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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 dee<;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.llcensed 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~ITIESIMPAcT 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 undersigne<;J fitso 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, 8S 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, 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 />.compensatlng. 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 rill 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 wall. .
<br />If fill material Is to be used in any ~rea, I certify that use of su~h fill will not adversely. affect a?Jac~nt
<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 ~f the permitting conditIons s~t forth In
<br />thl. affidavit prior to commencing construction. I understand that a separate permit may be required for electrlca,l work,
<br />IUSmblng signs, wells, pools, air conditioning, gas, or other installations not specifically in?luded,ln the applicatron. A
<br />Permit fs~ued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlolat~, cancel, alter, or
<br />~et aside an provisions of the technical codes, nor shall issuance of a permit prevent the BU",dlng OffiCIal from the~eaft~r
<br />requiring a c!orrectlori of errors In planS, construction or violations of any codes. Everr ~ermlt Issued shall become In~r~d
<br />less the work authorized by such permit is commenced within six months of permit Issuance, or If work authorize . Y
<br />un , ended or abandoned for a period of six (6) months after the time the work Is commenced. An extension
<br />the p~rmlt IS sU~Pd In writing from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />j~:{;ffa~l~e:~:e ~o~ the exte~sion, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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<br />~:~=~~~EO~~EI~P:g~::e~~~~~ ~~~:~~~~E~~~;~g~ 1~~::OE~g:~:JN~~:A~~f~~.T d~NYSc:,~~
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<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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<br />FLORIDA JURAT (F.S. 1 7.03) /J)' I /
<br />IlL u^ ~ CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />. by
<br />Who Is/are personally known to me or has/have produced
<br />as Identlflcatlon.
<br />
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
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