' t#
<br /> NOTICE OF DEED RESTRlCTION�: The undersigned understands that ihis permit may be sub�ect to"deed"restrictions"
<br /> which may be more res#ric#ive than Caunty regulatians. The undersigned assumes tesponsibility for campliance with any
<br /> applicable deed restrictions.
<br /> UNI.ICENSEQ CONTRACTORS AND CONTRAC'FQR R�SPONSIBI�ITIES: If the owrter has hired a contractor or
<br /> contractors ko undertake work, they may be required ta be licensed in accordance with state and local regulations. If the
<br /> cont�actor is not licensed as requlred by faw, both the owner and contrackor may be c�ted far a misdemeanor violakion
<br /> under state iaw. if fhe owner or intended contractor are uncertain as to what licensing requirements may apply far fhe
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8Q09. Fuethermore, if the owner has hired a contracfor ar contractors, he is advised to have the contractor{s} sign
<br /> portians of the "contractor Block" of this application for which they w�ll be responsible. If you, as the owner sign as the
<br /> cantractor, that rnay be an indicatian tha# he is nat properly Ii�:eF�sed and is not entitled #o permitting pcivileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPAC7'lUTILITIES III�P�►CT'AND RESOURCE R�COVERY FEES: The undersigned understands
<br /> that T�ansportation lmpact Fees and Recourse Recavery Fees may apply ta the consfruction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as arnended The undersigned also understands, fhat such fe�s, as may be due, wil! be identified at the time af
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °certificate of accupancy" or final pawer release. �f the project does nat invoive a certificate of accupancy or
<br /> final power release, the fees must be paid prior to permit issuance. 'Furthermore, if Pasco County WaterlSewer Impac#
<br /> fees are due, they mus#be paid priar to permit issuance in accordance with applicable Pasca County ordinances.
<br /> CQNSTRUCTlON �1�N L�►1�tt{Chapter 713, Ftorida Statutes,as arnendecf}: !f valuation o€work is$2,540.00 ar mare, 4
<br /> certify tha# i, the applicant, have been provided with a copy of the °Florida Construction l.ien Law—Homeowner's
<br /> Protectian Guide" prepared by the Florida Department af Agricultute and Consumer Affairs. If the applicant is someone
<br /> other than fhe"owner", I certify that I have obtained a copy of fhe above described document and promise in good faith ta
<br /> deliver it ka the"owner"prior to commencement.
<br /> COWTRACTOR'S/OWNER'S AFFtDAViT: 1 cer#ify that aA the information in this applicafion is accurate and that aii work
<br /> will'be done in compliance with all appiicable laws regulating construction, zoning and land development. Appiication is
<br /> hereby made fa vbfain a permit to do worlc and installation as ind9cated. 1 ce�tify that na war#c or installation has
<br /> commenced priar to issuance of a permit and #hat all work wili be performed to meet s#andards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. } aiso
<br /> cerfify thaf I understand that the regulations of ather government agencies may apply to the intended work, and tha# it is
<br /> my responsibility#o identify what actions I must take to be ln compllance. Such agencies include but are not limited to:
<br /> - Depa�tment af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensifive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wettand Areas, AlEering
<br /> Watercourses.
<br /> - Army Corps of Enginsers-Seawalls, Docks, Navigable Wa#erways.
<br /> - Departmen# of Healfh 8 Rehabiiita#ive Services/Environmentat Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenta) Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways,
<br /> 1 understand that the follawing restrictions apply to the use of f�tl:
<br /> - Use of fill is not allowed in Fload Zane"V"unless expressly permitted.
<br /> - If the fil! material is to be used in Fload Zane "A", it is understood that a drainage plan addressing a
<br /> "campensating voiume" wi)I be submiffed at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fl! material is to be used in Fload Zone "A" in cannectlon with a pertnitted building using stem wall
<br /> construction, I cerkify that fill will be used anly to�II the area within the stem wali.
<br /> - If fi11 materiaf is to be used En any area, i certify that use af such fil! wiii nat adversely affect adjacen#
<br /> properties. if use of fiil is found ta adverseiy affect adjacen# properties, the owner may be cited for violating
<br /> the condi#ions �f the buiiding permit issued under the attached permit applica#ion, far lots less than one (1)
<br /> acre which are elevated by f�8, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th in
<br /> this a�davit prior ta commencing canstruction. 1 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or other installations not speci�cally included in the applicatian. A
<br /> permit issued shall be canstrued ta be a license to proceed with #he work and not as authority ta viola#e, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance af a permit prevent the Buildirig O�cial from thereafter
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is cpmmenced within six months of perm9t issuance, or if work authorizecf by
<br /> the permit is suspended or abandoned far a period of six(6) months af#er the time the work is commenced. An ex#ension
<br /> may be requested, in vt+riting, from the Suilding Officia! #or a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)conseautive days,the job is considered abancfoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORQ A NC>TICE OF CCIMMENCEMENT IVIAY FtESU1.T IN YOUR
<br /> PAYING'NVICE FOR IflAPROVEf1�ENTS t0 YOUR PROPEFtTY. IF YOU INTEND TO OBTAIN FIN�►NCING, CONSULT'
<br /> WITN Yt}UR �.ENDER.+�R-AN_ATTORNEY BEFORE FtEGtyRDING YQUR N E t�F�OMNfENCE[VIENT._
<br /> FLORIDA JURAT(F.S.117.Q3) .
<br /> OWPIER OR AGEI�T CQN7E4AC70R
<br /> Subscribed end swarn to(or afflrmed)before me ihls Subscribed and sworn o a irrp�d)befor me this
<br /> by by �//,� / ��/��-�L,.
<br /> Wtia islare personaily known to me or haslhave produced Who{slare persanally known fo me or hasthave produced
<br /> as ldentlficaUon. as idenBfication.
<br /> Notary Public Notary Public
<br /> .�:��.
<br /> Commisslon No. Cammissf ' := Commission#FF 137073
<br /> :,; Expires un ���la,s
<br /> ••qr sanded3hmTroiFaint�
<br /> Name of Nokary typed,printed or stamped Name of N , e or s amped
<br />
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