<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~ble .dee.t;I. 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 hljlshlred 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/UTll,..lTIESIMPAcT 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 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, they must be paidprlor 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, Wastewate( 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 rill 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 materl~1 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 properti~s, the,ow,ner 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 lamthe AGENT FOR THE OWNER, I promise in good faith to Inform the owner ~f the permlttln~ conditIons s~t forth In
<br />this affidavit prior to commencing construction. I understand that a separate perm~t may ~e reqUired for elect~lca.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n?luded.ln the application. A
<br />ermit Issued 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 any provisions of the technical codes, nor shall issuance of a permit prevent the BUlI,dln9 OffiCial from the~eaft~r
<br />requiring a correction of errors In plans, construction or violations of any codes. Every ~ermit Issued. shall become. invalid
<br />unless the work authorized by such permit is commenced within six months o,f permIt Issu~nce, or If work authorized. by
<br />th mit Is suspended or abandoned for a period of six (6) months after the time the work IS commenced. An extensIon
<br />m::~~ requested, in writing, from the Building Official for a period not to exceed nin~ty ~90) dars and will demo~strate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandone .
<br />
<br />URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />~:~:~~~EO:t:~P:g~:~~~s TO YOUR PROPERTY, IF yOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03.) . . -;-,./, / ~ L:f" /'
<br />U c ~ CONTRACTOR ~ ~
<br />OWNER OR AGENT ~.. z---- Sub crl ed and sworn to (or amrmep) before me s
<br />Sub~crlbed and sworn to or am,rmed) before ~~.;: .:; ;)- i) 07 by n'\c~d~ ~. ---rhc/"I'V' ~i~
<br />_;> ( .)-0 J 0 I by met;( k 7 tV) ~ ^n;f <. du ed WIlo Is/are personally known. to me or has/have prod ced
<br />Who Is/are personally..known to me or as ve pro c }J 1-\ .\) (Z. \J.'l. \ \ C as Identlflcation.
<br />WI . ~ ~~ tu-'-'- as Identlllcatlon; .
<br />. D~\i:z. L\<.:...
<br />
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<br />~-2 0 _ .0 )"" ~ 0J-- Notary Public
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<br />c.\C~ ,~ '--~ ---n l. \ ~
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<br />Notary Public
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<br />CommissIon No.
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<br />Commission No.
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<br />
<br />; Name of Notary typ
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