.
<br /> ` . .
<br /> N¢�TiCE ��F DEED RESTRlCT|ON��: The undana�nadunderstands that this permlt may bu subject to"daed" 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 be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as.required by \avv' both the owner and contractor may be cited for a nliedarnaannr violation
<br /> under state |ovv. 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 o contractor or uontrantoro, 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 notpnopedy]imansed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION lK8p&CTIUTlLlT|ES IMPACT AND RESOURCE RECOVERY FEES': The undersigned understands
<br /> tTnanapurtmtion Impact Fees and Recourse Recovery Faaa 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 undersigned also undoratande, that such feae, as may be due, will be identified et the time of
<br /> permitting. It is further understood that Transportation Impact Feee'and Resource Recovery Fees must be paid prior to
<br /> receiving e "certificate of occupancy" or final power release. \f the project doennotinvo|veauartifioetaofououpannyor
<br /> final puvverre|eane, 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 in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, aoammonded): If valuation nf work ia $2.50O.UOormore, |
<br /> certify that |, the appUcant, 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. 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 hocommencement.
<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 laws regulating construction, zoning and land development. Application is
<br /> hereby mode to obtain a permit to do work and installation on 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 |gvva regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand thottheragu|ationaofothergovernmentagenoiesmaympp|ytotheintendedvvork' 'ndthetitia
<br /> n�yreeponsibUityto}dent�vvvhatacUonu | rnUet take hobe |ncompliance. Such agencies indudebut are not Urnibadto:
<br /> - Department ofEnvironmental Protection-Cypress Bayheado, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida VVnhar Management District-Wells, Cypress Boyheodo, VVetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngiDeens'8aavvaUa. Docks, Navigable Waterways.
<br /> ' Department of Health Q Rehabilitative Services/Environmental Health Unit-We||u, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authnritv-Flunvvaya.
<br /> | understand that the following restrictions apply to the use offill: '
<br /> ' Use offill is not allowed in Flood Zone "VW" unless expressly permitted.
<br /> - |f the fill nn8teda| is to be used in Flood Zone 'A". it is understood that a drainage plan addressing e
<br /> 11oompenaatin8 volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> \\cmDs8d by the State ofFlorida.
<br /> ' If the fill material is to be used in Flood Zone "/Y' in connection with a permitted building using stem vva||
<br /> construction, I 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 area, | certify that use of such fill will. not adversely affect adjacent
<br /> properties. If use of fill is found to adversely effect adjacent properties, the owner may be cited for violating
<br /> the conditions oftha building permit issued under the attached permit application, for lots ieaa than one (1)
<br /> acre which are elevated by fill, oO engineered drainage plan ierequired.
<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. \ understand that a separate permit may be required for electrical work,
<br /> p|unnbing, aigOe, vve||e. pVo|e. air conditioning, g@s, or other |nabaUat|nno 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 tech n ical'codes, no'r 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 /> un|aaa the work authorized by such permit is commenced within-six months of permit |ouuance, 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 Dffioio| for a period not to exceed ninety /QO\ days and will demonstrate
<br /> justifiable c8u'sa for the extension. |f work ceases for ninety(QU) consecutive days, the job io considered abandoned.
<br /> .
<br /> WARNING TOOWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT |YJYOUR
<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 /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirwed)bqfore me this Subscribed and sworn to(or affirmed)before me this
<br /> by R01mg by
<br /> Who is/are personally known to me or has/have produced Who is/are personally knoN�jn to me or has/have produced
<br /> as identification. as identification.
<br /> __—___Notary Public Notary Public
<br /> Commission No. Commission No.
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