<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 Sedlon at 727-847-
<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 uhderslgned lInderstands
<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 humber 89-07 ahd
<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 Resollrce 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 & 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 />"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 "N 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 filt material Is to be used In any area, I certify that use of such fin 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 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 wor~,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations hot specifically included 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 thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit Isslled 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 pennit Is suspend.d or abandoned for a p.riod of.1x (6) month. aft.r th.Um. the work i. commenced. An exl.nsion
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />Ju.tiflabl. caus. for the .xten.lon. If wort< c...... fOr nln.ty (90) con.ecutlv. day., the job I. consld.red abandon.d.
<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 />WI H Y E ORE RECORDING YOUR NOTICE 0 0 MENCEMENT.
<br />FLORIDA JURAT (F,S. 117.03
<br />
<br />OWNER OR AGEN
<br />Subscribed and swom
<br />~J 0 ') by
<br />Who ~/9re erso
<br />
<br />
<br />
<br />Notary Publlc
<br />
<br />
<br />Notary Publlc
<br />
<br />me of Notary typed, prInted or stamped
<br />V";;,,,,",V-.,!V ..
<br />"""^,,N',r"~'J"';''''\,.i,,;yv~''''l X ON ",
<br />\0"'"''''\''' L\:>,LH j'" 'c,',' ~
<br />"'!,- MY CO\1'\'H....,~l{!~.; :-: \),;" -'-" (,'
<br />, ,~f., rXP1RI',:-; ju\, \2,2'''') , .(
<br />r,ff"",~~,'.\>^" "; \';t'~ """_'\\\n~:)[)O"IS':.'C(),,;:\~"\:-As:";'~L-,.:,(_L'
<br />\W~_.--
<br />
|