i
<br /> NOTICE.OIF DEED.RE:STRIC1r10NS: The undersigned understands that this permit may be sub ect too "deed," restrictions"
<br /> which may be more restrictive than County regulations. 'The undersigned assurnes responsibility forlcompliance 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 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 misdemeranor 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 Dlvlston—LIcensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractors) 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, I
<br /> TRANSPORTATION IMPfi(;T/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned under stands
<br /> that Transportation Impact Fees and 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 139-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be Idelntlfled 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 CountyiWate:r/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 7`13, Florida Statutes, as amended}; if valuation of work Isi$2,ti(lt);()0 or more, I
<br /> :._certify that 1, the appiicant, 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 AFF1IDAV1IT: [ certify that all the Information in this application is accurate and that all work
<br /> wili'be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain o 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 the jurisdiction. I also
<br /> certify that I understand that the regulations of other gove'rnment 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 Env[ onmentaliy Sensitive
<br /> Lands,Water/Wastewater Treatment, i
<br /> Southwest Florida Water Management District-Wells, Cypress E3ayheads, Wetland Ar'as, Altering
<br /> Watercourses,
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. i
<br /> Department of Health & Rehabilitative Services/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 restrictions apply to the use of fill:-
<br /> - Use of.fill Is not allowed In Flood Zone N" 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 "A" in connection with a permitted building using stern 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 clte:d for violating
<br /> the conditlons 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 Iconditions set forth in
<br /> this affidavit prior to comlTsencing 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 iin 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 Bulldirig 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 authorizei9 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 a pEiriod not to exceed ninety (90) days; and will demonstrate
<br /> justlflable cause for the extension. If work ceases for ninety(90) consecutive days, thq job is considered abandoned.
<br /> WARNING TO OWNER, YOUR FAiLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE'SULI_IIT YOUR-
<br /> PAYiNG TWiCE FOR IMPROVEMENTS To YOUR PROPERTY, IF YOU INTEND 'r0 OBTAIN FI4 ANC1114(33I, CONSULT
<br /> 11ViTQ�Y(7.UR LENDERR Oft AII�ATTORNEnY E3EFORE REGORI?ING Y04J NOTICE OF CO INENCEMI NT,
<br /> FLORIDA 1.
<br /> JURAT(F.S.117,03)
<br /> UWNit~R OR AGENT ,,�_�
<br /> _ CONTRAACTOR,_ 1 �
<br /> Subscribed and sworn to(or affirmed)before me thls Subscribed and sworn o(or a i d)before me thls
<br /> who is/are personally known to ine or has/have produced Who Isla personally knowA to me or haslhave produced
<br /> as identlflcation. _ ___ as Identification.
<br /> c
<br /> _Notary Public _� Notary Public
<br /> Commission No._--.--- ommssslo _-.--.-----
<br /> ,: CQUELINE BQOES
<br /> Names of Notary typed,printed tir stamped — Name of : a�f}exf
<br /> r- Ex�res Decem,tb�e{� !�.�.�.�/2y�2
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