' ; �
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned.under.stands.that this.:p�rmit ymay.be.subJect to"deed"restrictions" „
<br /> which may be.°more:�rest�ictive:tfi�n County:�regulatlons:=The undersigned�assumes responsibili#y for�compliance witFi�any
<br /> appllcatile deed restrictions. • - . -
<br /> UNLICENSED CONTRACTORS -AND -CONTRACTOR R@SPONSIBILITIES: --If tlie owner-has fiirei! a contractvr or
<br /> contractors to undertake work, they may.be;requ,'Ired::to;be,Ilcensed In.accordarce.wtth-state.and�local,regulations.,�.�If the- -
<br /> contractor�.ts_not_I(censed�as�.requlced"tiy law, both the owner and�contracto�Amay be�cited-for-a�-misdemeano� violatton
<br /> under state law. If the owner or intended�contractor-are,,,uncertaln as to what Iicensing.require�nents,';;may-apply�for tFie
<br /> intended work; they are advised to contact the Pasco County Building_Inspectlon DIvlslon-Licensing�Section at 727-847-
<br /> 8009. Furthermore, If the owner has hlred a contractor'�o� coniract�rs. 'he ts advl§ed to have the contractor(s) sign
<br /> portions of the "contractor Block" of this appl(cation for,wliich they will..b.e.responsible....lf..you,-as..#he ovimer'sign as�the ' �
<br /> contractor, that�may 6e�an indication thet•fie is not.properly licensed and'is not entitled to permftting privileges tn Pasco �
<br /> County. ' � � ' '
<br /> TRANSPORTATION�IMPACT/UTILITIES�IMPAC'�ANb�RESOURCE RECOVERY�FEES:�The undersigned understands
<br /> that Transportatfon Impact Fees.and.Recourse Recove.ry.Fees may:;apply�.#o°the construction of new buildings,;change•of �
<br /> use in existing build(ngs,-or:expansion:of�existing��buildings, as spectfled.in P�sco County Ordinance number 89-07 and -
<br /> 90-07, as amended..,,The undersigned also understands, that such fees„asrtnay�be:due;�.wlll�:be identified at the�ttime of�� ���
<br /> permitting. It is fu�tFier understood that Transportatfon Impact Fees and�Resource Recodery��Fees mu'st be paid prior to
<br /> receiving a "cerfificate-of-occupancy"�or#inal.power.release. .If�the project..does:not Involve:a:.certificate of occupancy or - ' ` �
<br /> final power release;,the.fees mu�t.�be paid peior to permit issuance. Furthermore;�if:Pasco,County Water/Sewer=lmpact .
<br /> fees are due, they.must.be�paid:prior to permit:lssuance-In accordance wltfi appllcable.Pascv,County ordinances,-
<br /> CONSTRUCTION`LIEN LAW(Cliapter 713� Florlda Statutes,�s amended): If valuatlon of work is$2,500.00.or more, I- .
<br /> certify that I, the-,applicant,__have-been provided with a copy- of the "Florida-Constructlon� Llen'�Law_—Homeowne�'s
<br /> Protectfon Guide" prepared by_tfie FloFida Department of Agric.ulture and Consumer Affairs. If the appllcant Is someone
<br /> other than the"owne�", I certify that„I have.obta(ned�a copy of the:above..described�document°and:promise in,good faith.to _ �
<br /> deliver it to the°ownec":pNoc�to>cvmmencement: � � � ' � � �
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ceniPy�:that all the�Information,in this appl(cation.is accurate and that all work
<br /> ' will�be done in compliance with all appiicable laws regulating constructlon, zoning and�land�development. Application is
<br /> hereby made to obtatn .a .permit to do work,and installation as ind(cated:�:; I certify that no work�or tnstallation has ,
<br /> commenced prior to Issuance of a permlt and that.all work will be pertormed to meet standards of all laws �egulaking�
<br /> construction, County and City codes, zoning regulations, and land development regulations-In the�jurisdtctfon. ( :al'so "
<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,in:.compliance:, Such agenbies include but-are.not Ilmited to: ,
<br /> - Depa�tment of E�vironmental�-Protection-Cypress�Bayhead�; Wetland Areas and Environmentally Sensitive
<br /> Lands,Water]Wastewater Treatment. '
<br /> x.
