i � ` _� '. \
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands�;that this.p�rmlt:maybe.sub)ect to,"deed"restrictions" ,
<br /> which may.be.�more�.-re§t�ictlVe=th�n'Countyr'��egulatlons�. �The"undersigned`"assumes�responsitiilitjr_fo�compltance�witFi''any '•,
<br /> appllcable deed restrictions. . , . "
<br /> UNLICENSED;C�ONTRACTORS AND CONTRACTOR RESPONSIBILITIES:-�� if the owner has��hired a contractor or
<br /> contractors to undertake work, they may.be r�qulred;:to�:be.Iicensed In accordance.with_state.and•local regulations: If the
<br /> contractor.ts�not llcensed as requlred�=by law, both�the owner and conf'ractvr�may be=cited-fora misdemeanor violation
<br /> under state law. If the owner or Intended=contractor:are_:unce�tain as to what Iicensing:requirements;may�apply_�for•:the_ � -
<br /> intended work, they are advised to_contact�ihe Pasco County Bullding"'Inspection Dlvislon-Licensing Section at 727-847-
<br /> 8009. Furthermore, If the owner has htred a conhaafor`o��contractors, he (s advised to have the contractor(s). sign
<br /> portions of the "contractor Block° of this appllcation for_which they wiit.be .responsible. .If you,,as..the owner'stgn`as the
<br /> cont�actor, that may be�an indication that�he�is not.properly�licensed and�is not entitied to perniftting privileges in Pasco
<br />� County. _
<br /> TRANSPORTATION::IMPACTIUTILITIES�IMPAC7 ANb-RESOURCE RECOVERY�FEES:��The undersigned understands
<br /> thatTransportatfon Impact Fees.and.Reco.urse Recove.ry.Fees may:apply-�to�the construc8on of new bulldings,;change of
<br /> use in exisNng buildi�gs, o��.expans(on�of ezistin�g�buildings� as speclfled.in Pascv�County Ordinance number 89-07 and
<br />' 90-07, as amended.,.,The undersigned also understands, that:�such fees�-,as,inay�be�..due;:.wlll,.be identlfied at the��time�of�- �
<br /> permitting. It is fuHiier understood that Transportation Impact Fees and Resource Recoaery=Fees must be pald prior to
<br /> receiving a "certificate of=occupancy" or flnal-power release. :If�the project�,does:not Involve a.certificafe of occupancy o�
<br /> final power release;�the fees-mu�t�be paid prior to permit Issuance. Furthermore;�if Pasco,Counly WaterlSewer:Impact
<br /> fees are due,.they_�must,be:pald-pNor to permit-Issuance-In accordance with appllcabie Pasca�County ordinances.
<br /> CONSTRUCTION LIEId'LAW(Cliapter 713� Florlda Statutes�as amended): If valuation of work is$2,500.00�or more; I ,
<br /> certify that I, #he_,applicant,_ have-been provi.ded with. a copy- of the "Florida Constructfon Llen,Law=Homeowne�'s
<br /> Protection Guide" prepared by the Florida Departmenf of Agriculture and ConsumerAffairs. If the applicant is someone
<br /> other than the"owner", I certfijr that I have�.obhained a�copy of.the above:.described docur�ent-and.promise In,good faith to ,
<br /> deliver ft to the°owne�"�prior.to:•commencement: " "
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I cer�tify:that all the�information i�:thi.s applfcation is accurate and that all work
<br /> will�be done in compliance with all appl(cable laws regulating constructlon, zoning and-land devetopment. Application is
<br /> hereby made to obtain .a permit Co do work.:;and instaliation as Indlcafed:- °I certify that no work�or Instaliatlon has �
<br /> commenced p�ior to Issuance of a permit"and that.all work will be pertormed to meet standards of all laws �egula�ing�
<br /> construction, County and City codes, zoning regulatians, and land development tegulattons-in the jurisdlction. I 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 responsibility to identify.what.actions I must take:to be,ln:.compliance: $uch agenoles Include but-are:not Ilmited to:
<br /> - Department of Et�vironmental=�Protection-Cypress.Bayheads, V1letland Areas and Envlronmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress.s�Bay.heads�, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engtneers-Seawalls, Docks, Navigable Waterways.
<br />' - Department of Health 8 ReMabilitative Servlces/Environmenfal Health Unit Weiis, Wastev�tater�Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatton Authority-Runways.
<br /> I understand that the following;restrlctions apply to the use of flll:�
<br /> - Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the -flll material is to be used�in.�Flood Zone. "A°, tt. is understood that-a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permittfng which is prepared by a professional engineer
<br /> I(censed by�he-State�of Florida:
<br /> - If the fiil materlal.is-to be used in Flood Zone "A" in�connection�with.a pecmitted�building using stem wall
<br /> � construction, I ce�tify that fill:wall:b.e used only.to�.fill the area w(thin the�stem wali.
<br /> - if flll material Is to be used in any area, I certify tfiat use. of such"fill wil( not adversely affect adjacent
<br /> properties. If use of flll is found to adversely..�ffect adJacent prope�ties,.the owner may be cited for violating
<br /> the conditions of the building;permlt issued�under the.attached�permit application, for-lots less than one (1)
<br /> acre which arE elevated�by�flll, an engineered dralnage plan is requtred. •
<br /> If I am the AGENT FOR THE OWNER; I�promise In good faith to inform the•owner of�the perPnitting conditfons set forth in
<br /> this affidavit`prior to commencing constructlon: I understand that a�.separate permlt may be requtred for electrical work,
<br /> plumbing, signs, wells, pools; air conditiontng,.gas,��or other installations not,spec�flcally fncluded-in.the application. .A ._
<br /> I permit issued shall be construed to be�a`Itcense to�proceed with the work and not as:authority to,violate..cancel, alter, or
<br /> set aside any provis(ons of the technical.codes; nor shall issuance�of a.permit.pcevent the Bulldirig O#�icial from thereafter
<br /> requirfng a correction af errors in plans, constiuction or violatlons of any codes. Every permft Issued shali�become invalid
<br /> unless the work authorized.by such permit��s=commenced�within stx months of permft issuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a:period of six(8)montfis.after the time the�work�ts commenced. An extension
<br /> may be requested, in writing, from the Buflding,Official for a perlod-not to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause for.the extension. If work ceases�for ninety(90)cons.ecutive_days�..the)ob is considered aba�doned.
<br />� VUARNING TO OWNER: YOUR FAILURE.TQ.,RECORD.A MOTIGE OF-COMMENCEMEMT.MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS�TO YOUt�:.PROPERTY.�IF°YO.U�IN�END"T�OBTAIN•-FII�tApC1NG,�CONSULT �
<br /> WITH YOUR LENDER:OR AN A�TORNEY�BEFORE�RECORDING:YOUR'NOTICE°OF GOMNlENCElV1ENT: .
<br /> _�J.�OBIDgJi1RA�_(F.S.117.03) - - - - - - ___ _. - .— --.�— ----- - -----=-----_. - . -- - - —
<br /> OWNER OR AOENT CO�ITRACTOR
<br /> Subscrlbed and swom to(or afflrtned)before me this Subscrlbed and'swom to(ot aflirmedpbefore me tl�i�
<br /> bY � •b9
<br /> Who Is/are personally knovm to.me or haslhave produced Who is/are p.ersonally known M me orhaslhave�produced
<br /> as IdenUBcatlon. � as idendflcation.
<br /> Notary Publlc Notary Publlc
<br /> Commisslon No: Commission No.
<br /> Name ot Notary lyped,printed or stamped Name ot Notary typed,printed or stamped ,
<br />
|