.wlll:,be used only.to.fill the area wlthin the�stem�wall.
<br /> - If flll material is to be used in any area, I certify that use. of such �fill will not adversely affect �djacent
<br /> properties. If use of fill is found to adversely:affect adJaeent��propertles,.the owner may be cited for violating
<br /> the conditions of the"buflding,permlt issued under the attached permit application, for lots less-than one (1)
<br /> acre whtch are elevated by flll, an englneered drainage plan is required. .
<br /> If I am the AGENT FOR THE OWtdER, I;�promise in good faith to inform the°owner of�the permitttng conditlons set forth in
<br />' this affidavlt prior to commencing construotton. I understand thet a s�parate permit may be requlred for electri�al work,
<br /> plumbtng, signs, wells, pools, alr conditioning, .g�s,�or other installatfons not.speclflcally included-in.the application. .A
<br /> permit Issued shall be construed to be a Iicense to p�oceed with tlie work and not as:autho�ity to.violate,cancel, alter, or
<br /> set aside any provisions of the techn(cal codes; nor shall issuance�of a.permit pcevent the Bulldirig O#flcial from tF�ereafter
<br /> requfring a correction af errors In-plans, constiuction or iriolat(ons of any codes. Every permit Issued s com�invalid
<br /> unless the.work authorized.by such perm(t ls_commenced within six months of permit (ssuance, . wror authorized by
<br /> the pe�mit is suspended or.abandoned for a:period.of<six(B)montF�s.after the time the�work i en d. An eyctension
<br /> may be requested, In writing, from the Building.Official for a period not to exceed"nine ys d will dem�nstrate
<br />� justifiable cause for.the extensior�. If work ceases�for ninety(90)consecutive day.s...t. o '�is ons ered aba�donad.
<br /> I WARNING TO OWNER: YOUR.FAILURE�TQ.,REC.ORD:�I NOTICE OF�C0 E :MAY RESULT IN�YOUR
<br /> PAYING TWICE,FOR IMPROVEMENTS�TO YOUI�<PROPERTY. .IF�YO.U�IN�. ' `NC1NG;'C�NSULT
<br /> WI7H Y UR ND O AN ATTORN •�B FORE� �ECO � G`1�OU = � `O __' _' � E C NT�
<br /> FLORIDA JURA'�(F.S.1.17.03) _ `
<br /> OWNER OR AOENT � CONTRACTO
<br /> Subscrlbed and swom to(or a�irmed)before me this Subscrib,�d a m ed)� ' te
<br /> by �-Z/,h .by.
<br /> Who is/are personally knovm to.me or has/have prvduced Who.is erso a lykno tn me or has/have•pro uced •
<br /> as Identlflcatlon. � � :�S � e�� as IdentlficaUon.
<br /> Notery Public .. „ � . ry P�ubllc
<br /> �o.:..:a;, ES
<br /> Commisslon No. Comr�is o. =�d :�= Commission#FF 150422
<br /> , ;;r F;of; ires ecem er 12,2018
<br /> �P,,,,t BondedThruTrayFainlneurance800385-7019
<br /> Name of Notary typed,printed or stamped , Na�e of Notary typed,printe ar s mpe
<br />
|