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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 ot"
<br />contractors to undertake work, they may be required to be licensed in accordance with state and local reguiations. If the
<br />contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation
<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 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 "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 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 und~r the attached p~rmlt application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is reqUired. . . . . .
<br />tll am lhe AGENt FOR THE OWNER, I promise In good faith to Inlorm the owner ~I the penTIl"m~ condlhons set forth In
<br />this affidavit rior to commencing construction. I.understand that a separate penn~may be reqUired for elec~lcal work,
<br />I b' . P ells pools air conditioning gas or other installations not specifically mcluded In the appilcatlOn. A
<br />p um ","g. sl~nsh ~ be 'cons~ed to be a IIcen~e to proceed with the work and not as authortly to. violate, cancel, alter. or
<br />perm . Issue sa. ions of the technical codes, nor shall issuance of a permit prevent the Building Official from the~eaft~r
<br />set ~s.lde any prov.ls . s construction or violations of any codes. Every permit issued shall become invalid
<br />r"iulfln~ a corr:ct~~,;;~:;o~ ';u~~~~rmit is commenced within six months of permll issuance, or tl work authorized. by
<br />un ess ~ .wor a ed or abandoned for a period of six (6) months after the time the work is commenced: An extenSion
<br />the ~rmllls su~p:~d wrlllng from the Building Official for a period not to exceed ninety (90) days and WIll demodstrate
<br />;:;:Kfia~l:e:'~:e~o~ ~~e exten'slon. If work ceases for ninety (90) consecutive days, th'\iob is considered abandone .
<br />
<br />ECORD A NOTICE OF COMMENCEMENT IVIA Y RESULT IN YOUR
<br />WARNING TO OWNE~p~g~:,:~~~~ ~~SR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />~~J:;O-:I~E FO:R OR AN ATTORNEY BEFORE RECORDING UR NOTICE OF C MMENCEMENT.
<br />
<br />FLORIDA JURAT (S. 7.03)
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and swo to (or affirmed) before me this
<br />by
<br />Who Isfare personally known to me or has/have produced
<br />as Identification.
<br />
<br />
<br />CONTRACTOR
<br />Subscribed and swom to
<br />by
<br />Who Is/are personally known to me or
<br />
<br />Notary pUbll,c
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
<br />
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