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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 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 malerialls to be used in Flood Zone "A' In conneebon wllh a permitted bUlldlOg uSlng stem wall
<br />construction, I certify that fill will be used only to fill the area within the st~m w,all. ,
<br />If fill material is to be used in any area, I certify that use of su~h fill Will not adverselY. affect adjacent
<br />properties. If use of fill is found to adversely affect adjacent propertl~s, the. owner may be Cited for vlolatlOg
<br />the conditions of the building permit issued under the affached permll 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 of the permlt11n~ condll1ons s~1 forlh In
<br />this affidavit prior to commencing construcllon. I understand tIIat a separate permit may ~e requ,,~d for electneol work.
<br />I b' I ns wells pools air condilioning gas or other IOstallatlons not speclllcally Included In Ihe appllcabon. A
<br />p ~:;:'I:~;~U:~ shall be 'conslr~ed to be a Iicen~e to proceed wiih the work and not as authority 10. viol~t~, cancel, aller, or
<br />p 'd .' s of the technical codes nor shall issuance of a permit prevent the BUIlding OffiCial from thereafter
<br />set as! e any prOVISion ' f d. E .t' u d shall become invalid
<br />requiring a correction of errors In plans, construction or violations 0 any co es. very ~errnl ISS e'f kth . db
<br />unl ss the work authorized by such permit Is commenced within six months of permit ISSuance, or 1 wor au onze . Y
<br />e .' ended or abandoned for a period of six (6) months after the bme the work IS commenced. An exlenSlon
<br />the p~rmll IS sU~Pd 'n writing from the Building Official for a period nol to exceed ninety (90) days and will demo:traie
<br />;:::~la~l:e:~:e ~o~ :he exte~slon. If work ceases for ninety (90) consecutive days, th~ob Is considered abandone .
<br />
<br />TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN yoUR
<br />WARNING TO O:O~E~p~g~::~~~~ YOUR PROPERTY. IF YOU IIITEND TO OBTAIN. FINANCING, CONSULT
<br />~~~:;O-:I~~NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENCEMENT.
<br />
<br />FLORIDA JURAT (F,S. 117. ~ '..l
<br />CONTRACTOR ~ .
<br />subscri ed and sWO to (or affir d) before me thiS
<br />2-'" 0-' by :;\~~ I ,,-)a...oC(~ t-.)e.~.)(~~<'I 'C'\
<br />Who Is/are personally known to me or haslhave p~odu~ed
<br />f1- "1>i2-\ldL L\C- as identification.
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<br />~..o,,-~~
<br />commission ' '
<br />"9.; . .
<br />;:{ .i~ Commission # 00609664
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<br />Name of Not. ., Ol"ll. 29,2010
<br />, I' Bonded Troy F_ln. Int_an..\ In.. .......701.
<br />
<br />Notary Public
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<br />
<br />Notary Public
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