i •
<br /> NOTICE OF DEED RESTRICTIONS:-The-undersigned understands that this permit may be.subject to" "'deed"restrictions
<br /> which.maybe more-restrictive than.County reguiations. The undersigned,-assumes responsibility for compliance withvany
<br /> applicable deed restrictio"ns.
<br /> UNLICENSED:CONTRACTORS,.-AND,CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or
<br /> contractors to undertake 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 apply'fbe'the
<br /> intended work, they are.advised to contact.the-.Pasco..County Building Inspection Division--Licensing.Section at 727-847-
<br /> 8009. Furthermore,A:if.:the owner.has hired.a contractor or•contractors,.he-is-advised•to�have "the`contractor(sj `sign
<br /> portions of the "contractor Block" of this application for which they will be responsible: 'if you;,as the owner sigmas the
<br /> contractor, that may be an indication that he,is not properiy.iicensed and is not entitled to-permitting privileges:In,Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands r,
<br /> that Transportation Impact Fees.and Recourse-Recovery-Fees may apply to1he construction of-new•buildings, change,of
<br /> use in existing buildings, or expansion of-.existing_buildings,.�asspecified in Pasco County Ordinance number 89-07,and
<br /> 90-07, as amended. The undersigned'also-understands, that such fees, as shay-be due, will be'identified at the time of
<br /> permitting. itAs'further understood that.Transportation:Impact Fees.,and Resource,,Recoyery Fees must be paid prior.to
<br /> receiving-a "certificate of occupancy" or final'power release. If the.project does not.;involye 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 /> CONSTRUCT-ION LiEN'-LAW(Chapter 718, Floilda.Statutes,as amended)~-If valuation of work is$4600 00 or�more, l`
<br /> certify that I, the applicant, have been provided with la copy of the "Florida'Construction Lien Law—Homeow i er".s
<br /> Protection Guide" prepared by the Florida.Department of Agriculture and Consumer-Affairs. -If the applicaht,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'SIOWNER'S AFFIDAVIT: l certify that all the inforination 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 /> commenced prior to issuance of,a'permit and that all work will be performed to meet standards of all laws regul .ting
<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:
<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 Se,ices/Environmental Health Unit-Wells, Wastewater Treatment, -
<br /> Septic-Tanks-.-
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal.Aviation-Authority-Runways.
<br /> I understand that the�following=resfrictions apply to the use of fill:
<br /> - Use of fill]is'riot"allowed in Flood Zone W"unless expressly permitted.
<br /> If the-fill material-:4 to-be,used in Flood 'Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volumd"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 /> the conditions of4he,building permit issuedlunder 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 I am the AGENT FOR THE OWNER,.I promise in good faith to inform the owner of the permitting conditions set foirth 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, nor shall 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 authorized'by 4
<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,-"Jo_writing, from the Building Official for a..period not to exceed ninety(90)tdays and will demonstrate' "s{
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned:
<br /> WARNING-TO OWNER: YOUR FAILURE TO RECORD A NOTICE-OF COMMENCEMENT MAY RESULT IN YOUR is
<br /> PAYING-TWICE FOR;IMPROVEMENTS.TO YOUR PROPERTY._IF:YOU INTEND.T.O.OBTAIN,FINANCING,CONSULT
<br /> R AN ATTORNEY BEFORE-RECORDING YOUR.NOTICE OF_COMMENCEMENT.
<br /> WiTH YOUR LENDER O z
<br /> FLORIDA JURAT(F.S.117 ) I -�
<br /> OWNER OR AGENT ,, 01 ! ,-CONTRACTOR.-'Y
<br /> Subscribed and sworn to(or affirmed)before me th s Subscribed and sw to,lyo,r affirmed) e�ore m, �Ftis
<br /> by ,i"✓1 r Cd tf�rnrZr by�• I /r r GCI� -fG� �Z'•�
<br /> Who-islar er�sonally known to me or has/have produced Who Is! a person Ily known tome or has/have produced
<br /> f [ ,m IIf ka 0-SA— as identification. TI L WS(.ref g- as identification.
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<br /> V(,SRol- A-re— Notary Public n,� - Notary Public
<br /> Co sslo l Cori is on N .
<br /> .•':�"alp;.,, JACQUELINE 80GES
<br /> Name of rfi5dfd0422 I Name of Kota tie BOGES
<br /> xpires December 12,2018 mrssion#FF150422
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<br /> Ai;.fk1`` ondad Th u Troy Fain lnsu ance 800 385-7019 Expires Bond Expires Dece liiber 12 2018
<br /> ad Thra&oy Fain Ins
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