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<br />
<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restridtions"
<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 und.ertake 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 />~nder 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 q9ristr~ction 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 Departmenfof 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 installatio", has
<br />commenced prior to issuance of a permit and that all work will be performed to m~et 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 offill is not allowed in FIQQd 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 "g In connection With a permitted building USing stem wall
<br />construction, I certify. that- filt 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 und~r the attac~ed p~rmit 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.ln the apPII~ab~n. A
<br />, 'b t d t b license to proceed with the work and not as authOrity to Violate, cance , a er, or
<br />~:~~:i~~s~~~ ~~~~~si~n~o~fst~~etec~ni~af codes, nor shall issuance of a permit prevent the B~i1.ding ~ff~i~11 :om the~eaftl~~
<br />
<br />reql usirsintghea wcoor::~~~~o~rZ~~O~Sy ~u~~~~r~~r~~r~~~~:~c~~I~:~h~~ ~rxa~O~~hdse~f ::r~~ rse:~~~~u:r i: w~rdk :A~~:~it~~d~ ~y
<br />un e . d f . (6) th fter the time the work IS commence. n ex ens Ion
<br />the p~rmit is sU~:de~~e~r~rn~b~~~~~: f~~ifdin~I~~i:ll~or a ~~~iO~ ~ot to exceed ninety (90) days and will ~emo~strate
<br />~:rlfia~l~e:~:e fo~ the exte~sion. If work ceases for ninety (90) consecutive days, the job is considered aban one .
<br />
<br />ORD A NOTICE OF COM CEMENT. A Y RESULT IN YOUR
<br />WARNING TO OWNER: YOUR FAI~~~~ ~~~:~ROPERTY IF YOU INT D 0 OBT N INANC G, coN UL T
<br />:i:';O~I~~:g:RI~~~V~~~RNEY BEFORE RECORDING YOUR N I OF CO M NCEM T.
<br />FLORIDA JURAT (F.S. 117.03) ,
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<br />~.~ ~_' ~Nota",P"'"
<br />Commls Ion No.
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />
<br />IUA~'" ,.., ....... ................
<br />Name of Notary typed. p. n , ~~4" '"1'Q'I5LC":'llS M. DANIELS :
<br />E l~-rn+:~ ComlT'ission # DD167706 E
<br />: ~~~ij Expires 11/26/2006 :
<br />: "\';?;Rfl~\~\"~ Bonded through ::
<br />: (800-432-4254) Florida Notary Assn.. loe :
<br />II ...... ..... ........ ..... 11..1 .......................
<br />
<br />Name of No ~ n 00167706
<br />i \~~.. Expires 11/26/2006
<br />: :l1'fff.~\,""'''' Bonded through
<br />i!~~~..:~~~}...~~...d.a.. Notary Assn.. rn'"
<br />.........".
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