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813-780-0020- City of PP
<br /> Ze h rhills Permit A iidatiO n Fax-813-780-0021
<br /> P�y
<br /> Building Department .
<br /> NOTICE OF DEED RESTRICTIONS:The undersigned.understands that this permit may be subject to"deed"restrictions"which may be more,restrictive
<br /> than County,regulations.The undersigned assumes responsibility for compliance with any applicable.deed restrictions.
<br /> UNLICENSED.CONTRACTORS AND CONTRACTOR-RESPONSIBILITIES:If the owner has.hired a contractor or contractors.to undertake work,they
<br /> may be required to be license_d in accordance with state and local regulations.If the contractor is not licensed as required by law,both the owner and
<br /> contractor may be cited fora misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements
<br /> may apply for the intended work,they are.advised to contact the Pasco County Building Inspection Division=Licensing Section at 727-847-8009:
<br /> Furthermore,if the owner has.hired a contractor or contractors,he is advised to have.the contractors)sign portions of-the"conteactor.Block".of this
<br /> application.for which they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and.is
<br /> not entitled to permitting privileges in Pasco 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 use in existing buildings,or
<br /> expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended:-The undersigned-also understands,that
<br /> such fees,as maybe due,will be identified at the time of permitting.Itis further understood that Transportation Impact Fees and Resource Recovery
<br /> Fees must be paid prior to receiving a"certificate of occupancy"or final power release..If the project does not involve.a certificate of.occupancy or final
<br /> power release,the:fees"must be paid prior to permit issuance:Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be:paid prior.
<br /> 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 certify that I,the applicant,
<br /> have been:provided with.a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide"prepared by.the Florida Department.of: .
<br /> -Agriculture and Consumer_Affairs.If the applicant is someone other than the"owner",I certify that,l have obtained a copy of the above described
<br /> document and promise in good faith to deliver It to the"owner"prior to.commencement.•.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT;I certify that all the information in this'application,is accurate:and that all work will be done in compliance with
<br /> all applicable laws regulating,construction;zoning and land development.Application is hereby made to obtain a permit to do work and installation as
<br /> 'indicated.I certify that no work or installation has commenced prior to issuance of a.permit and that all work will.be-performed to meet standards of all .
<br /> laws,regulating construction,County and City-codes;zoning regulations,and land development regulations in the jurisdiction.I also certify-that I
<br /> understand that the'regulations of other govemment agencies may apply to the intended.work;and that it is my responsibility to identify what actions.I
<br /> 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 Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> 1 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 /> construction, I.certify thatfilfwill 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 lotsaess than-one (1)-
<br /> acre which are elevated by.fill, an engineered drainage plan.is required:
<br /> If.l am the AGENT FOR THE:OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
<br /> commencing construction. I understand that a separate permit may. required'for electrical work,plumbing,signs;wells,pools,.air conditioning;gas,.or
<br /> other installations not specifically included in the application.A permit issued shall be,construed to be'a license to proceed with the work and not as
<br /> authority to violate,cancel,alter,or.set aside any provisions of the technical codes,nor shall issuance of a'perm it prevent:the Building Official from
<br /> thereafter requiring a correction of errors in plans,construction or violations of any codes.Every-permit issued shall become invalid unless the work
<br /> authorized by such permit is commenced,within six months,of permit issuance,or if work authorized by the permit is suspended'or abandoned for a, .
<br /> period of six(6)months after the time the.work is commenced.An extension may be requested,in writing,from.the Building Official for a period not to
<br /> exceed,ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job is considered.
<br /> 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 INTEND.TO OBTAIN.FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT
<br /> - FLORIDA JURAT(F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to-(or affirmed)before me this Subs rib and sworn J}�o(or q�.ffirmed)before-me this
<br /> by . . 2b- by: l i✓eG Ir18n
<br /> Who:is/are personally known to me or has/have produced Wh .isonall known ome:or has/have produced
<br /> F . . .
<br /> as identification. . as identification-
<br /> Notary PublicNotary Public'
<br /> Commission No. Commission No. �!lTO.q 7133
<br /> Amu L: Malakk,
<br /> Name of Notary typed;printed or stamped Name of No ry typed,.printed or stamped . .
<br /> AM L.MALATAK
<br /> :*� .:Commission#HH 047833 - .. .
<br /> A =Expires September 29,2024
<br /> R',f�• Bonded Ttuu Troy Fain INUranrs 800a&7419
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