NOTICE OF C7EED ft�S1'Ft�CTIONS: The undersfgned understands that this permi{may be subject to"desd"resfrictions"
<br /> which may be more restrictive than County regutations. The undersigned assumes responsibility for cvmpliance with any
<br /> applicable deed resfrictions.
<br /> UNLIC�NSED CQNTRAGTOiiS AND COfVTRACTOFt RESPONSIBILITIES: li fhe owner has htred a cantractor or
<br /> cantraotors to undeRake wark,they may be requ�red to 6e licensed in accordance,,+rifh state arttl local regulations. If the
<br /> contractor is not licensed as repuired by law, bath the owner and contractor may be cited for a r�risdemeanor vioiation
<br /> under state law. If the owner or intended coniractor are unceRain as to what licensing requfrements may apply for the
<br /> intended work,they are advisetf to contact the PasCO Cour�ty Building Inspecfion pivisfon---Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner fias hired a coniraCkor ar contractors, rie is �vised lo have the contractor(s) sign
<br /> portians af tlte"CUt1tf8CfOf BIOCk"of this appticalion for which they wilf be responsib�e. If you,as the owner sign as the
<br /> contractor,that may be an indicaiion that he{s not prnperly licensed and is not entitled Eo permitiing privileges in Pasco
<br /> Couniy.
<br /> TRAMSPORTATlON IMPACTIUTILITIES IMPACT AND R�SqURCE RECaVERY FEES, The undersigned underst8nds
<br /> that TransportaGan Impact Pees and Recourse Recavery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildtngg, pr expansion of existing buildings, as specified in Pasco County Ordinance number 89-D7 and
<br /> 9fl-07, as arr�ended. The undersigned a(sa undersiands,thaf such fees,as may be due.wifl be identified a#tY�time of
<br /> permikting. It is furiher undersfood that Transportation impact Fees and Resource Recovery Fees musi Be paid pnor ta
<br /> receiving a"ceriiFicate of occupancy"or�inal power release. If the proJect does not involve a certificate of oecupancy or
<br /> finai prnrrer release,the tees must be paid prior to permit issuance. Furthermore,if pasco County WatertSewer impaCt
<br /> fees a�e due,they must be patd priar ta permit�ssuance in accordance with applicable Pasco Caunly ordinances.
<br /> CpNSTRUGTION LtEN LAW(Chapter 713,FCorida Statuies,as amended): If valuatian a#wark is$2,5U0.00 or more,I
<br /> certify that I, the appliCant, have been provided with a copy of the "Florids Construction Lien Lacv--Homeowner's
<br /> Protectfon Guide"prepared by the Florida Department of Agricuiture and Cansumer Affairs. Ii ihe applicant is someone
<br /> other than lhe"rnrrner",J certify that I have obtained a copy af the above described document and�romise in good faith to
<br /> detiver i!Eo the"owner"priorlu commencemeni.
<br /> CONTRACTqR'S/OWN�R'S AFF'IDAWT. !certify thal all the informalion in this application is accurate and that ail vmrk
<br /> wifl be done in comptiance with ali applicable Caws regulating consEruction,zaning and land development. Application is
<br /> hereby made to obfain a permit to da work and installation as indicaied. I ce�iify that no work or installaiion has
<br /> commeneed prior ta issuance oF a permit ar�d that aq work witf be periormed in meeE standards ot ail taws regulating
<br /> construction, Caunty and City co8es, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations ot other governmenl agencies may appiy to the intended wortc,and that il is
<br /> my responsibility to identify what actlons i must take to be in con�pliance. Such agencies include but are nat limited to:
<br /> ' OeAa�nteni of Environmental Protection-Cypress Bayheads, Wetiand Areas and Enviranmentally Sensitive
<br /> Lands,Wa#er/Wastewater T�eatment.
<br /> - Southwest Florida Wate� Management Disiricl-Wells. Cypress Bayheads, Weitand Areas, Altering
<br /> Waterc:ouraes.