<br /> - Southwest Florida Wate� Management District-Wells, Cypress. Bay.heads�, Wetland Areas, Altering -
<br /> Watercvurses. . �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
<br /> - Department of Health� & ReMabilitative Services/Environmenfal Health Unit Wells� Wastewater�Treatment,
<br /> Septic Tanks. � � .
<br /> - US Environmental Protec4lon Agency-Asbestos abatement. _ . .
<br /> - Federal Aviatton Authorlty-Runways: __ --
<br /> I understand that the following:rest�lctions apply to the use of flll:� -
<br /> - Use of fill is not allowed�in Flood Zone°V"unless,expressly permitted.
<br /> - If the flIF inateria) is to be used. in �Flood Zone. "A", it Is understood that-a drainage plan addressing a
<br /> "compensating volume" wiil be subm(tted at#ime of permitt(ng,which is prepared by a professional�engineer
<br /> Iicensed by the;:State-of Florlda:
<br /> - If the fill materlai_is:to be used in Flood Zone,°A° in�connection with:a�permitted building using stem wall
<br /> construction, i certify that fill:wJll::b.e used only.to.fill the area within the stem.wall.
<br /> - If�fill matenial "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 is found to adversely.affect adJacerit�properties, the owner may be cited for viofating
<br /> the conditions of th�e buildtng:.permit issued under the attached permit applicatfon, for lots less than=one (1)
<br /> acre which are elevated by�flll, an engineered drainage plan Is requtred. , .
<br /> If I am the AGENT FOR THE OWNER, I;:promtse In good faith to inform the•ownerof�the permitting conditions set forth in
<br /> this affidavtt'prior to commencing constructiori. a understand thata=separate permtt may be requtred for elect�ical�work,
<br /> plumbing, signs, wells, pools, air conditioning,.gas, or othec insfallations not,spectftcally included in.the application. .A
<br /> permit issued shall be construed#o be�a Iicense�to.p�oceed with the work and not as�authority to.violate,cancel, alter, or
<br /> set aslde any provisions of the technical.codes; nor shall issuance�of a.permit.prevent th�Bulldirig Offictal from thereafter
<br /> requirin.g a correction nf errors in plans, coristniction or vlolatfons of any�codes. Every permit Issued shall become invalid
<br /> unless the work authorized.by such permlt:is-commenced�withfn sGc months of permit issuance, or if work authorized by
<br /> the permtt is suspended or.abandoned for a.:period of�§ix�(8)monffis.after the time the�work ts commenced. An extension
<br /> may be requested, in writing, ftom the Bullding.Officfal for a perfod-:not to exceed nlnety�(90) days and wilf demonstrate
<br /> justifiable cause for:the extension�. If work c�ases:for nlnety(90)consecutive day.s...th�job is conside�ed aba�doned.
<br /> WARNING TO OWIdER: YOUR FAILURE.TO..REC.ORD.A.NOTIGE:O�-COMMEMEEMENT:IIIFAY�RESULT IN YOUR
<br /> PAYING TWICE.FOR iMPROVEMEN.TS T0 YO.Utt PROPERTY: ;IF�.YO.0�INTE�D�'TQ OBTAIN�FIPFANCING,�CONSULT
<br /> - t�leTH VS�UR-��[+1D�[t.Alt-�1�ATT�1tf��1•l_��FfJR��RE�ORDING°�YAUR'�N�TIC�`OF���AIIAMENC�E1�lENT� -- -,
<br /> FLORIDA JURA�(F.S.1.17.03) . - — —_-- ---
<br /> OWNER OR AOENT . ~���"��^`/ CONTRACTOR �i��L �
<br /> Subscribed and swam to(or a(flrtned)before me lhis Subscrlbed'and'swom to(or aff(rtnedpbefore me tht�
<br /> by - ..
<br /> Who Is/are personally known to.me_or hasR�ave praduced Who:is/ p.ers naliy kndWn to "e or haslhave�produced ••
<br /> as IdenUflcatlon. - as IdenBflcaUon.
<br /> Notary Public . �f�- � Notary Public
<br /> �,• �:i•"e"' JACQU NE BOGES
<br /> Commisslon No. Commission� yr'G•.
<br /> _�r :.. o i
<br /> a:;.�;r= :;�: Expi�es December 12,2018
<br /> Name ot Notary typed,printed or stamped Name of Notary type ,p or `°r �"""` `
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