i
<br /> • II .
<br /> NOTICE OF DEED RESTRICTIONS:.The undersigned.understands°#hat�this.;Dermit.may.be,subject:to-deed,•..restrictions.....r..
<br /> I .. , T e ... ..:... 4r: r.. ,� - 4'
<br /> which may':be more'restt(ctiveahanCountywregulaHoris: The underslgneif assumes'responsitiiltty for,compilance VAh-any
<br /> applicable-deed=restrictions. "
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:�• If•the owner'has°'hired' a"contractor or
<br /> contractors to undertake work, the ma be<re_ulred. d in accordance.with state-and local_regulatlons.;.-If4her�
<br /> . . .- Y:. . .y•..,,. _.•_.q..,,,,:., to.:be,llcense;- ..-.....:.;...::. .::::,_:..,
<br /> contractor"Is-not licensed as required;by tenor, both;"the'owner andcontractor.°may°'be5dclted for a�misdemeanor violation
<br /> under state law. If the owner
<br /> a advised or
<br /> ntehded t enPascor are_.uncertain as-to what licensing.requirements,;may.apply forahe
<br /> Intended work, they t✓ounty.Building`Inspection;Dlvlslon�tcenstng 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 , . r
<br /> portions of the °contractor•,Block°of this nappllcation.1for,.which they. will_:.be..responsible. Ifyouu;:as ahe owner'aign'-as`ttie '
<br /> contractor, that tray be an Indication that fie is not':properiy'licensed and is not"entitled to permitting privileges to Pasco
<br /> County.
<br /> TRANSPORTATIONi1MPACTIUTILITIES,IMPAC'T-'A 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.,ezpansten of yezistiri buildings; as specified.In Pasco County Ordinance number 89-07 and,
<br /> 90-07, as amended._.The undersigned alsomriderstl nds; that`such fees, as:may ae;.due will be identified at the�timlib idt�
<br /> permitting. It Is further understood that Transportation Impact Fees and Resour_Recovery:'Feas.must be paid prior to
<br /> receiving-a "certificate:.of,occupancy"°or finahpower-release -:Ifs the.projectdoes_not.lnvolvaiw-Lcertificafe of occupancy'or=
<br /> final power:release _,th'e fees must b® paid';pdor,torpermft issuance. Furthermore;tf:.Pasc©.;County'lWater/Sewer;Impact
<br /> fees are due,:they -pald=.prior to:.penm111ssuanI661n..accordance w1tFr:appllcabie Pasco'.County ordinances.
<br /> CONSTRUCTION'LIEN'LAW"(Chept®r 713, Florida Statutes,es amended): if valuation of work is$2,500.00,;or more,;1
<br /> : ;
<br /> certify that I, the..applicant;_have=been-.pmovided-�'Ith a_ copy- of:the'"Florida Construellbi:L1en`..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 certlo!'that l have:,obtainedti:a�copy;of:the�above:.descrit eddocurnent and-.prothiseln,good;:faith.to
<br /> deliver it to.the.`:owner"pnor:•to�ccmm6i!L%ment
<br /> CONTRACTOWSIOWNER'S AFFIDAVIT: 1.certify:the 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 obtalm.a .permit4a,;do-work and lh6tallation as Indicated.,.-1, certify that no wol Installation ties
<br /> commenced prior to issuance"of A permit-and that all work will be perform ed to meet.standards of all laws`regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I'Yalso
<br /> certify that I understand that-the regulations of other'government agencies may.apply to the,Intended work, and that it is
<br /> my responsibility to identify•W.hat.actions I musttaketo.be,Inmompllance,S..uch.agencies include but-are.not limited to: .
<br /> Department of.,Env(ronmental`hrotectlo6—'Oress.'Bayheads Wetland Areas.and.Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment. ,
<br /> Southwest Florida Water Managerhel'nt.,.Dlstrict-Wells, Cypress.+Bayheaft Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Englneers=Seawalls;Docks, Navigable Waterways.
<br /> Department,ofHealthT4 Rehabliltat(ve,.IServices/Environmental...Health Uhit-Wells,-Wastewater-Treatment,-
<br /> Septic Tanks:....
<br /> US Environmental'Protection 'Agency-Asbestos abatement.,:..
<br /> -Federal Avlatlon Authoribf;Runways-
<br /> I understand that the.foliowin'dtestrictlons apply to the use of fill:
<br /> - Use of fill Is not allowed in Flood;Zone Ni unless expressly permitted.
<br /> If the-fill material`Is�to be usetl in::Flood Zone. "A", '!t is understood-thatt-a drainage plan addressing, a
<br /> "compensating volume".will be submitted at time of<permitting which is prepared by a professional engineer
<br /> licensed bythe State of-Florida':.�i
<br /> If the fill•material-.Is-,to-be:used in Flood Zone "A" im conneciion•with:a,permitted'building using stem wall,
<br /> construction, I certifythat fill w111=be used aznly.lo.#ill thda a within.the-stem wall:
<br /> If fill materlal"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 formlotating,.
<br /> the condnions:'of.the,building':permit Issued:under the attached_pormit application;-for,10ts-18i,than.-one (1)
<br /> acre which are�eievat®d"by fill;an engine®red drainags plan is required:.
<br /> If lam the AGENT.FOR THE..OWNER; I;:prom(se In,good faith to inform the'owner of•the-permitting conditions set forth in
<br /> this amdavtt prior-to'comrnencing construction: I understand they a,separate permit may be required for electrical,work,
<br /> plumbing,-signs,_welis,,pools;. air_,conditioning,-.ga�s;r�or:other Installations not specifically included in.the application. .A
<br /> permit Issued shall be construed to ber a`Ilcense to proceed with the'-Work and_not-as:authority_:to:violate cancel, alter, or
<br /> set aside any provisions of the.techntcai:code%-nor shall issuance,of a.permit.prevent the Bulidirig Official from thereafter
<br /> unless the work authorized-by such erminsti comma r_violations of-any codes.--.Every�permit-Issued"§h0ll become invalid
<br /> requGtn a correction-of:errorsan lens; .con'stivction,
<br /> y p need•within six,months of permit Issuance, or if work authorized by
<br /> the permit is suspended or:abandoned�for:a period-9f,six,(8)•montf�s,.after the time the,work is commenced. An extension.
<br /> may be requested,_in writing,:;from.the:Bvilding Official"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 /> 's
<br /> WARNING TO OWNER: YOUR FAILURE"TORECORD,A-NOTICE:OF COMMENCEMENT:MAY.RESULT IN'YOUR
<br /> _ PAYING TN-IC.._ - F91KJV TQOAIAEtIGOtTT :, RFMI B MSUL7 _
<br /> WIT D ANATORN FOE ORD G. OJ "O
<br /> N
<br /> FLORIDA'JURAT.(M 117.03)
<br /> OWNER OR AGENT I CONTRACT
<br /> Subscribed and swam to(or affirmed)before me this ( Subscribed'and m-to(or•affirm !ti .
<br /> by by... . :
<br /> Who Is/are personally known tome or has/have.produced. Who.Isfare-personally-Mown a or hasthaver-omduced
<br /> as Identification. _ as Identlficallon.
<br /> Notary Public {
<br /> Notary Public
<br /> Commission No Commisslon.No._
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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