I
<br /> NOTICE'OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which maybe 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 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-w 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: 'The undersigned understands
<br /> that Trans.portation1mpact Fees-and•RecourseRecovery Fees-may apply-tothe-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 atthe 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.must be_paid..prior.to.permit issuance in accordancewith applicable Pasco County.ordinances. -
<br /> CONSTRUCTION'.LIEN LAW`(Chapter 713.•Florida Statutes,.as amended): Ifyvaluation:of work-is$2,500:1)0 orrmore, I
<br /> certify-that 1, 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"owner" prior to commencement.-
<br /> CONTRACTOR'SIOWNER'StAFFIDAVIT,: I certify that all the information,in.this,appl cation 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, County and'City-codes, zoning regulations, and land development regulations in-the jurisdiction. 1 also.
<br /> certify that (:understand that the regulations of other government agencies may apply.to-'the:intended work, and that it is
<br /> my responsibility to 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,,Water/Wastewater 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 Services/Environmental 'Health Unit-Wells; Wastewater~Treatment,
<br /> Septic Tanks.
<br /> US Enuironmental,eProtection-Agency-Asbestos-abatement.:
<br /> federal'Aviation Authority-Runways.
<br /> I understand that:the461lowing.restrictions.apply to the use of fill:-
<br /> - Us'e.of°fill�is_riotallowed:in`Flood2one."V'.'unless-expressly permitted..
<br /> If tile- fill. material-is to be used in Flood Zone."A", it is understood that a drainage plan addressing a
<br /> "Cornperisating volume" wiii.be--submitted at time-of permitting-which-is-prepared by a professional engineer
<br /> iicensed:by.the State of Florida.
<br /> If`th'e:-fill.material is:-to-be;-.used-'in,Flood-Zone "A" in=•connection with a permitted building using stern-wall
<br /> constructiion;.t-certify'that'fill will be-used-only to fill,the area within-the-stem wall. .
<br /> If-fril: material: is to be; used in any area,.I certify that use of such fill will not adversely affect adjacent.
<br /> prop::ertios..:'If-use-of:..fill-is'found to-adversely affect.adjacent properties;.-the-owner-may.-be,cited.for violating
<br /> theconditions of the.building permit issued under the attached permit application, for lots less than one (1).
<br /> acr--e,wt idh;iare:,elevated_by:.fill,-an:engineered drainage.plan isrequired.
<br /> If I am.tlie,•AG'EN'1'-i 4,<-1 E:.O`!l NEl2, I promise-in good faith.to inform.-the.owner.of the:perm itting=conditions set forth in
<br /> this affidavit�:prior;to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing„cisigns;--wellsi:-pools; air-conditioning,-gasi: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 tfe.work.authorized by.such permit.is-commenced within six months of,permit issuance,_or if.work authorized by
<br /> the permItl&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 BuildingOfficial for a period-not to exceed ninety (90) days and will demonstrate
<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:T.WI.CE�FOR'.IMPRO�%EMI NTS'Ta'
<br /> YOUR'IPROPERTY IF'YOWI
<br /> NTEND'TO`-OBTAIN>`FINANCING;'CONSU�T-
<br /> WITH YOUR:LENDER OR`AN AVTORNEY BEFORE:`RECORDiNG•Y _-
<br /> FLORIDA`JURAT'( 0)
<br /> OWNER'OR•'AGENT- ` PAOCONT
<br /> �����or
<br /> d e o e me this Sub-crib d_and sworn' or a rmb 'b"fote me;thrs
<br /> (inIOL0 by.
<br /> or haslhaVa produced Coo!slate personally Known tom rhas/ha a produced
<br /> 1. as identification. A s identification. t
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> i
<br /> Name . pl�Q�frtAtC�lbt`bts Name.o ,
<br /> 06. Notary Public State of Florida Notary Public State of Florida
<br /> Alicia Herweh-Cannon Alicia Herweh-Cannon 1
<br /> My Commission GG 218378 r BMy Commission GG 218378
<br /> NapExpires 05/16/2022a�d� Expires 05/1612022
<br />
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