i
<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 may be cited for a misdemeanor violation
<br /> under state law: If the owner or intended contractor are l 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 an indication that he is not property 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 ther 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 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. If the applicant is someone
<br /> other than the"owner", I certify.that.l 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: l.certifythat 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; Count and' ny ing regulations and land development regulations in the jurisdiction. I also
<br /> certify that i understand that the regulations of other gove;rnment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to bean compliance. Such agencies include but are not limited to:
<br /> Department of•Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMastewater 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 Servlces/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the-following restrictions apply to the use of fill:
<br /> Use of fill is not allowed in Flood Zone"W 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 /> constructidni.l certifythat fill will be used only!to fill the area within the stem wall.
<br /> if fill material is to be used in any area, I certify that use of'such fill will not adversely affect adjacent
<br /> properties.•If use 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 wl ieh-,ar6,-blevated 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"brior t&corninencing construction. I understand that a separate permit may-be required for electrical work,
<br /> plumbingaigns; wells;:pools, air conditioning, gas, or other installations not specifically included in the'application. A
<br /> permit issuad shall be construed to be a license to proceed with,th!"Work and not as authority to violate, cancel, alter, or
<br /> set aside=aity:provisions;of the:technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring-al-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 ig suspended orAbaridoned for a period of stx!(6)months afterrthd`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:extensioh.*�Ifwork 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 YOUFVPROPERTY.-.IF YOU1NTENO TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR-LENDER OR AN=Ai`TORN&BEFORE,.'kECORDINGYOUR'NOTICE' COM ENCEMENT.
<br /> ___FLORIDA JURAT(F.S 17.03)
<br /> OWNER OR AGENT CONTR%iCTOR
<br /> Sub ribed andb�A o or MA before
<br /> NS a this
<br /> Su6scri 3 and swo by ANTES BOWIE CLAthRK
<br /> o s/are personally known o r haslhave roduced o is/are ersonall known to hasihave produced
<br /> as identification. N/A as identification.
<br /> Notary Public Notary Public
<br /> Commission No.GG 308696 Commission No. GG 308696
<br /> i
<br /> Daphne Clark Daphne Clark
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> DppHNE A.CLARK
<br /> e°s'YPt'e��c Commission#GG308696 °SPRY_P�B�� DAPHNEA.CLARK
<br /> a o Commission#GG 308696
<br /> e Expires June 27,20rvtces * * Expires June 27,2023
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