f � s
<br /> N07'10E OF DEED RESTRICTIONS: The undersigned under�tands�:that.thls;:p�emlt.may be.sub)ecE to"deed"restrictlons"
<br /> which may.be:more�-r.est�ictive-th�n C.ounty>reg�lations. �The�underslgned��ssumes-responsibility for compiiance with�any
<br /> appilcabl�deed restric4lons. - •
<br /> UNLICENSED CONTR�ICTORS .AND .CONTRACTOR RESPOtdSIBILITIES: -If�the owner has -hired a contractor or
<br /> contractors to undertake work, they may be;r.e.quired.,to::be;licensed In.accordance.with state.and�local.regulations. If the
<br /> contractor ts not.�l(censed as�required'�by law, both�4he owner and�contcaetor�=may be-clted�for a�misdemeanor violatlon
<br /> under state law. If the owner or intended contractor•:are;uncertain as to what Ilcensing.requirements,may�apply:fior the
<br /> intended work, they are advised to cont�ct the Pasco County Bullding In�pectton Divislo�t—Llcensing�Section at 727-847-
<br /> 800�. Furthermore, if the owmer has hired a contractor o� contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for whtch they wlll be responsible. If you, as.the ovime� sfgn as the
<br /> contrac@or, that inay be an indication fhat he is not�.properly licensed and is not entitled tb perrriitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION�IMPi4CTlU71LITIES��IMRAC't'-AI�b-I�ESOURC@ RECOlIERY FEES: �The undersigned understands
<br /> that Transportatfon Impact Fees.and.Recourse Recove.ry.Fees may>apply�to:the canstruction of new bulldings,,change of
<br /> use in existfng buildings; or-.expar�esion:•of�existin�g��6uil�ings, as spec(fl�d.in Pascv County Ordinance number 89-07 and
<br /> 90-07, as amended., The undecsigned also.;understands, that.such fees�:as�may be:due;,�wiil.be identified at the�-time of
<br /> permitting. It Is further understood that�'ra�sportation.Impac4 Fees and�Resource R�coverji�Fees.must be pald prior to
<br /> receiving a "certiflcate.of�occupancy" or flnal�.powerrelease. :If th� project does.not involve:a cer#ific�te of or.cupancy or
<br /> final power release;4he fees must�be paid prior to permit issuance. Fu�thermore;�if Pasco�County Water/Sewer Impact
<br /> fees are due, they�_must b�-paid prior to permit•Issuance=ln accordance with appllcable.Pasco�County ordinances.
<br /> CONSTRUCTION LIEN LAVN(Chapter 713� Florlda Statutes��s amended): If valuation of work Is$2,500.00.or more, i_
<br /> certify that I, �he applicant, have-been provided with a copy of the "Florida�-Constructlon� Lien Law=Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consum�r A.ffairs. If the appllcant is someone
<br /> other than the"owner", I certity that I have.obtainedr�copyr.of the above..described docu'ri�ent°and.p.r.orv�i.s�In,good faith to
<br /> deliver it to th�'owne�prior�to�cornrnencement:
<br /> CONTRACTOR'S101AINER'S AFPIDAVIT: I ce�ti[y.thatall the:lnf.ormation-in�thi.s applicatlon is accurate�nd that all work
<br /> will�be done in compliance with all applicable I�ws regulattng constructioro, zoning and�land�development. Applicatlon is
<br /> hereby made to obt�in .a peemit Co do work.�and installatlon as Indlcafed:�• I certify 4hat no work:or installatton has
<br /> commenced prior to Issuance of a perm(t and that.ail wrork �nrill be pertormed to meet standards of all laws regulating-
<br /> construction, County and City cod�s, zoning regulatians, and land development regulations�In the jurisdlction. I also
<br /> certify that I understand that the regul�tions of other government agencies may�apply to the intended work, and that it is
<br /> my responsibility to identify•what.act(ons I must t�ke:to be,in.corr�pliance: Suctr agencies include but-are.not Itmtted to:
<br /> - Department of Erlvironmental Protection'=Gypress. Bayhead�;�VVetl�nd Areas and Envtronmentaily Sensitive
<br /> Lands,WeterMlastewater Treatment.
