<br />. '
<br />, NOTICE OF DEED RESTRICTIONS: The underslgn~d understands that this permit may be subJect to "deed- restrictions"
<br />.. which may be more restrictive than County regulations. The undersigned assumes responsibility for 'compllahce with any
<br />, applicable deed r~strlctlons.' ' " ' , ','
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired, a contractor or
<br />c<;>nlt:actors to undertake work, they may be required to be licensed in aCcordance wlttl state and local regulatlohs. 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 intended contractor are uncertaih as to what "<<?enslhg reqUirements may apply fot the'
<br />Intended work, th~y are advised ,to contact the Pasco County Building Inspection Dlvlsl0li-Ucensh:1Q Sectloh at Tit-84 '1-
<br />8009., Furthermore, If the owner has hired a contractor 01" contractors, he Is advised to havEdhe contraotor(s) sigh .
<br />, ' portions of the .contractor Block" of this application for which they Will be tesponslble. If you, as the owher slgrl as the, , '
<br />contractor, that,may be an Indication that he Is not properly licensed and Is hot entitled to permlttlhg privileges In Pasco
<br />County., ,,' , ' ' ' , '
<br />TRANSPO~TATION I~PACT/UTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned 'Understahds
<br />that Transportation Impact F:ees 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 duej will be Identified at the time of
<br />permitting. "It Is further l!nderstood th'at Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />. receiving a .certificate of occupancy" or final power r~lease. If the project does hot Involve a certlfica~a of occllpahcy or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthennotej if Pasco COl,JntY. 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 Staiu.es, as amerlded): '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 Law-Homeowner's
<br />PrOtection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
<br />other than the .ownet", 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,informatlon In this applicatloh Is accurate and,that all Work
<br />will be done in compllanqe with all applicable laws regulating construction, zonltig and land development. -Application Is '
<br />hereby made to obtain' a permit to' do work and Installation as Indleated. I certify that ho work or Installation has
<br />commenced prior to Issuarice' 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 Jurlsdlctloh. 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. Such agen~les Include 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' eayheads,' Wetlahd Areas, Altering,
<br />Watercourses. ' ' ,', ' " '
<br />Army Corps of Engineers-Seawalls, Docks"Navigable Waterways., " " " ,
<br />Department of He~lth & Rehabilitative SerVices/Environmental H~altli Unlt-Wellsl 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 ZonEi .V" unless expressly permitted; , ',',', ' ,
<br />'If the flll material Is to be ,used In Flood Zone "N, It Is understood that a dralnag,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 .N In connection with a permitted building using stern wall
<br />, construction, I certify that fill will be used only to 'fill the ar~a within the stem wall., . '
<br />, If fill, materllill Is to be used In' any area, I certify that use of such fill will hot, adversely affect ~dJacent
<br />pioperties. W USB of fill Is lound to adVersBIy affecl ad]"""nt properties. thB ownBr may bB cIIed for v.lolaUng
<br />. .' the condlUons of thB building pBrmll issued under \he BlIachBd permnlipplleeliQn, for lots IBSS then onB (1)
<br />, , acre which are elevated by fill, an engineered drainage plan Is required. ' ' ,
<br />II I am thB AGENT' FOR THE OWNER, I promlsB In good IBlth to InforDl thli owner 01 the pelTrillUng condlllons sel forth In
<br />this affldBVII ",lor to Commenclng,construclion. I. understand that a separaIB permllmay be required for eIeclrlcal work,
<br />.,' plumbing, signs, wells, poolS, Blr condlUonlng, ges, or other InsIBllatlons not speclflcally Included In the epplicatlon. A
<br />permit Issued shall be constnJBd to be B license to proceed with the wort< and not as BUthortly to vlolete, cBneel. aller, or
<br />set eside any ",ovlslons 01 the technlcBl codes, nor shall Issuance of B pBrmll prevent the Building OffIcIal fromthereatter
<br />re<iu~lng a correction of errors In plens, constnJcUon or vlolBUons. of any codBS. Every permlllssuad shali become.lnvelld
<br />unless thB Work Buthortzed by such permit Is commenced wUhln six months 01 pennnlssuance, or Ilwork eutho"zed by
<br />the pemiltls susjJBndBd or ebBndimBd for a period of six (6) months attar thB "mB thB wort< 10 commenced. An BxlBnslon
<br />may be requ estBd , In wrtllng, from the Building OffIcial for a period not to BXce,ed ninetY (00) days,Bnd WlUdemonslrele
<br />]usllflablB eeUSB lor the BxtBnslon. W work ceesBS for ninety (90) consecuUVB days, the job Is considered abandoned. .
<br />
<br />. WARNING TO OWNER: YOUR FAiLURE TO RECilRD A NOTICE OF COMMENCEMENT MAy RESULt IN..YOUR'
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUIt PROPERTY. I.F YOU INTEN . TO. O.BTAlN FINANCING, 00 SUL T
<br />WITH OUR LENDER OR AN ATIO NEY BEFORE RECORDING YOU.NOl: E OF CO NCEMENT'
<br />, FLORIDA JURAT (F.S. 11?,-03)
<br />OWNER OR AGENt '
<br />Subscribed and sworn 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 />CONTRACTOR,
<br />Subscribed and swom to
<br />, by
<br />Who Is/are personally WIl to me or has/have prodUced ,
<br />, ' as Identification.
<br />
<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 ~f Notary typed: prlnted or stamped
<br />
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