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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" 'rest�icfions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance witli any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owne� has hii-ed a contrac�o� o'r
<br /> contractors to undertake work, they may be required to be licensed in accordance with stafe and locaf regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeano� violation
<br /> under state law. If the owner or intended contractor are tance�tain as to what licensing requiremehts 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) sigri
<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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersignecl Understands
<br /> that 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 'p�io� 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 VVater/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes; as amended): If valuation of rivork is $2,500.00 0� ino�e, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowne�'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 /> CONTRACTOR'S/OWNER'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 installatiori has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws tegufa�ing
<br /> construction, County and City codes, zoning regulations, and land development �egulations in the jilrisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply Io the intended work, and 4hat it is
<br /> my responsibility to identify what actions I must�ake to be in compliance. Such agencies include buf a�e hot limited to:
<br /> - � Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatment.
<br /> - Southwest Florida Water Nlanagement District-Wells, Cypress Bayheads; V1letland Areas, Alte�ing
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable VVaterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Nealth lJnit-Wells; ilVaslewater Treatriment;
<br /> Septic Tanks.
<br /> - US Environmental 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 /> - If the fill material is to be used in Flood Zone "A" in connection vuith a permitted building lising stem, rivall
<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 iase of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited fo� viola4ing
<br /> , the conditions of the building permit issued under the attached permit applicatiori; fo'r Iots fess than one (1)
<br /> acre which are elevated by fill, an engineered drainage plari is required. '
<br /> If I am the AGENT FOR THE OWNER, I promise in good faitfi to inform the owner of the permitting coriditions se��o�th in
<br /> this affidavit prior to commencing construction. I understand that a separate permit inay be �eqtiirec� for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. !�
<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 p�event the Building Official from thereafteF
<br /> requiring 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 rrionths of permit issuance, br if work aiatho�ized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the tirrie 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 wili dembnstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is conside�ed abandoriecf.
<br /> WARNING TO OWNER: YOUR FA LURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL7' IN YOUR
<br /> PAYING TWICE F �IR� IMPROVEME TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LEN ER N ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. '17 ) - - -- - -- - --- �-- -- — - - - -
<br /> OWNER OR AGENT ' CONTRACTOR `�` �l�ln-t� -C � I}�
<br /> 5ub nbe and sworn �� e e forE lhis S bs ibe "and swom to [aff�ir�!ed)be e t is � 1
<br /> . 7 C� by �� (� /}` by �?��//rr ����.�L�.�
<br /> Who is/are e onall known to me or has/have produced ho is/a epersonally known to me or has/have produced
<br /> f entification. s identifi ' n.
<br /> c ��
<br /> / iary Public `r"" r' ublic �
<br /> Commissio .No. ;•�qt'•"•"'���'•: GAILZUPKO �ommission No. ;''ti!"•"y''••: GAILZUPKO �'
<br /> ;+: - �:•- N 126167 =+: _ i+': MISSION N FF 126167
<br /> :�'� ;e; EXPIRES:July 4,2018 `;;.,, ,.P; EXPIRES:July 4,2018
<br /> :+;•.
<br /> nae�,�ters ame of Nota ed, nnted or s erwn ers
<br /> Name of Notary typed,printed rY�YP P�
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