.
<br /> . . .
<br /> NOTICE [)F DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> C
<br /> vvhiuhnnaybernorereathubvg than County regula�ono. The undersigned aosunnesreaponaibU�yfor oonop|iuncew�hany
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR'RESPONSIBILITIES: If h hired� e owner am re a contractor or
<br /> contractors tounda�ukevvork. they may ba required tobo Ucnnsad |n accordance vv�hstate and-local regulations. (�the
<br /> contractor is not-licensed as required by |ovv, 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'
<br /> Building Inspection Division—Licensing Section at727-847-
<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 B|onk" of this application for which they will be responsible. If you, as the owner sign
<br /> — 'o th�
<br /> oontnaotor, 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 and Recourse Recovery Fees may apply to the construction of new buUd|nQa, change of
<br /> use in gX|oUng buildings, Or expansion of existing buildings, as specified in Pasco OoUnh/ Ordinance number 89-07 and
<br /> 90-07. as amended. The undersigned also Undenotanda, 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 bepaid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as onnnndadD: If valuation of Work is $2.500..00 or more. |
<br /> certify that |, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgriou|ture.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|tto the"oxvne/' prior tocommencement.
<br /> CONTR\CTOR`S/OWy0ER'0 AFFIDAVIT: | certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating conotruotion, zoning and land development. Application is
<br /> hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to, rnnst standards of all |avva regulating
<br /> nonotruCt|on. County and City Omdeo. 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 to:
<br /> ' Department of Environmental Protection-Cypress Bayheads. VVet|andAreas and Environmentally Sensitive
<br /> Lands,VVator��astewatnrTnsatn�en1. '
<br /> ' Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areao, Altering
<br /> Watercourses.
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' '
<br /> Department of Health & Rehabilitative Services/Environmental Health Unh-VVa}|s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' US-Environmental Protection /\genoy'Aobe8tooabatement.
<br /> ' Federal Aviation Authority-Runvvaye.
<br /> | understand that the following restrictions apply tothe use offill:
<br /> - Use of fill ia not allowed in Flood Zone"V" unless expressly permitted.
<br /> |f the fill nna1eha\ 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 "A" in connection with a permitted building using stem vva||
<br /> construction, l certify that fill vvU) ba used only to fill the area within thestennwall.
<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 |arequi?ed.
<br /> If | 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 permit may be.required for electrical work'
<br /> p}unnbing, siQns, vveUa' poola, air conditioning, gas.,or other installations not specifically included in the application. A
<br /> pe[rnitiaauadshe|| beuooatfuedtobea |ioeneetoproceadvvi1h-thevvorkandnotaeauthor|tytovio|a1e. oanoe|, a|ter. or
<br /> set aside any provisions of the technical codes, nor shall issuance.of m permit prevent the Building Official from theresdte'r
<br /> requiring a correction of errors Jn plans, construction or violations of any codes. Every permitissued shall become invalid
<br /> un|eoa,the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the peOn�|ssUspandedor abandoned for apehod^of six (G) months after the time the Work iscommenced. An extension
<br /> may be requested, in vvri1|ng, from the Building Official for a period not to exceed ninety (90) days' and will demonstrate
<br /> � justifiable cause o fortheext�no\on. |fwor� eanosforninmty (QO) nonsocutivedays.the'ob |scono\d8rad8bandUned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT )NYOUFf
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNA0CJ0G. CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sw n to(or af Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are personally known mm"mxasw'uvpprmouuud Who is/are personally known nomeor has/have produced
<br /> identification. .
<br /> otary Public Notary Public `
<br /> `
<br /> Commi
<br /> \J. ( ) -----�— '
<br /> Nam
<br /> _—of Notary_ typed,printed or stampedPOW";,`
<br /> ,A,State of Florida-Notary Public
<br /> My Commission Expires
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