NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which maybe more restrictive than County regulations. The undersigned assumes respdnsibility;for dompliance 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 lnspection 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 IMPACT/UTILITIES 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 TransOrtation 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 paidprior.to-permifissuance 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 1, 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 obtaihed 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: .1 ce�ify 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,1that all work will be performed to meef.standards of,.all laws regulating
<br /> construction, County and City codes, zoning regulations; and'land development regulations in the jurisdiction. 1.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, .Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Managlement 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 Agenc,-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 subr itted 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 Mood 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 maybe 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, amen ineered drainage plan is required.
<br /> If I am4he AGENT FOR-THE OWNER, I promise in good faith to inform the'owner of-the permitting-coriditions 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:authorized'by
<br /> the permit is suspended or abandoned for a period of six(6) months after the" Aime'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,.OP COMMENCEMENT. RESULT IN YOUR
<br /> G 7dE--PAYINWl -FORIMPROVEMENTS TO�YOO- PROPERTY. IF YOU INTEND.TO.OBTAIN.FINANCING; CONSULT
<br /> WITH.YOUR LENDER OR:AN,,ATTORNEY BEFbRE RECORDING YOUR;NOTICE OF`COMMENCEMEN
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT.-. CONTR�edC
<br /> R
<br /> Subscribed'and sworn to(or affirmed)before me this S bscribnAk
<br /> affirmed)befor this
<br /> by - , y2.5
<br /> Who is/are personally knowmto me or has/have produced ho is p rsonn to me or has/have produced;
<br /> as identification. L cL1a f�2s51� 2 as identifcation.
<br /> Notary Publi Notary Public
<br /> Commission No. Comm
<br /> JACQUELINE BODES
<br /> Name of Notary typed,printed or stamped Name ' qp! ty� 0 Fi l 2
<br /> kos i'`.••`Bonded Thu Troy Fain Insurd=800-386r7019
<br />
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