.
<br /> .
<br /> NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permit may bo subject to "demd" rasth--' one",
<br /> which may be more restrictive than County regulations. Theundansignadasaunneorespomsibi|ityforcumpUenoe - 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 may be required tobe licensed in accordance with state and local regulations. If-'the
<br /> contractor is not-licensed as required by |aw, 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 for the
<br /> intended work, they are advised to contact the Pasco County' Building Inspection Division—Licensing Section at727-847-
<br /> ' 8009. Furthe[more, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor 8|ooK' of this application for which they will be responsible. |fyou. ao the owner sign
<br /> ` 'a th�
<br /> contractor, that may bean indication that he is not properly licensed and is not entitled to permitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION |88PACT/LITlL{T|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dings, change of
<br /> use in existing buildings, or expansion Of oX|ct|ng buUdinQo, as specified in Pasco County Ordinance number 89'07 and
<br /> 90-07, as amended. The undersigned also understands, that such feos, 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 8 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 bepaid prior to 1permit issuance |n accordance with applicable PasooCountyondinaDcen.
<br /> CONSTRUCTION LIEN LAW (Chapter 713. Florida Statutes, as amended): If valuation of Work is $2.500.bO or more. |
<br /> certify that |, the app|ioant, have been provided with a oopy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAghcu|tura.end Consumer Affairs. If the applicant is someone
<br /> otharthantha "oxxner". ipertifvdbat | haveobto|nedacopyoftheabovadosoribeddoournentondpronniseingoodfaith1n
<br /> deliver itto the "ovvner' prior tocommencement.
<br /> CONTRACTOR'S/OWNER'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 iovvo regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
<br /> nnnnrnancad prior to issuance of permit and that all work will be performed to meet standards of all |ovva regulating
<br /> oonatruc1|on. County and City codes; zoning regulations, and land development regulations, in the jurisdiction. | 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 | must take tobeincompliance. Such agencies include but are not limited tcC
<br /> ' Department of Environmental Protection-Cypress Bayheads' VVot|and /\reasand Environmentally Sensitive
<br /> Lands, VVater/ Vastewa1nrTrestrnert. '
<br /> ' Southwest Florida Water Management Dis, triut-Wells, Cypress. Boyheado, Wetland Areas, Altering
<br /> vvsoarnouroea.
<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 /> ' UB-Envirnnmenta| potactionAgenuy-Aabostoaabedement.
<br /> - Federal Aviation Authorhy-Runwaya.
<br /> | understand that the following restrictions apply to the use offill:
<br /> ' Use uf fill ia not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in -Flood Zone "N', it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting vvh|oh is prepared by a professional angineni
<br /> licensed Uy the State OfFlorida.
<br /> ' If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem YVo||
<br /> construction, } certify that fill vv ill 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 (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 forth in
<br /> this affidavit prior to commencing construction. | understand that a separate permitmay be.required for electrical work,plumbing, eigna, wells, pools, air conditioning, gas,,or other installations not specifically included in the application. A
<br /> permit issued*shall ba construed tobe a license to proceed with'the w: ork and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereafter
<br /> requiring aoorreot\'mnof errors-in plans, construction or violations of any codes. Every pernn|tissued ahaUbeoonn invalid
<br /> UD|eao,the work authorized by such permit is commenced within six months of permit iosuenne, or ifwbrk authorized by
<br /> the permit|SsUsp8DdeUO[abandoned fbra period,of six (G) months after the time the Work\acommenced. An extension
<br /> may be nyquestod, in writing, from the Building Official for a period dot to exceed ninety (QO) days' and will demonstrate
<br /> ` justifiable cause for the extension. |f work ceases for ninety (QO) consecutive days.the job 'o considered abandoned.
<br /> Wg\B0/0G 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 (}ETAYY{ FIY0A0CJ@G,-CD0SULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,'
<br /> . .'..."^"""` ,S.11703/
<br /> OWNER OR AGENT CONTRACT R `.
<br /> Subscribed Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> Who-is/are personally known~^~~ '~~^^~~p~~u^~" Who is/are��s"�nk==/�muwna�xvvnpmouovo
<br /> identification. .
<br /> Notary Public —Notary PublicCommi ton `
<br /> `
<br /> ' Com
<br /> mission No,
<br /> _-of Notary typed,_ -''--- stampedrJ
<br /> te
<br /> 11 LL=Z_-" M n pi r
<br /> my commission Expires
<br /> 22
<br /> July 12. 202:2
<br /> '
<br /> _
<br />
|