NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed'restrictions"
<br /> which may be more restrictive than County►egulations. 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 licensed in accordance with state and local regulations. If the
<br /> contrador is not Hoensed as required by law,both the owner and contfacta may be ated for a misdertreanor vidation
<br /> under state law. If the owner or intended contrador are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contad the Pasco County Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, ff fhe owner has hired a contrador or contractors, he is advised to have the contrador(s)sign
<br /> portions of the"contractor Block'of this application for which they wiN 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 entitled to permitting privileges in Pasw
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understa�ds
<br /> that Transportation Impad Fees and Recourse Recovery Fees may apply to the construdion of new buildings,change of
<br /> use in existing buildings,a e�ansion of existing buildings,as speafied in Pasoo Caunly Ordinanoe niur�89-07 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 /> pertnitti�g. It is further understood that Transportatlon Impad Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certlticate of oocupancy'or final power release. If Ure projed doea not involve a certlficaLe d axupancy or
<br /> final power release,the fees must be paid prior to permit fssuance. Furthermwe,ff Pasco County WaterlSewer Impad
<br /> fees are due,they must be paid pria to permit fssuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chaptar 713,Fbrida St�tuMs,as smanded): !f valuailon of work ls 52.500.00 or more,I
<br /> certity that i, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowner s
<br /> Protection Guide"prepared by tlie Flaida Department of Agriculture and Consume�Affairs. If the applicant is someone
<br /> other than the'owner,I ce�tify that 1 have ot�ained a copy of fhe above desaibad document and promise in good faith to
<br /> delivet it to the"ovme�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certiry that all the informetion in this application is accurete and that all work
<br /> w�l be done in complience with aN applicabfe laws regulafing consWction�zoning and land de+�elopment Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work a installatlon has
<br /> commenced prior to issuance of a permit and that all work wifl be performed to meet stendards of all laws regulating
<br /> constrvcdon, County and City codes, zoning regulations, and land development regulations in the juhsdictiai. I also
<br /> certiry that I understand that the regulations of other govemment agenaes may apply to the intended wak,and that it is
<br /> my responsibility to identity what ackions I must take to be fn compliance. Such agencies indude but are not limited W:
<br /> - Departrnent of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Fiorida Water Management DisUid-Wells, Cypress Bayheads, Wetland Neas, Altering
<br /> Waterc:ourses.
<br /> - Army Corps of Engineers-Seawalls,Dodcs,Navigable Waterways.
<br /> - Department of Heaith 8 Rehabilitetive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatlo�Authority-Runways.
<br /> I underst�d that the fdlowing restrictions apply to the use oi fill:
<br /> - Use of fiil is not aliowed in Flood Zone"V°unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", R is understood that a drainage plan addressing a
<br /> ��P�b�9 volume"wiY be s�mitted at time oi pennitting vAuch is Prepa►ed bY a A��engineer
<br /> licensed by the State of Florida.
<br /> - If the fill mate�al is to be used in Flood Zone`A"in connedion with a permitted building using stem wall
<br /> crostrudion�I certify tliat f�l wiY i�e used ordy W fi6 the area witl��the stern wall.
<br /> - If fill material is to be used in any area, I certify that use of such fiB wiil not adversely affect adjacent
<br /> properties. If use of flll is found to adversely aifed adjacent properties,the owner may be cited for vidating
<br /> the conditions of fhe building pertnit issued undaz the attac�J�ed pemiit appGcatiwi,tor bts less ihan one(1)
<br /> aae which are elevated by flN,an engineered drainage plan is reQuired.
<br /> If I am the AGENT FOR THE OWNER,I promise in good falth to infortn the owner of the permitting conditions set forth in
<br /> this affidavit priw to conunencing construdion. I understand that a separate permit may be requ'red for electrical work,
<br /> plumbing, signs,weAs, pools,air conditioning, gas,or other installations not specfically induded in the application. A
<br /> permit issued shall be c�nsVued to be a license to p►oceed with the wwk and not as authaity to violate,cancel,aRer,or
<br /> set aside any provisions of the technical codes,nor shaY issuance of a permit prevent fhe Buikling O�dal irom Miereafter
<br /> requiring a corredion of errors in plans,construdion or vidatio�s of any codes. Every pertnk issued shaH become invalid
<br /> unless the work authorized by such permk is commenced within six months of pertnit issuance,or'rf work authorized by
<br /> the permit is sus�ended or abandoned fa a period d six(6)ma�ihs after tfie time the work is commenced. An extensiai
<br /> may be requested,in writing,from the Building Offiaal for a period not to exceed ninety(90)days and wtll demonstrate
<br /> justifiable cause fa the extension. H work ceases fa ni�ty(90)consecutive days,H�e job is considered abanda�ed.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWfCE POR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> FLORIDA JURAT(F.S.117.03 �/�
<br /> l_ .S�ME$:OR�A6ENT]e�.� ! CONTRACT
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<br /> Who .pa nown to me or haslhave produced ' ar4 _Mrson W me oi haelNeve produced
<br /> �.� as wene�iceuo�. r VLr C as ide�Hification.
<br /> ,---"'� R� r _r��- ` ^ � ���/ 'Y PubHc
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<br /> Commiselon No. • . `i0(I11111SS10�1
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<br /> �; '�: Commission#EE 140709
<br /> .� � Expires February 22,2016
<br /> r..� BDrdW 71vu Troy Fain hwrsnce E00.30.5�7019
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