NOTICE dF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
<br /> which may be mare restriotive than County regulations. The undersigned assumes responsibitity for compliance with any
<br /> applicable deed restrictions.
<br /> , UNLICENSED CONTRAC70RS AND CONTRACTOR RESPON5IBILITIES: If the owner has hired a contractor or
<br /> contractors ta under#ake work,they may be required to be ticensed In accordance with state and local regulaflons. tf fhe
<br /> cantractor is not lioensed as req�ired by law, both the owner and contractor may be clted for a misdemeanor v(alafion
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements mey apply for the
<br /> 'sntended wotk,they are advised#a can#act the Pasco Gounty 8uilding Inspection Divisian--��cens(ng Sectior�a#727-847-
<br /> � 8008. Furthermore, (f the owner has hired a contractor or contrecfors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"af this epplication for which they will be responsible. If you, as the owner sfgn as the
<br /> contractor,ft�af may be an indication that he 1s not property licensed and is not entitled to petmitting privileges In Pasco
<br /> i County.
<br /> TRANSPORTATION IAAPACT/UTIL.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpottation lmpact Fees and Recourse Recavery Fees may apply ta the constructian of�ew bulfdings,change of
<br /> use in exisfing buitdings, ar expansion of existing buiidings, as specified in Pasco Courtty Ordinance number 89-07 and
<br /> 90-07,as amended: The undersfgned also understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. it is€urther understoad that Transportation (mpack Fees and i2esource f2ecavery Fees must be paid prior to
<br /> receiving a"cert�oafe of occupancy"or fina!power release. If the project does nat involve a certificate of occupartcy or
<br /> final power release, the fees must be paid prior to permit issuance. Futthermore, ff Pasco County WateNSewer Impact
<br /> fees are due,they musk be pafd prior fa permit fssuance fn accordance wtth applicable Pasco County ordinances.
<br /> CONSTRUCTtON L4EN LAW(Chapter 713R Ftarlda Statutes,as amended): if valuation of work is$2,504A0 or more, I
<br /> certify that I, the applicant, have been pravlded with a copy af the "Flarida Construction Lien Law--Homeawner's
<br /> Pratection Guide°pregared by the Flo�ida Department of Agriculkure and Consurner Affairs. If ihe applicant is someone
<br /> other than tha"owner",1 certify fha#i have obtainec!a copy of the above described document and promise€n good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> ; CONTRACTOR'SlOWNER"S AFFIpAVlT: 1 cettfFy that all the f�#ormation in this applfcatton is accurate and that all work
<br /> will be done in campliance with all applicable taws regula#tng consfsucfion,zoning and land development. Appiicaf[on is
<br /> hereby made to obtain a permit ta do work and installation as lndicated. I ceri'dy that no work or installation has
<br /> commenc�d prior to issuance of a peRnit and that all wark will be performed to meet standards of all laws regulating
<br /> construcfion, County and Cify cotfes, zon3ng regulations, and land development tegulatlons in the Jurisdiction. 1 aiso
<br /> certi'ry that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
<br /> my responslbility to identify whak actions!must take to be in campliance. Such agencfes iaclude but are nat limited to:
<br /> - Departsnent of Environmentat Protection-Gypress 8ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwesk Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> � - Department of Health & RehabilitaUve Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sepfic Tanks.
<br /> - US Environmental Protecdon Agency-Asbestos abatement.
<br /> � - Federal Aviation Authority-Runways.
<br /> !vnderstand that the fo!low3ng restrtctions apply to the use of fit}:•
<br /> - Use of fill is not ailowed in Fiood Zone"V°unless express�y permitted.
<br /> - If the fill material is to be used in Flood Zane "A", (t is understood that a drainage plan addressing a
<br /> °compensating volume"wilt be submitted aE#ime af petmitting which is prepared by a professional engineer
<br /> licensed by the State of Ftorida.
<br /> - If the fill material is ta be used in Flood Zone°A° in connec�ion w(th a permitted building using stem wall
<br /> constntction,1 certiiy thaf ft#witl be used anty to fiti the area wtthln the stem wali.
<br /> - ff ftli material is to be used in any area, f certify that use of such fill wiii nof adversety affecf adjacent
<br /> properkies. If use of flll is found to adversely affect adjacent propertles,the awner may be cited for vlolating
<br /> the conditions nf the bui3ding perm'st Issusd under the attached pertnit appiication,for Eots less than one(1}
<br /> acre which are elevated by flii,an engineered drainage plan is required.
<br /> If I am the AGENT FOR 7HE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> thts afRdavlt prior to commencing construction. !unders#and that a separate permlt may be requited for electrical work,
<br /> piumbing, signs,wefls, pools, air candttioning, gas, or other instatlations not speciflca}ly inctuded in the applicatton. A
<br /> permit issued shall be construed to be a license to proceed with khe work and not as authority to violate,cancel,alter,or
<br /> set asids any provisions of the technicat cades,nar shaii issuance of a permtk prevent the 8ufldirig Official from thereafter
<br /> requiring a correction of errors in pians,consfrvctian or violations af any codss. Every permit issued sha11 beaome'snvalid
<br /> unless the work authorized by such permit is commenced w(thin six months of permit issuance,or'rf work authorized by
<br /> the permit 1s suspended ar abandoned for a periad of six{S}months after the time the work is commenced. An extension
<br /> may be requesfed, in writing,from tfie Suitding tlfficia[for a periad not to exceed ttinety(90)days and will demonstrata
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,th\job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAFLURE TO RECORD A NQTtCE OF COMMF#+ICEMENT NIAY E2ESULT Itd YOUR
<br /> PAYING TWICE FOR IMPFtOVEMENTS TO YOUR PROPERTY. IF YOU INTENp TO OBTAIN FINANCING,CONSUL7
<br /> WCTH Y4UR LENDER QR At+l ATfORN BEFdRE RECORDlNG YOUR NOTICE OF COM NGEMEN7
<br /> FLORIDA JURAT(F:S.Z 17.D3} ti
<br /> OYVNER OR AGENT GONTRACT4R .—.
<br /> Sabsaibed and swom to{or afiirmed}beEore me th(s 5utrscribed artd svunm o{or aflirmed efo this
<br /> by Y
<br /> Who Is/are personaily knovm to me or haslhave produced YVho Islare personaily known io me or hasRiave pmduced
<br /> ` asidentl8cadon. asldentlfication.
<br /> Notary Publlc Notary Pubiic
<br /> Commissian Na. Cammisstan No.
<br /> Mame of Nofary typed,ptlnted or stamped �Name oI hotary ryped,printed or stamped
<br /> . �
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