NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more resirictive than County regulaGons. The undersigned assumes responsibility tor compliance with any
<br /> applicable deed restrfctions.
<br /> UNLICENSED CONTRACTOR8 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 /> contractor is not Iicensed as required by law, both the owner and contrador may be cited for a misdemeanor violation
<br /> under stafe law. if the owner or intended contractor are unceRain as to what licensing requirements may apply for the
<br /> intended work,lhey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a cont�ector or contractors, he is advised to have the conttactor(s) sign
<br /> portions of the"COntractor Block"of this application for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an irxlication that he is not prope�ly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
<br /> Ihat Transportation Impaci Fees and Recourse Recovery Fees may apply to the construction of new buildings,change oi
<br /> use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be idenGfied at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or fi�al power release. If the project does not involve a certificate of occupancy or
<br /> flnal power release,the fees musl be paid prior to permit issuance. Fu�thermore,if Pasco Counry WateNSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances,
<br /> CON3TRUCTION LIEN LAW(Chapter�13,Florida Statutes,as amended): If+raluation o(work is$2,500.00 or more,I
<br /> certify that i, ihe applicant, have been provided with a copy of the "Florida Construckion Lien Law—Homeowner's
<br /> Protection Gufde"prepared by the Florida Department of Agriculture and Consumer Aflai�s. if the applicant is someone
<br /> other than the"owner",i certify that I have otMained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT. I certify that all the information in ihis application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and instailation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and la� development regulations in the jurisdiction. 1 aiso
<br /> certify that I understand that the regulations of other government agencies may appty to the intended work,and that ft is
<br /> my responsibility to identify what acUor�s I must take to be in compliance. Such agenaes include but are not limited to:
<br /> - DepaAment of Environmental Protection-Cypress Bayheads, Wetland Areas and Envirw�mentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeBand Areas, Altering
<br /> Watercourses.
<br /> • Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection AgenCy-Asbestos abatement.
<br /> - Federal Aviation Authoriry-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood 2one"V"untess expressly permiried.
<br /> - it the fili material is to be used in F�ood Zone "A", it is undersiood that a drainage plan addressing a
<br /> "compensating volume"wili be submitted a!time of permitting which is prepared by a professionai engineer
<br /> licensed by the Stete of Florida,
<br /> - If the fill meterial is to be used in Flood Zone "A"in connection with a permilted building using stem wall
<br /> construcGon,I ceRify that fili 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 ot such fill wiil not adversely affect adjacent
<br /> properties. If use of fili is found to adversely aHect adjaceni properties,the owner may be cited for violating
<br /> the conditions of the buiiding permit issued under the attached permit application, for lots less than one(t)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AtiENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�davit pnor to wmmencing oonstruction. I understand that a separate perm�may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas,or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a Iicense to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the iechnical codes,rmr shall issuance of a permit prevent ihe Building Officiai from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless lhe work authorized by such permit is commenced within six monihs o(permit issuance,a-if work aulhorized by
<br /> the permit is suspended or abandoned fw a period of six(6)months aRer the iime ihe work is commenced. An extension
<br /> may be requested, in wrifing,from the Buiiding Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases(or ninety(90)consecutive days,the job ls considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOl'ICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE F I PROVEMENTS TO YOUR PROPEItTY. IF YOU lNTEND TO OBTAIN FINANCING,CONSULT
<br /> WIT Y R R 770RN Y EF REC RDIN Y R N TIC F CO CEMENT.
<br /> FIORIDAJU T(f.S 1 7. /
<br /> OWNERORAGENT CONTRACTpR C-�"'�
<br /> Subsc�ed and rn to r affirtne 4efore me is �,n u and swor t or aftt be(�e m this
<br /> �u►3 ny `� a�l ��"i� �,, �.`l�Aa�� r. �na�l�.
<br /> Who islare personall to me w haslhave produced Who isla personaly�krwwn�to mio�hasThave produced
<br /> as idenhfica0an. as ident�wtion,
<br /> ��.1�,19.- /.dV�N��. NolaryPubiic � / "'� ��
<br /> Comm�ssion No. E� ��l��C� Commission No.�� o�o�� q � Nofary Public State ol Florida
<br /> �GirY1P.��` �����c� oM �C.�� a..o � homasMloCicero
<br /> Name of Notary ryped,printed w slamped Name of Notary typed,printed or stamped Y Commission EE 864649
<br /> oi n Expirec 01l13/2017
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<br /> PAMELA 6Wx.�
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