i
<br /> �
<br /> NC :.0 OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> wt, .� � ay be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> apt �i�u: �e deed restrictions. -
<br /> UR _;C NSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> coi:t; <{ ��rs to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> co� ��r ��, �r is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> unde� ,.ate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intendF i work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 80� �`: =urthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> po� t�or � of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contra� .�r, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRAN; 'ORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Tr<.nsportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in xisting buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-c), ,s amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> per � � ��; �g. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> rece�vi � a"ce�tificate of occupancy" or final power release. If the project does not involve a cer#ificate of occupancy or
<br /> final �� ,rer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees ar; due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONS :2UCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify �at I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Prc,l.:c• m Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> otf ,n the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> de„ , to the "owner" prior to commencement.
<br /> CC . ACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wil one in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> he nade to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> co� ,: ;ced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> co� �; � tion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cer;; ,. �at I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my , �� �nsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to•
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses
<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 u.;:; r.and 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 /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> ! If the fill material is to be used in Flood Zone "A" 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 adversely affect adjacent properties, the vwner may be cited for violating
<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 1�_ � e AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> thi:, � avit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plu<<�� �, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> per+�;i� sued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set asi,. � any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiri� a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unl��5s' ie work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> thE �.: �it is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension
<br /> m�.� ' requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> jus ; : cause for the extension. If worlc cQases for rinety (9C�! co�secutive days, !he ±ob is considered abandoned
<br /> , �
<br /> W; t� JG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PA :�: TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WI JUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLC �� :� � JURAT (F 5. 117.03)
<br /> OWNEk �R AGEN CONTRACTO
<br /> Subscii:' 1 and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
<br /> i _b by
<br /> Whr� �;/ , personalty known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identiflcation. as identification.
<br /> I � Notary Public Notary Public
<br /> Co�;�, , n No. Commission No
<br /> Nar �- _ otary typed, printed or stamped Name of Notary typed, printed or stamped
<br />
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