' i
<br /> NtJTICE OF DEED RESTRiCTiONS: The undersigned understands that this permit may be sub)ect ta"deed"restricttons°
<br /> which may be more resfrictive than C unty.ceguiafians. The,underslgti�d assumes.cesponslbll�ty for complEance wifh any
<br /> applicabie deed restrictlons.
<br /> UNLiGENSED CONTRACTORS AN CONTRACTOR RESPONSIBlLITlES: !f the owner has hired a contractor or
<br /> cantractors to undertak�work, they y be requlred to be I(censed in accord"ance with state and'local regulatfons. If the
<br /> contractor is not iicensed as requlred�by law, both the owner and contrac#ar may be alted for a misdemeanor violaffon
<br /> under state law. If the owner or inte ded confractor are uncertain as�to what lieensing reqoiremen#s may appiy for the
<br /> intended work, they are,advised to eo tac#the Pasco County Building Inspectian Divislon—Licensing Secfion at Z27-8Q�7-
<br /> 8009. Fu�thetmare, if the owner ha hired a cantractor or contractors, hs is advisad to have the contractor{s) slgn
<br /> portlans af Ehe "cantrac#br Block"' of t is appficatlan for whlch they will be �esponslble. I#you, as #he owner sign as the
<br /> contracEor, that may be an indicat4on hat he (s not properiy Iicensed and ls not entitled to.permltting privileges in Pasco
<br /> Gaunty. ��` • ��
<br /> TRANSPORTATION IMPACTlUTILI ES IMPACT AND RESOURCE RECOVERY.�EES: The undersigned understands �
<br /> � that Transportation Impact Fees and ecaurse Recovery Fees m�y apply ta fhe canstructian of new buiidings, change of
<br /> use in existing buildings, or expansio of exisfing buildings, as specified in Pasco County Qrdinance number 89=07�arid
<br /> f 90-07, as amended. The undersigne also understands, that such fees, as may be due, wili be identified at the t9me of
<br /> permiffing. if Is #urther ur►derstood t at Transpartation Impact Fees and Resource Recovery Fees must be paid p'rlor to
<br /> receiving a "certi�icate of occupancy" ar fina! power release. !f the project does not Involve a certiflcate of occupancy or
<br /> final power release, the fees must b paid pr(or to permlt:issuance. Furthermore, if Pasco County WaferlSewer Impact
<br /> fees are due,-they must be pald prior o permit issuance 1n accordance wlth app(icable Pasco County ordinances,
<br /> CONSTRUCTION LIEN�LAW(Chapt r 7�13, Ftarlda Statutes, as amendedj: if va(uation of work is $2,500.00 ar more, i
<br /> certify that I, #he applicant, have b en pravided with a copy af fhe "Florida Canstructian Llen law�—Homeowner•.;s
<br /> Protectivn Guide° prepared by the FI rida Department of Ag�icufture a'rx! Consumer Affairs: If the applicant is someone
<br /> ather than the uowner°, 1 ce�tify that I ave obtained a copy af the above descrtbed document and promise In good falth to
<br /> deliver!t to the uowner"prlo�to comm ncement. ' ,
<br /> CONTRACTOR'SIOWNER'S AFFID VIT: I cer#ify that ali the Informa�ion in this appl(cation is accurate and fhat aii work
<br /> will�be done in compliance with all a plicab(e laws regulating constructian, zoning and (and development. Application is ,
<br /> hereby made to obtain a permit to do work and installation as {ndicated. 1 certify that na work or lnsta4lation has {
<br /> cammenced pr3or to issuance of a ermit and that ail wark wEN be performed ta meet standards of a!f laws regulating
<br /> construatlon, Coun#y and City aade , zoning regulations, and land development regulat{ons in fhe jur(sdictfon. I also
<br /> ce�tify that I understand that the reg latlor�s of ottier government agencles may apply ta the intended work, and�that it is
<br /> my respons4bility to(dentify what acti ns I must take to be In aompliance. Such agenc(es include but are not Iimited to:
<br /> - Department of Enviromm �tal Protecfion-Cypress Bayheads, 1lVetland Areas and Environmentaliy Sensitive
<br /> Lands, WaterlWasfewate Treafinent.
