� M
<br /> � � ' NOFICE OF DEED RE3TRICTIONS: The tiriderslgned tinderstands that thts permlt may be sutiJect to'deed`restrictloris"
<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 undettake 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 ap�ly for the �
<br /> i`nfer�ded�work,they>ar'e�ativised`t��eari�asf�the�t�asecc�=County8uilding{r�spee�iorrDivisic�i—�icensing=Sectii�rra X27-847=
<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 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 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 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 /> �eceiv,,�ng a'be{�ifcate nf occy�p��cy"or•.���-,power�e�ease. �,f.;�he.project�oes,not,�vo�v�y:ce,rti�c�te of�a�P?.�?cY ol -
<br /> �ina7 power release,ihe:fiees must�be{�aid�pr+or to{ierrriit�issuance. `Futthermore,'if�asco�ou�ity`Waterl5earer ampact
<br /> fees are due,they 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,I
<br /> ce�tify that l, the applicant, have been proyided with a copy of the "Florida Constsuction l.ien �aw—Ho�eowner'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/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 /> co�ninenced piio�fa�issuanee:of'a perm�'aKtc#tha!a�work w�be-perfocmer�fa�rrree€st�ndards of.akk f�w�•regulafing
<br /> construction, County and Gity cades, mnirrg regulations, and lartd deveiopment regutatiorts irt th�jurisdictian. 1 atsa
<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 /> - DeparEment of Environtttental Proteotian-Cqpress 8ayheads, Wetfartd=Areas-and Environmentaiiy Sensitive
<br /> Lands,Water/Wastewater 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 /> - �5��virm�inera'ta1�iotectirua-�genay-;9s�es3os��aaiemeii4.
<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 materlal ls to be u'sed In Fiood �one A" ft 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 affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> ffi�eonditiov�s•of lhe�bt�iFdfng�ertrrft i'sstsed�nd`er Efre sttaefied pemtiY appfteafioer�for-�ofs fess tF�art 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, welis, 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 O�cial 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 /> �?a�-J?e,regueste�l..lq,N!���}9�.��o,m:the:,a�.u1�'tn9.:l��cial-,fo,r.�;P�94d_�142_to,exceed:,cksneiy.(9p)c�ays.�qd wiJl c�e.mo,ps�rate
<br /> �usiifiable eause-#er�he exieras'wr�. �#woi�c ceases•fer�iit�ei�:(9D�ec�nseeutave t�ays,:tt�e:jc��as r�s�ered abafldoned.
<br />' WARNIPIG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �
<br /> PAYING T)NICE FOR•lMPRO�[EMEI�LTS-TQ YOUFLPROBER'CIC..IE YOLL tNTEND T0 OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �
<br /> FLORIDA JURAT(F.S.11 3 i
<br /> OWNER OR AGENT \ CONTRACTOR
<br /> Subscribed and swom to(o a before me this /Su�sfribe�and sworn to o a i ed)before me this
<br /> by E'! 6�f
<br /> Who is/are personally known to me or has/have produced Wh 'e er nall� known to me or hasfhave produced
<br /> as identification, as Identification.
<br /> ro
<br /> Notary Public Notary Public
<br /> Commission No. Co is n No.
<br /> Name of Notary typed,printed or stamped Name of Notary
<br /> �un
<br /> `'n«PY P�;B��� JACQUELINE BOGES
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