� NOTICE OF bEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<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 lic:ensed in accordance with state and local regulations. If the
<br /> conVactor is not licensed as required by law, both the owner and contrador may be 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. Furthertnore, if the owner has hired a contractor or contradors, he is advised to have the contrador(s) sign
<br /> portions of the"contractor Block"of this appliqtion for which they will be responsible. If you,as the owner sign as the
<br /> contrador,that may be an indication that he is not properly licensed and is not enUUed to peRnitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings, as specified in Pasco Couniy Ordinance number 8�07 and
<br /> 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> pertnitting. 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 projed does not involve a cerGfipte of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthertnore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'SIOWNER'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 regulating consVudion,zoning and land development. Application is
<br /> hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfortned to meet standards of all laws regulating
<br /> construdion, County and Ciry codes, zoning reguladons, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended woric,and that it is
<br /> my responsibility to identify what adions I must take to be in compliance. Such agenaes include but are not limited to:
<br /> - Department of Environmental Protedion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Artny 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 pertnitted.
<br /> - If the fiil 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 pertnitting 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 certiiy 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 owner may be cited for vioiating
<br /> the conditions of the building permit issued under the attached pertnit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage pian 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 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically induded in the application. A
<br /> permit issued shall be construed 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 shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correcdon of errors in plans,construction or violations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of pertnit issuance, or if work authorized by
<br /> the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writlng,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH Y R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) .
<br /> OWNER OR AG@R�Lr �� CONTRACT�
<br /> S d swom-Fi1 i�)b re mq[his S/,s��X/Id by � affirmer)befo�C(/.�C'✓�c
<br /> G'/�
<br /> Who i nall known e or has/have produced Who is/a�g� nally k�own to me or has/have produced
<br /> as identfication. U C� S� as idenGfica6on.
<br /> Notary Public l ublic
<br /> Commission No.
<br /> Comrni ion Noh`' �"� Y'�`'
<br /> � :.�_;;��;= Expires December 12,2014
<br /> Name of Notary ryped,printed or stamped Name of Notary y ;• or � ^°��°
<br />
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