, � 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. 7'he undersigned assumes responsibility for compliance with any
<br /> appiicabie deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIi»ITIES: tf ihe owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and lacal regulations. If the
<br /> cantractor is nat licensed as required by law, bath the owner a�d contraotar may be cited for a mssdemeanor violation
<br /> under sfate law. I�fhe owner ot intended cantractor are uncertain as to what licensing requirernents may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 84D9. Furthermare, ff the owner has hIred a contractar or contractors, he is advised to have the contractor(s) sign
<br /> partions of the°contractor Block"of this appiication for which they will be responsible. if yoU,as the owner sign as the
<br /> oontractor,that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasca
<br /> Caunty.
<br /> TRANSPORTAT{ON IlNPACTIUTILCfIES IMRACT AND RES4llRCE R�GOVERY FEES: The undersigned undersfands
<br /> that Transportatian 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 1n Pasco County Ordinance number 89-07 and
<br /> 9t7-07,as amended. The undersigned also understands,that such fess,as may be due,witl be identified at t}�e time of
<br /> permitting. It is further understood that 7ransportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"cert�cate of occupancy'or final power release. If the projec#does not involve a certificate of occupancy or
<br /> final pawer�etease,the fees must be gaid prior to permlt issuance. Furthermare,if Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinences.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): tf valuation of work is$2,500.00 or more,I
<br /> certify that 1, the applicant, have been provided with a copy of the "Ftorida Constreaction l.ien Law—Homeowner's
<br /> Protectian Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is snmeone
<br /> other than the°owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deiiver it ta the"owne�'prior ta commencement.
<br /> CONTRACTOR'SIOWNER'S AFFiDAVIT: I certify that all the information in this application is accurate and that a!i work
<br /> will be done in compliance with all applicable laws regulating constructian,zoning and land development. Application is
<br /> hereby mede ta obtain a permit to do woric and installation as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance of a permit and that a1I work wi11 be performed to mset startdards of ail laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
<br /> certify that i understand that the tegulatians of other govemment agencies may appiy to the intended work,and that it is
<br /> my responsibitity to identify what actions 1 must take to be in compiiance. Such agencies include but are not timited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentalry Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Vllater Management Dlstric#-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Rrmy Corps af Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - DepartmeM of tieaith & i2ehabil{tative ServiceslEnviranmentai Health Unit-Weiis, V1lastewater Treatment,
<br /> Septia Tanks.
<br /> - US Environmenta!Protectiort Agency Asbestos abatement.
<br /> - Federal Aviabon Autharity-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressh,�permitted.
<br /> - tf the fiD material is to be vsed in Ftoad Zane "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will he submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - tf the 811 maferiai is ta be used i� Flaod Zone"A"in cannection with a permitted buiiding using stem waIt
<br /> construction,(certity that fi11 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 adversery affect adjacent
<br /> propertiss. If use of fill is found to adversely affect adjacen#properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit apptication, for lots less than one(1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> !f 1 am the AGENT FOR THE OWNER,1 pramise in good faith to inform the awner of the pesmitting condifians set farth in
<br /> this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electricai work,
<br /> piurnbing, signs, wells, pools, air conditioning, gas, or ather installations not spec�cally included in the application. A
<br /> permit issued shall be construed to be a license to pracesd with the work and noY as authority to violate,cancei,alter,or
<br /> sef aside any provisions of the technical cades,nor shafl issuance oi a permit prevent the Buiiding Official from thereafler
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced withitt six months of permit issuance,or'rf wark authorized by
<br /> the permit is suspended or abandoned for a period of six(6}months after the time the work is eommenced. An extension
<br /> rnay be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> Justifiabie cause for the extension. If warlc ceases for ninety{90)cansecutive days,!he job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NO710E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWlCE F4R IMPROVEMENTS TO YOUR PROPERTY. !F YOU INTEND TO OBTAIN FINANCING,CdNSULT
<br /> W1TH YOUR LENDER OR AN ATTORNEY BEFC}RE RECORDiNG YOtlit TICE OF OMMENGEMENT.
<br /> FLORIDA JURAT(F.S.71 03)
<br /> OWNER OR AGENT ,���� CONTRACTOR
<br /> �'S b ri nd swo t r ai ir�ted efore me�this sc�bed and (or affirmed batore e this
<br /> s/�/�by '�t i PCdXrs�l L /!tW/JS � "-� "( by c
<br /> Who Is/ar personally known to me or haslhave p uced Who islare personal me r as ve oduced
<br /> )"iL �fj�fr j j �Et14_ as tdentlfication, a entificatian.
<br /> s�!%�%r�a�- .-�-�"' Notary PubGc ��_L��•Notary Pubiic
<br /> Commfi�s�fon No. '"� l > Com ' lon No. \J
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<br /> Na ofiNotaryiyped;apiinted nestam Name of Notary iy Q�#�5t pr stamped '�sl9n; i•
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<br /> = Expires Dece �
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