NOTICE OF DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed"restrictions"
<br /> whictt may be more restrietive than County regutations. The undersigned assumes respansibility for compliance witFt any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CQNTRACTQRS AND CC1NTFtACTUR RESPONSIBfLIT1ES: If the awner has hired a contractor or
<br /> contractors #o undertake work, they may be required to be iicensed in accordance with sfafe and locai reguiations. if the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under sfate law. If the awner or intended contractor are uncertain as fo what licensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermare, if ttis awner has hired a cantractor or contractars, he is advised to have the cantractar(s} sign
<br /> portions of the "contractor Black" of this application for which they will be respansible. If you� as fi�e awner sign as fhe
<br /> contractor, that may be�an indication that he is not properly licensed and is nat entitled Y� permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPAC7/UTILITIES IAAPACY AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Tcanspartatian Impact Fees and Recourse Recovery Fees may apply to#he constructian af new buildings, change of
<br /> use in existing buildings, or expansian 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, wii! be identified at the time of
<br /> permit#ing. 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 pawer release. If the project does not involve a certificate of occupancy or
<br /> final pawer retease, the fees.must be paid prior ta pertnit issuance. Fu�thermore, if Pas,co County VltaterlSewer Impact
<br /> , fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco�ounty ordinances.
<br /> CONSTRUCTION L1EN LA1�l(Ghapter 713, Flarida Statutes,as amended): If valuation a#wark is$2,500AQ or mare, !
<br /> certify that I, the applicant, have been provided with a copy af the "Florida Canstruckion Lien Law—Homeowner's
<br /> Protection Guide" prepared by #he Fiorida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner", i certify#hat 1 have obtained a copy of the above described document and promise in good faith fo_
<br /> deliver it to the"owner"prior ta commencement.
<br /> CONTRAGTOR'S/OW�1ER'S AFFIDAVIT: 1 certify thaf a41 the information in this application is accurate ancf 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 ab#ain a permit to do work ancf installation as indicated. 1 ce�tify that no work ar installatian has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet sEandards of atl taws regulating
<br /> construction, County and City codes, zoning regulatians, and land development regulatians in the jurisdiction. ! also
<br /> certify that 1 undersfand #hat the regulations of other government agencies may apply to the infended work, and fhat it is
<br /> my responsibility#o iden#ify what actians I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Depa�Ement of Environmental Protection-Cypress Bayheads, Vlletland Areas and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment.
<br /> - Sauthwest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depar#ment of Health & Rehabilitative Services/Environmenfal Flealth Unit-Wells, Wastewater Trea#ment,
<br /> Septic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos abatement.
<br /> - Federal Avia#ion Authority-Runways.
<br /> 1 understand that the following restrictions apply to#he use af fil1:
<br /> - Use of fiil is not altowed in Flood Zone"V"uniess expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitfed at fime of permitting which is prepared by a professianal engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fi41 material ts to be used in Flood �one "A" in connection with a permitted building using stem walE
<br /> construction, I certify that fill will be used oniy to fill the area within the stem wall.
<br /> - !f fill material is ia be used in any area, ! certify that use of such fill will not adversely affect adjacent
<br /> properties. if use of fifl is found to adverseiy affect ad)acent proper#'res, #he �wner may be cifed for v9olating
<br /> the canditions of the building permik issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in gaad fai#h to inform the owner of khe permitting conditions set forth in
<br /> fhis affidavlt prsor to cammencing construcfian. I understand that a separate permit may be requirec4 for electrical wor4c,
<br /> plumbing, signs, wefls, pools, air condifioning, gas, or ofher installations not specificaliy included in the app(icafian. A
<br /> permit issued shall be canstrued to be a licenss to proceed with the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisians of the#echnical codes, nor shall issuance af a permit prevent the.Builcfirig Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless fhe work aufhorixed by such perm�t is commenced wittiin six months of permlt issuance, or if work authorized by
<br /> the permit is suspended or abandoned fo�a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in wrEting, from the Building t"�fFicial fa�a period not to exceed ninety (9Q) days and wi!! demonstrate
<br /> jusfifiable cause for the extension. If work ceas�s for ninefy(90)consecutive days,the jab is considered abandoned.
<br /> WARNING T� OWNER: YOUR �AILU[2E TO RECORD A NOTICE OF CCIMMENCEMENT NIAY RESULT IN Y{3U12
<br /> PAYING TWICE FOR IIIAPROVEMEIVTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT
<br /> V111TH YOUR LENDER C!R AN ATTQRNEY BEFORE RECQR�ING YOUR NOTI MMENCEI�t1ENT.
<br /> FLORIDA JURAT(F.S. 117.Q3)
<br /> OWF1EFt OR AGENT CQNTRACTOR
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and s o{or a�rmed}before me this
<br /> by by
<br /> Who islare persc�naHy known to me r�r haslhave produced Who islare person !ly lcnown to rrie r haslE�ave produced
<br /> as identlfication. as identifica6on.
<br /> Notary PUbIiC " `'" •�'�'�qu'•., E. ON Not�ry PubliC
<br /> ..: :,.�
<br /> Commission No. Co mfs io �; Expires Sune 29,201$
<br /> ����,;,
<br /> Name of Notary typed,printed or stamped N �of Notary typed,printed or stamped
<br />
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