i
<br /> NOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may be subject to"deed"restrictions" 5 ' •a
<br /> which may be more restrictive than County regu2atlons. The undersigned assurc�es responsibil'sfy foe compliance with any
<br /> app(icable deed restrictions.
<br /> UNLICENSEO CONTRAC7'ORS AND CdiVTRACTOR RESPOM5IBILITIES: If the owner has hired a contractor or
<br /> contractors to underfake work,they may be requlred#o be licensed in accordsnce wlfh sfata and(ocal regulatsons. tf the
<br /> contractor is not lieensed as required by law, both the owner and contractor may be cited for a misdemeanor viofatton
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply fior the
<br /> intended wark,they are advised to contact the Pasco Caunty Bu�lding lnspection Division--l.icensing Sectian at 727-847-
<br /> 8009. Furthermore, ff the owner has hired a contractor or contracfors, he is advised ta have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for whioh they will be responsible. If you, as the owner s(gn as the
<br /> contraciar,fhat may be an Indication tha#he Is nof properly licensed and is not entitled to permitting privileges in Pasca
<br /> Cauniy.
<br /> TRAINSPOR7ATIdN IMPACT/UTILITIES IflflF�ACT AND RESOURCE RECOVERY FEES: 7he undersigned unders#ends
<br /> that TTansporte#ian lmpact Fees and Recourse F2ecovary�ees may appEy to the constrtrctian of new bu3ldings,change of
<br /> use in existing buitdings, or expansion of exisfing buildings, as spec�ed in Pasco County Ordinanoe number 89-07 and
<br /> 90-07,as amended. The undersigned alsa understands,that such fees, as may be due,will be fdenfrfied at the time of
<br /> permltting. tt is further understaod that Transpar#ation lmpact Fees and Resource f2ecavery Fees must be pa3d prior ta
<br /> receiving a°certiiicate of occupancy"or final power release. Ifi the praject does not invoive a cerEificate of occupancy or
<br /> fine) power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasca County WatedSewer Impact
<br /> fess a�e due,they must be paid prior to permit issuance in accordance wifh applicable Pasco Coun#y ordinances. �
<br /> C�NSTRt1CTtON UEtd LA4►N(Chapter 713,Florida Sfafutes,as amendedj: If valuation af work is$2,500.00 or more,!
<br /> ceriify that I, the applicant, have been provided with a copy of #he "Florida Construction Lien Law—Homeowner's ,
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If#he applicant is someone
<br /> other fhan fhe"awner",E certify that t have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"priar to commencement.
<br /> CQIdTRACTOR'SlQVYNER'S AFFlDAVlT: 1 certify that all the information in this application is accurate and that a!I work
<br /> witl be done 3n comptlance with a!E app}icable laws regulating constrvcfion,zoning and land development. ApplicatEan is
<br /> hereby made to obtain a permit to do work and installation as indicated. I cerlPty that no work or installation has
<br /> commenced prior ta issuance of a permit and that al!work wl!! be performed to meet standards of all laws regulating
<br /> construction, Counfy and City codes, zaning regulafions, and (and devetapmenf regutations in fhe jurisdiction. t also
<br /> certify that i understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is
<br /> my respanslbllity to identfty tnrhat actions 1 must take to be in compliance. 5uah agencies Include but are not Iimited to:
<br /> ' - Departmenf of Environmenfal Profecfian-Gypress Bayheads, tMefland Areas and Environrnentally SensPtive
<br /> l.ands,WatedWastewater Treatment.
<br /> - Southwest Florlda Water Menagement District-Wells, Cypress Bayheads, Wetland Areas, Aikering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Doaks,fJavigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnviranmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> ]understand that the fa[lawing restrictEons apply#o tfi�e use of fiil:�
<br /> - Use of fill is not allowed in Fiood Zone'V°untess express�y permitted.
<br /> - If the fill material is to be used in Flood Zone "A", il is understood that a drainage plan addressing a �
<br /> °compe�sating volnma"wt11 be submltted at ttme of permltting wbich is prepared by a professiona!engineer
<br /> licensed by ihe State af F(orida.
<br /> - If the Till material is to be used in Fload Zone "A" in connection with a permitted building using stem wall �
<br /> consfrucfsan,3 aertiiy that fill w111 be used only ta flil the area within the stem wa11. .
<br /> - If ftll material is to be used in any area, I certify that use of such fitl wilt not adverseiy affect adjacent
<br /> properties. If use of fill is found to adversely affect adj�cent properties,the owner may be cited for violating
<br /> the conditions af the buiEding pettni#issued under the attached perm#appiicatEon,far lots(ess than one(1}
<br /> are I vated b fiti an en ineered draina e lan is re uired.
<br /> acre which e e y , g 9 p 4
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to infarm the owner af the permitting canditions set forth in
<br /> this affidavlt prior to commencing construction. !understand that a separate permit may be requEred for�lech�icai work,
<br /> piumbing, signs,wetls, poais, air eonditioning, gas, or otfier fnstallations not specificaity tncluded in the applicafion. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as autharity to violate,cancel,alter,or
<br /> sef aside any pravisians of the tecfirrica!cades,nor shaE!issuance ot a pertntt prevent the Bulfdirig Offioial from thereafter
<br /> requiring a correction of errors in pians,construction or violations of any codes. Evety permft IssuetE shali become invaiid
<br /> unless the wark authorized by such permit is commenced within six months of permit issuence,or if work authorized by
<br /> #hs permlt Is suspended or abandoned for a period of six(S)months after the time the wark is commenced. An extension
<br /> may be reques#ed, in writing,from the Suitding Oifia#ai for a period nat to exceed n€nety(Sd}days and will demonstrafe
<br /> just�iabie cause for the extension. IP work ceases far ninety(90)consecutive days,lhe job is considered abandoned,
<br /> WAf2tdIM1tG 1'O OW{dER: VdUR FAILURE TO RECORQ A i�QTICE QF COt�IMENCEMENg MAY RES�iCT 1PI YOUR
<br /> PAYING TWICE FOR IINPROVEMEIdTS TQ YOUR PROPERTY. IF YOU INTEND TO OBTAIM FINANCING,CONSULT
<br /> WITN YOUR LENDER OR�4N ATTQRM�Y'BEFORE RECORDING YOUR NOTICE OF COMMENCEME►JT.
<br /> FLORIDA JURA7{F.S.117.43}
<br /> OWPdER OR A13ENT CON7RACTOR
<br /> Suhsaibed and swom ta{or afrlrsnedj betare me thEs Subsesl6ed and sw4m to(nr al5rmed)before me thls
<br /> by �y
<br /> Who Is/are petsonally knovm to me or heslhave produced Who Islare personally knpwn io me or haslhave produced
<br /> asldentlficaHon, asidentlflcadon.
<br /> Notary Public Notary Public
<br /> Commisston No. Gommisstan hto.
<br /> Name of Notaty typed,prtnted or stamped �Flame of No4zry ryped,ptinted or sRamped
<br />
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