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 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 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-S47-
<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 property licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTtUTiLITIES 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,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 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 /> 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 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 I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, Weiland 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 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 fiii 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 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 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 Dian 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. t 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 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(9o)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 COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ENCEMENT.
<br /> FLORIDA JURA7
<br /> r t
<br /> OWNER OR AGENT !
<br /> Subscribed and sworn ro torTf6;; )before me tn;s CONTRACTOR
<br /> by Sib*ibeC�Pit s for arrrrmeo}oetore pa th5 _
<br /> Who,.Were personaiiy known io n,e ri!hasthaVe reduced tt_�'.��_(_�__py _ "1r. j �^
<br /> C Who israre personaity knowe a o.'h- aV produced as rdehrLatipr Ste'[
<br /> as,derid;cahon
<br /> Notary Pub.c �'"
<br /> ._.—_._..Notary P„bhc
<br /> Commiss,on No_ C 7 Q �{
<br /> Name I Notary typed,pnnred
<br /> Name or Notary;yPed,onrted cr stamped
<br /> r�.rr�
<br /> + � DEBORAH SUE RA7Hirl
<br /> / _ Cornrriissron h FF 957t179
<br /> My Commissir,r Expires
<br /> February 03. 40210
<br />
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