<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 forcorripliance 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 Understahds
<br />that Transportation Impact Fees and R~course Recovery Fees may apply to the construction of hew bUildings, chahge of
<br />use in existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hUinber 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 hlust be paid prior to
<br />receiving a .certificate of occupancy" or final power release. If the project does hot. involve a certificate of occupancy or
<br />filial power release, the fees must be paid prior to permit issuance. Furthermore; If Pasco County Water/Sewer Impact
<br />fees are due, they rnust 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 $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consurner Affairs. If the applicant is someone
<br />other than the .owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver It to the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'$ 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, Aiterlng
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unlt-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 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, I certify that use of sUch fill will hOt adversely affect adjacent
<br />properties. If use of fill is found to adversely affect adjacent properties, the owner rnay be cited for violating
<br />the conditions of the building permit issued under the attached permit application I 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 wor~,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations 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 vlolations.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 I 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 abahdoned.
<br />
<br />WARNING TO 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 />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 11 .03) ,---
<br />OWNER OR AGENT . I4A I~ ~ ( fP~ ~6t...- CONTRACTOR
<br />Subscrlb~ and swo 0 or agirmed) befQre me this Subscribed and swom to (or affirmed) before me this
<br />. ~2'-1fi- by .J ~t't' ~ by
<br />Wh SI)ire personally own to me or haslhave produced Who Is/are personally known to me or haslhave produced
<br />. asldentiflcation. asldentiflcation.
<br />
<br />
<br />~ ~N""'PubIlC
<br />
<br />Commission No.
<br />. .,,~ Rult! 0 Forrester
<br />. Name of Notary type !=~ M'slaMtlrm""" uu138462
<br />~~. ElcpinM AuguSt 01 2006
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Name of Notary typed. printed or stamped
<br />
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