il
<br /> NOTtCE OF C�ElD RESTRfCT1aNS: The undersigned understands that th'ss permit may be subject to"deed'restrictions"
<br /> which may be inore restrictive than Caunty regulatians. The undersigned assumes responsibility for comptiance with any
<br /> appficable deed restrictions.
<br /> UNLICENSED'�GONTRACTOFLS AND CONTRACTOR RESPQNSIBILITIES: If the owner has hired a cont�actor ar
<br /> confractars to undertake work,they may be required#o be Itcensed In accordance with state and lncal regulattons. tf fhe
<br /> contractor is nok Ilcensed as required by law, both the owner and contracto�may be cited for a misdemeanor violation
<br /> under state lay�v. lf the owner or intended contractor are uncertain as to what licensing requlrements may apply for the
<br /> 'sntended work,,�they are advised to contac#the Pasco County Buitding Inspectlon Division—licensing Sectlon at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contraotor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this applfcation for which they will be responsible. If you,as the owner sfgn as the
<br /> contracfor,fha may be an Incficaf'son that he Is not properiy Ilcensed and is nat enti�ed fo permitfing privileges in Pasca
<br /> County. !
<br /> TRANSPORYATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> fhat Transpostation Impacf Fees and Racourse Recovery Fees may agply ta the consfruction of new bt�ildings,change af
<br /> use in existingi buildings, or expansion of existing 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 identrfied at the time of
<br /> permltting. It�s further undersfood fhat Traasporfatian Impact Fees and Resoarce Recavery Fees must be paid pnor fo
<br /> receiving a'c�rtificate af occupancy"or flnal power retease. ff#he project does not involve a certificate ofi occupancy or
<br /> final power release,the fees must be paid prfor to permit issuance. Furthermore, ff Pasco Caunty WatedSewer Impact
<br /> fees a�e due,f}�ey must be paid prior ta permit lssuance in accordar�ce wifh applica6Se Pasco County ordinances.
<br /> CONS7RUC71QN LtEN LAW(Chapter 713,Flarlda Statutes,as amended): if valuation of work is$2,500.OU or more,t
<br /> certify that I, the applicant, have been provlded with a copy of the °Florlda Consdvction Lien Law—Hameowner's
<br /> j Protec#lan 6u de"prepared by the Flotlda Department af Ag�iculture and Consumer Affairs. tf the applicant Is someane
<br /> ofher tfian the'°owner",i cerfify fhaf t have obt�ined a copy of the above described dacumenf and promise in good faith to
<br /> deliver It to the"owner"pHor to commencement.
<br /> CONTRACTOI2'SlOWMER'S AP�IDAVtT: !cettlfy that a11 fhe lnionnation in fhls apgticatian is accusate and that a!1 work
<br /> wifl be done iri compifiance with all app(icabte laws regutating consfrucfion,zoning and land developrrtent. Application is
<br /> hereby madeilto obtaln a permit to do work and installation as indicated. I certify that no work or instailation has
<br /> comme�ced �{rior to Issuance of a permit and that a(!wark wiii be performed to meet standards of aii laws�egu(ating
<br /> constntcfion,�Couniy and Cify codes, zoning reguta6otts, and land development regutafions in fhe;urisdicfion. 1 alsa
<br /> certify that I u derstand that the regula#ions of otfier govemment agencies may apply to the intended work,and that it is
<br /> my responslbi ity to identEfy what actions I must take to be In comp4iance. Such agencies Pnciude but are nak limited ta:
<br /> - D�epartment of Environmentat Frotection-Cypress Bayheads, Wefland Areas and Environmenfatiy Sensitive
<br /> L nds,WateNWastewater Treatment. '
<br /> - S� uthwest Ftorida Water Management Dlstrict-Wells, Cypress Bayheads, WeUand Areas, Alter(ng
<br /> atercaurses.
<br /> - A�rny Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - D�epartment of Heatth & Rehabl!(tative SeMceslEnvironmenta! Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U�S Environmental ProtecUon Agency-Asbestos abakement.
<br /> Federal Aviation Authority-Runways.
<br /> t understand�haf fhe fotlawing resfdctEons apply fo#he use a#fitl:�
<br /> �se of fill is not allowed in Flood Zane'V"unless expressly permifted.
<br />, - !'the flil materlal is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> °�ompensafing uolume"wttl bs submitted at fime of persnifting which is prepared by a professionel engineer
<br /> licensed by the State of Florida.
<br /> - !�th�fill rnateria! ts to be used in Flood Zone°A" in connection with a permitted building using stem wall
<br /> cansfrucfion,!certify that t111 wlll be used octly ta fitt the area withln the sfern wait.
<br /> - I�ftll material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> propertiss. If use of fill is found to adversely affect adjacent properties,the owner may be cited far violating
<br /> �e canditions at'the buiiding permit Issued under fhe attached permif agpticatian,for Eots tess than one('i}
<br /> `cre which are elevated by flll,an engineered drainage plan is required.
<br />, If I am the AGENT FQR THE OWNER,I promise in gaod faith to inform the owner of the permitting canditions set forth in
<br /> this affidavtt�rior ta commencing construction. 1 understand that a saparate perrn3t may be required for electricaf work,
<br /> piumbing, signs,wells, pools, air condltioning, gas, or other instatlations not specificaily included in the appticafion. A
<br /> permlt issue8 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 provlsions of the fechnical codes,nor shaEt Issuance of a permlt prevent the Bulidirig Ofticlai frorn thereafter
<br /> requiring a c�rrection of errors in ptans,construction or violations of any codes. Every permit issued shall become invatid
<br /> unless the work authorized by such permit is commenced wilhin six months of permit Issuance,or ff work authorized by
<br /> the permif is�suspended or abandoned for a period of s3x{6}months after the tlme the work 9s commenced. An extension
<br /> may be req ested, in writing,from the Building Offiiciat for a period no#ta exceed n3naty(90)days an3 wif!demonsfrate
<br /> �
<br /> justifiable ca�se for the extension. if work ceeses for ninety(90)consecutive days,the Job is cnnsidered abandaned.
<br /> WARNWG T�O OWNER: YQUR FAtLURE TO REGORD A NOTlCE OF COMMENGEMENT MAY RESt3I.T IN YQUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PP20PERTY. IF YOU IN7END TO OBTAIN FINANCING,CONSULT
<br /> WITt[YQllE�LENDER QR AN A'EFORNEY BEF4RE�2ECORDING YOUR NOTICE OF CQMMENCEMEMT.
<br /> FLORiDAJURiT(F:5.1S7.03) � �
<br /> OVYNER QR AGENT CONTRACTOR �
<br /> Suhsalbed an sarom ta(ar ai�rmed)bsfore me thts Sub albed a Ed re r'`
<br /> � !!/"' b�b+�.
<br /> Who Islare personalry knovm to me or haslhave produced WFy,.�$�are p� an Ily fmown ��r h�Ihave produced
<br /> �I asidentlflcadon. �"� ���/V �sidendfica6on.
<br /> I� ___� �Notary Public
<br /> Notary Pubiic
<br /> Commissfon No. Commtssfan No.
<br /> i� .,w..�..a�ex�zrair.E++w
<br /> Hame ot Nofa iyped,pdnted ar sffimped �hfame of Notary typed;prl .,
<br /> , ,�'�� ,;: ornmission#GG 045343
<br /> �'. ,�:oT:Expires November 7,2020
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