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<br />NQTIC~OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "~~ed"te~tridioris"
<br />W~i9rll1C1~R~mpre restrictive than County regulations. The undersigned assumes responsibility for compliance With any
<br />al>)Jlic:a~le~~~(frestrictions. ' -
<br />+~ft,LI8~~~~~b()NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If, the owner has hired a, c9~tractor or
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<br />ii~r'?i;!j;~:dw:."~~:r...~a~ bl:~'~~t~~ ~,:n:~J ::~~::.:yw: :;I:Pa'i~~~;~ter9l~,l~~
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<br />~hi:J~r~ta~."""".,yL ,If the owner or intended contractor are uncertain as to what IicEmsin~ requirements may applY for the
<br />i,rt~D~e~,~Q,t~jtr~Y a~e advised to conta~t the Pasco County Building Inspecti~n Divi~ion--LicensihgS~~tio,hat727-841-
<br />apB9.FlJ~~~fI~ore, If the owner has hired a contractor or contractors, he IS adVised to have the cohttactor(s) Sigh
<br />pO,rtl?ps ,?flh~\~~?ntractor Block" of this application for which they will be responsible. If you, as the ,owh,e,r sign as the
<br />cortractorl that may be an indication that he is not properly licensed and is not entitled to permitting privileges in PaSco
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<br />TRANSPO~~~tl()N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The, undersigned understands
<br />th~t TranSP9~~tionlmpact F~es and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />us~ in existin~i~Uildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90.-07, as am~~ded. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. IUs 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,th~Y 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 "owher", 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, 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 />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 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 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 />
<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 ER 0 ATTO EY E RECORDING Y. NOTIC COM E
<br />FLORIDA JURAT .S. 1 7.03
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<br />Notary Public
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<br />Notary Public
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<br />Commission No.
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<br />~~.~ Karen L. Miller
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<br />Name of Notary typed. printu\*m~n1lS,s Ion" DD609664
<br />~i'...'~o Expires October 29,2010
<br />1Sf, n\ Bonded TIO)' Fo., .Insuranco, Inc 800-386-7018
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<br />Commission ~~~ Karen L. Miller
<br />=:{ 'W~ Commission" o[)6()9664
<br />Name of Not
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