<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to ~deed" reet(ictions"
<br />which may be more restrictive than County regulations. The undersigned a$8umes reaponllbllty for oomptlanoe with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hu hired a oontractor Or
<br />contractors to undertake work, they may b. requlrecl to be lloenHd In aooordanoe with .tate and looaI...uul8tlorfa If the
<br />contractor is not Iicenled al required by law, both the owner and contractor may b. oIted for a mledemeanor violation
<br />under state law. If the owner or Intended oontractor are uncertain al to what Iloenelng requirement. may apply for the
<br />intended work, they are advised to oontact the puoo County Building lnepootlon Clvlelon--Lloenllng ~n lit 727-847-
<br />8009. Furthermore, If the owner has hired a oontraotor or oontraoto..., he II advl8ed to have the oontraotof(l) sign
<br />portions of the "contrllotor Block" or thla applloatlon for which they will be ,...ponelbl.. If you, .. the owner .Ign a. the
<br />contractor, that may be an Indication that h. la not properly lleenaed and Is not entitled to permitting prMlegea In Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND ..aOURCI RECOVERY fE.a: Th. ynd...-luned yncl.ratand$
<br />that Transportation Impact F... and Reooy.... ReooveIY f... may apply to the oon.truotIon of IWW buldlnga, ohan". of
<br />use in existing bulldlnga, or .xpan.lon of .xIatln" bulldlnga,'al .peoItled'ln Pa800 Coynt)' Orcllnenoe rlymber 8Q-07 and
<br />90-07, as amended. Th. ynd....lgned alao ynd....tand., that auoh f..., .. may be du., will be lcIenutted lit the time of
<br />permitting. It Is furth.r und....tood that Tranep0rt8t1on Impact F..e and Relouroe Recovery F... ml.let be paid prior to
<br />receiving a "certlflcat. of oooupanoy" or final pow.r releaae. If the project does not Involve a oertItIoate of oooupancy or
<br />final power release, the feea muet be paid prior to pennlt Ieeuanee. Furth.rmore, If Paaoo.Co\Inty Water/SfNler Impact
<br />fees are due, they must be paid prior to permit lHuanoe In acoordanee with appllcabl. Paaoo Co\Inty ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida 8tatutee, .. am.nd.d): If valuation of work Ie $2,600.00 or more. I
<br />certify that I, theappllc8nt, have been provided with a copy of the IIFlorlda Conatruotlon LIen IAw-Homeowner's
<br />Protection Guide" prepared by the Florida D.partm.nt of AgrIcultur. and Consumer Affal.... If the applloant 18 someone
<br />other than the "owner", I oerttfy that I have obtained a oopy of the above described document and proml.. In good faith to
<br />deliver it to the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aU the Information In this application Ie aoourate and that all work
<br />will be done In compllanee with all appllcabl.lawa regulating con.truotton, zoning and land development, Application is
<br />hereby made to obtain a permit to do work and lnetallatlon as Indicated. I certify that no work or lnatallatlon has
<br />commenced prior to Issuance of a permit and that all work will be performed to meet ltandarcls of all laws regulating
<br />construction, County and City codes, zoning regulation., and land d.velopment regulatlone 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 responsibilit)'to Identify what actions I must take to be In compliance. Such agencies InclUde but are not limited to:
<br />Department of Environmental proteotion-Cypreel Bayheadl, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.
<br />Southwe.t Florida Water Management Dl&triot-Wells, Cypress Bayh..~, Weu.nd Area, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. .
<br />Department of Health & Rehabilitative ServloealEnvlronm.ntal Health Unit-Well., Wutewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Aibeltos abatement.
<br />Federal Aviation Authority-Runways.
<br />I understand that the following restrlotlons apply to the use of fill:
<br />_ Use of fill 1& not allowed In Flood Zone IIV' unlees expressly permitted.
<br />If the fill material Is to be used In Flood Zone II All, It Is understood that a drainage plan addressing a
<br />"compensating volume" will be submitted at time of permitting which Is prepared ti>>y a professional engineer
<br />licensed by the State of Florida.
<br />If the fill material is to be used in Flood Zone IIA" in connection with a 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 material Is to be used In any area, I certify that use of such fill will not adversely affect adjacent
<br />properties. If use of fill Is found to advel'Hly affect adjacent properties, the owner may be cited for violating
<br />the conditions of the building permit Issued under the attached permit appllc::ation, 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 forth in
<br />this affidavit prior to commencing construction. I underltand that a separate permit may be required for eleotrlcal work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speclfloally Included In the application. A
<br />permit issued shall be conatrued to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shallllsuance of a permit prevent the Bu1kIing Ofticlal from the~eaft~r
<br />requiring a correction of errors In plans, construction or violations of any codes. Every pennlt issUed shall become. invalid
<br />unless the work authorized by such permit Is commenced within six months o.f permit Issuance. or if work authonzed .by
<br />the permit is suspended or abandoned for a period of &be (6) months after the time the work Is commenced. An extensIon
<br />may be requested, In writing, from the Building 0ffI0Ial for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If workoeases for ninety (90) consecutive 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 IMPROVEME TS TO OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSU
<br />WITH YOU
<br />FLORIDA JURAT ..
<br />
<br />OWNER OR A ENT
<br />Subscribed and iKt) e
<br />by
<br />Who is/are personally known tg me or hal/have p
<br />aaldenUflcatlon.
<br />
<br />
<br />c~~ :,::,,, ~~
<br />~,... ~iHA F 'il,/.
<br /># ~ oUo . S"'l.~
<br />Nam e of Notary typed, fHIr*d or -ttamped ~ ....c,o\t.MISSIO;...1v;% ....... of NoIIIy typed, printed or atamped
<br />;:: '.$ l\)tllary J ~. (<'~
<br />:*l.~~ J~~'" i
<br />:z: .. ~~: =
<br />-041 -. .-
<br />:= :::.\ . #DD . -
<br />~~~.1b 510123 i * ~
<br />~:;!-Q~OOI1O: . ~~
<br />~ ~d'.,,!\j;" 9d!nl\l '~e\""'~ ~
<br />~~.:.,.f5(It.ltGlY;~~~e:;"'... Ci ~
<br />1!II,C:.STATE o~~,*'i':
<br />IlmWii".\\\\\''''
<br />
<br />
<br />
<br />Public
<br />
<br />~~:.~~~ l'll'~
<br />
<br />:::if ..' cP /04'" Q~
<br />~w. ..~ ~\\l3rYJ ~'. (<'~
<br />. .- (, J.b'-9-.. ~
<br />=:z: .,.. ~~~::
<br />-0. G,. 00- =
<br />= ~ ~ :'JDO : ::
<br />.~~."% 51012'3 : * ~
<br />~ ::2- e. ~ 6b .. ;::
<br />~ ...0 8.~'9 J')fledthru lb. ~~
<br />~)1;>/':6"C Unde~~\~'" ~ ~
<br />~/;. <Ie ........ ~\.a~
<br />'III/ ' STATE o~ ",~
<br />III'It"IIIII\\\"'"
<br />
|