;
<br /> ��;
<br /> . .�,
<br /> , � ° NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> ' which may be more restrictive than County regulations. The undersigned assumes responsibility 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 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 violation
<br /> � under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> , intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, 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 application for which they will be responsible. 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 /> i' TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> il use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> II 90-07,as amended. The undersigned also understands, that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certficate 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 are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> '� CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> � certity that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> i other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> i, CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application 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 obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> , commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> �I construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 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 /> i my responsibility to identity what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> i Lands,Water/Wastewater Treatment.
<br /> ' - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses.
<br /> �' - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> � - US Environmental Protection Agency-Asbestos abatement.
<br /> '� - Federal Aviation Authority-Runways.
<br /> i I understand that the following restrictions apply to the use of fill:
<br /> I _ Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> If the fill material is to be used in Flood Zone "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 professional engineer
<br /> licensed by the State of Florida.
<br /> � - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> i construction,I certify that fill will be used only to fill the area within the stem wall.
<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 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 application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> , If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> � this a�davit 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 authority to violate,cancel,alter,or
<br /> � set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> i requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> i unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> � the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> I 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 YOU����QGO����i���
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONS�k Y'��Y••••••• �;�ii
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �\�.,•• �� �` '�= ��
<br /> � FLORIDA JURAT(F.S.117.03) = ��S,�P� � =
<br /> � � �
<br /> OWNER OR AGENT CONTRACTOR /h�"''a � _ � O�C��y s _
<br /> Subscribed and sworn to(or affirmed)before me this Su cri ed and s orn to or aff ed)before me this � _ �
<br /> i by 9 11 l by �AJ` L�� �_� � _ ��O'(P' �G ' `
<br /> � Who is/are personally known to me or has/have produced W is/ re personal� I�y kn�to me o�has/ha e produced � �a �V �
<br /> i as identification. as identification. �� Q� r• �
<br /> /s �, ,.f �
<br /> II Nolary Public `� Notary Public'''�''�����111��G`\````
<br /> II q
<br /> �I Commission No. Com i io No. �Y li��!
<br /> ;j ,��
<br /> ,I Name of Notary typed,printed or stamped Name of Nolary typed,p ted or stamped
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