'
<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 with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors
<br /> 'to undertake vvork they may ba required toba licensed \n accordance vvithstate and local ragu|obona. If the
<br /> contractor |a not licensed as.required by |aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state |ovv. 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 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or uontrodora, 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 a\Qn as the
<br /> contractor, that may bean indication that he \a notpnoporly]ioenaed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPQRTATiQNlN1P/\CT/U-DLIT|ES IMPACT AND RESOURCE RECOVERY FEES': The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|d|ngn, change of
<br /> use in existing buUd\nga, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90'07, as ornended. The undersigned also underetonda, that such fees, as may be duo, will be identified at the time of
<br /> permitting. It is further understood that Transportation \nnpoot Feeo'and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. \f the project doeonotinvo(vaaoertificotaofoccVpanoyor
<br /> final povverro|eoae. 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 (Chapter713. Florida Sto±uton, as amended): If valuation of work is$2.500.00 or more, \
<br /> certify that |, the app|ioant, 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
<br /> 'Coneunner Affairs. If the applicant is someone
<br /> rthan the "owner", | certify that | have obtained a copy of the above described document and promise in good faith to
<br /> deliver itho the°ovvuer" 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 \evvs regulating conotnucdon, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated, | certify that no work or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all |avve regulating
<br /> construction, County and City codes, 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 work, �nd that it is
<br /> nny responsibility toidant�vxvhsdaob n0 nna | uettakehobeincomp}ianoa. Such agencies include but are not|innitedto:
<br /> ' Department ofEnvironmental Protection-Cypress Bayheado, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment,
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheade, Wetland Areas, Altering
<br /> Watercourses,
<br /> - Army Corps nfEngineers-Seavma||o. Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Sarvioee/Environmental Health Unit-Wells, VVmbtevvabsr Treatment,
<br /> Septic Tanks.
<br /> - UG Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Runvvaya.
<br /> | understand that the following restrictions apply ho the use offill: '
<br /> ' Use nf fill ia not allowed in Flood Zone"\y' unless expressly permitted,
<br /> - |f the fill nn@baha| 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 professional engineer
<br /> licensed bv the State ofFlorida.
<br /> ' If the fill material is to be used in Flood Zone "N' in connection with a permitted building using atanl vva||
<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, | certify that use of such fi|| will: not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the nvvnar may be cited for violating
<br /> the conditions of thebuilding 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 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. ( understand that separate permit may be required for electrical vvork,
<br /> p|umbinQ, sigOo, vve||a, poo|a, air ooOditioninQ, gao, or other installations not mpecd5msUy included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authorityviolate, cancel, alter, or
<br /> set aside any provisions of the techniva|bodes, no[shall issuance of 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 (00) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
<br /> .
<br /> WARNING TOOWNER: FAILURE TQ RECORD /\ NOTICE OF COMMENCEMENT MAY RESULT lN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO`fbUK7PRCPERTY. |FYOOl0TENDTO OBTAIN FlNAYVCINQ[CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT 4��) CONTRACTOR
<br /> Subscribed and swom to(or aff4ed)bqfore me this Subscribed and sworn to(or affirmed)before me this
<br /> by heodwinc by
<br /> is/are personally known to me or has/have produced Who is/are personally kno\�n to me or has/have produced
<br /> -as identification. as identification.
<br /> —Notary Public Notary Public
<br /> Commission No. Commission No,
<br />
|