.
<br /> . .
<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 RESPC>NSlBlUT|ES: If the owner has hired a contractor or
<br /> con�aotonotounde�akexvork. they may be required tobeUoensnd |n accordance vv�hstate and-local nagu|a�ona. U�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 for the
<br /> intended work, they are advised to contact the Pasco County'
<br /> Building Inspection Division—Licensing Section ot727-847-
<br /> ' 8009. Furthernnoro, if the owner has hired a contractor or contraotora, 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
<br /> — 'a th�
<br /> contractor, that may bo an indication that he is not properly licensed and is not entitled Lo permitting privileges,in Pasco
<br /> County.
<br /> TRANSPORTATION l88p/\CT/JT|L|T|EG IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impart Fees and Recourse Recovery Fees may apply tothe construction of novv bu\|d\ngs, change of
<br /> use in existing buildings, or expansion of existing bU||dinQo, as specified in Pasco County Ordinance number 89-07 and
<br /> 90'07. as amended. The undersigned also Undenatands, that such fees, as may be due, will be identified ot 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 |n accordance with applicable PascoCOuntyOnd|naOoes.
<br /> CONSTRUCTION LIEN LAW (Chapter 713' Florida Statutes, as amended): If valuation nfvtork is $2.500.bO or more, |
<br /> certify that |, the applicant, have been provided with a oopy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Buide" prepared by the Florida Department of/\Qriou|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 itto the"ovvner' prior tncommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this'
<br /> application is accurate and that all work
<br /> will be done in compliance with all applicable iavvo regulating conatruotion, 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 /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all (avvo regulating
<br /> construction, County and City codes; zoning regulations, and land development regulations. inthe jurisdiction. | also
<br /> certify that | understand that the regulations ofotha'r government agencies may apply to the intended vvork, 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 Beyheads. Wetland Areas and Environmentally Sensitive[ands. VVatnV«�'antewatarTroo10ent '
<br /> ' Southwest Florida Water Management D|otriot-VVu||s, Cypress. Bayhoads, Wetland Areaa, Altering
<br /> VVotevoounaeo.
<br /> ' Army Corps of Engineers-Seawalls, Docks. Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Gervinos/Envinonrner¢a| Health Un�'VVeUe, Wastewater Treatment,�
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agenoy-AabeAtooabatement.
<br /> ' Federal Aviation Authohty-Flunwaya.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use nf fill ia not allowed in Flood Zone"V" unless expressly permitted,
<br /> ' If the fill material is to be used in F|ood Zone "A'. it is understood that a drainage plan addressing a
<br /> ''uo[npensoting volume" will be submitted at time of permitting which is prepared by s professional angineei
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with o permitted building Using stem VVa||
<br /> construction, I certify that fill w III be used only to fill the area within thestem 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, en engineered drainage plan isrBqU|ned.
<br /> If | am the AGENT FOR THE OWNER, ( 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 vvork,
<br /> p|umbing, signs, we||a, pools, air condition\ng, gas,*or other inota\|o1)unm not specifically included in the application. A
<br /> permitiseuedsha|| beoonat/uedtobeu (ioeneetoproceadvvith-theworkandnotaaauthoritytovio|nte. oannm|. a|ter. or
<br /> sei aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereaft e*r
<br /> requiring a correction of errors-in p|ano, construction or violations of any codes. Every permit issued mhu|| become invalid
<br /> un|aao,tha work authorized by such permit is commenced within six months of permit ioouance, or if work authorized by
<br /> thepermit}ssUapendedO[abnndonedfbraperiod,ofa|x (G) rnunthsafterthetinnethewiorkiscomrnenced. An extension
<br /> may be requested, in vvriting, from the Building Official for a period not to exceed ninety /QO\ days" and will demonstrate
<br /> � justifiable cause for the extension. If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> WARNING TOOWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INnUFl-
<br /> YOUR-
<br /> PAYING
<br /> � TWICEFORUQ8PROVEK0ENTS T0 YOUR PROPERTY. |F YOU INTEND TOOBTAIN F(0ANCJ0G. Co0SU[TWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 11 7.03b
<br /> OWNER OR AGENT cowTexcTo
<br /> Subscribed an.d swqLn to(or affirmed)be ore me this Subscribed and sworn to(or affirmed)before me this
<br /> by b
<br /> vwm��mp��on��xnn�nmmepro�smavo produced
<br /> is/are personally kno to me or as identification.
<br /> '
<br /> . . N ot
<br /> ot ry Public Notary Public `
<br /> ommiss! No.— Commission Nu `
<br /> ..
<br /> Name_—Notary typed,,''--- stamped—�A_State of Florida-Notary Public
<br /> My Commission Expires
<br /> '
<br />
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