NOTICE OF DEED R��TRICTIONS: The undersigned understands that this permit may be subJect to"deed"resMcti�ns"
<br /> which� er�ay be rr►o�.r�i�tfve than County regulations. The undersigned assumes responsibility for compliance with a,ny
<br /> appticable deed restrictions.
<br /> UNLIGENSED C�N'�'�i0►�TORS AND �dW'FR74CTOR RESPON$IBILITIES: If the owner has hired a contractor or
<br /> contFactors to undertake work, they may be required to be Iicensed in accordance with state and local regulations. If the
<br /> con�€actor is not (icen$ed as required by law, both the owner and contractor may be cited for a misdemeanor viot�tion
<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 �dvised to co�tact the Pasco County Building Inspe�tion Division—Licensing �e�tion at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block° of this application for which they will be respor�sibie. If you, as tt�e owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRdM'SPO�t�ATION IMPi1CTlUTILITIES IMPA�T AND RESOURC� REC�VERY FEE3: The undersigned understands
<br /> that Transportation impect Fees and Recourse Recovery Fees may �pply to the construction of new buildings, chan e of
<br /> use in existing buildin�, or �xpansion of exiati�g buildings, as specified in Pasco Cot�nty Ordinance number 89-(?�'arit�
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pi`fbr to
<br /> receiving a "certifl�ate of occupancy" or flnal power release. If the project does not involve a ce�tificate of occupancy or
<br /> finai power release, the feas must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
<br /> fees-are.due,..they must be paid prior to permit issuance in accordance with applicable Pasco County ordinarrces.
<br /> CO�lgTRUCTION"LIEN LJ41IV(Chaptar 713, Florida 3tatutes, as amended): if valuation of work is$2,500.00 or more, I
<br /> certify that I, the appllaant, have been provided with a copy of the °Florida Construction Lien Lauv--HoFneow�gr�s
<br /> P�otection Guide" prepared by the Florida Department of Agriculture and Consumer Affafrs. if the applicant is someone
<br /> othe�than the"owner", I eertify that i have obtained a copy of the above described document and promise in good�aith to
<br /> deli�er it to t�ie"owner"�prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that ail the information in this application is accurate and that alw work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and tand development. Application is
<br /> hereby made to obtain a permit to do work and installatlon as ind(cated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws reguFatang
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and't�ia� it is
<br /> my responsiDe art enttof Environtmental P otect on Cypress Bayheads SW tlagd Areas and Enviro ment'atlyt3ensitive
<br /> P
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Ba�heads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departrnont of Heaith 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envlronmental Protection Agency-Asbestos abatement.
<br /> Fede�al A�iation Authority-Runways.
<br /> I understand that tl�e foliowing restrictfons apply to the use of fill:
<br /> Use of fili is not allowed in Flo�d Zone"V"unless expressly permitted.
<br /> w If the flil material is to be used fn Flood Zone "A", it is underatbod that a drainage plan addressing a
<br /> "compensating volume" will be subm(tted at tfine of permitting which is prepared by a professionai engtneer
<br /> Ifcensed 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 wali
<br /> co�sttuct�on, I c�rtify th�f flll will be used only to fill the area withfn the stem wail.
<br /> If fill material is to be used (n any area, I certffy that use of such �theilowner mayrbeicit d for vi�olatit�g.
<br /> properties. if use of fill is found to adversely affect adjacent properties,
<br /> the conditions of the building permit issued undertMe attached permit application, for lots less than one (1)
<br /> acre which are elevated by flll, an engineered drainage plan is required.
<br /> If I am the AGENT F`L�)R THE OWNER�tructi nis I iu derstanid thatna�s pa�rat permit tmay be requi9r d fortlelecMcal work,
<br /> this affidavit prior to commenc g ag, or other installations not specifically included in the applicaEio�t: A
<br /> plumbing, signs, wells, poots, air conditioniw�g, g
<br /> permit issued shall be construed to�ecal codesenor shall i s afncehof a pe mitp event thehBu dirig iOfficiai from thereafter
<br /> set�aside any provisions of the tech
<br /> requiring a correction of errors in plans�rmit is otmmenced�within s zam nths of perm t pssuaince,uor�ff wolrk authoerized by
<br /> unl�ss the work authorized by such pe
<br /> the permit is suspended.or ab�ndo�he BuildingiOfficial fo6a period not to extceedtninetyr(9a) days and will demanstra e
<br /> may be requested, in w�'iting, from
<br /> just�i�bte cause for the extensior�. If�+►ork ceases for ninety(90)consecutive days, th�job is considered abandoned.
<br /> WA&�i1l�IG '�A OalVl!�: YDUR FAtLURE TO RECORD A NOTICE OF f@NlMEN�MEN'T MA� R6$�U�-T IN,1��
<br /> PAYtNG TWICE FOR IIr1iPROVEMIENTS TO YOUft PROPER�. G YOI��INTEI�TO QBTA�N�FtI+�►�N�� CONSULT
<br /> � F
<br /> FLORtt�A JUF�AT(F.S.117:0�)
<br /> CONTRACTOR
<br /> OWNER OR AGENT Subscribed and swom to(or afflrtned)before me this
<br /> Subsaibed and swom to(or afflrmed)before me this by
<br /> _______bY o is/are perso�ally known to rne or has/heve prod�eed
<br /> Who Is/are personaily known tb me or haslhave produced as IdentlficaHon.
<br /> as identlflcatlon.
<br /> Notary Public
<br /> Notary Public
<br /> Commission No.
<br /> Commisslon No.
<br /> Name of Notary tYPed�Printed or stamped
<br /> Name of Notary tyPed,printed or stamped
<br />
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