<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~bledee.d 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 hljls 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 hot properly licensed and is not entitled to permitting privileges In Pasco
<br />County. . . '
<br />TRANSPORTATION IMPACT/UTII,.ITIES IMPACT 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 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, 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 fn Flood Zone aV" 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 properti~s, 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 ~f the permlttln~ conditIons s~t forth In
<br />thl affidavit prior to commencing construction. I understand that a separate permIt may be reqUired for electnca,' work,
<br />I:mblng, signs, wells, pools, air conditioning, gas, or other Installations not specifically in?luded, in the appllcatlo~. A
<br />Permit Issued shall be construed to be a license to proceed with the work a~d not as authon~y ~o VIolate, cancel, alter, or
<br />~et 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. Everr permit issued shall become Invalid
<br />unless the work authorized by such permit Is commenced within six months ~f permIt lssu~nce; or if work authorized. by
<br />the erm!t is sus ended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extensIon
<br />ma: be reqUest:d, in writing, from the Building Official for a period not t~ exceed mn~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 />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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CEMENT,
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />
<br />
<br />CONTRACTOR -~ ~-- /.
<br />Subscrfbed and swom to (or a before me this
<br />, by
<br />Who Is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />
<br />OWNER OR AGENT '
<br />Subscribed and swom to (or afflrtmid) before me this
<br />by ,
<br />Who Is/are personally known to me or has/have, produced
<br />as IdenUflcaUon;
<br />
<br />
<br />or , DO 549872
<br />iI',,?j ........
<br />----w'.r.'i," Bonded by National Notary Assn.
<br />
<br />
<br />Name of Notary ty
<br />
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