� . ��
<br /> NOTICE OF DEED RESTRICTIOMS: The undersigned undergtands�th�t this p�rmit_may be.subject 40,"deed",restrictions" '
<br /> which may be:more�:r.est�ictive,thaFl County�regulatfons:�The"undersignedassumes responsibillty for�compllana�witli`any
<br /> applicable:deed resteict(ons. _ � - _ . -�
<br /> UNLICENSED�CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: -;If-the owner has -hi�ed a contractor or
<br /> contractors to undertake work, they may.be cequir:ed;to be;Iicensed In-accordance:with state.and�local regulations: If-the
<br /> contractor,is-.not:licensed as requlred'`by law; both�the owner and-conUaafo�=may be�cited�for a�misdemeanor violatton
<br /> under state law. If the owner or intended contractor are unce�tain as to what licensing.requlrements.�may=,apply:�for��the - -
<br /> intended work, they are advised to contact the Pasco County Building�Inspection Divl§Iori-L•icens}ng$ection at 727-847-
<br /> 8009. Funhermore, If the owner has�hl�ed a contra6to�`o� contractors, he ts advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of thls application for.which they, will.be tespo�sible. .If.you, as..#he owrier'sign as�fhe
<br /> contractor, that�may be-an Indication that�he�is•not�.properly�licensed and`1s noY entftled to perrriftting privileges in Pasco
<br /> County. `
<br /> TRANSPORTATION:IMPACTIUTILITIES_IMPAC7 AND�RESOURCE RECOVERY FEES:��The undersigned understands
<br /> that Transportation Impact Feas and.Recourse Recove.ry.Fees may�apply�to°tf�e construction of new buildings„change of -
<br /> use in existing buildfngs,•or:�expansion�of��ezistin��buildings, as specffied.in Pasco�County Ordinance number 89-07 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 furtFier"understood that Transportatfon.Impact Fees and Resource Recovery�Fees must be patd prior to
<br /> receFving a "certificate.�of occupancy"�or flnal power�release. :If the project.does:not Involve a:certificate of occupancy:o� '
<br /> final power release;the.#ees mu�t�be paid prior to permit Issuance. F��thermore;�if Pasco,County�Water/Sewer Impact -
<br /> fees are due, they must.be�paid prior to permit-issuance-in accordance with applicabie Pasco�-County ordinances.
<br /> CAtVSTRUCTeON�LIEN'LAW'(Chap4er 713� �lorlola�t�tu�aa,a� ame�aded): If valua8on of work is$2,500.00:or more, I
<br /> certify that I, �he .applicant,_ have.been provided with- a copy- of the "Florida�Construction� Lien..Law�Homeowne�'s
<br /> Protection Guide" prepared by the'Florida Department of Agric.ulture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have.obtained�a copy,of.the above.descritied dobui�ent°and.p.r.omise in.good faithto _
<br /> deliver It to:the°owne�'prior.to�cornmencement: ' ' �'
<br /> COIVTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Inf.ormation,in�this application is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating constructlon, zoning and�land development. Appilcation is
<br /> hereby made to obtatn .a permit to .do work,and Installation as indicafed:.; 1 certify that no-wo�k�or Installation has
<br /> commenced prior to Issuance of a permif�and that.all work will be pertormed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulatio.ns, and,land development regulattons-in the jurisdictton. ( also
<br /> certify that I u�derstand that the regulatlons 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.corr�pilance: $u�h agencles tnclude but-are.not Ilmited to:
<br /> - Depa'rtment of Er�vironmentai=Protection-Cypress.Bayheads; Wetland Areas and Envtronmentally Sensltive
<br /> Lands,WatedWastewater Treatment.
<br /> F..
<br /> - Southwest Florida Wate� Management District-Wells, Cypress. Bay.heads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
<br /> - Department of Health� & ReFiabifltative Services/Environmental Health Unit-Welis� Wastewater�Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Avlatlon Authority-Runways.
<br /> I understand that the following;restrictlons apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.-
<br /> - If the fiil material is to be used: In �Flood Zone. "A", tt. is understood that a drainage plan addressing a
<br /> "compensating volume" will be subm(tted at#ime of pecmltting which is prepared by a professional engineer
<br /> Iicensed by�he;.State of Florida: ,
<br /> - If the fill material-.is to be used In Flood Zone "A° in�connect(on�with.a��permitted building using stem wall
<br /> , construction, I ce�tify that fill•:wlll�b.e used only.to.flll the area withln the�stem wali.
<br /> - If flll material is to be used in any area, I certlfy that use. of such�flll wiil not adversely affect adJacent
<br /> propertles. If use of flll is found to adversely..�ffect ad)acent properties,.the owner may be ctted for violating
<br /> the-conditions of the b�ildirig�:permit issued under the attached permit applicatlon, for.lots less than one (1)
<br /> acre whtch are elevated by flll,an englneered drainage pian is required. ,
<br /> If I am the AGENT FOR THE OWNER, I�promise in good faith to inform the owner of�the permitting conditlons set forth In
<br /> this affidavlt�prior to commencing constr�otion. 'f understand that a-separate permlt may be required for elecMcal work,
<br /> plumbing, signs, wells, pools, air conditioning, .gas, or other installations not,specHically included�in the.application. .A ._
<br /> permft Issued shall be construed to be a Itcense,to p�oceed with 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.permtt ptevent the Bulldirig O#fic(al from thereafter �
<br /> requlrin.g a conection nf errors in.plans, consfniction or violat(ons of any codes. Every permit issued shail become invalid
<br /> unless the work authorized.by such permPt��s.coEnmenc�d•within sfx months of permit lssuance, or if work authorized by
<br /> the permft is suspended or.abandoned for a:period of six(�)months.after the ttme_the�work fs commenced. An extension
<br /> may be requested, in writing, from the Building.Officlal for a per(od�not to exceed n(nety�(90) days and will demonstrate
<br /> justifiabie cause for.the exfension. If work ceases�for ninety(90)cons.ecutive:days,..the job is considered abandoned.
<br /> VUARNING TO OWNER; YOUR.FAILURE�TO.,REC.ORD.A MOTIGE:OF�COMMENCEMENT:NFAY RESULT IN�YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUi�.PR�OPERTY.�IF�YO.Ut11dTEND'TO�OBTAIN��FIPtANCING;�CONSULT
<br /> WITH YOUR ENDE O � AN A'�TORNEY� FORE. ECO � G�YOU ' O ��E° � E CE E T'
<br /> FLORIDA JURAT(F.S_.117A3)� _, __ _ . _ —___- _- - - - v—.----- - -- --- - - ---
<br /> OWNER OR AOENT CONTRACTO V`-
<br /> I Subscribed and swom to(or aflirtned)be(ore me this Subsc bed� nd'swo ( rmed)�befo�m
<br /> � ;° �
<br /> by Q•- .by � �e � Ct..�
<br /> Who Islare personally knovm to.me or has/have pmduced o ls/arep�e�on nown to�ne or has/have�produced. '
<br /> as IdenUflcatlon. /�G+ ISD�-.�.� as Idendflqdon.
<br />� Notery Public � Notary Public
<br /> Commisslon No. Commissl n o.
<br /> I Name aI Notary lyped,printed or stamped Name of Nota � �p���0
<br />' . ;����Y'Pye�';: Commission#ber 1242018
<br /> :.: '. _ s pecem �85.7019
<br /> :;; Expit Th y F����S�ronce 000
<br /> ;�• N��o
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