' r
<br /> ,
<br /> NOTICE OF DEED RESTRIC`CIONS: The undersigned.understands that this permit may be subject to"deed" restrictions"
<br /> which may be mare restrictive#han Caunty regu4ations. The undersigned assumes respansibility far compliance with any
<br /> applicable deed restrictians.
<br /> UN�.ICENSED CK)MTRACTt}FtS t�1ND CONTftACTOR RESPQNSIBlLfT1ES: If the owne� has hired a contractor or
<br /> contractors #o undertake work, they may be required to be licensed in accordance with state and locai regulations. if fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractar are uncertain as to what licensing requiremertts may apply for the
<br /> intended work, they are advised to cantact the Pasco Caunty Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. FurEhermore, if the owner has hired a contractor or contractors, he is advised to have the contractor{s} sign
<br /> portions of the "cantractor Black" of #his application far which #hey witl be respansible. If you, as the awner sign as the
<br /> contractar, #hat may be an indicatton that he is not�properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPAGT AND RES�URCE RECOVERY FEES: The undersigned understands
<br /> that Transportation impac# Fees and Recourse Recovety Fees may apply to t�e construction af new bttildings, char►ge of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> ' 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi11 be identified at the time o#
<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 final power release. If the project does not involve a certificate of occupancy or
<br /> finai power reiease, the fees must be paid prior to permit issuance. Furthermore, if Pasco Gounty Water/Sewer Impact
<br /> ' fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION L1lEN LAW(Chapter 713, Ftor�da Stat�tes, as amended}: If valuation of work is$2,500.40 or more, 1
<br /> certify that I, the applicant, have been provided with a capy of fhe "Florida Construction Lien Law-Hameowner's
<br /> Protection Guide" prepared by the Florida Degar#ment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the`bwner", 1 certify that 1 have obtained a copy af the above described dacument and promise in gaod faith to
<br /> deliver it to the°owner"prior to commencement.
<br /> CONTRACTOR'SlOWNER'S A�Fl�AVt'T: 1 certify that all the information in this applEcafion is accurate and that al!work
<br /> will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obtain a permit to da wark and insta4lation as indicated, 1 ce�tify that no work or instaNation has
<br /> commenced priar #o issuance of a permit and that att work will be perFormed to meet standards of all iaws regutating
<br /> construction, County and City codes, zoning regulations, and land development regulatians in the jurisdictian. ! also
<br /> certify fhaf I undersfand that fhe regulatians of ather government agencies may apply to the infended wark, and fhat if is
<br /> my responsibility to iden#ify what actions I must#ake to be in compliance. Such agencies include but are not limited to:
<br /> - Departm�nt af Environmental Protection-Cypress Bayheacfs, Wetland Areas and Environmen#a11y Sensi#ive
<br /> Lands, WaterMlastewater Treatment.
<br /> � - Sauthwest Florida Water Management Dis#rict-Wells, Cypress Bayheads, We#land Areas, Altering
<br /> Watercourses.
<br /> - Acmy Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depa�#ment af Health & Rehabiiitative Serv'rcesJEnvironmentat Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. ,
<br /> - US �nvironmental Protectian Agency-Asbestos abatement.
<br /> - Federal P►viation Authori#y-Runways.
<br /> 1 understand that the following res#rickians apply to the use of fill:�
<br /> - Use af fili is not allowed in Flood Zone"V"unless expressly perm'rfted.
<br /> - If the fill material is to be used ln Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating voEucne° witl be submittect at time of permitting v�rhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> ' - If the fill ma#erial is to be used in Fiood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used anly to flll the area wifhin the stem walf.
<br /> - If fill materia! is to be used in any area, I cerkify that use of such fi!! will not adversely affect adJacent
<br /> properties. (f use of fil# is found to adversely affect adjacenf Qroperties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than ane (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR TH� OINN�R, I promise in good faith to inform #he owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing consttuction. I understand that a separate permit may be required for electrica! work,
<br /> plumbing, signs, welis, pools, air canditioning, gas, or other installations not speciftcally included in the apptication. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any pravisions of the technical codes, nor shall issuance af a permif prevent fhe Bulcfing Officia3 from thet-eaffer
<br /> requiring a correction of errors in plans, cqnstruction or violations of any codes. Every permit�issued shall become invalid
<br /> unless #he w�rk authorized by such permit is commenced w3#hin six manths of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after#he time the work is commenced. An extension
<br /> ----may-be-requeste�., in writing, from the Building tJ�cial_for a_period not ta,exceed nlnety,(90.) days and vvill demonstrate
<br /> justifiable cause for the extension. (f work ceases for ninety(94)consecu#ive days, the job is conside�ad abandaned:� —�
<br /> WARNINC TQ C}WNER: YOUR (�AILURE TQ RECt)RD A NO'�'ICE OF COMMENCEiVIENT MAY FtESULT IN YOUR
<br /> PAYING TWICE FOR IMPRQVEM�PITS TO YOUR PROPE�tTY. IF YOU INYEND TfJ OB1'AIN FINANCING, CONSUL.T
<br /> WiTH YOUR�ENDER t'�R AN ATT'CIRNEY BEF{�RE RECORDING YOUR NOT'ICE OF COMMENCEtUIENT.
<br /> FLORIDA JURAT(F.S. 117. 3) -. '
<br /> OWN�R OR AGENT \_������ /tI� .�--� CQHTF�AGTOR \~�I��!�v�
<br /> Subscrtbed and swom to(or affirmed)before me tfiis Subscribed and swom to(or affirmed}befare me this
<br /> by bY
<br /> V�+ho islare persanally known ta me or haslhave produced Who{stare personaliy known to me or haslhave produced '
<br /> as identlficaUon. as identification.
<br /> "' .BACON
<br /> r g,, ,�. ��
<br /> �= tary ublic Notary Public
<br /> s�. `- �pires June 29.2018 - ' :*= omm�ssson#F�i37073 �
<br /> �: Co sion No =�% •�'.' Expires Jnne 29 2
<br /> Commis n � r edTNUTNYFaInlnw�neae04385^TOt9
<br /> ,�.�.�.�,�����"�e ' n��� ed Tlw Tmy Fdn Ineuiaixe 804385d019
<br /> Name o otary typed,printed or stamped Name of Natary typed,prinfed or stamped
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