,r.
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> :which may be mole 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 las'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 Building Inspection Division—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 a 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'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 89-07"and
<br /> 90-07, as•amended. The 1 undersigned also understands, that such 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. Furthermore, if Pasco County Water/Sewer Impact
<br /> feesare 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 $2,500.00 or more, I
<br /> certify that I, the applicant, 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. IfIthe 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'SIOWNER'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 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 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,'Wate'r/Wastewater Treatment.
<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 /> '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 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 wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If.fill materials is to be used in .any area, .I certify that use of such fill will not;adversely affect.adjacent
<br /> properties. If iuse.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, 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.violatei 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 ceases for ninety(90)consecutive days,thejob 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 /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . . .
<br /> FLORIDA JURAT(F:S 1.7.03)
<br /> • j }1
<br /> O►N,ErsSO,R°AG1=N7? - _ _ tt 14 1t .. _::GONI CTOR: _ .
<br /> Su i d and sw o�(pr ' rmed)beror a this S,.,,yy���c��r�� d and sworrfq, r�Qrrpled be re a this
<br /> byas✓l by ry�J (JGI
<br /> W o.is are personally own to in or has/have produced who is/are personally kn n to me c has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Co ission Commiss o.
<br /> Name of Nota gted or cti. RYMAN Name of Notary typed,printed or stamped KELLI B. RYMAN
<br /> �,Notl3ry Public-StatelExpires
<br /> a rP
<br /> .w' a
<br /> Commission # GG '�° ;Notary Public-State of Florida
<br /> MY Commission • Commission# GG 348302
<br /> Jul iss 20 .,Mod/=��,.� My'Commissibn Expires
<br /> Y July 30, 2023
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