<br /> - Southwest Florida Water Management .Distrlct-Wells, Cypress.'�Bay�e�ds; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engine�rs-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health � ReY�abllit�tive Services/Environmenta0 Mealth Unit-Well.s, Wastewater�Treatment,
<br /> �epttc Taeiks. -
<br /> - US Environmental Protection Agency-Asbestos abatem�nt.
<br /> - Federal Avlatton�Authortty-Runways.
<br /> I understand that the following;restNctlons apply to the use of flll:•
<br /> - Use of fill is not allow►ed in Flood Zone"V"unless expressly.permitted.
<br /> - If �he fill materiai is to be used. In �Flood Zone. "A°, It. is und�r�tood that a drainag� plan addressing a
<br /> "compensating volume" will be submitted at#ime of permitting whlch is prepared by a professional engineer
<br /> Iicensed by�he State-of florida.
<br /> - If the flll materlal Is to b� used In Flood Zone °A" (n�connec�lon�with:a permitted building using stem wall
<br /> � construction, I certify that fill:w111=b.e tased only.to.fill the area withln the stem•w�ll.
<br /> - If fill material Is to be used In any area, I �certlfy that .use. of such flll will not adversely affect adJacent
<br /> properties. If use of flll Is found to adversely.�fiect'�adJacent��prop�rties,.the owrner may be clted for violating
<br /> the condi�ions of the bailding;,permit Is�ued u�der the.att�ched permit application, for�:lots less than one (1)
<br /> acre which are elevated�by�flll, act engineer�ed drainage pian is required.
<br /> If I am the AGEPIT�OR THE OWtdER, I;:promise In good falth to fnform th��owrner of�#he permitting condftions set forth In
<br /> this affidavit�prtor to commencing construction. I understand that a�separate permit may be requlred for electrical work,
<br /> plumbing, signs, wells, pools; mir conditioning, .gas, or other installations root•spec�ically lncluded-in.the application. �A
<br /> permit issued shail be constru�d to be�a��Iicens�to�proceed with the work and not as:authority to.vlolate,�cancel, alter, or
<br /> s�4 asfde any provls(ons of the technical.codes;�nor shall Issuance�of a.perrv�lt.prevent Yhe Bulldirig Official from thereafter
<br /> requiring a correc4lon.nf errors in.plans; consfructlon or violations of any codes. �very permit issued shall become invalid
<br /> unless the work authorized.by such permlt:�s.commenced�withtn sfx monQhs of permit tssuanc�� or tf work authorized by
<br /> the permit is suspended or�bar�doned-for a:period of�six d8)�months..after the time the�work is commenced. An extension
<br /> may be requested, in writing, from the Building:Officlal for a period not to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause for.the extension. If work ceas�s:for nine�r(90)cons.ecutive:day.s�..the Job�is consfdered abandoned.
<br /> 7RIAR�ING TO �IIniN�R: YOUR.FAILt�RE T�..RE.C.ORQ;�1 MOTIGE:OF:COMIVfENCEMEIIFT:NPAY��RE�ULT IN YOUR
<br /> PAYING TWIC�FOR�IMPROVEMEN.TS�Y�-YAUt�:�.PR:OPER7Y. IF YO.UrIN��END�°T�;O�TAIN••FII�tA(�CING;�ONSULT
<br /> 1NI'TH YOUR L,ENDER�OR AI�ATYORNEY��fFOR��i�ECOR�NG�YOUR=NOTICE�°O�''�OMMENC�Ef1MENY:
<br /> FLORIDA JURA�(F.S.1.17.03) •• .. . ,
<br /> O�IIW�R CsR I10ENT��� I'�I 7' ��•1/?^ CONTR�ICTO�_ 'o y'!�. /` t�I_v�?�—
<br /> Subscribed and swom to Lor aHirmerl),�efore me this Subsaibed�nd'swom- (or fftrmedpbe re me thi�
<br /> - by --�C 7.oGr�r !�f ��1, ,� •by �_.��,� � fJ7_ '��i—
<br /> Who Islare personatry knovm to.me or haslhave produc�d ifUho ls/ere personall . own�to me or-has/have-produced •
<br /> as Identlflcatlon. as IdendRe��on.
<br /> Notery Publlc . - - r NoFary Publlc
<br /> Commisslon Plo: __ Cammis�lon No.
<br /> Name of Nc+�ery typed,printed ar stamped Neme of Molary typed,printed or stamped
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