NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
<br /> Which may be more restrictive th8n County regulations. The unriersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS 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 regulations. It the
<br /> contractor is not licensed as required by law, both the owner and conVactor may be cited for a misdemeanor violadon
<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 Section at 727-847- ,
<br /> 8009. Furthermore, 'rf the owner has hlred a contractor or wntractors, he is advised to have the contractor(s) sign
<br /> porfions of the"contractor Blocl�'of this application for which they will be responsible. If you,as the ovmer sign as the
<br /> conVactor,that mey be an indiption that he is not propedy licensed and is not entiUed to permitting priviteges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportadon Impact Fees and Recourse Recrovery Fees may apply to ihe construclion of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance num6er 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 /> permitbng. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> recei�ing e"certificate of occupancy'°or final power release. It the projeck does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permft issuance. Furthemiore,if Pasco County Water/Sewer Impact
<br /> fees are due,ihey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,-1
<br /> certify that I, the applipnt, have been provided with a copy of the "Florida Construction Lien Law—Homeowne�s
<br /> Protection Guide°prepared by the Florida Departrnent of Agriculture and Consumer Affairs. If the applipnt is someone
<br /> other than the"owner',I certiTy that 1 have abtained a copy of the above descnbed document and promise in good faith to
<br /> deliver it to the"owne�'P�m to commencement
<br /> CONTRACTOR'S/OdYNER'S AFFIDAVIT: 1 certify that all the irtortnation in this applicaGon is accurate and that all woric
<br /> will be done in compliance with all appticable laws regu{ating construction,zoning and land developmenL ApplicaGon is
<br /> hereby made to obtain a pertnit to do waic and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all.work will be performed to meet standards of all laws regulating '
<br /> consWction, County and City codes,zoning regulations, and tand development regulations in the jutisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply io the intended wortc,and that it is
<br /> my responsibility to identify what adions I must take to be in campliance. Such agenaes include but are not limited to:
<br /> - Department of Emironmerrtal Protection-G�rpress Bayheads,WeUand Areas and Environmentally Sensitive
<br /> Lands,Water/VUastewater Treatment
<br /> - Southwest Florida Water Managemerrt District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineers�eawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit Wells,^Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement
<br /> - Federal Aviation Authority-Rumvays.
<br /> t understand that the following restrictlons apply to the use of fill:
<br /> - Use af fitl is not allowed in Flood Zone"V°unless expressfy pertnitted.
<br /> - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume"will 6e submitted at time of pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florlda.
<br /> - If the fill material is to be used in Flood Zone"A in connection with a pertnitted building using stem wall ,
<br /> construction,l certrfy that fill witl be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, 1 ce�tify that use of such fill will not adversely affect adjacetrt
<br /> properties. If use oi fill is found to adversely aftect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building pertnit issued under the attached pertnit epplication,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainaga plan is required.
<br /> If 1 am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the pertnitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required far electricat work,
<br /> ptumbing,signs,wells,pools,air conditioning,gas,or other installations not specifically included in the applipdon. 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 I
<br /> set aside any provisiops of the technical codes,nor shall issuance of a pertnit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction orviolations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
<br /> the pertnit is suspended o�abandoned for a period of six(6)months after the tlme the work is commenced. M extension
<br /> may be requested,in writing,irom the Building Oificial for a period not to exceed nirtety(90)days and will demo�strate
<br /> ^ justifiable cause Eor the extension_ If wosk ceases for ninety(90)consecutive days,the job is considered abandoned. ',
<br /> o �'
<br /> (7 M N > WARNING TO OWNER: YOUR FAtLURE TO RECORD A(dOTICE OF COMMENCEMENIT INAY RESULT IN YOUR
<br /> � 00 �o a PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> `� ''� a WITH YOUR LENDER OR AN A7TORNEY BEFORE RECORDING YOUR NOTICE OF COMME(dCEMENT.
<br /> vl u. ` t��
<br /> 0 tt � �o FLORIDA JURAT(F.S.117.W) i
<br /> J Z E �W OWNER OR AGENT � � CONiRACTOF�
<br /> � �. >,�„a Subsaibed and swo�j�� �a�(fmmed)p�ore me is SubscTibed and svom to(or affirtned)before me thLs
<br /> Q �'Z Z j a�./D-10)rJ by /�u'ti/[-�• .(7l2iv.�4v�J -- bY
<br /> Z O Z Who Islare peisonally knovm to me ar hasR�ave produced Who ir�are petsomally Imown W me or fiaslhave produced
<br /> � W'm- rl /�f, as identifiration. as identification.
<br /> � Q � � �'-7�-
<br /> a �
<br /> u W
<br /> Nofary Public Nobry Public
<br /> y¢�p o Commissian No.���[I� �� Commission No.
<br /> ���'a
<br /> 0
<br /> Z�v~i'.�i -Name af Notary typed;printed or stamped . Name of Notary lyped,printed or stamped
<br /> _.,_--
<br /> . ��._ r; ,r.: -.�. ' i,�=�,iNG
<br /> �`.�."s� �` t``;;., :i' r ::j i'-,?�70
<br /> K07Ac.
<br /> � FUBLIG " EXr �'�� il� - ?'.�7
<br /> S7ATEGF� - -�� ,
<br /> :LO{7(DA y c. �..'--'--'�._.�--
<br /> :I'.
<br />
|