ti�"' ^
<br /> 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 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 locai regulations. 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 Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not proper{y licensed attd is not entitled to permitting privileges irt Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction of new buildings, change of
<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 aiso understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�'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 WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accorcJance with applicable Pasco County ordinances.
<br /> C0�ISTRUCTIOfd LIEfV LAlN(Chapter 713,Fldriila Statu4es,.as amended}: if valuation of work is$2,500.00 or more, I
<br /> certify that t, the applicant, have been provided with a copy of the "Florida ConStruction L:ien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that i have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'S/OW(dER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali work
<br /> will be done in compliance with all applicable laws regulating construction,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 installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> constructlon, Counry and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that t understand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibilify to identify what actions f must take to be in compliance. 5uch agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand tfiat the foHowing.restrictions apply to the use of fill:
<br /> . - USE�Of�III.iS nDt2II0INEd 171�FIADCJ.ZOl18"1!".unless expressly permitted_
<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 be submitted at time of permitting which is prepared by a professional 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 using stem wall
<br /> construction,I certify that fill will be used only to fiil 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 affect adjacent
<br /> properties. ff use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> - the conditions of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If l:am the AGEt�7`f FOR THE OWNER, f prorr�ise in good faith to inform the owfler-of the pertnktting conditions set forttj in
<br /> thfs.affidavit prior to commericing.construction, t understand that a separate.permit may be required.for electrica!-work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically ineluded 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,cancei,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiri�g a correction of errors in ptans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after 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 /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> lNAP2NING TO OWNEF�: YOUR FAILUIdE TO �2ECORD A NOTICE OF CONlIViEIdCEf111E4dT M�4Y REStJI.'P IRl YOUR
<br /> PAYIidG TY1iiCE f0#2 6iViPROVEMEPlTS TO YOU4@ PROP�f�TY. !F YOt1 1PJT�tYD TO OBTP,4t�3 FtNANCiNG,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMfNENCEMENT.
<br /> FLORIDA JURAT(F.S.117.
<br /> OWNER OR AGENT COPITRACTOR
<br /> Subscribed and swom to(or affir e )before me this Subscribed and sworn to r ffirmed)be ore me this
<br /> by � by
<br /> Who is/are personally known to me or haslhave produce Who islare personally known to me or hasJhave produc
<br /> a identificati as ide ' ion.
<br /> Notary PubHc 6'
<br /> „���,,, ��`'°�a., SUZANNE ALLEN
<br /> Commissi q.� �. `�ommission N • �.
<br /> .�o a�'•. g . : Y u lic-State of Florida
<br /> : + .�; Notar Public- f = � .•_ •
<br /> lorida �
<br /> Name of t0 �tad or Name of Notary typed,printe ai,$ a�; 2586
<br /> ��flssion#FF 912586 ,,F�F��a,. My Comm.Explres Oct 25,2 p 1 g
<br /> %;�. P°�' M y C o m m.E x p l r e s Oct 25,2019 ��""'���� B o n d e dthrou hNational
<br /> �'''°������� g Mata�l Assn.
<br /> Bonded through National Notazy Assn. i
<br />
|