. .
<br /> . .
<br /> NOTICE 0FDEED RESTRICTIONS: The undersigned understands that this permit may bo subject to "dead restrictions",
<br /> which may ba 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 ba required tobehcanaedinaocordancevvithatateand |oms| rogu|adona. |fthe
<br /> contractor is not-licensed as required by |� . 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 vvork, they are advised to contact the Pasco County Building Inspection Division--Licena|ng Section ot727-O47-
<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 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 ho is not properly licensed and is not entitled to permd±ing privileges.in Pasco
<br /> County. �
<br /> TRANSPORTATION IMPACT/UTILITIES |D8RACTANORESOURCEB COVERY FEES: The undersigned.understands
<br /> that Transportation \nnpa:ct Fees and Recourse Recovery Fees may apply to the construction of new buUd\ngs, change of
<br /> use in ax|of|ng bui|d|ngm, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number8Q-O7 and
<br /> 90'07, as amended. The undersigned also.understands, that such fees, as may be due, will be identified sd 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 ba paid prior to permit issuance. Furthermore, if Pasco-County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> C(]NSTBUCTU{]N LIEN LAW (Chapter 713, Florida Statutes, eearnondec8: !f valuation of Work is $2`5UO.0Oor more, |
<br /> certify that |, the app|ioant, have been provided with a copy of the ^F\nhda Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgricu|tura.ond Consumer Affairs. If the applicant is someone '
<br /> other than the"owner", | certify that | have obtained a copy of the above described document and promise in good faith to
<br /> deliver itto the"ow/ne/' prior tncommencement.
<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 |omvo 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 /> commenced prior to issuance of e 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. \ also
<br /> certify that | 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,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management DiaLrict4We||s, Cypress. Bayheada, Wetland Areas, Altering
<br /> Watercourses.
<br /> ' Army Corps ofEngineera'Geawa||s. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Gepv\ces/Env\runnoenta\ Health Unit-Wells, Wastewater Tneednnent'.
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runvvayo.
<br /> | understand that the following restrictions apply to the use,offill:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> ' If the fill material is to be used in -Flood Zone "4/'. it is understood that 2 drainage plan addressing a
<br /> compensating volume" will be submitted at time of permitting vvh|oh is prepared by a profaaaimuo| engineer
<br /> licensed by the State OfFlorida.
<br /> - If the n/| material is to be used in Flood Zone ''fY' in connection with a permitted building using stem vva||
<br /> construction, | 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 aree. | 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 permitpermitapplication, for lots less than one (1
<br /> acre which are elevated by fill, an engineered drainage plan iarequired.
<br /> If | Om 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 o separate permit may be.required for electrical work,
<br /> plumbing, signs, we||o, pools, air conditioning,' gas,,or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with-the work and not as authority to violate, uanoe|, a|tor, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors 1n plans, construction or violations of any codes, Every permit issued shall 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 perm�iasuspondedor abandoned for a period,of six (G) months after the time the Work \scommenced. An extension
<br /> may be reques1ed, in vvrit|nA, from the Building Official for a period not to exceed ninety (SO) days* and will demonstrate
<br /> ` justifiable cause for the extension. |f work ceases for ninety (0U) consecutive days,the job�s oDoideredabandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CCJK8K8ENCGK0ENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF FLORIDA `. . 117.03) '
<br /> OWNER OR AGENT cOwTn4xro
<br /> Subscribed'and to(or affirmed) Subscribed and sworn to(or affirmed)before me this
<br /> -is/are- perso-- Who is/are personally known tvx/eu,has/have produced
<br /> ---Rs identification, as identification. '
<br /> Notary Public Notary PublicCommission No. `
<br /> � ^~
<br /> Commission___
<br /> .
<br /> ame of Notary typed,'---- stampedState of Florida-Notary Public
<br /> My Commission Expires
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