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<br /> N0710E 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 with 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 setd: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 /> Cou
<br /> TRANSPORTATION IMPACTIUTILiTiES IMPACT AND RESOURCE RECOVERY FEES: The undersigned 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 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 /> CONSTRUCTION LIEN LAW(Chapter 713,Floridte Statutes,ss wrrended): if valuation of work is$2,500.00 or more.I
<br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
<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 /> CONTRACTOWSIOWNER'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 pemit and that all work YAR 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 I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads,Welland 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 Servioes/Environmental Health Unit-Wells, Wastewater Treatment,
<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 with a permitted building using stern wall
<br /> construction,I certify that fill will be used onlyto 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 adjacent 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 1 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 commenting 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 it work authorized try
<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(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME E MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO NTEND BTIAN FI ANC(NG,CONSULT
<br /> Wr
<br /> Y R LENDER gR AN ATTORNEY E R CORnmyo RN TI C M
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<br /> OWNER OR AGI!N CONTRACTOR
<br /> S bed end to(or edJ before me this Subscribed and to ellm e re me thus 4QS118
<br /> S U LO HSTEW
<br /> Who Isfare personalty known to me or hasihave produced who IWIT
<br /> ppeersona�ydrawn to me or haslhave produced
<br /> PERSONALLY1040 M asidentfication. PERSONALLYIWOWN aaid MI6 on.
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<br /> • public
<br /> Commission No. Commiagm No.
<br /> ....................... ..._....................................._.......
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<br /> Nam,, �a @ �f V Name or Notary ry_ped,pdMed of etanpad
<br /> ti�ar°o �SUSA L. PIKER ��. ._
<br /> � •' :�a" SUSAN L. PIKER
<br /> MY COMMISSION#FF990697
<br /> <: MY COMMISSION#FF990697
<br /> '�",%f• EXPIRES January i4.2020 = q�
<br /> pf S i '.fo, ,off EXPIRES January 14.2020
<br /> 0071398 0'53 FlondaNsta1y8e1vl1;c.c01n
<br /> ,407i3080'53 Flo ids NotaiySeivice.com
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