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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 727-847-
<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 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 /> certifythat 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 l 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 3
<br /> ..Lands,WaterMastewater 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 applyto the use of fill:
<br /> - Use of fill is not allowed in.Flood.Zone W"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.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, l •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-underthe-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. I understand that a'separate permit may be required:for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning,.gas, or other ihstallations 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 (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 OF COMME ,CEMENT'MAY RESULT.-IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR'PROPERTY. IF YOU-INTEND O OBTAIN FINANCING,.CONSULT
<br /> WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING::YOUR NOTIC OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to( r ed)before me this
<br /> by bv
<br /> Who is/are personally known to me or has/have produced Who isla rsonall own to me or has/have produced
<br /> as identification. as Identification.
<br /> 0.
<br /> Notary Public Notary Public
<br /> Commission No. Commi . No.
<br /> JACQUELINE BOGES
<br /> Name of Notary typed,printed or stamped Name of Notary :.<p 1 n)01"
<br /> ; Expires December 12,2022
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