ESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> restrictive than County regulations. The uriders! ned assumes responsibility for compliance with any
<br /> TRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> r is not licen-sed as.required by law, �oth the owner and contractor may be cited for a misdemeanor violation
<br /> tate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> to
<br /> ot
<br /> tate law
<br /> is
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<br /> if t
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<br /> ed work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-847-
<br /> �9 Furthermore, if the owner has hired aicontractor or contractors, he is advised to have thb co' ntractor(s) sign
<br /> rtions 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 /> 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
<br /> in existing-, buildings, or expansion_ - existing buildings, _- specified - . -_-- ---.-' Ordinance number -_ -. and
<br /> 90-07. as amended. The undersigned also understands, that such faoo, as may be dma, will be identified at the time of
<br /> permitting. It is furthsv understood that Transportation Impact Foes'ond Resource Recovery Fees must be paid prior to
<br /> receiving n "certificate of occupancy" or final poyver release. If the project does not involve n certificate of occupancy or
<br /> final power.release, the fees must be paid prior to permit \amueRoe. Furthermore, if Pasco {}uuntyVVo1anSevver |nnpoot
<br /> fees are due,they must bepaid priortopernnitisaUaDmyinoccordonuevvithapp)|oeb|ePescoOountyond\nancam.
<br /> CONSTRUCTION LKENLAW(Chapter 713, Florida Statutes,as amended): If valuation of work io$2.5OO.00or more, |
<br /> certify that |' the app|inant, have been provided with o 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 Go08oOa
<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"mmDer" prior tocommencement.:'
<br /> CxJNTRACTOWS/OWNER'SAFF}DAVIT: | certify that allthe \nforrnotionin this application \a 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. | certify that no work or inatg|inbnD has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all \avvo 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 g6vernrnont agencies may apply to the intended work,
<br /> 'nd that it |�
<br /> nlyreapona|bU�vtoidont�/vvhatoudona| rnuet take tobeincompliance. Such agencies indudebut are not Unnitedto:
<br /> - Department ofEnvironmental Protection-Cypress Boyhaada. Wetland Areas and'EnV}ponnlenta\|ySensitive
<br /> Lands,VV3te[8WaStevvaterTreat0ent,
<br /> - Southwest Florida Water K8nnoQenlent [}iatr|ct-YVeUa. Cypress Bayhmods, VVet|and Anaaa, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngineers-Seawalls, Docks. Navigable .
<br /> - Department of Health & Rehabilitative Services/Environmental Health UnU-Nel|s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ` US Environmental Protection Agen ^' beotoaabotanxant.
<br /> ' Federal Aviation Authodb+Runvvayo.i
<br /> | understand that the following restrictions apply ho the use offill: '
<br /> - Use of fill \s not allowed in Flood Znno"V"unless expressly permitted.
<br /> - If the fill material is to be used in, Flood Zone 'YY'. it is understood that n drainage plan addressing o
<br /> "compensating volume" will be submitted at time of permitting which is pnoparad'bv a professional engineer
<br /> licensed by the State of Florida. i
<br /> . - If the fill material is to be used in Flood Zone 'YY' in connection with a permitted bOi!d|DQ using atan0 vva\|
<br /> construction, l certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill rnabahoi 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 affect adjacent pnJp8rUeo, the owner may be cited for violating
<br /> the conditions ofthebUUd|ng permit issued under the attached permit application, for |Vta less than one /1\
<br /> acre which are elevated bv fill, on engineered drainage plan isrequired.
<br /> � If I am the AGENT FOR THE OWNER, I promise in good faith to inform tHe owner of the permitting conditions setforth in
<br /> � this affidavit prior to commencing construction. | understand that a separate permit may be required fore|ectriva| work,
<br /> p|UnlbYng' e\gOo' YveUa' pools, air nondhion|Og, gas, or other installations not specifically included in the application. A
<br /> permit \GaVed nhoU be construed to be o license to proceed with the work and not as authority to vio|ate, conoe|, alter, or
<br /> set aaidaonyproviaionsoftheteuhnica|codeo. Oo[shoUiaa4aOoeofopenD|tpFevonttbaBui|d\ngOffio|a\frn0tharesfter
<br /> requiring a correction of errors iO 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 ivauance, 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 wr|ting, from the Building Official for B period not to exceed ninety /QU\ doyg'andvvU| demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned,
<br /> . .
<br /> `
<br /> WARNING TO OWNER: � ��QR FAILURE TO RECORD & 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 /> FuzR10A 117.031,
<br /> oxvmER OR AGENT CONTRACTOR
<br /> Subscribed and~ Subscribed and sworn o(or affirmed)before"=this
<br /> Who is/are per§onallykp to me or has/have produced Who is/are personally knov�n to me or has/have produced
<br /> as identification. as identification.
<br /> -- Notary Public. Public
<br /> Commission No. ^�-~~ � Commission No. '
<br /> Name of Notary typed,printed or stamped
<br /> �
<br /> mission E�pires
<br />
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