<br />NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be subject to "deed" restrictioris"
<br />. which may be more restrictive than County regulations. The undersigned' assumes responsibility for 'Compliahce with any
<br />applicable deed r~strlctions. .. '. . '..
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired. a contractor or
<br />cc;mtractors to undertake work, they rriay be required to be licensed In aCcordance with state and local regulations. 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 uncertain as. to what lIC?ensli1g reqUlreinents may apply.for the .
<br />IntEmded work, they are advised .to contact the Pa,sco County Building Insp~ctlon Dlvlslori-Ucenslr:t9 SectlOh at 727-847-
<br />8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contraolor(s) sigh
<br />. portions of the .contractor Block" of this QPpllcatlon for which they Will be responsible. If you, as the oWher sign as the. . :
<br />contractor, that:rriay be an Indication that hEt Is not properly licensed and Is hot entitled to permitting privileges In Pasco .
<br />County. . '. . . . .
<br />TRANSPO~TATION I~PACT/UTILlTIES IMPACT ~ND RESOUROE REOOVERY FEES: The undersigned 'understands
<br />. that Transportation Impact F:ees ~nd Recourse ReCOVery Fees may apply to the construction of heW bUildings, change of
<br />use In.exlstlng bulldlngs~ 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 lime tif
<br />permitting. .'It Is further ~nderstood. that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />. receiving a .certlflcate of occupancy" or final power release. If the project does hot Involve a certificate of occllpahcy or
<br />final power. release, the fees must be paid prior to permit Issuance. Furthermorej it Pasco COl,Jnty, WateriSewer Impact
<br />. fees are due, they must be paid prior topermlt Issuance In accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter.713, Florida Statutes, as amerlded):lf valuation Qf work. Is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the .Florlda Constr\dlon' Lien Law-HomeoY/ner's
<br />Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
<br />other than the .owner", I certify th;;lt 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 applicatloh Is accurate and. that all Work
<br />will be done In compllanqe with all applicable laws tegulatlflg construction, zonltlg and land development. -Appllcatlor'tls..
<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 performed to meet standards of all laws regulating
<br />construction, County. and City codes, zonh)g regulations, and land development regulations In the jurisdiction. I also
<br />. certify that I understand that th~' regulations of other government agencies may apply to the Intended work, a~d that i.t is
<br />my responsibility to identify what actions I must take to be In compliance. S,,:,ch agenples Include but are hOt limited to:
<br />Department of Environmental Protection-Cypress Bayheads, We~land Areas and Environmentally Sensitive .
<br />Lands, Water/Wastewater Treatmemt. . . .
<br />Southwest. Florida Water Management District-Wells, Cypress Bayheads,. Wetland Areas, Altering.
<br />Watercourses. . .. ... .. . .
<br />Army Corps of Engineers-Seawalls, Docks..Navigable Waterways. ..... . .
<br />Department of He~lth & Rehabilitative SerVices/Environmental H~alth Unit-Wells; WasteWatei' 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 offill Is not allowed in'Flood Zone .V" unless expressly permitted.' . ...... .
<br />.If the 'fill material Is to be .used In Flood Zone aN, 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 engineer
<br />licensed by the State of Florida. . . '. .
<br />If the fill material Is to be used In Flood Zone .A" 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. materl~1 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 fo~ 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 ~ondltlons set fo~h in
<br />this affidavit prior to commencing. construction. I. understand that a sep~rate permit may be required for electrical wor~,
<br />. . . plumbing, signs, wells, pools, air conditioning, gas, or other installations not specmcally 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.an.cel, alter, 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 correction of errors In plans, cQnstruction or violations. of any codes. Every permit lssu~d shall b~com~ 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 of six (6) months after. the time th~ ~ork is commehced. An .extenslon
<br />may be requested, 'In writing,' from the BUilding Official for a period not to exce.ed ninety (90) da~s.. ahd will. ~em,?nstrate
<br />justlflai:Jle 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 RECQRD A NOTICE OF t;OMMENCENIE~N~ MAy ~E~ULt INNYO.UR'
<br />'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTENt) TOOBT. .. NCING; 00 SULT
<br />WIT YOUR LE 0 O' A 0 NEY BEFORE RECORDING YOU OT C F C MENC MENT.
<br />. FLORIDA JURAT (F.S. 1 ?O. .
<br />. . OWNER OR AGENT ..'
<br />. ~crIb~~ SInd sWe to (or affirmed) before me this.
<br />. ~ by ~. 'c..bA-n/{J
<br />. . Who.", ~JfE' yersonallY known. to me or haslhave produced
<br />. ~1~ .. ..... 'Itjf as Identification. ~
<br />
<br />. . 'J. /7 (
<br />. Cs;?dZf~J ~A.at~ ~ary Public
<br />
<br />CONTRACTOR. '. . .
<br />Sf~ed and~orafft~me this
<br />. J. 1H.Jl. by ~~ .
<br />. . Who (s re personany known to me or haslhave produced . . .
<br />~.. -. ':0.1. ''''tf '. . as IdenUflcation. .. ..
<br />.../;:$~l)~-t~
<br />
<br />
<br />Commission No.
<br />
<br />
<br />Commission No. .
<br />
<br />,"~\lY'~~~e ~f NotaN lv.PCld: printed or stamped
<br />:~"IA"" ~<B6'bl5ie Swetland
<br />. ~*f 'i-1 MY COMtvjlSSION # '00248763 EXPIRES. .
<br />~;;,. ...;ll February 22, 2008' .
<br />..;i.~,~%., . 201<DED TH~U.TROY FAIN INSURANCE. INC
<br />
<br />Name of Notary typed, prhited or stamped
<br />""~,f.Y"rit-. . Bobble Swetland
<br />f:'if' ~':..\ MY COMMISSION II 00268763 EXPIRES
<br />: . : February 22, 2008
<br />BONDED lHRU TROY FAIN INSUV<NCF;INC
<br />
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