<br />. NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be subject to .deed;' c9strlctlorisn
<br />which may be mo~e restrictive than County regulations. The undersigned assumes responsibility for compliance with-any
<br />. applicable deed r~s.trlctlons. . ..... . .
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:" If the owner has hired. a contractor or
<br />c,:mtractors to undertake work, they may be required to be licensed In accordance wltli state and local regulations. If the
<br />contractor Is not IIc.ensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanot. violation
<br />un~er state law. If the ~wner or Intended contractor a~e uncertaihas to what 11genslhg reqUirements may apply.for the .
<br />Intended work, th~y are advlsed.t? contact the P~sco County Building Insp~ctlon Dlvlslori-Ucensl~g Section at 727-847-
<br />8009.. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contraotor(s) sign
<br />. portions of the .contractor Blockn of this E\lppllcatlon for which they will be re~ponslble. If you1 as the owher sign as the.
<br />contractor, that may be an Indication that he Is not properly licensed and Is hot enlitled to permlttlhg privileges In Pasco
<br />County.. .. .. . . .
<br />TRANSPO~TATION IIlIIPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The underslgnedUllderstands
<br />. that Transportation . Impact F:ees ",nd Recourse Recovery Fees may apply to the construction of neW buildings, chahge of
<br />use In. existing buildings~ or expansion of existing buildings, as specified In Pasco County Ordinance hUinber 89-07 and
<br />" '. 90-07, as amended. The' undersigned also understands; that such fees, as may be due; will be Identified al the lime tif
<br />permlttlng..1t is further understood. that Transpo~atlonlmpact Fees and Resource Recovery Fees must ~e paid prior to
<br />. r~celvlng a .certlflcate of occupan~ya or final power release. If the project does hot Involve a certificate of, occUpahcy or
<br />final power. release, the fees must be paid prior to permit Issuance~ Furthermote; If Pasoo 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, Florida Statutes, as amended): 'lfvaluatlon of work. Is $2/500.00 or more, I
<br />certify that I, the applicant, have been. provided wIth a copy of the .Florlda Construction Lien Law-Homeowner's
<br />Protection Guidea prepared by the Florida Department of AgricUlture and Consuiner Affairs. If the applicant Is sotneone
<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'S/OWNER~S AFFIDAVIT: I certify that all thelnformatlon In this application Is accurate and:that all Work
<br />will be don~ In compliance with all applicable laws regulating construction, zonltig and land developinent. -Application Is . .
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or !nslallation has
<br />commenced prior to Issuance. of a permit and that all work will be p~rformed to meet standards of all laws regulating
<br />construction, County. and CItY codes, zonh)g regulations, and land development regulations In the jurlsdlctioh. I also
<br />. certify that I understand that th~ 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 agenples Include but are hot limited 10:
<br />_ Department of Environmental Protection-Cypress Bayheads, We~land Areas and Environmentally Sensitiv~ .
<br />Lands, Water/Wastewater Treatment.
<br />Southwest . Florida Water Management District-Wells, cypress. i3ayheads,. Wetland Areas, Altering.
<br />Watercourses. . .'. .
<br />Army Corps of Engineers-Seawalls, Docks..Navigable Waterways. ." .' . .
<br />Department of He~lth & Rehabilitative SerVices/Environmental Health Unit-Wells, Wastewater Treatment,
<br />.' Septic Tanks.. . ." . .
<br />US Environmental Protection Agency-Asbestos abatement. .
<br />Federal Aviation Authority-Runways.
<br />I understand that the folloWing restrictions apply to the. use of fill:
<br />Use of fill Is not allowed In-Flood Zone .VM unless expressly permitted; . '. '. .
<br />'If the flll material Is to be .used In Flood Zone aAM, It Is understood that a dralnag.e plan addr.esslng a
<br />.compensatlng volumeM 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 aN In connection w1th a permitted bUilding using stem wall
<br />. constructlon, 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, I certify that use of such fill will hot 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 lots less than one (1)
<br />. .' acre which are elevated by fill, an engineered drainage plan Is required. . .' .' . .
<br />.If I am the AGENT FOR THE OWNER, I promise in good faith to Inform the owner of the permitting conditions sel forth In
<br />this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
<br />. . . plumbing, signs, 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 violate, c.ancel, alterl or
<br />set aside any provisions of the technical codes, nor shalllss~ance of a permit prevent the Building OffIcial yrom t~e~ea~er
<br />requiring a correction of errors In plans, cQns~ructlon or vlolat~ons. of any codet;. Every permit 'ssu~d. shall b~come Invalid
<br />unless the work authorized by such permit Is commenced Within six months of permit Issua~ce, or If work authorized by
<br />the permit is suspended or ab.andoned for a period of.slx (6) months after the time th~ W~rk Is comt:nehced. An extension
<br />may be requested, In writing, from the Building Official for a period not to exc~ed hlnety (90.> dars.. and Will, ~emonstrate
<br />justiflal:1ie cause for the extension. if work ceases for ninety (90) consecu.tlve days, the job Is conslde~ed abandoned. .
<br />
<br />WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCEME;NT MAy ~ESULt INNYO.UR'
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND TOO.BTA~N F~NANCING; 00 SULT
<br />WITH YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR..NOTICE OF COMMENCEMENT. .
<br />. FLORIDA JURAT (F.S. 11!.03)
<br />OWNER OR AGENt .'
<br />Subscribed and sworn to (or afflrm!3d) before me this.
<br />. '. by . '. .
<br />. Who Islare personally known to me or haslhave produced
<br />as Identification.
<br />
<br />CONTRACTOR . .
<br />Subscribed and sworn to (or affirmed) before me this
<br />. by..
<br />Who Is/are personally known to me or haslhave produced .
<br />. '. as Identification.
<br />
<br />Notary Public
<br />
<br />NolarY Public
<br />
<br />Commission No. .
<br />
<br />Commission No.
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
<br />
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