i
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.�tands that this,permif.may.be.subJect to"deed" restrictions"
<br /> which may be:more.[est�ictive:than County reguletfons. �7he undersigned assumes responsibillty for compliance with any
<br /> applicable deed restrictions. -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be requfred�to�be:licensed In accordance.with state.and•local regulatlons. If the
<br /> contractor is not Ilcensed as requlred-by law, both the owner and conUactor may be ctted for a miedemeanor violation
<br /> under state Iaw. If the owner or intended contractor are uncertain as to what Ilcensing.requlrements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Sectton at 727-847-
<br /> 8009. Funhermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this applicatfon for which they will be responsible. If you, as.the owner stgn as the
<br /> contractor, that�may be an indication that he Is not.properly Ucensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPAC7 AND RESOURCE RECOVERY FEE3: The undersigned understands
<br />—Q�at Tr�r►s�o�fetio�-Impaci Fees�nd-Recourse-Recove.ry=�ees-m�y,��apply�to 4h�cor�struc�Ior-of-nevirtiulldtngs,:change of" - - -
<br /> use in existing buildings, or.expansion-of��existin�g",buildings, as speclfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees,.as,tnay�be�due,,wfll.be identified at the time of
<br /> permitting. It is further unde�stood that Transportatlon Impact Fees an.d Resource Recovery Fees must be pald prior to
<br /> receiving a "certi�cate of occupancy" or�inal.powec release. :1�the project.does not involve a certiflcate of occupancy or
<br /> final power release, the,fees must be paid prior to permit issuance. Furthermore� if:Pasco County Water/Sewer Impact
<br /> fees a�e due, they�must be�pald prfor to permit-Issuance-in accordance with�applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter T13� Florlda Statutes,a�amended): If valuation 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 Lien_Law—Homeowner's
<br /> Protection Gu(de" prepared by the Florida Department�of Agric.ulture and ConsumerAffairs. If the appl(cant is someone
<br /> other than the"owner", I certify that I h�ve.obtained a copy;of:the abave..described document�and.promise ln,good faith to
<br /> deliver it to the°owne�"prior to•commencement: '
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify ttiat all the Information.in�this applicatlon is accurate and that all work
<br /> will�be done in compliance with all.applicable laws regulating construction, zoning and�land development. Application is
<br /> hereby made to obta(n .a permit to do work.and Installatlon as indicated.- 'I certify that no work or installation has
<br /> commenced prior to fssuance of a permit and that.all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulatlo.ns, and land development regulatlons�in the jurlsdtction. I also
<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 besln:.corr�pliance: Such agencies include but are..not Ilmited to:
<br /> - Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Envlronmentally Sensittve
<br /> l.ands, WatedWastewater Treatment.
<br /> - Southwest Flor�da Water Management .District Wells, Cypress. Bay.heads�, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navtgable Waterways.
<br /> - Department of Health & Rehabifltative Serv(ces/Environmental Health Unit Weli.s, Wastewater Treatment,
<br /> Septic Tanks. � .
<br /> - US Environmental Protection Agency-Asbestos abatement. -
<br /> - Federal Aviation Aulhority-Runways.
<br /> I understand that the following,restrictions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
<br /> - If the fill materlal is to be used in Flood Zone. "A°, it. (s understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting whlch (s prepared by a professional engineer
<br /> ilcensed by the State of Flor(da:
<br /> - If the fill material is to be used in Flood Zone °A° in�connection�with.a permitted buflding using stem wall
<br /> construction, I certify that fill:wlll::be used only.to.fill the area withtn the�stem�wall.
<br /> - If flll material is�to be used in any area, I certify tfiat .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flll is found to adversely_:�ffect adJaeent�propertie5,.the owner may be clted for violating
<br /> the conditions of the building,permit issued under the attached�ermit application, for lots less 1han.one (1)
<br /> acre which are elevated�by flll, a�t engineered drainage plan Is required. •
<br /> If I am the AGENT FOR TNE OWNER, I;promise in good faith to inform the owner of•the permitting conditions set.forth in
<br /> this affidavit�prior to commencing construction. I understand that a:separate permit may be required for elecMcal work,
<br /> piumbing, signs, wells, pools, air conditioning,.gas, or other install�tions noE speclflcally included�in.the application. �A
<br /> permit issued""shall be constcued to be a'�Ifcense to p�oceed with ttie work and not as�authority to,violate,�cancel, alter, or
<br /> set aside any provisions of the techn(cal codes; nor shall issuance�of a.permit.prevent the Bulldirig Offic(al from thereafter
<br /> requiring a correctton nf errors in.plans, con§truction or vlolatlons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such permit.•is-commenced•wtthfn sfx months.of permit issuance, or if work authorized by
<br /> the pe�mlt is suspended or.abandoned for a:perfod of�six-(8)months'.after the time the�work ts commenced. An extension
<br /> may be requested, in writing; f�om the Building.Offlc(al for a per(od�not to.exceed nlnety�(90) days and will demonstrate
<br /> justifiable cause for.the extension�. If work ceases for ninety(90)cons.�cutive:day.s,..th�job is considered aba�doned.
<br /> WARNING-TO OWNER: YOUR.FAILURE_�TO.,REC:ORD A..NOTIGE OF•COMMEMCEMEMT.MAY RESULT IN YOUR
<br /> PAYING TWICE.FOR IMPROVEMEPITS TO..XO.UR�_P..ROPERTY.�IF�YOU�IN�END�TO'OBTAIN��FINFANCING;'CONSULT
<br /> WIT Y UR D O AN�A7TORNEY� ORE.R CQR� G:' �U ' E CE EN ' .
<br /> FLORIDA JURA�(F.S.1.17 3) _ � .
<br /> OWNER OR AOENT - � � CONTRACTOR dn'�-'�
<br /> Subscribed and swom ta{or afHrmed)before me this Subscribed and's m=to(or afflrmedpbefore me ffiis
<br /> by ,by ,. _
<br /> Who Islare personally known to.me or has�aye produced Who:ls/are personallyknoxm�to me.or has/have produced. •
<br /> as Identlflcatlon. as IdendflpUon.
<br /> Notery Public . Nofary Publlc
<br /> Commisslon No. Commisslon�No.
<br /> Name ot Notary typed,printed or stamped Name of Notery typed,printed or stamped .
<br /> �
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