F
<br /> TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> ch may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with.any
<br /> licable deed restrictions.
<br /> LICENSED' CONTRACTORS AND=CONTRACTOR RESPONSIBILITIES:`"`If the owner"has hired a contractor or
<br /> tractors to undertake work, they maybe required to be licensed in--accordance With:state..and.local regulations: If the
<br /> tractor is not licensed as required by law, both the owner and contractor'may-be cited for a misdemeanor violation
<br /> er state law. If the owner or intended contractor are uncertain.as to..what licensing requirements may apply for the
<br /> nded work, they are advised to contact the Pasco CountyBuilding Inspection Divisioh—Licensing Section at 727-847-
<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 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.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND:RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation'Impact Fees and Recourse Recovery.Fees.mayapply 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 89-07 and
<br /> 90-07, as amended. The undersigned also..understands, that-.su`ch 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. Furthermoreff Pasco County Water/Sewer Impact
<br /> "fees are due,theymust be.paid prior to.permit issuance in accordance with applicable-Pasco.County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 113;:florida Statutes;
<br /> 1 as amended): If�valuation 6f"Work is$2,5.00.00 or more, I
<br /> certify that , the applicant, have been-provided with a-copy of the ''Plorida-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=:haV6'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''a;`: dicated. 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'C fy'codes evelopment zoning-regulations, and-, d regulations
<br /> .0 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,Water/WastewaterTreatment.
<br /> Southwest Florida Water' Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-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"V"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 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 wall
<br /> construction, (.certify that fill'will`be used only to fik-til e.area within thestem.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.oWher-may be cited for violating
<br /> the conditions of the building permit issued underthe 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 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 /> 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 Building 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 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(6)months after the time the.work is commenced..An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will:,demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90),co isecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO,PECORD.A NOTICE:OF-COMMENCEMENT.MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO'YOUR PROPERTY, .i0.Y0( .INTEND TO OBTAIN'FINANCING,CONSULT
<br /> —WITH=YOUfk,,LENDER-OR AN-ATTORNEY BEFORE-RI=CORDING-YOUR:NOTICE.OF COMMENCEMENT--
<br /> FLORIDA JURAT(F.S.1117.03)
<br /> OWNER 9w. 4e�,�e'� CONTRACTOR S f c Ye N 1 /�/
<br /> Subscribed and sworn to(or affirmed)¢efore fine t is Subscribed,and sworn to(or affirmed_ e me Is
<br /> EreZbY Foy ti (/c e c/�e�tby � - /
<br /> W^ is/ person ill F(y known to me or has/have produced Whay�s/are ersQnil known to me or has/have produced
<br /> �L '� tLAW-- as identification. i T�'Z5(l7'2 nS-�2 as identification.
<br /> Notary Public Notary Public
<br /> Commis ion o. Commis n No.
<br /> JACQUELINE BOGES
<br /> Name of :IpdpWds*jd�INfi457 Name of Notary typ or rltp -
<br /> o`'Expires December 12,2022 Al' GEs I
<br /> ~'IV., 0"� B,,W nw Troy FWn lnu=ce 800.385.7019 ;: a CO lion t GG 216457
<br /> 'fE;o ,l' Expires December 12,2022
<br /> Bordad TlwlrayFaGllnturanq 800385•7010 '''
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