NOTtG�OF DEED RESTRICTION3: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than Couniy reguiations. The undersigned assumes responsibility for corrtpEiance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED GQNTRACTORS AND CC)NTRACTOR RESPC}NStBILITtES: If the owner has hired a confractor ac
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. ff the
<br /> cantractor is nat licensed as required by (aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended cantractar are uncertain as to what (icensing requirements may apply far the
<br /> intended wark,they are advised to contact the Pasco County Building Inspection Division—Licensing 5ection at 727-847-
<br /> 80Q9. Furfhermoce, if the owner has hired a contra�tor or contractors, he is advised to have the contractor{s} s'sgn
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> con#ractar, that may be an indication that he is not properly iicensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REC(7VERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recaurse Recavery Fees may apply ta the construction of new buildings, change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-Q7, as amended. The undersigned also understands, that such fiees, as may be due, wil! be identifisd at the time of
<br /> permitting. (t is further understood that Transportation impact Fees and Resource Recovery �ees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the praject does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid priar to permit issuance. Furthermore, if Pasca County WaterlSewer Empact
<br /> fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco Gounty ardinances.
<br /> C�NSTRUGTION LIEIV �AW(Chapter 713, Florida Statutes,as amended): If valuation af work is$2,500.QQ or more, 1
<br /> certify that t, the applicant, have been provided with a copy of the "Florida Construction Lien L.aw—Homeowner's
<br /> Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. If the applicant is spmeone
<br /> other than the"awner", I certify that I have obtained a copy af the above described document and promise in gaad faifh ta
<br /> deliver it to the "owner"prior to commencement.
<br /> CON7RAC'T4R'S/AWNER'S AFFIDNVIT: 1 certify that alf the informatian in this application is accurate and that al!warlc
<br /> wiii be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit to do wark and installation as indicated. I certify that no work or installatian has
<br /> commenced prior to issuance af a permit and that all work wi11 be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that 1 understand that t3ie cegula#ions af other governrnen#agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not(imited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,UtlaterlUtlas#ewater Trea#ment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawatls, Docks, Navigable Waterways.
<br /> - Department af Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Aviatian Autharity-Runways.
<br /> I understand that the following resfrictions apply ta the use of fill:
<br /> - Use af fill is not allowed in Flood Zone "V"unless expressly permitted.
<br /> - if the fill materiai 'ss ta be usec3 in Flaod Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professianal engineer
<br /> licensed by the State af Flarida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify tha#fill will be used only to fill the area within the stem wall.
<br /> - If ftN material is ta be used in any area, 1 certify fhat use of such fill will not adverse(y affect acijacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit appEicatian, for lots less than one (1}
<br /> acre which are elevated by flll, an engineered drainage plan is required.
<br /> !f I am the AGENT FOR 7NE QWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit priar to commencing construcfion. I understand that a separate permit may be required for electrical wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to praceed with the work and nat as authority to vioEate, cancel, al#er, or
<br /> set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction ar violations of any codes. Every permit issued shall become invalid
<br /> un(ess fhe work authorized by such permit is commenced within six manfhs af permit issuance, ar if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the wark is commenced. An extension
<br /> may be requested, in writing, from the Building afficial for a period not ta exceed ninety {90} days and will demonstra#e
<br /> justifiable cause for the extension. If work ceases for ninety(90) consecutive days,the jab is cansidered abandoned.
<br /> WARNiNG TO OWiVER: YOUR FA►ILURE TO RECORD A NOTtCE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYICVG TWICE FOR IMPROVEMENTS TCI YOUR PROPERTY. IF YOU INTEND TO OBTAIN_FINANCING,-CONSUL-7 --
<br /> �..�_ _ 11UtTH YOUR-CENDER 4R A�]ATTCIRNEY BEFORE"RECORDING YOUR NOTICE QF COMME�CEIVIENT.
<br /> FLORIDA JURAT(F,S.117.03) l
<br /> QWNER Qi2 AGENT_ "� ;^'"""'��" CON3RAG30i2� `'""f ���G����:.�;—
<br /> Su scribed and sworn t r affirmed)before me this Suq�cn,'bed and swom o r affirmed) ef�qre me this
<br /> J/ 1 �� by .1F7�L� A6.¢,9MS ��/Ll�s� by MrcNAr�L Hocc.�r�J�aC�
<br /> Who is(are personaily known#o me ar haslhave produced Who istare persanaEly knawn to me ar hasthave produced
<br /> identification. "—"�"-' as identification.
<br /> ~��/ — — � �"'G.- Notary Public �'�"'"""" Natary Public
<br /> �—
<br /> Commission No Commissi No.
<br /> Name of Nofary fyped,printed or sfamped Name of Notary typed,prinfed or stamped
<br /> �
<br /> .�Y pi��; SPENCER KASS �4�Y Pjj�� SPENCER KASS
<br /> :�... ;��.
<br /> _,: ;: MY COMMISSION#FF 033074 • �"�` p�1Y COMMISSION ri FF 033074
<br /> �' EXPlflES:November 1,2Q17 =*� '"'
<br /> "':� '�•' aonaea rn�u�ota �,e��c unae�wr�ers :�.�P,= EXPIFIES:November 1 2017
<br /> +RP��F�` � ;;p��q,�• Bondecf 7hru Notary PubGc k7ndetwtnets
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