i
<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.::strictions: 1 _'
<br /> UNLICENSED:.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the'owner has hired a contractor or
<br /> contractors to.undertake work,"they rriay'be'required'to be licensed.-in accordance with.state,ands local.regulations. -If the
<br /> contractor is not licensed as required by law,_ both the owner and contractor may be cited for iip Jmisdem'eanor violation
<br /> understate law. if-the owner or intended"confractorare uncertain as.-to,.what licensing requirements-may-ap'ply'for-`the"
<br /> intended work, they are advised.to contact the Pasco CountyBuiiding Inspection Division "Licensing Section at.727-847-
<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 arid'-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;WilFbe 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•fnal 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, Florida Statutes, asamended): ]f valuation of work.is$2 500 00 or-more, 1.
<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 certifythat 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 /> S CONTRACTOR'S/OWNER' AFFIOAVIT:--1 certify that,all-the information in this application is accurate and that all,awork.
<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 I 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 tb:
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland-Areas-and Environmentally Sensitive
<br /> Lands,Water/Wastewater 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 Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection:A9ericy�Asb`estos 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,;"K in_connection with a permitted building using stem, wall
<br /> construction,I certifyIfiat 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 /> the conditions of the building permit issued under;.he:attached permit application, for lots less than one (1)
<br /> acre�which"are elevated by�fill;-anengineered 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 fdrth in
<br /> this affidavit prior to commencing construction. I understand that a separate,permit maybe 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 theBuilding 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 wperiod.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 /> I
<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 /> i
<br /> OWNER OR AGENT CONTRACTOR X",�Z 41.
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and s o to(or affirmed)before me this
<br /> by by /Z°di3llzT
<br /> Who Is/are personally known to me or has/have produced Who is/are personal known to me or has/have produced
<br /> as Identification. as-identification. `
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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