�
<br /> ..- .. �;.
<br /> NOTICE OF DEED RESTRICTION�: The undersigned unde�tands�that this:p�cmif.may;be,sub)ect to,"deed"restrictlons" �
<br /> which may be;more'.r.est�ictive.thaln County'fegulatfons. �The undersigned'assumes�responsibilttjc for�compliance with'any
<br /> applicable.deed restrictions. .. _ ' � = . �
<br /> UNLICEIdSED CONTRACTOR� -AND CONTRACTOR ItESPONSI8ILITIES:-�--If the owner has �hired=a contractor or
<br /> contractors to undertake work, they may be;cequired�to.,be Ilcensed In accordance.with.state.and•local;regulations: If�.the -
<br /> contractor is not:licensed-as required'by law; both�the owner and-conVaotor°may be�clted�for a mtsde�meanor violation
<br /> under state law. If the owner or intended contractor are_uncertain as to what.Iicensing.requirements amay�apply��for.the - '
<br /> intended work; they are advised to contact�tfie�Pasco.County Building�Inspectlon Dlvlslort—Llcensing�Section at 727-847-
<br />' 8009. Furthermore, If the owner has hlred a contracfo� v� coritractors, he Is advised to have the contractor(s), sign
<br />� portions of the "contractor Block" of this application for,-which they will be respo�slble. .If.you,.as..the oirt"rner sfgn as the
<br /> contractor, that�may b'e�an Indication that he fs:not.properly Acensed and'"is noY entitled`to per�ii(tting�privileges tn Pasco
<br /> County. � `
<br /> TRANSPORTATION.IMPACTIUTILITIES=IMPACTANb�RESOURCE RECOVERY FEES:�The undersigned�understands
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply_�_to�the constniction of new buiidings,:;change�of' � °
<br /> use in existing buildings,-or:expansion of-��ezistin;g�bulldings, as speclfied In Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended.; The.undersigned also understands, that.such fees,°,as�may�be�.due;:,wlll:,be identified at the�time of- ��
<br /> permitting. It is furtfier understood that Transportation Impacf Fees and Resource Recovery'Fees.musf be paid prior to
<br /> receiving a "certificate of occupancy"�or flnal powec=release. :If�the proj�ct does:not involve.a-.certfficate of occupancy o�
<br /> final power release;the:fees mu�hbe paid prior to permit issuance. Ft��thermore;�if:Pasco,County Water/Sewer-lmpact
<br /> fees are due, they�must.be-pald pNor to permiE•Issuance=ln accordance with�applicabie Pasco�County ordinances.
<br /> CONSTRUCTION'LIEN"LAW(Ciiapter 713� FloNda 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 Gutde" prepared by the Flo"rida Departmenf of Agr(c.ulture and Consumer Affairs. If the appl(cant is someone '
<br /> other than the"owner", I certify that.l have-.obtained�a copy.of.the.above.described�focument°.and.promise in,good faith to �
<br /> deliver ft to the°ownee"prior:to�commencement. - "'-�
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce'rtify:thatall thec,Informallon�inrthis appl(cation is accurate and that all work
<br /> will�be done in compliance with all appiicable'laws regulating construction, zon(ng and�land development. Application is
<br /> hereby made to obtatn .a permit to do work:,and installation as indicated.�- I cenify-that no work°or installation has
<br /> I commenced p�ior 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 regulatians, and land development cegulations-in the jurisdtction. ( .also
<br />' certify that I uaderstand that the regulations of other government agencies may�apply�to the intended�rork, and that it is
<br />, my responsibility to identify.�vhat.actions I must take:to be,in:.corr�pliance; Such agencies include but�are.not Ilmited to:
<br /> - Department of E�vironmental•Protection-Cypress.�Bajrhead�, Wetland Areas and Env(ronmentally Sensitive
<br />, Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Wate� Management .District-Wells, Cypress.F�Bay.heads�, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, fVavtgable Waterways.
<br /> - Department of Health� & ReMabifltative Services/Environmenfal Health Unit-Well.s� Waste.�xater�Treatment,
<br /> Septtc Tanks. � _
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Avlatton 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 permittgd.
<br /> - If the flll material is to be used.'In �Flood Zone. "A", It. Is understood that a drainage plan addressing a
<br /> °compensating volume" v�ill be submitted at time of permitting whlch is prepared by a professional engineer
<br /> Iicensed by the:State-of Florida: � �
<br /> - If the flll material .is-to ,be'used In Flood Zone "A" in�connectlon�wlth:a�pecmitted building using stem wall
<br /> � construction; I ce�tify that flll•w111=b.e used only.to fill the area within the stem wall. -
<br /> - if flll 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 adJacent�p�operties,.the owner may be'cited.for viofating
<br /> the condifions of tlae"building=:permit issued under the attacfied permit applicatlon, for Iots less ihan.one (1)
<br /> acre which are elevated�by flll, an engtneered dralnage plan is required. ,
<br /> If I am the AGENT FOR THE OIfVNER, I;promise In good falth to inform the owner of�the permitting condftions set forth In
<br /> this affidavit prior to commencing construction. I"understand that a:separate permlt may be requtred for elecMcal work,
<br /> plumbing, signs, wells, pools; air conditioning,.gas,�or othec installations not.specifically included�in.the application. .A .
<br /> permit Issued shall be construed to be a'I(cense:to p�oceed'with the work and not as:authority to.violate, cancel, alte�, or
<br /> set asfde any provisions of the techn(cal.codes; nor shail issuance�of a.permlt.prevent the Bulldirig Offic(al from thereafter
<br /> requiring a correction nf errors in__plans, consfruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such permit.�s-commenced•withfn sGc months of permit issuance, or If work authorized by
<br /> the pe�mtt is suspended or abandoned for a:perfod of six(8)montiis:after the tirne the�work fs commenced. An extension
<br /> may be requested, in writing, ftom the Building.Offlcial for a period.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 abandoned.
<br /> WARNING TO OIaVNER: YOUR.FAILURE�TO,REC.ORD.A.NOTIGE OF•COMMENCEMEMT�.MAY RESULT IN YOUR
<br />' PAYING TWICE�FOR:IMPROVEMENTS TO YO.UR:PR�OPERTY.�IF°YQU�INTEND�'T�OBTAIN��FINANCING;'CONSULT
<br />—"�'ii ii-Y�UR��LE�iD�RiOR�dFi A�40Rt�FY���EOR��RE�OgDI1dG�Y�IUR'��d�JTlC��:�'I�����INlENC�I�fE1�T: -- _ - - -_
<br /> FLORI�A JURA�•(F.S.1.17.03) _ ' �
<br /> OWNER OR AOENT CONTRACTO
<br /> Subscrlbed and swam ta(or aflirmed)before me this Subecribed and r to(or aflirmedpbefore me tht�
<br /> by
<br /> Who Is/are pe►sonaliy knovm to.me or has/have produced Who Is/are personally known M me or has/have•produced •
<br /> as IdenBflcatlon. as Identlflqdon.
<br /> Notery Public . i �c Notary Public
<br /> Commission No: Com on�No.
<br /> ,���,.,
<br /> , _,zqi�9�°Ya.,�,, JACQUELINE BOGES
<br /> Name oi Notary typed,printed or stamped Name of Notary � pgil ' �. 22
<br /> :;,• ,.�• � s ecember 12,?018
<br /> %�P;;;��` Bonded Thru Tro
<br /> y ran�ncurance 800.305.7p�g
<br />
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