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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 />intenCJed work they are advised to contact the Pasco County Building Inspection Division-licensing Section at 727-847-
<br />8009. Furthe'rmore, 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 whic~ they will be .responsi~le.lf you, ~s.the o~~er si~n as the
<br />contfactor, 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/UTILlTIESIMPACT 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 />CO~STRUCTION 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 />deli~er it to the "owner" prior to commencement.
<br />CO~TRACTOR'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 />. Dep~rtment 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 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 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 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 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 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 />plum~i~g, 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 fislde 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 />unl~ss 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 />
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<br />WAftNING 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 />. . ,
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF CO E E ENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />I
<br />
<br />OYfflER OR AGENT
<br />sublicribed and sworn to (or affirmed) before me this
<br />by
<br />Whotls/are personally known to me or has/have produced
<br />. as Identification.
<br />
<br />CONTRACTOR"
<br />SUbscrired and sworn to (or affirm (I) efore me this
<br />-.J II tD 2c5ol., by Y:-r 1'V) 1< ~v" ^-
<br />Who Is/are personally known to me or hasihave produced
<br />r.:-t_ Dt",~ I,~ as Identification.
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
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<br />ComfTllsslon No,
<br />
<br />Commission No.
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<br />Name of Notary typed, prlnted or stamped
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<br />.'~~'~ ar.tt L. Miller
<br />€:; AWi Commisslbn' DD609664
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<br />Nam:e of Notary typed, prlnted or stamped
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