2
<br /> NOTICE*OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may 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' 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 law,.both the owner and contractor maybe`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(.$) 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,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 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 /> fees are.:due,..they.:m,usttlbq p..aid.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, 1
<br /> -certify that l,--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. 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 it to the"ovine,r"prior to commencement.
<br /> CONTRACTO,.,R'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 and1and 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:tolgsuance of a permit and that-alliwork will.•'be performed to..'n eef:standards of all laws regulating
<br /> constructiion;'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 responsit ilityto.-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;VllaterM/astewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, .Cypress Bayheads, Wetland Areas, AlWing
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable atiiiways-
<br /> Department of Health & Rehabilitative Services/.Environmental°;Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US>Environmental Protection n.Agency-Asbesto&abatement
<br /> - Federal Aviation Authority-Runways.
<br /> l.understand.that the following.restrictions apply to the use of'fill:.
<br /> Use of:fill`;is not allowed in-.Flood Zone'V" unlesv4xpre9sly.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 perrnitting:%which•_is prepared by a professional engineer,
<br /> licensed bythe State of Florida.
<br /> If:the fill material is to.be used'in Flood Zone "A!":*4Wconnection with a permitted building using stem wall*
<br /> construction.:I certifythat fill will be used only to fill;th". w thinthe�stem:wall:
<br /> If fill. material: is to be used in any area, 11 certiify:that use of such fill will not adversely affect adjacent
<br /> properties:-:If use.of fill is.found to adversely affect::'adjacent;:pro..perties, the°.owner may.be cited for violating
<br /> the conditions of-the building permit issued'under
<br /> rthe7attached':permit application, for lots less than one (1.)
<br /> acre which>are.::elevated by fill, an:engineered drailan isrequired.
<br /> If I am the.AGENTFd"114E OWNER, I promise-in-goodfaiih#o.=inform::the.owner.,ofthe permitting•conditions set forth in
<br /> this affidavit:priorto,commencing construction. I understand'that a-:separate permit may be required for electrical work,
<br /> plumbing;::signs, well's;:.pools, air conditioning, gas; or-other.install 16hs;notxspecifically'included in the,application. A
<br /> permit issued-shall be construed to be a license toproceed with;!the,•workkand not as authority to violate, cancel; alter,;or . .,._
<br /> set aside.,any-provisions.*of the.technical codes,.nor:shalI'issuance;ofra permit prevent the Building Official from thereafter;:
<br /> requiring::a correction of errors in plans, construction or violations•of-anycodes:'=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.permit1s-suspended or abandoned for a period of siz:.(6)months after the1iriie 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:.-...-A.
<br /> justifiable cause 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 TO YOUR`PROPERT•Y:""IF'YOU-INTEND`TO.-OBTAIN FINANCING;CONSULT`
<br /> WITH YOUR',:LEND.ER OR AN A'fTORNEY'BEFORt,RECORDIN'G:'YO OF COM EMENT.
<br /> FLORIDA'JURAT(F.S.1.17.03
<br /> OWNER OR AGENT CONTRACTOR
<br /> ubscribed and swoQto(or affirmed) fore me this Subscribed and sworn�o(or rmed)before me this
<br /> -2-0 by 29 f=i+f'As �o-2L—2ZZ by (O :�i . Anr-
<br /> Who Is/are personally known tome dr has/have Produced Who Is/are personally nowp tome or h-591have produced
<br /> l as identification. as identification.
<br /> Notary Public Notary.Public
<br /> Commission No. Commission No.
<br /> Named Name of
<br /> ►ty� Notary Public State of Florida Notary Public State of Florida
<br /> Alicia Herweh-Cannon Alicia Herweh-Cannon
<br /> -g M Commission GG 218378 My Commission GG 218378
<br /> �"fjaa ' Expires 05/16/2022 aTTa F�cpires OSHB/2022
<br /> ii,J'
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