}
<br /> NOTICE OF D�ED R�STRICTIONS: The undersigned understands that this permit may be subject ta "deed" restrictions"
<br /> which may be more�restrictive than Gounty regu(ations. The undersigned a�sumes responsibiSity far compliance with any
<br /> appiicable deed restrictions. -
<br /> UNLICENSED CONTRACTORS AND GON7RACTOR RESPONSlBlLITlES: lf the owner has hired a contractor or
<br /> cantractors to undertake work, they may be required to be licensed.in accardance with state and local regulatians. If the
<br /> contractar is not licensed as required by.law, both the owner and cantractor may be cited for a misdemeanor violatian
<br /> under state 1aw. If the awner or intended cantractor are uncertain as to v,rhat licensing requirements may apply for the
<br /> intended work, they are advised ta contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contr�ctar(s) sign
<br /> partians_of the "contractar Block" af this app(ication for which they wi(1 be responsible. If you, as the awner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled�to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEE�: The undersigned understands
<br /> #hat Transportation Impact Fees-and F{ecourse Recovery Fees may apply ta the construction af new buildings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasca 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 af
<br /> permitting. It is further understood that Transportation Impact Fees and Resaurce Recovery Fees must be paid prior to
<br /> receiving a "cerkificate of accupancy" ar final power release. If the project does not invalve a certificate af occupancy ar
<br /> #inaE power release, #he fees must be paid prior to permit issuance. Furthermore, if Pasco Couniy WaterJSevuer fmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ardinances. ,
<br /> CONSTRUCTION LIEN LAW (Chap#er 713, Florida Statutes,as amended): If valuation of wark is$2,500.00 or more, 1
<br /> certiiy that (, the applicant, have been pravided with a capy of the "Florida Canstructian Lien Law—Homeowner's
<br /> Pratection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", 1 certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" priar to commencement. -
<br /> CONTRAGTOR'SlOWNER'S AFFIQAVlT; I certify that all the information in this application is accurate and that all work
<br /> will be dane in compliance with a(( applicable laws regulating construction, zaning'ar�d land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced priar to issuance af a permit and that all work wifE be performed to meet standards of all laws regulating
<br /> construction, County and City cades, zoning regulations, and land develapment regulations in the jurisdiction. I also
<br /> certify that 1 understand that the regulations of other gavernment agencies may appEy to the in#ended work, and that 9t is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agetioie5 include but are not limited to:
<br /> - Department of Environmental Protection-Gypress Bayheads, Wet4and Areas and Enviranmentally Sensitive
<br /> Lands,Water/N/astewater Treatment. `- - '
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. � " - .,
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.- •,
<br /> - DeparEment af Health & Rehabilitative Servicesl�nvironmentaf He`alth Uni�-Welfs, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U� Environmental Prc►tection Agency-Asbestas abatement. �
<br /> ' - Federal Aviatian Autharity-Runways:
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fil3 is not allowed in Ffaod Zane"V" unless expressly permitted.
<br /> - lf the fi(I material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating uolume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> (icenseci by the State of F(orida. �
<br /> - If the fill material is to be used in Flaod Zone "A" in connection with a permitted building using stem wall
<br /> ` constructian, 1 certify that fill will be used anly to fill the area within the stem wa11.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> � praperties. If use of fil! is found to adversely affect adjacent properties, the awner may be cited for violating
<br /> I the.canditions of the building permit issued under the attached permit app(ication, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If t am the AGENT Ft3R THE OWNER, 1 promise in good faith to inform the awner af the permitting canditians set fotth in
<br /> this affidavit prior to commencing constructian. I understand that a separate permit may be required for electrical work,
<br /> pltambirig, signs, vuelSs, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a (icense to proceed with the work and not as authority to violate, cancel,.alter, or
<br /> set aside any provisions of the.technical codes, nor shall issuance of a permit prevent the Building Officia!from thereafter
<br /> requiring a correction af errars in plans, construction or vialations of any codes. Every permit issued shall become invalid�
<br /> unless the worl< authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> the permit is suspended or abandaned for a period of six {6} months aiter the time the work is commenced, An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justi#iable cause for the extension. If work ceases far ninety (90) consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAIL.URE TO RECOR� A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FQR IMPROVEMENTS TO Y4UR PRCIPERTY. tF YOU INTEND T4 t)BTAIN.FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUH NOTICE OF COMMENCEMENT.
<br /> FLQRlDA JUl�AT(F.S. i 17.43j ' _ _ . •�_.< - - - -
<br /> OWNER OR AGENT / /1'"'� CONTRACTOR � /�""���
<br /> �Subs ibe and sw to or affirmed}before me this Subsari ed nd sworn io{ar affirmed}befare me this s
<br /> by � '�..'c:-ts��t`�,Gec.ut_/-►�'tn-� V1�������d#�by ��r e�► r_�ts��,ur1-.+���..,.. .
<br /> is/ re personally{<nown to rne or has/have'produced o s/a personally known to me or has/have produced
<br /> as identification, as identification.
<br /> ..������(:��' 1�{ ���s�t�fV'�,l Notary Pubiic � Notar}/Pu6lic
<br /> Commission No. Commission No.
<br /> N e Name o Nota t ped,printed or stamped
<br /> o,�aY Rt,sG Notary Pubtic State a4 Ftorida '�+"+�''�c'�,r�,+�,�r�,
<br /> � ; Gail M Danahue io aY��y� Notary Public State af Florida
<br /> �# � �y Cammission Ff 170A72 . G�fl M DOf��hue
<br /> 'eoFr�o$� �xp;res 11t4812018 q o4 My Gammission FF 170472
<br /> �opµ,'�� Expires 11/19/2018
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