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<br />� NO.TIC�OF DEED R�SI"l�9CTIOYVS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> -" � which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed �estrictions
<br /> UNLICEfVSED CONl'FL4CTORS AND CONYi2ACTOR RESPONS&BILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. 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 state law. If the owner or infiended contractor ar,e uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IIiJJIIF'/1CT/UTILITIES IMPACT AND RESOUY2CE F2ECOVERY FEES: The undersigned understands
<br /> thaY Transportation Impact Fees and Recourse Recovery Fees may apply to the construction 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 amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting 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 power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CO�STRUCTION LIEN LAUV (Chapter 713, Florida Statutes, as arroended) If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> COfVTRACTOR'S/OWfVEl2'S AFFIDAVIT: I certify that all the information in this application is accurate and 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 obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all�work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetlarid Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br />' - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> � - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Fnvironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br />' - Use of fill is not allowed in Flood Zone"V" unless 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 submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - tf the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adj'acent properties, the owner may be cited for violating
<br /> the conditions of the building permit 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 good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />, ;equiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (901 c�r,seru#i�.�e dal�s, th�;�h :s�c^�:�ered aba��doned
<br /> WAI;NING TO OWNER: VOUR FAILURE TO RECOf2D A NOl"ICE �F C0�11MENCEMEfVT MAY RESiJLl' IN YOUR
<br /> PbYIFVG T9nlICE FOR IMPIaOVEMENTS TO YOUR PROPERTY. IF YOU INTEfVD TO OBTAIN FINANCIf�G, COIVSULT
<br /> II�I��F-I VI�I.�R I_E��?ER ���!!��TTl197I`.9�~s��v�i` R�::.^'.+��C�oivv e v�ii�i�v Y 9d+�Ui' isrui[�i1ViL:i�VL�lI11C�V 1.
<br /> FLORIUA JUf2A"f(F.S. '117.03)
<br /> OWNER OR�GENT CONTRACTOR
<br /> Subscribed and sw n to(or irmed)qe re me this Subscribed and sworn to(or affirmed)before me this
<br /> z�� by�U1o� � Nk�10. Z�� � by��,�r�r,l P �-)��Ic�
<br /> Whu i /are personally known to me or has/have produced Wh i—�ersonally known to me or has/have produced
<br /> as identification. as identification.
<br /> ��G��P,WP�/ Notary Public ���i'G� Notary Public
<br /> Commission No �IVI�A.�OY�tt Commission No ��A� 1..
<br /> , Notary Public,State of Florida M ry Public,S�te
<br /> Name of Notary e , � N0. EE828129 � Name of Notary typed,printed o� NO EesAuq�st 1g
<br /> E82812� �2016
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