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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 deed 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 />under state 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 727-841-
<br />8009. Furthermore, if the owner has 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/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructlOh of new buildings, change bf
<br />use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance hUmber 89-07 ahd
<br />90-07, as amended. The undersigned al80 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 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, 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 & Rehabtlltative 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 tb the use of fill:
<br />Use of fill Is not allowed In Flood Zone "vn unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "An, 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 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 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 vioh:lling
<br />the conditions of the building permit issued under the attached permit application, for lots less thah 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 permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations hot specifically Included In tM 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 thereafter
<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 the work is commenced. An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC'NG, CONSULT
<br />WI H ORN Y Be ORE RECOR ING YOUR NOTICE E 0 MEN EMENT,
<br />FLORIDA JURAT (F.S. 117.03)
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<br />OWNER OR AGEN
<br />Subscribed and swom to (or affirmed) b
<br />b
<br />Who Is/are rsonally known to m r has/have produced
<br />as Identlflcatlon.
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<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or affirm
<br />b
<br />Who Is/are ersonally known to me 0
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<br />.0\a A..L.J.v1 ~NOlary Public
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<br />Commission No.
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<br />CommIssion No.
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<br />,
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<br />Name of No! ry ~rlnl'tN'A ~R\'A~HALL
<br />
<br />:V '" MY COMMISSION # DD539537
<br />""JtOff\."~ EXPIRES: Apr. 11.2010
<br />(407) 398-0153 Florida NotaJy Service.com
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