<br />NOTICE OF ,DEED RESTRICTIONS: The undersigned 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 r~strlctlons. .' " " " '
<br />l!NLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired, a contractor or
<br />contractors to undertake work, they may be re,quired to be licensed In aCcordance wltli state and local tegulatlol1S, If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanor violation
<br />under state, law, If the <?wner or jntended contractor a~e uncertaih as to what lI~enslhg reqUirements may apply ,for the .
<br />intended work, they are advised ,to contact the Pasco County Building Inspection Dlv!slori-Ucensl~g Section at 727-84"'-
<br />8009, Furthermore, If the owner has hired a contractor,or contractors, he Is advised to have the conlratlor(s) sigh '
<br />, portions' of the "contractor Block" of this ~ppllcatlon for which they Will be responsible. If you, as the owner sign as the, , :
<br />contractor, that: may be an Indication that he Is not properly licensed and Is hot entitled to permitting prlvllege~ In Pasco
<br />County" ' ,.' ' ' . "
<br />TRANSPORTATION I,.,PACTJUTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned understahds
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
<br />. use In, existing buildings~ or expansion of existing buildings, as specified In Pasco County Ordinance hllinber 89-07 and
<br />.." 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified al the time of
<br />permitting. 'It Is further understood, that Transpo~atlonlmpact Fees and ResourCe Recovery Fees Inust be paid pi'lor to
<br />, receiving a "certificate of occupancy" or final power release, If the project does hot Involve a certificate of occlipahcY or
<br />filial power. release, the fees must be paid prior to permit Issuance, Furthermore; if Pasco CountY. WateriSewer Impact
<br />, fees are due, they must be paid prior to permit Issuance In accordance w,ith applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter.713, Florida $tatu~es, 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 "Florida Construction Lien taw-HomeoWner's
<br />Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant is sorneone
<br />, other than, the "owner", I certify thlilt 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 the. Information In this application Is accurate and:that all Work
<br />will be donEt In compllanqe with all applicable laws regUlatl!lg construction, zonlhg and land development. 'AppUcatlOr1ls..
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation 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, zoning 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 Intend~d work, and that It is
<br />my responsibility .to Identify what actions I must take to be In compliance. S,:!ch agencies hlclude but are hot 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,' Wetlahd Areas, Aiterhig
<br />Watercourses.' , " " .' . '.
<br />Army Corps of Engineers-Seawalls, Docks, ,Navigable Waterways., .. " .
<br />Departm'ent of He~lth & RehabllitatlveSerVlces/Envlronmental HE;talth 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 "V. unless expressly permitted,' , ',' ,
<br />'If the 'fill material Is to be ,used In Flood Zone "N, 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 englheer
<br />,licensed by the State of Florida. ' " , '
<br />If the fill material Is to be used in Flood Zone "N In connection With a permitted building using stem wall
<br />, construction, I certify that fill will be used only to 'fill the ar~a 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 set fo~h In
<br />this affidavit prior to commencing. construction. I, understand that a separate 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 license, to proceed with the work and not as authority to violate, c.ancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~e~ea~er
<br />requiring a correction of errors In plans,cQnstruction or violations .of any code!;. Every permit lssu~d, shall become 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 abandoned for a period ofSlx (6) months after the time t~e w~rk is commenced, 'An extension
<br />'may be requested. In wrltlng,from the Building Official fora period not to exc~ed ninety (90) days"and will,~emonstrate
<br />justiflai:lle cause. for the extension, If work ceases for ninety (90) consecu~lve days, the Job Is considered abandoned. , '
<br />
<br />WARNING TO OWNER: YOUR FAilURE TO RECORD A NOTICE OF COMMENCEMENT MAy RESULt IN YOUR.
<br />. PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND TOO.BTA~N F~NANCINGj OONSULT
<br />WITH YQUR LENDER OR AN ATrORNEY BEFORE RECORDING YOUR ,NOTICE OF COMMENCEMENT.
<br />
<br />. FLORIDA JURAT (ES. 11?,-03) " ' CONTRACTOR' ' , " ' .
<br />OWNER OR AGENT . , ' ' . tho
<br />Subscribed and swom to (or amrm~d) before me 'this, Subscribed and swom to (or amrmed) before me Is
<br />, '~ " , ' ~
<br />, ' Who Is/a~ personally known tb me or haslhave produced ' Who Is/are personally known to me or haslhav,:, produced ,
<br />, as IdenUflcaUon. ' as IdenUficaUon.
<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 />, . '
<br />Name of Notary typed, printed or stamped
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