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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed",.t~strictions"
<br />w~ichlllaYt)e.rnore restrictive than County regulations. The undersigned assumes responsibility for complianceWittf ahY
<br />ap:pIiEal>led~~drestrictions. . '
<br />Yf1lLI~~N~~b . CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If, the owner has hired acontracl(jf or
<br />
<br />;h:~;6:.~~~i~()~~r.1i~=~~:dw:~k;~~~rre~a6y bl:~~~~~~~~~ ~~~~~n:~: ~~~t~~~r~:~:y~~hd::~e f~~,~I;~~~e~~:~~r~iol~tl~~
<br />
<br />~n~erstat~J~~' ,.If the owner or intended contractor are uncertain as to what licensing requirements rnayapplY(bf the
<br />irt~hded\y~r~fthey are advised to contact the Pasco County Building Inspection Division--Licensihg Se~tion.at7?7-847-
<br />80p9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the cohtractor(s) sign
<br />pp;rti?nsof th~Jipontractor Block" of this application for which they will be responsible. If you, as the OWher sign as the
<br />cohtractor, tlis.t may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />9d~nty.
<br />tJt4NSP~R:tAtION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />th~t Transp. 'tio~ Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />us~ inexisti..<Udings, or expansion of existing buildings, as specified in Pascp County Ordinal'1ce 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, t~ey 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 provid~d 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: 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 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 "N, 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 Jots 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 perm~t may ~e requir~d for elect~ica.1 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 proce~d with the work a~d not as authori~y ~o violat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUIlding OffiCial from the~eaft~r
<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 th~ work is commenced: An extension
<br />may be requested, in writing, from the Building Official for a period not t~ exceed ",n~ty (,90) da~s 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 LENDER 0 AN ATTOR Y B RE RECORDING YOU T E OF COMMENCEMENT.
<br />FLORIDAJURAT(F.S.117 3 &~
<br />
<br />
<br />((JiL~
<br />
<br />Notary Public
<br />
<br />I#~
<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
<br />
<br />,......\':A~::..",.~ KENNE11i L. BROOME
<br />f:r~'~ MY COMMI~SION 1/ DO 410696
<br />~.~~~ EXPIRES. Marcl124, 2009
<br />"~iff.,~'C"" Bonded Thru No1ary Plt>Iic Undetwrllers
<br />
<br />
<br />","o;r.~:""'" KENNETH L BROOME
<br />/~ ~:\ MY COMMISSION 1/ DO 410696
<br />..:~i EXPIRES: Marcl124, 2009
<br />If.:'' Bonded Thru Notary pt.lJlic UndelWrltel1
<br />
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