NOTICE OF DEED RESTRICTIONS: The undersigned understands Mat this permit may be subJed to "deed' restrictions°
<br /> which may be mwe reshic;tive than County regutadons. The undersigned assumes responsibitity for oompliance with any
<br /> applicable deed restric�ions.
<br /> UNLICENSED CONTRACTOR8 AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contracto� or
<br /> corrtractors to undertake work, they may be required M be licensed in accordence with state and local regulations. If the
<br /> contractor is not Ik3ensed as required by law, both the owner and contractor may be clted for a misdemeanor viotation
<br /> under stste law If the owner w intended conVactor are uncertain as to whaY licensing requiremeMs may appy for the
<br /> iMended work, they are advised to contact the pasoo County Building Inspection Division—Lk�nnsing Section at 727-847-
<br /> 8009. Furthertnore, 'rf the owner has hired a opntrac�r or contracxors, he is advised to have the oontrador(s) siyn
<br /> portions of the "contractor Blodc' of this application for which they wili be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indicatio� tl�at he is not properly ticensed and is not ent�ad to pertnitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trdnsportation Impact Fees and Recourse Recovery Fees may appy to Me construction of new buildings, change of
<br /> use in existlnp bulldinqs, or expansion of existirp buildinps, as specified in Pasoo County Ordiriance number 89-U7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as mgy be due, witl be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be Raid prior to
<br /> receiviny a`certificate of ocatpancy" or finai power reiease. If the projed does not involve a certificate of occupancy or
<br /> finai power release, Me fees must be paid prior to permit issuanc;e. Furthem�ore, if Pasco County VVater/Sewer Impacc:t
<br /> fees are due, they must be paid prior to permit fssuance in aocordance with applicable Pasco County ordinancc�ss.
<br /> CON8tRUCT10N UEN LAW (Chapbsr 713, Fbrida Stutubs, u amended): If valuaUon of woric is 52,500.00 or more, I
<br /> certiry that i, the applicant, have been provided with a copy of the "Fbrida ConsUuction Lien Law—Homeowner's
<br /> Protectiori Guide` prepared by the Florida Department of Agriculture and Consumer Affaiis. 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 pood faith to
<br /> deliver ft to Me 'owner" prior to commencemeM.
<br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: i cerdfy that aN the information in this application is a�curate and that all work
<br /> wNl be done in compRance with ad appliceble laws reyulatinp construdion, mniny and land development. Application is
<br /> hereby made to obtain a pemiit to do work and installation as indicated. I certify that no work or instaNation has
<br /> commenc�d prior to issuance of a permit and that all work will be performed to rneet siandards of all laws regulating
<br /> construction, County and City codes, zoninp reyulations, and la� development reyulatlons in the jurisdiction. I also
<br /> certiy that I unCerstand that tl�e requlatlons of other govemment agenaes may appy to the intended work, and that it is
<br /> my responslD�ity to identity what ac�ions I must take to be in compfiance. Such apencies i�clude but are not limited to:
<br /> - DepartmeM of Environmentsl Protectfon-Cypress Bayheads. Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatrnent.
<br /> - Southwest Fbrida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps oi Engineers-Seawalls, Docks, Navigable Watervrays.
<br /> - Departrnent of Health 8 Rehabilitative Servic�ss/Envlronmental Healtli Unit-W'ells, Wastewater Treafiient,
<br /> Septic Tanks.
<br /> - US Environmerrtal Protection Agency-Asbestos abatement.
<br /> - Federai Aviation Authority-Runways.
<br /> t understand that the followiny restrictions appty to the use of fill:
<br /> - Use of fill is not allowed 'm Flood Zone °V' uniess expressly permitted.
<br /> - If the fili material is to be used in Flood Zone `A', it is understood that a drainage plan addressing a
<br /> "compensating volume" wNl be submNted at time of permitGny which is prepared by a prp#essional enpineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A° in opnnection with a permitted building using stem wall
<br /> construccti�on, I cerMy that fill wilt be used only to fl11 the area within the stem wall.
<br /> - If filt material is to be used in any area, I certify that use of such fill will not adversey atfea adjaoent
<br /> properties. if use of fdl is found to adversey affect adjacent properties, the owner may be cited for vblating
<br /> the caWitbns of the buildinp pertnk �sued under the attached permk applk:afan, for I�s less than one (1)
<br /> acre which are elevaied by fill, an engineered drainage plan is required.
<br /> If t am the AGENT FOR THE OWNER, I promise in good faifh to mform the owner of the pertnitting co�ditions set forth in
<br /> this affidavit prior to comme�ny construction. I understand that a separate permit may be required �or electrical work,
<br /> plumbing, signs, weHs, pools, air conditioMng, gas, or otl�er installatia�s not specifically induded in the apppcatlon. A
<br /> pennit issued shall be construed to be 8 license to proceed with Uie work and not as authority to violate. pncel. alter, or
<br /> set aside any provisians of the technic�i oodes, nor shall issuance of a permR prevent the Buildinfl Official from thereafter
<br /> requiring a comection of errors in plans, construction or violations of arry codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of perrnit issuanoe, o� if worlc authorized by
<br /> the Permit Is suspended or abandoned for a period of six (6) months after the time the woAc is oommenced. An extensan
<br /> may be requested, in w� irom the Building Oflicial for a period not to exceed ninety (90) days and wil! demonstrate
<br /> justitfable cause for ihe extension. If work ceases for ninety !90) oonsecufive Cays, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR
<br /> PAYING 7VYICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAMCING, CONSULT
<br /> 17
<br /> FLORiDAJURA (F.S.117.03)
<br /> OWNER OR AOENT �
<br /> t�NTRAC
<br /> Subscribed and swom w(or affirtned) bdore me this S sworn t affi�med) ore me this
<br /> bY y
<br /> Vuho is/�a pa'sonatly known to me a haslhave produced Who iyare personaiy krpwn to me or heslhave produced
<br /> as ideMification. � �
<br /> I �����
<br /> Notary Public
<br /> C«nmwsion No. E ::- $Sf 5�
<br /> Canm' No.
<br /> . ,,,^,t� ' BdidediMuTroyF�InYwrM106800:1AS7019
<br /> Nane of NotarY tYPed, PrnMed or sfamPed Name of Nofary
<br />
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