r
<br /> NOTICE OF RESTRICTIONS: The undendgnedunderstands this permit rnoybe subject ho"dead" reatdctona" .
<br /> which
<br /> 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 o contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and |000| regulations. If the
<br /> contractor is not licensed as.required by |avv, both the owner and contractor n?ay be cited for o misdemeanor violation
<br /> under state |avv, 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 coDLrontora, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. |f you, as the owner sign oathe
<br /> oontrootnr, that may be an indication that he is not pnopar(y]|oanaed and is not entitled tu permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION lK8PACTIJTlL|TlES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Tranepodat|on |nnpactFees and Recourse FlenoveryFees nnayapply to the oonstruct\nnnf new buildings, change of
<br /> use in existing buildings, or expansion of existing buUdings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07. as amended. The undersigned also undarebsnde, that such fees, as may be due, will be identified ot 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 doaonotinvo|veocertifioa[eofoocupaDoyOr
<br /> final povverra|eoee' the fees must be paid prior to permit issuance. Furthermore, if Pasco CnuntyVVahar/Bevver 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, asamneoded): If valuation of work |a $2.5OU.OUormore, I
<br /> certify that |, the app\|cant, 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 issomeone
<br /> other than the"owner", | certify that |'have obtained a copy of the above described document and pnonlioo in good faith to
<br /> deliver itbu the"uvvner"prior tocommencement.
<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 conebuobun, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and iDota||aUnn as 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 |avva 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 go'vernmant agencies may apply to the intended work, and that itim
<br /> my responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayhende. VVet|and Areas and Environmentally Sensitive
<br /> Lands,VVatanWaotbvvaterT[entnleDt.
<br /> - Southwest Florida Water Management District-Wells', Cypress Bayhaado, Wetland Areas, Altering
<br /> Watercourses. '
<br /> ' Army Corps ofErigineors+8oavv@||u' Docks, Navigable Waterways.
<br /> ' Department of Health 8 Rehabilitative 3an/|cea/EOvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - OS Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority'Rummaya.
<br /> ( understand that the following restrictions app|yto the use of fill:
<br /> ' Use of fill |u 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 /> "nompansating vol.ume" vvi|| be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fi|\'rnate[ia| 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 fi|| Will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect 8dieoeOt 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 n|evatedby fill, an engineered drainage plan iarequired,
<br /> }f \ arn the AGENT FOR THE OWNER, | promise iD good faith hn inform the owner of the permitting conditions set fohbin
<br /> this affidavit prior to commencing construction, i understand that a separate permit may be required for electrical vvork,
<br /> p|u0bing, signs, wells, poo|o, 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 period not to exceed ninety /00\ days and will demonstrate
<br /> justifiable oau'se for the extension. If work ceases for ninety(90) consecutive 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 TQ 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 an�sworn to(or affirrrAd)beforp mi�this Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are p or has/have prodtrued Who islare personally knov�n to me or has/have produced
<br /> as identification. as identification.
<br /> _Notary Public"'A
<br /> rvPublio
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or t Name of Notary typed,printed or stamped
<br /> hW Ppe, Notary Public state of Florida
<br /> es
<br /> My Commission GG 067321
<br /> 4.0 ggpires i21211202t)
<br />
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