'
<br /> .
<br /> NOTICE C)F DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictbns" .
<br /> which may be more restrictive�than County regu|a�ons. The undersigned asaurnosresponeibU�yfor connpUenmavv�hany
<br /> oppUcab|edaedrmatdoUona. / �
<br /> UNLICENSED CONTRACTORS AND CONTRAC]Fl RESPONSIBILITIES: If the owner has hired a contractor or
<br /> onn�achoro.tn undertake work, they may be required to be licensed in accordancevNth state and local regulations. If the
<br /> contractor is not licensed as.required by |aw/, both the owner and contractor ba cited for o misdemeanor violation
<br /> understate law. If the intended tra i what licensing
<br /> intended work, they are advised to contact the Pa6co County Building Inspection Division—Licensing,Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, ke is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be �esponslble. 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 REC6VERY 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 must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Flori'da Statutes, as anrlende�): If valuation of work is$2,500.00 or more, 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 C.onsurner 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. I
<br /> CONTRACTOR!SIOWN ERIS AFFIDAVIT: I certify that ail 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 ail 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. I also
<br /> certify that I understand that the regulations of other government agenclesimay 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, Wetand Areas and Environmentally Sensitive
<br /> Lands,Water/WasteWater Treatment.:, 11
<br /> - Southwest Florida Water Management District-Wells, Cypress Boyhaoda' Wetland Areas, Altering
<br /> Watercourses. � ' '
<br /> ' - Army Corps ofEOg|n8ero'Gaavvo||G. Docks. Navigable VVate .
<br /> - Department of Health & Rnhmb|||tad}ye Servicea/EnvironrDeOt6| Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. '
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> /
<br /> ~ |
<br /> - Federal Aviation Authodty-Runvvays
<br /> | understand that the following restrictions apply toth8 use offill: '
<br /> - Use of fill is not allowed |n Flood Zone'V' unless expressly permitted.
<br /> - If the fill material is to be used in flood Zone 'YY', it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting Which is prepared by o professional engineer
<br /> licensed by the State of Florida. )
<br /> - If the fill nOetahal is to be used in Flood Zone 'YY' in oonDeoU' D with e permitted building using stem vva|\
<br /> construction, | certify that fill will be used only to fill the araavYithin the stem wall.
<br /> - If fill material is to be used in aOy |onaa. | 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 ieoVad under the attached permit application, for lots |aau than one (1)
<br /> acre which are elevated by fill, required.
<br /> this affidavit prior to commencing construction. I!understand that a separa I te permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations n i ot specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed.with the work 4 nd 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, constructil'n or violations of any codes, Every permit issued shall become invalid
<br /> unless the work authorized by such permit is coa�menced 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 �fflcial for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutiv el 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 PROPERTY. IF YOU I�TEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT.
<br /> OWNER-ORAGENT CONTRACTOR
<br /> If I am the AGENT FOR THE OWNER, I promise�in good faith to inform th&owner of the permitting conditions set forth in
<br /> Subscribed and sworn to�or affl�ped)b fore me this Subscribed and sworn to
<br /> ' )before me this
<br /> by jWnu by
<br /> Who is/are personally known namour has/have produced | Who is/are personally kn,own tomenrhas/have produced
<br /> s�nn8�ca�on. ' ' asiden�i��on.
<br /> �
<br /> Notar
<br /> `
<br /> ruom� �
<br /> `�--- ! |
<br /> Notary Public
<br /> Commission No. / Commission No.
<br /> . |
<br /> Name of Notary typed,printed or stamped _�_ame of Notary typed,printed or stamped
<br /> Notary
<br /> |
<br /> Public' e O "O~~ .
<br /> 41,
<br /> ^ my
<br /> � ���' _�p=,~----' i
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