NOTICE O�DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed",r,estrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with �ny
<br /> applicable deed restrictions. '
<br /> UfNLIC�NSED COPITRACTORS �►IdD COfdYRACTOFt RESPONSI�ILOTIES: If the .owner has hireii a contracto� or
<br /> contractors to undertake.work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> confractor is not licensed as required by law, both the owner and contr�ctor may be cited for a rnisdemeanor violation
<br /> under state law. If the owner or intended confractor are uncertain as to what licerasing 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 vuhich they wi!! be respon�ible. If you, �s the owner sign as fihe
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. � ,
<br /> TR�►YVSPOR'TATIOi� IMPACT/UTILITIES IMPACT�►�ID RESOURCE RECOVERY FEES: The ur�dersigned understands
<br /> that T.rans.portation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance numbe� 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 Resaurce 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. FurtFiermore, if Pasco County WateNSewer Impact
<br /> �fees are due, they musf be paid prior to permit.issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTOOPd,LIEi� LAVN(Chapt�r 713, �loridla Sftagutes, 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—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�t 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 /> COPITRACTOR'�/OWNER'S AFFIDAVIT: I certify thaf all the information in this application is accurate and that all work
<br /> will be done�in compliance with all applicable laws regulating construc4ion, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I ce�tify 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 /> construction, County and City codes, zoraing regulations, and land development regulations in the jurisdiction. I also
<br /> . certify that I understand that the•regulations ofi otfier government agencies may appiy to the intended work, and that it is
<br /> rny responsibility to identify what actions I must tak�fio be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. `� ,
<br /> - $outhwest Florida Wate� Managem�nt District-Wells, Cypress Bayheads; Wetland Areas, Altering
<br /> Watercourses: �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
<br /> - Department of Healtfi & Rehabilitative Services/Environmental Health Unit-Wells, VVastewater 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 /> - �Use of.fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it ds 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:�ta be used in Flood Zone "A" in connection with a permitted building using stem wali
<br /> con'struction, I certify that fill will be used only to fill the area within the stem`wall. �`�� ��
<br /> - • If flll material is to. be used in an� area, .I certify thaf use of such fill will not adversely affect. adjacent
<br /> properties. If 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 ('0)
<br /> acre which are elevated by fill, an engineered cirainage plan is required. �
<br /> If I am the AGI�PdT FOR THE OWPIER, I promise in good faith to inform•th�e owner of tlie permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical 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; canc�l, alter, or i
<br /> set aside any p�ovisions.of the technical codes, nor shal9 issuanc�of a permit prevent the �uildir�g Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Every permit issued shall become.invalid
<br /> unless the work autiiorized by such permit is commenced withirr six months of permit issuance, or if work authorized by
<br /> the perrriit is suspended or abandaned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be �equesteci, in writing, from the Building �Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause f.or the extension. If�work ceases for ninety(JO)canseeutive days, th�job is considered abandoned.
<br /> IfVARNING TO ObVfdER: YOUR FAIWFZE TO RECORD �+ iVOTICE O�' C�iViN1E1dCENiENT flflA"� R�S�iLY IPl 1f�U1�
<br /> PAYIFdG�'�lil/ICE FOR IMPROVEiViEtdTS TO YOUEZ PROPERTY. IF YOU INTEPID TO OBT�►IPI FINANCING, CONSULT
<br /> liiflYH YOUR LEPIDER OR R,N ATTORNEY�EFOFZE R�GORDIiVG YOGJ fV�ENT. �
<br /> FLORIDA JURAT(F.S.11�7.0 � •
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<br /> Suti"cnli-d and om to�� � is Subscribed d swem to is
<br /> �l- `1��� by - (l-(�-(b y e,�on
<br /> Who is/are personallv known to me or as/have produced Who is/are aersonallv known to me or has/have produced
<br /> • as identification. as ident(fication.
<br /> iVotary Public • Notary Public
<br /> Commissi No. Commission No.
<br /> � � o �e� Notary Public State ot Florida
<br /> a eL Notary Public State of Florida r �
<br /> ? ° Tamm Verdader . Tamm
<br /> fVame of Notary ty •o �1pet�sion FF 184o�s Name of Notary typed,printed or st • orn��Q Exypi�res 12/16/201g�84019
<br /> orao Expires 1y16l2078
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