` . .
<br /> NOTICE OFDEEDRESTRICTIONS: The undersignad 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 |avv, both the owner and contractor may be cited for o 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 n oonbonbz/ or contnyctoro, 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 dhe owner sign as the
<br /> oontrmctor, that may be on indication that he is not properly 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 bui\dings, or expansion of existing bui|dinQa, as opao\Uad1n Pasco County Ordinance number80-O7 and
<br /> 00'07. as amended. The undersigned also undarshyndo, that such feon, 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 o 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 7i3' Florida Statutes, amanmendmd): |f valuation of work io$2.5U0.00or more, |
<br /> certify that |, the uppUoont, have been provided with e copy of the "Florida Construction Lien Law�Homaowner'm
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iasomeone
<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 itto the^owner"prior tocommencement.
<br /> CONTRACTOR'S/OWNEFk'SAFF|0AV|T: | certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construoUon, zoning and land development. Application is
<br /> hereby mode to obtain a permit to do work and installation as indicated. | certify that nowork or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
<br /> uonsbucUon. County and City oodes, zoning,regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other government agencies may apply ho the/intended work, and that it is
<br /> my responsibility to identify what actions| must take b/beincompliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayheado, Welland Areas and Environmentally Sensitive
<br /> Lands,VVaienKNashawaberTreatment.
<br /> - Southwest Florida VVobar Management Diathct-VVe||o, Cypress Boyhmedo, VVaUand Anaaa. Altering
<br /> VVohsncouseo. '
<br /> - Army Corps ofEngineeo-SeowoUo. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-WeUe, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agenoy-Aabeahouabatement.
<br /> - Federal Aviation Authorih/'Runvvayo.
<br /> | understand that the following restrictions apply;u the use offill:
<br /> - Use of fill in not allowed in Flood Zone^V~unless expressly permitted.
<br /> - If the OU material is to be used in Hood Zone ''A^. it is understood that a drainage plan addressing o
<br /> "compensating volume" will be submitted at time of permitting which is prepared byn professional engineer `
<br /> licensed by the Sbxha of Florida.
<br /> - If the fill motahm/ is to be used in Flood Zone "/Y' in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, | certify that use of such 0| will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propwrtiea, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit app|icaUon..for lots |aos than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan iorequired.
<br /> |f| 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 prior to commencing-construction. | understand that separate permit may be required for electrical work,
<br /> p|umbing, aigna, wells, pools, air conditioning, gas, 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 vio/aba, conce|, a|ier, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requ|hngmoornadiunnfennnsinp|anu. 00nsbunUonorv|o|aUdnaofanycndaa. Every pennitissued 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 is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requenhed, in vvhUng, from the Building Official fora period not to exceed ninety (QU) days and will demonstrate
<br /> justifiable cause for the extension. |� kceasesfornineh/(00)nnnoaouUvedoyo the job in considered abandoned.
<br /> WARNING TO OWNER: YOU FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMP OV MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> TTO
<br /> WITH YOUR LENDER`0
<br /> NEY BEFORE RECORDING YOUR NOTICE RF COMMENCEMENT.
<br /> ATTOR
<br /> - OWNER-ORAGENT CONTRACTOR. - ' --- - --
<br /> Subscribed and sworn 4toor a med)before me this Subscribed and sworn to(or a d)before me this
<br /> Who islare personally known 0 me or' Who is/are pe nally known�bhe or has4have pFedue
<br /> --Ji--as identification. as identification.
<br /> ..-Notary Public ���Notary Public
<br /> Commission No. HH 000460 Commission No.
<br /> Elissa@LHolleran ElissaD&BuUemo ~~
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> `.
<br /> 000460
<br /> Expires June 6,2024
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