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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictlons"
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<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 law4 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 contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor BlocIC 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 IMI'A(;I1U 1 ILI I Its IMNA(;I AN KtJUUK(;r Kr-t;UVCKT rrwt: 1 ne undersigned uncerSianaB
<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,vAl 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 WaterlSewer 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=.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 then thc'pcwnce',!ccrti that I have obtained a copy of the above desc^bed document and Fromiso 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 Inicompliance with all applicable laws regulating construction,zoning and land I 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 incl6de but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands WatedWastewaterTreatment.
<br /> - Southwest Florida Water Management District-Welts, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Arlliy Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Servires/Environmental Health Unit-W Ila, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US'Environmental Protection Agency-Asbestos abatement.
<br /> Fe6ral 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
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<br /> Ilccnned 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 till 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 o*er 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 I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the per�rtitting conditions 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 /> rlClll 111 IAOVN DIIGII YG bVl 10l1YGY
<br /> set aside any provisions of the technical codes,nor shall issuance of a pem►it 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(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 TOk 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 /> NTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> -"OWNEROR CONTRACTOR
<br /> .yS4bscribo n ( affrmed) era met s ® tic b� or r before thls
<br /> by!` by
<br /> Who is re personally known to me or ha eve produced Who are M. y KT to me or hasihave produced
<br /> as identifoation. as Identification.
<br /> Nola I Notary Punic
<br /> .ion No. G:� 11--)<CA L-e
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<br /> EXPIRES:February
<br /> �• :o` ks�
<br /> 'fir••,F• •C _. i ublic Underwriters
<br /> OF 6{;dad Thru Noary P i�".I s,�:.•�,.�,,;Y,���,.,<,q;; --AMAN�_
<br /> A ACKERSON
<br /> MY COMMISSION#GG 925496
<br /> EXPIRES:
<br /> r j•. .;F:,,F or; ES;February 23,2024
<br /> Gonded Thru Notary Public Underwriters
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