i y ;_ _ —
<br /> N�TiCE OF DEED RESTRICTIONS: The underslgned under.�tands��th�t.this:p�rmif.may.be,subJect to"deed"restrlctlons" �
<br /> which may be�more�rest�icttve than County regulations: 'The undersigned assumes re'spDnsibility for compliance with any
<br /> appNcable deed restrictions. •
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has �hired a contractor or
<br /> contractors to undertake work, they may be requlred.to�be:l(censed In accordance.with state.and•Iocal regulations. If the
<br /> contractor ts not Ifcensed as required by law, both the owner and cont�actor may be cited for a misdemeanor violation �
<br /> under state law. If the owner or intended=contracto� are uncertain as to what Iicensing.requirements may appiy��for the
<br /> intended work, they are advised to contact the Pasco County Building.lnspectton Division—Llcensing Section at,727-847-
<br /> 8008. Furthermore, tf the�owner has hired a contractor or contractors� he is advisad to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for wrhich they wlil be responsible. if you� as.the owner sign as the ,�
<br /> contractor, that tnay be an Indication that he ts not.properly Ilcensed and is not entiNed to permftting privileges in Pasco �
<br /> County. - �
<br /> TRANSPOR�TATION IMPACTIUTILITIES IMPACT AND RESOUItCE RECOVERY FEES: The undersigned understands ,_
<br />� lhat Transportation Impact Feas and.Recourse-Recove.ry.Fees may�appiy�to:the consUuction of new buiid(ngs, change of
<br /> use in existing buildings, or.expansion�of`existi�ig'6uildings� as speclfled.in Pasco County O�dinance,number 89-07 and
<br /> 90-07, as amended. �he undersigned aiso wnderstands, that.such fees� as=may_be:dne,:wfll tie identifled at the time of
<br /> permilting. It Is further understood that Transportation Impact Fees and Resource Recovsry Fees must be pald prior to
<br /> receiving a°certificate of occupancy" or flnal power.-release. :I�the project�_does not involve a certificate of occupancy or
<br /> finai power release, ihe fees must be paid prior to permit tssuance. F�rthermore;-if Pasco County 1Nater/Sewer Impact
<br /> fees are due, they:must be�patd prior to permit�iss4ance-(n accordance with��applicable Pasco�County ordinances. '
<br /> CONSTRUCTION LIEtd LAW(Chapter 713� Flor�da Statutes�as amended�: If valuatlon of work Is$2,500.00 or more. I
<br /> certify that i� #he applicant, have�been prov(ded with a copy of the "Florida Construction�.Llen Law—Homeowne�'s
<br /> Protection Guide" prepared by the Florida Department of Agricuitnre and ConsumerAff�irs. If the applicant is someone �
<br /> other than the"owne�", 1 certify that I h�ve,obtained a copy;of.the above..descrl�ed�focument°and.p.romise in..good faith to
<br /> deliver it to the°owner"prior to�commencement. .
<br /> CONTRACTOR'S10WNER°S AFFIDAVIT: I certiiy that.all the Informatfon in thl.s appllcation is accurate.and that all work
<br /> will'be done in compliance with all.appl(cable laws regulating construction� zoning and.land devetopment. Application is
<br /> heeeby made to obtain .a.permit to do work and Installatlon as ind[cefed:�� `I ceKffy that no work or instailation has
<br /> commenced prior to Issuance of a permit and that.all work will be pertormed to meet standa�ds of ail laws �egulating-
<br /> constructton, County and City codes, zoning regulatio.ns, and land development cegulattons in the jurisd(ctlon. I also
<br /> certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility to ident(fy.what.actions 1 must take to be<in:.compllance: Such agencies Include but are.not Ilm(ted to:
<br /> - Department of Environmental Protectton-Cypress.Bayheads, Wetland Areas and Envlronmentaily Sensitive
<br /> Lands,WatedWastewater Treatment. ,,,
<br /> - Southwest Florida Water Management :DisUict-Wells, Cypress. Bayheads; Wetiand Areas. Altering
<br /> Watercourses.
