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<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 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 />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, WaterlWastewater 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 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. addressl~g 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 ~all. , '
<br />If fill material is to be used in any area, I certify that use of such fill will not adversely, affect a?Jac?nt
<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 is required. , . . . .
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
<br />this affidavit rior to commencing construction. I understand that a separate perm~t may ~e reqUlr~d for elect~lca.1 work,
<br />Plumbing Signs wells pools, air conditioning, gas, or other installations not specifically In?luded, In the apPhc1atlo,t"" A
<br />, , , t d t b r se to proceed with the work and not as authOrity to Violate, cance, a er, or
<br />~:~~:i~~s~~~ ~~:~~~~n~o~fst~etec~ni~af c~~~s, n?r shall.iss~ance of a per~it pr~vent the B~i1'~~~e~~~~~11 ~~:~:~~::I~~
<br />
<br />reql Uirintgh a corrkecti~~o~rZ~~O~Sy i;u~~~~r~~rf~r~~:~:~c~~I~:~~~ ~rx a~o~~hSe~f p:r~h ~se::n~e, or if work authorized. by
<br />un ess e wor au . f' (6) th fter the time the work is commenced. An extenSion
<br />the p~rmit is su:p:~~e~r~rn~b~~o~nt~: f~~ifdjne~I~~i:ll~or a ~~~iO~ ~ot to exceed ninety (90) days and will ~emo~strate
<br />~:rifia~l~e:~:e ~o~ ~he exte~sion. If work ceases for ninety (90) consecutive days, the job is considered aban one .
<br />
<br />CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNER: YOUR F~~~~ ~~~: PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />:i~;O~I~~:g:RI~:R~V~~ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03) . ,/ /./1~
<br />CONTRACTOR.c~
<br />OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this
<br />Subscribed and s - to (or affirmed) before me this by
<br />by Who is/are personally known to me or haslhave produced
<br />Who is/are personally known to me or has/have prodUced as identification.
<br />as Identification.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
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