� r�
<br /> NOT�CE OF DEED RESTRiCTIONS. The undersigned understands that this permit may be subject to"deed"restnctions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> appiicabte deed restrictioqs.
<br /> UNLtCEF1SED CONTRACTORS At�D CONTRACTOFt RESPONSIBIL,ITIES: If the owner k�as hired a contractor ar
<br /> contractors to undertake Work,they may be required to be licensed in accordance with state and local regulations. !f the
<br /> contractar is naE licensed as required�y►aw,boEh the oWna.r and contractar may be oited for a misderneanor violafipn
<br /> under state{aw. If the awner or intended con'tractor are uncertain as to what licensing reguirements may apply for the
<br /> intended work,ihey are advised to contact the Fasca County Building Inspection Division—Licensing Section at 727-847-
<br /> 8Q49. Furthermore, if the owner has hired a contrackor dr eontractors, he ts advised to have the contractor{s) sign
<br /> portions of the"contracfor Biock"of ihis appiication far which they will be responsible. If you,as the awner sign as the
<br /> contractor, that may be an indication that he is not properly Iicensed and is nof entitled to permitting privilegas in Pasco
<br /> County.
<br /> TRANSPORTAfiION IMPACTlUTILI7IES fMPAGT AND RESOURCE RECOVERY FEES: Tha undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to tha construction af new huildings,change of
<br /> usa in existing buildings,or expanslan of existing buildings,as speclfisd in Pasco County Ordlnance number 89-47 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be clue,will be idenkified at the time of
<br /> permitting. It is furlher understood that Transportatian Impact Fees and Resource Recovery Fees must be paid prfor to
<br /> receiving a"certificate of occupancy"or finai power release. if the project daes not involve a certificate of occupancy or j
<br /> ftnal pawer retease,the fees musf be patd prior to permit issuance. Furthermore,'tf Pasco CouMy WatedSewer impact
<br /> fees are due,they must be paid prior to permit issuance In accrardance with applicable Pasco County ardinances:
<br /> CONSTRUC710N LlEN k�AW(ChapteP 713,Flortda 3tatutes,as amended): if valuatfon af work is$2,5p0.00 or more,i
<br /> ce�tify ttiat t, the applicant, have been provided with a:�cap��of:tt�e "Fiorida Construction Lien Law—Fiameowner's
<br /> ProtecUon Guide"prepared by the Flarida Dspartment of Agrioulture and Consumer Affairs. If fhe appl(cant is someone
<br /> othe�than the"ownet",I certify that 1 hava obtained a copy of the above d�scribed dooument and pramise in good faith to
<br />, deliver it ta fhe"owner"prlar to commencement.
<br /> CONTRACTOR'$IOWNER'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 1s
<br /> hereby made ta obtain a pe�miE to do wark and Installatian as indicated. 1 certify tfiat no work or Instaltatian has
<br /> commenced prior ta issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />• certify that i unde�stand fh@t the regula#ions of ofFier go�emmenE agencies may$pply to the intended wark,and that it is
<br /> my responsibility to identify What actjons I must take to be in compiiance. Such'agencies include but are not limited to:
<br />'I - Department of Environm@ntal Rrotection-Cypress Bayheads, y�jetlend Areas and Enyironmentally Sensitlye
<br /> Lancis,Y+tateriWasfewater Trea#ment
<br />� - Southwsst Fforida 1Nater Man�gement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />' Watercourses.
<br /> - Army Corps of Engineers-Seawaf{s,Docks,Navigable Waterways.
<br /> . Department of Health & Rehabiiitative ServiceslEnvironmental Heaith Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - i.1S EnVironrnenta{Peotecflon Agency-Asbestas abatement.
<br /> - Federal Aviation Authori�y-Runways..
<br /> I understand that the following restdcUons apply to the usa of flll:
<br /> " - Use of fili is'nat a!lowed ln�looc!Zone"V"unless expressly permittad.
<br /> - If the fiil materiai is to�be used in.flood Zone "A", it is understood that a drafnage p�an addressing a
<br /> "compensaling volume"wfll be submitted at time of permitting which is prepared by a profeseional engineer
<br /> ticensed by 4he State of Flonda.
<br /> - If the filt mafer'tal is fo be usad in Ftood Zone"A"in connac6an with a permitted building using stem wall
<br /> constructlon,I certify that fill will be used anly to fill the area.within the stem wall.
<br /> - � !f fill malerfal Is to be used in any area, i cerkiiy that usa of such fil! witi not adversely atfect adjacent
<br /> ( prope�ties. If use a#fiit is faund ta adversely affact adjacent propertles,tha owner may'be citad for viotating �
<br /> the conditions of the bullding permit issued under the attached parmit application,for lots less than one(1)
<br /> acra which are elevated by fill,an engineered drainage plan Is requ{red.
<br /> tf i am fhe AGENT F4R THE t}WNEE2,1 prgmise in gaod faiih to lnform the qwner of the permltting conditians sef forth in I
<br /> this affidavik prior ko commencing c�anstrucUan. I understand that a separate permit may be required for electrical work, I
<br /> plumbing, signs,wells, pools, air condiiioning,gas,or okher Installatlons not specifica!!y included in Ihe,application. A I
<br /> permit Issued shall be construed ta be a license Eo praceed with the work and nat as authority ta violate,cancet,alter,ar
<br /> set aside any provisions of the technical codes,nor shall issuance oP a permit prevent the Building�Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid {
<br /> unless the worit aufharized by such permit Is commenced wifhin six manfhs of permit issuance,or if work authorized by
<br /> the permit is suspended,or�bandoned for a period of six(6)months after the time(he work is commenced, An extension
<br /> may be requested, in writing,from the Building Official for a period nat to exceed nlnety(90)days and will demonstrate I,
<br /> � justifisbfs cause for the extension. if wark ceases far ninety(90}cansecufiye days,the joh is cansidered abandoned.
<br /> I
<br /> WARNIN�.�TQ OWN�R: YOU AILUR�TO REGORD A NOTICE OF CQMMENCEMENT MAY RESU4.T IN YQUR
<br /> PAYING TWiGE FQR iN]PR M NTS TO YQU�f?ROPEf2T1', iF YOU 1NTEN � BTAlN Fft�ANCI�iG,CONSULT
<br /> W YOU LENDEi2 O A NE EFO E RECOFtD1NG OUR O MENCE ENT.
<br /> FCORIDAdURAT(F:S:"1`17:ll ' -- --. -__.,_.. ............ ...... ._........,.__..,_._.�.-._.;..... .._.
<br /> OWNE3t OR ACsEt@T s GONTRI�GTQR •
<br /> Subscrihed and swom to(ora�rm j be%re ine this' Su cr ed a d swom ta umed}be(ore me this '
<br /> -�v J�:�
<br /> Who islare par nally k n to ma r haslhava prod'uced Who isiare pg.onaity kq n e or haslhave produced �
<br /> as idanfificatian. l„_,��._...�,,._as tder�tiBcaGon. , I
<br /> l -a / /
<br /> r� ( /�(/�
<br /> `�- Notary Publlc ��^�-C3"�' Natary Pu68c `
<br /> C Ission Comm .ion No,, �
<br /> 'Name of Nolary iyped,prinied or slamped Npms of N aS ������jnY
<br /> �*: �;�: Commission#�F 150422 '
<br /> :� :ok� �xplres December 12,2018
<br /> �'%;q���°`��, 9ondod Thrd Tfay F�ln Ineurence BU0�385•7019
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