' � a
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that#his permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The u�dersigned assumes responsibitity far campliance with any
<br /> applioable deed restrictions.
<br /> UNI.ICENSED CQNTRACTORS AND CiaF�TR�iC'TC1R RESPUNSIBI�ITIES: If the owner has hired a contractor or
<br /> contractors #o undertake work, they may be required ta be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as tequired by law, both the owner and con#ractor may be cited for a misdemeanor vialakion
<br /> under state iaw. if the owner or intended confractor are uncertain as ta whaf iicensing requirements may appiy for the
<br /> intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if fhe owner has htred a contractar or contracfors, he is advised to have the cantractor{s} sign
<br /> portians of the "contrao#ar Black" of this application for wrhich they will be responsible. If you, as the owner sign as the
<br /> contractar, that may be an indication that he is not properiy licensec� and is not entitled to permitting privileges in Pasco
<br /> County. � "
<br /> TRA,NSPORTATION IMPAC'T/l1TILITIES IMPACT AND R�SOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation Impact Fees and Recourse Recovery Fees may apply to the construction af rtew buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-Q7 and
<br /> 9Q-07, as amended. The undersigned also understands, fhat such fees, as may be due, will 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 af accupancy" or final power release. 'If the project daes not invoive a certificate of occupancy or
<br /> finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasca Counfy WaterlSewer impac#
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
<br /> CONSTRUCTION LIEN LAVII{Ghapter 713, �lorid�Statutes,as amended}; 4f valuation of work is$2,500,00 or more, !
<br /> certify that I, the applicant, have been .provided with a copy af the "Florida Canstruction Lien Law—Hameowner's
<br /> Protectian Guide" prepared by the Florida Department af Agriculture and Consumer Affairs. If the�applicant fs sameane
<br /> other#han the"awner", I certify thaf I have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it ta the"owner"prior ta commencement.
<br /> CONTFt�4CT8R'SlOWNER'S AFFICfAVli`: f certify that al!the information in this applicafian is acc�rate and that all work
<br /> will'be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made fo abfain a permit to do wark and installat�on as indicated. t certify that no work or installafion has
<br /> commenced priar to issuance of a permi# and #hat all work wili be perFormed to meet standards of all laws regulating
<br /> constructian, County and Gity codes, zaning regulations, and land develapment segulations in the jurisdiction. 1 aisa
<br /> certify that ( understand fhat #he regulatians of other government agencies may appiy to the intended work, and fhat it is
<br /> my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland ,A�eas and �nvironmentally Sensitive
<br /> Lands, Wa#er/Wastewater Treatment.
<br /> - Southwest F3orida Water Management District-We11s, Cypress Rayheads, Wetland Areas, Altering
<br /> Watercourses. -
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
<br /> - Deparfinent of Heaith 8 Rehabilitative Services/Environmental Fiealth Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Profection Agency-Asbestos abatement. �- _
<br /> - Federal Aviation Authori#y-Runwrays. �
<br /> 1 ctnderstand that the foElawing restrlctions apply to the use af�ll; .
<br /> - Use af fill is not allowed in Flood Zane"V"unless expressly permitted.
<br /> - tf the fi!! materia! is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> °campensating voiume" will be submitted at time o#perrrtitting which is p�epared by a professianai engineer
<br /> licensed by the State of Florida.
<br /> - lf fhe fi11 material is ta be used in Flood Zane "A" in connectian with a permitfed building �sing s#em wa11
<br /> constructian, I certify that fill will be used anly to fill the area within the stem wall.
<br /> • !f fill material is to be used in any area, I certify that use af such fi1! wi11 no# adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of ihe building permit issued under the attached permit application, for lots less than one (1)
<br /> acre�hich are elevated by fitl, an engineered drainage plan 3s�required.
<br /> If I am the,AG�NT FOR THE 01AIIVEFt, I promise in gaod fai#h to inform the owner af the permitiing conditions set forth in
<br /> fhis affidavit priar to commencing construction. 1 understanc! that a separate permit may be required for eEec#rical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other insiallations not specifically incfuded in the applicatian. A
<br /> pertniE issued shall be construed to be a license to praceed vvith the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shal( issuance of a permit prevent the Building O�ciai feom thereaffer
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> urtless th� work authorized by such permit is commenced within six monfhs of permlt issuance, or if work authorized by
<br /> the permit is suspended or abandoned far a period of six(6) months after the#ime the work is commenced. An extension
<br /> may be requested, in writing, from the Suilding Officiai for a periad not to exceed ninety (90) days and wi11 demonstrate
<br /> justifiable cause for the extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARIVING TO fJWNER; YOUR FAiLURE Tt3 RECtJRD A NOTICE t)E GOMMENCEMENT �VIAY RESUi.T iN YOUR
<br /> PAYING TWIICE FOFt IMPROVEMENTS TO YOUR PROPEI2TY. I�YOU IN'PEND TO OBTAIN FINANCING, CONSULT
<br /> WiTH YOUR LENDER OR AN AT'TQRNEY B�FORE REG{�RDING YC}UR Nt?TICE t3F COMiV1ENCENfENT.
<br /> FLORIDA JURAT(E,B.11Z.D' ; � �� // /����/����
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<br /> OWFIER OR AGEf�lT r CGNTRACTOE2 � '�"•+"'� t."• '-
<br /> Subsaribed and swom o(or affirmed)before me this Subscrlbed and sworn to(ar affirmed)befare me this
<br /> by � ` bY
<br /> �o istare person I knayvn to me or fiaslhave procluced Who Istare personaliy nawrt to me or haslhave produced
<br /> �� � i�C. as ldentlfication. �;�f���� � as identification.
<br /> �
<br /> �, Notary Public _ Notary Public
<br /> '• � �'�,,�ommission#FF 137073 '��"" '
<br /> Commiss n,No. .•:�•
<br /> �U�". -- �"��� ��' ne ,�_" - :. •,,F� .
<br /> s,?�,, 8afdad fitu Troy F�nlnauence • •'Y Commission#FF 131473
<br /> 8�OJ85d8I9 �t'=
<br /> Name of Notary typed,pr n e or s Na of Notary ty . , „ ��o���q� �,F�i��g
<br /> _
<br /> BOB�3B5-7019 .
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