<br />, '
<br />
<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understa'nds that this 'pertnlt may be subject to .deed;' restiictlonsll.
<br />, which may be more restrictive than County regulations. The undersigned assumes tesponslblllty tor 'compllahce with any
<br />applicable deed r~strlctlons. ., ,',,' , ' '
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:" If the owner has hired, a contractor or
<br />cc:mtractors to undertake work, they may be re,quired to be I,censed in aCcOrdance w1tli state and local tegulatiotls. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited for a tnlsdemeanot violation
<br />un~er state, law. If the ,?wner or Intended contractor a~e uncertain as to what lI<?enslng reqUlretnents may aprlY.fot the '
<br />Intended work, th~y are advls~d,t? contact the P~sco County Building Inspection Dlv!slori-llcensl~g SectlOh a 727-847-
<br />8009., Furthermore, If the owner has hired a contractor,or contractors, he Is advised to have 'the contraptor(s) sigh '
<br />, ' portions of the .contractor Bloc~1I of this ~ppllcatlon for which they Will be te~ponslble. If you, as the owner sign as the, , :
<br />contractor, that may be an Indication that he Is not properly licensed and Is hot enlltled ,to permitting pHvllege!;; In Pasco
<br />County. ,,' , . ' ' . .
<br />TRANSPO~TATION I~PACT/UTILlTIES IMPACT AND RESOU~OE REOOVERY FEES: The undersigned 'understahds
<br />, that Transportation . Impact ~ees ~nd Recourse Recovery Fees may apply to the construction ()f heW biJlldlngs, chahge of
<br />use in, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hlltnber 89-07 and
<br />.", 90-07, as amended. The underslgne~ also understands; that such fees, as may,be due; Will be Identified al the time of
<br />permitting. 'It Is further ~nderstood: that Transportation Impact Fees and ResourCe Recovery Fees tnust ~e paid prior to
<br />, receiving a .certiflcate of occupancy. or final poWer r~lease. If, the project does hot Involve a certlflca~e of occLlp~hcY or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthermote; It Pasco County WateriSewer Impact
<br />, fees are due, they must bepal~ prior to permit Issuance In accordance with applicable Pasco Cou'nty ordinances.
<br />, CONSTRUCTION LIEN LAW (Chapter,713, Florida statutes, as amended): 'If valuation 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 GuideR prepared by the Florida Department of AgricUlture and Consutner Affairs. If the applicant Is someone
<br />, other than, the 1I0wnetll, I certify thl?1t I, have obtained a copy of the above described document and promise in good faith to,
<br />, deliver it to the Rowner- prior to commencement. ' , '
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.lnformatlon In this application Is accurate and:that all Work
<br />will be done In compllam~e with all applicable laws regulating construction, zonli"ig and land development. -Application Is
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or ,nstallatlon 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, zonlog regulations, and land development regulations In the jutlsdlctloh. I also
<br />,certify that I understand that th~' regulations of other government agencies may apply to the Intended work, ahd that It is ,
<br />my responsibility to Identify what actions I mUst take to be In compliance. S!:,ch agenples hlclude but are hot limited to: '
<br />_ Department of Environmental Protection-Cypress Bayheads, We~land Areas and Environmentally Sensitive '
<br />Lands, Water/Wastewater Treatment. ' ' ',' ,
<br />Southwest' Florida Water Management District-Wells, Cypress Sayheads,' Wetlahd Ateas, Altering,
<br />Watercourses. ' , . , ' ' ,
<br />Army Corps of Engineers-Seawalls, Docks" Navigabie Waterways. ' ' ,,' " ,
<br />Departm'ent 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 res~rlctlons apply to the, use of fill: ' , '
<br />, , _ Use of fill Is not allowed In"Flood Zone .V" unless expressly permitted; , '
<br />" 'If the flll material Is to be used In Flood Zone aN, It Is understood that a drainage plan addr.esslng a
<br />. acompensatlng volume. will be, submitted at time of permitting which Is prepared by a ptofesslonal engineer
<br />,licensed by the State of Florida. ' ' ' " .
<br />If the fill, material Is to be used In Flood Zone aAII 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, 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 ~Ited fo~ V,lolatlng
<br />the conditions of the building permit Issued under the attached permit appllcatlcm, for lots less than one (1)
<br />" ' ,acre which are elevated by fill, an engineered drainags 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 set fo~h In
<br />this affidavit prior to commencing. construction. I, understand that a sep~rate permit may be requited 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 IIcens,e, to proceed with the work and not as authority to violate, c,an,cel, alterj or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~erea~er
<br />requiring a c;orrectlon of errors In plans,constructlon or violations ,of any code~. Every permit lssu~d shallb~come Invalid
<br />unless the work authorized by such permit Is commenced within six months o.f permit Issua~ce, or if work authotlzed by
<br />the permit is suspended or ab,andoned for a period ohlx (6) months after the time th~ ~~rk Is comtnehced. 'An extension
<br />'may be requested; In writing, from the Building Official fora period not to exc~ed hlnety (90) days"ahd wlll.~e~C?nstrate
<br />justiflatl1e cause for th~ extension. If work ceases,for ninety (90) consecu,tlve days, the job Is considered abandoned. , '
<br />
<br />, WARNING TO OWNER= YOUR FAilURE TO REC~RD A NOTICE OF COMMENCENII;NT MAy ~ESUlt IN YOUR'
<br />'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I,F YPU INTEND, TOO,BTA~N F~NANCING; OONSULT
<br />WITH UR lENDER OR A ATTOR EY BEFORE RECORDING YOU " OT CE OF COM ENC
<br />, FLORIDA JURAT (F.S. 117.03)
<br />OWNER OR AGENT "
<br />Subscribed and sworn to (or amnnt:Kt) before me this,
<br />, " by' ,
<br />Who Islare personally known tb me or has/have produced
<br />as Identillcation.
<br />
<br />CONTRACTOR, ' '
<br />Subscribed and sworn to (or afilnned) before me this
<br />, by' '
<br />Who Islare personally known to me or has/have pi'oduced ,
<br />, ' asldenUllcaUon.
<br />
<br />Notary Public
<br />
<br />NolarY Public
<br />
<br />Commission No.
<br />
<br />Commission No. '
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />Name of Notary typed. printed or stamped
<br />
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