<br /> - Army Corps of EngineersSeaw�lis, Docks. Navlgatile Waterways. _
<br /> - Department of Health� 8 ReMabllitative Serv(ces/Environmenfal Health Uhlt Wells� Wastewrater Treatment,
<br /> Septic Tanks. - - � _
<br /> - US Environmental Protection_/�gency-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 material (s to be used in �Flood Zone "A"� (t is understood that a drainage plan addressing a I
<br /> °compensating volume" will be submitted at#ime of pecmitting which Is prepared by a professional engineer �i
<br />� iicensed by the State of Florida:
<br /> - If ihe flli materiai is to be used in Flood Zone °A" (n>connec�ion�with:a pecmitted building using stem wall
<br /> constructfon, I certify that fiil:wJll:be used oniy.to.fill the area within�the�stem•waH.
<br /> - if fill material is to be used In any area,�I �certify that use of such flll will not adversely affect ad)acent
<br /> properties. If use:of flll ls fot�nd to adversely-�ffect adJaEent-praperties�_the owner may be clted for viorating �
<br /> the conditions of the building:permit issued•under the attached permit applicatlon, for lots less than one (1)
<br /> acre which are elevated�by fill;an engineersd drainage plan is requtred. . .
<br /> If i am the AGENT FOR THE OW�IER, I;.promise in good faith to inform the owner of the permitttng.condit(ons set forth In
<br /> this affidavtt`prlor to commencing const�ctlon.;�i �nderstand that a-separate permit may be requtred for electncal work,.
<br /> plumbing, sig�s, wetis� pools� air conditioNng,�,gas',--o� other install�tlons nok spec.fficaUy included-in:-the application. .A
<br /> permft 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 provistons of the technlcal codes;�nor shali issuance�of a.permit.prevent the Bulidirig O�ictal from thereafter
<br /> requiring a correctio�nf errors in plans, construction or vlolations of any codes: Every petmit Issued-shall become invalid
<br /> uniess the work authorized:by such permlt--is.commenced�wlthin six months of permit issuance, or iF work authorized by
<br /> the permtt is suspended or.abandoned for a perlod of�six{8)montf�s.aRer the#ime the�work��s commenced. An extenston -
<br /> may be requested, in writing, from the�Building.Offlclal for a perlod�not=to exceed-nlnety(90) days and wili demonstrate
<br /> justi�able cause for.�the extension: If work ceases for ninety(90)consecutive day.s,..the)ob�is:considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE-TO.REC.ORQ A-.NOTIGE:OF COMMENCEMEMT�MAY RESUlT IN YOUR �
<br /> PAYING TWICE FOR 1MPROVEMENT3�'O XOUtt PROPERTY. I�°YQU�IMTEND'�TO'OBTAIN•FII�FANEING;�CONSULT �
<br /> 1NITH YOUR END O AN ATTORNEI�8 FORE-RECO � G�YOU �� � �C �:OF� �' E EN
<br /> FLORIDA JURAT(F.S.-117:03) " , � _
<br /> OWNER OR AOENT - -- -- - --—-- - - -- —CONTRACTO � � / � .
<br /> Subscrlbed and swom to(or afflrmed)betore me this Subscribed and' m to(o rmed)�b te e fhi� • •
<br /> by . . .
<br /> Who Is/are personally known to.me or has/have produced Who Is/are pers elly •to me or has/have produced "
<br />_ ae Identlflcatlqn. as idenBflcaGon. �
<br /> c�
<br /> Notery Public . BC� ".--� Notary Publlc
<br /> Commisston No:"� Com s n� o,• '�'o��,, JACOU�LINE BOGE
<br /> ;;, - �;.� ommissi
<br /> = :;<; �x ires December 12,2018
<br /> Name of Notary typed,printed or stamped Name of Not ',,(�,° rin�A�d° �
<br /> - -- J
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