N�TICC OF DECD R�STRICTIONS: The� undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more resfiriciive ihan County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL[TICS: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with sfiafie and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and confiractor may�b� ciied �For a misdemyan�opyiolation
<br /> under state law. If the owner or iniended contracior are uncerfiain as fio what licensing requirements ma a I for the
<br /> intended worlc, ihey are advised fio�contacfi the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
<br /> 8009. 1=urthermore, if fihe owner has hired a contractor or confractors, he is advise.d to have the contracfor(s) sign
<br /> portions of'the "contracior Blocic" o�F this application �For whicl7 they will be resnonsible. If you, as the owner sign as the
<br /> contractor, that may be an indication thafi he is riot properly licensed and is not eniitled to permiiting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES !MI'ACT AND RC50UI�CE RCCOVCRY FCCS: The undersigned understan s
<br /> that Transportation Impact Fees and� R�course R�covery Fees may app�Y to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also undersfiands, th�t sucl� �fees, as may be due, will be idenfiified at the time of
<br /> permitting. It is furlher understood that Transporfiation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or fiinal power release. If the projecfi does not involve a certificate of occupancy or
<br /> final power release, the f�es must be paid prior to permifi issuance. Furfihermore, if Pasco Counfiy WaterlSewer Impaci
<br /> fees are due, they must be paid prior fio permifi issuance in accordance wifih applicable Pasco Coun�y ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapfer 713, 1=lorida 5tatutes, as amended): If valuation oP work is $2,500.00 or more, I
<br /> certify fihat I, the applicant, have been provided witl� a copy o�( ihe "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. IF ihe applicant is someone
<br /> other than the "owner", I certify thafi I have .obfiained a copy of�the above described document and promise in good faith to
<br /> deliver ifi to the "owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AF1=IDAVIT: I certifiy that all ihe information in this application is accurafie and that all worlc
<br /> wili be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permii to do work �nd installation as indicated. I certiFy ihat no worlc or installation has
<br /> commenced prior to issuance of a permit and ih�i all worlc will be �erFormed to meei standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land devefop Y npp Y ulations in the jurisdiction. f also
<br /> certify that i understand that the r�gulations of otiier government agencies ma a I fio ihe infended work, and that ifi is
<br /> my responsibiliry to identify whai actions I musl talce to be in compliance. Such agencies includ� bufi are not limited to:
<br /> - Department of Environmental f'roiection-Cypress l3ayheads, Wetiand Areas and Environmentally Sensitive
<br /> Lands, WafierlWasiewater Tre�imenfi.
<br /> - Southwesfi Florida Water Management Districf-Wells, Cypress B�yheacls, Wetland Areas, Allering
<br /> Wafiercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways.
<br /> - Departmenfi of I-lealth & Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Env.ironmenfal Profiection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that fihe following restrictions apply to� the use o�F filf:�
<br /> Use of fill is not allowed in Flood Zone "V" unless expressly permitfied.
<br /> If the fill mafierial is fio be used in Flood Zone "A", it is understood that a drainage pfan addressing a
<br /> "compensating volume" will be submifited at fiime of permififiing which is prepared by a professional engineer
<br /> (icensed by the Siate of Florida.
<br /> If the �fill material is to be �used in Flood Zone "A" in connecfiion witli a permitted building using stem wall
<br /> construcfiion, I certify that fill will be used only fio �(ill fihe area within the sfiem wall.
<br /> IF. fill material is to be used in any area, f certify fihafi use of such fill will noi adversely afFect adjacent
<br /> � properties. if.use of �fill is •found to adversely af�ecf adjacenfi properties, fihe owner may be cifed for violating
<br /> the conditions of ihe building permifi issued under the aitached permit application, �Por (ols less than one (1)
<br /> acre which are elevafied by fill, an engineered drain�ge plan is required.
<br /> If I am the AGENT FOR ThIE OWNGR, I promise in good �Faifih to inform the owner of the permifiting conditions set forth in
<br /> this affidavit prior to commencing construction. �asn or inst Ilafiops sp cfi ally nclud d n� he appl cati n�
<br /> plumbing, signs, wells, pools, air conditioning, g
<br /> permit issued shall be construed fio be a license to proceed with the work and not as auihority to. violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permii prevent the 13uilding Official from thereafter
<br /> requiring a correction of errors in pian ��rmil strcotmmenceld'within siX�months of perm p sua wo autl oeized by
<br /> unless the work authorized by su p
<br /> the permit is suspended or abandoned �for a period of six (6) monfihs a�fter the lime ihe worl< is commenced. An extension
<br /> may be requested, in writing, from lhe Building 'O�F�icial For a period not io exceed ninefiy (90) days and will demonstrate
<br /> the ob is considered abandoned.
<br /> justifiable cause for the exfiension. IF wor{c ceases �For ninety (90) consecufiive days, j
<br /> WARNING TO OWNER: YOU �C �T� TO YOUR PROPERTI(. YOU INTC D TO OBTA NM NANC NG C
<br /> PAYING TWICG FOR IMPROVE
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RCCORDING YOUR NOTICE OF COMMENCEMENT.
<br /> �LORIDA JURAT (F:S. 117.03) , � � , C r�„ C � /�„ _ ��
<br /> CONTRACTOR � /`
<br /> OWNER OR AGEN � _ •�� Subscribed and bwor tp ��frme�i)�� me this ./,2.. -e�-��
<br /> 5ubscribed and sworn t� (or afFrme�d)�� e me this Y �j �
<br /> —bY ��`�-�« � Who is%are persona�^ to me or has/have produced
<br /> Who is/are nerson� o`�� to me or haslhave produced as identification.
<br /> as identificafion.
<br /> Notary Public
<br /> Notary Pubiic
<br /> Commis n No.
<br /> Comm' 'on No.
<br /> N e of Notary ped, printed or stamped
<br /> me of Nota typed, printed or stamped NOTARY Pti h.,�C-STaTE OF FLORIDA
<br /> OTARY PLBLIC-STATE OF FLORIDA ""' Suzanne B3�lI'
<br /> Suzanne Baht = Ccmmission # EE044504
<br /> �� �=Commission # EE044504 ;�s EXUire , �TOV. 22, 2014
<br /> '•,,�'t Exp�r;:� "�OV.2Z,2014 Boh�enniR� . _�r��. �,>;�vcco,arc.
<br /> BONDED'1'Hk: Aii ?�TI�nU\PLVGCO,INC.
<br />
|