<br /> - Southwest Florida Wa er Management District-Wei1s, Cypress Bayheads, Wetiand Areas, Altering
<br /> Wafercourses.
<br /> - _ Army Garps of Engineers Seawalls, Docks, Naviga�le Waterways.
<br /> - Depa�kment of Nealth Rehabllitative Services/Environr�ental Health Unit-Wells, Wastewater Treatmenf,
<br /> Septic Tanks. - ,
<br /> US Environmental Prote tion Agency-Asbestas abatement. �
<br /> � - Fede�al Aviation Awthori -Runways.
<br /> I understand that�the faliowing restrlc ians apply to the use af flEi:�
<br /> - Use of fiil Is not aliowed i Flood Zone"V"unless expressly permitted. �
<br /> - If the fl!I materla) is to e used in Flood Zone °A", it Is understood that a drafnage plan addressing a j
<br /> "compansating valume" ill be submltted at time of permitting whlch is prepared by a professionai engineer ;
<br /> liaensed by the State of lorida.
<br /> - if the fill maferial is to used in Fload Zone "A" in connection w3th a perrriitted building using stem wail
<br /> � canstruc#ion, I certify fha fill wiH be used only ta fill the srea wlthin the stem wail.
<br /> - If fill material ls fa be sed In any area, l certify that use af such fill wIll nat adversely affect adjacent
<br /> prapertles. if use af#�II ! found to adversely affect��adJacent prope�ties, the owner may ba cited for vialating.
<br /> #he condltlons of tlie bui ding permit issued under the attached permit application, for Iofs (ess than one (1)
<br /> acte which are elevated y fill, an engineered drainage plan (s required.
<br /> If 1 am the AGENT FOR THE OWN , I promise in good faith to inform��fhe owner of the permitting.candlfians set for#h=#n
<br /> fhis affidavit prior to commenctng co structian. ( tanderstand that a separate permlt may be required for electrEcal wock,
<br /> ptumbing, signs, wel{s; pools,.air ca ditianing, gas, or other fnstailations not specifically included in the applicatian: A
<br /> permit issued shal! be construed to e a lRcense to proceed witli the work and not as autharity to,vialate, cancel, ait�r, or '
<br /> set as�de any provislons of tha techn ca! codes, nor shall issuance of a permit prevent the Bufldirig Offlcial from thereafter
<br /> ' requlring a carrection of errors In pla s, oanstruction or violations of any codes. Every permit issued�shali become (nvaiid
<br /> unless the work authorized by such ermlt is commenced wifhin six monfhs of permit issuance, ar if work authorized by
<br /> ' the permit is suspended or abandon d fo�a period of six(6)�months afifer the time the work is commenced. An extenslan�
<br /> may be requesfed, In writing, from t e Building.Officiai far a pe�iod not to exceed ninety (9Q} days and wlll dsmonstrate
<br /> � justiflable cause for the extension. If ork ceases for ninety(90)consecutive days, th�Job is consEdered abandoned.
<br /> WARNING 'fC? OWNER: YO.UR F ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR
<br />� PE1YlNG TWlCE FOR IMPROVEME TS TO YOUR PR�OPERTY. IF YOU INTEND TO OBTAIN FiNANCiNG, CONSULT f
<br /> WITH YO R��LE DER.C3R:A ATT RNEY.BEFO E RECC1RDiNG�'t� R t3T1 �O�'C��ii ENCEtV� 4�T. = . .
<br /> Ft,ORI[}A JtIRi4'i'>(F.S. i 17:03} , ,
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscrtbad end swom fo{or af�rmed}before e thls 8ubscribed and svuam to(ar aiflnr►edj�before me this .
<br /> by bY
<br /> Who is/are personally known to me or haslha e produced Who(s/are-persanalty knoum to me o�has/have produeed
<br /> as identlflca on. as ldentiflcation.
<br /> Nokary PubAc Notary Public
<br /> Commtsslon No. CammSssEon Na. ,
<br /> Name of Notary typed,printed or sfamped Name of Notary typed,printed'ar stamped
<br />
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