.
<br /> NOTICE QF 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 vvb �
<br /> 'h �
<br /> appUuob|edeed reathctiona. '� � ��
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR*RESP -NSlB}L0ES: � the nvvnarhas hired a contractor or
<br /> oon�actonatounde�akevvork' they may be required tobe �oenoedin accordance with state and local regulations. L�the
<br /> contractor is nct|ioenaed 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-contractorare uncertain as to whatlicensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847-
<br /> ` 8009. Furthermore, if tile 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 bean indication that hois not properly licensed and is not entitled to permitting phvi|ogaain Pasco
<br /> ^ County. '
<br /> TRANSPORTATI00 \88PACT/OT1L[T|ES IMPACT AND RESOURCE RECOVERY FEES: Theund*no|gnedundarstandn
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply bz the construction of new buiid|ngs. change of
<br /> use in existing bui|dinga, or expansion of existing bu||dings, as specified in Pasco County Ordinance number 89'07 and
<br /> 00'07. as amended. The undersigned also undenstanda. that such faes, as may be dua, will be identified et the time of
<br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Feea.mua1 be paid prior to
<br /> reueivinga ''ce�dDcataof occupancy" or final povvorrelease. U the project does not invok/aaoo�\�oeteof occupancy or
<br /> fina| povvarro|easn' the fees must bo paid prior to permit issuance. Furthermore, if Pasco.County VVater/Sawe[ Impact
<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\Atork is $2.500.00 or more. |
<br /> certify that |, the applicant, have been provided with' a copy of the "Florida Construction, Lien Lav*—Homeowner'g .
<br /> Protection Guide" prepared by the Florida Department of Agriculture-and
<br /> '(�nnaumar/�[a|re. )ftha applicant is someoneotherthanthe''ovvner'. | cerUfvthmt | haveob1ained000pyof1hoaboxedesodbaddocunoentandpnonniae \nOoodtaitkto
<br /> deliver|tbz the"owner' prior to commencement
<br /> � �
<br /> CONTFACTOR/SA5WNER'S AFFIDAVIT: | 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 cnnotruotion, 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 regulatingconstruction, County and City codes. zoning regulations, and (and development regulations.\n the )uhsdic�oq. \ also
<br /> certify that | understand that the regulations of othe� government agencies may apply tothe intended xvOrk, and that it is
<br /> my responsibility to identify what actions | must take tobm |ncompliance, Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheada. Wetland Areas and Environmentally Sensitive
<br /> Lands,VVetorANastewstorTreatment.
<br /> - Southwest Florida VVo1er Management Diathot-WeUs, Cypress. Bayheada, Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps ofEnginaeu+SeevvaUo. Docks, Navigable Waterways. '
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment."
<br /> Septic Tanks, `
<br /> - US�Em�ronmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authohty+Runweya.
<br /> } understand that the following restrictions apply to the use offill:
<br /> - Use of fill hs not allowed in Flood Zone *V' unless expressly parnitbed`
<br /> , 1f the fill mstohed 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 preparad,by a professional engineer
<br /> licensed bv the State [fFlorida.
<br /> - If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using stem vva|
<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' | 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 /> the conditions of the building permit issued under the attached permit application, for lots less than one U\
<br /> acre which are elevated by fill, an engineered drainage plan is roqu|r*ad.
<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, | understand that a separate permit may be.required for electrical work,'
<br /> p|umbing, oignm, wells, poo|o, air conditioning, gao.,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 /> sei aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring aoorrechnnof errors-in plans, construction orvio)ations.ofan! oodea. Every pernoitissued shaU become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> 1hepermit |asuspendedorebandonedf8rgper|od'ofo|x (G) nnnAthoaftorthednnetheuiorkiscomnnenoed. An extension '
<br /> may be requested, in vvnt|ng, from the Building Uff|o|o| 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 /> `
<br /> WARNING TO OWNER: YOUR FAILURE
<br /> \um���o�� �� m��|l��� ��F COMMENCEMENT MAY RESULT lNYOUR-
<br /> PAYING TWICE FOR IMPROVEMENTS TO.YOUR PROPERTY' IF YOU INTEND TO OBTAIN FI0A0CjNG, C0NSULT �
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA'_'AT`. _ . ..._OWNER OR AGENT ......9 CONTRACTOR
<br /> `
<br /> subscribed and swQ
<br /> ,;Q to(or affirmed)before me this
<br /> �
<br /> ( )before me this
<br /> by
<br /> Who is/are personally known to me or has/have-produced Who is/are personally known to me or xawha"e
<br /> nq identification, Identification.
<br /> «~� ` N, otar y,""""
<br /> ^mm/usvvn No. 42Commission No.
<br /> - -_- " � ���_�_�
<br /> '
<br /> '-
<br /> NotaryName of 'typed,. or stamped- , Name of Not_-'typed,,-___ �_mp--
<br /> Notary P.b I.-tate Of Florida
<br /> '
<br /> '� /
<br /> :Aelte
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