<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 Dlvlsion-Llcenslng 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 th~t 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 paidp~ior 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 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 "An 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 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 OWNE~, I promise in good faith to inform the owner ~f the permitting conditions ~et forth In
<br />this affidavit prior to commencing construction. I understand that a separate perm~t may be required for electrica.1 work,
<br />plumbing signs wells pools air conditioning gas or other installations not speCifically Included In the application. A
<br />ermlt is~ued shall be 'cons~ed to be a IIcen~e to proceed with the work and not as authority !o vlolat~, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bull.dlng OffiCial from the~eafter
<br />re ulrin a correction of errors In plans, construction or violations of any codes. Eve'Y ~ermlt Issued shall become Invalid
<br />un(ess ~e work authorized by such permit Is commenced within six months of permit Issuance, or If work author~zed i by
<br />the ermit'ls sus ended or abandoned for a period of six (6) months after the time the work Is commenced. An ex ens on
<br />ma: be request:d, in writing, from the Building Official for a period not t~ exceed nin~ty (90) days anj ~II ~emodstrate
<br />,justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is considere a an one .
<br />
<br />~:~~~~~EO~~EI~P:g~::~~~ ~~~:~~~~~~Ti~~gti 1~~:':nE~g~~~~rN 'f.JA:~~~~~d~N~~~~
<br />
<br />WITH YOUR LENDER OR N,ATTORNEY BEFORE RECORDING YOUR N TIC COMM NCE ENT.
<br />FLORIDA JURAT (F.S. 11703)
<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or amnned) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />. as Identification.
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and swom to (or afflnned) before me s
<br />by
<br />Who lsiare personally known to me or has/have produced
<br />as Identification.
<br />
<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 />
<br />J5~D - 8)0./ Co 1-~'14 - 0
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