<br /> - Army Corps of Engineerx•Seawatis,Docks,Navigable Walerways.
<br /> - Department o#Health & Rehabilitatfve ServiceslEnvironmental Heaith Unit-Wetls, Wastewafer Treatmerit,
<br /> Septic Tanks.
<br /> - L!S Envi�onmentaE Proteciion Agency-Asbesios abatement.
<br /> � Federai Aviation Authority-Runways.
<br /> I understand thai the foltowing resUictians apply#o Ehe use of tfll:
<br /> - Use of fill is not allowed in Ftood Zone"V"untess expressty permitted.
<br /> - !f the fl11 material is to be used in Flopd Zone "A", it is urtderstood khat a drainage plan addressing a
<br /> "compensatIng votume"will be submitted ai time of permitking which is prepared by a professionat engineer
<br /> licensed by ihe State of Fiorlda.
<br /> - !f the fill material is to be used in Fload Zone "A"in co�nection with a permiited building using stem wail
<br /> cons{ruction,i certii'y that filf will be used only io fifl ihe area within the stem wail.
<br /> - {f ti11 material is to be used in any area, I certify that use of such fil! will not edversely afFect adjacent
<br /> praperties. If use of filf is fqund io�dversety aff�cl adjaoent properties,fhe owner rnay be ci#ed for violating
<br /> the cpndltions oi the building permit isstreri under fY�attached perm;t appl�eation, for tots less Ihan o�(1j
<br /> acre whlch are eievated by fltl,an engineered drafnage plan is repuired,
<br /> tf I am th�AGENT Ft7R THE OWNER,1 promise in good falfh io lnforrn the owner of the permfiting condRions set forth!n
<br /> this affidavit prior ia cnmmencing construclion. I understand that a separate permit may be required far efectricaf work,
<br /> plumbing, slgns,wells, poois, air conditipning, gas, or oiher installations no#specifically inGuded rc�the application. A
<br /> permit issued shall be constr�ed#o be a license to proceed with the wark and not as aulhority to viotate,car►cel,aller,or
<br /> se1 aside any provisions pf the teclmical codes,nar shail issuance ot a permit p�event fhe Buitding Official frorn ihereafter
<br /> requir(ng a correctbrt of errors in plans,construction or violations af any cades. �very pem�ii issued shall becorr�e invalid
<br /> uNess the work authorized by such permit Es commenced within six months of permit issuance, or ii work authorized by
<br /> lhe permit is suspended ar abandoned for a period of six{6)months after ihe tl the work is commenced. An extension
<br /> m�y be reques#ed,in writing,from the Building O�cial#or a petiod nnE tn exc ed ninety{g0}days and wiil demanstrate
<br /> justifiable cause for the sxiension. IF wark Ceases tpr ninely{gp}co u i s,Ehe job is considered abandoned.
<br /> WARNING TO flWNER: YOUR FAILURH TO RECORD A NOTICE F O ENCEMENT MAY 3tESUlT IN YOUR
<br /> PAYtNG TWtCE FOR IMPROVEMEN`fS TO YOUR PROPERTY. IF Y TAIN FINANCING,CONSULT
<br /> WITH YOUR END R R N ATTORN Y B��ORB RECORDING Y NO i OMMENC N7
<br /> � FLORIDAJURAT(p.S.11�.03)
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<br /> ��"RY`0"� SANDRA ERRINGTON
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<br /> * MY COMMISSION#EE 088451
<br /> Commonweaith of Penns Ivanla * EXPIRES'Aptil28,2015
<br /> ��A��� � ���1��P�.�j'� NOTARIAL SEAL
<br /> RANDI SHENKMAN,NOTARY PUBLIC �°TF,F FLC�� 8onded Thm Budget Notary Services
<br /> lower Merion Township,Montgomery County,
<br /> M Comm7ssion Ex ires q g,2Q�5
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