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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 .contractorBlock" 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 .certlficate 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/Seliver 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 hav.e 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: '1 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, Water/Wastewater 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 Servlces/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 materia" 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 ",,:all. '.
<br />If fill material Is to. be used In any area, I certify that use of such fill Will not adversely. affect a?Jacent
<br />. properties. If use of fill Is found to adversely affect adjacent propertl~s, 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 OWNE~, I promise In good faith to inform the owner ~f the permitting conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate per~lt may be.requlr~d for electrlca.l work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In?luded In the application. A
<br />ermlt issued shall be construed to be a license to proceed with the work and not as authorJo/ !o violat~, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~lIdlng OffiCIal from the~e,after
<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 Issu~nce, or if work authorized. by
<br />the ermit'is sus ended or abandoned for a period of six (6) months after the time the work IS commenced: An extension
<br />ma: be request:d, in writing, from the Building Official for a period not t~ exceed nin~ty (90) days an3 Will demodstrate
<br />. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is considere abandone .
<br />
<br />o OWNER. YOUR FAILURE TO RECO~D A NOTICE OF COMMENCEMENT MAY,RESULT IN.YOUR
<br />~:~:~~CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR NATTOR BE ORE EC RDING YOUR TI E 0 C T.
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or afflnned) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />. as Identification.
<br />
<br />OWNER OR AGENT
<br />Subscribed and swom to (or afflnned) before me this
<br />by
<br />Who Is/are personally known to me or has/have produced
<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
<br />
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