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which NOTICE
<br /> may be more restrict DEED RESTR ICTIONS:
<br /> than Count regulations. The undersigned this ssumest subject
<br /> forcmpl compliance restrictions"
<br /> with any
<br /> which my ive ta Y 9
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may 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 contractor may cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section at 727-847 -
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors,
<br /> he is advised to have the contractor(s) sign
<br /> portions of 'the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY Y FEES: T of new de b gn d undders understands s
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply of
<br /> use in as existing amended. buildings, u expansion
<br /> de s undersigned also x understands, that such fees, in
<br /> , Pasco
<br /> be due, Ordinance number
<br /> identified at the 89-07
<br /> me
<br /> 90 -07, as amended. The under g
<br /> permitting. It is further understood 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 not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County 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
<br /> a b een 713, rovided wh Statutes, copy of he "F orida Construct on Len $2,500.00
<br /> aw — Hmeowner's
<br /> certify that I, the applicant, have p
<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 that 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 work
<br /> will be done in compliance with all applicable laws
<br /> and r installafon as indicated. n i n gerti y land
<br /> that development.
<br /> instal Application
<br /> has
<br /> hereby made to obtain a permit to
<br /> commenced prior to issuance of daepe oninndregulations�randillabd performed velopment regulations a in d the f jur l isd jurisdiction. I
<br /> ce rtify h I County and t City regulations g may apply certify that I understand that the actio
<br /> actions must take to be in compliance. Such agencies inc ude are not limited to:it is
<br /> my responsibility to identify Envy what octin
<br /> - Department of Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. Ba heads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District - Wells, Cyp ress Bay
<br /> heads,
<br /> - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services /Environmental Health 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 of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> " f the en satin volume" " will b be ue used bmi submitted at time of permitting which understood
<br /> prepared drainage
<br /> professio addressing engineer
<br /> "compeng vo"
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Fl Zone " A"h e area connection thin the witht permitted building using stem wall
<br /> construction, I certify that fill will be used only to
<br /> If fill material is to be used in any area, I certify that use of such fill will
<br /> n not
<br /> r cited affect d for adjacent t the properties. If. use of fill is found to adversely affect adjacent properties,
<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 n understand rth in
<br /> i uderid that inform arat permit may be required permitting ed for conditions
<br /> electrical o work,
<br /> this affidavit prior to commencing construction.
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
<br /> , cancel, alter, or
<br /> permit issued shall be construed to be a license to
<br /> shall isdsua a permie work the Officea from thereafter
<br /> set aside any provisions of the technical codes, nor
<br /> requiring a correction of errors in plans, construction violations
<br /> within s x per Every ps work shall
<br /> become
<br /> authorized by
<br /> unless the work authorized by such permit is commenced
<br /> the permit is suspended or abandoned for a peri vial fo6a months
<br /> not the
<br /> exceed ninety days commenced. An extension demonstrate
<br /> may be requested, in a te from the Building g
<br /> Off eabandoned. mo
<br /> justifiable cause for the extension. the ty is (90) day e extension. If work ceases for ninety (90) consecutive days, \ j considered will
<br /> WARNING TO
<br /> OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT N MENT F AY RE U CN YOUR
<br /> PAYING T FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU 1
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 1 7.03) , a ,
<br /> CONTRACTOR
<br /> OWNER OR AGENT 1 I CONTRACTOR TO sworn to r affl ed b�fore�J e�th�
<br /> bscr e d sworn • (or a rmed) befo tG - ( b y d :CL1
<br /> pe by d( Who is /are p�,rtonally known to me or has /h�y,S orod ed
<br /> Who is /�{�personally known to me or has/have produced N as identification.
<br /> �!/ as identification.
<br /> `-- r / Notary Public
<br /> 11 .. ,' Notary Public %. -
<br /> Commission No.
<br /> Commission No.
<br /> .r - 1 .. .e • . • ` Notary typed, rinted o n "`p M� I} ax- , ,, O a
<br /> c ' .o Name of Nota P ,T
<br /> Name of Notary typed, pt�Illt 1 '9[ 4t Pedsa.ttdxg ��
<br /> �9I9Z6UG# ,�oissrmu:o3'
<br /> 21 egt 'io t4 �� J,o4
<br /> i 1 I ' '1ET': ■ 1(
<br /> 6 QINJ� (
<br />
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