i
<br /> NOTICE OF DEED RESTR�CTIONS: The unders(gned understands th�t,this:permlt,may be,sub)ect_to_"deed"restrfctions" .
<br /> which may:be�more��rest�ictive=than County�regulatlon§. �The undersigned_assumes=responsibiltty for�compliance`with"any '
<br /> applicable deed res#ricttons. _ � _ _ -
<br /> UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ��if the owner-has hired��a contractor or
<br /> contracto�s to undertake work, they may be�req�ired::to be:licensed In.accordance.with state.and�local regulations. .:If the �
<br /> conhactor,is.�not.licensed as requlred:'by law, both�the owner and.cont�actor�may be-cited�for-a-misdemeanor violatton
<br /> under state law. If the owner or Intended contracto�.are.uncertain as to what Itcensing,requirements.may�appiy.-for�the - - -
<br /> intended work, they are advised to contact tFie Pasco County Bullding�Inspectlon Divislon—Llcensing�Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a cont�actor o� contractors, he is advised to have the contractor(s). sign
<br /> portions of the "contractor Block" of this application for which they will be.r.esponsfble. If you,.as_.the owner'sign�as�the
<br /> contractor, that may be an indication that�he fs not.properly Iicensed and is not entitied to perinitting p�ivileges in Pasco
<br /> County.
<br /> TRANSPORTATION.IMPACT/UTILITIES 1MPAC7•ANd RESOURCE ItECOVERY�FEES:� The undersigned�understands
<br />__tha�TransPortation Impact Fees and Recourse Recove.ry_.Fees may;apply�to�the constructlon of new buildings,,:change-of
<br /> use in existing buildi�gs;�or expansion,.of��ezistin,g�buildings, as speclfled in P�sco County`Ordtnance numbe��9=U7 and"� - � � - � --
<br /> 90-07, as amended.,,_The undersigned also;understands, that such fees�.as}may be�...due;:will::be identified at the�time-of� '
<br /> permitting. It is furtlier understood that Transportatlon Impact Fees and�Resoucce Reco�ery"Fees.must be paid prfor to
<br /> receiving a "cerfificate.of occupancy"�or final power=release. :If-the proJbct:does not involve�a:.certificafe of occupancy o� � �
<br /> final power release;;the_fees must, be paid prior to permft issuance. F�tthermore;•�if Pasco County-Water/Sewer�lmpact
<br /> fees are due, they�.must.be_pald prior to permit-Issuance-In accordance with applicable Pasco�.County ordinances.
<br /> CONSTRUCTION'LIEN�LAW(Chapter 713� Florlda Statutes,as amended): If valuatfon of work is$2,500.U0�or more, I
<br /> certify that I, the,applicant,. have-been provided with a copy of the "Florida� Construction� Lfen Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the applicant is someone .
<br /> other than the"owne�", I certify that I have_.obtained�a copy.of.the above..riescribed�document�and:promise in.good faith to
<br /> deliver it to.the,°owne�prior:to-commencement: ' •
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information In thi�appllcation is accurate and that all work
<br /> will�be done in compliance with ali.appi(cable laws regulating constructlon� zontng and�land development. Applicatton is
<br /> hereby made to obtatn .a permit to do, work.and installation as indtcated._ 'I certify that no work=or installation has
<br /> commenced prfor to Issuance of a permit and that.all work will be pertormed to meet standards of ali laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulatlons�in the jurisdiction. ( also
<br /> certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responstbility to Identliy�what.actions I must take:to be�in..conlpllance: S.uch agencies-include but are.not Ifrr�ited to:
<br /> - Department of Environmental�Protection-Cypress. Bayhead�; Wetland Areas and Envlronmentally Sensitive
<br /> Lands,WaterMlastewrater Treatment.
<br /> - Southwest Florida Water Management .District-Wells, CypPess.s�Bay.heads;- Vlletland Areas� Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servlces/Environmenfal Health Unit Welis, Wastewater�Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Avlation.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 fill materfal (s to be used�in �Flood Zone "A°, it. (s understood that-a dralnage plan addressing a
<br /> °compensating volume" will be submitted at time of permitting which is prepared by a professional eng(neer
<br /> Ilcensed by#he�State of Florida:
<br /> - If the fill material.is to be used in Flood Zone °A" (n�connec�ion�with a pecmitted building using stem wall
<br /> construction, I certify that fill�:wlll:be used oniy.to.fill the area within the�stem•wall.
<br /> - if fill materlal is to•be used in any area, I certify that use. of such"flll will not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:affect ad)acent propertfes,.the owner may be cited for violating
<br /> the conditions of the buflding:permtt issued under the at�ached permit appiicatian, for:Iots less-than one (1)
<br /> acre which are elevated�by�flll,a��ngtneered drainage plan is required. .
<br /> If I am the AGENT FOR THE OWNER, I;.promtse in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prtor to commencing constr'uctlon. I ucaderstand that,�a=separate permit may be requtred for electrical work,
<br /> plumbing� signs, wells, pools, air condttioning, .gas, or other installatlons noE.spec�ically included-in.the application. .A
<br /> permit issued shall be construed to be a Iicense to p�oceed wlth the work and not as:authorlty to..violate,cancel, alter, or
<br /> set aside any provisions of the technical.codes;�nor shall issuance�of a.permit prevent the Bulldirig Offlcial from thereafter
<br /> requiring a correction.af errors In-plans, consfruction or vlolaUons of any codes. Every permit issued shall become invalid
<br /> uniess the work authorized by such permit�is-commenced�with(n sfx months of permit issuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a:period.of six f8)months.after the time the�work�ts commenced. An extension
<br /> may be requested, in wrtting, from the Building,Official for a period not to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause for.the extension: If work ceas�s�for ninety(90)cons�cutive day.5�..the Job�is considered aba�doned.
<br /> WARNING TO OWNER; YOUR.FAILURE�TQ.REC.ORD,A NOTIGE:OF-�COMMENCEMEMTaMAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS-TO YOUI��,.PR�OPERTY. .IF°YO.U>IN�'FEND�'�T�`OBTAIN��FIN�ANCING;'CONSULT
<br /> !lVITH YOUR LENDER�OR AN�,'RORNEY�BEFORE�RECORDIWG YOUR�NOTICF`OF'COMAIIENC�IVIENT'
<br /> FLORIDA JURAT(F.S. 117.03) ` ' �
<br /> OWNER OR AOENT��/J��� /��J� C�DNTRACT� /�.�' . /J
<br /> Subscribed and swom M(or rmed)befor e this Subscribed and'swom r aff(rmedpb e' i�
<br /> by .by..
<br /> YVho is/are personally known to.me or has/have produced Who Is/are p.ersonally�cnown•to me or hasR�ave•produced •
<br /> as IdentlBcatlon. - as IdendflcaUon.
<br /> ,L .
<br /> � � ^'
<br /> �
<br /> �� otery Public . l� Notary Publlc
<br /> Comm slo No: :��a'�11r!y�4'• �ACQUELINE 6 g
<br /> Com Is on N �'
<br /> ,.�Y�Y�iy6�., JACQUELINE BOGES �- Expires bece 22
<br /> "�' .e:
<br /> �- ••,•��o;;• mber 12,201
<br /> Name t►y,��e � Name of Nota nemanoaA00.8gp.rD19
<br /> :,;T'-:. °•�s ecem er 018 '
<br /> � �:op Foin lasursnw 80a3&S•7019
<br /> ' �t ' `1 .���,r�
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