_,
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands.that_this:p�rmit;may.be,subJecfi to,"deed",_restr(ctfons" ..
<br /> which may be%more�r.est"r.ictive�-than County�regulatfons:`The�undersigned�as§uiries�r'esponsitiiltty-for�compliance'with any '�
<br /> appiicable.deed rest�icttons. . � _ _. = -
<br /> UNLICENSED.:CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� If the owner has �hiredy�a contractor or
<br /> contractors to undertake work, they may.be required.#o.:be.licensed In accordance.with state.andr•local regulations: �If the� �
<br /> contractor fs.not.licensed as�required"by law, both the owner and-contraoto��may be-clted�for�a�misdemeanor vtolatton
<br /> under state law. If the owner or intended contractor are;uncertain as to what Itcensing.requlrements may apply-�#oc�the
<br /> intended work; they are advised to coritact the Pasco County Bullding (nspection Divislon—Llcensing�Section at 727-847-
<br /> 8009. Furthermore, tf the owner has�hlred�a cont�acto� o� contractors, he is advised to heve the contractor(s),_s(gn _
<br /> portio�s of the "contractor Block° of this application for which they will be r,esponsible.. If..you�,as.the owne� sign�as the
<br /> cont�actor, that may be an indicatlon that�he is not.properly licensed and�is not entitled"to permitting privileges in Pasco
<br /> County. �
<br /> TRANSPORTATION IMPACT/UTILITIES�IMRAC7 AI�b-RESOURCE RECOVERY FEES: The undersigned��understands
<br />--4�eal��ar�sRortati��a-Ompact-Faas-a�d-E�s��urs�-Recov�.ry:F�es-oro�3�-apply;t�:.h�.constn:cQE�r�-rrf-nav�►-�ulldi�gs,��hae�ge-�i�--- - -- -
<br /> use in existing bufldings, or:expansion,of�exfsti�ig`�6uildings, as speclfled in Pasco�County Ordinance number 89-07 and
<br /> 90-07, as amended..._The undersigned also�;understands� thait�such fees„as<may'.��be�.,due;;:wlll.tie identtfied at the'time of� °
<br /> permitting. It Is ftirtlier understood that Transportatfon Impact Fees and�Resource Recov.ery�Fees.must be pafd prior to
<br /> receEving a "cerfificate-of-occupancy" or flnal powec-release. :I�the.proj�ct_.does not Involve:a�certiflcate of occupancy or
<br /> final powerrelease;the-.fees mu�t be paid prior to permit issuance. F�tthermore;if Pasco County�Water/Sewer�lmpact �
<br /> fees are due,they:.must.be:paid prlor to permit-Issuance-in accordance with applicable Pasco.County ordinances.
<br /> CONSTRUCTION LIEN`LAW(Chapter 713� Florlda Statutes�as amended): If valuation of work is�2,500.00:or mor,e, I I
<br /> certify that I, �he. applicant, have.been provided with. a copy of the "Florida Construct(on� Lien,Lav�—Homeowne�'s
<br /> Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffa(rs. If the applicant fs someone •
<br /> other than the"owner", I certify that I have.obtained-a�copy.of the-above..described�docuir�ent=and promise in,good faith.to .
<br /> deliver It to the°owner"p�ior to�commencement: � . '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify.that all the.information in this applicatlon is accurate.and that all work �
<br /> will'be done in compliance with all.appiicable laws regulating construction, zoning and land development. Appltcatton (s
<br /> hereby made to obtatn .a permit to do. work.;and instaliation as Indlcafe.d.� `I certffjr that no work or Installatton has
<br /> commenced prio� to Issuance of a permiC and that all work will be pertormed�to meet.standards of all laws regulating�
<br /> construction, County and Clty codes, zoning regulations, and land development regulatlons•in the jurisd(ction. I also
<br /> certify that 1 unde�stand that the regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsfbility to Identify�what.actions I must take:M be,in:.corrlpliance: Such agencies include but�are.not Ilmlted to:
<br /> - Department of Er�vironmental-�Protectlbn=Cypress.Bajrhead�, Wetland Areas and Envlronmentally Sensittve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management� .Distrtct-Wells, Cypress.�Bay.heads; 'Wetland Areas� Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigabie Waterways.
