.., iNOTICE 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 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 requited 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 Building Inspection Diviston—Licensing Section at 727-847-
<br /> 8009, Furthermore, if the owner has hired a contractor or contractors, he is advised tv 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 as the
<br /> contractor,that may be an indication that he is not property licensed and Is not entitled to permitting privileges in Pasco
<br /> county.
<br /> TRANSPORTATION IMPACTNTiLiTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the cons ollon of now bUlldilp,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be Identified at the time of
<br /> permitting• it to further understood that Transportation Impact Fees and Resource Recovery Feas 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 is paid prior to permit Issuance. Furthermore,if Pasco County WatedSewer 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 713,Florida Statutes,as amended): if valuation of work is$2,600.00 or more,I
<br /> certtry that I, the applicant, have been provided with a copy of the -Florida Construction Lien Law—Homeowners
<br /> Protection Gulde"prepared by the Florida Department of Agriculture and Consumer Affaira. If the applicant is someone
<br /> other than the"owner",1 certify that t•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 AFFIDAVIT: I 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 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 most 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 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,WaterMrastewaterTreafinent.
<br /> Southwest Florida Water Management District-Walls. Cypress Bayheads, Wetland Areas, Alt ring
<br /> Watercourses.
<br /> Army Corps of Engineero-Seawalls,Docks,Navigable Waterways.
<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 W"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 stem wag
<br /> construction,I certify that All vvgi 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 of the building permit Issued under the attached permit application,for lots less than one(1)
<br /> ace which are elevated by fig,an engineered drainage plan is required.
<br /> if I am time 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. 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 /> pemit Issued shall be construed to be a license to proceed with the work and not as authority to vlotste.cancel.alter_or
<br /> Ow aouto any Proviotono of the techrft-1 wdes,nvr shalt issuance or a permit pravent the euiiding Official from tt malter
<br /> requiring a correction of errors In plans,constriction or violations of any codes. Every permit issued shag become invalid
<br /> unless the work authorized 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(a)months after the time the work is commenced. An extenwon
<br /> may be requested,In writing,from the Building Official for a period not to exceed ninety(go)days and vA demonstrate
<br /> justifiable cause for the extension, If work ceases for ninety(9D)consecuuve days,the job Is considered abandoned.
<br /> WARNING 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 OBTAIN FINANCING,CONSULT
<br /> VMYOUR ENDER EFO CO D Nt3 Y U OF C C ENT
<br /> FLORIDAJU (F .117.03)
<br /> 1
<br /> OWNER OR AO CONIRACTO
<br /> r y s ry�ibed andB rrnm)he ere me ds Sub bad^d —,a�mtart fora moWo
<br /> � I }bPC+ r�o laAP
<br /> me � ��as Identmmuon. or hasrtreve produwd
<br /> 69 identification.
<br /> NJ Notary Public Notary Public
<br /> commrsslon No. Commis on No.-f—,PG4(, ; ��
<br /> �a Ol7ytT I fg8j8WP0F963675 Ne 0CfnLD
<br /> diary
<br /> p�= M mn, 23.2020p�gNpq iACKERSON
<br /> EXPIRES February ►"'A"
<br /> r4C71398•Ct59 Flundallo;d y9cr�ca •c MY COMMISSION 1i FF963675
<br /> i •-�°y�;.d�- EXPIRES February 23.2020
<br /> 1,4C7139b•Ct5 nuridallota'y8erv+co.wo•
<br />
|