r �
<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 /> UNLICENSEQ 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.�� 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 appljr 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 fiired a contractor or contractors, he is advised to have�tlie contractor(s) sign
<br /> portions of the "contractor Block" of this applicatiorr 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 properly licensed and is not entitled to permitting=privileges�in Pasco-
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands „
<br /> that Transportation Impact Eees 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 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 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 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. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they_must be paid prior#o permit issuance iaaccocdance 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, 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 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"owne�'prior to commencemeht.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all 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 performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ;I also
<br /> certify that I understand that the regulations of other government agencies may apply�to the intended work, and that it is -
<br /> my responsibility to identify what actions I must take to 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,WaterNl/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 /> - Department of 'Health & Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-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 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 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 adversely aff.ect 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 (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the 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, cancel, alter, or �
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter -
<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 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ._IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT �o T'Z � CONTRACTOR ��_./'�� ' 1
<br /> Subscrib nd swom to(or affirmed be re me thls Subs ribed and swom t or affi ed�1�efor e this
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<br /> W o' /are e ona�lly known to me or has/have produced Wh i re personally known to me or has/have produced '
<br /> _��1,� U�./l�as identification. �(/� / 0 �as identification. ,
<br /> �
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<br /> Notary Public Notary Public
<br /> Commissi n No. l� QSLS�(� Commission No. �(..� �(1 cG=�
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<br /> Name of Notary typed,printed or stamped Name of Not a
<br /> �_�� .z.%':;�„�L�;a DEBRAE I�� UFFELL
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