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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 727-847-
<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 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 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 certif~ 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 "A" In connectton With a permitted bUilding USing stem wall
<br />construction, I certify that fill will be used only to fill the area within the st~m ~all. .
<br />If fill material is to be used in any area, 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 propertl~s, the, ow~er 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 Ihe owner m the permllfln9 conditions sel forlh In
<br />Ihls affidavit prior to commencing construction. I understand ~at a s~parate permit may be reqUlr~d for elec~lcal work,
<br />I b' 'gns wells pools air conditioning gas or olher Installations nol speetflcally mcluded In the apphcabon. A
<br />p ~::;'II'~~~u~d shall be 'cons~ed to lie a Iicen~e to proceed with Ihe work and not as authorllyto. violal~, cancel, alter, or
<br />~elaslde any provisions m tha technical codes, nor shall Issuance m a permll prevent the B~lldlng OffiCial from the~eaft?r
<br />requiring a correction m errors In plans, conslructlon or violations of any codes. Every ~ermlt Issued shall become. Inva~d
<br />unlass the work aulhorlzed by such permit Is commenced within six monlhs of permlllssuance, or If work authorized. Y
<br />" us ended or abandoned for a period of SIX (6) months after the time the work IS commenced. An extenSIon
<br />Ihe p~rmlt IS s t Pd In wrillng from the Building Official for a period not 10 exceed ninaly (90) days and will demo:;slraie
<br />~:~fla~I::~:e ~~ tha exla~sion. If work ceases for nlnely (90) consecutive days, th,\!ob Is considered abandone .
<br />
<br />o RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNIN;JgEO;V:REI~P~g~::~~~~~ ~OUR PROPERTY. IF YOIl INTEND TO OBTAIN FINANCING, CONSULT
<br />:::.";OURI LENDER OR AlTORN BEFORE RECORDING YOUR NOnCE OF COMME EMENT.
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<br />FLORIDA JURAT (ES. 1 .03
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<br />~ ~ ~ ~ '- ~ NotaryPubll.c
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<br />Notary Public
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<br />Name of Notary typed, p
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<br />commission No.
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