<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 />- applic~bledeec;J 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 />understate 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 h~s hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portions of the, "contractor Block" 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/UTI~ITIES IMPAcT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Re~overy 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 .certiflcate 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 />CONSTRUCTION LIEN LAW (Chapter 113, 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 rn 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 />IIcense~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 I,ssued 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 s.eparate perm~t may ~e required for electrica,l work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other !nstallatlons not speCifically rn?luded, 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 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 nrn~ty ~90) days and wrll demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<br />WARNIN~ TO OWNER: , YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YQUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENOER OR AN ATTO NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN~
<br />FLORIDA JURAT (F.S. 1 ~.!)l3) ~~J. I
<br />/::0 CONTRACTORr~tJ ~)ILEy (!DJJS:- ~~
<br />=:~~~dG;: 0 (or a ed) befor / e this 15+-'--" Su scribed a,nd sworn to (or affl~ed) before me this 15" '--
<br />J4Y1~ by 1A.~l'\~ I/erw (~b{'---, 4 b
<br />Who Is/ar personally k own to me or hss/have, prodUced ~ Who Is e ersonally kno
<br />'D.l-. as~Pflr.Allon;
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<br />~~ ~ No,""P",,"
<br />/ N~.~~: p - I'WlUlJA
<br />Commission No. .",
<br />f ! Commission # DD60 111 0
<br />-:.... . 1;'
<br />Name of Notary typed, prl~JfdDtl)'S
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