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<br /> NOTICE OF DEED RESTRICTIONS: 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 i ith any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 intended contractor are uncertain as to what licensing requirements may appfy 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 contractor4s) sign
<br /> portions of the "co.ntractor 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 undersigned unde�stands
<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�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, n p p y p
<br /> the fees must be aid prior to ermit issuance. Furthermore, if Pasco Counf Water/Sewerl Im act
<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 work is $2,500.00 or�more, I
<br /> certify that I, the applicant, have been provided with a copy of'ffi'e� ``Florida`Consfruction 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 goodlfaith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all wo�k
<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 undersfand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment. I
<br /> � - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. �
<br /> i
<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 Environmental Protection Agency-Asbestos abatement. '
<br /> - Federal Aviation Authority-Runways. i
<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. I
<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 e�gmeer
<br /> licensed by the State of Florida. ;
<br /> - If 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. i
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect a'djacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner inay be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than i ne (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 gvod 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 /> 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 months of permit issuance, or if work author;ized 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 tie requested, in writing, from-the Building Offieial for a period not to exceed_niRet�(90)_�s and will demonstrate _
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN; YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY. IF YOU INTE TO OBTAIN FINANCING; CONSULT
<br /> WITH YOUR LENDER OR AN ATTO ORE RECORDING YOUR NO E OF OM EMENT. ;
<br /> FLORIDA JURAT(F.S. 117.03) � '
<br /> i
<br /> �
<br /> OWNER OR AGENT CONTRACTOR ; ,
<br /> Su crib and sworn to(or affirmed)be ore me this Sub cnb d and sw n (or affirmed)befor e this ,
<br /> jr� .�v �5'" ny ln/Glr����L��l� _ /� 3o i by ����lir-��� i�i���/ �
<br /> Who ts/are personally known fo me or has/have produced Who is/are ae�nally known to me or has/have produced ;
<br /> as Identlfication. as identification. �
<br /> �
<br /> � I
<br /> � ' i
<br /> i � ` Notary Public �- Notary Public
<br /> Commission No. �
<br /> Commission No. I
<br /> ,,,,���.,,
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<br /> Name of Notary ty, Sf�s„ 11�t�".or�a SION#FF 233271 Name of Notary type _�: •�_st�{q{ MISS!bN�FF 233271 !
<br /> p•.;�,,'- EXPIRES�June 6,2019 ",�s�'�.��0.? EXPIRES:June 6,20i9
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