� � ` e �
<br /> NOTtCE OF DEED RESTRtCTIONS: The undersigned understands that this permit may be subject to"deed"restriciions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictians.
<br /> UNUCENSED CONTRACTOt2S ANd CONTE2ACTOR RESPONSIBI�ITIES: If the owner has hired a caniractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor uiolation
<br /> under skate Iaw. If ttre owner or intended contractor are uncertain as to what Iicensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-84T-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have ihe contractor(s} sign
<br /> portions of the"contractor B1ock"of this application for which they will be respansible. if you,as the owner sign as the ,
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco �
<br /> County
<br /> 'ERANSPdRTATiON IMPACTlUTILITIES IMPACT AhtD RESOURGE R�CdVERY FEES: Tha undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-47,as amended. The undersigned also understands,fhat such fees,as may be due,witt be identified at the time of
<br /> permiiting. �t is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate af occupancy"or final power release. If the project does not invalve a certificate of occupancy or
<br /> finai power relesse,The fees musi be paid priar ta permit issuance. Furthermore, if Pasco County WaterlSewer Impacf
<br /> fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco Counry ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wark is$2,500.00 ar more,I
<br /> certify that i, ihe applicant, have been provided with a copy of the "Fiorida Constructian Lien Law—tiomeowner's
<br /> Protection Guide"prepared by the Ftorida Department of Agriculture and Consumer Affeirs. If the applicant is someone
<br /> other then the"awner', I certify that I have obtained a capy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CdNTRACTOR'S/OWNER'S AFFIDAVIT !certify that a!I the information in this application is accurate and thet all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Appiication is
<br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no wark or instailation has
<br /> commenced prior to issuance of a permit and that aII wark wiI( be perfarmed to meet standards of aII laws regutating
<br /> construction, County and City codes, zoning reguiations, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and thai it is
<br /> my responsibility ta identify what actians I must take fo be in campliance. Such agencies include but are not Iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management DisErict-Welts, Cypress Bayheads, Wetland Areas, Rltering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Naalth 8� Rehabilitative ServiceslEnviroomental Heatth Unit-We1Is, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - !f the fill material is to be used in Flaod Zone "A", it is understood (hat a drainage plan addressing a
<br /> "campensating volume"will be submitied at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - if the fiii materiai is to be used in Flood Zane "A" in cannection with a permit2ed building using stem wall
<br /> construction,I certify that fill will be used only to fill the area within the stem wali.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use af fil!is found to adversely affect adjacent properties,the owner may be cited tor violating
<br /> the conditions of the building permit issued under the aitached permit application, for Iots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> lf I am the AGENT FOR TNE pWNER,(promise in good faith to inform the ownar of the permitting candifions set forth in
<br /> this afftdavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<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 proceed with the work and not as auihority to violate,cancel,aiter,or
<br /> set aside any provisions of the tech�ical codes,nor shall issuance af a permit prevenT the Buildi�g d�cial fram thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commencad within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandaned far a period of six(6}months after the time the wark is comme�ced. An extensian
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO Q TAIN FINANCING,CONSULT
<br /> WITN YQUR LEN E2 dR ATTdRNEY BEFORE R�CORDING YdUR NOTlCE OF MMENCEMENT.
<br /> FLORIDA JURAT(F.S.'I .03)
<br /> r
<br /> OWNER QR AGENT CONTRACTOR
<br /> �c n7Sd e,d) �e €NSON � and sworn ta o ff�ir�e�d��before i
<br /> Who is/are ers nell know�:uas'sae��� Who is/a e pS�Csona. ` � '4er�re.ocJii�,a ��sc.—
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<br /> Co p9YS5ion No. x,t�.taSvu;ery5a•vxFl.wm Fior�mrNote So�v�cn.r,om
<br /> Commission No.
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<br /> Na�Natary typed,printed or stamped Nams oi Notary typed,prinied or stamped
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