: .
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.stands that this.permit.may be subject to°deed"+restrictions"
<br /> which may be more restrictive than County regulations. �The undersigned assumes responsibiltty 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 cvntractor may be cited for a misdemeanor violatfon
<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 Bullding Inspectlon D(vision—L•tcensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a cont`actor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this application for which they wlll be responsible. If you, as.#he owner sign as the
<br /> cont�actor, that may be an indication that he is not.properly licensed and is not entftled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPOItTATION IMPACTIUTILITIES IMPACT�ANb RESOURCE RECOVERY FEE�: The undersigned understands
<br /> that Transportation Impact Fees,and.Recourse Recovery Fees may apply to the construction of new buiidings, change of
<br /> use in existing buildings, or=expansion,of ezisting`buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 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 understaod that Transportation Impact Fses and Resource Recovery Fees must be paid prior to
<br /> receEving a "certiflcate of occupancy" or flnal powec release. :If the,projsct does not involve a certfficate of occupancy or
<br /> final power release, the fees must b� paid prior to p�rmit issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> fees are due, they�must be�pald prior to permit lssuance-In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter T73� Florlda Statutes,as amendec9): If valuation of work is$2,500.00 or more, I
<br /> certify that i, the applicant, have-bee� provided with a copy of the "Florida� Constructlon Lien Law—Homeowne�'s
<br /> Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the appiicant is someone
<br /> other than the"owner", I certify that I have�obtained a copy.of the above.described document°and promise in:good falth to
<br /> deliver it to the"owne�"prior to commencement:
<br /> CONTRACTOR'SIOWIdER'3 AFFIDAVIT: I ceitify that all the information in this application is accurate and that all work
<br /> will�be done in compliance with all applicabl� laws regulating constructlon, zonfng and land development. Application is
<br /> hereby made to obtain .a permit to do work and Installatlon as indlcated: 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 regulaking�
<br /> construction, County and City codes, zoning regulations, and land development regulations�tn the jurisdiction. I also
<br /> certify that I underst�nd that the regula�lons 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 be.in.compliance: S,uch agencies include but are not limited to:
<br /> - Department of Environmental Protect(on-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,lNater/Wastewater Treatment. •
<br /> - Southwest Florida Water Management District Wells, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative ServiceslEnvironmenfal Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatlon Authority-Runways.
<br /> I understand that the following:rastrictions apply to the use of flll:�
<br /> - Use of fill is not aliowed in Flood Zone"V"unless expressly permltted.
<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 submttted at time of permitting which is prepared by a professional engfneer
<br /> Iicensed by the State of Florida.
<br /> - If the fill material is to be used in Flood �one �A" in�connec�ion�with a petmitted building using stem wall
<br /> � construction, i certify that fill�:will:be used only to.flll the area wlthin the stem wall.
<br /> - If flil 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 flll, an engtneered dralnage plan Is required.
<br /> If I am the AGENT FOR THE OWNER, I,�{�romise in good fa(th to inform the owner of the permitting condittons set forth in
<br /> this affidavit prior to commenctng construction. I understand that a-separate permft may be requtred for elecMcal work,
<br /> plumbing, signs, weils, pools; air condttioning, gas, or other installations not specifically included-in.the application. .A
<br /> permit issued shall be constcued 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 techn(cal codes; nor shall issuance of a permit.prevent the Bulidirig Official ftom thereafter
<br /> requiring a correction�afi enors In.plans, construction or violatlons of any codes. Every permit Issued shall become invalid
<br /> unless the work auihorized by such permlt�is-commenced�within sfx 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(s commenced. An extension
<br /> may be requested, in writing, f�om the.Building.Officfal for a perlod not to.exceed ninety(90) days and will demonstrate
<br /> justifiable cause for.the extensior�. If work ceases,for ninety(90)cons.ecutive days,..the job,is considered.abandoned. _ —
<br /> WARNING TO OWNER: Y�UR.FAILURE•TO,RECORD A NOTIGE:OF COMMENCEMENT MAY RESULT IN YOUR
<br /> _PAYING TWICE.FOR_IMPROVEMENTS TO YOUR PROPERTY. IF YOU+INTEND�`TO OBTAIN FII�FANCING;'CONSULT_
<br /> WITH YOUR LENDER OR AN A'TTORNEY BEFORE-RECOR�DING�YOUR NOTICE`OF COMIVIENCEMENT:
<br /> FLORIDA JURAT(F.S.1.17.03)
<br /> OWNER OR AOENT ' ' CONTRACTO
<br /> Subscrlbed and swo o affl►med)before me this Subscribed a d s - (or a rmed)�before me this I
<br /> by D-L�-
<br /> Who is/are personally knovm to.me or has/have produced Who Is e personally kno to me or has/F�ave produced� �
<br /> as IdenUflcatlon. _ as identlftcation.
<br /> Notary Public . ��� Nofary Publtc
<br /> Commisslon No. Com (a n �
<br /> :��' �°'•: Cninmissi�n�FF 150422
<br /> 7ir. .M.
<br /> Name of Notary typed,printed or stamped Name of Not , d;.�Tl `�
<br /> '•„P��,� Bondod Thr�Troy a�n Ineurenea B�D•�85•7019
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