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,,restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has .hired a contractor or
<br /> contractors to_undertake work they maybe 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,iare uncertain as to-what.licensing requirements,may..apply for the' r
<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 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 i
<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 ofnew 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 maybe 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, 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"owner" prior to commencement. . : .
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT "I�certify ahat 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 jwork_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: j
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive i
<br /> Lands,WaterM/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 Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection,Ageric-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> understand that the following restriction&apply to-the use of fill:
<br /> Use of fill is.not.allow ed 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°.wi'll_b-e 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 cert'ify=,thatfill 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-.the attached permit application, for lots less than one'(1)
<br /> acre which are elevated:by'fill;an;engineered,drainage,plan is required. j
<br /> If I am the AGENT FOR THE OWNER, I promise iri 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, norshall 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 authorizedjby j
<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 i
<br /> justifiable cause for the extension_If work ceases for ninety(90)`consecutive-days,the job is considered abandoned: C
<br /> WARNING TO-OWNER: YOUR FAILURE TO RECORD.A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO.YOUR"PROPERTY.AF YOU INTEND'TO OBTAIN FINANCING;'CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING.YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.
<br /> OWNER OR AGENT CONTRACTOR ti
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who Is/are personally known to me or has/have produced Who is/are personal nown!9ne or has/have produced
<br /> as identification. as identification.
<br /> �-2.
<br /> Notary Public Notary Public
<br /> Commission No. Corn on No
<br /> Name of Notary typed,printed or stamped Name of Nota ty £ate f OFF 150422
<br /> o Expires December 12,2018-
<br /> d018
<br /> Banded Thru Troy Fain Insurance 60M5
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