<br />, '
<br />NOTIqE OF .DEED RESTRICTIONS: The und8rslgn~d understands that this permit may be subject to "deedh restrictions';
<br />, which may be more restrictive than County regulations. The undersigned' assumes responsibility for compliance with any
<br />appllca~le deed r~strlctlons. ' , " ' ' " '
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired, a contractor or
<br />contractors to undertake work, they may be re,qulred to be I\censed in aCcordance with state and local feQulatlohs. If the
<br />contractor is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
<br />under state, law, If the ,?wner or Intended contractor a~e uncertaih as to what "C?enslil9 reqUlr~inent~ may apply .f~f the'
<br />Intended work, th~y are advised ,to contact the Pasco County Building Insp~ctJon Div!sI0ri-L1censl~9 sectloh at 727-84.7-
<br />8009. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to have thB contrac\or(s) sigh '
<br />, portions of the .corltractor Block" of this ElPpllcatlon for which they Will be responsible. If yoti, as the owner slgrl as the. . .
<br />contractor, that rriay be an Indication that h~ Is not properly IIcerised and Is hot entitled to permlttlh9 priVilege!;! In Pasco
<br />County. ' ,., ' . ' ,
<br />TRANSPd~TATION I,-,PACT/UTILlTIES IMPACT AND RESO~ROE REOOVERY FEES: The underslgnedUilderstahds
<br />that Transportation Impact F:ees and Recourse Recovery Fees may apply to the construction qf heW buildings, chahge of
<br />'use In existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 and
<br />0.., 90-07, as amended. The undersigned also understands; that such fees, as may be due; will be Identified at the time of
<br />permitting. 'It Is further ~nderstood, th.at TranspoJ1atlonlmpact Fees and Resource Recovery Fees must ~e paid prior to
<br />, receiving a "certificate of occupancy" or final power r~lease, If, the project does hot Involve a certlfica~e of occllpahcy or
<br />filial PQwer. release, the fees must be paid prior to permit Issuance. Furthermote; if Pasco CountY, Water/Sewer Impact
<br />, fees are due. they must be paid prior toper!TIlt Issuance in accordance with applicable Pasco County ordlhances.
<br />, cqNSTRUCTION LIEN LAW (Chapter,713, Florida Statutes, as amerlded): 'lfValuatlon 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 "owner", I certify th~t I, have obtained a copy of the above descrlbl;td 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 application Is accurate and:that all Work
<br />will be don~ In compllanqe with all applicable laws regulatl!1g construction, zonltig and land development. .Appllcatlon is ' .
<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 Is sua rice 'Qf 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 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 agenples hiclude but are hot limited to:
<br />_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envir,onmentally 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 />Depar1m'ent of He~lth & Rehabilitative SerVices/Environmental Ht;lalth 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 offill is not allowed In-Flood Zone.V" unless expressly permitted,'
<br />" 'If the flll material Is to be used in Flood Zone "A?, it Is understood that a drainag,e p'lan addressing a
<br />.compensating volumeD will be, subJ'!lltted 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 "AD In connection wlth a permitted building using stem wall
<br />, c;:olistructlon, I certify that fill will be use.d, only to fill the art;la 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 a~versely affect adjacent properties, .the owner may be Cited for violating
<br />, ,: the conditions of the building permit Issued under the attached permit appllcatlc;m, 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 permlttln~ ~ondltlons set fo~h In
<br />this afIIdavll prior to oommenclng.constructlon. I. underslend ~hat a seperate penn~ may be reqUIred for e1eclrlcal wo~,
<br />..' plumbing, slgris, wells, pools, air conditioning, gaS, or Dther ,"slellatlons nDt specillcally Included In the eppllcaliDn. A
<br />pennl! Issued shall be cDnstrued to be ellcense.to proceed wllh the work end not.. euthorlly to vlDlate, cancel, aller, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~ereat.ted
<br />,.,qulring a correction Df SlTois In pten., con.trucitDn or vloletiDn. of eny codes. Every pennll Issued. shell become Invell
<br />unless the Work authorized by such permlllli commenced within six months of pennlt Issuence, Dr d work eulhotlzed by
<br />the enilllls su" ended or abandoned for e period of six (6) mDnths efts< the time the WOrk Is commehCed. An .xtenslDn
<br />ma: be reqtiEist:d, .in wrltlng,'from the Building Official for a period not to exce,ed hlnetYb(90.> days..ahj ~II,~emodstrate
<br />JusUfleble cause. for tho extenslDn. If work caeses for nlnely (90) consecullVe days, the jo Is considers e an one. .
<br />
<br />WARNING TO OWNER' YOUR FAILURE TO RECORD A NOnCE OF COMMENCEME;NTtl'" .JA~~~~t d~k~~~~
<br />'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YPU INTENP TOo.BTA~ F,. ' '
<br />WIT OU LE E OR 0 NEY BE ORER CORDING YOUR,. 0 C ?F co NCE, ·
<br />
<br />, FLORIDAJURAT(F,.S.11?03),<) /1' CONTRACTOR ",~<;JG., CA.- C'LtJ~ '" A1f'J-t
<br />OWNER OR AGENT Ma vv~~. rI ~ nd to (qr smnned) before me this .
<br />, S~bscrlbedsnds mto(ors ,?b me this , SUb~~e ~::x,~;om S+c...U( l:roJl.
<br />$ 17 ~(p by . Who Islare personslly known to me or haslhave produced ,
<br />. ' Who Istare personally " ~ ~ BS Identification.
<br />, ' /'J), l- ,.: ,,'
<br />
<br />
<br />~{~~~N""Pub'"
<br />
<br />commls No. '
<br />
<br />Na;"e ~f Notary typed: printed or sterriped
<br />
<br />Name of Notary typed, printed or stamped
<br />
|