<br />, . '
<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this permit may be subJect to Ildeed;' restrictions"
<br />, which may be more restrictive than County regulations. The unde~signed assumes tesponslbllity for 'compliance with any
<br />, applicable deed r~strlctlons. " " ' , '
<br />l!NLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:, If the oWliei' has hired, a contractor or
<br />cl;mtractors to und.ertake work, they rriay be required to be licensed in accordance witH state and local regulations. If the
<br />contractor Is not hc,ensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanot violation
<br />under state, law. If the c;Jwner or jntended contractor are uncertalh as to what licensing reqUirements may apply fot the'
<br />Intemded work, they are advised ,to contact the Pasco County Building Insp~ction bivlslori-Llcensl~g section at rit -84"'-
<br />8009. Furthermore, If the ownei' has hired a contractor, or contractors, he Is advised to have the contraotor(s) sign '
<br />, portions of the .contractor Block" of this EJPpllcatlon for which they Will be responsible. If you, as the owner sign as the, , '
<br />contractor, thatrriay be an indication that he Is not properly licensed and Is hot enlltled to permitting privileges In Pasco
<br />County, ' ' ' . .' ,
<br />TRANSPO~TATION I~PACT/UTILlTIES IMPACT AND RESO~ROE REO OVERY FEES: The undersigned understands
<br />,that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
<br />use In existing bulldings~ or expansion of existing buildings, as specified In Pasco County Ordinance hllinber 89-07 and
<br />" " 90-07, as amended. The underslgne~ also understands; that such fees, as may, be due; will be Identified at the time of
<br />permitting. 'It Is further l!nderstood, 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 hot Involve a certificate of occUpancy or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthermote; if Pasco CountY. Water/Sewer Impaot
<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 Statu~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 .Florlda Construction Lien Law-Homeowner's
<br />Protection Guide" prepared ,by the Florida Department of AgricUlture and Consuiner Affairs. If the applicant Is someone
<br />other than, the "owner", I certify th;;it 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 Wotk
<br />will be don~ in complianqe with all applicable laws regulating construction, zoning and land development. 'AppllcatlOrlls"
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that no 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 regulatlons,and land development regUlations In the Jurisdiction. I also
<br />,certify that I understand that the' 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 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 />Deparlm'ent of He~lth & Rehabilitative SerVices/Environmental Health Unit-Wells; Wastewater Treatment,
<br />SeptlcTanks.. ' " : " '
<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 offill Isnot 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 drainag,e p'lan 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 UN In connection With iii 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, materil;d 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 a~versely affect adjacent properties, ,the owner may be cited fo~ v,lolatlng
<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 ~onditlonsset fo~h In
<br />this affidavit prior to commenclng,construction. I understand that a separate permit may be required for electrical wor~,
<br />, . ' plumbing, signs, weils, pools, air conditioning, gas,' or other installations 'nQt specifically Included In the application. A
<br />permit issued shail be construed to be a Iicens,e to proceed with the work and not as authority to violate, c,an~l, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official ~rc;Jm t~erea~er
<br />requiring a qorrection of errors In plans,cQnstructlon or violations ,of any code,S. Every permit lssue:d. shall become Invalid
<br />unless the work aulhorlzed by such permit Is commenced within six months of permit Issuance, or if work authotlzed 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 writing, from the Building Official fora period not to exc~ed ninety (90) da~s"and WIII,dem(:IOstrate
<br />justiflalJle cause for the extension. If work ceases,for ninety (90) consecu~lve days, the job Is conSidered abandoned. '
<br />
<br />WARNING TO OWNER: "OUR FAiLURE TO RECORD A NOTICE OF COMMENCElill,NT MAY REsuLt IN YOOR .
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YOU INTEND. TOO.BTAIN FINANCING; ooNsllL T
<br />T OUR LENDER OR AN ATTO NEY BEFORE RECORDING YOUR ,NOTICE OF CO ENCEM T.
<br />, FLORIDA JURAT (F .S. 117-03)
<br />oWNER OR AGENT "
<br />Subscribed and sworn 10 (or afflrm!"d) before me this,
<br />, " by , " ,
<br />Who Is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />CONTRACTOR ' '
<br />Subscribed ahd swom to (or affirmed) before me this
<br />bY" '
<br />Who Is/are personally known to me or has/have produced ,
<br />, " as Identification.
<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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