. 3
<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:vggh any;
<br /> ipplicable'deed:restrictions. ....... ..:....: . '. '`, V
<br /> UNLICENSED CONTRACTORS'AND, CONTRACTOR RESPONSIBILITIES: If the owner'has hired a contractor or
<br /> contractors'to undertake.work;they may tie required'fo belicenseii in accordance.with state:and-local regulations:�lf the---,'
<br /> _. _. _ _ _.
<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 intendsd'contract&r-are.Uncertain as•to what licensing requirements.may;apply'for the
<br /> intended work,they are advised to contact the Pasco Courity•Building Inspection Division-Licensing Section at 727-847-
<br /> 8009, Furthermore, if the owner`has'liired''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'Trarisportition Impact Fees-and'-Recoufse Recovery Fees may apply to the constriction 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 to permit issuance In accordance with applicable Pasco County ordinances:
<br /> CONSTRUCTION LIEN.LAW(Chapter_713;Florlda Statutes,astatnendeift,If valuation of work:is$2;500:00 or'tn,'ore,l
<br /> certify'that 1, '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, ffairs. If the applicant is someone:-
<br /> other an the"owner",I certify that I have obtained a copy of the above descri A
<br /> bed document and promise in good faith to
<br /> deliver it to the"owner"odor to commencement
<br /> i CONTRACTOR'S/OWER'S-AFFIDAVIT:.d=certify that.all-fhe 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"worli and_installation as indicated. ,1_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-de velopment_regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may"efpply 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 /> -i Department of Environmental.Protection-Cypress Bayheads, Wetland Areas and-Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment. i
<br /> -' Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aliering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks;Navigable Waterways.
<br /> - Department of Health r;< Rehabilitative Services/Environrrlental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental.Protection Agency-Astiestd's abatement.
<br /> Federal Aviatiofi Authority-Runways.
<br /> I understand that_th-e�following;restrictions apply.to-the use of`fil
<br /> Use of fill:is not.all•owed:ih;Flood Zone"V"unless'expressly-permitted..:_
<br /> - If the fill material_isl to be„used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating.volume"Aw ll:.be.submitted.at'time.of permitting vuhich-is.prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - ' If the.fill materiel is to'tie usediim,.Flood Zone;"A°')n"connection with a permitted building using stem wall
<br /> construction;I certifythat 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 affda'ddjacerifproperties,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.l 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 aseparate permit.may be required for Ica]-,Work,
<br /> plumbing, signs, wells; pools,'air conditioning, gas; or.other installations not specifically included in fhe application. A
<br /> permit issued shall-be construed to.be-a license to proceed uvitH.the work and not as authority to violate,cancel,alter,,or-
<br /> set aside any_provisions of the`technical codes,nor"shall issuance:of apermit,-prevent the Building-Official from thereafter
<br /> requiring a'correction,of errors in'plans,construction or violations ofany codes:'Every permit issued shall become invalid
<br /> unless the.:work authorized,by such"permit,is commenced within six months.of.permit issuance,or ff work authoriied'by
<br /> the.permit Is suspended or abandoned for a period of six(6)months after the time the vliork is,commenced. `An extension
<br /> may be requested in writing,;from the..Building Official for a`0dd6d'not'to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for:th'e extension. If work ceases for ninety(90)'consecutive days,the job is considered abandoned
<br /> • -' A NOTICE,OF.COMMENCEMENT;MAY.RESULT IN YOUR
<br /> WARNING TO:OWNER YOUR FAILURE,TO RECORD.
<br /> PAYING.TWICE FOR IMPRO.VEMENTS;TQ,YOUR`PROpERTY:'IF YOU INTEND TO.bl3TAIN,FINANCING'CONSULT
<br /> WITH'YOUR'-LENDER OR.AN:ATTORNEY.BEFORE RECORDING'YOUR NOTICE OF'COMMENCEMENT.
<br /> FLORMA'JURAT(F.&117.03)
<br /> OWNERCONTRACT '
<br /> subscribed and sworn to affirmed)before me this Subscribed and s o or affirmed)befo this
<br /> by,: : .- ...- by
<br /> Who isfare personally known to me or hasthave produced \ o Isfare peragnaily known to-me or hasthave produced
<br /> as identification, rv� WC 2\\ moo' asidentlfication.'� ,
<br /> Notary Public ca, Notary Public
<br /> Commission No. CoMT.IAlon No.
<br /> Name of Notary typed,panted or stamped Name of No tinted
<br /> Qae..� Y, , (C IE BOGIES.
<br /> Comm'ission#GG 276457
<br /> r =? P�,Expires December 1Z 2022
<br /> "?of l;°•''`'Banded Tfru Troy Fain Insurance 800.3857019
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