<br /> - Department of Health 8 Rehabllitative Sen+ices/Environmenfal Health Unit Wells, Wastev�tater Treatment, i
<br /> Septic Tanks. � . I
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal AvlationAuthority-Runways. �
<br /> I understand that the following,restrictions apply to the use of flIL•� I
<br /> - Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fiil 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 petmifting which is prepared by a professional engineer
<br /> Iicensed by the•State of Florida.
<br /> - If ihe�fill material.is:to be used In Flood Zone "A° im conneclion�wlth.�a�permitted building using stem wall
<br /> � construction, f ce�tify that fitl:wall�be used only.to.fill the area withln the�stem�wail. . _
<br /> - If fill 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 ls found to adversely:affect ad)acent,�properties,.the owner may be cited for violating
<br /> the condi#ions of the building:permit iss�ed under the_attached permit appiication, for lots less than one (1)
<br /> acre which are elevated by flll, an englneered drainage plan is required. • •
<br /> �f I am the AGENT FOR THE OWNER, I;<promise In good faith to inform the owner of-the permitting conditlons set forth tn
<br /> this affidavit prior to commencing constructlon. I understand that a-;separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, alr cond(tioning, .gas, or othec installations not specffically included in.the application. .A .
<br /> permit issued shall be constcued to be a`Iicense to p�oceed with the work and not as:authoriiy to,violate,cancel, alter, or
<br /> set aside any provisions of the technical.codes; nor shall Issuance�of a.permit.prevent the Bulldirig Officlal from thereafter
<br /> requiring a correction af errors in-plans, consfruction or violat(ons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such permit�Is-commenced•within sfx months of permlt issuance, or tf work authorized by
<br /> the pe�mit is suspended or.abandoned for.a:perfod of six(B)�mont�s.after the tirne the�work��is commenced. An extension
<br /> may be requested, In writing, from the Building.Official for a per(od-not to exceed�'ninety�(90) days and�will demonstrate
<br /> justifiable cause for.the extension�. If work ceases:for ninety(90)cons.ecutive day.s,..the Job�is considered aba�doned.
<br /> 1MARNING TO. OWNER: YOUR.FAILURE�TO..RECORD,A NOTIGE..OF�COMIMENCEMEMT:MAY�RESUlT IN YOUR
<br /> PAYING TWICE,FOR IMPROVEMENT$�TO YOUI���PR'OPERTY. .IF°YOU�IId�°FEND'�TO�OBTAIN��FINAIVCrtNG;'CONSULT
<br /> WI7H YOUR LENDER OR AN ATTOR(dEY�fFORE RECORDIWG�YOUR�NOTi�E`OF�COMINfENCEIIMMENT�
<br /> FLORIDA JURA�(F.S.11�.0�) � ' � �
<br /> t�/
<br /> OWNER OR AOEN � CONTRAGTOR "
<br /> SUbscrldQd d s ►if (or a rme be " e me thls Subscribed and'swom tv(ot afftrmed)�before me'thls .
<br /> S ,.5� , .by..
<br /> Who islare ersonally kno to.me or has/have produced Who fs/are p.ersonally known to me or has/have�produced •
<br /> as IdenBflcatlon. � as IdendBpUon.
<br /> � �
<br /> � �� Notery Public
<br /> - Notary Public
<br /> Com lo Comnnlsslon.No.
<br /> �YO��
<br /> ..=oti�••Yi;��; JACQUELINE BOGES
<br /> Name of N ' �P s°6�� e 2,2018 Name of Notary typed,pdnted or stamped
<br /> ���P,F;4°�'� BandedThruTroyFeinlnsurence800385.7pig '
<br /> i_ �
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