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 e contractor or
<br /> contractors
<br /> 'to undertake vvork. they nnoybe required tobe licensed in accordance with s�deand local regulations. If the
<br /> contractor |a not licensed as.required by |ovv, 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 dicensing 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. Furthennona, if the owner has hired a contractor orcontractors, he is advised to have the contraotor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, an 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 Tronaporb�ionImpact Fees and Recourse Recovery Fees may apply to the cona�ucUonof new buildings, change of
<br /> use in existing buildings, or expansion of existing buUd|ngo, as specified in Pasco County Ordinance number 89'07 and
<br /> 90-07` as amended. The undersigned also undorabande, that such feea, as may be due, will be identified at the time of
<br /> permitting. it is further understood that Transportation impact Feeu'and Resource Recovery Fees must be paid prior to
<br /> receiving n "certificate of occupancy" or final power release. If the project does not involve o 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, ooarnanded): }f valuation nf work ie$2.5O0.UDormore, \
<br /> certify that |, the appUuant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guida" prepared by the Florida Department of Agriculture and
<br /> i��onnu0er/#fairn. If the applicant is someoneotherthanthe"ovvne�. ioer�fvthot | hoveobta{nedouopyoftheabovedeeor(beddocucnent and promise in good faith to
<br /> deliver itto the"ovvOer" prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable |avve regulating oonatruction, zoning and land development, Application is
<br /> hereby made to obtain e permit to do work and installation as indicated. | certify that no work or installation has
<br /> oornrnonoad prior to issuance of permit and that all work will be performed to meet standards of all |avva regulating
<br /> construction, County and City nodes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intended v*zrk. �nd that it is
<br /> nly responsibility to identify vvhatactions | must take tobeincompliance. Such agencies include but are not|imitedto:
<br /> - Department ofEnvironmental Protection-Cypress Bayhoada, VVadand Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida VVobar Management District-Wells, Cypress Boyheada, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> ' Department of Health Q Rehabilitative Services/Environmental Health Unit-Wells, VVoatewehar Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authodty-Runvvayn.
<br /> | understand that the following restrictions apply tothe use offill: '
<br /> ' Use nf fill |a not allowed in Flood Zone"V"un|eoo expressly permitted.
<br /> ' If the fill material is to be used in Flood Zone 'IN', it is understood that o drainage plan addressing a
<br /> "mxnnpeDooting volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State nfFlorida,
<br /> ' If the fill material is to be used in Flood Zone ''/Y' in connection with a permitted building using stem vvnU
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> ' If fill nnotari@| is to be used in any area, | 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 in required.
<br /> |f| arn 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. | understand that separate permit may be required for electrical vvork,
<br /> p|unnb}nQ, signs, wells, pVols, air conditioning, gas, nr 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 authorityto violate, cancel, alter, or
<br /> oetma\deanyprov|eionsofthetanhnica|'oodeo' no[ehoUiaeuonuaofeperOnitpreventtheBu|{dingOffici8|fronnUheraoftar
<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 a\x months of permit iasuanne, 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 o period not to exceed ninety (00) days and will demonstrate
<br /> justifiable cause for the extension. |f work ceases for ninety(8O)consecutive days, the job`a considered abandoned.
<br /> .
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD /\ NOTQCE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. lF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> CommissionWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed a6d sworn to(oraffir ed)b for�methis Subscribed and sworn to(or affirmed)before me this
<br /> —by MC la by
<br /> Who is/are pers own to me or has/have produc Who is/are personally known to me or has/have produced
<br /> fication. as identification.
<br /> Notary Public Notary Public
<br /> — Commission No.
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