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 CQNTRACTORS 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 regu�lations. 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 Sectic�n at 727-847-
<br />' 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conl;ractor(s) sign
<br /> portions of the "contractor Block" of this application fior which they will be responsible. If you, �s the own��r sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privile�ges 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, chan e of
<br /> 9
<br /> use in existing 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 identified_at the time of
<br /> permitting. It is further understood that Transportation Impact Fee§ and Resource Recovery Fees must be paid prior 40
<br />, receiving a °certificate of occupancy° or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateN3ewer Impact
<br /> �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinarice's.
<br /> CONSTRUCTION,LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more,, I �
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—IHomeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture dnd Consumer Affairs. If the applicarit is someone
<br /> other than the°owner", I certify that I have obtained a copy of the above described document and promise irv good fiaith to
<br /> deliver it to the"owner�prior to commencement. •
<br /> CONTRACTOR'S/OWNER'S AFFiDAVIT: I certify that all the information in this application. is accurate ancl that all work
<br /> will be done in compliance with all applicable laws regulating constru�tion, 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 in:�tallation has
<br /> commenced prior to issuance of a permit and that all work will be pertvrmed 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 understand that the�regulations 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. Such agencies include but are not�imited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environment;ally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Wate� Managemsnt District-Wells, Cypress Bayheads; Wetland Are�as, Altering
<br /> Watercourses: �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watennrays.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewate�r Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. ,
<br /> I undersfand that the following restrictions apply to the use of fill:�
<br /> I - �Use of.fill is not allowed in Flood Zone"V"unless expressly permit�ted. _
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan ��ddressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professicmal 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 usi�ng stem wall
<br /> 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 afi`ect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be citecl for violating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elev�ted by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform�th�e owner of fihe permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elE;ctrical 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 p�ovisions of the technical codes, nor shall issuance of a permi#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 work au4horized by such permit is commenced within six months of permit issuance, or if work��uthorized by
<br /> the permit is-suspended_or--abandaned_for_a-period of six(6) months after_the_time_the_w.or.kis_commenced._.An_extension _ ___ _ __
<br /> may be requested, in writing, from the Building �Official for a period not to exceed ninety (9p) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)cansecutive days, th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C�MMENCEflfIENT IVIAY FtESUI_T IPI YOUI�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOEJIR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINC;, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N�TICE OF COMMENGEMENT,_ •
<br /> FLORIDA JURAT(F.S. 17.03) ____
<br /> _ ,t. .Y�j � - . �.f�°,�.�'L".G :jF.`,h�f':`o`:i�t•.?'riti��F+':�i7`; - ..
<br /> �. l� _.;_��..x::,,;::-: � � Y��==�._;,�:
<br /> OWNER•tiQR�AGENT'.:�:J�'.z' 1 -��-`'' •..'~.;,,--��GON7`RACTOR�>�;-'' _ -_
<br /> ,: _y� y,�..� -
<br /> S b��Iti d and swq��t,o,,(or ' rr� d�)betore this Su and swo o a e befor e
<br /> �� ol t� 1�D by IT�K:I l�Q�/WL?�� _ � �� �� by � —
<br /> o Is/are personally k wm to me or as/have produced Who Is/are personally kn to me or h /have produced
<br /> as idendfication. ` as identiflcation.
<br /> o "� Notary Public
<br /> COffIffllSS Of1 NO. ��°� Natary Public State of Florida Commisslon o.
<br /> ;� . Tammy er a ero :, e� ry u �c a e o on a
<br /> 4 < My Commission FF 184019 . Tammy Verdadero
<br /> Name 6f Notary ty d, d o Name of Notary typed,print of� edExplres 12/16/2018
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